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026-113-025
'• •:.'SAY.. ... . .+t.+. .a- .. .�-.+ .. � }- °� q+. fi, �rW"r! :..T raS. .. .--y.. (" ..fir" •., '•F+-7fMl.�' tiM..Mwr ?tl.v• "V' w�..sr• '• :9' a i r - 1r _- .'_ - - —.� - .. r+-.« r r..a...s�.....—..r.- ��: � - � .�.y.Y,r' -iM� ..61.ar.L-+-� 9"+ ... _ r -. -.- - C• T.-.�'-.`` 26-113- _ a - 1 ' W:- A: "Calhoun 1941 Baldwin Ave. ,' lot 44` & 5, Bock _ - 113', Palermo .' j'♦ Permit 24 7-77P,E(util'. ELEC GAS 7. ,, I �' ,�--•r•-- SUP P RT' RUCTURE REQ. I s' COMPACTION TEST REQ. ''• r r Permit #3296-a7MHI� Issued conte Nor tlistAte •Aluminum;• •Chico Permit #5622-77B(new-,4ttJJached awning/MH) yz p f ; r - � 026-1.1.3-025 • •- X01-0445•• HAASE, ARLEEN` . >' 1941 BALDWIN, PALERMO CA �93916 ifJ` r. OWNER: ARLEEN HASSE'.- • _ - -- - Y _ EX MH ON PERM FND ON EX SITE I f • 4 �I Ir r • w NOTES RESIDENTIAL rH026-113-025 01-0445 AASE,ARLEEN J 1941 BALDWIN, PALERMO CA 95916 1 OWNER: ARLEEN HASSE EX MH ON PERM FND ON EX SITE THE HCD FORM 433A FOR THIS MH CANNOT BE RECORDED UNTIL ONE OF THE FOLLOWING I HAVE BEEN TURNED IN TO THE BLDG DIV: (1) LICENSE PLATE(S) or DECAL(THE INSPECTOR MUST RETRIEVE) (2) STATEMENT OF FACTS(ONLY ON NEW MH'S) INSPECTOR TO VERIFY SERIAL & LABEL #'S II SPECIAL CONDITIONS II SRA ' FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) Signature CHECKED BY V= OK 0 = Not OK. - = Not Applicable = Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / /"L"tt./ PLPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE H INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Foot' s; Size -Spacing -Marriage Line Footings; Soils -Size -Depth -Spacing -Connectors -Steel as�_MH Test -Demand -Valve -Connector Aelf-ectricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6.,ptat r�MH Test -Regulator -Connector 7. Water and S wer Connected -C/O to Grade -HD Approval 8. Gas Electricity Tagged 9.Tie Downs -Type -Installation Cent. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 12. Permanent Foundation Only; License Decal 9. Siding; Nailing -Veneer -Stucco -Mesh Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills -Anchors- Studs- Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool lghtg. Boxes- Enclosures- Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓ = OK 0 = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date Underfloor (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope Date 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ P' Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 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 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation 61. Insulation -Walls -Ceilings Date 62. Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Date 17. Water Htr.; Vent -Access -Combustion Air Baffle Date 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 67. G.F.I. & Bath Fixtures & Tub Access -Spa Date 68. Card B-1 Date Card B-1 Date 69. Card B-1 Date Card B-1 Date 70. ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral O Yes ❑ No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector 82. Following Instid./Drive D Yes J No/Walks J Yes D No/Planters J Yes J No Date 83. Card B-1 Date Card B-1 Date 84. Card B-1 Date Card B-1 Date 85. MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval Date 93. Card B-1 Date Card B-1 Date 94. Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Date 40. Sills Proper Materials & Anchors Date 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound Date 42. Bearing Walls over Girders & Floor Nailing Comments at Final: 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-Roll 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 Ht. & 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 -Connector - In Garage; Above Floor-Ducts-Mech. 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 & Receptacles 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-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.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 D Yes 82. Following Instid./Drive D Yes J No/Walks J Yes D No/Planters J Yes J 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 Throughout 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 94. Address Posted 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: COUNTY OF BUTTE - DEPARTMENT OF QEVELOPMENT SERVICES1(-7--)- DIVISION 7 County Center Drive • Orosille, California 95965 • Telephon7541 PERMIT NO. /a(Rev.12/96) APPLICATIONAND PERMtT ASSESSORPARCEL NUMBER 13-025 ZONING AR 1 B ING PERMIT OWNER TELEPHONE _ 0,366 SO. Ft. OCC. BUILDING VALUATION . OWNER'S MAILING ADDRESS PO BOX 355 BERRY CREEK, CA 95916 1440 R , 760 .00 CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ 77,760.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee 540.50/2 $ 270.25 ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ 23.00 BUILDING ADDRESS 1941 BALDWIN PALERMO CA Energy Plan Checking Fee $ $ PERMIT FEE $ 313.25 LOT NO. SUBDN610N•S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome EK Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑X Describe Work: PERM FND EXIST MH ON EXIST STTE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 15.00 Mobile Home ISI GI W @20.00 PERMIT FEE t 50.00 ELECTRICAL PERMIT Fling Fee 20.00 Main Service z�D. oa 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.POWER License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law fo a 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 Policy Number (The above sections need not be completed If the permit is for work of a valuation f one hundred dollars ($100) or less.) 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 Code, I shall forth c ply with se pro isions. workers' compensation provisions of section 3700 of the 7ol v X Date 3 O Signature of Applicant - ❑ wrier ❑Contractor ❑ Agint 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. DWELLING OCCUP. s0 OR ADONs. ( a ACC. BLDs. 3.50FF NOON-RISD.' MULTI.OIlTLEf @7.50 APPARATUS 8 SINGLE 0. CIR. Ex. Occup. OUTLET OR FIXTURES ap O 1.50 Ex. Occup. Des pajp°� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PRE INSPRCTTON PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ CDC CONST. TYPE TOTAL FEE $ 363.25 HAZ D FEES IMP �_ FLOOD _ CL7F �- PD HD ISS This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work ;1ndicate a ve for which fees have een paid. ^ / Pate q� PERMIT EXPIRES ON v a� I I ate ReceiptNo. 