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026-020-039
'26-02-39 s"1/'Yl Bob Zimmerman . 6575 Lincoln Blvd., Oroville • Permit �1 3-78P,E(uti1.,MH) C ELEC . GAS " SUPP RT STRUCTURE REQ. Aro < COMPACTION TEST REQ. /00 /��26-02-39 Contr:.Shasta_T ailer Sales,Chico Permit t#2184-78MHI-- - Issued Jotdt AP 26-02-39 �ermitt 012-78B (awning/MH) CONTR: Panorama MH Service; Chico B07-0053 - , 026-020-039 RESIDENTIAL SFD-Mobile Home RET RETRO FIT MH PERM FND . 6575 LINCOLN BLVD SMITH, RUSSELL E "026-02-039AG-97 ,SMITH, RUSSELL _ •.r 65"V5'LINCOLN `BLVD.."OROVILLE'I t COLD STORAGE',FOR. LADYBUGS •ti i f I� r s FA- f.� 'b�l..�`I^-- +ws"}M"'� TyM•M� }t1c'C^+w'i4�•i � f ..r RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 2007-000ac3a7 Recorded I REC FEE 13.00 Official Records I _ County of I MOM COPY 1.00 Butte I CANIM J. GRUBBS I County Clerk-Recorderl I I BW 011:40M 18 -Jan -2007 I Page 1 of 3 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM 3 Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code �(/J 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. SMITH, RUSSELL E BUTTE COUNTY BUILDING DIVISION REAL PROPERTY OWNER/LESSOR LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 6575 LINCON ST 7 COUNTY CENTER DRIVE MAILING ADDRESS MAILING ADDRESS OROVILLE BUTTE CA 95966 OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP CITY COUNTY STATE ZIP 6575 LINCOLN BLVD B07-0053 (530) 538-7541 INSTALLATION MAILING ADDRESS, IF DIFFERENT BUILDING PERMIT NO. TELEPHONE NUMBER BUT 1':I:! CA 95966 1/16/2007 CITY COUNTY STATE ZIP SIONATURE OT L L AGENCY OFFICIAL DATE SAME NONE UNIT OWNER (if also property owner, write "SAME" DEALER NAME (if not a dealer, write "NONE") SAME NONE MAILING ADDRESS DEALER LICENSE NO. SAME CITY COUN'T'Y STATE ZIP UNIT DESCRIPTION FLEETWOOD 1978 BROADMOORE MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER CAFL1 X821201614 12'X56' 094709 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION: SEE ATTACHED ASSESSOR'S PARCEL NUMBER: 026-020-039 HCD FORM 433(A) REV 8/91 WHITE —County Recorder CANARY — HCD PINK—Applicant GOLDENROD— Building Dept. IL 01/05/2007 10:14 MID VALLEY TITLE OROVILLE 4 5330107 NO.627 ORDER NO. 1-66058LFC &VUL D98CRTPTIOU EXHIBIT "ONE" ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE U WX14CORPORATOD AREA OF TIM COUNTY OF BUTTE, STATE OF CALIF01tirk, BEING MORE PARTICULARLY DESCR;SED AS POLL0VS: ! 2 C� m: _ t BEING IA PORTXON OF LOT 15, AS SHOWN ON THAT CE TAIN MAP ENTITLED 'OPPYCIAL MAP OF THE ADVENTIST TRACT NEAR PA M0, BUTTE COUNTY, CALIFORNIA, IN SECTION 5, T.19N., R.48.1 M.D. .", FILED IN THE OBFIC]i OF THE COUNTY RECORDER OF BUTTE COUNTY, IFORNIA, ON APRIL 24, 1924, IN BOOK 9 OF MAPS, PAGE($) 34, DSSCRI SD A8 POLLOWS: COMMENCING AT A POINT IN'THB EASTERLY BOUNDARY L E OF THE OROVILLE AND PALERMO HIGHWAY, SAID POINT BEING SOUTH 280 32' WEST, A DIST)WCE OF 143.50 FEET, MRASURED ALONG SAID BOW DARY LINO FROM TKR NORTHWEST CORNER OF SAID LOT IS; THENCE 8OtM DISTANCE 287.42 61'p 50' EAST, A OF PERT TO TIM FAUTERLY BOUNDARy LINE OF SAID LOT 151 THENCE SOUTH 420 15' WEST ALONG THE EASTERL BOUNDARY LINE OF SAID IAT 15, A DISTANCE OF 29.85 FEET; THENCE 8 UTH 170 00' EAST, A DIStUCH OF 89 FEET► THRNCE LEAVING SAID FAS OF RLY BOUNDARY LINE SAID LOT 15, NORTH 720 25' WEST. A DISTANCE TM EXSTERLY SOUNDARY LINZ OF OROVILLE AND OF 350.20 FEET TO PALE ALONG'THS SAID EASTERLY BOUNDARY LINE OF SAID 0 HIGHWAY) THENCE Iu; WAY, NORTH 28 32' EAST, A- DISTANCE OP 156 FEET To THE POINT 01 1 jsWINNINO. 86INV A PORTION OF LOT 15, AS SHOWN ON THAT CZ TAIN MAP ENTITLED "OFPICIAL MAe OF THE ADVENTIST TRACT NEAR PALE CALY80RNIA, IN SECTION 0. BUTTE COUNTY, 5, T.18N., R.4$., M.A. OFFICE OF THE COUNTY RECORDER OF BUTTE COUNTY, .•, FILED IN THE 24, 1924, IN BOOK 9 OF MAKS, PAGE (s)\34, DEBCRI IFORNiA, ON APRIL ED AS FOLLOWS: COMMENCING AT A POINT ON THE EASTERLY BOUNDARY LIE MD PALZRMO HIGHWAY, SAID OF THE OROVILLE POINT BEING WORTH 280 FROM THE SOUTHWEST CORNER 08 SAID LOT 15; 2' EAST, 100 FEET THENCE ALONG "THE ZMTERLY BOUNDARY OF $AID HIGHWAY, ORTH 280 32' EAST L63.2S FEET TO A POINT; THENCE SOUTH 726 25' EAST, 350.20 FEB BOUNDARY LINE OF TO THE EASTERLY SAID LOT 15; THENCE SOUTH 170 EASTERLY BOUNDARY LINE OF SAID LOT 15, A 019 0' FAST ALONG THE THENCE SOUTH 190 30' EAST, A DISTANCE or 7 SOUT114AST CE OF 47 FRETi ,70 PEST TO THE CORNER OF SAID LOT 15; THENCE NORTH DISTAkX OF 458.62 FEET TO THE POINT OF BEGINNI 790 53' WEST, A ZXCEPFING THEREFROM THE ABOVE DESCRIBED PARCELS PORTION LYING WITHIN THE FQLLOiiING F LAND, ALL THAT DESCRIBED P L OF LAND : CONTINUED 6.- 10:14 MID VALLEY TITLE OROVILLE 4 5330107 NO.627 005 E 1 � 0 DER NO. 1-6605OLFC PWCE_ �L' I„x_ - , CO ATGIN)AING AT A PINT ON THE EASTERLY 110um- RRY LINE OF THE OROVILLE AMD P*ERMO HIGIMAY, SAID POINT BEING NORTH 280.32' BAST, 100 FEET PROM THE SOUTHWEST CORNER OF SAID LOT 15; CE SOUTH 790 53' EAST, A DISTANCE OF 458.63 FORT TO THE SOUTHEAST CORNER OF SAID LOT 15; TKBNCE ALONG THE $ASTERLY BOUNDARY LINE SAID LOT 15 THE FOLLOliINO COURSES; AND DISTANCES: NORTH 190 30' WEST, 77.70 BEET; THENCE NORTH 17••00' WEST, 72.30 FEET THLNCO VINO THE EASTERLY HO=ARY OF SAID LOT 15 AND RUNNING WESTERLY TO POINT ON TIM WEST BOUNDARY LINE OF SAID LOT 15 THAT REARS NORTH z C 32' WEST, 150.0 FEET FROM THE POINT OF REGIM1801 THENCE 80UTR 8° 32' EAST ALONG TKE WESTERLY BOUNDARY Of $AID LOT 15, 150.0 FL TO TETE POINT OF BEGINNING. AP #'d26-020-039 i 0 END OF LEGAL As09001NQv039: Main _ Assessor Inquiry File Edit View Help Asmt Ir i i Feeparcel: 0 M6 OwW ..� RUSSELL E Jan 31, 2007 12:52 pm Address I Range __—_.._Situs JNCOLN BLVD PALERMO Quick Search (Click here to Clear Values) ValuesNameAddress TPZ ; Ag Pres t Etal 'Flag r Bonds Flag 2 �-- Feeparcel - . Begins with TAXROLL CURRENT APR DATEINCON Images �' *6�5�75 ST CA 95966 Begins with g rLand _ Structure I 21,793_._._LLE 10,322D I:! j [ i �?----- Status ;Date ACTIVE '• ...._..... � Fixtures ....._..._..__._._ _ ._..._____..._....... ___ _....w . .. Taxability Code TRA I Descr I Base Date i 000 092-007 _ _.. ! NORMAL Growing Total L&I 32,115 - - r �U"r{YGt W "'G tc`�G��U... Creating Doc# Current Doc# _*D Date 1 Date 'Date 198483012040 19981334271 108/12/1998 Fixture RP MH PP �T ^. Terminating Doc# i PP Neighborhood Code ! Supl Cnt ! 