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HomeMy WebLinkAbout041-500-01241-50-12 • Kenneth Johnson App.k mi.off E/S Cherokee Rd., on W/S pri.rd.,o posi�lec.sery Cher kee pC�emet- ' ery) /" M4!�3 /l7 Permit #4640-81P,E.for well &. future lot dev .) _ . ____ — - ---- 41-50-12 z RI�CAHARD LEER Permit's 118-84P E til ,MH) ELEC f SUPPORT STICTURE 0 lila •' COMPACTION TEST t 41-50-12' Contr: Van,�Stave.rn MH Service Per '+t k2140-84MHI Rued •r�!f 41-50-12 Permit#2959-84B(decks /MH) 041-500-012 PERMIT#97-0878 -KRAUSS, Jon & Shirley . 59 Crystal Pines Rd.,Oroville 1 Cont: Tom Ferrara :Ex MH on -'.'Perm Fnd aLr ._ -REMDENTIAL =s� 041-500-012 PERMIT#97-0878 KRAUSS, Jon & Shirley 59 Crystal Pines Rd.,Oroville Cont: Tom Ferrara Ex MH on Perm Fnd 5/ ! 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) 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 s t OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at u the above address and should be corrected. Please notify this office when correction of work is complet d. If you have any questions pertaining to this matter, or need additional explanation, please c tact this office immediately. f I - f C ENF'Elvo e , -r:- °�, v REV 10/92 , V=OK 0 = Not OK • =Not Real ble MOBILE -HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Toning Requirements - Setbacks - Easements 2. Soils; Special MH Support Sketch 3. Sewer, Location-Test-Fall-CY"oncrete 4. Water, Location -Test -Easement Needed (Sketch) 5. Electricity; Location-learances-Gmd-/ /Amp -Concrete 6. Gas; Location-TestAftap; / MIL / /Net. or/ f0t/ /LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements- Setbacks Easements 2. Footings; SizeSpacing-Marriage Line 3. Gas; MH Test-Demanda/atve-Connector t 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.Sketch 11. Cert of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements ___j 2. Footings; Soils-Size-DepthSpacing-Connectors-Steel 3. Decks; Girders and/or Joists-Decking-BracingStairs-Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Column's-ConnectionsSplice-Decal-Enclosures 6. Carports; Windows -Doors 7. Electric 8. Fnng.; Sils-Anchors-Studs-Rftts-Trusse"s 9. Siding; Nailing -Veneer -Stucco -Mesh _ 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Lendings Date Card B-1 - Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s t 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability _ 3. Pool Structure; Steel-Connections=Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance -GR 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/B 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 Not ~ Not 0 OK RESIDENTIAL (Single & Duplex) =. N Not ApplicahlP Not Ready Date Z UNDERFLOOR (Plans) OK except #'s 1. Zoning-Setbacks-Easments-FloodSlope Ftg., Main; Soils-Elec. Gmd.-/ P Ftg. Depth Cling. Joist-Rftr. Ties-Purlin-roff Brac.-Truss-Shting.-Rfng. 3. Ftg. Garage; Soils-Steel-Elec. Grnd/ J' Ftg. Depth Fireplace Ties or Type A Flue -Fireplace Throat clearance 4. Ftg. Porches & Decks; Soils -Steel-/ P Ftg. Depth Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Garage Fire Protection Framing 6a. Hold Downs and Special Anchors Property Line Firewall & Openings 7. Slab, Steel Wrapped Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 8. Piers -Fireplace Ftg.-Steel Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Plywood on Roof Overhang -Attic Vents -Rafter Outriggers UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test hater Pipe; Test -Anchors -Regulator -Service Test Siding -Nailing Veneer 2. Electric Underground Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Pienums & Ducts; Clearance -Material -Support -Ins. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Shear Walls; Nailing -Bolts 15. Access & Ventilation Brace Wall Panels -16. Insulation Insulation -Walls -Ceilings 62. Date Date "q Card B- Date Card B-1 Card B-1 Date Card S-1 Date Date PLUMBING (Permit) OK except #'s Card B-1 Date Card B-1 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 63. 