HomeMy WebLinkAbout027-360-166027-360-166 01-2465
HENDERSON, MARVIN
a19 '-MELODY LN, O VILLE
CONT: SKYCRES NT��` 17JIo
NW MH NEW SrFE PRM FNDN
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$1
RESIDENTIAL
(-112'7-3611=166 UI -2468
PERMIT ' HENDERSON, MARVIN
203 MELODY LN, OROVILLE
CONT: SKYCREST ENT
NW MH NEW SITE PRM FNDN
THE HCD FORM 433A FOR THIS MH CANNOT BE
RECORDED UNTIL ONE OF THE FOLLOWING HAS
1 BEEN TURNED IN TO THE BUILDING DIVISION:
(1) LICENSE PLATE(S) OR DECAL (THE
r: INSPECTOR MUST RETREIVE)..
# (2) STATEMENT OF FACTS (ONLY ON
-f NEW MH'S).
II.
INSPECTOR TO VERIFY SERIAL & LABEL #'S.
SPECIAL CONDITIONS
ZSRA
r FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY�'� �0
k'S vno .0pw when-kmovik
o�tndoJha+i
r
USRMIT CONDITIONS
4. SUB -STANDARD HOUSING LETTER
1
1
X OFFICE COPY
4
Address
GAS Dat /
Meter By ��
'ELECT RIC Date
Meter By
JOB FINALED (Date)
Signature
CHECKED
BY
. f
<
./=OK
0 = Not OK
- = Not Applicable MOBILE HOMES
= Not Ready
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
Date
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
Zoning Requirements -Setbacks -Easements
3. Sewer; Location -Test -Fall -C/O -Concrete
2.
g1gaater; Location -Test -Easement Needed (Sketch)
y�
L
5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
-p[ Gas; Location -Test -Wrap;-/" /" 'ft.
/ P Nat. or/ /"L"ft.� /'LPG
4.
7. Well Clearance & Discofinetf
8. Utility Clearance
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date MOBILE UOME INSTALLATION (Plans) OK except #'s
Fo gs; Size -Spacing -Marriage Line
. G Test -Demand -Valve -Connector
jpr_Ele ' ity; MH Test -Crossovers -Breakers -Clearances
Dra�i1v-MH -Test-Fall-Flex Connector
Jwo'Water and Seer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Tie Downs -Type -Installation Can.
/
[2,/Exits; Insp.-Sketch
11. Cert. of Occupa
12. Perman ou ation Wi I License Decal
Date Card B-1 t t Ryle � Card B-1
Date Card B-1 Date, ; Card B-1
, r It r .
/?I -rt . C"'�'
Date Card B-1 Date Card B-1
MISCELLANEOUS.
Date
DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Soils -Size -Depth -Spacing -Connectors -Steel
y�
L
3.
Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4.
Wood Awn.; Posts-Beams-Rftrs.-Connectors
Shthg.-Frg-Bracing
5.
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6.
Carports; Windows -Doors
7.
Electric
8.
Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9.
Siding; Nailing -Veneer -Stucco -Mesh
10.
Roof; Shthg-Roofing
11.
Ext.; Steps -Doors -Landings
12.
Braced Wall Panels
Date
Card B-1 Date Card 13-1'
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
1.
Setbacks -Easements 4
2.
Soils; Compaction -Structure Stability
3.
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4.
Elec.; Receptacles and Lighting, Distance-GFI
5.
Elec.; Pool Lighting; 15 Volts-GFI
6.
Elec.; Enclosures; Conduit Entries -Terminals -Listed
7.
Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8.
Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes- Enclosures- Panelboards-Ins. to Main in Conduit
9.
Health Department Approval
10.
Plumb.; Cir. Test -Water Supply Test
11.
Light Niche
Date
Card B-1 Date Card 6-1
Date Card B-1 Date Card B-1
V= OK
0 = Not OK
- = Not Applicable = Not Ready
RESIDENTIAL (;
Date
Underfloor (Plans) OK except #'s
Hangers -Post Caps -Anchors -Connectors
1.
Zoning -Setbacks -Easements -Flood -Slope
Cling. Joist-Rftr. Ties- Purl in- Roff Brac.-Truss-Shting.-Rfng.
2.
Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
3.
Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
4.
Fig., Porches & Decks; Soils -Steel-/ /" Ftg. Depth
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
5.
Stemwalls, Main; Steel-Blockouts-Wrapped
Garage Fire Protection Framing
6.
Stemwalls, Garage; Steel-Blockouts-Wrapped
Property Line Firewall & Openings
6a.
Hold Downs and Special Anchors
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
7.
Slab, Steel -Wrapped
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
8.
Piers -Fireplace Fig. -Steel
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
9.
D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test
Siding -Nailing Veneer
10.
UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
11.
Water Pipe; Test -Anchors -Regulator -Service Test
Glazing Area -Glass Protection -Skylights -Plastic
12.
Electric Underground
Shear Walls; Nailing -Bolts
13.
Plenums & Ducts; Clearance -Material -Support -Ins.
Brace Interior/Exterior Wall Panels
14.
Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
Insulation -Walls -Ceilings
15.
Access & Ventilation
Infiltration -Walls -Windows
16.
Insulation
Date
Date
Date
Card B-1 Date Card B-1
Date
Date
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
Ext. Steps -Door & Sidelight Protection -Landings
17.
Water Htr.; Vent -Access -Combustion Air Baffle
Smoke Detector
18.
Water Pipe; Test & Anchor -Nail Protection
Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
19.
D.W.V.; Test Fittings & Anchor -Nail Protection
Bedroom Exiting
20.
Shower Pan; Test, First Floor -Tub Access
G.F.I. & Bath Fixtures & Tub Access -Spa
21.
Test Tub & Shower, Second Floor -Tub Access
Elec. Trim & Subpanel, Breaker Sizes & Labels
22.
Gas Pipe; Sixe & Anchors
Stairs & Rails
70.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
Elec. Outlets & Receptacles at Kit. Counter
23.
Fixture & Transformer Clearance -Ins. Protection
Garage Fire Door; Swing -Landing -Closure
24.
Elec. Receptacles Spacing -Lights & Switches at Doors
A.C. Duct in Garage -Damper
25.
Size Boxes & No. of Conductors Stapled
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
26.
Romex Installed Close to Edge of Studs & C.J.
Plb., Elec. & Mech. Equip. Listed for Location
27.
Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
Elec. Receptacles in Garage (F.F.I.)-Romex Protection
28.
2 Appliance Circuits in Kitchen & Conductor Size GFI
Insulation -Foam -Looked in Attic
29.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI
Guard Rails & Deck Construction -Post Caps
30.
Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At
Insulated Neutral O Yes Q No
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
31.
Service -Riser Conductors & Ground Main Disconnect
Clearance Looked under Floor ❑ Yes
32.
Equip. Clearances Panels-Motors-Mech. Equip.
Following Instld./Drive D Yes D No/Walks ❑ Yes 0 No/Planters O Yes J No
33.
Clothes Closet Light -Shower Light -Spa Light
Stucco Brown -Finish
34.
Smoke Detector
A.C. Unit Disconnect, Electrical -Plumbing
85.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
Ventilation Throughout House
35.
A.C. Ducts Insulation & Support
Glass Protection
36.
Vent Fan, Exhaust above insulation
Corrections from Previous Inspections
37.
Condensate Drain & Overflow, Size & Grade
Gas Test -Meters Tagged, Gas -Electric
38.
Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet
Water & Sewer Connected -C/O to Grade -HD Approval
39.
Attic Access & Platform if Furnace in Attic
Energy Compliance Certificate -Other Certificates
94.
Address Posted
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Date
FRAMING (Permit) OK except #'s
Comments at Final:
40.
Sits Proper Materials & Anchors
41.
Walls Studs -Nailing Spacing & Braces -Plates -Sound
42.
Bearing Walls over Girders & Floor Nailing
43.
Draft Stop in Walls (rat proof)
44.
Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
45.
Headers & Beams -Size & Bearing
jingle & Duplex)
Date
FRAMING (Continued)
46.
Hangers -Post Caps -Anchors -Connectors
47.
Cling. Joist-Rftr. Ties- Purl in- Roff Brac.-Truss-Shting.-Rfng.
48.
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
49.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
50.
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
51.
Garage Fire Protection Framing
52.
Property Line Firewall & Openings
53.
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
54.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
55.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
56.
Siding -Nailing Veneer
57.
