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HomeMy WebLinkAbout039-280-0290 39-18-29 Diamond "S" Ranches,Inc. 2mi. off the W/S of Goodspeed - Watt_ Rd. , ..app. 1400' _N/.Troxel. Rd.- Dayton tFt i� p'r3928 W,� (�,,', Pei' it 5566=7.7P E(uti . ELEC. SAS ,,nR S RUCTURE REQ . /J/ 0 IN TEST REQ. Nd «��7? tXA 39-2;$-29 oxitr : J.B . Mobile Servieae 4.«.,,.,.A Permit #6323,-77MHI Issued CC� o Permit #3902-83MHI (install,.MH!ex'site) ISSUED ' it -i6' s,--3 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 ��'%Z-� 2 7 for the folio wiInelocat'on: Owner S Owner's Address Mobilehome Mfg. r Model �� Yea&/_ Insignia No. i�� S'-s� �� Serial No. -2- It is hereby certified for occupancy at the above described location and may be occupied. Directo o ubiic s Date �� '7� By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF_'BUTTE DEPARTMENT OF PUBLIC WORKS -- r 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: Owner = / - Owner's Address Mobilehome Mfg. Model Year • ' Insignia No. -- Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date $y .. THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White- Owner, Yellow - Installer, Pink - D.P.W. 7 PERMIT NO. 5566-77P,E PERMIT EXPIRES OWNER Diamond "S" Ranches CONTR. owner LOCATION (A.P. 39-28-29 ) z mi.off W/S of Goodspeed -Watt Rd.,app.1400'Nof Troxel rd., Dayton a ' i t Temp. Power Pole Called PG&E _ Tapp. Elec. Serv., Called PG&E 3i Temp. Gas Serv. Called PG&E JOB FINALED / ^ (Date) (Sig ture) R COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING, / J\ BUILDING (Cont'd) /1 \ PLUMBING s back F ewall SdXJ Piping FoAVS Par ets 1 t Floor Ma Bldg. Restr om Finish 2n Floor F tins Window 3rd Noor Ste wall Siding To out Slab Roof Shea In Water Pi i Piers Roofing Sewer GarageFdn. Vents Fixtures Footincis Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for phsical handica ed Conformance of ex. structure z Appliances Gas Piping & Test Tem Gas . Slab Final 4Sanitation Patio F E ACE Final Footings Footing EL CTRIC L Heint. steey Final Fixtures Bond Bea IRE SPRINKLEAS Motors Framina Test Water Htr. Stucco Final Sub anels Mesh MECHANICAL' Grd. Fa t Prot. Scr ch Hen Servic B wn Cool g T p. Pole Inferior Lath ntilation Permanent oor Closer anal inal MOBILEHOME UTILITIES ------------------ Elec. Service — 7"7 Elec. Pedestal -- Water Piping ��. Sewer — 7 7 ;Gas Piping �., E O E INSTA LATI N -------------Support AI - 2-dO_? Elec. Continuity Q— Water Piping — - 7 Drainage y 2 _ :W 2 Gas Piping �, �� 7 % DATE REMARKS OR CORRECTIONS R 10 se! b D� (NOTE: An entry must be made on this form each time you visit the job site.) . MOBREHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located wi i. requred separation from lot lines and buildings and generally conform to plot plan? YesNo_ 2. Does the mobilehome have.required clearances above ground? (Sec.5085) Yes1V 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.41 4. Is the mobilehome level? (Sec. 5088) YeS�No_ 5. If more than a single unit, are crossover connections properly installed? (Sec. 5088) Yes :"No 6. Water A. Is fle ible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) YesrNo B. Test - Does water piping withstand working pressure or 50 lbs.•air test? Yes,ZNo C. Backflow - If coach is not State California approved, does station have backflow device and pressure -relief valve? Yes 7. Wastes and Drains A. Is connection made with Sched e 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? 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 4cjoaisnot State of Californiaapproved, does station have required trap and vent? Yes 8. Gas Pipind 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 itilet without reductions other than the mobilehome connector. Yes o_ 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_ZNo_ 9. Electrical A. Is service large enough to provide adequate amperage -to mobilehome (must equal rating of mobilehome with a minimum of 100 amp) and other facilities on bot, i.e., water pumps, garage, cabana, etc.? Yesl,:�o B. Is there proper clearances around panels? YesNo C. Is power supply cord,or feeder assembly properly fused? Yes Y NO— D. Is continuity test satisfactory as per the following procedure? Yes ;' No 1. De -energize electrical wiring system of the mobilehome at the