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HomeMy WebLinkAbout030-193-010CL WK STKET AWRM crry s. aed a � MUEM.Q: AND WHEN RECORDED WAIL To - BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 94-030274 194-030274 94-030274 +4-0;30274I Rec Fee .00 I Total .00 Recorded I Official Records I �- County of I Butte I Candace J. Grubbs 1 Recorder I 9:31am 20 -Jul -94 I COMS XX 1 SPACE ABOVE THIS LK 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 locoi 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 per- sons thereafter dealing with the real property. IMI ANA I*M REAL PROPERTY OWNER/LESSOR 1059 12TH STREET MAILING ADDRESS OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT CITY COUNTY STATE ZIP SAME UNIT OWNER (I_a alsn prcpez • _ ..__. _____ ":X1!_111; 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 4-1791 (916) 538-7541 1 IT TELEPHONE NUMBER 7/19/94 S GN f TUBE OF LOCAL AGENCY OFFICIAL DATE NONE DEA2ER NAME (If net a dealer sale, :..iso "NINE-) MAILING ADDRESS DEALER LICENSE NO. CITY COUNTY STATE ZIP UNIT DESCRIPTION GUERDON 1980 LA JOLLA MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER GDSMCA52791356 A/B/C 34'X52' 177343/344/345 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. #030-193-010 LOT 2, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "MAP OF THE DODGE TRACT NO. 2", A SUBDIVISION OF THE NORTH HALF OF LOT 5 OF BLOCK 101, OF THERMALITO, BUTTE COUNTY, CALIFORNIA", WHICH MAP WAS FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, DECEMBER 12, 1907 IN BOOK 6 OF MAPS, AT PAGE 102. HCD FORM 433(A) 4/86 P,oENT Or NOJ= V� W 0 o I (` 0 4*VAg7v pE``� R94-1791 Mff NO. Addreu or location of 1 59 12TH STREET, OROVILLE - - - - - - Legal Description of A.P. #030-193-010 -� Real Property- _ LOT 2, YSHOWN ON THAT CERTAIN MAP ENTITLED, "MAP OF THE DODG TRACT NO. 2", A SUBIDIVISON OF THE NORTH HALF.OF LOT 5 OF BLOCK 101, OF THERMALITO, BUTTE -COUNTY, CALIFORNIA", WHICH MAP WAS FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, DECEMBER 12, 1907 IN BOOK 6 OF MAPS, AT PAGE 102. A E:.Mobilehome/Manufactured Home 13Commercial Coach has been affixed to the real property described above by installation.on a foundation system pursuant to Health and Safety Code Section 18551. Ownsr's name: JANE F. HELMS Owner's address: 1059 12TH STREET, OROVILLE, CA 95965 _ INSIGNIA OR HUD NUMBER: 177343/344/345 SERIAL NUMBER OR Y.I.N. GDSMCA52791356 A/B/C GUERDON 1980 MAURER'S NAAE YEAR OF MANUFACTURE: 7/19/94 (916) 538-7541 MGD 513C r7/80) STATE OF CALIFORNIA -'DEPARTMENT Of +IOUSING'AND COMMUNITY DEVELOPMENT R GISTRATION CARD MOBILEHOME DECALNO; LAL-1110 MANUFACTURER NAME/ID TRADE NAME MODEL DOM DOT DFS SPC EXPIRATION GUERDOH/ LAJOLLA 00/00/80 00/00/80 U SERIAL NUMBER LABEL/INSIGNIA NUMBER WEIGHT LENGTH WIDTH ISSUED SCC EXEMPT USE T`i° I GDSMCA52791356A 177343 000000 000624 000144 10/30/90 04 SFD LPT 2 GDSMCA527913568 177344 000000 000624 000144 - 3 GDSMCA52791356C 177345.' 000000 000624 000120 TOTAL 4 FEES 5 PAID: B $57.00 A HELMS JANE F o 1059 12TH ST D OROVILLE CA 95965 R E i R HELMS JANE F 0 F A's ' E 'w fA G H �. I A 1059 12TH ST s I - • T L E OROVILLE - A 95965 _ R E loop, O s 1059 12TH ST� w I N T,_ c, E U OROVILLE CA 95965 -- 4 r RS 4 ......... . ............wy ,.'.:.,................... L BK AMER SACRAMENTO CONSUMER LN CENTER A PO BX 2160'05— L 160 `•''5' L O RANCHO CORDOVA � CA 95741 w DATE: 10/17%90 09:12:00< R � T - I R O 8 R T L N 8 H E O C 1 L O D IN E D IMPORTANT f 03-298-00092 THE OWNER INFORMATION SHOWN ABOVE MAY.NOT REFLECT ALL LIENS RECORDED WITH THE DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT AGAINST THE DESCRIBED UNIT. I THE CURRENT TITLE STATUS OF,THE UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT. 0300024 1059 - 12th Street Oroville, CA 95965 June 27, 1994 The License Decal number for the mobile home at the above address is LAL1110. The number is on the registration card. I do not have the decal. Ja e F. Helms MFG., Ove ✓i'.DO /U X217 om 00//0/IT0 IIZ;7,,l 1-04 FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged. WALTER E. REYNOLDS and LINDA A. REYNOLDS, husband and wife hereby CRANT(S)to JANE F. HELMS , an unmarried woman the following described real property in the unincorporated County of Butte , State of California. Lot 2, as shown on that certain map entitled, "MAP OF THE DODGE TRACT NO. 2, a Subdivision of the North half of Lot 5 of Block 101, of Thermalito, Butte County, California", which map was filed in the office of the Recorder of the. County of Butte, State of California, December 12, 190; in Book 6 of ilapb, at page 102. NJ _I �UiLi RECORDING REQUES E..D BY Butte `County Title Company M`AA. TAX STATEMENTTO Same as below 90-036306 ; R e c Fee 5.00 DOC 45.65 WHEN RECORDED MAIL TO Recorded ; Check 50.65 ".