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027-360-146
��`•" SII GUY JONES app. 1 mi. off e/s Palermo-Honcut Hwy.7i app. 2 mi. so. of Cox Ln �S Permi.t...2036-73P..,.E..: �_g (utilities for mobil home -- CONTR: Acro-Lome, Orovi)1e Mot. Permit# 2655-75B(awning, MH) B06-2514 027-J-146 RESIDENTIAL SFD-M FNDjBbile bile EX MH, EX SITE, PE N� 400 MELODY Lrfi���N MAR MONDO, GORDON V h 1 k f i r _ __� � 1� � C.fll �� RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 Recorded I Official Records I County of I Butte 1 CANDACE J. GRUBBS I County Clerk-Recorderl 1 1 09:49M 31 -Oct -28M I SPACE ABOVE THIS LINE FOR RECORDER USE ONLY REC FEE 10.00 WORMED COPY LN LIP Page 1 of 2 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. MONDO, GORDON V & MARTHA L BUTTE COUNTY BUILDING DIVISION REAL PROPERTY OWNER/LESSOR LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 400 MELODY LN. 7 COUNTY CENTER DRIVE MAILING ADDRESS MAILING ADDRESS OROVILLE BUTTE CA 95966 OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP CITY COUNTY STATE ZIP 400 MELODY LN B06-2514 (530) 538-7541 INSTALLATION MAILING ADDRESS, IF DIFFERENT BUING PERM 0. TELEPHONE NUMBER IL OROVILLE BUTTE CA 95966 10/27/2006 CITY COUNTY STATE ZIP ATURE 0 LOCAL AGENCY OFFICIAL DATE SAME NONE UNIT OWNER (if also property owner, write "SAME" DEALER NAME (if not a dealer, write "NONE") SAME NONE MAILING ADDRESS DEALER LICENSE-' NO. SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION UNKNOWN 1973 N/A MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER S3578 60'X 12' 101873 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION: SEE ATTACHED ASSESSOR'S PARCEL NUMBER: 027-360-146 HCD FORM 433(A) REV 8/91 WHITE —County Recorder CANARY — HCD PINK—Applicant GOLDENROD— Building Dept. Order No. 101602 EXHIBIT "ONE" PARCEL A: , PARCEL 1, AS SHOWN ON THAT CERTAIN PARCEL MAP BEING A PORTION OF THE NE 1/4 OF SECTION 33, TOWNSHIP 18 NORTH, RANGE 4 EAST, M.D.M. IN THE UNINCORPORATED AREA OF BUTTE COUNTY, CALIFORNIA, WHICH PARCEL MAP WAS FILED IN THE OFFICE OF THE'RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, OCTOBER 17, 1980 IN BOOK 79 OF PARCEL.MAPS, AT PAGE 36, BUTTE COUNTY RECORDS. PARCEL B: A NON-EXCLUSIVE PUBLIC EASEMENT FOR.INGRESS AND EGRESS AND PUBLIC UTILIT-` PURPOSE=S T, M --FEET IN-WiDTH, AS SHOWN -GN TITAT CERTAIN,'PARCEL MAP BEING A PORTION OF THE NE. 1/4 OF SECTION 33, TOWNSHIP -1.8 NORTH, RANGE 4 EAST, M.D.M. IN THE UNINCORPORATED ARE OF BUTTE COUNTY, CALIFORNIA, WHICH PARCEL MAP WAS FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, OCTOBER 17, 1980 IN BOOK 79 OF PARCEL MAPS, AT PAGE 36. PARCEL C: A RIGHT OF WAY FOR ROAD AND PUBLIC UTILITY PURPOSES OVER A STRIP OF LAND 60 FEET IN WIDTH LYING 30 FEET SOUTHERLY OF AND ADJACENT TO AND 30 FEET NORTHERLY OF AND ADJACENT TO THE SOUTHERLY BOUNDARY LINE OF THE NORTH HALF OF THE NORTH HALF OF THE NORTH HALF OF SECTION 33, TOWNSHIP 18. NORTH, RANGE 4 EAST, M.D.B. &M. . EXCEPTING THEREFROM THAT PORTION LYING WITHIN PARCEL A ABOVE. Assessor's Parcel No: 027-360-146 2 -ScAk4 4L o-- co I- L4+K5 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: B06-2514 Issued: 10/24/2006 Address: 400 MELODY LN PALERMO APN: 027-360-146 Permit Subtype: SFD-Mobile Home Owner: MONDO, GORDON V & MARTHA L Applicant: LIFETIME EXTERIORS Description: EX MH, EX SITE, PERM FND MUST BE ON JOB SITE JOB SHALL BE READY PRIOR TO CALLING FOR INSPECTION. THE INSPECTION CARD AND APPROVED PLANS MUST BE AVAILABLE FOR EACH INSPECTION OR THE INSPECTION WILL NOT BE MADE AND A RE -INSPECTION FEE MAY BE ASSESSED. ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING Ins ection Type IVR MSP DATE Set ac s 132 Foundations / Footings 111 Pier/Column Footings 122 Grade Beams 114 Eufer Ground 216 Forms/Steel/Holdowns 122 Do Not Pour Concrete Until Above are Signed Pre -Slab 124 Gas Test 404 Masonry Grout 120 Masonry Bond Beam 119 Underfloor Framing 149 Underfloor Ducts 319 Shear Transfer 136 Under Floor Plumbing 412 Under Slab Plumbing 411 Gas Piping 403 Do Not Install Floor Sheathing or Slab Until Above Signed Rough Framing 128 Rough Plumbing 406 Rough Mechanical 316 Rough Electrical 208 Gas Piping 403 Roof Nail 129 Shower Pan/Tub Test 408 Fire Sprinkler 702 Do Not Insulate Until Above Signed Wall Insulation 117 Ceiling Insulation 118 Do Not Cover Until Above Signed T -Bar Ceiling / RC 145 Gas Test 404 Stucco Lath 142 Stucco Scratch 143 Stucco Brown 144 Building Final 802 Electrical Final 803 Mechanical Final 809 Plumbing Final 813 Project Final 801 Olkb(, ra-Z7-o6 PERMITS BECOME NULL AND VOID 1 YEAR FRO M 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) 53872140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION I Site Address: 400 MELODY LN Owner: Permit No: B06-2514 APN: 027-360-146 MONDO, GORDON V & MART Issued Date: 10/24/2006 By KCG Permit type: RESIDENTIAL 400 MELODY LN Subtype: SFD-Mobile Home RET OROVILLE, CA 95966 Expiration Date: 10/24/2007 Description: EX MH, EX SITE, PERM FND (530) 534-7941 Occupancy: Zoning: A5 0( Contractor Applicant: Square Footage: LIFETIME EXTERIORS LIFETIME EXTERIORS Building Garage Remdl/Addn P O BOX 494 P O BOX 494 PALERMO, CA 95968 PALERMO, CA 95968 Other Porch/Patio Total (530) 228-3421 (530) 228-3421 FEE INFORMATION Mobile Home $329.94 Mobile Home Plan Check $219.96 Total Charged: $549.90 Fees Paid: $549.90 Balance Due: $0.00 Receipt No: B637 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 LIFETIME EXTERIORS CSLB-746808 / B C47 / 03/31/2008 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 Contractors 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 �_ 10/24/2006 the applicant to a civil penalty of not more than five hundred dollars [$500]; 3 Please check one of the following: ContraOr S ignature 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 OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of the property, who builds or improves thereon, and who does WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: HAVE AND the work himself or herself or through his or her own employees, provided that such improvements ❑I WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). ❑ ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractors License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors License Law.). Carrier: Policy Number: Exp. Date: (This section need not a competed if the permit is or one hundreddollars ($100) or ess. ❑ I AM EXEMPT under Section B. & P.C. for this reason: r7lMCERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS [J 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 10/24/2006 compensation provisions of 00 of the Labor Code, I shall forthwith comply with those Owner's Signature Date provisions. Eion X �� 10/24/2006 \is I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signet a Date WARNING: FAILURE TO SECURE 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 officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, injury, including death, and property damage caused arising out of, or in any way connected with DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND the issuance of this permit. I hereby acknowledge thatt is issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the a ve mentioned property for inspection purposes. I hereby certify that I am the prop rtyowner ra authoriaedloacFerrtheproperty owner's behalf. �L 10/24/2006 CONSTRUCTION LENDING AGENCY 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for a e of Per ee [SIGNJ Print Date the performance of the work for which this permit is issued. (3097 civ. code) ❑ Owner to tractor OR; Agent for Owner ❑Agent for Contractor FILE COPY Lender's Address City State Zip d 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 3UTTE COUNTY i3UILDING DIVISION A nr P%Afts .. Xi2 Concrete System Engineer Approval State Approval YAIIUFAMIRED ROME/MOBus irOMB FOUNDATION SYSTEM :SUU AND SAFETY CODE. SBCnON 1839 APPROVED /ORIEL? 