20. Shower Pan; Test, First Floor -Tub Access 64. 21. Test Tub & Shower, Second Floor -Tub Access 65. 22. Gas Pipe; Sixe & Anchors 66. Bedroom Exiting Date G.F.I. & Bath Fixtures & Tub Access -Spa Card B-1 Date Card B-1 Date Elec. Trim & Subpanel, Breaker Sizes & Labels Card B-1 Date Card B-1 Date Stairs & Rails ELECTRICAL (Permit) OK except #'s 70. 23. Fixture & Transformer Clearance -Ins. Protection 71. 24. Elec. Receptacles Spacing -Lights & Switches at Doors 72. 25. Size Boxes & No. of Conductors Stapled 73. 26. Romex Installed Close to Edge of Studs & C.J. 74. 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 75. 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI 76. 29. Suhfeed Wire Size / /ga. Cu or AI-A.C. Wire Size / /ga Cu or Al 77. 30. Range Circ. / / ga Cu or Al -Oven Circ. / / ga Cu or Al Insulated Neutral 0 Yes 0 No 78. 31. Service -Riser Conductors & Ground -Main Disconect 79. 32. Equip. Clearances Panels-Motors-Mech. Epuip. 80. 33. Clothes Closet Light -Shower Light -Spa Light 81. 34. Smoke Detector 82. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No Date Stucco Brown -Finish Card B-1 Date Card B-1 Date A.C. Unit Disconnect, Electrical -Plumbing Card B-1 Date Card B-1 Date Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings MECHANICAL (Permit) OK except #'s 86. 35. A.C. Ducts Insulation & Support 87. 36. Vent Fan, Exhaust above insulation 88. 37. Condensate Drain & Overflow, Size & Grade 89. 38. Furnance-Vent Access -Comb. Air -Return Air Vent 115 outlet 90. 39. Attic Access & Platform if Furnace in Attic 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval Date Energy Compliance Certificate -Other Certificates Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) 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 Slop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Date FRAMING (Continued) _ 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-roff 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 Hgt. & 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 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-Conector- In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales 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 (G.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 0 Yes 82. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught 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 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 DGVELOPMENT SERVICES - BUILDING DI ION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538- 4PERMIT NO. APPLICATION AND PERMIT f7`0 ASSESSOR PARCEL NUMBER 041-500101? ZONING 11 BUI ING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION j 13 92 75,168, OWNERS MAILING ADDRESS 59 CRYSTAT-PINES RD 0ROVITLE, CA 99969 CONTRACTOR'S NAME r TELEPHONE CONTRACTORS MAILING ADDRESS _6514 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAIUNG ADDRESS - Permit Fee $ 269-79 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 23-00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAIUNG ADDRESS Penalty $ BUILDING ADDRESS 59 CRYSTAL PINES RD., OROVILLE PERMITFEE $ 308.75 PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome R Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other l%X Describe Work: EX MH ON PERM FND — Mobile Home S G W 920.00 PERMITFEE g 50.00 Contractor ELECTRICAL PERMIT Filino Fee 20.'00 Main Service 000V OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full rce and effect. r� License Class Lic.No. �� / 7i�� 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 NEW CONST. DWELLING OCCUR OR ADDNS. ( & ACC. BLDS. ) SO. 3.50 FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES) B20 @ 1ra .000 FIXED APPWS.OR EX.Occup. p. ( OUTLETS (RESID.) EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 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 MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor 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.) 