°°e I— Official Records ; sly( Jane F.Helms County of ; Adtkcss 1059 12th Street Butte ; c;l,c Oroville, California Canda a J. Grubbs ; si: 95965 t'.F%9:a$$i%0Kf• % 8:00am 24 -Aug -90 ; CD i ORDER NO. 36420 pc SPACE ABOVE RECORDER'S USE ONLY ESCROW NO. GRANT DEED (INDIVIDUAL) The undersigned grantor(s) declare(s): Documentary transfer tax is $ 45.65 TRANSFER ( X N Computed on full value of property conveyed, or TAX PaD ( ) Computed on full value less value of liens and encumbrances remaining at time of sale. ( X Y1 Unincorporated area ( ) Cit of 030-1 Tax parcel No. -.3-010-0 FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged. WALTER E. REYNOLDS and LINDA A. REYNOLDS, husband and wife hereby CRANT(S)to JANE F. HELMS , an unmarried woman the following described real property in the unincorporated County of Butte , State of California. Lot 2, as shown on that certain map entitled, "MAP OF THE DODGE TRACT NO. 2, a Subdivision of the North half of Lot 5 of Block 101, of Thermalito, Butte County, California", which map was filed in the office of the Recorder of the. County of Butte, State of California, December 12, 190; in Book 6 of ilapb, at page 102. NJ l 06/24/94 07:4'9 $714 579 2373 Bank of America 0 Southern California Consumer Loan Center June 23, 1994 Butte County RE: 1980 La Jolly ID #GOSMCA52791356 A/B/C DOH # 177344, #177345, #177348 License #LAL 1110 Helm, Jane F. To Whom It May Concern, 2003/003 Please accept this as Bank of America's approval for the placing of the above referenced Mobile Home unit, located at 1059 12th Street, Oroville, CA, 95965, on a Matt Guard 111 foundation system. The approval is contingent upon.proof of a. final certificate of completion. Should you have any questions, please do not hesitate to contact me at (714) 579-5868. Sincerely, '004r , - x1low B. Pipe? Assistant Vice President Bank of America Special Asset Management #4587 P.O. Box 2240 Brea, CA 92622-2240 Bank of America National Trust and Savings Association Boz 2240 Brea, California 92622 JANE F HELMS CDL M0413704 1059 12TH STREET (916) 533-1551 OROVILLE, CA 95965 iii l�l8 ' O '6,1,;p i 19,:?-� 3916 RESIDENTIAL ~ 030-193-010 PERMIT#94-1791 HELMS, JANE F. 1059 12TH ST., OROVILLE j CONT: GUS GUARD MOBILEHOMEON PERM FND V=OK r O=Not OK• = NotReayable dMOBILE HOMES Date/Initials MOBILE HOME UTILITIES (Plana) OK except #'a 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-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Teat -Wrap: / /"L"ft. / /"Net. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date/Initials MOBILE HOME INSTALLATION (Plans) OK except #'a 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3.. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fell -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy MISCELLANEOUS Date/initial DECKS, COVERS, CARPORTS, GARAGES, (Plana)OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posta-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date/Initials POOLS (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, Distances-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 Mein in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test V=OK O = Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date/Initials UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Fig., Mein; Soils-Elec. Grnd -/ P' Ftg. Depth 3. Fig., Garage; Soils-Steel-Elec. Grnd. / /" Ftg. Depth 4. Fig., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6s. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fell -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16, Insulation Date/Initials PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date/initials ELECTRICAL (Permit) OK except #'a 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors-Stepled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mach. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 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 -Meth. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date/Initials FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Wells (ret proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Date/Initials FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties- Puri In=roof Brec-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection-Dreft 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 3' -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 -Ceilings 60. Infiltration -Walls -Windows Date/Initials FINAL (Plans) OK except #'a 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. 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 -Mach. Protection 75. Plb., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door-Drainagge & 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; Pibg: Appliance -Fireplace. -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 Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Comrmnts at Final: n/ �_ COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916)53 -754. PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBCR 030-193-010 ZONING BUI NG PERMIT OWNER JANE F. HELMS TELEPHONE 533-1551 SQ. FT. OCC. BUILDING VALUATION i768 R 90,521.00 OWNER'S MAILING ADDRESS 1059 12TH ST OROVILLE 95965 CONTRACTOR'S NAME AUD I - q TELEPHONE !