026 Exemption 1 7.000 Asmt Description ; 6575 LINCOLN BLVD Net 425,115 Land Use 1 Land Use 2R /C # Zoning Dwell JARMHI _. TR/Date Acres SgFt 010 Status ! SSN1 SSN2 _ .0 ' Description _.. ENROLLED is BASE YEAR J Parcel Des c: Section I Township Description I Range ! Quick Search (Click here to Clear Values) Asmt Begins with TPZ ; Ag Pres t Etal 'Flag r Bonds Flag 2 ' ❑ l C rC. 0- ii! i ! i �-- Feeparcel - . Begins with Multi Situs, 910 MH 1 Images �' Owner Begins with g Asmt PP ; Tax PP Appeal Split I:! j [ i �?----- - - - -- •- _ - _ _ Comments � - _ _ _ 2602003900 CONVERTED 0108/88 � N Situs �_ _ _ 2-2-2-2- 2-02-0 Contains —. Main Notes Ownership Detail Ownership History Exemptions Mfg Homes Attributes Value History Situs Sales -► ►►i +► Update Physical Char. Taxroll Inq. Appraisal Ctrl Roll Corrections Work Sheets Images a Parcel Number 1 Tax Lot ID — - -- i Step by Site_apn 026-42a-039 Find Go To Recent « < > » Assessor PIN or Tax Lot No. This Parcel is LOCKED Location Address --- 6575 LINCOLN BLVD ! .. __.._ Status ACTIVE - PALERMO c 17 ' CA _ Type PARCEL - Parent Record F Find Go Clear Last SMITH First RUSSELL E Full Name ISMITH. RUSSELL E Mailing Address City, St Phone Fa)( 6575 LINCON ST / OROVILLE CA ` - Cell Pager Zip 19 ' 5966 f Utilities... ......................................................................... RelatedRecords"' Attachments More Info ArcView Link Internet Link Imaging Link FULL SCREEN CLOSE } BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES INSPECTION CARD 24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico) Office: (530) 538-7541 Fax: (530) 538-2140 Website:www.buttecounty.net/dds Permit No: B07-0053 Issued: 01/10/2007 Address: 6575 LINCOLN BLVD PALERMO APN: 026-020-039 Permit Subtype: SFD-Mobile Home Owner: SMITH, RUSSELL E Applicant: TOM'S MOBILE SPECIALTIES Description: RETRO FIT MH PERM FND MUST BE ON JOB SITE' JOB SHALL BE READY PRIOR TO CALLING FOR INSPECTION. THE INSPECTION CARD AND APPROVED PLANS MUST BE AVAILABLE FOR EACH INSPECTION OR THE INSPECTION WILL NOT BE MADE AND A RE -INSPECTION FEE MAY BE ASSESSED. ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING Inspection Type IVR INSP DATE Set ac s 132 Foundations / Footings 111 Pier/Column Footings 122 Grade Beams 114 Eufer Ground 216 Forms/Steel/Holdowns 122 Do Not Pour Concrete Until Above are Signed Pre -Slab 124 Gas Test 404 Masonry Grout 120 Masonry Bond Beam 119 Underfloor Framing 149 Underfloor Ducts 319 Shear Transfer 136 Under Floor Plumbing 412 Under Slab Plumbing 411 Gas Piping 403 Do Not Install Floor Sheathing or Slab Until Above Signed Rough Framing 128 Rough Plumbing 406 Rough Mechanical 316 Rough Electrical 208 Gas Piping 403 Roof Nail 129 Shower Pan/Tub Test 408 Fire Sprinkler 702 Do Not Insulate Until Above Signed Wall Insulation 117 Ceiling Insulation 118 Do Not Cover Until Above Signed T -Bar Ceiling / RC 145 Gas Test 404 Stucco Lath 142 Stucco Scratch 143 Stucco Brown 144 Building Final 802 Electrical Final 803 Mechanical Final 809 Plumbing Final 813 Project Final801 / - PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE. IF WORK HA COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION Inspector Copy BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 6575 LINCOLN BLVD Owner: Permit NO: B07-0053 APN: 026-020-039 SMITH, RUSSELL E Issued Date: 01/10/2007 By GLB Permit type: RESIDENTIAL 6575 LINCON ST Subtype: SFD-Mobile Home RET OROVILLE, CA 95966 Expiration Date: 01/10/2008 Description: RETRO FIT MH PERM FND Occupancy: Zoning: ARMH Contractor Applicant: Square Footage: TOM'S MOBILE SPECIALTIES - TOM'S MOBILE SPECIALTIE Building Garage Remdl/Addn 6366 LINCOLN BLVD 6366 LINCOLN BLVD OROVILLE, CA 95966 OROVILLE, CA 95966 Other Porch/Patio Total (530) 533-9117 (530) 533-9117 FEE INFORMATION Mobile Home $329.94 Mobile Home Plan Check $219.96 Total Charged: $549.90 Fees Paid: $549.90 Balance Due: $0.00 Receipt No: B1454 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 TOM'S MOBILE SPECIALTIES 865359 / C47 / 03/01/2007 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, , also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that 1 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 for 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 01/10/2007 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: CO rector's Signature Date ❑ I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR WORKERS' COMPENSATION DECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The 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, ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED as required by ® CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractors License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carcier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Carrier: State Fund policy Number: �1-0000653 gyp. Date: Contractors License Law.). (This section need not a competed if the permit is or once hared dollars ($100) or less.) ❑ I AM EXEMPT under Section B. & P.C. for this reason: ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers'X 01/10/2007 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date provisions. " 01/10/2007 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signet a Date WARNING: FAILURE TO SECURE W RKERS' 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, o,o in any way connected with HUNDRED THOUSAND DOLLARS $100,000 , IN ADDITION TO THE COST OF COMPENSATION, ( ) the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the t is a DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter he above mentio for inspection purposes. I hereby certify that I am the amu razed to act on the ro owners behalf. CONSTRUCTION LENDING AGENCY 01/10/2007 �of I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for, ittee [SIG/ Print Date the performance of the work for which this permit is issued. (3097 civ. code) Owner 1:1 Contractor OR: 0Agent for Owner Agent for