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HomeMy WebLinkAbout029-250-0211 � t I w� y ._._ fit,—��.,� � --sir yrr a..,..,. �y �. ►e • t� 29-25-21 & 22 EARNEST EVANS4 ,,/�/eJ(��dy-47a 5 Midway Drivi ichale Permit ##5806-75P,E(uti1� ELEC . cY GAS : SUPPORT STRUCTURE REQ. COMPACTION TEST REO. AID 29-25-21 & 22 contr:Kog--ps Mobile Home Ser., Oro. Permit #395-76MHI ?f*AA. Issued 74 /,3 29-25-21 & 22 Contr : Nor t state IA /14-, Chico (add, -decks &•awnings/MH)- 029-250-021 & 022 01-2648 MCDONALD, HARRY _ 1210 LINDALE AVE, HVALE" t CONT: ALL AM CAN FENCE ' Z EX MH EX SI PERM FNDN ki N CN L 0 r�mmmm�mmml ve STATE OF CALIFORNIA a`�' BUSINESS, TRANSPORTATION AND HOUSING AGENCY DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT � s... DIVISION OF CODES AND STANDARDS noE+Q` REGISTRATION AND TITLING PROGRAM LIEN SATISFIED SECTION 1. DESCRIPTION OF UNIT This unit is a: x2nufactured Home/Mobilehome ❑ Co mercial Coach ❑ Floating Home ❑ Truck Camper The Decal (License) No.(s) of the unit is: The Trade Name of the unit is: The Serial No.(s) of the unit is: I SECTION II. DEBTORS) NAME(S) Name of Debtor(s): M SECTION III. LIENHOLDER'S CERTIFICATION This is to certify.that our/my lien in the name of the debtor shown above against the described unit has been fully satisfied and has not been assigned to any other parry. Print or Type Name of Legal Owner or Jr. Lienholder (Lender): ature of Legal Owner, Jr. Lienholder REEN TREE FINANCIAL Add Address or P.O. Box i I, HCD 475.3 (7/97) or their Apthorized Agent: DATE 19—/7-0/ ate Zip Code STATE OF CALIFORNIA V��"_',°' BUSINESS, TRANSPORTATION AND HOUSING AGENCY , DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT. s .. DIVISION OF CODES AND STANDARDS+nof+Q' REGISTRATION AND TITLING PROGRAM LIEN SATISFIED SECTION 1. DESCRIPTION OF UNIT This unit is a: Manufactured Home/Mobilehome ❑ Commercial Coach ❑ Floating Home ❑Truck Camper The Decal (License) No. (s) of the unit is: r9- L I `J) : . 7 C/ The Trade Name of the unit is: Q \ The Serial No.(s) of the unit is: SECTION II. Name of Debtor(s): SECTION III. LIENHOLDER'S CERTIFICATION This is to certify that our/my lien in the name of the debtor shown above against the described unit has been fully satisfied and has not been assigned to any other party. FINANCIAL CORPORATIOy / DATE Hc0 475.3 (7/97) a BUILDING PERMIT NUMBER: 01-2648 Address or location of unit: 1210 LINDALE AVENUE, RICHVALE, CA 95974 Legal Description of Real Property: A.P.029-250-021 & 022 SEE ATTACHED (x) Mobilehome/Manufactured Home O Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's -name: HARRY R. MCDONALD Owner's address: P.O. BOX 115, RICHVALE, CA 95974 INSIGNIA OR HUD NUMBER: MH223628/9 SERIAL NUMBER OR V.I.N.: A/B 612256 MANUFACTURER'S NAME: KAUF & BROA YEAR: 1976 OFFICIAL APPROVING INSTALLATION ,'�C� �� DATE: 11/27/01 PHONE: (530) 538-7541 H.C.D. 513C RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 28 -Nov -2001 2001-0055937 Has not been compared with original BUTTE COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATIO76N ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with Califomia 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. HARRY R. MCDONALD REAL PROPERTY OWNERlLESSOR P.O. BOX 115 MAILING ADDRESS RICHVALE, BUTTE, CA 95974 CITY COUNTY STATE 'ZIP 1210 LINDALE AVENUE INSTALLATION MAILING ADDRESS. IF DIFFERENT RICHVALE, BUTTE, CA 95974 CITY COUNTN' STATE -ZIP SAME UNIT OWNER lil'also property owner. write "SAME") MAILING ADDRESS CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP 1-2648 (530)538-7541 JTRM,// ' 11/27/01 TELEPHONE UMBER SIGNATURE OF LOCAL AGENCY OFFICIAL DATE NONE DEALER NAME (if not a dealer sale. write "NONE*) NONE DEALERI.ICENSE NO KAUFMAN & BROAD 1976 SAHARA MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAAIEfNUMBER A/B 612256 24'X 68' MH223628/9 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNI.A/LABEL NUMBERS) REAL PROPERTY LEGAL DESCRII''rION ASSESSOR'S PARCEL NUMBER A.P. #029-250-021 & 022 SEE ATTACHED NICD FORM 433(A) RE -V. 8/91 WHITE - County Recorder CANARY - HCD PINK -Applicant GOLDENROD- Building Dept LEGAL DESCRIPTION A.P. #029-250=021 & 022 All that certain real property situate in the County of Butte, State of California, described as follows: LOTS 21 AND 22, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "THENGVALL TRACT UNIT NO. ONE", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON APRIL 10, 1963, IN BOOK 30 OF MAPS, AT PAGE(S) 11 THRU 13. HECORDTNG 111 --QUESTED MID Vrt.rii.t;-Yqq'99r33t'('r'ON RE�Lt:3Co. �9COR�1DATQUESTED BY: FIRST INTERSTATE BANK OF CALIFORNIA t. BEAVERTON LOAN CENTER P.O. BOX 5140 PORTLAND, OR 67208 WHEN RECORDED MAIL TO: FIRST INTERSTATE BANK OF CALIFORNIA BEAVERTON LOAN CENTER P.O. BOX 5140 PORTLAND, OR 07208 First .Interstate Bank 05-30670 95-030670', Rec Fee 27.00 I Check 27.00 Recorded I Official Records I County of I Butte I. Candace J. Grubbs 1 Recorder I 8:00am 11 -Sep -95 I MVTC MD 8 IE ONLY DEED OF TRUST THIS DEED OF TRUST IS DATED AUGUST 30, 1995, among HARRY R MCDONALD, AN UNMARRIED MAN, whose address Is 1210 LINDALE, RICHVALE, CA 95974 (referred to below as "Trustor"); FIRST INTERSTATE BANK OF CALIFORNIA, whose address Is 2001 ORO DAM BLVD., OROVILLE, CA 95966 (referred to below sometimes as "Lender" and sometimes as "Beneficiary"); and FIRST INTERSTATE BANK OF CALIFORNIA, whose addr, se Is Trust Deed Department, 707 Wilshire Blvd., Los Angeles, California 90017 (referred to below as "Tru -:tee"). CONVEYANCE AND GRANT. For valuable consideration, Trustor Irrevocably grants, transfers and assigns to Trueted In trust, with power o! sole, for the benefit of Lender as Beneficiary, all of Trustor's right, title, and Interest In and to the following described real property, together with all existing or subsequently erected or affixed buildings, Improvements and fixtures; all easements, rights of way, and appurtenances: all water, water rights and ditch rights (Including stock In utflilies with ditch or Irrigation rights); and all other rights, royUalliesand profits re.ating to the real prcparty, Including without limitation all minerals, oil, gas, geothermal and similar matters, located II BTTCounty, State of hcrnla (the "Real Property"): LOTS 21 AND 22, AS SHOWN ON THAT CERTAIN MAP ENTITILED, "THENGVALL TRACT UNIT NO. ONE", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF V BUTTE, STATE OF CALIFOR61A, ON APRIL 10, 1963, IN BOOK 30 OF MAPS, AT PAGE(S) 11 THRU 13. ,. ASSESSOR'S IDENTIFICATION N0. 029-250-021-000 029-250-022-000 The Real Property or Its address Is commonly known as 12101-INDALE AVENUE, RICHVALE, CA 95974. Trustor presently assigns to Lender (also Lnown as Beneficiary In this Dead of Trust) all of Trustor's right, title, and Interest In and to a8 present and future leases of the Property and all Rents from the Property. This Is an absolute assignment in the Rents given as additional Security pursuant to California Civil Code Section 2088. In addition, Trustor grants Lender o Uniform Commercial Code security Interest In the Rents and the Personal Property defined below. DEFINITIONS. The following words shall have the following moonings when used In this Deed of Trust. Terms not otherwise defined In this Deed of Trust shall have the meanings attributed to such forms In the Uniform Commercial Code. All references to dollar amounts shall mean amounts In lawful money of the United States of America. Benenclery. The word "Bonoflclary" monns FIRST INTERSTATE BANK OF CALIFOIINIA, Its successors and assigns. FIRST INTERSTATE DANK OF CALIFORNIA also Is referred to as "Lender" In this Deed of Trust. Borrower. The wnrd'Borrower" moons each find every person or entity signing the Nolo, Including without limitation HARRY MCDONALD. Deed of Trust. The words 'Dead of Trust" moan this Dead of Trust among Trustor. Lender, and Trustee, and Includes without limitation an asslgnmonl and security Interest provisions rololing to the Personal Property and Rents. Guarantor. The word 'Ounrortor" moons and Includes without limitation any and all guarantors, sureties, and accommodation parties In connection with the Indobtadnoss. Improvements. The word "Improvements" moons and inclodos without limitation all existing and future Improvomanls, fixtures, bulldings, shucturea, mobilo hornos fiffixod on the noni Property, fncllilloi, additluns, ropincomonls and other construction on Iho Real Property, Indebtedness. The word 'Indebtedness" moons nil