363.25 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT FAI 'WOUNTY OF BUTTE - DEPARTMENT, 7"COUNTY CENTER DRIVE - OROVILLE ELOPMENT SERVICESILDING DIVISION LIFORNIA 95965 - TELEPH E (530) 538-7541 f PERMIT APPLICATION DATA SH ET OWNER: jljrlee �( ) SAS ESSOR PARC - NUMBER: ©�- ' J Proposed Building Use: GY. M H Cl t1 g Inspector:/' Date: "'% 0 i At time of permit application, I was advised the following data must be bmitted prior to permit processing and/or issuance: t Date Received By Witems have been submitted .----------------------------------------------------------------------------- Plot plans, 3/4 sets, signed by the preparer of plans. ---------------------------------------------------- ($❑ 3. Complete plans, 3/4 sets, signed by the pseparer of plans. ----------------------------------------------------- t* gineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in durlicate (required prior to plan review) No faxes! ------------------ ❑ 6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and AJC Buildings.--------------------------------------------------------- ❑ 8. Hazardous Material Form. ---------------- ------------------------------------------------------- ❑ . Manufactured Home data and installation instructions including Tie Down Specifications. 0. Fees of $ ------------------------------------------------------------------ ❑ 11. Impact fees as shown on the attached schedule. ----------------------------------------------. ❑ 12. California Department of Forestry plan approval/fees.--------------------- ---- ❑ Flood elevation certificate. -------------- --------------------------------------_ -- ` anitation and plot plan approval Health Department. ------------- ❑ 15. City of Chico plumbing permit. ----------------------------------------------------- ❑ 16. Plot plan and business license approval :Tom the City of Biggs. --- ❑ 17. Planning approval for (A) Use: (B) Parking: ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- ❑ ❑Encroachment Pemut for dri''v//eway (construction Ca� p�r,o�'al prior to occupancy). ---------------------------- . Pre -inspection for • i� • Q ��r�gqu, Request to Building Inspector on -� - I (Date) 21. Contractor's license information. (Numb er, Name Style, Classification). ------------------------------------ 0 22. Workers' Compensation carrier and policy number. ---------------------------------------------------------- 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner El) - -------------------------------------- ❑ 24. Letter of signature authorization. -------------------------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- ❑26. tter of intent on building use. --------- -----------------------------------------------------; ------------------ ❑ . Manufactured Home utility clearance. --------------------------------------------------------------------------- 8. Existing vio a fired p r ------------------------ -- - ----------------------------- ❑ ❑433 ant Deed, H. Title k to H.C.D $ 030. Other: ------ re1eyp`hone-r-_VV570 issllows ❑ Mailpto oPer� c r. and hold for icku at ace. ❑Deliver wi ,e�ctor. Applicant: l� �%llDate: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire�Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fir Departme , 13OPer: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the aboverequireby 13 P10<6 mail, 13Building Division counter, by Date: Contractor, designer, owner, was advised of the above required t by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phbne, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Did ion counter, by Date: Plans reviewed by: Date: • ' Plans approved by: _ Date: Sets of plans on hold in ❑ Plan Cabine%' ❑ A.P!folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive a Oroviller California 95965 a Telephone (530) 538-7541 PERMIT NO. Rev.,2J96i APPLICATION AND PERMIT ���� qy5` PERMIT EXPIRES ON BUILDING PERMIT SO. FT. OCC. BUILDIPG VALUATION MAa[ T(LSIgAIe OONnMeTOara WALM ADORte oo►snaierww uo+oor Woe" MOAM Aooeas Fire Iacs Total Valuation S �—� AFICHMW OR VSXN 71 ueusa NO. Filma Fee S 20.00 AACIfriC? On DOMURI MAaxa A00A9W Permit Fee Plan Checking Fee i — su�aw aooecae Energy Plan Checking Fee S i PERMIT FEE unwa susmeces Mm rA11CfL UAP PLUMBING PERMIT Filing Fee 20.00 i USEOFSTRUCTURE Each Trap 7.00 / Solar or heat pump water heater 29.00 SF O Duplex O Moblehome Q Other Water piping 15.00 j �-- aP�ry Each gas water heater or vent 15.00 TYPE OF WORK Gas piping Wstern 1 -5 outlets 15.00 New O Addition O Remodel O UtlGtles InstalMori O Other O Building sower 15.00 D sc ibe Work: Mobile Home S G W p20.00 n PERMIT FEE S --� ELECTRICAL PERMIT Fiting Fee 20.00 Main Service zo=own tausL 23.00 Main Service 20" To 9~ 46.00 CONS .DMowEluaO oocuv. 3.Strt OR AD. •ACC. euH. IIOKRE]IO. MKr}ovner @7.50 POWDt AMAM'nX a5,XkA O AL Ex. Occup. ounEr OR n MAEs r'0° eAL .!0 Ex. Occup. �°�' °" ounFrs esio. a 5.00 Temporary Service 23.00 bile Home Faclities 20.00 Mi . Wirin 23.00 c PE MIT F:'F:Fl S *PERMIT FEE PAI® �'��--- MECHANICAL PERMIT Filing Fee 20.00 Heating SRA ' ' $ Cooling SHERIFF Hood 6.50 OTHERVentilation � PERMIT FEE S Moble Home Installation Fee S Energy inspection Fee S "` corer. Type TOTAL FEES Z AMOUNT RECEIVED J rwz o. rErs W► I ft=0 I eor FAAClL This permit Is hereby lamed under the applicable provisions of the Butte County Code and/or Resolutions to do work I Indicated above for which fees have been paid. *RECEIPT NUMBER * TO BE PUT INTO COMPUTER By Date PERMIT EXPIRES ON OWNER: LOCATION: CONTRACTOR: PRE-INSPETION FOR: DATE TO INSPECTOR: Building Description: PERMIT HISTORY:( ) NONE DATE: A.P. # (V�AS FOLLOWS: BUILDING INSPECTOR'S REPORT Commercial/Usage: Residential/# of Units: Currently Occupied AbandonedNacant Electric:l Yes No ' 1 Electric currently On Off_ Condition of Electric Gas: Natural—,,,Zpropane None Currently On Obvious Problems: Sanitation: Plumbing Working Well Working Potable Water Obvious SewageProblems c Comments: ACTION RECOMMENDED: ISSUE: Inspector. HOLD FOR Date �� l Sketch buildings on reverse and indicate location on property. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County.Center Drive a Oroville, California 95965 a Telephone (530) 538-7541 PERMIT NO. FW. IZ%6) APPLICATION AND PERMIT •• 2Z� _' BUILDING PERMIT o>rwa SHERIFF $ SO. FT. I OCC. BUILDING VALUATION 23.00 Main Service icon TO 100" 46.00 11nrR � ,aawwa . --------------- Fireplace valuation = ' Fee = Finn 20.00 Permit Fee �� -- _ _G Plan Checking Fee Energy Plan Checking Fee i i 97.50 aoNnuC10117 wna1110 ADOWN 0"Twic" Nu"011 WOWS WAUM MOM$ A+CHffWrfRoloeserTotal uais� MO A1ICMTLCT OR t 401141 ►1 U411,04A00111M suaot+oAoolrtss / 5.00 PERMIT FEE i � unwa eueowrotrslws .,�� MAr PLUMBING PERMIT Filing Fee 20.00 r USEOFSTRUCTURE SF O Duplex O Mobilehome Other tPa:tW Each Tre 7.00 Solar or heat Pump water heater 23.00 Water piping 15.00 j �— TYPE OF WORK New O Addition O Remodel O 141111 s Installation O Other O D(ac be Work: Ll,L nA . (' n ")) Al's Each gas water heater or vent 15.00 Gas piping wetem 1 -5 outlets 15.00 Building sewer 15.00 Moble Home S1 G I W 1 020.00 Z C(g_ (0Q *PERMIT FEE PAID $ SRA _ ---� SHERIFF $ OTHER 23.00 Main Service icon TO 100" 46.00 NEW c016. OwEll1 occup. ea'eWS• A ACC. eua. 3.5t NOWAnto. MULTI-owu 97.50 AMOUNT RECEIVED *RECQPT NUMBER 1477"'1_ `7"' * TO BE PUT INTO COMPUTER PERMIT FEE _ ---� ELECTRICAL PERMIT Filing Fee 20.00 Main Service soon on Lao 23.00 Main Service icon TO 100" 46.00 NEW c016. OwEll1 occup. ea'eWS• A ACC. eua. 3.5t NOWAnto. MULTI-owu 97.50 POYVM AMAMTW a O At Elf. Occup. ovru T oa FuriAn 200 1.00 ani til _ EX. Occup.r Ga. G 5.00 Temporary Service 23.00 bile Home Facilities 20.00 Li . Wirin e 23.00 011 1 PE MIT FEE i MECHANICAL PERMIT Filing Fee 20.00 Heating Cootie Hood 6.50 PERMIT FEB * Mobile ME e i Energy i occAL FEE $ 7AMO cor PMca •FO "D Ou 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. By Date PERMIT EXPIRES ON [Orel Baldwin Ave 57 Bq Kv- O L 0 o w N Ln i Atz-l�n 44� 0 7--11 � �- 0'2 3A -0; rf -e .`t A: if '�V Nae M� Baldwin Ave $q ' R ®EIPPRTI a 2,155 lir—�1 11� �a C -A 36' 28' 18- 8.. f � I i Fill, O O O t 1 t m O O O . 2'xzx3A6'L .l TYP. OF 2 `I DESIGN LISTED AND TESTED BY: BSK ASSOCIATES' WAYNE T. POLVADO, PE - LISTING NO. F94249 h" x 4" bolts Typ of 4 GRIPPER BASE PER PLATE/ I I if TOP VIEW - MGP - PAD I I ♦ i ♦ TUF-, Int Is+rssWOOL 8= 1 ty W. mm tammoCo Tum ASO Cavae 2" p►p.o►@I of 1-1/2"SCH. 40 PIPE m W GRADE 5 PIN OR EQUAL M i I I-- WITH 3 OR MORE ♦ • ♦ LOCK WrFH h" LOCKING U ADJUSTER HOLES NUT OR PIN T 1 , . 2" SCH 40 PIPE • W/2 ADJUSTER HOLES SIDE VIEW - MGP - PAD I 2" SCH 40 PIPE I WELDED TO 1/4" G - IiE/►W WEIGhT PAD l o %2" X 6" ANCHOR BOLTS TYP OF 4 16' I POURED IN PLACE CONCRETE PIER 1ALT) t�. / BASE PLATE. 3/16'X2'BRACE 2' X 2' X 3/16' BAR W/ M94 3/16• ib ` MOBILMOME FOUNDATION SYSTEM ANGLE IROX 3/4 -FILLET WELD. I HEALTH AND SAFETY CODE, SECTION I�'.. PACIFIC CONsuam6 ENGINEERS 28'LONG \ / TYPOF4 APPROVED 2150BeMAvenwf145 Ph:6/64WM-6028 Sacramento, CA. 66676 Fax: 916.664-6029 ♦ �• � 1 \ SUBIECT TO CORRECTIONS N- Lsx?CAD. RATW f I IQ KXm ( I fA : V/14* Qo 24' half T".END VIEW - MGP - PAD GP a UNDERLAYMEI IT GRADE PLYWD. P & S CCA PRESSURE TREATED ,,{��T11, AFMVALOOPSNOTAUTHORLMOxAPPROYBANy ' "A� C%U� �'� 1� ` °' «�,�N FROMx�„,,, q TUF-1 PERMANENT o�Q Al'ammoBtTATft EofCAUM.niaROU 'aQ FOUNDATION SYSTEM Dep.ltmmt a<Houciny ax! Co=luoltr s D OF CODES AND STANDARDS y \ j ABESCO -GUS GUARD COMPANY c.ra.mnl D+ -1 'P P.O.BOX 128 ¢0 _�L CATHEYS VALLEY, CA. 95306 SPA No. 209-966-5540, FAX 209-966-5549 jr TbI. PlnAgmr•1 P,p,n - 1 GENERAL NOTES GUS GUARD TUF- 1. DESIGN LOADS: LIVE LOAD - 30LB. FLOOR LIVE LOAD - 40 PSQ WIND LOAD - 80 MPH EXPOSURE -C- SEISMIC ZONE -4" • SNOW LOAD 100 PSF 2. 3. 4. 3. • 6. 7. 8. 9. 10. 11. 12. 13. 14. THIS FOUNDATION SYSTEM IS DESIGNED_ TO BE CONSTRUCIF.D ON A FAIRLY LEVEL SITE WITN NO EMSTTNG SOIL PROBLEMS. CHASSIS BEAM SUPPORT SHALL BE LOCATED AND SIZED FOR THE LOADS AS SHOWN IN THE MOBILE HOME INSTALLATION INSTRUCTION. IN AREAS WHERE DIFFERENTIAL SETTLEMENT (D.S.1 CAN OCCUR MANUFACTURED HOME SHALL BE READJUSTED WHEN D.S. EXCEEDS 1/4- OR WHEN R WILL BE ADVERSELY AFFECT MANUFACTURED HOME UNIT. CARRY ALL FOOTINGS DOWN TO FIRM. UNDISTURBED SOIL. FOOTINGS ARE DESIGNED FOR 10101 PSF TOTAL LOAD SOIL PRESSURE AND SHALL BE COMPATIBLE WITH LOCAL SOLL CONDITIONS. COMPACTED SAND MAY BE USED TO Fa.L LOCAL VOIDS UNDER PADS. STRUCTURAL STEEL FABRICATE ACCORDING 7'0 ASIC SPECLFICATIONS. WELD ACCORDING TO AWS SPECIFICATIONS: ELECTRODES - 370 PLATES -ASLTN A36 BOLTS - . SAE GR 5 ASTM A449 - ASTM A3723. THE GUS GUARD ASSEMBLIES SHOWN BELOW SHALL BE LISTED AND LABELED BY BSK AND ASSOCIATES FOR THE FOLLOWING LOADS: ALLOWABLE LOADS HORIZONTAL VERTICAL GUS GUARD TUF-I 22000 60000 GUS GUARD MGP PAD 2200# 60000 GUS GUARD E -Z TEE PAD 22000 60000 DURING PRELIMINARY INSPECTION. THE ESTIMATOR SHALL ENSURE THAT MOBILE HOME CHASSIS BEAMS ARE OF STANDARD SECTION. EXISTING COACHES MAY BE RETROFITTED TO RESIST SEISMIC FORCES BY INSTALLING GUS GUARD TUF-I UNIT'S AS SHOWN ON THIS PAGE OF TYPICAL FOUNDATION PLANS. THE GUS GUARD TUF-I SYSTEMS ARE SAFE FOR INSTALLATION IN FLOOD PLAIN AREAS WHERE DEPTH OF FLOODING DOES NOT EXCEED THE HEIGHT OF THREE FEET MULTIPLE UNIT INSTALLATION IS ACCEPTABLE PROVIDED THE NUMBER OF TUF-I UNITS UNDER EACH.UNIT IS THE SAME AS SHOWN REQUIRED PER EACH UNTr. SINGLE -WIDE UNITS REQUIRE ADDITIONAL RESTRAINT. • (SEE SHEET 03) ALL METAL COMPONENTS AND ATTACHMENTS ITEMS SHALL BE PROTECTIVE COATED. FOR MGP PADS USE 1 IA EXTERIOR PLYWOOD WITH WOLMAMZED TREATMENT TO 0.40 MAX PCF RETENTION wrrH DRYING AFTER TREATMENT. 13. LIGHT HEAVY -WEIGHT PLASTIC AND STEEL PADS MAY BE USED M PLACE OF WOLMANIZED PADS. 16. E _Z TIE DOWN USED ON SINGLE -WIDE, ROUND STAKES (3N X 14) MAYBE USED IN PLACE OF THE 1"X ]A" FLAT BAR WHEN SOIL IS EXTREMELY HARD OR IN ROCK. HOLES MAN' BE PRE -DRB -LED WHEN NECESSARY. 