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028-200-076
i 2 20 �6 Robert Schaeffer C� Nom/ E/S Duns one Rd.,,app.mi.S.of Aa.cado ve . , Bangor fG Permit 1t335-77P,E(u,MH), _ ELEC . /1 S r GAS !/ �• `• S PPO T S RUCTURE REQ. r1l%�D•� CO PACTION TEST REQ.- 2 EQ. _�� - — _ 28-220� '16 Permit #705-0-7-& IHI Issue ._ /07-%-2P MA17to �— 28-20-�W '76 Permit#5454-80MHI(existing site) Issued- _ /D-t�/ .�� F; JA 28-20-76 KEN &LAURA SM- - •• �� Contr: Great Wester Permit#396-86MHI(e istin 'te) Issued .� .�lo_ 28-20-76 PeX jai 950-86P(gAs piping/MH) 28-20-76 f7i'l4 7 Las Flores Rd, Oroville 3/19 e rmit#1599-86B(new covered deck/ ) 28-20-76 rmit#2676-88MHI(existing site) sued-------- _%`1_�!1LL1 ,.'?!._ 028-200-076 V"LF 4_0P0-2196 STEVE & LISA SMITH 37 LAS FLORES, OROVILLE CONTR: EXECUTIVE HOMES NEW MH ON A IND. (REPLACE) W--)Q� �c/a_Klij I N <i�f �wdztU 028-200-076 AG00-140 SMITH, STEVE & LISA 37 LAS FLORES RD., OROVILLE AGRICULTURAL BUILDING 028-200-076 02-001 AG SMITH, Steve & Lisa 37 Las Flores Rd., Oroville Ag Exempt -Hay & Tack r 7 • Y l M1T �o n l BUILDING DIVISION a COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (530) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT _ PERMIT NO. 09 OF Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. _ ') , (D �Z ( _00 Z2 ZONING _ 7 OWNERL4 sr -1 'a PHONE NO; ' a— OWNER'S ADDRE S Pores LOCATION OFMILDING t USE OF BUILDING SIZE OF STRUCTURE —'X ' =lam_ SQ. FT. pR - till, O -U4 f TYPE OF CONSTRUCTI N: WOOD FRAME STEEL CONCRETE OTHER (Specify) TYPE OF SIDING QQJ — ROOF COVERING FLOOR TYPE ESTIMATED COST OF CONSTRUCTION $ 0 AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: FRONT SIDES REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated about, and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date - f_ 9'0 a- Signature of Owner Permit Fee - $60.00 The above described AG Building is exempt from a building permit. Lk F O PA EL P.DI FOO ING ISSUFel Receipt No. Manager Building Division By Date ,2 /4) �2- White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod —Applicant J BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (530) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO. Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public.: r' ha k .cne-7 ASSESSOR PARCEL NO. aa u ASSESSOR PARCEL NO OWNER1 PHONE NO. OWNER'S ADaRE S gzrc 5 V) LOCATION OF BUILDING i4 S DN tom. USE OF BUILDINGOOdA S SIZE OF STRUCTURE k&' ' -La X v = SO. FT. TYPE OF CONSTRUCTION: WOOD FRAME STEEL CONCRETE OTHER (Specify) TYPE OF SIDING you0Q ROOF CO2YEBIqG 7f__ FLOG YP &�) 6 ESTIMATED C ST CONSTRUCTION / $ �.� Ist-P 7- AG Buildings shall corn lye 'th the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as L__ f� U G ' FRONT 4o' SIDES REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated about, and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. _ Date 1 v z-1 l V Signature of Permit Fee - $60.00 The above described AG Building is exempt from a building per it. F 'WD PAR L P.D. ROOFI I; �ieceipt No. � j%£ ' Manager Building Division L •�� BY Date ,l � /114/60 WhitWPW,,Yellw ssessor, Pink — B. I., Goldenrod —Applicant NOTES L' i RESIDENTIAL PERMIT NO. 028-200-076 00-2196 STEVE & LISA SMITH 37 LAS FLORES, OROVILLE CONTR: EXECUTIVE HOMES NEW MH ON A FND. (REPLACE) THE HCD FORM 433A FOR THIS MH CANNOT BE RECORDED UNTIL ONE OF THE FOLLOWING HAVE BEEN TURNED IN TO THE BLDG DIV: (1) LICENSE PLATE(S) or DECAL(THE INSPECTOR MUST RETRIEVE) (2) STATEMENT OF FACTS(ONLY ON NEW MH'S) INSPECTOR TO VERIFY SERIAL & LABEL #'S SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER pl-ipr '1-D -4i'Id ✓e*- q� c5 Y 6, Ll�41all /rix/a. 1 JOB FINALED Date Signatur ./ = OK 0 = Not OK Date - = Not Applicable' MOBILE HOMES = Not Ready Zoning Requirements -Setbacks -Easements Date MOBILE HOME UTILITIES (Plans) OK except #'s. 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / /'Nat. or/ /"L"ft./ /'LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOJf QS-FNSTALLATION (Plans) OK except #'s p6ing R quirements-Setbacks-Easements oo' gs; Size -Spacing -Marriage Line as; est -Demand -Valve -Connector le `city; MH Test -Crossovers -Breakers -Clearances rain; MH Test -Fall -Flex Connector 6. Wa r; MH Test -Regulator -Connector ater and Sewer Connected -C/O to Grade -HD Approval as nd Electricity Tagged 9. Downs -Type -Installation Cert. xits; Insp.-Sketch 11. Cert. of Occupancy 12. Permanent Foundation Only; License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements I 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Sea ms- 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 d. 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J = OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (; Date FRAMING (Continued) Underfloor (Plans) OK except #'s 46. 1. Zoning -Setbacks -Easements -Flood -Slope 47. 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 48. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 49. 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 50. 5. Stemwalls, Main; Steel-Blockouts-Wrapped 51. 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 52. 6a. Hold Downs and Special Anchors 53. 7. Slab, Steel -Wrapped 54. 8. Piers -Fireplace Ftg.-Steel 55. 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 56. 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 57. 11. Water Pipe; Test -Anchors -Regulator -Service Test 58. 12. Electric Underground 59. 13. Plenums & Ducts; Clearance -Material -Support -Ins. 60. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 61. 15. Access & Ventilation 62. 16. Insulation Date Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s PLUMBING (Permit) OK except #'s 63. 17. Water Htr.; Vent -Access -Combustion Air Baffle 64. 18. Water Pipe; Test & Anchor -Nail Protection 65. 19. D.W.V.; Test Fittings & Anchor -Nail Protection 66. 20. Shower Pan; Test, First Floor -Tub Access 67. 21. Test Tub & Shower, Second Floor -Tub Access 68. 22. Gas Pipe; Sixe & Anchors 69. Stairs & Rails Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 23. Fixture & Transformer Clearance -Ins. Protection _ Elec. Outlets & Receptacles at Kit. Counter . 24. Elec. Receptacles Spacing -Lights & Switches at Doors Garage Fire Door; Swing -Landing -Closure 25. Size Boxes & No. of Conductors Stapled A.C. Duct in Garage -Damper 26. Romex Installed Close to Edge of Studs & C.J. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Plb., Elec. & Mech. Equip. Listed for Location 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI Elec. Receptacles in Garage (F.F.I.)-Romex Protection 29. Subteed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At Insulation -Foam -Looked in Attic 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral O Yes O No Guard Rails & Deck Construction -Post Caps 31. Service -Riser Conductors & Ground Main Disconnect Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 32. Equip. Clearances Panels-Motors-Mech. Equip. Clearance Looked under Floor 1] Yes 33. Clothes Closet Light -Shower Light -Spa Light Following Instld./Drive ] Yes ] No/Walks ] Yes ] No/Planters G Yes ] No 34. Smoke Detector Stucco Brown -Finish 84. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 86. MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform it Furnace in Attic 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Card B-1 Date Card B-1 40. Sits Proper Materials & Anchors Date 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 ;Ingle & Duplex) r Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties- Purlin-Roff Brac.-Truss-Shting.-Ring. 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 X -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 1] Yes 82. Following Instld./Drive ] Yes ] No/Walks ] Yes ] No/Planters G Yes ] 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: •- r�...�.�Tfs�r•Y�!'�'Tui;s�,.'-�+rts-"�„6�+j1'�'s�7,�,yf- _ ."�s�'. /Z.- UNTY OF BUTTE y BgILDING DIVISION �` DEPARTMENT OF DEVELOPMENT SERVICf-S' Y 411 Main Street • Chico, CA • (530)-891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541:.: f CORRECTION NOTICE S(,I OWNER PERMIT NO. ,mss' 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 correctionof work is completed. If you have any questions pertaining to this matter, or need additional explanation, , please ce act this office immediately. r 1:2 2I4- l�GL S%lrt2�� ' - •.:?Fid ;.3 Date _ t ✓ Inspector i3 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 Iv07 i� oz� - SUM -- o , OWNER PERMIT NO. 41 A routine inspection indicates that the following violations of butte county Ordinances exist at the s� 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, pleases ntact this office immediately. 12U DAA,/ s t {.ya e Date Inspector :- REV 10/92 I 00 A91-ge ro 06 e4rd 4 16 S ( 20MCP Pal^ /00 , nvnv� Ile, CA LO Z PRE" OWNER:VYl c` — LOCATION: 2-,f E) CONTRACTOR: E--Y-p r-ut- PRE-INSPETION FOR: hto 11 RLV- V�i I DATE TO INSPECTOR: 9)9J -'1/M PERmrrH1S707,Y:( )7NN L BUILDING INSPECTOR Building Description: DATE: --4 _/ A -P. # Q)A-�FOLLOWS: REPORT Residential/# of Units: Currently Occupied AbandonedfVacant Electric: Yes '-'�ZNo Electric currently On—Z Off Condition of Electric Gas: I / Natural Propane' None Currently OnOfft._ Obvious Problems: Sanitation: Q Plumbing Working Well Working Potable Water Obvious SewageProblems U Comments: b /op MzZA-Ce." I ACTION RECOMMENDED: ISSUE: HOLD FOR Inspector: Date.. Sketch buildings on reverse and indicate location on propert) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive . Oroville, Califoi`lhi : 95y65 o Telephone (530) 538-7541®✓Z�� NO. (Rev.12/96) APPLICATION AN® PERMIT - L� -��� 1 ASSESSOR PARCEL NUMBER 028-200-076 ZONING BUILDINGPERMIT OWNER STEVE & LISA SMITH WKI TELEPHONE 532-1-377 SO. FT. OCC. BUILDING VALUATION .OWNER IUNG ADDRESS % LAS FLORES OROVLLLE CA 95966 9L, -[F -T6_0 MIVE HOMES TE HONE 891-6992 cDM 04LILIESPLANADE CHICO CA 95953 CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ 91,476.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee 603.50/2 $ 301.75 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDING ADDRESS � 37 LAS FLORES OROVILLE CA Energy Plan Checking Fee $ $ PERMIT FEE $ 344.75 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ MobilehomeND 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)t] Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: NEW MANUFACTURED HOME ON A FnITNT)ATTCN (REP LACEMENTr Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 Mobile Home ISI GI W @20.00 PERMIT FEE $ 50 ELECTRICAL PERMIT .00 I Fling Fee 20.00 V LE Main Service A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with S ction 7000) of Division 3 of the Business and Professions Code, and my license with f I f ce and effect. / S_" + G a License Class Lic. No. (0 C/o J O �J 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 Main Service TO 46.00so WEL200A CCU000A NEW CONST. DWEWNG OCCUP. OR ADDNS. ( a ACC. Bins. SO 3.5QFT: NON-REOSIDT MULCTI.OUTLET 97.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup.OUTLET OR FIXTURES 20 Q 1.00 �L.p .50 Ex. Occup. DFIx� A� OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE t WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' comp nsation insurance, as required by Section 3700 of the Laborfor the perform nce of work for which this permit is issued. My workers' co ensation insurancea��nd��ppolicy numb/fir are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number — !!5 (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 wo kers' ompensation provisions of section 3700 of the Labor Code, I shall fo hwit om with those provisions. • (� �� Date / Signa ure f Ap Icant - Zzgy�00wner ❑Contractor ❑Agent An OSHA pe it is required for excavati ns over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 394.75 Az. FEES IMP ROOD CDF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indic o e for hich fees have � By /�" �' PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. 0 6 �� 101610 Date 1,616101 Date Receipt No. .S 7 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT r 'COUNTY OF BUTTE = DEPARTMENT OF D COUNTY CENTER DRIVE - OROVILLE, SERVICES - BUILDING DIVISION 95965 - TELEPHONE (530)538-7541 ` P ITAPPLICATION DATA SHEET OWNER: 4-, SSOR PARCEL NUMBER: Proposed Building Use g Inspector: Date: �%Z -- 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. ----------------- '-Complete plans, 3/4 sets, signed by the preparer of plans. --------------------------------------------- -------- ngineered 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! ------------------ ❑6. Energy Design Compliance and supporting documentation. ----------------------------------------------= =--- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ---- 8. Hazardous Material Form. ---------------------------------------------------------------------------=-------------- anufactured Home data and installation instructions including Tie Down Specifications .------------------ - ❑ 1,0. Fees of $ --------- 11. Impact fees as shown on the attached ❑ 12. California Department of Forestry.pla . Flood elevation certificate. -------:=' -- 4. Sanitation and plot plan approv alth Department. _19 -------------------------------------- t ❑ 15. City of Chico plumbing permit. --------------------------------- --A---A=----------------------------------------- ❑ 16. Plot plan and business license approval from th City of Biggs: ---------------------------------------------- 'J ❑ 17. Planning approval for (A) Use: (�B) arkg�. -------------------------- w _ fs k jFPrec- tact Land Development about ❑ Improvemen ,<6 Drainage, ❑ Legal Parcel. ----------------------- ` P` oachment Permitfor driveway (con u ctio roval rior to occu anc - -------- eT,�y��( � � P P P Y�---------------- -- - nspection for / � 11-1- S 'Y required Request to Building Inspector on (Date) 021. Contractor's license information.(Number, Name Style, Classification). ------------------------------------ 0 22. Workers' Compensation came and policy number.----------------------------------------------------------- ❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------- 024. -------------------------------------❑24. Letter of signature authorization. --------------- -------------------- --------------------------------------------- d25. Recorded copy of Agricultural Acknowledgment Statement.-------��---------------------------------------- It 026„Le'tte`r of intent on building use.---------------------------------___________________-__-__ —`-------- ❑ 27. Manufactured Home utility cl ance.------------ ---------------6 _- ------ ---------------------- E ___--_ ----------- E ' in W,t s and/ iced p----------------- -- -- --e- -- --- ----- ----------------- 289. A, D itle, 'Check to H.C.D $--------------- 030. Other: When '�/ Yy you issue the ermit, process as follows ❑ Mail to owner, O ai t contractor. Telephone �9i_ 0 and hold for pickup at U Ooffice❑Deliver with inspector. ” Apphe Date: Copy of Haz-Mat fomma sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By:. Copy of plans sent ❑ Health 6$irtment, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: 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 required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date; Plans reviewed by:-, Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: a r TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance E.H. USE ONLY Plot Plan Attac d Floor Plan Att ad Sant to B.D. !75 7 b s I, S m t_ LAs LLD a S =e)-9 - 20 U -- -4• Owner Location AP# . Plan Approved for: Sewage Dispos Water Supply: Public Private) Well Clearance for dwelling. Other. p )�C 1, /( LM2a 06-4) P 1(> Yl,( Hold final for: Final clearance O.K. for: NOTE: �4 a, a2 j- 0/- - / R,4S Environmental Health Specialist 8/96 Date COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION r 7 County Center Drive • Oroville, Califorr...ia 95965 • Telephone (530) 538-7541 PERMIT NC Rev. 12/96) APPLICATION AND PERMIT eel ' ll ASSESsoRPMc N BER O ZONING" BUILDINGPERMIT OWNER- ` � Wk L isa TELEPHONE S �0 I DING VA ATION . OWNER'S MAILING ADDRESS 3-7 L aS Flo .s v'A2, nuq4 COM R'S NAMEI TELEPHON/E - COM�sT ADsJll.l ILJL�I' /lift Y (� ` �Y/ l •� , ` -A 9�7-3 - CONSTRUCTION LENDER LENDERS MAILING ADDRESS Fireplace L. Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Riln Fee $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Plan Checking Fee $ BUILDING ADDRESS 37 LQ s F >lo r Energy Plan Checking Fee S / / PERMIT FEE LOT NO. SUBDNISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome Kother /I SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water Water piping 15.00 S— TYPE OF WORK New �c Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: /�Q {i J? U—Fa ®%� Q -F® a//) da -fi nA • (ran /2 gas water heater or vent 15.00' Gas piping s stem 1 - 5 outlets 15.00 Lj Bulldlngisewer 15.00 Mobile Home S G W @20.00 PERMIT FEE ELECTRICAL PERMIT Filing Fee 20.00 Main SeNICe EOOV OR LE68 2o.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is 1 full force and effect. (,moi License Class LIC. NO. (y OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Lew 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 Main Service 200A TO I 000 46.00 NEW CONST' OWELUNo OCCUP. OR ADONIS. BACC.BLDS. so 3•50FT. z REBID. ' ( MenrH C RTLi rs ) @7.50 POWER APPARATUS 8 9INOLE OUTLET CIR. OUTLET OR FIXTURES Ex. OCCL! .a4l 20 @''0° Q .50 Ex. OCCU UllTrAPPLN (11. OR ouTLETs REBID. EA 5.00 – Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -Insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit Is Issued. 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' compensation insurance ca rler end policy n mber are: Carrier OCAw� -/ Oe Qf/D/'L MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Policy Number JA) A ).� / V J (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 tills permit Is Issued, I shall not employ any person In any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with thos provisions. X Date d Signature of Applicant - ❑ Owner % ontractor. ❑ Agent An OSHA permit is req r d for excav ions over 5'0" deep and demolition or construction of structures over 3 sto asIn height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TO L FEE $ r HAZ ` D. FEES IMFLooD co - Pig EL Y Po Io sSUE 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. j By Dale _ PERMIT EXPIRES ON (Da ro RecelptNo. WHITE-D.D.S.-B.D. CANARY-ASSESSOn PINK -INSPECTOR GOLDENnOD-APPLICANT School District BUTTE. COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) �- Building Department No. A.P. Number —0 N(/ - / risdiction: L.J City �Eounty r Property Owner Property Location/Address Subdivision Lot No. .......................... ........................................................................................ : Residential Development S iAWA �No of Living Mobile Home Add'RioN •Supplemental to o p R)�Units Installation Conversion Permit # '(No foundation inspection)'..................................................................................................................omm rciaVlndustrial SqFootae ew Addition (Including Exterior r ' Roof Areas) ilding Department Representative Date10, (Floor Plans reviewed by'S6hool District Personnel) District Identification O i No. V ®2 7.aev School District certifies that (Applicant) (Street Address) t (Phone Number) Or V -,t ( k1. 6A 41 t-20� it(010 (City) has complied with the requirements of Resolution No. ~representing 1 y 1 square feet. School District Paid by Check # Remarks: (State) d- (Zip Code) by payment of $ 14� AB 2926 $ FULL MITIGATION $ owN Date Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, 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 California Environmental Quality Act (CEQA), y 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) feeformAs 110I98)dmm i PRE -INSPECTION REPORT OWNER: �VYI LOCATION: CONTRACTOR: PRE•INSPETION FOR: DATE TO INSPECTOR: Building Description: Commercial/Usage: Residential/# of Units: Currently Occupied AbandonedNacant _ Electric: Yes No Condition of Electric Gas: NaturalPropane_ Obvious Problems: Sanitation: Plumbing Working Well Working Obvious SewageProblems , %e i-"-qnd - PERMIT HISTQRY:( ) NON DATE: oLe7 A.P. #- Sc (Q AS FOLLOWS: BUILI)MG iiapECTOR-dREPORT i . F P- Electric currently On Off None i Currently On --,,0' Off I0 Potable Water ACTION RECOMMENDED: ISSUE: HOLD FOR _jpj,�� j - Inspector: Date �� 7 Sketch buildings on reverse and indicate location onro ert . P P Y COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PERMIT NO (Rev. 12/96) APPLICATION AND PERMIT CG- -:9 jrl_-1 .As SES SORPMC BER O iON1NO� �! BUILDING PERMIT OWNERt , / - 4g q40'. 1If, rL.I/_`� Ok TELEPHONE I DING / V TION OWNEAS MAIUNO ADDRESS �S L as FLO S v' COM R'9 NAME ��� //`_ xt�n c 14-1' I)(2 - �i�?P � ELEPHONE �'% IUNO ADgBE93 I CONTRACTOR'S J � ^�/Y•/ �• I �Q 1 CjEn cJ61^l / y CONSTRUCTION LEND Fireplace �- LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER UCENSE NO. Film Fee $ 20.00 Permit Fee '— b r ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUIL DING ADDRESS >37 Los Ke Energy Plan Checking Fee $ E p / PERMIT FEE ; LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobliehome Other SPECIFY Solar or heat um water heater 23.00 Water piping 15.00 Each gai water heater or vent 15.00 TYPE OF WORK New Addition ❑ Remodel ❑ L%Iibes ❑ Installation ❑ Other ❑ Describe Work: a— ng Q �r / Gas piping system 1 - 5 outlets 15.00 Buildlng;sewer 15.00 Mobile Home S G W Q20.00 i PERMIT FEE If ELECTRICAL PERMIT Filing Fee 20.00 Main Service 00oa 00 RR LLI s 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 1 full for a and effect. n �/L �O� y�'� License Class Llc. No. (l/ /// UUU OWNER -BUILDER DECLARATION hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following rAason: O I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not Intended or offered for sale. ❑ 1, as owner o1 the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -Insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit Is Issued. 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' compensation insurance a Tier and policy n mber are: Carrier �_ _/'9/DiL a L000A 46.00so NEW C NST_"Sen NEW CONST:' DWEWNG OCCUP. WELL200A NG OR AODN9. s ACC. BLD9. SO 3.5dFT. Er NON-RE91D. ' BHANI H cmcLn s ) @7.50 POWER APPARATUS 6 SINGLE OUTLET CI0. — Ex. Occup. OUTM OR FaTURES ao ®Loo BAS so FIXAP EOPLN9. OR Ex. Occup. ourL, REBID. EA 5,00 Temporary Service 23.00 _ Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE f MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Policy Number ja >7�) '7. LL/�� (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 forthwith comp) with tho provisions. X Date (/_ d4w� Signature of ApplicaV_;r nontrector ❑AgentAn OSHA permit Is reqcav Ions over 50"deep and demolition or construction of structures over 3 stght. Mobile Home Installation Fee $ Energy Inspection Fee 1> occ CONST. TYPETOT L FEES < - HAL D. FEES IM FLOOD D P EL PO ro SVE This permit Is hereby Issued under of the Bute County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date _ �efoJ ReceiptNo.. WHITE-D.D.S.-B. D. CANARY•ASSESSOn NNK•INSPECTOR G0L0ENn00-APPLICANT Robert Schaeffer " J- E/S Duns one Rd.�a�p. mi.S.of Aacad ve., Bangor fG Peradt # 335-77P,E(tK'il.,MH) ELEC . // r GAS (/ " S PPOIT STRUCTURE REQ. gV 0 , _ C PACTION TEST _REQ. 28-20=_ � '1(0 Perm t #70 I % Issued, 28-20-4W '74G ermit#5454-80MHI(existing site) ssued --"' , 28-20-76 KEN &IAURA �� Contr: Great Weste Permit#396-86MHI(e isti te) ssued rh 4q 28-20-76 j P 950-86P(gas piping/MH)�-�" 28-20-76 qlt 37 Las Flores Rd, Oroville 3//Mv Permit#1599-86B(new covered deck/ ) 28-20-76 Permit#2676-88MHI(existing site) -Issued F` / yl A 028-200-076 00-2196 STEVE & LISA SMITH 37 LAS FLORES, OROVILLE CONTR: EXECUTIVE HOMES NEW MH ON A FND. (REPLACE) ell 3 � ,./, /4s r� 49.,4,4 c I x 6 6) /V, e der,% r LOU 'K rf,6r�j 4 elLce g. L" Z7 e -'- l - e -V c,_, iu sa-smikk -7 La -s V- I Ore D (i A) s ro,*L-I.F- Wo� �A LZ APPROVED ❑ CONOITIONALLY APPROVED :< .: " . ❑ RESOLVE PROBLEMS PRIOR TO APPROVAL PERMIT CLEARANCE Permit #: Date: _ Q 121/66 GeneraMfonnabron AP# Owners Name: _ e v� 'b Lisa's Parcel Acreage: l O A r` Owners Address: -3'1 Lq b�r 1 o rc s o cno vm 2 Building Site Address: Propertrinfo�mation Permit Type: ❑ Agriculture Bw'lding ❑ Commercial ❑ Industrial ❑ 2nd Dwelling ❑ Multi -Family >2 units per parcel gce_ 'Mobile Home ❑ SFD ❑ Residential Accessory ❑ Septic ❑ Well ❑ Other Zone District: Zcnirg Code Date of Zoning Ordinance: tc) General Plan: Front Development Agreement WA, Use Permit: Nome_ Variance:.__., t\(0r\ -e— Parcel Is In: Land Conservation Agreement Wo ❑ Yes, check use Minimum Acreage: Side street Nitrate Action Plan No ❑ Yes Rear Violation Area No ❑ Yes 3d r Specific Plan O No ❑ Yes ❑ Chico ❑ D2N ❑ Cohasset Enterprise Zone CKNo ❑ Yes, Check use No❑ Yes Floodplain Zone: Q j No Eff Yes Panel Number: U)2 S C. Watershed Protection Zone !!`"'�' Wory^wXsi-• X", Proposed Use Complies With•General Plan Zoning Procosed Use Recuires; ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Accessory Building Use Commerdal/Industrial/Multi:Family Uses: Parking: ❑ Parking Requirements are OK as Shown ❑ Other Landscaping: ❑ Landscaping Requirements are OK as Shown ❑ Other Road and Drairace Improvements Required:1;, t_❑ No , ❑ Yes:: Applicable Setbacks: Zcnirg Code Street & F hwa s Fre Prevention Subdivision Ma Front 50 S U r Side Side street Rear S' 3d r Heicht Septic Pertnit,Review: Well Permit Review: Land Oevdopmau Review: Permit Clearance Agdadttue Affidavit Required ❑ No Designated Well Site ❑ No Drainage Plan (Cam/Ind/Muld) ❑ No Date of Creation: Legal Access Provided: ❑ 14o ❑ Yes Deed Reference: Legal Access Required: ❑ No ❑ Yes Parol Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Roa 'Name: . Complies with County Standards flor Deed Creation: ❑ No ❑ Yes . Comments: r xMap Date of Recording: �' Z to Z M 3q. Lot••8l 2 otic: �� Book: � per; 3 y :Qndidons That Must g Mer Pricr to I su nce of Permit ❑ Verify legal Parcel ❑ Verify Legal Access ❑Provide Creation Deed ❑ Comply with condition no. of conditions of approval for the ❑ Obtain a Certificate of Compliance (See Planning Division for application). ❑ Construction across property lines is not permitted (See land Development for a Merger Appikation/Lot Line Adjustment). ❑, ComPIY with Old Subdivision Lot Ordinance (Maps Recorded Prior to Book 17 of Maps Page 23). ❑ Construct road to ❑ Other ereral Comments - la 1�i�!'Sie '}'a e-v,\Sore, air l ❑ Meet parcel size required by zone ❑ Meet current EHD requirements. APPROVED Butte County Environmental Health -- Z - ov Dat ' 1(� najur%D� &^ l� SEWER I Gas 6crz WATER �: � ATcR f I (�v I G O 12'-af.. 8•_8•• 26'-71.. 4658 4658 4658 3280" r ! �?�� — _ — w -, I i W! ( DINING AREA LIVING ROOM r--- MASTER BEDROOM '�i`o �S 0CD ' o HrM L ] • - BEo2oom ISI i URN ' UNEN 3D 24 S 2e ,a 2a COAT n '�4co 7c" n m MfRROR l J�m 3658 3040 CLEAR CLASS NOTES: £XFZU-r►VE 'LE6TV1/GL'7D 1- ^• - • W/ 7W ABOVE W/ 32'-0" OPT COOLER 24 30 6' Vy O �o Q C1' 4��LI L H'r FOYER J ' I - �7 46- L1. 1I IU !J I 1 �6i�'T SHQWE 28 I - l\ .. 41B - Af�if>z 3680 DEM `^f., r i ►.cLosET 272 -112721 Aa4� 3658 NEW 1999 SUNCREST LINE DRAWING FAT�.Y:cMARTINEZ' ScW/OPTIONAL CORNER BATH 6/6/98 RE -- w L7 Lo 36' MIRRQR 28 10 m v 0 d 440 MIRROR 12' -3q - E E3/16' -V-0'1 MODEL N0. SERIAL N0. SHT. 1 NS 12/9/99 SC5663P — OF 1 w ��ylYi i W ,a I W/ 7W ABOVE W/ 32'-0" OPT COOLER 24 30 6' Vy O �o Q C1' 4��LI L H'r FOYER J ' I - �7 46- L1. 1I IU !J I 1 �6i�'T SHQWE 28 I - l\ .. 41B - Af�if>z 3680 DEM `^f., r i ►.cLosET 272 -112721 Aa4� 3658 NEW 1999 SUNCREST LINE DRAWING FAT�.Y:cMARTINEZ' ScW/OPTIONAL CORNER BATH 6/6/98 RE -- w L7 Lo 36' MIRRQR 28 10 m v 0 d 440 MIRROR 12' -3q - E E3/16' -V-0'1 MODEL N0. SERIAL N0. SHT. 1 NS 12/9/99 SC5663P — OF 1 W ---- I6-76, W 1 -PC I1 TSS I' ISLAND i i '1"tt.t % AERoy O O/W n (� D W/ 7W ABOVE W/ 32'-0" OPT COOLER 24 30 6' Vy O �o Q C1' 4��LI L H'r FOYER J ' I - �7 46- L1. 1I IU !J I 1 �6i�'T SHQWE 28 I - l\ .. 41B - Af�if>z 3680 DEM `^f., r i ►.cLosET 272 -112721 Aa4� 3658 NEW 1999 SUNCREST LINE DRAWING FAT�.Y:cMARTINEZ' ScW/OPTIONAL CORNER BATH 6/6/98 RE -- w L7 Lo 36' MIRRQR 28 10 m v 0 d 440 MIRROR 12' -3q - E E3/16' -V-0'1 MODEL N0. SERIAL N0. SHT. 1 NS 12/9/99 SC5663P — OF 1 3.% , '.qL s �L. a "Z., s /D 4,e v #a,0-jE TO �E r ,6'A) A rVLC. E P. --P ROVED butte Coun E-7vironrnentlealth LD Signature Nea X,6, 2,g a. oz.::7L —o?SD S� Vim.: £ LI Sc- Shn i �) L.a.s 7 1 ores cvrav� Ile/ CA� �P* .O 2-? — a 00. - 0-7 � s Td �D L5 I M.H.I.-2 1. Owner's Name: O�a (U e 2. Assessor's Parcel Number: 3. Installer's Name: &,eeuiz' 4. Is the site currently under permit? Yes[ ] No[ ,Q Permit No. 5. Is the site an existing site? -Yes [q Noj ] (If yes, furnish two plot plans). 6. What is the electrical rating of the mobilehome? /40 Amperes. 7. What is the mobilehome site circuit breaker rating? Amperes. 8. What is the electrical rating of the mobilehome site? Z'�`' Amperes. 9. Is the main service remote from the mobilehome site? Yes[ ] No[] If it is, what is the rating? Amperes. 10. Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage etc.)? Ye-sil-4 ] No[ ] If yes, please identify the load and size: a) The mobile home site: Load- \ Z N - Amperes- b) The main service: Load- Amperes - 11. Type of gas service at mobilehome site: Natural[ j Propane"] None[ j 12. Size of as r pipe at the mobilehome . site from the meter or tank: f NA inches. 13. What is the gas pipe length from the meter or tank to the mobilehome?'J" (ft.). 14. What is the mobilehome gas demand? V -A B.T.U.* *(This information is not 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 May 1995 6UTTE COUP 8.5 M.H.I.- 2 Mobilehome Manufacturer: ��,�,®tGt)�X %}lA�Manufacture Year: OM If other than single e+ide, furnish Setup Model Number: Widths 41(ft.) Length:_&�L(ft.) Tagalong or Expando Size--,,.. On all mobilehome's manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. FOOTINGS: Wood pressure treated or foundation grade['A Other: SUPPORTS: Concrete-block[X] Other: r ,Specifications for all Mobilehomes: ��nS 6 r At2 n Pier. Footings Sizes and Location SII'QGLE WIDE MULTI -WIDE Line 1 Line 1 Line 2 - Line 2 ............I.................................................................................... Main Beams Line2 ............. ........... ,................................................. ....................... ine 2 Line 1 ' Line 3 Line 2 ................................................................................ Main Beams .....................:.......................................................................... Line 2 Line I in3 Tag or Triple ine 4 Final Line 1 Piers: Size minimum: ' ►�-1 x t-'] 1. Spacing maximum: g ` 0 ` From ends -maximum: I ` Q ` 1 Line 2 Piers: Size minimum: [ Z ] x Spacing maximum: From ends -maximum] p Line. 3 Roof Loads:'' Z Size minimum y le Zyx3, Location (from front),: o) Line 5 Roof Loads: Size minimum: Location (from front): May 1995 " Line 1 Openings Size minimum: Each side of openings with width over: ` Line 4 Piers: Size minimum; ] x [ ]. Spacing maximum: ` From ends -maximum: ` 3b x30 tyx3o Zy k3e 34 "el S4'101 %-OV 8.4 1'L-, aoot-4--.1 (Doue- '- 2a X37 LOS Flor-e-s F (OYo v 111 G C14- / 19 I r=• -3%'i 3'-3' U J q /�rq �3/, L I't'�cLbTEsT1Yt.�„1'- � i ' Ir�;� - 'mss' AP;.302w/4:12 11�7xFrfy-m. i ! YEa' o �' W'-� \�- ROOFPfTCff 1�uGE7N.06 �0:-7ca-�, /� Y�i„Z� Ls�S•cR+`T j WrL Li. ice Dl vAw C �• V G�� 1PER ,za-call zCNE ^^ If Wrl 14- j I LOAD Tma P=-. 1 (Las) ty1D No UW.I-T LS5400 1 7-S 31' y. o f oiT. r:,1t- I , -; •F - �. i"T—� f 5 2600'2 17 -r 2s f,i CIVII.IG �ttFp. L,yl,� Z, �` ,� j j 107 3 8'-i1 26 y 9200 a 16a• 4 w .d L rl_�'I G:Ty � , CJMb[1,:t'•9 \ o ` 5r +�+_>• I!1 9a3_ �.pt �,J� 5- 4400 5 7-4'• 32CID OPr. 300 9 Ca►T .E>v4 LaL JDow - - - -o►t. MILL LL t Os Ol 1AZO 3 1 a►' PER 1 tC YaX ZONE \ OAOS TAB - 1 'T] , 3 PIET FA& f�sl too NM UP4- r m 1 5400 1 Sr 5' 32• �. m 14 9600 2 1r-11 26 r arrvl .mm _Z�_, to7a a e-,1 2s o 16'-- 6 = 4400 5 74r 32 0 m c::c:E.•: T ' indotc 2' Ile=irlQ ;'.E7?4hM •� ! fL� 1��. �..•.:., it ,(e.',911.F. "_a'1•I i �'C/' $_ o 1 gum -� 1128 Sa � _ _ -y � _ b Gro. � 0�1 5 ArJ i3 ram• lz tea- , �� , fv z 3-S ! ,ro a I �••-�— o - cn 3fz CD F=DEAA MAN*UFACrj-xm•' m O HOGS:NG CCNS :CGFCN C- SA, -:TY m MOMS: �t(oy13 U a L) TH15 C -LO R PLAN MAY 9E MALT IN AN E> ACr MIRRCR IMAGE IMAGE AE}CUr TH= LATH Z LPtYER3 C - p ; 7-' O ry cn AND/CR W[I`iT}t AXIS. !�- S<p yp -CZ -- /J ✓l�s.r�.sclsvr' C , , WINDOW/ DOOR SGi®UL �6 2 WE Casa wmN I t:tA2 IVENT Aa I Sm 9 v t� +'7.8 a o {� ��� ax v3.r j C) RECEI-Tm EELF=Sv_CSI.AIN2 BmC - =L�>:'L 30'x4G'' _ S SMTCN ^ 4705UPnLY AIR RELI i�ir. !i ii�Nc-i7 SWr :-O 3 ti:F2 Z U�d?FiXTURE - - 41RSiJPRyZGCRPLih 3C/ r o�"c F:�i:CFR �'44s' Lx= -W ltl REMSTrp 1 FrAEC -AS -- 1 N1 fr'prJMG F.W �CaUNG '�/-EARWAL' i a :-L^,e'oai-�' iODt3 x t i i x'<4�•' i✓.