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HomeMy WebLinkAbout027-110-026T'`*j..., "' 4, -..:.tea •— -..,�,,,,r:�;�-:,;,,�„- ....---+vr�+ v.....•._-.,,.r,.:�ey _ a1.e 27-11- + `r /� Thomas Su ton „� I Vzi SE corner ,f Putman Ave. & Grubb'd.._, F Palermo #; Permit #5105 79P,E( Sil. , GASQ SUP ORT STRUCTURE"OPEQ COMPACTION TEST Q. �!J Contr•Earle Towne, Paradise Pert#1480- OMH Is ued ,3 r.2:z Wc) 27-11-26 contr: Bond Mobile Home Serv., Oro. Permit #5005-80B(new•-carport & awn./MH Permit #547-81B(new pti.det. garage) . v 1,' •.asp+ .�t 027-11-0-026, NAX MJ 4 JKUV- ',, ,sf ' . y�. li- 3129 GRYBBS RIADM- IWKKE _ _ _. ERMIT #95=2249(OPEN DECK)MH,LWHEELER , FINALED 11 6 027-11-0-026 96-1007 B r� KLIX; Max i{ E/4L 5 X3:120 -Grubbs -Ro=ad`; -Pa'jermo - (new open deck/MH) -1 h 1306-2;45 Wi-s5v-e(l 6.RESIDENTIAL ` MOBILE HOME Pobile Hom'e FS120 GRUBBS RD KLIX, MAX1661-0095 r3 • �r u .7 (-cam r-- RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 2006-0053248 Recorded I Official Records I CoButtef OMM L GRUBS I County Clerk-Recorderl I 1 612:55M W -Oct -m I REC FEE M W CONFORMED COPY 1.00 AN Page I of 2 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. MAX FLIX REAL PROPERTY OWNERILESSOR PO BOX 6 MAILING ADDRESS PALERMO BUTTE CA 95968 CITY COUNTY STATE ZIP 3120 GRUBBS RD. INSTALLATION MAILING ADDRESS, IF DIFFERENT PALERMO BUTTE CA 95968 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 06-2345 (530) 538-7541 BUIL N PFRMITN TELEPHONE N MB !o � 6v S NA URE OF LOCAL fENCY OFFICIAL ATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. LANCER HOMES 1979 UNKNOWN MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMUNUMBER S26246A/13 60'X 24' 134221/2 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER 027-110-026 HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK -Applicant GOLDENROD -Building Dept. Y EXHIBIT "A" DESCRIPTION: All that cert '-in real property situate in the County of Butt of California, escribed as follows: e, State PARCEL A: That portion of Lgt 1?, as shown on that certain Map entision tled, "Subdivi No. 4 of. the Pa.ermo Citrus Tract. Butte Co., Cal." which flap was filed in the Lffice of e Cc�'n o acord=r of the r_ounty of yutte, State of Cahn ria, on anu�r.y 2, 1889, Iyiny Southerly of Grubbs Road and being more particularly des,7ribed as follcws: 'COMMENCING at t:le intersection of the Southerly line df said Lot 12 with the Easterly I:tee of Putman Avenue; ,`,ence Northerly along the Easterly line of Putman }venue, a distance of 350.0 feet to the for the point of beginning parcel f land herein described: ' thence from said pcint of bec�in— ding, "East rly and Fpa=allel^wi`1h tr,e Southerly line of said Lot 12, a ` eet; thence ortheriv and parallel with the Wester J4 line of said Lot. a distance of 870.0 feet more or less, to the Southerly line o` Grubbs load: thence westerly along the Southerly line of Grubbs Road, a distance of 350.0 feet, more or less, to the Easterly line of Putman Avenue; thence Southerly, along the Easterly line of Putmen Avneue, a distance of 870.0 feet, more or less, to the 11jcint of beginning. PAP.CEL B: That portion of Putman Avenue lying tiVesteriy of the West line of Parcel A, above, abandoned by the County of Butte, by Resolution Abandoning A Public `iighway, recor"ded October 2, 19;9, in Q,00k 2448, gage 286, Official Records. 'AA IAA AI'JII ' ADS, LCPf � IIOfil�'IOII� . QI fat N1TiSCT?iG4 ATTEST: Klft MHE JUN 12 2006 Si�IO�� 9T � � p@SH EXHIBIT "A" a 08i ��CD A RECORDING REQUESTED BY: WHEN RECORDED MAIL TO: Butte County Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 2006-0053250 Recorded I REC FEE 13.00 Official yyRecords I CoButte f COIFORNM COPY 1.00 CAMM J. GRUBB5 I County Clerk-Recorderl I I CY 01:46M 10 -Oct -M I Page 1 of 3 NOTICE OF MANUFACTURED HOME (MOBILEHOME OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM THE ATTACHED DOCUMENT IS BEING RECORDED TO CORRECT AN ERROR IN THE REAL PROPERTY OWNERS NAME AND MAILING ADDRESS ON THE NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM, RECORDED ON 10 — OCT - 2006 UNDER SERIAL NUMBER 2006-0053248. ' THIS PAGE ADDED TO PROVIDE ADEQUATE SPACE FOR RECORDING INFORMATION. 3 e(j RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and SafetyCode 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. ANN ROTT BUTTE COUNTY BUILDING DIVISION REAL PROPERTY OWNER/LESSOR LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 3120 GRUBBS ROAD 7 COUNTY CENTER DRIVE MAILING ADDRESS MAILING ADDRESS PALERMO BUTTE CA 95968 OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP CITY COUNTY STATE ZIP 3120 GRUBBS RD B06-2345 (530) 538-7541 INSTALLATION MAILING ADDRESS, IF DIFFERENT BUILDING PERMIT NO. TELEPHONE NUMBER PALERMO BUTTE CA 10/06/2006 CITY COUNTY STATE ZIP SI NATURE OF LOCA GE CY OFF IAL DATE SAME NONE UNIT OWNER (if also property owner, write "SAME" DEALER NAME (if not a dealer, write "NONE") SAME NONE MAILING ADDRESS DEALER LICENSE NO. SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION LANCER HOMES 1979 UNKNOWN MANUFATURE'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER S26246A/B 60'X 24' 1342212/2 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION: SEE ATTACHED ASSESSOR'S PARCEL NUMBER: 027-110-026 HCD FORM 433(A) REV 8/91 WHITE —County Recorder CANARY — HCD PINK—Applicant GOLDENROD— Building Dept. 12 0 G 1� ti 95-30514 Legal Description Spousal Property Order l DESCRIPTION: J, All that certain real property situate in the County of Butte, State of California, described as follows: PARCEL A: That portion of Lot 12, as shown on that certain Map entitled, "Subdivision No. 4 of the Palermo Citrus Tract, Butte County, Cal.", which Map was filed in the Office of the County Recorder of the County of Dutte,.State of California, on January 2, 1889, lying Southerly of Grubbs Road and being more particularly described as follows: COMMENCING at the intersection of the Southerly line of said Lot 12 with the Easterly line of Putman Avenue; thence Northerly along the Easterly line of Putman Avenue, a distance of 350.0 feet to the point of beginning for the' parcel of land herein described; thence from said point of beginning, Easterly and parallel with the Southerly line of said Lot 12, a distance of 350.0 feet; thence Northerly and parallel with the Westerly line of said Lot, a distance of 870.0 feet, more or less, to the Southerly line of Grubbs road; thence Westerly along the Southerly line of Grubbs Road, a distance of 350.0 feet, more or less, to the Easterly line of Putman Avenue; thence Southerly, along the Easterly line of Putman Avenue, a distance of 870.0 feet, more or less, to the point of beginning. PARCEL B: That portion of Putman Avenue lying Westerly of the West line of Parcel A, above, abandoned by the County of Butte, by Resolution Abandoning A Public Highway, recorded October 2, 1979, in Book 2448, Page 286, Official Records. $Q`.�j�j•,�'O; 'i f :_:,'�;i0!iJG INS•fRUMENT Iv n CC?:., "T CC'Y OF ` ,• p�:� r;c 0H,GINAL ON FILE AND ON f.,)r� - !'r; OFFICE. yurfiCST- DATE: CLE ,i::Ir',•c; ; ,�r.r C�s�in�e'rrm1reS coM-r"n 'G;:DACEJ.GRU NM D •I + ATE OF En CAUFCXWIA DEPUTY END OF DOCUMENT 9 r• RECORDING REQUESTED BY: 2006-0054998 Recorded 1 REC FEE 10.00 Official Records 1 1 . Countty i CONFORK�D COPY 1. N AND WHEN RECORDED MAIL TO: CANDACE J. 6RUBBS I County Clerk-Recorderl I BUTTE COUNTY BUILDING DIVISION ®il:l 19 -Oct -28M I 7 COUNTY CENTER DRIVE Page 1 of Z OROVILLE CA 95965 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the qrNj 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. JUANITA KING & RENETTA MARTIN BUTTE COUNTY BUILDING DIVISION REAL PROPERTY OWNER/LESSOR LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 5066 ROYAL OAKS DR 7 COUNTY CENTER DRIVE MAILING ADDRESS MAILING ADDRESS OROVILLE BUTTE CA 95966 OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP CITY COUNTY STATE ZIP 5066 ROYAL OAKS DR B06-2429 (530) 538-7541 INSTALLATION MAILING ADDRESS, IF DIFFERENT B ILD G PERMIT N . TELEPHONE NUMBER OROVILLE BUTTE CA 95966 CITY COUNTY STATE - ZIP S NATURE OF LO A A ENCY OFFICIAL DATE SAME NONE UNIT OWNER (if also property owner, write "SAME" DEALER NAME (if not a dealer, write "NONE") SAME NONE MAILING ADDRESS DEALER LICENSE NO. SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION UNKNOWN 1977_ UNKNOWN MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER AJB25726 60'X 24' CAL070305/6 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION: ASSESSOR'S PARCEL NUMBER: 069-100-071 SEE ATTACHED HCD FORM 433(A) REV 8/91 WHITE—County Recorder CANARY—HCD PINK—Applicant GOLDENROD—Building Dept. RECORDING REQUESTED BY " Mid Valley Title & Escrow Company AND WHEN RECORDED MAIL TO: Juanita L. King 5066 Royal Oaks Dr. Oroville, Ca. 95966 A. P.N.: 069-100-071-0 GRANT DEED 2004-0071 Recorded Official Records County Of BUTFE CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 10:58AM'22-Nov-2004 I REC FEE 10.00 I TAX 31.35 I I I I 1 I Jason I Page 1 of 2 Above This Line for Recorder's Use Only File No.: The Undersigned Grantor(s) Declare(s): DOCUMENTARY TRANSFER TAX $; CITY TRANSFER TAX ' SURVEY MONUMENT FEE •' computed on the consideration or full value of property conveyed, OR computed on the consideration or full value less value of liens and/or encumbrances remaining at time of sale, X unincorporated area; [ ) City of , and FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Juanita L. King, an unmarried woman hereby GRANTS to Juanita L. King, an unmarried woman and Renetta Martin, a married woman, as Joint Tenants the following described property in the Unincorporated Area of ,• County of Butte, State of California: LOT 3, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "THE RESUBDMSION OF LOTS 3, 4 AND OF KELLY RIDGE ESTATES UNIT 16 AND A PORTION OF PARCEL C OF KELLY ESTATES UN17 NO. 1", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MAY 15, 1974, IN BOOK 43 OF MAPS, AT PAGE(S) 42 AND 43. Dated: __ 11/22/2004 • �,iRl Fi :ire ' Mail Tax Statements To: SAME AS ABOVE RECORDING REQUESTED BY: WHEN RECORDED MAIL TO: Butte County Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 COPY of Document Recorded 10 -Oct -20M 2006-0053250 Has not been compared vith original BUTTE COUNTY RECORDER NOTICE OF MANUFACTURED HOME (MOBILEHOME OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM THE ATTACHED DOCUMENT IS BEING RECORDED TO CORRECT AN ERROR IN THE REAL PROPERTY OWNERS NAME AND MAILING ADDRESS ON THE NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM, RECORDED ON 10 — OCT - 2006 UNDER SERIAL NUMBER 2006-0053248. THIS PAGE ADDED TO PROVIDE ADEQUATE SPACE FOR RECORDING INFORMATION. RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety. Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. ANN ROTT BUTTE COUNTY BUILDING DIVISION REAL PROPERTY OWNER/LESSOR LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 3120 GRUBBS ROAD 7 COUNTY CENTER DRIVE MAILING ADDRESS MAILING ADDRESS PALERMO BUTTE CA 95968 OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP CITY COUNTY STATE ZIP 3120 GRUBBS RD B06-2345 (530) 538-7541 INSTALLATION MAILING ADDRESS, IF DIFFERENT BUILDING PERMIT NO. TELEPHONE NUMBER PALERMO BUTTE CA 10/06/2006 CITY COUNTY STATE ZIP Sl NATURE OF LOCA GE YOFFTCIAL DATE SAME NONE UNIT OWNER (if also property owner, write "SAME" DEALER NAME (if not a dealer, write "NONE") SAME NONE MAILING ADDRESS DEALER LICENSE NO. SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION LANCER HOMES 1979 UNKNOWN MANUFATURE'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER S26246A/B 60'X 24' 1342212/2 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION: SEE ATTACHED ASSESSOR'S PARCEL NUMBER: 027-110-026 HCD FORM 433(A) REV 8/91 WHITE —County Recorder CANARY — HCD PINK—Applicant GOLDENROD— Building Dept. EXHIBIT "A" OE5CRIPTI0N: All that certl.in real property situate in the County of Butte, State of California, escribed as follows: o A D r r 1 a. !hat portion of LQt 1?, as shown on that certain Map entitled, "Subdivision No. 4 of, "he Pa. ermo Citrus Tract. Butte Co., C31.", which Map was filed in t~z CffiC of •a Cnun�f pe^.r�nr of the County of yutte. Stat2 of Cali= fornia, on ;anurr.y 2, 186c? ly.1ng SouLherly of Grubbs Road and being more particularly des;ribed as follows: COMMENCING at t`le in,.ersection of the Southerly line CF said tot 12 with the Easterly 11r�e o` Putman Avenue; thence Uortherly along the Easterly lire of Putman }venue, a distance of 35G.0 feet to the point of beginning for the parcel f land herein described: thence from said point of begin- ning, Easterly and carallel with t�.e Southerly line of said lot 1 a distance of 350 0 feet; thence Noctherly and parallel with 2, `he Wes 2, erlj- line of said Lot, a distance of 870.0 Feet, more or less, to the Southerly line or Grubbs -load: thence Westerly along the Southerly line of Grubbs Road, a distance of 350.0 Feet, more or less, to the Easterly line of Putman Avenue; thence Southerly, along the Easterly line of Putman Avneue, a distance of 870.0 feet, more or less, to the ocint of 'beginning. PARCEL B: That portion of Putman Avenue lying Westerly of the West line of Parcel A, above, abandoned by '.he County of Sutte,liqhwaby Resolution Abandoning A Public Records. .Cctobe-i 2 ' , 19;9, in Book .2A48, ?age 286, Official ' A03�T � 1FFOi'J61CIl� . ONIRFNTASC I� am.. KK TSE JUN 12 2006 srMMENAMAff F QAK su O own _ EXHIBIT ':4" . het ado , E r'. RECOt"tDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 CM of Document Recorded 10 -Oct -2085 2006-0053248 Has not been compared with original BUTTE COUNTY COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. MAX FL1X REAL PROPERTY OWNER/LESSOR PO BOX 6 MAILING ADDRESS PALERMO BUTTE CA 95968 CITY COUNTY STATE ZIP 3120 GRUBBS RD. INSTALLATION MAILING ADDRESS, IF DIFFERENT PALERMO BUTTE CA 95968 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 06-2345 (530) 538-7541 BUIL PFFRMITN TELEPHONE N MB /7A Zzt ,& 10W460 tWNATURE OF LOCAL ENCY OFFICIAL r PATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO LANCER HOMES 1979 UNKNOWN MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMEINUM13ER S26246AJB 60'X 24' 134221/2 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER 027-110-026 HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD -Building Dept. EXHIBIT "A" DESCRIPTION: A11 that cert1.1n real property situate 'in the County of Butte, State of California, escribed as follows: PARCEL A: That port. ion of Lqt 1'_', as shown, on that certain Map entitled, "Subdivision No. 4 of."he Pa. ermo Citrus Tract. Butte Co., Cal.", which Map was filed in the. Lffice of t..3 Ccu:^ty Recorder o.f the Cr)unty of Butte, State of ;tali= fornia, -on anaji.-r.y 2, 1889, lying Southerly of Grubbs Road and being more particularly des-ribed as follows: COMMENCING at the intersection of the Southerly line Cf said Lot 12 with the Easterly I—e of Putman Avenue; thence Northerly along the Easterly lire of Putman avenue, a distance of 350.0 feet to the point of beginning for the parcel �f land herein described: thence from staid pcint of begin- ning, Easterly and carallel with t�.e Southerly line of said Lot 12, a distance of 350 0 Feet; thence Northerly and parallel xith the Wester14 line of said Lot, a distance of 270.0 feet, more or less, to the Southerly line or Grubbs load: thence westerly along the Southerly line of Grubbs Road, a distance of 350.0 feet, more or less, to the Easterly line of Putman Avenue; thence Southerly, along the Easterly line of Putman A.vneue, a distance of 870.0 feet, more or less, to the ncirt of beginning: PARCEL 8: That portion of Putman Avenue lying tiVesterly of the hest line or' Parcel A, above, abandoned by the County of Butte, by Resolution Abandoning A Public 'iighway, recoroed October 2, 19;9, in Book .2448, Page 286, Official records. ' A�D�CTCtyP�T1i0F'�;IdIN . dl R1f N1NS[f� AMR. KRB T" JUN 12 2006 UMMIRRAW rado EXHIBIT "A"R. D BUILDING PERMITS NUMBER: 06-2345 Address or location of unit: 3120 GRUBBS RD. PALERMO CA 95968 Legal Description of Real Property: 027-110-026 SEE ATTACHED (x) Mobilehome/Manufactured Home , O Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. c Owner's name: MAX FLIX ' Owner's address: PO BOX 6 PALERMO CA 95968 INSIGNIA OR HUD NUMBER: 134221/2 SERIAL NUMBER OR V.I.N.: 526246A/B MANUFACTURER'S NAME: LANCER HOMES . YEAR: 1979 OFFICIAL APPROVING INSTALLATION: DATE: PHONE: (530) 538-7541 H.C.D. 513C .. i 1 BUILDING PERMITS NUMBER: 06-2345 Address or location of unit: 3120 GRUBBS RD. PALERMO CA 95968 Legal Description of Real Property: 027-110-026 SEE ATTACHED (x) Mobilehome/Manufactured Home , O Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. c Owner's name: MAX FLIX ' Owner's address: PO BOX 6 PALERMO CA 95968 INSIGNIA OR HUD NUMBER: 134221/2 SERIAL NUMBER OR V.I.N.: 526246A/B MANUFACTURER'S NAME: LANCER HOMES . YEAR: 1979 OFFICIAL APPROVING INSTALLATION: DATE: PHONE: (530) 538-7541 H.C.D. 513C .. i � a 3 T RECORDING REQUESTED'BY NAOMI E. PARKER, ESQ. WHEN RECORDED MAIL TO: ANN ELIZABETF ROTT 5119 'Roeder Road San Jose, CA 95111 Al>N 027-110-0-26 900/Toon 2006-0041138 Recorded 1 REC FEE 16.00 Gfficial Retards 1 Countv of 1 CGid:am cwt 1.00 Butte i CANMM J. GRUBBS I scanty Clerk-Recorderl 1 1 5A 09.02AM iB-Ruy-M6 1 Pape 1 of 4 ilii ill 111 I I1� 1 Illi II i Illi I ill lit ( SPACE ABOVE THIS LINE FOR RECORDER'S USE ) ORDER CONFIRMING SUCCESSOR TRUSTEE AND TRUST ASSETS Aa Teaw UOTnow T7A C -:)CC VMS C7 -.+ —%, A— — —. a I PARKER, FSQ. #1.35217 1999 S 1: ASCOM AVEN-UE. SUITE 9 50 2, :'CANITIBI'T L, CA 95068 TELF 111i ONE.- (408) 559-3489 J! F! ATTORNEY FOR ANN' ELIZABETH ROTT 6 7 10 IN THE SUPERIOR COURT OF THE STATE OF CALIF") RNIA IN AND FOR THE COUNTY OF SANTA CLARA In the NI i!-, �r of 13 KURT Tilt- M,,\..X- KLIX CASE: NO. 1-66-PRj 59424 RJ) ORDER CONFIFJ�41NG Lf� INIG TRUST dated 06/:3 )Oi2004E-VOCABLE, SL. CEESSOR TRUSTEE AND TRUST ASSETS [PROIMTL• CODE § 172001 lh 19 kppl 4cation having been made by the Petitioner, and good cause appearing theref-bre, 20 0 ITIS ORIX'RED TH.A'r- 21 fi ,)2 The MAX KURT KLIX REVOCABLE L,'VF,\TG TRUST AGREEMENT 23 i! dated June 30, 2004, is valid: 24 2.ANN ELIZABETH ROTI' s confirmed as the Successor Trustee of the 25 MAX KURT KLIX REVOCABLE LIVING TRUST dated June 30, 2004. 26 27 21 jN— F THE MAX KURT KLIX REVX LF LI V I NO TkG§Iz DATED 06/30J2004 CASE NO. 1 -06 -PIR 1, 59424 0 RD E R CONFIRMING SUCCESSOR TRUSTEE AND TRUST ASSETS [ PRO B ATE CODE §172001 I I- 900/zoom Xm-romv r,mT,na 2, .3 I 4 5 6 7 s 9 10 11 12 1.-I 14 16 I., 1s 3. The assets set forth below are assets subject to the management and control of i ANTN ELIZABETH ROTI', as Successor Trustee of the MAX KURT KLIX REVOCABT-.F.. LIVING TRUST datec .lune 30, 2004, ,and shall be transferred to and held by ANN ELIZABETH ROTI, 'Crastee of the MAXKURT KLIX REVOCABLE LI NG TRUST d ited June 20, 2004: A. Real property located :n the County of Butte, State of California, .'orumonly known as 3120 Grubbs .Road, Orovilie, Califomia, APN 027-110-026, as L esc° i';ed on Exhibit "A" attached hereto and made a part hereof. B. Mobile Horne described as follo -1s: Manufacturer Ill/Name - Lancer Trade Name - Woodridge, Serial Nos. S26246A and S2624613, Label,ii;signia Nos. 13-4222 and 134221, and Decal No. AAT3722. gate:_. _. JUN 12 2006' M EUGENE HZ - JUDGE OF THE A13OVE-ENTITLED COURT 17 it !2 ,3 �t ,4 li i :5 :7 Y F J THEM f+ Er U Th -E 114AX KU'R I KLIX REVOCABLE iPJI?JG TRUST DATED 06/30/20)4 ICASE NO. 14 5-Pj'.159424 ORDER CQNi IRty: TG SUCCESSOR TRUSTEE AND TRUST ASSETS [PROBATE CODF, § 172001 -2- 900/EQOPDI S-ITawv nn -,n.. rine: ..... . I.. - --.- • -- •-. STATE OF CALIFORNIA - BUSINESS, TRANSPORTATION AND HOUSING AGENCY ARNOLD SCHWARZENEGGER, Governor DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT )SING0 9ti Division of Codes and Standards •�`� G • 13 W Title Search �0 � oEv Date Printed : 09/28/2006 Decal #: AAT3722 Use Code: SFD Manufacturer: LANCER HMS Original Price Code: AFQ Tradename: WOODRIDGE Rating Year: 1980 Model: Tax Type: ILT Manufactured Date: 00/00/1979 Last ILT Amount: $23.00 Registration Exp: 05/31/2007 Date ILT Fee Paid: 04/12/2002 First Sold On: 00/00/1979 ILT Exemption: NONE Serial Number S26246A S26246B Record Conditions: Registered Owner: HUD Label / Insignia 134222 134221 PPF Exempt Length Width 60' 12' 60' 12' MAX KURT KLIX REVOCABLE LIVING TRUST 5119 ROEDER RD SAN JOSE, CA 95111 Last Title Date: 09/28/2006 Last Reg Card: 09/28/2006 Sale/Transfer Info: Price $.00 Transferred on 09/21/2006 Situs Address: 3120 GRUBBS RD OROVILLE, CA 95966 Situs County: BUTTE Inactive Decal/DMV: DMV SR5244 Title Searches: BIDWELL TITLE 1835 ROBINSON ST P O BOX 811 OROVILLE, CA 95965 Title File No: 228191-KG1 * * * END OF TITLE SEARCH I Y BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES INSPECTION CARD 24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico) Office: (530) 538-7541 Fax: (530) 538-2140 Website: www.buttecounty.net/dds Permit No: B06-2345 Issued: 10/02/2006 Address: 3120 GRUBBS RD PALERMO APN: 027-110-026 Permit Subtype: SFD-Mobile Home Owner: KLIX, MAX Applicant: SIERRA MOBILE SERVICE Description: MOBILE HOME PERM FND EX SITE i� LALL PLAN RF VISI NS MUSS' Inspection Type IVR INSP ATE Setbacks 132 Foundations / Footings 111 Pier/Column Footings 122 Grade Beams 114 Eufer Ground 216 Forms/Steel/Holdowns 122 Do Not Pour Concrete Until Above are Signed Pre -Slab 124 Gas Test 404 Masonry Grout 120 Masonry Bond Beam 119 Underfloor Framing 149 Underfloor Ducts 319 Shear Transfer 136 Under Floor Plumbing 412 Under Slab Plumbing 411 Gas Piping 403 Do Not Install Floor Sheathing or Slab Until Above Signed Rough Framing 128 Rough Plumbing 406 Rough Mechanical 316 Rough Electrical 208 Gas Piping 403 Roof Nail 129 Shower Pan/Tub Test 408 Fire Sprinkler 702 Do Not Insulate Until Above Signed Wall