17. GUS GUARD TUF-1 FOUNDATION SYS -W PROVIDES ALLOWABLE SNOW LOAD TO 100 PSF WHEN INSTALLED WITH EXISTING S-ANDARDS REQUIRED BY COACH MANUFACTURER OR REFLACE Tns A ON A ONE TO ONE. BASIS. I8. FOUNDATION BLACKS 16' x 16• x 12' poURED IN PLACE AT GROUND LEVEL MAYBE USED. AT INSTALLERS DISCRETION. AS ALTERNATIVE TD PADS. vARIES 10' - 70' SEE TABLE 043Ulff7J i S S i � I Uit 01 El tMOBD.EH014E FOUNDA710H SYSTIIM HEALTH AND S.VtI'Y CODE, SECTION ISS: APPROVED SUBIECT TO CORRECTIONS NOTED AFMVAL DOES NOT AU HOREM OR ARRM AN ODSSOM OR DEVLCM FROM REWMDOM C AMMARLE STATE LAWS AND RBOUL TKIN SweOfCa fo®is Dgwmzm of Housing d Ca®uWty D-hp- DIVIM OF CODES AND STANDARDS �'' C!/Y12P Da„�'Y3-rte I- Appmal E*./S 200: �2IDGE 3_AH.S1PPORT AS Rc0'3 BY HA.VUFJ CTLR=.2 _ TYP. El A o_ c n. a^J .q9� � LJ ofoa E3 vQg6fESS/ 791132 p. z : Exh.t I: HJ / 2' WK --" . MGP OR PVC SMM PADS IN ANY PAIR MAY STANDARD MH FOUNDATION PU. RS BE ROATED 90 DEGREES AS RECOhAffidDFD BY THE MANUFACTURER SUPPORT PAD TYR OR OFFSET To 071 RSIDE OR THE ENG24MR TYPICAL THROUGHOUIT TO AVOID CLEARANCE PROBLEMS. TUF-1 PERMANENT FOUNDATION SYSTEM SINGLE WIDE UNITS DOUBLE WIDE UNITS E= 7 MIN / 8' MAX- S= 8' MIW 18 MAX E= 7 / 11' ABESCO - GUS GUARD COMPANY P.O.BOX 128 - S= 6' / 27 CATSEYS VALLEY, CA. 95306 209-%6-5540, FAX 209-966-3549 SHETE 2 OF 3 capt3vTTE cotjrvr LING f)EPAR PPRoV I IBACKFILL W/ A.C. 1 I ASPHALT SET WITH CONCRETE PAD THINSET MORTAR, 'A" MAX THICKNESS, f-0.6 CONCRETE SET WITH CONCRETE PAD 'A" RED HEAD OR EQUAL 2' FROM CORNER TOTAL4 - !sorb sial d• . CONCRETE SET WITH MGP PAD INGLE WIDE UNITS GTH IDTH 10 1 12 1 14 1 18 TO 44' 8 B 6 8 4'-1"-66' 8 8 8 8 OVER 88' 10 10 101 10 . SINGLE WIDE UNITS REQUIRE GUS GUARD E -Z TIE PADS Note Gus Guard IUF-I Piers mp to be Placed al appradlwlelr ei al inhryals alum eodl bnme raR SII'i(3EWIDE AWWnRACM 4 5 IN5TALJ1 E - Z TIE DOWN SYSTEN1 LUQ -E COP BUILDING �. ® 0 A PEA 3-cr i BTVG Seo DcSmGI4 ME.t�t o MOBR.EHO.ME FOUNDATION SYSTEM HEALTH AND S;"i'Ty CODE. SECTION IS531 APPROVED SUBJELTTo CORRECTIONS NOTED APPROVAL DOES NOTAUIHORIB OR APPROVBANy oumsx NS OR DE MTION FROM ABOUIRSaM APPLJCABIE STALE LAWS AND RZGULATIONSv Sue of Gl wtim Dqummi of Haub.; and Croom ty DTVlSI OF CODES AND STANDARDS BY wv .) �1 C Duro ✓rL3 GD SIMNO.— 4o�Oln�//! rf"PimApM,,lEcp,,._a 7/ _ 91 \ E TUF-1 PERMANENT FOUNDATION SYSTEM ABESCO -GUS GUARD COMPANY P.O.BOX 123 CATHEYS VALLEY, CA. 95306 209-966-5540, FAX 209-966-5539 SHEET 3OF3 M—E UNI ULTf NGTH DTH IWID 24 28 ' 40:P TO 44' 8 88 4'-1"- 66 VER 66' 12 12 12 16 16 16 INGLE WIDE UNITS GTH IDTH 10 1 12 1 14 1 18 TO 44' 8 B 6 8 4'-1"-66' 8 8 8 8 OVER 88' 10 10 101 10 . SINGLE WIDE UNITS REQUIRE GUS GUARD E -Z TIE PADS Note Gus Guard IUF-I Piers mp to be Placed al appradlwlelr ei al inhryals alum eodl bnme raR SII'i(3EWIDE AWWnRACM 4 5 IN5TALJ1 E - Z TIE DOWN SYSTEN1 LUQ -E COP BUILDING �. ® 0 A PEA 3-cr i BTVG Seo DcSmGI4 ME.t�t o MOBR.EHO.ME FOUNDATION SYSTEM HEALTH AND S;"i'Ty CODE. SECTION IS531 APPROVED SUBJELTTo CORRECTIONS NOTED APPROVAL DOES NOTAUIHORIB OR APPROVBANy oumsx NS OR DE MTION FROM ABOUIRSaM APPLJCABIE STALE LAWS AND RZGULATIONSv Sue of Gl wtim Dqummi of Haub.; and Croom ty DTVlSI OF CODES AND STANDARDS BY wv .) �1 C Duro ✓rL3 GD SIMNO.— 4o�Oln�//! rf"PimApM,,lEcp,,._a 7/ _ 91 \ E TUF-1 PERMANENT FOUNDATION SYSTEM ABESCO -GUS GUARD COMPANY P.O.BOX 123 CATHEYS VALLEY, CA. 95306 209-966-5540, FAX 209-966-5539 SHEET 3OF3 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. personally plan to provide thlabor and materials for construction of the operty improvement S[' 2. s I=� ` ] HAVE NOT[ ] s' ed an application for a building permit for the 'posed work... I have contracted with the following person (firm) to provide , the 'proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this 'work,, but I have hired the following person'. to coordinate, supervise, and provide the major. work: f NAME: ADDRESS: CITY: PHONE: 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 OYWORK ..`. A. PROPERTYOWNER.7mw_daa� NO 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. 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 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: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 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. 0 There may be financial riskslor'you if you do not carry out these obligations,'and,these risks are especially serious with respect to worker's compensation insurance. 0 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 informit on'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 in "ownerbuilder" 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 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. 2ly, /' Mcael C. Vi ira, C.B.O.. ger, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 23 -tsar -2001 2001-0011520 Has not been compared with original BUTTE COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATIONs 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. ARLEEN HAASE REAL PROPERTY OWNER/LESSOR PO BOX 395 MAILING ADDRESS BERRY CREEK, BUTTE, CA 95916-0395 CITY COUNTY STATE ZIP 1941 BALDWIN AVENUE INSTALLATION MAILING ADDRESS. IF DIFFERENT PALERMO, BUTTE, CA 95968 CITY COUNTY STATE ZIP SAME UNIT OWNER (ifalso property owner. write "SAME") MAILING ADDRESS COT% (VA \T\' STATE LP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP 01-0445 ( 30)538-7541 BUILYIN PERMIT N0. ELEPHONE NUMBER 03/22/2001 S1tNWUkE OF LOCAL AGENC CIAL DATE NONE DEALER NAME (ifnot a dealer sale. write *NONE") DEALER LICENSE NO. GOLDEN WEST 1977 VILLA WEST MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER AB27026 60'X 24' CAL015795/6 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. # 026-113-025 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK -Applicant GOLDENROD- Building Dept. BUILDING PERMIT NUMBER: 01-0445 Address or location of unit: 1941 BALDWIN AVENUE, PALERMO, CA 95968 Legal Description of Real Property: A.P. 026-113-025 . SEE ATTACHED r (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. Owners name: ARLEEN HAASE Owner's address: PO BOX 395, BERRY CREEK, CA 95916-0395 INSIGNIA OR HUD NUMBER: CAL015795/6 SERIAL NUMBER OR V.I.N.: AIB27026 MANUFACTURER'S NAME: GOLDEN WEST YEAR: 1977 OFFICIAL APPROVING INSTALLATION: ,�(-Zt DATE: 03/22/01 PHONE: (530) 538-7541 r H.C.D. 513C LEGAL DESCRIPTION A.P. #026-113-025 All that certain real property situate in the