��r-�.; j?I?: P s �•i�� _✓ �:n A E:-.-SUPPC1�r R75C UM .,�-1a s.m. ><nau►.Y. ur - f�-1 •tet t1ar DCCR 9EErEC-. — RAG RE:R t:a ALR �a;1� _ r„s yr..-a r_: AUG -18-00 FRI 09;33 AM FLEETWOOD HOMES, WDLD,CA W NO. 530 662 6425 P. 02 O I I' -4,-/A. 17 �EG'i�G�7�1 �4 :2 ' 1 '-om ZPAL MANUFACM.'Z. ir:N ;CMSTRUCT°GN SAFETY ST. NMAR.r,S l;-' JUN 3 0 19980. � 4 *cc _avn;tp�; A o OPT- WS W/ 4:12 RQCF PrM.4 .3I� WK . 14tR 4.L Ill 4- MAX, LL tae OPIER.L. WZ{� AG LOADS (.OA13S t20 MAX ZONE 1 Ma POST 1 LaAo NO. LoAA tuo. UP4JFT 54-00 t g-� 31' s.. 9600 2 1 Tom- 25 2 1T-0' 10700 3 18'-11' 25 Irtstall,✓sorl 9200 a 1 t;'�- 9 Ir:sralatioa QO 5 7-3' 32 a t o' -s• indtoaies 2" beteg 5 0,10 (1 �► .3U d 5 I r.4-- 32 ,� PIER . 14tR 4.L Ill 4- MAX, WNO ZONE (.OA13S TP48 ❑ PCSi 1 sr (1,3.5) LaAo NO. UP-L1Fr ,� 5400 1 T-5- 32' s.. 2 (p-(4 5600 2 1T-0' 2S Techr� realr,iol ?�+o 10705 3 8'-t1'j 2s Ir:sralatioa ,'�i�'-i• � 9200 a t o' -s• 8 j Marn,at 5 0,10 (1 s� d 5 I r.4-- 32 ? 1 W/ OPT, 4;12 ROCF P H 2 k� ,1MN. 20Ak LL. ;I- PIE, 120• VANEt_OAOS(Us) 0 '�An IS �UP-UFT Q'/z l3 -a K jp-7-0' 4100 t 9'- • 32 I 4-e„ i- h O- 2 4 i �niew 8200 1$'-11'I IrLvgUaoon .-�y� 710 a 16'-4• 7 �llll 0 5 T-8• 32 irndicav!z Z' bearing '' 2 ` indGares Z' bamina I% FE_OORPL.AN 203 3 3a� 10'' 010' • " ' 'Goo - 12' -i4-" SHT 1 cis 1 AEV. A A P P R 0 V F V 0. WINZONE sr 1UP-UFT m 2 Se.4 realr,iol 82 3 8'-11' 2 t+esWsa 3404 S T-3• 32 indGares Z' bamina I% FE_OORPL.AN 203 3 3a� 10'' 010' • " ' 'Goo - 12' -i4-" SHT 1 cis 1 AEV. A A P P R 0 V F V W 6' 36' AFwd"_MS CL 318' PLATE I.. I i �� u awa" < a o o m. h' x 4' bolts p O s , TyF 0f4 szax�rTr� TM. OPz GRIPPER BASE GRIPPER PLATE ' II W TOP VIEW - MGP - PAD I'! a i • ♦ TUF-'• �.•:=•..Cltsi73 xt 7401.MO CSMJl3tK .'' J�srra�a.ass tTtr.arrl o'{ 1-1J2' SCH. 40 PIPE VGRADE3PR1c iAL I—tiV�3ORMORE m ♦♦ LOCK WfM r- LOCK% L t ADJUSTER MOLES _ _XxLrroR Put `�+�- 2' SCH 40 PIPE ♦ W/ 2 ADJUSTER HOLES + .SIDE M`EW - MGP - PAD CY . r scx 40 PIPE • WELDED TG 1/4' - - r BASE PLATE, m VW X4'BRAC£ y N 2'X2'X311b' aARW14NVIV ro lT) ANGLE lR0 - X 314•FILLET WELD. 00 29' LANG / )YP OF 4 W Q 4 >Rf;Scaa "wm MY n/• M w 4' / N CD ' END VIEW - MGP - PAD Lr) i NGP UNDER[AYMENT GRADE PLYWO. P S 5 CCA PRE55URE TREATED N • Lr) m , OESIGN LISTED AND TESTED, BY: BSK ASSOCIATES WAYNIr T, POL-VADO, PE - LISTING NO. F94249 X 6' ANCHOR LTS TYP OF 4 alaB3LE)LOW FOUND U-jON SySTE . . HEAMAND$AFU Y00DE38L71L`t{, rPACIFIC EUIkShc7lNfi EN61NEElS APPROVED ag ft� � '-warrrnp,COLO$=Faz:i"6454 M SUBJECTMC0&RRBCMCM NOTFD �m�,OM�v TiTF-I PERMANENT Ar"j=`a w,��;"8m'J°10"' FOUNDATIOK SYSTEM � d Ru�+u� na Com®ig DaekTmt CP CODES AM STANDAaS ABESCO - GUS GUARD COMPANY Pa 23"o2) P-O.BOX 128 CATHEYS VALLEY, CA. 95306 Sam -- go —loL FAX 2Ww" 549' Tkbi%aA a ,�am—,3k�— F - serve C%so .3'7 LAS Flores c))/0 �,Ilvlel AP) 00-9-cx�-02x:;, -6 05/25/2000 10:48 3835207 le � m. O c 41 p O SSf t "111 y �ryC1 � n ABESCO w PAGE 02 �I Gom QINwI� �. a m. O c 41 p O SSf t PAGE 02 �I Gom QINwI� �. M W GENERAL NOTES GUS GUARD TUFsi M. LIGHTHFAVY•WEIGHT PLASTIC AND STEEL PADS MAY BE USED IN PLACE OF L DESIGN LOADS : LJ VE LOAD -30LB. WOLMANIZID PADS` FLOCBR LIVE LOAD - 40 PSQ WIND LOAD- 80 WH EX OSURE -C` 16 E -ZTIE DOWN USED ON SD4=-WMF- ROUND STAm t3A X 141 MAY BE USED TN IO PLACE 110BILWOME U1 D&M SYSM IIEALTHANDSAPErYCMRR,SECT= fL4 SE]SMIC ZOIC `s" OF THE 1"X 1!8' FLAT BAR WJiE3i SO11, IS EX7REA43.Y HARD OR IN ROCK. HOLES MAY BE • SNOW LOAD 100 PSF PRE -DRILLED WHEN NECESSARY. APPROVED 2.. THIS FOUMATION SYSTEM IS DFSIGNW TO BE CGNSTRUCTED ON A FAIRLY LEVM, SPIE WITH NO E)aSTJNG SO(LPRQBLEMS TETN PROVECP$ AI2.WABLF SNOW WAD TO J00 PSF 3VAJ8CTZ0 CLIRAF7J7GN3 )R= 17. GUSGUARD TUF-i FDiJNDA710N SYSID pix INSTALLED WITH EX1ST[W S'ATDARDS REQUIRED BY COACH MANUFACTURER MRa%kLO Pl NWAV C0=MARlMA R OR REPLACE Ti ZW ON A OW TOOW BASIS, tqw�4, 3. CHASSIS BEAM SUPPORT SHALL BE LOCATED A?ID Sam FOR 77iF LOADS AS SHOWN APRXAM = Sara uws Uro eppCf ppp 16' x 16• x li•LEVEL 1b' �AT7� lil 0IXS P R]R>ID IN PLACE AT GROUND MAYBE USED. THE MOBIL HONE 1NSTALL►TTON INS2RUCTMN. AT INSTALLERS DISCT&MCK AS ALTOMA77W To PADS. ' 4. . IN AREAS WMREDffFERF3J17ALSE7iLF7E?i!(D.S.I CAN OCC(Jit MAMJFALTVRED - OP CODES A]m STA2mA@OB H'ONaSHALL BEREAD]RiC M WHEND.S OXEEDS W.CE-WHENIT WILL BE ADVERSELY* - VARIES SD' � 7C E 7AatE oAl a►tEi � AFFECT MANUFACTURED }JOAN ifMT. -3> 3. CARRY ALL FOC;TINGSDOV TO FIRM. UNDLMI SED SocL- FOOTINGS ARE DESuRzM FOR JOIX! PST: TOTAL LOAD SOL PRESSURE AND SHALL BE CCIAipA778LE WTT71 LOCAL I ` SOIL COdIDTTTONS. CCIMPACIID SAPID MAYBE USED 7O FILL LOCAL VOWS UPIDF3L PADS. i + f I J O .. G. YMfJCTURAL STEEL FABRICATE ACCORDING TO ASIC SPECIFT'CATMNS. W11D ACCORDING TOAWSSPECIFICA7IONS: ELECTRODE,S-370 PLATES-ASTMA36 DOLTS-. A!DG= 3EM-SUPP,Cwi AS n, -D-0 U] SAE OR c -ASTA449 - AS7M A3725.n. M 9T yuilkA =— t - TYP. • a « 7. TIRE GUS GUARD ASSEARBL r�SHO`WN BELOW. SHALL BE � =' Q 4���r y F7 a - = Q d LISTED AND L sELFD By Ma J AND ASSOCIATES FOR ITJE POLI.OWIiG (AADS: -H y u ALLOWABLE LOADS HORIZ WAL VERTICAL • u a D GUS GUARD TUF-1 32/1M . 60DDF GUS GUARD MGP PAD 2200A 60000 Z 6> R EL GUS GUARD E"Z ITE P_4D 22" bpOpy DURSriG PRII BdQJ ARY RtSPECT7GUV• THE ESTIMATOR SFEALL F71SURE TKAT R E v C11;� � P - CHASSIS SE1C11ON: �j"' . FLOAT BEAMS ARE OF STANDARD. ,• - JY 9. EXIS`TWGCOACHESMAYBERiZRAFTr=TORESLTrSEISa&CFORCESBYINSTALLINGmw GUS GUARD 7I1F-1 ON FEILS?AGE OF7YPICAL FO IJNTlS AS SHOWN'[JTmAIIOK PLANS. ca nt p 1NANYP STANDARD MH[�DCJtmJIYiC)NPJfAS $[JpPOKiPADS ---- _ 10. TTM GUSGRNARDTUE'-.lS'YSTEMS.AWSAF£.FQQI�TALLATICNMPLAODPLAiMAtEAt BE iROAnM 90 LOM AS REACON041ENDED BY THE MAMJFACIVAER Ty?. CION -M OIf9MIDE - TOAV=CLEARAMCE ORTE�EI ,SFR��PDCALT�I�JvI-0D(Jir WHERE DEPTH OF FLOODING DOES NOT EXCEM TRE HE CAiT OF THREE FEET PR CIBLEASL =4 PU MANENI`+ m it. MULTIPLE UNIT INSTALLATION IS ACCEPTABLE PROVIDED TEE NUIdB'R OF TLT l uMIS FOUNDATION SYSTEM Lr) UNDER EACH UNIT M T HE SAA¢ AS SHOWN REQUIRED PER EACH UNff. 00 SINGLE WIDE UNITS DOUBLE WIDE UNRS � 12. SINGLE -WIDE UMTS RDQUIRE ADDMONAL RESTRAINT. - (-,TE SHEET t3) • E= z YIN! 8' MAX. ABESCO - GUS GUARD COMPANY 13- ALL METAL CO&O ONENTS AND ATTACHNIE24 TS TTENIS SHALL BE PROTECTIVE COA7W s�9111Rw1aA+AX E=zr7r P.O.BOX133 S= B' f 2z CATIMS VALLEY, CA. 9SM co v 14. FORMCP PADS USE i 118 EXTERIOR PLYWOOD WITH WOLMANTZEDTREATMP14T7TJD.40 26%96653�Bq RAX 3ii4 MAX PCF RETII,flTOY WITH DRYING AFTER T'REA13ENT. S.4ET•E 2 OF 3 m m. CV 04 • I j • ... m RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 02 -Nov -2000 2000-0042414 Has not been compared vith original BUTTE COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. STEVE LLOYD SMITH & LISA NICOLE RIDENOUR BUTTE COUNTY BUILDING DIVISION REAL PROPERTY OWNEWLESSOR LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 37 LAS FLORES ROAD 7 COUNTY CENTER DRIVE MAILING ADDRESS MAILING ADDRESS OROVILLE, BUTTE, CA 95966 OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP CITY COUNTY STATE ZIP SAME 00-2196 (530)538-7541 INSTALLATION MAILING ADDRESS. IF DIFFERENT B I QI G PERMIT NO. TELEPHONE NUMBER 11/02/00 CITY COUNTY STATE ZIP SIGNATURE OF LOCALUfPCY 6FFICIAL DATE SAME EXECUTIVE HOMES UNIT OWNER (if also property owner. write "SAME') DEALER NAME (if not a dealer sale, write'NONE') 92081 MAILING ADDRESS DEALER LICENSE NO. My COLNTY STATE UNIT DESCRIPTION LP FLEETWOOD 2000 SUNCREST 566-3P MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMEfNUMBER CAFLYI7A/B23930SC13 66'8" X 25'8" FAD1284460/1 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUNIBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER 1! p # A.P. 028-200-076 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD -Building Dept EM A k L w?i y j; "f x< y4t i t i yi J J"� r j ` +. 'V jl 1 • I..' �a Sa it �J�.- �.✓ r S �%'1 il.i \ U y qty.%. v r5 BUILDING PERMIT NUMBER: 00-2196 Address or location of unit: 37 LAS FLORES ROAD, OROVILLE, CA 95966 Legal Description of Real Property: A.P. #028-200-076 SEE ATTACHED (x) Mobilehome/Manufactured Home () Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: STEVE LLOYD SMITH & LISA NICOLE RIDENOUR Owner's address: 37 LAS FLORES RD., OROVILLE, CA 95966 INSIGNIA OR HUD NUMBER: RAD1284460/1 SERIAL NUMBER OR V.I.N.: CAFLYI7A/B23930SC13 MANUFACTURER'S NAME: FLEETWOOD YEAR: 200 OFFICIAL APPROVING INSTALLATIO DATE: 11/02/00 PHONE: (530) 538-7541 H.C.D. 513C LEGAL DESCRIPTION A.P. #028-200-076 All that certain real property situate in the County of Butte, State of California, described as follows: Parcel 2, as shown on that certain Parcel Map entitled, "Being a portion of the SW 1/4 of Section 19, T.18N., R.5E., M.D.B. & M.", said Parcel Map was filed in the Office of the Recorder of the County of Butte, State of California, on August 26, 1982, in Book 89 of Parcel Maps, at Page 34. EXCEPTING THEREFROM all oil, gas and other hydrocarbons and minerals heretofore reserved to the Grantor named in that certain Deed from Bank of America National Trust and Savings Association, a national banking association, to F. H. Thomas and Mattie E. Thomas, his wife, as Joint Tenants, dated May 14, 1943 and recorded June 18, 1943, in Book 314, of Official Records, at page 152, records of Butte County, California, together with all the rights and privileges of the Grantor in said Deed set forth with respect to said oil, gas and other hydrocarbons and minerals. FILE No.667 11/01 '00 AM 09:15 ID:EXECUTIVE HOMES FAX:530 891 8753 PAGE 2 E � - OpN STATE OF BUSINESS, TRANSPORTATION IFORNIA NUMBER: AND HOUSING AGENCY DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT 8 b G 6 07 5 DIVISION OF CODES AND STANDARDS, MANUFACTURED HOUSING PROGRAM . MANUFACTURER CERTIFICATE OF ORIGIN MSTFURUTION: ORIGINAL (PINK) roRWARO T(A tc INVENTORY CREDITOR. UNLESS TO IERE IS NONE, nIEN FORWARD TO THE PURCHASER (OGALFR OR TRANSFEREE), COPY I (WI•IITE) FORWARO TO THE DEPARTMENT AT P.O. SOX 1828, SACRAMENTO, CA 960+2.18211, WITHIN FIVE (e( DAYS OF RELEASE, COPY 2 (YELLOW) DELIVER I'0 THE TRANSPORTER TO ACCOMPANY'THE UNIT'r0 ITS DESTINATION. COPY 3 (GOLDENROD) TO BE RETAINED BY THE MANUFACTURER. HCO 483.0 - Side I - (1197) ❑ CHECK IF THIS 16 A DUPLICATE MCO -ENTER ORIGINAL MCO NO. MANUFACTURED HOME OR MULTI -UNIT MANUFACTURED HOUSING NUMBER OF LJ SFD (SINGLE FAMILY DWELLING) ❑ MUMH (MULTI -UNIT MANUFACTURED HOUSING TRANSPORTABLE SECTIONS 2 CCQhdMgRCIAL COACH: OCCUPANCY GROUP MANUFACTURER NAME: MANUFACTURER LICENSE NUMB FLNETwOOD HoKso OF CALIFORNIA, INC. 9334 MAfjtfWVffjg6RbWAV3. SUGGESTED RETAIL PRICE: PO BOX 1308 WOODLAND CA 9577 Stre6t Cit Stets(Zip) MANUFACTURER TRADE NAME: MODEL NAME AND/OR NUMBER: DATE OF MANUFACTURE: BUR CRSST 5663Y 2001 10/11/9000 NAME Off DEALERR T N REE ( WN HI T ANSFERR D TO): CALIF, DEALER NUMSER OR DATE OF TRANSFER: SBCURITY M/H SHOW/NORTH, INC. TRANSFEREE DESIGNATION: DSA: MMCUTIVs HO;ae 92081 10/11/2000 DEALER OR TRANSFEREE ADDRESS: 3042 39PLANADB CHICo CA Street CI Stele (ZIP)95973 INVENTORY CREDITOR NAME: TRANS AMERICA INIY CB BLVD SUITE 350 Street CHARLOTTE CI Slate NC ZI 28226 SECTION MANUFACTURER SERIAL NUMBER 14CO INSIGNIA OR HUD I.ABF.L NUMBER LENO'rHWIDTH WEIGHT 1-0 INCHES INCHES POUNDS 1 CAFLY17A23930-SC13 RAD1284460 792 134 27,209 2 CAFLY17B23930-eC13 RAD1264461 792 154 30,490 TRANSPORTER NAME: D Q R TRANSPORT TRANSPORTER ADDRESS: P.O. BOX 179DURHAM Strew CI lma CA z 95938 DESTINATION FOR UNIT DESCRIBED ABOVE: NAME 9V661 CR Slate Z 1 oadify under penally d perjury under the laws d WA 9111116 of ClIftnia that the etlova tette ere we ane cared. Executed on 10/11/200 0 at WOODLAND YOLO (Date) uy (County) (SIR SIGNATURE OF AUTHORIZED AGENT: MSTFURUTION: ORIGINAL (PINK) roRWARO T(A tc INVENTORY CREDITOR. UNLESS TO IERE IS NONE, nIEN FORWARD TO THE PURCHASER (OGALFR OR TRANSFEREE), COPY I (WI•IITE) FORWARO TO THE DEPARTMENT AT P.O. SOX 1828, SACRAMENTO, CA 960+2.18211, WITHIN FIVE (e( DAYS OF RELEASE, COPY 2 (YELLOW) DELIVER I'0 THE TRANSPORTER TO ACCOMPANY'THE UNIT'r0 ITS DESTINATION. COPY 3 (GOLDENROD) TO BE RETAINED BY THE MANUFACTURER. HCO 483.0 - Side I - (1197) LE No.501 1010b '00 PM 02:30 ID:EXECUTIVE HOMES FNX:530 891 8753 PHGE J1H1L' 1Jt' �-H4.tl•V1�i+i,t ourcv BUSINESS, TRANSPORTA'T'ION AND HOUSING AGENCY DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT DMSION OF CODES AND -STANDARDS ' REGISTRATION AND TITLING PROGRAM"�"�` STATEMENT OF FAC17S NEW UNITS PERMANENT FOUNDATION This unit is a: 0 Mobilehome 0 Commercial Coach 0 Floating Home E-1 Truck Camper Decal (License) No.(s) I 'Trade Name I Serial No.(s) e. t<LX L-7 A) 6aSq -6051< i:./ THE ABOVE DESCRIBED UNIT HAS BEEN PLACED ON AN APPROVED FOUNDATION SYSTEM IN ACCORDANCE WITH 18551 OF THE IMALTH AND SAPPY CODE I/We further agree to indemnify and save harmless (lie Director of Housing and Community Developmcnt, State of California, and subsequent purchasers of said unit, for any loss they may suffer resulting from registration of the above-descrihed unit in California, or from issuance of a California certificate of title covering the same. I/We certify under penalty of perjury that (lie foregoing is true and correct. Executed on /D at 1.,�f'`/ ci a� a e) (City) (State) city HCD 476.6 (REV 9/91) State �Tl 10/06/00 13:19 BIDWELL TITLE CUSTOMER SERVICE -� 530 891 8753 NO.016 P003 Order No. 1.177910 SCHEDULE C The lend referred to herein is described as follows: All that Certain real property situate in the County of Butte, State of California, described as follows: Parcel 2, as shown on that Certain Parcel Map entitled, *Being a w. Of Section 19, T.IaN., R.SP.,, td.D.B, & M.°, said Farces Map rae filed ediOn o the SH 1//4 the Recorder of the County of Butte, State of California, on August 26, 1983, in Book of 09 0t Parcel Maes. et Page 34, , ECKC8PTUG TREP$PRCM all 011, gas and other hydrocarbons end minerals heretofore reserved to the Grantor named in that certain Deed from Bank of America National Trust and Savings Association, a national banking association, t0 P.H. Thomas and Thomas, his wife, 69 Joint Tenants, dated May 14, 1943 and recorded June Hattie B. Bock 314. Of Official Records, at page 152, records of Butte County, California`3, in together with all the ri hes and respect to Said ril, g privileges of the Grantor in said Deed get forth with gas and other hydrocarbons and minerals. AP NO. 028-200-076 10/06/00 13:18 I 1z BIDWELL TITLE CUSTOMER SERVICE 4 530 891 8753 RMORDINC RI30tllc'rn,0 ICY BIDWELL TITLE A P-c(R()1V CMIPANY Otdet 4 1-177910 ANC) W111W IUSCURgU) MA(L'IY) Steve Lloyd Smith 37 Lae Flores Road OrOville, cA 95966 97-01504311 Rtc Fee A" 620-26.076 Grant Deed MW _ THIS FORM FURNISHED BY BIDWELL TITLE & ESCROW COMPANY Documentary �gkr tU its 575.90 (x ) computed an full value of propenY Conveyed, or ( )Computed on full value less liens and efteumbrdtuas renlaioing at time of sale. (X) UniWorporated arta ( ) unincorporated FOR A VALUABLE CONSIDERATION, Frasier Of which is hereby ackaowledged, ZMMTH W. SMITH and LAURA M. SMITH, husband and wife NO.016 P002 � • •.. •ar.r• .-mow... www w. 9.40 75. 40 i • • 84.90 CA 2 . ad hatloy GRANT(S) to STEVE LLOYD SMITH, a Single man and LISA NICOLE RIDENOUR, a single woman aS Joint Tonants the following des tribed n'al property in the Unincorporated County of gutta State of California: SBS ATTACMM SCHEDULE C FOR ZSahL A38C>: M0H Dated: April 17, 1997 Kenneth w, Smith 'We of CARL -Cod. caltelr of Butte } SS. on i.l 19 1997 I efnro rltt , the ottdtaly„�e, a Notary weue fn end Gw uta sate Itersunally e�rated lterlrti+,th W. Snit!: Laura )4. Sttith peer b10M to MD (n► Ptt�ed id` to me M the 611b of sati,fentny w 10 he the Palo WbW 1081411) idlro 14=--kd on Ute W iNto irwtumeat amt a� to mhde um rJteJdley atowtat the pine it7 lliftherAttel/ ledleltld! atY011Hta1. end tAw Rr O+tti0lltd m the eetthy t+pnn b'heff of"M the PCIV021 acted o)nv1eJ Inc ItttfMttetf. iVtliiEC9 �)' ofl'naal Beat. �w filSnletre d[� ,� 17 z Laura N. it I DOC Recorded I Check Q-fticjel Records I County or I Butte 1 Candace J. Grubbte i Recorder 1 a:008011 28,Apr-97 I BMTC SPACE ABOVE nM LtR Fop RPCORDP1Z'S t19B A" 620-26.076 Grant Deed MW _ THIS FORM FURNISHED BY BIDWELL TITLE & ESCROW COMPANY Documentary �gkr tU its 575.90 (x ) computed an full value of propenY Conveyed, or ( )Computed on full value less liens and efteumbrdtuas renlaioing at time of sale. (X) UniWorporated arta ( ) unincorporated FOR A VALUABLE CONSIDERATION, Frasier Of which is hereby ackaowledged, ZMMTH W. SMITH and LAURA M. SMITH, husband and wife NO.016 P002 � • •.. •ar.r• .