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 California, and agree that if I should become subject to the compensation provisions of section 3700 of the Labor Code, I shall forthwith lywith t ose provisions. X _____ Date! —� Signature of Applicant - ❑ Owner ❑Contractor jP�Agent An OSHA permit is required for excavations over 60" d ep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 401.75 HA2. I D. FEES I IMP I FLOOD CDF PARCEL D. PD HD HL ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have BY % PERMITEXPIRESON applicable provisions Resolutions to do work been paid. Date J 7z (ffie) rReceiptNo. )_11 ��� r d (.b _ HITE-D.D.S.-B. D. CANAR ASSESSOR PINK-INSPECTO GOLDENROD -APPLICANT f d COUNTY OF BUTTE DEPARTMENT OF E?VELAOPMENT SERVICES -BUILDING P, 7 COUNTY CENTER DRIVE - OROVIL E "�A� ORNIA 95965 - TELEPHONE (916) 538-/ PERMIT APPLICATION DATA SHEET OWNER k1-xANYkOR PARCEL NUMBER: Yl- 012- Proposed 1Z Proposed Building Use: eAsrw, MN ,ore.✓ Building Inspector: G- Date: At time of permit application, I was advised the following data must be submitted prior to perms processing and/or issuance: Date Received By ❑ 1. All items have been submitted -------------------------------------------------------------------------------------- E32. Plot plans, 3/4 sets, signed by the preparer of plans. ---------------------------------------------------- ❑ 3. Complete plans, 3/4 sets, signed by the preparer of plans. --------------------------------------------- ❑4. Engineered plans, 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. ------------------------------------------- 117. Statement of Intent for Non -Heated and A/C Buildings. ----------------------------------------------- 118. Hazardous Material Form.--------------------------------------------------------------------------------- o Manufactured Ho data and installation instructions including Tie Down Specifications.------------------ --------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule.----------------------------------------------------------------- ❑ 12. California Department of Forestry plan approval/fees. Ell 3. Flood elevation certificate. ------------------------------ ❑ 14. Sanitation and plot plan approval Health Department. 1115. City of Chico plumbing permit. --------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ❑ 17. Planning approval for (A) Use: (B) Parking: ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). ---. ❑ 20. Pre -inspection for required Request to Building Inspector on 021. Contractor's license information. (Number, Name Style, Classification). ------ ❑22. Workers' Compensation carrier and policy number. ----------------------------- E123. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - -------- E124. ------- ❑24. Letter of signature authorization. -------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. -------------------- E126. ------------------- ❑26. Letter of intent on building use. ----------------------------------------------------- 1327. Manufactured Home utility clearance. --------------------------------------------- 028. Existing violations and/or expired permits. ---------------------------------------- El 29. ❑433 A, El Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ Z L E130. Other: ----------- �------------- e/ a . ----1-------- (Date) When you issue the permit. 1oce s follows ❑ Mail to owner, ❑Mail to contractor. ❑Telephone 6977 p60and hold for pickup at CelC n office. El Deliver with inspector. Applicant: 4-u'{ <�-�Date: Copy of Haz-Mat form sent ❑ Health Department, o Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑9.) Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional,items required: Contractor, designer, owner, was advised of the above required daftrb5r6phone, ❑ 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 Did ion counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Orovill�-_,'Califbrnia 95965 - Telephone (916) 538-7541 PERMIT NC. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER /� ZONING BUILDING PERMIT OWNER1 ^ • 0 0`/ I1a TELEPHONE SO, Fr. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 5: GGe CONTRACTOR'S NAE nln^ T�9FN 0_37L_ J 7L CO R5 ADORE? q 2 7 /0, p ckele- oSf CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS ' Total Valuation $ / - ARCHITECTORENGINEER LICENSE NO. t Filing Fee 5-31 5L-) $ 20.00 Permit Fee $ 0,9 9__7S_ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 1z BUILDINGADORESS A Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SU6OIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap* 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome,,lzf— Other SPECIFY Solar or heat um water heater 23.00 Water piping 15.00 1, Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Oth_X Describe Work: Gas piping system 1 - 5 outlets 15.00 C Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE ! ELECTRICAL PERMIT Fling Fee 20.00 OOOV OR LES9 Main Service zo.A OR LESS 23.00 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.PowER License Class Lic. No. OWNER -BUILDER DECLARATION 1 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. ❑ I 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 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.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations ov 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service TO 46.00so VTI200A CCU000A NEW CONST. DWELLING OCCUP. SO oa AooNs. ( a Acc. eLns. 3.5¢x: CONST. AULTI.OUTLET Qa 7.50 APPARATUS 8 SINGLE OurLEr CIR. Ex. OCCLI OUTLET20@1.00 OR FIXTURES BAL 9 .50 Ex. Occup. DUXTEIETS RES,SID,o� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ J 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 FLOOD CDF PARCEL PO 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 (Date) Receipt No. ? `NHITE-D.D.S.-B.D. CANAR -ASSESSOR INK -INSPECTOR GOLDENROD -APPLICANT I _-t-- � ;-i-�--`_--t i � _ _ � _ �.e �� �� �-� �'` 4 , li � II �i I �' I� � � i� 6 �f' r BUTTE COUNTY.DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville. CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: 1 c h 14 R D L e e r2 is the mobilehome electrical rating? ----------------------- VAN 6. M, 4, Vlc6r' 2. ;Installer's name: (�tC-MAA0 b�yeRN -S 3. I.s'the site currently under permit? Yes No . rating? ------------- l .Amps 8. Is there any other electric load to be served by the mobilehome (If .yes, . furnish permit. number siteservice? - ):. OR Is the site an existing site? Yes /.4-/ No (If yes, identify (If yes, furnish two (2) plot -plans.) (Load) 4. will the mobilehome be located at least .5 ft. .away from septic tank and leach fields and site gas pipe size? -=-------------------- clear of all setbacks and easements?� Yes / V No What (If no, clarify service? ----------------------------- — 11. What is the gas pipe length 5. What is the mobilehome electrical rating? ----------------------- -Amps 6. What is the mobilehome site service rating? ;> Amps 7.. What is the mobilehome site circuit breaker rating? ------------- l .Amps 8. Is there any other electric load to be served by the mobilehome siteservice? -------------------------------------------=------- Yea No (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? -=-------------------- (in.) 10. What is the type of gas service? ----------------------------- Natural /% LPG 3� 11. What is the gas pipe length from meter or tank to the mobilehome? �.-a�� (ft•) Z SY�L• �. S S��f 12. What is the mobilehome gas demand? -----------------------------' (BTU) (This information not required if pipe length less than 6 ft. on natural gas or less, -,than 50, ft. on LPG.) f3UTlTCOUNT BUJI-DING D�.P MEN 1 0 N MOBILEHOME SUPPORT DATA ff other than single wide, Hobilehome Mfr. furnish Setup Model No. 3 3 .