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
58.
Glazing Area -Glass Protection -Skylights -Plastic
59.
Shear Walls; Nailing -Bolts
60.
Brace Interior/Exterior Wall Panels
61.
Insulation -Walls -Ceilings
62.
Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
63.
Ext. Steps -Door & Sidelight Protection -Landings
64.
Smoke Detector
65.
Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
66.
Bedroom Exiting
67.
G.F.I. & Bath Fixtures & Tub Access -Spa
68.
Elec. Trim & Subpanel, Breaker Sizes & Labels
69.
Stairs & Rails
70.
Fireplace or Stove, Clearance -Hearth
71.
Elec. Outlets at Wood Panel, Int. & Ext.
72.
Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance
73.
Elec. Outlets & Receptacles at Kit. Counter
74.
Garage Fire Door; Swing -Landing -Closure
75.
A.C. Duct in Garage -Damper
76.
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
77.
Plb., Elec. & Mech. Equip. Listed for Location
78.
Elec. Receptacles in Garage (F.F.I.)-Romex Protection
79.
Insulation -Foam -Looked in Attic
80.
Guard Rails & Deck Construction -Post Caps
81.
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
82.
Following Instld./Drive D Yes D No/Walks ❑ Yes 0 No/Planters O Yes J No
83.
Stucco Brown -Finish
84.
A.C. Unit Disconnect, Electrical -Plumbing
85.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
86.
Water Well, Disconnect, Electrical, Plumbing
87.
Exterior Elec. Trim, G.F.I. Receptacle -Underground
88.
Ventilation Throughout House
89.
Glass Protection
90.
Corrections from Previous Inspections
91.
Gas Test -Meters Tagged, Gas -Electric
92.
Water & Sewer Connected -C/O to Grade -HD Approval
93.
Energy Compliance Certificate -Other Certificates
94.
Address Posted
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Comments at Final:
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street • Chico, CA • (530) 891-2751
7 County Center Drive • Oroville, CA • (530) 538-7541
CORRECTION NOTICE
OWNER
PERMIT NO.
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected. Please notice this office when correction of work is
completed. If you have any questions pertaining to this matter, or need additional explanation,
nln�cn —f—t fhic nffino immoifiofo l..
InspectOf—
REV 10/92
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street • Chico, CA • (530) 891-2751
7 County Center Drive • Oroville, CA • (530) 538-7541
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected. Please notice this office when correction of work is
completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
5�'Loc-/
Date! z Inspector
REV 10/92
BUILDING PERMIT NUMBER: 0 1 -2468
Address or location of unit: 203 MELODY LANE, OROVILLE, CA 95965
Legal Description of .Real Property: A.P.027-360=166
SEE ATTACHED
(x) Mobilehome/Manufactured Home
O Commercial Coach
Has been affixed to the real property above by installation on a foundation system
pursuant to Health and Safety Code Section 18551. `
Owner's name: MARVIN HENDERSON
Owner's address: 203.MELODY LANE, OROVILLE, CA 95965
INSIGNIA OR HUD. NUMBER: ORE 425410/11
1
SERIAL NUMBER OR V.I.N.: 2191-0290-P A/B
MANUFACTURER'S NAME: SKYL - EAR: Pol
Jl�I
OFFICIAL APPROVING INSTALLATION
DATE: 11/13/01
PHONE: (530) 538-7541
o
H.C.D. 513C
RECORDING REQUESTED BY:
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE CA 95965
COPY of Document Recorded
14 -Nov -2001 2001-0052812
Has not been compared with
original
BUTTE'COUHTY RECORDER
PACE ABOVE, TIIIS 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.
JACK A. ROGERS, GAIL L. ROGERS, &
MARVIN HENDERSON & ALICE L. HENDERSON
REAL PROPERTY OWNER/LESSOR
203 MELODY LANE
MAILING ADDRESS
OROVILLE, BUTTE, CA 95965
CITY COUNTY STATE -LII'
SAME
INSTALLATION MAILING ADDRESS. IF DIFFERENT
CTfY COUNTY - STATE ZIP
MARVIN HENDERSON
UNIT OWNER (if also propeny owner, write "SAME")
MAILING ADDRESS
CITY COUNTY STATE ZIP
UNIT DESCRIPTION
BUTTE COUNTY BUILDING DIVISION
LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY
7 COUNTY CENTER DRIVE
MAILING ADDRESS
OROVILLE, BUTTE, CA 95965
CITY COUNTY STATE ZIP
01- 468 (530)538-7541
UPE SII TELEPHONE NUMBER
M)PA IV
11/13/01
SIGNATURE OF LOCAL AGENCY OFFICIAL DATE
COUSIN GARY'S
DEALER NAME (il'not a dealer sale. write "NONE")
91265
DEALER LICENSE NO
SKYLINE . 2001, 6306CT
MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAML/NU\IBER
2191-0290-P A/B 60'X 27' ORE 425410/ 11
SERIAL NUMBER(S) LENGTII X WIDTII INSIGNI.VL:AIILL NUNIBLR(S)
REAL PROPERTY LEGAL DESCRIPTION ASSrSSOR'S PARCEL NUMBER A: P. #027-360-166
SEE ATTACHED
HCD FORM 433(A) REV. 8/91
WI IITL• •County Recorder CANARY - I IC•D PINK - Applicant GOLDI:\ROU • 8uiltling Ucpt
Escrow,No. 205.703 -JT
Title Order No., 00205703
EXHIBIT ONE
Parcel I:
Parcel 2, as shown on that certain Parcel Map, filed in the Office of the Recorder of the County of Butte, State of
California, on February 23, 1990, in Book 117 of Maps, at Page(s) 87 and 88.
Parcel II:
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.
AND WHEN RECORDED MAIL TO: .
1E
EET `
TRESS -.... ` .
TE
ZIP
SPACE ABOVE THIS UNE 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 tKi "date' of: recoding. 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'construdive notice as to
its contents to all persons thereafter dealing with the real property.
REAL PROPERTY OWNER/
LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY
MAILING ADDRESS
CITY COUNTY STATE ZIP CITY COUNTY STATE ZIP
INSTALLATION MAILING ADDRESS, IF DIFFERENT BUILDING PERMIT NO. TELEPHONE NUMBER
CITY �l COUNTY, STATE ZIP SIGNATURE OF LOCAL AGENCY OFFICIAL DATE
UNIT OWNER (H also properly owner writ& "SAME) DEALER NAME (If not a dealer le, write "NONE')
MAILING ADDRESS / DEALER LICENSE NO.
low l COUNTY at.s�c �- ZIP ..
UNIT DESCRIPTION
1-//, • n to
SERIAL NUMBERS)
REAL PROPERTY LEGAL DESCRIPTION
DATE OF
LENGTH X WIDTH INSIGNIA/LABEL NUM8ER(5) j
Q / / I
ASSESSOR'S PARCEL NUMBER o �J ^ ! '% Q J��
HCD FORM 433(A) Rev. 8/91
WHITE—County Recorder CANARY—HCD PINK—Applicant GOLDENROD—Building Dept.
Escrow,No. 205703 -JT
Title Order No. 00205703
EXHIBIT ONE
Parcel I:
Parcel 2, as shown on that certain Parcel Map, filed in the Office of the Recorder of the County of Butte, State of
California, on February 23, 1990, in Book 117 of Maps, at Page(s) 87 and 88.
Parcel II:
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 b.B. & M.
STATE OF CALIFORNIA
DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT
DIVISION OF CODES AND STANDARDS
REGISTRATION AND TITLING SECTION ;
STATEMENT OF FACTS
ii.s unit is'a:
0Mobilehome
11 Commercial Coach 11 Floating Home a Truck Camper
?cal (License) No.(s)
Trade Name
Serial No.(s)
SO/
'We, the undersigned, hereby state that the unit described above:
May be placed on a permanent foundation.
ffiant further agrees to indemnify and save harmless the Director of Housing and Community-
?velopment, State of California, and subsequent purchasers of said unit, for any loss they
ay suffer resulting from registration of the above-described' unit in California, or from
ssuance of a California certificate of title covering the same.
