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027-150-024
27-15- 9A E .��BENGE NIS G'i bbs Rd @ inters District Center" r,..]o .QIuv.i.l.le.... .� Permit #4065�33P4(util,,.'P) ELEC A 20tl GAS t -1j-83 -14-' 2!a" UPC. SUPPORT STRUCTURE RE%nG COMPACTION TEST RE contra Linc. 27-15-4port village mh service 'PERMIT" X4&4 '=83MHI'- ..______....._........... __ B07-1382 027=150-024 RESIDENTIAL SFD-Mobile Home RET EX MH,PERM FND�� 3595 GRUBBS RD d �.28..�.7 ASPINWALL, KATHLEEN 'cel �(�lLAwJ BUTTE COUNTY AREA DEPARTMENT OF DEVELOPMENT SERVICES 1 INSPECTION CARD MUST BE ON JOB SITE 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 Per -nit No: B07-1382 Issued: 6/26/2007 Address: 3595 GRUBBS RD Area: PALERMO Oymer: ASPINWALL, KATHLEEAPN: 027-150-024 Applicant: SIERRA MOBILE SERVIMap Page: Permit Type: SFD-Mobile Home RET Description: EX MH PERM FND Flood Zone: None SRA Area: Yes Front Setback: Side Setback: Rear Setback: Other Setback: Minimum Setback From Centerline of Street: ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING Inspection Type IVR INSP DATE Setbacks 132 Foundations / Footings 111 Pier/Column Footings 122 Grazle Beams 114 Eufer Ground 216 Forms/Steel/Holdowns 122 Do Not Pour Concrete Until Above are Signed Pre -Slab 124 Gas Test House 404 Gas Test Yard 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 Holdowns/Straps 122 Shearwall/B.W.P.-Interior 135 SheErwall/B.W.P.-Exterior 135 Roo= Nail/Drag Trusses 129 Do Not Install Siding/Stucco or Roofing Until Above Signed Rough Framing 128 Rough Plumbing 406 Rough Mechanical 316 Rough Electrical 208 Gas Piping 403 Shower Pan/Tub Test 408 Fire Sprinkler Test 702 Fire Sprinkler Final 702 Bur mg Fina 802 Electrical Final 803 Mechanical Final 809 Plumbing Final 813 Pool Final 802 Moble Home Final 802 Inspection Type I IVR I INSP DATE Do Not Insulate Until Above Signed Wall Insulation 117 Ceiling Insulation 118 Do Not Cover Until Above Signed T -Bar Ceiling / RC 145 Stucco Lath 142 Stucco Scratch 143 Stucco Brown 144 Swimming Pools Setbacks 132 Pool Plumbing Test 504 Gas Test 404 Pre-Gunute 506 Pool Elec/Bonding/Light Nitch 502 Pool Fencing/Alarms/Barriers 503 Pre -Plaster 507 Manufactured Homes Setbacks 132 Blocking/Underpining 612 Tiedown/Foundation System 611 Site Utilities/Trench Insp. 137 Gas Test Yard 404 Manometer Test 605 Continuity Test 602 Skirting/Steps/Landings 610 Coach Info Manufactures Name: Date of Manufacture: Model Name/Number: Serial Numbers: Length x Width: Insignia: GAL 1 6 b s1 Finals - I Pub]rc Works Frna 538-7681 Fire Department/CDF 538-6837 cxt 169 Env. Health Final 538-7281 Sewer District Final r "PROJECT FINAL 1 801 c -rrulec[ anal is a %-eroncare or occupancy tov4;j*esraennal ulnly) PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE. IF WORK HAS COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION Inspector Copy ?' BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 3595 GRUBBS RD Owner: Permit No: B07-1382 -APN: 027-150-024 ASPINWALL, KATHLEEN Issued Date: 6/26/2007 By GLB Permit type: RESIDENTIAL 329 DALLAS DRIVE Subtype: SFD-Mobile Home RET CAMPBELL, CA 95008 Expiration Date: 6/25/2008 Description: EX MH PERM FND Occupancy: Zoning: A5 0( Contractor Applicant: Square Footage: SIERRA MOBILE SERVICE & SUPPLY SIERRA MOBILE SERVICE & Building Garage Remdl/Addn 466 CIRCLE DRIVE 466 CIRCLE DRIVE 1,632 OROVILLE, CA 95966 OROVILLE, CA 95966 Other Porch/Patio Total (530) 534-0599 (530) 534-0599 1,632 FEE INFORMATION DBF MH Plan Check $233.56 DBMSC Mobile Home Permit Fee. $350.34 Total Charged: $583.90 Fees Paid: $583.90 Balance Due: $0.00 Receipt No: B3653 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License SIERRA MOBILE SERVICE 8r S 470386 / C47 B / 3/31/2009 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law (Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 6/26/2007 the applicant to a civil penally of not more than five hundred dollars ($500]; Please check one of the following: Contractor's Signature Date ❑ I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR WORKERS' COMPENSATION DECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). AVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the State Fund 046-0004257 111/2008 Cartier: Policy Number: Exp. Date: Contractor's License Law.). (This section nee not a competed it the permit is or one hundred ollars ($100) or less. ❑ I AM EXEMPT under Section B. 8 P.C. for this reason: ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' X 6/26/2007 compensation provisionsof Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date