-mow... www w. 9.40 75. 40 i • • 84.90 CA 2 . ad hatloy GRANT(S) to STEVE LLOYD SMITH, a Single man and LISA NICOLE RIDENOUR, a single woman aS Joint Tonants the following des tribed n'al property in the Unincorporated County of gutta State of California: SBS ATTACMM SCHEDULE C FOR ZSahL A38C>: M0H Dated: April 17, 1997 Kenneth w, Smith 'We of CARL -Cod. caltelr of Butte } SS. on i.l 19 1997 I efnro rltt , the ottdtaly„�e, a Notary weue fn end Gw uta sate Itersunally e�rated lterlrti+,th W. Snit!: Laura )4. Sttith peer b10M to MD (n► Ptt�ed id` to me M the 611b of sati,fentny w 10 he the Palo WbW 1081411) idlro 14=--kd on Ute W iNto irwtumeat amt a� to mhde um rJteJdley atowtat the pine it7 lliftherAttel/ ledleltld! atY011Hta1. end tAw Rr O+tti0lltd m the eetthy t+pnn b'heff of"M the PCIV021 acted o)nv1eJ Inc ItttfMttetf. iVtliiEC9 �)' ofl'naal Beat. �w filSnletre d[� ,� 17 z Laura N. it it Cr ' W,111 CLARK rtGW1111 Zee l�/ SOL 17.1000 +� 1 March 29, 2001 Steve & Lisa Slnith 37 Las Flores Oroville, CA 95966 RE: Formal Warning Notice Building Code Violation 37 Las Flores, Oroville A.P. #028-200-076 Dear Mr. & Mrs. Smith: B E A U T Y BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530)538-2140 This is a formal warning notice. Pursuant to Butte County Code (BCC) Section 41-2, we sent you a courtesy notice dated January 26, 2001, notifying you that you are in violation of the BCC, and 1998 California Building Code (CBC), at the above -referenced location. As of this date, the following violations still exist: Failure to obtain the required permits, inspections and approvals from this office for the installation of a 12 x 20 storage building is in violation of the 1998 California Building Code adopted by Section 26-1 of the Butte County Code as follows: (a) Section 106.1 Permits Required (b) Section 108.1 Inspections Required (c) Section 108.4 Inspection Approval Required Before Use or Occupancy (d) Section 3405 Change in Use Requires Conformance to Code The above violations(s) shall be corrected or abated by you by submitting three (3) complete sets of plans, applying for the required permits, and paying the appropriate fees, including penalties. After permit issuance and field authorization to proceed, the work must be completed and approved by this office within the permit specified time. This is your final warning. Unless you contact this office and make the proper arrangements to correct or abate the violation(s) voluntarily, within ten (10) days from the date of this letter, enforcement shall be pursued through the issuance of a citation (ordering you to appear in court)* for said violation(s) and for failing to comply with this warning letter. Upon conviction of said violation(s) or of failing to comply with this letter, the court shall impose penalties (fines) and a Notice of Violation shall be recorded in accordance with Butte County Code Section 41-7. The Notice of Violation shall include a description of the premises the violation concerns, a description of the violation, the date of your conviction and the action necessary to correct or abate the violation(s). �P 90M �� Steve & Lisa Smith March 29, 2001 Page 2 Should you have any questions concerning this matter, please contact Scott Rutherford or Michael C. Vieira in this office at the address or telephone number listed above. je ly, ,L�l C. Vie'ra, C.B.O. Manager, Building Inspection MCV:pa PROOF OF SERVICE BY MAIL I am a citizen of the United States and employed in the County of Butte; I am, and was at the time of the service hereinafter mentioned, over the age of eighteen years and not a party to the within action. My business address is Department of Development Services, Building Division, 7 County Center Drive, Oroville, California 95965. 1 am readily familiar with the County's practice for collection and processing of correspondence/documents for mailing with the United States Postal Service and that said correspondence/documents are deposited with the United States Postal Service in the ordinary course of business on the same day. On March 29; 2001, 1 served the foregoing 10 -Day Letter on the person(s) named below by placing a true copy thereof in a sealed envelope, with first class postage thereon fully paid, addressed as indicated below, and by placing said envelope In the appropriate place within the Department of Development Services where mail is collected for mailing with the United States Postal Services on the same day. X In the United States Postal Service Mail in Oroville, California. Steve & Lisa Smith 37 Las Flores Oroville, CA 95966 I declare under penalty of perjury under the laws of the Stateo lifornia M ch 29, 2001, at Oroville, California. _ au ❑ B.I.N. RE VEST FO IINSPECTION 'Per/mit No. Location: C IM C ( /% , ,L( D..� 0 Owner.A���� ContractororTenant ��} Complaint: Renewal Fireplace Sewer Piping Well Circuit Verify Utilities OTHER BLDG. Water Piping PLUMB/MECH ELECTRIC Insulation M.H.I./M.H.U. PRE- Form Rough Rough INSPECTION Frame/Underfloor Stucco Lath Corrections Top Out Gas Piping/Test Temp. Service Service Corrections Final ousmg Job Status Stucco Brown Final Temp. Gas Underground INSPEC. ON ��_, 19_ , Permit Date: dt1( Time: Note: Renewal Fireplace Sewer Piping Well Circuit Verify Utilities OTHER Bond Beam Water Piping Light Niche Insulation Shower Pan Nailing Corrections Corrections Corrections READY FOR � A, Final Final Final INSPEC. ON ��_, 19_ , OWNER:,L,� LOCATION:s 12 CONTRACTOR: PRE-INSPETION FOR: �E 1 IM -4 E- E� A.P. # y " 506 ' � ZONING: /4- DATE TO INSPECTOR: PERMIT HISTORY:( ) NONE ( ) AS FOLLOWS: BUILDING INSPECTOR'S REPORT Building Description: Commercial/Usage: Residential/# of Units: Currently Occupied AbandonedNacant Electric: Yes No . Electric currently On Og Condition of Electric r Gas: Natural Propane_ None Currently On� Off_ Obvious Problems: Sanitation: Plumbing Working Z) �— Well Working 0 A--- Potable Water 6 Obvious SewageProblems_ Comments: '-Gt)b W f}Li_ v0 ACTION RECOMMENDED: ISSUE: Inspector: HOLD FOR Date 3 Sketch buildings on reverse and indicate location on property. r h v _ L A N D O F N A T U R A L W E A L T H A N D B E A U T Y BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES March 29, 2001 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530) 538-2140 Steve & Lisa Slnith 37 Las Flores Oroville, CA 95966 RE: Forma[ WarningNotice � Building Code Violation n� 37 Las Flores, Oroville A.P. #028-200-076 Dear Mr. & Mrs. Smith: This is a formal warning notice. Pursuant to Butte County Code (BCC) Section 41-2, we sent you a courtesy notice dated January 26, 2001, notifying you that you are in violation of the BCC, and 1998 California Building Code (CBC), at the above -referenced location. As of this date, the following violations still exist: Failure to obtain the required permits, inspections and approvals from this office for the installation of a 12 x 20 storage building is in violation of the 1998 California Building Code adopted by Section 26-1 of the Butte County Code as follows: (a) Section 106.1 Permits Required (b) Section 108.1 Inspections Required (c) Section 108.4 Inspection Approval Required Before Use or Occupancy (d) Section 3405 Change in Use Requires Conformance to Code The above violations(s) shall be corrected or abated by you by submitting three (3) complete sets of plans, applying for the required permits, and paying the appropriate fees, including penalties. After permit issuance and field authorization to proceed, the work must be completed and approved by this office within the permit specified time. This is your final warning. Unless you contact this office and make the proper arrangements to correct or abate the violation(s) voluntarily, within ten (L) days from the date of this letter, enforcement shall be pursued through the issuance of a citation (ordering you to appear in court) for said violation(s) and for failing to comply with this warning letter. Upon conviction of said violation(s) or of failing to comply with this letter, the court shall impose penalties (fines) and a Notice of Violation shall be recorded in accordance with Butte County Code Section 41-7. The Notice of Violation shall include a description of the premises the violation concerns, a description of the violation, the date of your conviction and the action necessary to correct or abate the violation(s). Steve & Lisa Smith March 29, 2001 Page 2 Should you have any questions concerning this matter, please contact Scott Rutherford or Michael C. Vieira in this office at the address or telephone number listed above. rely, Mich el C. Vie ra, C.B.O. Manager, Building Inspection MCV:pa January 26, 2001 Steve & Lisa Smith 37 Las Flores Oroville, CA 95966 RE: Building Code Violation 37 Las Flores, Oroville A.P. #028-200-076 Dear Mr. & Mrs. Smith: :j6utte count, L A N D O F N A T U R A L WE A L T H A N D B E A U T Y BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530) 538-2140 This is a courtesy notice to notify you that you are in violation of the Butte County Code, as follows, at the above -referenced location. Failure to obtain the required permits, inspections and approvals from this office for the installation of a 12 x 20 storage building. Since permits and inspections are required for the above work, please submit three (3) complete sets of plans, apply for the required permits, and pay the appropriate fees. All work must stop until these permits are issued and you are authorized by our field inspector to proceed. The field authorization cannot be made until the existing work is inspected and approved. It is the County's goal to obtain voluntary compliance with the Butte County Code. However, you should be advised that Butte County has an active Code Enforcement Program which provides an effective means of enforcement if voluntary compliance is not obtained. Enforcement may be pursued through the issuance of citations, fines and the recording of a Notice of Violation including a description of the action necessary to abate the violation. You have thirty (30) days to voluntarily comply with the above directions or to present an acceptable plan for abatement or corrective actions to be taken by you. Should you have any questions concerning this matter, please contact Scott Rutherford or Michael Vieira in this office at the address or telephone number listed above. Sincerely, Michael Vieira Manager, Building Inspection MCV:pa cc: Assessor I PERMIT NO. 2676-88MHI PERMIT EXPIRES OWNER KEN & LAURA SMITH CONTR. unknown ASSESSOR PARCEL 28-20-76 LOCATION 3.7 Las Flores, Oroville Temp. Power P Called PGA Temp. Elec. Sei Called PGA Temp. Gas Sen Called PGA JOB FINALED Signature = OK 0 = Not OK otReaableNdyMOBILE HOMES MISCELLANEOUS Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DECKS,COVERS,CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing . 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -131 Date Card -B1 Date 10. Roof; Shthg-Roofing Card -131 Date Card -81 Date 11. Ext.; Steps -Doors -Landings Date MOJIMILEHOME INSTALLATION (Plans) OK except #'s . Z ing Requirements -Setbacks -Easements Card -81 Date Card -61 Date 12"Fpofiings; Size -Spacing -Marriage Line Card -B1 Date Card -131 Date s; MH Test -Demand -Valve -Connector . Electricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s r in; MH Test -Fall -Flex Connector. 1. Setbacks -Easements a2r; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability ater and Sewer Connected -C/O to Grade -HR Approval 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 8. Gas and Electricity Tagg 9. its; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI Cert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit'Entries-Terminals-Listed, 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit Card -81 Date- Card -61 Date Card -131 Date Card -131 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -131 Date Card -61 Date Card -61 Date Card -B1 Date =OK 0 = Not OK Applicable - =Not Applicable RESIDENTIAL (Single and Duplex) = Not Ready _ Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks; -Easements -Flood -Slope 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ P' Ftg. De 3. Ftg., Garage; Soils -Steel-/ P' Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Dei 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance- Material -Sup prt-Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Card -B1 Date Card -81 Date Card -131 Date Card -B1 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchors -Nail Protection 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 19. Shower Pan; First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors Card -131 Date Card -131 Date Card -61 Date Card -131 Date Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Card -131 Date Card -131 Date Card -B1 Date Card -131 Date Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnaca in Attic Card -61 Date Card -131 Date Card -131 Date Card -61 Date Date FRAMING (Plans) OK except #'s 39. Sills, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Header & Beam -Size & Bearing Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One T -Check Garage -3rd story, 2 exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation-Walls-Clg. 60. Infiltration-Walls-Wndws Card -81 Date Card -131 Date Card -B1 Date Card -B1 Date Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes -Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation throughout House 87. Glass Protection 88. Corrections from Previous Inpections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 9i. Energy Compliance Certificate -Other Certificates 92. Roofing Certificate Card -B1 Date Card -B1 Date Card -61 Date Card -61 Date Card -131 Date Card -B1 Date Comments at Final: (NOTE: An entry must be made each time you visit job site) MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE . DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 PERMIT/ N0. _< G,7 6.S r Address or location of mobileh�ome�f (�17 i�` Owner's name _ Koyl Owner's address ; !17 Insignia or hud number 14 ST, 1 Q 14- 01) 1 'Manufacturer's name f 1) C c© 1r- .fi Serial nu5ber of"'V_. ,.N.�c Year of manufacture ficial Approvikq Installation (Dote) IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 5138 White - Owner, Yellow - Installer, Pink - D.P.W. v COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Centel Drive - Oroville, Cljlifornia 95965 - Telephone: 916/538-7541 APPLICA,TI6N AND PERMIT ASSE R PA r NU F.R ZON' G BUILDING PERMIT OW E �ELEPH SO. FT. OCC. BUILDING VALUATION MR'S MfILINGADD CO RA TORS NAME '^ V1 TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONST UCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 L NDER'S MAILING ADDRESS Permit Fee $ ARCHI ECT OR ENGINEER LICENSE No. Plan Checking Fee $ 00 ` Energy Plan Checking Fee $ A CHITECT OENGINEER'S MAILING ADDRESS , Penalty $ BUILDING ADDRESS V -/.{� �%—S Ze re _S �- Permit fee PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 V10 V - C Solar or heat pump water heater 20.00 LO ' SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] MobilehomeX Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home Is G W 0.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Ut lities ❑ LpstallationX Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e00V OR LESS 100 AMP OR LESS 10.00 _Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one p y p i y hk ( )' ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification F] 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) �I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING occuP.a , OR ADDNS. ACC. BLDGS. /20sgft NEW CO NST '.OUTLET NO ..RE .BRA CH CIRC S 2.50 ea POWER APPARATUS e SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 200030 Ex. OCCup. OUTLETS FIXED APP(RESID.)REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE declare I declare nder penalty of perjury (check one): permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,should you becomesubject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all ('abilities, judgments, costs, and expenses which may in any way accrue agai st said County in nsec�uenc of the granting of this permit. Q X Date rg— 9 ' [�C� Signature of Applicant — Owner❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ 0CCUP. CONST.TYPI JSCHOOL[��OJNELJ�T Is9uE T This permit is hereby issued under sions of the Butte County Code and/or work Indicated above for which DIRECTOR OF PUBLIC By P T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. © WHIT[-D.P.W.. Y[LLOW-ASe LS SO R, PINx-INSPECTOR. GOLDEN ROD -APPLICANT ,;vim .7' S/G9 E /.v F�voO OZQ1 0 srt r W 22 - _DRTN F — �� �VhcacAo I 9,11 7 �c . This set of plans and s,eoi lI kept on the jos at '; I itp� mai:o OMY c`.'