/We certify under penalty of perjury that the foregoing 1s true and correct.
xecuted on at Chico ► CA
Date (City) (State)
Signature of each affiant Printed name of each affiant
J 4�
Cousin Gary's Homes
� , f
ddress 13468 Hwy. 99
i ty Chico , State CA
CO 476.6 (Rev 11/86)
OFFICIAL RECOPOJ --
BUTTE COUNT'! -CALIF
AND WHEN RECORDED MAIL TO i .OR
Name8 "�T 2 2O igfli >
Marvin Henderson
Street 203 Melody Lane ?` ELEANOR M. Et L'KER
Address ..Oroville, California 95965 � CLERK - RECORDER
,.
city & L x'83 614``Ii F
state
+, J., :
MAIL TAX STATEMENTS TO
r
Name Addressee above _ _— ....._.
Street 1
Address'-
City
ddress....... City &
State L J
SPACE ABOVE THIS LINE FOR RECORDER'S USE
CAT. NO. NNO0580 Individual Quitclaim Deed
TO 1922 CA (7-82) THIS FORM FURNISHED BY TICOR TITLE INSURERSCHANIrzr C;
�c
T_D
undersigned grantor(s) declare(s): Fite` T Co,,,,
ument �Y''" r..is (��.--mens
ary transfer tax is $ none) computed on full value of property conveyed,or
) computed on full value less value of liens and encumbrances'remaining at time of sale.
( ) Unincorporated area: ( ) City of
and
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
JACK A. ROGERS AND GAIL L. ROGERS, husband and wife •���.
hereby REMISES, RELEASES AND QUITCLAIMS to
MARM HWMLc>ON AND ALICE L. HENDERSON, husband aril wife,
as Joint Tenants
the following described real property in the
County of Butte .
State of California:
PARCEL ONE:
The Southwest quarter of the Southwest quarter of the Southeast
28, Township 18 North, Range.4 East, M.D.B. & M., quarter of Section
way for road and public utility�� WITH a right of
quarter of the NorthwestPurposes over the West 60 feet of the Northwest
er
18 North, Range 4 East, M.D� B, & Mf the Northeast quarter of Section 33, To mhip
PAH TWO:
A right of way for -road and public utility'
width --I Purpose over °a_strip-:'of, land` -60 feet in •:
ying 30 -feet -Sou'tYler iy of and -adjacent -to, adjacent -to• -and 304�et-,brtherly--of:-and
adjacent to the Southerly bo —
unda> y line of the North:"half 'of •the North half of the
North half of Section 33, TOanship 18 North, Range 4°East:M.D.B. &.M. 3
Dated: February 10, 1983.
STATE OF CALIFORNIA
COUNTY Butte }SS.
On before
me, the undersigned, otary Public in and for said State,
Personally appeared _ Jack A_ R yer- Ana r,
personally known to me or proved to me on the basis of sat-
isfactory evidence to be the person s whose name s are
subscribed to the within instrument and acknowledged
that _,tjy executed the same.
WITNESS my hand a e
,Signature
OFFICIAL SEAL
JOYCE A. LONG
t '• NOTARY PUBLIC - CALIFORNIA
i. PRINCIPAL. OFFICE IN
BUTTE COUNTY
btY COMMISSION EXPIRES MARCH 6, 1985
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a
m
Title Order No.
(This area for official notarial seal)
;
Escrow or Loan 'No:
MAIL TAX STATEMENTS AS DIRECTED ABOVE
SPACE ABOVE THIS LINE FOR RECORDER'S USE
Individual Grant Deed
TO 1923 CA (12.74) THIS FORM FURNISHED BY TICOR TITLE INSURERS
A. P. N.
'
The undersigned grantor(s). declare(s) : "AX PAID
Documentary transfer tax. is $ n
( ) computed on full value of property conveyed, or
( ) computed on full value less value. of liens and encumbrances remaining at time of sale.
( ) Unincorporated area: ( ) City of and
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
WILLIAM M. HORNER AND -SANDRA L. HORNER, his wife,
hereby GRANTS) to JACK A. ROGERS AND GAIL L. ROGERS, his •wife, as Joint
Tenants, as to an undivided 1/2 interest; -and MARVIN HENDERSON AND
ALICE L. HENDERSON, his wife, as Joint Tenants, as to an undivided
one-half interest;
the following described real property'in the
County of Butte , State of California: '
PARCEL ONE: The Northwest quarter of the Northwest quarter of the
Northeast quarter of Section 33r•'.Towriship 18.North, Range 4 East,
M.D.B. & Me
PARCEL TWO: The Southwest quarter of. the Southwest-quarte'r of the
RECORDING REQUESTED BY
Southeast quarter of -Section 28, Township 18 North, Range 4 East,
Oroville Title Company
PARCEL THREEI A "right of- way.for road and public utility purposes o
'1and
er
Order No. 98513
a strip of .60 feet -in width lying 30 feet Southerly of and
adjacent to and 30 feet Northerly -of and adjacent to the Southerly
boundary'liry6of the North
:;{
AND WHEN RECORDED MAIL TO
4R%ILLE _111 -LE (. ME'AN'T
Dated June 4, 197 _ . c -'-
i a M.. H
Jai 15 12 25 F4, 13IG
Name
.rner
Jack A. Rogers
�G i! }:.!.!) :ii•:':;i
str«►
c% 1815 Dalton Dr.
ClJI;Pi'f Y i.Ei;C}'.GER i
4
•i. Addr.ra
Milpitas, California 9505
signed, a Notary'Public in and for' said State, personally appeared. /lJ
^
F E:
City
WiIJ.iam Me Horner ananra.
Horner
State
I
OFFICIAL SEAL
,
Y
known to meMARILYN K. OWENS
MAIL TAX 3TATIMINTS'-TO
to be the person S whose names are subscribed to the within 9 m NOTARY PUBLIC, CALIFORNIA
'
instrument and acknowledged that they- executed the same. I 1r NOTARY BOND FILED IN
COUNTY
STANISLAUS
WITNESS my hand and official seal. I My.conmission Expires February 14� 1977
Name
Addressee given above.
3tr«I
r
(This area for W11clal notarial snip
Addr.aa
Title Order No. Fscrow or Loan No.
j
MAIL TAX STATEMENTSI AS DIRECTED AROVE
City 6
9 Stat.
L
I
.. ..
SPACE ABOVE THIS LINE FOR RECORDER'S USE
Individual Grant Deed
TO 1923 CA (12.74) THIS FORM FURNISHED BY TICOR TITLE INSURERS
A. P. N.
'
The undersigned grantor(s). declare(s) : "AX PAID
Documentary transfer tax. is $ n
( ) computed on full value of property conveyed, or
( ) computed on full value less value. of liens and encumbrances remaining at time of sale.
( ) Unincorporated area: ( ) City of and
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
WILLIAM M. HORNER AND -SANDRA L. HORNER, his wife,
hereby GRANTS) to JACK A. ROGERS AND GAIL L. ROGERS, his •wife, as Joint
Tenants, as to an undivided 1/2 interest; -and MARVIN HENDERSON AND
ALICE L. HENDERSON, his wife, as Joint Tenants, as to an undivided
one-half interest;
the following described real property'in the
County of Butte , State of California: '
PARCEL ONE: The Northwest quarter of the Northwest quarter of the
Northeast quarter of Section 33r•'.Towriship 18.North, Range 4 East,
M.D.B. & Me
PARCEL TWO: The Southwest quarter of. the Southwest-quarte'r of the
Southeast quarter of -Section 28, Township 18 North, Range 4 East,
M.D.B. & M.
PARCEL THREEI A "right of- way.for road and public utility purposes o
'1and
er
a strip of .60 feet -in width lying 30 feet Southerly of and
adjacent to and 30 feet Northerly -of and adjacent to the Southerly
boundary'liry6of the North
half of the North half of the North half o
Section 33'; Township 18 North, Range 4 East, .M. D. B. & ' Me
Dated June 4, 197 _ . c -'-
i a M.. H
.rner
STATE OF CALIP911NIA SandIia OrJ1 )
COUNTY OFn "' ,.f2`� �✓ 1}SS.
On < �- i 197A before me, the under --
signed, a Notary'Public in and for' said State, personally appeared. /lJ
WiIJ.iam Me Horner ananra.
Horner
OFFICIAL SEAL
Y
known to meMARILYN K. OWENS
to be the person S whose names are subscribed to the within 9 m NOTARY PUBLIC, CALIFORNIA
CD
instrument and acknowledged that they- executed the same. I 1r NOTARY BOND FILED IN
COUNTY
STANISLAUS
WITNESS my hand and official seal. I My.conmission Expires February 14� 1977
C
/e
`'L'
L9'(/ In
Signature i
r
(This area for W11clal notarial snip
Title Order No. Fscrow or Loan No.
