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Home My WebLink About025-340-002WP-r-74--52 t 5� Gordon - �. Power House Hill Rd.,app.3/4 mi.S.o Lone Tree Rd., Oroville k Permit #4210-77.1,P'9 util.,MH) p ELEC. -7 GAS , 3 K r <' 607}0098 025-340-002 SUP OR . STRUCTURE RE RESIDENTIAL SFD-Mobile Home RET, COMPACTION TEST REQ. EX MH EX SITE PERM FNDN (1440) ,5433 POWERHOUSE HILL.RD(�� MALTA, DIANE E •. J!e- mit #421,1-77MHI o Zssued' l Contr: The Oaks at Lake Oro v Me PErmit,#3170-79MHI • Issued / to p/J/ 5x Gordo//. ✓ Power House Hill Rd., app.3/4 mi S of Lone Tree Rd,, Oroville contr: Holmes Mobile Home Sery , Orov. Permit #3724-79B(new awnings & deck/. • 1 o uO XV � 01 Poles tV7m ._ � _ "'�r� .. �^' �,. r .� v .. l� V .. G 'ice": 4•..c.MYY,: � ..d'. �l - _ —�~ _ _ _. h3 /�a��,Q Ln i~ COPY of Document Recorded #; - kORDING REQUESTED BY: Oricliflp°S AND WHEN RECORDED MAIL TO: BUTTE; Cf?I_aNT3> C,DUa,ITY BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. MALTA, DIANE E BUTTE COUNTY BUILDING DIVISION REAL PROPERTY OWNER/LESSOR LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 5433 POWER HOUSE HILL RD 7 COUNTY CENTER DRIVE MAILING ADDRESS MAILING ADDRESS OROVILLE BUTTE CA 95965 OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP CITY COUNTY STATE ZIP 5433 POWER HOUSE HILL RD B07-0098 (530) 538-7541 INSTALLATION MAILING ADDRESS, IF DIFFERENT BUILDING PERMIT NO. TELEPHONE NUMBER PALERMO BUT'T'E CA 95965 �(Jil� 1/22/2007 CITY COUNTY STATE ZIP SIGNATURE OF l6bCAL AGENCY OFFICIAL DATE SAME NONE UNIT OVtER (if also property owner, write "SAME" DEALER NAME (if not a dealer, write "NONE") AME NONE MAILING ADDRESS DEALER LICENSE NO. SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION GOLDEN WEST 1979 SOMERSET MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER SM40446A/13 64 X 24 151825/6, SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION: ASSESSOR'S PARCEL NUMBER: 025-340-002 SEE ATTACHED HCD FORM 433(A) REV 8/91 WHITE — County Recorder CANARY — HCD PINK—Applicant GOLDENROD— Building Dept. BUILDING PERMIT NUMBER: B07-0098 Address or location of unit: 5433 POWER HOUSE HILL RD PALERMO CA Legal Description of Real Property: 025-340-002 SEE ATTACHED (x) Mobilehome/Manufactured Home () Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: MALTA, DIANE E Owner's address:5433 POWER HOUSE HILL RD OROVILLE CA 95965 INSIGNIA OR HUD NUMBER: 151825/6 SERIAL NUMBER OR V.I.N.: SM40446A/B MANUFACTURER'S NAME: GOLDEN WEST YEAR: 1979 OFFICIAL APPROVING INSTALLATION: j2d&k 9AQYw DATE: //-z /0% PHONE: (530) 538-7541 H.C.D. 513 FOUNDATION SYSTEM CERTIFICATE OF OCCUPANCY BUILDING PERMIT NUMBER: B07-0098 Address or location of unit: 5433 POWER HOUSE HILL RD PALERMO CA Legal Description of Real Property: 025-340-002 SEE ATTACHED (x) Mobilehome/Manufactured Home () Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: MALTA, DIANE E Owner's address:5433 POWER HOUSE HILL RD OROVILLE CA 95965 INSIGNIA OR HUD NUMBER: 151825/6 SERIAL NUMBER OR V.I.N.: SM40446A/B MANUFACTURER'S NAME: GOLDEN WEST YEAR: 1979 :::z�OFFICIAL APPROVING INSTALLATION: DATE: e PHONE: (530) 538-7541 H.C.D. 513 BUTTE COUNTY ' DEPARTMENT OF DEVELOPMENT SERVICES INSPECTION CARD MUST BE ON JOB SITE 24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico) Office: (530) 538-7541 Fax: (530) 538-2140 Website: www.buttecounty.net/dds Permit No: B07-0098 Issued: 01/18/2007 Address: 5433 POWER HOUSE HIlArea: PALERMO Owner: MALTA, DIANE E APN: 025-340-002 Applicant: GERALD GLEN DOREMMap Page: Permit Type: SFD-Mobile Home RET Description: EX MH EX SITE PERM FNDN (1440) AREA 1 Flood Zone: None SRA Area: No Set Backs Front Setback: Side Setback: Rear Setback: Other Setback: Minimum Setback From Centerline of Street: ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING Inspection Type IVR INSP DATE Setbacks 132 Foundations / Footings 111 Pier/Column Footings 122 Grade Beams 114 Eufer Ground 216 Forms/Steel/Holdowns 122 Do Not Pour Concrete Until Above are Signed Pre -Slab 124 Gas Test House 404 Gas Test Yard 404 Masonry Grout 120 Masonry Bond Beam 119 Underfloor Framing 149 Underfloor Ducts 319 Shear Transfer 136 Under Floor Plumbing 412 Under Slab Plumbing 411 Gas Piping 403 Do Not Install Floor Sheathing or Slab Until Above Signed Holdowns/Straps 122 Shearwall/B.W.P.-Interior 135 Shearwall/B.W.P.-Exterior 135 Roof Nail/Drag Trusses 129 Do Not Install Siding/Stucco or Roofing Until Above Signed Rough Framing 128 Rough Plumbing 406 Rough Mechanical 316 Rough Electrical 208 Gas Piping 403 Shower Pan/Tub Test 408 Fire Sprinkler Test 702 Fire Sprinkler Final 702 Finals Building Final 802 Electrical Final 803 Mechanical Final 809 Plumbing Final 813 Pool Final 802 Mobile Home Final 802 Inspection Type IVR INSP DATE Do Not Insulate Until Above S gned Wall Insulation 117 Ceiling Insulation 118 Do Not Cover Until Above Signed T -Bar Ceiling / RC 145 Stucco Lath 142 Stucco Scratch 143 Stucco Brown 144 Swimming Pools Setbacks 132 Pool Plumbing Test 504 Gas Test 404 Pre-Gunute 506 Pool ElecBonding/Light Nitch 502 Pool Fencing/Alarms/Barriers 503 Pre -Plaster 507 Manufactured Homes Setbacks 132 Blocking/Underpining 612 Tiedown/Foundation System 611 Site Utilities/Trench Insp. 137 Gas Test Yard 404 Manometer Test 605 Continuity Test 602 Skirting/Steps/Landings 610 Coach Info Manufactures Name: GOLDEN WEST Date of Manufacture: 1979 Model Name/Number: SOMERSET Serial Numbers: SM40446AB Length x Width: 64 X 24 Insignia: 151825/6 Public Works Fina 538-7681 Fire Department/CDF 538-7111 Env. Health Final 538-7281 **PROJECT FINAL 801 •-rrolect rmai is a t-eruncate of uccupancy for (Kesiaennai umy) PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE. IF WORK HAS COMMENCED, YOU MAY PAY FOR A 1 YEAR q i RENEWAL 30 DAYS PVIOR TO EXPIRATION �L Inspector Copy BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING. PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 5433 POWER HOUSE HILL RD Owner: Permit NO: B07-0098 APN: 025-340-002 MALTA, DIANE E Issued Date: 01/18/2007 By KEJ Permit type: RESIDENTIAL 5433 POWER HOUSE HILL RD Subtype: SFD-Mobile Home RET OROVILLE, CA 95965 Expiration Date: 01/18/2008 Description: EX MH EX SITE PERM FNDN (1440 Occupancy: Zoning: Q1 Contractor Applicant: Square Footage: GERALD GLEN DOREMUS GERALD GLEN DOREMUS Building Garage Remdl/Addn PO BOX 4121 PO BOX 4121 CHICO, CA 95927 CHICO, CA 95927 Other Porch/Patio Total (530) 895-1774 (530) 895-1774 FEE INFORMATION Mobile Home $329.94 Mobile Home Plan Check $219.96 Total Charged: $549.90 Fees Paid: $549.90 Balance Due: $0.00 Receipt No: B1527 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires IrHEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License GERALD GLEN DOREMUS 445103 / C47 / 08/31/2007 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law (Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 01/18/2007 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractor's Signature Date I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR WORKERS' COMPENSATION DECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of the property, who builds or improves thereon, and who does I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑ 1, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). Carrier: Policy Number: Exp. Date: (This section need not be completed if the permit is or one hundred dollars ($100) or less.) ❑ I AM EXEMPT under Section B. 8 P.C. for this reason: ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' X 01/18/2007 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owners Signature Date provisions. X 01/18/2007 I hereby certify that I have read this application and state that the above information is cored. 