Insulation 117 Ceiling Insulation 118 Do Not Cover Until Above Signed T -Bar Ceiling / RC 145 Gas Test 404 Stucco Lath 142 Stucco Scratch 143 Stucco Brown 144 Building FM�a 802 Electrical Final 803 Mechanical Final 809 Plumbing Final 813 Project Final 801 MUST BE ON JOB SITE JOB SHALL BE READY PRIOR TO CALLING FOR INSPECTION. THE INSPECTION CARD AND APPROVED PLANS MUST BE AVAILABLE FOR EACH INSPECTION OR THE INSPECTION WILL NOT BE MADE AND A RE -INSPECTION FEE MAY BE ASSESSED. BY THE COUNTY BEFORE PROCEEDING PERMITS BECOME NULL AND VOID 1 YEAS., FRO F\Izto] MI&W1-111, Nr M-1 COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION Inspector Copy BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires SIERRA MOBILE SERVICE 470386/ / 3 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effec X 10/02/2006 Contractor's Signature Date I WORKERS' COMPENSATION DECLARATION I I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: ❑I 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. ❑I E AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by action 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; Carrier: Policy Number: ul �^S 7 ' Exp. Date: (This section need not be completed if the permit is for one hundred dollars ($1100)—or-15-55-7— CERTIFY $100)orless CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. n X �9�d� 10/02/2006 Signature , Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Lender's Address City State Zip Balance Due: $0.00 Receipt No: OWNER / BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: ❑I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proof that he or she did not build or improve for the purpose of sale.). ❑1, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors License Law.). ❑ I AM EXEMPT under Section B. & P.C. for this reason: L 10/02/2006 Owner's Signature Date I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enter the above mentioned property for inspection purposes. I hereby certify that I am the property owner or am authorize act n the prope ±eebehalf. a 10/02/2006 Owner ontractor OR;Agent for Owner Agent for Contractor FILE COPY PROJECT INFORMATION Site Address: 3120 GRUBBS RD Owner: Permit No: B06-2345 APN: 027-110-026 KLIX, MAX Issued Date: 10/02/2006 By TMP Permit type: RESIDENTIAL P O BOX 6 Subtype: SFD-Mobile Home PFS PALERMO, CA 95968 Expiration Date: 10/02/2007 Description: MOBILE HOME PERM FND EX SI7 Occupancy: R-3 Zoning: A5 0( Contractor Applicant: Square Footage: SIERRA MOBILE SERVICE SIERRA MOBILE SERVICE Building Garage Remdl/Addn 466 CIRCLE DR 466 CIRCLE DR OROVILLE, CA 95966 OROVILLE, CA 95966 Other Porch/Patio Total . (530)534-0599 (530)534-0599 FEE INFORMATION Mobile Home $329.94 Mobile Home Plan Check $219.96 Total Charged: $549.90 Fees Paid: $549.90 LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires SIERRA MOBILE SERVICE 470386/ / 3 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effec X 10/02/2006 Contractor's Signature Date I WORKERS' COMPENSATION DECLARATION I I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: ❑I 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. ❑I E AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by action 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; Carrier: Policy Number: ul �^S 7 ' Exp. Date: (This section need not be completed if the permit is for one hundred dollars ($1100)—or-15-55-7— CERTIFY $100)orless CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. n X �9�d� 10/02/2006 Signature , Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Lender's Address City State Zip Balance Due: $0.00 Receipt No: OWNER / BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: ❑I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proof that he or she did not build or improve for the purpose of sale.). ❑1, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors License Law.). ❑ I AM EXEMPT under Section B. & P.C. for this reason: L 10/02/2006 Owner's Signature Date I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enter the above mentioned property for inspection purposes. I hereby certify that I am the property owner or am authorize act n the prope ±eebehalf. a 10/02/2006 Owner ontractor OR;Agent for Owner Agent for Contractor FILE COPY Last Name P, 0 T r Address ------------ 3 I zo City �A RMu Phone E-mail BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION kND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (30) 538-7636 CHICO: (530) 891-2834 OFFICE #. (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLIC,4TION **PLEASE PRINT CLEARLY** OWNER I ANN Geu6�S 02 ,A �Fa A ZP 9 5' f CONTRACTOR Name Address y66 �� �� H State GZip Phone Shy Fax E-mail Lic. # y76},6 Class 45 ame ARCHITECT/ENGINEER N Address Cily :S:tate=z1P Phone Fax E-mail APPLICANT NAME Name Address City State C =pf Phone Fax Say oS-66 E-mail APPLICANT SIGNATURE X For office use only: Zoning Flood Zone SRA Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Dale Approved: OVER FOR SUBMITTAI RFn1 iiPi=Knr5,j-rcc PERMIT �& NO. , V l2`BP BIN # Xi2 Foundation System rInstallation Instructions for California for Ground & Concrete Systems HUD Wind Zone 1, 15 PSF Wind Load Seismic 4 By Tie Down Engineering 'BUTTE COUNTY BUILDING DIVISION APPROVED. Xi2 Concrete System Engineer Approval State Approval MANUFACTURED HOME/MOBTLE HOME - FOUNDATION SYSTEM MIALTH AND SAFETY CODE, SECTION 18351 APPROVED SU8JIWT TO CORRECTIONS NOTED APPROVAL DOES NOT AUTHORIZE OR APPROVE ANY 04MMONS OR DEVIATION FROM REQUIREMENTS OF APP1ICABL8 STATE LAWS AND REGULATIONS Ste% of Califomia DVWUNM Of PIONWaS and C mmeaity Developm w t ,,WISM OF C012ES AND STANDARDS -Page- )rive • Atlanta GA, 30336 %/E : Xi2 Foundation System Installation Instructions for California for Ground B Concrete Systems HUD Wind Zone 1, 15 PSF Wind Load Seismic 4 By Tie Down Engineering REQUIREMENTS • These plans and specifications meet the requirements of Title 25 Section 1336.3 Sub Section A and 97 UBC Seismic Requirements, CBC 2001 addition. • Maximum vertical projection at sidewall is 9'. Higher walls may be used when the design loads are adjusted accordingly and approved by HUD. • Main rail spacing must be 75.5".- 99.5" * Except single sections 95" minimum • Additional. vertical anchor ties that are unique to a home's design may be required -by the home manufacturer. These locations may include shear walls; marriage line ridge beam support posts, and rim plates. The longitudinal component of the Xi2 system replaces end frame ties. Check manufacturers set-up requirements. • Maximum pier height is 48" pier. *Except for single sections 36". Steel piers must be fastened to the I-beam with clamps provided with steel pier. • Systems must be placed as.evenly as possible, no more than 10' from end of home. • Designed for 7:12 roof slope. *Except single sections, (20° - 4.37 in. 12" pitch). Additional Requirements for Concrete Systems • Poured concrete must'be 2,500 PSI minimum at 28 days. • Square concrete pads minimum is 18" wide by 12" deep. Rou_ nd concrete pads minimum is .18" wide by 14" deep. Strip footings minimum is 18" wide.by 14' long by 6" deep. Emil>jG * Xi2 components exceed HUD code 3280.3068 "Anchoring equipment exposed to weatNil' sha1I h6�1a 16 resistance to weather deterioration at least equivalent to that provided by a coating of zinc on steel of not less than 0.30 ounces per square foot of surface coating.... Page 2 of 8 0 1 TIE• • • Irive *Atlanta GA,, 3336;11 I o T . . Installation of Xi2 Ground Systems 1. Identify the number of systems to be used on the home.using the chart provided. ' 2. Identify the location where the systems will be installed. ' 3. Clear all organic matter and debris from the pad site. 4'. Place U-bolts through holes in pan provided. 5. Place pad centered under beam with the lateral strut bracket towards the inside of the home. 6. Press or drive pan into ground until level and flush with prepared surface. 7. Build pier according to State, Local or Home Manufacturers guidelines.(Figure 1) 8. Attach the end of the smaller tube to the inside of pan using U-bolt & nuts provided 9., Attach the flag end of the larger tube to the opposite I-beam using the "J" bolt over the top of the I-beam• with the nut & washer provided. (Figure 2) 10. Install a minimum of four (#12 x 1 tek screws) self-tapping screws into the holes provided in the lateral strut so that the two tubes are connected together. (Figure 1) J-Bolt Nut & Washer 1-3/4" Tube Lateral Struts Strut •���: (flag end) oo o 1-1/2" Tube r , Z 4-#12x1" ;f Tek Screws !-Beam Figure 2 . U-Bolt &mounting r Figure 1 Bracket Of N°me End 11. Install frame bracket clamps to I-beam on in . side of block/pier. Do not tighten nuts at this time. a 12. Attach longitudinal strut to U-bolt in pan using q�RS nuts provided. 13. Insertstrut in the frame bracket clamp, attach with m t t nut and bolt. Do not tighten at this time. 14. Pull the frame bracket clamp with the fastened Wk ®strut outward to. remove any slack. 15. Tighten all nuts and bolts on the struts and x beam clamps. 15 s itH Page 3 of 8 a o • i LO0 f' 0000 / l O .Xi2 Ground Parts Detail Xi2 Ground F System Xi2 Ground Lateral System ^ _ Part Number 59306 s " .Includes: 5' Strut, pad & hardware kit r� (#59329-1 includes all nuts and bolts).' - Longitudinal Hardware Kit Part Number 59331` r �F Includes: 2 I-beam brackets &, 2 U -bolts with all nuts and bolts. Lateral and Longitudinal Combination. w Longitudinal Strut Part Number 59333w` _ ..............59333. ..... Hardware Kit Includes: 5' Strut, Pad, Longitudinal Strut = 4 =�., (#59329), Lateral and Longitudinal Hardware Kit with all nuts and bolts. a ®® x Struts for Longitudinal Systems Part Strut Pier.Height ® ®� �� o Ground Longitudinal No. Length Up To: ��� �� � 5tr t 59330-44 44" 4 Blocks or 32" Ground Longitudinal 59330-65 65" 6 Blocks or 48" Hardware Kit Xi2 Stabilization Pier Placement for Ground or Concrete Xi2 Pier Placement Single Section Home Double Section Home 0 -80' (76' Box). 4 Xi2 Systems 0 -62' 3 Xi2 Systems* .63'.- 80' 4 Xi2 Systems '2 Xi2 systems can be placed at either end -of the home. .Triple Section Home 0 -62' 4 Xi2 Systems 63' = 80' 5 Xi2 Systems Page 4 of 8 m 0 0 0 0 Installation of Xi2 Concrete Systems . 1. Identify the number of systems to be used on the home using the chart provided. 2. Identify the location where the systems will be installed. 3. Build pier according to State, Local or Home Manufacturers guidelines. 