County of Butte, State of California, described as follows: Parcel 5, as shown on that certain Parcel Map being a portion of Blocks 2 and 3, of Town of Palermo, filed in the Office of the Recorder, County of Butte, State of California, on February 21, 1979, in Book 70 of Maps, at Page(s) 46. ' AP NO. 026-113-025 COMPLETE THIS INFORMATION: RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: Arleen Haase P.O. Box 395 Berry Creek, CA 95916 IIII III III' IIII' II I IIII II IIII III II Recorded Official Records I REC FEE 22.00 I TAX County_OfBUTT .55 I CANM J. GRUBBS I ROSEMARYrder DICKSON I Assistant I Maureen 09:80AM 30 -Aug -2000 I Page 1 of 6 THIS SPACE FOR RECORDERS USE ONLY DEED IN LIEU OF FORECZOSURE The undersigned grantor declares: 1. The grantee herein was the beneficiary. S 2. The amount of the unpaid debt together with costs was 54,414.99 3. The amount paid by the grantee over and above the unpaid debt $200.00 4. The documentary transfer tax is .55 5. Said property is in M unincorporated area ❑ Cit) of RECORDING REQUESTED BY Bidwell Title & Escrow Company AND WHEN RECORDED MAIL TO Name Arleen Haase Street p.O. B3K 395. Address B3my Coeeke CA 99916 c1ty. State UP order No. 00193155-001 Parcel No. 026-113-025 GRANT DEED IN LIEU OF FORECLOSURE THIS FORM FURNISHED BY BIDWELL TITLE & ESCROW COMPANY The Undersigned Grantor(s) Declare(s) Documentary Transfer Tax is $.55 ❑ City/Town of 0 computed on full value of interest or property conveyed, or 0 Unincorporated Area ❑ full value less value of liens or encumbrances remaining at the time of sale FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Gulfstream Capital Inc., a Nevada corporation hereby GRANT(s) to Arleen Haase, a married woman the following real property in the ❑ City of 0 Unincorporated Area County of Butte, State of California: See Exhibit A attached hereto and made a part hereof. See Exhibit B attached hereto and made a part hereof for legal description. Dated: August 23, 2000 Gulfstrea a 'tat Inc. By: E.L. Francis, President STATE OF CALIFORNIA SS: COUNTY OF 3L T -TE On 2yl WOO before me, the undersigned, a Notary Public in and for said County and State, personally appeared E.L. Francis 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 person(s), or the eny upon behalf of which the person(s) actAd, executed the instrument. r WITNESS my hbad and q*jCial sem. Signature t FOR NOTARY SEAL OR STAMP M CYNTHIA A. COSTACOMD �. NOTARY PUBLIC-CAL�FORNUI y Q COUNTY OF BU 'rE w My Comm. Explras Oct 30, 2000 MAIL TAX STATEMENTS TO: Same as Above BTEC/Grantdee E EXHIBIT "A" This deed is an absolute conveyance, the Grantor having sold said land to the Grantee for a fair and adequate consideration. Such consideration being full satisfaction of all obligations secured by the Deed of Trust executed by Laura R. xasner, an unmarried woman to Bidwell Title & ' Escrow Company , as Trustee, in favor of Edward L. Francis, a married man , as Beneficiary, recorded on 12-9-97 in book n/a at page n/a , under recorder's serial number 97-46767 , Official Records of the County of Butte . Grantor declares that this conveyance is freely and fairly made and that there are no agreements, oral or written, or other than this Deed between Grantor and Grantee with respect to said land. The undersigned Grantor declares: 1) The Grantee herein was the Beneficiary 2) The amount of the unpaid debt together with costs was ... $ 54,414.99 3) The amount paid by the Grantee over and above the unpaid debt ... $ 200.00 Exhibit B THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS: ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS: PARCEL 5, AS SHOWN ON THAT CERTAIN PARCEL MAP BEING A PORTION OF BLOCKS 2 AND 3, OF -TOWN OF PALERMO, FILED IN THE OFFICE OF THE RECORDER, COUNTY OF BUTTE, STATE OF CALIFORNIA, ON FEBRUARY 21, 1979, IN BOOK 70 OF MAPS, AT PAGE(S) 46. AP NO. 026-113-025 ESTOPPEL AFFIDAVIT State of California County of Butte Gulfstream Capital Inc., a Nevada corporation , being first duly sworn, each for himself and/or herself, deposes and says: That they are the identical parties who made, executed and delivered that certain deed to Arleen Haase, a married woman conveying the following described property, to wit: real property in the City of n/a the unincorporated area of the County of Butte State of California, described as SEE ATTACHED EXHIBIT "A" That the aforesaid deed is intended to be and is an absolute conveyance of the title to said premises to the grantee named therein, and was not and is not now intended as a mortgage, trust conveyance, or security of any kind; that it was the intention of affiants as grantors in -said deed to convey, and by said deed these affiants did convey to the grantee therein all their right, title, and interest absolutely in and to said premises; that possession of said premises has been surrendered to the grantee; That in the execution and delivery of said deed affiants were not acting under any misapprehension as to the effect thereof, and acted freely and voluntarily and were not acting under coercion or duress; That the consideration for said deed was and is payment to affiants of the sum of $ 54,414.99 + $200.00by grantee, the full cancellation of all debts, obligations, costs, and charges secured by those certain deeds of trust heretofore existing on said property executed by affiants as trustor and specifically described in said deed, the payment of all taxes, assessments, charges and obligations of any kind whatsoever upon said property, and the reconveyance of said property under said deed of trust; that at the time of making said deed affiants believed and now believe that the aforesaid consideration therefor represents the fair value of the property so deeded; This affidavit is made for the protection and benefit of the grantee in said deed, its successors and assigns, and all other parties hereafter dealing with or who may acquire an interest in the property herein described. It is likewise made for the benefit and protection of grantor/affiants who have deeded the above property to grantee in exchange for satisfaction and termination of all their obligations related to said