Contractor FILE COPY Lender's Address City State Zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY" OWNER INFORMATION Last Name - Nam L first Na Address 7 La Cv City r;7c'ov► 11 - - I �'Dv� State C Zip QS Phone 3 H _Pa be S33 -q)1-7 Faxvb-) E-mail 49,11 APPLICANTS NATURE C� Fof office use onl CONTRACTOR Nam L ab,),�- P.S Address • Cv ) City / �+ 'o v" I - - I �'Dv� State c7� Zi S CI, d b Phoney3,r'J I S33 -q)1-7 Fax S_3,3-0110-7 E-mail) 49,11 Lic. # 1$�S3S Ci Cass APPLICANTS NATURE C� Fof office use onl ARCHITECT/ENGINEER Name obi I Address I_ � Lin C0 )n &vcl. City - - I �'Dv� State Zip Phone S33 -q)1-7 Fax E-mail rdQ VAhon�'7Y3't State License Number APPLICANTS NATURE C� Fof office use onl APPLICANT INFORMATION Nam obi I Address I_ � Lin C0 )n &vcl. City - - I �'Dv� State 0-14Zipgs If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. Phone S33 -q)1-7 Fax S3 3 0 02 E-mail rdQ VAhon�'7Y3't APPLICANTS NATURE C� Fof office use onl AP# Gab a 639 -000 Zoning City 104"0o'A Flood Zone SRA Yes No Occ. If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. Type Const. Subdivision Name Name Map Book I Page Lot # Planner I Date Approved: PERMIT No. �3 �P' BIN # PROJECT LOCATION AP# Gab a 639 -000 Property Address cO 13LvC1• City 104"0o'A Cross Street WORKER'S COMPENSATION Policy Numbe Carrier 001 -)0b03 -'3-00.S If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address OVER FOR SUBMITTAL REQUIREMENTS it K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 3 Description or Scope of Work: %ava. VS - 6, v Fr-" d Y:�C7 , S� Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Receibury. Amount: Bldg v� SRA Receipt #: Sheriff SMIP Date: Other � Total REV 8-12-05 o j- SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and. business license approval from the City of Biggs. El10. Letter of intent for non-residential buildings. ❑ 11. Building Permit Application Without Required Clearances Form ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. - Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact•Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530) 538.7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits Issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees -for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 3 REV 8-12-05 -0'1/05/2007 10:14 MID VALLEY TITLE OROVILLE 4 5330107 �rc�aotNo tE�uEt� ter: Pidelity vail=al 'Title cWtany Who Reno w USE Oosassaasst 81p Tu ftnew a Tot RUUGGll 8. blsit & 6579 Liaooln street oroville• d 95966 came ft 1.6069-1,>C I TOONWNa 9+66ose AAN: ea6-oao•o59 V'��ra anGRAN# REED Ttsa undwalpnod drnpstor(S) dedara(s) 000ufftatttsly qtt M i so. so Cllr to 1 ( Z, canon ho eewe of propslry corneyad, or 1 l aa►iP)St�ed ort flJt vaue lase value of pens ar e►�twdxancam reIllalnktQat Unbtoo/WnM Aran City or oroville FOR A VALWIBt-w C0NBID6fiA?jCN, Rope a Wft Is h6alsy edmo0edged, George s7, 911*w and ttftnry 0- LiZAM, huebaad dad wife ft"by CIPMT(d) to ttve8e11 3, Smith, an Wrarried Man the fo!laMglO �pw d rat p awr# M the Ohy of Greville COIL* of Witte go" of Cal fomta: gee attachad'skjUbit •owl CATO: AU9W% 07, 1996 ' BTA7E OF 0 OOUNIY OF More 1II9, ' appeared Aerearaey erawa to in0 (or prones to RN an the bails cf u161Qw%e 1W4� ) a tl t wwnhW(iMmet a ge 1.0 80WOMgdW td Ina flat he/aha/they 90000 the ame In hblhw ow* &Wwtnd cep ayou), end that by hb/herlthelr 819Mne(9) on the tnsMirmt the pown(e), W the enthy umn bow of ~ the pereen(v) sew, W�oeauted the )past Ment, VMWESS my Mw �o� Beal. 8lpnaw e MAIL PHI* ww a)" IUM A8 O1ftE0TKO WAS MW NO.627 903 IIIili1 ill#ll lolllll 1 V96--4900407 x liter�wards Tf Fu al �E J. OR= 1 wOrdtr 0/999 IR; '11113 of sale, . 5 i"x 2"x 3/16" STEEL ANGLE DETAIL "A" CHASSIS FRAME 1/4" GRIPPER PLATE (2) REQUIRED 1/4" GRIPPER BASE 1/2-13UNC—A307 x 4" BOLT WITH NUTS (4) REQUIRED 01 1/2" SCH 40 PIPE RISER WITH 01/2" ADJUSTER HOLES AND 3/8" THICK TOP PLATE 02" SCH 40 PIPE STAND WITH TWO —• 01/2" ADJUSTER HOLES ABESCO ABS PAD #503 STEEL FRAME SEE DETAIL "A 3/8' CAD PLATED BOLT, NUT & WASHER COUNTtR BORED FLUSH WITH BOTTOM AT 8" O.C. (8) REQUIRED 1/4" STAND BASE ABESCO-ASS PAD #503 COACH "C" FRAME 2" CHANNEL 1/4"x1-1/4 TEK STS (2) REQUIRED 1/4' GRIPPER BASE 1/2" A307 BOLT (2) REQUIRED 3/8"x 6"x 6" STEEL PLATE 1/2" A307 BOLT (2) REQUIRED I � 10.00 --�{ / 36" MAX TO BOTTOM OF PAD 10.00 3" C.R. LOCK LOCK PIN WITH 01/8" BRIDGE PIN n 09/ IV -6 %, , , STAND BASE .,. TOP VIEW J • &�``�P,- OAOO � f d fin= Wed ' '9• •y.:r�I l/`4f TUF-1 PERMANENT FOUNDATION SYSTEM ABESCO• 5851 FLORIN - PERKINS ROAD SACRAMENTO, CA 95823 PH: (800) 382-8831 FAX: (916) 383-5207 1/4" GRIPPER PLATE C—BEAM ATTACHMENT COACH "J" FRAME 1/4"xI-1/4" TEK STS (4) REQUIRED J—BEAM ATTACHMENT 1/4" GRIPPER BASE 1/2" A307 BOLT ' (4) REQUIRED 8" 1/2" DIA. HOLE (8) PLACES r 301, STEEL FRAME TOP VIEW STATE APPROVAL_ MANUFACTURED HOME/MOBILB HOME FOUNDATION SYSTEM HEALTH AND SAFETY CODE, SECTION 18551 APPROVED SUBJECT TO CORRECTIONS NOTED sad A§t {{ APPROVAL HOES NOT AUTHORIZE OR APPROVE ANY t$4' OMISSIONS OR DEVIATION FROM REQUIREMENTS OF APPIACABI.E STATE LAWS AND REGULATIONS State of California Department of Housing and Community Development 1VISION OF CODES AND STANDARDS Q BY /I t�P ( X�—DATE-L4 � r J gnature) SFA NO.. • (� This Plan Approvrd Ezpiroe WAYNE T. POLVADO, PE—LISTING NO. F94249 SHEET 1 of 3 N 4:1 GENERAL NOTES GUS GUARD TUF-1 1. DESIGN LOADS: LIVE LOAD - 30 LB. FLOOR LIVE LOAD - 40 PSF WIND LOAD - 80 MPH EXPOSURE "C" SEISMIC ZONE "4" *SNOW LOAD 100 PSF (SEE NOTE #15) 2. THIS FOUNDATION SYSTEM IS DESIGNED TO BE CONSTRUCTED ON A FAIRLY LEVEL SITE WITH NO EXISTING SOIL PROBLEMS. 3. CHASSIS BEAM SUPPORTS SHALL BE LOCATED AND SIZED FOR THE LOADS AS SHOWN IN THE "MOBILE HOME INSTALLATION INSTRUCTIONS". 4 WHEREIN AREAS DIFFERENTIAL CAN OCCUR, MANUFAC UREDHOMESHAASETTLEMENT D ) L BEREADJUS READJUSTED WHEN SEX EEDS 1/4", OR WHEN IT WILL ADVERSELY AFFECT MOBILE HOME UNIT. 5. CARRY ALL FOOTINGS DOWN TO FIRM, UNDISTURBED SOIL. FOOTINGS ARE DESIGNED FOR 1,000 PSF TOTAL LOAD SOIL PRESSURE, AND SHALL BE COMPATIBLE WITH LOCAL SOIL CONDITIONS. COMPACTED SAND MAY BE USED TO FILL LOCAL VOIDS UNDER PADS. 6. STRUCTURAL STEEL: FABRICATED ACCORDING TO AISC SPECIFICATION. WELD ACCORDING TO AWS SPECIFICATIONS. ELECTRODES -370 PLATES -ASTM A36 BOLTS -SAE GR 5=ASTM A449=ASTM A3725. 