\ -C CONTRACTOR'S MAILING ADDRESS N yn 41'r/'� 1JW11Z1CSr,11 Fireplace CONSTRUCTION LENDERaq ' (`w- _ j 2 T UNKNOWN Total Valuation S Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 299.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1059 12TH ST PERMIT FEE S 514.15 OROVILTE, 99969 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome),( Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 20.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation EIOther Describe Work: PERM FOUNDATION PERMIT FEE g Contractor ELECTRICAL PERMIT Filing Fee 20.00 34 X 52 Main Service ( 200AORLESS ) 23.00 Main Service ( 200A TO IOOOA ) 46.00 NEW CONST. DWELLING OCC UP. OR ADONS. ( 8 ACC. BLDS. ) SO. 3.50 FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification O I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS 1)@7.50 ( POWER APPARATUS ) a SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BAL. @ 1.00 Ex. Occu FIXED APPLNS. OR p' ( OUTLETS IRE1I11.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division 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 Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 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 Butte County Ordinances and California 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X d v7 . e of A �� � i � „r / Date I lure of Applicant - caner O Contractor ❑Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 5.14.15 HAZ. I D. FEES IMP FL0 COF PARCEL ` HD I 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 - 'YZM�?& lDetel Receipt No. 163294 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT �ri�.-+r.r•�vrt.rld�•fyy',r`�.tw1^.jt�Mv.��`�4''�1A'3�''k�'{�v.+D.� i"r}+R�j�1•i'Y+:.��r+�iy;.yp,.ytw�i�s..-:•"S,.M".`Y�..-,.� ,r,.r�,..r.n-. n :r....vfy,4,�..,,,,.,•,,.v ' "COUNTY OF BUTTE -DEPARTMENT OF'DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE ( tv6) 538-7541 1= 01117 Proposed Building PERMITAPPLICATION DATASH A. P. No. C� ( 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 BY 1. Htems have been submitted . ....................................... . Plot plans, 3/4 sets, signed by preparer of plans. ..:- .. 3. Complete plans;'�3/4 sets, signed by preparer of plans. ........... ........ . 4. Engineered plans and calcs03 4 sets, with wet signature on plans. ............. . 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufact�f 's in tallation instructions, 2 sets. . 10. Fees of $ r �oX : rt . a r1.. J.4cC E' %........... ` 11. Impact fees as shown on attached schedule. �............................ . 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit. ....................................... . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements '(B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. . st 20. Pre -inspection for required. .., o Build ���specto, ate) -21. Contractor's license information. (No., Name Style, Classification) :.............. . 22. Certificate of Workmans Compensation'lnsurance. ......................... . 23. Owner -Builder Verification (Given to owner , Mail to owner _). .......... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... 27. Letter of intent on building use . ................ . ........................ 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ................. 31. Existing violations/expired permits . ................................. . r 32. Pian c ck list, ....... .., l 33. FtC ( (�or wi .�..�. �. 4 1 Sf ✓qt 1Oh ! i'� 2 34. d < o r )Irou issue the p rmit,,Process as follows: Mail to owner. Mail to contractor. Telephone 5 �3 � /J S and hold for pickup at office.: Deliver with inspector. Other Parcel Creation +°. Acreage Applican/9 Date G a? %�' Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior ermit 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 _ mail Counter by _ Date Contractor, designer, owner was advis of above re wired data by _phone _mail unter by _Date Plans checked by �--� Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE - DEPARTMENT OF DEVELbPMENT SERVICES - BUILDING DIVISION . 7 County Center Drive - Oroville, California 95965 - Telephone 1916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PA,VCEL NUMBER / D Z23.. 