provisions. X 6/26/2607 I hereby certify that I have read this application and stale that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE Bath,officers, injury, including death, and property damage caused arising out of, in any way connected with HUNDRED THOUSAND DOLLARS 5100,000 , IN ADDITION TO THE COST OF COMPENSATION, ( ) the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the t is a DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the property owner or am authorizecyo act on the p operty owner's behalf. �EI p 6/26/2007 CONSTRUCTION LENDING AGENCY 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Permittee [SIGN] P int Date the performance of the work for which this permit is issued. (3097 civ, code) Owner 0_Gontractor OR DAgent for Owner Agent for Contractor FILE COPY Lender's Address City State Zip 010� BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SU13MITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE. (30) 538-7636 CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TnfE OFAPPLIC.4TION "PLEASE PRINT CLEARLY** PERMIT NO. ,1 b� BP BIN # OWNER Last Name First Name LOCATION Address • i4 rf1 k c- E 02-7 So c -Ruzi�; S k "A-� City tJ &0 U r 4- kC Stafe Zi Property ASdress Crfy Phone c. N P cJ S%E� Fax Cross Street c�2oJ SFE E-mail WORKER'S COMPENSATION CONTRACTOR Policy Number Name yZs Z _777- Carrier Address If hiring anyone other than license contractors, a certificate of worker's City C Statezip compensation must be shown at the time of permit issuance. u� yss'E�E� Phone Shy oS9 9 Fax LENDING AGENCY E-mail Name Lic. # �,yE y7�Class s Address ARCHITECT/ENGINEER L— Name `� Description or Scope of Work: Address Cityvr State Zp r0.�-w�d/i•-�-- � , ,�,,`. I Phone Fax Sq. Footage E-mail State License Number C1Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): APPLICANT NAME Name , EXPIRATION OF APPLICATION Address y6� (� •�'� Applications for which a permit has not been issued will expire one year after the date of application. City Slate Z Lti P In order to renew action on an application after expiration, a new application, plans and fee will be Phone 9.S y�� required, Fax QUEST FOR REFUNDS E-mail Refunds can only be made upon written request by the person who paid the fee. The request must be made to the i�-- prior expiration of the Permit and no construction work has been done. Filing fees, plan check fees for PPLICANT ASIGNATURE work- plan cbecked and other department costs are not refundable. X / For office use only: Received by: Amount h Idg Zoning Flood Zone SRA Yes No SRAOCC. Type Const. Receipt #: Subdivision Name Map Book Page Lot # Sheriff Planrier SMIP Date Approved: � OVER FOR SLIBMITTAI RFnl II►��nn�ntn Date: Other NTAF CALIFORNIA,- BUSINESS, TRANSPORTATION AND HOUSING AGENCY ARNOLD SCHWARZENEGGER, Governor DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT Division of Codes and Standards Decal #: LAM3674 Manufacturer: BUDDY HOMES Tradename: HILLCREST Model: ALL 938 Manufactured Date: 00/00/1979 Registration Exp: First Sold On: 04/02/1979 Serial Number 02700102AM 02700102BM Record Conditions Registered Owner: Title Search Date Printed : 06/18/2007 HUD Label / Insignia 115499 115500 PPF Exempt Voluntary Conversion to LPT Use Code: SFD Original Price Code: AEJ Rating Year: Tax Type: LPT Last ILT Amount: Date ELT Fee Paid: ILT Exemption: NONE Length Width 68' 12' 68' 12' KATHLEEN KRAWEZ 8685 FENWICK WY DUBLIN, CA 94568 Last Title Date: 05/05/1995 Last Reg Card: 05/05/1995 Sale/Transfer Info: Price $20,000.00 Transferred on 02/09/1995 Situs Address: 3595 GRUBBS RD OROVILLE, CA 95966 Situs County: BUTTE Legal Owner: EMPIRE AMERICAN REALTY CREDIT CORP EMPIRE PLAZA 100 SENECA ST BUFFALO, NY 14203 Last Title Date: 05/05/1995 Lien Perfected On: 03/23/1995 09:49:00 Inactive Decal/DMV: DECAL AAJ8503, DMV SM1764 * * * END OF TITLE SEARCH � )SING 9� p m m .0 Z 3"S0 � 4� 0 ti�TY DE��'v LO,q1 PDA D �}ctuA� s�rE � sNAp@ KRrrt LEEN A RS P"Nwh`L 3SgS 0A J> ORovlt�E CA 9S96c Oz"t ISO bdci 5 ; I' = tea, 7 BUTTE COUNTY BUILDING DIVISION APPROVED 4' Copy Vi Xi2 Foundation System Installation Instructions for California for Ground & Concrete Systems HUD Wind Zone 1, 15 PSF Wind Load Seismic 4 ip2 b'7 • By Tie Down Engineering m"TT= C®UNTY r�WILD1,NG DIVISION � 7�RROVE® Xi2 Concrete System Engineer Approval State Approval MANUFACTURED HOMEIMOBILE HOME FOUNDATION SYSTEM HEALTH AND SAFETY CODE, SECTION I8531 APPROVED BURR CT TO CORRECTIONS NOTED APPROVAL DOES NOT AUTHORIZE OR APPROVE ANY ONSMONS OR DEVIATION FROM REQUIREMENTS