MAIL TAX STATEMENTSI AS DIRECTED AROVE
EamoW ,No. 205703 -JT
Title Order No. 00205703
EXHIBIT ONE
Parcel I:
Parcel 2, as shown on that certain Parcel Map, filed in the Office of the Recorder of the County of Butte, State of
California, on February 23, 1990, in Book 117 of Maps, at Page(s) 87 and 88.
Parcel Il:
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.
11/14/2001 b9: 42 53034291/4 UHIUU bLL)U bYbItM5 PAGE 02
11/14/2001 08:24 503-472-6453 SKYLINE HM PAGE 02
Tac ST•TEOFC.&UFQANIA NUMSot: !�
dpIiusll.f:5'iRANSARTATION ANo MOUBIV0 AGENCY 8 2 V 91 7
pZPARTm*4T of NCIsINpANDCONUfUNITY onveLOPMENT
OPASION OF CODESAND STANDARDS
YIANVPACTVAiD NOUS;NG PRQGPA r
r MANUFACTURER CERTIFICATE OF ORIGIN
❑ CHECK E THIS ISA DUPLICATE MCO -ENTER ORIGINAL MCO NO.
NANUPACT st0 NOME�JBIL HOME:
® SFO (SINGLE FAMILY DWELLING) ❑ MFO ((MULTIPLE FAMILY DWELLING) NWASER OF TRANSPORTAELE SECTIONS , 2
OCCUPANCY GROUP
WMJUFACTUREQNAME:WANUFACTURER
LIG BER:
SOMINE CMWORATION
MOM
MAN
BV001-10 RCFAIL 7R+CE:
SSO B00'Y[i REND ROAD. C.O,,, iuox 38e.
:4daMILLE, OR 97128-0388
$75,105.25
Slratt+
(S R )
MAM E NAME;:
MODEL NAME AND/OR NVMBEP:
RATE OF MA4VF
H(MME CORMiATION
GREENBRIAR - 6306C7'C
OCTOBER 11, 2001
F_OfAtFR O�B ,i irSrF,( r TO:
DEALER NUUBER:
OATE OF TRANSFER:
COUSIN GARY S MOBILE HOME SALES
91265
OCTOBER 11, 2001
1.343 liIW 99
CBICO
Iejw %
Ca 93926-94T9
TEXTRON FINANCIAL SERVICES
INVIENYOW CRECITOR AODRESS
701 XENIA AVE S-, SUITE 300 CO'LDEN VALLEY MN 55416
alCT,OR Leman"WOTM ,ARJOMT
tel MI FACTURCAOfa0ALmom5fA HCDW816NIAoRwU.oW ratW9CA (IN065)
, NCN SI PG
1 2191-0290_P E URE 425410 736 169 29.000
2 2191-0290—P A ORE 425411 736 168 29,000
TRANWS MTM m _ TRANSPORTfA Df CAL WUMSER;
BE!®T6ij DUCK TWsMR•r 600382
n 1 6�IMMST
0RL►L AVMAJE WOODBUi N OR 9707I
t �•tMvVa owtdq of wJ.y -4 w u.• of ft atria of Cr►(m `M Ra •oev lam •n rw r+a ca -V a.
OCTOBER 11, 2001 McAJ(INKmLE TAWILL OREGON
iwwaor, w
8.`ON l%m Of AWNORIjWAUNT.' �`�+�l arm �� � BRUCE PAGE. CIMgRAL MANAGER
V
omofts: 4;-wo FORWARD TO Tm fmv-05YCRiO1TOR. UNWU T�ms�nRE 1$ mw4t TNCN /01MM0 TO Tm VURCMAtiw
COPY 11� unj FOPWAAD TO T.� OEW RTMENTAT P.0• SOX IM. SACRAWWO. CA9S0+•alam. vmTMaa FM{ (SI DATE Of RL-,.eASE.
COPv a(YELL" DEMR TO THE TOUVISP01tte1t TO ACCowAHY THE UNIT TO ITS DREnNATIoM.
00 _ TO ee RETAMW OV -14f aMNUFACTVREA.
►+CO 443.0 - S+0• 1 -(&96)
II�
COUNTY OF BUTTE - DEPARTMENT bF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/9-6) APPLICATION AND PERMIT 01-2468
ASSESSOR PARCEL NUMBER
027-360-166
ZONING
A5 -
BUILDING PERMIT
OWNER
MARVIN HENDERSON
TELEPHONE
822-9776
SO. FT. OCC. BUILDING VALUATION
' 00
OWNERS MAILING ADDRESS
220NAMMELODY LN OROVILLE 95965
CONTRACTOR'S
SKYCREST.ENT
TELEPHONE
342-2694
CONTRACTORS MAILING ADDRESS
13468 KWY 99 E CHICO 95973
CONSTRUCTION LENDER ,
Fireplace
LENDER'S MAIUNG ADDRESS
Total Valuation $ 89,424.00
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee 594.50/2 s
297.25
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
23.00
BUILDING ADDRESS
20 MELODY 0 L
Energy Plan Checking Fee $
$
PERMIT FEE $
340.25
LOT NO.1
SUBDIWS IONS NAME 117-87
_8 _23-80
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
10.24 ac
SF ❑ Duplex ❑ Mobilehome ❑X Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00 15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑X Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: NEW SITE MH PERM FNDN
Gas piping system 1 - 5 outlets
15.00 15.00
Building sewer
15.00 15.00
Mobile Home IS I G w
920.00
PERMIT FEE $
65.00
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service zo AOR LESS
23.00 23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect. Q , / �7
License Class - Z1/ Lic. No. / �}(/p`
(-
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
TOOOA
Main Service TO
46.
NEW CONST. OWECU
OCCUR
OR ADONS. ( & ACC. BLDS.
so
o s
3.5¢FT;
r1O.RESID MULTI -OUTLET
BFLAMH CIRCUITS
@7,50
POWER APPARATUS
a SINGLE OUTLET CIR.
OUTLET OR FIXTURES
Ex. Occup.BAL
20 I'W
.50
MED A
Ex. Occup.°uT R IP.° A
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE $
43.00
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
I have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers'' cQrnppnsation_insurance carrier and policy number are:
Carrier -a 4 6_4
Policy Number / ,3�
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
fo with comply with those p vis' s.
/ /� �/
Date (f _
na o Applicant - ❑ Owner Contractor ❑ Agent
An OSHA permit is required for excavati s over 60" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEt $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 448.25
HAZ.
D. $ v
x A
FOOD
A
c
PAR`O'EL
A
pp`T
ll
`D
1
ISSUE
L1
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated a o or which fees have been paid.
By Date , • d
PERMIT EXPIRES N
tow.)
Receipt No. 33232
I
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE -'DEPARTMENT-OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PE MIT NO.
('�"''ti`'6) Old —,22 /��, APPLICATION AND P�RIV(IT �'j P
�.
ASSESSOR PARCB NUMBER ZO W NO
-- Q — .-•,�"'
BUILDING PERMIT
OWNER
S3� TELErNONE
80. FT. OCC. BUILDING VALUATION
OWNER MAM.II.10 ADORES
CONTRACTOWB NAME TEIFPNONE
SKYCREST E TERPRISES 342-2694
CONTRACTOR'S MI ADDRESS
La
CHI 0. CA 95973
CONSTAUCnON LENDER
Fireplace ,
LENOER'S MAO ADDRESS
Total Valuation S
Filin Fee ` S 20.00
Permit Fee �J o.- 2-
ARCHITECT OR ENGINEER
LICENSE NO.
ARCITiECr OR EN"EERB WALING ADORES"
BULDMW ADDRE88
Plan Checkin Fee $ �o
J
Energy Plan Checking Fee $
S
PERMIT FEE S Z�
LOT NO.