�� Year q Width Z `F (ft.) Box Length _V Tagalong or Expando Sizeft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973; furnish manufact r is installation manual and structural setup sheets (if not on file with the County te). All center supports measured from front of mobilehome unless otherwise specified. V ' Footings (check one) Q Single3 Wood either pressure treated or y 'foundation grade. (ft.)_(in:) iter support .ocations* �-'--f----fes 11 __1 (ft.) (in.) (ft.) (in.) n.) (in.) (in:)' Center support footing sizes (in.) (in...) (in.) (in.) (in.) X a (in.) (in.) x3 (in.)((in.) center piers are other than drawn above, �____ 4- i a anaeina_ and dimensions. a -2.;.6ther: (specify) = Supports (check one) i 1: Concrete block. E] •2. Other... (specify) tagalong or Expando,' show support details. VZ x3 a -- Typical Support in. T (in.) Footing Size 15' 6-j -- Max. Pier Spacing (ft.)(in.) e d e -- Max. Overhang (ft.)(in.) a 0 �Pt t70-UNTY BUILDING DEPARTMENT APPROVED tyP 2'F--�' .. Opp v0 WIN .I 10.1 z _3„� c 2-1/y" O GUSSET SUPPORT / 9/16" DIA. TYP. PLATE D,ETA I L 3" ONO SCALE /4" R00, WELDED• 1u TYP.- - OR PUNCHED DIMPLES 1/4" PLATE GR I PPER� PLATE DETA I L BASE PLATE DETAIL NO SCALE NO SCALE ,4 . 6" —� . �•E.� tiyP • —,10"'� .RSV ALO O"'NOT''-/ &i _ jI1Ir,, \ `.J ♦p � p ,LyP , P`ptf. 03.. D .O�p• ♦(° O O 0 2-1/4' ; a 9/16" DIA. TYP. 3" II Illy ` GR I PPE R BASE PLATE D E T A I L 2-1/4" TYP. NO SCALE 1/4" PLATE r BASE PLATE DETAIL - FOR ETAILFOR AFS—CP PAD S. NO SCALE . / GRIPPER PLATES - SEE DETAIL MB TYP. 1/4" BASE PLATE - SEE DETAIL 1-9/16" ROD WELDED TO 1/2" X 3" STEEL PIN WITH LOCKING KEY — ATTACH SECURELY TO MOBN LE HOME SUPPORT GIRDER - TYP AFS -PCP PAD SHOWN TYP I CAL II NSTAL-` A T I ON D E T A I L NO SCALE 'CR IPPER BASE PLATE. 1/2" X S" THREADED R00. 2-1/2' 1/2" FILLET BELOW OR 1/4" FILLET WELD BELOW PLUG WELD ABOVE OR PLUG WELD ABOVE TO 3" COLLAPSED 1-1/8" X 1-3/4"m BASE PLATE 9" STD. MAX. HEAVY TUBING. 2" O.D. SCH 40 PIPE WITH, 1/2" HOLE 13" TALL MAX,. - 1/4" FILLET/ I t - —_ BOTH SIDES O 1/2" HOLE FOR LOCKING PIN - TYP--------_ - - - - 2-1/4" O.D. SCH80 PIPE _ --- ..0.. . 8" STD. - - 4 - 3/8" CADMIUM -PLATED M8 TVP.. INTO ST -IN-PLACE FERROL 12" TALL • 2' 0. .TVP. o [NBFOT : APPFCI PPPAP2 DPCANSE - - TS]EI2-1/2S, AFS — E L 9 SIDE VIEW NO SCALE AFS—ELS FRONT VIEW NO SCALE --PATENTS PENDINC-- DESIGN LISTED AND TESTED BY BSK 6 ASSL.::ATES WAYNE T. POLVAOO, PE.- LISTING NO. F015,'-438 w,UbllN(?ME NDIANDa IZ} Rt6E►A. , HlAIrM AND SAFRY CODE. SECTW]N ,&", A P P R O V E D " SU6JEC1 rO CC4RECnOP4 NOTED `ppo.al do-. ,w wMe.ir. - q"-- o l — y dna ll. 4vw'.a"..w..n of qpf oS4 -,ole b.� oW nwlew.o. S,aa of CeGfw.yo D.nan."v" el Ibv.ip -d C- -M, D_I._ ori %�/�O/K.SI 54ANDNOARDS Y`'y ate l:v.ep....1 SPA NO. ��•. Plan A ,ro�O( EKD+res _ �T Z� �`CALIFCJ'a PERMANENT FOUNDATION SYSTEM AFS - EL9' STAND AP. --P. AHS -CP AND AFS -PCP PADS WILLIAM A. SOMMERMEYER 1 CIVIL ENGINEER 1173-0 EL. CAMINO REAL - ARROYO`GRANDE CA 93420-25S4 - RCE 11658 ..p.12/31100 -(805) 489-5380 " APRIL 1997 SHEET 1 OF 6 SHEETS 1 Dum BUILDING EPA ENI Al Pe'� ie. TOP VIEW 2" X 28" X 1/8" STRAP = 2 EA - TYP I! I p O O G EXT.PLYWOOD.0LAAN I ZED SEE NOTE 15 O O I i 1/2" CADMIUM -PLATED CARRIAGE 80LT 8 EA -'TYP 36" 1-1/2" TYP 1-1/2" TVP 4- CAST -IN-PLACE FERROL INSERTS ' FOR 3/8" CADMIUM -PLATED MB 4 EA - TVP_ - m � CONGO ° POL�NEF , END VIEW TOP VIEW END VIEW 2"I l 36" 1 SIDE VIEW AFS—PCP PAD' NO SCALE 2-1/4"0 - 2-1/4'r BOTTOM VIEW a o PPFI-1/2 2 EA TYP. /2" CLIP @ 45e TYP. �I {• t 1" X 2" X 1/8" X 28" TYP. 1-1/8"$ 5P 35" .. 5H 45" F 36" r TOP VIEW END VIEW SIDE VIEW AFS — W P PAD 16" NO SCALE • 1-3 8" . 