70 OORKzCTX NB NO= APPWVAL DOSS Nor AU7RORIZB OR APPROVE A14T OWUMM OR DEVIATION FROM REQUIREIr OM OF AMSCABIA STATS LAWS AND R50M A770NS am of dNlado cwt tnewhe r0 CAMM04 Dowd"Med / MM -30 O/ COQS AND STAIODARDS (t Page 1 of re • Atlanta GA, 30336 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, (200 - 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. 117 1 ILI * Xi2 components exceed HUD code 3280.306g "Anchoring equipment exposed to weattnng sharhaA 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...." Pape 2 of 8 0 TIE DOWN ENGINEERING 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 thnnd 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) Install frame bracket clamps to I-beam on in side of block/pier. Do not tighten nuts at this time. Attach longitudinal strut to U -bolt in pan using nuts provided. Insert strut in the frame bracket clamp, attach with nut and bolt. Do not tighten at this time. Pull the frame bracket clamp with the fastened strut outward to remove any slack. Tighten all nuts and bolts on the struts and beam clamps. ffi* 6T; 11 - 2 '44-, t I Oa S- TIE DOWN ENGINEERING (3) 0 0 0 Nut & Washer J -Bolt 1-3/4" Tube I �1 st Lateral Struts flag end) °°°° 1-1/2" Tube 4-#12xl" Tek 5cnswe I -Bearer Figure 2 `1 U -Bok & mounting Figure 1 Bracket Install frame bracket clamps to I-beam on in side of block/pier. Do not tighten nuts at this time. Attach longitudinal strut to U -bolt in pan using nuts provided. Insert strut in the frame bracket clamp, attach with nut and bolt. Do not tighten at this time. Pull the frame bracket clamp with the fastened strut outward to remove any slack. Tighten all nuts and bolts on the struts and beam clamps. ffi* 6T; 11 - 2 '44-, t I Oa S- TIE DOWN ENGINEERING (3) 0 0 0 I Xi2 Ground Parts Detail / X12 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: 21 -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 Single Section Home 0 -80' (76' Box) 4 Xi2 Systems 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 W 717a 11 �- 2. C 1 ///'3 Page 4 of 8 1. 2. 3. 4. 61 A INA 8. 9. 10 11 Installation of Xi2 Concrete 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. 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 ca 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,: r .F z. 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. K. 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 1 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 Install frame bracket clamps on I-beam on the inside of block/pier. Insert strut in frame bracket clamp and attach with nut & bolt. Attach opposite en-te bracket.. .Pull the frame bracket clamp with fastened strut outward to remove any slac Sip . /+K .Tighten all nuts and bolts on system. QTS lt`��Z Page 5 of 8 TIE DOWN ENGINEERING Lateral Concrete Systems, #59307 Includes: 5' Strut, Bracket, & Hardware Kit r: #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 r 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. Nut & Washer Figure t Beam Clamp Bracket Lone X12 Installation Placement •Beam Longitudinal Strut Xi2 Concrete G a •m so �e Concrete Longitudinal Hardware Kit end of Nome . X M j 5l/cf_Z illi/d� Page 6 of 8 0 0 i Offset Placement Diagrams represent examples of double and triple section offsets. Total size is determined by the length of unit plus offset. X12 Stabilization Pier Placement for Ground or Concrete Xi2 Pier Placement Single Section Home 0 -80' (76' Box) 4 Xi2 Systems 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. IM11 1=11 .111 1111 Diagrams represent examples of double and triple section offsets. Total size is determined by the length of unit plus offset. X12 Stabilization Pier