SUMVISIDN'SNAMEPMCEL
11-7-87 2-23- 9
MAP
PLUMBING PERMIT Fling Fee 20.00
USEOF TRUCTURE I O.,IN 94£
Each Trap7.00
SF ❑ Duplex ❑ Mobilehome Other
SPECIFY
Solar or heat um water heater 23.00
Water piping 15.00 co
Each as water heater or vent 15.00
TYPE OF WORK
New Addition ❑ Remodel ❑ Utllitles ❑ Installation ❑ or ❑
Describe Work: )
Gas piping system t - 5 outlets 15-00 ^�
Building sewer1 5.00 jS co
Mobile Home S G W Q20.00
PERMIT FEE S �aU
e cS
ELECTRICAL PERMIT Flln Fee 20.00
Main Service23.00j` eoOV OR LEs6
xo,oRLEes �a
'\
* /.' )( ^V
PERMIT $ 17 {l J\
Qt
SRA $/� Q% GU ✓
Main Service 20" TO IOWA 46.00
NM CONSY. OwELj OCCUP.
OR ADDNS, i ACC. BLDs. 3.5¢FT.
NON:IE810. MULTFOUTLET
X7.50
POWER APPARATUS
4 SWOLe O I
Ex. Occup, OUTLET OR FOnU70 REp 0' 1.00
� .50
I"'.OR
EX. OCCU ova S EA 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
SHERIFF $ I
I
i
PERMIT FEE S 3 v�
MECHANICAL PERMIT Fling Foo 20.00
OTHER $
Cooin
olin
Hood 8.50
Ventilation
$
$
PERMIT FEt $
Mobile Home Installation Fee $
Energy Inspection Fee $
AMOUNT RECEWED $ 2S
occ CONST. TYPE
T - TA FEE $ 2S
HAZ. ,FE MP' D I co F C ND ISSUE
`-
*RECEIPT NUMBER
CC���
*TO BE PUT INTO COMPUTER
This permit Is hereby Issued under the app Icable provisions
of the Butte County Code and/or Resolutions to do work
Indicated above for which fees have been paid.
By Date
PERMIT EXPIRES ON
rnaTo
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541
PERMIT APPLICATION DATA SHEET
OWNER: ManelIn �-�Ply Ply ASSESSORPARC ER: M Q^ n -/I4�, i�2
Proposed Building Use: Building Inspector: Date: 112-.1-61
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
Date Received By
❑ 1. All items have been submitted .-------------------------------------------------------------------------------------
'��. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------
03. Complete plans, 3/4 sets, signed by the preparer of plans. -----------------------------------------------------
. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. --------
❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------
06. Energy Design Compliance and supporting documentation.----------------------------------------------------
❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ----
❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------
flk Manufactured Home data and mst$ I&on,instrucbons.including-.Iie-Hovm-Speei€ications.------------------
❑ 10. Fees of $-------------------------------------------------------------------------------------
!�`I 1. Impact fees as shown on the attached schedule. --S -----------------
olifornia Department of Forestry plan approval/fees. --rL<i tl
13. Flood elevation certificate. ---------------- =---------------------------.
Ner14. Sanitation and plot plan approva��Health Department.
❑ 15. City of Chico plumbing permit. ---------------------------------------
16. Plot plan and business license approval from the City of Biggs. -------- -
q/ZPlanning approval for (A) Use: (B) Parking: l-%
JW. ontact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel.
1119. Encroachment Permit for driveway (construction approval prior to occupancy). --
0 20.
--•
IPA
❑20. Pre -inspection for required Request to Building Inspector on
021. Contractor's license information. (Number, Name Style, Classification). -----------------------------
0 22. Workers' Compensation carrier and policy number. ----------------------------------------------------
e
(Date)
1123. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - --------------------------------------
❑ 4. Letter of signature authorization. --------------------------------------------------------------------------------
rded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- e% Pis
46. Letter of intent on building use.----------------------------------------------------------------------------------- `
❑27. Manufactured Home utility clearance. ---------------------------------------------------------------------------
028. Existing viol tions and/or aYjpired permits. ---------------------------------- ------ -------------------------------
e29. ❑4334,Want Deed, 1-M.H. Title, ❑ Check to H.C.D $ � p5 • .---------------
030.
--------------
❑30. Other:
When you issue the permit, process as follows ❑ Mail to owner, ❑ ail tp c ntractor.
el hone / /
ep 3 �2"� (n ��/ and hold for pickup at f�v(d � office. ❑ Delver with inspector.
Appli an . `6 ate:
Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By:
Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By:
1. Index permit application for the above items numbered: ❑ Plan Check List
2. Additional items required: -� - , %( %V
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above requir to by 13 phone, ❑ mail, ❑ Building Division cpunter, by Date:
Plans reviewed by: r v�� Date: IU •.Z 0 t Plans approved by:Date: 10 • "_,0_T_
of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date:
TO:
FROM,
SUBJECT:
Building Department
Environmental Health
Sanitation Clearance
�_, w• E.H. USE ONLY
Plot Plan Attached
Floor Plan Attached
Sent to B.D. /
►�U 3 fit I o a74 -3G I L l
Owner Locat'on AP#
Plan Approved for: Sewage Disposal Water Supp: Public PMriv` to e�l%�
Clearance for dwelling. Other s �-e onAk ti/ / l� hl �I
Hold final for:
Final clearance O.K. for:
NOTE:
R� (-y A 1,� )' aja= -
/ lis
Envir nmental Health Specialist
8/96
�o 2-1,�O ) -
Date
y
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541
1
SCHEDULE OF FEES DUE
OWNER _ U/l A.P. # 09• rI ,3 .o "'I��
PROPOSED BUILDING USE 7 DATE A-1-61
I =1-h S-l(� qpP(6ue PI9ns
RECEIPT # DATE REC.
1. BUILDING PERMIT FEES
--Balance Due ........................................................ $
--Additional Fees Due ............................................ $
--Additional Fees Due ............................................ $
--Revised Plan Checking Fee ................................. $
2. SCHOOL DISTRICT FEES
(paid at District Office) t ��
3. SHERIFF FEES (paid at Building Division)
Residential .................................... x $360.00 = $� 1
Units
Commercial (sq. ft.) ...................... x $0.03 = $
Sq. ft.
4. URBAN AREA FEES
Residential ............................ x = $
# Units Amt.
Commercial (Sq. ft.) ............. x = $
Sq. ft. Amt.
5. RECREATION DISTRICT FEES
6. THERMALITO DRAINAGE DISTRICT FEES
�$510.00 (paid at Building Division)
7. SRAJURE INSPECTION AND PLAN CHECK
$8�2aid at Building Division)
8. WATER TENDER FEES (Battalion # )
$200.00 (paid at Building Division)
9. .CSA 87 TRAFFIC FEE
$2500.00 (paid at Building Division)
10. OTHER
At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees'
may be changed during;4e plan checking process.
APPLICANT �C(' , " �D — DATE
Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been
imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned
items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a).
Original - Building Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6/00)
*AND wHEN RECORDED MAIL TO:
BUTTE C&NTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVELLE, CA 95965
• �III�IIIII'I�III'II'III'�II'�III'I
zip 00 1 —0046036
Recorded
OfficialRecords
Count
BUTTf
E
CANDACE J. GRUBBS
Recorder
ROSEMARY DICKSON
Assistant
09:27AM 04 -Oct -2001
r
REC FEE 10.00
CONFORM .00
Cindy
Page 1 of 2
I O V
AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT
FOR RESIDENTIAL DEVELOPMENT
Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The
property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this
property may be subject to inconveniences or discomfort from the use of agricultural chemicals, 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 purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience
or discomfort from normal, necessary farm operations.
All that real property situate in the County of Butte, State of California, described as follows:
Date 2— _2 fi r- D PROPERTY OWNERS:-
State
WNERS:
State of California
County of
On .fie -A7.02 4. 4100/ before me,
- Md ciaUUAUy
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 persons) or the entity upon behalf of which the person(s) acted, executed the
instrument.
WITNESS my hand and official seal.
Signature Sea]: •• • M. SUSAN GLATZ
COMM. B 1280664
Qm NOTARY PUBLIC -CALIFORNIA
i . COUNTY OF BUTTE
A.P. # Comm. Expires Oct. 16, 2004
,perow No. 205703-JT
Title. Order No. 00205703
EXHIBIT ONE ,
Parcel I:
Parcel 2, as shown on that certain Parcel Map, filed in the Office of the Recorder of the County of Butte, State of
California, on February 23, 1990, in Book 117 of Maps, at Page(s) 87 and 88.
Parcel II:
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.
r
SSC u e oun y
me
LAND OF NATURAL W EA LTH AN D BEAUTY
PLANNING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397
TELEPHONE: (530) 538-7601
FAX: (530) 538-7785
October 25, 2001
Marvin and Alice L. Henderson
203 Melody Lane
Oroville, CA 95966
Re: Administrative Permit, AP 027-360-166
Mr. and Mrs. Henderson:
Enclosed is your validated Administrative Permit No. ADM 02-05 to allow a temporary mobile
home on property zoned A-5 (Agricultural, 5 -acre parcels). The property is located at 203 Melody
Lane, Oroville, CA 95966..
