Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
041-400-015
i.}• t $1 fy ° 1 +.t.�l�'enr ! -'. �i t . .,.. 041-400-015 99-83AG DOLAN, John W. 3551 Cl ' 3551 Clark Road, Oroville AGRICLILTU iRA,_UFMPT PERMIT 041-400-015 PERMI�94=2944 Horse Bam i GOMES, JIM 3551 CLARK RD., OROVILLE CONT: D & D MOBILEHOME SERVICE EX MH ON PERM FND 7y, 041-400-015 PERMIT#94-3190 GOMES, LINDA 3551 CLARK RD., PARADISE OPEN DECK/MH I 041-400-015 99-1524 DOLAN, John W. 3551 Clark Road, Oroville Contr: Sean Jeffords Split electric for MH/well/ Ag 041400-015 00-07026,P DOLAN, David &S" 3551 Clark Rd., Oroprie �II�I(to ConC Skycres[ Enterprises New MB on Perin Fnd/Es Site . r. ,y t, � J '• ., 7. r�-i I' rY r r ' "� a, !r '1"• ' 1 tl./i b rY f s �'�ll.r%L .t ti.,.'i:"•. a ... lfi tr.,1.::1}"`..ti%.s .il:.. ... ,,.. ,.. ; r YIL Y `'� TTa-. ti lt.l i i p , ,, t T" r; ; u .-. •�f"S28�f�u .,. ,,. . ! fY �.��. i. M: i1.,T ..T:¢-. " br. } 1��6i�*1 ��r .r� . - .» . NOTES e � I • F OFFICE COPY Address T i GAS f Me Date ELECTRI_�' t Meter BCy RESIDENTIAL PERMIT NO. —041-400-015 00-0702B,P DOLAN, David & Melisa 3551 Clark Rd., Oroville Cont: Skycrest Enterprises New MEI on Perm Fnd/Ex Site THE HCD FORM 433A FOR THIS MH CANNOT BE RECORDED UNTIL ONE OF THE FOLLOWING HAVE BEEN TURNED IN TO THE BLDG DIV: (1) LICENSE PLATE(S) or DECAL(THE INSPECTOR MUST RETRIEVE) (2) STATEMENT OF FACTS(ONLY ON NEW MH'S) INSPECTOR TO VERIFY SERIAL & LABEL #'S SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER OFFICE COPY Address GAS Meter ByVDat ELECTRIC' Meter By JOB FINALED (Date) Signature ✓ = OK 0 = Not OK r = Not Applicable • = Not Ready -•` MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements Footings; Soils -Size -Depth -Spacing -Connectors -Steel 2. Soils; Special MH Support Sketch Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 3. Sewer; Location -Test -Fall -C/O -Concrete Wood Awn.; Posts- Bea ms- Rhrs.-Connectors Shthg.-Frg-Bracing 4. Water; Location -Test -Easement Needed (Sketch) Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Carports; Windows -Doors 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / /"L"ft./ /'LPG Electric 7. Well Clearance & Disconnect Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 8. Utility Clearance Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE H_OME INSTALLATION (Plans) OK except #'s Card B-1 Date Card B-1 Zoning Requirements -Setbacks -Easements Card B-1 Date Card B-1 Foo Ings; Size -Spacing -Marriage Line FINAL (Plans) OK except #'s as; MH Test-Demand-Valve-eew*etor 1. L,4. ectricity; MH Test -Crossovers -Breakers -Clearances 2. Soils; Compaction -Structure Stability MH Test -Fall -Flex Connector 3. L.15-4ater; MH Test -Regulator -Connector 4. 4�ater and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 12. Permanent Foundation Only; License Decal Date Card B-1 ��� Date Card B-1 Date Card B-1 ` Date Card B-1 lt4 MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rhrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI r 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- Enclosure s-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 V= OK 0 = Not OK - = Not Applicable =Not Ready RESIDENTIAL (; Date Underfloor (Plans) OK except #'s Hangers -Post Caps -Anchors -Connectors 1. Zoning -Setbacks -Easements -Flood -Slope Cling. Joist-Rftr. Ties-Purlin-Rolf Brac.-Truss-Shting.-Rfng. 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Fireplace Ties or Type A Flue -Fireplace Throat Clearance 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 5. Stemwalls, Main; Steel-Blockouts-Wrapped Garage Fire Protection Framing 6. Stemwalls, Garage; Steel- Blockouts-Wrapped Property Line Firewall & Openings 6a. Hold Downs and Special Anchors Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 7. Slab, Steel -Wrapped Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 8. Piers -Fireplace Ftg.-Steel Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Siding -Nailing Veneer 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 11. Water Pipe; Test -Anchors -Regulator -Service Test Glazing Area -Glass Protection -Skylights -Plastic 12. Electric Underground Shear Walls; Nailing -Bolts 13. Plenums & Ducts; Clearance -Material -Support -Ins. Brace Interior/Exterior Wall Panels 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Insulation -Walls -Ceilings 15. Access & Ventilation Infiltration -Walls -Windows 16. Insulation Date Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Ext. Steps -Door & Sidelight Protection -Landings 17. Water Htr.; Vent -Access -Combustion Air Baffle Smoke Detector 18. Water Pipe; Test & Anchor -Nail Protection Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection Bedroom Exiting 20. Shower Pan; Test, First Floor -Tub Access G.F.I. & Bath Fixtures & Tub Access -Spa 21. Test Tub & Shower, Second Floor -Tub Access Elec. Trim & Subpanel, Breaker Sizes & Labels 22. Gas Pipe; Sixe & Anchors Stairs & Rails 70. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Elec. Outlets & Receptacles at Kit. Counter 23. Fixture & Transformer Clearance -Ins. Protection Garage Fire Door; Swing -Landing -Closure 24. Elec. Receptacles Spacing -Lights & Switches at Doors A.C. Duct in Garage -Damper 25. Size Boxes & No. of Conductors Stapled Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 26. Romex Installed Close to Edge of Studs & C.J. Plb., Elec. & Mech. Equip. Listed for Location 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Elec. Receptacles in Garage (F.F.I.)-Romex Protection 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI Insulation -Foam -Looked in Attic 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI Guard Rails & Deck Construction -Post Caps 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral O Yes I] No Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 31. Service -Riser Conductors Ground Main.Disconnect Clearance Looked under Floor O Yes 32. -& Equip. Clearances Panels-Motors-Mech. Equip. Following Instld./Drive 0 Yes i7 No/Walks O Yes U No/Planters 0 Yes ❑ No 33. Clothes Closet Light -Shower Light -Spa Light Stucco Brown -Finish 34. Smoke Detector A.C. Unit Disconnect, Electrical -Plumbing 85. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Ventilation Throughout House 35. A.C. Ducts Insulation & Support Glass Protection 36. Vent Fan, Exhaust above insulation Corrections from Previous Inspections 37. Condensate Drain & Overflow, Size & Grade Gas Test -Meters Tagged, Gas -Electric 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet Water & Sewer Connected -C/O to Grade -HD Approval 39. Attic Access & Platform if Furnace in Attic Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing jingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-Rolf Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes 82. Following Instld./Drive 0 Yes i7 No/Walks O Yes U No/Planters 0 Yes ❑ No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 67. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE �O NER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. r l'— ma mac_ 1.zt�4j As --- COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 - 7 County Center Drive • Oroville, CA • (530) 538-7541 J CORRECTION NOTICE OWNER A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. -ice 77 Dat / !a Inspector REV 101/92 COUNTY OF'BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDIK�l ION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 5PPE No. (Rev.12/96) APPLICATION AND PERMIT � /� ASSESSOR PARCEL NUMBERZO 0,41-40-0-015 e �QJ BUILDING PERMIT OWNER TELEPTIONE AVID AND MEL1_ A DO 891-4807 °W"-TnuTM ROAD, OROVILLE CA 95965 SQ. FT. OCC. BUILDING VALUATION 1456 7' ,-64 ENTERPRISES TELEPHONE 34202694 CHICO CA 95973 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE NO. Fireplace Total Valuation $ z8,-� —FilingFee $ 20.00 Permit Fee 545 2 $ ARCHITECT OR ENGINEERS MAILING ADDRESS BUILAu�Ic�ngDRt ARK ROADOROVILLE 3��1 l:L , Plan CheckingFee Energy Plan Checking Fee $ 23-00 $ $ PERMIT FEE S LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 1 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome IR Other speclFv Each Trap 1 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other J Describe Work: RFMQVR RX MH F P,Y jT)XjT/jtWPT APV TJ/ rTVTwr_ 1I/PERM FDN Gas piping system 1 - 5 outlets 15.00 Building sewer 90 15.00 ' Mobile Home I S I G I W 920.00 PERMIT FEE $ 50.00 ELECTRICAL PERMIT Fling Fee 20.00 800V0LE Main Service 2o.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is 'n full force and effect.Sy f License Class Lic. No. 7 OWNER-BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service To 46.00So CCU000A WEE200A NEW CONST. DwELUNc Occup. ( BMS. 3.52Fr°; NEW CONST. MULACC. NONr REslo.UTLET 97.50 POWOERIE APPARATUS 8 SIN OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20 O 1000 B . Ex. Occup. ouT>Frs ASI°,°.R 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' copapeflsatign insL,�ance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number(42 (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the ' compensation provisions of section 3700 of the Labor Code, I shall comply with those provisions. • �l X L. a e V Xure'bf Sig caner ❑ontractor Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTL FE 3.5.50 HA2. D. FEES IMP FLo CDF P po SUE This permit is hereby issued un & -,r the of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON licable provisions Resolutions to do work been paid. Date/. ..� //0,( Defe ReceiptNo. 286492 63.00 e2 5 3 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK-INSFIECTOR G ENROD-APPLICANT f le ss P•. i � 'COUNTY OF BUTTE - DEPARTMENT OF DE 7 COUNTY CENTER DRIVE - r PERMIT NT SERVICES - BUILD G DIVISION 95965 - TELEPHONE 38-7541 I �. APPLICA"TION DATA SHEET / / OWNER: L ASSESSOR PARCEL NUMBER: ( - Proposed ` (� Q — G Proposed Buil ing se: Building Inspector: Date: At time of permit application, I was a vis he following data must be submr ed prior to permit processing and/or issuance: Date Received By ❑ . All items have been submitted -------------------------------------------------------------------------------------- Plot plans, 3/4 sets, signed by the preparer of plans. --------------------- ---------------------------------------- 113. -------------------------------------- ❑3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- �ineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. --------. ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑ 6. Energy Design Compliance and supporting documentation. 07. Statement of Intent for Non -Heated and A/C Buildings. ---- ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑9. Manufactured Hom . and installation instructions including Tie Down Specifications .----=------------- Feesof $ _, --------------------------------------- Impact fees as shown.on,the attached schedule. / California Department of Forestry plan approval/fees.-`= ❑ 1 . Flood elevation certificate. ------------------------------ - -- Sanitation and plot plan approval Health Department. ❑ 15. City of Chico plumbing permit. --------------------------------------- ❑ 16. Plotplan and business license approval from the City of Biggs. --- 1117. -- ❑17. Planning approval for (A) Use: (B) Parking: ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------- 1119. ---------------- ❑19. Encroachment Permit for driveway (construction approval prior to occupancy). -------------------- 020. Pre -inspection for required. Request to Building Inspector on 02 1. Contractor's license information. (Number, Name Style, Classification). ---------=---- -------`=' 022. Workers' Compensation carrier and policy number. ----------------------------------------------------- 023. Owner-Budder --------------------------------------------------- ❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner ❑). -7----------------------------- ❑24. Letter of signature authorization. -------------------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. ------------------------------------------ ❑26. Letter of intent on building use.----------------------------------------------------------------------------. • t. (Date) -- r ❑27. Manufactured Home utility clearance. --------------------------------------------------------------------------- jo28.KE' g violat'ons and/or expired permits.-------------------------------------------------------------- A, t Deed, ElM.H. Title, " �/ Check to H.C.D $'�--------------- Z Other: - C(/ i. J'J �W�1'h�n you issue the t, pro :ss as fo ows 11❑ Mail to owner, ail to contractor. \2'elephone l and hold for pickup at ce. ❑ Deliver with' ector. r Applicant. e, Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Departmept, ❑ Other: , j Date: 1. Index permit application for the above items numbered: �v ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phoe\p mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: Date: �a Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. fes. A' `j Not Pian Art aeh Id USE ONLY Floor Plan A" Aad Sant to B.O. —4 l� TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance fflA 12k, q/ �o&—� Owner Location AP# Plan Approved for:. Sewage Disposal% ater Supply: P blic Clearance for dwelling. Other —_�D Wit. ZLI Hold final for: Final clearance O.K. for: NOTE: 8/96 Private We+l::!S-- Date COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOAPARCELNUMSERD ^, U \ ZONING BUILDING PERMIT C B �� T[IIPNON! �2 SO. FT. OCC. BUILDING VALUATION OWNERS ADO(TS " S ` S 77C CTOq's NAME ., ir e QS TELEPHONE CO To 9 MWNO 40DRUS w aHQ.ALc,0 a 01- ` CONSTRUCTION LENOER LENOER•S MNLIW ADORUS Fireplace Total Valuation S ARCHITECT OR ENOINEER LICENSE NO. Filinq Fee E 20.00 ARCWECT OR ENOWEER9 MAIIJNo ADDRESS . Permit Fee Plan Checking Fee S EUILONOADORESS Energy Plan Checking Fee t S PERMIT FEE t LOT NO. sueaveloN9NAME PARCEL MAP PLUMBING PERMIT Fling Fee —2-0-.5—o USEOFSTRUCTURE SF O Duplex O Mobilehome O Other aPEcsr Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 TYPE OF WORK New O Addition O Remodel ❑ Utilities O Installation O Other L ti Describe Work:L-Imilog— � L Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 920.00 PERMIT FEE f r— ..