prinelpnl and Intorost paydbla under the Nola and any amounts expended or adwncod by Lender to discharge obligations of Truslor or expenses Incurred by Trustee or Lender to enforce obligations of Truslor undor this C ed of Trust, together with Intornst on such nmeunls as provided In this Deed of Trust. Lender. The word Londor' moans FInST INTERSTATE DANK OF CALlronNIA, Its succossors and assigns. E'? STATE OF CALIFORNIA - DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT REGISTRATION CARD Manufactured Home Decal No: ABB1374 Manufacturer ID/Name Trade Name Model — DOM 1DFS RY Exp. Date SAHARA 00/00/76 02/10/76 1976 Feb 28, 2000 Serial Number Label/Insignia Number Weight Length Width SPC SCC Exempt Use Type 8612256 MH223628 68' 12' ADQ 04 SFD ILT A612256 MH223629 68' 12' Addressee HARRY R MCDONALD PO BX 115 RICHVALE, CA 95974 Registered Owner(s) HARRY R MCDONALD PO BX 115 RICHVALE, CA 95974 Situs Address 1210 LINDALE RICHVALE, CA 95974 .e IOwner(s) FIRI ERSTATE BANK P O X 5140 PO D, OR 97208 k en Perfec d On: 01/31/96 10:16:00 Issued- Total Fees Paid Feb 17, 1999 $57.00 ATTENTION OWNER: THIS IS THE REGISTRATION CARD FOR THE UNIT DESCRIBED ABOVE. PLEASE KEEP THIS CARD IN A SAFE PLACE WITHIN THE UNIT. INSTRUCTIONS FOR RENEWAL: REGISTRATION FOR THIS UNIT EXPIRES ON THE DATE INDICATED ABOVE IN THE BOX LABELED "Exp. Date". THERE ARE SUBSTANTIAL PENALTIES FOR DELINQUENCY. IF YOU DO NOT RECEIVE A RENEWAL NOTICE WITHIN 10 DAYS PRIOR TO THE EXPIRATION DATE, CONTACT H.C.D. FOR RENEWAL INSTRUCTIONS. IMPORTANT THE OWNER INFORMATION SHOWN ABOVE MAY NOT REFLECT ALL LIENS RECORDED WITH THE DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT AGAINST THE DESCRIBED UNIT. THE CURRENT TITLE STATUS OF THE UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT. 1856 CONSECOM November 26, 2001 Dear Harry, Conseco Finance Servicing Corp.'s loan for Harry McDonald, account number 244141883, was paid_in full as of 9-1-01. Conseco Finance Servicing Corp. has issued a reconveyance for mortgage dated 6-10-97 in the original principal sum of $43,697.97 The property described as follows: PO Box 115 Richvale, CA. 95974 A release of lien has been processed and sent to the county recorder's office on 10-2-01. This process usually takes six to eight weeks. Please be advised the county may provide this information verbally upon request. If we can be of further assistatice, please do not hesitate to contact our office at 1-888-315-8733 ext. 36474. Sincerely, Mortgage Release Department Conseco Finance Servicing Corp. -HOME SAVINGS I)I ,. OF AME1RJCX SB mr� An important message for HARRY MCDONALD 1210 LINDALE RICHVALE, CA 95974 Re: Home Savings of America Loan # 301-001-0201483-9002 Dear HARPY MCDONALD: June 5, 1997 Making sure you're receiving the best service possible is our priority. That's why we're transferring the servicing of your loan to Green Tree Financial ("Green Tree"). At this time, Home Savings of America ("Home Savings") is not fully set up to handle these types of loans so we have decided that it would be in your best interest to transfer the servicing of your loan to a company with much wider experience in this area. You will soon be receiving a letter from Green Tree confirming this transfer. Please be assured that the transfer will not affect any of the terms or conditions of your loan documents, other than those related to its servicing by Green Tree. After June 26, 1997, Home Savings will no longer be able to accept your loan payments. Effective June 27, 1997, payments and all other matters related to servicing your loan will be handled by Green Tree. Their address is: Green Tree Financial 500 Landmark Towers 345 St. Peter Street St. Paul, MN 55102 Beginning June 27, 1997, you may call Green Tree's Customer Service Department toll-free at (800) 826-8598 Monday through Friday between 7:00 a.m. and 11:00 p.m. and Saturday 7:00 a.m. to 7:00 p.m. (Central Time). If you are currently making your monthly payment using Home Savings' Automatic Loan Payment service, please be aware that this service will be canceled effective June 26, 1997. If you wish to continue to have your payments automatically paid, please contact the Green Tree Customer Service Department at the number listed above. This transfer may affect the terms of or the continued availability of optional "monthly outstanding balance" credit life insurance. If you are purchasing this coverage, it will terminate on June26, 1997. If you wish to reestablish credit insurance after the transfer, you may make arrangements with Green Tree's carrier. For income tax purposes, Home Savings will send you a year-end statement in January, 1998 showing activity through June 26, 1997. We value the other banking relationships you have with us, and we want to keep providing you with the knowledgeable and attentive service you have come to expect. If you have any questions regarding this transfer, just call our Customer Service Center toll-free at (800) 678-4970 between 9:00 a.m. and 8:00 p.m., Monday through Friday and Saturdays between 9:00 a.m. and 3:00 p.m. (Eastern Standard Time). Sincerely, John Vardo Vice President Consumer Rights You should also be aware of the following information, which is set out in more detail in section 6 of RESPA (12 USC 2605): During the 60 -day period following the effective date of the transfer of the loan servicing, a loan payment received by your old servicer before its due date may not be treated by the new loan servicer as late, and a late fee may not be imposed on you. Section 6 of RESPA (12 USC 2605) gives you certain consumer rights. If you send a "qualified written request" to your loan servicer concerning the servicing of your loan, your servicer must provide you with a written acknowledgment within 20 business days of receipt of your request. A "qualified written request" is a written correspondence, other than notice on payment coupon or other payment medium supplied by the servicer, which includes your name and account number, and your reasons for the request. Not later than 60 business days after receiving your request, your servicer must make any appropriate corrections to your account, and must provide you with a written clarification regarding any dispute. During this 60 -business day period, your servicer may not provide information to a consumer reporting agency concerning any overdue payment related to such period or qualified written request. However, this does not prevent the servicer from initiating foreclosure if proper grounds exist under the mortgage documents. A business day is any day, excluding legal public holidays (state or federal), Saturday and Sunday. Section 6 of RESPA also provides for damages and costs for individuals or classes of individuals in circumstances wher p servicers are shown to have violated the requirements of that section. You should seek legal advice if you believe your rights have been violated. T a�r.�Y•>ati.u�fL��V� • September 5, 1996 HARRY MCDONALD 1210 LINDALE RICHVALE CA 95974 Re: First Interstate Bank Home Equity Loan Account # Dear Customer: 82210410838562001 We are writing to notify you that effective September 20, 1996, your Home Equity loan account is being transferred froffi First Interstate Bank to Home Savings of America, FSB. The transfer is due to the planned sale of certain First Interstate branches and loans to Home Savings. Payments First Interstate will accept payments made by you through September 20, 1996. Beginning September 21, 1996, please make your checks.payable to Home Savings and send them to Home Savings of America, P.O. Box 78616, Phoenix, Arizona 85062-8616. Home Savings will provide you with a new loan number, a monthly billing statement and more information about this transfer shortly. Any payments received by First Interstate during the transfer period will be forwarded directly to Home Savings on your behalf. Questions: If you have any questions prior to September 20, 1996, please call us at 1-800-688-1116, Monday through Friday, 7:00 a.m. to 7:00 p.m., Pacific Time. After September 20, 1996, please call Home Savings of America's Customer Service Department toll free at 1-800-678-4970. Please address any written correspondence to Home Savings of America at Customer Service Department, P.O. Box 3050, Southeastern, PA 19398-3050. We have appreciated the opportunity to serve you. Sincerely, Shannon Pogue Vice President, Equity Products Customer Service 73823-01720 