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026-010-039
6-01-39 -o 11 M Prince N/S Messina, app.1500'E.of Lone Tree,' —app.2 mi.N.6f Palermo -IW-.- . - I Permit #1811`"78B,P,E,M(add 2 bedrooms, bath 6, sewing room/SFj 026-010-039 PERMIT49-8-0826 MANES, Donnie Ray 1-11 Prince Rd',' Oroville.- Demo/SF L & 026-010-039 PERMIT#98-0829 MANES, Donnie & Rhonda Ill Prince Rd, Oroville Con't: Skyck'e'st AIIVI#Zl MH On Perm Fnd-Replaces SF, MISCELLANEOUS- Electric Panel REPLACE ELEC PANEL DUE TO OPH; Ill PRINCE RD COOK, SHEILA. baa- 9LO()q � _ � Y ._ __ r _ ___.--1 GRANT DEED The undersigned grantor(s) dedare(s) ,6 he Documentary transfer tax Is $341.00 { ] computed on full value of property conveyed, or ] computed on full value less value of Ilens or encumbrances remaining at time of sale, { ] Uninoorporabed Area City of Oraville, K06Y Ray FOR A VALUABLE CONSIDERATION, receipt of which Is hereby acknowledged, Rhonda Manes and Donnie Manes, husband and wife, as joint tenants hereby GRANTS) to Sheila N. Cook, an unmarried woman the following described real property In the City of Oroville, County of Butte, State of California: SEE EXHIBIT "A" ATTACHED HERETO AND MADE A PART HEREOF DATED: July 18, 2005 Ore"C' r% STATE, OF -GA Go OF6_I at" I k ON u o 0 o before me, persogally appeared personally knovJn Wme (or proved to me on We ba s of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and advmwledged to me that he/she/they executed the same in his/her/their authorized capacity(fes), and that by his/her/their signatures) on the Instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument Witness my h and official Signature a .® OEOOR LDM ttgTARt/ I�IC - OIif1D011 coli�lasfloNtila two YY COIM53fgNJKY 1,2= MAIL TAX STATEMENTS AS DIRECTED ABOVE FD -213 (Rev 7/95) GRAM DEED (9rdntXO4-05) 2005-0043342 RECORDING REQUESTED BY: t Fidelity National Tide Company of California y Recorded I FE 13. M Locate Na: 05 -107755 -TG Locate Na: CJIFI1TD958.0958-000!-0000107755 TAX Official Records I T911 341.88 County of I VOWDIT PREM IL Be But I Title No.: 05 -107755 -BD Cl RAM L 6RI188S I When Recorded Mail Document County clerk-RecaderlI and Tax Statement To: I As Sheila N. Cooke9:BeAi1 Mrjul am I Page 1 of 3 III Prince Road ro Oroville, CA 95965 oil III III I IN I NII 1111 Hill 11111 APN : 026-010-039 SPACE ABOVE TFRS LINE FOR RECORDERS USE GRANT DEED The undersigned grantor(s) dedare(s) ,6 he Documentary transfer tax Is $341.00 { ] computed on full value of property conveyed, or ] computed on full value less value of Ilens or encumbrances remaining at time of sale, { ] Uninoorporabed Area City of Oraville, K06Y Ray FOR A VALUABLE CONSIDERATION, receipt of which Is hereby acknowledged, Rhonda Manes and Donnie Manes, husband and wife, as joint tenants hereby GRANTS) to Sheila N. Cook, an unmarried woman the following described real property In the City of Oroville, County of Butte, State of California: SEE EXHIBIT "A" ATTACHED HERETO AND MADE A PART HEREOF DATED: July 18, 2005 Ore"C' r% STATE, OF -GA Go OF6_I at" I k ON u o 0 o before me, persogally appeared personally knovJn Wme (or proved to me on We ba s of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and advmwledged to me that he/she/they executed the same in his/her/their authorized capacity(fes), and that by his/her/their signatures) on the Instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument Witness my h and official Signature a .® OEOOR LDM ttgTARt/ I�IC - OIif1D011 coli�lasfloNtila two YY COIM53fgNJKY 1,2= MAIL TAX STATEMENTS AS DIRECTED ABOVE FD -213 (Rev 7/95) GRAM DEED (9rdntXO4-05) Escrow No.: 05-107755:M j Locate No.: CARMS&OSS-0001-0000107755 Title No.: 05-107755-80 EXHIBIT "A" THE LAND REFERRED TO HEREIN BELOW IS SITUATED IN THE UNINCORPORATED AREA, COUNTY OF BUTTE, STATE OF CALIFORNIA, AND IS DESCRIBED AS FOLLOWS: Parcel I: The Southwest quarter of the Northeast quarter of the Southwest quarter of Section 6, Township 18 North, Range 4 East, M.D.B. and M. Parcel II: A nonexclusive easement for unrestricted use for roadway and public utilities purposes over the Northerly 15 feet of Tat 7 of Section 6, Township 18 North, Range 4 East, M.D.B. and M. Initials: ILLEGIBLE NOTARY SEAL DECLARATION GOVERNMENT CODE SECTION 27361.7 I certify under penalty of perjury that the notary seal on the document to which this statement is attached reads as follows: . Name of Notary (Lenta_o QBu in ar- Expiration Date: Commission I.D.# f 3 (W Manufacturers T.D.# County, Place of execution of this declaration C,jr0 U j' l e. Ca I Dated: � — .2005 Signature (Firm a if any) STATE OF CALIFORNIA - DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT REGISTRATION CARD Manufactured Home Decal No: LAB1550 Manufacturer ID/Name 90002 SKYLINE HOMES INC Trade Name BUDDY Model SCT 5801 A DOM 08/26/1981 DFS 05/21/1982 RY I Exp. Date Serial Number Label/Insignia Number Weight Length Width SPC' SCC Exempt Use Type 04700145BR 225362 14,560 64' 12' 04 SFD LPT 04700145CR .225363 7,230 37' 10' 04700145AR 225361 14,560 64' 12' Issued Total Fees Paid Sep 23, 2008 $153.00 Addressee SHEILA COOK 111 PRINCE RD OROVILLE, CA 95965 Registered Owner(s) SHEILA COOK 111 PRINCE RD OROVILLE, CA 95965 Situs Address 111 PRINCE RD OROVILLE, CA 95965 IMPORTANT THE OWNER INFORMATION SHOWN ABOVE MAY NOT REFLECT ALL LIENS RECORDED WITH THE DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT AGAINST THE DESCRIBED UNIT. THE CURRENT TITLE STATUS OF THE UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT. DTN: 5478400 09232008- 109 1, BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION (IVR): (530) 538-4365 OFFICE: (530) 538-7541 FAX#: (530) 538-2140 ONLINE PERMIT/RENEWAL PAYMENTS: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 111 PRINCE RD Owner: Permit NO: B08-1235 APN: 026-010-039 COOK, SHEILA Issued Date: 06/26/2008 By KEJ Permit type: MISCELLANEOUS 111 PRINCE RD Subtype: Electric Panel OROVILLE, CA 95965 Expiration Date: 06/26/2009 Description: REPLACE ELEC PANEL DUE TO Q (530) 370-0885 Occupancy: Zoning: ARMH Contractor Applicant: Square Footage: COOK, SHEILA Building Garage RemdUAddn 111 PRINCE RD OROVILLE, CA 95965 Other Porch/Patio Total (530)370-0885 FEE INFORMATION DBE Single Phase Service-Resid $59.00 Total Charged: $59.00 Fees Paid: $59.00 Balance Due: $0.00 Receipt No: B7829 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 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 06/26/2008 the applicant to a civil penalty of not more than five hundred dollars [$500]; eck one of the following: Contractor's Signature Date OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE el.PENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR WORKERS'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 ❑ 1, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED COMPENSATION INSURANCE, as required by ❑ CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions 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 Contractors License Law.). Carrier: Policy Number: Exp. Date: ( is section nee not a completed if the permit is for one a hdollars ($100) or less. ❑ IAM EXEMPT under Section B. & P.C. for this reason: I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS 06/26/2008 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 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date provisions. K f . 06/26/2008 I hereby certify that I have read this application and slate that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Sig tore 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 claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and property damage caused arising out of, or in any way connected with HUNDRED THOUSAND DOLLARS $100,000, IN ADDITION TO THE COST OF COMPENSATION, ( ) the issuance of this permit. I hereby acknowledge thatt is 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 bove m ntioned property for inspection purposes. I hereby certify that I am the P Party o er or r auth zed to on the p operty o errs b alf. CONSTRUCTION LENDING AGENCY p 06/26/2008 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for a e O ermittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) - Owner 1:1 Contractor OR; Agent for Owner Agent for Contractor FILE COPY Lender's Address City State Zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION* OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION Website: www.buttecounty.net/dds PLEASE PRINT CLEARLY PERMIT NO. �(11 /')7) BIN # "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is'subject to public inspection and will be posted on the County's website for electronic access. OWNER INFORMATION Last Name First Name P Mailing Address I l N / 4 City r r7 ? State Zip (�`C Phone530_3�0-066,5- Fax E-mail CONTRACTOR Name uo Address City State Zip Phone State E-mail Lic. # Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City O O t State Address Phone Fax City No State Zip Phone Fax E-mail State License Number APPLICANT INFORMATION Name tf do C0.0k Address I P11 0 foce- City O O t State Zip q5y 5_ 7 Phone Fax E-mail APPLICANT SIGNATURE X CH—k— PROJECTLOCATION AP# C7 a to G Property Address City WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than licensed contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK. r �. L C Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning Flood Zone SRA I Yes No Occ. Type Const. .Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds OWNER -BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. ° If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal ° income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions. There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321 -CLSB (2752) or by accessing thier website at www.CSLB.ca.gov. PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. 