pedestal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA Manufacturer and/or Namestyle _ Length Width f, r Vehicle Serial No. S�� /�•-� bL- State Identification No. Additional Informatim or .mm- 117 r _ i COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 Coanty Center Drive — Uroville, California 95965 ` Telephone: 534-4541 APPLICATION AND PERMIT •^ •• � BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor /��9 % C Total Valuation Mailing Address Permit Fee Plan Checking Fee &/orPenalty `S� G Telephone No. Permit Fee $ Building Address PLUMING No.1 @ FEE PERMIT FILING FEE $3.00 / L i D%� 7 ���—�c/ Each Trap 1.50 d �r Repair drainage or vent piping 1.50 Avl_OAI Water piping 1.50 Each gas water heater or vent 1.50 ?c�� A. P. J / —� Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F s 9tivrtta n I FireDept. FireZone Use Permit Building sewer 5.00 EQA Prk sg Declaration Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 d I Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No.1 @ FEE PERMIT FILING FEE J$3.00 r G Main service 500V OR LESS 100 AMP OR LESS 5.00 .� Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home ® Others ❑ IIER 600V Main service 1100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELLING OCCUP. & OR ADDNS. ACC. BLDGS. ) 22sgft NEW CONSTMULTI-OUTLET NON-RESID. (R. BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS & NON.R ESID. (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 sty e_ of: ► 7 A 44 A o 'S Ex. Occup(OUTLETS OR FIXTURES) @25C BAL@1 Ex. Occup ( FIXED TS (REAPPLNS. OR • OUTLETS (RESID.) EA) 2•00 D� Temporary service 10.00 Mobile Home Facilities 15.00 License No. 17 Classification '-' Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. have placed on file with the County of Butte a certificate of L—P_Workmen's Compensation Insurance. El I certify that in the performance of the work for which this permit is issued I shall not employ an P p y y person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No.1 @ I FEEPERMIT FILING FEE J$3.00 (� Heating Cooling 6c/ D Ventilation Hood 2,00 Permit Fee $In, i5o$20C 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 authnri7n ..aoal...... ,.s ati,, n.....-. TOTAL PERMIT FEE $ 7 S -3- F, V- VI Ole VUunty UI DULLe to enter upon the above-mentioned property for inspection purposes. XDate % 7 ignature of Per titee or Agent Rec ipt No. /7/& ? s White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. (RECTOJRR OF PUBLIC WORKS By ��;' �� Date��%r7 15T•&0 a2,?,7 77 Bug -permit exp res ate COUN'iY- OF„BUTTIf — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Orovi lie, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT 66.2-0 _� 7 ur BUILDING Owner SO. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor ��� S� Total Valuation Mailing Address �j �. Permit Fee Plan Checking Fee&/or Penalty ° a ele hon No. 7J �7 Permit Fee $ Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 �- p�S ", Each Trap 1.50 c� e �� a £ Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 7 �_ _ 9Ci A. P. o. ✓ �C 7 Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each 6dditional outlet .30 es SerlTt� Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQAPPla ns Declaration Parcel Map 60' R/W Improve ents Lawn sprinkler system 2.00 Eq Bldg. Plans Recd I Parce pproval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER JM ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 800°o AMP ORSLESS 5.00 Main service EA. ADD'L too AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ R 600V Main service 1OOOEAMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELLING OCP. & OR ADDNS. ( CU ACC. BLDGS, ) 22syft NEW CONSTR. MULTI -OUTLET NON.RESID, BRANCH CIRCUITS)2.50ea NEW CONSTR. POWER APPARATUS & NON -R ESID. (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 stvJe o: 4 O Q '�%�Y I �- e Ex. Occup(OUTLETS OR FIXTURES) X01 BAL� Ex. Occup. ( OUT EAS P(RESID,)REA) 2.00 Temporary service 10.00 fl'rA "" P,.r/ )F-rMobile Home Facilities 15.00 d License No. �7 "2- Classification— e ' Misc. Wiring 6.25 ID I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ( �Ihave 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.1 @ FEE PERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned propert for ins ection o s ,�Q QO TOTAL PERMIT FEE Is .36 lec This permit is hereby issued under the applicable provisions of /,l y p p pse. X // L Date Signature of Permittee �or Agent Receipt No. 121 /!) `/ White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OAUBLIC WORKS BY Date�y6 7 ildina permit expires Date G- 7,? MOBILEHOME SUPPORT DATA j� If other than single wide, Mob ilehome Mfr. �P,��ie !