Should you have any questions regarding this matter, please contact this office between 8:00 a.m
and 4:00 p.m., Monday through Friday.
Sincerely,
Diane Lewellen
Office Assistant III
Enc.
cc: Land Development Division
,✓Building Division
Environmental Health
Department of Forestry
RECEIVED
OCT 2 5 2001
BUTTE COUNTY
BUILDING DIVISION
d4
ADMINISTRATIVE PERMIT for TEMPORARY MOBILE HOME
TO: Marvin and Alice L. Henderson
FROM: Tom Buford, Interim Director, Development. Services
DATE: October 9, 2001 File#ADM 02-05
PURPOSE: Administrative Permit for Marvin and Alice L. Henderson on APN# 027-360-166 for a
temporary second dwelling to be located at 203 Melody Lane, Oroville, on property
zoned A-5 (Agricultural, 5 -acre parcels).
PERMIT REQUIREMENTS: Approval for a temporary second dwelling is subject to the following
requirements:
A mobile home certified under the 1974 -National Mobile Home Construction and Safety Standards
Act. Occupancy of the mobile home shall be limited to Tom and Terry Rafferty. An affidavit
attesting to the relationship of the involved parties was submitted with the permit application.
2. No rent is to be charged to the occupant of the mobile home.
3. The temporary mobile must meet the requirements of the Butte County Environmental Health
Department for domestic water supply and sewage disposal. The granting of this permit does not
remove the requirement of obtaining the appropriate permits from other Divisions, Departments, or
Districts.
4. The siting of the mobile home shall be exempt from the site requirements of the residential zoning
district, except as required by Butte County Code Chapter 24, and the Butt County Code Chapter 28A.
The mobile home is declared to be a temporary use on the property, accessory to the primary unit, and
shall not be placed on a permanent foundation. Additionally, a temporary mobile home shall not be
permitted on a lot or parcel where there is an approved Second Unit.
6. The permit shall be granted for a term of two years. Extensions of the term for the permit, not
exceeding one year for each extension, may be granted if the application for the extension is filed,
with the Planning Division, within 60 calendar days prior to the date of expiration.
The mobile home shall be vacated upon expiration, or revocation, of the Permit and removed within
one hundred twenty (120) days after expiration of the Permit. If it is not removed within one hundred
twenty (120) days, the County shall remove said mobile home and store it at the owner's expense.
The Permit may be revoked if any of the terms or conditions of the Permit are violated or if any acts
or omissions of the permittee in connection with the use authorized by said Permit constitute a public
nuisance.
9. The applicant must maintain a bond or deposit in the amount of $1,500 for a single -wide mobile home
or $2,000 for a double -wide mobile home.
Permittee Signature Date
�LUZ a n LOZ-2 -5 �_
M.A. Meleka Date
Principal Planner
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�'`����� APPROVED
I DATE
OCT 2 �D%610pment Plan
USE PERMIT_,_ VARIANCE .
MINOR U.P.
ADM. PERMIT
=_
PLANNING COMMISS.
DIRECTOR OF
DEVELOPMENT SERVICES
T
Building Permit Number: _a_-;;04 g
Owner Name: &YA, !so/-
Residential Construction Requirements
IMPORTANT
This set of plans and specifications MUST be kept on the job site at all times and it is
unlawful to make any changes or alterations on same without written Dermission from the
Building Division, County of Butte.
All materials and workmanship shall be in accordance with recognized good practices
and of a quality prescribed for the specific use in the 1998 California Building Code
(1997 U.B.C), 1998 California Plumbing Code ( 1997 U.P.C.), 1998 California
Mechanical Code (1997 U.M.C.) and the 1998 California Electrical Code (1996 N.E.C.)
COMPLY WITH ITEMS CHECKED BELOW
❑ Your parcel lies within a designated 100-year.flood plain. Finish floor, electrical,
H.V.A.C. equipment and services shall be a minimum of one foot above the elevation
shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate
will also be required
Note: We will normally accept the following as compliance with the flood elevation
requirements:
1. Building is anchored to concrete stemwall system with conventional anchor bolts.
2. Building plate on top of stemwall to be one foot or more above the 100 -year flood
elevation. (Plate height less than 24" above grade, or engineered design required).
3. Electrical, heating, ventilation, plumbing and air conditioning equipment and
facilities located above the plate.
4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total
net area of not less than 1 square inch for every square foot of enclosed area.
5. The bottom of the openings shall be no higher than 1 foot above grade.
6. The openings may be screened or covered with other devices that will permit
automatic entry and exit of floodwater.
Pagel of 2
Building Permit Number: Q
Owner Name: (- ii cc
Parcel lies within the State Responsibility Area (SRA). Comply with attached
requirements.
ElFire sprinklers are required in this structure.
EThe following parcel map requirements shall be met:
All structures and equipment including overhangs shall be clear of all easements.
A setback of'� feet from the side and f� feet from the rear property lines and 20
feet (25 feet if Federal Aid Route) from the edge of the right of way shall be clear of
structures and equipment except for a 2 foot overhang.
(j Expansive soil may be encountered on this site. This condition may require the
foundation to be designed by a California registered engineer or licensed architect.
Page 2 of 2
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ALL STRUCTURES AN'D EQUIPMENT INCLUDING
OVERHANGS SHALL SE. EAR OF ALL EASE-MENTS.
$IIDE AND
A PEr BACK C --F , i
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MMING DEPAPl
1--I-.f:RONPi-�,EROAr)(.,EN-FERI-INEStiALLBE
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AOR A 2 FT. EAVE OVERHANG.
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ALL STRUCTURES AN'D EQUIPMENT INCLUDING
OVERHANGS SHALL SE. EAR OF ALL EASE-MENTS.
$IIDE AND
A PEr BACK C --F , i
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Ff. FROM, THE REA!`, PROPERTY LINES AND L
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1--I-.f:RONPi-�,EROAr)(.,EN-FERI-INEStiALLBE
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AP#
FA
CDF FIRE SAFE"REQUIREMENTS
PERMIT # NAME
Under authority of PRC 4290, the following checked items are required
by the Butte County Fire Department and are made a part of this permit.
These requirements are minimums and will be superseded by Butte County.
local regulations which equal or exceed these standards. Field
inspections will be made by the Butte County Building 'Department for
compliance.
[1272.00 Maintenance of Defensible Space. To ensure continued
maintenance of properties in conformance with these
standards and measures and to assure continued avail-
ability, access and utilization of the defensible space
provided for in these standards, annual maintenance
must be provide for by the land owner.
Drieway Standards
IL -r,1273.02 -Surface-,. All .driveway -surf aces -and--structures_(bridges,_
1273.07 culverts and other appartemant structures which supple-
ment the roadway bed or shoulders) shall provide unob-
structed access to conventional drive vehicles, includ-
ing sedans and fire apparatus weighing up to 40,000
pounds.
(k 1273.03 Grade. Not to exceed 16 percent unless paved.
1273.04 Driveway Radius
[LJ' 1. No roadway shall have a horizontal inside radius of
curvature of less than 50 feet and additional sur-
- face width of 4 feet shall be added to curves of 50-
100 feet radius; 2 feet. to' those from 100-200 feet.
2. The length of vertical curves in roadways exclusive
of gutters, ditches and drainage structures designed
to hold or divert water shall,be,not less than 100
feet.
1273.05 Turnarounds. If required, will have a minimum turning
radius of 40 feet from the center of the road.
[273.05 Turnouts. Shall be a minimum.of 10 feet wide and 30
feet long with a minimum 25 foot taper on each end.
[ 1270.10 Width. All driveways shall provide a minimum 10 foot
traffic lane and unobstructed vertical clearance of 15
feet along its entire length.
Page 1 of. .3.,
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D�7-3(oD�
AP # PERMIT # NAME
1273.10 Turnouts. Driveways exceeding 150 feet in length, but
less than 8.00 feet in length, shall provide a turnout
near the midpoint of the driveway. Where a driveway
exceeds 800 feet, turnouts shall be provided no more
than 400 feet apart.