1. I PERSONALLY I�TO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMENT (YES OR NO) 2. O(HAV/HAVE NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK. 3. I HAVE CONTRACTED WITH THE FOL OWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION: ADDRESS I�1�lL1 L CITY PHONE CONTRACTORS LICENSE NO 4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: NAME ADDRESS CITY. PHONE CONTRACTORS LICENSE NO 5. I WILL PROVIDE SOME OF THE WORK BUT I HAVE CONTRACTED (HIRED) THE FOLLOWING PERSONS TO PROVIDE THE WORK INDICATED: NAME ADDRESS PHONE TYPE OF WORK Description: REPLACE ELEC PANEL DUE TO OPHIR FIRE Reference Number: B08-1235 Applicant Name: COOK, SHEILA Owner's Name: COOK, SHEIL AP 4:026-010- 39 Signature of Property Owner: � Date: r� 0 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION (IVR): (530) 538-4365 OFFICE: (530) 538-7541 FAX#: (530) 538-2140 ONLINE PERMIT/RENEWAL PAYMENTS: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 111 PRINCE RD Owner: Permit No: B08-1479 APN: 026-010-039 COOK, SHEILA Issued Date: 07/30/2008 By KEJ Permit type: MISCELLANEOUS 111 PRINCE RD Subtype: Demo -Fire OROVILLE, CA 95965 Expiration Date: 07/30/2009 Description: DEMO DUE TO OHIR FIRE (530) 370-0885 Occupancy: Zoning: ARMB Contractor Applicant: Square Footage: OWNER COOK, SHEILA Building Garage Remdl/Addn 111 PRINCE RD OROVILLE, CA 95965 Other Porch/Patio Total (530)370-0885 FEE INFORMATION Total Charged: $0.00 Fees Paid: $0.00 Balance Due: $0.00 Receipt No: LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that 1 am exempt from the Contractor's License OWNER / / 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 07/30/2008 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractor's Signature Date j� 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 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 Professions 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 once hundred dollars ($100) or ess. ❑ I AM EXEMPT under Section B. & P.C. for this reason: 9I 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 07/30/2008 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those ions. Owners Signature Date aprovi 07/30/2008 I hereby certify that I have read this application and state that the above information iscorrect. I 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 claims and liability for personal AND SHALL 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 anyway connected with HUNDRED 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 inspection purposes. I hereby certify that I am the p arty wrier or ut rized to a one property own�fJs be r. (/ � 07/30/2008 CONSTRUCTION_ LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for ame of Permi ee IGN] 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 FILE COPY Lender's Address City State Zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION* OFFICE #: (530) 538-7541 . FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OF APPLICA TION Website: www.buttecounty.net/dds PLEASE PRINT CLEARLY PERMIT NO. BIN N "When filed, this application and all supporting' material becomes subject to the California Public Records Act All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. APPLICANT FORMATION OWNER INFORMATION Last Name77— 00 City; First Name Mailing Address n •W L City r v ; State State Zip 9,s a6 Phone Fax Fax E-mail State license Number APPLICANT FORMATION CONTRACTOR Name City; Address Zip f7 City Fax State Tip Phone Fax E-mail State license Number APPLICANT FORMATION Name I La, ok Name City; Address Zip f7 City Fax State Tip Phone Fax E-mail State license Number APPLICANT FORMATION Name I La, ok Address I PjA City; State of Zip f7 Phone y Fax E-mail APPLICANT SIGN TURF X l.; PROJECT LOCATION API / ,h Property Address • C City i WORKER'S Policy Number IIf hiring anyone other than licensed contractors, a certificate of worker's compensation must be shown at the time of permit issuance LENDING AGENCY Name Address/ DESCRIPTION OR SCOPE OF WORK. d Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning Flood I SRA I Yes No Occ• Type Const. Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds OWNER -BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. ° If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal ° income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions. There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321 -CLSB (2752) or by accessing thier website at www.CSLB.ca.gov. PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTIL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. 1. I PERSONALLY PLATO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMENT.( • OR NO) 2. IV /HAVE NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK. 3. I HAVE CONTRACTED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION: NAME ADDRESS CITY PHONE CONTRACTORS LICENSE NO 4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: NAME ADDRESS CITY PHONE CONTRACTORS LICENSE 5. I WILL PROVIDE SOME OF THE WORK BUT I HAVE CONTRACTED (HIRED) THE FOLLOWING PERSONS TO PROVIDE THE WORK INDICATED: NAME ADDRESS PHONE TYPE OF WORK Description: DEMO DUE TO OHIR FIRE Reference Number: B08-1479 Applicant Name: COOK, SHEILA Owner's Name: COOK, SHE n / AP #: 0266]-0 0-039 Signature of Property Owner: / v Date: / �0 Butte County Building Division MANUFACTURED HOME SUPPORT DATA er's name: 5'a-ia 1 L4 Coag A.P.# 02C - NO _ 631 e Manufacturer: B WL+) Manufacture Year: al Number/ Name: SG1"- 5,F6 1 A h: '�I� (ft.) Length: ca (ft.) L -Li , F -EX F5 -,,<3 -7 �'RS ,TINGS: Wood - pressure treated or foundation gradeWther:[ PORTS: Concrete block bytOther:[ 1 Provide manufacturer's installation manual, support blocking requirements and state approved or engineered foundation or tie down system specifications. Pier Footing Sizes and Locations SINGLE WIDE MULTI -WIDE Line1 - ------------------------------------------------------------ Line 1 Line 2 Section 1 Line 2 Line1 ------------------------------------------------------------ ,-- L i n e a ------------------------------------------------------------ Section 2 Line 2 ------------------------------------------------------------ A"' Line 4 (triple wide only) --------------------------- Section 3 Line 2 Line 1 Piers: Minimum size piers: Spacing maximum: From ends maximum Snow Load: psf [ 12 ] X P<> ] Snow Load requirements may be obtained at http://www.upstate-ca.com/butte/butte_county/ ' 0 If Insert AP #, view snow load in lower right corner. Line 2 Piers: Minimum size piers: [ l ] X [ ] Spacing maximum: " From ends maximum: " Line 3 Roof Loads: Minimum size piers: Location (from front): Minimum size piers: Location (continued): Line 4 Roof Loads: Minimum size piers: Location (from front): Minimum size piers: Location (continued): Line 1 Openings: REFER TO CALIFORNIA TITLE 25 Minimum size pier: [ -TA MI F1 ':%'7R-1 Cno mr"iric- I iwc, Required at each side LOAD INFORMATION FOR KAAAII ICAr`TI IOcr'1 I-IrlMc wid std Arf-hy Wto IN (�..�..Ni► nom.,, ®M BRIM���� MOBILEHOME SUPPORT DATA &"1jR1xnish If other than single wide, Mobilehome Mfr. ' Setup Model No. -45*16 p( A. Year RZ Width—(ft•) Box Length60 --(ft.) Tagalong or Expando Size •jam ft. x v eft. (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: E= (ft.)(in. Center support locations* 11 ( N 1A Pr& CT 09 cs C (ft.) (in.) (ft.)(in. (ft.)) (in. z`F x30 in.) (in.) ter support ting sizes (in.) ,in.) (in.) F LU Single Wood either pressure treated foundation grade. El 2. Other ( specify) ISupports (check one Filo-l.; Concrete block. I E] 2. Other (specify) —I 3loX3o I . 1 2VX3 o I <--Ta alon or Expando, / g g show support details Typical Support (in.) (in.) Footing Size 6x&0 .) (in.)7 ' -- Max. Pier Spacing (ft.)(in.) etl 7-A4 A�L'O SFX x:30 -- Max. Overhang .)I (in.) (ft.)(in.) CW1 100-i BUILDING AMMEN T PROV -Q *If center piers are other than drawn above, � Z. m 40,90 two hundred seventy-five (275) square inches. The first and 40 Altersupportmust FOOTINGS be located within 48 inches of the front and rear exterior walls. , ' Footings shall be adequate in size to withstand live and dead loads of the MH -unit and any concentrated loads. The length -to -width ratio of the footing shall not exceed two and one- half (2'/=) to one (1). Individual footings for load-bearing supports or devices shall consist of one of the following: (1) Pressure treated lumber which meets the following requirements: (A) Not less than two (2) inch nominal thickness with a minimum of twenty-five (25) percent of the individual footings identified by an approved listing agency, as being pressure treated for ground contact. (B) Knots. Well spaced knots of any quality are permitted in sizes not to exceed the following or equivalent displacement: Nom. Width Any Holes Any Cause Location 6" 2 3/8" 1 Y2" One Hole or Equivalent Per Piece 8 3 ? 10" 3 /<" 2 /= „ 12" 4 '/." 3" 14" 1 45/8 3'/i' (C) Splits. In no case exceed one-sixth (1/6) the length of the piece. (D) Honeycomb or Peck. Limited to small spots or streaks of firm honeycomb or peck equivalent in size to holes listed in (B) above. (2) Pre -cast or poured in place concrete footings not less than three and one-half (3'/=) inches in thickness. The concrete must have a minimum twenty-eight (28) day compressive strength of not less than two thousand five hundred (2500) psi . (3) Other material, approved by the Department, providing equivalent load bearing capacity and resistance to decay. When multiple wood footings are stacked, they must be secured together with corrosion resistant fasteners at all four (4) corners of the pad which will penetrate at least eighty (80) percent of the base pad to prevent shifting. INSTALLATION INSTRUCTIONS MH -units manufactured prior to October 7, 1973, or MH -units for which the manufacturer's installation instructions are unobtainable, must be supported in accordance with the following information. MH -units installed in areas exceeding a thirty (30) pound roof live load, or to different requirements than prescribed in this section, must have support systems designed and approved by an architect or engineer. The MH -unit shall be supported as follows: Main chassis beam supports spaced not more than six (6) feet apart longitudinally as determined from table 1335.5-1. Ridge beam support systems as determined from table 1335.5-2. Wall supports under each end of a side wall opening that is forty-eight (48) inches or more in width, and under the perimeter walls at eight (8) foot intervals with footing sizes not less than 14 TABLE 1335.5-1 MH -unit Section Widths TABLE 1335.5-2 Width of MH -unit Section Footing Area Load Bearing 8 ft. wide 260 sq. in. 1805 pounds 10 ft. wide 324 sq. in. 2250 pounds 12 ft. wide 388 sq. in. 2694 pounds 14 ft. wide 452 sq. in. 3139 pounds 16 ft. wide 516 sq. in. 3513 pounds lr TABLE 1335.5-2 Span in feet Between Ridge Beam Locations 10 Foot Unit Section Width 12 14 Foot 16 Foot Foot LOAD IN PSF Up to 5 1250 1500 1750 2000 6 1500 1800 2100 2400 7 1750 2100 2450 2800 8 2000 2400 2800 3200 9 2250 2700 3150 3600 10 2500 3000 3500 4000 11 2750 33001 3850 4400 12 1 3000 3600 4200 4800 13 3250 3900 4550 5200 14 3500 4200 4900 5600 15 3750 4500 5250 6000 16 4000 4800 5600 6400 17 4250 5100 5950 6800 18 4500 54001 6300 7200 19 4750 5700 6650 7600 20 5000 6000 7000 8000 21 5250 6300 7350 8400 22 5500 6600 7700 8800 23 5750 6900 8050 9200 24 6000 7200 8400 9600 25 62501 7500 8750 10000 lr Vector Dynamics "Foundation System" by TIE DOWN ENGINEERING Installation Instructions for the California.. Building Code (CBC -2007 Wind, 85.