7. THE GUS GUARD ASSEMBLIES SHOWN ON THIS PAGE SHALL BE LISTED AND LABELED BY BSK AND ASSOCIATES FOR THE FOLLOWING LOADS: ALLOWABLE LOADS: HORIZONTAL VERTICAL GUS GUARD TUF-1 2200# 6000# GUS GUARD MGP PAD 2200# 6000# GUS GUARD E -Z TIE PAD 2200# 6000# 8. DURING PRELIMINARY INSPECTION, THE ESTIMATOR SHALL ENSURE THAT MOBILE HOME CHASSIS BEAMS ARE OF STANDARD SECTION. 9. EXISTING COACHES MAY BE RETROFITTED TO RESIST SEISMIC FORCES BY INSTALLING GUS GUARD TUF-1 UNITS AS SHOWN ON THIS PAGE OF TYPICAL FOUNDATION PLANS. 10. THE GUS GUARD TUF-1 SYSTEMS ARE SAFE FOR INSTALLATION IN FLOOD PLAIN AREAS WHERE DEPTH OF FLOODING DOES NOT EXCEED THE HEIGHT OF THREE FEET. 16. FOUNDATION BLOCKS 16"x 16"x12" POURED IN PLACE AT GROUND LEVEL MAY BE USED AT INSTALLERS DISCRETION ALTERNATIVE TO PADS. SINGLE WIDE COACHES DOUBLE/MULTIPLE COACHES E= 2' MIN. / 8' MAX. E= 2' MIN. / t V MAX. S= 6' MIN. /16 MAX. S= 6' MIN. / 22' MAX. VARIES 10'-70' (SEE TABLE ON SHEET #3) E S S S E ❑ ❑ RIDGE BEAM SUPPORT AS REQUIRED BY MANUFACTURER ❑ (TYPICAL) ❑ ❑ ❑ ❑ ❑ E37 ❑ ❑ ❑ ❑ 8' NOM. 2' NOM. ❑ PADS IN ANY PAIR MAY BE STANDARD M.H. FOUNDATION ROTATED 90 DEGREES OR PIERS AS RECOMMENDED BY PVC SERIES OFFSET TO OTHER SIDE TO THE MANUFACTURER OR THE SUPPORT AVOID CLEARANCE PROBLEMS. ENGINEER. TYPICAL THROUGHOUT PAD TYP) STATE APPROVAL r Mp FOUNDATION SYSTEM T 'dam HEALTH AND SAFETY CODE, SECTION 18551 t ?0 APPROVED 1YlID �s SUBJECT TO CORRECTIONS NOTED t t. MULTIPLE UNIT INSTALLATION IS ACCEPTABLE PROVIDED THE NUMBER OF TUF-1 UNITS UNDER EACH UNIT IS �0�� THE SAME AS SHOWN REQUIRED PER EACH UNIT. 12. SINGLE -WIDE UNITS REQUIRE ADDITIONAL RESTRAINT. ' (SEE SHEET #3) ' :^-• Y r,t*.• 13. ALL METAL COMPONENTS AND ATTACHMENTS ITEMS SHALL BE PROTECTIVE COATED. 14. WHEN CONCRETE SLAB IS IN EXISTANCE, PAD IS NOT PERMANENT REQUIRED. ANCHOR STAND TO CONCRETE SLAB WITH TUE-1 FOUR (4) 1/2"x 3 1/2" EXPANSION ANCHORS. FOUNDATION SYSTEM 15. GUS GUARD TUF-1 FOUNDATION SYSTEM PROVIDES ALLOWABLE SNOW LOAD TO 100 PSF WHEN INSTALLED ABESCO- _ WITH EXISTING STANDARDS REQUIRED BY COACH 5851 FLORIN - PERKINS ROAD MANUFACTURER OR REPLACE THEM ON A ONE TO ONE BASIS SACRAMENTO, CA 95823 31 APPROVAL DOES NOT AUTHORIZE OR APPROVE ANY OMISSIONS OR DEVIATION FROM REQUIREMENTS OF APPLICABLE STATE LAWS AND REGULATIONS State of California Department of Housing and Community Development OVIST OF CODES AND STANDARDS l BY DATE LJ CJ SPANO. r (signature) This PlnnAv✓ PH: (800) 382-88 WAYNE T. POLVADO, PE -LISTING NO. F94249 SHEET 2 of 3 FAX: (916) 383-5207 0 . . . ........... ......... % 19"Y 11/160 STEEL RODS w/ 3/160 HOLES 0 1 1/2 C.C.. HOLES ARE OFFSET 90r I /2-x 3 1/2- 1/2"x 8" LONG CH ANCHOR SOLT. EXPANSION ANCHOR CAD PLATED SOLT, NUT & WASHER 'QUI ED (4) REQUIRED (4) REQUIRED COUNTER BORED FLUSH WITH BOTTOM AT Sw O.C. (8) REQUIRED v CONCRETE PAD INSTALLATION xx ALA-JL3A._ POURED IN PLACE 16x16x12 CONCRETE FOUNDATION INSTALLATION . ... . . ...... ... CHASSIS FRAME LIGHT HEAVY -WEIGHT PLASTIC PAD INSTALLATION 36MAX TOVw TO BOTTOM NMT1—'WM8 UNM w. t3IIUaLB.aIIDS UMTS 1 /4" GRIPPER PLATE Or PAD (2) REQUIRED 1114" GRIPPER BASE 01/2"x 3" C LOCK PIN WITH UNGTH OF HOME 24' WIDTH 1 26' 1' OF HOME 28'44 UP TO 44' 1 8 1 8 1 -':8 2:- "'—I" to W1 12.,-1 -12-11 -j2:.-!: N 01/50 BRIDGE NUMBER,.QOFg�T Kt UIKIL BOLT WITH NUTS GUARD�'� VM (4) REQUIRED PIN 9.� jUFS�V5 HN _EffTO BE PLACED AT APPROXIMATELY EQUAL INTERVALS l,' N' EA � C"LfM A RALE 'g 2 1 11at n SCH 40 PIPE RISER WITH g 0� 01/1 ADJUSTER HOLES AND 3/8- THICK TOP PLATE In " 020 SCH 40 PIPE STAND WITH TWO W&Rm' m6itm vp 01/2- ADJUSTER HOLES 61 i'd p qw.-c'm eT' ... AtTH AND ABESCO ABS PAD #503 NO R......... . �g . .. ....... STEEL FRAME1. —-, . .... ....... To MRRHOTIONS NOTED . .. ... . .......... Ex r. APPROVAL b0ri,", NOT AUTHORIZE OR APTROVA ANY 0j> %11ISSIONS OR bVIATION FRO hi RRQLIIREMENTS OF OF C APPLICAALK STATV LAVIS AND REGULATIONS vy Stole of coliforilla Deputment of Timighig mid Community Development ' TUF-1 PERMANENT I'l OF COT) US ANT) STANDARPS FOUNDATIONSYSTEM - Uhle I a 1/2- ABESCO SPAM_ 5851 FLORIN—PERKINS ROAD This I'lim Approwl 2 L SACRAMENTO, CA 95823 PH:800) 382-8831 WAYNE T. POLVADO, PE -LISTING NO. F94249 SHEET 3 of 3 FAX: MG) 383-5207 : LEN-F. GTHO HOME 0, IF -1 71"... T-F.t �R4 'fg TO 6 p"� ..UP.:% N . . . . . ...... 01/50 BRIDGE NUMBER,.QOFg�T Kt UIKIL BOLT WITH NUTS GUARD�'� VM (4) REQUIRED PIN 9.� jUFS�V5 HN _EffTO BE PLACED AT APPROXIMATELY EQUAL INTERVALS l,' N' EA � C"LfM A RALE 'g 2 1 11at n SCH 40 PIPE RISER WITH g 0� 01/1 ADJUSTER HOLES AND 3/8- THICK TOP PLATE In " 020 SCH 40 PIPE STAND WITH TWO W&Rm' m6itm vp 01/2- ADJUSTER HOLES 61 i'd p qw.-c'm eT' ... AtTH AND ABESCO ABS PAD #503 NO R......... . �g . .. ....... STEEL FRAME1. —-, . .... ....... To MRRHOTIONS NOTED . .. ... . .......... Ex r. APPROVAL b0ri,", NOT AUTHORIZE OR APTROVA ANY 0j> %11ISSIONS OR bVIATION FRO hi RRQLIIREMENTS OF OF C APPLICAALK STATV LAVIS AND REGULATIONS vy Stole of coliforilla Deputment of Timighig mid Community Development ' TUF-1 PERMANENT I'l OF COT) US ANT) STANDARPS FOUNDATIONSYSTEM - Uhle I a 1/2- ABESCO SPAM_ 5851 FLORIN—PERKINS ROAD This I'lim Approwl 2 L SACRAMENTO, CA 95823 PH:800) 382-8831 WAYNE T. POLVADO, PE -LISTING NO. F94249 SHEET 3 of 3 FAX: MG) 383-5207 STATE OF CALIFORNIA - BUSINESS, TRANSPORTATION AND HOUSING AGENCY ARNOLD SCHWAMENEGGER, Gover DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT CPTG Division of Codes and Standards �14 W Title Search 3c��oa� Date Printed : 01/07/2007 DEQ Decal #: LAW7271 Manufacturer: FLEETWOOD Tradename: BROADMORE Model: Manufactured Date: 00/00/1978 Registration Exp: First Sold On: 00/00/1978 Serial Number CAFLIX821201614 Record Conditions: Registered Owner: HUD Label / Insigni 094709 PPF Exempt Use Code: SFD Original Price Code: ADH Rating Year: Tax Type: LPT Last ILT Amount: Date ILT Fee Paid: ILT Exemption: NONE Length 56' RUSSELL E SMITH 6575 LINCOLN BLVD OROVILLE, CA 95966 