1273.10 Turnaround. A turnaround shall be provided at all
s
building sites on drivewayover 300 feet in length and
shall be within 50 feet of the.building.
1273.11 Gates
1. Gate entrances shall be at least two feet wider than
the roadway it serves.
[U� 2. The gates must be located at least 30 feet from the
roadway and shall open to allow a vehicle to stop
without obstructing traffic on that roadway.
3. Where --a- -one---way---=r-oa-d�-,wi.t-h--a sing.:e=tx-af-f i -c- lane --
provides entrance, a 50 foot turning radius shall be
used.
Fuel Modification
1/276.01
[ 1276.02
Setback for Structure Defensible Space.
1. All parcels 1 acre aid larger shall provide a mini-
mum 30 foot setback for buildings and accessory
buildings from 411 property. lines and/or the center
of the road.
2. For parcels less than 1 acre, local jurisdiction
shall provide for the same practical effect. See
Other Requirements below.
Disposal of Vegetation and Fuels. Disposal, including
chipping, burying, burning or removal to a landfill site
approved by the local jurisdiction, of flammable
vegetation and fuels caused by site development and
construction, road and driveway construction and fuel
modification shall be completed prior to completion of
road construction ,r fi_lal inspection of a building
permit.
Page 2 of 3
62o)_%-331 0` /—_?_ Y6
AP # PERMIT #
Other Requirements
[ ] If Building Setback is 15 to 30 Feet:
- Class A or B roof
- Enclosed eaves
,
' C i ��S�S.v •
NAME
[ ] If Building Setback is Less Than 15 Feet.
Choose any.3 of the following:
- Metal or no doors on side toward property line with insuffi-
cient setback
- Class A or B roof with enclosed eaves
- Interior automatic sprinkler system per NFPA 13D
- Glass area not*to exceed 10% of wall area toward property
line with insufficient setback
- Siding from the following list:
Stucco - 3 coat
Hardi-Board or Plank
Masonry
Metal
Other Butte County Fire Department approved materials
Date Signature.---/
61-11,
Page 3 of 3
t
M.H.I.-2
M : ::::
OB I� Q E. II�TS' 'AI�LATION:DA ..........
�.:..............
1 . Owner's
2 . Assessor's Parcel Number: _ 36— _ / '
3 . Installer's Name: SKYCREST ENTERPRISES
4 . Is the site currently under permit? Yes
5 . Is the site anexisting site: Yes [/J
6 . What is the electrical rating of the mobilehome?
7 . What is the mobilehome site circuit breaker rating?
8 . What is the electrical rating of the mobilehome site?
] No [ >4 Permit No.
Not. ] (If yes, furnish two plot plans).
Amperes.
e Amperes.
9 . Is the main service remote from the mobilehome site?
the rating? ��-0 Amperes.
_ C Amperes.
r - :
Yes No [ ] If it is; what is
10 . Is 'there any other electric load to be served by the mobilehome site electric service
(i.e. well, garage, etc.)? Yes D<] No [ ] If yes, please identify the load and size:
a) The mobilehome site:
Load - C9 O Amperes -
b) The main service:
Load -
D Amperes
11 . Type of gas service at mobilehome site: Natural [ ] Propane [] None [ . ]
12 . Size P�P
of as pipe at the mobilehome site from the meter or tank: 3/5(
g
inches.
13 . What is the gas pipe length from the meter or -tank to the mobilehome?�
14 . What is the mobilehome gas demand?
BTU.*
*(This information isnot required. if the pipe length is less than 6 feet on natural gas or
less than 50 feet on propane).
THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO
PROCESS THIS PERMIT APPLICATION
PROVE41`.la
MAL -2
........... ...... ...... ............ ...........
............
...............
........ .....
Mobilehome Manufacturer: Manufacture Year
If other than single wide, furnish etup Model Number:
r
Width:,,?,7 (ft.) Length' �ol�jll(ft.) Tagalong orExpando Size
X
On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's
installation manual and structural setup sheets.
FOOTINGS: Wood pressure treated or foundation grade [ 4 Other:
SUPPORTS: Concrete block Other:
Provide Tie Down Specifications for all Mobilehoines:
Pier Footings Sizes and Location
SINGLE WIDE MULTI -WIDE
Line i Line I
Line 2 Line 2
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..
Line 2 Main Beams Line 2
............................................. I ..............................................
Line i Line 3
Line 2
Main Beams Line2
...........................................................................
Line I
.............................................
Line 5
Tag or Triple ............... Line 4
..............................
Line I
Line. I Piers:
Size minimum:
Spacing maximum:
From ends -maximum
Line 2 Piers:
Size minimum:
Spacing maximum:
From ends -maximum
Line 3 Roof Loads:
Size minimum:
Location (from rear):
Line 5 Roof Loads:
Size minimum:
Location (from rear):
Line I Openings:
I ]XI I Size minimum: x 12�1
if Each side of openings
with width over:
Line 4 Piers:
470 x Size minimum: I ]XI I
O Spacing maximum: oil
O From ends -maximum: -_ oil
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BOLE WITH NUTS
(4) REQUIRED
01 1/2" SCH 40 PIPE RISER WITH -.
01/2" ADJUSTER HOLES AND 3/8"
THICK TOP PLATE
02" SCH 40 PIPE STAND WITH TWO --�
01/2" ADJUSTER HOLES
ABESCO ABS PAD
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1/4" STAND BASE
ABESCO ABS PAD d�US
COACH "f," FRAME
2" CHANNEL —\
TEK STS
(2) REQUIRED
114" GRIPPER • -I
DASE
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(2) REQUIRED
3/8"x 6"x 6"
STEEL PLATE
A307 BOLT--/"
(<) NEOUIREO
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5TAN0_BASE
TOP VIEW
TUF-_J__pLRM_AN.ENT
FO=UNDATION SYSTEM
A13ESCC)-GtIC CUARll CC)" AW
5851 FLORIN - PFJKJNS ROAD
SACRAN T:NTO, C.195823
PH: (800) 382-8831.
FAX: (916) 383-5207
GRIPPER
'LATE
COACH "J" FRAME
1/4"z1-1/4"
TEK STS
(4) REQUIRED
1/4" GRIPPER
BASE.
1/2" A307 DOLT
(4) REQUIRED
i -BEAM
ATTACHMENT
DIA. HOLE (8) PLACES
STEEL FRAME
TOP VIEW
STATE APPROVAL
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CENERAL,NOTES CUs GUARD TUF-I
I. DESIGN LOA—[ LIVE LOAD — 30 LB.
FLOOR LIVE LOAD — 40 PSF
WIND LOAD — 80 MPH EXPOSURE "C'
SEISMIC ZONE "4"
*SNOW LOAD 100 PSF (SEE NOTE #15)
2. THIS FOUNDATION SYSTEM IS DESIGNED TO BE CONSTRUCTED ON
A FAIRLY LEVEL SITE WITH NO EXISTING SOIL PROBLEMS.
3. CHASSIS BEAM SUPPORTS SHALL BE LOCATED AND SIZED FOR THE LOADS
AS SHOWN IN THE "MOBILE HOME INSTALLATION INSTRUCTIONS".
4, IN AREAS WHERE DIFFERENTIAL SETTLEMENT (D.S.) CAN OCCUR,
MANUFACTURED HOME SHALL BE READJUSTED WHEN DS EXCEEDS t/4",
OR WHEN IT WILL ADVERSELY AFFECT MOBILE HOME UNIT.
5. CARRY ALL FOOTINGS DOWN TO IFIRM, UNDISTURBED SOIL. FOOTINGS
ARE DESIGNED FOR 1,000 PSF TOTAL LOAD SOIL PRESSURE, AND
SHALL BE COMPATIBLE WITH LOCAL SOIL CONDITIONS. COMPACTED SANG
MAY BE USED TO FILL LOCAL VOIDS UNDER PADS.
6. STRUCTURAL STEEL: FABRICATED ACCORDING TO AISC SPECIFICATION,
WELD ACCORDING TO AWS SPECIFICATIONS. ELECTRODES -370 PLATES -ASTM
A36 BOLTS -SAE GR 5=ASTM A449=ASTM A3725.