- ph, -1.kposure 'C Seismic Design Category D May 16, 2008 Introduction These instructions describe the proper use of the lateral and longitudinal foundation system. General The Vector Dynamics Foundation System resists lateral & longitudinal wind loads by anchoring the two longitudinal main rails. The system is approved'to be used on single or multi section homes: • These plans and specifications meet the requirements of Title 25 section 1333 and CBC -07 requirements. • Maximum eave width (roof overhang of sidewall) of 12" for Zone I. The Vector Dynamics Foundation System has not been designed for use on exposure "D" homes within 1500 feet of the coastline. 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 supportposts, end frame ties and rim plates. 09- Loo Y V " Engineer Approval State Approval MAxvFAaTUR�D xoMelnroBus Ito>bs FOUNDATION SYST01 HULTH AND SAFM COIF, M=0)443S51 APPROV90 $U9XCTT000RRWn0NS2W= . ATPWVAL DM NOT AUMORM OR APIRO" ANY O1dMONS OR DEVIATION FROM RBQUIREMOM Of .4"UcAbLe STATBLAIVS AND R80ULAIUM AMISSONOTCODBSAMSTAIWAR93 / � (d�tmT r /,67� FEATURES APP"PooYJ • U.L. Design Approval & Inspection FOYER q' • OPT. OPT. WINDOW WINDOW CLOSET WAL"'N ' CLOSET • -o" KITCHEN -2 FRONT & 1 REAR c - I I I I OPT. WINDOW -- /� GARDEN 11'W_1 � I I I` z OVEN _ -- _ - ROOM -_---- • --- --I I--�-UU_-- OPT. WINDOW OPT. WINDOW Requirements • Recessed Medicine Cabinets in Both Baths le OPT. BONUS ROOM CABINETRY Iso Ia . pl0 KITCHEN I DINING ROOM • Simulated Plank Ceiling BEDROOM. _ • Entrance Light at All Exterior Entrances BONUS ROOM; ° 13'-4' y -o,• O 12'-4" • In -swing Rear Door • 60" Garden Tub in Master Bedroom Bath �Q �' • OO • Masonit Siding • FREEZER SPACE j. a %L REF l I e Accent Wallin Family Room • Copper Electric Wiring LINEN O -- I 9a`r • Festive Carpet in Living Room, Dining Room, Detachable Hitches — S OR OPE. SHOWER --- — -- --- OPT. CLOSET Gas Shut-off Valves- & Hall w/%" Foam Pad • _-_-___-_ WARDROBE • Tiled Entry Way • Floor Length Pleated Drapery • 14 C.u. Ft. Double -door Refrigerator LIVING ROOM LINEN • Plumb for Washer & Family Room Area. • Power Range Hood w/Light IT -4" t t MASTER BEDROOM BEDROOM 13' 4" I 14' 8" ;I FAMILY ROOM i 20' 0" T. WINDOW r 5801 "64x24/37x10 3 CK 2F&R FEATURES APP"PooYJ • U.L. Design Approval & Inspection FOYER q' 2B BN RM 3 BEDROOM—CENTER CLOSET WAL"'N ' CLOSET • -o" KITCHEN -2 FRONT & 1 REAR c - I I I I OPT. FIREPLACE Located 16" O.C. BEDROOM -2 BATHS—BONUS Countertop 8 WAIN BOOT ISL- - -- n -- _ - ROOM Located 16" O.C. • G/C iE OPT. WINDOW OPT. WINDOW Requirements • Isions slated to industry standards. Overall length includes approximately lour loot hitch. Room sizes are measured from floor ends and wall centers. 24 WIDE SCOTTSDALE SERIES.STANDARD FEATURES APP"PooYJ • U.L. Design Approval & Inspection • 36" Surface Unit Cook Top • Ceiling Height 8'0" Throughout • Built-in Oven • Exterior Wall Framing 2" x 4" Graded Studs- • Self -edged High-pressure••Laminate Located 16" O.C. Countertop • Main Interior Partitions 2" x 3" Graded Studs • Storage Pantry in Kitchen Located 16" O.C. • Cabinet Doors are Edge -molded Wood • Quality Insulation Throughout Meets Code Hollow -core Throughout Requirements • Recessed Medicine Cabinets in Both Baths • Copper Water Lines • Matching Passage -way Doors • Simulated Plank Ceiling • Matching Slide -by Wardrobe Doors in • Entrance Light at All Exterior Entrances Bedrooms (Except Walk-ins) • House -type Front Door • Separate Utility Room • In -swing Rear Door • 60" Garden Tub in Master Bedroom Bath • Shingle Roof • 60" Fiberglass Wall Tub/Shower • Masonit Siding • Towel Bar & Tissue Holder • 100 -Amp Service • Accent Wallin Family Room • Copper Electric Wiring Smoke Detector • 30 -Gal. Gas Water Heater Exterior Recept. w/Ground Fault Interrupter • Festive Carpet in Living Room, Dining Room, Detachable Hitches Master Bedroom, Family Room, Tag Room Gas Shut-off Valves- & Hall w/%" Foam Pad • Wood Closet Rods • Tiled Entry Way • Floor Length Pleated Drapery • 14 C.u. Ft. Double -door Refrigerator w/Traverse Rod & Sheers in Living, Dining • Plumb for Washer & Family Room Area. • Power Range Hood w/Light Isions slated to industry standards. Overall length includes approximately lour loot hitch. Room sizes are measured from floor ends and wall centers. RESIDENTIAL - {026 -010-039 PERMIT#98-0829 MANES, Donnie & Rhonda 111 Prince Rd, Orovill'e- PERMIT NO., Cont:. Skycrest �la MH On Perm Fnd-Replaces SF 'PERMIT EXPIRES' - OWNER 'CONTR. i ASSESSOR PARCEL I LOCATION r THE HCD FORM 433A FOR THIS MH CANNOT BE RECORDED UNTIL ONE OF THE FOLLOWING ! HAVE BEEN TURNED IN TO (2) STATEMENT OF FACTS(ONLY ON ' NEW MH'S) INSPECTOR TO VERIFY SERIAL & LABEL #'S a i ' CHECKED SRA BY �., FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS 'VERIFY Temp. Powe, OFFICE COPY Called Pi Address i Temp. Elec. S pate/ + GAS I 1 Meter BY Called PG ELECTRIC Da e - I Meter BY 0- Temp. Gas Ser Called PG&E JOB FINALED (Date) Signature - COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 1 P -/IN. (Rev. 12/96) APPLICATION AND PERMIT J ASSESSOR PARCEL NUMBER 026-010-039 ZONING AR BUILDING PERMIT OWNER MANES, DONNIE AND RHONDA TELEPHONE SO. FT. OCC. BUILDING VALUATION 1404 R 75,816.00 OWNER'S MAILING ADDRESS 111 PRINCE ROAD, OROVILLE, CA 95965 CONTRACTOR'S NAME SKYCREST TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS ' Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee 531.50 2 $ 265.75 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 21-00 BUILDINGADDRESS 111PRINCE ROAD,OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE $ 75 LOT NO. SUBONIS ION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome JP Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: MH ON PERM FND — REPLACES SF Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I s I G I W @20.00 PERMIT FEE $ 65 nn ELECTRICAL PERMIT Fling Fee 20.00 Main Service io nOR�R, 23.00 LICENSED CONTRACTOR'S DECLARATION 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 is in full f ce and effect. 9 f License Class Lic. No. iC `7 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 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 offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier (.-',OL &a 6^1.&E JN'S (°O Policy Number � '�'7 6' (The above sections need not be complet d if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forth ith comply w' those provisio 14 C� Y X .— -c Date _ _/ U _ Signature of Applican Owner Co for O AgentAn OSHA permit is required for excavations r 5'0" deep and demolition or constructionof structures over 3 stories in height. Main Service Zoog TO I000A 46.00So NEW CONST. DWELLING UP. SO OR ADDNS. ( 8 ACC. BLD S. 3.50FT. NON-RESIDNEGON5T SCI OU CET 97.50 POWER APPARATUS & SINGLE OUTLET CIR. � '�0° Ex. OccupOUTLET OR F°cruREs BA20 .s° LNS Ex. Occup. GUT ETS RES p,OEp 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOT L FE 416. 5 HAZ. �. D. FIE IM Foo CDF PAR L PD HD S I Of This permit is hereby issued under of the Butte County Code and/or inWdve( which fees have B" ` PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date _ �b Dale ReceiptNo. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ' 'r� : ' r > 4 ..rr4 COUNTY OF�BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION / ,1 (610g5 C4R DRIVE - OROVILLE, CALIFORNIA 959655 - TELEPHONE (916) 538-7541 —r r PERMIT APPLICATION DATA SHEET OWNER: S ASSESSOR PARCEL ER: to — Proposed Buil ing Use: Building Inspector: Date: At time of permit application, I w6 advis the following data must be su nAtted prior to permit p esgmg and/or issuance: Date Received By ❑ 1. All items have been submitted----------- ------------------------------------------------------------------ ❑2. Plot plans, 3/4 sets, signed by the preparer of plans. ---------------------------------------------------- ❑3. Complete plans, 3/4 sets, signed by the preparer of plans. --------------------------------------------- ❑4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! --------- 06. Energy Design Compliance and supporting documentation. ----------------=-------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ---- ❑ 8. Hazardous Material Form.------------------------------------- 1:19. ------------------------------------ ❑9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------ ❑ 10 ,;Fees of $------------------------------------------ ----------------------------------------- . Impact fees as shown on the attached schedule. ';- -------------------------------------- 1:112. ------------------------------------- U 1 "2. California Department of Forestry plan approval/fees. --------------------------------------------------------- ❑ 13. Flood elevation certificate. ---------------------------------------------------------------------------------------- A/V`L214. Sanitation and plot plan approval /UU Health Department. ------------------------------------------- 5 ❑ 15. City of Chico plumbing permit. ----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- + ❑ 17. Planning approval for (A) Use: (B) Parking: --------------- ---------- 0 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- ❑ 1.9. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- 020. Pre -inspection for required Request to Building Inspector on (Date) D2 1. Contractor's license information. (Number, Name Style, Classification). ---------------------- =------------- ❑22. Workers' Compensation carrier and policy number. ----------------------------------------------------------- ❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------- E]2$-Letter ------------------------------------- ❑ Letter of signature authorization. -------------------------------------------------------------------------------- G 5. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- k_111 26. Letter of intent on building use. ----------------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance.-----;--------------------------------------------------------------------- 1128 Existing violations and/orf xpired permits. ------------------------------------m--`-------------------------------- IV 2 A, ❑Grant Deed,OI.H. Title, heck to H.C.D $ a �'y v .