4. Drill two 3/8"x 3" deep holes in the concrete using holes in galvanized bracket as a guide. Attach bracket to concrete pad using 3/8"x3-1/2" wedge anchors :q; q J,) . provided. Place nut & washer on anchor, leave enough room for 1 to 2 threads showing on top of bolt. Using a hammer, tap the wedge bolts into hole through bracket, leaving nut & washer flush with bracket. Using a 9/16 socket wrench,. ������ tighten wedge/anchor bolt, securing bracket to the concrete.. g0 3 nL 5. Attach the end of the smaller tube to the bracket mounted- on the pad, using the' x� grade 5,1/2" x 2-1/2" bolt/nut provided. £� ` 6. Attachtheflag end of the larger tube to the opposite I-beam using the "J" bolt over 'e.11, - the top of the 1=beam with the nut & washer provided. (Figure 1 next page) 7. Install a minimum of four (#12 x 1" tek screws) self -tapping screws into the holes' provided in the lateral strut so that the two tubes are connected together 8. Install frame bracket clamps on I-beam on the inside of block/pier. 9. Insert strut in frame bracket clamp and attach with nut & bolt. Attach opposite endete brac t. 10. Pull the frame bracket. clamp with fastened strut outward to remove any slacj 11. Tighten all nuts and bolts on system. _5 jj -2 Page 5 of 8 TIE DOWN ENGINEERING • 5901 Wheaton Drive • Atlanta GA, 30336 TIE,' www.tiedown.com • (404) 344-0000 • FAX (404) 349-0401 ' 'DOW., ....._. ENGINEERING Xi2 Lateral Concrete_ Systems Part #59307 : V2 Concrete -- _ x �,��������" Includes: 5 Strut, Bracket, & Hardware Kit System #69315-1 with all nuts and .bolt., tis Longitudinal Struts for "Concrete Systems" .Yrs Part No. Length Pier Height - #` #59013 44" up to 4 Blocks 459015M - ;---65' :._--up to'6'131ocks Longitudinal Hardware Kit Part#59263y`- (Includes 2 sets per kit: I-beam bracket, nuts, A p bolts and washers) Y ®: Lateral and Longitudinal Combination Part #59332 Longitudinal '' tudinal Includes: F. -Strut, Longitudinal Strut (#59364), Strut - . e" Lateral and Longitudinal Hardware Concrete LongiHardware Kit _. . Kit with all nuts and bolts. Nut & Washer0.N0gl Figure 1 Beam Clamp jF11d " Bracket J -Bolts 0 02 syr i��� Lone I E 6 h I 3 j :Beam iK7 Xi2 Installation Placement l `" I 1 il�� , Page 6of8 - m 0 M 0 o 0 4 Offset Placement Diagrams represent examples of double and triple.section offsets. Total size is determined by the length of unit plus offset. Xi2 Stabilization Pier Placement for Ground or Concrete Xi2 Pier Placement Single Section Home Double -Section Home 0 -80' (76' Box) 4 Xi2 Systems 0 -62' 3 Xi2 Systems* 63' - 80' 4 Xi2 Systems.. . *2 Xi2 systems can be placed at either end of the home. Triple Section Home 0 -62' 4 Xi2 Systems 63' - 80' S Xi2 Systems �fiS (./�-z. Ctl//icy✓ m 0 LO 0 0 0 Hardware Breakdown #59329-1 Hardware for 59306 Lateral System 1 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 thread Beam Clamp Base 1-3/4 zinc 4 10556 Tek Screw, #12 x 1 " 1 10631Z J Bolt 1/2 x 5-1/2 grade 5 zinc 2 10640 Push Nut 1/2 1 12107 Flat Washer 1x2" SS 1 10646Y Hex Nut 1/2-13 grade 5 zinc 2 10519 Hex Nut 1/2" w/ Serr flange #59331 Longitudinal Hardware for 59306 2 59272-1 Beam Clamp Base 4 59272-2 Beam Clamp Top Flange 8 10926 Carriage Bolt 1/2-12 x 1-1/4 Carriage Bolt 1/2-12 x 1-1/4 4 10801 Full Thread 10 10646Y Hex Nut 1/2-13 grade 5 zinc 2 10801 Carriage Bolt 1/2-12 x 2-1/2 1 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 Thread Grade 5 2 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 thread 2 10519 Hex Nut 1/2" w/Serr Flange . 1-3/4 zinc 4 10640 Push Nut 1/2 4 ' 10519 Hex Nut 1/2" w/ Serr flange # 59329 Hardware for 59333 Lateral and Longitudinal combination 1 59329-1 Hardware Kit 1 59272-1 Beam Clamp Base 2 59272-2 Beam Clamp Top Flange 4 10926 Carriage Bolt 1/2-12 x 1-1/4 4 10801 full thread 5 10646Y Hex Nut 1/2-13 Grade 5 zinc 1 10801 Carriage Bolt 1/2=12 x 2-1/2 2 10801 Grade 5 zinc 1 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 Thread 6 10646Y 1-3/4 zinc 2 10640 Push Nut 1/2 2 10519 Hex Nut 1/2" w/Serr Flange . #59315-1 Hardware for Lateral System 1 10631Z J Bolt 1/2 x 5-1/2 Grade 5 zinc 1 12107 Flat Washer 1/2" SS 4 10556 Tek Screw #12 x 1 " 2 10646Y Hex Nut 1/203 Grade 5 zinc 1 10826 Carriage Bolt 1/2-12 x 3 4 10801 Grade 5 zinc #59027 Hardware Kit for 59307 Lateral System 2 59264 3 Way Concrete Bracket 4 10530 Wedge Anchor 3/8 x 3.50 1 59315-1 Hardware Kit #59263 Longitudinal Hardware for 59307 2 59272-1 Beam Clamp Base 4 59272-2 Beam Clamp Top Flange 8 10926 Carriage Bolt 1/2-13 x 1-1/4 1 59315-1 Full Thread zinc 12 10646Y Hex Nut. 1/2-13 Grade 5 zinc 4 10801 Carriage Bolt 1/2-13 x 2-1/2 4 10926 Grade 5 zinc #59364 Hardware for 59332 Lateral and Longitudinal combination 1 59264 3 Way Concrete Bracket 2 10530 Wedge Anchor 3/8 x 3.50 1 59315-1 Lateral Hardware Kit 1 59272-1 Beam Clamp Base 2 59272-2 Beam Clamp Top Flange 4 10926 Carriage Bolt 1/2-13 x 1-1/4 Full Thread zinc 2 10801 Carriage Bolt 1/2-13.x 2-1/2 Grade 5 zinc 6 10646Y Hex Nut 1/2-13 Grade 5 zinc Page 8 of 8 TIE DOWN ENGINEERING 0 0 0 0 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES ` BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLIC,4TION **PLEASE PRINT CLEARLY** OWNER `." 1Y°11'eIFirsl Name iLoir ANN Address 3 (zo GrPu 66 S QoA n City State A 1. R M 0 cA zip cj s yds' Phone Fax E-mail CONTRACTOR Name Address City State Ca Zip �SiE6 Phone Shy 0s9 9 Fax E-mail Lic. # Class y76 yE Name ARCHITECT/ENGINEER Address City State Zp PhoneFax E-mail State License Number APPLICANT NAME Name ,Qc.2Q Address y6E City Sale �- zp Phone Fax 531 OS -d6 E-mail APPLICANT SIGNATURE X For office use only: EZoninEE Flood Zone SRA Yes - No Type Const. Subdivision Name Map Book I Page Lot # Planner Date Approved: OVER FOR SUBMITTAL RF=nlIIRI= fir:xll� r, PERMIT NO. BP BIN # AWSIDENTIAL 4.� �� 027-11-0-026 _ 96-1007 B KLIX, Max 3120 Grubbs Road, Palermo (new open deck/MH) d t JOB FINALE c Skignature �r z V =1JK- , -. 0 = Not OK Not Applicable `=Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements - Setbacks - Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/0 -Concrete 4. Water, Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap; / /"L'ft. / /Nat. or/ /"L"ft./ /LPG MISCELLANEOUS Date DECVX, COVERS, CARPORTS, GARAGES(Plans) OK except #'s g Requirements -Setbacks -Easements Foo 'ngs; Soils-Size-DepthSpacing-Connectors-Steel Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails \ 4. Wood Awn.; Posts -Beams -Rt rs.-Connectors Shthg.-Rfg: Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric l 8. Fnng.; Sils-AnchorsStuds-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10.1go6f; Shthg-Roofing 1. Ext.; Steps -Doors -Landings Date - jn (, Card B-1�/j Date Card B-1 Dater_ 4,r --j(0 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/6 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE 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 MISCELLANEOUS Date DECVX, COVERS, CARPORTS, GARAGES(Plans) OK except #'s g Requirements -Setbacks -Easements Foo 'ngs; Soils-Size-DepthSpacing-Connectors-Steel Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails \ 4. Wood Awn.; Posts -Beams -Rt rs.-Connectors Shthg.-Rfg: Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric l 8. Fnng.; Sils-AnchorsStuds-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10.1go6f; Shthg-Roofing 1. Ext.; Steps -Doors -Landings Date - jn (, Card B-1�/j Date Card B-1 Dater_ 4,r --j(0 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/6 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓=OK O = Not OK -:41P 4 = Not Applicable Not Ready RESIDENTIAL (Single = Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. rty., rurcnes a uecxs, Ouus-31ee1-r rrty. rieptn I 5. Stemwalls, Main; Steel -Bloc kouts-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 -Combust ion 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 -t ---------------- ---- ---- ------------- - ----------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ft's 22. Fixture & Transformer Clearance -Ins. Protection .------------------- ------------------------------------------------------- 23. Elec. Receptacles 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 wrMech. Fasiners-Bond Gas & Water --------------------------------------------------------------- -------- ------- _. 27 2 Appliance Circuts in Kitchen & Conductor Size,GFI -------------------------------------------------- ------------- --....... 28. Subfeed Wire Sizer ga. Cu or AI-A.C. Wire Size ga. Cu or At 29. Range Circ. r ga. Cu or AI -Oven Circ. ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No --------------------------------------------------------------------- - -._..._. . 30. Service -Riser Conductors & Ground -Main Disconnect -------- -------. ----...... _ ........... ......... .. 31. Equip. Clea - --- - Clearances Panels-Motors-Mech. Equip. - ---------------------- -- ....... ....... .. 32. Clothes Closet Light -Shower Light -Spa Light -------------------------------------- - - -- ------ . ----- . ._..... 33. Smoke Detector ------------------------...... ........................ ........ ............... .. Date Card B-1 DateCard B-1 ------------- -- - .................. ................... ....... ... ... .. Date Card B -t Date Card B-1 Date MECHANICAL,(Permit) OK except P's 34. A.C. Ducts Insulation & Support ----------------_...-- ------------. - _.........----.... __......... ... ..._... .. 3.5. Vent Fan: Exhaust above insulation --------- --------------.._._..- ----- . . .. ... ... ...... 36. Condensate Dram & Overflow: Size & Grade ------ ---...-_-....................................... ..... . . 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 f+'s 39. S Is. Proper Material & Anchors ....... ... __. ... _ .. ... ............ ... ... ... .. .. 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound .... ....... ... ... .. .................... ._.... . 4'. Bearing Walls over Girders & Floor Nailing _ ... ... ...... ........ . .._.._....._......._... ... .. 42. Draft Stop in Walls (rat proof) -- ------ _.._........... ..... .... ... .... 43. Fire Stops: Furred Ceilings- Stairs -Chases -Tub -----------_.. ....... . . -- .. ....__ .._... . 44. Headers & Beam -Size & Bearing & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors _ 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 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. -Ex -t. Doors -One 3=Check Garage -3rd Story, 2 Exits 53. -Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection --------- 542 -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: Nailin Bolts ------------- 59. -Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows -------------------------------------- Date .----------------------------------Date Card B-1 Date Card B-1 - - -- --------------------------- Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except it's 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector -------------- ----------------------------- - - 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meeh. Protection --------------------------------------------- 64. Bedroom Exiting ---------------------------------- 65. ..-------------------------------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 ...._. _..------------------------------- 69 Elec. Outlets at Wood Panel: Int. & Ext. ...... ----------------------------- ---------- 70. Kit.Fixt. & Appliance: Grnd.