OF APPIJCABLB STATE LAWS AND REGULATIONS Stage of colifomia bvuu w otAo aad cm -aft �SOF CO ES AND STANDARDS�r—enl DATE ice) - AIM lksAyp�rat6apiro� � t A, 3033611, Xi2 Foundation System Installation Instructions for California for Ground & 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. Round concrete pads minimum is 18" wide by 14" deep. Strip footings minimum is 18" wide by 14' long by 6" deep.mnl> Y , * Xi2 components exceed HUD code 3280.3068 "Anchoring equipment exposed to weath�r ng shall have a 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 0 5, DOWN _ ENGINEERING 5901 Wheaton - Drive_30336 o IE 0 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. Installation of Xi2 Ground Systems Identify the number of systems to be used on the home using the chart provided. Identify the location where the systems will be installed. Clear all organic matter and debris from the pad site. Place U -bolts through holes in pan provided. Place pad centered under beam with the lateral strut bracket towards the inside of the home. Press or drive pan into ground until level and flush with prepared surface. Build pier according to State, Local or Home Manufacturers guidelines.(Figure 1) Attach the end of the smaller tube to the inside of pan using U -bolt & nuts provided 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) 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) P-nd °f Non'je 11. Install frame bracket clamps to I-beam on in side of block/pier. Do not tighten nuts at this time. 12. Attach longitudinal strut to U -bolt in pan using nuts provided. 13. Insert strut in the frame bracket clamp, attach with nut and bolt. Do not tighten at this time. 14. Pull the frame bracket clamp with the fastened strut outward to remove any slack. 15. Tighten all nuts and bolts on the struts and beam clamps. ` Lm -, �' l✓ (1 Y.. 2. cili f65'" Page 3 of 8 I , GA, 30336 TIE:.; 24O1 1 DOWN& 0 J -Bolt Nut & Washer 1-3/4„ Tube CG I® Strut Lateral Struts (flag end) o ._ ..... 1-1/2” Tube 4-#12x1" Tek Screws I -Beam ` 1 Figure 2 U -Bolt & mounting Figure 1 Bracket P-nd °f Non'je 11. Install frame bracket clamps to I-beam on in side of block/pier. Do not tighten nuts at this time. 12. Attach longitudinal strut to U -bolt in pan using nuts provided. 13. Insert strut in the frame bracket clamp, attach with nut and bolt. Do not tighten at this time. 14. Pull the frame bracket clamp with the fastened strut outward to remove any slack. 15. Tighten all nuts and bolts on the struts and beam clamps. ` Lm -, �' l✓ (1 Y.. 2. cili f65'" Page 3 of 8 I , GA, 30336 TIE:.; 24O1 1 DOWN& 0 Xi2 Ground. Parts Detail Xi2 Ground Lateral System Part Number 59306 Includes: 5' Strut, pad & hardware kit (#59329-1 includes all nuts and bolts). Longitudinal Hardware Kit Part Number 59331 Includes: 2 I-beam brackets & 2 U -bolts with all nuts and bolts. Lateral and Longitudinal Combination Part Number 59333 Includes: 5' Strut, Pad, Longitudinal Strut (#59329), Lateral and Longitudinal Hardware Kit with all nuts and bolts. Struts for Longitudinal Systems Part Strut Pier Height No. Length Up To: 59330-44 44" 4 Blocks or 32" 59330-65 65" 6 Blocks or 48" Ground Longitudinal Hardware Kit Xi2 Ground Longitudinal Strut & Hardware Kit Ground Longitudinal Strut Xi2 Stabilization Pier Placement for Ground or Concrete Xi2 Pier Placement Double Section Home 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 0 m 0 0 0 0 2 3 4 5 1.1 7 Installation of Xi2 Concrete Systems r4. Identify the number of systems to be used on the home using the chart provided. Identify the location where the systems will be installed. Build pier according to State, Local or Home Manufacturers guidelines. 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 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. Attach the end of the smaller tube to the bracket mounted on the pad, using the grade 5,1/2" x 2-1/2" bolt/nut provided. 