45" SIDE VIEW -AFS—CP.PAD AFS-EL9 STAND • NO SCALE 101i PPFI-1/2 - 2 EA SEE DETAIL • - • STO IFI.,m HEX COUPLINC NUT • A+ • ' ' . '' 3-5/16x' 1/7-x 1.1/7• - PPFI-1/7 12 EAI \ S - I2 REBARS TRANSVERSELY 7" O.C. 1/4- FILLET NELO 1-.7xe-vw OR APPROVED EQUAL -EACH SLOE ' 4 - N3 REBARS 5" O.C. OR APPROVED EQUAL ' AFS—CP PPFI-7/2 DETAIL REINFORCING DETAIL NO SCALE ---PATENTS PENDING-- NO SCALE • DESIGN LISTED AND TESTED BY BSK 8 ASSOCIATES WAYNE T. POLVADO, PE - LISTING NO. F01600438 Q�yOFESS/co pN all p Z No. 051110 �TgTF OF, CA��o��`P - IV1� \ Ur��EO -Cam ,ISD PERMANENT FO U N O A T I O N SYSTEM APS -ET -9 STAND AFS -WP- AFS -CP AND AFS -PCP PADS WILLIAM A. SOMMERMEYER CIVIL ENGINEER 1173-0 EL CAMINO REAL - ARROYO GRANDE. CA 93420-2554 RCE 11658 exp. 12/31/00 - (805) 489-5380 APRIL 1997 - SHEET 2 OF 4 SHEETS e GENERA L- N OTE S 1. DESIGN LOADS: ROOF LIVE LOAD --20 PSF FLOOR LIVE LOAD --40 PSF WIND LOAD --80 MPH EXPOSURE.'C' SEISMIC ZONE --4 SNOW LOAD AS REQUIRED BY BUILDING OFFICIAL 2. THIS FOUNDATION SYSTEM IS DESIGNED TO BE CONSTRUCTED ON AN APPROXIMATELY LEVEL SITE. 3. CARRY ALL FOOTINGS DOWN TO FIRM, UNDISTURBED SOIL. FOOTINGS ARE DESIGNED FOR -1000 PSF TOTAL LOAD SOIL PRESSURE. 4. CHASSIS BEAM SUPPORTS SHALL BE LOCATED AND SIZED FOR THE LOADS AS SHOWN IN THE MOBILEHOME MANUFACTURER'S INSTALLATION INSTRUCTIONS. ,. S. IN AREAS WHERE DIFFERENTIAL SETTLEMENT ID.S.) CAN OCCUR, MANU- FACTURED HOME SHALL BE READJUSTED WHEN O.S. EXCEEDS 1/4", OR WHEN IT WILL ADVERSELY AFFECT MANUFACTURED HOME UNIT. 6. ALL PORTLAND CEMENT CONCRETE USED IN THE MANUFACTURE OF THE AFS -CP PAD SHALL HAVE A MINIMUM fc - 3000 PSI 0 28 DAYS. 7. STRUCTURAL STEEL: FABRICATE ACCORDING TO AISC SPECIFICATIONS. WELD .'ACCORDING TO AWS SPECIFICATIONS. ELECTRODES --370 PLATES --ASTM A36 BOLTS --SAE GR.S - ASTM A449 = ASTM 'A3725 8. THE STAND AND PAD ASSEMBLIES SHALL BE LISTED AND LABELED BY BSK6 ASSOCIATES FOR THE FOLLOWING LOADS: HORIZONTAL 10740. VERTICAL 5970#. 9. THESE'STAND AND PAD UNITS ARE DESIGNED TO BE USED WITH MOBILE- 11 OBILE- HOME CHASSIS BEAMS OF STANDARD SECTION EQUAL TO OR GREATER THAN WSX101. ANY OTHER SECTIONS SHALL BE FIELD ENGINEERED TO ADAPT TO SECTIONS ACTUALLY ENCOUNTERED. 10. EXISTING COACHES MAY BE RETROFITTED TO RESIST SEISMIC FORCES BY INSTALLING THESE UNITS AS SHOWN ON THE TYPICAL FOUNDATION PLAN.' 11. MULTIPLE -UNIT INSTALLATION IS ACCEPTABLE PROVIDED THE NUMBER OF AFS UNITS MEETS THE REQUIREMENTS SHOWN ON THIS SHEET AND TIME PLACEMENT AND INSTALLATION PROCEDURES ARE FOLLOWED PROPERLY. 12. FOR LONG DURATION SNOW LOADS. USE APPROPRIATE NUMBER OF ADDITIONAL UNITS AS DETERMINED BY THE FOLLOWING FORMULA: (ILONG TERM SNOW LOAD #/FT 11 X IROOF AREA SQ.FT. 11 = 5970 . USE EVEN NUMBER OF UNITS ARRANGED 508 EACH DIRECTION. 13. ALL METAL COMPONENTS AND ATTACHMENT ITEMS SHALL BE PROTECTIVE COATED. 14. METAL SURFACES IN CONTACT WITH THE EARTH SHALL BE COATED _ WITH OREGON -RESEARCH AND DEVELOPMENT COMPANY RUBBERIZED PROTECTIVE MEMB MANE "SNOW ROOF SPRAYABLE GRADE" OR APPROVED EQUAL. 15. FOR AFS -WP PADS, USE 1-1/8" EXTERIOR PLYWOOD WITH WOLMANIZED TREATMENT TO 0.60 PCF RETENTION WITH DRYING AFTER TREATMENT. 16. FOR AFS -PCP PADS, USE CONCRETE MATERIAL CONSISTING OF SAND AND GRAVEL AGGREGATE BOUND TOGETHER WITH A POLYMER AND REINFORCED WITH CONTINUOUS WOVEN GLASS STRANDS. THE CONCRETE THUS PRODUCED MUST HAVE THE FOLLOWING MINIMUM MECHANICAL PROPERTIES: COMPRESSIVE STRENGTH - 11,000 PSI TENSILE STRENGTH - 1700.PSI FLEXURAL STRENGTH - 7500 PSI THE MANUFACTURER MUST CERTIFY THAT THE MATERIALS HAVE BEEN TESTED TO THE REQUIREMENTS OF ASTM METHOD D-543, SECTION 7. PROCEDURE 1. SAID CERTIFICATION WILL GUARANTEE THAT THE CON- CRETE HAS CHEMICAL RESISTANCE AGAINST THE FOLLOWING CHEMICALS IN THE CONCENTRATIONS NOTED: SODIUMCHLORIDE 58 SULFURIC ACID DAN SODIUM SULFATE O.IN HYDROCHLORIC ACID O.IN SODIUM HYDROXIDE DAN "ACETIC ACID 58 KEROSENE PERASTM D-543 TRANSFORMER OIL PER ASTM D-543 a E S S E E Illl 2NOM. ,1 1 Iyl CIO 8' NOM. ON11tEp Y 1f-." 4 CLP e' NOM. Ppn51t4 S-tPMp F011 CL SS�pP*OIL RIDGE BEAM SUPPORT AS. REQUIRED BY O O RIDGE BEAM SUPPORT AS O REWIRED BY MANUFACTURER-TYP. STANDARD M11 FWNDAT ION PIERS - AS RECOMMENDEDBY TME MANUFACTUREROR THE ENGINEER - TYPICAL STANDARD KH FOUNDATION PIERS - AS RECOMMENDED THROUGHOUT. RELOCATE AS NECESSARY - TYP. BY THE MANUFACTURER OR THE ENGINEER- O PADS IN ANY PAIR MAY BE ROTATED PROBLEMS O THROUGHOUT. RELOCATE AS NECESSARY - ...