--------------- 030. --------------❑30. Other: ------- When you issue ,the permit, process as follows 11Mail to owner, ❑Mail to c ntractor. Telephone 349 -a(0q4 and hold for pickup at rOvl ! office. El Deliver witlyiWector. Applicant: Date: J 4 9 O Copy of Haz-Mat form sent ❑ Health Department, o Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑Health Department, o Fire Department, ❑Other: Date: 1. Index permit application for the above items numbered: ❑ Plan Check List, 2. Additional items required: Contractor, designer, owner, was advised of the above required data by o phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by o phone, ❑ mail, o Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by o phone, o mail, o Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by o phone, ❑ mail, ❑ Buildin Division counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in o Plan Cabinet, o A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. IF WELL - keAest NOT USED, Ex 15T IIOU56 Z8 x: °f� e .thy p t! To r3 DMpUS _f��} °$ °6at� da e�� � sE�TIC. sYsTEn� oll� tp ' '� Y-- `09� — ppopo � ��� � p0 ResI D Cr(Cc Vol, �`�9 ee� C 3 R) �yF 9o�c �► Ice rj a NR %gra,-q. 0� A1t,�2t�,�� 4 Gni I'RcN C-6 o.6. - t 04 D k MA N 55 Vel -t c a P t> `rlz l LLQ' CA '959 lo A/ P Oat, - 010 - 0-39 SCALE I" -- 100' RcViE!'f�1 3''i Ei•:^�i:��;ai•i; D�i�T, 1=1 ED6'f::Lt CPScP`iIC-ES 1)EPT, JAN 26 1996 UP1LNERWRIl'ERS L:ACORATOI!IES. INC: 9'- 4' 10 e' FILE Alti 9321 OPT DLX BATH VOL. 1 SEC. 4 ILL 51 PG. 6-47F CENTERLINE SUPPORT REQUIREMENTS THIS SHEET TO U INSERTED WTH SUPPLEMENT TO FIELD INSTALLATION MANUAL FOR 20,E ROOF SNOW LOAO. SEE ABOVE PRINT FOR LOAD REQUIREMENTS. 20# ROOF 1 v aLrur num LIVE LOAD I 4828-3FK-28-CATH DRAM 8Y : MER OATE: 01-24-1996 2236 1. Owner's Name:__ DO � M. A AIC -S 2. Assessor's Parcel Number: 0:2, 4, - O / O - D -� fJ 3. Installer's Name: 4. Is the site currently under permit? Yes[] No[ ] Permit No._2 �- Ek - 5. Is the site an existing site? Yesk] No (If yes, furnish two plot plans). 6. What is the electrical rating of t''he\\mobilehome? ;ZD O Amperes. 7. What is the mobilehome site circuit breaker rating? .Z 0 Amperes. 8. What is the electrical rating of the mobilehome site? 2-0 r-) :' Amperes. 9. Is the main service remote from the mobilehome site? Yes[ ] No[x] If it is, what is the rating? Amperes. 10. Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage etc.)? Yes[ ] NoK] If yes, please identify the load and size: a) The mobile home site: Load- Amperes - b) The main service: Load- Amperes - 11. Type of gas service at mobilehome site: Natural[ ] Propane[A None[ ] 12. Size of gas pipe at the mobilehome site from ::..the meter or tank:�/c f inches. 13. ' What is the gas pipe length from the meter or tank to the mobilehome? Z, 5" 14. What is the mobilehome gas demand? B.T.U.* *(This information is not required if the pipe length is less than 6 feet on natural gas or less than 50 feet on propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION Mav 1995 8.5 Mobilehome Manufacturer: 5R)l4/,.lE Manufacture Year: If other than single wide, furnish Setup Model Number: 9A3 Width:�,� (ft.) Length;,r, 9"(ft.) Tagalong or Expando Size x — (ft.) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. FOOTINGS: Wood pressure treated or foundation grade[] Other: SUPPORTS: Concrete block[ so Other: Provide Tie Down Specifications for all Mobilehomes: a0N0,4Xi o At Pier Footings Sizes and Location SINGLE WIDE MULTI -WIDE Line 1 Line 2 ................................................................................................. Main Beams Line2............ .................................................................................... Line I ................................................................................................ Main Beams .............................................. .............................................. Tag or Triple .............................................. Line 1 Piers: F* o qD *T/ 014 Size minimum: Spacing maximum: ` From ends -maximum: ` Line 2 Piers: 1`0 Cl H 0 ft V o �! Size minimum: ►�- x 130 . Spacing maximum: From ends -maximum. ` Line 3 Roof Loads: Size minimum Location (from front): Line 5 Roof Loads: Size minimum: Location (from front): S 4 I aim 1 Line 2 !no 2 Line 3 Line 2 Line 2 Line 1 Line 1 Openings Size minimum: [ 12-1 x [ 3 0 ]. Each side of openings with width over: 14 ` D ` Line 4 Piers: Size minimum: ] x Spacing maximum: ` From ends -maximum: ` f -Z ci r4 V4 12X30 lyX;p jZX3o 12x30 b °2ez�_ 13V& 19571 OVER F 0 �` -__----�---_ ._ ---__-____'-�----_---____-_--_---'_--_---..-----_�--_-_--__--'-----__---__-_--------_--..�---_-----_-�---__-�--_-_------ c ' ----''-__-_ ------_'___-_-� �__--_-_------�-_--_'--- ----_...... ---- --- ''Y Ou �O� APR. -30' 98 (THUI 15 : 59 FIDELITY NTL, TITLE BOOK tan PACE Ub G>RArt><' DUD TEL:916 543 4410 Fat v" eacelXMCRY SHMELIM and CARMN SHAMBLIN, his wife GAANr EWALD A. HAMBUROAR ,and WANDA L. HAMBURGER,/ hie wife d JODM MANY'8 .A rlue nil pmp" imm in dw cowry of Butte , Sate of c ifvmn dei rA*d u follow: The Southwestquarter of the Northeast quarter of the Swth- yy ►root quarter of Section 6, Township 18 North, Range b East, M.D. .&M. Containing 10 acres, more or less. D.ud..,...__ June...��....._._...�...._......19..�7... W ITN 93 S6 E+eary S�+ _blin� beinixunAble to wri 10/� ' 'maderre3�r�i-in my preaonce enT ti 4J4• "si¢ned'EXR nye-�'7,r'i�piso�'e entl 1•' ITTIS5S seen of uuaeoIwiA utte o.... �5!.r R..3.4 a-w*........�_...._.......... 9..�7., M.n wa _ ,, .._�s W: BB�Idwln r Nwer7 r. de, in 4mi IM MW c...�, sero "Orr 3hambl.G.w.... -'.'iG .aHi► �.Mi.:.. �l .ri...■wrd �n �. ��r,�'�.x.v.�,v.l fie. ...x,95.7... p✓11 ��2.5R6 8 l,E0 RB11Tf'pT[1ft1�TT4 m1FT'r+Uf wt o min. Fast ...._.'�,� Me U: 0C! `( RE:'. U'SUF PUT; C;)V.'.Tf, CAL�hUMA ESP[ Court 9 der CM /7 O pwch► �. e i T.18. N.R.4E. MAIR &M. T=ArsaCo" 25-01 t"j3v0TXvSvC1 !Put 90 L"A CU Cq=ty qwugaw law Inc tidma k 25 NOTE—usFssars PARM &LOCK 6 LOT NLJA MR5 SHOWN IN ffK7FC � 92=00 a 14 2.32AC- rsra-:e AUE. Assessor's Map No.26-0I County of Bufte, Calif, Rrvrsm, 2- 9J TO: ' Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance E.H. USE ONLY Plot Plan Attached - Floor Plan Attached Sent to B.D. ^_�� Owner Location AP## Plan Approved for: Sewage Disposal Water Supply: Public Private Welli__ Clearance for dwelling. Other _ 3 ��"Dfl lS-i��UJ P lI 1 n( Hold final for: Final clearance O.K. for: NOTE: M 10 SOIAC (-),)N /,&�- -- J Environmental Health Specialist �-- S --q s Date k i iG i *PIzc N c.6 ANNROVED Butte County Environmental Health _ 6 = --/,, � ----- ®at -------------- Signature DoRNIF, � I It "PRINC-E OROVI LLE A/P OUo - SCALE I" 'R i4 cj •i D A PIA N r= 5 R,b CA 959 (05 0/0-039 • I o o' E.G OPT DLX BATH 48r-0' J SIM - DRAWN DY: / i MIND TAME 131 MAMCB/30PM IROOF ZONE i s } I UJ I I i O U ce m i I I� I r E Q P.-8 1 i 1 J SIM - DRAWN DY: / i MIND TAME 131 MAMCB/30PM IROOF ZONE (Rev. 12/96) COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER U ^ �/' _ Q� ®— �C, ZOw jQ BUILDINGPERMIT ' TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNEAS MAIL! MC CTO R'S NAME TELEPHONE CONMACTfft MAUNG ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENOINEEA LICENSE NO. Filing Fee/� S 20.00 Permit Fee I_ S d–� S — ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ , BUILDING ADDRESS �, I A � (_0 J � Energy Plan Checking Fee E PERMIT FEE _ LOT No. suaonsa"s NAME PARCEL MAP _ PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF O Duplex ❑ Mobilehome KOther sPECIFv Each Tra 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New O Addition O MRemodel ❑ Utilities ❑ Installation ❑ Other 1 Describe Work: I. 1 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W 020.00 PERMIT FEE ! ELECTRICAL PERMIT Filing Fee 20.00 600v OR LESS Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION 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 is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 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 offered for sale. O I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: O 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work forwhich this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed If the permit is for work of a valuation of one hundred dollars ($100) or less.) 1 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. OWEI T OCCUP. 3.5¢SO. OR ADONS. ( i ACC. BLDS. FT. ==.T' "LT' -OL 07,50 PovvEA APPARATUS a SINGLE O1 C1R. .00 LE EX. Occup. OUTLET OR FIXTURES eAL ®1.S0 IEDI Ex. Occup. DsAP ,°F1 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE : L 3, MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 8.50 Ventilation PERMIT FEI= S Mobile Home Installation Fee $ Energy Inspection Fee $ occ PE C1Z.. AlO TOTAL FEE $ HAEES IMP FLOOD COF PARCEL PD HO ISSUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By Date PERMIT EXPIRES ON provisions to do work paid. fo Receipt No. ✓ WHITE-D.O.S.-B.D. CANARY-ASSSOR PINK -INSPECTOR GOLDENROD -APPLICANT i Schbol District A.P. Number BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM :y (One form per Building) s, rz)V I Building Department No. ^ �� OPt0 — (7 D -- 03 xl::,burisdiction: E-71 City r IV, County Property Owner Property Location/,A Subdivision Residential Development Commercial/Industrial n LOT NO. 41 New iU o9a_o�? Sq. Footage '4Dq on (Groin Sq. Footage Addition Department Represer'�aP�i�e —1 V (Floor Plans reviewed by School District Personnel) (Including Exterior Roofed Areas) Ll Date District Identification No. g 8 OON12A -1 �UA�, �L A ', 3 2 School District certifies that N� (Applicant) 141 I (Street Address) f 0Aff 1 Y (City) •• I ( has complied with the requirements of Resolution No square feet. Representative Paid �by Check # Remarks: ! ; "a. (State) ne Nu yy 17 (Zip Code) a by payment of $ B 2926 $ ULL MITIGATION $ 'Date t Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee 'CertifIcation Form, the School District is ,: notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applic i t), Yellow (building department), Pink (school district) - feeform.xls (2/97)dmm No of Living Mobile Home Units Installation New iU o9a_o�? Sq. Footage '4Dq on (Groin Sq. Footage Addition Department Represer'�aP�i�e —1 V (Floor Plans reviewed by School District Personnel) (Including Exterior Roofed Areas) Ll Date District Identification No. g 8 OON12A -1 �UA�, �L A ', 3 2 School District certifies that N� (Applicant) 141 I (Street Address) f 0Aff 1 Y (City) •• I ( has complied with the requirements of Resolution No square feet. Representative Paid �by Check # Remarks: ! ; "a. (State) ne Nu yy 17 (Zip Code) a by payment of $ B 2926 $ ULL MITIGATION $ 'Date t Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee 'CertifIcation Form, the School District is ,: notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applic i t), Yellow (building department), Pink (school district) - feeform.xls (2/97)dmm RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 29 -Jun -1998 1998-0026793 Hes not been compared with original Butte COUNTY RECORDER ' SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME NOBILEHOME) 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. DONNIE RAY MANES & RHONDA KAY JACOBSEN BUTTE COUNTY BUELDING DIVISION REAL PROPERTY OWNERAIMR LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 111 PRINCE ROAD 7 COUNTY CENTER