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. (Fieune f next page) 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 en *ete brac t. 10. Pull the frame bracket clamp with fastened strut outward to remove any slac f 11. Tighten all nuts and bolts on system. Y� 2 - Page Page 5 of 8 ;f TIE=S ENGINEERING €' 0 0 s O Xi2 Lateral Concrete Systems Part#59307 Includes: 5' Strut, Bracket, & Hardware Kit #59315-1 with all nuts and bolt. Longitudinal Struts for "Concrete Systems" Part No. Length Pier Height #59013 44" up to 4 Blocks #59015 65" up to 6 Blocks Longitudinal Hardware Kit Part#59263 (Includes 2 sets per kit: I-beam bracket, nuts, bolts and washers) Lateral and Longitudinal Combination Part #59332 Includes: 5' Strut, Longitudinal Strut (#59364), Lateral and Longitudinal Hardware Kit with all nuts and bolts. Figure 1 Nut & Washer Beam Clamp Bracket Lateral Longitudinal Longitudinal Strut f Nome 1; t1G� �6B Concrete Longitudinal Hardware Kit r�E DOWN' ENGINEERING Y J-1 «r 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 - Single Section Home 0 -80' (76' Box) 4 Xi2 Systems 1- Xi2 Pier Placement Double Section Home 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 f f 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 1 x2" 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 1/2x-13 Grade 5 zinc 1 10826 Carriage Bolt 1/2-12 x 3 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 x `DOWN ENGINEERING f 0 0 0 0 RECORDING REQUESTED BY: American't-de Company Escrows No. 9919469 -MF Title Oider No. 401371 When Recorded Mall Document To: Kathleen A.Aspinwall 329 Dallas Drive Campbell, CA 95008 /A III IIII II Il 1111 l 111 111 1111 l ll l 1111 1999—Q11028796 Recorded Official Records I REC FEE 10.00 I PENALTY 6.00 County Of BUT CANDACE J. GRUBBS I Recorder ROSEMARY DICKSON I Assistant I Fay 09:00AM 08—Jul-1999 I Page 1 of 2 APN: 027-150-024 ('/- INTERSPOUSAL TRANSFER DEED (Excluded from reappraisal under California Constitution Article 13 A Section 1 et seq.) P-4 The undersigned grantor(s) declare(s) Documentary transfer tax is $ City Tax is S This is an Interspousal Transfer and not a change in ownership under Section 63 of the Revenue and Taxation Code and Grantor(s) has (have) checked the applicable exclusion from reappraisal: FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, James Aspinwall and Kathleen A. Aspinwall, (who acquired title as Kathleen Krawez, an unmarried woman), Husband and Wife hereby GRANT(S) to Kathleen A. Aspinwall, A Married Woman as her Sole and Seperate Property the real property in the City of Orovllle, County of Butte, State of California: SEE EXHIBIT "ONE" ATTACHED HERETO AND MADE A PART HEREOF. DATED: June 16, 1999 STATE OF CALIFORNIA COUNTY OF _ ON - 3v - 9 before me, rs nal,y appeared w personally known to me (or proSed to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. Witness m apd and of i I seal. Signature J es Aspinwall �)�ju k'o, Kathleen A. Aspinwall CYNr �. 1091? 4A Cj � AQTARYB �O a �rA90 OR N 1 N �-t COut MAR. 11' MAIL TAX STATEMENT AS DIRECTED ABOVE UD -13C (Rev 12/95) INTERSPOUSAL TRANSFER DEED Escrow No. 9919469 -MF Title Order No. 401371 EXHIBIT ONE Parcel 3, as shown on that certain Parcel Map, filed in the Office of the Recorder of the County of Butte, State of California, on July 11. 1983, in Book 93 of Maps, at Page(s) 18. BUILDING PERMIT NUMBER: B07-1382 Address or location of unit: 3595 GRUBBS RD OROVILLE CA 95966 Legal Description of Real Property: 027-150-024 SEE ATTACHED (x) Mobilehome/Manufactured Home - () Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: ASPINWALL, KATHLEEN Owner's address: 329 DALLAS DRIVE CAMPBELL CA 95008 INSIGNIA OR HUD NUMBER: 115499/500 SERIAL NUMBER OR V.I.N.: 02700102A/BM MANUFACTURER'S NAME: BUDDY HOMES YEAR: 1979 OFFICIAL APPROVING INSTALLATION: DATE: & - Iq /-o 7 PHONE: (530) 538-7541 H.C.D. 513 PERMIT NO. _ 4065-83P E NH "C OD PERMIT EXPIRES OWNER _ E.J. BENGE CONTR. owner ASSESSOR PARCEL 27-15-4port LOCATION NIS Grubbs Rd @ inters District Center Dr, lot 3, Oroville 103 OFFICE COPY I Address I iii 1 GAS Date��� Meter �= ELECTRIC Da I; Meter BY Temp. Power Pole Called PG&E _ Temp. Elec. Service Called Temp. Gas Called F JOB FINAL Signatu a' J = OK` 0 = Not OK = Not Applicable MOBILEHOMES = Not Ready MISCELLANEOUS y Date MOBI1,EHOME UTILITIES (Pods—) OK except N's Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1172 ing Requirements—Setbacks—Easements `1. Zoning Requirements—Setbacks—Easements Soils; Special MH Support—Sketch _ 2. Footings; Size—Depth—Spacing—Connectors Sewer; location—Test—Fall-C/0—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails Aelfater; Location—Test—Easement Needed (Sketch) 4. Wood Awn.; Posts—Beams—R1trs.—Connec.—Shthg.—Rfg.—Bracing_ lectricity; Location—Clearances—Grnd.