- -� ELECTRICAL PERMIT Flin Fee 20.00 Main Service =oRLEs9 :ow OR tE99 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect License Class Lic. No. OWNER -BUILDER DECLARATION I herebyaffirm under ane of perjury that I am exempt from the Convectors license penalty P 1 rY P Law for the following reason: O I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. O 1, as owner of the property, am exclusively contracting with licensed contractors to construct the'project ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is Issued. O 1 have and will maintain workers' compensation Insurance• as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation Insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit Is for work of a valuation of one hundred dollars ($100) or less.) O 1 certify that In the performance of the work for which this permit Is Issued. I shall not employ any person In any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of sectl n 3700 of the Labor Code, I shall forthwith comply with those provisions. X _ Dat _ Signature of Applicant - O Owner ❑Contractor Agent An OSHA permit Is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories In height. in Service 2-A TO I.A 48.00 NEW CONST. OWE111N0 OCCUP. so OR ADONS. t ACC" OCT" 3.5QFr, Ntw C N ONST. MULTFOID. UTLPT @7,50 PO=APPMi L a swoLE ovrtEr a. Ex. Occup. ovnET OR FIXTURES ew 0 100 :0050 Ex. Occup. FIXED AJ+PLNs. oR ouTLETs RESIo. EIL 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt t Mobile Home Installation Fee i Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ S HAz. o FEES IMP FLDOO CDf PARCEL Po No ssLrt This permit is hereby Issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By Date PERMIT EXPIRES ON m.�-I provisions to do work paid. Receipt No. 3 d WHITE-O.D.S.-G.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROO-APPLICANT ,Yq... ,..� �-:-,...'•�..__ + r '-...-rr ,. "v T"" 4.+7`N7.""ii:^Z' :.. t...v1-Y'+c.-^�-i7....r. �j3�r.r-'-. K.v::,�-s .r�•>i:,,:.F r..:...- '�.'.:.1<^�...rn . -1... _ ,-.. • � .:, , BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM • (One form per Building) i School District Building Department No. A.P. NumbeQ[>1 �risdiction: = City �Counry Property Owner ED A I J / k3 Q c- A // Property Location/Address �: / C 4— A4 `- Subdivision Lot No. ............................................................................................... / Residential Development [ Sq. Footage L"r 5 / -� No of Living Mobile Home Addition/ *Supplemental to (Group R Units Installation Conversion Permit # -- '(No foundation inspection); / Commercial/Industrial New Addition rians reviewea oy acnooi uistnct rersonneil District Identification No. 4:0 9f DUks4-4-m U N, F/ L- (� School District certifies that Sq. Footage (Including Exterior Roofed Areas) C) Date .DA v/ D Do 1-/4 N (Applicant) (Street Address) (Phone Number) ORov�//e. C � 9s-9GS (City) (State) (Zip Code) has complied with the requirements of Resolution No. 9� - by payment of $ representing f S(G square feet. AS 2926 $ FULL MITIGATION $ School District Representative Date` --µ'- Paid by Check # Remarks: ��Z S %vo / liI✓� RELtl"G�Ir�/ �" In �� �� Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), .this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls (10/98)dmm PRE -INSPECTION REPORT OWNER: LOCATION: CONTRACTOR: PRE-INSPETION FOR: DATE TO INSPECTOR: Building Description: Commercial/Usage: Residential/# of Units: Currently Occupied AbandonedNacant Electric: Gas: PERMIT HISTORY:( ) NONE DATE: %Q J A.P. #- . ZONING: ( ) AS FOLLOWS: BUILDING INSPECTOR'S REPORT Yes No Electric currently On Off Condition of Electric Natural Propane None Currently On Off Obvious Problems: Sanitation: Plumbing Working Well Working Potable Water Obvious SewageProblems Comments: `2� ACTION RECOMMENDED: ISSUE: Inspector:—Z HOLD FOR Date r Sketch buildings on reverse and indicate location on property. 041-400-015 PERMI24 94-2944 GOMES, JIM 3551 CLARK RD., OROVILLE CONT: D & D MOBILEHOME SERVICE EX MH ON PERM FND 041-400-015 PERMIT#94-3190 GOMES, LINDA 3551 CLARK RD., PARADISE OPEN DECK/MH 041-400-015 99-1524 DOLAN, John W. 3551 Clark Road, Oroville Contr: Sean Jeffords Split electric for MWwell/. Ag Horse Barn ,. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT N (Rev. 12/96) APPLICATION AND PERMIT 0 0 r =O BUILDING PERMIT Civt TVAPNONE M� � SO. FT. OCC. BUILDING VALUATION OWNERJMAILIW J A0 c S � 111 MAM i e e TELEPHONE �- co 1AA+u1awe %Zwyla,w "lel `c, v q q 00141,3TRVCr10N LENDER LMlace LENDERa MLING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Flin Fee $ 20.0( ARCHITECT OR ENONEM S MAIJNG ADDRESS _ Permit Fee Plan CheckingFee S euwNOAooREss ✓ 1 Energy Plan Checking Fee $ $ PERMIT FEE $ '1<51 LOT No. sueo'vsoNaNA1rE ►ARc'L MAP PLUMBING PERMIT Fling Fee 20. 0 USEOFSTRUCTURE Each Trap 7.00 Solar or hent pump water heater 23.00 SF O Duplex O Mobilehome O Other Water piping 15.00 r _ Each as water heater or vent 15.00 TYPE OF WORK New O Addition O Remodel O Utilities ❑ installation ❑ Other Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Describe Work:LQ1M6L)e_ Q R Mobile Home S G W Q20.00 ` - V_11( 11 1 nc, --rnu W41 ti it I.0 PERMIT FEE t �-- .- ELECTRICAL PERMIT FilingFee 20.00 ' in Service POA oR RE99 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing wkh Section 7000) of Divislon 3 of the Business and Professions Code, and my license is in full force and effect License Class Llc. NO. OWNER -BUILDER DECLARATION hereby affirm under penaltyof perjury rythat I am exempt from the Contractors License Law for the following reason: O I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure Is not intended or offered for sale. in Service aooA To I000A 48.00 NEW CONS T. OWE11lNO opoyp, OR'o� a ACC. sRn9. 9 3.5Cfr. NOKRE91D. ' YVLTFounFr ClAcurrs @7.50 POWEA APPAMTLA A sNOLE ounrr q0. Ex. Occup. OVTUT OR FIXTURES a20 0 1.000 PnOAPPLASI Ex. Occup. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 O I, as owner of the property, am exclusively contracting with licensed contractors to construct ths'project O 1 am exempt under Sec. Business and Professions Code for this reason PERMIT FEE _ MECHANICAL PERMIT Fling Fee 20.00 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: Heating O 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the Cooling Hood 6.50 performance of the work for which this permit is Issued. O 1 have and will maintain workers' compensatlon Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is Issued. My workers' compensation Insurance carrier and policy number are: Ventilation PERMIT FEIE 3 Carrier Policy Number Mobile Home Installation Fee $ (The above sections need not be completed if the permit Is for work of a valuation of one hundred dollars ($100) or less.) O 1 certify that In the performance of the work for which this permit Is Issued. I shall not employ any person In any manner so as to become subject to workers' laws of California, and agree that if 1 should become subject to the workers' compensation provisions of sect n 3700 of the Labor Cnde, I shall forthwith comply with those provisions. \ ('J) X _Det _ Signature of Applicant - O Owner O Contractor Agent Energy Inspection Fee $ °CQ CON4T ryPE TOTAL FEE $ NO MUE ,,Ai D. Ro ,,,P FLOOD vARcet PO 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. An OSHA permit Is required for excavations over 50' deep and demolition or construction of structures over 3 stories In height By Date PERMIT EXPIRES ON to) Recelpthlo. 3 WHITE •O.O.S.•8.0. CANARY -ASSESSOR PINK -INSPECTOR GOLOENROO•APPLICANT LR, lB 1 - V/--- -6 -- k 1,41 /, & " z . fAv>-2c czk 6-tQc-a-e MEW 26x51 AgNu<Ac,TuAA5t fioma —7 ti1�dve`. �pyF i Jk �,l.✓c •� �- 7 Qage ZC Lxisr,44 PROPA"e A1JL 7 EX/STIN WD -L- ®Fl N �x/sri�c, 2y x�8� i MANupAcru�" L -- — — — — /00 A m? N OVEQ-H:+� powE-;Z - f rd.. CALIF. DcPT. of FORESTRY E] apprcved as submitted (Zapproved With conditions per attached shleet- (Data Signature i 5Epr7c- S ys�� '• � DR►�cv✓Ay �3y, 61 ALL HANGS SHALL BE CLEAR OF ALL EASEMENTS. IPMENT INCLUDING OVERHANGS SH A SET BACK OF Z/ FT. FROM THE SIDE AND :3,o F-. FROM THE REAR PROPERTY LINES AND ,-.p F1 FRO -M THE ROAD CENTERLINE SHAH- RE CLEAN OF STRUCTURES AND EQUIPMENT; LXCF-PT FOR A 2 FT. EAVE OVERHANG. V I 4L -Z) -) 1�AVi'bOLfatJ 355► CLNRK TZOPc� ORovlL- E, CA, ?69(,--,9 CDF FIRE SAFE REQUIREMENTS rr�� 41 AP# PERMIT # NAME Under.authority of PRC.4290, the following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be'superseded by Butte County local regulations which equal or exceed these standards. Field inspections will* be made by. the Butte, County -Building- Department for compliance. ] 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provide for by the land owner. Driveway Standards `Q 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other -appurtenant structures which supple- ment the roadway bed or shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing sedans and fire apparatus weighing up to 40,000 pounds. V3 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius [1(], 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of 50'- 100 feet radius; 2 feet to those from 100 -200 -feet. [�. 2. The length of vertical curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. [ 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. [ 1270.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. .Page 1 of - 3--, N AP # PERMIT # NAME 1273.10 Turnouts. Driveways exceeding 150 feet in length, but l less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. [�1 1273.10 Turnaround. A turnaround shall be provided at all building sites -on driveways over 300 feet -in length and shall be within 50 feet of the.building. 1273.11 Gates 1. 'Gate entrances shall be at least two feet wider than the roadway it serves. [`f.] 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. [ ] 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space. [�J 1. All parcels 1 acre aid larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from 411,roperty lines and/or the center of the road. �/L [ ] 2.. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See Other Requirements below. ( 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by -site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction �r f i:ial inspection of a building permit. Page 2 of 3 1 AP # PERMIT # Other Requirements [� If Building Setback is 15 to 30 Feet: - Class A or B roof. - Enclosed eaves NAME [ j if Building Setback is Less Than 15 Feet Choose any 3 of the following: - Metal or no doors.on,side toward property line with insuffi- cient setback - Class A or B roof with enclosed eaves - Interior automatic sprinkler system per NFPA 13D - Glass area not to exceed 1_0% of wall area toward property line with insufficient setback - Siding from the following list: Stucco - 3 coat Hardi-Board or Plank Masonry Masonry veneer Metal Other Butte County Fire Department approved materials [l Date Signature Page 3 of 3 77 13100 E2 0 x WI LL Lf) w cpl 4f smo%� E Ne elj& BA jAY a: c,: Uel. ILD rg LA 77 13100 E2 0 x WI LL Lf) w cpl 4f smo%� E Ne elj& BA jAY L-10 . ............... .................. .... pion, A MH 9321 I SEC 4 Jc-1 2C- tp- r Ff R _JM IREME NTS "ENTERLINE SUPPORT REOU Ix P rr[ re RTED 'M;TH SUPPI EMPAT TG FIELD !1,.,S "11001'. 1A.-AM11M. F .514 V It PRINT LO -- %,,T" "' RCrIi- LOAD. SHE ABOVIE AD p;:/N r WI LL .:ZT > a- Ic c,: Uel. L-10 . ............... .................. .... pion, A MH 9321 I SEC 4 Jc-1 2C- tp- r Ff R _JM IREME NTS "ENTERLINE SUPPORT REOU Ix P rr[ re RTED 'M;TH SUPPI EMPAT TG FIELD !1,.,S "11001'. 1A.-AM11M. F .514 V It PRINT LO -- %,,T" "' RCrIi- LOAD. SHE ABOVIE AD p;:/N 1. Owner's Name: 4- n 1 o h c o„ _. 2. Assessor's Parcel Number: Lf I -udQ 1 ,- 3. Installer's Name:_ 4. Is the site currently under permit? Yes[ ] No[XJ Permit No. 5. Is the site an existing site? Yes[x] No[ J (If yes, furnish two plot plans). 6. What is the electrical rating of the mobilehome? 100 7. What is the mobilehome site circuit breaker rating?__I.oG Amperes. 8. What is the electrical rating of the mobilehome site? _Amperes. 9. Is the main service remote from the mobilehome site? Yes[ J No[x] If it is, what is the rating? Amperes. ` ` 10. Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage etc.)? Yes J No[ ] If yes, please identify the load and size: a) The mobile home site: Load- Amperes - b) The main service: Load- _ o Z Amperes- �Q 11. Type of gas service at mobilehome site: Natural[ ] Propane[X] None[ ] 12. Size of gas pipe at the mobilehome site from the meter or tank: inches. 