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HomeMy WebLinkAbout027-100-046e 27=104 y --92-685P,E ,WEISGRA:M,' Dave,'& urla ;"40%T6ssaro In 0 r'ov (mh'.util) 643 ELEC GAS 4 /or. 3/4 .21 COMPACTION JEST. REQ jUo---jl SUPPORT;STRUCT REQ `27-10-46 V 92-1778MHI. ,-WEISGRAM, Dave & -0�aura _v 40 Tessaro n. lle contr.: Skyc'2 st Enterprises', MHI -2889 INALE ,� ; VL AVElcjG,RAN4; Ale, 0 lI 8 S AB,-OrB,; x #-3030027 ;IQ0 - 6 4 6,-�Z. t ,WEISGRAM, LAURA &C -o _OWNE AS BUILT DECK 1 OX 16 1._ t9�•e�p lot , Ja It � Iwp1�►'t ` i , 1• . n rc , � '� nl�, i� kri � r tYL. fi ��"V'y�i ire j'i.♦i` i 1 ;'�. �{ ,t s ' ;M L, '}"/:f. i}?•�• xil it :�. , 1 `I .� �rA i + t'.• I a •� t��It . E / � w r ' t 'il R �H t. r. ti • RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 02 -Oct -2003 2003-0069259 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, 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. LAURA D. WEISGRAM AND DAVID J. WEISGRAM REAL PROPERTY OWNERAESSOR 40 TESSARO LANE MAILING ADDRESS OROVILLE BUTTE CA 95966 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT SAME CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP 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 03-288 ` 530 538-7541 BUIFrDIWeP TELEPHONE NUMBER �SWIONOF b C OFFICIAL LOCAL AIrc DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. SKYLINE HM INC. 1992 OAKMANOR OKM2204 MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME NUMBER 06700160BF/AF 66'X26' ULI349839/40 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER AP # 027-100-046 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD -Building Dept. Exhibit "A" —01509 Parc—`l A: Parcel. 4, as shown on that certain Parcel r4ap being a portion of Lot 22 "A7ap Of Subdivision u� in the Office of the Recorder If Palermo Citrus Tract" California, on June 3, Count filed 76. of 1983 ir. Be.,k 92 of Parcel eps,S ate page RESERVING THEREFROM a non-exclusive egress and pubeasement for' ingress and lic utility purposes over tl,a 50 foot radiun cul-de- sac shown as Tessaro Lane, as shown on said Parcel Map referred to herein. Said ea-,:ement to be for the benefit of and appurtenant to the remaining land of the Grantor herein and shall inure to the benefit of and may be used by all persons who may hereafter become the owners of any. parts or portions of said appurtenant land. Parcel B: - Non-exclusive Public_ easement, 60 feet in width for ingress and egress and public utility purposes over the North 60 feet of Parcel& 1, 2 and 3 and Tessaro Lane, as shown on Parcel Map being a portion of Lot 22 "Map of Subdivision 04 of the Palermo Citrus Tract", filed in the Office of the P.Acorder, County of Butte, State of California, on June 3, 1983 in Book 92 of Parcel Maps, at page 76, and 60 feet in width for ingress and egress and public utility purposes. Parcel C: A non-exclusive easement for road and public utility purpose&; over the North 40.00 feet of the following described parcel: Parcel 1, as shown on Parcel roan of Lot 21 Tract Subdivision No. 4, which Ma of Pm'_ermo Citrus ed in the Office of the Book 82 of Parcel Recorder f p was g;l Butte County, State of California, April 7, 1'981 in Map3, at page 23. Parcel C: A non-exclusive easement for road and publac purposes over the following described property; All that real property situated in Sscta®n 10, uo:,oac�Doag� 1® North, Range 4 East, M.D.M., bein, a i action ae 1'asccl � and 3 .®@ ©Dau2eaao on that certain Parcel P7ap filed in f4crs$ fL4 of Alag•n 3 1aa�ie wn in the Office of the 'tune County Pcccrik-e .)Vaca cora Particuldfly described aA follows: BRGINNING of the, Morthoact Southe4oturly Plan,, .thee inat 1ienof Det flc9mE'cirege�c�ut�r B®°eo40° 00" East 60.00 foot; t` once parull.el aleh the Nov¢h lis» lOEvbaid�P�aacr¢t 3 tc��",� ��B®g�v'� West, 383,.61 feet to . ¢toe Went itno oe aria pare��,9 �a @ko�s��� Northerly nlong sni,~ V,e9e, it °cott thence l.e.Svieec, not>9 Wantlaa l ane.t�et�eatc¢ w 40' 00;; Wi the N.7"r.h line of onic? t'.trcel 2 geld spa �@eh `�crtFe ige 1Y�° .$h feat to the @tent line of 9Am49" fEeat, Sa'd feg Eats-nl 2t said Woo: Linc' uurett 00° C.tpt?poC� q�dDP€l9�fCI 01� onid Wurot lino Eaeterly on® 0y0m katnt. r0"10 frit Utooee@ i.C%QVIanq Purcela 2 And 3, 600ierr� Al.e@ tht_+ .:.zeroth 11"V of way of that cerenin 40 f,:�-at s4rtlerohrRa , f 'vr4 4 1 a Wim�trcr�9 n1 ep Gf Palr-rmey Cio.ra.oa Tract rub4iW1;k (:gin No. 4, fd QF:9 9g @;7 1 map OtG in the Office .et the IttAk o cv.,gmty along Said talutorty right of c,o• eE6o�eB� North Line OC ,aaic9 r`�ri.*1 lino., 200 feet. moretUl f`ttaw,+ap:a2 �;SQ p ,..:QF a�� Wt�9e9 gosE&o 9 a PPPO t CCF. MID Off' WCUMC. NIT BUILDING PERMIT NUMBER: 03-2889 -Address or location of unit: 40 TESSARO LANE, OROVILLE-CA 95966 Legal Description of Real Property:. AP.# 027-100-046 SEE ATTACHED r • } (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: LAURA D. WEISGRAM AND DAVID J. WEISGRAM Owner's address: 40.TESSARO LANE, OROVILLE CA.95966, - INSIGNIA OR HUD NUMBER: ULI349839/40 SERIAL NUMBER OR V.I.N.: 06700160BF/AF. ` MANUFACTURER'S NAME: SKYLINE HM INC. YEAR: 1992 OFFICIAL APPROVING INSTALLATION DATE: PHONE: (530) 538-7541 H.C.D. 513C 1950 E. aoth Street Chico, CA 95928 530 343 3541 Telephone 530 343 3543 Facsimile September 15, 2003 To whom it may concern: Subject: Permanant foundation Account�� , ? 12400 c00 6800878 It is Highly recommended.that David,and..Laura Weisgram put the Manufactured Home they reside, in on.a permanent foundation This home is the security of the above numbered loan Reg s, ge Manager A Household Company 3YATE OF cALW*ft M► • WAR*y, TRAMPoWATNm AM® qO mW AGem cnAr tua� Gowmor OF -NT OF MOUSING AND COMM UNfTr DEVUMMENT „,,Coes DMfioq d1 tadw ati 3pn0ardn .1�' '�+((� C? Title Search Date Printed : 09/17/2003 0 Decal 0: I AS6400 Manufacturer- 90002 SKYLINE HM INC Tradename: OAK MANOP. MOW OKM2204 Manuftcb)nd Date: 07/OV1994 Registration Exp: First Sold Ott: 07/1711992 Serial Number 067=1601lF 06700160AF RCM4 Conditions: Registered Ow=r: HW LaW / Ins*= UL1349939 UL134"40 PPF Lums Use Code: SFD Original price Code: ALK Rating Year. Tax Type: LPT Last ILT Amount: Date ILT Pot: Paid: ILT Exemption: NONE Lou& Wi trt 66' 13, d6' 13' DAVID J WELSGRAM LAURA D WELSORAM (Joint Tenants with Right of Sutvivwft) 40 TESSARO LN OROVILLF, CA 95966 Lao T& D oc 1OW1997 UA fin Card: 10/06/1997 Sale/? s"fer lafo: Pia 541,141.00 Tsansfatrad an 07/17/1992 Situs Adm: 40 TESSARO LN OROVILLE, CA 95966 Situs County: BUTTE iefal Otmer: HOUSEHOLD FIN CORP STARS CER AAL 577 LAMONT RD FLMRURST, IL 60126 Lien Awfacted On: 09/19/199716:44:00 100/100% *** END OF TME SEARCH *** ZO'd ZZ:9I £OOZ ZT daS £bS£Eb£0£S:xp3 Iva W SZ age► c00a/ki/eo MIH3\-lHI3I33N39 t'.t:l'1120"'11; ItVill'F:AM21) nt „^- I1VA II.TAXNTATP.'W%'T971 d S. Lt_) C + , Cj :—civ ,-.. r teur:+:ICF:rtnlur:It.rinu.•ru • •". 1=f� r•' 1 I�••' r -t I : e I s o �n �,�'•., r(l. r -r, a 714 C♦,^a 7i-U;ty� •1l ir, ., I +., JO I�ri 5 •. i u c7ref.r F=r. 11 11'1 • nenl•ac nt t 91-01509 91-001509 Rec Fee 7.00 Cash '7.00 Recorded Official Records ; County of I Butte Candace J. Grubbs Recorder 8:01am 11 -Jan -91 SM 2 _ "'UITCLAIM DEED DOCUMI.N'I'Alt1" I'RANSFF:R'1'AX8 �— COMPUTF.DON FUI,I, VAIAIE OF PROPF,R,ry CONV ENT.D,Olt COMPUTEI)ONFLJI.I.VALUELFS';Ilt :NStiENCLINtHRANCF.S REMAINING TIIFREON A'r'rIMF: OF SALE. _XX_ Unincorporated Area — City of 'rax Parcel No. 027=100=046__ _______ Ronald F. hunt and Margaret L. Hunt, husband and wife FOR A VALUABLE CONSIDERATION, HFRERY REMISE RF.LF.ASR ANI) FORF.VF,R QUITCLAIM to David J. Weisgram and Laura D. Weisgram, husband and wife as Joint Tenants the real property in the County of _ But _ �--_ Stnte of Californin, dawNbed as: See Exhibit 'W' attached hereto Drited: no d F. Iltfh t YarRnro-- ..—Hunt (Individual A: km+whnlamrntl S'rA'1'I:t)h'l I.iF11tjN�----••--_ _.,...r._....,._.�.._.•..,..,�_„��,,.,,,,,,,..,,. I !)nthix_ _._/_J��_.41ny11r.,._ ,iF1a%c/�ll�l' fntlwcru♦4+1.,,r1 .IKr1aPn)r lhrynjlrrnlxnot a tdst Ibhhrt»g!�;��,. 4A `� ('r+tniteundFlua•,prrxnnnllyopprurc+l_.f^:%!'�G�'__��_.-/.'G�.(..%__..-./��i.�..._?'i�/'�I�d'^? G.� �7VA�!y •'� IN•n•'1anlly Itno:vn to me for pr11vol Nr aw+nt the hnda of ealfe4tAnn• rvBlr111s+1 In I:r (hr Itenunt4�``. y~wltulh+tntntrd,_�.,..� t uuhnrrlhrd In Ihly htr+Iruna•n1 '11141 ue6nnwlydR�ri Ihnl „i7�c.Y._ , ,.,t•\rn•ulrrl It. WITNESS my hn;.41 nntl t•ffirml mial � Q Firitht NQTAAY 88AI. / •' I � dAt�T O, a10A6 Y4NNAliT L4r�%�l:�.V..[G�4>"�.�-�f%��l��,i� \ CTY • r10UN Inn• I'uhlic in'11141 r,.r raid Cmilliy tuvl 111.1". AyOantt 6slirM+NN0I,IORO • INnlnry Nr.dt ' 1.t \ NIA)1 'I,t\ 1`1'ITNENTAS 111*01111 Atli ivi, .. ,..�^+.•..: .sr t1 . ^� .va,T+., ,..•.ti,�i rV'�''�"'..':. . .:'" .'?':-'c.I r*^V. Y,°; '7, ;"CT i�-'"; at<'G^'+.':'' .. `,^.�.Onaroko T � - r `• Y go`s�'. fi �` • w^J(yr�k r 4 ' r S S'rA'1'I:t)h'l I.iF11tjN�----••--_ _.,...r._....,._.�.._.•..,..,�_„��,,.,,,,,,,..,,. I !)nthix_ _._/_J��_.41ny11r.,._ ,iF1a%c/�ll�l' fntlwcru♦4+1.,,r1 .IKr1aPn)r lhrynjlrrnlxnot a tdst Ibhhrt»g!�;��,. 4A `� ('r+tniteundFlua•,prrxnnnllyopprurc+l_.f^:%!'�G�'__��_.-/.'G�.(..%__..-./��i.�..._?'i�/'�I�d'^? G.� �7VA�!y •'� IN•n•'1anlly Itno:vn to me for pr11vol Nr aw+nt the hnda of ealfe4tAnn• rvBlr111s+1 In I:r (hr Itenunt4�``. y~wltulh+tntntrd,_�.,..� t uuhnrrlhrd In Ihly htr+Iruna•n1 '11141 ue6nnwlydR�ri Ihnl „i7�c.Y._ , ,.,t•\rn•ulrrl It. WITNESS my hn;.41 nntl t•ffirml mial � Q Firitht NQTAAY 88AI. / •' I � dAt�T O, a10A6 Y4NNAliT L4r�%�l:�.V..[G�4>"�.�-�f%��l��,i� \ CTY • r10UN Inn• I'uhlic in'11141 r,.r raid Cmilliy tuvl 111.1". AyOantt 6slirM+NN0I,IORO • INnlnry Nr.dt ' 1.t \ NIA)1 'I,t\ 1`1'ITNENTAS 111*01111 Atli ivi, .. ,..�^+.•..: .sr t1 . ^� .va,T+., ,..•.ti,�i rV'�''�"'..':. . .:'" .'?':-'c.I r*^V. Y,°; '7, ;"CT i�-'"; at<'G^'+.':'' .. `,^.�.Onaroko T � - BUILDING PERMIT NUMBER: 03-2889 Address or location of unit: 40 TESSARO LANE, OROVILLE CA 95966 Legal Description of Real Property: AP # 027-100-046 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: LAURA D. WEISGRAM AND DAVID J. WEISGRAM Owner's address: 40 TESSARO LANE, OROVILLE CA 95966 INSIGNIA OR HUD NUMBER: ULI349839/40 SERIAL NUMBER OR V.I.N.: 06700160BF/AF MANUFACTURER'S NAME: SKYLINE HM INC. YE :1992 OFFICIAL APPROVING INSTALLATIO DATE: PHONE: (530) 538-7541 H.C.D. 513C , r 40--tiN Beneficial' 195o E. loth Street Chico, CA 95928 530 343 3541 Telephone 530 343 3543 Facsimile September 15,2003 To whom it may concern: Subject: Permanant foundation Account# 212400 00-8001378 It is Highly recommended that David.and.Laura Weisgram put the Manufactured Home they reside in on a permanent foundation This home is the security of the above numbered loan Reg s, l ge Manager A Household Company STATE OF MWOO M. KGRE88. TRAMPOWATM AND NOME M WMM WAY CAM GotlM110r OEPARTMNENT OF MOUSING AND COMMUNITY DEVEL.O ENT �^ nMriob o! t'adw aid �� a Title Search Date Printed r 09/17/2003 0 Dix #: LAS6W Use Code: s@ Manufachm: 90002 SKYLINE HM 1NC Original PdCe CO& ALK Tradenatne: OAK MANOR Ratitl.R Year. Model: 0xMzW Manuftekmd Date: 07/ou19s2 Tax Wm-. LPT Registration Exv: Last ILT Amount: First Sold Ott: 07/17/1992 bate ILT Pee Paid: ILT Exemption: NONE Serial Number HUD Label / Insignia Ltlttgth width 06700160BF UL1349939 06700160AF' UL134"40 661 6ti. 13,, Record Conditions: ppF tulgx 13 Registered Owner: DAVID ,J *%=RAM LAURA, D WF-LSORAM (Todnt Teaaats with Right of SutvivM10p) 40 TESsalto EN OROVILLE, CA 95966 Lett 7we Dates I OAW1997 LA+t Re= Card: IO/06J1997 SaleToansfar Idu: Prigs 341,141.00 Tramfmed on 07/17/1992 Sita Address: 40 TESSARO LN OROVI LES CA PS966 Situs County: BUTTE 4991 Owner. I lot i ilix TOO/T0018 HOUSEROLD FW CORP STARS CEN'i" R.AL 577 LAMONT RD ELMNURST, IL 60126 Lien 1" eefeMed On: 09/13/199716:44:00 •** FND OF TME SEARCH *00 ZO 'd ZZ: 9ti £OOZ a daS MM79-029: XP -4 4 TVJ TP:ST 083 C003//,T/80 MTN'1\-IHT')T J�AI7C -01509 �^»����^` Mor�. | 7�" ~^°»^rj vx^� --Cash 7.00 Recorded -Official Re-ords�� `County of Butte, [_Candace J. GrubbsRecorder .