DRIVE DATE OF MANUFACTURE 54'X26' MAILING ADDRESS MA I NG ADDRESS INSIGNIA/LABEL NUMBER(S) OROVELLE, BUTTE, CA 95965 OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP CITY COUNTY STATE ZIP SAME • 98-0829 530 538-7541 INSTALLATION MAIILNG ADDRESS, IF DIFFERENT BUMMING PERMIT NO. TELEPHONE NUMBER 6/26/98 CITY COUNTY STATE ZIP SIGNATURE OF LOCAL AGENCY UFFT&L DATE SAME NONE UNIT OWNER (if also property ow=, wri a *SAME") DEALER NAME Ci' na a dealer sale, write 'NONE') MAIILNG ADDRESS DEALER LICENSE NO. CRT eatwrr WATa III SKYLINE HOMES 5/13/98 OKM 2236-B . MANUFACTURER'S NAME 06-70-0791-K-A/B DATE OF MANUFACTURE 54'X26' MODEL NAMEMUMBER ULI 468091, 468092 SERIAL- NUMBER(S) LENGTH X WIDTH REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL. NUMBER A.P. # 026-010-039 SEE ATTACHED LEGAL DESCRIPTION. INSIGNIA/LABEL NUMBER(S) HCD FORM 433(A) REV. 8/91 WHITE - Cowuy Rcwr&r CANARY - HCD PINK - Applicam GOLDENROD - &dldmg Dept. LEGAL DESCRIPTION A.P. #026-010-039 ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE UNINCORPORATED AREA OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, BEING MORE PARTICULARLY DESCRIBED AS FOLLOWS: PARCEL 1: THE SOUTHWEST QUARTER OF THE NORTHEAST QUARTER OF THE SOUTHWEST QUARTER OF SECTION 6, TOWNSHIP 18 NORTH, RANGE 4 EAST, M.D.B. & M. PARCEL 2: A NON-EXCLUSIVE EASEMENT FOR UNRESTRICTED USE FOR ROADWAY AND PUBLIC UTILITIES PURPOSES OVER THE NORTHERLY 15 FEET OF LOT 7 OF SECTION 6, TOWNSHIP 18 NORTH, RANGE 4 EAST, M.D.B. & M. BUILDING PERMIT NUMBER: 98-0829 Address or location of unit: 111 PRINCE ROAD, OROVILLE, CA 95965 Legal Description of Real Property: A.P.#026-010-039 SEE ATTACHED LEGAL DESCRIPTION. (x) Mobilehome/Manufactured Home O 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: DONNIE RAY MANES.AND RHONDA KAY JACOBSEN Owner's address: 111 PRINCE ROAD, OROVILLE, CA 95965 INSIGNIA OR HUD NUMBER: ULI 468091, 468092 SERIAL NUMBER OR V.I.N.: 06-70-0791-K-A/B MANUFACTURER'S NAME: SKYLINE HOMES YEAR: 5/13/98 OFFICIAL APPROVING INSTALLATION: DATE: 6/26/98 PHONE: (530) 538-7541 H.C.D. 513C MAR. -12' 98(TH1i) 11 X43 FIDELI NTL. TITLE TEL:916 34 *410 P. 002 Recorded al the Requosl of mid Valley This 6 Ordor No. Escrow No, 130088-3J9 Loan No. WHEN RECORDED MAIL TO; D^-.'-'N!E RAY r-AMES 111 Prince Road Ororillc, Calif, 959h5 MNL TAX OTATalENTB TO; SAME AS ABOVE Escrow Company 9 2— 4 2 3 4 9 92-042349 n' I Rec Fee S, 00 I DOC 96.80 Recorded I Check 101.80 nit sol e! peoorde I County of 1 Butte Candeca J. Grubbs I Recorder 9/03am 22 -Sep -92 1 PURL XX 1� DOCUMENTARY TRANSFER TAX SaaM X earwud a na cm/taeleuon m Valle d paoaro mn.erw; OR Ca►pulad m ala emmal/Ilon a vwo bu len/ ar lna,mamue/ lere/hha a line d rap, — The undamIgned-GranluLdraclerns.r_ 6pnW1e d O'ep1/nl a werl 0410lm4l a W- Pim mnm oie-o,o-aa.000 GRANT DEED FOR A VALLIAOM CONBMXR4TION, gaskl ad eAdah is hwby adnow16dead JOHN M. PRINCE AND NORMA PRINCE, huebwW and wile hwb► OfIANT(9)10 DONNL6 RAV RUES, an unmarried man A RIIONDA KAY JACOBSEN, an unmetrlad Woman, av aoint Tenants ar ndl Prbpnlq In We U I POPOMd Am of BUTTE n 81W of Cellldrn4ti d"ab"d THE 4OUTHWE,{T QUARTER OF THE NORTHEAST QUARTER OF THE SOUTHWEST QUARTER OF SECTION 0- TOWWW 11 MOM RANGE 4 MST, M.O.D. a M. vol ' o°'°'° tea' - JUKH Wase o► ciaiolnaa ) �( ODIR�rr o► IIW l e w , 01 Se I y VV Nt7ltiOrPIU1>rE"`_� ewe . ��Ille t�l—.� add L I prow** "001000 I 1 Ince am"%*abet,toamon~•asMsoWanMmw� alarm M O M po"m MMS *NNW rM VANG e 16 w lrA1A01000WlWONVOM eawasair&K%W ra00WI* l 0 N&%~ asoma «warylay sal so IV k*000 0111'a "asN100mMmmu aonm"yMlamr Mf= w We 00 ami M pow" Q / w/wi w% ,lCLAIM . 0101/ ldlr/e Oa W//MMeq END OF DOCUMENT 1 i 13468 HWY 99 Chico, CA 95973 HCP 91265 0 Contractor's -License # 29541 (916) 343-8494 t ---------- NOTICE:THIS FORM IS COPYWRITED AND REPRODUCTION OF ALL OR PART IS STRICTLY FORBIDDEN. MANUFACTURED HOME PURCHASE ORDER AND FEDERAL DISCLOSURE 16 ORDER K �#41M U 11 �11, Ll k �NA L��U �RE ATE�MEN�T, PURCHASER: ST ADDRESS: DATE -Subject to the terms and conditionsstaied a I/Al t: __7SALESPERSON: e PHONE, EVENING— . W6747.�*f�.,�— on both sides of this'agre6rinent Seller agrees to �9111 46ni Purchaser agreei to !he 1, MODEL;, owing ; , . I . P" MAKE COMS o r INCL'.:7=77 7— i W; E --------- W2rA' O'bs-6 "Qty ZI -W iii 1 11 A 'Ir ;MFG:' 1.017 V-2 , '4�" ty'' - .-J THE COST PF,,1.11E E THE LISTED PRICES Fa I-,T,0ESE) 16141 _TF s SR IFT. I 4VING AREA $ W, t2! HF9L jN 154�' HEEL 't MWR RAI *T 7 IMMM"HOME I I ICE F RiN - -z� —.67, 41 S". . NIT 4 'XiN USED HOME SALE TAX IF'ANY I ST SOLD R 0 ITEM14EIJ '8L;L;E§SQFIIESDU(VIS) ....... ......... . . . . . . . I " I I I R __. EIR�qPPTS P 07e EE —2. PUM ADDENbUWf'ATTA SEE.'a. _1W-'!JCI'RItUD-* BELC . . . . . . . . . . . . . . rn 7, -Ae V �x syA v, ,LPRICE' ,,QJE TROVAL' 'rj i 4. 5-7: V" - �R -.a M, , �114 UZA L.4 x MAKE MODEL TOTAL ACCESSORIES (OUTSIDE TOTAL.MFG-,;HOME&'ACCESSORI e, ire;ter H SERIAL NO. SALES TAX. (ITEMS NOT INTEGRALTO }TIE 'DOWNS AMOUNT OWING t .,jr. ACCOU NO. DELIVERY� S TO WHOM: ETU11P--.,.,.,.,",f-.� ADDRESS/PHONE H C n e- V M (ONLY IF SOL _y IN! VE IMPROVEMENT -NE D BY DEALEFJ),, I HAV ES61461k FEES yr tQr _UleaIVED VENTILATION IMPROVEMENT INF R T*lt,V'MFD.iMBL. HOME. SPHOOL:FEES _to 0 P BUYER'S SIGNATURE THERY. PRE PAID`TAXES DC THE MANUFACTURER STATES DOC FEE A:' "; I... ..., I I GOVERNMENTAL'CHARG THAT INSULATION HAS BEEN z INSTALLED IN 1: THIS HOME AS FOLLOWS: (NEW ONLY) TOTAL CASH PRICE.. TYPE THICKNESS R. ALLOWANCE ON TRADE IN $ -.6 . . . . . . .............. . FACTOR LESS BAL*. DUE ABOVE $ -1-2 ZZ EXTERIOR WALLS NET 9 P ALLOWANCE'. $ 7 FLOOR HEREWITH CASH BEFORE DEL: WARNING --Unless a charge is included in,' f49'reement , fe. thi for Public 'D'ESIGNATED.DEPOSIT' Liability or Property Damage Insurance," ra 6t f6r such Coverage f),; (INC. IN DN. PMT� is not provided by this agreement. 2JESS BUYERS DOWN PAYMENT $ Pr,`Js:;. also-q'fidensed,, as 'a Pieal;;estate `-*, bi6ker,: the' ,7f. the dealer, 3. UNPAID BAL. ON CASH SALES PRICE 4. FINANCE $ ,Saie-ofi�*a�,Mgnofabtijrod-horhe-�*br-�n6bileho' Mid being' In' 'stall ECHARGE $ ed' S. ANNUAL PERCENTAGE RATE a7-�67. Qijnotito-,�8yst6i-h"PYrsuat7t to'Section; 1855.1 may b* incuddE 7� thI§7spbrCh6§e,.-`do&jjM&h1 ;jOr the iindI6 6. TOTAL PAYMENT AMOUNT (3+4) $ 'prop p e,--.requ1reMiRnff:,1 ,nrnne 4. , — , . 1 7. UNPAID BALANCE DUE PRIOR TO DEL. $ 1hW..h`1 ` I , "' 'A' M�pd B.- TOTAL DEFERRED PAYMENT T PRICE (2+6) $ arq, 1-M 4! PAYABLE AS FOLLOWq J INSTALLATION CONTRACTOR IS', NAME�,Fi�;X e in 9 295412 BUSINESS . 'Abbkifss`fi,'��i J, �z 1' 13 1 J 11 1 10, Inthe event the manufactured home cannot be delivered -and/or- inspection completed -7 7F within the agreed delivery time due to nonperformance by the buyer, buyer agrees to AP q,ROX '0 TE ES THE 1. ROOF EXTERIOR WAL FLOOR W IN(;_ ARN one of the following at the option of seller. either (1) to pay $ charges per day until a manufactured home installation acceptance or certificate of occupancy is obtained ip ...a$idition to all other consideration owing or (2) pay the sum of $Z Op in lieu of total consideration. ASE: AGREEMENT, BEFORE YOU READ - I I ,UH IF IT CONTAINS AGREEMENT IF PURCHASING YOU ARE ENTITLED TO A COMPLETELY FILLED-IN COPY OF'THA7 AND,' SING A A UFACTURED/MOBILE HOMEr_0V1=RI=n RV A; %AiAMnAIk2-W%._ A OF.-THFmA RAKITV DEPARTMENT OF STATE DLCOMMUNITY DEVELOPMENT DIVISION OF CODES AND STANDARDS REGISTRATION AND TITLING SECTION ; STATEMENT OF FACTS This unit is -a: ® Mobilehome 0 Commercial Coach D Floating Home Truck Camper Decal (License) No.(sr Trade Name Serial No.(s) • I/Wa, the undersigned, hereby state that the unit described above: Affiant further agrees to indemnify and save harmless the Director of Housing and Community Development, State of California, and subsequent purchasers of said unit, for any loss they may suffer resulting from registration of the above-described unit in California, or from issuaice of a California certificate of title covering the same. I/We certify under penalty of perjury that the foregoing is true and correct. Executed on C#C,8CA Date (City) (State) Signature of each affiant Printed name of each affiant Address City C 0 - State C'o4 HCO 416.6 (Rev 11/86) 1 I 9 LOA, V COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 CORRECTION NOTICE 5 17 4�Fc- PERMIT N A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and uld be corrected. Please notify this office when correction of work is completed. If yo a any questions pertaining to this matter, or need additional explanation, pl se Contac is office immediately. IT ( �K01t-n/fv - 114/14 tS17-ir ct-6", 2 ' f ^C y9 z gt V 10/92 .N JUN -26-98 07:36 AM CHICO BUILDING SYSTEMS 530 342 9174 T+. T I COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DI.VELOPMENT SERVICES 411 Main Street. Chico, CA - (916) 891.2751 7 County Center Drive, Oroville, CA - (916) 538.7541 CORRECTION NOTICE OWN H--/-b'tM C A routine lnspectlon Indicates that the following violations of Butte County Ordinances exist at the above address and should be corracted. please noilfy thin office when correction of work In completed. If you have any questions pertaining to t1,is matter, or need additional explanation, please contact this office immediately. A C, A �.c j ' r Post -it' Fax Notc 7671 Date (P fAagoa��. To'OM COG�vMAN! fromQiw 1i M ca./Deoc. 2014-D VcP T co. S�C�I CQtt�7� phone # 15'41 pnooa )t 342 —z,.94 Fax x ' .L, t4o Fax N • _,Date &J� P.01 JUN -26-98 67:37 AM CHICO BUILDING SYSTEMS A Al 4 WELL - tt (koT USED) 536 342 9174 P.62 - Er l ST HousE 2A x fz ( r6 8 E DEmot.l5 fiev) pRI eel CE DON N IS f RROkDA MAN LeS III PRIM C -E kb OROVIL LE CA 959!05 A/P Ozto — oto - 039 -SCALE IN -- Ioo" �= 1 998-00249 1 0 1ND WUVV RECORDED %IAI If Recorded I REC FEE 10.00 BUTTE COUNTY BUILDING Drv1SION Official Records 1 7 COUNTY CENTER DRIVE CountteOf OR0NILLE CA 95%5 BuI CANDACE J. GRUBBS I Recorder I I ,I,Vickie ., 12:81PN 16 -Jun -1999 1 Page 1%of 2 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT -" FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code requires this acknowledgment to be recorded prior,to issuance of a building permit. The property described herein is adjacent to land or included within anarea zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agriculturalchemicals, including, but not limited to herbicides, pesticides, and feitiiizers; and fro_ n; the pursuit of agni iult} ral operations including, but not limited to cultivation, plowing, -spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones andon adjacent property should be"prepared to accept such inconvenience or discomfort from normal„necessary farm operations: All that real property situate in the County of Butte, State of California, described as follo��`s: '•'`'' . :rEr .. • tri t: '��f• .'