13. What is the gas pipe length from the meter or tank to the mobilehome?_151(ft.). 14. What is the mobilehome gas demand? B.T.U.* *(This information is not required if the pipe length is less than 6 feet on natural gas or less than 50 feet on propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION qjj/L- - .� b b j� 1 fj Pte„ 4 r,� ! May 1995 8.5 Mobilehome Manufacturer: y Manufacture Year: D-000 If other than single wide, furnish Set p Model Number: x-31 Wldth:(,�(ft.) Length:6 (o Ift.) Tagalong or Expando Size (ft.) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. FOOTINGS: Wood pressure treated or foundation grade[)(] Other: SUPPORTS: Concrete block[ X] Other: Provide Tie Down Specifications for all Mobilehomes: Pier Footings Sizes and Location SINGLE WIDE Line 1 MULTI -WIDE Line 2 ......................................................................... Line 2 ............ Main Beano ............................ Line 1 ........................................................................................ Main Beams .......................................................................................... ................................................. tinine e S Tag or Triple e q 1 Line 1 Piers: Size minimum: Spacing maximum:fftj From ends -maximum: Line 2 Piers: Size minimum: ] x Spacing maximum: ` From ends -maximum: ` Line 3 Roof Loads: Size tninimurlv�,2x�a�3p idx34 IaX36 Location (frorfronr)� 5, 001 1011 Imo, y I,e/..0 Line 5 Roof Loads: Size minimum: Location (from front): .ine I Line 2 .ine 2 Line 3 Line 2 Line 2 Line 1 Line 1 Openings Size minimum: x [30 ] Each side of openings with width over: I Ll Line 4 Piers: Size minimum: ] x ( ] Spacing maximum: ` From ends -maximum: ` r iy` lan-A"0611 4.V6" 4-;i.4 OVER P4 o - f RECORDING REQUESTED BY: WHEN RECORDED MAIL TO: Butte County Building Division 7 County Center Drive Oroville, CA 95965 COPY of Document Recorded 12 -Jun -2000 2000-0021481 Has not been compared with original BUTTE COUNTY RECORDER NOTICE OF MANUFACTURED HOME(MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION OF A FOUNDATION SYSTEM THE ATTACHED DOCUMENT IS BEING RECORDED TO CORRECT ERROR IN THE REAL PROPERTY OWNER NAME ON NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION OF A FOUNDATION SYSTEM, RECORDED ON MAY 18, 2000, UNDER SERIAL NUMBER 2000-00.18303. THIS PAGE ADDED TO PROVIDE ADEQUATE SPACE FOR RECORDING INFORMATION. 1. RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request.of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. DAVID L. DOLAN & MELISSA J. DOLAN REAL PROPERTY OWNER/LESSOR 3551 CLARK ROAD 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 coWly 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 00-0702 (530)538-7541 BUILDING PERMIT NO. TELEPHONE NUMBER 05/17/00 SIGNATURE OF LOCAL AGENCY OFFICIAL DATE NONE DEALER NAME (if not a dealer sale. write "NONE') DEALER LICENSE NO. SKYLINE HOMES 2000 WOODFIELD MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER 17700690MA/B 56' X 26-'' ULI505845/6 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. # 041-400-015 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE- County Recorder CANARY - HCD PINK - Applicant GOLDENROD - Building Dept. LEGAL DESCRIPTION A.P.#041-400-015 All that certain real property situate in the County of Butte, State of California, described as follows: BEING A PORTION OF THE NORTH HALF OF THE NORTH HALF OF SECTION 15, TOWNSHIP 21 NORTH, RANGE 3 EAST, M.D.B. & M., AND MORE PARTICULARLY DESCRIBED AS FOLLOWS: COMMENCING AT THE SOUTHWEST CORNER OF SAID NORTH HALF OF THE NORTH HALF OF SECTION 15; THENCE ALONG THE SOUTH LINE THEREOF NORTH 89 DEG. 1015" EAST, 2016.93 FEET; THENCE NORTH 0 DEG. 3 FEAST, 509.26 FEET TO THE TRUE POINT OF BEGINNING FOR THE PARCEL HEREIN DESCRIBED; THENCE FROM SAID TRUE POINT OF BEGINNING NORTH 0 DEG. 3 FEAST, 149.16 FEET; THENCE NORTH 88 DEG. 47'35" EAST, 668.18 FEET TO THE WESTERLY LINE OF CLARK ROAD; THENCE SOUTHERLY ALONG SAID WESTERLY LINE ALONG THE ARC OF A 3230.0 FOOT RADIUS CURVE TO THE LEFT, WHOSE TANGENT AT THIS POINT BEARS SOUTH 14 DEG. 22'41" WEST THROUGH A CENTRAL ANGLE OF 2 DEG. 45'01", AN ARC DISTANCE OF 155.03 FEET; THENCE LEAVING SAID WESTERLY LINE SOUTH 88 DEG. 45'01" WEST, 634.61 FEET TO THE POINT OF BEGINNING. BUILDING PERMIT NUMBER: 00-0702 Address or location of unit: 3551 CLARK ROAD, OROVILLE, CA 95965 Legal Description of Real Property: A. P. #041-400-015 SEE ATTACHED (x) Mobilehome/Manufactured Home () Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: DAVID & MELISSA DOLAN Owner's address: 3551 CLARK RD., OROVILLE, CA 95965 INSIGNIA OR HUD NUMBER: ULI505845/6 SERIAL NUMBER OR V.I.N.: 17700690MA/B MANUFACTURER'S NAME: SKYLINE YEAR: 2000 OFFICIAL APPROVING INSTALLATION: DATE: 05/17/00 PHONE: (530) 538-7541 H.C.D. 513C RECORDING REQUESTED BY: Fidelity National Title of California Escrow No. a02680 -JW TAIe Order No. 00202660 When Recorded Mag Document and Tax Statement To.- Wand o:Wand Mrs. Davld L. Dolan 3551 Clark Road 0►oville. CA 95986 SII III III I NII I II IIII l 11 1111 l Ill! 00 145zj6 Recorded I REC FEE 10.88 Officiiaal Records rds IE CMDACFJ, GRU585 f ROSEMpRYrDJQmSm I Assistant I Fay 89;88AN 24 -Apr -2888 I page 1 of 2 GRANT DEED' SPACE Aeove THIS LIne The underslgned prantor(ol declere(s) Gift Documentary tranarfer tax b e -0" I X I computed on full value Of property conveyed, or I I computed on full value less value of liens or encumbrances remaining at time of sale, I x I Unincorporated Area FOR A VALUABLE CONSIDERATION, receipt of whldt Is hereby acknowledged. John W. Dolan, An Unmarried Man hereby GAANTIS) to David L. Dolan end Melissa J. Dolan, husband and wife W Joint Tenants the following deswlbad real proparty in *0 Unincorporated area of Oroville County of Butte, State of California: See Exhibit "One' attached hereto and mode a part hereof for lege( description DATED; April 12, 2000 STATE OF CALIFORNIA COUNTY OF Solano ON April 12, 2000 before me, K. Kelly_personally appeared John V Dolan (or proved to me on the basis Of satisfactory evidence) to be the person(jr whose narne(1o4 Is/aasubatxlbed to the within instrument and acknowledged to me that he/>>ldnho executed the same in his/f )/thjW? authorized capacityliM, and that by hisfOrtf4ir signeturoW on the Instrument the person0p, or the entity upon behalf of which the versonlld acted, executad the Instrument. witness my hand grido dclal seal. Signature K. KELLY aorAervuellC.cr�uoANu�1 SOLA WCOUNTY n COWL EXP. MAY 14. = MAIL TAX STATEMENTS AS DIRECTED ABOVE :- t00 'd 01 tt £t£ 023:131 31111 11N A111341 d Z: £ 1 (10 00 <60- If1P Order No. 202680 EXHIBIT ."ONE" Being a porton of the North half of the North half of Section 15. Township 2.1 North, Range 3 East. M.D.O.&M., end more particularly described as follows: Commencing at the Southwest corner of said North half of the North half of Section 19; thence along the south line thereof, North 800 10' 15' East, 2016.93 feet; thence North 0. 31' East, 809.26 feet to the true point of beginning for the parcel herein described; thence from said true point of beginning, North 00 31' East, 149.16 feet; thence North 086 47' 36" East. 668.18 feet to the Westerly line of Clark Road; thence Southerly along said Westerly line along the arc of a 3230.0 foot radius curve to the left, whose tangent at this point bears South 140 22' 41" West, through a central angle of 20 46' 011. an aro distance of 155.03 feet; thence leaving said Westerly line South 88" 45' 01 " West, 634.61 feet to the point of beginning- Assenor'9 Parcel No: 041-400-01 S 21 300'd OM ctE 0£3131 31111 °11N A1113913 Z £I IIM00,60-Iff TRANS COQE NMH SIT U3 CC Cels. OMM UCL%n No. "TE os mmem To bl MW OF WAAWMIUM Wavott, WMAM Can N111aDa# a- tlU3IN1:35, IIWMSYUl%lAIIUN,ANUMUYzIMUAu4N( Ir DEPARTMENT OF MOUSING AND COMMUNITY DEVELOPMENT 1..� )TB;) , kTA"X L NO. OfvISION OF -COM AND STANDARDS YaCf7%Ji MANUFACTURED MOUSING PROGRAM DEALER REPORT OF SALE OR LEASE O L NEW MANUFACTURED HOME OR MOBILEHOME ype: LPT EXT 1176 Caps eA "'o, Corr COOS wD I O MPO >%D ps-aG� Mh"At"Aft Licam a to eteN-ACTIMF,R TMDa Aw DATE OF NYV4CTUFS ►OtaOATtON 1M9 (sne.e ew) OATa as aALa Cy LEASa 'c5O--OD Dai/ (penn),t]tawa-vbrl. O+Dsss �— cEcrroTl NO (1J) IMNiAlT1NlA >IMNfi IhtatE(I(tq HUD ua/L laart7lpl tJaarN Itudwe) trarrN ttlrlr.) TraoNT Iwf 07-10-06690—M-6 Lt5-0694;5 ADO SECTION[] DEPARTMENT USE ONLY Recelpt Number. Rvicetpt Date: CLERK Registered Owner(s) Lan RM MkdN PPF [print true 1' r AP name(s)j 2' �� \\ An r� r �� CrA/V I T l (.G,.1-...7 c ILT I a. MRF /0 If applicable, check one of the follovAng: ❑ TENCOM OR JTAS D T09COM AND O COMPRO PENN Current Melling street Addrass PEN2 Cly L O C ny state r p T J 611,34 Future Mailing street TRP Address (Irat dltrerenttnanaeove) City Ceti blra Lp TOD 5 q situs (location) Street DUET Address of Unit Cly _ Co y `%1 r P �j� DUPR Legal Owner (print m SURD111-11.1111611 �� true name(o)) CONE RI' -L S'77 r1.qS7qgg APG It eppileable, chock ono of the fallowing: ❑ TENCOM OR JTRS O TENCbm AND 13 COMPRO Mailing Address sue ^�.., �L 04� city� �a� � aP C� C1- RREO ' RSF Junior Lienholder (print PLT true namea(s)] SIT If appilcablo, chock one aF tho rollowing: O TENCOM OR Q JTRS 17 TENCOM AND CI COMPRO Melling Addross Street Cly stab UTP - RT ADD JNILM ASi S CERTIFICATION Tho applleant arta dealer algning below rMto tome best of their knowledge and belief that alt Meemants made in thla eppllaaen aro true and eertocL The aeale► eortlll Mat UO doicrlpad Yn1I is I compliance with all visions or the Meahh and safe Code and De aliment h Y18dane ado CCP SIGNATURE OF NEW REGISTERED OWNER(S): ursuent to rho Heslln ane S:h1 n e� 1,-bD&j it PW r-nX—)mAts) TOTAL 2. In CEUSSA 4 t.WCAMt a - DEALER NAME: SIONATURE OF AUTHORIZED AGENT: DEALER ADDRESS: «� J T SALESPERSO F Imo,–Mpj SALES _QN NUM612R, HCD 480.1 (REV 10196) Copy t - Dopartmant, Copy 2 - Purchaver, Copy a -Tax Assessor. Copy 4 - oealer gook No. 270811 OATE STAMP AREA £00'd 01ft £h£ OB 131 31111 11N A11130ld 9Z:£i (1Nd100 60- Nf1P �ideJity National Title Company of California SC ROW TRUST • CHICO BRANCH 958-02 ATEMENT THE ATTACHED CHECK IS N RETPAYMACH ANDENT OOFSRENS DESCRIBED BELOW. IF NOT DDRRECT, PLEASE NXITI Y US PROMMY. NO RECEIPT DESIRED. County #/Branch #, 0056/0802 Escrow Number, 202680 -JW Buyer David L. Dolan and Melissa J. Seller s Cousin Gary's Factory Homes Property, 3551 Clark•Boad, Oroville, CA Recording- fees for HCD 433-(A) ; Check No, Amount, $16.00 Dolan Dateo 06/09/00 95965 0 IN RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 18 -Nay -2000 2000-0018303 Has not been compared with original BUTTE COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. JOHN W. DOLAN REAL PROPERTY OWNER/LESSOR 3551 CLARK ROAD 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 cou TY STATE LP 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 00-0702 (530)538-7541 BUILD G PERMIT NO. TELEPHONE NUMBER �— 05/17/2000 SIGNATURE OF LOCAL AGtNQYOFFIC DATE COUSIN GARY'S DEALER NAME (if not a dealer We. write "NONE") 91265 DEALER LICENSE NO. SKYLINE 2000 WOODFIELD P239 MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER 17-70-0690–M 56' X 26' ULI505845/6 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER SEE ATTACHED A.P. # 041-400-015 HCD FORM 433(A) REV. 8/91 WHITE - County Recorder CANARY - HCD PINK - Applicant GOLDENROD - Building Dept. BUILDING PERMIT NUMBER: 00-0702 Address or location of unit: 3551 CLARK ROAD, OROVILLE, CA 95965 Legal Description of Real Property: A. P. #041-400-015 SEE ATTACHED (x) Mobilehome/Manufactured Home O Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: DAVID & MELISA DOLAN Owner's address: 3551 CLARK ROAD, OROVILLE, CA 95965 INSIGNIA OR HUD NUMBER: ULI505845/6 SERIAL NUMBER OR V.I.N.: 17-70-0690"M, MANUFACTURER'S NAME: SKYLINE YEAR: 2000 OFFICIAL APPROVING INSTALLATION: DATE: 05/17/2000 PHONE: (530) 538-7541 H.C.D. 513C 05/13/2090 13:53 1-530-343-8496 COUSIN GARY'S HOMES PAGE 02 Maly- 16-00 22-'35P RECORDING REQUESTED By.- AND Y: AND WHEN RECORDED MAL T0: , BUTTE COUNTY BUILDING DWIS10N 7 COUNTY CENTER DR(Vir OROVILLE CA 95965 P.Ol COPY Of Document Recorded 18-Mey-2400 2*M-0018303 orilta■ piaer�of lbeoa oompared •lttl BUTTIC COUNTY RECORDER SPACE ABOVE THIS L(N6 FOR RECO(tOBA USE QNLY NOTICE OF MANUFACTURED NOME (MOBILEHOM>E) OR COMMRCIAL COACH, INSTALLATION ON A FOUNDATION SYSTFAM Recording of this document at the request of the local agency Indicated Is In accotldance with California Health and Safety Cc& Scction ISS51, This document is evidence (hal such local agency has Issued A eertincAte Of occupancy for In6(altatiion 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 gave comirvctive notice as to its contents to all persons thereafter dealing with the real property. OPAL 1N YEaTY DWNEN1LF=Ct 3551 CLARK ROAD WAIL11m Aoolim OROVILLE, BUTTE, CA 95965 OTT CULNTY STA ZIP SAME 1K"J%LLAr60U y4lUaO AOCIRZ31. 