property. Acceptance of the deed shall bind grantee to the terms of the agreement recited herein. Grantors, upon recordation of the deed release all claims to the property conveyed, including any rentals which may be due or accrue after the date of recordation. That affiants, and, each of them will testify, declare, depose, or certify before any competent tribunal, officer or person, in any case now pending or which may hereafter be instituted, to the truth of the particular facts herein above set forth. GULFSTREAM CkPITAL INC. BY: E.L. FRANCIS, PRESIDEN Subscribed and sworn before me This _ �-� day of SA3 5'^ 0446k� a , CYNTHIA A. COSTA M � COMM/ 1103301 D a _s NOTARY PUBLIC -CALIFORNIA N Q COUNTY OF BUTTE w My Comm. Expiroa OCL 30, 2000 Signat#re�f Notary (this area for official notary seal) STATE OF CALIFORNIA - DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT _ CERTIFICATE OF TITLE Manufactured Home Decal N LAU2185 Manufacturer ID/Name — _ GOLDEN WEST Serial Number A27026 B27026 Addressee ARLEEN HAASE P O BOX 395 BERRY CREEK, CA 95916 Registered Owner(s) ARLEEN HAASE P O BOX 395 BERRY CREEK, CA 95916 Situs Address 1941 BALDWIN AVE PALERMO, CA 95968 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: 1693548 12072000 412 Trade Name Model DOM DFS 1 RY Exp. Date VILLA WEST i 00/00/1977 00/00/1977 j Label/Insignia Number Weight ', Length Width SCC Exempt Use ; Type J CAL015795 60 17 ! 04 SFD ? LPT CAL015796 j 60' 17 iIssued Total Fees Paid i Dec 07, 2000 $152.00 Addressee ARLEEN HAASE P O BOX 395 BERRY CREEK, CA 95916 Registered Owner(s) ARLEEN HAASE P O BOX 395 BERRY CREEK, CA 95916 Situs Address 1941 BALDWIN AVE PALERMO, CA 95968 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: 1693548 12072000 412 $$5}5}. 2467-77P,E $ERMIT.,NO. PERMIT EXPIRES 1 7 OWNER W. A..Calhoun CONTR. owner LOCATION (A.P. 26-113-16 & 21 port. 1941 Baldwiq Ave. lot 4 & 45, Palermo . tl n Temp. Power Pole Called PG&E i n Temp. Elec. Serv. r� lcg9 �%_ Called PG&E Temp. Gas Serv. W,2 Called PG&E JOB FINALED (Date) A (Signature) Se ack For Mal Bldg. Fo in s Stem all Slab Piers Garage Footings Stemwal I Slab COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) t PLUMBING F ewall S8tI Piping PAvets 1 t Floor Rest om Finish 2n Floor Windo 3rd Noor Siding To out Roof Sheallbing Water PI i kg Roofing Sewer Fdn. Vents Fixtures Garage Vents Water Htr. Insulation Heaters Prov. for ph sical handica ed A Iiances Carport Conformance of ex.Gas Piping & Test Footings structure V. Temp. as Slab Final Sanitation Patio REP ACE Final Footings Footing ELfECTRICXL Masonry Walls Throat Rou h Reinf. Steel Final I Fixtures J r IRE SPRINKLE Stucco I Final X 1SubpaneIK Mesh I I MECHANICAL I Grd. F It Prot. Scr ch I Heati a I Servi G7e 11terior Lath N Ifientilation oor Closer Final ' MOBILEHOME UTILITIES J----------- Elec. Service� 7 . Water Piping f, Sewer 70816EWOMEINSTALLATION ----------Support _ Water Piping Drainage DATE REMARKS OR CORRECTIONS- _ T p. Pole oder round Permanent anal Elec. Pedestal Gas Pipes Elec. Continuity Gas Piping r 1,. (NOTE: An entry must be made on this form each time you visit the job site.) 9. Electrical A. Is service la- ge. enoiigli to provide idcqL1Zl1__e amperage to mobilel-iome (must equal rating of mobilehome cvith a -.-vinivw-n of .00 amp) and other facilitie,., an lot, i.e., water pumps, ,ag ra,,e, caMna, e. t c .7 Yes X. No Ye�sA No B. Is them proper cicaranc.e3 around panels? C. 'Is power supply cord or,feeder assembly properly fused? Ye 1\1 o SX D. Is continuity test satisfactory as per . the following procedure.? Yes No cal wiring system of the mobilt the pe7(fttal. 2. Make sure that t1he 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 OTIC-_ 1,�,..-id of a test instrument to the mobilehome grounding conductor and 1ilicluding neaLral.. ly. OLIjer to eaciti-ri-jobilei-tolae SupplY,c0fiductOr, app.L the L 5. All nor. -current, I carrying metal parts of the mobilehome (aluminum siding, gas line,- ,iter 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 ser -vice equipment. A'further continuity te-t shall then be made between thet grounding electrode and the chassis of the 11loj)ilOjlOMe. Upon sa nisf actory completion of the electrical tests the lot or site, ser -vice equipment may be approved for energizing. T,; job card signed by Health Department for water and sanitation? If evorything olay, sign off card and ta,;-services. , ?iOBJLEMME DATA mallufacturer and/ car Namestyle 1" e r. g t h W idt h_�� Vehicle Serial No. State Identificatio-n No. 11.&;itional Information or Comments: f, 'NOBTI-010'ME INSTALLAT70N INSPECTION CHECK LIST 1. Is the mobilehome loc;�jted wi.t1i required separation from lot lines and buildings and generally conform to plot plan? Y(!SX No Looe,; the mc)bil.ehome have required clearances above ground? (Sec.5085) Yes No 3. Are foot.in,-;s and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes No 4. Is the mobilehome level.? (Sec. 5088) Yes No 5. If m re than a single unit, are crossover connections properly installed? (Sec. 5088) Yes No y, Water A. Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes17�No B. Test - Does water piping withstand working pressure or 50 lbs, air test? Yes-IVNo C. Bacf-1-yiv—�T coach is not State of California approved, does station have backflow device and pressure -relief va ve? Yes No . 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes}� No 7) B. Does 3.t have minimum ," per foot slope and is it properly supported? Ye S4. 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. I c approvehave 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 mo4ilehome gas line inlet without reductions 'other than the mobilehome connector. Yes No B. Test OK as per following procedure? YeNo 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3.. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without drop. 4. Connect: gas meter to mobilehome with connector, turn. on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes No COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed i� accordance with of the California Administrative Code, Title 25, Chapter number __�W 76 77 for the following location: . , , — - / - - -17 the requirements 51 under permit Owner ��� Z-1 i. Owner's Address Mobilehome Mfg_. / ���.