—/ / Amp—Concrete _ 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6, Gas; Locatio es Wr ./ /'.L"ft./ Nat. or L t. "LPG 6. Carports: Windows -Doors 7 tlity Clearance Z. Elec. J C d -BI Date a/J=-3 Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date MOBILEHOME INSTALLATION (PI K except N's Date _ POOLS (Plans) OK except N's 1 oning Requirements—Setbacks—Easements 2otings; Size—Spacing—Marriage Line 1, Setbacks -Easements 2. Soils; Compaction—Structure Stability as; MH Test—Demand—Valve—Conngctor 3. Pool Structure; Steel—Connections—Thickness-Dead Men—Lining___ lectricity; MH Test—Crossovers—Breakers—Clearances 4. Elec.; Receptacles and Lighting; Distances—GFI' rain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI ater; MH Test—Regulator—Connector 6. Elec.: Enclosures: Conduit Entries—Terminals—Listed ater and Sewer Connected—C/O to Grade—HD Approval 7. Elec.; Bonding;'Metal w/5'—Circulating Equipment—Heater j!Gas.and Electricity Tagged 8. Elec.; Grounding; Equip, w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit xits; Insp.—Sketch 10 ert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card -BI Date Card -BI Date C I e __ and -BI Date Card B-1 Date and -BI Date Card -BI Date Card -BI Date 1f71 w•:< = OK = Not OK _ .. = Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) 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 9. Gas Pipe; Size -Anchors 55. Shear Walls; Nailing -Bolts 10. Water Pipe; Test-Anchors-Regulator-Seryice 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 Card -BI Date Date FINAL (Plans) OK except #'s 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except #'s 57. Smoke Detector _ 14. Water Ht.; Vent -Access -Combustion Air 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 15. Water Pipe; Test & Anchors -Nail 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. 19. Test Tub & Shower, 2nd Floor -Tub Access Gas Pipe; Size & Anchors 61. 62. Elec. Trim & Subpanel; Breaker Sizes -Labels Stairs & Rails _ 63. 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 Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except #'s 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper --- 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor -Meth. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 22. Size Boxes & No. of Conductors -Stapled 70. Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 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 C] Yes - _ 25. 2 Appliance Circuits in Kitchen & Conductor Size 74. Guard Rails & Deck Construction -Post Caps dn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes _26. Subieed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At _- 27. 28. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, �� Insulated Neutral ,_Yes El No Service -Riser Conductors & Ground -Main Disconnect 75. Following tnstld.: Drive g ❑ Yes []No: Walks ❑ Yes ❑ No; Planters ❑Yes ❑No 76. Stucco; Brown -Finish - 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet - 30. Clothes Closet Light -Shower Light - 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. ----------------------- Card B -I ---- ------ Date Card -BI Date 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except #•s 83. _ Corrections from Previous Inspections 84. 85. 86• Gas Test -Meters Tagged; Gas -Electric Water & Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates _ 31. A.C. Ducts; Insulation &Support 32. 33. - Vent Fan; Exhaust above Insulation Condensate Drain _& Overilow; Size & Grade 34. 35. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet Attic Access & Platform if Furnace in Attic Card -BI Card -BI - - Date- _Card -BI _ Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Card -BI Date Card -BI Date Date Card -BI Date Date FRAMING(Plans) OK except #'s _36- Sills; Proper Material & Anchors _37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound_ 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) Comments at Final: 40. _Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. 42. 43. 44. 45 46. 47. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng Fireplace Ties or Type A Flue -Fireplace Throat Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles _ Bdrm._Windows or Exiting Doors-Sill_Hgt. & Dimensions_-_ -_ Garage Fire Protection Framing (NOTE: An entry must be made each time youvisit jobsite) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number A , />>_ for the following location: e r. Owner— Owner's wner Owner's Address --—� •- Mobilehome Mfg. a Model r, Year ' Insignia No. Serial No. f.1/2 - 14V 'T It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works i Date I _ 4—r u By - t THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED ' White - Owner, Yellow - Installer, Pink - D.P.W. 4 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS, 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 /x-9,3 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. C-- COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville,fali%E ;ia 95965 - Telephone 916/534-4541 APPLICATION:AND PERMIT PERMIT NO, ASSESSOR PARCEL NUMBER i v �� ZONING BUILDING PERMIT •. OWNER © TELEPHONE SO. FT. OCC. BUILDING VALUAT,1 ' OWNER'S MAILING ADDRESS _357,5 b r,- a, As //e, CO AMT I TELEPHONE CON RACTOR•S AILING A RESS SIV �[D. V Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS t Permit Fee $ ARCHITECT OR ENGINEER f L•.I.