. .. '. ..+.a dItt u Dale: _Sy ,4 E L 2. 1Q 4$ PROPERTY OWNERS: 0 DONN 1E R, MANe.5 State of California ) County of Butte ) On June 12, 1998 before me, Jennifer Tunis o Notary Public- personally ublic personally appeared _ Rhondd K. Manes and Donnie R. Manes personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the persons)bel�a15o6arlalisl�the person(s) acted, executed the instrument. .. JENNIFER TUNISON mm WITNESS my hand and o7r- eal. 2 COMM. 111052469 C NOTARY PUBUC - CAUFORNIA GLENN COUNTY _ . _ a. \ Camm,F�c 'res FEB. 26 1999 LEGAL DESCRIPTION EXHIBIT "ONE" ORDER NO. 2-64717JCW ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE UNINCORPORATED AREA OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, BEING MORE PARTICULARLY DESCRIBED AS FOLLOWS: PARCEL 1• THE SOUTHWEST QUARTER:.. OF THE NORTHEAST :_QUARTER ; OF:.. THE.. SOUTHWEST ; QUARTER".'OF SEC'T`ION' C TOWNSHfiP' 18 `NORTH, `^RANGE 4 EAST, " M. D . B . & . M. . AP #026-010-039 PARCEL 2: A NON-EXCLUSIVE EASEMENT FOR UNRESTRICTED='.USE. FOR ROADWAY AND PUBLIC UTILITIES PURPOSES OVER THE NORTHERLY 15 FEET OF LOT 7 OF SECTION 6, TOWNSHIP 18 NORTH, RANGE 4"EAST, M.D:B. & M. END OF LEGAL Page 7 J` LEGAL DESCRIPTION EXHIBIT "ONE" ORDER NO. 2-64717JCW ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE UNINCORPORATED AREA OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, BEING MORE PARTICULARLY DESCRIBED AS FOLLOWS: PARCEL 1• THE SOUTHWEST QUARTER:.. OF THE NORTHEAST :_QUARTER ; OF:.. THE.. SOUTHWEST ; QUARTER".'OF SEC'T`ION' C TOWNSHfiP' 18 `NORTH, `^RANGE 4 EAST, " M. D . B . & . M. . AP #026-010-039 PARCEL 2: A NON-EXCLUSIVE EASEMENT FOR UNRESTRICTED='.USE. FOR ROADWAY AND PUBLIC UTILITIES PURPOSES OVER THE NORTHERLY 15 FEET OF LOT 7 OF SECTION 6, TOWNSHIP 18 NORTH, RANGE 4"EAST, M.D:B. & M. END OF LEGAL Page 7 V=OK i ' O = Not OK 6 %. :=NotReadyyble MOBILE HOMES MISCELLANEOUS Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements - Setbacks - Easements 1. Zoning Requirements-Setbacks-Easements 2. Soils; Special MH Support Sketch 2. Footings; Soils-Size-DepthSpacing-Connectors-Steel 3. Sewer; Location-Test-Fall-C/O-Concrete 3. Decks; Girders and/or Joists-Decking-Bracing-Stairs-Rails 4. Water, Location-Test-Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors 5. Electricity; Location-Clearances-Gmd-/ /Amp-Concrete Shthg.-Rfg.-Bracing 6. Gas; Location-Test-Wrap; / /"L'ft. 5. Alum. Awn.; Columns-Connections-Splice Decal-Enclosures / /Nat. or/ /'Lft./ /LPG 6. Carports; Windows-Doors 7. Well Clearance& Disconnect 7. Electric 8. Utility Clearance 8. Fong.; Sils-AnchorsStuds-Rftrs-Trusses 9. Siding; Nailing VeneerShxxm-Mesh 10. Roof; Shthg-Roofing Date Card B-1 Date Card B-1 { 11. Ext.; Steps-Doors-Landings Date C -1 Date Card B-1 12. Braced Wall Panels Date MGME HOME INSTALLATION(Plans) OK except #'s f 1. ning Requirements- Setbacks Easements ( Date Card B-1 Date Card B-1 Footings; Size-Spacing-Marriage Line Date Card B-1 Date Card B-1 3. Gas - and-Valve-Connector Date POOLS (Plans) OK except #'s 4 tricity; MH Test-crossovers-Breakers-Clearances t, 1. Setbacks-Easements L 5 Drain; MH Test-Fall-Flex Connector 2. Soils; Compaction-Structure Stability 6 ater; MH Test-Regulator-Connector i 3. Pool Structure; Steel-Connections-Thickness t' 7 ater and Sewer Connected-C/O to Grade-HD Approval = Dead Men -Lining 8. Gas and EItricity Tagged i 4. Elec.; Receptacles and Lighting, Distance GFI e owns-Type Installation Cert. ' 5. Elec.; Pool Lighting; 15 Volts-GFI ` 10. Exits; Insp.Sketch 6. Elec.; Enclosures; Conduit Entries-Terminals-Listed i 11. C ccupancy 7. Elec.; Bonding; Metal w/5-Circulating Equip.-Heater Permanent Foundation Only: License Decal FF ; i 8. Elec.; Grounding; Equip. w/5 Circulating Equip.-Pool Lghtq. 14 } Boxes-Enclosures-Panelboards-Ins. to Main in Conduit Date rd B-1 ate Card B-1 9. Health Department Approval Dat 1 ate Card B-1 a I 10. Plumb.; Cir. Test-Water Supply Test ' 1 11. Light Niche } Date Card B-1 Date Card B-1 4 Date Card B-1 Date Card B-1 t1 /,/`/�' /•, Imo^/ OK✓= O = Not No OK RESIDENTIAL (Single & Duplex) = Not Applicable Not Ready Date UNDERFLOOR (Plans) OK except #'s Date i. ZoningSetbacks-Easments-FloodSlope 2. Ftg., Main; Soils-Elec. Gmd. / /° Ftg. Depth Hangers -Post Caps -Anchors -Connectors 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ /" Ftg. Depth Cling. Joist-Rf r. Ties-Purlin-roff Brac.-Truss-Shting.-Rfng. 4. Ftg. Porches & Decks; SoilsSteel-/ P Ftg. Depth Fireplace Ties or Type A Flue -Fireplace Throat clearance 5. Stemwalls, Main; Steel-Blockouts-Wrapped Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6a. Hold Downs and Special Anchors 51. 7. Slab, Steel -Wrapped 52. 8. Piers -Fireplace Ftg.-Steel 53. 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground Siding -Nailing Veneer 13. Pienums & Ducts; Clearance -Material -Support -Ins. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 14. Girders -Sills -Anchor Bolts -Joists Vents-Crippies Glazing Area -Glass Protection -Skylights -Plastic 15. Access & Ventilation Shear Walls; Nailing -Bolts • 16. Insulation Brace Interior / Exterior Wall Panels 61. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Date PLUMBING (Permit) OK except #'s Card B-1 Date Card B-1 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 63. 20. Shower Pan; Test, First Floor -Tub Access 64. 21. Test Tub & Shower, Second Floor -Tub Access 65. 22. Gas Pipe; Sixe & Anchors 66. Bedroom Exiting Date G.F.I. & Bath Fixtures & Tub Access -Spa Card B-1 Date Card B-1 Date Elec. Trim & Subpanel, Breaker Sizes & Labels Card B-1 Date Card B-1 Date Stairs & Rails ELECTRICAL (Permit) OK except #'s 70. 23. Fixture & Transformer Clearance -Ins. Protection 71. 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size B es & No. of Conductors Stapled 26. Romex i6stalled Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or AI Insulated Neutral 0 Yes 0 No 31. Service -Riser Conductors & Ground -Main Disconect 32. Equip. Clearances Panels -Motors -Meth. Epuip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector 82. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No Date 83. Card B-1 Date Card B-1 Date 84. Card B-1 Date Card B-1 Date 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings MECHANICAL (Permit) OK except #`s 86. 35. A.C. Ducts Insulation & Support 87. 36. Vent Fan, Exhaust above insulation 88. 37. Condensate Drain & Overflow, Size & Grade 89. 38. Fumance-Vent Access -Comb. Air -Return Air Vent 115 outlet 90. Corrections from Previous Inspections 39. Attic Access & Platform if Furnace in Attic Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Date FRAMING (Plans) OK except #'s Card B-1 Date Card B-1 40. Sits Proper Materials & Anchors Card B-1 Date Card B-1 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound Card B-1 Date Card B-1 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing 1 a ' " Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rf r. Ties-Purlin-roff Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior / Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor -Ducts -Meeh. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor -Meeh. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 82. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: t n +P0.`AMIT N0. 11311-7P:$,P�_E�M f` PERMIT)EX0IRES0_&7 'John & Norma Prince «OWNER ' =NTR. owner -':LOCATION (A.P. 26-01-39 ) NIS Messina, app.1500'E.of Lone Tree, app. t mi.N.of Palermo Rd., Palermo it: • ;''RR's{je� r a` I, • e S 4h c v ' Temp. Power Pol", ' Called. PG& r + Temp. Elec. erv. Called G&E Temp. s Serv. CaYIcd PG&E N B INALED te) f` (Signature) . - hhhM�1117 1 r _ COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT autnonze representatives or the county or tsurre to enter upon the above-mentioned property for inspection purposes. X Date 7,f Sign u e o ermitee or Agent Receipt No. / 7/ aZ ;7 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. DIRECTOR -OF PUBLIC WORKS lding permit expires Date ��� /�'- % 9 BUILDING Owner Nd G e— SQ. FT. OCC. BUILDING VALUATION Mailing Address o Telephone No. ie -a- Contractor 'Z—✓ Mailing Address Fireplace Total Valuation Telephone No. Permit Fee , O O Building Address �� s ����� N p0?rJ'ro x • Plan Checking Fee&/or Penalty ' Permit Fee I 6q. 00 O r 15_00 F 4DAolG `jv'ze— 4 PPro PLUMBING No. @ FEE /�IrL,�Al, G� �4Lern•o 1��, PERMIT FILING FEE $3.00 r40 Each TraD 1,50 ,� Repair drainage or vent piping 1.50 A. P. No .� G f — �9 Zoning&Planning Water piping 1.50 j Each gas water heater or vent 1.50 es S i n Fire Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 EQA Parking Plans P rcel eclaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. Plans Rec'd Parcel A roval Plans IpprOV131 Lawn sprinkler system 2.00 NEW ❑ ADDITION (Z UTILITIES ❑ OTHER ❑ Permit Fee $ 1106 $ �Gr %3 -ed 20®ILAp?A S'Q.,�e ►� G J ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 -3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 [� Single Family 4&J Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L too AMP 2.50 Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONS. I DWELING OR ADDNST % ACCLBLDGS.0 ) 22sgft 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 y le of: NEW CONSTR MULTC CT BRANCH CI NON-RESID I 2.50ea NEW CONSTR. POWER APPARATUS&J NON-RESI D, SINGLE OUTLET CIR, EX. Occuo(OUTLETS OR FIXTIIRES BAL@1 x. CCU FIXED APPLNS, OR EO p -(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 am exempt from the Contractors License Laws of the State of California. Permit Fee $ 5. If -S $Al WORKMEN'S COMPENSATION INSURANCE I 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 noi-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 ,BO Heating Cooling I,t/ATev- e-ppLer , O 0 ouJr✓ Ventilation Hood 2.00 Permit Fee $ ,OD $ D� I 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 $ autnonze representatives or the county or tsurre to enter upon the above-mentioned property for inspection purposes. X Date 7,f Sign u e o ermitee or Agent Receipt No. / 7/ aZ ;7 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. DIRECTOR -OF PUBLIC WORKS lding permit expires Date ��� /�'- % 9 N. . T1, to If i.G' Sl id �c � .�►irr��a(dr oAOIOW 0 x 4-1 P. L� A rill �iTcH WA e c t VIA(.0 FXISTIM� w 0 C � N ,g©�K, L�g98. Z L D NS T,ACF Fis • L I j T f Dc k D N At rf,004 w lies / ysUlAt,4lON ..77V II a U VI$ ry� t PFOVIDE ENERGY INSULATION ACCORDANCE WITH APPLICA PROVISIONS OF ARTICLE 01 STATE HOUSING LAW. 1 Ag - G ,t / �-0�`YCo r___ C � BUTTE COUNTY Z u �o' pl tr BUILDING DEPARTMENT APPROVED$ Ad �eA��.►� wab� ,c)3y foams,( - location of build- 4 ing to be as Butte C per ounty Heallfh Dept. Re- ON quirements. 4 /Sl- /Iycb The Bldg.