-�- Pte-- Model Year Insignia No. 9�-' Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date By lY�� THIS CERTIFICATE IS VOID WHEN NOBILEHOME IS RELOCATED Owner W/ Mailing Address Contractor COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Uroville, California 95965,x`/ 77 Telephone: 534-4541 7 (!J APPLICATION AND PERMIT Mailing Address - Telephone No. Building Address / �1�/ / 0 Id 1-1*1�yry A. P. 9C CEJ //��/ G�/ / Z, es Sa ion FireDept. FireZone Use Permit EQA Parking arcel Parcel Ma 60' R/W Improvements Plans Declaration p p IQ .`I'lan�'4 P r Approval Plans pprovol NEW ❑ ADDITION ❑ UTILITIESWr OTHER ❑ Single Family ❑ Duplex ❑ Mobil Home 01 Others ❑ 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: License No. Classification _ BUILDING SQ. FT. I OCC. I BUILDING VALUATION Fireplace Total Valuation Permit Fee _ Plan Checking Fee &/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system Permit Fee ELECTRICAL PERMIT FILING FEE Main service 600V OR LESS 100 AMP OP. LESS Main service EA. ADD'L 100 AMP Main service OVER 600V 100 AMP OR LESS Main service EA. ADD'L 100 AMP NEW CONST. / DWELLING OCCUP. & $3.00 5.00 2.50 25.00 1,00 FEE Pool Ex. OCCUp(OUTLETS OR FIXTURES) BAL 109 Ex. Occup. ( OUTLETS P(RESID.)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 L) I am exempt from the Contractors License Laws of the State of California. Permit Fee MECH NICAL WORKMEN'S COMPENSATION INSURANCE FILING FEE PERMIT FILING I am aware of the provisions of Section3700 of the California Labor Heating Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. Cooling Ventilation Hood 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 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. /1r i�,LL X Date 1 - 77 Signature of/Perrmitee or Agent Receipt No. ,1Ln/ y-79 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 7rd6 FEE $3.00 2.00 TOTAL PERMIT FEE 1$ s/ 1()Q 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 beeeen�paiid. DIRECTOR (OF NIUBLIC WORKS By Date G.-3 ��Uling permit expires Date G —_3 ��� This ' %. kept fe+- of plans Wm -M" MUST 4e- 1 09 fhq-lob at,all +lrr?es cmd it is vp r ,�Iffien v, Per me wilho iss on 60. Lj6li-,",.' il�-Soi ,. T --- -� - � (:�. -�:�• �. V .� "�_ X, �,�, "Ij, 1 � ���1 -4( NOU: 'A eco r 11 ak3terials -W 1 7 -ec-()- & "ji g Wcrkmansnip j-' jd- d 7P f Shyll -'fi I je, C��Fs- e *— — an " -.-- --I 1. ri 40 Unif _.a.. -F, quc rm 47 It y gui!dind, Wn& - pre �scr%ec Plumbing Z f7i al fo C6 r' & le. e. -S Me ec ha fie ical I -us Cc e--im-6 cle an FT- -7 ne f r -0 -o S-effiad er4. f -A s le -4 mfl. -50 �ft, J L6, 41L., tI--. IT nte e Im TIri line f a f( of 2 fi. �h ec )CIA;�FertriffiA3,c eovei 66 r g, but' �c E maxi nti r - il 0, (31 EU Seri enf i-.- 7 • A— L 7-7 W(I Zf- YIT7— T a E K A lo 1. 4v r� ---u ated e ec,ion lef f ix Ail i Of the) rro6ie -iid e 0' "Al the I M om . r -f J. ;x E Ax Qv T7. E. U C 2-S WLE IN I J, I A COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS ���777 7 County Center Drive —,Oroville, California 95965-77 / Telephone: 534-4541 02 / APPLICATION AND PERMIT OU UIUI ILC IClJt esenldnves of the Luunry of nutte to enter upon the above-mentioned property for inspection purposes. x x T4a: 4�eDate " /!✓ % ' \ Signature of rmitee or Agent Receipt No. 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. RECTOR OF PUBLIC WORKS BY_21471101" Date EW IkMsg ire permit ex Date0`�Orp 7-77 BUILDING OwnerSQ. G O ii/ FT. OCC. BUILDING VALUATION Mailing Address ' Tele ho 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 Each Trap 1.50 ® Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 0 A. P. N p7 �" ��1 D%G/, Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F s SaR4614+®r1 FireDept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 BI dg f— I Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER X ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 ®Q 46 a%f ` / ; / (/'/�i /c ..+ Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 0 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD•L 100 AMP 1.00 NEW CONST. DWELING OR ADONS. ( ACCLBLDGS. OCCUP. &) 20sgft NEW CONSTR. MULTI.OUTLET NON•RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS & NON•RESID. (SINGLE OU LET 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 $t le of: Y O do 50 25c Ex. Occup(OUTLETS OR FIXTURE -1i BA@L@109 Ex. Occu FIXED APPLNS. OR P• OUTLETS (RESID.) EA) 2•00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 2 -f -am exempt from the Contractors License Laws of the Stateof 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. r—f have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. _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.1 @ FEEPERMIT 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 TOTAL PERMIT FEE $ Z OU UIUI ILC IClJt esenldnves of the Luunry of nutte to enter upon the above-mentioned property for inspection purposes. x x T4a: 4�eDate " /!✓ % ' \ Signature of rmitee or Agent Receipt No. 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. RECTOR OF PUBLIC WORKS BY_21471101" Date EW IkMsg ire permit ex Date0`�Orp 7-77 JCOUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS r � 7 County Center Drive — Uroville, California 95965 ���� ! 'J�% Telephone: -534-4541 � 77 APPLICATION / / APPLICATION AND PERMIT BUILDING Owner SQ. FT. I OCC. BUILDING VALUATION Mailing Address - Telephone o. Fireplace Contractor �. 'Total Valuation Mai I ing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address Q/ PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each'Trap 1.50 f Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 ` A. P. o. �6 �' O�r Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fes 8elritatftstiti Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W ImprovementsLawn sprinkler system 2.00 Bldg. fans Recd Parcel proval PI pproval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD•L 100 AMP 1.00 NEW OR ADDNST ( ACCLBLDGLING OCCUP. &) 20sgft NEW CONSTR. MULTI.OUTLET NON-RESID. % BRANCH CIRCUITS) 2.50ea NEW CONSTPOWER APPARATUS &) NON- R. 