Placement for Ground or Concrete Xi2 Pier Placement Single Section Home 0 -80' (76' Box) 4 Xi2 Systems 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 aTS t/ - 2- Page 7 of 8 m 0 0 IM11 1=11 Triple Section Home 0 -62' 4 Xi2 Systems 63' - 80' 5. Xi2 Systems aTS t/ - 2- Page 7 of 8 m 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 4 59272-2 1-3/4 zinc 4 10556 Tek Screw #12 x 1" 1 10631 Z 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 1/212 x 1-1 /4 59272-2 Beam Clamp Top Flange Full Thread 10 10646Y Hex Nut 1/2-13 grade 5 zinc 2 10801 Carriage Bolt 1/2-12 x 2-1/2 10646Y Hex Nut 1/2-13 Grade 5 zinc Grade 5 2 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 thread 10801 Grade 5 zinc 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 2 59272-2 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 10631 Z 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 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 10530 Full Thread zinc 12 10646Y Hex Nut 1/2-13 Grade 5 zinc 4 10801 Carriage Bolt 1/2-13 x 2-1/2 59272-1 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 _M33>1 &-'T 5 11Y -2 - Page 8 of 8 ,f DOWN ENGINEERING � `- � RECORDING REQUESTED BY: UIIIIIIIIIIIIIIIIIINIIIIIIIIIIII ' o-9delity National Title of California ��—'��223 19 Escrow No. 101602 -LC order No. 00 101 602 Recorded I REC FEETitle Official Records I TAX 10.0Q When Recorded Mall Document Coun_ tY Of I. 89. b: � eurrE and Tax Statement To: l MACE J. GRUBBS I Mr. and Mrs. Gordon V. Mondo Recorder 408 Melody Lane ROSEMARY DID(SON . j Oroville, CA 95966 ' 09:11" Assi16aJun-20e8 I Page 1 of 2 4 . APN: 027 GRANT DEED SPACE ABOVE THIS LINE FOR RECORDER'S USE The. undersigned. grantor(;;) declare(s) :. _Documentary traoisfer. tex is 6138.65 ( X 'l computed on full value of. property conveyed, or t ] computed on full value less value .1 X ] Unincorporated Area City of of liens or encumbrances remaining at time of sale, FOR VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Larry G. Beecraft and Judy A, Beecraft, husband and wife O hereby GRANT(S) to Gordon V. Mondo and Martha L. Mondo, husband and wife as Joint Tenants the following described real property in the County of Butte, State of California: SEE EXHIBIT ONE ATTACHED HERETO AND MADE A PART HEREOF DATED: May 30, 2000 STATE OF CALIFORNIA COUNTY OF before me, evlo personally appeared personally known to me (or proved to me on the basis Of satisfactory evidence) to be the persons) 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 my hand and official seal. Signature v A Larry Gftecirafftt UNDAF. CHAPAAAN :1888512 Mfr Co+nrr - XP. M1AAR 31. FD -213 (Rev 7/96) MAIL TAX STATEMENTS AS DIRECTED ABOVE GRANT DEED i PARCEL A: EXHIBIT "ONE" Order No. 101602 PARCEL 1, AS SHOWN ON THAT CERTAIN PARCEL MAP BEING A PORTION OF'THE NE 114 OF SECTION, 33, TOWNSHIP 18 NORTH, RANGE 4 EAST, M.D.M. IN THE UNINCORPORATED AREA OF BUTTE', -COUNTY, CALIFORNIA, WHICH PARCEL MAP WAS FILED -IN"THE OFFICE OF-TH'E"RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, OCTOBER 17-,1980 IN BOOK 79 OF PARCEL MAPS, AT PAGE 36; BUTTE COUNTY RECORDS. PARCEL B: A NON-EXCLUSIVE PUBLIC EASEMENT FOR INGRESS AND. EGRESS AND PUBLIC UTILITY PURPOSES , b0 -,FEET IN7WiDTH, AS SHOWWON TkTAT OERTAIN PARCEL MAP BEING A PORTION OF THE NE 1 /40F SECTION 33, TOWNSHIP-" —NORTH, RANGE 4 EAST, MD:M. IN THE UNINCORPORATED ARE OF BUTTE'COUNTY, CALIFORNIA, WHICH PARCEL MAP WAS FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, OCTOBER 17, 1980 IN BOOK 79 OF - PARCEL MAPS, AT PAGE 36. PARCEL C: A RIGHT OF WAY FOR ROAD AND PUBLIC UTILITY PURPOSES OVER A STRIP OF LAND 60 FEET IN WIDTH LYING 30 FEET SOUTHERLY OF AND ADJACENT TO AND 30 FEET NORTHERLY OF AND ADJACENT TO THE SOUTHERLY BOUNDARY LINE OF THE NORTH HALF OF THE NORTH HALF OF THE NORTH HALF OF SECTION 33, TOWNSHIP 18 NORTH, RANGE 4 EAST, M.D.B. &M. EXCEPTING THEREFROM THAT PORTION LYING WITHIN PARCEL A ABOVE. Assessor's Parcel No: 027-360-146 2 STATE OF CALIFORNIA - BUSINESS, TRANSPORTATION AND HOUSING AGENCY ARNOLD SCHWARZENEGGER, Gover DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT o�stivc qti Division of Codes and Standards4`s .