1 agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE injury, including death, and property damage caused arising out of, t of, o in any way connected with HUNDRED THOUSAND DOLLARS $100,000 , IN ADDITION TO THE COST OF COMPENSATION, ( ) tby.is the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the a DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the property owner or am authorized to act on the property owner's behalf. CONSTRUCTION LENDING AGENCY 01/18/2007 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Permittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) ❑ Owner ❑ Contractor OR; E]Agent for Owner ❑Agent for Contractor INSPECTOR COPY Lenders Address City State zip t01/12/2007 11:12 D. Wilson 5308994017 p.2 '5305320440 BETTER HOMES REAL -TY PAGE 02/02 STATE OF CALIFORNIA - DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT RFaISTRATION CARD MOBILEHOME DECAL No. LAY4549 MAWACTURNP HAIWID GOLDEN NEST! TRM Nm *DEL w" off ors SPC EXPZRAYMM USERM MRSER 2 SH484"B 3 LABEL.4USIGNA WHIR 151529 Isms VEMff 008080 4065010 LeRM 000768 boons IUVTM 000144 000144 Z"UIscc M DWI/97 14 USE 3FD I TVPI LPT MAL FEES PAID: MALTA DIANE E 5433 PUNER MOUSE HILL RD OROVILLE CA 9$965 MALTA DIARE E Y N 5433 PWR HOUSE SA t TZ P L QVMLLE A --t R. 0S $493 Pam wilft HILL E u OMLLE Z!, L CM R Rclhm Gm PAMIR DATE; pm im PtMTT/ V so w" pmwT R cm mmm "m 1655 wwromm sy R OROVILLE CA 95965 DATE; 07109M 12-.00:01 L Et NE 14 c 00 LN THE OWNER INFORMATION SHORN ABOVE MAY NOT REFLECT ALL LIENS RECORDED KITH THE DEPARTMENT OF HOUSING AND C014MUNITY DEVELOPMENT AGAINST THE DESCRIBED UNIT. .1 THE CURRENT TITLE STATUS OF THE UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT. 0300156 t A --t R. HILL Ck 13 Ti 'a.S- CA j 4-1 ia. CA pm im PtMTT/ V so w" pmwT R cm mmm "m 1655 wwromm sy R OROVILLE CA 95965 DATE; 07109M 12-.00:01 L Et NE 14 c 00 LN THE OWNER INFORMATION SHORN ABOVE MAY NOT REFLECT ALL LIENS RECORDED KITH THE DEPARTMENT OF HOUSING AND C014MUNITY DEVELOPMENT AGAINST THE DESCRIBED UNIT. .1 THE CURRENT TITLE STATUS OF THE UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT. 0300156 t A --t R. 13 pm im PtMTT/ V so w" pmwT R cm mmm "m 1655 wwromm sy R OROVILLE CA 95965 DATE; 07109M 12-.00:01 L Et NE 14 c 00 LN THE OWNER INFORMATION SHORN ABOVE MAY NOT REFLECT ALL LIENS RECORDED KITH THE DEPARTMENT OF HOUSING AND C014MUNITY DEVELOPMENT AGAINST THE DESCRIBED UNIT. .1 THE CURRENT TITLE STATUS OF THE UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT. 0300156 1/12/2007 3:53 PM PAGE 2/003 Fax Server rmpm d mm Vaby mw &..as NIL C"Z.lc- . w %cwJA" Law Ift w"m FACOMW MOO ft Dw4E.F- MALTA 5M POWER HMNE MLL AD OROVLLL CA am 9s--11091 .96-02-10911 no. 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END OF DOCUMENT BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 5433 POWER HOUSE HILL RD Owner: Permit No: B07-0098 APN: 025-340-002 MALTA, DIANE E Issued Date: 01/18/2007 By KEJ Permit type: RESIDENTIAL 5433 POWER HOUSE HILL RD Subtype: SFD-Mobile Home RET OROVILLE, CA 95965 Expiration Date: 01/18/2008 Description: EX MH EX SITE PERM FNDN (1440 Occupancy: Zoning: Q Contractor Applicant: Square Footage: GERALD GLEN DOREMUS GERALD GLEN DOREMUS Building Garage RemdUAddn PO BOX 4121 PO BOX 4121 CHICO, CA 95927 CHICO, CA 95927 Other Porch/Patio Total (530) 895-1774 (530) 895-1774 FEE INFORMATION Mobile Home $329.94 Mobile Home Plan Check $219.96 Total Charged: $549.90 Fees Paid: $549.90 Balance Due: $0.00 Receipt No: B1527 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License GERALD GLEN DOREMUS 445103 / C47 / 08/31/2007 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HER RM UNDER PENALTY OF PERJURY that 1 am licensed. nder provisions of Chapter 9 (co encing with�Section 7000) of Division 3 of the Business and Professi ns Code, and my license Pursuant to the provisions of the Contractofs License law [Chapter 9 (commencing with Section 7000) full for nd ea. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects 01/ /2007 the applicant to a civil penalty of not more than five hundred dollars [$500]; Con cto s Ignature Date Please check one of the following: ❑ I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK AND THE STRUCTURE IS NOT INTENDED OR ORKERS' COMPENSATION DECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑ ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). Cartier. Policy Number. Exp. Date: (This section nee not a completed if the permit is or one hundred dollars ($100) or est s.) "CERTIFY I AM EXEMPT under Section B. & P.C. for this reason: 011THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' X 01/18/2007 corn tion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date visions. X01/18/2007 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Sign Date WARNING: AILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHA SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and property damage caused by, arising out of, or in any way connected with HUNDRE THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for i `on purposes. I hereby certify that I am the pro ty owner or am authorized to act on the arty owner s beha f— /18/2007 CONSTRUCTION LENDING AGENCY 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name ofP rml ee [S G Print Date the performance of the work for which this permit is issued. (3097 civ. code) F1Owner ontractor OR; . Agent for Owner ❑Agent for Contractor FILE COPY Lenders Address City State Zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARL—Y" -- -- - .. APPLICANT INFORMATION OWNER INFORMATION Last Name7—A r Address first NV1'.4- r !Mailing Mailing Address �4 33 A L City O aw y I I- L_ -2 State AZip Fax Phone 3- / Fax E-mail E-mail -- -- - .. APPLICANT INFORMATION CONTRACTOR Name r Address Z City Fax State Zip Phone C d Fax E-mail Phone State License Number Fax E-mail Uc. # , fS O Clas Lf -- -- - .. APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Page Fax E-mail State License Number -- -- - .. APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X V�A__ For ice use only: AP#Q _ 3 0- o2 - Zoning Flood Zone SRA I Yes No Occ, WORKER'S COMPENSATION 1'ype Const. Subdivision Name If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. Map Book Page Lot # Planner Date Approved: QO PERMIT NO. 61 -(_)C�� BW # PROJECT LOCATION AP#Q _ 3 0- o2 - Property Address City OK Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scoff of Work: �/v D'4�oi ttil 1t. Sq FT- Living v Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Amount: Bldg SRA Receipt #: Sheriff SNillp Date: .Jther �� . �� , �� ---__�__________-________ _ a Xi2 Foundation System Installation Instructions for California for Ground & Concrete Systems HUD Wind Zone 1, 15 PSF Wind Load Seismic 4 By Tie Down Engineering Xi2 Concrete System BU i AZ r u g= • "cqp %n� BUIL g{�` aL-44VIS 9IO Engineer Approval State Approval HANUFACTURED HOME/MOBILE HOME FOUNDATION SYSTEM BBALTH AND