-. 90° TO AVOID CLEARANCE ' PLAN FOR 12 AFS SUPPORTS OR LESS VARIES - 16'-77' SEE TABLE E S S S E 2' NOM. ON11tEp e' NOM. Ppn51t4 S-tPMp F011 CL RIDGE BEAM SUPPORT AS. REQUIRED BY MANUFACTURER-TYP. O STANDARD KH FOUNDATION PIERS - AS RECOMMENDED BY THE MANUFACTURER OR THE ENGINEER- TYPICAL THROUGHOUT. RELOCATE AS NECESSARY - TYP. ' PADS IN ANY PAIR MAY O BE ROTATED 90° O AVOID CLEARANCE TO 0 PROBLEMS PLAN FOR MORE THAN 12 AFS SUPPORTS TYPICAL- PERMANENT FOUNDATION PLANS NO SCALE E = 2' MIN / 6' MAX S - 6' MIN / 24/ MAX NORMAL LOADS SNOW LOAD - 0 NO. OF WIDTH LENGTH UNITS 10' TO 37' 4 1 38-58' 6 10' 59-78' 8 12' TO 32' 4 33 -SO' 6 51-68' 8 12' 69-85' 10 13' TO 30' -4 i 31-47' 6 48-64' 8 13' 65-80' 10 14' TO.28' 4 29-44' 6 45-60' 8 14' 61-76' 10 20' TO 32' 6 33-44' 8 45-56' 10 57-68' 12 20' 69-80' 14 24' TO 37' 8 36-4B' 10 49-60' 12 24' 61-70' 14 26' TO 34' 8 35-44' 10 45-54' 12 55-64' 14 26' 65-73' 16 28' TO 32' 8 33-41' 10 42-50' 12 51-59' 14 60-68' 16 28' 69-77' 18 DESIGN LISTED AND TESTED BY BSK 8 ASSOCIATES WAYME T. POLVADO, PE - LISTING NO. F01600438 T No: C 051110 Exp. — PERMANENT FOUNDATION SYSTEM AFS - EL9 STAND AFS -WP, AFS -CP AND AFS -PCP PADS WILLIAM A. SOMMERMEYER CIVIL_ ENGINEER 1173-D EL CAMINO REAL - ARROYO GRANDE CA 93420-2554 RCE 11658 exp.12/31/00 ISOS) 489-5380 --PATENTS PENDING-- APRIL 1997 SHEET 3 OF 4 SHEETS DESIGN LISTED AND TESTED BYBSK 6 ASSOCIATES WAYNE I. POLVADO. PE - LISTING NO. F01600438 TYPICAL CHANNEL SUPPORT . I o?90FESS/p��� 1. PrO)l`911�` C5 No. C 051110 rn _ LiExp. 01 �,,,J� � 6"X6" TOP PLATE (TYP)' N\P • JJ• • 9/16" HOLES'' _ • - ADJUS FOR C ARITYOMI TTED' 9IE`OF CAUEOEti ' •'FOR MB - TVP STD.GRIPPERI �. PLATE 2-1/2"X6"X1/4" BASE PLATE ALTERNATE ATTACHMENT SYSTEM FOR CHANNEL SUPPORTS • (I/2"X2" MB - TYP NO SCALE ,2"X2-1/2"X1/0" P,-ATE SECTI ON A-A 6�5 NO SCALE .. �r,00�g0'� '•''-' �- ATTACH SECURELY TO ,Q rp• MOBILE HOME SUPPORT A �cA o- NOGIRDER -TVP 10" M. 10" NOM. S P11 QOM` �Q-O Y'SJQQO�1 AL r • C ��� ' ,ice ♦,¢ \1/2" X 3" STEEL PIN y'O!o i•: �,, - '" ,10 y' WITH LOCKING KEY AFS-PCP PAD SHOWN m ?90FESS/ {�, � 0 O, somi r _ � h I PERMANENT FOUNDATION SYSTEM AFS-EL9 FRONT VIEW TYP I CAL 1 NSTALLAT I ON DETAIL AFS-EL9 STAND NO SCALE NO SCALE AFS-WP. AFS-CP AND AFS-PCP PADS CC CONFIGURATION WILLIAM A. SOMMERMEYER OPTIONAL BRAC 1 NG SYSTEM 1173-D EL CAMINO REAL - ARROYO GRANDE CA 93020-ZS$4 NO SCALE, _ - ,y, • RCE 11656 exp. 12/31/00 (605). 089-5360 i --PATENTS PENDING-- Al Xl_ 1997 SITYET 4 OF 4 SHEETS 1 e r _ JAN. `'! '-! - NEU 111145 GREG TEL: 916 893 1833 P.001 •r•• hI N Zt •1 e e ' a b � o e ' a b o a `_. r ICIj7%, 1 q L A 0 i 9 I X ey • P Cb o~nom _ ♦y �` .- I \v_UJ �I �1,Vq• yy •O�rr _ i IlY .1 y •• O 1 •', �V tv t o O • Tb��e 01 w � � a JAI 4114 R V ' •1 r � 'f bb J% .b�♦ •`�� 1��. a `" �' 11 � ; L�,����k h�• r w v +oe• oa io stt? ,• r - ,. .J361AV1 PROPOSAL and CONTRACT Telephone 80 elepho e KILPATRICK CONSTRUCTION MOBILE HOME FOUNDATIONS EARTHQUAKE BRACING Dale ` TO /I-- We propose to -7 rr/ Slate License No. 407281 19 Telephone /` a nizh materials and labor to cpmplete tDe FA -401,0 Frices do not include permit costs. American Foundation Systs., is not liable for additional upgrades to meet 433(a) requirements. All of the above work to ben compleled a subs antial a d workmanlike manner according to standard practices for the sum of, Dollars ($ zs bo 1 v "NOTICE TO OWNER" (Section 7018, 7019—Contracto(s License Law) Under the Mechanics' Lien Law, any contractor, subcontractor, laborer, ma'edalman or ollrer person who helps to Improve your properly and Is not paid for his labor, services or material, has a tiglrl to enforce his claim against your properly. This means that, alter a cnurl hearing, your property could be sold by a court olli- cer and the proceeds of the sale used to satisfy the Indebtedness. This can happen even If you have paid your own contractor In lull, If the