-Air Gap -Cooking Clearance - - - - ----------------------------------- -- 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 ❑Yes - - -- -------------- ------------------------------------------- 78. Guard Rails & Deck Construction -Post Caps -------------------------------------------------------- -- 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth . Clearance Looked under Floor ❑ Yes ---- -------------------------- 80. Following insild, Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No: Planters ❑ Yes ❑ No ----- --------------------------------------- 81. Stucco: Brown -Finish ...... ....._.-........-- ----------------------------------------- 82 A C. Unit: Disconnect. Electrical, Plumbing - --- --- - - --- -_ ----------------------------------- -- ----- 83. Vents Above Roof. PIbg.-Appliance- Fire place. -Clearance to Openings . - . ............ . .. _ .. _ - ...... - -- .. ------------------ 84 Water Well: Disconnect. Electrical, Plumbing ... ..... . .....----------------------- --------- ----- 85 Exterior Elec. Trim: G-F.I. Receptacle -Underground - - ------------------------------- 86 Ventilation Throughout House . ....._._..-- ---------------------- 87 Glass Protection 88. Corrections from Previous Inspections . ... ... -- -- --- --- -- --- ---- ------------------------------------ 89 Gas Test -Meters Tagged: Gas -Electric . . . .. . . ...__.. .......-- -------------------------------------- 90 Water & Sewer Connected-CrO to Grade -HD 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- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION - 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 _�� aT�• APPLICATION AND PERMIT `� ASSESSOR PARCEL NUMBER 97-11 0-n96 ZONING BUILDING PERMIT C] OWNER MAX KLIX TELEPHONE SO. FT. OCC. BUILDING VALUATION 300 0. DEC 2 ,100.00 OWNER'S MAILING ADDRESS PO BOX 6 PALERMO, 95968-0006 CONTRACTOR'S NAME I'V14 L'EL6-1�!- Gol.► TELEPHONE CONTRACTORS MAILING ADDRESS PC Z, OZOr Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Fling Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Is lo Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS 3120 GRUBS RD PERMITFEE $ PALERMO PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LAT NO. SUBDIVISIONS NAME PARCEL MAP ,Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome IN Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New P Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: nPEN DECK Mobile Home S G W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20.'00 Main ServiceOOaV OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 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-' full force and effect. ,moi, ��7 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 NEW CONST. DWELLING OCCUR \ OR ADONS. ( 8 ACC. BLAS. / sO. 3.50 Fr. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( 8 POWER APPARATUS ) SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES 2L 9 1.50 BA.SO Ex. Occup. (oFIXEEDTs PLNS. OR ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing 9 Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall Q7rthwithcomply with those provisions. I I h IN 0 0 la_ Date / Signature of Applicant - 0 Owner Y" Contractor Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 33 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is occ CONST. TYPE TOTAL FEE $ 109.10 HAZ. I FLoo CDF P C PD This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON I applicable provisions Resolutions to do work been paid. ate 1 #27, (Dat Receipt No. /9y,,3 75 WHITE-D.D.S.-B.D. CANA Y -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT �..: ...a..+1v.t'3.-.�.:.yr...:.�w-�+'..,,-t+.J�.rn..,,,�."�d-:..r...r.n.sl.:7r�1r.9_'7.+5+`lir+'9f�':jt.h'rirv�s'Wei'F�''•1,My:,fY^lTr7lr4fl�L'�:f.,....rY'•..�cr�1c'Y'.kwfide..4.:w-.:-.:..-,,;;-'.c._n�••., �,.., ."A 'COU'NTYOF BUTTE -DEPARTMENT OF. DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTYCENTER DRIVE - OROYILLE,CALIFORNIA95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER / (•elf, A. P. No. 2--7 - Proposed Building Use WBuilding Inspector �f 14- Date) S g 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. Engineered 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. ....................... . Flood elevation letter (100 year flood) by California Engineer. . . 4. anitation and plot plan approval Health Department. . 5'�... . 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). . . + PRansve`t'°n n3q°e 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 . ........................................ . 28. Mobilehome utility clearance . .......................................... 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 . ...................................... Ian check list. .......... .... ,� ..... . CZ .:. ���- . q -X « 1 S +=TA's �� [onJT�c4cravL s=l -96 Whou issue the permit, process as follows: Mail ty;Qw, nem Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. • Other A'cr�`ae `ea `� Applicant Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. 5e Dept. Other Date By The following data must be submitted r o o ermit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: ontractor, d signer, owner, was advised of above required data by Zphone -mail Counter by 'bate 5=I3'?4- o rac or, designer, owner, was advised of above required data'by _ phone _ mail Count is_ Date Plans checked by Date Plans approved by 4;7- Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works , I 'TO:--. Building Department ►FROM: Environmental Health - SUBJECT: Sanitation Clearance . USB ONL l . Piot PI= Att &ad Ploor PLoEdd Sent to B.D. I 6 1� L C, 11jas R(3Q-A I - 02 CO Owner Location APAP Plan Approved for: Sewage Disposal Water Supply: Public Private Well SC Clearance for final for: O.K. for: Environmental Health aim RESIDENTIAL 027-110-026, PERMIT#95-2249 KLIX, Max K. 312:0 Grubbs Rd., Oroville Cont: John Wheeler Open Deck/MH ?�— M 4 r, a ,;JOB FINALED (Date) . Signature t J=OK O = Not OK = Not Applicable . ' =Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /-L-ft. / /"Nat. or/ /" L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE 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. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date OVERS, CARPORTS, GARAGES, (Plans)OK except #'s oning Requirements -Setbacks -Easements otings; Soils -Size -Depth -Spacing -Connectors -Steel s; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- RItrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Ele tric rmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof;hthg-Roofing Steps -Doors -Landings Date :F<F'Srd 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- Panelboards-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 = Not OK -=Not Applicable Not Ready RESIDENTIAL`'(Sin�jle & Duplex) ' = Date UNDERFLOOR (Plans) OK except #f s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth i 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- Bloc kouts-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 *A Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except a'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 ft's 22. Fixture & Transformer Clearance -Ins. Protection --------------------- --------------------------------------------- 23. Elec. Receptacles Spacing -Lights & Switches at Doors --------- ------------------------------------------------------------- 24. Size Boxes & No. of Conductors -Stapled -------- --------------- ------- ---- -------- -------------------------- 25. Romex Installed Close to Edge of Studs & C.J. ------------ -------------------------------------------------------------- 26. ---------------------26. Equip_Ground made up w/Meth. Fastners-Bond Gas & Water --------- ----------------------------------------------------- 27. ---------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI --------------------------- ------------------------------- ------------------------------------------------------ 28. Subfeed Wire Size i ga. Cu or AI-A.C. Wire Size ! ! ga. Cu or At ------------------------------ -------------------------- ---- 29. Range Circ. ! r ga. Cu or AI -Oven Circ. / ! ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No -------------------------------------------------- ------------ ----------- - - --- -- - 30. Service -Riser Conductors & Ground -Main Disconnect -------------------------------------------------------------------------------- 31. Equip_ Clearances Panels -Motors -Meth. Equip. 32. Clothes Closet Light -Shower Light -Spa Light -- ---------------------------------------- - ---------------------------- - 33. Smoke Detector --------------------------------------------------------------------------------- DateCard -B-1 Date Card -B-1 ---------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except a's 34. A.C. Ducts Insulation & Support --------------------------------------------------------------------------------- 35. Vent Fan; Exhaust above. insulation -------------------------------------------- - ---- --- 36. Condensate Drain & Overflow: Size & Grade ---------------------------------------------------•------- 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet --------------------------------------------------------------------- - 38. Attic Access & Platform if Furnance in Attic ..------------- ------------------------------------ ----------------- DateDateCard ---- -------------- ---------- -- -------- ----- ----- -- - ---- ------------ ---- - ----------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except M's 39. Sils. Proper Material & Anchors ------- --------------------------------------------- 40. Walls Studs -Nailing Spacing & Bracing -Plates -Sound --------------------------------------------------------- 41. Bearing Walls over Girders & Floor Nailing -------------- --------------------------------------------------------------------- 42. Draft Stop in Walls (rat proof) -.. - ---------- -- ---- --- -- ----------------------------- ------- 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub ------------- ---- --- ----- ------------------------------------------------ 44. Headers & Beam -Size & Bearing Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 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-Landin 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 Date Card B-1 _ Date _ Card B-1 Card B-1 - Date Card B-1 Date FINAL (Plans) OK except ft's 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector ------------------------- - - 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meeh. Protection --------- ----------------- 64. Bedroom Exiting ------------------------------ --- ________ 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel: Breaker Sizes & Labels ----------------------------- 67. Stairs & Rails 68. Fireplace or Stove: Clearances -Hearth 69. Elec. Outlets at Wood Panel: Int. & Ext. ----------------------------- - -- - 70. Kit Fixt_& Appliance: Grnd_Air Gap -Cooking Clearance 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 ❑ Yes ------------------------- 78. Guard Rails & Deck Construction -Post Caps 79. Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance LookedunderFloor---- ❑ Yes 80. Following instld.: Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No: Planters EI Yes C1 No _ 81. Stucco: Brown -Finish 82. A.C. Unit: Disconnect. Electrical, Plumbing 83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings ----------- ----------------- ----------- 84. Water Well: Disconnect, Electrical, Plumbing -------------- ------------------------- -- -- 85. Exterior Elec. Trim: G.F.I. Receptacle -Underground - -- -_----------------- 86. - 86. Ventilation Throughout House -------------------------------------------------------- 87. Glass Protection -------------------- - ------------- ------------------ 88. Corrections from Previous Inspections ---------------------------------------------------------------- 89. Gas Test -Meters Tagged: Gas -Electric ---------------------------------- ------- ---------------------------------------- 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates ­ ----------------- ---------------------------- Date ------------------------- -Date Card B-1 Date Card B-1 --------------------- ------------------- Date Card -B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 -County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT (� ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER MAX K KLIX TELEPHONE SO, Fr, OCC. BUILDING VALUATIO OWNERS MAILING ADDRESS 3120 GRUBBS RD OROVILLE, 95966 _600 4,9no-on CONTRACTOR'S NAME JOHN WHEELER TELEPHONE 534-5449 CONTRACTORS MAILING ADDRESS PO BOX 5262 OROVILLE, 95966 Fireplace CONSTRUCTION LENDER UNMOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ 72,00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 46.80 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDINGADDRESS 3120 GRUBBS RD PERMITFEE S 138.80 OROVILLE PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome EX Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK X New ❑ Addition ❑- Remodel ❑ Utilities ❑ Installation ❑ Other ❑ DECK Describe Work: Mobile Home S G W @20.00 :J PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 2 0:0 0 Main Service800v OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO I000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencingwith Section7000 of Division 3 of the Business and Professions Code, ) and my liceinse in full foa d effect. /�(�) License Class rc Lic. No. L ( y/ �Y, WNER-BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: cE 1 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 DWELLING NEW CONST.OCCUP. so OR ADDNS. ( a Acc. BLDs. ) 3.5¢ FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 POWER APPARATUS (8 SINGLE OUTLET CIR. ) Ex. Occup. ( OUTLET OR FIXTURES) 20 @ 1.00 6AL 50 EX. OCCU FIXED APPLNS. OR p' ( OUTLETS (RESID.) EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor 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. fi!� I 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'ompensation insure ce carrier and policy number are: Carrier f q �-/ �N .� MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall fortwith comply with hose provisions. X Date �� Sign re of pplicant - ❑Owner ❑Contractor ❑Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is occ CONST. TYPE TOTAL FEE $ 138.80 HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD -- 5SU This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indica bove for hich fees have been paid. /Q� �_ 7-( -�� By !` — Q Date q/ PERMITEXPIRESON -/ , (Date) Receipt No. 185518 WHITE-D.O.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT `. r � ,.,�. .r. , off. *-�;�y _. t". 3��N.or{`!�•�_4:y�,��;�'.�i'`�,.F"'+j��''^ii9R44r:..:��^K�}'.-'..',.;,.. .. '4: k"^'ye'vC:�ii..:'Y .^i•. �e..;r ;:: ^� -- CO, UNTYOF BUTTE - DEPARTMENTOF,DEVE OPMENTSERVICES -BUILDING DIVISION '*015TY CENTER DRIVE - OROVILLE, CAL-IFORNIA 95965 -.;TELEPHONE (916) 538-7541 I. j f I OWNER Propos,ed-Building Use PERMIT APPLICATION DATA$11E.E LIX 'r A. o. 0 Building Inspector Z i- //0-p24 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY All items h e been submitted......................................... Plot plans/4 , signed by preparer of plans . .......................... �+ 3. Complete plans /4 sets, signed by preparer of plans . ......................N j 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. Engineered truss details and layout in duplicate (required prior to flan check). ... . obilehome d and manuf e#Chedule. n Ilation instructions, sets.).......... . Fees of $ ...�: .... . 11. Impact fees as own on attached ......... f....... +........ . 12. California Department of Forestry plan approval/fees. .... j. . 13. Flood elevation letter (100 year flood)California Engineer. ..... a.`.::........ . - 14. Sanitation and Iplot plan approvE - Q Health Department. (11..'`.'.'A4 .. . 15. City of Chico plumbing permit. ....... ....I ............... ............ . 16. Plot plan and business license•a,pproval 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). .. . . 20. Pre -inspection for r required. .. o e�iid eaio i Q (Date) 21. Contractor's license information. (No., Name Style, Classification). ......... /�...' 22. Certificate of Workmans Compensation,Insdrance.......r.=::-................. �- 23. Owner -Builder Verification (Given tolowner , Mail to owner _). .......... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................... s� 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. ....... F 28. Mobilehome utility clearance......... ............ 'C� • 64- 29. Documentation of legal access. ......................'...... r 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 you issue the perkt, proc ss as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at O`20 office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent ' Health Dept. Fire Dept. Air Pollution 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 Co' nter, y-_ Date Plans checked by Date Plans approved by r� �� Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works of I E.H. USE ONLY Pbt Plan Amched Floor Piers Art xW Semtto B.D. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposal x Water Supply: -Public Private Well X ' Clearance for x10(1. Hold final for: ' Final clearance O.K. for: NOTE: Environmental Health Specialist Date 'rte i/�i� � '�� �%�.t� � .. r-' C�,. tH �i . ...�/ _ _ _ .� rT I PER141T NO. 5105-79P,E PERMIT EXPIRES OWNER Thomas Sutton CONTR. gWt�g+- 27-11-17 LOCATION (A.P. ) SE corner of Putman Ave. & Grubbs Rd.,Paler r a 11 { f Temp. Power Pole Called PG&E Temp. Elec. Serv._- Called PG&E t� d – Temp. Gas Serv.— Called PG&E JOB FINALED (Datel000l F1 MECHANICAL trown COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS* BUILDING INSPECTION RECORD finish V1 BUILDING BUILDING (Cont'd) PLUMBING Set ck oor Closer it Piping For st Floor Main Idg. nish kRoofShe 2 d Floor FoA;I s 3r Floor Stem II To ou Slab �. in ;Water P in Piers Roofing X Sewer Garage % Fdn. Vents X Fixtures Footings StemwaII Garage Vents \ Insulation Water Htr. Heaters Slab Carport Footings Prov. for ph sicalf handicaped Conformance of/k. structure Appliances Gas Pip ng & Tes Temp. Gas Slab \ Final Sanitation / Patio FIRE! ACE Final Footingy X Footing J eLFCTA'4CAI F1 MECHANICAL trown I Cqbling finish V1 Q&cts 11ferior Lath Ventilation oor Closer Final MOBILEHOME UTILITIES ------------------ el - Elec- Ser ' e771 Water Pipin 17 Sewer, ! 1 E MEINSTALLATION-----------•--Support Water Piping ✓ 3 �g Drainage DATE REMARKS OR CORRECTIONS Motors It Prot. Pole Final Elec. Pedestal Gas Piping 44 Elec. Continuity Gas Piping (NOTE: An entry must be made on this form each time you visit the job site.) co �o - 9. Electrical .A. Is service large enough to provide adequate amperage -to mobile'Ziome (mush equal rating of - mobilehome with a minimum of P10 amp) and other.' -facilities on lot, i.e., water pumps', garage, cabana, etc,? Yeso= B. Is there proper clearances around panels? Yes_�/No_ C. Is power supply cord or feeder assembly properly fused? Yes_4/No_ per the following procedure? Yes�o_ D. Is continuity test satisfactory as p - 1. De -energize electrical wiring system of the mobilehome at'the pedestal. 2. Make sure that.the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected, 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor, 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the>grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of theelectrical tests, the lot or site service equipment may be approved for energizing. 10. Is joli'card signed by Health Department for' water and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA Manufacturer and/or Namestyle r Length Width g Vehicle Serial No. State Identification No, r, Additional Information or Comments: i. MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located with required separation from lot lines -and buildings and generally conform to plot plan? Yes—Z�o_ 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes I/ No 3. Are footings and supports properly sized, spaced, and braced as pe approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes No 4. Is the mobilehome level? (Sec. 5088) YesZNo_ 5. Ifmor than a single unit, are crossover connections properly installed? (Sec. 5088) Yes7No� 6.. Water A. Is flex' 'le connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes_ B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes r No C. Backflow - If coach is not Stat�j of California approved, does station have backflow device and pressure -relief valve? Yes 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors a't each end? YesZNo_ B. Does it have minimum V per foot slope and is it properly supported? Yes�o C. Are any leaks detected in drainage system after running 31;,gallons of water through each fixture including washing machine standpipe? Yes No_4 D. If co ch is not State of California approved, does station have required trap and vent? Yes o 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as large as the mobil lame gas line inlet without reductions other than the mobilehome connector. Yes V No B. Test OK as per following procedure? YesNo_ 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without drop. . 4, Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes_ No_ COUNTY OF BUTTE E DEPARTMENT.6F PUBLIC WORKS 695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70 7,County Center Drive, Oroville — Phone 534-4541 Skyway and Elliott Road, Paradise — Phone 877-3435 a _ CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS A routine Inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Date%"`=�' COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements f the California Administrative Code, Title 25, Chapter 5, under permit umber A for the following location: Owner Owner's Address Mobilehome Model /• �..r_.