� 110-177PS furnish Setup Model No. %Ol- �� Year Width'2, (ft.) Box Length_rj (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 eenter.supports measured from front of mobilehome unless otherwise specified. \ ' Footings (check one) .e� �% ler, Ma% Single ^ l ^J 1. Wood either t t d LTJ (ft.)(in;) Center support locations* D (ft.)(in.) (in.) (in.) Center support footing sizes (in.) �x (in.) (in.) I (ft.)(in.) (in.) (in.) (ft.) (in.) 0 (ft.)(in.) x (in.) (in.) x a"� ( in. )I ( n.) *If center piers are other than drawn above, draw in—locations, spacing, and dimensions. pressure rea a or foundation grade. 2. Other (specify) Supports (check one) 1: Concrete block. E].2. Other (specify). Tagalong or Expando, show support details. Z x%Z --.Typical Support in.) (in.) Footing Size -- Max. Pier Spacing (ft.)(in.) -- Max. Overhang (ft.)(in.) BUTTE COUNTY BUILDING DEPARTMENT APPROVED BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: 1!/ r %7l0%! �1 �d hC /'-ef'�r ell2. Installer's name:TV i , _5,(feV1 e� 3. Is the site currently under permit? Yes /7No /—L ( If yes, furnish permit number S- 6;5" / 7 7— //_ ) 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 / / No (If no, clarify ) 0 5. What is the mobilehome electrical rating? ----------------------- / y Amps 6. What is the mobilehome site service rating? --------------------- Amps 7. What is the mobilehome site circuit breaker rating? ------------- /0 0 Amps 8. Is there any other electric load to be served by the mobilehome siteservice? ----------------------------- -------- Yes / / No U to - (If yes, identify the load and size: �0 Load) (Amps 9. What is the mobilehome site gas pipe size? ---------------------- (in.) 10. What is the type of gas service? ----------------------------- Natural / / LPG 0 11. What is the gas pipe length from meter or tank to the mobilehome? (ft.) 12. What is the mobilehome gas demand? ------------------------------ (BTU) (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) rlA ' , J ►, CQUNTY OF Bt4TTE .— DEPARTMENT OF PUBLIC WORKS �7 County Center Drive — Uroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT BUILDING "rT' C Owner Gr J Glq ►, CQUNTY OF Bt4TTE .— DEPARTMENT OF PUBLIC WORKS �7 County Center Drive — Uroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT CIU LI lU1I La I UPI aDCI I Lot I Vas UI Lila L,Uun1y UI Duua w anter upun 1ne This permit is hereby issued under the applicable provisions of kove- tioned property for inspec 'on purposes. the Butte County Code and/or resolutions to do work indicated above for which fees have been aid. Date DIRECTOR 0 P BLIC WORKS �-- n t o Pertee or Agent - By Date /0 —Zi- 7;zReceipt No. �U-3 T'7� /���/_ %( White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant B tiding permit expires Date BUILDING "rT' C Owner Gr J Glq SQ. FT. OCC. BUILDING VALUATION Mailing Address ' �� < Terdl�hone No. , Fireplace Contractor Total Valuation 00 F Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ c Building Address / U /� PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Q e CSF Each Trap 1.50 2d Repair drainage or vent piping 1.50 Water piping Q Zoning mice ' n Each gas water heater or vent 1.50 9 A. P. 5?_0?f_d 4z—.,r%.5on Gas piping system 1 - 5 outlets 4�f1 Q Q Each additional outlet .30 SInkion Fire Dept. FireZone Use Permit Building sewer —6-88' EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Im rovements p Lawn sprinkler system 2.00 Bldg. Plans Recd Aroval Parc pp Plan pproval Permit Fee $ J NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 X 00 Main service 600V OR LESS 5.00 100 AMP OR LESS Main service EA. ADD•L 100 AMP 2.50 Main service OVER 600v 100 AMP OR LESS 25.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 1.00 CONST.NEW ( DWELLING OR ADDNSACCBLDG&\ 2¢sq ft / NEW CONSTR. MULTI -OUTLET NON.RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS &) NON.RES,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: Ex. Occup(OUTLETS OR FIXTURES) BAL@; 09 FIXED APPLNS. OR Ex. Occup. (OUTLETS (RESID.) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 &zaC> License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ SQ $ t MECHANICAL No.1 @ 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. permit is issued I shall not employ any person in any manner $I certify that in the performance of the work for which this o s to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling ,',,,'; Ventilation Hood2.00 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 PERMI FEE $ ,� r CIU LI lU1I La I UPI aDCI I Lot I Vas UI Lila L,Uun1y UI Duua w anter upun 1ne This permit is hereby issued under the applicable provisions of kove- tioned property for inspec 'on purposes. the Butte County Code and/or resolutions to do work indicated above for which fees have been aid. Date DIRECTOR 0 P BLIC WORKS �-- n t o Pertee or Agent - By Date /0 —Zi- 7;zReceipt No. �U-3 T'7� /���/_ %( White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant B tiding permit expires Date Wv "UoM o118nd dQ w3a aJ4na do AANnoo t Y All utility con located within 4 third secfion of I on the left (road) i home. `_5epttC*system and to „.9 drain stub -out Butte County Hea quirements.. M' %!�'��t�-�j�-I�!ratertals $ • �br�tnfihl��I� •�I�,�jl Qd �R Aegd pq�4nt rP~eend fif q qugll#y for lthe ,s eeldled uto In Wlld+:.Ac►, -'Itl aeAloo1 Codon OVA ad - / o . �i ins shall' 6i +tside the rear-,, mobile homy �, n Of tht, ttl6600 �l�• ,� Sott ofl be #- pt tilt► G ° %We property pnd , , tho jg o� renterline of the read, p rmtj� , . Maxi. mum of a 2 ftt cave over �� eorlirety out of all easements. ' ' ��`y,• INib 6R pI0110 and sp wki�j R1tl§I � 6 rpt ?n 04 ,jo.4 at all- tia",�;-�d unle oto• oe�,� �e make anY"�a or aitarations. "'�! yc 2 as* .1►1® @ ��G,;�° written;; t - oo same you( sept. RP. 1 °6.�ara Wor►rs. s elf 6�tment_ 1 %V a , eW so WAZrlfod-44 -AMY dgP"ens- CCUNTY kPOROVE) ..C% CAT. NO. NNO0634 TO 1950 CA (7-82) (Witness—Individual) ir TICOR TITLE INSURANCE STATE OF CALIFORNIA COUNTY OF Butte SS. On November 16, 1983 before me, the undersigned, a Notary Public in and for said State, personally appeared Joan Wenzel personally known to me to be the person whose name is subscribed to the within Instrument, &=fFr vcd'e� aas being the subscribing Witness thereto, said subscribing Witness being by me duly sworn, deposes and sa s: That this witness resides in Butte CYounty and that said witness was present and saw Kennet _ .Grandstaff and Jaccillp Ryrnom GERI QUAYLE personally known to said witness to bete same person .e NOTARY PUBLIC described in and whose name is subscribed to the within Butte County and annexed Instrument as a party thereto, execute and State of California deliver the same, and that affiant subscribed his/her My Commission Expires Apr. 12, 1985 name to the within Instrument as a Witness. WITNESS my hand and official seal. END OF DOCUMENT Signed (This area for official notarial seal) • ;���lC:At RcLnF�JS AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT r,;T ; . ;Out j'Y- CAUF'. FOR RESIDENTIAL DEVELOPMENT Q t:`iaE'TEO SY Section 26-81 of the Butte County Code requires this acknowledgemi NOV `6 ii 42 be recorded prior to issuance of a building permit. • � EI.E�#iDid N. EEC�.�R ! FSK- CnK�ER The property described herein is' adjacent to land or included.3�-3442 E` within an area zoned for agricultural purposes, and residents of -- �--� this property may be subject to inconveniences or discomfort arising 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 occa- sionally -'generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and resi.dunts within said zones and on adjacent property should be prepared to accept such inconvunience or discomfort from'hormal, necessary farm operations. AU that real property situate in the County of Butte; State of California,• dt--vcibud as follows: A. portin of,Section 33, -Township 2I north, range I east, M.D.B. an`d_U.CIER" containing, 247.48 acres, more of -.less... Stato- of ) On this he day of , 19 , SS.