M. CONSECO. Step up.' HARRY MCDONALD PO BOX 115 RICHVALE, CA 959740000 Re: Account Number: 24414188 Dear HARRY MCDONALD: The above referenced loan was paid in full as of 9-05-01, and the payoff was backdated to 9-01-01, subject to collected funds. If you have any questions, please do not hesitate to call 1-800-643-0202. Sincerely, --r- Tiffany Bollinger Customer Service HOME SAVINGS OF AMERICAFSB WINGS® (' D OF AMFAK.V O V tu/ *************AUTO**3-DIGIT 959 Harry McDonald 1210 Lindale Richvale, CA 95974-9999 Dear Harry McDonald: IA ct a ?A6 September 5, 1996 We're pleased to have you with us! On September 11, 1996, dome Savings of America FSB will own and begin servicing your Installment Loan secured by your residence. This transfer from First Interstate/Wells Fargo Bank to us will not have an effect on any of the terms or conditions of your loan other than terms directly related to the servicing of your loan. From now on, payments and customer service inquiries will be directed to a new address. Please see the enclosed brochure for details. In conjunction with the transfer of your loan to us, you will be assigned a new loan number that will be used in all our communications with you. You will receive a new coupon book shortly after the transfer date which will contain your new loan number. Please remember to use that number whenever you contact us. If you use the Automatic Loan Payment Service to have your payment automatically debited from your deposit account, that service will continue as before, and you will receive a confirmation of the debit and your new account number. We're here to help. We've been serving loan customers for over 100 years, so you can be sure you're in experienced hands. We realize that this change may raise questions. Just know that we are committed to making this as seamless a transition for you as possible. Let us answer your questions. We've included important information related to your loan's transfer in the Answers to Your Questions brochure enclosed. Please take a few minutes to read it. If you have additional questions, please feel free to call us at the toll-free number indicated in the brochure. We take pride in giving our customers good old-fashioned service combined with the newest service technology. We will attempt to make this transition an easy one, and we look forward to serving you. Sincerely, William Barrett Executive Vice President Director of Consumer Lending 4900 RIVERGRADE ROAD • IRWINDALE, CALIFORNIA 91706 __" NOTES -2. (& 5 '461 ?. 2 RESIDENTIAL 029-250-021~& 022 r -Y01-2648) PERMII';MCDONALD, HARRY 1210 LINDALE AVE, RICHVALE CONT: ALL AMERICAN FENCE EX MH EX SITE PERM FNDN THE HCD FORM 433A FOR THIS MH CANNOT BE t RECORDED UNTIL ONE OF THE FOLLOWING HAS BEEN TURNED IN TO THE BUILDING DIVISION: (1) LICENSE PLATE(S) OR DECAL (THE INSPECTOR MUST RETREIVE). (2) STATEMENT OF FACTS (ONLY ON NEW MH'S). INSPECTOR TO VERIFY SERIAL & LABEL #'S. 11 SPECIAL CONDITIONS 11 SRA FLOOD CERTIFICATE REQ. - FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALEDDate Signature / CHECKED BY ✓=DK 0 = Not OK - = Not Applicable * = Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements-Setbacks-Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location-Test-Fall-C/0-Concrete 4. Water; Location-Test-Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp-Concrete 6. Gas; Location-Test-Wrap;-/ /" L'ft. / P Nat. or/ /"L"ft./ /'LPG 7. Well Clearance & Disconnect 8. Utility Clearance Carports; Windows -Doors 7. Electric Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE ME INSTALLATION (Plans) OK except #'s Siding; Nailing -Veneer -Stucco -Mesh Z ng Requirements-Setbacks-Easements 10. Footings; Size-Spacing-Marriage Line a ' H T st-Demand-Valve-Connector Ext.; Steps -Doors -Landings le city; MH Test-Crossovers-Breakers-Clearances &6r '; MH Test-Fall-Flex Connector Water; MH Test-Regulator-Connector 7. Water and Sewer Connected-C/O to Grade-HD Approval 8.-Odb Vu EIGEMIM7-Tagged Date w - tion Cert. ik"Exits; Insp.-Sketch 1 ccupancy ermanent Foundation Only; License Decal Date jq Card B-12 Date Card B-1 bate/]/,,2/1 D( Card B-1 fJV Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Con nectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card 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 Reacy RESIDENTIAL (; Date Underfloor (Plans) OK except #'s Hangers -Post Caps -Anchors -Connectors 1. Zoning -Setbacks -Easements -Flood -Slope Cling. Joist-Rffr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rfng. 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Fig. Depth Fireplace Ties or Type A Flue -Fireplace Throat Clearance 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 5. Stemwalls, Main; Steel-Blockouts-Wrapped Garage Fire Protection Framing 6. Stemwalls, Garage; Steel- Blockouts-Wrapped Property Line Firewall & Openings 6a. Hold Downs and Special Anchors Ext. Doors -One T -Check Garage 3rd Story, 2 Exits 7. Slab, Steel -Wrapped Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 8. Piers -Fireplace Ftg.-Steel Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Siding -Nailing Veneer 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 11. Water Pipe; Test -Anchors -Regulator -Service Test Glazing Area -Glass Protection -Skylights -Plastic 12. Electric Underground Shear Walls; Nailing -Bolts 13. Plenums & Ducts; Clearance -Material -Support -Ins. Brace Interior/Exterior Wall Panels 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Insulation -Walls -Ceilings 15. Access & Ventilation Infiltration -Walls -Windows 16. Insulation Date Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Ext. Steps -Door & Sidelight Protection -Landings 17. Water Htr.; Vent -Access -Combustion Air Baffle Smoke Detector 18. Water Pipe; Test & Anchor -Nail Protection Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection Bedroom Exiting 20. Shower Pan; Test, First Floor -Tub Access G.F.I. & Bath Fixtures & Tub Access -Spa 21. Test Tub & Shower, Second Floor -Tub Access Elec. Trim & Subpanel, Breaker Sizes & Labels 22. Gas Pipe; Sixe & Anchors Stairs & Rails 70. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Elec. Outlets & Receptacles at Kit. Counter 23. Fixture & Transformer Clearance -Ins. Protection Garage Fire Door; Swing -Landing -Closure 24. Elec. Receptacles Spacing -Lights & Switches at Doors A.C. Duct in Garage -Damper 25. Size Boxes & No. of Conductors Stapled Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 26. Romex Installed Close to Edge of Studs & C.J. Plb., Elec. & Mech. Equip. Listed for Location 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Elec. Receptacles in Garage (F.F.I.)-Romex Protection 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI Insulation -Foam -Looked in Attic 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI Guard Rails & Deck Construction -Post Caps 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral ❑ Yes Q No Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 31. Service -Riser Conductors & Ground Main Disconnect Clearance Looked under Floor Q Yes 32. Equip. Clearances Panels-Motors-Mech. Equip. Following Instld./Drive :1 Yes :1 No/Walks ] Yes :1 No/Planters,:) Yes J No 33. Clothes Closet Light -Shower Light -Spa Light Stucco Brown -Finish 34. Smoke Detector A.C. Unit Disconnect, Electrical -Plumbing 85. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Ventilation Throughout House 35. A.C. Ducts Insulation & Support Glass Protection 36. Vent Fan, Exhaust above insulation Corrections from Previous Inspections 37. Condensate Drain & Overflow, Size & Grade Gas Test -Meters Tagged, Gas -Electric 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet Water & Sewer Connected -C/O to Grade -HD Approval 39. Attic Access & Platform if Furnace in Attic Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Date FRAMING (Permit) OK except #'s Comments at Final: 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing jingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rffr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One T -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. Fixi. & 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 Q Yes 82. Following Instld./Drive :1 Yes :1 No/Walks ] Yes :1 No/Planters,:) Yes J No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: IV �10111 Z I BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street - Chico., -.CA - (530) 891-2751 7 County Center Drive * Orovifle, CA * (530) 538-7541 CORRECTION NOTICE 0 Z - -2 6 .40 A- / J OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explar;ation, please contact this office immediately. COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 41 lQ6irt Street * Chico, CA - (530) 891-2751 .7 tounty'C6hter Drive * Oroville, CA - (530) 538-7541 CORRECTION NOTICE geo 6."v C4 0 OWNER PERMIT NO. A routine inspection indicates that the folio e wing viQlayons of 'butt county Ordinances exist at the abo4 address and should be corrected. Please notice this officewhen correction of work is compl6ted. If you have any questions pertaining to this matter, or 4ed idditional explanation, please contact this office immediately. X GA 'k 10, N' 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 01-2648 ASSESSOR PARCEL NUMBER 029-290-021 K 029-250-022 ZONING BUILDING PERMIT OWNER MMONAT.11, HARRY TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNERS MAKING ADDRESS PC) RON 119, RIC.14VALE, 95974 CONTRACTOR'S NAME ATL AMERICAN FENCR TELEPHONE 19Qn-n979 CONTRACTORS MAIUNG ADDRESS EFirlc, CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Total Valuation $ 820944.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 281 _50 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23-00 BUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome 6 Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other X Describe Work: EX MH EX SITE PERM FNDN Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 020.00 PERMIT FEE $ 50,00 ELECTRICAL PERMIT Fling Fee 20.00 Main Service zoos 0o RR V=ss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full f9 and effect. License Class _ — Lic. No.� WNER-BUILDER ECLARATION 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 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance o�drk for which this permit is issued. My workers' comp-ensa on insurance -carr lr gond policyBiber are: Carrierd3 Main Service PGOA TO 46. 00 NEW CONST. DWENG OCCUP. W CC OR ADDNS. ( & ACC. BLDS. SO so 3.50FT. �µgESID, MULTI.OUTLEr @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup.OUTLET OR FIXTURES 20 ®I'50 SAL o .s, Ex. Occup. DNT g R D.OE 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE s MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEi: $ Policy Number -� " ' (The above sections n�,noYbe completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that intt a 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' laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall fo with comply with those provisions. Date/O� /I r'�gnature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 374.50 HAZ. D. FEES MP FLOOD .� cDF PARCELPD HD ISSUE This permit is hereby Issued under of the Butte County Code and/or indicated above for which fees have If— By PERMIT EXPIRES ON 0 1 1T the applicable provisions Resolutions to do work been paid. A Date LZ oIj Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 1 lS sc, 3p do � / e 5ecl pew- I k C COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT �,- AssEsso ARCELNAIeEA ZONING BUILDING PERMIT A � OWNER TELIP"ONE SO. FT. OCC. BUILDING VALUATION OWNEAs NO ADDMS n I (/ _ I I -; 3 / 4.1 .. i rvi nn , o 1425/1-_ CONSTRUCTION LENDER LENDEA'S MAILING ADDRESS AACNrrECT OR ENGINEER ARCHITECT OR EWMEER9 MAILING ADDRESS BUILDING ADDRESS ' a 1 T ' �I.0 ^ Z ui/eii.::siJN'a rinwiE D _ ( PARCEL MAP G• USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome W Other ePECFY TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Instkilation ❑ Other ❑ Describe Work: �1 �' Y, x 00 � r✓ *PERJIAIT FEE PAlb SRA " SHERIFF OTHER AMOUNT RECE=VEb ri 'agar NUMset �3 �2- • TO 6E PVT INTO COMPtl1'ER Fireplace Total Valuation E Filing Fee $ Permit Fee $ Plan Checking Fee $ Energy Plan Checking Fee b S PERMIT FEE $ PLUMBING PERMIT Each Trap Solar or heat Pump water heater Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Building sewer Mobile Home S G W —T—+ PERMIT FEE $ ELECTRICAL PERMIT 000V OR LESS Main Service tow OR LESS Main Service 200A TO 1000A NEW CONST. Own. OCCUP. OR ADONS. A — m nc 7.00 23.00 15.00 15.00 15.00 15.00 920.00 20.00 20.00 6%/ U. ca ng Fee 20.00 23.00 _46.00 o 3.5¢F. 97.50 Ex. Occup. oLmEr OR FDITURES zu W 1.00 SAL Q .SO Ex. Occup. PPEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE I S 0 I__ MECHANICAL PERMIT I Fling Fee 1 20.00 Cooling Hood 8.50 PERMIT FEt'- S Mobile Home Installation Fee b Energy Inspection Fee $ OCC CONST. TYPE [LOYAL FEE $ NAZ. 1 D. FEES I IIMP FLOOD I COF I &AcPL I Pd I No I ISSUE 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. By Date PERMIT EXPIRES ON 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 V ASSESS° ARCELNUMISER a - a o-0a� � o �as^ar ��� ZON"O . BUILDING PERMIT OWNER G O v! / V TELD44ONE SO. FT. OCC. BUILDING VALUATION OWNERS NO P12,RES ADDS a G CO R'8 TELEPHONE "D-0,;, CONTRACTOR'S MAUNO ADDRESS ' CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fire IBC. Total Valuation $ ARCHRECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 ARCHRECT OR ENGINEERS MARINO ADDRESS Permit Fee $ Plan Checking Fee b BUILDING AnoREssIOL ` Energy Plan Checking Fee S $ PERMIT FEE $O PLUMBING PERMIT I Flino Feelot 20.00 -0- ����•:N�:' :.:e PARCEL MAP USEOFSTRUCTURE / SF ❑ Duplex ❑ Mobilehome & Other sPEcsv Each Trap 7.00 Solar or heat um water heater 23.00 Water piping 15.00 U� TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 4;1111 S U- Each as water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 �co, Mobile Home I S I G W (920.00 PERMIT FEE S—O,GU ELECTRICAL PERMIT Fling Fee 20.00 Main Service z�ow oA mss 23.00 *PERMIT FEE 1PA1b ; • _ SRA ; SHERIFF ; ! OTHER ; i It111lOVNT RECEIVEp ; � S *RECEZPT NV6('0� A TO BE Pili zwo cowvm io Main Service 200A TO IOOOA 46.00 NEW OR ADONS.S.T ( OWE=. .00c.up- 3.5¢x. NEW cum I.MULTI.OUTLET @7.50 NON•RESID. POWER APPARATUS 6 SNGIE OLRLET C.. Ex. OCCU . OUTLET OR FIXTURES 20 O I'O0 BAL .SO Ex. OCCU FIXEO APPLNS. OR oLmE�s ESID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEL: : Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ IIAZ• 1 D. FEES I IMP FIAOD COF PARCEL PD ISSUE 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. BY Date PERMIT EXPIRES ON re ^�'tl•.r::.rr.-J^"�'�..(i'�,.�'/•�'*!"�t.,.1-.;-v..+'�""�.� ^-i-7�;^r^+(id's+::�>� �`M%+["ti�'WF�i`� . ! 2� j� ,,i ,��ZJ � - i ,,,+:r COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVIILE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET OWNER:)Ic��aQjiASSESSOR PARC LINUMBER: � � so 0�) Proposed Building Use: Building Inspector: Date: At time of permit application, I was advi ed the&cllowing data must be submitted prior to permit processing and/or i sua ce: Date Received By ❑ 1. All items have been submitted............................................................................................................. ❑ 2. Plot plans, 3/4 sets, signed by the preparer of plans............................................................................. ❑ 3. Complete plans, 3/4 sets, signed by the preparer of plans................................................................... ❑ 4. Engineered plans and calculations, 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.................................................................................................................... ❑ 9. Manufactured Home Data and Installation Instructions including Tie Down Specifications .............. ❑ .10. Fees of $.......................................................................................................... ❑ 11. Impact Fees as shown on the attached schedule.................................................................................. ❑ !2. California Department of Forestry Plan Approval/Fees...................................................................... ❑. :3. Flood Elevation Certificate.................................................................................................................. ❑ -4. Sanitation and Plot Plan Approval Environmental Health Department.......... ❑ 15. City of Chico Plumbing Permit............................................................................................................ ❑ =6. Plot Plan and Business License Approval from the City of Biggs ....................................................... Ll - 7. Planning Approval for (A) Use: )Z _ (B) Parking: ........... N) o�g 8. Contact Land Development about ❑ Improvements, ❑ Drainage,`&Legal Parcel. nW619.