�` 7- 4- ear f±7 Insignia No. / 42 2 / 2' ,.' Serial No! .< �• 'f i� — h" `f It is hereby certified for occupancy at the above described location and may be occupied. Date Director,of Public /Works By <or .- 6 THIS CERT IF ICA TE.IS,vnle-wk#UM...- A a wCOUN-JY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive . — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT 6 i Owner Mailing Address Telephone No. Contractor JEARL FE w Mailing Address 0 9CiRCIF DT e hop^N Building Building Address �l � I s /� (dam A. P. No. - Zoning & Planning F S'dntTBtion I Fire Dept. Fire Zone Use Permit EQA I Parking I Parcel Parcel Ma 60' R/W Improvements Plans De ration P P Bldg. PI ec'd Parcel provol Plans Approval NEW ❑ ADDITION ❑ UTILITIESE1. OTTHHER� �— Single Family ❑ DuplexET Mobil Home Rf Others ❑ t CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name t style�`�� License No.l,.lezf3 ft5 Classification ❑ 1 am exempt from the Contractors License Laws of the State of California. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner o as to become subject to the Workmen's Compensation Laws of California. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State. Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date .. 80 Signature of ermitee or Agent Receipt No. (� 7 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant _ BUILDING SQ. FT.7 OCC. I BUILDING VAI TION Fireplace xec'C BAL @ 10¢ Total Valuation ELECTRICAL No. Permit Fee ` PERMIT FILING Plan Checking Fee &/or Penalty $3.00 Permit Fee 8011 OR LESS - 100 AMP OR LESS PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Building sewer 5.00 Lawn sprinkler system 2.00 Permit Fee xec'C BAL @ 10¢ $ ELECTRICAL No. @ PERMIT FILING FEE $3.00 Main service 8011 OR LESS - 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Main service OVER 8101 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP -1.00 NEW CONST. OR AODNS. ( DWELLING OCCUP. S ACC. BLDGS. 20sgft NEW CONSTR. NnN. MULTI.OUTL T BRANCH CIRCUITS)l 12.50ea Ex. OCCUD(OUTLETS OR FIXTIIRES� xec'C BAL @ 10¢ FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.I EA) 2•�� Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25, Permit Fee $ MECHANICAL No. @ PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ Land Development Fee eA TOTAL PERMIT FEE r 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. TOFPU LIC WORKSdk - U Building perm expires Date �'� MOBILEHOME SUPPORT DATA n If other than single wide, Mobilehome Mfr. �1 �%�� <:furnish Setup :Model No.. Year Width - ^ (<ft.) Box Length t.*)' ;Tagalong: or Expando Size ft. x' ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October,7,,197.3;.furnish manufacturer's installation manual and structural setup sheets (if not.on file,with'the County*of Butte). t` A11 center supports measured from .front of mobilehome unless otherwise specified. Footings (check one) V Single ® 1. Wood either pressure treated or foundation grade. (ft.)(in:) (in.) (in.) E 2. Other (specify) Center support Center support locations* footing sizes Supports (check one) (in.) 1': Concrete block. - f x d F]-2: Other (specify) (in.) (in.) <---Tagalong or' -Expando,.' show support - details. (ft.)(in.) (in.) (in.) Typical Support (in.) (in.) Footing Size ft..) (in.) (in.) (in.) '- i�. --.Max. Pier Spacing (ft.)(in.) Max. Overhang (ft.) 1 (in.) (in.) (in.) (ft:')(iri.) C/ p3UT TE COUNTIi BUILDING DEPARTMEN APPROVED *If center piers are other than drawn.above, draw in -locations. snacine. and dimensions. e BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. owner's name: 2. Installer's name: F/ileL r-, 1'1,9 A..) y 3. Is the site currently under permit? Yes /'k-/ No ( If yes, furnish permit number 5D `J 7 ) OR Is the site an existing site? Yes / / No (If yes, furnish two (2) plot plans.) ' 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and I clear of all setbacks and easements? Yes 7Z, / No I ( If no, clarify ) I ( ) 5. What is the mobilehome electrical rating? ----------------------- Amps v � 6. What is the mobilehome site service rating? --------------------- 20 Amps 7.. What is the mobilehome site circuit breaker rating? ----------- Amps 8.. Is there,any other electric Toad to be served by the mobilehome siteservice? --------------------------------------------------- Yes It-< No (If yes, identify the load and size: (Load) Z (Amps) 9. What is the mobilehome site gas pipe size? ------------------- --"� 10. What is the type of gas service? -----=--------/toe ----- Natural / / LPG �k- / 11. What is the gas pipe length from meter or tankbilehome? l C� (ft.12. What is the mobilehome gas demand? ----- --------------- / A' �r (BTU - r (This information not required if pipe 1 g less than 6 ft. on-natpral gas or less than 50 ft. on LPG.) �y� Owner Mailing Address Contractor Mailing Address Building Address Q COUNTY OF BUTTE — 'DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — OroviIle, California 95965 Telephone: 534-4541�/�%%� APPLICATION AND PERMIT v (� BUILDING -" SQ. FT. I OCC. BUILDING VALUATION Oag 1. kone N i Telephone No. i `ii tie, A. P. No. — /' Z-oning 8 lanning Ftee W-117 Sa Won Fire Dept. Fire Zone Use &rmit EQA Parking Parcel Parcel p 60' R/W Im rovemen s Plans Declaration p Bldg. s Rec'd Parcel royal Plans Approval_ NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ Single Family ❑ Duplex ❑ Mobil Home Others ❑ CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: License No. Classification Fireplace J.91 Total Valuation @ I FEE Permit Fee $3.00 U Plan Checking Fee &/or Penalty .€ Permit Fee 2.50 _5- PLUMBING No. @ FE PERMIT FILING FEE $3.00 E Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50/0, Each gas water heater or vent 1.50 Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Building sewer 5.00 d Lawn sprinkler system 2.00 Permit Fee J.91 ELECTRICAL No.1 @ I FEE PERMIT FILING FEE $3.00 U Main service 100 AMP OR1 OR LE LESS5.00 .€ Main service EA. AOD•L 100 AMP 2.50 _5- OVER Main service 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. / DWELLING OCCUP. V OR ADDNS. % ACC. BLDGS. 2�sgft NEW CONSTR. MULTI.OUTL T ..-RE ID, ( BRANCH CIRCUITS 2.50ea NEW CONSTR. POWER APPARATUS fi NON-RESID.SINGLE OUTLET CIR. EX. OCCUO(OUTLETS OR FIXT11RES 50@250 BAL@1 / FIXED APPLNS. OR EX. OCCU p•\OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 1 15.00 Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. I Permit MECHANICAL PERMIT FILING FEE Heating WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ERI certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. is,'Z � �.4 � Date — Signature of Permitee or Agent Receipt No. !� �L 0,V White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Cooling $3.00 Ventilation Hood 1 1 2.00 Permit Fee $ $ Land Development Fee $ S TOTAL PERMIT FEE $ O This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR PUBLIC WORKS By Date;��ZZ��,� Building permit expires Date .I ' . .. � - qo NOTE:=AII Materials & Workmanship Sh'll Be in Accordance with Recognized Good Practices and 0f,q quality prescriber; for the -Specified use in the Uniform Buildirig, P.ur�b ng �C. Mechanical- Codes and t'he National Electrical Code. - p All utility 'connection connections s I Be, z located within 4' f+. outside t e ear I ` third section, of the mobile ho. e on the left (road) side of the ob Ole It i. d {o 161 it 4. 3 MINIMUM ' Q' FT. M S . is system' __ ocation o buddy S •.. • ,f FORM ItES r mI dram stub out o be s per Bea 'e County q inents. -- f'ftorn }iie shah fr;rh, the. perty lirie"an. �,iiring a max ' # i f ST i;e _ _; bode ,pro 'err but entirely F' }'•of. laris and s'pecificc,tions <M cente- �.'o.�f_ the roaove hang This se p;it..is', unlav ful to mum of a 2�rave ob cert' al) times and . ti ithout' encs; ke t an the I • , blit ou? of all :easem r chin 4 oealterc'tions on same mG,e pny .� r. �•� ermission from the Department. . wriiten. p . a Butte. Works„ `Crna.;ty of re Ulm . ' = EPARTMEW _ - APPROVED F l"- PERMIT NO. 5005-80B PERMIT EXPIRES iD OWNER Thomas Sutton 'CONTR. Bond MH Serv.,.Oroville ASSESSOR PARCEL 27-11-26 LOCATION 3120 Grubbs Rd., Palermo i i i Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Cal led PG&E JOB FINALED (Date) Z o v s Signature J = OK 0 = Not OK = Not Applicable MOBILEHOMES * = Not Ready ' MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except q's Date DECKS OVERS, CARPORTS, ETC. (Plans) OK except q's 1. Zoning Requirements—Setbacks—Easements ing Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch _ Footings; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/0—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) 4, Woo wn.; Posts—Bea '—Rftrs.—Connec.—Shthg.-Rfg.—Bracing 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete Alum. Awn.; Colu s—Con ons—Sp*i:re--D al—F5Ao4asto 09 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG 6. Carports; Windows—Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card- Date la �FUard-BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except N's 1, Zoning Requirements—Setbacks—Easements Date POOLS (Plans) OK except H's 1, Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. Electricity; MH Test—Crossovers—Breakers—Clearances 4. Elec.; Receptacles and Lighting; Distances—GFI 5. Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6. Water; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. Water and Sewer Connected—C/0 to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip:—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9. Exits; Insp.—Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date = OK = Not O< = Not Applicable RESIDENTIAL -(Single and Duplex) = Not Ready Date UNDERFLOOR Plans OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except q's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date _ Date Card -BI Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 15. Water Pipe; Test & Anchors -Nail Protection 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels __19. Gas Pipe; Size & Anchors 62. 63. Stairs & Rails Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Date Card -BI Date ELECTRICAL Permit OK except q's 66. Elec. Outlets & Receptacles at Kit. Counter 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wir. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. 71. Plb., Elec. & Mech. Equip. Listed for Location Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 22. Size Boxes & No. of Conductors -Stapled 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic ❑Yes73. Guard Rails & Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen & Conductor Size 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes _- 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral EYes ❑No 75. Following instld.: Drive ❑ Yes []No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Cirnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79, Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except N's 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric ,1. A.C. Ducts; Insulation & Support 85. Water & Sewer Connected -C/O to Grade -HD Approval -__ _ 32. 