%ENSE NO. .7•�, Plan Checking Fee $ Penalty $ ARCHITECT OfR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS ' •• P.;LUMBING PERMIT` Filing Fee 10.00 ``L y5 ct. U 06s Orr✓6�� Each.Trap 2.00 Solar Mater Heater 20.00 Water p i.lTing 5.00 LOT NO.SUBDIVISION NAME ;; PARCEL MAP Each QaS water heater or vent 5.00 Gas piping system 1 -5 outlets 5.00 USE OF STRUCTUREI'i`, SF F-1Duplex ❑ Mobi lehome Other �°� SPECIFY Buihdin sewer 5.00 'Mpbi le. Home S G W 10.00 e TYPE OF WORK '' -� New ❑ Addition [:]Remodel ❑ Utilities ❑ Installation 21 Other ❑ Describe /work:J / — /le I/o H e �61�i/4-//1 'T//��" Permit Fee $: �tontrabwr ELECTRICAL PERMIT Filing Fee 10.00 1* Main service 00v OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP"' OR ADDNS, AGC. BLDGS. I 2�ZQSQft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one):'. I am licensed under provisions of ChapZ:,9, Div. 3 of the Business and Professions C de and m license•is in full fo ce and effect. y C � 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 ULTI-OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS NEW CONSTR (POWER APPARATUS &1 NON-RESID. `SINGLE OUTLET CIR, Ex. Occu zo�soa P(ouTLETs OR FIXTURES 9AL@30Q Ex. Occup. OUTLETS FIXED P(RESID ) -OR EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 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 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 Nabi 'ties, judgments, costs, and expenses which may in any way accrue id County in conMuee f th grar44ng of this permit. X Date Signature of Ap Icant — Owner ❑ Contractor��gent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition b&onstruct- ion of structures over 3 stories in height. y>t . 14fA Mobile Home Installation Fee $ TOTAL PERMIT FEE $ O LO OCCUP. GROUP I TYPE OF CONST. I V F PAROL d PD ND I ISSU This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC PUBLIC By! PE IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date /2-21- 23 gX UU * Receipt No. ��d% t rk WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD-APRLICANT h,+ OWNER COUNTY OF BUTTE - DEPARTMENT _O= PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET Permit No. lit A. P. No. �-'%.� _y7_ Proposed Building Use C!/TTi-�-�C.► Pernit Fee Based Upon: Complete Contract Price DPW Valuation Other (Explain) Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing andor issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate/triplicate. . . . . . . . . . . 3. Complete plans in duplicate. /triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. , 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ , , , , , , , 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. . . 11. Planning approval for (A) Use: (B) Parking: . 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner, Mail to owner ❑.) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . 17. Pre -Inspection for RequiredPre-Inspec. request to . Building Inspector (Date) 18. Other When you issue the pe proc as follows: Mail to owner. Mail to contractor. _0 100,17Telephon 7 and 1, Cal for pick all office. Deliver w/inspector. Other i / tw tS Applicant Date /, Copp of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance. - (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: ' (Con-ractor, Designer, Owner) vas advised of above required data by By Plans checked by Plans approved b, Other: Copy—DPW Telephone Mail Oti-e- Date Date Date c43 MOBILEHOME SUPPORT DATA S'1'ry If' other than single wide, Mobilehome Mfr. Ili /.%CA � s7� furnish Setup Model No. Year ` 6 Width(ft.) Box Length (-ft.) Tagalorig"or Expando Size ft. x ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of,,. mobilehome unless otherwise specified. Footings (check one) Single (ft.)(in.) Center support locations* (ft.)(in.) 5 J (ft.)(in.) (ft.)� (in.) 6y" *If center piers are other than drawn above, •4 raw inlocations, spacing,. and dimensions-. pressure treated or foundation grade. 