\Zeared ore me the under gned Nota Public, ;ersonally., County of ) own to a to be a persons whose na�e(s)' su scribed o the wi hin instr nt and a knowled ed ' that execu d the'same for the urposes there i contai d. c IN WITNE WHE , I her nto set m hand -an offici 1 ^' ' seal. i ' Notary Xublic Prc:..ent A.P. NO. 0 PERMIT NO. 3902-83NHI I PERMIT EXPIRES 111161IFt l OWNER C.L. SCHWEIN TRUST I CONTR. HMC ASSESSOR PARCEL 39-28-29 LOCATION W/S of Goodspeed - Watt Rd, 1400' N of Troxel Rd. Dayton y t i Temp. Power Pole Called PG&E r i Temp. Elec. Servi Called PG&E } Temp. Gas Servici Called PG&E JOB FINALED (Date) %� /22?z /G_J b Signature J OK, ' 0 = Not -.OK — = Plot Applicable * = Not Ready 7 MOBILEHOMES MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements 1. Zoning Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch 2. Footings; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/O—Concrete _ 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) _ 4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing_ 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete 6. Gas; Location—Test—Wrap: / /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG _ 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures----- 6. Carports; Windows—Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date MOBIL`tHOME INSTALLATION (Plans) OK except k's Card -BI Date _ Date Card -BI Date POOLS (Plans) OK except H's ]! Z1 ning Requirements—Setbacks—Easements 1. Setbacks—Easements '2C Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability j3/Gas; MH Test—Demand—Valve—Connector ,4. Electricity; MH Test—Crossovers—Breakers—Clearances 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4, Elec.; Receptacles and Lighting; Distances—GFI '% rain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 8.: Waler; MH Test—Regulator—Connector L7-. Water and Sewer Connected—C/O to Grade—HD Approval 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater ---8:»G and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit Oe Exits; Insp.—Sketch 40. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B -I Date E i t Z' t )&rd -BI Date Card BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date i 9 13'�� /032 %('y. OK. r ' C• = Not OK r �`- = Not Applicable = Not Ready RESIDENTIAL (Single ane! Duplex) � Date . UNDERFLOOR Plans OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. 4. Ftg., Garage; Soils -Steel-- / /" Ftg. Depth Ftg., Porches & Decks; Soils -Steel- / /'' Ftg. Depth 50. 51. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection Plywood on Root Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except #'s 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except #'s 14. Water Ht.; Vent -Access -Combustion Air 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting Shower Pan; Test, First Floor -Tub Access 60. G.F.I: & Bath Fixtures & Tub Access 18. 19. Test Tub & Shower, 2nd Floor -Tub Access Gas Pipe; Size & Anchors 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth Card -BI Date Card -BI Date 64. Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except #'s 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper --- 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor -Meth. Protection - 21. Stec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. - 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic ❑Yes73. Guard Rails &Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen & Conductor Size - - - - 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes -_ 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes ❑No 75, Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No - 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77• A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet -- 30. Clothes Closet Light -Shower Light _ 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. -- ---------- -- 79. Water Well; Disconnect, Electrical, Plumbing Card B-1__ -----.- _Date- Card -BI - Date 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House Card B-1 Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except #'s 83. _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric ' __- 31_ A. C. Ducts; Insulation & Support 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. Vent Fan; Exhaust above Insulation 86, Energy Compliance Certificate-011ier Certificates 33. Condensate Drain _& Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI_- Card -BI --- -- •--- - --- -- Date --_ Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FRAMING(Plans) OK except #'s 36. Sills; Proper Material & Anchors _ _ 37. 38. 