^ —~^~' -'---- ^^ ^~^-9^ ' ^n ESCROW No.QUITCLAIM � � �N-- ',....., / ""°,vno.vnnm REMAINING THEREON xrnm � -XX -__po~~Area Tax Parcel No. Ronald F. Ilunt and �-� MargaretHunt, husband-and ~^^" .' � FOR "VALUABLE CONSIDERATION. xnnnnv REVER AlM to David _ - D. g~. ~~~= �� °z� Joint Tenants� the real property - the County ~ "=e "".`"xt '^' attached hereto� .' ' .- o*m: ^� ryxunt-~-~^~~~=~=~~� ' 4012T Q. Flonommmy N46-7 P&C � � � L(a kt, Omm Calida JUN 01,1004 ---- ' - -'--- 13 M,ill 10 a• ,r � t rr r,y t`I r� � rl � �x t "•' rA 140 y ,It 14,x 7 �F WA;j '� c ����,�fi �i rs+AR 1+�'p !"�'•' ,!L 12 r"� r('{' ��`��'':,�;fz�' /.' w > a Q Coll wj r ,i,;�"�l;2sLr �a r�.sev .s•r r i r t� '�� a .•ice 2��� /5 r �, F! p .t6tr�x �?'!y-ice}L 'i '� T�r >F.., (Oylf ri t.• ' I y j w�u . 9�►� T r t r I t, t r R" i z `—' CS til' � �y ,• 7� 'jt.a +�, t •' � � � k is -f 2. J-0 t_ � t1P� tYr { ti3 7(r� z �2. i � Nnl•"f 1 l ( % f I � :q•f� F J .-.J I. w � Fir 5 F Qli* 2 R l 'j Jy' t t I,• t ,Y t f?���Sk�rijyrJ3 `f;N��i� .Y t•. xlr ..w,. > F!t 't !- ,. rYu r 1 1 �'4 ,Itr�.+t£� d � � •i, 'r t 1 P.1 to O u e. a1 -b m O W �'6 Q —.Jc" Q 4 uL x zo 5 wa w 0 M�< J Cc xao 90 UJ LL C) �O U SI I wr f� 027:�A # —c- 7,; h 03-3030 W'AURA40dTN,rOROVILLE .Con.AS K 10X16 - t 1 •1 S , 4 ;t�sd r h t' "'""COUNTY OF BUTTE - DEPARTMEPT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 P o. o (Rev. 12/96) APPLICATION AND PERMIT ' MIT AS SESSOR PARCEL NUMBER 027-100-046 ZONING AS BUILDING PERMIT f OWNER WFT,. A -95R9 TELEPHONE SO. FT. OCC. BUILDING VALUATION _160-9_ 1120.00 OWNER'S MAILING ADD ESS 40 7ESSARD I ANF JR=_T F. CONFf.�C A6 NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $1120.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 23.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS iT T F Energy Plan Checking Fee $ $ PERMIT FEE $ 66 W LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Ufilities ❑ Installation ❑ Other ❑ Describe'Work: AS BUILT DECK 10 X if Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 s •. PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 600VLES Main Service ZDOA OR IESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service zooA To ,000A 46.00 NEW CONST. DWELLING OCCUP. 3.SQSQ AD oNST. ( roiR MUL�n ou�rLs NON -REBID. @7.50 POWER APPARATUS E SINGLE OUTLET CSI R. 20 0 1.00 Ex. Occup. OUTLET OR FIXTURES BAL Q .50 LNS. OR Ex. Occup.ounETsFIXEDAPPRESID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 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 of 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 workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. JJ-�� X .1 ( �—'�:/ . t �'� 1 '/ U� ? Y1 Date to ° a 0 r l Signature of Applicant - ❑ Owner ❑•Contractor ❑ Agent An OSHA permit is required for excavations ` over 5'0" deep and demolition or construction structures over 3 stories in height. / H MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 566.00 D REE4IMP PL'00© HD ISS E 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. - %of By ,i /Date /�t� i PERMIT EXPIRES ON t j/( i / I I Date A Receipt No. L I ; , / �,->/• ( _ 1..a WHITE-D.D.S.-B:D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 -,County Center Drive0roville, California 95965 • Telephone (530) 538-7541 P 1 (Rev.12/96) `, APPLICATIONAND PERMIT ASSESSOR PARCEL NUMBER 027-1,00-046 ZONING AS BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION 1120.00 . OWNERS MAILING ADD ESS CONMry,T{>,(}h NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $1120.00 ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ 23,00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 21-00 BUILDING ADDRESS Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: AS BUILT DECK 10 X 16 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fee 20.00 RLEFiling 800VMain Service 2o0A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: X-1, 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 I one hundred dollars ($100) or less.).occ -;< "Ice 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 f I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with th provisions. ` a- L'� Date ! v ° a (J Signature of Applicant - ❑ Owner Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. OWEWNG UP. sD OR ADDNS. ( 8 ACC. BLD S. 3.5QFT_ NO"j1RO Ip MULTBRANC I -OUTLET @7,50 POWER APPARATUS 8 SINGLE OUTLET CIR. IR 20 @ 1'00 OUTLET OR FD(TUR Ex. Occu BAL o .50 Ex. Occup. ourLEEDTS R=,D .)0R .._L 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee Is CONST. TYPE TOTAL FEE $ HD Iss E This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indica d above for which fees have been paid. y D e O3 P MIT EXPIRES ON UP /V Defe Receipt No. WHITE-D.D.S.- . . CANARY -ASS SOR PINK -INSPECTOR GOLDENROD -APPLICANT -� .- t. s ..... .. �. r y .. ..-+.•+..r'!'L-.:.:�t'i:+�"'-..-...� ., t,... ,,.:..,.,.`.7-��;,,,,ik=:4ti...y�"�-..".Tj"'r'!'".- ..L-t+fj' ..� --,r.M -a.. .+rl.., . ...� .' 1, .* COUNTY OFBUTTE-DEPARTMENT ,OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 .� .. PERMIT APPLICATION DATA SHEET OWNER: Gp�� ' V� V ASSESSOR PARCEL NUMBER 7 G� Proposed Building Use: �� C��/1C• Counter Technician: - Date: / �` , ' G7) I ms required in order to apply for a permit. All boxes MUST be checked OR marked NA in order 9 apply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4� Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Find plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. Al of these must be stamped and wet -signed by the engineer. F Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. , Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ _ ❑ 9. Site plan and business license approval from the City of Biggs .................................... _ ❑ 10. Letter of intent for non-residential buildings......................................................... _ ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... _ ❑ 12. Hazardous Material Form............................................................................... _ ❑ 13. Fire Sprinklers............................................................................................ r ❑ 14. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by _ ❑ 15. Other _ a Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 16/Fees as shown on the attached Schedule of Fees Due Sheet ........... :........................... 019. Statement of Intent for Non -heated and A/C Buildings..............................v�Sanitation and site plan approval from the Environmental Health Department in U`( City of Chico Plumbing permit........................................................................ _ ❑ 20. California Department of Forestry plan approval ❑ paid., Sent by: ...................... ❑ 21. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: ! _ ❑ 22. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 23. NPDES Form........................................................... t;-................................. ❑ 24. Encroachment Permit for driveway from the Public Works Dept ................................. _ ❑ 25. Pre -Inspection for required ................ _ ❑ 26. Contractor's license information. (Number, Name Style, Classification) ...................... _ 27. Worker's Compensation Carrier a9d Policy Number ............................................. _ . Owner -Builder Verification (ELQKen to owner, ❑ Mailed to owner) ..................... _ 29. Letter of Signature authorization.................................................................... _ ❑ 30. Recorded copy of Agricultural Acknowledgment Statement .................................... _ ❑ 31. Manufactured home utility clearance............................................................... _ ❑ 32. Existing violations and/or expired permits......................................................... _ ❑ 33. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 34. Other: _ When issued Telephone IJOA and hold for pickup. f have been informed of the above items and requirements for obtaining a building permit. Applica t�%'m Date: p m 1. Index it application for the above items " bered: Plan Check Letter * . 2. Additional items required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data bY, ❑ phone, ❑ mail, ❑ c r, y Date: Plans reviewed by: V VVC, Date: j0 .� �9 Plans approved by: y Date: -0 35 Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Q Yellow: Building Division 8-1 -+: t E.H. E ONLY ' Fiat Ren AttacMd �_ ; �. 'lair Ren Attacked JIJ Bans to G.D.lli — A TO: Building Department d3-3o3° FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposal---,,,- Water Supply: Public Private Welty Clearance for dwelling.. Other Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist 8/96 �b —0 ---�3 Date COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES-13UILDING DIVISION M % County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PE� APPLICATION AND PERMIT �j3- ASSESSOR PARCELNUMBER 1 O j\ U ZOMNG BUILDING PERMIT OWNER v TPaEP o"Ep O. FT. OCC. BUILDING VALUATION o %i ADDRES Y�'C� q j ( "► owNER9,I,wI\un CGT.(/, 1 r ✓ U 1 S 1 �P �J CONTRACTOR'S NAME `^ Q/ 1 C L6 1 I^♦ CONTRACTOR'S MAIUNG ADDRESS CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS ARCHRECT OR ENGINEER LICENSE NO. ARCHITECT OR ENGINEERS MAILING ADDRESS BUILDING ADDRESS LOT NO. I SUBDIVISIONS NAME USEOFSTRUCTURE SF ❑ Duplex ❑ Mobllehome11Q Other SPECIFY TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Ufihes ❑ Installation ❑ Other ❑ Describe Work: ` I 1 f� .PERMIT FEE PAID SRA SHERIFF OTHER a �a— H Ej AMOUNT RECEIVED $ / DATE RECEIVED b RECEIPT # :�q 0(.e Filing Fee $ 20.00 Permit Fee $ J Plan Checking Fee $ Main Service Energy Plan Checking Fee $ NEW CONST. 0\NEIING OCCUP. $ OR ADDNS. PERMIT FEE $ =-r-019T. PLUMBING PERMIT @7.50 Fling Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S G I W @20.00 EX. OCCU . OUTLET OR FDRURES PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service u.A OR LEss 23.00 Main Service 200A TO lona► 46.00 NEW CONST. 0\NEIING OCCUP. 3 5¢So. OR ADDNS. 6 ACC. BLDs. FT• =-r-019T. ^MULTI-oUTLEmm 1 @7.50 EX. OCCU . OUTLET OR FDRURES I BZ 6 .50 FDOEDPPLNS. OR A Ex. Occup. OVTlET8 ESID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ No MECHANICAL PERMIT Fling Fee 1 20.00 6.50 PERMIT FES 1 $ Mobile Home Installation Fee $ Energy Inspection Fee $ C_^T; co7gr TOTAL FEE $ MAZ O. FEES IMP FLOOD I CDF I PARCEL PD HD 6S 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 .a RE—INSPECTION REPORT ' ' OWNER au. t DATE: LOC V ATION: .SS Cj i ]� . A.P. #- . � CONTRACTORS _ ZONING: �S PRE-IISPEMON FOR r I T I I DATE TO INSPECTOR: — PERWrHISTORY:( )NONE Building Description: 9 " UOWS: BUILDING INSPECrOWS RPPORT ResideraWt of vnits:� Currently Occupied AbandonecW= nt Electric: Yes No Electric currently Oa Off Condition of Electric Gu: Natural_ Propane None_ Currently Oa ✓ Off Obvious Problems: Sanitation: Plumbing Working Well Worldng Potable Water Obvious SewageProblms _ comments: ACTION RECOMMENDED: ISSUE: HOLD Inspector. Date 7— %7 Sketch buildings on reverse and indicate location on proper COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES _ 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 ,,CORRECTION NOTICE bWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at'the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, ple a contact this office immediatel {{r✓171� j Ti2. -'-2 LCL. i CDUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION.. _ 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 R 'Pv121961 APPLICATION AND PERMIT -- 6-3" -25(-j A.SSESSO0.PARCFL W� n � BUILDINGPERMIT OWNER TELEPf0NE SQ. FT. OCC. BUILDING VALUATION OWNER'S S —�� i J G . GpptrpAGTDR,S cogTpACTORS MAMM ADDRESS coNSTFL=CW LMER Fireplace LENDER'SMARJNG ADDRESS Total Valuation S G ARCNRE= OR ENGINEER ucENSE NO. Fifina Fee S 2 0. D 0 �- = S Permit Fee Z ARCNRECT 'OR ENGWEERR]NG S MAADDRESS Plan Checking Fee 5'COO eLnUDINO ADDRESS ( / n� (� Energy Plan Checking Fee S ' S q PERMIT FEE S3 Al Ll LOT NO. SUBDNSIDNSN4ME PARCEL MAP PLUMBING PERMIT Feng Fee 2D.00 Each Trap 7:00 ----- USEOFSTRUCTURE SF ❑ Duplex ❑ hobAehome ❑• Other SPECFY Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ AddLilim ❑ Remodel O Utilities ❑ Installation ❑ Other ❑ New �m (I • Describe Work: `►�y�1 Gas P;Ing stem 1 - 5 Outlets 15.0015.,- 5.00(-s,- Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE _ ELECTRICAL PERMIT Firing Fee 20.DO Main Service °Oo °oR L u 23.00 . S� > S��r 9 O kW.'