1a'2. Other: (specify) C4e- fir° Supporta (check one) Ell", Concrete block. ET -2i Other. (specify) tagalong or Expando,' show support details. -- Typical Support .) Footing Size -- Max. Pier Spacing -- Max. Overhang • 0413 BUTTE COUNTY BUILDING DEPARTMEN' AFJF'KVVEU 1. Owner's name: 2. Installer's na BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 3. Is the site currently under permit? Yes / YI No / / • (If yes, furnish permit number J 7 Ag 4 ) OR s Is the site an existing site? Yes T177 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 12. What is the mobilehome gas demand? ----------------------- (BTU) (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) clear of all setbacks.and easements? Yes 4,4 . No ( If no, clarify 5. :What is the mobilehome electrical rating? ----------------------- O d Amps 6. What is the mobilehome site service rating? --------------------- Amps 7.. What is the mobilehome site circuit breaker rating? ----- ------- - 0-;.0 Amps 8. Is there any other electric load to be served by the mobilehome r siteservice? --------------------------------------------------- Yes" No (If yes, identify the load and size: lA o f (Load) (Amps) 9. What is the mobilehome site gas pipe size? ------- --------------- 3I (in.) 10. What is the type of gas service? ----------------------------- Natural LPG 144 11. What is the gas pipe length from meter or tank to the mobilehome? O (f t.) 12. What is the mobilehome gas demand? ----------------------- (BTU) (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) AP # — OWNER )eF• �• PERMIT'lk MH UT IL. CLEARANCE DATE / S'_9 7 - INSPECTOR ELECTRIC GAS. Support Compaction Struc. Test Re . Service, Other. Pipe YES NO YESI NO Size Load Type Size Length oe. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERJNIT N ASSESSOR PAFEL �S E ZON1N� BUILDING PERMIT OWNERr J, EP/A•HOONNE SQ. FT. OCC. BUILDING VAL TION - 50/�/j`/�.�� �j�/f//�//JTra OWNEYR MAILING ADDRESS Xff Al CONTRACTOR'S NAME te TE EPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER n,.l UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee ,$' Penalty $ ARCHITECT OR ENGINEER' MAILING ADDRESS � Permit fee BU(La NG ADDgESS�� yy, / �IS/ Fes/ /Y_D �/ S PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT rte. ✓/1 SUBDIVISION NAME PA CEL MAP 3 �0 Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF S RUCTURE SF ❑ Duplex❑ Mobilehome Other SPECIFY Building sewer 5.00 Mobile Home 10.00e ,.tom TYPE OF WORK-- New ❑ Addition ElRemodel ❑ Utilities �y Installation ❑ Other ❑ Describe work: Q�' 449 04, . Permit Fee $ r V-0 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600 AMP OR00V OR LESS 10.00 1 1 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. / DWELLING OCCUP.& OR ADONS. C ACC. BLDGS. 2�2QSQft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and ef 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 CO ID RL BRANCH CIRCTITS. 2.50 ea NEw NON -CONSTR. POWER APPARATUS RESID. SINGLE OUTLET CIR. & Ex. Occu /o zA0SOC X OUTLETS Occup(Ts OR FIXTURES 13 L0300 FIXED APP LNS. OR D Ex. OCCUp- OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ r p Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty -of perjury, (check one): she permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 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 Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Z,>-- /'-4?3 Signature of Applicant — Ow r Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ �O OCCUP. GROUP I TYPE OF CONST. PARCE PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for hich DI R O PUBLIC / By. ( t PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date � /3 Receipt No. P M963 -0 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT f r A COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDINO DIVISION ' �.) 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET 1 Permit No. OWNER �. J• A. P. No. Z7—Z!E ZZ Prcposed Building Use "/f UT/( Permit Fee Based Upon: Complete Contract Price r::LDPW Valuation Other -(Explain) Building Inspector v Date .--...At time of permit application, I was advised the following data must be submitted prior to permit processinc ane/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. �2. Plot plans in duplicate./triplicate. . . . . . . . . . . 3. Complete plans in duplicate. /triplicate. . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of. $ 9. Letter of signature authorization. 10. Sanitation approval from Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . •Pre-Inspec. request to pato) �7. Pre -Inspection for Required. Building Inspector j 1 . Other 10aR_Z Al . 4. r/l _ When you issue the permit, process as follows: Mail to owner. Mail to contractor. —/Telephone <7�tZ.2q2 �(.and hold for pickup at _office. Deliver w/insp&.