&....... to//9/6) M W. wv'r 2CCVvin4o ❑ A. Encroachment Permit for Driveway (constructn approval prior to occupancy) . ......................... .I �0. Pre -Inspection f6; required. Request to Building Inspector (Date) Ll ':1. Contractor's License Inform tion (Nu r, Name Style, Classification) ........................................... ❑ 2.2. Workers' Compensation carrier and policy number.............................................................................. ❑ 2.3. Owner -Builder Verification (❑ Given to Owner, ❑ Mailed to Owner) ............................................. ❑ 24. Letter of Signature Authorization........................................................................................................ 25. Recorded Copy of Agricultural Acknowledgment Statement.............................................................. Q A i^ ❑ c6. Letter of Intent on Building Use/Detached Accessory Building Form ................................................ ❑ 27. Manufactured Home Utility Clearance................................................................................................ 8. Existing violitions and/or expired permits��.�............ p.............................................. ❑ 433 A, rant Deed, ❑ M.H. Title,►�]'�Check to H.C.D. $ �� ............. ❑ 30. Other ������ ������ °°°°°° .................... When you issue the permit, process as follows: ❑ Mail to Owner, ❑ Mail t Contractor. Yelephone !790Z0Q:7_S"__ and hold for pickup at office. ❑ Deliver with Inspector. Applacan Date: �r/ Copy of Haz-Mat form sent ❑ Health Department, Ll Fire Departme it Pollution Date: By: Copy of Plans sent ❑ Health Department, ❑ Fire Department, ❑ Other Date: By: 1. 1-idex 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 y: ❑ phone, ❑ mail, ❑ Building Division counter, By: Date: Plans reviewed by: &.�5 e_l / Q. Date: Plans reviewed by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ .P. f Ider. Note transfer by: Date: Yellow Copy - Department of Development Services - Building Division r 2"x 2"x 3/16" STEEL ANGLE DETAIL "A" CHASSIS FRAME 1/4" GRIPPER PLATE (2) REQUIRED 1/4" GRIPPER BASE 1/2-13UNC-A307 x 4" BOLT WITH NUTS (4) REQUIRED 01 1/2" SCH 40 PIPE RISER WITH 01/2" ADJUSTER HOLES AND 3/8" THICK TOP PLATE 02" SCH 40 PIPE STAND WITH TWO 01/2" ADJUSTER HOLES ABESCO ABS PAD #503 -� STEEL FRAME SEE DETAIL "A 3/8" CAD PLATED BOLT, NUT & WASHER COUNTER BORED FLUSH WITH BOTTOM AT 8" O.C. (8) REQUIRED 1/4" STAND BASE ABESCO ABS PAD #503 36" MAX TO BOTTOM OF PAD 01/2"x 3" C.R. LOCK PIN WITH 01/8" BRIDGE PIN r' I COACH "C" FRAME 2" CHANNEL 1/4"x1-1/4"- TEK STS (2) REQUIRED 1/4" GRIPPER BASE 1/2" A307 BOLT (2) REQUIRED 3/8"x 6"x 6" STEEL PLATE 1/2" A307 BOLT (2) REQUIRED 10.00 —1 0 0 1- 10.00 x _LI C�t o 09/16 HOLE (TYP) STAND BASE TOP VIEW 37" TUF-1 PERMANENT FOUNDATION SYSTEM APPROVED rl Ile 1/4" GRIPPER PLATE COACH "J" FRAME 1 /4"x 1-1 /4" TEK STS (4) REQUIRED 1/4" GRIPPER BASE 1/2" A307 BOLT (4) REQUIRED C -BEAM J -BEAM ATTACHMENT ATTACHMENT 81" 1/2" DIA. HOLE (8) PLACES J —_ + 4 30" _ STEEL FRAME TOP VIEW STATE APPROVAL t;! y z o o z cl a v 00 �Qn Ia °z•� S Q po > u o1Mcg Q.... En �� Ca u� x ow 0 Z WAYNE T. POLVADO, PE -LISTING NO. F94249 SHEET 1 of 3 GENERAL NOTES GUS GUARD TUF-1 1. DESIGN LOADS: LIVE LOAD - 30 LB. FLOOR LIVE LOAD - 40 PSF WIND LOAD - 80 MPH EXPOSURE "C" SEISMIC ZONE "4" *SNOW LOAD 100 PSF (SEE NOTE #15) 2. THIS FOUNDATION SYSTEM IS DESIGNED TO BE CONSTRUCTED ON A FAIRLY LEVEL SITE WITH NO EXISTING SOIL PROBLEMS. 3. CHASSIS BEAM SUPPORTS SHALL BE LOCATED AND SIZED FOR THE LOADS AS SHOWN IN THE "MOBILE HOME INSTALLATION INSTRUCTIONS". 4. IN AREAS WHERE DIFFERENTIAL SETTLEMENT (D.S.) CAN OCCUR, MANUFACTURED HOME SHALL BE READJUSTED WHEN DS EXCEEDS 1/4", OR WHEN IT WILL ADVERSELY AFFECT MOBILE HOME UNIT. 5. CARRY ALL FOOTINGS DOWN TO FIRM, UNDISTURBED SOIL. FOOTINGS ARE DESIGNED FOR 1,000 PSF TOTAL LOAD SOIL PRESSURE, AND SHALL BE COMPATIBLE WITH LOCAL SOIL CONDITIONS. COMPACTED SAND MAY BE USED TO FILL LOCAL VOIDS UNDER PADS. 6. STRUCTURAL STEEL: FABRICATED ACCORDING TO AISC SPECIFICATION. WELD ACCORDING TO AWS SPECIFICATIONS. ELECTRODES -370 PLATES -ASTM A36 BOLTS -SAE GR 5=ASTM A449=ASTM A3725. 7, THE GUS GUARD ASSEMBLIES SHOWN ON THIS PAGE SHALL BE LISTED AND LABELED BY BSK AND ASSOCIATES FOR THE FOLLOWING LOADS: ALLOWABLE LOADS: HORIZONTAL VERTICAL GUS GUARD TUF-1 2200# 6000# GUS GUARD MGP PAD 2200# 6000# GUS GUARD E -Z TIE PAD 2200# 6000# 8. DURING PRELIMINARY INSPECTION, THE ESTIMATOR SHALL ENSURE THAT MOBILE HOME CHASSIS BEAMS ARE OF STANDARD SECTION. 9. EXISTING COACHES MAY BE RETROFITTED TO RESIST SEISMIC FORCES BY INSTALLING GUS GUARD TUF-1 UNITS AS SHOWN ON THIS PAGE OF TYPICAL FOUNDATION PLANS. 10. THE GUS GUARD TUF-1 SYSTEMS ARE SAFE FOR INSTALLATION IN FLOOD PLAIN AREAS WHERE DEPTH OF FLOODING DOES NOT EXCEED THE HEIGHT OF THREE FEET. t t. MULTIPLE UNIT INSTALLATION IS ACCEPTABLE PROVIDED THE NUMBER OF TUF-1 UNITS UNDER EACH UNIT IS THE SAME AS SHOWN REQUIRED PER EACH UNIT. 12. SINGLE -WIDE UNITS REQUIRE ADDITIONAL RESTRAINT. ' (SEE SHEET #3) ' 13. ALL METAL COMPONENTS AND ATTACHMENTS ITEMS SHALL BE PROTECTIVE COATED. 14. WHEN CONCRETE SLAB IS IN EXISTANCE, PAD IS NOT 16. FOUNDATION BLOCKS 16"x 16"x12" POURED IN PLACE AT GROUND LEVEL MAY BE USED AT INSTALLERS DISCRETION ALTERNATIVE TO PADS. SINGLE WIDE COACHES DOUBLE/MULTIPLE COACHES E= 2' MIN. / 8' MAX. E= 2'MIN. / 11' MAX. S= 6' MIN. /16' MAX. S= 6' MIN. / 22' MAX. VARIES 10'-70' (SEE TABLE ON SHEET #3) E S w}�- Si "_ SE -� u u u❑ a u RIDGE BEAM SUPPORT AS REQUIRED BY MANUFACTURER O 0 (TYPICAL) ri a ❑ E] ❑ ❑ _4 - ❑❑❑❑ 8' NOM. n I 12'�NOM. n I I ❑ PADS IN ANY PAIR MAY BE T STANDARD M.H. FOUNDATION N ROTATED 90 DEGREES OR PIERS AS RECOMMENDED BY PVC SERIES OFFSET TO OTHER SIDE TO THE MANUFACTURER OR THE SUPPORT' AVOID CLEARANCE PROBLEMS. ENGINEER. TYPICAL THROUGHOUT PAD (TYP) o. 17918 Exp. 4t *1 �`��a! � `r OF C REQUIRED. ANCHOR STAND TO CONCRETE SLAB WITH TUF-1 PERMANENT FOUR (4) 1/2"x 3 1/2" EXPANSION ANCHORS. FOUNDATION SYSTEM 15. GUS GUARD TUF-1 FOUNDATION SYSTEM PROVIDES ALLOWABLE SNOW LOAD TO 100 PSF WHEN INSTALLED A}3ESCO-GUS GUARD COMPANY WITH EXISTING STANDARDS REQUIRED BY COACH 5851 FLORIN - PERKINS ROAD MANUFACTURER OR REPLACE THEM ON A ONE TO SACRAMENTO, CA 95823 ONE BASIS. -1. .. --N --- ---- STATE APPROVAL O 0 O " O en A A N o a g A C1 6 3d $ 1 Al �c F' CL 1 F t"� , a� c O c. cn `U C) � N U w gymQ Z M x ti Oz O .J m �F � z WAYNE T. POLVADO, PE—LISTING NO. F94249 SHEET 2 or 3 1q, //z^" a //z^ 1/2^x e^ Lowc cxpxwsmw Awn*on xwo*on anL7 (4) REQUIRED \ 9 (4) REQUIRED C0NCRET[ PAD INSTALLATION CHASSIS FRAME //4' cn/ppcn PLATE (z) xcomncn 1/4^ nmppcn oAsc 1/2-13owo-x307 x 4^ BOLT WITH NUTS (4) REQUIRED */ \/z. scx *o PIPERISER WITH *//z^ AoJosrcn xoLcs AND T*/cx nnp pwTc wz^ sC* *o p/pc s7Awo WITH TWO 01/2" ADJUSTER *oucs ABESCO ABS PAD #503 STEEL FRAME POURED IN PLACE 16x16x12 CONCRETE FOUNDATION INSTALLATION',,�43 6:�M�A X 1-0 Mnuo-pnos nnnn LIGHT HEAVY—WEIGHT PLASTIC PAD INSTALLATION LENGTH WIDTH OF HOME mmnm nvnn nwn.R LENGTH 6F WIDTH OF HOME nvwuLx uv /oF-/ ncqo/ncn wowocn or ror-/ ncuo/nco NOTE: s/wnuc vwoc uwns ncomnc (*) c -z nc p«os. uos uoAnu ror-1 p/cns ARE TO BE PLACED AT APPROXIMATELY EQUAL INTERVALS ALONG EACH FRAME RAIL. or^ TUF-1 PERMANENT FOUNDATION SYSTEM A13ESCO-GUS GUARD COMPANY 5851 FLORIN - PERKINS ROAD SACRAMENTO, CA 95823 PH: (800) 382-8831 WAYN[ T. POLVADO' PE—LISTING NO. F94248 SHEET 3v/u 0 PLANNING DIVISION -BUILDING PLAN APPROVAL Use: L- k Date:—] o— I Parking: Landscaping: Other: Signature: P.M -NS PECTI REPORT*.. OWN. I;a 10 14 LOCA CONTRACTOR: PRE-INSPETION FOR: DATE TO INSPECTOR: Building Description: Commercial/Usage: Residential/4 of Units:4�— Currently Occupied Abandoned/Vacant Electric: Yes— No Condition of Electric - Gas: PERMIT HISTORY:( )NONE DATE: —L04ff1kV-- (PS FOLLOWS: BUILDING INSPECTOR'S REPORT I Electric currently On Off Natural Propane None Currently On off Obvious Problem: Sanitation: Plumbing Working Well Working Potable Water Obvious SewageProblem q Comments: -L ACTION RECOMMENDED: ISSUE: HOLD FOR B� n -t'<' M�Rm- Inspector: %V Date/d--j Sketch buildings on reverse and indicate location on property. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION t 7 Count Center Drive • Oroville, Y California 95965 •Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT AssEsso ARCELNUMaEA ZONNO BUILDING PERMIT OWNER ! / TELEPMNE (/ SO. FT. OCC. BUILDING VALUATION OWNERS NO ADDRESS if _ J-, -4 I_ l CONTRACTORS MAJUN0 ADDRESS CONSTRUCTION LENDER LENDER'S MNUNO ADDRESS ARCNrrECT OR ENWNEER LICENSE NO. ARCHITECT OR ENGINEERS MAJUNO ADDRESS BUILDING ADDRESS 1 c-)- l 71 j v., ,2 Q �LT7w�. I 3UaMS.ON'S NAME PARCEL MAP USEOOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome tY Other SPECIFY TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: per/ FAQ�Z1/�A *PERAAIT FEE PA2b SRA • . SHERIFF OTHER AMOVNT RECEXVEb V •rtEc�rr NUMsve � �a-- ' TO 68 !VT INTO COMMlTER Fireplace PERMIT FEE S 0.ew Total Valuation E I Filing Fee 20.00 Main Service Blina Fee E Main Service If Permit Fee 6 �. Gv S OR ADONs.i ( Plan Checking Fee $ NON -REBID. � Energy Plan Checking Fee S S PERMIT FEE S 1z PLUMBING PERMIT Filing Fere Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W (9?20.00 20.00 20.00 ev Ex. OCCU OUTLET OR FomlREs PERMIT FEE S 0.ew ELECTRICAL PERMIT I Filing Fee 20.00 Main Service 20 OR LESS tow ORtEss 23.00 Main Service If 200A TO I000A 4NEW 8.00 OR ADONs.i ( Dw ACC. &OnsuP. 3.5¢R: NON -REBID. � MULT40UTLEf �'N CNCUNT9 � LJ7.5O 9 Ex. OCCU OUTLET OR FomlREs 20 ® 1.00 SAL 6D .50 EX. OCCU ODUTLETSMESSIio.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEEJ S MECHANICAL PERMIT Filing Fee 20.00 Hestina 8.50 PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ DCC CONST" TOTAL FEE $ %q 5O HA2. 10. FEES I IMP FL000 I COf I PARCEL I PO I ND I ISSUE 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. By PERMIT EXPIRES ON Date 29-25-21 & 22 , 'EARNEST EVANSy/� .544'5 Midway Drive, icl ale%6 Permit #5806-75P,E(utG ELEC. GASAl SUPPORT STRUCTURE REQ. COMPACTION TEST REQ. 29-25-21 & 22 !contr:Kogps Mobile Home Ser., Oro. — Permit #395-76MHI hnA t , ,, ► .� . m I ri 0 li Suite county �, I • - , t.. 4 4. ... �,, .. . LAND OF NATURAL W E A L T H AND BEAUTY BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 December 7, 2001 FAX: (530) 538-2140 Harry McDonald P.O. Box 115 Richvale, CA 95974 RE: Request for HCD 433 A (Mobile home on Foundation System) APN 029-250-021 & 022 1210 Lindale Ave., Richvale Dear Mr. McDonald: The 433A that was recorded by our office on November 28, 2001, cannot be sent to H.C.D. for processing until we receive a letter from the legal owner giving permission that the Mobile Home be placed on a Foundation System (Mobile Home title shows that First Interstate Bank, P.O. Box 5140, Portland, OR. 97208 is the legal owner on the Mobile Home). For your convenience I have enclosed a copy of the Mobile Home title. Should you have any questions concerning this matter, please contact Paula Atterberry, at (530) 538- 7541 . ncerely, Paula Atterberry Plan Application Assistant I EJ K November 9, 2001 Mr. Harry R. Mc Donald P.O. Box 115 Richvale CA 95974 RE: Building Code Violation 1210 Lindale Ave., Richvale CA 95974 AP's # 029-250-021 & 029-250-022 Dear: Mr. Mc Donald: PLANNING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7601 FAX: (530) 538-7785 This is a courtesy notice to notify you that you are in follows, at the above -referenced location. Failure to obtain the required permits, conversion of a patio to living space. of the Butte County Code, as and approvals from this office for the Since special inspection reports are required X.- the above work, please submit said reports for review. Final field authorization cannot bede until the special inspection reports are reviewed and approved. It is the County's goal to obtain vol ary compliance with the Butte County Code. However, you should be advised that Butte ounty has an active Code Enforcement Program which provides an effective meanyesocuription enforcement if voluntary compliance is not obtained. Enforcement may be pursuedgh the issuance of citations, fines and the recording of a Notice of Violation including a of the action necessary to abate the violation. You have thirty (30) day to voluntarily comply with the above directions or to present an acceptable plan for abat'ent or corrective actions to be taken by you. Should you have any questions concerning t s matter, please contact Scott Rutherford or Michael Vieira in this office at the address or tele one number listed above. cerely, �u Mic ael Vie* a Ma ager, B ilding Inspection , n MCVa^ p V\f cc: Assessor u t 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 RE: Building Code Violation 1210 Lindale Ave., Richvale CA 95974 AP's # 029-250-021 & 029-250-022 Dear: Mr. Mc Donald: PLANNING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7601 FAX: (530) 538-7785 This is a courtesy notice to notify you that you are in follows, at the above -referenced location. Failure to obtain the required permits, conversion of a patio to living space. of the Butte County Code, as and approvals from this office for the Since special inspection reports are required X.- the above work, please submit said reports for review. Final field authorization cannot bede until the special inspection reports are reviewed and approved. It is the County's goal to obtain vol ary compliance with the Butte County Code. However, you should be advised that Butte ounty has an active Code Enforcement Program which provides an effective meanyesocuription enforcement if voluntary compliance is not obtained. Enforcement may be pursuedgh the issuance of citations, fines and the recording of a Notice of Violation including a of the action necessary to abate the violation. You have thirty (30) day to voluntarily comply with the above directions or to present an acceptable plan for abat'ent or corrective actions to be taken by you. Should you have any questions concerning t s matter, please contact Scott Rutherford or Michael Vieira in this office at the address or tele one number listed above. cerely, �u Mic ael Vie* a Ma ager, B ilding Inspection , n MCVa^ p V\f cc: Assessor IQ: Allain Assessor Inquiry Nov 09, 2001 08:55pm� Name MCD0NALD HARRY R ? I Asmt # J Fee #1029-250-022-000 _ 5 Status JACTIVE ( Status Date' Addr1 BOX 115 j Tax'00M—Or� NORM�`_ AL OWNERSHIPS TRA X05.7-06.5 i Situs •Addr2 JRICHVALE CA 95974 - - - Addr3l Base Dt RIM h-�J 1 - Land T-3 AgPres Structure 21,179;. 0'� i4ddr4 - --- -_ - Comments2925002200 CONVERTED 09!08!88 - --<-_ — Etal Fixtures rp Notes Growing 0 W Creating Doc# 197682040349 ;� Date - _-- 1 i Bonds - '.Total L&I Cuirent Doc# 1994843934, Date 10l20�/1994 - I--------�. r Multi Situs Fix. RP 0 Killing Doc# _ _ �� Date Asmt Desc LOT 22 MIDWAY DR. � SuplCnt�110 j I073 FIag1 i MH PP FIag2 p PP _ 0; 0 - � �i - _� Zoning ARMH Dwell 0 N E Exempt OJ Asmt PP Pen Net _ 0 - - - 21,179 -Acres - 0.00 N!C 029 Tax PP Pen �3Appeal Pending TIR D Split Pending �jJRIC Stat y PHY' r OWN '� EXP ! T i; HON � A_TTSr IT� APR, PCL�yy 0- F0.1 find !1 ��EQIsa, 07125/20013:27:21 PM -- — A Assessor Name MCDONALD HARRY R Asmt # ( Fee # 029.250-021-000 Status ACTIVE Status Date Addr-I IBOX 115 Tax 000 NORMAL OWNERSHIPDTRA 057 065 Addr2 I RICHVALE CA 95974 Situs, Addr3 ^ Base Dt_ Land [Structure ;Fixtures a Growing _ _ 21,179, -- 5,573; y0 Q Addr4 i _ __ OJ AgPfes �'Fr'j- Notes, 'Comments 2925002100 CONVERTED. 09!08!88Eta,l - - - Creating Doc#.197682040349 Date �'I� Bonds' I Total L&I 26,752; Current Doc# 1`994R43934_ Date 10/20/1994 1 Multi Situs o Fix. RP 0 Killing Doc#• Date I_--� j� Q Flag1 MH PP 0 "Asmt Desc LOT 21 LIN_D,4L_E &� SuplCnt� Flag2 PP 0 Zoning ARMH Dwell CJ Asmt PP Pen Exempt 7,000 Acres 0.00 N!C 029 � Tax PP Pen Net R!C# 19;752 Appeal Pending T/R Dt z. " Split Pending R/C Stat `' PHY EXP TAX HON ATT SIT APR. , PCL ISI ►� . Find' Q k001 1sa, 07f25j2001 3;27;21 PM 1' util.•,MH 'PERMIT NO.' 5806-75P,E s P ., E 1• 1 M MH UTIL. PERMIT NO. 1� PERMIT EXPIRES//// 1� is OWNER Earnest Evans f CONTR. Owner g LOCATION (A.P. 29-25-21 & 22 ) !i 415445 Midway Drive, Richvale X _ A}} it • l l 1i Y k '4 . �l• Temp. Power 41" Called G&E Teems ec. Serv. C led PG&E Gas Serv. 7 C, Called PG&E JOB FINALED COUNTY OF BUTTE — DEPARTMENT OF'PUBLIC WORKS BUILDING INSPECTION RECORD JBUILPING _ I BUILDING (Cont'd) I PLUMBING Setback / Z / J(o _%?� Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish '" 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Pi in Z Z Piers Roofing Sewer l 7 Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall Prov. for physically Heaters Slab handicapped Appliances Carport Conformance of ex. Gas Piping & Test Footings structure Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch'Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS z12 12eJ c4zo�' 71 2s az.) 9. Electrical' A� Is service large enough to provide aaequat"evamperage-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- Is there proper clearances around panels? Yes No Is power supply cord or feeder assembly properly fused? Yes LY No_ C,"v D/ Is continuity test satisfactory as per the following procedure? Yes_ No l� De -energize electrical wiring system of the mobilehome at the pedestal. Make surd that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. Switch all breakers .and switches in the mobilehome-to the "on" position. V_11�1 Connect one lead of a test.instrument to the mobilehome grounding conductor and apply the other lead to each m.obilehome 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. 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' Names tyle �/1�1�<<•t Length CO S' Width Z ::5. Vehicle Serial No. State Identification No.4?�/Y -2_73 o Z —( lze Additional:Informati:on or Comments: MOBILEHOME INSTAL-LATION INSPECTION CHECK LIST Is the mobil'ehome located with required separation from lot lines and buildings and generally conform to.plot plan? Yes ; No �i Does the mobilehome have required clearances above ground? (Sec.5085) Yes No Are footings and supports properly sized, spaced, and braced as per approved plans? (Note' possible variation at spring shackles.) (Sec. 5082 & 5083) Yes—IcNo /4. Is the mobilehome level? (Sec. 5088) Yes Al No 5. I.f more than a single unit, are crossover connections properly installed? (Sec. 5088) Yes No ' 6 W iter �y Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) / f Yes No Test - Does water piping withstand working pressure or 50 lbs. air test? Yes No Backflow - If coach is not State of California approved, does station have backflow device and pressure -relief valve? Yes_ No IV4 Wastes and Drains Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes No B/ Does it have minimum k" per foot slope and is it properly supported? Ye No 7_ 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 n /A 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 inlet without reductions other than the mobilehome connector. Yes_L No �. Test OK as per following procedure? Yes No Open all appliance connector valves. Shut off appliance burner and pilot valves. 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. / Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. .C. Are all appliance vents properly installed? Yes 1' No COUNTY OF BUTTE - "DEPARTMENT OF PUBLIC WORKS 7 County Center Drive = Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. x7� �17'�r��ui Date JI-1.2- Signature I/.2-Signature of P2ermitee or Agent Receipt No.✓� y White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF ABLIC WORKS BY Date 4JIV aiing permit expires Date BUILDING Owner i7 5r SQ. FT. OCC. BUILDING VALUATION Mai I i ng Addres Telephone No. Fireplace Contractor ��� 1 Total Valuation Mai I i ng Address Permit Fee Plan Checking Fee &/or Penalty Telephone Na. Permit Fee $ Building Address PLUMBING No. @ I FEE PERMIT FILING FEE $3.00 /V Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Qt.� Each gas water heater or vent 1.50 A. P. No. j—/v�,Z',Z—�� oning & Gas piping system 1 - 5 outlets 1.50 Q, lit, Each additional outlet .30 Fd i on Fire Dept. Fire Zone Use Permit Building sewer 5.00 Q, EQA Parking Plans I Parcel Declaration Parcel Ma P 60' R/W Im provem nts Lawn sprinkler system 2.00 Bldg. aPi�ns Recd Parcel Approval 41:1Plans pproval Permit Fee $ j NEW ❑ ADDITION ❑ UTILITIES � OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter;Ld13 3, Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home Others ❑ Range, Cook -top or Oven 1.00 !061,V SSC! �%� O <<' Water Heater or Space Heater 1.00 Light fixtures b00a (a2 10 Receps., switches & fix outlets b In CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring I am exempt from the Contractors License Laws of the State of Cal ifomia. Permit Fee $ $ y7i WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of orkmen's Compensation Insurance. I certify that in the performance of the work for which this permit ,is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood J 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 TOTAL PERMIT FEE $ L !i �cJ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. x7� �17'�r��ui Date JI-1.2- Signature I/.2-Signature of P2ermitee or Agent Receipt No.✓� y White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF ABLIC WORKS BY Date 4JIV aiing permit expires Date J $ COUNTY OF BUTTE -D.EpARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 /C/O APPLICATION AND PERMIT , aura wi'cc icNicacn rauvca UI Lilt:LIUunty UI C51.11.111 w enter upon the above-mentioned property for inspection purposes. X P4_A'_ !40 Date `^v 2 7- 7 6 - Signature Signature of Permitee or Agent Receipt No. /Ya d �5 •+� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PIJBLIC WORKS BYBu�hqpe�rmit expires fate L Date7s Z �1-%� BUILDING Owner ,5S• 7- " A aS SQ. FT. OCC. BUILDING VALUATION Mailing Address L Telephone No. Fireplace Contractor �� Q L�E Total Valuation Mailing Address S Permit Fee Plan Checking Fee&/or Penalty Telephone No. Building Address Permit Fee $ PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 �S Ilef f 19 C. -j X Ve, Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. - a S- ,;, / -+F- 2 Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Ftee1r V,�e Satin Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plan Parcel Declaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 Bldg. Pla s Recd Par Appr. vol Pla s Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 OR L Main service 1000 AMP ORSLESS 5.00 Main service EA. ADD•L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service OVER 600V 1100 AMR OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 5-' '6 - q�Q L� 25-''66-2 iT (1 �-( NEW CONST. OR ( ACCLBLDGOCCUP. &) 20sgft CONST NEW CONSTR MULTI -OUTLET NON•RE51D. ( BRANCH CIRCUITS) 2.50ea • NEW CONSTR /POWER APPARATUS &) NON-RESID. (SINGLE OUTLET CIR. 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: / V (• I�•l J /(� Ex. Occup(OUTLETS OR FIXTURES)NL 25C BAL�1 Ex. CCU FIXED APPLNS. OR Q P• (OUTLETS (RESID.) EA) 2•00 Temporary service 10.00 Mobile Home Facilities 15.00 License No..f1 141 Zr Classification C- lo% 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. 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. 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 MECHANICAL No. @ FEE PERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ �f7 r p TOTAL PERMIT FEE aura wi'cc icNicacn rauvca UI Lilt:LIUunty UI C51.11.111 w enter upon the above-mentioned property for inspection purposes. X P4_A'_ !40 Date `^v 2 7- 7 6 - Signature Signature of Permitee or Agent Receipt No. /Ya d �5 •+� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PIJBLIC WORKS BYBu�hqpe�rmit expires fate L Date7s Z �1-%� BUTTE COUNTY DEPARTMMNT OF PUBLIC WORKS 7 County Center'Drive, Oroville,.CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET VL21. Owner's name: �4/r, /VC- 2. . Installer's name: 3. Is the site currently under permit? Yes /5(/ No T-7 (If yes, furnish permit number J�y� %��� ) OR Is the site an existing site? Yes / / No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at.least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes /�C/ No / / '( If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- 10.6 Amps 6. What is the mobilehome site service rating?. --7 ------------------ 7. ating?--------------------- 7. What is the mobilehome site circuit breaker rating? ------------- 8. Is there any other electric load to be served by the mobilehome siteservice? --------------------------------------------------- (If yes, identify the load and size: (Load) 9. What is the mobilehome site gas pipe size? =-- -- _2. C,7 0 Amps /00 Amps Yes P( / No / / /S (Amps) .r 10. What is the type of gas service? ----------------------------- Natural /)( / LPG 11. What is the gas,pipe length from meter or tank to the mobilehome? Ca LdAd^ / ft.) 12. What is the mobilehome gas demand? ------------------------------ 1;!90, (200 (BTU) (This information not.required if pipe length less than 6 ft, on natural gas or less than 50 ft. on LPG.) MOBILEHOM'k StjFFQK `DATA Mobilehame Mfr. 9I RyfylA�/ v ��o �• Setup Model No. 2. Year %-� Width 2 (ft.) Length. G (ft.) -Expando Size �ft.x ft. (Draw support details below) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not .on £ile with the County of Butte). i Center Center Support Support Footing Sizes Locations (in.) AA - in. in. in. G Sin lFootings- (check.one) I /x/ -1. Wood either pressure treated or fdn.