?�+ •0�619 Main Service tool► TO ID00A 46.00 Nm CONST: DWELLM 0.r_ 3.5¢x. OR ADDNS ( i ALC. eLos. NON• tmaL YLRS�O�LET @7.50 POWER APPAAA7= i SNOI.E O CIR EIC. Occup. 20 d 1.00 Ovnzr OR FWM MD a2D 9 .50 . Ex. Dieu FC® APFTlS. OR 5.0D ON71tlS ESro. EA. Temporary Service 23.00 Mobile Home Facilities 20.00 MLsc. Wring 23.00 PERMIT FEE _ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling 6.501 —Hood Ventilation PERMIT FEt S Mobile Home installation Fee S Energy Inspection Fee S "` `°N=' nPE TOTAL FEE $CIL S "Z. D. FEES. IMP I FLOCcDF PARCEL PD I ISSUE This permit is hereby issued under the applicable provisions 01 the ButteCounty Code and/or Resolutions to do worts indicated above for which fees have been paid. By Date _ PERMIT EXPIRES ON ,,,_._1 Lt C\ PA �V �t0 10 1 � V) vi O C4 Q. i �4 kA ti.1 r�• f , C �, O V 0 3 U WC Q V -ALN T (i-�\ V OV U� l Z Pl v\�' 27-1 WEISGRAM, Dave &-lau 40 Tessaro Ln, Orovi (mh util) ELEC aO 0 GAS 4 P(, COMPACTION TEST SUPPORT STRUCT 92-685P,E 27-10-46 WEISGRAM,Dave & aura 40 Tessaro Ln roville contr: Skyc st Enterprises MHI G/,a?/I �- g-13 2 -4-d -q 92-1778MHI >� 'i't �s :}�: # _ `:ii _ 7. {.:>{ +s.,r r'S'�i f' .t..r -..Yi t.' C� $ 'kir �, 3� s� •,..: �. i > x Ici, r.NEW '01-1 .. tsa.te �.. s:.:', x ;.`• ,�, v.; ... :r?:� ..-:_' ,. i a`�'. K -gr _ � � ." - � , Y z .$ a dt .• �{ � .. � � � � t ,� ,� � 5 t t < �� s � �, - 4,1 + { r 7 RESIDENTIAL f 27-10-46 WEISGRAM, Dave & Laura 40 Tessaro Ln, Oroville (mh util) 1-77�' fi Y t° OFFICE COPY. Address t- GAS r _ Meter By Da ELECTRI 6 Meter By Date JOB FINALED (Dt Signature W ,s%/ = OK 1 O Not OK =Not Applicable Not Ready MOBILE HOMES ' =. 31 Date _ MQBILE HOME UTILITIES (Plans) OK except #'s { X 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; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (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, Distances-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 -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 LVllil ll� rl Cl{UII CIIICIIIJ—JCIUGI:RJ—CGJCIIIC(IlJ Soils; Special MH Support Sketch 3. S er; Location -Test -Fall -C/O Concrete Wate ; 6cation-Test-Easement Needed (Sketch) l 5. ectricity; Location -Clea rences-Grnd-/ /Amp -Concrete 6. Gas; Location-Test-Wr : / /" L" ft. / /"Nat. or/ /"L"ft. /"LPG Well Clearance & Disconnect + Utility Clearance Date Date , B-1 ate Card B-1 Card B-1 Date Card B-1 I Date MOBIL , HOME INSTALLATION (Plans) OK except #'s ' L_---1—gga.ing Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line as; MH Test -Demand -Valve -Connector Ele'ilri_city; MH "Test -Crossovers -Breakers -Clearances rpbrain'; MH Test -Fall -Flex Connector Water; MH Test -Regulator -Connector Water and Sewer Connected -C/O to Grade -HD Approval was and Electricity Tagged 9. Ex(ts; Insp.-Sketch ert: of Occupancy ")4,0,0_D_ Date Date — Card B- Dalp Card B-1 - d B-1 ate Card B-1 r X 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; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (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, Distances-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 -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 'J=OK, ' O i0q6t OK = Not Applicable Not Beady RESIDENTIAL (: = Date x UNDERFLOOR (Plans) OK except N's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Fig., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /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 -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit).OK except N's 16. Water Htr.: Vent -Access -Combustion Air -Baffle 17. Water Pipe: Test & Anchor -Nail Protection --------------- 18. D.W.V.; Test -Fittings & Anchor -Nail Protection ------------------- - ---------------- 19. Shower Pan: Test. First Floor -Tub Access ------------ - ----------------------- 20. Test Tub & Shower. Second Floor -Tub Access --------------------------------------------- 21. Gas Pipe: Size & Anchors --------------------------------------------------------------------- - Date Card B-1 Date Card B-1 --- ----------- -------------- ------ -------------------- --- ----------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except N's 22. Fixture & Transformer Clearance -Ins. Protection --------------------- ------------------------------------------- ------------23.--E-tec. Recept-acles Spacing -Lights & Switches at Doors --------- --- ------------------------------------ ------- 24. Size Boxes & No. of Conductors -Stapled ------- ----------------------------------------------------------- 25. Romex Installed Close to Edge of Studs & C.J. ------------------------------ ---------------------------------------------- - 26. Equip. Ground made'up w!Mech. Fastners-Bond Gas & Water --------- ------------------------------------------------------------------ 27. 2 Appliance Circuts in Kitchen & Conductor Size!GFI - ------------------------------------------------------- 28. Subfeed Wire Size i i ga. Cu or AI-A.C. Wire Size ga. Cu or At --------------------------- -------- ------------------------------------- 29. Range Circ. ! / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated NeutralYes ❑ No ---------------------- ------------------- 30. ------------------ 30. Service -Riser Conductors & Ground -Main Disconnect --------------------- ----------------------------- -------------- 31. Equip Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light ------------ 33. Smoke Detector ------------------------------- -------------------------------------------------- Date Card B -t Date Card B-1 --------------- ----------------------------------------------------- --------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except N's 34. A.C. Ducts Insulation & Support ---------------------7--------------------------------- 35. Vent Fan Exhaust above insulation 36. Condensate Drain & Overflow: Size & Grade - - -- - -- ---------- ------------------------------- 37. - ----------------------------37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ----------------- ----- - -------------------------------------------------- 38 Attic Access & Platform if Furnance in Attic ---------- --- --------------------------- ------------------------------------- Date Card B-1 Date Card B-1 -------------- -------------------- --------------------------------- - ---- - Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except N's 39. Sils. Proper Material & Anchors ....... ....... ............... --- ------------------------------------------ -- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound ----------- -------------------------------------------------------- 41 Bearing Walls over Girders & Floor Nailing -- -- - - - - -- --------------------------------------------- 42.-Praft Stop in Walls (rat proof) ------------------------------------------------------------------------- 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub -------- --------------------------------------------------- 44. Headers & Beam -Size & Bearing dingle & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits _ 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers ----------------------- ____ 55. -Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls: -Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows ------------------------------- Date _______ ----Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except ti's 61. Ext. Steps -Door & Sidelight Protection -Landings ----------------- 62. Smoke Detector 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meth. Protection ------------- ------------------- 64. Bedroom Exiting 65. G F.I & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel: Breaker Sizes & Labels ---------------- 67. -------- 67. Stairs & Rails 68. Fireplace or Stove: Clearances -Hearth -- ----------- -- --------------------- 6J. Elec. Outlets at Wood Panel: Int. & Ext. ------ ---------------------- --------- 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance -- _ ------------------- _71.- -----------------71. Elec. Outlets & Receptacles at Kit. Counter _ 72. Garage Fire_Door: Swing -Landing -Closer 73.-.A.C.-Duct in -Garage -Damper 74. Wtr. Htr Vents -Clearance -Comb Air-Connector-P.R.V. . In Garage: Above Floor -Meth. Protection ------------- 75. Plb. Elec. &Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection -------------------------------------------- 7;. Insulation -Foam -Looked in Attic O Yes ------------------------ 78. Guard Rails & Deck Construction -Post Caps ---------------------------------------- 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 80. Following instld.; Drive ❑ Yes 0 No: Walks O Yes ❑ No: Planters 0 Yes ❑ No ----------------------------------------- ----- 81. Stucco. Brown -Finish 82. A.C. Unit: Disconnect. Electrical, Plumbing - - - -- - ------------------------ 83. ------------------------------ ---- 83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings _ _ 84. Water Well: Disconnect, Electrical, Plumbing - - - - - - - - - 85. - Exte--rior -Elec--Trim; -G F.I. Receptacle -Underground --------------------- --- - - 86. Ventilation Throughout House . -- . ---------------- 87. ----------------87. Glass Protection -- - - - -- ------------------------------------------- 88. Corrections from Previous Inspections ------ -- ---- --------------------------- --------------------- 89. Gas Test -Meters Tagged: Gas -Electric - - --- ---- --- ----------------------- --------- 90. Water & Sewer Connected -C/O to Grade -HDA Approval 91. Energy Compliance Certificate -Other Certificates -------------- ------ --------------------------------Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ----- -------------------------------------- Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE >DEPARTIVIENT OF PUBLIC WORKS 1466 Humboldt Robd, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE Z 12 -SG- ' k OWNER PERMIT O. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please conte h* office immediately. 45; C W, MAI 112 JW4Q gin OVI . I 't Date?— In REV 11/91 MOBILEHOME INSTALLATION ACCEPTANCE ;T �r COUNTY OF BUTTE •a DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 536-7541 PERMIT NO. " "�M OAddress or location of mobi lehome 41 Owner's name �__. er's address Insignia or hud number 3 <42 45�32—[I Manufacturer's name IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE Y MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 4 .5138 White = Owner, Yellow' -installer, Pink - D P.W. + QOUN�Y OF BUTTE - DEPARTMENT OF PUBLIC WORKS ` 7 County Center Drive - Orovllle, California 95965 - Telephone: 916.'538.7541 APPLICATION AND PERMIT PERMIT NO. 4---7 — s ASSESSOR PARCEL NUMBER 27-100-046 ZONING A 5 - BUILDING PERMIT OWNER DAVE & LAURA WEISGRAM T589— 52 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS P.O. BOX 334 PALERMO 95968 1-7 CONTRACTOSKYCREST ENTER T342-269+ CONTRACTOR'S MAILING ADDRESS 13468 HWY 99 CHICO 95926 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING A40 TESSARO LANE OROVILLE Permit fee $ 35.