39. _ Walls; _Studs-N_ailing,_Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing_ __ Draft Stop in Walls (rat proof) _40. _Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. 42. 43. 44. Header & Beam -Size & Bearing _ Hangers -Post Caps -Anchors -Connectors Cing. Joist -Rt tr. Ties -l5 rlin_-Roof Brat.-Truss-Shthnq.-Rfnq Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles _ 46. 47. Bdrm._Windo_ws or Exiting Doors -Sill H_gt. & Dimensions Garage Fire Protection Framing (NOTE: An entry must be made each time youvisit jobsite) -1111111'rY COUNTY OF BUTTE tDEPARTMENT 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 51 under permit number in » - I% for the following location: ...i 77 Owner Owner's Address /ry' .�+• Mobilehome Mfg. Model Year Insignia No. Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works bate 1 .'i ...i By 1 - 51 THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, talitlrnia 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMITgm Nt�� ASSES51RARCEUMBERR < ZONX C,y� BUILDING PERMIT R TELE—�Pr�HOO)NE SO. FT. OCC. BUILDING VALU ON OWNER'S MAIL S+ ADD S5 C NTRACTOR'S NAME o d U 1,5 TELEPHONE ON RACTOR'S MAILING ADD ESS -3- �O� C° 43160 9 Fireplace CONSTRUCTIO LEND UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDR SS Permit Fee $ ARCHITECT OR ENGINEIR LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGIN ER's MAILING ADDRESS Permit fee $ /�� BU:M ADDRESS o, ` PLUMBING PERMIT Filing Fee 10.00 A Each Trap 2.00 Solar Water Heater 20.00 IT Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP 1 114— Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobi lehome Q�Other SPECIFY Building sewer 5.00 Mobile Home S I G W. 10.00 e TYPE OF WORK New ❑ Addition ❑ Remdde1 ❑ Utilities ❑ Installation Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service OR LESS 100 100 AMP OR LESS 10.00 1 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWE.LLING OCCUP.& OR ADDNS. ACCBLDGS. 1 2/20sgft CONTRACTORS LICENSE LAW I declar5eprilder penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the BusinessEX. and Professions Code/hand my license is in full orce d effect. L License No.J % S 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 CONSTI; U TI.OUTLET 2,50 ea NON-RESID BRANCH CIRCUITS) NEw CONSTR POWER APPARATUS &' NON.RESID, SINGLE OUTLET CIR. OCCUp�OUTLETS OR FIXTURES ISAL00 EX. OCCUp. OUTLETS FIXED APP(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 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 liabilities, judgments, costs, and expenses which may in any way accrue agai t id County 'n c nsequence of t e granting of this per it. �/ X Date Signa e o Applicant — Owner Contractor ❑ Agent OSH ermit is required for excavations over 5'0" deep and demolition or construct- ion ohs ructures over 3 storrie/s in height. Mobile Home installation Fee $ TOTAL PERMIT FEE $ D� OCCUP. GROUP I TYPE OF CONST. PARCEL I PD ND ISSUE_ - This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DI ECTO F PUBLIC By / PE IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date t.— ri-3 - Receipt No. !-T WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT M t w IK w s r i a AGRICULTURAL STATEMENT OF ACKNOULt'l... FOR RESIDENTIAL, DEVELOPMENT ;: ir_i TES BY :, . Iryl Q_ Section 26-81 of the Butte County Code requires this acknowledgemt NOV lb Ii 4G be recorded prior to issuance of a building permit. ELEANOR µ�CGEt�Cit '11w property described herein is adjacent- to land or included �.3-37442 f E within an area zoned for agricultural purposes, and residents of tli-i •; ;property may be -subject to inconveniences or discomfort arising irt-1 Lhe use of agricultural chemicals, including, but not limited to herbicides, p�.•.t:s.cides, and fertilizers; and from the pursuit of agricultural operations including, I -L iiur_ limited to cultivation, plowing, spraying, pruning, and harvesting which occa— :J--.!Tly generate dust, smoke, noise, and odor. Butte County has established agricul- 1,tc-I %ones which have as a priority use for productive agricultural purposes, and r•....