SAFETY CODE, SECTION 18531 APPROVED BUBJECT TO CORRECTIONS NOTED APPROVAL DOES NOT AUTHORIZE OR APPROVE ANY MISSIONS OR DEVIATION FROM REQUIREMENTS OF APPLICABLS STATE LAWS AND RElauLATION3 Stale of califonis owwafte CtRomins r OF COQ138 AND STANDARDS . f Page 1 of 8 i Xi2 Foundation System Installation Instructions for California for Ground & Concrete Systems HUD Wind Zone 1, 15 PSF Wind Load Seismic 4 By Tie Down Engineering REQUIREMENTS • These plans and specifications meet the requirements of Title 25 Section 1336.3 Sub Section A and 97 UBC Seismic Requirements, CBC 2001 addition. • Maximum vertical projection at sidewall is 9'. Higher walls may be used when the design loads are adjusted accordingly and approved by HUD. • Main rail spacing must be 75.5" - 99.5" * Except single sections 95" minimum X • Additional vertical anchor ties that are unique to a home's design may be required by the home manufacturer. These locations may include shear walls, marriage line ridge beam support posts, and rim plates. The longitudinal component of the Xi2 system replaces end frame ties. Check manufacturers set-up requirements. • Maximum pier height is 48" pier. *Except for single sections 36". • Steel piers must be fastened to the I-beam with clamps provided with steel pier. • Systems must be placed as evenly as possible, no more than 10' from end of home. • Designed for 7:12 roof slope. *Except single sections, (20° - 4.37 in. 12" pitch). Additional Requirements for Concrete Systems • Poured concrete must be 2,500 PSI minimum at 28 days. • Square concrete pads minimum is 18" wide by 12" deep. Round concrete pads minimum is 18" wide by 14" deep. Strip footings minimum is 18" wide by 14' long by 6" deep. ®V Xi2 components exceed HUD code 3280.3068 Anchoring equipment exposed toweathering shall have a resistance to weather deterioration at least equivalent to that provided by a coating of zinc on steel of not less than 0.30 ounces per square foot of surface coating...." Page 2 of 8 0 LD '= o 11 TIE DOWN ENGINEERINGe 5901 Wheaton Drive Atlanta GA i Installation of Xi2 Ground Systems 1. Identify the number of systems to be used on the home using the chart provided. 2. Identify the location where the systems will be installed. 3. Clear all organic matter and debris from the pad site. ' 4. Place U -bolts through holes in pan provided. 5. Place pad centered under beam with the lateral strut bracket towards the inside of the home. 6. Press or drive pan into ground until level and flush with prepared surface. 7. Build pier according to State, Local or Home Manufacturers guidelines.(Figure 1) 8. Attach the end of the smaller tube to the inside of pan using U -bolt & nuts provided 9. Attach the flag end of -the larger tube to the opposite I-beam using the "J" bolt over the top of the I-beam with the nut & washer provided. (Figure 2) 10. Install a minimum of four (#12 x 1" tek screws) self -tapping screws into the holes provided in the lateral strut so that the two tubes are connected together. (Figure 1) 1-314" Tube J -Bolt Nut & Washer 10) Lateral Struts Strut (flag end) ° 1-1/2" Tube 4-#12x1" Tek Screws I -Beam 1 Figure 2 Vl U -Bolt & mounting`s r• Figure 1 Bracket Fnd o f N°me Install frame bracket clamps to I-beam on in side of block/pier. Do not tighten nuts at this time. Attach longitudinal strut to U -bolt in pan using nuts provided. Insert strut in the frame bracket clamp, attach with nut and bolt. Do not tighten at this time. Pull the frame bracket clamp with the fastened strut outward to remove any slack. Tighten all nuts and bolts on the struts and. beam clamps. TIE:' V DOWN,;. ENGINEERING: 0 0 LO 0 0 O Xi2 Ground Parts Detail Xi2 Ground Lateral System Part Number 59306 Includes: 5' Strut, pad & hardware kit (#59329-1 includes all nuts and bolts). Longitudinal Hardware Kit Part Number 59331 Includes: 2 I-beam brackets & 2 U -bolts with all nuts and bolts. Lateral and Longitudinal Combination Part Number 59333 Includes: 5' Strut, Pad, Longitudinal Strut (#59329), Lateral and Longitudinal Hardware Kit with all nuts and bolts. Struts for Longitudinal Systems Part Strut Pier Height No. Length Up To: 59330-44 44" 4 Blocks or 32" 59330-65 65" 6 Blocks or 48" ®fill ®gill Ground Longitudinal Hardware Kit Xi2 Ground Longitudinal Strut & Hardware Kit Ground Longitudinal Strut Xi2 Stabilization Pier Placement for Ground or Concrete Xi2 Pier Placement Double Section Home 0 -62' 3 Xi2 Systems* 63' - 80' 4 Xi2 Systems •2 Xi2 systems can be placed at either end of the home. Triple Section Home 0 -62' 4 Xi2 Systems 63' - 80' 5 Xi2 Systems ®> Al"', �. Page 4 of 8 R9 m 0 0 0 0 51 Installation of Xi2 Concrete Systems 1. Identity the number of systems to be used on the home using the chart provided. 2. Identify the location where the systems will be installed. 3. Build pier according to State, Local or Home Manufacturers guidelines. 4. Drill two 3/8"x 3" deep holes in the concrete using holes in galvanized bracket as a guide. Attach bracket to concrete pad using 3/8"x3-1/2" wedge anchors provided. Place nut & washer on anchor, leave enough room for 1 to 2 threads showing on top of bolt. Using a hammer, tap the wedge bolts into hole through bracket, leaving nut & washer flush with bracket. Using a 9/16" socket wrench, tighten wedge/anchor bolt, securing bracket to the concrete. 5. Attach the end of the smaller tube to the bracket mounted on the pad, using the grade 5,1/2" x 2-1/2" bolt/nut provided. 6. Attach the flag end of the larger tube to the opposite I-beam using the "J" bolt over the top of the I-beam with the nut & washer provided. (Figure 1 next page) 7. Install a minimum of four (#12 x 1" tek screws) self -tapping screws into the holes provided in the lateral strut so that the two tubes are connected together 8. Install frame bracket clamps on I-beam on the inside of block/pier. 9. Insert strut in frame bracket clamp and attach with nut & bolt. Attach opposite end to concrete bracket. 10. Pull the frame bracket clamp with fastened strut outward to remove ariv slack) 11 jighten all nuts and bolts on system. (�g_p . J Page 5 of 8 CD m 0 LS 0 1 I o 0 Xi2 Lateral Concrete Systems Part #59307 Includes: 5' Strut, Bracket, & Hardware Kit #59315-1 with all nuts and bolt. Longitudinal Struts for "Concrete Systems" Part No. Length Pier Height #59013 44" up to 4 Blocks #59015 65" up to 6 Blocks Longitudinal Hardware Kit Part #59263 (Includes 2 sets per kit: I-beam bracket, nuts, bolts and washers) Lateral and Longitudinal Combination Part#59332 Includes: 5' Strut, Longitudinal Strut (#59364), Lateral and Longitudinal Hardware Kit with all nuts and bolts. Figure 1 Lone ,Nut & Washer Beam Clamp - Bracket Xi2 Installation Placement :Beam Longitudinal Strut Concrete Longitudinal Hardware Kit end a 0 Page 6of8 r�EF "DOWN: ENGINEERING r.'` m LD O 0 O 'IG wl f .