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: - Ex. Occup(OUTLETS OR FIXTURES)50 @25C 109 FIXED APPLNS. Ex. Occup. ( OUTLETS ((RESID )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 FF 1 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. CI certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEEPERMIT FILING FEE J$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 ® 04 TOTAL PE PERMIT FEE $ aUU IUI ILc IcfIICJ CIIIaIIVtls UI 1110 I�UU[ILY UI MUIIC W cnl6t UPUn lnU above-mentioned property for inspection purposes. X , �� / G��f."r-_ Date Signature of Permitee or Agent Receipt No.�Zz'6f 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. IRE T R OF P BLIC WORKS BY W 1. 0 L, Date I9uHd+r4 permit expires Date 7/7 A MOBILEHOME SUPPORT DATA Mobilehome Mfr. Setup Model No. �� Year%/%% : Width (ft.) Length. (ft.) Expando Size .ft.x ft. (Draw suppdrt details below) . _ On all mobilehome's manufactured after October 7, 1973, furnish manufacturer's installation - manual and structural setup sheets (if not .on .file with .the County of Butte). Center -Support Footing Sizes (in.) c � � 46 (in:) (in.) (t to k in.) - (in.) (in.) L el in. R.) . ft. In.) _ (in.) (in.) Footings- (check. one)':_ 1. Wood.Ieither " pressure treated or fdn. grade. 2. Concrete pad. 3. Other,: specify Supports (check one) 1. Concrete block 2: Concrete piers - 3. Steel piers 4. Other, specify x� Typical Support Footing. Size in. in. ._._. �...._...__MaxacPner S I (i -Cin.) p g Max. Overhang *If center piers are other th rawn above, draw in locations, spacing, and dimensions. T tUTTE COUNTY BUILDING. DEPARTMENT APPROVED 1. Owner's name: 2. Installer's na BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 3. Is the site currently under permit? Yes L.2!C No (If yes, furnish permit number ll Z Is the site an existing site? Yes / / No / OR (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? ----------------------- �� Amps 6. What is the mobilehome site service rating? --------------------- j Amps 7. What is the mobilehome site circuit breaker rating? ------------- �/j(� Amps 8. Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------- Yes iK No (If yes, identify the load and size:',[ (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- (in.) 10.. What is the type of gas service? ------------------------------ .Natural LPG 11. Wh t is the gas pipe length from meter or tank to the mobilehome? (ft.) a 12. What is the mobilehome gas demand? ------------------------------ ''(BTU) (This information not required if pipe length less than 6 ft. on natural gas or less than.50 ft. on LPG.) i • r oro '.'PERMIT'NO. 5622-77B-• PERMIT EXPIRES IeA 7 IZ9' OWNER W. A Calhoun . CONTR. Northstate Aluminum, Chico LOCATION (A.P. 26-113-16 1941 -Baldwin -Ave., Pa-lermo Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E T hip. Gas Serv. Called PG&E JOB' FINALED (/ (Dat (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING 4P BUILDING (Cont'd) 4 PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out ' Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. % Stemwa I I Insulation Heaters Slab Carport Footings Prov. for phsically handicaped Conformance x structure A liances Gas Piping &Test % Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings 1111,94177AY Footing ` ELEC R CAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRES RINK RS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heatina Service Brown Cooling Temp. Pole Finish Ducts Under round Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES - - - - - - - - - - - - - - Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping OBILEWOME INSTALLALIgN - - - - - - - - - - - - - - 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 //� 8� v �/ OC_ 7 County Center Drive — Uroville, California 95965 C/LTJ, , —77 Tel ephone:•534=4541 APPLICATION AND PERMIT) 0 ;"eq o Z/ authorize representatives of the county of Butte to enter upon the above- entione operty for inspection purposes. �1 Date��� Sign re of Per`m�itee or Agent Receip o. L?o ! DF 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/TUBLIC WORKS BY Date fes_ Z 7— Bui(ding permit expires Date 7 — 7? BUILDING OwnerSQ. FT. OCC. BUILDING VALUATION Mailing Address / Telephone No. Fireplace Contractor t Total Valuation Mailing Address&l-6.24 T hone No. Permit Fee Plan Checking Fee &/or Penalty Permit Fee $ � Building Address /� PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping .50 Water piping 1.50 Each gas water heate vent 1.50 y /6 A. P. o. / Zoning & Planning Gas piping sys 1 - 5 outlets 1.50 Each add � nal outlet .30 F s C. S ( (oh Fire Dept. Fire Zone Use Permit Bui g sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 Bldg. Plans Recd I Parcel Approval I Plans Approval Permit Fee $ $ NEW 23-' ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $ 0 Main service 800V OR LESS5.00 100 AMP OR LESS Main service EA. ADD'LAMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ OV Main service 1100ER OR LESS 25.00 Main service R1rADO•L 100 AMP 1.00 A NEW OR ADDN . ( ACCLBLDGS.LING CCUP. &) 22sgft NEW ONST R. MULTI.OUTLET N •R ESI D, ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS & NON RES,D. 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 le 0 style Ex. Occup(OUTLETS OR FIXTURES) �09 Ex. Occup. FIXED APPLES. OR P•(OUTLETS (RESIDJ EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. U Classification Misc. Wiring .25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ 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 WWo:r en's Compensation. have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued. I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MEC ICAL No.1 @ FEEPERMIT ING FEE $3.00 Heati Cooling Ventilation Hood. 2.00 Permit F $ $ 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 TOTAL PERMIT FEE $ Q authorize representatives of the county of Butte to enter upon the above- entione operty for inspection purposes. �1 Date��� Sign re of Per`m�itee or Agent Receip o. L?o ! DF 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/TUBLIC WORKS BY Date fes_ Z 7— Bui(ding permit expires Date 7 — 7? COUNTY OF BUTTE DEPT, OF PUBLIC WORKS -� 0CT251977 AM PM 7181911 <,ll,l?ig120A 5,6 A vw_ 4 ~ 1 I. �