1/ OIPPiRLVT 07v ! OUNTY STAT[ ZIP F' `, Y N YNT OWNaA Ilr Ugpleavlr A.,ei .An yAAIE-� MAKING G A009E.11 �v6` v 9 5405 BUTTE COUNTY_ BUILDING DIVISION LOCAL AOEWY WUWG FEAAUT-A COLTIFICATL OF CL9ANCT 7 COUNTY CENTER DRIVE 'FAILING A9OApa1 OROVILLE, BUTTE, CA 95965 Otr COI NTT Ft•ra ZIP 00.0702 (530)538-7541 aull 'I'M" 110. TEL6/MOnEr•l'HaEa - --05/17/2000 710 ATUAE OF WCAL A t pip DATE COUSIN GARY'S PEALTA NAME fir rot , Ms, al,. ,wilt'Xori@y 91265 DEALEALCWJD •a UN! I„ T DESCRIPTION SKYLINE 2000 MANU ACWOODFIELD P239 T4R6A u 1 HAM 0 O ►IA �.ACTu IF 17"70-0690-M nAQ&hvMveR �. — 8 5 1 UL.U50S845/6 ~� seA AL NIMaeArF, LEN U 26T1 ,,,.., ..a. V" FROFEAT.y1/i..L on _Alrno� A�,esFo,•:.A,CiL Me�eER SEE ATTACHED A.P. // 041-400-0) S NCD FORM q)tA) REV. I101 WNrrO • CO -P aaFNn CANARY.40 119E, "rNa G•OLOE,%AW • a.MW4 p,V1' zoo •d 0M M 023:131 31111 *11N A111301d sz:N (IM00 ,60- 1f1P DEPARTMENT OF HOUSINGFANOLCOM4U ITY DEVELOPMENT DIVISION OF CODES AND STANDARDS REGISTRATION AND TITLING SECTION ; '. STATEMENT OF FACTS This unit is. a: ® Mobilehome 0 Commercial Coach =. Floating -'Home EITruck Camper Decal .(License) No. -(s) Trade.'Name . Serial No.(s) 5k y ��►e GLS 004-P i e -,V P c07 I/We, the undersigned, hereby state that the unit described above: Affiant further agrees to indemnify and save harmless the Director of Housing and Community Development, State of California, and subsequent purchasers of said unit, for any loss they may suffer resulting from registration of the above-described unit in California, or from issuance of a California certificate of tide covering the same. I/We certify under penalty of perjury that the foregoing is true and correct. --/k' OG at 0101il/Ie Executed on , Date (City) (State) Sig ature of each affiant Printed name of each affiant 1. ou 5; .4 � Iwo, -4e r Address -City (ZILi )I StateQ. }- HCD 476.6 (Rev 11/86) I MAR, -06' 00(KION) I2:13 FIDELIT" NATIONAL Record et the Request of Mid Kelley Title dr Edarow Company PARK Escrow No. 162606FA lou+ No. WHEN RECORDED MAIL, T0: JOHN W.DOLAN 3551 CLARK ROAD OROVIL.LE. CA 95965-9187 TEL:9168'9"531 U �• 97-04,02781 Ret: Fee 8.00 I DOC 121.00 I INF 2.00 Recorded 0lttcial Records 1 Cheek county of Butte 1 CondaCe J. Orbe j Recorder PU9L XX 2 11:35em 19 -Dec -97 f &FACE ABOVE THIS VNE FOP RCCULDEWe treE MAIL TAX STATEMENTS TO: OCCUh1ENiARY TRANSFER TAX 31$1 !) ' ii Ca.pub0 on bN txaubenUon ar r.uo a Roperfy oe�veyee: OR SAME AS ABOVE Cornwtad a m �*Idomllon or value bee Some a awumtroneaa eamakttng W " of 00. Tho einrtwrnlnned rranrnr dArlarmt slenwre of Deal- or Agam daterrrnnefn lax - rum Name GRANT DEED 041-400-015-000 FOR A VALUABLE CONSIDERATION, recelpt of which 16 hereby acknowiodgea. JAMES H. GOMES and LINDA L GOMES, husband and wNe hereby CPANT(S)to JOHN W. DOLAN, an unmarried man P. 003 the real property In the U14INCORPORATED AREA County of BUTTE State of California. det:crlbod u SEE ATTACHED LEGAL DESCRIPTION Dated nr �4 Thor Cep 1'rQ7 / t STATE OF CALIFORNIA A GOMEENi COUNTY OF ) /. � Dc�cetnb�r 8 , ! 997 � yt;�i.—;�� � �.• �'� .:.r _" . N� >-G1bXlES-- t belofemo, Vicki GLCSS3 nOCAYy n:Ib11C, . personen epPeuod JimeS li. Gomes: Cl Linda L. Gomes ' i Owsonalrf known tomo (or poved tome an tho baste of satigroctory •�.,,;�:r,;`- •••.u�—. ' ' ' ' Wdor%V) Io bo the Por -5041 whose namo(s) Note subscdbod to the•�� ' i' VICKI C;A6SS; n+r wliNn IrMfument And acknowledged le o vw hdeho/llwy orocutod 0;;; •�`�' n CGo. l.I. a I l: d?:5 iylh the same In her/Ihatr authmi[od ca0wA nrl� end that by c htsMorMelr sbnelvfo(s) on the ItuVumonl the panOn(a) or the BUT I Coo -'Tr onlity vyu ;� �fyCv rn-e.earf lur7e.,y f upon boMn of wet lfw Pwaonls) act executed Iho lmlr mons. M NEU he ends a$ rtes PlAR.. -K 100 (MON) 12 13 F I GEL I T" NATIONAL TEL: 91689"'5,11 ORDER NO. BU -162606--2 FA slsacRZirrZoer THE LAND REFERRED TO IN THIS REPORT IS SITUATED IN THE STATE OF CALIFORNIA, COUNTY OF EUTTX, AND IS DESCRIBED AS FOLLOWS: BEING A PORTION OF THE NORTH HALF OF THE NORTH HALF OF SECTION 15, TOWNSHIP 21 NORTH, RANGE 3 EAST, H.D.B. & H., AND MORE PARTICULARLY DESCRIBED AS FOLLOWS: COMMENCING AT THE SOUTHWRST CORNER OF SAID NORTH HALF OF THE NORTH HALF OF SECTION 15; THENCE ALONM THE SOUTH LINE THEREOF NORTH 89 DEG. 20P 15" EAST, 2016.93 FEET; Ti(ENC.E NORTH 0 DEG. 311 EAST, 509,26 FEET TO THE TRUE POINT OF BEGINNING FOR THE PARCEL HEREIN DESCRIBED; THENCE FROM SAID TRUE POINT or 5LOINNI14G NORTH 0 VEG. 311 EAST, 149.16 FEET; THENCE NORTH 88 DEG. 471 35" EAST, 668.18 FEET TO THE WESTERLY LINE OF CLARK ROAD; THENCE SOUTHERLY AIONG SAID WESTERLY LINE ALONG THE ARC OF A 3230.0 FOOT RADIUS CURVE TO THE LEFT, WHOSE TANGENT AT THIS POINT BEARS SOUTH 14 DEG. 221 414' WEST THROUGH A CENTRAL ANGLE OF 2 DEC. 45' 01", AN ARC DISTANCE OF 155.03 FEET; THENCE LEAVING SAID WESTERLY LINE SOUTH 88 DEG. 45' OL" WEST, 634.61 FEET To THE POINT OF' BEGINNING. P. 004 I6/9 'AaL (V)CCV W210J (JC)II J�OH 1101Ni�lai � jY3 a3ewnN 13.)SVd SAOSSISSv NOIldIn:;S30 1V031 Ala3dOVd MS ISIb39WnN 139V1!VINJISNI_—_-_- HIOIM xxHIONNJ311 31 X S39N/ VN 1300W 3bnl)VJnNVW 30 31VO -_'ON 3SN3)I1 b31V30 a 1.3N ap- • I01 ,alwp 0 Iw III 3WVN v30 l - 31v0 1V1)IJJO A)N31 lv)Ol JO 3bn1VNOIS b39Wf1N 3NOMd3131 'ON 11Wb3d ON1011n9 d1Z 31 V I5 A1Nn0J All) SS3800V 9NIIIVW A:)NVdn»O 30 31VDIJIIb33 PUO 11wb3d ONIMI AJN30V IV:)OI ($)b39Wf1N 1VIb3s 3WVN ,b b 1 V3nNVW NOI1dlnm 11Nn dIZ _ 31VIS A1Nfl03 Alp Tj S 3banV ONI71 W (.3WVS.! a1!i '+awwo Ayadold 0110 II) 03NMO 11N11 a l. dIZ 31 VIS A1NnoJ AIIJ IN3831110 JI 'S53b00y ONIIIyw Nouy11V15N1 dIZ 31 VIS A1Nn0) A10 ss3baav `JNIIIVW f a _ — (� L) bOSS31/b3NMO Alb)dob V3b •Apadold loaf ay yliM 6uiloap Jayoalayt suos)ad llo of slualuo) std of So a311ou aAlt)n,tsuO) aA!6 of pawaap aq lloys puo Apadold loaf ayl to JauMo pawou ay of JapJo)a3 Atuno) ay Ag paxapui aq Iloys luawn)op siyt 'papJo)aJ uayM -6wplo)aJ to atop ay to so 'Molaq Atuppa) qpm paq!J)sap kpadold loaf ayl uodn 'uoalay paqu)sap liun ayl to uo1101101sw Jol A)uodn))o to alo)il!pa) o panssi soy A3ua6o lo)ol y)ns 1041 axJap!Aa Sl tuawrnop siyl 1998t uo!paS apo AlaloS puo ytloali DIUJOIIID� yIIM a)IIOpJO))D w si palo)ipu! A)ua6o lo)ol ayl to lsanbal ayl to luawn)op siyl l0 6wpJo3aa W31SAS NOI1VUNf103 V NO NOII"V1SN1 'HJVOJ 1VI:)83WWOJ 80 (3WOH3119OW) 3WOH a3sn.L:)V3f1NVW 30 3JIlON A1NO 3sn d3U2iOJ3M S01 3N11 SIH1 3A09V 3:)VdS dIZ pue 31VIS 'Jlll� SS3uGGv 133u1S *01 11VW GM10}38 N3HM (INV :A8 U31S3nD3u JNIUu0o3a 3WVN ATTN: AA1C-A, FROM: I Fidelity National Title Company FACSIMILE TRANSMISSION DATE: �l/-Jcjlo NO. OF PAGES:�O- Including covershee(tt \�¢ f CLQ VVj �M-�� -�E�JC 0.S 5��Y 'O i U, w\ t/b._, Please note! You 'may be required to attach a special notice whenever copies of certain public records are given to consumers, pursuant to Government Code Section 12956.11b). You acknowledge and agree to furnish the required notice in lieu of this Company whenever you duplicate and/or provide copies of public records directly to the consumer. NOTE: If there are any questions concerning this transmission please call at (530) 343-3716 PLEASE NOTE. In the event any of these pages require an ORIGINAL SIGNATURE, please copy the fax transmittal Page(s) and sign on the PHOTO COPY and return to us with thyocig' ature. :::THANK YOU. CONFIDENTIALITY NOTICE The information contained in this facsimile is legally privileged and •confidential information intended only for the use of the individual or entity named above, If the reader of this message is not the intended recipient, you are hereby notified that any dissemination, distribution or copy of this facsimile is strictly prohibited. If you have received this facsimile in error, please immediately notify us by telephone and return the original facsimile to us at the address above via the United States Postal Service. Thank you. 100 'd 0M M MIR 31111 '11N A111301 d SZ: � l (l Ed) 00 160- Mr RESIDENTIAL ' i 041-400-015 PERMIT#94-2944 I GOMES, JIM I 3551 CLARK RD., OROVILLE CONT: D & D MOBILEHOME SERVICE i EX MH ON PERM FND OFFICE COPY Address GAS Meter By Date ELECTRIC Meter By Date JOB FINALED (Date) Signature J=OK O =Not OK = Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 2. Soils; Special MH Support Sketch 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 3. Sewer; Location -Test -Fall -C/O Concrete 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Rfg.-Bracing 4. Water; Location -Test -Easement Needed (Sketch) 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Carports; Windows -Doors 6. Gas; Location -Test -Wrap: / P L" ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Electric 7. Well Clearance & Disconnect 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 8. Utility Clearance 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing Date Card -B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBIL OME INSTALLATION (Plans) OK except #'s Card B-1 Date Card B-1 ung Requirements -Setbacks Easements Card B-1 Date Card B-1 o gs; Size -Spacing -Marriage Line POOLS (Plans) OK except #'s MH Test-Demand-Valve—Connector _AwEI 1. Setbacks -Easements 'tricity; MH Test -Crossovers -Breakers -Clearances 2. Soils; Compaction -Structure Stability Dr 'rrtMH Test -Fall -Flex Connector 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining W ter; MH Test -Regulator -Connector 4. Elec.; Receptacles and Lighting, Distances-GFI L-rWater and ewer Connected -C/O to Grade -HD Approval 5. Elec.; Pool Lighting; 15 volts-GFI , G nd Electricity Tagged 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed xits; Insp.-Sketch 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 10. Cert. of Occupancy 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes-Enclosures-Panelboards-Ins. to Main in Conduit Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 r -L 1,0 o 1 I�#/J 76HE")"47 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- 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 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 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 Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓=OK O = Not OK >, - = Not Applicable Not Ready RESIDENTIAL (; ' = Date UNDERFLOOR (Plans) OK except tt's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel- Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -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. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except #'s tE. 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 Card B-1 DateCard B-1 -------------------------------------------- -------------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK exceptg's 22. Fixture & Transformer Clearance -Ins. Protection .----------------- ------------------------------------------------------ 23. Elec. Receptacles Spacing -Lights & Switches at Doors ---------- ---------------------------------------------------------------- 24. Size Boxes & No. of Conductors -Stapled ------------ --------------------------------------------------------- 25. Romex Installed Close to Edge of Studs & C.J. --------------------- ------------------------------ ---------------- 26. Equip. Ground made'up w/Mech. 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 At - - --------------------------------------- 29. Range Circ / r ga Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No -------------------------------------------- 30. Service -Riser Conductors & Ground -Main Disconnect --------------------------------------------------------------------------------- 31. Equip Clearances Panels-Motors-Mech. Equip. ------------- --------------------------------------------------------- 32. Clothes Closet Light -Shower Light -Spa Light ----------- ------------------------------------------------------ 33. Smoke Detector ------------------------------ - -------------------------------------------------- Date Card B-1 Date Card B-1 - -------------------------------------------------------------------- ---------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except H'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 Card B-1 Date Card B -t Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except k's 39. Sils. Proper Material & Anchors -------- -------------------------------------- ---------------------------- 40. Walls Studs -Nailing Spacing & Bracing -Plates -Sound ----------- - - - ---- ------------------------------------------- 41. -------------------------------- 41. Bearing Walls over Girders & Floor Nailing ----- -- -- -- ----------------------------------- 42. Draft Stop in Walls (rat proof) ------------ ---------------------------------------------------------------- 43. Fire Stops: - Furred Ceilings -Stairs -Chases -Tub ----- ----- --- -- - - - -- ----- - -------- ------------------------------------- 44. Headers & Beam -Size & Bearing lingleY & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 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 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 Card B-1 Date Card B-1 -------------- Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except It's ` 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-Mech. Protection 75. Plb. Elec. & Mech. Equip. Listed for Location ---------------------------------- 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection ------------------------------------------- 7 . Insulation -Foam -Looked in Attic ❑ Yes 78. -Guard -Rails & Deck Construction -Post Caps 79. Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes ......--------------------- ---------- ------------ - 80. Following instld.: Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No: Planters ❑ Yes ❑ No ------------------- 81. Stucco Brown -Finish - 82. A.C. Unit: Disconnect. Electrical, Plumbing ------ ------ - ------------------------------- -- 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openinos 84. Water Well: Disconnect. Electrical, Plumbing -------- - --------------------------- P 9 - 85. Exterior Elec. Trim; G.F.I. Rece tacle-Under round - - - - - - -- - - - - - - --- --------------- ---------------------- 86. Ventilation Throughout House - -- -------------------------- 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. -------------....--- 91. Energy Compliance Certificate -Other Certificates -------------------------------------------------- --- Date Card -B-1 ------- Date Card B-1 ---------------- --------------- -- -- Date Card _B- 1 Date __ Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF QEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - OrovHle,r California' 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATIbN AND PERMIT meq- 09wi( ASSESSOR PARCEL NUMBER 041-400-015 2 k%1 3 BUILDING PERMIT OWNER M ' TELEPHONE SQ_ FT, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 3551 CLARK RD OROVILLE, 95965 1152 R 62,208.00 CONTRACTOR'S NAME D & D MHSERVICE TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee 473/2 $ 236.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 153.70 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 3551 CLARK RD PERMIT FEE $ 410.20 OROVILLE, IN 95965 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO.SUBDIVISION'S NAME PARCEL MAP Water piping 15.00 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF EIDuplex 1:1Mobilehome U Other SPECIFY Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 15.00 Mobile Home S G W @20.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ InstallatiorTXX Other CIContractor Describework: EXISTING SITE (500 SO FT MIN) PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 1 20.00 PERM, FOUNDATION Main Service ( 300V OR 200AORLESS ) 23.00 Main Service ( 200ATOI000A ) 46.00 NEW CONST. DWELLING OCCUR SO, OR ADONS. ( & ACC. OLDS. ) 3.5C FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ;i�_l 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. �-/ ///S X-ClassificationC' N 7 ❑ I, as the owner, or my employees with wages as their sole compensation, will To 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) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POW ER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FI%TURES) 20 @ 1.00 BAL.@ .50 Ex. Occu FIX ED APPLNS. OR p' (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. Ila!I 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. 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 Count in copse uen a of the rant q g g of this permit. X Date�� 5 = g `1 Signature of Applicant - ❑ Owner ontractor ❑ 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. Tr PE TOTAL FEE $ 515.20 HAZ. D. FEES IMP FLOOD ' j{j, CDF PARCEL PD HD ISSU 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 Aff Date I�- PERMIT EXPIRES ON (De el Receipt No. 17045£ WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT i --..,_„t r.`ti "'�.,�`_ �« ,...1_., � :.�• .-.., .�. sr.'`��;. ��.k'nn.,.uSLrn.�,t«�v.{,�,�',...7c-rte.-,.w7na�c+++.:r��-r. � � ... .... •'^"- ..`- 4 -j k C OUNTYOF BUTTE - DEPARTMENr&�VEWPP ENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA'95965 - TELEPHONE (916) 538-7541 PERMITAPPLICCATION DATA SHEET OWNER CT W1 C= M S A. P. No.(JYZ �D(�? 1 Proposed Building Use V0 Building Inspector 11A Date 6 At time of permit application, I was advised the following d a must be submitted prior to permit processing and/or issuance: it DATE RECEIVED BY 1. All items have been submitted. 2. Plot plans, 3/4 sets, signed by preparer of plans.f .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signtature 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. Mobilehomed to and manufa rer's inskkallation instructions, 2 sets. . 11.Impact fees as shown on attached schedule. -S J..�./!2 .........12 �� . California Department of Forestry plan approval/fees. ............... a ........ 13. Flood elevation letter (100 year floo y California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit. ... .r0.( -e( f Psi,,,,,,,,,,,,,,,,,,,,,,,,, 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). . . Pn:-Inspection reqi 20. Pre -inspection for required. .. to Building Inspectorue(Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 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 . ............... f 31. Existing violations/expired permits . .......................... V34 . Planmh�, !` . 1 _� i When you issue the permit, process as follows: Mail to owner. Mail to contractor.. _ Telephon6JQ - _1,3 and hold for pickup at -or-,))i ; 1 r office. Deliver with inspector. Other Parcel Creation { , Acreage Applicant A Date /� Iy y Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other I Date By The following data must be submitted prior to 1. Index permit for above items No. 2. Additional items required: (Cir ew. i%_W not*gcked above). Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date Plans checked by Date Plans approved by G�� Date� Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works r i'Ld I'lun nllaEhevl o, flour Him Almoliol� Solt w H.U. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance --s-r � o ►ten s '35 S/ C-"- _ �%�'�{0 - l5 Owner Location AP# Plan Approved for: Scwagc Disposal ✓— Water Supply: Public Private Well Clearance for a bedroom mobile home. Othcr Hold final for: Final clearance O.K. for: NOTE Environmental 4alth Specialist 8/92 0c :t ` it Date ���'""tiri�'�`�t►�i?�'�'`r%►'��R"H+ '�4 iifr�i�;�M`''�f "`i�1Ni.� f?�}'71•�`... vSr—;`...'i+ �i • �s�'�''t`'+ �--�yt w '1u�1:+1+H11"i!�%'�r`''Et�,-•-_ �.•. s BUTTE COUNTY PARK FACILITY=FEE PAYMENT CERTIFICATION FORM DURHAM RECREATION AND PARK DISTRICT Assessor Parcel Number•.(s): Property Owner (s): Project Location/Address: Subdivison Name: llAssessable Square Footage: Type of Residential Development (check one): I V New Development ❑ Alteration/Addition 14 Mobile Home (s) Non -Residential to Residential Comments: is k. (1 Bul Division Representative I Date Zo Durham Recreation and Park District (DRPD) certifies that Applicant Name Applicant Phone Number - (2 1 at K umber C1atK Street Address City t� State _.p Code has complied with the requirements of the Butte County Board of Supervisors Resolution No. 93 - 1.14 by payment for—6'"—square feet at $ 1.04 per square foot for a total payment _ Of $ 4F. h /,? L RPD Repr sentative ate r PAID BY CHECK No.: Remar c- f rdi=6� f BANK No.: o K D , PAID BY CASH: RECEIPT No.: /,= ' g ?�� iS ZU DISTRIBUTION: WHITE - APPLICANT PINK - DRPD YELLOW - BUTTE CO. BUILDING DIVISION G � Fi • .� rl w En O un 70 �< � y . lu d tJ ;t1 t�1 n � o o � Mr 4W1 f'?t ��' KAMM 1 J. BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School District U lr Building Department No: A.P.Number� ' i( /�/' (/ I !, Jurisdiction 0 City 0 County Property Owner J Property Location/Address �'� C lJ t He, Subdivison Lot No. Residential Development 0 r Sq. Footage / No. of Living MI Units(.-- ty /`S ► ✓I Addition i it /4a (Group R) 0/ Commercial/Industrial = Sq. Footage New Addition (Including Exterior Roofed Areas) Building Department Representa ive Date (Floor Plans.reviewed by School District Personnel) District Identification No. DUP-4AM VAY r-1 87i�> School District certifies that 71 m .6 -em e s (Applicant) .ass Jed (Street Address) (Phone Number) (City) (State)' (Zip Code) / has complied with the requirements of Resolution No. 9 `7 —.3 by payment of $ representing //So'j square feet. { School District Representative Date Paid by Check Number Remarks: m6i Al, Bank Number _ 617 /-1; 7/Pf,4 AD '4k Paid by Cash /1,-01 e •, r If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.wkf (4/92) ,it ,o: AGRICULTURAL STATEhkNT O-i-Ar1 N!2WLEDGEMENT Aiding Division - FOR RESIDEIYW.L'DEVELOPMENT - "Section 26-8.1 of the Butte County Code requires this NOT COMPARED W17-11 to.issuance of a building ORIGINAL 00CUMENIT acknowledgement be l�� prior g . permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents 1(�9 of this property may be subject to inconveniences or discomfort arising from the use of agricultural chemicals,' eJ➢ _ \ including, but not limited to herbicides, pesticides, and O 94-045371 fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust,smoke, noise, and odor. Butte County has established agricufmral zones which have as a priority use for.productive agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operapons. All that real property situate in the County of Butte, State of California, described as follows: . _ .. -AAAA.. ------- ------- - - --- ,...l��r:t i.nll of t"hr' Nnrt:.h h�l.f of .thr' .Ilor.t:h half: of. Section l , - ne i.n(l l 1'r���n^•I1iF"21 Nr�rl.:h, !? n�le 3 E1.^ -t M. I.). E,. � hi., and more Aar.ticu]arly 1hfR?d i1S ow . of ile th C.'e)r1r11':NcrN(; rlt the Snnt".I147ef 1 cnr"n�r �>1 lirle thereof, lNor.tht89°rl10' 5alf_ o f sec t.i on .l 5 ; t:hcnce alone) tile S )u t.. feet Fasl:, 20.16.93 reef:; thence North 1r" 31' East, 509. 26thencett•.r..ornsaile roi.rlt of beginnincr for the parcel. hcre.i.n descrl.bed; thence North t rue F�oi.nt; of I)�ginning, Nnr. t.h 0° 3J-' East, 149•. 1G feet; 88° 47' 35 f,,�st GG8 feet to the Wester..l y -Tine of Clark Road; thence Srallt hr,rly �.l.rnrg Laid 6Jnsl.rr.J.y l:i.ne, a].nng t -.he ar.r. of a 3230.0 foot r.adil.is SoilI,, I,o f"'lle ]eft., Whnsr` I.angent at this point, bears South 14° 22' 41,E �n arc distance of: 155^03 f1nGt111" , 1:C�llClll .1 C.-entral. allclIn.. of 21 45' 01,,, �� West, feet; thel r -e leavi.n9 s, -d West:er. 1. ]..ine. South 88° 45' Ol 634. �1 fpo.l-. i:c) l"lle point. of: begInni.n(l- Date: la •-L7-qq PROF)ERTY OWNERS: n State of Cgli[on County of , It V"" On IU -'Z-rl -`i q before me,. _���n " l -t r�.������—��� l FHS_ -) , lY Ul t personally appeared , ��nn�¢,S 1•�, VOYYI,L, 5 awy� Li a � ct- L . 6y I'n S ea� personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument hRas f which the person(s) acted; executed the Instrument. oma SEAL WITNESS my stand and official seal.1�9.m nInTAAR GC DQE ORNIA Signature A.P. # 0 1 / — Y KD — 0 t5- X, X X BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (530) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT O. qq 83 Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. 0 (I _ L/ 0_ (0 1,5 ZONING /,► IRA1 OWNER J0 W a L� PHONE NO. b l `4707 OWNER'S ADDRESS 35�� C' / , �, 1��7 \ O� (U-6�/1 _ t C�� Fr,v LOCATION OF BUILDING n .' � A Sq b USE OF BUILDING O TZ.S� ' ' L SIZE OF STRUCTURE I I, X SSL = 7 3 7— SQ. FT. TYPE OF CONSTRUCTION: WOOD FRAME STEEL VZ CONCRETE OTHER (Specify) TYPE OF SIDING 10OOF COVERING ! / k) FLOOR TYPE ESTIMATED COST OF CONSTRUCTION AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: r r - i - I FRONT �~� 42—VAr" SIDES REAR O /77K*' AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation USGS Datum. I declare under penalty of perjury that the building will be used as stated above and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will -contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the req ' ments in ee ttect at that time and before occupancy. q q Date � -n- ( 6 Signature of �fit Fee - 160.00 pt No. The above describkgAG Building is exempt from a bVilding permit. Manager Building Div'sion By White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant Fr Pt!FtL P.Cy ROOF G ISSU Date COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION "'R 7 County Center Drive • OroviPe, California 95965 • Telephone (530) 538-7541 9 r PERMIT N0. (Rev.12/96) APPLICATION AND PERMIT 1 -}l(V l6T ^O ` `V r ASSESSOR PARCEL NUMBER O Lf ZONING BUILDING PERMIT OWNER –�• TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS1`✓ - a `�A`riY`J CONTRACTORS NAME�, \ ..i T�7 TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 3�5 0_1 „ 1/� Energy Plan Checking Fee $ 4 ( PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other)e Describe Work:(% CL _-, ,f6 -R-- to / L1vszc �� C� Q�1b �'a & `Zw tz �/ 9 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 000v oR LEss Main Service 200AORLESS 23.00 Z.Z,. LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.PSINGL License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License L w for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permitis issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed 0 the permit is for work of a valuation of one hundred dollars ($100) or less.) 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 workers' compensation laws of C and agree that if I should become subject to the workers' compensati provisi sof section 3700 of the Labor Code, I shall orthwith comply w' those provi ons. X Date Zb ` at a of Applicant - w ❑ Contractor ❑ Agent n HA permit is requi ed for excavations over 60" deep and demolition or constructionY" structures over 3 stories in height. Main Service TO 46.00 WEE200A CCU000A NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( 8 ACC. BLD.. 3.5Q NOµR6 D.T MULTI OUTLET @7.50 OUREr CIR.OWER APPARATUS 8 E .00 20 @ I.5OUTLETBAL @ .50 Ex. Occup. OUTLET OR FIXTURES Ex. Occup. ODs RAID°�w 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 Z� , PERMIT FEE ' MECHANICAL PERMIT Fling Fee 20.00 Heating —Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HA2 D FEES IMP I FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By J.,1LUate PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. -� 7 � zovy Date Receipt No. -1&1 WHITE-D.D.S.