-? Offset Placement Diagrams represent examples of double and triple section offsets. Total size is determined by the length of unit plus offset. Xi2 Stabilization Pier Placement for Ground or Concrete L 4 Single Section Home 0 -80' (76' Box) 4 Xi2 Systems Xi2 Pier Placement Double Section Home 0 -62' 3 Xi2 Systems* 63' - 80' 4 Xi2 Systems *2 Xi2 systems can be placed at either end of the home. Triple Section Home 0 -62' 4 Xi2 Systems 63' - 80' 5 Xi2 Systems Hardware Breakdown #59329-1 Hardware for 59306 Lateral System 1 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 thread Beam Clamp Base 1-3/4 zinc 4 10556 Tek Screw #12 x 1" 1 10631Z J Bolt 1/2 x 5-1/2 grade 5 zinc 2 10640 ' Push Nut 1/2 1 12107 Flat Washer 1 x2" SS 1 10646Y Hex Nut 1/2-13 grade 5 zinc 2 10519 Hex Nut 1/2" w/ Serr flange #59331 Longitudinal Hardware for 59306 2 59272-1 Beam Clamp Base 4 59272-2 Beam Clamp Top Flange 8 10926 Carriage Bolt 1/2-12 x 1-1/4 Carriage Bolt 1/2-12 x 1-1/4 2 59272-2 Full Thread 10 10646Y Hex Nut 1/2-13 grade 5 zinc 2 10801 Carriage Bolt 1/2-12 x 2-1/2 1 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 Thread Grade 5 2 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 thread 2 10519 Hex Nut 1/2" w/Serr Flange 1-3/4 zinc 4 10640 Push Nut 1/2 4 10519 Hex Nut 1/2" w/ Serr flange # 59329 Hardware for 59333 Lateral and Longitudinal combination 1 59329-1 Hardware Kit 1 59272-1 Beam Clamp Base 2 59272-2 Beam Clamp Top Flange 4 10926 Carriage Bolt 1/2-12 x 1-1/4 2 59272-2 full thread 5 10646Y Hex Nut 1/2-13 Grade 5 zinc 1 10801 Carriage Bolt 1/2-12 x 2-1/2 10801 Grade 5 zinc 1 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 Thread Grade 5 zinc 1-3/4 zinc 2 10640 Push Nut 1/2 2 10519 Hex Nut 1/2" w/Serr Flange #59315-1 Hardware for Lateral System 1 10631Z J Bolt 1/2 x 5-1/2 Grade 5 zinc 1 12107 Flat Washer 1/2" SS 4 10556 Tek Screw #12 x 1" 2 10646Y Hex Nut 1/203 Grade 5 zinc 1 10826 Carriage Bolt 1/2-12 x 3 2 59272-2 Grade 5 zinc #59027 Hardware Kit for 59307 Lateral System 2 59264 3 Way Concrete Bracket 4 10530 Wedge Anchor 3/8 x 3.50 1 59315-1 Hardware Kit #59263 Longitudinal Hardware for 59307 2 59272-1 Beam Clamp Base 4 59272-2 Beam Clamp Top Flange 8 10926 Carriage Bolt 1/2-13 x 1-1/4 Beam Clamp Base 2 59272-2 Full Thread zinc 12 10646Y Hex Nut 1/2-13 Grade 5 zinc 4 10801 Carriage Bolt 1/2-13 x 2-1/2 Grade 5 zinc Grade 5 zinc #59364 Hardware for 59332 Lateral and Longitudinal combination 1 59264 3 Way Concrete Bracket 2 10530 Wedge Anchor 3/8 x 3.50 1 59315-1 Lateral Hardware Kit 1 59272-1 Beam Clamp Base 2 59272-2 Beam Clamp Top Flange 4 10926 Carriage Bolt 1/2-13 x 1-1/4 Full Thread zinc 2 10801 Carriage Bolt 1/2-13 x 2-1/2 Grade 5 zinc 6 10646Y Hex Nut 1/2-13 Grade 5 zinc � w7 wraj>45 4 I_, -P+ l,) -I -F 1116 Page 8 of 8 Y %IA:iF 3070_7 9 z PERMIT NO.TTr,E 4 PERMIT EXPIRES � /,9/;7 R R 'OWNER Max Gordon CONTR. owner LOCATION (A.P. 25-24-52 ) E/S Power House Hill Rd.,app.-3/4 mi.S.of Lone Tree Rd. Oroville { 'i k' Temp. Power Pole Called PG&E Temp. Elea Serv. Called PG&E Temp. Gas Serv. Called PG&E -7 /Fol B NALED '^ (Date) (Signature) . COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING �� BUILDING (Cont'd) PLUMBING Se ck F1'rXw all Soil spin For Para is 1st Xloor Mai Bldg. Restro Finish 2nd Nor Fo 'ins Windows 3rd FloXr Ste all Sidin To out Slab Roof Sheatkng Water PI in Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwall Garage Vents Insulation Water Htr. 's Heaters Slab Carport Footings Prov. for physical handicapedy Conformance of ex. structure Appliances Gas Piping &Test Temp. Gas Slab Final Sanitation Patio IRE ACE Final Footings Footing LECTRIC L Heint. s I Final X Fixtures Bond Be m FIRE SPRINKLE Motors Framino Test Water Htr Stucco Final Sub ane Mos MECHANICAL Grd. Fifult Prot. Scr tch Heatl Servl e B wn Cooling T mp. Pole 1nlsh D is nder round I erior Lath ntilation Permanent oor Closer anal anal MW MOBILEHOME UTILITI S - - - - - - - - - - - Elec. Service - Elec. Pedestal Water Piping Sewer 1007vi Gas Piping E OME INSTALLATI N - - - - - - - - - - - - - - Support _ Elec. Continuity Water Piping 6 Drainage fGas Piping DATE REMARKS OR CORRECTIONS %/y1r /� a 00 C q A� � (NO'TE: An entry must be made on this form each time you visit the job site.) 9. Electrical A. Is service large enough to -provide adequate ,amperage- to, mobile�iome (must equal ratite='b.•f' mobilehome with a minimum oamp)vand 61ther.facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes o B. Is there proper clearances around panels? Yes l No C. Is power supply cord or feeder assembly properly fused? Yes No D. Is continuity test satisfactory as per the following procedure? Yes_ No 1. De -energize electrical wiring system of the mobilehome at the pedestal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. -Switch all breakers and switches in'the mobilehome to the "on" position. 4. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 5. All non-current, carrying metal parts;of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding-condctor. 6. Upon completion of the above procedure, the'power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis ofthe mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. a 10. Is job card signed by Health Department for water and sanitation? n 11. If everything okay, sign off card and tag services. MOBILEHOME DATA !•` u1,, �""vv.. Manufacturer and/or Namestyle Length Width F Vehicle Serial No.6 {t'� State Identification No. Additional Information or Comments: MOBILEHOME INSTALLATION INSPECTION CHECK LIST, 1. Is the mobilehome located wi !qq.ir d separation from lot lines and buildings and generally conform to plot plan? Yeso 2. Does the mobilehome have requi above ground? (Sec.5085) Yes ✓ No 3. Are footings and supports properly sized, spaced, and braced as pe approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes— No 4. Is the mobilehome level? (Sec. 5088) Yes No 5. If m'orrVthan a single unit, are crossover connections properly installed? (Sec. 5088) Yes ►No— •6. Water A. Is fle ale/connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes No B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes No C. Backflow - If coach is not State o California approved, does station have backflow device and pressure -relief valve? Yes 7. Wastes and Drains A.. Is connection made with Schedule 40 DWV and have flex connectors at each en�MNo_ s4--No— B. 4 NoB. Does it have minimum " per foot slope and is it properly supported? ; � p p p p yYes— C. Are any leaks detected in drainage system after runnin 3 allons of water through each fixture including washing machine standpipe? Yes No D. If coach is no t to of California approved, does station have required trap and vent? Yes No 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as large as the mobile me gas line inlet withoutreductions other than the mobilehoma connector. Yes VNo B. Test OK as per following procedure? Yes— No 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test'for 10 min, without drop. 4. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes No COUNTY OF BUTTJE -. DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under erm number :: �A+.r.'1�? for the following location: G �. p it : Owner 74 , Owner's Address Mobilehome Mfg !�,7_, U__ 1, L-"4` Moder Year ' Insignia No. Serial No. << I It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works e -I --I Date ► -� By ( ' -' THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. 1 C ii0}3Ii�P;1iU2i13 DiS`'ALL•AFION'INS PECTION .CHECK LIST 1. Is the mobilehome 'loc�!ted wi.i_h required separation from lot lines and buildings and general].