0/0 ZONING BUILDING PERMIT in- OWNER a n �� m S TELEPHONE 1^ - SSS SQ. FT. OCC. BUILDING VALUATION a 5 �° � OWNER'S MAILING ADDRESS 1 •1 ` r �/ DS- r• 1 ( 7 (/ C, 1. CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS - ' Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee 6- Oj9 $ 99i. 6-0 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ '- Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADogEss i �— (% PERMIT FEE $ S 4 PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF O Duplex ❑ Mobilehome )if Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W ElH @20.00 TYPE OF WORK New O Addition O Remodel O U I as O Installation 0 Other Describe Work: 12 V, VV\ �U f� 3 ' L X 7 J PERMIT FEE $ Contractor ELECTRICAL PERMIT Fling Fee 20.00 Main Service BOOV OR LESS 1 200A OR LESS ) 2.3.00 Main Service ( 200A TO IOOOA ) 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( 6 ACC. BLOS. ) SO. 3.50 FT. CONTRACTORS LICENSE LAW( I declare under penalty of perjury (check one) O I am a licensed under provisions of Chapter 9, Division 3 of the Business and Code and m license is in full force and effect. License No. y Classification O I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET .NON-RESID. 1 BRANCH CIRCUITS ) @7.50 POW ER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. @ .50 FIXProfessions Ex. Occup.UTETS (RESID OR (OUTLETS IRESID.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. O 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. O I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 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 Butte County Ordinances and California 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 against said County in consequence of the granting of this permit. X Date Signature of Applicant - O Owner O Contractor O Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEES HAz- 1 D. FEES I IMP I FLOOD I CDF PARCEL PD HD 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 I I PERMITEXPIRESON (De tel Receipt No. 7 t6 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT -3 J U! A - P LSU T 17: 1 D I EL NFI: PROJ) P.O.Drawer 209 Midpines, CA. 915345 (209)96645.540 Pax. 209-966.5549 .punt 23, 1994 L L i=012 1-101 Land olaold Realty Attention: 011ie Hendon 580-A Oro DOM Blvd* Oroville, CA 95965 Dear 011ifi: This is.a bid for installation of a Gus -Guard Systemg for 1059 *-, 12th Streett Orovillet MATERIAL --$2t565.00 LABOR $650.00 TAX $185.96 TOTAL: .$ 3.,400.96, and vendor is not responsible -'for. the Permit. LK/r Sincerely yours y Gus -Guard Products Wj UVJ/ V V J 06/24/94 07:49 $714 679 2373 Bank of America Southern California Consumer Loan Center June 23, 1994 Butte County RE: 1980 La Jolly ID #GOSMCA52791355 A/8/C DOH # 177344, # 177345,. # 177348 License #LAL 1110 Helm, Jane F. To Whom /t May Concern, Please accept this as Bank of America's approval for the placing of the above referenced Mobile Home unit, located. at 1059 12th Street, Oroville, CA, 95965, on a Matt Guard 111 foundation system. The approval is contingent upon proof of a final certificate of completion. Should you have any questions, please do not hesitate to contact me at (714) 579-5868. Sincerely, B. Piper Assistant Vice President Bank of America Special Asset Management .#4587 P.O. Box 2240 Brea, CA 92622-2240 Bank of America National Trust and Savings Association Box 2240 'Brea, California 92622 N 00 ° rE�05'"V W BU-TTE COUP ' 100.06(R) 100.o2(M> BUILDING I � ' EPA 30' 2 0' C' v Ch o QO A' f� 1"' 1 lo• C) W G) CD 0 Ln O N O M 30' 20' 191.94'(R,M) 152.00' (RIM) 12 iH 0 i N 00°10'26" W (M) v) 100.02'(M) O w O 04 N 00010'47" W (M) IENT D CO 0 z M 100.02' (M) cn — — — — — — — —1�z o0 Utility connections shall be within w I zoo--� o w � N_ v o Cr A ft, of the mobilgKgme; either V) cn directly behind orQithin the rear o I 1— D -- o half of the oadside (left)100. of the I �, 0 v N 00 I I f 0 7 )' wmobilehome. v l rn c--nterline shall by clear o �'' — — — — (J 50.01'(M)d5 0.006(M)v wtulw or equipment p,Vept =j a m ° A setback of 5 ft.lfrom the o -8sJ-' o property lines anal a setback I _. 25' be 11 to houi zoo--� tf 50ft. from the' road 'Z F _ c--nterline shall by clear o �'' o (J ° O wtulw or equipment p,Vept =j o> o o -8sJ-' o :Pr a 2 tW. eave overhang, o _. w o,� ® - _ I of rn I �I —7§ r � 25' . 2-5' I I 50.00' (M) 50.00'(M) _ 5,0.00'(R) 50.00'(R) N 000 12 09 _ W –� . This set of plans and specifications MU; 0 - B. 0. S, kept on the job at all times and it is unlaw n mane any changes or alterations on same w N 000 12' 09" W ( R, Mr;)aen permisson from the Department of 25' be 11 to houi Al Hj� 3o7�—F-0 ,. .PERNFIT N0.,E PERMIT EXPIRES. OWNER W. L. Blanton owner CONTR. 30-193=10 LOCATION (A.P. ) 1059 12th St., Oroville `T (Z 1i j; .ti y Temp. Power Pole Called G&E Temp. ea Serv. Ca ed PG&E -i. Tem . Gas Serv. Called PG&E OB FINALED (Date) 1 —umsT- +. A COUNTY OF BUTTE — DEPARTMENT OF.PUBLIC WORKS ' BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setb@ck Fir all Noll Piping Form Para is 1st Floor Mai Bldg. Restro'4fn Finish d Floor Fo 'ins Windows 3r ' Floor Stem,all Siding To ou Slab Roof Sheattling in Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwa I I Insulation Heaters Slab Carport Footings A Prov. for 1)sicall handica ed Conformance of ex. structure Appliances i Gas Pipin &Test .. Temp. Gas Slab Final Sanitation Patio FlFt4PLACE Final Footings Footing E CTRI6AL Masonry WallpfThroat Rough Relnf. Steil Final Fixtures Bond Beim FJAE SPRINKLERk