Last Title Date: 07/28/1999 Last Reg Card: 07/28/1999 Sale/Transfer Info: Price $24,294.00 Transferred on 08/12/1998 Situs Address: 6575 LINCOLN BLVD OROVILLE, CA 95966 Situs County: BUTTE Legal Owner: BAATKAMERICA HOUSING SERVICES INC. 10089 WILLOW CREEK RD. LOAN ORIGINATION CENTER, UNIT 26860 SAN DIEGO, CA 92131 Last Title Date: 07/28/1999 Lien Perfected On: 08/18/1998 11:06:37 Inactive Decal/DMV: DMV 516QYB *** END OF TITLE SEARCH *** Width 12' RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 18 -Jan -2007 2007-0002927 Has not been compared with original BUTTE COUNTY COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued -a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. SMITH, RUSSELL E BUTTE COUNTY BUILDING DIVISION REAL PROPERTY OWNER/LESSOR LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 6575 LINCON ST 7 COUNTY CENTER DRIVE MAILING ADDRESS MAILING ADDRESS OROVILLE BUTTE CA 95966 OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP CITY COUNTY STATE ZIP 6575 LINCOLN BLVD B07-0053 (530) 538-7541 INSTALLATION MAILING ADDRESS, IF DIFFERENT BUILDING PERMIT NO. TELEPHONE NUMBER PALERMO BUTTE CA 95966 1/16/2007 CITY COUNTY STATE ZIP SI NA L L AGENCY OFFICIAL DATE SAME NONE UNIT OWNER (if also property owner, write "SAME" DEALER NAME (if not a dealer, write "NONE") SAME NONE MAILING ADDRESS DEALER LICENSE NO. SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION FLEETWOOD 1978 BROADMOORE MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER CAFL1X821201614 12'X56' 094709 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION: SEE ATTACHED ASSESSOR'S PARCEL NUMBER: 026-020-039 COPY. HCD FORM 433(A) REV 8/91 WHITE _ r—nh, RPr-1— r Axi APv _ 1- rn PTNK — Annlirant G01.DP..NR0T) - Rnildine Deot. '01/05/2007 10:14 MID VALLEY TITLE OROVILLE 4 5330107 NO.627 -�ORDER N0. 1-66058LFC Tr9Q1#L DE8CRI8TxOx . EXHIBIT "ONE" ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE TJ i 41SCORPORATED AREA OF THE COUNTY OF BUTTE, STATE OF CALZPVLNrA, BEING MORE PARTIQULARLY DESCRIBED AS FOLLOWS, 2 aBINQiA PORTION OF LOT IS, AS SHOWN ON THAT CE TAIN MAB ENTITLED "OFPYCIAL MAP Of THE ADVENTIST TRACT NEAR PA CALIFORNIA, IN SECTION 5, T.19N., No, BUTTE COUNTY, R•4E., M.D. OPFZCH OF THE COUNTY RECORDER OF BUTTE COUNTY, .", FILED IN THE 24, 1924, IN BOOK 9 OF !GAPS, PAGE (0) 34, D68CRI IFORNIA, ON APRIL ED AS FOLLOWS: COMMENCING AT A POINT IN•THE EASTERLY BOUNDARY Ll NZ OF THE OROVILLE AND PALERMO HjaHWAY, SAID POINT BEING SOUTH 280 32' WEST, A DISTA= OF 143.50 FEST, MEASURED ALONG SAID $ ARY LINE FROM THE NORTMMST CORNIER OF SAID LOT 15; THBNCF 8 DISTANCE 287.42 610 50' EAST, A OF PEET TO THE FAUTERLY BOUNIDAR ISI LINE OF SAID LOT THENCE SOUTH 420 19' WEST ALONf3 THE EASTERL SAID LOT BOUNDARY LINE OF 15, A DISTANCE OF 29.85 FEET; THENCE 6 A DISUNCE OF 89 FEETI THENCE LEAVING SAID BAS UTH 170 00' EAST, RLY BOUNDARY LINE OF SAID LOT l5, NORTH 72° 25' BEST, A DISTANCE THE EX8TERLY BOUNDARY LINE OF OROVILLE AND OF 350,20 FEET TO PALS MONO•THE SAID EASTERLY BOUNDARY LINE OF SAID 0 HIGHWAY/ THENCE IGHWAY, NORTH 28 32' BUT, A•DISTANCE OP ISE FEET TO THE POINT 01, BEQINNING. -�7►li<C�EL �Z� - BEIN91A PORTION OP LOT 15, AS SHOWN ON THAT nOFFIQIAL NAP OF THE ADVLNTiST TRACT AIN MAP ENTITLED NEAR FAL01 CALIPORNIA, IN SECTION S. T.IBN., RAN., M.)4: BUTTE COUNTY, •, FILED IN THE OFFICE OF THE COUNTY RECORDER OF SUITE COUNTY,FORNIA, ON APRIL 24, 1924, IDT BOOR 9 OF MAPS, BAGE(S) 34, DESCD AS FOLLOWS: COp 4ENCING AT A POINT ON THE EASTERLY BOUNDARY LIE OF THE OROVILLE AND PJLLERMO HIGHWAY, SAID POINT BEING NORTH 280 321 BUT, 100 FEET FROM THE SOUTHWEST CORNER OF SAID LOT 15; THENCE ORTH 280 32' BAST ALONG 'TUB EASTERLY BOUNDARY OF SAID HIGHWAY, L63.25 FEET TO A POINT; THENCE SOUTH 720 25' EAST, 350.20 FES SOUNDARY•LINB OF SAID LOT 15; THENCE TO THE EASTERLY SOUTH 170 EASTERLY BOUNDARY LINE OF SAID LOT 15, A DIS 0' EAST ALONG THE CE OF 47 p$ETI THENCE SOUTH 19q 30' BUT, A DISTANCE OF 7 SOUTA$AST CORNER OF SAID JLOT .70 FEST TO THE 25; THEXCE NORTH DISTA*C$ OF 458.62 POST TO THE POINT' OF BEOINNI 790 53' :TEST, A SXCEPTINO THEREFROM THS ABOVE DESCRIBED PARCELS PORTION LYING WITHIN THE FOLLOWING F LAND, ALL THAT DESCRI6LD P L OF LAND: CONTINUED =.• '01/05/2007 10;.14 MID VALLEY TITLE OROVILLE 4 5330107 NO.627 905 • I O DSR NO. 1-6605OLFC aEGINNING AT A POINT ON THE RASTERLY BOUNDARY L NE OF THE OROVILLe AHD pA�+ERMO HIOHFIAY. 9AID POINT ABING NORTH 2 33' LUT, 100 FEET FROM THE SOUTHWEST CORNER OF SAID LOQ' 15; 7WNCE SOUTH 790 53' EAST, A DISTANCE QF 458.63 FEET TO THE 80UTHEABT CORNER OF SAID LOT 15; THENCE ALONG THE IRASTERLY BOUNDARY LINA SAID LOT 15 THE FOLLOKWO COURSES. AND DISTANCES: NORTH 190 30' WEST, 77.70 MET; THENCE NORTH 17••00' WEST, 72.90 FEET; THENCE VINO THE BABTERLY BOMMARY OF SAYD LOT 35 AND RUNNING WE 3TERi,Y TO POINT ON THE WEST SOMMARY LINE OF SAID LOT 15 THAT BEARS NORTH z o 32' WEsT. 150.0 FEST MON THE 80INT OF assn TEN'pt THENCE SOMR 80 32' EAST ALONG THE WESTERLY BOUNDARY OF UID LOT 15, IS0.0 1% TO THE POINT OF BEGINNING. A8 # 026-Oa0-039 , END OS LEGAL L ff , ,FOUNDATION SYSTEM i. e_ � w 2 * '•' x 4. ��CE�RT}I.-FICATE OF f OC WWANCY -fi,, .'ii•f^ Rx !XF x.rN +y�ui� ryt fi 'J( J�Prx� s'n.X. 0 a� ^,`•rrazx 1 ; y d ra'. r V �.} '� y, y; i �1� � �S ily.i �(� 1� •'t%L F � � a` xc.T > y 4. ..