* S*eI.bcck dial?dial?be 5 ft. from the side P--o-'w liie ,�an j r" from the too =censer I t,o of file rccid, a max'- inwo w a 2 eave overhang but entire!Y out of call easements. NOTE:—All Mr.ferir,ls A W"'I'!-nomshin Shall Be in c+*Jces and Accordrr�p :v!*V- �,,A C' of a qut-l;f,r -,ry -'fie use in the Uniform Building, Machanical Codes and .the National 'Electrical Code. rhils set of plans and spoicifications MUST be :ept on the job at a!! timc3s .1rj it , is vn!,w-,.j.I to iake any 6;- eggs or a!tzralions on s,,me wit;-,oui Irritten permisson from the Department of Public orks, County of Butte. BUIL fr% Olaf 0A PPR.OVF-D COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD QUI DIN�i, BUILDING (Cont'd)I PLUMBING Setback c3 ,/ Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finis 2nd Floor Footin g s Windows kZZ714 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sew— ewerGara Garage a Fdn. Vents Fixtures Footings Stemwall Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Slab Prov. for ph sically handica ed Conformance of ex. structure Final:?2--'(-,/SP46 CA2 Appliances Gas PI in &Test Temp. Gas Sanitation Patio FIREPLACE Final Footings Footing ELECTRIC -AL masonry walls I Throat Rough Reinf. Steel LFInal Fixtures RE SPRINK Mesh ME06ANICAL Grd. Fault Prot. Scratch Heatin Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MQBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity, Water Piping Drainage Gas Piping ." DATE REMARKS OR CORRECTIONS O r �- /7- 40%- 6uo �-- (NAn entry mu t be on this form ea time y sit the job site.) I 7'026'010-039''' PERMIT#9870826 ; MANES, ,Do.nnie -Ray , . "- 11I.Prince Rd, Oroville Demo/SF z-Y/-Yv_ r r F COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 026-010-039 ZONING AR5 d ILDING PERMIT OWNER fiANES, DONNIE RAY TELEPHONE 534-3407 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 111 PRINCE ROAD, OROVILLE, 95965 CONTRACTOR'S NAME MINER TELEPHONE CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAJUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER UCENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 111 PRINCE ROAD, OROVILLE Energy Plan Checking Fee $ PERMIT FEE S • LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USE OF STRUCTURE SF CY Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: DEMO S/F DKIMNG �. `� T Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W (9?20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service zoonoa'ss 23.00 LICENSED CONTRACTOR'S DECLARATION 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 is in full force and effect. License Class LIC. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: + 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 offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A To 1000A 46.00 NEW CONST. DWELLING )COUP. OR ADONS. ( a ACC. BUDS. So 3.5¢FT; S. NON -R SNEW rIDT MAULTI.OUTCLU @7,50 ER APPARATUS 6 PSINOWGLE OUTLET CIR. Ex. Occup. OUTLET OR FD17URES g20 @ I,SO EX. Occup. OUTLETSJRSO.PPUNSOEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) .. 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X� iDate % 1_ Si nature bf Applicant -- owner ❑ Contractor ❑ Ag nt An OSHA permit is required for excavations over 60" deep and demolit n or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 45.00 HAZ. D. FES IMP I FLOOD I CDF PARCEL PD I HD I ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have ,�►+� By ,/ ) PERMIT E11 "XPIRE ON the applicable provisions Resolutions to do work been paid. r Date - C .5 t%� Date Receipt No. 4"�y1� WHITE-D.D.S.-B.D., CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DTVI N 7 County Center Drive - Oroville, California"95965 - Telephone (916) 538-7 1 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT g ASSESSOR PARCEL NUMBER 026-010-039 ZONING AR5 B61LDINGPERMIT OWNER MANES, DONNIE RAY TEM—S407 SO. FT. OCC. BUILDING VALUATION OWNERS "UNG ADDRESS 111 PRINCE ROAD, OROVILLE, 95965 CONTRACTOR'S NAME OWNER TELEPHONE ' CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 111 PRINCE ROAD, OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE $ 45.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF CX Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other] Describe Work: DEMO S/F DWELLING 1 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service zoos oA o=ss 23.00 LICENSED CONTRACTOR'S DECLARATION 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 is in full force and effect. License Class LIC. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: —� 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 offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service TO 46.00 WEE200A CCU000A NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 ACC. BLDs. SO 3•50so NON -R SIN CO�DT MULCTI.O,R Lo POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20 00 x'•0 BA.50 Ex. Occup. our%ers RES D.OEA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE t MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall awlth comply with those provisions. q , � q X Lt C_AL .c, ___ Date ` _ Signa re . f Applicant -Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolit on or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 45.00 HAZ. I D. FEES IMP I FLOOD 17977 Po HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRE ON the applicable provisions Resolutions to do work been paid. Date 19— V 5•- q— Date ReceiptNo. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES' NO ❑ 2. I :HAVER HAVE NOT ❑ signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction:.. - NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. 1 plan to provide portions of this work, but I have hued the following.,person to coordinate; supervise, and provide the major work: NAME: ADDRESS: PHONE: CITY: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK"' 1 SIGNED: PROPERTYOWNER: SOCIAL SECURITY NUMBER: DATE: q.4 q( NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. . I OWNER BUILDER INFORMATION I Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible parry of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not cant' out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ' ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contrac9rs may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. rely, Mic el C. Vi iia, C.B.O. M ger, Building inspection NOTE: This Owner-Builder,lnformation is required by Section 19830 of the California Health and Safety Code OVER Demolition Permits Asbestos Notification Statement DateM94 AP#l0 Pursuant to section 19827.5 of the California Health and Safety Code, all demolition permit applicants are required to fill out this form. "19827.5. A demolition permit shall not be issued by any city, county, city and county, or state and local agency which is authorized to issue demolition permits as to any building or structure except upon the receipt from the permit applicant of a copy of each written asbestos notification regarding the building that has been required to be submitted to the United States Environmental Protection Agency or to a designated state agency, or both, pursuant to Part 61 of Title 40 of the Code of Federal Regulations, or the successor to that part. The permit may be issued without the applicant submitting a copy of the.written notification if the applicant declares that the notification is not applicable to the scheduled demolition project. The permitting agency may require the applicant to make the declaration in writing, or it may incorporate the applicant's response on the demolition permit appli- cation." Attached is a copy of my written asbestos notification to the United States Environmental Protection Agency for the demolition project located at Signature of Applicant 6R I hereby declare that a written asbestos notification to the United States Environmental Protection Agency is not applicable o this demolition project. S gnature of Applicant 2/19/91 . ----- .. .. ........... 1..� . .- PROPERTY OWNER IS RESPONSIBLE FOR, : - - - - - _ - - - - _ . _. _ ............. ..... ..... •....;..... .. DETERMINING -LOCATIONS -OF PROPERTY LINES � AND EASEMENTS AND MAINTAINING REQUIRED SETBACKS FROM PROPERTY LINES AND r EASEMENTS. A SURVEY MAY BE REQUIRED IF P11v�w�FY G(9 t - DETERMINED NECESSARY BY THE BUILDING • - i c OFFICIAL. (t4ir !d Jam, N OTE j_•,_`. SITE CONDITIONS ENGINEERING MAY BE REQUIRED IF ANY OF THE FOLLOWING SITE CONDITIONS ARE OBSERVED AND NOT SHOWN ON THE APPROVED PLANS: * • EXCESSIVE SLOPES t_�I • EXPANSIVE SOILS • EXCESSIVE CUTS OR FILLS ., • ALTERATIONS TO NATURAL DRAINAGE • OTHER UNUSUAL SOIL OR GEOGRAPHICAL i sK •ZolO'� I AA II✓✓ J � C-6, 1 f16- LIn1 S ALL COVEREO OECKS AND r SQUARE FEET IN AREA WILL CONDITIONS UIAedk Foy INSTALLED PF'nI IIQF 4 RI III I71Nf; PERMIT FIRE SUPPRESS1 ON :-- - : SYSTEM OihGZS • CA L,G -- CALIFORNIA CODE of 1-� - — - REGULATIONS TITLE 25 PROVIDE MINIMUM DISTANCE Requirements as amended by '•-••'• �I FROM FOOTING OF STRUCTURE OF g the jurisdiction apply to this . FT 5 FROM ALL PORTIONS OF PRIVATE SEWAGE DEPOSAL 3 project iJ SYSTEM INCUDING SEPTIC (TANK, LEACH AREA AND PITS - - - .......I s N FPA 56 - r - 1 LPG TANK LOCATION MINIMUM - • I LANDINGS AT DOORS SHALL COMPLY WITH I DISTANCE FROM PROPERTY LINES OR STRUCTURES FOR -I?!. GALLONS OR I _ .. ` 2007 CBC SECTIONS V LESS, LPG TANK SHALL BE �0 FEET �` ��,,,a� w �rA, 60 5AC- I OOB.1.5, 1009.4 & /f0JIACA�'i� _ 1010.6 toe Lh%L t!ze �6r n�_P�C.Sauf� Assessa s Parcel Number, 0 � ®� � ©� m u 0 % SCale: 1- = /60 ` Ovni er Nerne I L-* C& k Address I Phone No. o/L0.► fir i -Le Sao --370 - csAr Site Location Contact: Marne Phone APPROVED PLANS AND PERMIT SHALL BE ON SITE FOR ALL. INSPECT!OR!S COMPLY WITH CDF/ CAL FIRE I REQUIREMENTS PRIOR TO BUILDING 1 DIVISION FINAL. CONTACT CAL FIRE / (CALIFORNIA DIVISION OF FORESTRY FOR 'INFORMATION AND REQUIREMENTS r , NO CONSTRUCTION IN EASEMENTS --•-•= ALL PORTIONS OF STRUCTURE TO BE OUT OF EASEMENT—INCLUDING .....— FOOTINGS, FOUNDATIONS, WALLS, {fl ' EAVES AND ROOF II THE 2007 CBC, CMC, CPC, _ j CEC, AND 2005 CALIFORNIA ENERGY STANDARDS AS AMENDED BY THE JURISDICTION APPLY TO THIS PROJECT. Cao(lr - 1 BUILDING - PERMIT# 06-'2004 �r ASSESSOR'Sr3 PARCEL# 0 2 6- 0/9. 0 39 y _....._ :._... .—..........._............. j.s R:L.�sri! FOR OFFIC.E U8F ONLY PRna�ln�_P�I� All .. i Zoning: GervirrSl Plan sig: Size, Ams �.a07 e Ile /Y000 G;T40--# - -.4, ON dv a3NMC:) Ado YP. TING P. DR 1/2" BOLT 8 NUT TYP. RP2029 PAD WITH RP2000 SERIES STAND NO SCALE 4 - 1/2" MB TYP. 4 - 1/2" ADJUSTING NUTS - TYP. 1/2" X 3" PIN OR 1/2" GR . 5 MACH I NE BOLT 6 NUT 4 - 3/8" MB TYP. RP2028 PAD WITH RP1900 SERIES STAND NO SCALE 0 fel Its 3/tv o NC 0 v16+ 0 V2"-�� 36 112' T RP2029/2029B PADS_ NO SCALE 36" 1-1/2" TYP 1-1/2" TVP CAST -IN-PLACE FERROL INSERTS FOR 3/8" CADMIUM -PLATED MB 0 EA - TYPY1 0 0 TOP VIEW 2" 36" 3 SIDE VIEW R P 2 0 2 8 PAD NO SCALE END VIEW - r 47/ I 1/2 0 ppe - Sct 40 1�2 `E r o 0 a o 0 0 o � N B Extension A Extension FOR RP2013/2021 STANDS I 6. 