� �. w Irm 0 10 GI 3Ga� Avg Title Search ti, Df'W Date Printed : 10/31/2006 Decal #: ABC3900 Manufacturer: Tradename: SAHARA Model: Manufactured Date: Registration Exp: 06/30/2007 First Sold On: 04/17/1973 Serial Number 53578 Record Conditions: Registered Owner: Use Code: SFD Original Price Code: ABM Rating Year: 1973 Tax Type: ILT Last ILT Amount: $6.00 Date ILT Fee Paid: ' 08/04/2006 ILT Exemption: NONE HUD Label / Insigni 100873 PPF Exempt Length Width 60' 12' GORDON V MONDO MARTHA MOND) (Joint Tenants with Right of Survivorship) 400 MELODY LN OROVILLE, CA 95966 Last Title Date: 07/26/2000 Last Reg Card: 08/15/2006 Sale/Transfer Info: Price $3,500.00 Transferred on 06/16/2000 Situs Address: 400 MELODY LN OROVILLE, CA 95966 Situs County: BUTTE Legal Owner: LARRY G BEECRAFT JUDY A BEECRAFT (Joint Tenants with Right of Survivorship) 308 MELODY LN OROVILLE, CA 95966 Lien Perfected On: 06/19/2000 14:25:12 Inactive Decal/DMV: DMV KJ4950 * * * END OF TITLE SEARCH 9 12 P STATE OF CALIFORNIA - DEPARTMENT OF DOUSING ANA COMM UN1T1c' DF.VELOPMENI' REGISTRATION CARD Manufactured Home Decal No: ADC3900 Martufaocdrror JaVNama Ttae� Nart�e Model WM DFS 3 Cltp W's 1 SAHAItAY`" I 04117!1873 1A� , JiJd 30 200/ serial Number 51978 s 357? Addressee GORDON V MONDO 400 MELODY LN OROVILLE, CA 95966 Lafisgkisigrda Number Weight f Length j"73 i GORDON V MONDO MARTHA L MONDO Joint Tenants with Right of Survivorship 400 MELODY LN OROVILLE, CA 95966 Situs Address 400 MELODY LN OROVILLE, CA 95966 Legal Owner(s) LARRY G BEECRAFT JUDY A BEECRAFT Joint Tenants with Right of Survivorship 308 MELODY LN OROVILLE, CA 95966 Lien Perfected On: 06/19/00 14:25:12 Width I SPC SCC ExNnpt.' (tiI' 7y" LL `ABM 04 9PD' ILT 1'LIj Issued Aug 1$, 2009 ATTENTION OWNER: I Fels Paid F THIS IS THE REGISTRATION CARD FOR THE UNIT DESCRIBED ABOVE. PLEASE KEEP THIS CARD IN A SAFE PLACE WITHIN THE UNIT. INSTRUCTIONS FOR RENEWAL: REGISTRATION FOR THIS UNIT EXPIRES ON THE DATE INDICATED ABOVE IN THE BOX LABELED "Exp. Date". THERE ARE SUBSTANTIAL PENALTIES FOR DELINQUENCY. IF YOU DO NOT RECEIVE A RENEWAL NOTICE WITHIN IO DAYS PRIOR TO THE EXPIRATION DATE, CONTACT A.C.D. FOR RENEWAL INSTRUCTIONS. a++teat+rtr*atkat#aaw+ritttwwkttttiwt#ww#tw#ttktwttwt#k+ IMPORTANT THE OWNER INFORMATION SHOWN ABOVE MAY NOT REFLECT ALL LIENS RECORDED WITH THE DEPARTMEA'T OF HOUSING AND COMMUNITY DEVELOPMENT AGAINST THE DESCRIBED UNIT. THE CURRENT TITLE STATUS OF THE UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT. M1. T. a 06152006.2.021 V,TN: 4Alk RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 31 -Oct -2006 2006-0056810 Has not been compared with original BU'T'TE 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. MONDO, GORDON V & MARTHA L BUTTE COUNTY BUILDING DIVISION REAL PROPERTY OWNER/LESSOR LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 400 MELODY LN. 7 COUNTY CENTER DRIVE MAILING ADDRESS MAILING ADDRESS OROVILLE BUTTE. CA 95966 OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP CITY COUNTY STATE ZIP --400-MELOD-Y-L-N -----B06-25-1-4-------------(-530)--53-8=7-54-1---- ----B06-251-4-------------(-530)-53.8=7-541-- INSTALLATION INSTALLATION MAILING ADDRESS, IF DIFFERENT BUIL ING PERM 0. TELEPHONE NUMBER OROVILLE BUTTE CA 95966 1 10/27/2006 CITY COUNTY STATE ZIP ATURE O LOCAL AGENCY OFFICIAL DATE SAME NONE UNIT OWNER (if also property owner, write "SAME" DEALER NAME (if not a dealer, write "NONE") SAME NONE MAILING ADDRESS DEALER LICENSE NO. SAME sur WUNIY J1AIh GIP UNIT DESCRIPTION UNKNOWN 1973 N/A MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMEINUMBER S3578 60'X 12' 101873 SERIAL NUMBER(S) LENGTH X WIDTH. INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION: SEE ATTACHED ASSESSOR'S PARCEL NUMBER: 027-360-146 OPYHCD FORM 433(A) REV 8/91 WHITE— County Recorder. CANARY — HCD PINK—Applicant GOLDENROD— Building Dept. EXHIBIT "ONE". PARCEL A: Order No. 1"01602 PARCEL 1, AS SHOWN ON THAT CERTAIN PARCEL MAP BEING A PORTION OF THE NE 114 OF SECTION 33, TOWNSHIP 18 NORTH, RANGE 4 EAST, M.D.M. IN THE UNINCORPORATED AREA OF BUTTE. COUNTY, CALIFORNIA, WHICH PARCEL MAP WAS FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, OCTOBER 17, 1980 IN BOOK 79 OF PARCEL.MAPS, AT PAGE 36, BUTTE COUNTY RECORDS. PARCEL B: A NON-EXCLUSIVE PUBLIC EASEMENT FOR INGRESS AND EGRESS AND PUBLIC UTILIT-YPURPOSI=S , 80 -FEET IN -WIDTH, AS SHOWN ON TkTAT'CERTAIN PARCEL MAP BEING A PORTION OF THE NE 114 OF SECTION 33, TOWNSHIP 18 NORTH,. RANGE 4 EAST, M.D.M. IN THE UNINCORPORATED ARE OF BUTTE COUNTY, CALIFORNIA, WHICH PARCEL MAP WAS FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, OCTOBER 17, 1988 IN BOOK 79 OF PARCEL MAPS, AT PAGE 36. PARCEL C: A RIGHT OF WAY FOR ROAD AND PUBLIC UTILITY PURPOSES OVER A STRIP OF LAND 60 FEET IN WIDTH LYING 30 FEET SOUTHERLY OF AND ADJACENT TO AND 30 FEET NORTHERLY OF AND ADJACENT TO THE SOUTHERLY BOUNDARY LINE OF THE NORTH HALF OF THE NORTH HALF OF THE NORTH HALF OF SECTION 33, TOWNSHIP 18 NORTH, RANGE 4 EAST, M.D.B. &M. -._.__T_E_XCEPTfNG THEREFROM -THAT -PORTION LYING"W.ITHI'N-PARCEL AABOVE:-`- "�---` "-- --- - - Assessor's Parcel No: 027-360-146 2 FOUNDATION: SYSTEM CERTIFICATE, OF -OCCUPANCY BUILDING PERMIT NUMBER: B06-2514 Address or location of unit: 400 MELODY LN. OROVILLE CA 9596.6 Legal Description of Real Property: 027-360-146 SEE ATTACHED (x) Mobilehom e/Man ufactu red 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. Ownerts name: MONDO, GORDON V & MARTHA L Owner's address: 400 MELODY LN OROVILLE CA 95966 INSIGNIA OR HUD NUMBER: 101873 SERIAL NUMBER OR V.I.N.:, S3578 MANUFACTURER'S NAME: UNKNOWN /YEAR: 19 ICIAL I A DIDU nITTIV17' TIVQrr A T T A rrYn nUf IV DATE: lo -3 1—nC PHONE: (530) 538-7541 H. C.D. 513 T' PERMIT NO.. 2655-75B P e E M MH UTIL. _ PERMIT NO. ' - PERMIT EXPIRES OWNER Guy.Jones Acro-Lume, Oroville CONTR. .LOCATION (A.P. 27-22-113 ) e/s Palermo-Honcut Hwy., 1/2 mi. S. of Cox Lane, Oroville 4 Temp. Power Pole Called PG&E Temp. �E6ec. Serv. } C 'fled PG&E Te p. Gas Serv. Called PG&E JOB FINALED (Date (Sig ature) } i I COUNTY OF BUTTE — DEPARTMENT- OF PUBLIC WORKS _ BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBIN Setback v Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish' 2nd Floor Footings Windows 3rd Floor Stemwall . Sidinq To out I Slab. Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall Y Slab Prov. for physically handicapped Heaters 'Appliances Carport Footings Conformance of e . structure 4 10 Gas Piping & Test Temp. Gas Slab Final LV 76, Sanitation Patio FIREPLACE Final Footin s jam' ' 7 Footing ELECT I AL Masonry Walls Throat• ' Rough Reinf. Steel Final Fixtures Bond Beam FIR SPFJINKLERS Motors Framin /3' 7 _ Test Water Htr. Stucco Final Subpanels Mesh ME HANICAL Grd. Fault Prot. Scratch j Heating t Service ' Brown' + Cooling Temp. Pole Finish x1 Ducts Underground Interior Lath i Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS I 14 E a vw . -. • ...,Jyk- ..- Y Y' vti'.�w+.aw.s ,i .-`.+.. •'� �r - -� 7 -- "COUNTY ..Y.`a_ �.xy'1.,^� ... ;-r ,a�_.Ivi. .. •- _ )- _ ;COUNT_ Y OF BUTTE-.— DEPARTMENT._OF FUBLIC WORKS 7 County Center Drive - Oroville, California 95965. TelepFione: •534-4541 APPEICATION+AND PERMIT ,.. uw.. tea. ,cN,com. - v� uta I�UUIIIY UI OULLU WU11LU1 UPUll ffl6 above-mentioned property for in,sp io pur S. a X -4 le Date o oll Signature of Permitee ar�A/COgent /_.� � Receiot No..