� BUILDING PERMIT NUMBER: B07-0053 Address or location of unit: 6575 LINCOLN BLVD PALERMO CA 95966 Legal Description of Real Property: 026-020-039 SEE ATTACHED (x) Mobilehome/Manufactured Home () Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: SMITH, RUSSELL E Owner's address: 6575 LINCON ST OROVILLE CA 95966 INSIGNIA OR HUD NUMBER: 094709 SERIAL NUMBER OR V.I.N.: CAFLIX821201614 MANUFACTURER'S NAME: FLEETWOOD YEAR: 1978 OFFICIAL APPROVING INSTALLATION: DATE: PHONE: (530) 538-7541 H.C.D. 513 'Y �PERMFr NO. 3Q12-78B rr - F ti PERMIT EXPIRES OWNER Bob Zimmerman ,6ONTR. Panorama MH Service, Chico LATION. (A.P. 26-02-39 6575 Lincoln Blvd., Oroville J i Temp. Power Pole_ Called PG&E Temp. Elec. Serv._ Called PCAE ' Temp. Grras#S/erv. C 'led PG&E JOB FINALED COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION- RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor StemwaII Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings StemwaI I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handica ed Conformance of ex. struct Appliances Gas Piping &Test Temp. Gas Slab FInaI7H Sanitation Patio FI LACE Final Footings Footing ELECTRICAL Masonry Walls I Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath I Ventilation I Permanent Door Closer I Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping OBILEHOME INSTALLAI N - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS _w 7 County Center Drive - Orovi Ile, California 95965 Telephon& 634-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date S ` 3 /- 71 Signature of Permitee or Agent R eipt No. /7 7y 7 3 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 U LIC WORKS ey Date Kilng permit expires Date BUILDING Owner Z SO. FT. OCC. BUILDING VALUATION a Mailing Address Telephone No. Contractor e o ,,L, ✓ce.� Mailing Address g --C. Fireplace Total Valuation . (� Telephone No. I _ C) `i3-- 7o7 Permit Fee c l r Building Address -" — G, L Plan Checking Fee&/or Penalty - Permit Fee U-7 10f 1. PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 r B pV LL Repair drainage or vent piping 1.50 r A. P. No. l9 "- (' - Zoning& Planning Water piping 1.50 Each gas water heater or vent 1.50 F6 Sa I on Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans arcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. PI Rec'd Parc4<pprovol Pla s Approval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR 100 AMP ORLESS5.00 Single Family ❑ Duplex ❑ Mobil Home ® Others ❑ Main service EA. ADD'L 100 AMP 2.50 G OVER 60 Main service 1100 AMP OR LESS 25.00 Main service EA. ADD•L 100 AMP 1.00 NEW CONS. DWELING OR ADDNST 1, ACC. BLDGS.CCUP. !� 20sq ft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: y NEW RESID,CONSTBRANCOUTL T NON -REBID � BRANCH CIRCUITS) 12.50ea NEW CONSTR. POWER APPARATUS & NON.RESID. SINGLE OUTLET CIR. Ex. OCCUO(OUTLETS OR FIXTIIRES BAL01 Ex. OCCU FIXED APPLNS. OR Occup. (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 /, License No. �Z��%3 Classification �� Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of ��FF''►►'' Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 $ Q' authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date S ` 3 /- 71 Signature of Permitee or Agent R eipt No. /7 7y 7 3 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 U LIC WORKS ey Date Kilng permit expires Date 633-78P E Pg-RMIT NO. PERMIT EXPIRES' Bob Zimmerman -OWNER CONTR. owner LOCATION (A.P. 26-02-39 6575. Lincoln Blvd., Oroville j. J Temp. Power Pole 1. Called PG&E Temp. Elec. Serv. Called PG&E 0 mp. Gas Serv. Called PG&E [B I ALED (Date) (SigfiWdre) i MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located w'.h required separation from lot lines and buildings and -generally conform to plot plan? Yes No_ 2. Does the mobilehome have.required clearances above ground? (Sec.5085) YesNo_ 3. Are footings and supports properly sized, spaced, and braced a Ver approved plans? (Note possible'variation at spring shackles.) (Sec. 5082 & 5083) Yes No 4. Is the mobilehome level? (Sec. 5088) Ye No 5. If Te than a single unit, are crosso er connections properly installed? (Sec. 5088) YesNo 6. Water A. Is f e ible connector of adequate size and properly installed (1/2" ID mjin.)? (Sec. 5566) Yes No B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes_/No_ C. BaLckflow - If c oa ornia approved, does station have backflow device and pressure -relief valve? Yes_ No 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes No B. Does it have minimum k" per foot slope and is it properly supported? `Yes No C. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe? Yes_ No D. If a iornia approved, does station have required trap and vent? Yes No 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as large as the mobi ehome gas line iiilet without reductions other than the mobilehome connector. Yes No B. Test OK as per following procedure? Yes No 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without drop. 4. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes No 9. Electrical A. Is service large enough to provide adequate amperage -to mobilehome (must equal rating of mobilehome with a minimum f.100 amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes No B. Is there proper clearances around panels? Yes I No C. Is power supply cord.or feeder assembly properly fused? Yes No D. Is continuity test satisfactory as per the following procedure? YesNo 1. De -energize electrical wiring system of the mobilehome at the pe kal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to -the "on" position. 4. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. S. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the d ectrical tests, the.lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA Manufacturer and/or Namestyleu�Z --a Length_ Width Vehicle Serial No. State Identification No. Additional Information or Comments: To: Building Department .: From: Environmental Health' Begardingo . Sewage and/or Water and/or. Addition Clearance(s) dER Leo �7 (�IvQ Plats are .approved, i°oro. Sewage Dispcs.Ll e� D�-- Mater Supply Mold up Final for: Sewage Disposal. � Water Supply , Final Clearance 'CX for., Sewage Disposal, _/ Water Supply Clearance is for a bedroom (Home or.