1 4-9n6"0 2-1/4'0a3' D vo side) e -� kO 3/4' FOR RP2007 STAND 0 3/4' i0::0 21/2._I r -4TI- 1 9/15 0 x 4 L44- bor stocknl V2 threoded rod 12 -Rasa) ►I�l 9/16' 0 Beam Restraint -Clamp C - Chattel (Joist) DESIGN LISTED AND TESTED BY BSK &ASSOCIATES WAYNE T. POLVADO,'PE - LISTING NO. F01601053 Tvslui: a l`lAJ.%UAllus+ welt*. AEA1111 %ND SAFM COPE. SEO Oft 18351 A P P R O V E D SUBJECT TO CORRECTTOwS NOTED App►oval don "at authorize of approve oil orns&smn o- clevietim troll raQuirewsagrs of apo'icab:e Ske•e louts r d regulaMve. Depannma of Housing an. Co-mt"uni!y Deveiop•kartt 0 i C^.•.^,ES A(:J TAtVDARDS gY----------------- Date N•rwtkwel- SPA NO. 9 -n+is Plan Ap S L -4-2J- =Zoog 2 V2 ' 2 vi' L RFC - Chonwl (Joist) /16 a 0 Ct r•q'& 9/16' 0 (2 r-9Lt 9/16 9 (2 req 3/8' 0 a 3' bor stock 1/2' s 3/4- a 6 ' (lot is. bor Alt. Beam Restraint - Clamp Alt. Beam Restraint - Clamp l0'�►i rF r 0 o r e a 2"0SdRx-Srh80 O c 0 o e o'-3/16-51.400 �{ 0 3/4- 3 V4" Kl t'ri N O o 0 60 0 0 RP2007 STAND RP2013 STAN[`_ ( HT 12" - 19" ( HT 18" - 30" ) 0 0 2" 0 SIL Pipe - Sct 80 >? e q 3/16" 51. Plot. 4 - 9/I6 Or 0 3/4' Z USE RP20298 PAD (SEE NOTE 15) RP2021 STAND ( HT 25" - 37" �p PRGFESS-/ 41 -d No. "553 i �GI EVIL t u' c�N\P / ai c� l �t! '✓R14NENT FOUNDATION SYSTEM B POLYMER 2000 SYSTEMS RP1900 SERIES STANDS ' ... RP2000 SERIES STANDS RP2028, RP2029 AND RP2029B I—) POLYMER CONCRETE PADS WILLIAM A. SOMMERMEYER, CIVIL ENGINEER 1173-D EL CAMINO REAL - ARROYO GRANDE, CA 93420-2554 RCE 11658 exp.12/31/00 805/489-5380 APRIL 1998 SHEET 1 OF 3 SHEETS m l • ��� -S pQ�\GJQ�F'��� �yQ • � P'QtpQS G SJQ QQ/ LOU i� 9J �O a 'StEE1. P \� 2a GR .5 112�K\NG KEY g0\j AµD NUt HAGµ\NE 1/2" MB-TYP. s DESIGN LISTED AND TESTEp BY BSK•8 ASSOCIATES i 2-1/2'311 jWAYNE T. POLVADO; PE - LISTING NO. F01601053 r--�, ATTACH SECURELY TO °1 9/16" 0 CENTERED r MOBILE HOME SUPPORT < � ON PLATE 1-1/4 I " GIRDER - TYP a = > _ a s I 9/16" 0 HOLE p 4 hp I o `° FOR 1/2" MB Q P")/ (� / ? Z 2-1/2" X 2-1/2" X 1/4" O PLATE 1 /4" PLATE �_ Q (� 9/16" DIA. TYP. GUSSET PLATES FOR 0 1'.. m Q"•.�� 1900 SERIES STANDS �� NO. I. uJl11v 1/4" ROD X 4-1/2" NO SCALE En. Q°!0L pQ_� MIN., WELDED (BOTH ARE ACCEPTABLE) tp CIVIL BEAM RESTRAINT CLAMP DETAIL FGF cf\ ` NO SCALE C _ 611 — to O O 9/16" DIA. TYP. BEAM RESTRAINT BASE PLATE DETAIL TYPICAL INSTALLATION DETAIL NO SCALE 1-9/16" ROD WELDED TO GRIPPER BASE PLATE. 1/2" FILLET BELOW OR PLUG WELD ABOVE 1-3/4" X 1-1/16" X 1/8" PL FORMED TO "U" 1/4" FILLET, BOTH SIDES BEAM RESTRAINT CLAMP, SEE DETAIL yl/2" X 2" MB TYP. t -BEAM RESTRAINT BASE PLATE - SEE DETAIL 1/2" X 5" THREADED ROD. 1/4" FILLET WELD BELOW OR PLUG WELD ABOVE TO BASE PLATE 2" O.D. SCH 40 PIPE WITH 1/2" HOLE NO SCALE 1/2" MB TYP-) X1/2" HOLE FOR LOCKING PIN - TYP 2-1/4" O.D. SCH 80 PIPE -'�- 3" t 4 -3/8" CADMIUM- O .PLATED GR.5 MB TYP., INTO CAST -IN-PLACE t`lP T FERROL INSERTS SUPPORT GIRDER 9/16" DIA. TYP. .1_ a 10 le „X114" 9t.#. 0 �� 9 X Et p\L ,� 51140 F\Ov � tvP. 2-1/4".1 > PILI pR I II — l. — d Al - O u 1" TYP. 1/4" PLATE BASE PLATE DETAIL NO SCALE STANDARD BEAM RESTRAINT ASSEMBLY �2-1/2"t0 /16" 0 -CENTERED 3" COLLAPSED L, // 9" STD. MAX. Y� 2" X 2-1/2" X 1/4" PLATE: 13" TALL MAX. 1/4" WELD TO BEAM 111 RESTRAINT PLATE, BOTH SIDES OPTIONAL DIAGONAL BRACING: 1"X1"X1/8" LENGTH VARIES" -42" 8" STD. 12" TALL 21" XTALL 1/2"M8 CONNECTION -TYP. SIDE VIEW FRONT VIEW RP2028 PAD WITH RP1900 SERIES STAND NO SCALE ,hOer�:tralMt foktwoAmav bluL.. "4EA1f" AND SAFETY COM. SECTION %53-, 'APPROVED SUSJEC7 TO CORRECTIONS NOTED ApprovMl don "I authorize or approve on, omission o• deviawa. 4mm regi.irew.eaN of applicable Sta+e taw 'rd •ep"krtiar.s Slots c.' Zahfcv.s{a 8epcnn. w Of Mousing and Cownuniy. Deveiopwmw DIVISION 0:CO0c3.4.f`; STaNUPROS q 1446;'�_b ----------"-- Date dot- Zi' IO tSPA NO. F 'pion Ar proval"" " 200 C) PERMANENT FOUNDATION SYSTEM BDB POLYMER 2000 SYSTEMS RPI 900 SERIES STANDS RP2000 SERIES STANDS •RP2028, RP2029 AND RP2029B POLYMER CONCRETE PADS WILLIAM A. SOMMERMEYER, CIVIL ENGINEER 1173-D EL CAMINO REAL - ARROYO GRANDE, CA 93420-2554 RCE 11658 exp.12/31/00 805/489-5380 APRIL 1998 SHEET 2 OF 3 SHEETS r GENERAL NOTES 1. DESIGN LOADS: WIND LOAD, 80 MPH EXPOSURE "C" SEISMIC ZONE, 4 SNOW LOAD AS REQUIRED BY BUILDING OFFICIAL. 2. THIS FOUNDATION SYSTEM IS DESIGNED TO BE CONSTRUCTED ON AN APPROXIMATELY LEVEL SITE. 3. CARRY ALL FOOTINGS DOWN TO FIRM, UNDISTURBED SOIL. FOOTINGS ARE DESIGNED FOR 1000 psi ALLOWABLE SOIL PRESSURE. 4. CHASSIS BEAM SUPPORTS SHALL BE LOCATED AND SIZED FOR THE LOADS AS SHOWN IN THE MOBILEHOME MANUFACTURER'S INSTALLATION INSTRUCTIONS. 5. IN AREAS WHERE DIFFERENTIAL SETTLEMENT (D.S.) CAN OCCUR, MANU- FACTURED HOME SHALL BE READJUSTED WHEN D.S. EXCEEDS 1/4", OR WHEN IT WILL ADVERSELY AFFECT MANUFACTURED HOME UNIT. 6. STRUCTURAL STEEL: FABRICATE ACCORDING TO AISC SPECIFICATIONS. WELD ACCORDING TO AWS SPECIFICATIONS. ELECTRODES, 370 PLATES, ASTM A36 BOLTS, SAE GR.5 = ASTM A449 = ASTM A3725 7. ALL EXPOSED STEEL SURFACES OF COMPONENT PARTS TO BE FINISHED IN DURABLE INDUSTRIAL -GRADE PAINT, OR CORROSION -RESISTANT PLATING, BEFORE DELIVERY TO THE MOBILEHOME SITE. NO STEEL SURFACES TO BE IN DIRECT CONTACT WITH SOIL SUBGRADES. 8. THE STAND AND PAD ASSEMBLIES SHALL BE LISTED AND LABELED BY BSK E ASSOCIATES FOR THE FOLLOWING LOADS: HORIZONTAL 1075#, VERTICAL 597011. 9. THESE STAND AND PAD UNITS ARE DESIGNED TO BE USED WITH MOBILE - HOME CHASSIS BEAMS OF STANDARD SECTION EQUAL TO OR GREATER THAN W8X10#. ANY OTHER SECTIONS SHALL BE FIELD ENGINEERED TO ADAPT TO SECTIONS ACTUALLY ENCOUNTERED. - 10. EXISTING COACHES MAY BE RETROFITTED TO RESIST SEISMIC FORCES BY INSTALLING THESE UNITS AS SHOWN ON THE TYPICAL FOUNDATION PLAN. 11. MULTIPLE -UNIT INSTALLATION IS ACCEPTABLE PROVIDED THE NUMBER OF FOUNDATION UNITS MEETS THE REQUIREMENTS SHOWN ON THIS SHEET AND THE PLACEMENT AND INSTALLATION PROCEDURES ARE FOLLOWED PROPERLY. 12. FOR LONG DURATION SNOW LOADS, USE APPROPRIATE NUMBER OF ADDITIONAL UNITS AS DETERMINED BY THE FOLLOWING FORMULA: [(LONG TERM SNOW LOAD 4/FTI) X (ROOF AREA SQ.FT.)] _ 5970. USE EVEN NUMBER OF'UNITS ARRANGED 50% EACH DIRECTION. (NOTE: DESIGN SNOW LOAD CAN BE REDUCED UP TO 75% WHEN APPROVED BY BUILDING OFFICIAL.) 13. FOR POLYMER CONCRETE PADS, USE CONCRETE MATERIAL CONSISTING OF SAND AGGREGATE BOUND TOGETHER WITH POLYESTER RESIN AND REINFORCED WITH CONTINUOUS WOVEN GLASS STRANDS. THE CONCRETE THUS PRODUCED MUST HAVE THE FOLLOWING MINIMUM MECHANICAL PROPERTIES: COMPRESSIVE STRENGTH 20,300 psi TENSILE STRENGTH 9,000 psi FLEXURAL MODULUS 5.8 X 104 psi TENSILE MODULUS 5.9 X 10' psi 14. THE MANUFACTURER MUST CERTIFY THAT THE MATERIALS HAVE BEEN TESTED TO THE REQUIREMENTS OF ASTM METHOD D-543, SECTION 7, PROCEDURE 1. SAID CERTIFICATION WILL GUARANTEE THAT THE CON- CRETE HAS CHEMICAL RESISTANCE AGAINST THE FOLLOWING CHEMICALS IN THE CONCENTRATIONS NOTED: SODIUM CHLORIDE 5% SULFURIC ACID 0.1N SODIUM SULFATE OAN HYDROCHLORIC ACID 0.2N SODIUM HYDROXIDE 0.1N ACETIC ACID 5% KEROSENE PER ASTM D-543 TRANSFORMER OIL PER ASTM D-543 15. IN LIEU OF RP2029B PAD THE RP2021 STAND CAN BE INSTALLED USING RP2029 PAD AND APPROPRIATE DIAGONAL BRACING PER SHEET 2. VARIES - 30'-77' SEE TABLE RECOMMENDED PLAN FOR 12 SUPPORTS 3v' -If' `3cc I IWLL S 2' NOM. 2' NOM. 1 ,1 JI 1 8' NOM. O — -- �1 O O RIDGE BEAM SUPPORT AS REQUIRED BY MANUFACTURER-TYP.OANDARD PI FOUNDATION PIERS - AS RECOMMENDED THE MANUFACTURER OR THE ENGINEER- TYPICAL ROUGHOUT. RELOCATE AS NECESSAn%- TYP. (BY O PADO MY PCLEARANCE AIR MAY EPROBLEMS ROTATED •.-•- 0 900STON"DID 0 RECOMMENDED PLAN FOR 12 SUPPORTS 3v' -If' `3cc I IWLL S RECOMMENDED PLAN FOR 16 SUPPORTS TYPICAL PERMANENT FOUNDATION PLANS NO SCALE E = 2' MIN / 6' MAX 3 = 6' MIN / 26' MAX NORMAL LOADS SNOW LOAD = 0 NO. OF WIDTH LENGTH UNITS 10' TO 37' 4 1 38-58' 6 10' 59-78' 8 12' 1 12' 13' I 13 14' I 14' 20' 20' 24' 24' 26' 26' 28' 28' TO 32' 33-50' 51-68' 69-85' TO 30' 31-47' 48-64' 65-80' TO 28' 29-44' 45-60' 61-76' TO 32' 33-44' 45-68' 69-80' TO 37' 38-60' 61-70' TO 34' 35-54' 55-73' TO 32' 33-50' 51-68' 69-77' 4 6 8 10 4 6 8 10 DESIGN LISTED AND TESTED' BY BSK A ASSOCIATES WAYNE T. POLVADO; PE - LISTING NO. F01601053 Qh�EE SIw 1p�, SO .y1� rn � ; No. C 03111.0 a F G: Ok ft0 —Uftk*A3'f* 2Ol1N7IArlk •Iarv. 4 6 PIEAtlW AND SAFM. COpf. SECTION I&WI 8 A P P R O V E Q 10 SUBJECT r0 CORRECTIONS NOTED 8 APProvcl does not av&criie a oparove ort omissmon r,. r1'yie�ja 12 'ram rei*nrwnw.A a( applicable Seate Saw and •caukeirun 16 State o3 Ca-afonro 8 Depsrrment of Housing and Comrevniy Deveioµmmtl 12 OlvisioN Or CODES AND STANDARDS 16 Il q O 8 ey 12 16 SPA NO- ------- 8 -----8 12 Tlni„ Plan APS EXpkU 04— 2, -Zoog 16 18 PERMANENT FOUNDATION SYSTEM B D B POLYMER 2000 SYSTEM S RP1900 SERIES STANDS RP2000 SERIES STANDS kP2028, RP2029 AND RP2029B POLYMER CONCRETE PADS WILLIAM A. SOMMERMEYER, CIVIL ENGINEER 1173-D EL CAMINO REAL - ARROYO GRANDE, CA 93420-2554 RCE 11658 exp.12/31/00 805/489-5380 APRIL 1998 SHEET 3 OF 3 SHEETS 2' NOM. 8' NOM. �1 RIDGE BEAM SUPPORT AS REQUIRED BY MANUFACTURER-TYP. O O STANDARD MH FOUNDATION PIERS - AS RECOMMENDED BY THE MANUFACTURER OR THE ENGINEER- TYPICAL THROUGHOUT. RELOCATE AS NECESSARY',- TYP. PADS IN ANY PAIR MAY 0 O S 0 BE ROTATED 900 TO AVOID CLEARANCE 0 RECOMMENDED PLAN FOR 16 SUPPORTS TYPICAL PERMANENT FOUNDATION PLANS NO SCALE E = 2' MIN / 6' MAX 3 = 6' MIN / 26' MAX NORMAL LOADS SNOW LOAD = 0 NO. OF WIDTH LENGTH UNITS 10' TO 37' 4 1 38-58' 6 10' 59-78' 8 12' 1 12' 13' I 13 14' I 14' 20' 20' 24' 24' 26' 26' 28' 28' TO 32' 33-50' 51-68' 69-85' TO 30' 31-47' 48-64' 65-80' TO 28' 29-44' 45-60' 61-76' TO 32' 33-44' 45-68' 69-80' TO 37' 38-60' 61-70' TO 34' 35-54' 55-73' TO 32' 33-50' 51-68' 69-77' 4 6 8 10 4 6 8 10 DESIGN LISTED AND TESTED' BY BSK A ASSOCIATES WAYNE T. POLVADO; PE - LISTING NO. F01601053 Qh�EE SIw 1p�, SO .y1� rn � ; No. C 03111.0 a F G: Ok ft0 —Uftk*A3'f* 2Ol1N7IArlk •Iarv. 4 6 PIEAtlW AND SAFM. COpf. SECTION I&WI 8 A P P R O V E Q 10 SUBJECT r0 CORRECTIONS NOTED 8 APProvcl does not av&criie a oparove ort omissmon r,. r1'yie�ja 12 'ram rei*nrwnw.A a( applicable Seate Saw and •caukeirun 16 State o3 Ca-afonro 8 Depsrrment of Housing and Comrevniy Deveioµmmtl 12 OlvisioN Or CODES AND STANDARDS 16 Il q O 8 ey 12 16 SPA NO- ------- 8 -----8 12 Tlni„ Plan APS EXpkU 04— 2, -Zoog 16 18 PERMANENT FOUNDATION SYSTEM B D B POLYMER 2000 SYSTEM S RP1900 SERIES STANDS RP2000 SERIES STANDS kP2028, RP2029 AND RP2029B POLYMER CONCRETE PADS WILLIAM A. SOMMERMEYER, CIVIL ENGINEER 1173-D EL CAMINO REAL - ARROYO GRANDE, CA 93420-2554 RCE 11658 exp.12/31/00 805/489-5380 APRIL 1998 SHEET 3 OF 3 SHEETS