Motors Framing Test i Water Htr. Stucco Final Subpanels , Me 441 MECHANICAL Grd. Fa t Prot. S atch Heating Servlc , rown Cooling/ Te p. Pole finish Ducts U der round terior Lath Ven ation Aermanent /Door Closer Fi I Final MOBILEHOME UTILITIES ----------•-----•- Ele .Service �D�— Elec. Pe Water Piping & / J Sewer— J� j Gas Piping — 115—CO BI E OME INSTALLATION - - - - - - - - - - - - - - Support — — Elec. Continuity Water Piping= Drainage Gas Piping DATE REMARKS OR CORRECTIONS 4. w* 4 0."'1 A� �� - V (NOTE: An entry must be made on this form each time you visit the job site.) MOBILEHOME INSTALLAT ION•INSPECTION 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 o 4. Is the mobilehome level? (Sec. 5088) Yes_ No_ 5. If more n a single unit, are crossover connections properly installed? (Sec..5088) Yes No 6. Water A. Is flex* e connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes l� No B. Test -,Does water piping withstand working pressure or 50 lbs. air test? Yegy No C. Backflow - If coach is.not Sta Lalifornia approved, does station have backflow device and pressure -relief valve? YesA[ 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes 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 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? YesO No / L� 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 b 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_je-400 , 1 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. M f -Z �D)tLa9a�t - 9. Electrical A. Isfservice e large enough to provi adequate,amperage-to mobilehomd (must equal rating of mobilehome with a minimum of amp) and other facilities on lot, i.e., water puWs�, garage, cabana, etc.? Yes i;**' No B. Is there proper clearances around panels? Yes A-40 C. Is power supply cord or feeder assembly properly fused? Yes t- &o_ D. Is continuity test satisfactory as per the following procedure? Yes_k_eO 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 � 4� C /� Manufacturer and/or Namestyld ` Length :g Width S 2L h., 1". fib vehicle Serial No. State Identification No. Additional Information or Comments: y COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 695. Oleander Avenue, Chico — Phone 343-4211, Ext. 70 7 County Center Drive, OrOVille — Phone 534-4541 y. Skyway and Elliott Road, Paradise — Phone 877-3435 CORRECTj{I,ON NOTICE BUILDING OR PROPERTY ADDRESS 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. 1� Inspector , V �� Date .3 1� Inspector , V �� Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number for the following location: 1r, - rs 1 -% 4A U4 _ 1I1 _ • C/ &,. Owner IL -k) ' 1_ , l'IN / i1 y! l -r• Owner's Address -�j �n Mobilehome Mfg. I"A.r .1 + tai »,e_ 4_ ^ $,,Model t-:� 3n Year?tl_ Insignia No. 17-13 q3 -__3 X4631 ( Serial No. -4-"1 7 A R d r - Itis hereby certified for occupancy at the above described location and may be occupied. Director of Public Works � Date �t 1 - By�- THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED V White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY GF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovilie, California 95965 Telephone: 534=4541 u U APPLICATION AND PERMIT authorize representatives the County of Butte to enter upon the above-mentioned prop for inspection purposes. X « Z Z<"�4Date Signature of erm or Agent Receipt No. - Vrn 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. DI R0 PUBLIC WORKS BY � Date/' Building permit expires Date t7'���/ BUILDING Owner / SQ. FT. OCC. BUILDING VA A Mai I i ng Address Telephone No. Contractor Mailing Address ''/[ 7D � '� / Fireplace Total Valuation Telephone No. Permit Fee Building Address�/( - Plan Checking Fee Vor 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. - Z) Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 s Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking I Plans Parcel Declaration Parcel Map 60' R/W I lmprovemePAS Each additional outlet .30 Building sewer 5.00 � Bldg. PIRec'd Parcel Approval Plans A roval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD -L 100 AMP 2.50 - �. Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST ( DWEACC`BLDGS.LING Ccup, 4') 22sq ft 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 CONSTR BRANCH CIR T NON-RESID. � BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS d NON-RESID, SINGLE OUTLET CIR. Ex. Occur){OUTLETS OR FIXTIIRES) g L 1� OG FIXED ALNK Ex. Occup. ( OU LETS P(RESID )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. �/%�� Classification 6-4 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. iecertify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL :No.1 @ FEE PERMIT FILING FEE J$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 -i- L e �.J— $ © TOTAL PERMIT FEE $ authorize representatives the County of Butte to enter upon the above-mentioned prop for inspection purposes. X « Z Z<"�4Date Signature of erm or Agent Receipt No. - Vrn 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. DI R0 PUBLIC WORKS BY � Date/' Building permit expires Date t7'���/ - ••BUTTE -COUNTY `DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. k PHONE: 534-4541- • MOBILEHOME INSTALLATION SHEET 1. Owner's name: 77b/O 2. Installer's name: MOBILE HOME CENTER, INC. 3.