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAMEPARCEL MAP 92-76 Water piping 7.00 Each pas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome® Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G W @ 15.00 TYPE OF WORK New Ir_j Addition ❑ Remodel ❑ Uti Yles ❑ Installation ff, Other Describe work: MH I 4 BDRM / — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 Main service 200A TO 1oo0A) CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professi�o7ns Code and my license is in full force and effect. License Jo. -!S:-2— q�� Classification? F1 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.a) OR ADONS. ACC. BLDGS. _37.50 3.64 q.ft. NEW CONSTRMULTI-OUTLET NON•RESID• BRANCH CIRC ITS @ 5.00 /POWER APPARATUS a) SINGLE OUTLET CIR. Ex. Occup( OR FIXTURES AO 760 Ex. Occup. OUTLETS (RESID )FIXED APPLNS.REA.1 I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g Hood 6.50 Ventilation Permit Fee $ Contractor 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 constructi , and hereby authorize representatives of the Countyot Butte toe er up t e bove-mentioned property for inspection purposes. I also a. ee to sav , in emnify and keep harmless the County of Butte against all li 'lines, jug nt costs, and expenses which may in any way accrue a said Cou ty i onse ue a of the granting of this permit. Q X Date C51�—Z. 1 — L owner 9 PP ❑ Contracto Agent ❑ Si nature of A liETU'red An OSHA permit i for excavations over 5'0" deep and demolition or construct- ion of structures over stories in height. Mobile Home Installation Fee S 70.00 Energy Inspection Fee $ occ CON ST TYPE TOTAL FEE $ 105.00 r,Az 11 FEES IMP FLOOD cOF PARCEL PD HO ISSUE This permit is hereby issued under the applicable provi- sions of the But a Coun Code and/or resolutions to do Work indlC v r which fees have been paid. OF PUBLIC WORKS_ By C:I_— Date PERMIT EXPIRES Date Receipt No. 116149 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT STATE OF CALIFORNIA92-27957N� COUNTY OF ..... �................................. On this. day of..... . .. ............. in the year of 19.,,Z before me, thundersigns tary Public in and for said State, personally appeared .-tom... . ...... , personally known to me (or proved on the basis of satisfactor evidence) to be the person(s) whose OFFICIAL SEAL name(s) is/are subscribed to the within instrument and acknowledged to me OORorrl1. A wlsE that He/she/t4my executed the same in hislther/thei-r authorized capacity(ies), 1 NOTARY PUBLIC- CALIFORNIA and that b his/her/their-si ature(s) on the instrument the person(s), or the BUTTE COUNTY Y � Ify CO1"S&ION EXP AUG. �Lf99z entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. :......�1J��1................................. Notary Public in and for said State. This document is only a general form which may be proper for use in simple transactions and in no way acts, or is intended to aa, as a substitute for the advice of an attorney. The printer does not make any warranty, either express or implied, as to the legal validity of any provision or the suitability of these forms in any specific transaction. Cowdery's Form No. IOG — ACKNOWLEDGMENT — All Purpose — ( 1/91) 'e AP /0 F OWNER �a f7 ►L 5G AI?49 'n PERMIT `f a-. L O �� NEi i UTIL.CLEARAN DATE INSPECTOR ELECTRIC GAS Support Struc. Compaction Test -Req. Service Other Pipe YESI NO YESNO. Size Load Size Length ``Type t 1 ;Return to DPW AGRICULTURAL STATEMENT OF ACLNOWLEDGEMENT- FOR RESIDENTIAL DEVELOPMENT 92-27957 Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. The property described herein is adjacent�� 7 1 Rec Fee to land or included within an area zoned 1 Check for agricultural purposes, and residents Recorded of this property may be subject to incon- Official Records veniences or discomfort arising from the County of use of agricultural chemicals, including, Butte but not limited to herbicides, pesticides, Candace J. Grubbs I and fertilizers; and -from the pursuit Recorder I of agricultural operations including, 2.29pm 24 -Jun -92 1 PUBL but not limited to cultivation, plowing, spraying, pruning, and harvesting which 3 �7 11.00 11.00 XX 3 occasionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All fh-at .real property.", situate in the County of Butte, State of California, -described as follows: ' e.e Q.++CL CL. h 'e_cf Date: �, /t % /q Z d .(a. ZCr-)X34-Fn1-) 1--Q�-rG lil%. i s cr C -CA im State of C A) � -On-this the ��day of SS. undersigned Notary Public County of gUTI"E) El` Personally known to me. 14 Proved to me on the basis �'r' of satisfactory evidence. _ OF"CIAL SEAL OOROTHVAwISE to be the person(s) whose name(s) " NOTAPYPUBLIC-CALIkOFNIA subscribed to the within instrument and acknowledged that TY My BUTTE EXNTY PAU.21 executed the same for the purposes therein contained. IN WITNESS COMPNSSIQN EXP AUG. ? 1,1992 WHEREOF, I hereunto set my hand and official seal. Present A.P. No. o ry Public PROPERTY OWNERS: 19�_�.,. before me` , t e , ersonally appeared .e..... - 92-27951 3 1 Exhibit "A" P�rael' A: Parcels 1 and 2, as shown on that certain Parcel Map being a portion of Lot 22 "Map of Subdivision #4 of the Palermo Citrus Tract", filed in the Office of the Recorder, County of Butte, State of California, on June 3, 1983 in Book 92 of Parcel Maps, at page 76. RESERVING THEREFROM a non-exclusive easement for ingress and egress and public utility purposes over the North 60 feet of Parcels 1 arc? 2 and Tessaro Lane, as shown on said Parcel Map referred to herein. Said easement to be for the benefit of and appurtenant to the remaining land of the Grantor herein and shall inure to the benefit of and may be used by all persons who may hereafter become the owners of any parts or portions of said appurtenant land. Parcel B: Non-exclusive public easement, 60 feet .in width for ingre?W�n �n egress and public utility purposes over Tessaro Lane as•.� that certain Parcel Map being a portion of Lot 22 h' f Subdivision #4 of the Palermo Citrus Tract", filed in th� Office of the Recorder, County of Butte, State of California, on June 3, 1983 in Book 92 of Parcel Maps, at page 76. Parcel C:. A non-exclusive easement for road and public utility purposes over the North 40.00 feet of the following described parcel: Parcel 1, as shown on Parcel Map of Lot 21 of Palermo Citrus Tract Subdivision No. 4, which Map was filed in the Office of the Recorder of Butte County, State of California, April 7, 1981 in Book 82 of Parcel Maps, at page 23. Parcel D: A', non-exclusive easement .for r.oad.,,and public purposes over the following described property: All that real property situated in Section 10, Township 18 North, Range 4 East, M.D.M., being a portion of Parcel 2 and 3 as shown on that certain Parcel Map filed in Book 82 of Maps, at page 23 in the Office of the Butte County Recorder and more, particularly described as follows: BEGINNING at the Northeast corner of said Parcel 3; thence Southeasterly along the East line of said Parcel 3 South 00° 40' 00" East 60.00 feet; thence leaving, said East line, Westerly and parallel with the North line of said.Parcel 3 North 89° 30' 00" West, 383.61 feet to the West line of said Parcel 3, thence Northerly along said West line North 00° 40' 00" West, 20.00 feet; thence leaving said West .line, Westerly and parallel with the North line of said Parcel 2 North 89° 30' 00" West, .384.33 feet to the West line of said Parcel 2,. thence Northerly along said West line North 00° 40' 00" West,,.20.00 feet; thence leaving said West line Easterly and parallel with the North line of said Parcels 2 and 3, 600 feet, more or less to the Easterly right of way of that certain 40 foot strip shown as Reservoir Road on the Map of Palermo Citrus Tract Subdivision. No. 4, filed as Nall Map #16 in the Office of the Butte County Recorder; thence Northerly along said Easterly right .of way 20 feet more or less, to the North line of said Parcel 3; thence Easterly along said North line, 200 feet, more or less, to the point of beginning. ,t. < END OF DOCUMENT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT _ I ASSESSOR II RCEL NUMBER 027— 0 —_ ZONING BUILDING PERMIT OWNER Dave & Laura Weisoram TELEPHONE 589-4852 SQ. FT. OCC.1 BUILDING VAL OWNER'S MAILING ADDRESS P.O. Box 334 Palermo 95968 / CONTRACTOR'S NAME 0 TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 20.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 20-00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 r Solar or heat pump water heater 20.00 LOT SUBDIVISION NAME PARCEL MAP// 92,-7 1� Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex[] MobilehomeEl Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W 1 3@ 15-00145. 00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ® Installation ❑ Other ❑ Describe work: MHU 4 Bedroom Permit Fee $ 60.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 1 . 18.50 18.50 Main service 20GATO 1000A) CONTRACTORS LICENSE LAW I declare under penalty ur check one): P Y of perjury I Y( )• ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING Occ UP.ai OR ACDNS. ACC. BLDGS. ) _37.50 3.50 sq.ft. NEW C0N5TR ULTI.OUTLET NON.RESID BRANCH CIRCUITS @ 5.00 (POWER /POWER APPARATUS &) OUTLET CIR. ) p OUTLETS OR FIXTURESF EX. Occup( 20 750 AL 6 45d Ex. Occup. our LEP(RESID.)REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 1 15.00 15.00 Misc. byirin g 15.00 Permit Fee $ 48.50 — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): j, ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate Vof Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g Hood 6.50 Ventilation Permit Fee $ Contractor 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 Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue a st said Coun In con quence of the granting of this permit. Date 3 // Z_ Signature of Applicant — Owner Contractor ❑ Agent 1:1sions An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FE -5-$128.50 HAz I DFEES I IMPJ FLOOD XDF PARCF�L� PD Fio ISSu This permit is hereby issued under the of the Butte County Code and/or work indicated ave for which fees TOR FP BLIC ey PERMIT EX IRE,S Date — applicable provi- resolutions to do have been paid. WORKS Da — Receipt No. 110438 WHITC-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT OWNER COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION Proposed Building Use 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIIT,4QP`�LICATION DATA SHEET Permit No. A. P. o. �--/ i Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issdiance: DATE RECEIVED APPROVED .,All items have been submitted. . , . . 2. Plot plans in duplicate/tripDgXA igned by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation date including manufacturer's installation instructions ................. . 10. Fees of $ 11. Chico Urban Area fees paid .......:.. ............................. 12. Park fees paid ............ ....... . School District fees paid ............... Sanitation approval from ��CJ Health DepartmentZ7_92 City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (seeCity for other requirements) 17. Pla— nning approval for (A) Use: (B) Parking: ...... 18,Improvements may be required. Contact Land Development Section DPW 9. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required ... Pre-Inspec. request to Building Inspector tDate) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of1Workmans Compensation Insurance .................. ner-Builder,Verification (Given to owner ❑, Mail to owner ❑) ..... Recorded copy ",of Agricultural Acknowledgment Statement ......... _(Z .Z_ Letter of sirat I e uthorization .... . 26. S�•e� YSr` c e l.qZ '%�7���.................. 27. When you issue the permit, process as follows:Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other , n Applicarfl�� ^'� ` 'tQirn�Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air, Pollution Date Copy of plans sent Health Dep Fire Dept. Other Date By The following data must be submitted prior o p rmi issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone_mail_coun er by .date Contractor, designer, owner, was advised of above required data by—phone—mall co nter by date k� Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW TO., Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance L.7. a7 4, Owner Location AP# Plan Approved for: Sewage Disposal v Water Supply Well Fold final for: Water Supply Final clearance O.R. for: Water Supply Clearance for * bedroo mobile hom . Other NOTE *** Sanitation 5/ -)- Date -)-Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916;'538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER oZ — 00 -- ZONIN BUILDING PERMIT OWNER v9-1561Cl-f /t IM TELEPHONE ,;� SO. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS CO TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ , Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS /) Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Onga velel—L Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 US OF STRUCTURE SF ❑ Duplex❑ Mobilehome Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S W @ 15.00 Q TYPE OF WORK New F-1 Add ition❑ Remodel Utilitie InstallationOther ❑ Describe work: de Permit Fee $ Q Q / Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 0V LESS 200A OR LESS 18.50 Main service 20GATO IOOOA1 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ElI, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST.( DWELLING OCCUP.19 OR ADDN5. ACC. BLDGS. // 3.60 sq.f[. "'EwCO RES,., RANCH TLETCIRCUITS) NO N•R ESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 76d A IXED EX. Occup. OUTLETS(RESID IREA.� I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 kO Misc. Wiring g 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject 'to the,W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling g Hood 6.50 Ventilation permit Fee $ Contractor 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 Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date si nature of A Applicant - Owner 9 PP ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct - ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST TYPE,TOTAL FEE $ OZ p �� HAz 1 0FEES I IMP I FLOOD I COF I PARCEL _M HO SSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By EXPIRES Date applicable provi- resolutions to do have been paid. WORKS i DatePERMIT � ' Receipt No. NNITE•O.P.W., TEL LOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. s Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and mater-ials for construction of the proposed property improvement yes or no) 2. I ave have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have Hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5.' I will provide some of .the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner Social Sec rit Number Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. '7�p\ 1-+krj«ryG'-�1._ k'�"�'r,. � `7•.v;i-'.mT•'�i"S-�r':+�r o a-7 -/Do - 0 L(� D� a BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One .Form Per.Building) School District 0 pe- 0 (i N_ —H S _ _ _—_ — Building Department No. A.P. Number Jurisdiction �_ J City County Property Ownerptl /t u E2 ff- Property Location/Address _L�- _ ] � . (� L % /&D Subdivison Lot No. y Residential Development Sq. Footage No. of Living 1Hi Addition (d toup R) Units Commercial/Industrial Building epartment Rep sentative 0 Sq. Footage New Addition '(Including Exterior Roofed Areas) S7/2 7 z Date (Floor Plans reviewed by School District Personnel) 4 District Identification No. _ 9 20 5 0 091lyu ASchool District certifies that (Street Address) (Phone Number) (City (State) (Zip Code) has complied with the requirements of Resolution No. ��5-- D. by payment of $74 representing % square feet. School District Representative Date Paid by Check Number Bank Number Paid by Cash Remarks: aCK If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project j is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully additional school fees to fully mitigate its impact on the school district's schoolsits impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeformmkl (4/92) ' t aatr COUNTY OF BUTTE,SE1PARTMENT OF PUBLIC WOR - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLEt CALIFORNIA 95965 - TELEPHONE (916) 538-7541 ' 9 PERMIT APPLICATION DATA SHEET OWNER Of, L /q L/ t5, G 2/4 ✓l I A P .0 -2 -7 -log Proposed Building Use ly Building Inspector Date 5/02 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8,gineered truss details and,layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. .......... . 10. Fees of$ ................................. 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ........................ 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ........... . 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). . . Pre -Inspection roque-fs- 20. Pre -inspection for required. . to Building Inspector. (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner _) ............ 24. Recorded copy of Agricultural Acknowledgement Statement . ................. . 25. Letter of signature authorization . ....................................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27,. Letter of intent on building use. . X28. Mobilehome utility clearance . ........................................... 3 9_ 29. Documentation of legal access . ......................................... 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When yo ssue the ermit proc ss as follows: Mail to owner. Mil to contracto.r_, M,��, Telephone �P and hold for pickup at G / a . i, River with inspector. Other Parcel Creation-- Acreage Applicant Date Z 71q 7 - Copy Copy of Haz-Mat form sent Health Dept. Fire Dept. Air F161lution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone mail Counter by _ Date Contractor, designer, owner, was advised of above required data by_phone mail Z7ner by _ Date Plans checked by Date Plans approved by Date w clz Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DMSION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916)5387541 OWNER - LAV LAJ -[ S 6 d2A W A . P'.. NO. PROPOSED BUILDING USE / DATE _ REC. # -DATE REC School-bistrictVees UA/ (paid at District Office) ,,,., ;,,,; ;. 2. Sheriff Fees (paid at -Building Department) Residential- .....X ? . C/ _$ 3 (p -7� 28 _ unit amt. Commercial(per sq.ft.) X =$ sq.ft. amt. 3. Urban Area Fees "(paid at -Building Department Residential (per unit) X =$ # units amt. Commerical(per sq.ft.) X =$ sq.ft. amt. 4. Recreation District Fees (paid•at District Office) 5. Drainage District Fees (Contact Land Development) 6. Other 7. Other At time of permit licdtion, I was advised the above fees are required to be paid prior to issuance of A p xt. , APPLICANT DATE 5 Z z - v COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL/rDUMOO� Z - ZON S BUILDING PERMIT OWNER �/ TELEPHO EC J S0. FT. OCC. BUILDING VALUATION OWN R'S AILI G ADDRESS�y1 G CONTRA T• -R�/=. TELEPHE 2 CONTRA /OR'S MA}L�7���G 99A D ESS (O / / K!� G G�7 -6f`75`7Z—(a F.irep lace C NSTRUCTION LENDERUNKNOWN _ Total Valuation $ LENDER'S MAILING ADDRESS _ "Filing Fee - $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER -" - LICENSE NO. Plan _Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGI-NEER'S MAILING ADDRESS Penalty $ BUILDING A KESS U Permit fee $ Q - _ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBOI VISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome Other - SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home - S G W 615.00 TYPE OF WORK 1� L Uttiilii ies Installationl, Other ❑ New r� Addition 7L-7_ ;rZ Describe work: �`7-2& ✓ \ _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service ?p0A OR LESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification jJ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200ATO1000A1 37.50 NEW CONST. (DWELLING OCCUP.h) OR ADONIS. 1 ACC. BLDGS. 3.63 sQ.ft. NEW CONST F- ULTI.OUT LET NON-RESI D BRANCH CIRC ITS @ 5.00 POWER APPARATUS e (SINGLE OUTLET CIR. ) Ex. Occup( OUTLETS OR FIXTURES 20 76d A Ex. Occup. FIXED OUTLETS PRESIO IREA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g Hood 6.50 Ventilation permit Fee $ Contractor 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 Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permi . X Date Z 7/ Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA ion of structurestover r39storries inehe excavations over 5'0" deep and demolition or construct- Mobile Home Installation Fee Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ O HAz 1 0FEES I IMP I FLOOD I COF I PARCEL I PD I HO ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date lz�By Receipt No. 5�2PERMIT 'WHITE -O. .W., YELLOW-ASSE»OR• PINK -INSPECTOR. GOLOENROn-APPL i CANT 1�I 00, 43 5.0/AC 399.94 395.T3 500 SQ. FT. MINIMUM FOR M091LES A permit will be required for the installation of the mobilehomm PM92-T6 4 _ 1 4.5 0 � 3.. 5.01,4 C w 399.94 .Mts set of plans and 20.0.E �k� '1730th . A. setbaclk of 5'ft. from the Property lines and a setback of 5fl ft. from the road centerline shall be clear' of _ structures or equipment excW for a 2 tt. eave overhang. Location of structures & equipment shall be as shown & clear of- aU Oassernents` 1215.72 kept on the lob at a make any changes ora ,Out written permission Public -Works, County c koTE•— Aff Materials & W*r" Accordance wRecognized bed for the Vf a quality prescribed mbing & M Uniform Widing, " Nafionol Electrical Coda. ,ciflcattons MUS? be and it is unlawful tc, ations on same with` n the Department of wa Shca Ba b- zctices and i use in the I Codes PrA APPROVED �. Butte. county Health ental Environm - - Date��1 I I' Scgnaf ' A. DUG COUNIN .. Ti08ILF't: R} . iTiiPPORT DATA If other than single wide, Hobilehome Mfr. furnish Setup Model No. & J* ZZO Year Width ZS/8�) (ft. ) Box Length Lb (ft.) Tagalong or Expando Sizeft. x ft. 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). FOOTINGS (check one) V5 1. Wood -pressure treated or foundation grade. 2. Other (specify SUPPORTS (check one)1. Concrete block 1Z2. Other (specify) �����MLb Pier Footing Sizes and Locations SINGLE -WIDE Main Beams — — — — — — — — — Line 2 Main Beams Line Tag or Triple Line ] Piers: Size -Min. ------------ Spacing -Max. --------- From Ends -Max. ------- Line 2 Piers: Size -Min. ------------ t Spacing -Mar. ---------- From ---------From Ends -Max.------ Line -1 .Ownit as : Sine -min. ------------------ Z "x Each Side of Openings With Width Over --------- s �r Line 3 Piers: (Under Bearing Wall Only) Sisa=Min-------------------- SPacing-PAX ----------------- From Ends -max -------------- line ----------- Line 3 Rauf Loads: - Size -Min - ------------i'f.". 30 Location (From Front) Line 4/1-iers: R LineS.Piers: (Under Bearing Walls only) Size-Min-------------8lia-Mio`-------------------- Spacing-Max ---------- a-----------------Spacing-Max.--------- Spacing -Haft.--------------- From Ends -Max.------- grpm`End1a .-_-------_---- Line S Roof Loads: Size -Min. ------------ „x .x11 .x11 "x .k 1. ..x Location (From Front)I -BUTTE COUNTY BUILDINGS DEPARTMENT APPROVED BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541 MOBILEHOME INSTALLATION SHEET 1. Owner's Name: IJ�IS(� A iM Q U� --• 2. Installer's Name: Yes'N No 3. Is the site currently under permit? (If yes, furnish permit number !o� - �g� ? OR Is the site an existing site? Yes L___i No (If yes, furnish two plot plans.) 