\ conform to plot plan? Yeas No 2. ..DOeS the mobilehome have requirecl clearances above ground? (Sec.5085) Yes No 3. Are footings and supports properly sized., spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes No 4. Is the mobilehome level.? (Sec. 5088) 'Yes_ No�' j 5. If more than a single unit, are crossover connections properly installed? (Sec. 5088) Yes No 5. Water ' A. Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes No B. Test - Does water piping withstand working pressure or 50 lbs, air .test? Yes No C. Backflow - If coach is not State of California -approved, does station have backflow device and pressure -relief valve? Yes No 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes No B. 'Does it have minimum " per foot slope and is it properly supported? Yes No C. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe? Yes No D. If coach is not State of _California approved, does station have required trap and vent? Yes No 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as large as the mobilehome gas line inlet without reductions other than the mobilehome connector. Yes No B. Test OK as per following procedure? Yes_ No 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without drop. 4. Connect: gas meter to mobilehome with connector, turn. on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes No 3 t1�0--79 9. Electrical A. Is service large enougli to provide r:idequar_e amperage to mobilchome (must equal rating of incabi.lehome (aitll a ::;inir:um of .100 amp) and other facilities on lot, i.e., water pumps, .-ara,,e, cabana, etc.? Yes No B Is ther.-� proper clearances around panels? Yes No C. Is power supply cord or feeder assembly properly fused? Yes_ No_ D. Is continuity test satisfactory as per the following procedure? Yes_ No_ 1. De -energize electrical wiring systcu of the mobilehome at the pedestal. 2. Make sure that tife power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch rill breakers and switches in the mobilehome to the "on" position. - 4. Connect one lo -.-id of a test instrument to the mobilehome grounding conductor and ,_�� ,. , apply the Oiu.ei 'Lea.0 to each rIioll LCIWlILt3 siippiy t unuLiCtOr, i11c1uQ1itg tieuLrai. 5. All nor.-ctirrent, carrying metal parts of the mobilehome (aluminum siding, gas line, writer line), including fixtures and appliances, shall be tested for, continuity from such equipment and the , grounding conductor. 6. Upon completion of the above procedure, the power supply \cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity te;l_ shall then be made between the ,grounding electrode and the chassis of the Mobilehome. UDOI1 satisfactory completion of theelectrical tests, the lot or site service equi.pment may be approved for energizing. .l., Is job card si-ned by health Department for water and sanitation? 1. l.. If everything olry, sign off card and t.a; services. MOBTL1J;l RL: DATA Manufacturer and/or Namest:yle _ Length Width vehicle Serial No. State Identification No. 4.det ttional Information or Comments: COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 C-)unty Center Drive - Oroville, California 95965 Telephone: 534-4541 APPLICATIONI AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X �tT Date Signature of Permitee or Agent Receipt No. P-3170 7O White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above which fees have been paid. C�OFPIC WORKS 6-1-� B Date Building permit expires Date 6-" `— aC ,� BUILDING J Owner tdq x0110 SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor T e 0 A IeS Mailing Address 76`' 4 V Fireplace Total Valuation Telephone No. 73 106 Permit Fee Building Address ,,5 Plant ng Fee&/or Penalty Permit Fee Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1,50 A. P. No. 2 6- Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fe,l W. S6 -.on Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans I ParcelEach I Declaration I Parcel Map 60' R/W I Improvements additional outlet .30 wilding sewer 5.00 Bldg. PlanRe'd Parcel A oval Plans A vel Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ p e i�v f, -P- ELECTRICAL No, @ FEE i -Oft K PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home ® Others ❑ Main service EA. ADD'L 100 AMP 2.50 `ter- Cl//.'%� µ�, j% `J V✓ _ r`� 1-77 IG6iULO:�C�9 `� 41 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST ACCLBLDGS.LING CCUP.'I) 20sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW CONSTR.BRANCH CIR T NON -REBID ` BRANCH CIRCUITS 2.50ea NEWCONSTR. POWER APPARATUS 9 NON -RESID, (SINGLE OUTLET CIR. EX. OCCUD{OUTLETS OR FIXTURES BAL@1 FIXED ALNS Ex. Occup. ( OUTLETS P(RESID )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 r License No. _ 3 / �� - Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability hfor W kmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relatinq to buildinq construction, and hereby PERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ e AlItl $ $ '"— TOTAL PERMIT FEE $ (' �C authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X �tT Date Signature of Permitee or Agent Receipt No. P-3170 7O White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above which fees have been paid. C�OFPIC WORKS 6-1-� B Date Building permit expires Date 6-" `— aC ,� BUTTE_ COUNTY.. DEPARTMENT OF PUBLIC WORKS 7 County Center'Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: 2. Installer's name:. �/� e� ✓CS 3. Is the- site currently under permit? Yes, / / No (If yes, -furnish permit number ) OR Is the site an existing site? Yes 77 No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes /T No ( If no, clarify ) 5. -What is"the mobilehome electrical rating? ------------- ---------- �� C7 Amps 6. What is the mobilehome site service rating? --------------------- S Amps 7. What is the mobilehome site circuit breaker rating? ------------- Amps 8. Is there any other electric load to\be served by the mobilehome site service? --------------------------------------------------- Yes 7 7 No (If yes, identify the load and size; (Load) 3 (Amps) /5� 9. What is the mobilehome site gas pipe size. in.) 10. What is the type of gas service? .----------------=------------ Natural / / LPG 11. What is the gas pipe length from meter or .tank to the mobilehome? (ft.) 12. :What is the mobilehome,gas demand? ---------------- '-------------- (BTU) (This information not required if pipe length less than 6 ft. on natural gas or less than . 50 ft. on LPG.) MOBILEHOME SUPPORT DATA /� If f others than single wide, Mobilehome Mfr. L70�furnish Setup Model No. -SAd35 E- j� Year Width -2V (ft.) Box Length � Q (ft.)-. Tagalong or Expando Sizeft. x 12, ft. - (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the Cgunty of Butte). All center supports measured from front of mobilehome unless otherwise specified. Footings (check one) Single �1. Wood either A A t t d (ft.)(in:) (in.) (in.) Center support Center support locations* footing sizes (in.) 133' Q I k- -x 3 O (ft.)(in.) (in.) (in.) i (ft.)(in.) (in.) (in.). (ft.)(in.) (in.) (in.) (ft. (in.) (in.) (in.) *If center piers are other than drawn above, draw in locations, spacing, and dimensions. pressure rea a or foundation grade. E] 2. Other (specify) Supports (check one) 211"1: Concrete block. 2. Other (specify) Tagalong.or Expando, show support details. /)_X301 -- Typical Support in.) (in.) Footing Size to -- Max. Pier Spacing (ft.) (in.) -- Max. Overhang (ft.)(in.) BUTTE COUNTY BUILDING DFPARTMP-N APPROVE -D COUNTY OF BUTTE — . DEPARTMENT OF PUBLIC WORKS n �7 -.