° r�cLb� 110me The addition(a) will be s Sanitarian COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit numberfor the following location: Ownerr_- Owner's Address—,,-�a Mobilehome Mfg. Model Year / Insignia No. t9q 4( 709 Serial No. ;- It is hereby certified for occupancy at the above described location and may be occupied. Directto%r�rof Public Works Date �/ ��//By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.Y.W. Framing COUNTY 0F -„0.U- TE —DEPARTMENT OF PUBLIC WORKS _ -BUILDING INSPECTION RECORD Water Htr. BUILDING BUILDING (Cont'd) PLUMBING Se ack Atewall Ski Piping For4 Par ets 1 t Floor Mal Bldg. Rest om Finish 2n Floor Fo tins Windo 3rd Noor Stem all Siding To out Slab Roof Shea'*Ing Water PI i Piers Roofing Sewer Garage Fdn. Vents Fixtures Footin s Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport Footin s Prov. for ph sical handica ed Conformance of ex. struct V A liances Gas Piping & Test Temp. Gas Slab Final A Sanitation Patio F EP ACE Final Footinas Fnntinn Framing Test Water Htr. Stucco Final Subpanel Mesh Z MECHANICAL Grd. F It Prot. Scralih Ho Servl B n neati Cog T p. Pole F nish D is nder round InYerlor Lath ntilation Permanent oor Closer anal Final MOBILEHOME UTILI IES Elec- Service Elec. Pedestal Water Piping f Sewer 3 , Gas Piping BI E ME INSTALLATION - - - - - - - - - - - - Water Piping Support Drainage Elec. Continuity Gas Piping DATE y RE ARKS OR CORRECTIONS /D 13 9� o4/' A (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE - DEPAR,TMENT OF PUBLIC WORKS A* 7 County Center Drive - Urovi lie, California 95965 Tel phone: 534-4541 APPLICATION AND PERMIT autnonze representatives or the county or butte to enter upon the above-mentioned property for inspection purposes. I f U Signature of . tee or Agent ate W- -- Receipt No. Td Q/ 4 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 OFiF'UBLIC WORKS By Date �ilng permit expires Date 7 S BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address r r e. p � � a V Tele hone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00 e Each Trap 1.50 ''{�� •ach Repair drainage or vent piping 1.50 Water piping 1.50 0, gas water heater or vent 1.50 _� �-7- A. P. No. Cj Z ' tinning Gas piping system 1 - 5 outlets 1.50 -Each additional outlet .30 Building sewer 5.00 Ot ID F S tion Fire Dept. FireZon Use Permit EQA Parking Plans I Parcel De aration Parcel p 60' R/W Improvements p Lawn sprinkler system 2.00 Bldg. Plo a Pa I Approval PlaApproval Permit Fee $ —49,90 $ NEW ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 31 010 Main service 6001 OR LESS 5.00 100 AMP OR LESS Main service EA. ADD -L 100 AMP 2.50 Main service OVER 600v 25.00 100 AMP OR LESS Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD•L too AMP 1.00 NEW CONST. DWELING OR ADDNS. ( ACCLBLDGS.CCUP. &) 20sgft NEW CONSTR. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS) 12.50ea NEW CONSTR. POWER APPARATUS & NON.RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: J Ex. Occup(OUTLETS OR FIXTURES)50 @29t BAL 109 FIXED APP LNS. OR Ex. Occup.(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. rVI I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FE $ autnonze representatives or the county or butte to enter upon the above-mentioned property for inspection purposes. I f U Signature of . tee or Agent ate W- -- Receipt No. Td Q/ 4 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 OFiF'UBLIC WORKS By Date �ilng permit expires Date 7 S NOTE: All Materials & Workmanship Shall Be in This set of plans and specificati ns MilST .be Accord nce with Recognized Gond Proctices and kept on the job at all times and it is uniewful to of a qu lity prescrii±ed ;or $he Sneci$ied use in the make any changes or alterations o same without Uniform Building, Plumbing & Ma' dhanical Codes and written permisson from the Depa ent of Pubtk the Not nal Electrical Code. „ Works, County of Butte. Al.' . - The Setback shall be 5 ft. from the side pr perty line and 50 ft. from the centerli 7 of the road, permitting a maxi- mum of 2 ft. eave overhang but entirely out of I easements. A permit will be re1q -5F Qi f1FAe Q installation of the mobilehome. All uti ity connections shall be located within 4 ft. outside the rear third s tion of.the mobile home on the I ft (road) side of the mobile home. Septic system and Ic Butte County Hea quirements. ion , be as per Dept. Re - r --7 BUTTE COUNTY 8 ILDING DEPARTMENT :� PPR 0VFID. . ,1 _ COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Uroville, California 95965 - � Tel ephont::534-4541 APPLICATION AND PERMIT /1 . ..r....,., � �....,— u— vvun'y vi Quilt w crawl uNUII UIC above mentioned property for inspection purposes. X 19Date'^-z_-r Signatureofermitee or Agent Receipt No. / yy 7 �1,3 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. D RECt OF P ELIC WORKS B nate Building permit expires Date BUILDING Owner i Mailing Address - SQ. FT.I OCC. BUILDING VALUATION Telephone o. Fireplace ContractorTotal Valuation Mailing Address A OX 0''5 Z Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ 40 Building Addressr ca PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. 2 6 _ o 2-- 3 9 Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 es SeR+4et+en Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma P 60' R/W improvements provements Lawn sprinkler system 2.00 g. Plans Recd I Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITFON ❑ _ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 {k _ Ar,riazi z: Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ OVER 600V Main service 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. OR ADONS. ( ACCLBLOGS.LING CCUP. &) 2¢Sgft NEW CONSTR. MULTI.OUTLET NON-RESID. BRANCH CIRCUIT S)2.50ea NEW CONSTR. (POWER APPARATUS &) NON-RESID, (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: P-4, � �j //" , )- Ex. Occup(OUTLETS OR FIXTURES) BAL@._ Ex. Occup.( FIXED APPLNS. OR OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Z8. !C 2- �� Classification C- Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. Iermit is issued certify that in the performance of the work for which this I shall not em an P employ y person in any manner so as to become subject to bject to the Workmen's Compensation Laws of California. 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ 7 t ,, $ Q d� TOTAL PERMIT FEE $ G . ..r....,., � �....,— u— vvun'y vi Quilt w crawl uNUII UIC above mentioned property for inspection purposes. X 19Date'^-z_-r Signatureofermitee or Agent Receipt No. / yy 7 �1,3 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. D RECt OF P ELIC WORKS B nate Building permit expires Date BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. owner's name: 1' � �7 L/. ,� . " A4 94 -d U IW 4L JV_ 2. Installer's name: ,t 3. Is the site currently under permit? Yes / / No / ( If yes, furnish permit number G, _�j ;3 . ) OR Is the site an existing site? Yes No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least -5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes % No (If no, clarify ) � � 5. What is the mobilehome electrical rating? ----------- % ------------ - 0 Amps 6. What is the mobilehome site service rating? --------------------- U Amps 7. What is the mobilehome site circuit breaker rating? ------------- (/ Amps 8. Is there any other electric load to be served by the mobilehome 9. 