4. Will the mobilehome;•Fbe located at least 5 ft. away from septic tank and leach Yes No F-1 .fields and clear of all setbacks and easements? (If no, clarify 5. What is the mobilehome electrical rating? --------------- l v-rJ Amps 6. What is the mobilehome site service rating? ------------- Amps 7. What is the mobilehome site circuit breaker rating? ----- 0 Amps 8. Is there any other electric load to be served by the mobilehome site service? ------------------------------- - Yes F7No (If yes, identify the load and size: ��f-�L_(IC-a) (Amps) 9. What is the mobil elaome A*te gas pipe size? -------------- 37 (in.) 10. What is the type of gas service? ------------------- Natural LPG 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------------------- Z O (ft.) l �2. What is the mobilehome gas demand? ---------------------- (BTU) vv *(This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) s Butte County Department ofDevelopment Services ADMINISTRATION * BUILDING * GIS * PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538-7541 Telephone (530) 538-2140 Facsimile October 10, 2003 David J. Weisgram Laura D. Weisgram 40 Tessaro Lane Oroville CA 95966 RE: Request for HCD 433A (mobile home on a foundation system) AN 027-100-046 Location: 40 Tessaro Lane, Oroville CA 95966 Dear Mr. & Mrs. Weisgram: The 433 A that was recorded by- our office on October 2, 2003, cannot be sent to HCD for processing until we receive a letter stating that the license decal is missing or if found, surrendered to the county building offices. The recorded 433A and supporting documentation must be mailed prior to the State of California removing the mobile from state license rolls and the Butte County Assessor treating the mobile as real property. For your convenience I have enclosed a letter concerning the decal that you can sign and return. Should you have any questions concerning this matter, please contact Alice Mefford or Tammie Powell at (530)538-7541. Thank you. Sincerely, ,. �al Tammie Powell Plans Application Assistant I NOTES �; '; RESIDENTIAL PERMIT NO. .'027-100-046 — ' --- -_ _�_. 03-2889 ~ . WEISGRAM, LAURA 40 TESSARO LN, OROVILLE ' EX MH PERM FND y - , ` THE HCD FORM 433A FOR THIS MH CANNOT BE -RECORDED UNTIL ONE OF THE FOLLOWING HAS ` y BEEN TURNED IN .TO THE BUILDING DIVISION:' (1) LICENSE PLATE(S) OR DECAL (THE INSPECTOR'MUST RETREIVE). 3 (2) STATEMENT OF FACTS (ONLY ON NEW MH' S). INSPECTOR TO VERIFY SERIAL&LABEL #'S. . .. SPECIAL CONDITIONS CHECKED t7 BY SRA _ i FLOOD CERTIFICATE REQ: FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY ` USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER yj4 .. r •'. JOB FINALED (D Signature J=OK 0 = Not OR = Not Applicable M . =Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements 3. 2. Soils; Special MH Support Sketch Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 3. Sewer; Location -Test -Fall -C/O -Concrete 6. 4. Water; Location -Test -Easement Needed (Sketch) Electric 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 9. 6. Gas; Location -Test -Wrap;-/ P' L'ft. / P Nat. or/ P' L "ft./ P LPG Roof; Shthg-Roofing 7. Well Clearance & Disconnect 12. 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected=C/O to Grade -HD Approval . 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERM9NENT END SYSTEM (ONLY) oning Requirements -Setbacks -Easements Zo--rootings; Size -Spacing -Marriage Line 3. Blocking as; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Watop1ind Sewer Connected* 42TXand Electricity Tagged xits 0. License Decals 11. Verify Ws with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 3�se3s�� 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 POOLS (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 Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 . Date Card B-1 J=or. 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s Garage Fire Protection Framing -RC Channel 1. Zoning -Setbacks -Easements -Flood -Slope 53. 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped Siding -Nailing Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 6a. Hold Downs and Special Anchors Glazing Area -Glass Protection -Skylights -Plastic 7. Slab, Steel -Wrapped Shear Walls; Nailing -Bolts 8. Piers -Fireplace Ftg.-Steel Brace Interior/Exterior Wall Panels 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Insulation -Walls -Ceilings 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test Infiltration -Walls -Windows 11. Water Pipe; Test -Anchors -Regulator -Service Test Card B-1 Date Card B-1 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. Date 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 64. 15. Access & Ventilation 65. 16. Insulation 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection Date Card B-1 Date Card B-1 Date 69. Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Stairs & Rails 17. Water Htr.; Vent -Access -Combustion Air Baffle Fireplace or Stove, Clearance -Hearth 18. Water Pipe; Test & Anchor -Nail Protection Elec. Outlets at Wood Panel, Int. & Ext. 19: D.W.V.; Test Fittings & Anchor -Nail Protection Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 20. Shower Pan; Test, First Floor -Tub Access Elec. Outlets & Receptacles at Kit. Counter 21. Test Tub & Shower, Second Floor -Tub Access Garage Fire Door; Swing -Landing -Closure 22. Gas Pipe; Sixe & Anchors A.C. Duct in Garage -Damper 23. Fire Sprinkler; Test 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection Date Plb.; Elec. & Mech. Equip. Listed for Location Card B-1 Date Card B-1 Date Elec. Receptacles in Garage (F.F.I.)-Romex Protection Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection Guard Rails & Deck Construction -Post Caps 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled _ 27. Romex Installed Close to Edge of Studs & C.J. 84. Stucco Brown -Finish 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 85. A.C. Unit Disconnect, Electrical -Plumbing 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or All Insulated Neutral O Yes O No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates Date 95. Card B-1 Date Card B-1 Date 96. Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Card B-1 Date Card B-1 36. A.C. Ducts Insulation & Support Card B-1 Date Card B-1 37. Vent Fan, Exhaust above insulation Card B-1 Date Card B-1 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) _ 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. 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 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor El Yes _ 83. Following Instld./Drive O Yes O No/Walks O Yes O No/Planters O Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler 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 BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 -- - ` 7 County Center Drive • Oroville„CA • (530) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. 'S A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, ' please contact this office immediately. _ i/)A,1n r COUNTY CF BUTTE SERVICES �T OF DEVELOPMENT WILDING DIVISION I Underfloor Plumbing Underfloor Electrical... Underfloor Mechanical Stucco Lath Scratch and Brown 777� DO NOT OCCUPY UNTIL ALL THE ABOVE IS SIGNED AND THE BUILDING OR MOBILE HOME IS APPROVED FOR OCCUPANCY ::Adore§sesliiformation 24 Hr`Insp;: 538-7636 Oroville - 7 County Center Drive 538-7541 Chico - 411 Main Street 891-2751 891-2834 Revised 7f94 NOTICE d in a safe, conspicuous place. Do inspections are made and ''II required for occupanc y. Plans must be approved available 027-100-046 03-2889 A.P. No. — WEISGRAM, LAURA 40 TESSARO LN, OROVILLE Owner - EX MH PERM FND Contractor Permit No. PERMITTEE MUST CALL FOR INSPECTIONS Underfloor Plumbing Underfloor Electrical... Underfloor Mechanical Stucco Lath Scratch and Brown 777� DO NOT OCCUPY UNTIL ALL THE ABOVE IS SIGNED AND THE BUILDING OR MOBILE HOME IS APPROVED FOR OCCUPANCY ::Adore§sesliiformation 24 Hr`Insp;: 538-7636 Oroville - 7 County Center Drive 538-7541 Chico - 411 Main Street 891-2751 891-2834 Revised 7f94 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754 P (Rev.12/96) APPLICATION AND PERMIT 3 Zft ASSESSOR PARCEL NUMBER 027-100-046 ZONING A-5 BUILDING PERMIT OWNER WEISGRAM LAURA.OWNERS TE EPHONE 99 SO. FT. OCC. BUILDING VALUATION MAIUNG RESS �+S TESSARO LN OROVILLE 95966 1702 R 91 908.00 CONTRACTORS NAME OWNER lily TELEPHONE CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER UCENSE NO. Filing Fee $ 20.00 Permit Fee $ 301.75 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 2 .00 BUILDING ADDRESS 40 TESSARO LN OROVILLE 95966 Energy Plan Checking Fee $ $ PERMIT FEE $ 344.75 LOT NO. SUBDNISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Ublities ❑ Installation ❑ Other ❑ Describe Work: EX MH PERM FM Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I v`/ @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 800VOR LESS Main Service 2o.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.P License Class LIC. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION I 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 ifthe permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall rthwh coply with those provisions. r � �S J ^� Date W _ ;na�tureofitLpplmicant -,M Owner ❑Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in h fight. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. so OR ADDNS. ( a ACC. UDS. 3.50FT; LyRDE ,o ' MULTI -OUTLET @7,50 OWER APPARATUS S SINGLE OUTLET CIR. EX. OCCU OLm ET OR FIXTURES BA.500 @ 1 Ex. Occup. ..ED R= D,DE,5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 394.75 HAZ. D FEES IMP f CDF PARCEL PD HD 5S 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. ` #U' n Date 7 MIT EXPIRES ON 1 7De Receipt No. jV7 WHITE-D.D.S.-B.D. CANA -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I/ ..1�. , . +.�,'-... .... �'..�,..- � ...>j.r4..: r ��. a.-.+'1,.�+J�•....�+".v''"r- ..MrS �i ,J `. ,,,,., !y� jrj..,., . � i•y4, ' ��.. _ w:u.....�. ., COUNTY OF BUTTE -DEPARTMENT O O ENT SERVICES -BUILDING DIVISION '. 7 County Center Drive, Oroville, CA 5965 Phone (530)538-7541 Fax (530)538-2140 s PERMIT APPLICATION DATA SHEET OWNER:L �U f G�. (� t�� SCl f/� 1'V� ASSESSOR PARCEL NUMBER . _ Q ! ' /00 w 0 Proposed Building Use: EK V4 �I �✓i'%1 f /!�(' Counter�echnician: Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. -oil. plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! �. � nergy compliance design and supporting documentation in duplicate. Manufactured.hones: (A) Data shee s and installatidgi instructions, (B) Marriage line information, (C) Floor Plan, (I6)15e down or /foundation plans,.aa in duplicate. } ui dings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be -,indexed and returned to the plan review line-up when required items are received. Date Received {) By ❑ 8. Flood'Elevation Certificate, wet -stamped and signed, in duplicate ................................ .❑ 9. Plot plan and business license approval from the City of Biggs .................................... 'p 10. Letter of intent for non-residential buildings....................................................... .<.,�0.:=1,1. Detached Accessory Building Form filled out by the owner ................. ..................'.. ❑ 12. Hazardous Material Form.............................".................................................. ❑ 13. Other iRe aining items needed to issue the permit. (May require additional plan review upon receipt of the�following items.) 14. Fces as shown on the attached"Schedule of Fees Due Sheet ....................................... _ ❑ 15. Statement of Intent for Non -heated and A/C Buildings .....................................:....... _ ❑ 16. Sanitation and plot plan approval from the Environmental Health Department in ❑ 17. City of Chico Plumbing permit......................................................................... _ ❑ 18. California Department of Forestry plan approval ❑ paid. Sent by: ...................... ❑ 19. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: ",C] 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... �2�Ntr Encroachment Permit for driveway from the Public Works Dept. (construction approval pr' r to occupancy). e -Inspection for 1'T1 . l� • ►�( /Yl /} , required.... `�` -L.. D -` ❑ 23. Contractor's license information. (Number, Name Style, Classification)....; . ?�..:.. Q7 ❑.�j4. Worker�s�Compensation Carrier an Policy Number ... .........:.......... ��.. �? ..j:..(,/.✓*`�(�' IT' 5. Owner -Builder Verification (❑ iven to owner, ❑ Mailed to owner)........ l� ❑ 26. Letter of Signa a authorization ........................^::................... l�-` .........?' IYXV . ❑ 2 Recorded copy of A cultural Acknowledgment Statement........... �........ r. ..... ...... ❑ Manufactured h e utili learance.................... �' ............................ ..... / 0.2 isf ` ""violatio or-expir d pe a �`..:...._.... ...... ..... `i GU I.H. Title/Statement of Facts, orm a al Owne , eck to H.C.D. $ G1 O 3 Other: When issued Telephone T and hold for pickup. I�have been informed of the above items and requirements for obtaining a building permit: / G ` Applicant: �� Date: 1. Index permit application for the above items numbered: Plan Check Letter 2. Additional items required • Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, d counter, by Date. Contractor, designer, owner, `as advised of thea ve ata by phone, ❑ mail, ❑ couQt�e�r, b,Y Date Plans reviewed by: l.Ci Date: ?J' Plans approved by: 1 V `-y Date: Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division gOUN7 OF IBUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 9 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 2,R►�9� APPLICATION AND PERMIT ' - J jj WC IiUF . M-2 JER's ADDRE65i OR ENGAD11RECT bR ENOWEFRS MARJND ADORES LOT NO. SUaDNIS1ON5 NAUIE USEOFSTRUCTURE SF ❑ Duplex ❑ Mrobilehome ❑ Other SO. FT va Permit Fee Plan Char -kin Energy Plan BUILDING PERMIT OCC. BUILDING VALUATION S PERMIT FEE S PLUMBING PERMIT Feng Fee Each Trap Solar or heat um water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK Gas piping system 1 - 5 outlets 15.00 New ❑ Addition ❑ Remodel ❑ Ufiribas ❑ Installation ❑ Other ❑ Building sewer 15.00 rv�, —/ Mobile Home S G W @20.00 Describe Work: � 6 20.00 20.00 PERMIT FEE I $ ,- ELECTRICAL PERMIT lFifingFeel 20.00 Main Service =,0,,, LESS 23.OD Main Service ( - To +nooA ) 1 1 46.00 I Fr_ Oftmin 1 ounfT OR FWrUAFB 1 I I ,; 7 _._, Temporary Service I 23=0 Mobile Home Facilities 1 20.00 PERMIT FEE I S MECHANICAL PERMIT I Ffing Fee 1 20.00 6.50 PERMIT FEE I S Mobile Home Installation Fee $ Energy Inspection Fee $ o" `oma' TTPE TOTAL FEE $ MAZ. I D. FEES [UP I FLDCjD CDF PPD = SUE 1 � 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 PERMIT EXPIRES ON Date IEaioI IasO-100hVQ: Main Assessor Name WEISGRAM DAVID-J & LAURA Asmt # Fee # 027-100-046-0001 D �+ F — Status JACTIVE Status Date Addrl 40 TESSARO'LN �T.. ._,_._ ,__ Tax 000 NORMAL OWNERSHIP ITRA 092 000 Addr2 OROVILL'E;CA 95966 r r Situs 140 TESSARO LN PALERMO Addr3 1 Base'Dte Addr4 { t - - - — — �� Land 54,631 J Timber-Preserve Structure ' j _•3,589; �J AgPres Fixtures 0 Comments 2710004600 CONVERTED 09!08!88 d J Etal'' treating D oc#j 1981 R 2633421 Date Growing = 0; J Notes Current Doc#Date 02128/1993 J Bonds Total L&I 58,220, Fix. R 0, r Killin Doc# Date 9, Multi Situs r Flagl MH PP Q ' As_mt Desc OF.F SHE-YO LN .' SuplCnt J FIag2 PP _ 0; Zoning A5 00 Dwell 0 r 910 MH Exempt 7,000, J Net 51x220 'Acres/Sq Ft 20.03' N!C 027 Asmt PP Pen r Tax PP Pen R!G# J Appeal Pending T/R.Dt '- "_ ---� Split Pending RIC Stat___•] _ . PHY _ . ,OWN` II EXP II TAX HON III . ,ATT --11 SIT,._ III APR, PCL fi ► II1DA_Find' Ir&IF14 -- — _ — 2003 1 sa, 07(25(2001 3:27:21 PM 0 I RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 02 -Oct -2003 2003-0069259 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, 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. LAURA D. WEISGRAM AND DAVID J. WEISGRAM REAL PROPERTY OWNERILESSOR 40 TESSARO LANE MAH.ING ADDRESS OROVILLE BUTTE CA 95966 CITY COUNTY STATE ZIP SAi1f INSTALLATION MAII.WG ADDRESS, IF DIFFERENT SAME CITY ,{� COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE ZfP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT—.; "I'lldCERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE 03-Ii288 530 538-7541 BU4D TELEPHONE NUMBER S?(vN OF LOCAL A OFFICIAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE NONE DEALER LICENSE N0. SKYLINE HM INC. 1992 OAKMANOR OKM2204 MANUFACTURER'S NAME DATE OF MANUFACTURE 0670016OBF/AF 66�X26t MODELNAflnN BER SERIALNUMBER(S) LENGTH xWIDTH ULI34 839/40 MAL PROPERTY LEQALMCREMON AssEssOR's PARcEL NUMEER AP # 027-100-046 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY- HCD PINK - Applicant GOLDENROD -Building Dept. Exhibit "A" Par` A - Parcel - 0 S ®9 Parcel. 4, as shown on ; Lot 22 "h;"IP_ tat certain Parcel Map being in the f °f Subdivision 94 of the Palermo Citrus Tract'-, of Office of the Recorder, County 'of Butte California, on June 3 filed 76. 1983 ir. Be,i- 92 of Parcel to eState of ?s, at page RESERVING THERE171ROu egress and a non-exclusive easement for ingress and - sac shown as public Lane u soses over the 50foot shown on said Parcel Maus cul -de - to herein. Said ear:ement to be for the benefit inure appurtenant to the remaining land of the Grantor hereinpandfshall inure to the benefit of and may of and hereafter become the owners y be used by all persons who may appurtenant land. of any parts or. portions of said Parcel a: Non-exclusive public easement, 60 feet in width for ingress and egress and public utility purposes over Parcele 1, 2 and 3 and Tessaro L the North 60 a portion of Lot 22 ane, as shown on Parcel feet of Tract" ..MaP of Subdivision $4 of Ma being filed in the Office of the pA the Palermo Citrus State of California, on June 3;,-1983 corder, County of Butte at page 76, and 60 feet in d fOz Book 92 of Parcel Maps, Public utility purposes. i ingress and egress gress and Parcel C: A non-exclusive easement for road and public utility Purpaaee; over the North 40.00 feet of the following described Parcel 1, as shown on Parcel Fgao ' parcel: Tract Subdivision No. 4, which [la of Lot 21 of Palermo Recorder of Butte Count P Was filed [.n Catthea Book 82 of Parcel Maps, at state of Californl,� the Office of Cate Page 23. Af-r i l 7, 1981 In Parcel D. A non-exclusive easement for road and public parr2aEcs following described property: c" over the All that real property oitu,ated in SeceO®n Il® Range 4 East. M.D.M.. being a goreuu^: of Parcel Wn�yagl on that certain Parcel Flap €d tee£ in !q •. o 1® i�si?CBa, in the k 8., of oU shown Office of the.+ Rut:te countyRe e;. Map., �t 1aA�jc 2� described as fuIIowae ctaet,.p ,acad t^e.re azE Ea- 9cas0.etrly BKG1NNdWt' a1 tho Morthcact „a364R�+6 �� vlta9e9 P• Southenotarly nlont' .the East line ®P mee£e9 F, Ore C. 00" Eact 60,00 �rcepD 3 StateQFaa FEO°a��® fact; thence 10,Av£ng ®ea [:9 Pare 6 0.tte, ouchweat000 dFt� Wcote 383 Glia fe©e NC�tEit;ea" er°aEE �+aia3 P�:arccl 1 "mirth 891' a Northerly nlon itcero *f sA", tlarcot �® m® fact; thence [eav[t,tg� nn'i 9P Want in -3 in��tEe� 3° 4iB° 0�i° t?e2 the NOrth line of ante. Pbecrl +aPc[0 0 ®AOR® 'Eeot to the F;c?®t Fine of anie4 P«:a[rdCh31), !Eo a?cfl pmea.,O4%4 wit said Wean line No [t9► UU° wa9` 0 61 Gl9^ P%e® • ���4+$ on Ed Wort lints ranted. ont9 g�C+� E�Pe�4,.r19 `arCB9��D aD��ty Parcels ? 0 b l0ea►ce D.e.1%+fnq and 3, fig0 feel. �Ye[cp ► Eaax+ '� EOa 0 ieee t€ gDvY aay of that certtaln 40 p.,5: ,. O,o.�g t., too PNwf-tty at U r iP� chi -cVn a.g 4p�,es[c�D r No4d ear rl:tG Of Palr_•[mrrr C4t.[:yg Tract rut:�tilcolR6.bn c�. 4, iG [n tate Ca,ice °f the ntpkta? cd, i t 0p9 � �nD 4 Pett, Nucki f [t( FiiittP.t)p Fy ritilIt tat: Wit + tpttt l iCv�?'tsr`e a e'u t_P4f Q:r r edi4pt6o��ep�s ne it said 0`�Yet, t b 't.@ tib,":G:? ,_� lino. 200 .t F .og Ftcp;6.«Q @.tit, to P:69[r fo(: tiSurt? Z3? !n:>Jo : . :*�f'R.l% t%GE.:a ! tel k�1t+ F:'tail:I `� eJ�56c.. hvv�'s�C�A et"D Or, oocumCNT Building Permit Number: 03 - 30 30 Owner Name: we/Sodra k , Residential Construction Re uirements IMPORTANT This set of plans and specifications MUST be kept on the job site at all times and it is unlawful to make any changes or alterations on same without written permission from the Building Division, County of Butte. All materials and workmanship shall be in accordance with recognized good practices and of a quality prescribed for the specific use in the 2001 California Building Code (2001 U.B.C), 2000 California Plumbing Code ( 2000 U.P.C.), 2000 California Mechanical Code (2000 U.M.C.) and the 1999 California Electrical Code (1999 N.E.C.) COMPLY WITH ITEMS CHECKED BELOW _;c;y Your parcel lies within a designated 100 -year flood plain. Finish floor, electrical, ~' �fi H.V.A.C. equipment and services shall be a minimum of one foot above the elevation shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate will also be required Note: We will normally accept the following as compliance with the flood elevation requirements: 1. Building is'anchored to concrete stemwall system with conventional anchor bolts. 2. Building plate on top of stemwall to be one foot or more above the 100 -year flood elevation. (Plate height less than 24" above grade, or engineered 3. Electrical, heating, ventilation, plumbing and air conditioning equipment and facilities located above the plate. 4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total net area of not less than 1 square inch for every square foot of enclosed area. 5. The bottom of the openings shall be no higher than 1 foot above grade. 6. The openings may be screened or covered with other devices that will permit automatic entry and exit of floodwater. Page 2of 2 Building Permit Number: 0 3 —30 3p Owner Name: (A,)<e,'Sa,,,, r Parcel lies within the State Responsibility Area (SRA). Comply with attached requirements. Fire sprinklers are required in this structure. The following parcel map requirements shall be met: All structures and equipment including overhangs f all A setback of '% feet from the side and eet from the rear earear n ro easements. rty lines and 2 feet (25 feet if Federal Aid Route) from the edge of the right of ay hall be clear of O structures and equipment except for a 2 foot overhang. Expansive soil may be encountered on this site. This condition may require the foundation to be designed by a California registered engineer or licensed architect. k Cpm , iM ap m/ l M co o cIX (D Q �1 _ CD R 1 m ^� . E iJV ca CD .*-oM7p- i SSA Ti C V� q n v n � o z r s LA �� ,> i SSA Ti C V� q n V� q n . .. ....... /Ute C -t+ Ic � ' a,r LIJ c>z- C)'o 14 03 /Ac - T -c- H FP-c:)m pj 3, .e, r3TAiaE� SCALG ;Zo PA -r-H AT S H c--: eT-, -T-Hpt J\) ic-- Vov. 8tri-TrE DEPAR7ME."" R71 1 15'. CS30 15 --2 C? ------ v9 -LAuk'll WE -1567 R -4M 6q(, L40 —FC5S/-Ieo Lt(-OICOVIL- oz,7 - oo - oq(, 4_y ` M TI G PLYWOOD CC EYT. en FRMM(z _ ' CLIP _ V-M-STRI ST146ER. 48'o cr. MAX.. , 12'x IT P1EfS '' `TOP VIEW IF• M.e. ' 1� . " H hUDRAIL~ N T SHOW W • FOR CLARITY. Um 2"x(o• DECKItJG '(Alia _y, BOLT ' �paaA Z4-,tv DF"z•,,� lye GIRDERS Td G PLYWOOD CC EKT. d ` MOBILE NOME . OR DECK X. CLIP (ER. DE 9'MIN.`�y MAA 4•x4• POST . • r �--- GUAR©RAIL2DF.� Tor- 2°%4" PRESSURE 84t R0Wo 0PIArE � • � �- ��ECKIkJG' e'MIN. -T3 � � l ' • � OIRDER . ;� 1 H W PRECAST IER 4k4• POST I �� APEQU4TE' DIAGONAL Of MTS R S13 `rN° L3- ST�/�S Aiv%LQ,ECK 1►1 BRACING. »� t TrYPI Ci4L n/%1 • .. �� - • ' ,)COUNTY=OF Bt�:TT I — DEPARTMENT OF PUBLIC WORKS Callromle SM5 s it 7' Counl�i Cenla Drive — omv111e. q Sb i!%iig 14%1 "MIN. FOOTIN6 Telephone: OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit No building permit' will be issued until this verification is received. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES* NO ❑ . .. . I HAVE HAVE NOT ❑ signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction: �M ME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSKNO. . I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED:�- PROPERTYO� 4J� 6 DATE: a 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 OVER OWNER BUILDER INFORMATION Dear Property Owner. 0.A - 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 i 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: I ♦ If you employ or otherwise engage any perms 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. ♦ 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. 1 ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific mon about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Adminismation). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building a permits are not required to be signed by property owners unless they are performing their own work personally. Infoffiation about licensed contractors may be obtained by camhacfing 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 retmned I�iic 1 C. Vi ira, C.B.O. d er, Building Inspection ! NOTE: ?Isis Owner -Builder Information is regr&ed by Section 19830 of the California Health and Safety Code OVER i W msµ' ' Building Permit Number: Q 3 — Z eg� Owner Name: Residential Construction Requirements IMPORTANT This set of plans and specifications MUST be kept on the job site at all times and it is unlawful to make any changes or alterations on same without written permission from the Building Division, County of Butte. All materials and workmanship shall be in accordance with recognized good practices and of a quality prescribed for the specific use in the 2001 California Building Code (2001 U.B.C), 2000 California Plumbing Code ( 2000 U.P.C.), 2000 California Mechanical Code (2000 U.M.C.) and the 1999 California Electrical Code (1999 N.E.C.) COMPLY WITH ITEMS CHECKED BELOW 01 Your parcel lies within a designated 100 -year flood plain. Finish floor, electrical, H.V.A.C. equipment and services shall be a minimum of one foot above .the elevation shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate will also be required Note: We will normally accept the following as compliance with the flood elevation requirements: 1. Building is anchored to concrete stemwall system with conventional anchor bolts. 2. Building plate on top of stemwall to be one foot or more above the 100 -year flood elevation. (Plate height less than 24" above grade, or engineered design required). 3. Electrical, heating, ventilation, plumbing and air conditioning equipment and facilities located above the plate. 4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total net area of not less than 1 square inch for every square foot of enclosed area. 5. The bottom of the openings shall be no higher than 1 foot above grade. 6. The openings may be screened or covered with other devices that will permit automatic entry and exit of floodwater. Page 2of 2 Building Permit Number: Owner Name: wei S9 ra.r►1 Parcel lies within the State Responsibility Area (SRA). Comply with attached requirements. , Fire sprinklers are required in this structure. The following parcel map requirements shall be met: All structures anqw ment including overhans�shall be clear of all easements.A setback of etom the side ander Sk'Vet from the rear property lines and 20 P Y feet (25 feet if Federal Aid Route) from the edge of the right of way shall be clear of structures and equipment except for a 2 foot overhang. Expansive soil may be encountered on this site. This condition may require the foundation to be designed by a California registered engineer or licensed architect. PLOT ciq - A- C- -3 9 Q. e-?14- 3 9q. Q4_1 NOT E: Sole the aftached idential Construgtign Rmauiroments 7 — Pages 0 3-Z BUTT CO 14U11LDING DER 4 p P R 0 p0.1 -1-c- H LEr M C- A c c— Z. o Ivi -r-H 01T S 1 -T- S H C- OT-, � 1\3 i<-- ,\/Ov -DA V� 'LA uc-A vjc-tSC-1jeA10 3 2 -q �qq L40 L..t,( —O(COV�Z-L4 q>1.d 7oallv6, A -,5 I t�:. i�' A, KI! -7-6 P(-/'7-' A4, �-L OIJ PC=RA, [.A I \�� �A�2K►rl6 Mum I -r C?4/ �() (11 P5 )- 4- o - c' y� VI 0 j P BUI !EE OUNI r BUILDING DE PARTM':: 4 P P R 7.)V I—BA-0-wil BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS ..7,County Center Drive, Oroville, CA PHONE: 538-7541 MOBILEHOME INSTALLATION SHEET 1. Owner's Name: uk5djk 2. Installer's Name: 3. Is the site currently under permit? Yes No (If yes, furnish 'permit number ga - �g� ? OR Is the site an existing site? Yes No L j (If yes, furnis-b two 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 F� (If no, clarify 5. What is the mobilehome electrical rating? ---------------i Amps 6. What is the mobilehome site service rating? ------------- ZO-O Amps 7. What is the mobilehome site circuit breaker rating? ----- 0.0 Amps 8. Is there any other electric load to be served by the mobilehome site service? ------------------------ ---- --- Yes No F-1 (If yes, identify the load and size: °L/�; Lc ad) _J& COLO (Amps) What is -the mobi-10hpin$y:; tegas ,pipe size? -------------- 3jC r.t; iLc.anri% •s R't%a (in.) What is the type of gas service? ------------------- Natural LPG Whate gas pipe length from meter or tank to.the ------------------------------------------ mobileh�o��m, e�� --- Z o r What is -the a mobilehome gas demand? ---------------------- *z(#Thfs information not required if pipe length less than 6 ft. on el4,M na ural gas or less than 50 ft. on LPG.) (ft.) (BTU) M0B1iX ,Q,1E ;iUPPORT DATA If other than single wide, Mobilehome Mfr. �(Jt� ; furnish Setup Model No. 61ZI* ZZ.Dfj� Year h'idth zS` (ft.) Box Length] (ft. ) Tagalong or Expando Sizft. x 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). FOOTINGS (check one) 1. Wood -pressure treated or foundation grade. 2. Other (specify SUPPORTS (check one)D1. Concrete block 2. Other (specify) Z4 _T Pier Footing Sizes and Locations SINGLE -WILE MULTI -WIDE Line 2 Main Beams ---� Line 2 — Main Beams Line 2 Tag or Triple Lit.,? ) Piers: Liao I;Og"IM: Size -Min - ------------ size -Mia. ------------------ Z „x Spacing -Max. --------- Each side OY Openings From Ends -Max.------- With Width Over --------- 14 'r Line 2 Piers: Line 3 Piers: (Under Bearing Wall Only) Size -Min. -•--•----- „:. 30:, 81a64Mia. --------•-•---•- �c , Spacing -Max•--------- ,_ 6 Spacing -Naz---------------- , „ From Ends -Max.------- From Eods-Max.--•-•-------- „ line 3 Roof Loads: Size -Min -------- 3011-30 -x36 �zk,-36"jA­.ZA- 2$".,7_4" 0-ZA^ k J }tL cation (From Front) _ O Z.� �-%-1-31-o Jar_ , �.- ,• rr old Linc -W! iers: v Line13 Piers: (Under Bearing Walls Only) Size -Min -----•------- silte'Mio. �./ (1 ��`S,.�P�ae%ing-Max.--------- 8paclag-Matt. ro Ends -Max-------- _ From -wa-Max.------------ �ae ]Line /5''j`Roo t Loads: -Min ------------- tion (From Front) WPM t' 2'x 2'x 3/1E°A 3/8° CAD PLATED SOLT, NUT A WASHER STEEL ANGLE COUNTERAORED FLUSH WITH 83TTOM AT 8" O.C. (8) REQUIRED 1/4" STAND BASE CHASSIS FRAME 1/40 GRIPPER PLATE (2) REQUIRED ,.1/4- GRIPPER BASE 1/2-13UNC—A307 x 4" BOLT WITH NUTS (4) REQUIRED E 01 1t2° SCH 40 PIPE RISER WITH I 01/2 ADJUSTER HOLES AND 3/8 - THICK TOP PLATE I 02" SCH 40 PIPE STAND WITH T1If0 x- 01/2" ADJUSTER HOLES x AHE3CQ ABS PAD X503 � a STEEL FRAME SEE DETAIL "A" T - ASESCO ABS PAD #503 36' MAX TO BOTTOM OF PAD f1/2'x 3" C.R. LOCK PIN wnm 01/8" BRIDGE PIN COACH "C' FRAME 2" CHAIINEL 1/4"xi-1/4" TEK STS (2) REQUIRED 1/ BAS'EP� 1/4- GRMP:R PLATE i/2" A307 BOLT--' (2) REQUMEO 3/8'x G"x 5, STEEL PLATE 1/2- A307 BOLTX.P=—REAN (2) REQUIRED ATTACHMENT -10.00 O T- 10.00 08/16 HOLE (TYP)� STAND SASE TOP VIEW �11oIrc TUF--1 PERMANENT FOUNDATION. SYSTEM ABESCO-GUS GUAM COMPANY 5851 R DRW - PERMS ROAD SACRAMEM, CA 95823 PH: (800) 382-8831 FAX: (916) 383-5207 1 793 n COACH "J" FRAME 1/4"x1—i/4' TEK STS (4) REQUIRED 1 /4" GRIPPER BASE 1/2° A307 BOLT (4) REOU[RED 8' 1/2- DIA_ HOLE (8) PLACES { + + �— 30' J STEEL FRAME TOP VIEW STATE APPROVAL g >� A WAYNE T. POLVADO, 1 of 3 GEN WL NOTES GUS G [AM TUR L 1. DEMS LOADS: LIVE LOAD - 30 LB. R DOOR LPIE LOAD - 40 PSF WIND LOAD - 80 MPH EXPOSUP.E 'C' SEISMIC ZONE '4' * SNOW LOAD 100 PSF (S££ 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 SHAD. BE LOCATED AND SIZED FOR THE LOADS AS SHOWN IN THE "08WE HOME JNSTAUATION INSTRUCTIONS'. 4. IN AREAS WHERE DIFFERENTIAL SETTLEMENT (D.S.) CAN OCCUR, MANUFACTURED HOME SHALL BE READJUSTED WHEN DS EXCEEDS T/4', OR WHEN 17 %NLL ADVERSELY AFFECT MOBILE NOME 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 MATH LOCAL SOIL CONDITIONS. COMPACTED SAND MAY BE USED TO FILL LOCAL VOfDS UNDER PADS. 6. STRUCTURAL S_EEL FABRICATED ACCORDING TO RISC SPECIFICATION. WELD ACCOROING TO AMTS SPECIFIMmKS. EIFCTRDOES-310 PLATES -ASTM A36 BOLTS -SAE OR 5=;ASTM A449=ASTM A3725. 7. THE GUS GUARD ASSEMBUES SIMWN ON 1HIS PAGE SHALL BE LISTED AND LABELED BY BSK AHD ASSOCIATES FOR THE FOLWWMG !AADS; A=K&BLB EAIM' HORIZONTAL VERTICAL GUS GUARD TUF-T 2200# 6000# GUS GUARD MGP PAD 2200E 6000# GUS GUARD E -Z TIE PAO 2200E 6400* 8. DURING PRELIMINARY INSPECTION, THE ESTIMATOR SHALL ENSURE: THA„T... MOBILE HOME CHASSIS BEAMS ARE OF STANDARD SECTICN. S. EXISTING COACHES MAY BE RETRDFITTED TO RESIST SEISMIC FORCES BY INSTALLING GUS GUARD TUF-i UNITS AS SR01YN ON THIS PAGE OF TrPICAL FOUNOATJON PLANS. 10. THE GUS GUARD 7UF-1 SYSTEMS ARE SAFE FOR INSTAILA"ION IN FLOOD PLAIN AREAS WHERE DEPTH OF FLOODING DOES NOT EXCEED THE HEIGHT OF THREE FEET. 1E. FOUNDATION BL9CKS 16'x 16"x12' POURED IN PLACE AT GROUND LEVEL MAY BE USEEO AT RSTAILERS DISCRETION ALTERNATIVE TO PADS. SINGLE WIDE COACHES DOUBLE/NULTIPLE COACHES E= 2' MIN. / B' MAX. E= 2' M111. / I1' KAX. S= 6' MIN. /16' MAX. S= 6' MIN. / 22' MAX. VAFIES IW -70' (SEE TABLE ON SHEET #3) E�S_ olm-- g g----r}� E u . u u ❑ ❑ ui GE BEAM SUPPORT AS SEOUIREC BY MANUFACTURER ❑ O {TYPICAL) ❑ C Fl El Li❑�- J 8'. NOM1. El ❑ L ❑ ED IoM. Fj El, , El PADS IN AVY PAIR MAY BE 1 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) 9 11. MULTIPLE UNIT INSTALLATION IS ACCEPTABLE PROVIDED ' L'np THE NUMBER OF lUF-1 UNITS UNDER EACH UNIT IS Jx THE SAME AS SHCWN REQUIRED PER EACH UNIT. �fi 12. SI11GLE-WIDE UNITS RMIRE ADDITIONAL RESTRAINT. _ (SEE SHELL' R) 13. ALL MET& COIPOIIENTS ANJ1 ATTAmMITS MOMS MALI BE PROTECTIVE COATED. 14. WHEN CONCRETE SLAB 15 IN EXISTAHCE, PAD IS NOT REQUIRED. ANCHOR STAND TO CDNCRETE SLAB VATH FOUR (4, t/2'x 3 1/2' EXPANSION ANGORS. 15. GUS GUARD TUF-1 FOUNDATJON SYSTEM PROVIDES ALLIDWABUE SNOW LOM TO IOD PSF WHEN INSTALIEO WITH EXISTING STANDARDS REQUIRED BY COACH MANUFACTURER OR REPLACE THEM ON A ONE TO ONE BASIS. F-) PERMANENT FOUNDATION SYSTEM ABFS00.OU8 GUARD COMPANY 5851 FLORIN- PERKM ROAD 3ACRAbRE'd n D, CA 95823 PM: (800) 382-8831 FAX: (916) 383-5207 J WAYNE T. POEN `NO.'.F94249 SHEET 2 of 3 w �u .51 H w w ti m cv U') M CDm Lo m N 04 m CD CD N I - un cn m 1/2"x 3 1/2" 1/2-x 8- LONG EXPANSIONANCHOR ANCHOR BOLT (4) REQUIRED (4) RECUIRED '':..r Vii,' �; •! CONCRETE PAD INSTALLATION CHASSIS FRAME 1/4- GRIPPER PLATE (2) REQUIRED 1/4" GRIPPER BASE --- 1/2-13UNC-A307 x 4' BOLT WITH VUTS (4) REQUIRED 91 1/2" SCH 40 PIPE RISER WITH 01/2" ADJUSTER HOLES AND 3/8 - THICK TOP PLATE 02" SCH 40 PIPE STAND %ITH TWO 01/2" ADJUSTER HOLES ARESCO ABS PAD #503 STEEL FRAME 3/4" DIA. x 18" I.C. (4) REQUIRED 3/8" CAD PLATED BOLT. OUT a WASHER C0%iNTER BORED FLUSH WITH BOTTOM AT B" O.C. ` (8) REQUIRED POURED IN PLACE 16xl6xl2 CONCRETE FOUNDATION INSTALLATION 36" MAX TO BOTTOM OF PAD 03/2-x 3 C.R. LOCK PIN WITH 01/8- BRIDGE PIN I A, P. -go LIGHT HEAVY—WEIGHT PLASTIC PAD INSTALLATION HIR14--IRDS UNLTS SR am TIIDB UNM Gill a wl OF HOME EMWM OF WIDTH OF ROME HOME 24 2$ HOME 10 1 t6 B a 8 P TO 6 B 8 44 -i 12 18 4t'-1 6i B 8 8 ao a 1 20 24 �e'-1• i� so 10 to to lD NUMBER OF TUF--I REQUIRED NUMBER OF TUF-1 REQUIRED NiDTEt SINGLE WIDE UNfTS REQUIRE (4) E -Y TIE PADS. GUS GUARD TUF-t PIERS ARE TO BE PLACER AT APPM M 'tLY EQUAL INTERVALS ALONG EACH FRAME RAIL c.a •.f` ',c T OF 4si:Gc ';TUE-1 PERMANENT FOUNDATION SYSTEM ABESCO.OUS GUARD M&AW SflSI FLORIN -PERMS ROAD SACRAMMM CA 95823 PH: (800 382-8831 FAX: (916) 383-3207 W- �:,F a WAYNE T. a STATE APPROVAL r;J4'L�4Y�* SHEEP 3 of 3 O.B.- I OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide th major labor and materials for construction of the proposed property improvement: YES NO ❑ 2. I HAVE HAVE NOT ❑ signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide. portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: 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 OF WORK SIGNED: PROPERTYOWNER: SOCIAL SECURITY 1 DATE: 5-1-03 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, OVER OWNER BUILDER INFORMATION Dear Property Owner: O.A- I 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: ♦ 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. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed 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 rely, Mic 1 C. Vi ira, C.B.O. M er, Building Inspection NOTE. This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code'. 1 OVER