� 7 County Center Drive — Oroville, California 95965 -77 / 7 Telephone, 5i4-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. �,y q11 /v�lc� �� — 1'`i Datew�r7 I� 71 V Signature of 'ermitee or Agent ~ Receipt No. 16 White D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTO OF UBLIC WORKS By Date Z Z % — 7 7 eilding permit expires Date J- 7? BUILDING OwnerGo do h SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address 6 Q'C Tele hone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address e �4S PLUMBING No. @ FEE PERMIT FILING FEE $3.00 5.00 f Each Trap' 1.50 .f O V F~Water Repair drainage or vent piping 1.50 piping 1..50 p , CA4 Each gas water heater or vent 1.50 ng e� tca+ion Only A. P. No. 1� �� '�Za s Gas piping system 1 - 5 outlets 1.50 (%,�-d Each additional outlet .30 F i W. Sa on Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking ParcelParcel Plans Declaration Pnts 60' R/W ImproverLawn sprinkler system 2.00 } Bldg. ns oo�Recd rcel pprov I Plans Approval Permit Fee $ 37,in) 3 cx NEW ❑ ADDITION UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3 .00 V OR L Main service 100 AMP ORSLESS 5.00 d Main service EA. ADO'L too AMP 2.50 2,,OVER Single Family ❑ Duplex ❑ Mobil Home Others ❑ 600V Main service 1100 AMP OR LESS 25.00 Main service EA. ADD'L too AMP 1.00 (/ OR ADDNS.NEW CONST. DWEACCLBLDGOCCUP. &\ 2¢Sgft / NEW CONSTR. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS) 2.50ea _ ST NEW COPOWER APPARATUS & N R. NON-RESID ( I GLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions. Code under the name style of: .1 Ex. Occup(OUTLETS OR FIXTURES) @@1 BAL1 Ex. Occu FIXED APPLNS. OR P•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 Y® I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 30-20 $ 3 WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Aa pi.4 LIP ci 9 2, 5 — TOTAL PERMIT EE $ 131i authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. �,y q11 /v�lc� �� — 1'`i Datew�r7 I� 71 V Signature of 'ermitee or Agent ~ Receipt No. 16 White D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTO OF UBLIC WORKS By Date Z Z % — 7 7 eilding permit expires Date J- 7? i = Z c c r NOTE:—All Materials & Workmanship. Shall Be in Accordance with Recognized Good Practices and This set of plans k 1 04ws M5T be k�pt on the iob C1 at! -Eames and it is tjnlewfuj to make any changes or al+era"Vons an s:4M withga wri*}fan pirr3nissicn 'frcm A-- D6-PBri'mot of 1?ull� I<c wC� ofu�. Septic gyjtom aAd.1,,� ta¢_ Butte to to be as per quirernents, y ..Health Dept. Re. BUTTE COUNTY ,8IJILDING DEPRRTMENI A'PPROVED .�/r of a quality prescribed for the Specified use in the Uniform Building, Plumbing & Mechanical Codes and the National Electrical Code. a J7 tbac(C shoal be 5 ft. from fW _ side proPerfy fine and. so ft. from e ,�- W : ceagterline of the d mad a maki. mum of a s 2 ft eove ove g bUt emtiro out of OM ecsenwwds.. � V -7 7 All utility connections . shall be located within 4 ft. outside the rear Aird section of the mobile home on the left (road) side of the mobile hone. This set of plans k 1 04ws M5T be k�pt on the iob C1 at! -Eames and it is tjnlewfuj to make any changes or al+era"Vons an s:4M withga wri*}fan pirr3nissicn 'frcm A-- D6-PBri'mot of 1?ull� I<c wC� ofu�. Septic gyjtom aAd.1,,� ta¢_ Butte to to be as per quirernents, y ..Health Dept. Re. BUTTE COUNTY ,8IJILDING DEPRRTMENI A'PPROVED .�/r COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Uroville, California 95965 / f �77 r Telephone 534-4541 / APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned pr rperty for inspection purposes. �� Date X ignat�,refofJPermitee or Agent Receipt No. —/ 6 8 ;U/0 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. Building permit expires Date �/ BUILDING Owner Go SQ. FT. OCC. BUILDING VALUATION Mailing Address 5 Telephone No. -s $Fireplace Contractor Total Valuation Mailing Address ii eirPermit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address S' �� D s,� PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 a Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 (f Each gas water heater or vent 1.50 A. P. No. `s— �j Zoning & anning ZPlanning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F641514911 FireDept. FireZone Use Permit Building sewer 5.00 EQA Par ingParcel ans Declaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 4 r Main service ,$o AMP ORV OR SLESS 5.00 Main service EA. ADO'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home ® Others ❑. Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONS, DWELING OR ADDNST ( ACCLBLDGS.CCUP. &) 20sgft NEW CONSTR. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. /POWER APPARATUS & NON -RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name St le of: y Ex. Occup(OUTLETS OR FIXTURES) 5025,t Ex. Occup. FIXED APPLNS. OR P• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 yZ] I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. XI certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County OrdinancesTOTAL and State Laws relating to building construction, and hereby O Q� PERMIT FEE authorize representatives of the County of Butte to enter upon the above-mentioned pr rperty for inspection purposes. �� Date X ignat�,refofJPermitee or Agent Receipt No. —/ 6 8 ;U/0 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. Building permit expires Date �/ MOBILEHOME SUPPORT DATA j f other than single wide, Mobilehome Mfr. V-1; furnish Setup Model No. Year 12 68 Width (Z (ft.) Box Length (-0- (ft:), ': Tagalong or'Expando Size ft. x -} ft. (SHOW SUPPORT DETAILS BELOW), On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte) All center supports measured from front of mobilehome unless otherwise specified. Footings (check one) Single (in.) (in/3- Center ) upport Center slocati ns* footing (in.) (ft.)(inV I (in.) jin.) U �- (ft.)(in.) (ft.)(in.) I I (in.) (in.) I 2L (in.)1 (inl *If center piers are other than drawn above, 1 draw in locations, spacing, and dimensions. S 18" 21'l. Wood either pressure treated or foundation grade. 2. Other (specify) leOf Supports (check one) Concrete block. 2. Other (specify) I Tagalong or Expando, show support details. 12- x SrA -- Typical Support in.) (in.) Footing Size Max. Pier Spacing -- Max. Overhang (ft.)(in.) BUTTE COU N1 T BUILDING DEPARTMEN) APPROVED �� C ti BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 Countv Center Drive,'Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: J A X 2. Installer's name: 3. Is the site currently under perm t? Yes / � No ( If yes, furnish permit number �� " % '7 ) OR Is the site an existing site? Yes / / No / 4T (If yes, furnish two (2) plot plans.) 11. What is the gas pipe length from meter or tank to the mobilehome? U � (ft.) �2. What is the mobilehome-gas demand? ------------------------------ (BTU) (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes / / No ( r ) If no, clarify 5-. What is the mobilehome electrical,rating?----------------------- Lill Amps X. Z-� Amps 6. What,is the mobilehome site service rating? --------------------- 7. What is the mobilehome site circuit breaker rating? -- AO Amps 8. Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------- — Yes / L;K No (If yes, -identify the load and size: POMP (Load) _(Amp s) (in.) 9. What is the mobilehome site gas pipe size? ---------------------- 10. What is the type of gas service? ----------------------------- Natural / / LPG 11. What is the gas pipe length from meter or tank to the mobilehome? U � (ft.) �2. What is the mobilehome-gas demand? ------------------------------ (BTU) (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) i Order Nusber T34" .fM W RECORDED MAIL TO1 %ORANT DEED (Iltdlvldual) or. A lite. Rudolph C. Schuls %r,,y►. ` 7f ; Route 2 Bou 2808 ov e,califosa • For value reeelved HURL ltLTZ. GRANT ........... _...to RUDOLPH C. SCHULZ sad SARAN N. SCHU'U, husband and wife, as eeasnaity property. may. ✓«: �` <' , all that real property situate is the is wh; County of Ratte , State of California, described as follows: TM North one-half of Lot*2 of the Northeast quarter of Section 10 Towaship < 18 North, Range 7 East. N.D.S. A M. .r a SM ALL TAX STATIM(WITS TOt here and Mss. RudolpO C. Schulz Route 2, Boz 2808 oreville, California . ___....._...._................. OFFICIAL SEAL NORMAN H. STREET NOTARY PUBLIC • CALIFORNIA PRINCIPAL OFFICE IN ALAMEDA COUNTY Dated ------- _ __.._._-------- 19 ... it..... L BTATZ OF CALIFORNIA OL .... w Coawtq of / bee— me, JNQ.Cklds►tl.. fLL]—..... a Notory PnDlle M end Jq Paid C°�`nt tat#, penondtly appeared __.. _..........jF.lAC.ZSt.I-.�1�.......-- ..........................I ...... moron to we to be Me perso—hoa nom.__ �_.�I.r>• WrOed to the totthis tnatrum t• and K Jedped to me tAot�Ae.rated e __.._._.. _ .. . .................................... at"' p%$MAN H. STREET 'Yy CommAetoa aspire, 3.1967 Appl. No. VIM TIO( Vtn.,r— •• ""•^TCD AMAT For Recorder'@ Use Only .18176 WORM AT THE REQUEST Of JAM2 ,t Mio,L' 7"'It y /o'd.d 1AIL Vol .C3--o+e.3o OFFICIAL RrtCOkUS OF B11TTi COUNTY, CALIFORNIA 19176 PERMIT NO. 3724479B PERMIT EXPIRES 1/17/80 OWNER MAX C ORT)ON CONTR. Holmes Mobile Home Service ASSESSOR PARCEL 25-24-52 LOCATION E/S Power Hse Hill Rd, .3/4 mi S Lone Tree Rd, Oroville r �pp ' Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) r t Signature J = OK 0 = Not OK — = Not Applicable MOBILEHOMES MISCELLANEOUS * = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except N's Date I)EgMr, COVERS, CARPORTS, ETC. (,Plans) OK except N's 1. Zoning Req uirements—Sgtbacks—Easements 1. Z g Requirements—Setbacks—.Easements 2. Soils; Special MH Support—Sketch F 'tings; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/0—Concrete Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) —Rftrs.—Connec.—Shthg.—Rfg.—Bracing 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Locatiort—Test—Wrap:/ /"L" ft./ P'Nat. or/ P'L"ft./ /"LPG — s 7. Utility Clearance —' Card -BI Date Card -BI Date Card -BI ejo Date Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except k's 1. Zoning Requirements—Setbacks—Easements Card -BI Date -Card-Bl Date Card -BI Date POOLS (Plans) OK except N's' 1. Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 4. Electricity; MH Test—Crossovers—Breakers—Clearances 3. Pool Structure; Steel—Connections—Thickness—Dead Men -Lining 4. Elec.; Receptacles and Lighting; Distances—GFI 5. Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6. Water; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. Water and Sewer Connected—C/0 to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. - Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9. Exits; Insp.—Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B-1 Date Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date J = OK 0 = Not OK - = Not Applicable * = Not Ready RESIDENTIAL (Single and Duplex) z . Date UNDERFLOOR (Plans) OK except N's 1. Zoning requirgments-Setbacks-Easements Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. 7. Piers -Fireplace Ftg.-Steel 54. 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 9. Gas Pipe; Size -Anchors Shear Walls; Nailing -Bolts 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Card -BI Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except N's FINAL (Plans) OK except H's 56. Ext. Steps -Door & Sidelight Protection -Landings 14. Water Ht.; Vent -Access -Combustion Air Smoke Detector 15. Water Pipe; Test & Anchors -Nail Protection Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors Stairs & Rails 63. 64. Fireplace or Stove; Clearances -Hearth Elec. Outlets at Wood Panel; Int. & Ext. 65. Card -BI Date Card -BI Date Card -BI Date Card -BI Date _Date ELECTRICAL (Permit) OK except q's 68. 20. Fixture & Transformer Clearance -Ins. Protection 69. 21. Elec. Receptacles Spacing -Lights & Switches at Doors 70. 71. 22. Size Boxes & No. of Conductors -Stapled 72. 23. Romex Installed Close to Edge of Studs & C.J. 73. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 74. 25. 26. 2 Appliance Circuits in Kitchen & Conductor Size Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI 75. 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral ❑Yes El No 76. 28. Service -Riser Conductors & Ground -Main Disconnect 77. 29. Equip. Clearances; Panels-Motors-Mech. Equip. 78. 30. Clothes Closet Light -Shower Light 79. 80. Water Well; Disconnect, Electrical, Plumbing _ Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House Card B -I Glass Protection Date Card -BI Date Card B -I Corrections from Previous Inspections Date Card -BI Date Date MECHANICAL (Permit) OK except q's 31. A.C. Ducts: Insulation & Support 32. Vent Fan; Exhaust above Insulation 33. Condensate Drain & Overflow; Size & Grade 34. 35. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FRAMING(Plans) OK except q's 36. Sills; Proper Material & Anchors _ 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound - 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub ' 41. Header & Beam -Size & Bearing _ 42. 43. 44. 45. 46. Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac -Truss-Shthng.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions - 47. Garage Fire Protection Framing Date FRAMING (Continued) 48. Property Line Firewall & Openings 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 52. Siding -Nailing -Veneer 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 54. Glazing Area -Glass Protection -Skylights -Plastic 55. Shear Walls; Nailing -Bolts Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except H's 56. Ext. Steps -Door & Sidelight Protection -Landings 57. Smoke Detector 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 59. Bedroom Exiting 60. G.F.I. & Bath Fixtures & Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 62. Stairs & Rails 63. 64. Fireplace or Stove; Clearances -Hearth Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 66. Elec. Outlets & Receptacles at Kit. Counter 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 70. 71. Plb., Elec. & Mech. Equip. Listed for Location Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 72. Insulation -Foam -Looked in Attic E] Yes 73. Guard Rails & Deck Construction -Post Caps 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes E) No 76. Stucco; Brown -Finish 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. 