`grade.:' / 2. .Concrete pad. 3. Other,`specify Supports (check one) 1. Concrete block 2. Concrete piers\ 77 3. Steel piers ........ .. 4. Other, specify _1 ...... ....... 41 Ve e Typical Support Fin.) x3� Footing Size ( in. /2-x 3O in.) .(in.) (in.) ....... Ell 1, �Max. Pier. 5 _ Spacing ft. in.) kin.) in f 1 A (in.) (in.)( I i - Max. Overhang *If center piers are other than drawn above, draw in locations, spacing, and dimensions. BUTTE COUNTY s BUILDING DEPARTMENT APPROVE® "MOTE:—All Materials & Workmanship Shall Be!n ccordance with Recognized Good Prnctiees end nf a quality prescribed for the Specified use in the Uniform Building, Plumbing & Machanical Codes and the National Electrical Code. Septic system and location 4aW'6P6�' to be a per Butte County Health Dept. Re- quirements. I The 4M, Setback shall be 5 #. froi the side property line and 50 ft. froi the centerline of the road, permittin a maximum of a 2 ft. eave overham This iYs MUSS -rte Rept on the yob at all tines and it is unlawful to make any changes or altPr0+;ons on some without written permission from the Department of Public Works, County of Butte. � perm►t will be r insta)lation' o¢ the u�wre for moi% om AI All utility connections, shall -be located within 4 ft. outside the rear third .section of the mobile home e . on the left (road) side of the mobile home. r i AO BUTTE COUNTY BUILDING DEPARTMENT APPROVED AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DMSION 7 COUNTY CENTER DRIVE OROVILLE, CA 95%5 Recorded Official Records County Of BUTTE CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 11:19AN 18 -Oct -22001 I REC FEE 7,00 1 COPIES 1,00 I PENALTY 3.00 I I 1 I Vickie I Page 1 of 1 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT J� FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit.of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: 1af a 5 b�10 w tJ o N-j�h �-a a �,I P&"p I= tAN,%`%� �I l.i/ ii t o pl�-te, il� Le�.0 c�"L� c9'j gw2 Gvpu %� b �� / 9��:ZN QPe 0'9 —��- 0;Z11—©062 -So oar -off Date (i l � l State of California County of On 2 PROP RTY OWNERS: �'e /2 y MCD N l4 �-► known to me (or proved to me o6 the basis of satisfactory evidence) to be the person(*) whose name($) is/mv-subscribed to the within instrument and acknowledged to me that he/WwAhey executed the same in his/heWtheir authorized capacity¢le,@), and that by his+b=Ww1r signature(- on the instrument, the person(*) or the entity upon behalf of which the personal acted, executed the instrument. WITNESS my ha and official seal f �Comml�ssion CE Signature a Cs�—� Seal: 1=2325 Z ti Notary Public — Colifomia f Butte County - A.P. # ti1Y Comm. BVM's May 30, 2002 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT `� I Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: aVICYIi Q 5 b4oW t,) o ti C" -r u �J 1�N,7— I`I Dry f LV , aG �yhe +� t M -W- %1� C� U t.7-I'y g w1�2 S �- or✓ u i cu Date OG7-1 j�m0 State of California County of On 935 PROP RTY OWNERS: C mCbnmAL Z persodally appeared—1 42A, , V/C• / eya' ,''F' personally known to me (or proved to me o4 the basis of satisfactory evidence) to be the person(o whose name(*) iskme-subscribed to the within instrument and acknowledged to me that he/skuA$Wy executed the same in hisAwWtbeir authorized capacity(, and that by hiir signature(, on the instrument, the person(p) or the entity upon behalf of which the person() acted, executed the instrument. WITNESS my ha and official seal. Signature a (s'- Seal: BETTY VANCE Commission # 1182325 z ti Notary Public — California Z ���� Butte County A. P. 4 �(�. 9 � x J f 0� My Comm. E9)1res tvMoy 30, 2002 AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION Recorded 7 COUNTY CENTER DRIVE OROVILLE,CA95%5OfficialRecords I REC FEE 7,00 I COPIES 1.00 ��-�j { County Of BUTTE -D' I PENALTY 3,00 CANDACE J. GRUBBS j Recorder T i ROSEMARY DICKSON I t I U Assistant 11:19AM 18 -Oct -2001 I Vickie " I Page 1 of 1 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT `� I Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: aVICYIi Q 5 b4oW t,) o ti C" -r u �J 1�N,7— I`I Dry f LV , aG �yhe +� t M -W- %1� C� U t.7-I'y g w1�2 S �- or✓ u i cu Date OG7-1 j�m0 State of California County of On 935 PROP RTY OWNERS: C mCbnmAL Z persodally appeared—1 42A, , V/C• / eya' ,''F' personally known to me (or proved to me o4 the basis of satisfactory evidence) to be the person(o whose name(*) iskme-subscribed to the within instrument and acknowledged to me that he/skuA$Wy executed the same in hisAwWtbeir authorized capacity(, and that by hiir signature(, on the instrument, the person(p) or the entity upon behalf of which the person() acted, executed the instrument. WITNESS my ha and official seal. Signature a (s'- Seal: BETTY VANCE Commission # 1182325 z ti Notary Public — California Z ���� Butte County A. P. 4 �(�. 9 � x J f 0� My Comm. E9)1res tvMoy 30, 2002 ' •PERMIT N0. 842-76B ' PERMIT EXPIRESL�7/ OWNER Earnest Evans CONTR.' Nort/hs�taateLAluminum, Chico LOCATION (A.P. 229-25-21 & 22 NW corner of Midway & Lindale, Rivhvale 5445, Midway Dr. Y k s y. o i Temp. Power Pole Called PG&E Temp. Elea Serv. i Called PG&E Temp. Gas Serv. Called PG&E SOB ✓ �/9�� . FINALED (Date) (Signature) Footings r COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION REWORD E BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall -Siding To out Slab Roof -Sheathing Water Piping Piers RoofingLc3 Sewer Garage Fdn. Vents Fixtures Footings Gara a Vents Water Htr. Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex..- structure Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing E Masonry Walls Throat Rou h Reinf. Steel Final Fixtures 'Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE / REMARKS OR CORRECTIONS 71L (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE - 'DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — UroviIle, California 95965 Telephone: 5y4-4541APPLICATION AND PERMIT authorize representativesof t e Coun of utt to enter upon the above-mentioned property for spe t' p e . ^% Date �_) ^,='2 3 7 Sign a of Permitee or Agent� Receipt o. ��� / nt.x`o White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This.permit is hereby issued under the applicable provisi4V401fiD0 the Butte County Code and/or resolutions to do work indicated above for which fees have been paid � DIRECTOR OF PUBILIC WORKS Bya `-`--� Date Z - Z7-7 G Bui?incgiffpp%erZit expires Date Z' , 7-7- % 7 BUILDING Owner �j� SQ. FT. OCC. BUILDING VALUATION 7 Mailing Address //9' Telephone No. Fireplace Contractor Total Valuation Mailing Address®7 Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee $ Building Address PLUMBING No.1 @ I FEE PERMIT FILING FEE J$3.00 r Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. .a -� Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma P 60' R/W Im provements Lawn sprinkler system 2.00 Bldg, Ions Recd Parc pproval Pion proval Permit Fee $ $ NEW ❑ ADDITION UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 10001 OR 0 AMP ORLESS5.00 Main service EA. AOD'L 100 AMP 2.50 Main service OVER s 25.00 V AMP OR LESS O Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main serviceEA. ADO'L 100 AMP 1.00 NEW OR ADONS%(( CONST.DWEACCLBLDGLING OCCUP. &) 2¢sq ft NEW CONSTR. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS) 2.50ea _ NEW CONST R. (POWER APPARATUS &) NON-RESID. SINGLE OUTLET CIR. 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: 2�/��/l�/A s�� ��a- Ex. Occup(OUTLETS OR FIXTURES) @@1 BAL@1 01 FIXED APP LNS• OR Ex. Occup.(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 % q �� License No. d' 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 W men's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL' No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construcyrt'jr, and hereby TOTAL PERMIT FEE $ authorize representativesof t e Coun of utt to enter upon the above-mentioned property for spe t' p e . ^% Date �_) ^,='2 3 7 Sign a of Permitee or Agent� Receipt o. ��� / nt.x`o White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This.permit is hereby issued under the applicable provisi4V401fiD0 the Butte County Code and/or resolutions to do work indicated above for which fees have been paid � DIRECTOR OF PUBILIC WORKS Bya `-`--� Date Z - Z7-7 G Bui?incgiffpp%erZit expires Date Z' , 7-7- % 7 SEPT, OF %Y OF lJ Poe B 7 8 2 51976