.._. e:, t w OO.:.:;n ��cim,e7:'w.� (i vied ,Ae r, Ilic Works, County of BU';fs, NOTA Aff t eoricis 1�1cs� I Accordance with Recognize . qod-`meq"11 Uniform Building, Plumbing Ithe National Esecfrical Cade. Utility connections shall be wattiin 4 ft. of Yhe� mobiiehome, either A setback of Jft, C directly blind or within the rear property lines an' half of the roadside (left) of the' of 50ft. from the mpbileh� r centerline shall b structures or equ for a 2 ft. eave o Lk2 ` CLCD or- k4. SQ. FT. MINIMUM_ �O ;�� )R MOBILESS--e� vmm :,i>ons MUST F:: i.• i5 unla�r�. � fc�. on sante witkoal artrnent of Pubs Pip 'Shag 116 in Prcctices and ified case in the ical Codes and clear of ment except �rhn - C AEU MOBILEHOME SUPPORT DATA "`r • IJ 1, f If other than single wide, ��a7'f Mobilehome Mfr. furnish Setup Model No. Yearm� 11 _I Width o� 0 (ft.) Box Length 1 --(ft.) Tagalong or Expando Size •_ r On all mubilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). Furn•INGS (chuck one) . Wood -pressure treated or foundation grade.2. Other (specify) SUPPORTS (check one)�1. Concrete block. a 2. Other (specify) Pier Footing Sizes and Locations - SINGLE -WIDE MULTI -WIDE Main Beams r Linc 2 Main BeamsLine I � Tag or Triple Line 1 Openings: Size -Min. ------------------ Each Side of Openings With Width Over ---"'--- Line 3 Piers: (Under Bearing Wall Only) Sizu-Min------------------- Spacing-Ma ------------------ FFromm Ends -Max. ------------- Slzr•-Min. •_-•-_ ..x ..x "x "x : ox ux I.o,JtL+n (Prom YrunL) 1,11na 4 Piers: jjine 5 era: (Under Bearing Walls only) S1Y.-Min--------------- „ „ Size -Min................... o • x. "x Spa, lug•Mnx---------- r a Spacing -Max................ Yrvnn Y.nde-Max-------- a From Kndn-Max.------------- '. [vada: x nx ux a nx a nx a ax a ux n ,� �, Incation.(Yrum Front) y _ '1 BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541 - MOBILEHOME INSTALLATION SHEET 1. Owner's Name: ,S�`�� . �A-��` " LAy�d,-- 2. Installer's Name: 3. Is the site currently under permit? (If yes, furnish permit r:umber Is the site an existing site? (If yes, furnish two plot plans.) Yes No F1 ) OR Yes � No F-1 4. Will the mobilehome be located at least 5 ft. away from septi tank and leach fields and clear of all setbacks and easements? Yes No F1 (If no, clarify 5. What is the mobilehome electrical rating? --------------- +� O Amps 6. What is the mobilehome site service rating? ------------- --- Amps ? 7. What is the mobilehome site circuit breaker rating? ----- 10 Amps 8. '•Is there any other electric load to be served by the n ---------=-- F� service.o------------------ -- Yes No mobilehame s4..t-- (If yes, identify the load and size: t (Loads) � � (Amps) t. < ,. _ 9, What is the mobilehome site gas pipe size? 10. What is the type of gas service. ------------------- Natural LPG 11. What is the gas pipe length from meter or tank to the mobilehome? ----------------------------------------------- C _ �. �12. What is the mobilehome gas demand. Al JJ Y KV *(This information not required if pipe length less than 6 on natural gas or less than 50 ft. on LPG.) y9pFc-ro- -T-0 VAR( r -y A)FqoAT,5, 151FC7P,1C6L., 5� 7, , Fv �, •r �yh n�7X ` �ryP+ 'a'�f. iy Cl 3iRK� `��' { A °P•A, - , COUNTY OF BUTTE - DEPARTMENT OF PUBLIC'WORKS - BUILDING DIV 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 t PERMIT APPt6T10N DATA SHEET I t ISION 1 - Permit No. OWNER I- 2a u ro M ! t A. P. No. ��.. Proposed Building Use—,12NEJB Sr�� Building Inspector _ Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate/triplicate, signed by preparer of plans. _ 3. Complete plans in duplicate/triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. School District ''Fees Paid" Stamp on Floor Plan. X 7 Statement of Int ,,rr��foeo_ Heated and AC Buildings. 8. Fees of $ 7V 9. Letter of signature authorition. i.) J� '10. Sanitation approval from _ Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) ` –14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) /15. Improvements may be required. . . . . . . .1 16, Mobilehome Installation Data. . . . . . . . . d Pre-Inspec. re est tat 17. Pre -Inspection for _- _ Required. Building Inspector (Date.) 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. — 20. Plot plan approval from city of _ 4 21. _ 22. — — -- When, you issue the permit Telephone Other process as follows: " Mail to owner; Mail to contractor_ and hold for pickup at office, Deliver w/inspector << Applicant _ iGGn _j Date i c Copy of plans sent Health Dept.; Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. _ 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone---naiI—counter by date Contractor, designer, owner, was advised c? above required data by—phone—mail—counter by date Plans checked by Copy–DPW Date Plans approved Sets of plans on hold in File cabinet AP folder Date TO Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner. Location AP# Plan Approved for: Sewage Disposal _ 'Water Supply Hold final for: Water Supply, Final clearance O.K. for: Water Supply Clearance for bedroom mobile home. Other c'd n.n Pcj NOTE *** Sanitarian Date COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) o 2. I (have/have not) hGN 9-- signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name S�)i\��dw� Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I.will provide some of the work buts I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work. Signed: Property Owner Pr,% I I I, M Social Security umber Date �? " 19 S� NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to -our office before we are per- mitted to issue the permit. ' PERMIT NO. 1599-86B PERMIT EXPIRES OWNER KENNETH SMITH CONTR. owner 1 ASSESSOR PARCEL 28-20-76 LOCATION 37 Las Floizes, Oroville V --/S /Intl- IM A f S� �a I r t Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E s` Temp. Gas Service Called PG&E i JOB FINALED (Date) Signature ___ 1 91oq ;saroq .qmg" i soivisP gmgT I belie:) i I ' leis".;; i73.lAi11� Nt.?t, I J a OK %+O = 'v 0 = Not OK 1 >:O X00 = O - = Not ApplicableMOBILEHOMES'�`'iq°"D �� P, 3) a�al7i 4 fa4i r5°iMISCELLANEOUS = Not Ready Date--MOBILEHOME ..1 I.)'ii' .i iYry .) ll UTILITIES -(Plans) OK except N's - - ------ -1' - '" til•, ti �,1vV I)bt.: -Date'- ---DEC GONERS; CARPORTS; EtC.-lPI An ,OKelicept a -s- ------ no. .a+.,t9 „u•f•')y1..•-,117 +9in;ntcnf.,- 2 o't.'x'q .0' 1. Zoning Requirements=Setbacks-Easements --`_ 1'' - .. Z rng,Reg6irements-Setbacks-Easements " 4 .J; .gSolis; •Special MH Support -Sketch.. „u _r ; , �, _ F ohngs;,Si -D -S ing-Connectors CS -.3 ✓ .,Ili. !0 jt,l,9 or )aOIJ D011:,ant x9r4oR CS -3 Sewer; Location -Test -Fall C/O-Concrete-tn j,, ill ,teI ycks; Girders and/or tO1StS-Decking-Bra •• :' fazile� ^: 4. Water; Location -Test -Easement Needed (Sketch)ll,;d Wood Awn.;7Posts=Beams-Rftrs:TConnea.-Stithg.-Rig.-Bracing_ ,1 Y :1 1�br 11 t n: ,J 5.aE4ectricity;tLocation'=Clearances=Grnd.-/ae'i/::A'mp-Concrete _ 5. Alum!Awn:;'Columns-Connections-Sprite-Deoe1'+E&lo5ures 6. Gas;'LooatiorrTeSt=Wrap-./'J'/"L"ft:%r'!/"TJat:or/ _!'L•"ft./- /_LPG 6. Carports; Windows -Doors ,95r�--,nl-I U1n109119-2t9t9 ., _ :•11.1 �I,i, t1`v, ._-14c „i 7, Utility Clearance -- -. I'. - ,ih ,r. l"•J �'+' ]-':'dt -. u,lll I--r�G�-4 3 7. Elec.' ( :Z'IV(To Jt :Jf!b,fie•J -,!(;. r� -'.Jri 7.:['U11A -_[.114 .-•o F1 - - ,,nid,rul`� of :;)f,13 •t5-:1.-,,.^�1'TY ;t"1 ")tsYl .PS _- vrua,gt:,;nl,-e,r;,r,Jge;�R !.� J .r+I•T .19f7 ut'str.= Card -BI Date Card -BI Date Card -BI Date ,ECi-rd-81 !r ,1..,,Date,,,;q cr Card -BI Date 91scJ Card -B1 Date u1fi0 8 b•e:)!; Card -B Date Gard -J31,, ,onJr,A_Date'-etOovC .Er Date MOBILEHOMEIINSTALLAT1 N!(Plans) OK except N's'�0 IE �1._,ZoningAegiiiiements,=Sef6acks-' Easements. -_!_'_: _.— 'L °)"'_ii Date OOLS (Plans) OK except tl's Setbacks -Easements _ _ levotgq„ i1N_aLr,•Fi 0r O' :1 .OA.+':nr.OJ tra•i? <, r.:t.ui A 2. Footings; Size -Spacing -Marriage Line 2, Soils; Compaction-Structt're'Stability _ ":"_ •_.• _M-_- ____�_.��_-,-- I 3, -Gas; MH_Test- '"~] 'r ` `' ""' 11 "" .____.___.-__3._Pool Structu�e;..Steel-Connections-ThicknesscDead..Men-Ltai.rig.__.__ 1I1I - 4: Electr16y" 4, Elec.; Receptacles and Lighting; Distances-GFI 5. Drain;,MH.Test-Fa11=Flex Connector -- - --�E 9= ---5.-Elec.;-Pool--L{ghting-15vol-9"GFI=-1'' !�- 6. Water;, MH Jest -Regulator, -,Connector, c _', 5;,,<tt.�) `Irit 14 - 6. Elec.; Enclosures; ,Co dui(.Entrles-Terminals ,Lusted 7, Water and Sewer Connected -C/O to Grade -HD Approval,Pc: 7, Elee.;.Bonding;,Met, I-w/S;-CircuLatinglEquipment-Heate[; 8, Gas and,Electricif 'Ta ed Z'u' 1x1 + r!1rE1 5 9 :) U^ ;! - - _ - Y= 99 9, _Exits; Insp.`-Sketch'-r' J'"321'.1 ,I_ tcgt:eu. - -- 8, Elec.; Groundin E Equi w!5':-;Circulatin Equi _ g:"' q P 9 P -Root Lghtg. Boxes -Eric losures- Pane lboaids=Ins:. to Main-inTConduit SI -- - • 10, Cert. of Occupancy -,- - " " " ` ` i` 9. Health Department Approval i'10:11 11-1,13 a c,t'2 2,q'-1 <cJ •el 10, Plumb; Cir. Test -Water Supply Test ' Card B-1 Date .1t Card -Bl ., ,.,a a Date.. --i -i n. I Card -BI Date Card-Bf_' Date Card B-1 Date ctaol,)-n,,Card_Bl,n,a3 tofvDate1 )ualsl) .;:9 Card -Bt`-' -- -Date------Date-"— — --- JA0INAHJ3M i t'ouY?ud 8 nour'nu�ln r1,I:U .J -A rE noir_.,,• ru JOr,,-> r<:ufur•J r.n? tm+V .SE ,i+F•v .: O...c rvolttuv0 � 'n r•10 nhz:narbnJJ ,.� 10I1u') v21r o• v n,', nn, 1:Y+ nA .drlol L69J?A In9V-, ,r,n •l•a C.E ul A of ,cr,w 111 n,ol,f! i 1. r. ) )jA ^,IIA -.V 2 a - otol..c 1c• 1-nA .dmr;J n 1E t.) rJrisv IJt+ t 7 .c , no. .a+.,t9 „u•f•')y1..•-,117 +9in;ntcnf.,- 2 o't.'x'q .0' 10i baJ2_I.! .J; -__ _ _.•: 9101y x5,110 f'- (.I, �.c1) ^D♦,l• t f,. ... J+ y'J, 9R , CS -.3 ✓ .,Ili. !0 jt,l,9 or )aOIJ D011:,ant x9r4oR CS r- d7 ^: - --- 90nra64t0 n1,s3-bioW >3 eFsnit.IG. w,,f„ ..'Ci Jh J :3 e ^ ri' .b0 1, ,1 Y :1 1�br 11 t n: ,J !I _ _ oN ^11' 2))by! ot1 eul on:'010.10`I ow 4Sy 21911,"19 fn,; - - - ), [7 17 tlr? ,re,0 tfi1 J0 Vi -'r i -951? ,.1n0.". ., .:r1F!-,v .:.tl„' -J-'r!.',J:. :? itrl J,A ( :Z'IV(To Jt :Jf!b,fie•J -,!(;. r� -'.Jri 7.:['U11A -_[.114 .-•o F1 - - ,,nid,rul`� of :;)f,13 •t5-:1.-,,.^�1'TY ;t"1 ")tsYl .PS _- vrua,gt:,;nl,-e,r;,r,Jge;�R !.� J .r+I•T .19f7 ut'str.= .08 c1J .GS _ _ levotgq„ i1N_aLr,•Fi 0r O' :1 .OA.+':nr.OJ tra•i? <, r.:t.ui A .:b ?E,!b"liil:o.1 f ItrU-:T, F.JI+'/,;, r ^,r1411['nl,.,) . -f•� i$ JA0INAHJ3M i t'ouY?ud 8 nour'nu�ln r1,I:U .J -A rE noir_.,,• ru JOr,,-> r<:ufur•J r.n? tm+V .SE ,i+F•v .: O...c rvolttuv0 � 'n r•10 nhz:narbnJJ ,.� 10I1u') v21r o• v n,', nn, 1:Y+ nA .drlol L69J?A In9V-, ,r,n •l•a C.E ul A of ,cr,w 111 n,ol,f! i 1. r. ) )jA ^,IIA p-rynox Y-rC lil•msq; ,1ADIPT33J39/i"Ij no. .a+.,t9 „u•f•')y1..•-,117 +9in;ntcnf.,- 2 o't.'x'q .0' J-h.l!'._3g2.:9 IS E, q93, q f Cf -, +ul)hr._iJ Ir u✓ 5 coxoi9 y4s'? Ss CS -.3 ✓ .,Ili. !0 jt,l,9 or )aOIJ D011:,ant x9r4oR CS '•)1r,!! ,S �.•') ...,er, .11 191.1.y ;J 9rsnt unlloli) .q'UP9 -° __.._ !� . - , 1'U .,• l t•IcJ r nJ, ti ouJ ?�n qqA Ci 1, A ,) tl .ao A +A "0 J .ru v7 aaN uc•y r1u2 .3S !I o , . .t, ') nJ is Ir+ O L.) .Lp a,)Y i..1J1,9N hu1Fdar•1 fn,; tf {fl'it' i; ,9a1f1-9'•(v,9! .8s ), [7 17 tlr? ,re,0 .�, L:. J I .)'1"•,1.1-, ! Ir$ i 2'3 Jf1 r -1f 913 .q,up? .Ps ( rng1: .9r.11nr?-1r1r�tJ 19ZOIJ 29filo1--) pr' JA0INAHJ3M i t'ouY?ud 8 nour'nu�ln r1,I:U .J -A rE noir_.,,• ru JOr,,-> r<:ufur•J r.n? tm+V .SE ,i+F•v .: O...c rvolttuv0 � 'n r•10 nhz:narbnJJ ,.� 10I1u') v21r o• v n,', nn, 1:Y+ nA .drlol L69J?A In9V-, ,r,n •l•a C.E ul A of ,cr,w 111 n,ol,f! i 1. r. ) )jA ^,IIA Otc;l 18-1:n-.. It ,Jli •U 1R•f t, J n.J IF rn ) 1�,"' •P�t,::,) �,.., ,: r `I ), [7 17 tlr? ,re,0 IE3 h:,.J 1� t r n.,•,i, i:�'! ilii -i ,Fl Z t)i. -' .1ct. alrl,r.Vl- r4•I::1 s l,r,lV �f 1I1I nrlll;fNI'i �y <�yb.r�, ,, vp gllcur (ln,Ih'8 .BE !�- (i0olg Ih•l ,-'ilnV! nr g012 111:10 Bt. .-117.1(:-4vi os,) b'li l:i 7.,igvi; jY17 Qmlti"•8 $ uSi2-no.SF? a wOr ,H rn ' !,t,f:.twr )3 .•):1�)r,A •.o•, r••,)W- lutml,r, ct. -,1;111! .uba!rtc ,lul' n,l£,i 1r,lipl - Illn.7 rut i ':1R-i?IOL .ynl� .g;. v,01',)f.tq•)n?-mull AogvT ir..)11 'v)rige,,l ✓'II^• ` f'r. U-ur•rlJalu, l nuR P. 9a?--m]')A out. .fir iur 11.1! lite -0:10 t 'I'll, ] 10 .-,Nq n, lag q:•,„!❑ .f1J• _ I i,u1m, I'1 ro,I .:,ro .., ? our u. , fONI- V = OK 0 = Not OK - = Not Applicable * = Not Ready Date UNDERFLOOR rPlancl OK PxrPnt#"' r 1 RESIDENTIAL (Single and Duplex) Date FRAMING (Continued) (NOTE-Anentrymust be made each time youvisit jobsite) 2. • Zoning requirements -Setbacks -Easements Ftg., Main; Soils -Steel -Elea Grnd.-•/ /" Ftg. Depth 48. Property Line Firewall & Openings 49... Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Fig., Garage; Soils -Steel- / /'' Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection _ 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51., Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7 Piers -Fireplace Ftg.-Steel i 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts _ 9. Gas Pipe; Size -Anchors I _ _- 10. Water Pipe: Test -Anchors -Regulator -Service Test 11. Electric; Underground I -i-- 12. 13. Plenums & Ducts; Clearance -Material -Support -Ins. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples - I Card -BI t Date , - ,• •,• Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI 1 Date Date FINAL (Plans) OK except N's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Gard -BI Card -BI Date Card -61 ( Date PLUMBING (Permit) OK except q's 14. Water Ht.: Vent -Access -Combustion Air 15. Water Pipe; Test & Anchors -Na iIIProtection 16. D.W.V. Test -If ttngs & Anchors -Nail Protection 17. Shower Pan: Test, First Floor -Tub Access 18. Test T_ub & Shower, 2nd Floor -Tub Access 19. Gas Pipe: Size & Anchors 1 - - --�- Date _Card -BI Date Date Card -BI I Date 57. Smoke Detector 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts=Meth. Protection 59. 60. Bedroom Exiting G.F.I. & Bath Fixtures & Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & Appliance' Grnd.-Air Gap -Cooking Clearance 66. Elec. Outlets & Receptacles at Kit. Counter Date f67. ELECTRICAL Permit OK except q's Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor -Meth. Protection Card B -I Card B -I Date Card -BI Card -BI 20. Fixture & Transformer Clearance' Ins. Protection 21. Elec. Receptacles Spacing -Lights & Switches at Doors 22. Size Boxes & No. of Conductors -Stapled -- 23• Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water Appliance 25. 2 Circuits in Kitchen &Conductor Size 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or AI, No Insulated Neutral _,Yes _❑_ -Main Gr 28. Service -Riser Conductors & ound_D_isconnect 29. Equip. Clearances: _Panels- Motors-Mech. Equip. 30. Clothes Closet Light -Shower Light _ --Date Date C_ard-Bl - Date _ _ - Date Card -BI Date MECHANICAL (Permit) OK except p's 31. A.C. Ducts. Insulation & Support, _ _ 32. Vent Fan: Exhaust above Insulation _ 33. Condensate Drain & Overflow: Size & Grade _ 34. Furnace -Vent: Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic _ Date Card -BI Date T _- Date Card -BI , Date 70. Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 72. Insulation -Foam -Looked in Attic C] Yes 73. Guard Rails & Deck Construction -Post Caps 74. Fdn. Vents & Crawl !dole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 75, 76. Following instld.: Drive ElYes ❑ No; Walks ElYes ❑ No; Planters ❑Yes ON0 Stucco; Brown -Finish 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. 80. Water Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House 82. 83. Glass Protection _ Corrections from Previous Inspections._ 84. 85. Gas Test -Meters Tagged; Gas -Electric Water & Sewer Connected -C/O to Grade -HD Approval 86, Energy Compliance Certificate -Other Certificates Card -BI Date Card -BI Date _ Card -BI O•te Card -BI Date Card -BI D.tte Card -61 Date Date FRAMING(Plans) OK except N's Com lents at Final: 36. 37. 38. 39. 40. 41 42. 43. 44. 45. 46. 47. Sills; Proper Material & Anchors Walls: Studs -Nailing, Spacing &,Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof)__ Fire Stops:_Furred Ceilings-Stairs_C_hases_-Tub_ _ Header & Beam -Size & Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnp.-Rfng. Fireplace Ties or Type A Flue -Fireplace ThroatT�- Attic Access: Size & Romex Protection -Draft Stop -Ins. Ba_ff_les Bdrm. Windows or Exiting DoorstSill Hgt. & Dimensions Garage Fire Protection Framing ! - -i - _ __- - (NOTE-Anentrymust be made each time youvisit jobsite) JCOUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT N0. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT (;v ASSESSO PARC NU R ZONIN BUILDING PERMIT OWNER TE EPHO E S0. FT. OCC. BUILDING VALUATION OWN E ' MAILIN ADDRESS ki / ` V CONT CTORSNA TELEPHONE CO.RAC OR'S MAILING ADDRESS , Fireplace CONSTR ION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S AI LING ADDRESS Permit Fee $ ARCHITE T OR ENGINEER LICENSE NO. Plan Checking Fee $ � Energy Plan Checking Fee $ ARCHITECT OR -ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5,00 USE OF STRUCTURE SF❑ Duplex❑ Mobilehome['k Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00ea TYPE OF WORK Newk Addition Remodel Utilities ❑ stalla ion❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification LIN I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure Is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.(DWELLING OCCUP.8d , OR ADONS. ACC. SLOGS. h2sgft CONSTR ULT' -OUTLET NEWNON.RESID BRANCH CIRCITS 2.50 ea POWER APPARATUS e (SINGLE OUTLET C'R. I Ex. Occup(OUTLETS OR FIXTURES 20®50Q eAL030 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.1 EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): 74 � V •N The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. fv1 1 shall not employ any person in any manner so as to become subject �N to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agait said County in consequence f the granting of this permit. Date Signature of Applicant — Owner Rr Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ a Energy Inspection Fee $ \ TOTAL PERMIT FEE $ OCCUP. CONST.TYPEJ I FLOG ARCELJ PD I ND 1 9UE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which 'IR ,TOR PUBLIC to BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date � f� Receipt No. WNIT!-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 7 I 1 OWNER r t•1 ,: COUNTY OF BUTTE - DEPARTMENT.OF-OUBLIC WORKS - BUILDING D`I IV SIGN 7 COUNTY CENTER DRIVE - OROVILLE ;FCAEIFORNIA 95965 - TELEPHONE: 916/534-4541 /+ PERMIT APPLICATION DATA SHEET Permit No. C` �ll'l+✓ / l 1 t A. P. No. Proposed Building Use. Permit Fee Based Upon Building Inspector Complete Contract Price /N DPW Valuation At time of permit application, I was advised the following data must be submitted prior to permit processing and./or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2.. Plot plans in duplicate/triplicate. . . . . . . . . . . 3. Complete plans in duplicate/tri.plicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid'' Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . Letter of signature authorizati .� • 10. Sanitation approval fromCO V 1AHealth Dept. —/3 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner Builder Verification (Given to owner❑, .Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . 16. Mobi lehome Installation Data. . . . . . . ... . 17. Pre -inspection for Required.Pre-Inspec. request to pBuilding Inspector (Dote) 18. RecordAAy �i'i�u(�onsrquc��dmapprova�1erequirerl prior o occupancy 19. Other Wh@p you issue the e it,,rocess as follows: Mail�i owner. KO Mail to contractor. _ Telephone and hold for pickup at office. Deliver w/inspector. Other U" Applicant i�,;, Date Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance. (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional -items required: (Contractor, Designer, Owner) was advised of above required data by -Telephone /+ Mail Other r By `' Date Plans checked by. Plans approved by Other Copy—DPW ,o Date Date r TO: Buildin4 Department e From: viivironmental Health Subject: Sanitation Clearance .14 (2,mac. r` f Q%%mer Location ``-~- Plan Approved for: Sewage disposal Hold final for: — 76 AP# water supply water supply Final clearance O.k. for: water supply Clearance for bedroom mobile home. Other NOTE Sanitarian , . Da- COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1� 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) es 2. I (have/have not) h qye signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinat , supervise, and provide the major work: Name 0 � P Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: ..Property Owner Social Security Number Date r,,- k2 -'8 S NOTE: This Owner -Builder Verification is sent to you as required by Sections'19831 and 19832 of the California Health and Safety Code. ' This verification must be completed and returned.to our office before we are per- mitted to issue the permit. 1 This set of plans and specifications MUSS' ge NOTE:—All Materials & Workmanship Shall Be in kept on the job at all ti-nns and it is unlawful to Accordance with P4s;z;gnized Good Practices and mai a any choraes or ra erg -!4cns on same without of a quality prescri�e i for the Specified use in the written permission from the Department of Public Uniform Building, Plumbing & Mechanical Codes and Works, County of Butts. I the National Electrical Code. oQ <z ` 7he,&dT. Setback shall be 5 ft. from the ide property lire and 50 ft, from the ::entertine of the road, permitting a maxi- mum of a 2 ft, eave overhang but entireiy out of all easements. Septic systemand ' _ �j _ to . be as per Bilt+e Cnunfy HalA Dept. Re- euirements. v`tea`YoI�; h teQ o:\'e ok Au All /utility connections shall be IC located within 4 ft. outside the rear = third section of 'rhe mobile home on the left (road) side of the mobile S n 8 °' BUTTE COUNTY i; a sb BUILDING DEPARTMENT APPROVEu y� I .1`lsll C Ow s. • f � n r w� i C Ow s. • f � n - w� - `J BOWS 01 leys Al borlirz� s Y t NG P KDP�(E�N BOWS 01 leys Al borlirz� s Y t NG P KDP�(E�N .* 10 T + • i w i .* 10 T + • i ED r• r ,�. 1 . •'' . � .rte � "''j f 1 w ED r• r ,�. 1 . •'' . � .rte � "''j f 1 n: 41 i-, i r t i i u , y � r _ i i ,�,-, , ti. i 1 J t i u , y � r _ i i ,�,-, , ti. i 1 J i= 1. L I� � � .. i K I . r J-. -� i - t ,, � 1 ' �� Y, 1 t I � � r i K I . r J-. -� - t ' � 1 • — t i 3 _ � � .. S 1 a ` ' 1 +� s 4. � li C?J 'Mi �+�' 1 - - I .... } e-� J Y f �.� C� . I W - rr', 1 jt • :.� t.:' .. � � • � � � .. _ I K I . r J-. -� w�NT nuc �'a Joh 48�� e ,~c � - u� 46.4x, r✓ o PAW- p 6 �. t�o uAD Alo u/o L. if %ie�a•S Cl v4. i 1 vV 0 i fov�K( �� PERMIT N0. - exist site PERMIT EXPIRES �J OWNER KEN A, T.ARTTA -,MTTTT CONTR. Great_ Western MR ASSESSOR PARCEL 2R-20-76 LOCATION FIS T)nnstane Rd '114 mi S Aaarndn ' �Fzev moa i s 3 7 L S (` L(5 s a OFFICE COPY , Address i GAS, i_ Date - Meter, By By _ ELECTRIC . pale Meter By Temp. Power Pdle• . ' r 'OFFTCE`COPY Called PG&� AddressE Temp. Elec. Ser _ _ <: • '� l I GASjL 7 Meter By 4`a�/s� `�^�' .,.,. Date Called PG&I ELECTRI{�% Meter By Date Temp. Gas Servi c Cal JOB FIN Sigr J OK + 0 Not OK - = Not Applicable MORII FHnMFS .3 - MicrFi i eNFnuc -A� = Not heavy i - -- - - - -- - - - - - Date MOBILEHOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch _ 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete _ 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4, Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rig.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L" ft./ /"Nat.or/ /"L" ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance _ 7. Elec. ^ Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date MOBI HOME INSTALLATION (Plans) OK except #'s Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date POOLS (Plans) OK except #'s . Zo ing Requirements -Setbacks -Easements 1. Setbacks -Easements . F ngs; Size -spacing -Marriage Line 2. Soils; Compaction -Structure Stability Gas; Test Dema Connector 3. Pool Structure; Steel -Connections -Thickness --!Dead Men -Lining ectricitS M st Crossovers -Breakers -Clearances 4, Elec.; Receptacles and Lighting; Distances-GFI Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI . Water; MH Test-Regulator=connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed ate ewer cted-C/O to Grade -HD Approval 7, Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater G and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip.=Pool Lghig. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit Exits; Insp.-Sketch 0. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B-I Date Card -BI Date Card -BI Date Card -BI Date Card B- e S"/ and -BI Date Card -BI Date Card -BI Date u a J = OK 0 = Not DK - = Not Applicable * = Not Ready RESIDENTIAL (Sin-gle and Duplex) Date (NOTE: Anentrymust UNDERFLOOR Plans OK except#'s ! Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /;' Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. Card -BI 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Date Card -BI Date Card -BI Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except #'s 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date _ Date Card -BI :, Date PLUMBING (Permit) OK except #'s 14. Water Ht.; Vent -Access -Combustion Air 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Na iIIProtection 16. D.W.V.: Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting _ 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels _ 19. Gas Pipe: Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI j Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except #'s 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper - 20. Fixture & Transformer Clearance -,,Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection - 21. 22. Elec. Receptacles Spacing -Lights &Switches at Doors Size Boxes & No. of Conductors -Stapled 70. Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. _ - - 24. 25. 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 2 Appliance Circuits in Kitchen & Conductor Size ; Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI 72. Insulation -Foam -Looked in Attic ❑Yes 73. Guard Rails & Deck Construction -Post Caps 74. Fdn. Vents &Crawl Hole Door -Drainage &Wood -Earth Clearance Looked under Floor ❑ Yes _28_. 27. _ 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, i Insulated Neutral ]Yes ❑No Service -Riser Conductors & Ground -Main Disconnect Equip. Clearances. Panels-Motors-Mech. Equip. 75. Following instld.: Drive g ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No 76. 77, Stucco; Brown -Finish A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet Card B -I Card B -I - 30. Clothes Closet Light -Shower Light --- -- ----- - --I------- Date _ _ Card -BI Date Date Card -BI Date 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House 82. Glass Protection Date MECHANICAL (Permit) OK except #[s 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric _ Card -BI Card -BI 31. 32. 33. 34 35. A.C. Ducts_ Insulation & Support _- Vent Fan:_Exhaust above Insulation _ - _ Condensate Drain & Overflow; Size .& Grade Furnace -Vent: Access -Comb. Asir -Return Air Vent_ -115V outlet Attic Access & Platform if Furnace in Attic I - Date Card -BI Date _- Date Card -BI t Date 85. Water & Sewer Connected -C/O to Grade -HD Approval 86. Energy Compliance Certificate -Other Certificates - -- - Card -BI Date Card -BI Date Card -BI Card -BI rate Card -BI Date _ Date Card -BI Date Date FRAMING(Plans) OK except #'s i Comments at Final: 36. 37. 38. 39. 40. 41 42. 43. 44. 45. 46. 47. Sills; Proper Material & Anchors Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof)_ Fire Stops: Furred Ceilings -Stairs -Chases -Tub Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Ring. Fireplace Ties or Type A . e.- -replace Throat Attic Access: Size &Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing - raming _ (NOTE:Anentrymust be made each time youvisit jobsite) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 -+' 7 County Center Drive, OroviIIe — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE rti 5 07 r i /--� _55�6 -�� PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this -office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. GJ r' r l r(i �2J (oa D4 c/ S (Du(��Z � COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 CORRECTION NOTICE �6 T NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this Inspector Date_ MOBILEHOME INSTALLATION ACCEPTANCE • COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 PERMIT N0. S �6 Address or location of mobilehome .r 37 L(,-si FLr]d1izS ✓-2- Owner's name -,, �4 Owner's address P 5 'Aa a _ A7411 or Insignia or hud number�c ` Manufacturer's name s12 / Serial number, o I. Year of manufacture (Official Appto 4 Inst +a ion (Dote) IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 513B White - Owner, Yellow - Installer, Pink - D.P.W. ,ut�'S COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Californ.i.a 95965 - Telephone 916/534-4541 APPLICATION AND. PERMIT PERMIT NO. ASS S OR PA C NU E �— ZONIN � BUILDING PERMIT o E TELEPHONE / - SQ. FT. OCC. BUILDING VALUATION OWNER'S AILING A ORES ro 9� 1f CO RAC TOR'S NAM e TELEPHONE TRACTO v'-- 'S MAIL NG ADD S < ` P Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ S , 60 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILD N DDRE 3 `- Permit fee $ a PERMIT Filing Fee 10.00 -4PLUMBING Each Trap 2.00 ,37 S A 4 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARrEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobi lehgme� Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ InstallationX Other ❑ Describe work:_ 5\OQ it��,� _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main Service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty u p y of perjr y (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Bu$Ines$ and _Professions Code and my license is in full force and effect. License No. Classification Fl 1, as the owner, or my employees with wages as their sole compen- ,5etion, will do the work,and the structure is not intended or offered Zor sale. (Sec. 7044) , as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLINGocc uP . pl , OR ADDNS. (ACC. BLDGS. /zQsgft NEW CONSTR ULTI.OUT LET NO N.RESID BRANCH CIRCUITS) 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup( OR FIXTURES 0@ e2AL@30SOS Ex. QCCUp. OUTLETS (RESID )FIXED APLNS.REA.7 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. byirin g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department Certificate of Workmen's Compensation Insurance or a Certificate Consent to Self -Insure. shall not employ any person in any manner so as to become subject v'otof the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments osts, and expenses which may in any way accrue agaiaid Cou yy ' ns quence of the granting of this permit. X nsDate — �y Signature plicant — Own ❑ Contractor ❑ Agent An OSHA permit is req ired for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 1.` Butte TOTAL PERMIT FEE $ 049 OCCUP. CONST.TYPEJ FLOOD ARCEL PO XD ssu This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OFhSUBLIC p By. PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS , Date = Receipt No. �o' [f t� WHITE-D.P.W.. FELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD-APPL I CANT r 4 COUNTY OF BUTTE - DEPARTMENT OF- PUBLIC WORKS 7 County Center Drive - Oroville,�Cafifornia 95965 -Telephone 916/534-4541 APPLICATION AND:PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 2_rg-20-."76 ZONING BUILDING PERMIT OWNER �Al TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS % �G% /P f -f (/told i2 D .� CONTRACTOR'S NAME Y TELEPHONE CONTRACTOR'S MAILING ADDRESS V Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRES `` Permit fee $ PLUMBING PERMIT Filing Fee 10.00 i Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome®"�Dther t • SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer5.00 Mobile Home sX311W I 10.00ea . TYPE OF WORK t New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Describe work: _ Pa-4till, /04.7 Permit Fee $ Za Contractor ELECTRICAL PERMIT Filing Fee 10.00 '96_ Main service 100 AMP OR LESS 00V OR LESS 1 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check cne): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the�Business and Professions Code and my license is In full force Tind. effect. f License No. Classification -e-F ® I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.