- Is the site currently under permit? Yes 7 17' No (If yes, furnish permit number ) OR 1 Is the site an existing site? Yes T-7 -No ; (If yes, furnish two (2) plot plans.) Y 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 /Y// No / / (If no, clarify ) ( ) 5. What is the mobilehome electrical rating? ----------------------- 1290 Amps 6. What is the mobilehome site service rating. ------ --- p p , Amps 7. What is the mobilehome site circuit breaker rating? -----------J --=- AOD`'� Amps P tT 8. Is there any other electric load to be served by the mobilehome site service? ---------------------.------------------------------` Yes,/j No (If yes, identify the load and size: (Load) (Amps) �i 9. What is the mobilehome site gas pipe size?----------=:�-=-�---1 ++t y in. 10. What is the type of gas service?-----------------------------� Natura17771" L'PG 11. What is the gas pipe length from meter or tank to the mobilehome? /(ft.) 12. :What is the mobilehome gas demand? -------------------------- (This information not required if pi gth less thanft. on natural gas or less -than 50 ft. on, LPG.) �e��,3, fid' �a.S ka BUTTE COUNTY PVior/ 00 Max BUILDING DEPARTME APPROVE �-- MOB ILEHOME .SUPPORT DATA If other than'single wide, Mob i1ehome Mfr. •GA 30- 114 , furnish Setup Model No. o?O/ 'u Year Width (ft.) Box Length a (ft.) 'Tagalong or, Expando Size ft. x ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of mobilehome unless otherwise specified. D o (ft.)(in;) Center support 1 cation F/77-6`1 (ft.)(in.) 34 / e n -ri10 :Y W. D p (ft.)L (in.) Footings (check one) Single 1. Wood either pressure treated or �---�- foundation grade. (in.) (in.) Center suppor footing sizes (in 17 xa xa/ �'� (in.) (in.) ei ' �i �7y.-�xaifig- 6,o. ay 2 . Other ( specify) %%AA!4'i7AA) 0 P F Supports (check one) '- 1: Concrete block. _j/ 3y El 2: Other (specify) 4 ----Tagalong or Expando,' / Xai 3/y show support details. Typical Support (in.) (in.) Footing Size l� Max. Pier Spacing q6 *If center piers are other than drawn above, Arnm 4n..1nnnft4nna annnina M"A Aimcnainne /, a -- Max. Overhang (ft.)(in.) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC. WORKS 7 County Center Drive - OroviII6, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT r ASSESSOR PARCEL NUMBER Cl n --/113-- Z:) ZO I —11 BUILDING PERMIT Ow ER A V T EPHONE SQ. FT. OCC. BUILDING LUATION OWN 'S MAIL NG ADDRESS ra r RUE CONTRACTOR'S TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER UNKNOWN Fireplace Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAONGADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 -5 outlets Orf? USE OF STRUCTURE SF ❑ Duplex❑ Mobilehomeg�r Other SPECIFY Building sewer v Lawn sprinkler system T_ 2.00 TYPE OF WORKJ NewRkAddition❑ Remodel❑ Utilities Installation❑ Other Describe work: — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 100 AMP ORV OR LESS5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONS. DWELING OR ADDNST ( ACCLBLDGS.CCUP.&� 20sgft 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 contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR. MULTI -OUTLET 2.50 ea NON-RESID BRANCH CIRC ITS NEW CONSTR. ( POWER APPARATUS 8) NON-RESID. SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 50 @250 BAL@1o¢ FIXED APPLES, OR EX. OCCu p•(DUTLETS (REST D.) 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. f�cl 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 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 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 against saC/unty in consequence of the granting of this permit. r %� —1L1 C /6 x Date �f. Signature of Applicant — Owner LJ 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 $ Land Development Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. JPA/RCLP D 1/ ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOVOF BLIC BY E PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date �✓��� -1-31 Receipt No.. s 7 r)4 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT THERMALITO MIRR[gATION DISTRICT 555 410 GRAND AVENUE OROVILLE, CALIFORNIA 95965 TELEPHONE 533-0740 CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT Service Address: //)-- -3 L,I --z/.'?,e- ✓ Owner's Name: � -F•- �: �w Date: In Address: `" `=' ��� f =`� Acct. No: A.P. No.: Phone: No. Units: Applicant/Agent: r,t Agents Proof: IV/ 114 Address: Fees: Phone: Application $ Arrearage Preliminary Review By: 2 r ��� r �'� Date: CSA 26 L Remarks: �I_ _.-��• �c.