53. Vent Fan; Exhaust above Insulation Condensate Drain & Overflow; Size & Grade 86, Energy Compliance Certificate -Other Certificates 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet �5. Attic Access & Platform if Furnace in Attic -- -- Card -BI Date Card -BI Date Card -BI J Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except q's Comments at Final: 36. Proper Material & Anchors 37. _Sills; Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing _38. 39. 40. _ Draft Stop in Walls (rat proof) _ Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. c2. 43. 44. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties- Purlin-Roof &a_c.-Truss-Shthnq.-Rfnq. Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access; Size & Rom ex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: An entry must be made each time youvisit jobsite) W COUNTY OF BUTTE „ DEPARTMENT OF PUBLIC WORKS 695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70 7 County Center Drive, Oroville — Phone 534-4541 Skyway and Elliott Road, Paradise — Phone 877-3435 CORRECTION NOTICE `3 f 2 - BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or d additional explanation, please contact this office immediately. f7 j i% ✓-44- Inspector Date F R Inspector Date J . i. COUNTY OF BUTTE - DEPARTMENT 0F 7 County Center Drive - Oroville, California 95965 - PUBLIC WORK Telephone 916/53 4541 APPLICATION AND PERMIT PERMIT NO. All l ASSESSOR PARCEL NUM ER _ I — ZO ING BUILDING P �(Q\ I �E, (JV OWN TELEPHONE S0. FT. OCC. BUILDING VALUATION OCC. V UM D N)R S V INGRESS � 1 CO TRACTO 'S,NA TELEPHONE VI c -6 �0 , CONT ACT, S AILI G ADDRES i'� c.J CONSTRU t TION LENDERNKNOWN ILI Fireplace Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ s ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS � PLUMBING PERMIT Filing Fee 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex[] Mobilehome[!r Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New Addition❑ Remodel❑ tilities EnstallationF. Other ❑ Describe work: 17 t — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 100 AMP ORSLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST DWELINGOR ADDNS. ( ACCLBLDGS.CCUP.&\ / 20 sq ft CONTRACTORS LICENSE LAW I declare unde.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. Z t1S(,(, �;_ 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 -CONSTR MULTI-OUTLE NON RESID. BRANCH CIRC ITS T 2,50 ea NEW CONSTR. (POWER APPARATUS &) NON-RESID, SINGLE OUTLET CIR. -REOCCID. SINGLE Ex. OR FIXTURES 50@� BAL@10T FIXED AP PLNS. OR Ex. Occup.(OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 3.00 WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or,less. eve 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. Heating Cooling Hood 2.00 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 County of 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 ai ountinconsequence-pi the granting of this permit. X �// �� E Date /�� Signature of Applicant — Owner ❑ Contractor r= ,4X"ent ❑ 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 $ Land Development Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. I PARCEL ` PD v 171 ISSUE This permit is hereby issued under sions of the Butte Count Code and/or y work indicated above for which DIRECTOROF P BLIC By-. PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date © 40 Receipt No. �3.CJ y WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT I I" PERMIT NO. 54.7-81B PERMIT EXPIRES /2 4 OWNER Thomas Sutton CONTR. owner ASSESSOR PARCEL . 27-11-26 LOCATION 3120 Grubbs Rd., Oroville I :a Temp. Power Pole_ Called PG&E _ Temp. Elec. Service i Called PG&E a Temp. Gas Ser. ice _ Cal Ied,PG&E r JOB Fil'NALEI Signature t V = OK O = Not OK - = Not Applicable MOBILEHOMES = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/O:' -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rig.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except N's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4, Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date J = OK 0 = Not OK = Not Applicable = Not ReadyeadyRESIDENTIAL )Singl4 and Duplex) Date UNDE LOOR Plans OK except#'s Date FRAMING (Continued) oning requirements -Setbacks -Easements !!� Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth ,13?Ext. Doors -One 3' -Check Garage -3rd story, 2 exits tg., Garage; Soils -Steel- / " Ftg. Depth fie"' Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 5. Ste walls, Main; Steel-Blockouts-Wrapped-SlabV.iding-Nailing-Veneer 5&'Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Se'Sternwalls, Garage; Steel-Blockouts-Wrapped-Slab -62v-Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel -&4.- Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test -95i -Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card- Date Card -BI Date Card -BI DatLF I Card -BI Date Card -BI Date Of Card -BI Date Card -BI Date 1 Zi Card -BI Date Date FINA Plans) OK except k's Card- Date Card -BI Date Date PLUMBING (Permit) OK a cept q's 14. Water Ht.; Vent -Ac egs-Combustion Air 5* -Ext. Steps- -Landings "57-71 Smoke Detector 38. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; est Anchors -Nail Protection 16. D.W.V.; Te_ gs•& Anchors -Nail Protection Bedroom Exiting 'OV- G.F.I. & Bath Fixtures & Tub Access `tet- Elec. Trim & Subpanel; Breaker Sizes -Labels • 17. Shower Pan; Te t, First Floor -Tub Access 18. Test Tub & Shr, 4nd Floor -Tub Access 19. Gas Pipe; Siz & chors "6f. Stairs & Rails `93: Fireplace or Stove; Clearances -Hearth -94- Elec. Outlets at Wood Panel; Int. & Ext. .43: Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date Card -BI Date Card -BI Date fie'- Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK qxcept rs «67^ Garage Fire Door; Swing -Landing -Closer ^88't A.C. Duct in Garage -Damper 20. Fixture & Trans rmer learance-Ins. Protection '68•+ Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacl Spicing -Lights &Switches at Doors 22. Size Boxes & No. of onductors-Stapled 7+7.-7PIb., Elec. & Mech. Equip. Listed for Location 23. Romex Installed Ce to Edge of Studs & C.J. 74--Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 24. Equip. Ground mad up w/Mech. Fasteners -Bond Gas &Water gf Insulation -Foam -Looked in Attic C] Yes 25. 2 Appliance Circe' in Kitchen & Conductor Size J. Guard Rails &Deck Construction -Post Caps 26. eed Wire Size// / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance � Looked under Floor $4esOCL 27. Ran Range Circ. / ga Cu or AI -Oven Circ. / / ga. Cu or AI, Insulated Neutra ❑ es ❑No nst ollowing ild.: Drive ❑ Yes Walks F1Yes DVo; PI--'- -_ �No 28. Service -Riser onduc rs & Ground -Main Disconnect ,7G. -.Stucco; Brown -Finish 29. Equip. Cleara es; Pa Is-Motors-Mech. Equip. -746,-A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Clos Light -S `wer Light w46- Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. �74w Water Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date ° Ventilation throughout House Card B -I Date Card -BI Date ,SZ.. Glass Protection Date MECHANICAL (Perrr.itA O xcept N's 1@8" Corrections from Previous Inspections Ad- Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insul i Support S&7 -Water & Sewer Connected -C/O to Grade -HD Approval 32. Vent Fan; Exhaust bove Insulation 8e --Energy Compliance Certificate -Other Certificates _ 33. Condensate Drain Overflow; Size & Grade 34. Furnace -Vent; A ss -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & tla form if Furnace in Attic CX Card -BI Date and -BI Date Card -BI _- _Date _ Card -BI Date Card -BI Date Card -BI Date Card -BI Date E Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FR ING Plans) OK except q's Sills; Proper Material & Anchors _ Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound .38. Bearing Walls over Girders & Floor Nailing_ _ ..I% Draft Stop in Walls (rat proof) SII' Fire Stops; Furred Ceilings -Stairs -Chases -Tub . _Header & Beam -Size & Bearing -42 , Hangers -Post Caps -Anchors -Connectors CIng. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 141, Fireplace Ties or Type A Flue -Fireplace Throat E4S Attic Access; Size & Romex Protection -Draft Slop -Ins. Baffles i Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions Z;, -Garage -Fire Protection Framing (NOTE: An entry must be made each time youvisit jobsite) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS f� 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE, BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. I ' COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965- Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT�� ASSESSOR PARC L NU BE zo 'NG I BUILDING PERMITIAT OWNSELEPHONE SQ. FT. OCC. BUILDING VAL ATION OWN MAILI G� D SS CONTRACTOR'S NAM TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace - CONSTRUCTION LENDER UNKNOWN Total Valuation I $AI-5?00 Filing Fee $ - 10.00 LENDER'S MAILING ADDRESS • Permit Fee $moo ARCHITECT OR ENGINEERLICENSE �� No. Plan Checking Fee $ 00 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS , Permit fee $ o BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap `2.00 Repair drainage or vent piping 5.00 r -'D Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each gas water heater or vent 55.00 Gas piping system 1 - 5 outlets USE OF STRUCTU j� SF ❑ Duplex❑ Mobilehome❑ Other Eire �P�� SPECIFY Building sewer Lawn sprinkler system 5.00 , TYPE OF WORK New 0 Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 _Main service EA. ADD'L 100 AMP 2;50 NEW CONST. (DWELLING OCCUP.EI OR DDNS. ACC. BLDGS. A \ 22 sq ft CONTRACTORS LICENSE LAW A 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 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 CONSTR I.Ou LET 2.50 ea NO N•RESID BRANCH CIRC ITS NEW CONSTR POWER APPARATUS 6 NON-RESID. SINGLE OUTLET CI -R. / I EX. QCCUp OUTLETS OR FIXTURES BAL2i 00 IXED APP LHS, OR Ex. Occup. (ouT LETS (RESID•) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIirig Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty'of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 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. Heating Cooling Hood 3.00 Ventilation permit Fee S 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 permit. 4 X Date �G Signature of Applicant — Owner 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 $ TOTAL PERMIT FEE $ OCCUP. GROUP L TYPE OF CONST. PARCEL P11 I ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC OF PUBLIC BY PE EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS ' Date��Z��� -2- 2-- Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT . o 0(, z3ys BUTTE COUNTY BUILDING DIVISION APPROVED to J o� N +d 9C o w 2 1 r 0(, z3ys BUTTE COUNTY BUILDING DIVISION APPROVED