- . 1. CANARY -AS SSO PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER _ ct00 �.0 S ZONING BUILDING PERMIT OWNERI_ TGE�LEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS I+WUNO ADDRESS 1 04 CONT CTOR'S NAME �� TELEPHONE CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUIL.DINGADDRESS Energy Pian Checking Fee $ $ X PERMIT FEE $ LAT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 New ❑ Addition ❑ Describe Work: TYPE OF WORK Remodel ❑ Utilities ❑ Installation ❑ Irl Other 4— Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 QOOV OR LESS Main Service p.OR LESS 23.00 .. Main Service 200A TO IOOOA 46.00 NEW CONST. DWELLING OCCUP. 3,5Qso. OR ADDNS. ( & ACC. BLDS. FT. NEW CONS MULTI.OUTIET NON-RESID. . @7.50 PS OWER APPARATUS b SINGLE OUTLET C'. EX. Occup. OUTLET OR FIXTURES 20 O I'00 aAL @ .50 Ex. Occup. D °s APP ,D °EA 5.00 —Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 I;G. PERMIT FEE _ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ HAZ. D. FEES IMP I FLOOD I CDF PARCEL PD I 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 PERMIT EXPIRES ON ere �, `MBNEMQ: AM WHEN RECORDED MAIL TO: t�E BUILDING DIVISION 7 COUNTY CENTER DRIVE moo= OROVILLE CA 95965 tm. STAX 011 a 94-049401 194"-'0'49401 .194-049401 1 9404940,1 4049 40,1 I Rec Fee .00 I Total .00 Recorded I ` Official Records I County of I Butte f Candace J. Grubbs I Recorder I 1:22pm 7 -Dec -94 I COMS XX 2 LK FOR RECORDER USE NOTICE OF MANUFACTURED HOME, (MOBILEHOME), OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as. to its contents to all per- sons thereafter clearing with the real property. JAMES H AND LINDA L,:GOMES BUTTE COUNTY BUILDING DIVISION REAL PROPERTY OWNER/LESSOR LOCAL AGENCY ISSUING PERMIT ad CERT.IF.ICAIP. -OF OCCUPANCY 3551 CLARK ROAD 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT CITY COUNTY STATE ZIP UNIT OWNER (If also property owner, write "SAME") MAILING A.w f�55 CITY COUNTY STATE ZIP UNIT DESCRIPTION MAILING ADDRESS OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP M-2944 (916) 538-7541 1 MIT TELEPHONE NUMBER 7,04 12/7/94 SIGN TORE OF l l A NC! OFFICIAL DATE D & D MOBILEHOMES DEALER NAME (I. .—_ - xa!er sale, write "?ICY_") 8957 DEALER LICENSE NC. FLEETWOOD 11/14/94 SPRING HILL 348-2A MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER CAFLR17A/B16987-SH 48'X24' RAD 794866/794867 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. #041-400-015 SEE ATTACHED LEGAL DESCRIPTION. HCD FORM 433(A) 4/86 P4 JEMT Or MC. v� W o s 1 o I_ SCHEDULE C The land referred to herein is described as follows:. All that certain real property situate in the County -of Butte, State of California, described as follows: Being a portion of the North half of the North half of Section 15, Township 21 North, Range 3 East, M.D.B. & M.., and more particularly described as follows: COMMENCING at the Southwest corner of said North Half of the North half of Section 15; thence along the South line thereof, North 89° 10' 15" East, 2016.93 feet; thence North 0° 31' East, 509.26 feet to the true point of beginning for the parcel herein described; thence from said true point of beginning, North 0° 31' East, 149.16 feet; thence North 88° 47' 35" East, 668.18 feet to the Westerly line of Clark Road; thence Southerly along said Westerly line, along the arc of a 3230.0 foot radius curve to the left, whose tangent.at this point bears South .l4° 22' 41" West, through a central angle of 2° 45' 01", an arc distance of 155.03 feet; thence leaving said Westerly line, South 88° 45' 01" West, 634.61 feet to the point of beginning. Address or location of Legal Description of Real Property CA'AT CCU C B 1 3551 CLARK ROAD, OROVILLE A.P. #041-400-015 SEE ATTACHED LEGAL DESCRIPTION. Ile NO. 94-2944 A F—Mobilehome/Manufactured Home E]Commercial Coach has been affixed to the real property described above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's Home: JAMES H AND LINDA L GOMES 3551 CLARK ROAD, OROVILLE CA 95965 Owner's address: INSIGNIA OR HUD NUMBER: RAD 794866/794867 SERIAL NUMBER OR V.I.N. CAFLRI7A/B16987-SH MANUr- URE 'S N E FLEETWOOD YEAR OF MANUFACTURE: 19 4 12/7/94(N7916)-538-7541 "Co a n ac nieoi W%ow—o..., Conor •. P..wM.«. @k#*- XFae Me. DEPARTMENT OF STATE OF DIVISION OF CODES AND STANDARDS REGISTRATION AND TITLING SECTION STATEMENT OF FACTS This unit is a:® Mobilehome E] Commercial Coach E] Floating Home Truck Camper Decal (License) No.(s) Trade Name Serial. No.(s) / L410 7 1 v BSG Flee/wodd CM FLA 1714 6IB7 -sH &-7J. 7 C.gll.✓2 173 7-s1.... -•- I/We, the undersigned, hereby state that the unit described above: Affiant further agrees to indemnify and save harmless the Director of Housing and Community Development, State of California, and subsequent purchasers of said unit, for any loss they may suffer resulting from registration of the above-described unit in California, or from issuance of a California certificate of title covering the same. I/We certify under penalty of perjury that the foregoing is true and correct. Executed on / - -4 q at ate (City) (State) Signature of each affiant Printed name of each affiant oe Address gay 3 Fe -,44 cc Il(: •Kz City O�Ov�`!i� State -- NCD 416.6 (Rev 11/86) $TitI'�tDir$hi'>riaf,R7' DECAL NO bivisfod of Code:) end Standards Manufactured Housing Section�j ��� a EIW V MCO CONTROL NO. TANS CODE NMH DEALER REPORT OF SALE TAX TYPE (CIRCLE ONE) TUS COUNTY CODE NEW MOBILEHOME LPT EXT USE CODE (CHECK ONE) ORIGINAL SALE PRICE ORIG. COST CODE .ACIP. DEALER LICENSE NO. DATE OF SFD `TRANSFFEER TO DEALER MFO ❑ er 17 f— rlr,,vvw TRADE NAME DATE OF MANUI-A— pFG. MODEL NAME O` r')UMBER /i /_ UNIT (31-41 S MANVFACTVRER SERIAL NUMBERISI M C^r' R 16—/&-gfI-.S RECEIPT NUMBER ADDITIONAL UNITS ❑ REGISTERED OWNER(S) (LAS TRUE NAMES): FIRST NAME NAME"Tn A/r (3I ❑ JTRS IF APPLICABLE CHECK ONE OF THE FOLLOWING TENCOM OR CURRENT MAILING 355 C� / ADDRESS G, L,aR K Rom FUTURE MAILING / Or LOCATION ADDRESS O�►��'/ ��� IF APPLICABLE CHECK ONE OF THE FOLLOWING: ❑ TENCOM OR MAILI,IU RECEIPT DATE DATE FIRST SOLD NEW FOUNDATION TYPE (CHECK ONE) PPF 18551 ❑ (PIII A� 18813 ❑ "ER) ILT LENGTH WIDTH WEIGHT (INCHES) (POUNDS) .1ILABEL NUMBER pNeNEs1 ❑ TENCOM AND ❑ COMPRO lb T7 8S& , ., , , 006 (3I ❑ JTRS IF APPLICABLE CHECK ONE OF THE FOLLOWING TENCOM OR CURRENT MAILING 355 C� / ADDRESS G, L,aR K Rom FUTURE MAILING / Or LOCATION ADDRESS O�►��'/ ��� IF APPLICABLE CHECK ONE OF THE FOLLOWING: ❑ TENCOM OR MAILI,IU RECEIPT DATE I CLERK ..' .' ,_.- PPF MIDDLE NA C OR INITIAL RF ILT t MRF PEN I ❑ TENCOM AND ❑ COMPRO PEN 2 TRP ❑P ❑ JTRS ❑ TENCOM AIII COMPRb Ll_ SIT UTi TIP I I 8 (T) ❑ TENCOM ANb ❑ COMPRO IF APPLICABLE, CHECK ONE OF TFIE F0 LLOWMG: �T.N.O�MOR ❑ JTR9 MAILING ADDRESS: CITY STATE ZIP STREET ADD JL ❑ CERTIFICATION 6 and be The applicant and dealer correct. The dealer tubelow elher certifies that the describejo the best of their d unit 16 inicomplianst that ce with all provisions statements made iof the application ere true a Health and Safety Code and the department reoulatlons adopted pursuant to the Healthsnd Safety Code. SIGNATURES)OF NEW REGI$lERED OWNER(S}TUNES AI i U) I - (B) (C) r By I 310 T E O (D) DEALER NAME: IZED � ENT (E) DEALER ADpftESS: 2 SALESPERSON NO.: (F) SALESPERSON NAME: copy 3—ASSSOR No; M 2 315 3 7 COPY I—DEPARTMENT COPY COPY 4—BOOK OPV COPY i COPY 2—CUSTOMER COPY DATE STAMP AREA / AND WHEN RECORDED MAIL To r HMh. James H. >i Linda Gomes 8—ot 3551 Clark Road Aea7w Oroville, Ca. 95965 Ms vu L r Htan■ :d «t same as above c:tr A gut. ( , APN 41-40-0-015 CAT. NO. NNQQngZ TO 1073 CA ti_aa) ■■ JI J FdOe$ SPACE ABOVE THIS ZINE FOR RECORDER'S USE Individual Grant Deed P. 002 HECOHUEU BUT PEA Ty OFFICIAL RECORDS By 01481 `' JM 11 AN .. CANOACE J. GRU88S � CLE)tl(-REC090ER i 617-2 2396 J FdOe$ SPACE ABOVE THIS ZINE FOR RECORDER'S USE Individual Grant Deed SEE LEGAL DESCRIPTION ATTACHED HERETO AND MADE A PART HEREOF AS EXHIBIT A. Dated: December 9, 1986 r � r STATE OF CALIFORNIA 1 K COUNTY OF Ba2tte 1SS. Onnle r 1 Onbefore r me, the Yandpenlg,ed, ■ Notsty Public , and for said State, QCiffitri-red - D.K. Griffith aa)d C10113e personally known to me or proved to me on the basis of ut- Isfictory evidenee to be the Petson-!5—whow name subscri to the within instrument and acknowledged■tar"�aor■alar■titre■Ap■■tt■tap ehae theyexecuted thesame. CE91 LUCERO m WITNESS my hand ind official seal. • ;.ef;"t.%. f;:Tr.1YPU0-'LIC.CALffonfUA 4 + i rulbrmmty o Signature ■ f•:yWr:tA:YQnErplrot0ee.2G1Q8r M (This area for OffiCILI narulel MI) Title Order No. Escrow or Lean No. 3-137201JH MAIL TAX STATFIUGure ee noee..:�.. . The undersigned grantor(s) declare(s): Vocumcntary transfer tax is $ 28.60 (H.H. incI x1ed) q (X ) computed on full value of property conveye , or ( ) computed on full value less value of Dens and encumbrances remaining r'1 Fq at time of sale. ( X ) Unincorporated area;( ) City of and FOR A VALUABLE CONSIDERATION, receipt of whirh.is hereby sicknowlcdged, - ' O.K. GRIFFITH and CONNIE GRIFFITH, husband and wife, 8s Joint Tenants htreby GRANT(S) to JAMES H. GOMES b LINDA L. GOMES,husband and wife as Joint Tenants the following described real property in the unincorporated area of the County of Butte , Siete of California: SEE LEGAL DESCRIPTION ATTACHED HERETO AND MADE A PART HEREOF AS EXHIBIT A. Dated: December 9, 1986 r � r STATE OF CALIFORNIA 1 K COUNTY OF Ba2tte 1SS. Onnle r 1 Onbefore r me, the Yandpenlg,ed, ■ Notsty Public , and for said State, QCiffitri-red - D.K. Griffith aa)d C10113e personally known to me or proved to me on the basis of ut- Isfictory evidenee to be the Petson-!5—whow name subscri to the within instrument and acknowledged■tar"�aor■alar■titre■Ap■■tt■tap ehae theyexecuted thesame. CE91 LUCERO m WITNESS my hand ind official seal. • ;.ef;"t.%. f;:Tr.1YPU0-'LIC.CALffonfUA 4 + i rulbrmmty o Signature ■ f•:yWr:tA:YQnErplrot0ee.2G1Q8r M (This area for OffiCILI narulel MI) Title Order No. Escrow or Lean No. 3-137201JH MAIL TAX STATFIUGure ee noee..:�.. . P. 005 pJ2 PE POCUMENt EXHIBIT A. ..X Tho land referred to Iscrain is described an follows' a All that COVt4in real property situ -It In the County at Dutte. State of follawill California, dancrib-11 as fit the north h.ike ebt the north hair of voctLon 15, O*Lnj a portion 1(anqu 3 E4ut, M. 0. U. L M., Aind moro particul-arly Township 21 North, described as follows: COMMENCING at the Southwest corner of said North Half of the North half of Section 15; thence along the South line thereof, North 09' 10' 15" East, 2016.93 feet; thence North 06 311 East, 509.26 feet to the true point of beginning for the parcel herein described; thence from said true point of beginning, North 0' 31- East, 149.16 feet; thence North 980 471 35" East, 668.18 feet to the Westerly line of Clark Road; thence Southerly along said Westerly line, along the are of a 3230.0 foot radius 41" curve to the left, whose tangent at this point bears c South 141 221 West, through a central angle of 2* 451 01", an arc distance of 155.03 feet; thence leaving said Westerly line, South 88q 45' 01" West, 634.61 feet to the point of beginning. pJ2 PE POCUMENt vw�*QMF U.6 AND WHEN RECORDED MAIL T0: uonE BUILDING sTt�T 7 COUNTY Amens OROVILLE Cm, STATE. and ZP DIVISION CENTER DRIVE CA 959.65 ,94-494.01 � 1;94-049401 1 .'Rec Fee ..00�', 1 Total ..00 Recorded I Official Records I County of I 1 Butte I ++ lCandace J. 'Grubbs I Recorder 1:22p.m, 7�Dec-94COMS XX' 2. I, NOTICE OF MANUFACTURED HOME, (MOBILEHOME), OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this documental the request of the locai 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. JAMES H AND LINDA L;GOMES BUTTE COUNTY BUILDING DIVISION REAL PROPERTY OWNER/LESSOR LOCAL AGENCY ISSUING PERMIT oW CERTIFICATE. -OF OCCUPANCY 3551 CLARK ROAD 7 COUNTY CENTER DRIVE MAILING ADDRESS MAILING ADDRESS OROVILLE, BUTTE, CA 95965 OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFEREW CITY COUNTY STATE ZIP SAME UNIT OWNER (If nlso property owner, write "SAME") MAIL:NG A� CITY COUNTY STATE ZIP M-2944 (916) 538-7541 I IT TELEPHONE NUMBER 12/7/94 STGN TURE OF LbCAL A NCY OFFICIAL DATE D & D MOBILEHOMES .DEALER NAlt.E (I. not _ ale. sz_'.e, wr__e "%C4E" ) 8957 DEALER LICENSE NC CITY COUNTY STATE ZIP UNIT DESCRIPTION FLEETWOOD 11/14/94 SPRING HILL 348-2A MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER CAFLR17A/B16987—SH 48'X24' RAD 794866/794867 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER �P!