� .,_ ! �%� �r rt _ SC -0 R I Any modification to the original permit requires that 1st mo..S.C. the sewer lateral be brought up to grade with a Other cleanout at the property line. Total Fees Collected By: �� = Date: Field Review By: Date: Remarks: MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON: ❑ Date of TID approval of completed building sewer (early connection). ❑ 30 days after date above, or on date of D.P.W. approval of completed building sewer, which ever comes first ("existing construction", prior to Mar. 5, 1974). ❑ 180 days after date above, or on date of D.P.W. approval of completed building sewer, which ever comes first ("new construction", after Mar. 5, 1974). DISTRIBUTION: WHITE - TIO, YELLOW - APPLICANT, PINK - DPW, GOLDENROD - DPW to TID 93 ■ ,fQUESM at AND WHEN RECORDED MAIL TO: WK BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 Ctrl. STATE, and a 94-30274 94-0302741 Rec Fee .00 I Total .00 Recorded I Official Records I County of I Butte I 1 Candace J. Grubbs I Recorder I 9:31am 20—Jul-94 I COMS XX 1 ���.-\Y�t'►'■Y,',Y�, V\ •,i- ►,r vim, .r. �..-... ..�-��-. -.-� _ _ NOTICE OF MANUFACTURED HOME, (MOBILEHOME), OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the Iotas agency indicated is in accordance with California Heolt4 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 per- sons thereafter dealing with the real property. JANE F. HELMS REAL PROPERTY OWNER/LESSOR r 1059 12TH STREET MAILING ADDRESS _ OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT CITY COUNTY STATE ZIP SAME UNIT OWNER (If 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 4-1791 (916) 538-7541 1 IT TELEPHONE NUMBER 7/19/94 S GN TORE OF Lt>CAL AGENCY OFFICIAL DATE NONE DEALER NAME (If not a dealer sale, write "NONE") DEALER LICENSE NO. GUERDON 1980 LA JOLLA MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER GDSMCA52791356 A/B/C 34'X52' 177343/344/345 SERIAL NUMBER(S) LENGTH X WIDTHINSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER AJC.P- -#_0.3.0-19.30,1.0_? LOT 2, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "MAP OF THE DODGE TRACT NO. 211, A SUBDIVISION OF THE NORTH HALF OF LOT 5 OF.BLOCK 101, OF THERMALITO, BUTTE COUNTY, CALIFORNIA", WHICH MAP WAS FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CAL IFORNIA,.DECEMBER 12, 1907 IN BOOK 6 OF MAPS, AT PAGE 102. HCD FORM 433(A) 4/86 P,OENT Or h0zl Qf W o O 1 - C Oy�`NITY . wu■■ &1/11 1 UONI-1 J JW If other than'single wide, Mobilehome Mfr. ao-//a . furnish Setup Model No. c2 / Y Year ` .7i Width `i (ft.) Box Length 6�Q (ft.) Tagalong or Expando Size /d ft. x 36 ft. (SHOW SUPPORT DETAILS BELOW) On a].1 mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of mob;lehome unless otherwise specified. c� c� (ft.)(in.) Center support 1 cac�s* (ft.)(in.) .34J 9,, /— "i' ,v/ j"'' r (in.) (in.) Center suppor footing sizes (in f �x4i x;�r};� (in.) (in.) . (ft.)j (in.) S ingle *If center piers are other than drawn above, draw in -locations. spacing. and dimensions. l N.a%arta/ �/Er 6' O -- r I'-- � 1_� �r d Footings (check one) (� 1. Wood either pressure treated o foundation grade. 0'2. Other (specify) 1-3 (�R,4�AIF- , Supports (check one) d1: Concrete block. 2. Other (specify) Tagalong or Expando,' show support details. /o^ Yxa2/314 -- Typical Support (in.) (in.) Footing Size Max. Fier Spacing J -- Max. Overhang (ft.)(in.) (SHOWN WITHOUT THREAD PROTECTOR) ._ J O LOWER STAND i I I •1 Col n Q ,-GRIPPER PLATE GRIPPER BASE PLATE 1/2"DIA. X 5" MB TYP. CAP PLATE - TWO 6" X i" X 1 /4" WELDED TOGETHER - SEE CAP PLATE DETAIL — 3" X 3" X 3/1611 ANGLE - TYPICAL -BOTH STANDS UPPER STAND I I � i W I � i W W I I � , LOWER STAND i I I •1 Col n Q ,-GRIPPER PLATE GRIPPER BASE PLATE 1/2"DIA. X 5" MB TYP. CAP PLATE - TWO 6" X i" X 1 /4" WELDED TOGETHER - SEE CAP PLATE DETAIL — 3" X 3" X 3/1611 ANGLE - TYPICAL -BOTH STANDS UPPER STAND I i v � COACH SUPPORT BEAM ` THREAD PROTECTOR - 5-117" X 26" SHEET METAL -FORM TO FIT WITH 1" OVERLAP. PAINT DISTINCTIVE COLOR Eel TO CONTRAST PAINT READ i SEE i pET p►1L WELDptAe 5 t1L 0_oON , .fWO 10 SL% No _ ... 6" ,o�t.• WITH TH OE PROTECTOR WE� CAP PLATE DETAIL GRIPPER BASE PLATE DETAIL 1/3 SCALE 1/3 SCALE O O } i FOUR 3/3"_MB A � _ Tva _ 2-1 /2" ,I, NOTE ( I STANu �u�•�• STAND HEIGHT MAY _ �'_ _ PROVIDE LOCK WASHER BE REDUCED BY 3" , EACH BOLT INCREMENTS AS { O X3/16" PLATE DESIRED --MIN. �-- STAND HEIGHT = 3" j /ti" DIA. TYP. 45•_ Ier a' CENTER ON I t NGLE LEG 2.1 ' GUSSET SUPPORT ETAIL r PLA TE O �- O O GUSSET 1 / 3 SCALE 1/4" ROD - WELDED . TYPICAL PLATE _ -. ...'QOItT ,� ' _ pETA1L A . BASE PlA 0 O I , \\. - lot CONCRETE SUPPORT PAD - PP -1 SEE DETAIL BELOW GUS -GUARD SP - FRONT VIEW 1/4 SCALE --� 5" •• . ff �•rf .�Y.Y. _ OO RIGHT UNO _ TYP PPFI -1/2 10" WELD ALL I►RO GRIPPER PLATE DETAIL 1/3 SCALE SEE DETAIL . _... BELOW - 2 EACH d ► __ . ' M 1 N . i = 3000 psi `o -l- - 10,--4 rro.� ra.r.��. s�sfM► 1-3/8" WAMI AM sA M WK UC11oN 1w{ IF t1 Q •d ,�-�Q• ��y� �E� APPROVED 5 - 02 BARS TRANSVERSELY 0 7" O.C.: O `, .� �S �cT TO ao�wc� Norte 5 - 32 BARS LONGITUDINALLY 0 3-1/2"O. C.