7. THE GUS GUARD ASSEMBLIES SHOWN ON THIS PAGE SHALL BE LISTED AND
LABELED BY BSK AND ASSOCIATES FOR TWE FOLLOWING LOADS:
A10-HAELE LOADS; HORIZONTAL VEP.TICAL
GUS GUARD TUF-1 2200# 6000#
GUS GUARD MGP PAD 2200# 6000#
GUS GUARD E -Z TIE PAD 2200,]1 6000#
8. DURING PRELIMINARY INSPECTION, THE ESTIMATOR SMALL ENSURE THAT
MOBILE HOLE. CHASSIS BEAMS ARE OF STANDARD SECTION.
9. EXISTING COACHES MAY BE RETROFITTED TO RESIST SEISMIC FORCES BY
INSTALLING GUS GUARD TUF-1 UMTS AS SHOWN ON THIS PAGE OF TYPICAL
FOUNDATION PLANS.
10. THE GUS GUARD TUF-1 SYSTEMS ARE SAFE FOR INSTALLATION IN FLOOD
PLAIN AREAS WHERE DEPTH OF FLOODING DOES NOT EXCEED THE HEIGHT
OF THREE FEET.
16. FOUNDATION BLOCKS 16"x 16"x12' POURED IN PLACE AT GROUND LEVEL MAY
BE US 1D AT fNS1ALLERS DISCRETION ALTERNATIVE TO PADS.
SINGLE VlIDE COACHES DOUBLE/MULTIPLE COACHES
E= 2' MIN. / 5' MAX. E= 2• MIN. / I V MAX.
S= 0• MIN. /16• MAX. S= 5' MIN. / 22' MAX.
- VARIES 10'-70' (SFE TABLE ON SHEET 3
----- ----- - - i[ --
I,-
RIDGE BEAM SUPPORT' Al
I I REQUIRED BY MANUTACTURER
❑ (TYPICAL)
8- NOM.
=PADS IN ANY PAIR MAY BE STANDARD M.H. FOUNDATION -
ROTAICD 90 DEGREES OR PIERS AS RECOMMENDED 61 PVC SERIES
OFFSET f0 OTHER SIDE TU THE MANUFACIURER OR THE SUPPORT
AVOID CLEARANCE PR08LEMS. ENGINEER. TYPICAL THROUGHOUT PAD (TYP)
0I�
7918 1 w
11. MULTIPLE UNIT INSTALLATION IS ACCEPTABLE PROVIDED" � Exp
THE"NUMIBER OF TUF-1 UNITS UNDER EACH UNIT 15
THk 'SAME AS SHOWN REQUIRED PER EACH UNIT,
12. StKMI-WIDE UNITS REQUIRE ADDITfOMAI RESTRAINT. • (SEE SHEET #3) • ()/ ��?t1��
00,3- At LETAO-CWPONENI'S AND ATTACHMENTS ITEMS SHALL SC PROTECTIVE COATED.
4. �W.HEN CONCRETE SLAB IS IN EXISTANCE, PAD IS NOT
kREOUN2EV ANCHOR STAND TO CONCRETE SLAB WITH
OUR(4,) 1/2" EXPANSION ANCHORS.
" 15?>�GUS l ARD TUF-1 FOUNDAfi1ON SYSTEM PROVIDES
Z ALLOWABLE SNOW LOAD TO 100 PSF VMEN INSTALLED
�n?WITLH?EXISTINC STANDARDS REQUIRED BY COACH
MANUFACTURER OR REPLACE THEM ON A ONE TO
ONE BASIS.
TUF-1 PERMANENT
FOUNDATION SYSTEM
STATE APPROVAL
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EXPANSION ANCHOR 1/2"x 8" LONG
(4) REQUIRED ANCHOR BOLT
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CONCRETE PAD INSTALLATION
CHASSIS FRAME
1/4GRIPPER PLATE ---�
(Z) REQUIRED
1/4" GRIPPER BASE -
1/2-13UNC-A307
BOLT WITH -NUTS
(4) REQUIRED
01 1/2' SCH 40 PIPE RISER WITH-
01/2"
ITH-- 01/2" ADJUSTER HOLES AND 3/8" }I
THICK TOP PLATE
02" SCH 4D PIPE STAND WITH TWO
012" ADJUSTER HOLES
n /1
ABESCO ABS PAD #503
STEEL FRAME
r.jl�. _
POURED IN PLACE 16x1Gx12 CONCRETE
`OUND,ATION INSTALLATION
it
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36" MAX
TO OOTTOM
3/4" DIA, x 18" LC. --
(4) REQUIRED
3/8' CAD PLATED BOLT, NUT A WASHER
COUNTER BORED FLUSH WITH BOTTOM
AT 8" O.C. (8) REQUIRED
LIGHT HEAVY --WEIGHT
PLASTIC PAD INSTALLATION
01- PAD 6:U(M-WIDE IINIT'S SINGLE AIU'
01/2"K 3•' CA
/ LOCK PIN WITH
01/8" BRIDGE
^\ PIN
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LLENGTH OF I TH OF HOME D UNETS.
HOME 24� 26 28 a0 LE HOMEOF WIDTH OF HOME
TO 44' g 12 14 168 8 12 UP TO AA' 6 to 66' 12 12 12 1 R 66•
22 OVER 66' 10 10 ED i0
NUMBER OF TUF—I REQUIRED NUWBER OF TUF-I REQUIRED
NOTE: SINGLE WIDE UNITS REOUIRF (4) E -Z TIE PADS. CUS GUARD TUF-1 PIERS ARE
TO DE PLACED AT APPROXIMATELY EQUAL INTERVALS ALONG EACH FRAME RAIL.
FOUNDATION SYSTEM
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ABFSCO-GUS GUARD COMPANY
5851 FLORIN - PERKJNS ROAD
'?!Q SACRAMENTO, C.4 95923
P H
(800) 382-8533
;. r. STATE APPROVAL
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BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One form per Building) "` Jv�•r% l�f
School District oro u' /(( -•t Uji t o "l 141 g 1n. Building Department No.
A.P. Number 3tO 14 Jurisdiction: City y =r County
Property Owner' �I1 a� �'� N { �.► �-� . s ,� -J"
Property Location/Address a Q73 i n ek u L Ai
Subdivision' ..t Lot No.
¢2 ............................................................................................................ .. }
Residential DevelopmentLZSq. Footage
No of Living Mobile Home Addition/ 'Supplemental to (Group R) t
Units Installation Conversion Permit #
'(No foundation inspection):
i...................................................................................................................
CommerciaVindustrial Sq. Footage
New Addition (Including Exterior
Roofed Areas)
Building Department Repre �'khtative Date
moor rians reviewea oy bcnooi uistnct
District Identification'No. 020043
46L. School District certifies that
(Street Address)
(City)
has complied with the requirements of Resolution No.
reprezi-V
squarefeet.�•
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.1�(.-• _b Lam:
School District Representative
Paid by Check # rj & (( Remarks:
I
Wen 11
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(Applicant),_
5� y.' 0C0405 11 —
011
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(State)
los -90
_ AB 2926
FULL MITIPAM N
1
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(Zip -Code)
r
by p3yrilent of $
S
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` Date
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Notice: You may protest the imposition of the fees identified above by submitting a written protest to thii�Distkt, in compliance with
Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit
you from challenging the imposition of the fees in any court action.
If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is
notified by the applicable Local Planning Agency that this project is being reviewed under the Califomia Environmental Quality Act (CEQA),
this project may be subject to additional school fees to fully mitigate its impact on the school district's schools.
White (applicant), Yellow (building department), Pink (school district) feeform.xls (10/98)dmm
LOCATION:—e)-,>:;, Z/;
CONTRACTOR:
PRE-INSPETION FOR: lve-t4-) "/0,0 b; (,e —
,qocmc
'DATE TO INSPECTOR: IdArll�-I- v'�IPE]14iITHISTORY: NONE ?
Building Description:
a.' Ad s a 8 e:
Residential/# of Units:
Currently Occupied_4Z
Abandoned/Vacant
DATE: —Z21
A.P. # � 7- -- /,,-' 6
ZONING: I
pj/,, Q t k, 1-4—
) AS FOLLOWS:
BUILDING INSPECTOR'S REPORT
Electric: Yes_ No Electric currently On
Off
Condition of Electric
Gas:
Natural Propane_ ,None Currently On Off
Obvious Problems:
Sanitation:
Plumbing Working, Z)
Well Workingb ei5� -- Potable Water. CK
Obvious SewageProblems_4��...
Comments:
ACTION RECOMMENDED: ISSUE:
HOLD FOR,
Inspector. Date
Sketch buildings on reverse and indicate location on property.
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