#041-400-015 SEE ATTACHED LEGAL DESCRIPTION. HCD FORM 433(A) 4/86 IL %T Or 'y 41 W 0 a 0 1 Cw t` wh►ir aE• sa-as4oi � SCHEDULE C The land referred to herein is described as follows: All that certain real property situate in the County of Butte, State of California, described as follows: Being a portion of the North half of the North half of Section 15, Township 21 North, Range 3 East, M.D.B. & M., and more particularly described as follows: COMMENCING at the Southwest corner of said North Half of the North half of Section 15; thence along the South line thereof, North 89° 10' 15" East, 2016.93 feet; thence North 0° 31' East, 509.26 feet to the true point of beginning for the parcel herein described; thence from said true point of beginning, North 0° 31' East, 149.16 feet; thence North 88° 47' 35" East, 668.18 feet to the Westerly line of Clark Road; thence Southerly along said Westerly line, along the arc of a 3230.0 foot radius curve to the left, whose tangent.at this point bears South 14° 22' 41" West, through a central angle of 2° 45' 01", an arc distance of 155.03 feet; thence leaving said Westerly line, South 88° 45' 01" West, 634.61 feet to the point of beginning. END OF DOCUNIr-0T c 13tctte OROVILL.E, CALIFORNIA GENERAL CLAIM CLAIMANT: DARRELL MULLINS — D D M OBILE HOMES ADDRESS: P.O. BOX 259 CITY & STATE: LOS MOLTNOS, CA 96055 IMPORTANT: DATE OF CLAIM: 12/1/94 SEE INSTRUCTIONSON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) 7 AMOUNT (BLDG -PERMIT APPL. #94-2944, A.P.#041-400-015, RECEIPT #170458, :. DATED 10/25/94, OWNER: JIM GOMES) TOTAL AMOUNT PAID.. .$515.20 AMOUNT RETAINED.. .$23.00 TOTAL AMOUNT TO BE REFUNDED ........................$130.70 i i TOTAL $13170 I, the undersigned, declare under penalty of perjury that the services or articles claimed have een performed or delivered, and that this claim is true and correct as stated. f Dated this .................................. day of ............................. 19....... at................................. Calif. ...... .. ... .... .. . .. .. . .. ....... Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or arUcl s cifit 1 oye h n edormed or de- livered and that there Is a Budget Appropriation O or Specific Hoard Approval O (Check on 'fo t a Dated this .......i .................... day of DECEMBER 19 .94 t OROVILLE. caur. .. epartment Head or Authorised Deputy Dept. Exp. . Code ....421.0500 ........................ PAYABLE FROM ........................................................ FUND DO NOT WRITE BELOW THIS LINE _ AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUAIB. GROSS AMT. i REFUND CLAIM APPL I CAT I ON CLAIMANT'S NAME a A„ MAILING ADDRESS x 2 i9 ;; '� ASSESSOR PARCEL PERMIT # S `l - .2 4 RECEIPT NUMBER (S) 176<-5-e Request a refund of fees paid on the above receipt number(s) for the following reasons: Please refund any applicable fees in the following categories: (Check those categories which you wish to have refunded.) [ ] Building Permit Fees [ ] Sheriff Fees [ ] SRA.Fee (CDF Fire Planning) [ ] Urban Area Fees Disposition of plans: [ ] Plans returned to me at counter. [ ] Please mail plans to me at above address: [ ] Please dispose of plans. SIGNATURE DATE FOR BUILDING DIVISION USE: Receipt Information: �...__..._..�.. _.�.._ .__ .�.�_......... ....:_ � ...... .. Number: Date: Issued To: 10011relj 11:15 - Amount: $- /O/C. I Fees R�tained: l/*" . Processing Fee: $ Bldg Filing Fee $ 1yes N,Y Plbg Filing Fee $ Elec Filing Fee $ Mech Filing Fee $ Energy P/C Fee $ Plan Check Fee $ Inspection Fee $ Total Amount Retained $ 2 TOTAL REFUND DUE e _, RESIDENTIAL 041-400-015 PERMIT#94-3190., GOMES , LINDA 3551 CLARK RD., PARADISE I OPEN DECK/MH at— L 1 Ap? JOB FINALED (Date) b _ Signature V=OK O=Not OK = Not ApplReady MOBILE HOMES ' =Not Ready , Date MOBILE HOME UTILITIES (Plans) OK except #'s 7. Electric 1. Zoning Requirements -Setbacks -Easements 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 2. Soils; Special MH Support Sketch 9. Siding; Nailing -Veneer -Stucco -Mesh 3. Sewer; Location -Test -Fall -C/O Concrete 10. Roof; Shthg-Roofing 4. Water; Location -Test -Easement Needed (Sketch) 11. Ext.; Steps -Doors -Landings 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect Card B-1 Date Card B-1 8. Utility Clearance 7- Card Date Card B-1 Date POOLS (Plans) OK except #'s Date _ Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 4. Elec.; Receptacles and Lighting, Distances-GFI 1. Zoning Requirements -Setbacks Easements 5. Elec.; Pool Lighting; 15 volts-GFI 2. Footings; Size -Spacing -Marriage Line 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 3. Gas; MH Test -Demand -Valve -Connector 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 4. Electricity; MH Test -Crossovers -Breakers -Clearances 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. 5. Drain; MH Test -Fall -Flex Connector Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 6. Water; MH Test -Regulator -Connector 9. Health Department Approval 7. Water and Sewer Connected -C/O to Grade -HD Approval 10. Plumb.; Cir. Test -Water Supply Test 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date OEC OVERS, CARPORTS, GARAGES, Plans OK except #'s Zo R uirements-Setbacks-Easements Ings; Soils -Size -Depth -Spacing -Connectors -Steel Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- 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 Card B-1 Date Card B-1 (% Date % 7- Card Date Card B-1 Date 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 -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O = Not OK -=Not Applicable Not Ready RESIDENTIAL (; ' = Date UNDERFLOOR (Plans) OK except ff's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -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. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except a'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 Card B-1 Date Card B-1 ----------------------- --------------------------------------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ft's 22. Fixture & Transformer Clearance -Ins. Protection - --------------------------- ------ --------------- -------------------- 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled - -------- --------------- ---------------- ----------------------------- 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made "up w!Mech. Fastners-Bond Gas & Water -------I---------------------------------------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size!GFI ----------------------------------------------------------- - 22 Subfeed Wire Size ! ga. Cu or AI-A.C. Wire Size ! ! ga. Cu or Al --------------------------------------------------- 29. -------------------------------------------- 29 Range Circ / J ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No ------------------------------------------------ -------------------------------- 30. Service -Riser Conductors & Ground -Main Disconnect ---- -------------------------------------------------------- 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light --------------------------------------------------------- - ---- -------------- ------------- 33. Smoke Detector ---------------------------------------------------------------------------------- Date Card -B-1 Date Card -B-1 ----------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except h'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 Card B-1 Date Card B-1 - ---------------------------------------------------------------------- ----------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except ft's 39. Sils. Proper Material & Anchors - - --------------------------------------------- 40. --- ---------------------------------------.... -- ---- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound ------------ -- -- - - - --- - - --- ----------------------------------- 41. Bearing Walls over Girders & Floor Nailing - - ------------------------------------------------------------ 42. ---------------------- -------------- --- - 42. Draft Stop in Walls (rat proof) ------------------------------------------- ------------------------ -------------- 43.. Fire Stops: Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing jingle & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions ______-50. Garage Fire Protection Framing _ 51. Property Line Firewall & Openings 52. Ext. Doors -One 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- _ Card B-1__ _ _ Date _ Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except ft's 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 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 -Meth. Protection 75. Plb.. Elec. -&-Mech. E ui Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection -------------------------------- ------ 7 . Insulation -Foam -Looked in Attic ❑ Yes -------------------------------------------- -- 78. Guard Rails & Deck Construction -Post Caps 79. Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters--O-Yes ❑ No -------------- ---- 81. Stucco: Brown -Finish 82. A.C. Unit: Disconnect. Electrical, Plumbing ----- --------- ----------------------- - 83. Vents Above Roof; Plbg.-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. - --- ----------------------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 -------------------------------------------- -- ---- Date Card -B-1 Date Card B-1 Date Card B-1Date Card B-1 ------- I ----------- ---------- ------------ -- Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE BUILDINGGDIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt RAad, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE /- Z PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, J Date / Inspector REV 1019 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, OrOville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediatelv. Date Inspector /�- REV 10/92 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 C6unty Center Drive - Oroville, California 95965 - Telephone (916) 538-7541PERMIT NO. APPLICATION AND PERMIT q� -31 t! ASSESSOR PARCEL NUMBER 04.1-400-015 ZONING BUILDING PERMIT, OWNER GOMFES TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 360 0 2520.00 CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ 54.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 3551 CLARY RD PERMIT FEE $ 109.10 PARADISE PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex CIMobilehome� 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 O Additions 1:11:1Remodel Utilities O Installation Other ❑ Describe Work: ZU SO OPEN DECK PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main ServiceBOOV OR LESS ( 20OA OR LESS ) 23.00 Main Service ( 200A TO IOOOA ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. OLDS. ) 3.5C gO, 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 ISO 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 ) @7.50 POW ER APPARATUS (8 SINGLE OUTLET C.R. ) Ex. Occup. ( OUTLET OR FIXTURES ) ZD P 1.00 DAL. @ .5050 Ex. Occup.FIXED AP=s WS. OR ( OUTLETS IRESID.i 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. 00 1 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 d 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 ' conse ence of he gr t' g of this permit. Date atof Applicant -,I Owner ❑ 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 FEE $ 109.10 HAZ. 1 O. FEES IMP FLOOD TCOF PARCEL PD ISS This ermit is hereb issued under thea licable rovisions P Y PP Pg of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. 9 �/ By �2/7�y'1� Date / 7 g/ zA PER IT EXPIRES ON /6 c�V-� r ete) Receipt No. 170769 WHITE-D.D.S.-B.O. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT a COO NTYOFBUTTE,- DEPARTMENT OFDEVELOP WENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - ORIDIJILE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER ro © & & I 1 4 r A P. N a OW - / Proposed Building Use 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. All items have been submitted......................................... 2. 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 calcs, 3/4 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. Mobilehomq data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $,, .......................................... 11. Impact fee as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . _ fT 13. Flood elevation letter (100 year flgadl„by Ca'�fb nia Engineer. .: 14. Sanitation and plot plan approva U ( 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). .. Fre-Inspection re.q.uie5F 20. Pre -inspection for required. .. to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . . ............ . 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner ............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ ti 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... !ii 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 . ...................................... 32. Plan check list . ..................................................... 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation �p Acreage AppIica t ?^ Gc Q�?'Il� Date 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 to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Cunt r by _ Date Plans checked by Date Plans approved by F� Date d Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works 1 r I-& Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance E.H. U_SE pe, Plat Phu Attxhad �� Floor Plan Autchod Sent to B. D. I Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist >>" aF - i Date Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for bedroom mobile home. Other 1 XQ? d G d v -t Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist >>" aF - i Date COUNTY OF BUTTE Department of Development Services Building Division Oroville: 7 County Center Dr., Oroville CA 95965 Ph: 916-538-7541 Chico: 1469 Humboldt Rd., Chico CA 95928 Ph: 916-891-2751 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no)Vim. 2. I (have/have not) VS signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address Phone City Contractor's License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractor's License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner S Social Security Number Date / /- d �a —jL/ NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California .95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. /.