* O� �� FOR STAND HEIGHTS OVER 19" USE PPHO PADS WITH 4 - �t3 REBARS t 5"O.C. �� me ~~'~w"ow ....+.+r` -M...gr:.n,�.1 �riMW 3�w w" ow GUS -GUARD SP SIDE VIEW I I -6#11 , om/ Cr �wMpii.r 1/4` SCALE _ I ' p MV1M0 ANO STAN�A�OL L � � STO IFI -123 HEX COUPLING NUT 1/2"X 1-i/Z" - PPFI-1/2 (2 EA) �O�Kf I �� SPA NO• 3/4"' 2-1/4" -PPFI - 3/4 �' �` I ! Q�� 'i.i. Mow A mono As j a - N\ I 1 /4" FILLET WELD 11<Z X 3-1 /4" �}- i I ROFE -EACH SIDE So4f, 'fey PPFI DETAIL no sca 1 • 2-1/4"TYP. �jQ 3 No. 11G53 BASE PLATE DETAIL N),` �?� 0 1/3 SCALE "O� ♦ J,r C/VI __.. __ _._ _. -•4 " �� Q � 'fit 1+ 1-15/16" ! 34/16" �� �i ��JJ FOFCALIf GUS -GUARD PP -1 .CONCRETE FOUNDATION PAD 1/10 SCALE i r PLA TE O �- O O GUSSET 1 / 3 SCALE 1/4" ROD - WELDED . TYPICAL PLATE _ -. ...'QOItT ,� ' _ pETA1L A . BASE PlA 0 O I , \\. - lot CONCRETE SUPPORT PAD - PP -1 SEE DETAIL BELOW GUS -GUARD SP - FRONT VIEW 1/4 SCALE --� 5" •• . ff �•rf .�Y.Y. _ OO RIGHT UNO _ TYP PPFI -1/2 10" WELD ALL I►RO GRIPPER PLATE DETAIL 1/3 SCALE SEE DETAIL . _... BELOW - 2 EACH d ► __ . ' M 1 N . i = 3000 psi `o -l- - 10,--4 rro.� ra.r.��. s�sfM► 1-3/8" WAMI AM sA M WK UC11oN 1w{ IF t1 Q •d ,�-�Q• ��y� �E� APPROVED 5 - 02 BARS TRANSVERSELY 0 7" O.C.: O `, .� �S �cT TO ao�wc� Norte 5 - 32 BARS LONGITUDINALLY 0 3-1/2"O. C.* O� �� FOR STAND HEIGHTS OVER 19" USE PPHO PADS WITH 4 - �t3 REBARS t 5"O.C. �� me ~~'~w"ow ....+.+r` -M...gr:.n,�.1 �riMW 3�w w" ow GUS -GUARD SP SIDE VIEW I I -6#11 , om/ Cr �wMpii.r 1/4` SCALE _ I ' p MV1M0 ANO STAN�A�OL L � � STO IFI -123 HEX COUPLING NUT 1/2"X 1-i/Z" - PPFI-1/2 (2 EA) �O�Kf I �� SPA NO• 3/4"' 2-1/4" -PPFI - 3/4 �' �` I ! Q�� 'i.i. Mow A mono As j a - N\ I 1 /4" FILLET WELD 11<Z X 3-1 /4" �}- i I ROFE -EACH SIDE So4f, 'fey PPFI DETAIL no sca 1 • 2-1/4"TYP. �jQ 3 No. 11G53 BASE PLATE DETAIL N),` �?� 0 1/3 SCALE "O� ♦ J,r C/VI __.. __ _._ _. -•4 " �� Q � 'fit 1+ 1-15/16" ! 34/16" �� �i ��JJ FOFCALIf GUS -GUARD PP -1 .CONCRETE FOUNDATION PAD 1/10 SCALE t4 TABLE I GENERAL NOTES 12 X NUMBER OF GUS -GUARD SP 1. DESIGN LOADS: ROOF LIVE LOAD --j0 PSF, FLOOR LIVE LOAD --40 PSF, PADS IN ANY PAIR UNIT SIZE ASSEMBLIES WIND LOAD- 80 MPH EXPOSURE 'C', SEISMIC ZONE --4 MAY BE ROTATED AS SHOWN IN THE MOBILEHOME INSTALLATION INSTRUCTIONS. 14 X 60 900 TO AVOID 12 X 30 6 2. THIS FOUNDATION SYSTEM IS DESIGNED TO BE CONSTRUCTED ON A CLEARANCE PROBLEMS 12 X 4s s FAIRLY LEVEL SITE WITH NO EXISTING SOIL PROBLEMS. 12 X 60 10 3. CHASSIS BEAM SUPPORTS SHALL BE LOCATED AND SIZED FOR THE LOADS j 14 X 4s X 65 10 AS SHOWN IN THE MOBILEHOME INSTALLATION INSTRUCTIONS. 14 X 60 12 4. IN AREAS WHERE DIFFERENTIAL SETTLEMENT (D.S.1 CAN OCCUR, 14 X 65 20 12 MANUFACTURED HOME SHALL BE READJUSTED WHEN D.S. EXCEEDS 1/4", X 65 2.4WELD 1. STRUCTURAL STEEL --FABRICATE ACCORDING TO AISC SPECIFICATIONS. i OR WHEN IT WILL ADVERSELY AFFECT MANUFACTURED HOME UNIT. i 24 X 48 16 - 24 X ''s"�""''''""""�i�y � {vim S. ��xt'1-' �TfNCS"DaWN"' Fi UM f 1STCIRBED'.SOiL. FOOTINGS . ARE DESIGNED FOR" 1000 PSI TOTAL LOAD SOIL PRESSURE AND SHALL BE � _fi?j24 X 65 20 COMPATIBLE WITH LOCAL SOIL CONDITIONS. RIDGE BEAM SUPPORT t� AS REQUIRED BY 2= X 16 6. CONCRETE fc' = 3000 PSI t 28 DAYS. ...i_MANUFACTURER - TY P. 28 X 60 20 28 X 65 2.4WELD 1. STRUCTURAL STEEL --FABRICATE ACCORDING TO AISC SPECIFICATIONS. i ACCORDING TO AWS SPECIFICATIONS. ELECTRODES --370 PLATES-- • ASTM A36 BOLTS --SAE GR . 5 = ASTM A445 = ASTM A3725 I S .=_.t'.. MIN./;1>I' M-. AX i. THE GUS -GUARD �SP`'ASSEMBLIES"' HALL .BE LISTED,<ANt� LABEL D Bl INDUSTRIAL TESTING INTERNATIONAL FOR THE FOLLOWING LOADS: (;LATERAL -41111111111111111 MAX. VERTICAL--MAX- J 10 24'04*Wp - a 42M -,I" M4W4" & 44WAA \_ S. DURING PRELIMINARY INSPECTION, THE ESTIMATOR SHALL ENSURE THAT MOt31LEHOME CHASSIS BEAMS ARE OF STANDARD SECTION EQUAL TO OR GREATER THAN WSX10#- 10. EXISTING COACHES MAY BE RETROFITTED TO RESIST SEISMIC FORCES BY O �Q- INSTALLING GUS -GUARD SP UNITS AS SHOWN IN TABLE I AND THE !Q' F f TYPICAL FOUNDATION PLAN. �y 11THE GUS BP SYSTEM IS SAFE FOR INSTALLATION IN FLOOD PLAIN \ . rQ` AREAS WHERE DEPTH OF FLOODING DOES NOT EXCEED THE HEIGHT OF 2' NOM. i' NOM. ,. . ` 2.3' W: --� — :: 12. CIUSLIPLE-UNIT INSTALLATION IS ACCEPTABLE PROVTGUARD BP UNITS MEETS THE REQUIREMENTS OFITABLE HEAND THE OF L. —GUS -GUARD PP -1 - -Y" Pl1.ACEMENTAND; INSTALLATION' PROCEDURES 'A PROCEDURES �t. _._. 1 CONC. PADS -TYP. ,'' `J t i . c STANDARD MH FOUNDATION PIERS - AS RECOMMENDED BY� r 2 1 THE MANUFACTURER OR THE L ENGINEER •TYPICAL THROUGHOUT. ON) L RELOCATE AS NECESSARY - TYP. QPx: w��, 0 1 i � Q �rw�t wwr>Anw sTsw. P IAPPROVED -- • _ . — !1lrl a 70 co100 noNs NOW TYPICAL PERMANENT FOUNDATION PLAN ���~��~���•�ww`,� SO • mn1soN AwsrANCAnos `-��'� - b * SPA No. #/ "—S� \,rr CIVIL 6wy Maw A ..,e Ensb�s \\FOF CALIEO���� PERMANENT FOUNDATION SYSTEM' . GUS—GUARD BP . ! DRAW" w SCALE!AS NOTED DATE: DEC 1"3 M. r 16Sa V.12/31/�i aEvpce WILLIAM A. SOMMERMEYER, CIVIL ENGINEER