10. 11. 12. site service? -------------------------------------- .----- Yes / / NO -A-77 (If yes, identify the load and size: (Load) (Amps) What. is the mobilehome site gas pipe size? ------- ----------- / (in.) What is the type of gas service? --------------- Natural 12RZ LPG What is the gas pipe length from meter or tank to the mobilehome? (ft.) What is the mobilehome gas demand? --------------Apr- -fian - BTU) (This information not required if pipe length less6 ft. n nat O00 or less than 50 ft. on LPG.) • y w MOBILEHOME �-UPORT DATA Mobilehome Mfr.YfUt_�,h/o,"4e-.S Setup Mode No. /" - Year Width / .(f t.) Length i, (ft.) Expando Size.& / ft./f % ft. (Draw 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). I Sin le e. Footings (check one) I -a CGI �.�+ 1sr✓� Q�r�/ 1. Wood either pressure treated or Center Center Support, i 0- 1e -P r-' 0111? fdn. grade. Support Footing 'Sizes Locations (in.) f r •i /�! 2. Concrete pad. 3. Other, specify ��3n•) (iin.) (iii Supports (check one) r o 1• Concrete block 2. Concrete piers (ft) (in�� (in. in.) 3. Steel piers 4. Other, specify AlIm -. Typical Support I�x J u Footing Size (f�.j. in.x _ r llin.Iii. (in.)(i � � Max. Pier - Spacing lrt)Tin.) x 1 . I (in.) (in.) ` (..... overhan g *If center piers are other than drawn above, draw in locations, spacing, and dimensions. t5UTTE COUNTY BUILDING DEPARTMEN i APPROVED BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (530) 538-7541A AGRICULTURAL BUILDING EXEMPTION PERMIT *1 Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. z6 ©Z ZONING Af OWNERPHONE Z - NO s 0jJ C 31 ts OW ESQ CAL LOC TIQU @,U ILD 64o USE OF BUILDING ti SIZE OF STRUCTURE - ' X - SQ. FT. TYPE OF CONSTRUCTION: WOOD FRAME STEEL CONCRETE OTHER (Spec'Ify) TY F SIDING COVERING F R TYPE ESTIMATED COST Q NSTRUCTION $ ' �/ �/ AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: If — t �' �� 201 FRONT /rvyYy SIDES REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation USGS Datum. ►� - �L a�► ,, l�'�o7°-Q" �2� 'r�,y I declare under penalty of perjury that the building will be used as stated above and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the b g is made, I will conta t he Building Division and obtain any necessary permits, inspections, and approvals t ply w' there Ir me e f ct at that time and before occupancy. Date ZRSignature of Owner Permit Fee - $60.00 The above described.AG Building is xempVrorn a building per lt. Receipt No. a yy?y r FL I PARCE P.D. ROOF G IS E Manager Building Division _- By Date z �� White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant �� OI : Building Department FROM: Environmental Health SUBJECT:. Sanitation Clearance 6-s 3 C L I ✓ Owner Plan Approved for Clearance for Hold fina Final c NOTE: Sewage Di s osal dwelling. he Environmental Health Specialist 8/96 E.H. USE ONLY Plot Plan Attached Floor Plan Atta d �- Sent to B.D�.� L,-) cc) ,,J -I-(. -Ozo r 3 Location acv AP# / Water rp ly: Public Private Well 'j �' n 1 h CO NOTEA. S,nl1 Be in Avco,-,- - r-, i n -r'ces and of a cc' use in the Uniforn, Eui'.:'i?-:-!, Codes and the Not nal Eleclrice' Co4c. /A1, he I rnurn of out of Se;_:�:�_!• =:.7'! be 5 •St. {,om the ;rom the o•i t j,�; ; Z�•_o, maxi - 2 ft. e.; -,e overhang but entirely easements. Th's set of plans and spo_'-ficati ns MUST bt kept on t ,s I=�> >`• 3 a^d it is un!e%4u! to make an v, cl :: _ __:'�:�! _.;s sa-.- \",ithroui h•ritten p�rrnicr.on fr:rr, Dpar ent of PAN Works, County of F,-:te,. A Pe! -c:;,-,'- w;"l be re jrIFeq jF9je installation of the mobilehome. • All uti ity connectionsshall be 1f C,C � 'Ji ;; ;� 4 f i. CLltSt p third s� 4 -ion o f the mobile home on the I ft (road) side of the mobift home. I 9h X?-- Butte ? Butte County --zf =me tal Health i Septic system and loo :,.L:,.ae Ccunty Heal quirements. ion oWfttd, be as per Dept. Re - of BUTTE COUNTY ILDiNG DEPARTMENT PPROVFP "Z*-- 1// :> 10 � R Whi 9h X?-- Butte ? Butte County --zf =me tal Health i Septic system and loo :,.L:,.ae Ccunty Heal quirements. ion oWfttd, be as per Dept. Re - of BUTTE COUNTY ILDiNG DEPARTMENT PPROVFP "Z*-- 1// :> M SITE PLAN --- -- ..... .. ......... _.._.. .. - .. . ....... .. ._ .. .. _ ::::::::: :::::: :: ................ ..._ . .. . .. ...................... .... -�..-.. _...-...... _.... ... .. - ....,� ... . .... ............_ ..... _ _... ..... .................... ........ ........_ _ ......... .. .. ............. .. . . . .. ..... . :..:....: - . .. i .. ....................................................... ................................................. .. .. ...... .. ...... ::::::::: . :......:......;............. :...... ;.... %...... :..•---:........... :.... ..................... . .:.. . .. .. ..... ....... .. :::...:....;.. ......_......... .. ....... ..... .. .. .. :s_ 1> ..r. ..... _ .... j........ ..... ...... ............ ............. I ...... ....... ................... ...... ................... ...... ..................... ! ............ ...... I ..:....:.. �Cw ............. E rt .. ..._ .. . o �j l ..... ..... .... UIL. P ROV� ......._..........................................................._......................................._......----........._... �. Assessors Parcel umber ® ® ®— 0 ® o❑ - © o a Scale: 1" = D / 0.- T F° FOR OFFICE USE ONLY PROVIDE FOR ALL ADJACENT PARCELS Owner Name S ' o o Zoning: SIZE (AC): Address/ Phone No. h�7 S L_inC'o 1n aLL,d , (7c--nI., I I I C,¢ � .0 941 ° ° General Plan Desig: ZONING: Site Location �f��e- °. v N�-� ° Size, Acres GEN PLAN: Contact: Name �nr,� �ti 1Ci�/.( Phone 53 3- S 4.00r USES: 11