&OR ADONS. , C.ft A LDGS.2 2.5500/20sa NEW CONSTR. ULTBI OUTLET NON•RESID BRANCH CRC.,eea POWER APPARATUS S SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20®50t 5ALe 90 FIXED APPLNS. Ex. Occup. OUTLETS ((RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 g Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ® I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said Countyin consequence of the granting of this permit. % X —�` Date vy Signature of Applicant — Owner tQ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in//eight. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $7,0 7(J1 OCCUP. CON ST.TYPE IFLOODIPARCELI PD ND S9UE This permit is hereby issued under the applicable provi- sions of the But County Code and/or resolutions to do work indicated above for which fees have been aid. n / p DIRE OF PUBLIC WOR/KSS B IZ ��� Date` "/�4� y s'' D el'�% PERMIT EXPIRES Date / J-/ A Receipt No. /Y"/� WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT OWNER COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION / 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET Permit No. Xe n �a u ra �w, 4 A. P. No. Proposed Building Use /I/lis a 1 Oct/ 1 jr Permit Fee Based Upon: Complete Contract Price PW Valuation Other, xplain) Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing andJor issuance: DATE RECEIVED APPROVED 1. All items have been submitted . . . . . . ... . . . . 2.., Plot plans in duplicate/triplicate. . . . . . . . . . 3. Complete plans in duplicate./tri.plicate. . . . . . . . 4. Complete engineered plans and calcs.,%e . . . . . . . 3 ,.�/�P.Gan�AjIRE ergy Q�B\s& Compliance-S-tatement. . . . . . 6. CUSD "Fees Paid" Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of Letter of signature authorizati Sanitation approval from f4U� /�F Health Dept. 11. Planning approval for (A) Use: - (B) Parking: 12. Certificate of Workmen's Compensation Insurance. 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) Improvements may be required.. . 7.1166.. Mobilehome Installation Data.�3� 7. Pre -Inspection for Required- •Pre-Inspec. request to i, (Date) p q Building Inspec or Record-,' Ayr'c ur .( Ac know Iedgmen t�Statement . 19. Other tYizSc�' aa° PER construction approval required pVlor to occupancy) kq When you issue the permit, process as follows: Mail too`owner. Mail to contractor. X_ Telephong�J� i $ and hold for pickup at c vy office. —Del iver'w/inspector. Other ( Fov F PV r V) — Applicant -� Date -2'-2y elv Copy of plans sent Health Dept., Fire Dept., Othe Date During the plan checking process, the following data must a submitted prior to permit issuance. 1 (For required items not checked above at ti of cat'o circle item.) ( .1. Index permit for above Items No. 2. Additional items required: Z 7N (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Date Plans checked by .o Date Plans approved by Date __ e Other: Copy—DPW To: Building Department, From: ,,nvironmental Health Subject: Sanitation Clearance / 0<<mer Location AP# Plan Approved for: Sewage disposal �water supply Hold final for: water supply Final clearance O.K. for: water supply Clearance for bedro m mobil ome. Other NOTE i Sanitarian e Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8..1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. ;FC d1P� AMECORDS ( Un,.CALIFORNIA AT THE REQUEST OF DA1" 86- 6732 r �r1UVVN The property described herein is, adjacent to land or included 1986 MAR -3 AM 10: 10 within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort arising from ELEANOR M.BECKER the use of agricultural chemicals, including, but not limited to herb icidesGL&PitW468R SES and fertilizers; and from the pursuit of agricultural operations including, but not limite to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: ,44 41 74 F op 01,41 Y 0. 7" Date: -® PROPERTY OWNERS: 1 State of E ) SS. County of M ) On this the day of -70 19 before me, the undersigned Notary Pu c, personally appeared Personally known to me. Proved to me on1the basis of satisfactory evidence. PATSYCARTER a to be the person(s) whose names) vt�- su cri.bed to 13" the within instrument and acknowledged that Eiuttoho NOTAFIYPt•CAUFOFltJIA 0 executed the same for the purposes therein contained. co"C MYC0mrni83ionE4,1ros4Ro-ty19,1gg6 IN WITNESS WHEREOF, I hereunto set my hand and official seal. J No ary ublic Present A.P. No. '- -�o �C(� 2/27/86 , To: The Department Of Public Works Butte County, California. 'Re: This letter is to authorize George Gilbert Perry to sign, on our behalf, ' any and all forms or permits which may be required by the County of Butte in ` ` reference to parcel # A28-20-76, being Parcel 2, as shown on that certain / Parcel Map entitled "Being a portion of the SW 1/4 of Section 19, T.18N., R.5E.,M.D.B. & M"., said Parcel Map was filed in the Office of the Recorder of the County of Butte, State of California, on August 26, 1982, in Book 89 of Parcel Maps, at Page 34. "'enneth W. Smith V`--~--- ^^-- Laura M. Smith ' � .' . ' 2/27/86 , To: The Department Of Public Works Butte County, California. 'Re: This letter is to authorize George Gilbert Perry to sign, on our behalf, ' any and all forms or permits which may be required by the County of Butte in ` ` reference to parcel # A28-20-76, being Parcel 2, as shown on that certain / Parcel Map entitled "Being a portion of the SW 1/4 of Section 19, T.18N., R.5E.,M.D.B. & M"., said Parcel Map was filed in the Office of the Recorder of the County of Butte, State of California, on August 26, 1982, in Book 89 of Parcel Maps, at Page 34. "'enneth W. Smith V`--~--- ^^-- Laura M. Smith ' ' Thts set of plans and specifications MU51 be / NOTE:—All Materials & Workmanship SWU Be In kept on the job at all times and it is unlawful to Accordance with Recognized Gaon Pracf ices 'and ' make any changes or alterations on same without of a quality prescribed for t )a Specified use in the written permisson from the Department of Public Uniform building, Piu.-edionq & Mechanical Codes and. works, County of Buttes. fhe National. Electrical Code. A setback of 5 ft, fir 0 e iPo► property lines and a etb ick m -- -. of 50ft. frothe roa _ centerline shall beelar f structures or eguiprri 'ht xcOpt„ - --_- - ----- ----- -- - fora 2 ft, save -over frig JUJ 'Utility connections shall be within 4 ft. of the mobilehome, either _._. _ i directly behind or within the vrear- half a-(lett of the _ nsobilehome. S.W. 060aiA-a SO. FT. MINIM`t .y7 q� FOR A11OBILEq I �Q�iVG%� 1 ✓ �'.0 AuQ� �N. -- - -- S�:li: BUTTE NTY BUILDING E ARTKW'�- APP VES r � � 1 BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1AU 2',,20 76 1. Owner's Name: a0,Cpea is the mobilehome 2. Installer's Name: Amps 6. What 3. Is the site currently under permit? Yes F] No rating? -------------- _ (If yes, furnish permit number 7. ) OR is the Is the site an existing site? Yes NA No F ----- /00 Amps (If yes, furnish two plot plans.) Is there any other electric 4. Will the mobilehome be located at least 5 ft. away from septic. tank and leach fields & � F] and clear of all setbacks and easements? Yes site service? ------------------------- No Yes (If no, clarify 5. What is the mobilehome electrical rating? --------------- Amps 6. What is the mobilehome site service rating? -------------- Amps 7. What is the mobilehome site circuit breaker rating? ----- /00 Amps 8. Is there any other electric load to be served by the � mobilehome site service? ------------------------- ------- Yes No (If yes, identify the load and size: (Load) (Amps) 9. What is the a mobilehome site gas pipe size? -------------- (in.) 10. What is the type of gas service? --=---------------- Natural LPG 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------------------- A9 * 12. What is the mobilehome gas demand? ---------------------- (BTU) *(This information not required if pipe .length less than 6 ft, on .natural gas or less than 50 ft. on LPG.) BUTTE eOuN i I BUILDING DEPAIZTMErv, APPROi/jjD �a- MOBILEHOME SUPPORT DATA A If other than single wide, o �9� g i Mobilehome Mfr. �2 A a ✓2- fyrnisl� Setup Model No. � 9 Year Width____,/gL—(ft.) Box Length` (ft.) Tagalong or Expando Size ft. x ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). I FOOTINGS (check one) Z11. Wood -pressure treated or foundation grade. 2. Other (specify) SUPPORTS (check,one) 1. Conciete block.a 2. Other (specify) Pier Footing,Sizes and Locations SINGLE -WIDE MULTI -WIDE :. r Line 1 I Main Beams — Line 2 ' in ---� -- -- — — ---- i tine 3 Line 2 — — — — — Main Beams� — � Line 2 ._kine 1 —-Line Tag or Triple I Line 1 Line 1 Piers: Line 1 Openings: I Size -Min- ------------ , „ Size -Min- ------------------ � x , Spacing -Max. --------- Each Side of Openings From Ends -Max.------- With Width Over --------- Line 2 Piers: Size-Min.------------ Spacing-Max ---------- From Ends -Max -------- Line 3 Boof'Loads: Size -Min ------------- Location (From Front) Line 3 Piers: (Under Bearing Wall Only) Size -Min ------------------- ;t , u Spacing -Max-____----_--____ From Ends -Max ------- ------- Line 4 Piers: i Size -Min ------------- I Spacing -Max---------- , From Ends -Max. ---! --- Line 5 Roof Loads: Size -Min ------------- Location (From Front) Size -Min ------------------- 'k " Spacing -Max ----------------- From ------ ------From Ends -Max -------------- i } t i PERMIT NO. 5454-80MHI existing site ' PERMIT EXPIRES 1 OWNER ROBERT SCHAEFFER/Robert Johnson }} CONTR. owner ASSESSOR PARCEL 28-20-45 LOCATION E/S Dunstone Rd, app �-2 mi S of $ Avacado Rd, ORoville i f r t� Temp. Power Pole I \_ Called PG&E Temp. Elec. Service -i Called PG&E Temp. Gas Service Cal led PG&E JOB FINALED (Date) Signature i J OK " 0 = Not OK c = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch _ 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L "ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. - Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except #'s 1, Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4, Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date t V = OK 0 = Not OK = Not Applicable * Not Ready RESIDENTIAL(S;ngle and Duplex) Date UNDERFLOOR Plans OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4, Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except N's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 57, 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth Card -BI Date Card -BI Date 64. Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic E] Yes 25. 2 Appliance Circuits in Kitchen & Conductor Size Guard Rails & Deck Construction -Post Caps - _ 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral ❑Yes El No 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. 80. Water Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. 82. Ventilation throughout House Glass Protection Card B -I Date Card -BI Date Date MECHANICAL (Permit) OK except q's 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. Vent Fan; Exhaust above Insulation 86, Energy Compliance Certificate -Other Certificates 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except q's 36. Sills; Proper Material & Anchors Comments at Final: 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound _ 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) _40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub _41. Header & Beam -Size & Bearing _ 42. 43. 44. Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles _ 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE:Anentrymust be made each time youvisit jobsite) t MOBILEHOME INSTALLATION'INS_PECTION CHECK LIST 1. Is the mobilehome located with required separation from lot lines and buildings and generally conform to plot plan? Yes_ No_ ' 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes_ No 3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) '(Sec. 5082 & 5083) Yes_ No 4. Is the mobilehome level? (Sec.'5088) Yes_ No 5. If more than a single unit, are crossover connections properly installed? (Sec. 5088) Yes No 6. Water A. Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes No B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes No C. Backflow - If coach is not State of California approved, does station have backflow device . and pressure -relief valve? Yes No 7. Wastes and Drains A.. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes B. Does it have minimum 4' per foot slope and is it properly supported? Yes_ No No C.. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe? Yes No D.' If coach is not State of California approved,,does station have required trap and vent? Yes No 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft, long? Note: All piping is to be at least as large as the mobilehome gas line irilet without reductions other than the mobilehome connector. Yes No B. Test OK as per following procedure? Yes_ No 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum,•8 oz.) calibrated in tenth pound increments. Test for 10 min, without drop. 4. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes No 9. Electrical A. Is service large enough to provide adequate am'berage-to mobilehome (must equal rating of mobilehome with a minimum of 100 amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes No B. Is there proper clearances around panels? Yes No C. Is power supply cord or feeder assembly properly fused? Yes No D. Is continuity test satisfactory as per the following procedure? Yes_ No 1. De -energize electrical wiring system of the mobilehome at the pedestal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA Manufacturer and/or Namestyle Length Width, Vehicle Serial No. State Identification No. Additional Information or Comments: " r COUNTY OF BUTTE --DEPARTMENT OF PUBLIC WORKS PERMIT N 7 Count Center Drive - Oroville, California 95965 - Telephone 916/534-4541 — o APPLICATION AND :PERMIT ,v ASSESSOR PARCEL NUMBER 2!9 - -e- ZO N I F11 -1A,161 BUILDING PEK91f FM 11L 0.0 RO iefteS �0 � SQ. FT. OCC. BUILDING VALUATION OWNOE R'S MAILING ADDRESS / �w�/�D ?5 BoX �5/ CONTRACTOR'S NA(v1 E. TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LE D UNKNOWN Fireplace Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Feem 9T $ to-od Penalty $ ARC 'T ECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUIL ING ADDRESS �jC PLUMBING PERMIT Filing Fee 3.00 �D ' Each Trap 2.00 Repair drainage or vent piping 2.00 ��nn yq� ,� //L � OAEO VIC. Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each gas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex ❑ Mobi lehome Other SPECIFY - Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New r_1 Addition Remode ❑ Utilitiess(El� Installation C�her❑ Describe work:- "/// ®4/ �CIST7�l S%�7—i<� _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 100 AMP OR00V OR LESS5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST.(DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 22 sq ft CONTRACTORS LICENSE LAW I decl'are under penalty of perjury (check one): ' ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTNON•RESID R BRANCH CIRCTITS 2.50 ea NEW CONSTR. ( POWER APPARATUS 91 NON•RESID, SINGLE OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES 50@� BAL01 FIXED APPLNS. OR \ Ex. Occup.(OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 3.00 Heating Cooling Hood 2.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agr' to save, indemnify and keep harmless the County of Butte against all Iiab' Its, judgments, costs, d expenses which may in any way accrue agai s oun � co a of th nting of this permit. X Date /U —VQ Sb Signa ure of Applicant Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ �OtJ Land Development Fee $ TOTAL PERMIT FEE $ VV,00 OCCUP. GROUP TYPE OF CONST. PARCEL PD ND SsoE� This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE R OF PUBLIC B PyqWT EXPIRES Date_ the applicable toprovi- resolutions to do fees have been paid. WORKS Date r'-90 Receipt No. WHITE-D.P.W., YELLOW-ASSESSO R,•P IN K -INSPECTOR, GOLDENROD -APPLICANT OIL Workmanship Shall Be in. This set of plans and speciflealloas MUST ba NOTE:—�`II Materials & This on the job at all times and it is awfW to Accordance with Recognised Good Practices and r,.f4f— anv changes or alterations on s d o w4hout _ • • in the en permission from a ep men ,;of Pnblia of a q 'lit. Pres & Machanical Codes a Works. County of Bufte. Unifo Building, Plumbing the N ional Electrical Code. T, H A setback of 5 ft. from the property lines and a setback of 50ft. from the road centerline shall be'clearof structures or equipment exa for a 2 ft. eave overhang. I -A Q PF- �yaa� 'BUTTE COUNTY A BUILDING DE?ARTME'Jfl �a APPROVEa. Aft yY w lvlwvhxr 4i `!i bnc� + 6nb i`J.