80. Water Well; Disconnect, Electrical, Plumbing _ Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House 82. Glass Protection 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval 86. Energy Compliance Certificate -Other Certificates Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: (NOTE: An entry must be made each time you visit jobsite) COUNTY OF BUTTE • DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 APPLICAT'VaN AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X ' c.ND-�niQl Signature of Permitee or Agent Receipt No. 4-Z1:3 (5/o I/ White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the BetCounty Code and/or resolutions to do work indicated a bo fo which fees have been paid. 7). AREItWR OF PUBLIC WORKS Building permit expires Date Date 1— ` 7"kO BUILDING Owner SQ. FT. OCC. BUILDING VAL ATION 2 00 8'so 1 Mailing Address o 1 (j r -r 4, O_. Telephone No. Contractor S p Mailing Address Fireplace Total Valuation Tele h e o� Permit Fee �^ Building Address 4,15� J�(j� Plan Checking Fee&/or Penalty Permit Fee •--• / _ PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 t. Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. a �� t�6ning &Planning Water piping 1.50 Each gas water heater or vent 1.50 hi ion FireDept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 EQA Parkin Plans arcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg F Is fZ �'d Parcel royal Plans Approval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 0V OR LE Main service 100 AMP ORSLESS 5.00 Single Family ❑ Duplex ❑ Mobil Home WOthers ❑ Main service EA. ADD'L 100 AMP 2.50 V Main service OVER eoov 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST. / DWELLING OCCUP. Y� 120 sq ft OR ADDNS. % ACC. BLDGS. CONTRACTORS LICENSE LAW I am license under the provisions of Chapter 9, Div. 3, of the State of C I' ornia Busine s & Professions Code u der the name style NEW CONSTR. (MULTI.OUTL T NON-RESID BRANCH CIRCUITS 12.50ea NEW CONSTR. (POWER APPARATUS 6 NON.RESID. SINGLE OUTLET CIR. EX. OCcuo(OUTLETS OR FIXTIIRES BAL9 FIXED APLNS. Ex. Occup.(OUTLETSP(RESID )REA) 2.00 Temporary service 10.00 . 02❑ r6/ License No. Classification Mobile Home Facilities 15.00 Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ F_EE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions ot'Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE is ^' authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X ' c.ND-�niQl Signature of Permitee or Agent Receipt No. 4-Z1:3 (5/o I/ White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the BetCounty Code and/or resolutions to do work indicated a bo fo which fees have been paid. 7). AREItWR OF PUBLIC WORKS Building permit expires Date Date 1— ` 7"kO TO 405 CA (7-73) D.T.T. S TRANSFER Grant Deed x. ........................... THIS FORM FURNISHED BY TITLE INSURANCE AND TRUST COMPANY FOR A VALUABLE CONSIDERATION, receipt of which.is hereby acknowledged, Rudolph C. Schulz and Sarah M. Schulz, his. wife hereby CRANT(S). to Max A. Gordon and Cindy Gordon, his wife, as joint tenants the following described real property in .the County of Butte , State of California: The North half of Lot 2 of the Northeast quarter.of Section 1, Township 18 North,. Range 3 East, M.D.B. &.Me TOGETHER WITH a nonexclusive easement for road and public utility purposes over the Southerly 60 feet of Parcels 2 and 3, as shown on that certain.Parcel Map, being a por- tion ortion of Section 36, Township 19 North, Range 3 East, M.D.B. & Me, filed in the office of the Recorder of the County of Butte, State of California, on January -.29, 1975 in Book 52 of Parcel Maps, at page 43. Said easement is for the benefit of and appurtenant to Parcels 1, 2. and 3, as shown on . that certain Parcel Map, being a portion of Section 1,.Township 18 North, Range.3 East, M.D.B. & Me*, filed in°the�.office of the Recorder of the County of Butte. State of California, on March 4, 1975 in Book 52 of Parcel.Maps, at page 52, .and. to Lot 2 of the Northeast quarter of Section 1, Township 18 North, Range 3 East, M.D.B. & M., and shall -inure to the benefit of and may be used by all persons who may hereafter become the owners of.said.appurtenant property or any parts or portions thereof. Dated July 11, 1977 STATE OF CALIFORNIA y�S COUNTY OF Butte On July 13.9 1977 before me, the under- signed, a Notary Public in and for said State, personally appeared Rudolph C. Schulz and Sarah Ili, Schulz - - - - - - - - - - - - - - to be the person whose m instrument and ac nowledged t WITNESS nV hand auci-af rrd'. seal. azure Joyce A,---. Long known to me RECORDING REQUESTED BY subscribed to the within ° - Order No. 103006 ' OFFICIAL RF.COROS • + BUTTE c"a a MY COMMISSION Df%RES MARCH Q I"t BUTTE' CO(IN T Y -CAI IF. RECORDSRECll;k.= ANO WHEN RECORDED MAIL TO i •' eUG�LLC' rl . p q, Y 11� /Q - 3 9 si AN 197 F_ Name Mr. & Mrs.. Max A. Gordon LOulSE KLUPNFI`P --&P. COUNTY RECORDER 410 E. Alameda Street 5tfeso Addr"a Manteca, .Calif. 95336' .x, - �� FEE City 6 Slot" L —J SPACE ABOVE'THIS LINE FOR RECORDER'S USE MAIL TAX STATEMENTS TO Name I "The undersigned grantor (s) declare (s) Street Address Same as above Documentary transfer tax is City s computed on full value of property conveyed, ar, State L_ ( ) computed on full value less value of liens and encumbrances remaining at time of sale. Uninccraorated cree: 1 ! Cify of TO 405 CA (7-73) D.T.T. S TRANSFER Grant Deed x. ........................... THIS FORM FURNISHED BY TITLE INSURANCE AND TRUST COMPANY FOR A VALUABLE CONSIDERATION, receipt of which.is hereby acknowledged, Rudolph C. Schulz and Sarah M. Schulz, his. wife hereby CRANT(S). to Max A. Gordon and Cindy Gordon, his wife, as joint tenants the following described real property in .the County of Butte , State of California: The North half of Lot 2 of the Northeast quarter.of Section 1, Township 18 North,. Range 3 East, M.D.B. &.Me TOGETHER WITH a nonexclusive easement for road and public utility purposes over the Southerly 60 feet of Parcels 2 and 3, as shown on that certain.Parcel Map, being a por- tion ortion of Section 36, Township 19 North, Range 3 East, M.D.B. & Me, filed in the office of the Recorder of the County of Butte, State of California, on January -.29, 1975 in Book 52 of Parcel Maps, at page 43. Said easement is for the benefit of and appurtenant to Parcels 1, 2. and 3, as shown on . that certain Parcel Map, being a portion of Section 1,.Township 18 North, Range.3 East, M.D.B. & Me*, filed in°the�.office of the Recorder of the County of Butte. State of California, on March 4, 1975 in Book 52 of Parcel.Maps, at page 52, .and. to Lot 2 of the Northeast quarter of Section 1, Township 18 North, Range 3 East, M.D.B. & M., and shall -inure to the benefit of and may be used by all persons who may hereafter become the owners of.said.appurtenant property or any parts or portions thereof. Dated July 11, 1977 STATE OF CALIFORNIA y�S COUNTY OF Butte On July 13.9 1977 before me, the under- signed, a Notary Public in and for said State, personally appeared Rudolph C. Schulz and Sarah Ili, Schulz - - - - - - - - - - - - - - to be the person whose m instrument and ac nowledged t WITNESS nV hand auci-af rrd'. seal. azure Joyce A,---. Long known to me subscribed to the within i� o> OFFICIAL SEAL JOYCE A. LONG _ex the same. m NOTARY PU tIC - CALIFORNIA - ` COUNTY • + BUTTE c"a a MY COMMISSION Df%RES MARCH Q I"t Name (Typed or Printed) ITitle Order No. Escrow or Loan No. (This area for official notarial sea]) cco Zsc r., MAIL TAX STATEMENTS AS DIRECTED ABOVE. LIND OF DCiOvwiEAii e - j (: "7.