—_3 S White-D.P.W. — Yellow -Assessor - Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the .Butte County Code and/or resolutions to do'work indicated above for which fees have been paid. DIRECTOR 0 PUBLIC WORKS BY -Date r'j �' 7.1� frs Building permit expires Date. EfUILDING "-� Owner ]Gl ' �1✓ rV.�� � SQ. FT. OCC. BUILDING VALUATION Mailing Address '� ✓� ci - �,,V ' Telephone No. Fireplace Contractor �r?c', u ,ci,[ Total Valuation _ I Mailing Address -' tiTelephone Permit Fee , Plan Checking Fee&/or Penalty No. J-_ •-- ---4 � s ;i Permit Fee $ '716, C � $ Q r�—,I Building Address yf-�— -/may j� f ^G r_'r�R-fQ -' PLUMBING No. @ FEE PERMIT FILING FEE $2.00 //L i Tf� l rzc - C. C► ,�. !j nr ¢: /� Each Trap 1.50 _ 7- — 1' 1}�s'L' " ��> ' �' i �- Repair drainage or vent piping 1.50 ' Water piping 1.50 AID . Each gas water heater or vent 1.50 A. P. No. 7 - , 'A (3 Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fetes Santtt h Fire Dept. Fire Zone Use Permit Building sewer 5.00 Ll EQA, Parking Plans Parcel Declaration Parcel Map 60'.R/W Improvements Lawn sprinkler system 2.00 Bldg. P ns Recd Parc(►i�JSpproval I s Approval Permit Fee $ $ NEW ADDITION ❑ UTILITIES [:J'OTHER EJELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl: 1 meter Additional meters, each 1.00 Sub -panel (12 or, less) (more than 12) Single Family ❑ Y Duplex ❑ Mobil Homel Others ❑ Range; Cook -top or Oven 1.00 /� 'i ' fy y� o fir' �✓'�y� Water Heater or Space Heater 1.00 Light fixtures 2 bol a)10 Receps., switches &.-fix,outlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of Calif rnia Business & Professions Code.under the name style of: � a) �� !�. �✓ Hood, Ex. Fan or F. A. Furn. Motor 1.00 j Evap. cooler, gar. disp: or D.W. 1.00 Air conditioner or heat pump Water pump ' Mobil Home Facilities 5.00 Temp. Power Pole ',' 5.00 `y License No. `�7 Classification Misc. wiring " ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor 'forCode 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 4� Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner ❑ so as to become subject to the Workmen's Compensation Laws of- California. MECHANICAL No. @ FEE PERMIT FILING FEE J$3.00 Heating - r Coo Iirig Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ ,.. uw.. tea. ,cN,com. - v� uta I�UUIIIY UI OULLU WU11LU1 UPUll ffl6 above-mentioned property for in,sp io pur S. a X -4 le Date o oll Signature of Permitee ar�A/COgent /_.� � Receiot No..—_3 S White-D.P.W. — Yellow -Assessor - Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the .Butte County Code and/or resolutions to do'work indicated above for which fees have been paid. DIRECTOR 0 PUBLIC WORKS BY -Date r'j �' 7.1� frs Building permit expires Date. �c�_` it3 COUNTY OF BUTTE, — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 r Tel ephoi!a: 534-4,541 APPLICATION AND PERMIT .. a�w�.: icNic.�cnaouvco �, L wauray ui ouuc au CIIm, upun mu above-mentioned property for inspection purposes. r�l Date Signature of Permiteeeoor Agent Receipt No. �(1 IJ=� !f White-D.P.W. – Yellow -Assessor – Pink -Inspector – Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By % y� • �.�_ a Date r , BUILDING Owner , rim _r �, /��� SQ. FT. OCC. BUILDING VALUATION Mailing Address 'Telephone % J.— _ J •' -Y i Jam'+ .i:! C✓. tee'' No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee $ $ Building Address f r J, 1 ' i if PLUMBING No. @ FEE PERMIT FILING FEE ✓ 1 $2.00 Each Trap 1.50 ry , ,41 J f�—� ' / Repair drainage or vent piping •1.50 Water piping V 1.50 A j�(1 c Each gas water heater or vent 1.50 A. P. No. % - 1 '� ---� �'� Zoning 8 Planning Gas piping system 1 - 5 outlets r/ 1.50 Each additional outlet .30 Fees W.0 Sanitatbn, Fire Dept. Fire Zone -Use'Permit.r 'Building sewer 5.00 h.