-tor. r� o� v Apphicant Date X Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, -the following data must be submitted prior to permit issuance. (For required items not checked above at time of application, circle :item.) ... 1. Index permit for above Items No. 2. Additional items required (Contractor, Designer, t not) was advised of above required dat Telephone Mail her BY Date2 21c, Plans checked b Plans approved by Other: Cop i—DPW Date Date J 10 To: Building Departmeht From: }Environmental Health Subject: Sanitation Cleara Owner ass s QX , 4e Sss Location a?. AP;Y ` Plan Approved for: Sewage disposal ' water supply Hold final for: water supply Final clearance-O.K. for: water supply Clearance for .bedroom mobile home. Other Sanitarian Date. •CCti Ret n to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT {:, Le FOR RESIDENTIAL DEVELOPMENT O .,wB p0 &Fury SH Section 26-8.1 of the Butte County Code requires this acknowledgeme•t ` °�,�', ';;6 be recorded prior to issuance of a building permit. �!.0 1Ul. The property described herein is adjacent to- land or included !:. 1� Pr within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences, or .discomfort arising from 83-39200 the use of agricultural chemief� , including, but not limited to herbicides, pesticides, and fertilizers; and from the, pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying; pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: SEE ATTACHED SCHEDULE C. Date: '6e— '� / 9.F3 State of / ) County of PROPERTY OWNERS:. On this the 6 day of before SS. me, the undersigned Notary Public, personally appeared fes, / / Personally known to roe. / / Proved to me on the basis ,�-QFFICIAL SEAL of satisfactory evidence. to be the person(s) ( ) lr��tlP.. MAI LARSEN WHITE P ( )whose name s /J/yP s bscribed to NOTARY PU3!tC—CALIfORNU the within instrument and acknowledged that BUTTE COUNTY MY CCmmlulon EIDI(eSsept. 5, 1987 executed the same for the purposes therein containe IN WITNESS WHEREOF, I hereunto set my hand and official seal. Notary Public Present A.P. No. f7 -1c-4 (12oeT- _ TCL. �; 3•-/g SCHEDULE C Order No. 127880* The land referred to herein is ;described' as follows: �: All that certain real propgrty situate in the County of Butte, State of California, described as follows: ...Parcel 3, as shown on that certain Parcel Map beinga portion of the ':::Northwest quarter of Section 12, Township 18 North, 13ange'4 East, M. D. ::.,:.B. & M. ," filed in the office of the Recorder, County of Butte, State of :California, on July 11, 1983, in Book 93 of Parcel Maps, at page 18. WT *.g PM "Ar NOTE -411 Materials & Workmanship Shall Be in A=rdancs with Rocognizcd Good Practi -- „ of o,quality prescribed for the Speci-fi�% u in the Urtifaem Building, Plumbing & Mech ni al Codes and the National Electrical Code. \rit will be required for the M. -in of the mobilehome. 10H/, Utility connections shall be i 4 ft. of the mobilehome, ei;hE directly behind or within fi.1e half of the roadside (left), f t mobilehome. ti ZiZs• G s . This set of plans and specifications MUST be kept on the job di all ilnicj and it is onlawftil to make any changes or alterations on same with- out wr; ,en permission 5' + )e Department Of Public Works, County of Buttq. A setback of 5 ft. from the property lines and a setback of 50ft. from the road centerline shall be clear of structures or equipmenfi except for a 2 ft. eave overhang, p f' C_ yn 500 Sr2• FT. MI vIi WPW FOR MOBIL.ES ko 7 3 l 7V�03 BUTTE COUN i Y BUILDING DEPARTMEW 1/ COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville; CA. 95965 Phone: 916-534-4541 '.OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name"and bearing your signature. Please complete and return this information in the envelope provided at your earliest opportunity.to avoid unnecessary delay in processing and issuing your buLld- ing permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for constructLon of the proposed property improvement (yes or no) 2. I (have/have not) i4-4/42,— signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address. City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise,,and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired),the followLng persons to provide the work indicated: ame_ Address Phone Type of Work s 4'02 F % % --3,9; 717 Signed: Property Owner Social Security number _ Date /Z. / NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we a..=e permitted to issue the permit.