-;.;,�s within said zones and on adjacent property should be prepared to accept such or discomfort from 'ttormal, necessary farm operations. ..;1 that real property situate in the County of Butte, State of California, iwd as follows: A. portin of Section 33, -Township 2I north, range I east, M.D.B. and` U.CffBR" containing, 247.48 acres, more of.less•. '49- ;q -al CAT. NO. NNO0634 TO 1950 CA (7-82) (Witness— individual) TICOR TITLE INSURANCE 19 )nally. , STATE OF CALIFORNIA l COUNTY OF Butte ( SS. On November 16, 1983 before me, the undersigned, a Notary Public in and for said State, personally appeared Joan Wenzel personally known to me to be the person whose name is subscribed to the within Instrument, or=Pid6Ed=M 45a=MMIF*bks--mask»# sb3 iamc yrlx�is�erseaeB}t=�:--=a=.; =�3s, as being the subscribing Witness thereto, said subscribing Witness being by me duly sworn, deposes and sa s: That this witness resides in Butte CYounty and that said witness was present and saw ennet GERI OUAYLE personally known to said witness to bete same person a NOTARY PUBLIC described in and whose name is subscribed to the within Butte County and annexed Instrument as a party thereto, execute and State of California deliver the same, and that affiant subscribed his/her My Commission Expires Apr. 12, 1983 name to the within Instrument as a Witness. WITNESS my hand and official seal. 0 Signed (This arca for official notarial seal) 3ises offic All utility _cQnneL1ians_sbaLL h", located within 4 ft. outside the rea, third section of the mobile homeA 110 166 1'�— on the left (road) side of the.mobil2 home. h I r1f 5ept,c system and locat ing drain stub -out tc It Butte County auirements. .JIM NOTE:—All M oterials & • Workmanship Shol! Be irf NOPractices and Accordance with Recognized Good of a quality prescribed for the Specified use in the Uniform Building, Plumhin4 & Mechanical Codes ane +he National Electrical Code. oe 70o A ���-• � s J)o'�'. 00 I"o K tn2 300 FT of build- � I as per �G I eot. Rn I , �G15 ~ l�l2l✓c, &)r2 ez LU 01 Z w L7 � ' :D a > � O 0 O t.2rno��.GL u, � CY Z m o a Gss�. m , Setback The . shall be 5 It. from theJ side property line and 50 ft.. from the centerline of the road, permitting a maxi• mum of a 2 ft. eave overhang but entirely Lnut of all easements. • ,is stt .il nails and specifications N kept on the job at all times end 1 is unlawful tc make any changes or alterations on same wienov writt oun the Department of P iblc Works, Cof Bv"*. / to n. ;L en r)l N rs Seo r e •c, �� / mL SUTM COU1m Y&- m=)ARTMEM APPROVED BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 3. Owner's name: 2. Installer's name: 9. Is the site currently under.permit? YeB No (If yes, furnish permit number OR ` Is the site an existing site? Yes TP, -No (If yes, furnish :two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away om septic tank and leach fields and clear of all setbacks and easements? Yes / / No (If no, clarify , S. What is the mobilehome electrical rating? ----------------------- 6_71 Amps 6. What is the mobilehome site service rating? --------------------- Amps 7.. What is the mobilehome site circuit breaker rating? ------------- U Amps 8. Is there any other electric load to be served by the mobilehome I No siteservice? --------------------------------------------------- Yes _� _1 (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- �"�5� in.) 10. What is the type of gas service? ----------------------------- Natural /% LPG Fi,� 11. What is the gas pipe length from meter or tank to the mobilehome? 1(0 (ft.) 12. What is the mobilehome gas demand? ------------------------------ (BTU) (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) om "'? G C.P. If other than single wide, - Mobilehome Mfr. w a -- 'fustitsh Setup Model No. Year %b _ Widt(ft.) Box Length f 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. S ingle R (ft.)(in:) (in.) (in.)T I inter support Center support t locations* footing sizes (in.) x� I (ft.)(in.)� (in.) (in.) V (ft.)(in.) (in.) (in.) _tel �1 \ (ft.)(in.) (in.) (in.) Q (ft.) (in.) (in.) (in.) �1 \ (ft.)(in.) (in.) (in.) Q (ft.) (in.) (in.) (in.) If center piers are other than drawn above, 4raw in locations, spacing, and dimensions. tin a (check one) 1. good either pressure treated or foundation grade. 2. Other. (specify) Supporta (check one) 1: Concrete block. .2. Other (specify) Tagalong or Expando,' show support details. Typical Support in. (in.) Footing Size -- Max. Pier Spacing (ft.)(in.) r (� -- Max. Overhang 3gQ2•g3 BUTTE COUNTY BUILDING DEPARTMENT APPROVED �i