\Jl ZONING BUILDING PERMIT OWNER m& TELEPHONE SQ, FT, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ` ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS I / G i PERMIT FEE $ PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 Q ,^u, v Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCELMAP Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE SFO Duplex O 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 O Addition Remodel ElUtilities O Install io /O� Oth O Describe Work: c PERMIT FEE $ Contractor ELECTRICAL PERMIT Fling Fee 20.00 Main ServiceBOOV OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A To IOGOA ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLDS. ) 3.5C FTSp . NEW CONST. MULTI -OUTLET •NON•RESID. ( BRANCH CIRCUITS ) @7.50 CONTRACTORS LICENSE LAW declare under penalty of perjury (check one) O 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) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O I am exempt under Sec. Business and Professions Code forthis reason WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): O 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. ( POW ER APPARATUS ) 8 SINGLE OUTLET CRR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. .50 Ex. Occup.FIXED AP NS OR (OUTLETS IRESI6.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring JE E PERMIT FEE S Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ I certify that I have read this application and state that the above information is correct. 1 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" ,Jeep and demolition or construction of structures over 3 stories in height. Contractor Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ I HAZ• 1 D. FEES IMP I FLOOD I CDF I PARCEL PO ND ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. BY Date PERMIT EXPIRES ON !Oats/ Receipt No. WHITE-O.D.S.-B.O. CANARY-ASSE OR PINK -INSPECTOR GOLDENROD -APPLICANT ji 7-WN—ZR' S tiAiVSE : 'T ' PRI5PER' Y ADDRESS: R r14 Environmental Health ASSZSSOR' S PARCEL 4: _ .- 5' NOV 9e6 1994 i SCALE: Oroville, California NOTE: All Materials & WOrlcmasaMp Shall Be T,1 Accordance with Recognized G6od Practices and of ayQuality Prescribed for thq Spoafjoc: 7IBe to the Vniform Bulla -:..g, Plumbic & M®,-alan1oah Codes and the Nationai Blectricat Code. GGB: 18 wzLL a-4 xv s I I 1 I ��I I > o 0 U �" I $ ) I Q°off; I N ui e� .Z,I ,Y J 4� 4T ` T` L[! Co IL . moo¢C v Cy 4. `- a cc0 Crr �- z r r- v ,Co U AUC! O �—S �cc QCo � 'v t3UTTE COUNTY 3UILDING DEPARTMEN' APPROVED 94- -31 �r- llv t VARIES 4,0 0 Z1. 3 z L1 --4 u �J 0 C-) 7< L� ti c b 1 -40 o w ;11 .Z C: (� =mob m i rn. �. CDy M v II' m O >F (� 00 0 < iF M �� � a- a o� CO CF) r O C.nn v 1 Q � 3 / • c /' /� 3411 . _ � J� NWJi�RAIL F4EIGHT MAX. �`eco .;pj o y t� d -7\j I I. ✓ r 4 MAX. _ 3 it n o N A GN 3G"MIN. STAIR .--- A W I DT4 �v y X SPACINGS SHOWN APPLICABLE ONLY IF INTERMEDIATE PIERS POSITIVELY ATTACHED TO FRAME & PAD (all frame sizes) OUTLINE OF CaSTM (Mont. Hm.) . OHF -31 PERS k PRECAST (Ibnuf. Km.) lTNff � (iEAYS � CONCRETE PADS TYPICAL INTERMEDIATE PER d PADS SPACING PER (Manuf. Hm) 'INSENIATION MANUAL" SEE NOTE 13 (Page 2) SINGLE TYPICAL (WHEN � RECOMMENDED BY MANUFACTURER) THE FOUNDATION SYSTEM IS SAFE FOR NSULLATION IN FLOOD PLAIN AREAS WHERE DEPTH OF FLOODING DOES NOT D(CEED THE HEIOff OF 2.3•. FOUNDATION ELEVATION DOUBLEWIDE TYPICAL NOTE: FOR DOUBLE. TRIPLE OR MULTIPLE WIDE UNITS. FOLLOW SAYE PLACEMENT PATTERN IN EACH ADDITIONAL MODULE. - DRAWNG INDICATES MATTGUARD SPACING WHEN NfERMEDIATE PIERS ARE ATTACHED TO FRAME AND PAD. RETROFITS MAY NOT REOUIRE THAT MARRIAGE UNE SUPPORTS OR INTERMEDIATE PIERS BE ATTACHED TO FRAME. (see manufacturers specs.) MATTGUARD PIER HEIGHTS *CANTILIVER Minimum Maximum CHF -31 (Tall) 20' 31' CHF -31 (Med) L__j LJ LJ. T. LJ L J L_ _j F _I GHF-31 (Short) 13' 17" Measurements taken from grade to bottom of (Manuf. Hm_) frame 0' TO 29' 7• or larger 7 feet 7-1/2' 15 I t5 7-1/2. --j 45' (OVER 45'. ADD I MATTCUARO PER RAIL EVERY 151 SINGLE TYPICAL (WHEN � RECOMMENDED BY MANUFACTURER) THE FOUNDATION SYSTEM IS SAFE FOR NSULLATION IN FLOOD PLAIN AREAS WHERE DEPTH OF FLOODING DOES NOT D(CEED THE HEIOff OF 2.3•. FOUNDATION ELEVATION DOUBLEWIDE TYPICAL NOTE: FOR DOUBLE. TRIPLE OR MULTIPLE WIDE UNITS. FOLLOW SAYE PLACEMENT PATTERN IN EACH ADDITIONAL MODULE. - DRAWNG INDICATES MATTGUARD SPACING WHEN NfERMEDIATE PIERS ARE ATTACHED TO FRAME AND PAD. RETROFITS MAY NOT REOUIRE THAT MARRIAGE UNE SUPPORTS OR INTERMEDIATE PIERS BE ATTACHED TO FRAME. (see manufacturers specs.) MATTGUARD PIER HEIGHTS *CANTILIVER Minimum Maximum CHF -31 (Tall) 20' 31' CHF -31 (Med) 15• 23' GHF-31 (Short) 13' 17" Measurements taken from grade to bottom of (Manuf. Hm_) frame THIS CHART IS ONLY APPLICABLE IF INTERMEDIATE PIERS APF NOT POSITIVELY ATTATCHFD FRAME LENGTH I FRAME SIZE *CANTILIVER MATTGUARD SPACING MATTGUARD/RAIL TOTAL MATTGUARD SINGLE WIDE HOMES 0' TO 29' 7• or larger 7 feet 15 feel 2 per frame 4 29•-1• TO 44-0' 7' or larger 7 feet 15 feet 3 per frame 6 44'-1' TO 59•-0' 7• or larger 7 feet 15 feet 4 per frome 8 59'-1' TO 74'-0' 7' or larger 7 feet 15 feel 5 per frame 10 74'-1' 10 89'-0" 7• or larger 7 feet 15 feel 5 per frame 12 0' TO 25' under 7' 5 feel 15 feel 2 per frame 4 25•-1' TO 40•-0• under 7' 5 feet 15 feet 3 per frame 6 40'-1' TO 55'-0• under 7' 5 feet 15 feet 4 per frame 8 55'-1' TO 70'-0' under 7' 5 feel 15 feet 5 per frame10 70'-1' TO 85'-0' under 7• S .feet 15 feet 6 per frame 12 If intermediate piers between end of home and first MoltGuard have positive attachment. Contiliver can extend to 7-1/2• (Singlewide homes only). DOUBLE. TRIPLE OR MULTIPLE WIDE HOMES 0' TO 40' 10' or larger 10 feet 20 feel 2 per frame 8 40'-1' TO 60-0' 10' or larger 10 feel 20 feel 3 per frame 11 60'-1' TO 80'-0' 10• or larger 10 feet 20 feet 4 per frame 16 0 TO 30' 7' 10 10' 7 feet 16 feet 2 per frome 8 30'-1' TO 46'-0' 7' to 10' 7 feet 16 feet 3 per frame 12 46'1' TO 60.0' 7' to 10' 7 feet 16 feet 4 per frame 16 60•-l• TO 74'-0' 7' to 10• 7 feet 16 feel 5 per frome 20 0 TO 26' under 7' 5 feel 16 feet 2 per frome 8 26•-1' TO 42'-0' under 7' 5 feet 16 feet 3 per frame 12 42'-1' TO 58•-0' under 7• 5 feet 16 feet 4 per frome 16 58'-1' TO 74•-0' under 7' 5 feet 16 feet 5 per frame 20 DEFINITIONS: Intermediate piers - Existing or new piers between MattGuords Frame Length - Measured length of frame of home Cantilever - Measurement from end of frome to first MottGuard MatlGuord Spacing - Measurement from MotlGuord center to center BQj No. 14533 4 z� �il CIViI 2 0 v JSI/1VIattGuard fi %M 470-C AIRPORT BLVD. WATSONVILLE, CA 95076 (800) 434-1444 FOUNDATION SYSTEM ONLY MATTGUARD GHF-31 MANUFACTURED HOME FOUNDATION SYSTEM M a+rE SuuEFl �/) X99 PAGE 1 of 3 DO NOT SCALE DRAWING PATENT I DES. 343.491 INSTALLATION INSTRUCTIONS: I. DETERMINE AMOUNT OF MATTGUARD PIERS REQUIRED PER INSTALLATION SCHEDULE AND MARK BEAMS FOR LOCATIONS. RELOCATE ANY INTERMEDIATE PIERS WHICH OCCUR AT MATTGUARD LOCATIONS. 2. LEVEL THE SOIL, PLACE MATTGUARD PAD AND INSTALL PADS PER PLAN_ 3. ASSEMBLE GHF-31, BOLT TO CONCRETE PAD AND POSITION PIER AT HIGHEST ROUGH ADJUSTMENT UNDER BEAM. 4. RAISE UPPER PORTION OF GHF-31 AND ATTACH TO BEAM. REFER TO TYPICAL BEAM CONNECTIONS PER SHEET 3 FOR SPECIFIC BEAM CONFIGURATION. 5. PADS MAY BE PLACED WITH A MAX. ELEVATION DIFFERENCE OF 20'. MATTGUARD CERTIFICATION: THIS WILL CERTIFY THAT THE SUBJECT MATTGUARD GHF-31 IS CAPABLE OF WITHSTANDING ALL RATED DESIGN LOADS, REGARDLESS OF THE PIVOTAL CONFIGURATION OF THE UNIT BETWEEN THE HEAD AND BODY OF THE STAND. THE GHF-31 IS SAFE FOR ALL RELATED LOADS. THIS CERTIFICATION IS PREDICATED UPON THE PROPER INSTALLATION AND TIGHTENING OF THE UNIT. GENERAL NOTES: 1. REFERENCE: CALIFORNIA CODE OF REGULATIONS, TITLE 25 AND U.B.C. 1997 EDITION. 2. DESIGN LOADS: VERTICAL: MATTGUARD PIERS RESIST LATERAL FORCES IMPOSED BY SEISMIC EVENTS AND WIND. GRAVITY LOADS DUE TO THE COACH DEAD LOAD, FLOOR LIVE LOAD, AND ROOF LIVE OR SNOW LOAD, ARE RESISTED BY THE INTERMIDIATE PIERS. MATTGUARD PIERS MAY REPLACE INTERMEDIATE PIERS ON A ONE-FOR-ONE BASIS. LATERAL- WIND LOAD - 80 MPH EXP. 'B', ANY SEISMIC ZONE 3. THE DESIGN LOADS SHALL BE CONSISTENT WITH ROOF LIVE LOAD, WIND LOAD, AND SEISMIC ZONE AS ESTABLISHED WITHIN A SPECIFIC LOCAL AREA 4. ALL FOOTINGS ARE TO BE SUPPORTED BY FIRM, UNDISTURBED SOIL FOOTINGS ARE DESIGNED FOR 1000 PSF TOTAL LOAD SOIL PRESSURE AND SHALL BE COMPATIBLE WITH LOCAL SOIL CONDITIONS. 5. CONCRETE: 3000 PSI AT 28 DAYS AS TESTED. 6. STRUCTURAL STEEL: SHALL CONFORM TO ASTM A36 FABRICATE ACCORDING TO AISC SPECIFICATIONS, WELD ACCORDING TO AWS SPECIFICATION. ELECTRODES: E70 PLATES: ASTM A36 ANCHOR BOLTS: ASTM A307 BOLTS: 5/8' adjusting bolts SAE GR2. Al others SAE GR5. 7. THE GFH -31 AND RIDGE BEAM SUPPORT ASSEMBLIES SHALL BE COATED WITH SHERMAN WILLIAMS E-61RC2 ENAMEL OR APPROVED EQUAL AND SHALL BE LISTED AND LABELED BY INDUSTRIAL TESTING INTERNATIONAL OR CERTIFIED TESTING AND CONSULTING SEVICES FOR THE FOLLOWING LOADS: MAJOR AXIS: 13501 MAX (IN PAIRS OF TWO PLACED OPPOSITE.) MINOR AXIS: 14501 MAX VERTICAL: 60001 MAX 8. THIS FOUNDATION IS DESIGNED FOR INSTALLATION UNDER MANUFACTURED HOMES (Manuf Hm:) CONSTRUCTED WITH LONGITUDINAL OR CROSS JOISTS. 9. THIS FOUNDATION IS DESIGNED FOR PLACEMENT ON LEVEL UNDISTURBED SOIL, WITH NO EXISTING SOIL PROBLEMS. THE DEFINITION OF LEVEL FOR MATTGUARD FOUNDATION PAD IS: GRADE CAN VARY 3% IN EITHER DIRECTION (1/2� IN 20- DIRECTION, 1-1/4- IN 44- DIRECTION) OF THE PAD. 10. PADS FOR THE INTERMEDIATE SUPPORT PIERS SHALL BE LOCATED AND SIZED FOR THE LOAD AS SHOWN IN THE MANUFACTURED HOMEY INSTALLATION INSTRUCTIONS. 11. IN AREAS WHERE DIFFERENTIAL SETTLEMENT (D.S.1 CAN OCCUR, THE FOUNDATION SHALL BE READJUSTED WHEN D.S. EXCEEDS 1/4 , OR WHEN R WILL ADVERSELY AFFECT THE USE OF THE MANUFACTURED HOME. 12. RETROFITS: WHEN INSTALLING MG ON PREVIOUSLY INSTALLED HOMES, REFER TO MANUFACTURERS INSTALLATION INSTRUCTIONS, AND/OR RETROFIT INSTALLATION SCHEDULE. LOCK -TOP INTERMEDIATE PIERS, . MARRIAGE CONNECTIONS/PIERS MAY NOT BE REQUIRED. 13. IN ABSENCE OF MANUFACTURERS MANUAL, REFER TO STATE OR LOCAL INSPECTING AGENCY REQUIREMENTS FOR INTERMEDIATE PIER SPACINGS. MATTGUARD PAD ORIENTATION SINGLE AND DOUBLE UNIT PREFERRED PAD ORIENTATION: THE LONG DIMENSION OF THE PAD SHOULD BE PERPENDICULAR TO THE BEAW, WHEREVER PRACTICAL BLp�p F2' r� No. 145333 a CIVIL lF Ur p�1E�`'�� WHERE THE FOUNDATION PADS WOULD EXTEND PAST THE r SKIRTING, THEY MAY BE ROTATED SO THAT THE LONG ; J S I / TVI a t t G u a �° d WATSO470-C AIRPORT BLVD. DIMENSION IS PARALLEL TO THE BEAMS. (BDO) 34-1 44 95076 i (B00) 434-144d MULTIPLE UNITS ONLY: f FOUNDATION SYSTEM ONLY WHERE FIELD CONDITIONS MAY REQUIRE PAD ROTATION, NO MORE f THAN HALF OF THE PADS CAN BE ROTATED SO THAT MATTGUARD GHF-31 THE LONG DIMENSION OF THE PAD IS PARALLEL TO THE BEAM. MANUFACTURED HOME FOUNDATION SYSTEM PAWN BY: WR: SCALL GH 3DERF ON �� X99 PAGE 2 of 3' DO NOT SCALE DRAWING PATENT / DES. 343,491 CONCRETE SLAB BACK \ MATTGUARD STAND \ AND CONCRETE PAD O X 6 — =111 1 -1 4LA 111- -1 11 / 2 3/4'X 3• PENN. -I /B_URKE�(252) CV-306 ERTS OR /4 ORR�OUIN NZALENTSOATE \ -I _I FRONT _ \ CO-ACIED SANO EARTH aR ASPIMLT — I�—III I I - SLAB CANTILEVER APPLICATION N T 1. FOR PARTIAL CANTILEVER OFF SLAB, PAD MAY BE SET ON ASPHALT, SAND, OR EARTH. SAND* OR EARTH MUST BE WITHIN A 2x4 P.T. FORM. ASPHALT DOES NOT REQUIRE A FORM. 2. ASPHALT, SANO OR EARTH BURM MUST BE EQUAL IN SIZE TO THE PORTION OF THE PAD TO BE CANTILEVERED. CABANA PORCH ENCLOSURE 2 3/4• X 3• PENN. INSERTS OR BURKE (252) GV -308 3/4 X 1 1/2- ZINC COATED FERRULE INSERTS OR EQUIVALENT 4x4 — 4x4 WWf U4 L. _ � �1'6 7' or 9' ' 6- 10' or 12 I1 BOX BEAM SCHEDULE NOTE:_ MottGuord marriage fine spacing to bye hall the perimeter spacing, (example, permeter spacing 20', morrioge line spacing 10') This (s on example only. Refer to Instoflation Schedule per sheet 1 for actual MatlGuord spacings. PERIMETER FRAMED & SPECIAL APPLICATION CONNECTIONS MARRIAGE LINE SKIRTING, RETAINING WALL OR SIDING , 5/8' : 6' BOLTS, FIELD DRILL HODS (2) /12-24 X 1-1/4' H.M.H. TEK SCREWS(8 SELF DRW WG Q 3"13'13/1PONG ANGLE 12 2' LONG NOTE: 17 SO IN OVERSIZE FOR CHIPPING AND/OR CORNER. BREAKAGE. PAD CAN BE BURIED UP TO 2-1/2• r-3-1/2' __T 3-1/2- __T PRECAST FOUNDATION PAD MATTGUARD TO BEAM CONNECTION 3678 • �W +++++1i1pROfESS1�P = I H4 HURRICANE ANCHORS DE AT 24' cc 4x6 D.F. 12 SUPPORT BEAMS x 3- LAG SCREWS (2) ACH MATTGUARD STAND FLOOR JOIST ..m :a• ea�� eta ewe :• i i :• i II o 1 0 11 * NOTE: FOR ALL OF ABOVE HEAD PLATES 6' X 6' HEAD PLATE 6� X 9 1/2- HEAD PLATE PER APPUCATION REQUIREMENT TYPICAL BEAM CONNECTIONS G ULAM : 1• BOLTS (2) 1D DRILL HOLES 3/16- PLATE GLE 3- LONG, rte. o I o 3- Max 0 0 u I o �L0 �Fy. 470-C AIRPORT BLVD. 4449507 6JS1/MattGuarm (800 3414 1y N0. 1It . �• �� FOUNDATION SYSTEM ONLY MATTGUARD GHF-31 C�VIL,� �a MANUFACTURED HOME FOUNDATION SYSTEM pF :: SFO i .. or:wwN BY: wle SCALE CFHF31 -F3 7/1/99 X99 PAGE 3 of 3 DO NOT SCALE DRAWING PATENT I DES. 343,4911 FHF3F3 C