^itawji �..� - ►I • , - .�' �'tj� . f- • �,-i•�it •.. It t I &tit ,fro i • . , ,_, rr � � � � IE3 �� 4C • •� 1 f E t t 1 d BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroyille, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: 20IS&+ groN/USON 2. Installer's name: 3. Is the site currently under permit? Yeb No (If yes, furnish permit number ) OR Is the site an existing site? Yes 2W No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes/ No ( If no, clarify ) ( ) 5. What is the mobilehome electrical rating? ----------------------- 166_ Amps .6. What is the mobilehome site service rating? --------------------- O Amps 7.. What is the mobilehome site circuit breaker rating? ------------- Q 0 Amps 8. Is there any other electric load to.be served by the mobilehome siteservice? -------------------------------------------- -------- Yes No (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- 10. What is the type of gas service? ----------------------------- Natural � LPG 11. What is the gas pipe length from meter or tank to the mobilehome? (ft.) 12. What is the mobilehome gas demand? ------------------------------ (BTU) (This information not required if pipe length less than 6 ft. on natural gas . or less than 50 ft. on LPG.) MOBILEHOME SUPPORT DATA _ / r If' Gtr er than single wide, Q� Mobilehome Mfr. C. J6���. furnish Setup Model No. `.$ear U Width(ft.) Box Length D (ft.) Tagalong or Expando Size ft. x ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's instillation manual and structural setup sheets (if not on file with* the County of Butte). All center supports measured from front of mobilehome unless otherwise specified. Footing$ (check one) Single 1. Wood either. pressure treated or (� x foundation grade. (ft.)(in:) (in.) (in.) 2. Other V ecify) Center support locations* Center support footing sizes Supports (check one) .; Concrete block: i U 2: Other (specify) (ft.)(in.) (in.) (in.) <-—Tagalong or Expando,' show support details. (in.) (in.) I�xol 5 -- Typical Support r (in.) (in.) Footing Size —x (ft.)(in.) (in.) (in.) Max. Pier Spacing (ft.)(in.) I Max. Overhang (ft.) (in.) (in.) Cin'.) (ft.)(in.) i BUTTE COUNTY BUILDING DEPARTMENT *If center piers are other than drawn above, APPROVED draw in locations, spacing, and dimensions. To .zr jp� o in Uh ou Yll S4 -e P--? C/L C-�r 5 �.�\Ov l This set of plans and specifications MUST Ce kept on the job at all times and it is unlawful to ma6 any changes or alterc-Hans on same without written permission from the Department of Public Works, County of Butte. NOTE:—All Materials & Workmanship Shall Be in Accordance wHh Ri. cognized Good Practices and of a quality prescribed for the Specified use in the Uniform Building, Plumbing & Mechanical Codes and the National Electrical Code. 1�%1�4 7heT8hfg: Setback shall be 5 ft. from the ide property lire and 50 ft. zfrom the : enterline of the road, permitting a maxi- murn of a 2 ft. eave overhang but entirely out of all easements. �t COUNTY OF BUTTE - D ENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT N `. J ASSESSOR PARCEL NUMBER Zg=20—`7 (v ZONING BUILDING PERMIT OWNER TELEPHONE S0. FT. OCC. BUILDING V LUATION OWNER'S MAI IN ADDRESS � � CONTRACTOR'SNAME TE EPHONE CONTRACTOR'S MAILING DDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 4042 Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. ___JSUBDIVISION NAMEPARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S G 10,00ea /27 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Describe work: _ Permit Fee $ rj_Q Contractor ELECTRICAL PERMIT Filing Fee 10.00 • OOV OR Main service 100 AMP ORSLESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed cont ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLINGoCCUP.ad LDGS , New CONSTR.( A 1 �z¢sgft ULTBI.OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea (POWER APPARATUS e) SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20050¢ eALeao FIXED APPLNS. R Ex. Occup. OUTLETS (RESID )EA.1 2.00 Temporary service 10.00 Mobile Home Home Facilities 15.00 Misc. 15.00 9 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling ' Hood 3,00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnif and keep harmless the County of Butte against all liabilities, judgments, c ts, and expenses which may in any way accrue against said ou ty in con quence of the granting of this permit. X Date A4 Signature of Applicant — Owner EVContractor E]Agent❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories height. Mobile Home Installation Fee $ Energy Inspection Fee $ o TOTAL PERMIT FEE $ Z0�— OCCUP, CONST.TYPE JFLOODJPARcrLJ PD ND ssuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which R CT R PUBLIC By PERMIT EX IRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date 7'� iin+ Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE.- Department of Public Works 7 County Center Drive, Oroville, CA 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 916-534-4541 An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan'to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) c� signed an application for a building permit for the proposed w rk. 3. I have contracted with - the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the, work indicated: ,Name Address Phone Type of Work n Signed: Property Owner Social • Security Number Date lf-� NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. 6 PERMIT NO. 335-77P,t PERMIT EXPIRES Al OWNER Robert Schaeffer CONTR. ---6wiier -'LOCATION (A.P. 28-20-45 E/S Dunstone Rd.,ap�p.2 mi'.S.of Avacado Ave., -Bange-r- Temzppower Pole /Called PG&E Temp' Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED A I COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) A PLUMBING ck F kewall SdXI Piping Par ets 1 rloor Mai Bldg. Rest om Finish 2rdNf loor Fo ins Windo 3rd or Stem aII Siding To out Slab Roof SheAbing Water Pi i Piers Roofing Sewer Garage Fdn. Vents Fixtures Footin s Garage Vents Water Htr. Stemwa I I Insulation Heaters Slab Prov. for phsical A liances Carport handica ed Po Conformance of ex. Gas Piping &Test Footings V structure Temp. Gas Slab Final Sanitation Patio F EP ACE Final Footin s Footino EltECTROWL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Bea IRE SPRINKLEFU Motors Framing Test Water Htr. V Final Sub anel MECHANICAL Grd. F It Prot. Heati Servi Coo ng T p. Pole D is nder round I erior Lath YGUlation Permanent oor Closer Inal(Final MOBILEHOME UTILITIES Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping ... a�. E ME INST LAT N - - - - - - - • - - Support Z4Elec. Continuity Water Piping Drainag Gas Piping �•' DATE REMARKS OR CORRECTIONS Q w� o� TaA R. w (NOTE: An entry must be made on this form each time you vislt the•job site.) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the reqquirements of the California Administrative Code, Title 25, Chapter 5, under permit number 7n `S-0 " V for,the following location: E / S 1 1, e r CV:) Owner 11� - S !' JA Owner's Address ' � () X 9 " K -,1*, n >> r Mobilehome Mfg. A r ty T aA }` Mode�Year:'+� Insignia No. Serial No. It is hereby certified for occupancy at the above described location and may be occupied. fDirectoor,of Publ�ic%Woeks Date �� / ! % 9 1, THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. 9. Electrical A. Is service large enough to.provide afequate amperage -to mobilehome (must equal irativg of- mobilehome with a minimum of 1010 amp) and other facilities on 1Qt, i.e., water pumps, garage, cabana, etc.? Yes No_ B. Is there proper clearances around panels? Yes P_ No C. Is power supply cord or feeder assembly properly fused? Yes VNo D. Is.continuitY test'satisfactorY'as per the following procedure? Yes o 1. De -energize electrical wiring system of the mobilehome at the pedestal.' 2. Make sure that the power supply cord or feeder assembly conductors, including neutral -conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA Manufacturer and/or Namestyle Length Width l� ' Vehicle Serial No. State Identification No. Additional Information or Comments: M MOBILEHOME INSTALLATION INSPECTION CHECK LIST r ` 1. Is the mobilehome located with -'required separation from lot lines and buildings and generally conform to plot plan? Yes No 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes_L-`No 3. Are footings and supports properly sized, spaced, and braced as pWapproved plans? (Note possible variation at spring shackles.) (Sec. 08 & 5083) Yes /' No 4. Is the mobilehom level? (Sec. 5088) Yes_" No_ 5. If more th ngle unit, are crossover connections properly installed? (Sec. 5088) Yes No 6. Water A. Is fl�ex' le connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes VIN B. Test - Does water piping wit tand working pressure or 50 lbs. air test? Yes � No C. Backflow - If coach is n t e of California approved, does station have backflow device and pressure -relief val Y _ No 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? YesA--�No B. Does it have minimum " per foot slope and is it properly supported? Yes No C. Are any leaks detected in drainage system after running >allons of water through each fixture including washing machine standpipe?.Yes No D. If coach t State of California approved, does station have required trap and vent? Yes 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connectWNoM 'ot more than 6 ft. long? Note: All piping is to be at least as large as the mobile gas line inlet without reductions other.than the mobilehome connector. Yes_ following ,I B. Test OK as P g " procedure? Yes �No 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without drop. 4. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C.. Are all appliance vents properly installed? Yes v No O : building Department From En.virormiental Health Regabding:' Sewage and/or Water and/or Addition Clearance's) 04�fN R LOCF:110N A,P%, V0 Plans are approved for: Sewage Disposal ,✓ Water Supply► Hold up Final for: Sewage Disposal dater ,Supply ti Final Clearance OX for: Sewage Disposal Water. Supp Cl=earance, is .for a � bedroom (Home or.. N-o7G-ile Hon The addition(s) will. be e S an i7t-63- —13i7— Date, 1 c: L W.- an .A. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephooe:534-4541 �tyJ o./ .7 APPLICATION AND PERMIT BUILDING OwnerIZZft 94— SO. FT. OCC. BUILDING VALUATION Mailing Address y.� Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee Building Address S. PLUMBING No. @ FEE PERMIT FILING FEE J$3.00 I Inn A i v Each Trap 1 1.50 la \ Litz Repair drainage or vent piping 1.50 Water piping 1.50 rtTn Deti c n Only Each gas water heater or vent 1.50 A. P. No. y Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fe W. Sa n FI re Dept. Fire Zone Use Permit Building sewer 5.00 EOA Parking Parcel Plans Declaration parcel M 60' R/W Improvements Lawn sprinkler system 2.00 Bldg. Pla Recd Parc Approval Plans pproval Permit Fee $ is _ NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No.1 @ I FEE PERMIT FILING FEE J$3.00 EQ Main service 10ov OR LESS 5.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ OVER 600V Main service 1100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 SW MINIMUM NEW CONST. DWELLING OCC OR ADDNS. ACC. BLDGS. UP. a) 20sgft DBRANCH CIRCUITS) 2.50ea NNON EW RESI. ( FOR MOBILES NEW -CONSTR (SINGLE OUTLETTUS a NON RESID. 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: Ex. Occup(OUTLETS OR FIXTURES)BAL�LL@1 1 Ex. Occu FIXED APP LNS. OR P'(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 , I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 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. TC71 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 $ $ 1 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 f` TOTAL PERMITFEE $ .'C OUL"Orce lep eSeMaLIVeS UI the County of Butie to enter upon the above -me ned property for inspection purposes. X Date Signature of P mitee or Agent Receipt No. 0 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. DIRECTOR kF )PUBLIC WORKS BY Date �— -2-- — _7 uilding permit expires Date Zz' -7 y _ COUNTY OF BUTTE DENOARTMENT OF PUBLIC WORKS .__ .7 County Center Drive - Oroville, California 95965 Tel; phorte:1534-4541 =' APPLICATION AND PERMIT tv. 7 7o5D �� autnorl r presentatives oT the county OT tlutte to enter upon the abov en toned property for inspection purposes. X Date Signature of ermitee or Agent Receipt No. l P55Y6 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. DIRECT PUBLIC.WORKS By Date /Z --7-2,P Building permit expires Date 17--7— 7 BUILDING If J Owner rj>✓Y' S;C, J"— SQ. FT. OCC. BUILDING VALUATION Mailing Address PI, C) r2z-ox '7 -1 Y✓ Te hone No. 9yi Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address V Plan Checking Fee&/or Penalty Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 �_� A. P. No. O — y S - Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fells SiFRRiiMefl Fire Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer' 5.00 Parcel ,roval I PIa pprovaI Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ I$ Fp 112— V-"(,. '>Gp,kA ELECTRICAL No. @ FEE -77 FILING FEE $3.00 600V 00V OR LESS 5•00 Main service 1 100 AMP OR LESS Single Family ❑ Duplex ❑ Mobil Home ® Others ❑ Main service EA. ADD -L. 100 AMP 2.50 Main service OVER 25.00 100 AMPP OR LESS O Main service EA. ADD'L 100 AMP 1.00 NEW OR ADONST ( ADWELLCC. BLDGSCOUP. 4') 2¢Sgft 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: NEW -RE SID, BRANCHCIRMULTI-OUTLET NON.R ESIDCO N ST � BRANCH CIRCUITS) 2.50ea NEW CONSTR. fPOWER APPARATUS 8� NON.RESID. SINGLE OUTLET CIR. Ex. OCCUP(OUTLETS OR FIXTURES g L Ex. Occup. (OUTLETS P(RESID.)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 911 am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ FEE 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. ❑1 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. 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 e ;+ I $ 3 0' Gott TOTAL PERMIT FEE $ ' �� autnorl r presentatives oT the county OT tlutte to enter upon the abov en toned property for inspection purposes. X Date Signature of ermitee or Agent Receipt No. l P55Y6 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. DIRECT PUBLIC.WORKS By Date /Z --7-2,P Building permit expires Date 17--7— 7 MOBILEHOME SUPPORT DATA -yf other than single wide, �Q Mob ijehome Mf r. capsfm li furnish Setup Model No. Year 1 Width—(ft.') Box Lengt(ft.) Tagalong or.Expando..Size ft. x ft. (SHOW SUPPORT DETAILS BELOW) On all mob,ilehomes manufactured after'October 7, 1973; furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of mobilehome unless otherwise specified. Footings (check one) (.)(in.) Center upport locati ns', (ft.)(in.)\' Single n x (in.) (in.) Center su port footing izes ' (in.) (in. (in.) o- J � t. x (in.) (in ) x (in:) (in.) *If center piers are other than drawn above, draw in locations, spacing, and dimensions. ®, 1. Wood either pressure treated or foundation grade.. El 2. Other (specify) 'Supports (check one) 1. Concrete block. 2. Other (specify) 4( --Tagalong or Expando, show support details. 14 x, -- Typical Support (in.) (in.) Footing Size L eJ -- Max. Pier Spacing (ft.)(in.) - Max. Overhang (ft.)(in.) BUTTE COUNTY BUILDING DEPARTMEN,•. APPROVED /a- BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 J .. MOBILEHOME INSTALLATION SHEET nn �G 1. Owner's name: U LrF< 2. Installer's name: I��cc. f 0A et 3. Is the site currentlIy under permit? Yes U/ No ( If yes, furniih permit number 63,E5-- ? / ) OR Is the site an existing site? Yes / / No a (If yes, furniih.two (2) plot plans.) 4. Will the mobilehomefbe located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes V-7 No I ( If no, clarify ) ( i ) 5. What is the mobilehome electrical rating? ----------------------- -> Ps 6. What is the mobilehome site service rating? --------------------- 100 Amps 7. What is the mobilehome site circuit breaker rating? ------ ------J APs 8. Is there any otherlelectric load to be served by the mobilehome site service? ----;---------------------------------------------- Yes / / No X7 i (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- (in.) 10. What is the tune of Qas service. ----------------------------- Natural / / LPG ? 11. What is the gas pipe length from meter or tank to the mobilehome? % V (ft.) 12. What is the mobilehome gas demand? ------------------------------ (BTU) I (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) I I i. I `