<.0 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements provements Lawn sprinkler system 2.00 ✓ Bldg. Plans Recd I Parcel Approval Plans Approval Permit Fee $ /( . ^ i $ /C' • NEW ❑ ADDITION ❑ UTILITIES Q OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE 6+' $3.00 =?,(. .) Main service incl. 1 meter ✓ S,:J J Additional meters, each 1.00 Single Family ❑ Duplex ❑ Mobil Home ❑X, Others ❑ Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures 20 b(@ 25 o 20 25 Receps., switches & fix outlets b 010 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: Hood, Ex. FanorF.A. Furn. Motor -al 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump I ,, %/fJ V A j Mobil Home Facilities d 5.00 24) 0 Temp. Power Pole 5.00 License No. Classification Misc. wiring I am exempt from the Contractors License Laws of the State of California. Permit Fee $ /nC.d.►' , is WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. + ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this -permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE nn $ �C-;? )� .. a�w�.: icNic.�cnaouvco �, L wauray ui ouuc au CIIm, upun mu above-mentioned property for inspection purposes. r�l Date Signature of Permiteeeoor Agent Receipt No. �(1 IJ=� !f White-D.P.W. – Yellow -Assessor – Pink -Inspector – Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By % y� • �.�_ a Date r , THE 14ETHOD OF DIVISION OF PROPERTY IN THIS AREA . IS BEING REFERRED TO -THE BOARD OF SUPERVISORS FOR POSSIBLE SUBMISSION TO THE DISTRICT ATTORNEY AND STATE. REAL ESTATE COMMISSION FOR REVIEW AND APPROPRIATE ACTION. COUNTY OF BUT DEPARTMENT OF PUBLIC WOR 7 County Center°Drive_— Oroville, California 95965 Tel.ephorl"e:'534-4541 , APPLICATION AND PERMIT ` BUILDING Owner * SO. FT. OCC. BUILDING VALUATION Mailing Address w r Telephone No.-. ' Fireplace Contractor �.�%LJ Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty • Telephone,No. Permit Fee $ $ Build' Address /f�2%.� PLUMBING No. . @ FEE PERMIT FILING FEE $2.00 . �2� Each Trap 1.50 n o� Repair drainage or vent piping 1.50 Water piping V 1.50 , �U Each gas water heater or vent 1.50 A. P. No. — a —` 3Gas oning & Planning piping system 1 - 5 outlets 1.50 , 5 Each additional outlet .30 es San Fire Dept. FireZo ermit g sewer 5.00 ,0-5 EOA Parking Plans Parcel Declaration Parcel Ma `60 R/W p improvements p Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel Approval Plans Approval Permit Fee $ ,Q $ DC NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No.. @ FEE PERMIT FILING FEE $3.00 ,07) + Main service incl. 1 meter ,QZj Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑. Mobil Home ® Others ❑ Range,'Cook-top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures baI(@10 Receps., switches & fix outlets - 20 (al 25 ba 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: ` Hood, Ex. Fan or F. A. Furn. Motor 1.00 Evap. cooler, gar.'disp. or D.W. 1.00 Air. conditioner r heat pump Water pump 1/ , Mobil Home Facilities 5.00 ` Temp. Power Pole 5.00 License No. Classification Misc. wiring } I am exempt from the Contractors License Laws of the State of California. Permit Fee $ r $ WORKMEN'S COMPENSATION INSURANCE • 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer,to be insured against liability for Workmen's Compensation. 11 have placed on file with the County of Butte a certificate of ❑'Workmen's Compensation Insurance. r ®I certify that..in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. - MECHANICAL No.1 @ FEE PERMIT FILING FEE - $3.00 Heating ' Cooling Ventilation Hood 2.00 Permit Fee ' $ $ I certify that l have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ •^ •�.vi��.. .•.,+�a.acnauuvco v� "I I VUnIy VI OUIIG lV CIIICI uNun uIa above-mentioned property for inspection purposes. X Date Signau e 7— entL / Receipt No. /0 _ White-D.P.W. – Yellow -Assessor – Pink -Inspector – Goldenrod -Applicant This permit is hereby issued under the applicable provisions•of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. 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