subcontractor, laborer, or supplier remains unpaid. Under the law you may protect yoursell against such claims by' filing, before commencing such work of Improvement, an original contract for the work of Irnprnverrterrl or a modification thereof, In the olllce of the county recorder of the county where the proporly Is situated and requiring that a contractor's payment bond bn re- corded In such office. Said bond shall be In an amount not less than lllty percent (50::) of the contract price anti shall, In addition to any conditions for the performance of the contract, be condi. Iloned for the Payment In lull of the claims of all persons futnish. Ing labor, services, equipment or materials for the work described In said contract. Respectfully stibmilled, KILPATRICK CONSTRUCTION 672 Serrano #10 San Luis Obispo, Calif 93401 (805)544-1248 Lic. # 407281 Name and Registration Number of any salesperson who solicited or egotialed t contract: Name No. ACCEPTANCE You are hereby authorized to furnish all materials and labor required to complete the work mentioned In the above 0_7 proposal, for which---. agree to pay the amount mentioned In said proposal, and according to the terms thereof: Dale• -//— 2' — tt" 7 .19— � yJ �rJ 1A,4 ��%"197 ACCEPTED: —LjOwnef Signatlrre)- - Contractors7re equired• by law 'to be licensed and reg- ulated by the Contractors' Slate License Board. Any ques- llons concerning a contractor may be referred to the registrar of the board whose address Is: Contractors' Slate Llcense.Board' '1020 N Street Sacramento, Calilornib 95814 A JON R. KRAUSS 90-7477/3211 SHIRLEY J. KRAUSS 0941 CDL' N8284132 N0341628 21f ���% 2342 STEARNS RD. 916-877-6060 PARADISE, CA 95969 f or��o SIERRA CENT CREDIT UNION .PARADISE. EA 95969T CHECK VERIFICATION CALL (916) 671-839B em MP �i:32LL74770i:025000L2233_ II' 0941 ;: . a -t YV OAA4 uM-� .Q/�'�a�a�i� .vw lR 4�•. � .1A-) LU D �a-lea- a�,.e._ c�uv�a yaa a.�-� c� � 0 Q 4 3 3 A . �T�-�l 0'� 6�Ct�t- ��..Lt,e-w-l'2oC�e. • d9l.Fn�e Giacc. 0 S��1,97 �z APR.. -2.2' 91TUE 08 : 15 *7(TUE) a "" �E= St 1W VXIEY RECORDING REQUESTED BY r iS-9ggY AND WHEN RECORDED MAIL TO Jon Richard Krauss Shirley Jean Krauss, 2342 Stearns Rd. Paradise, California 95969 TEL;916 533 1526 97-014291 1 Rec Fee I DOG Recorded I Check. Official Recorde I County of I Butte 1 Candace J. Grubbe I Recorder I 8;00am 22 -Apr -97 I MVTC P. 002 9.00 40.70 49.70 FM 2 SPACE ABOVE TRIS LINE FOR RECORDER'S USE Assessor's Parcel No. CORPORATION GRANT DEED The undersigned grantor(s) declare(s): Documentary transfer tax is4S 0.70 (1[S computed on full value of the interest of property conveyed, or ( ) computed on the full value less the valve of liens or encumbrances remaining thereon at the time of. sale. (z) City of: Oroville, and FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Transamerica Financial Services/0422 a corporation, rganiaed under the laws of the State of California hereby GRANTS to Jon Richard Krauss and Shirley Jean Krauss, husband and wife, the following described real property in the County of Butte State of California: SE ATTACH LEGAL DESCRIPTION In Witness whereof, said corporation has caused its corporate name and seal to be affixed hereto and this instrument to executed by its Assistant Secretary thereunto duly authorized. STATE OF CALIFORNIA, Dated: March -14, 3.997 COUNTY OF •C:C(. t SS On =, s1 _ q before me `t`, 4 a Notary Public in and for said state, personally Transamerica Financial Services/0422, appeared 4 /A%1 a % VV\ . ✓ 1_ _ a California corporation personally known to me (or proved to me on the By: basis of satisfactory evidence) to be the person(S) whose name(s) is/are subscribed to the BY: 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 the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. Signature .(' �� ! r l'_ •k' r Title Order No.- 704707 MAIL TAX.STATEMENTS TO PARTY SHOWN BELOW; � J �., v JOV HUMES • COMMISSION i1044166k' Notary Public - Cafflomia SM UESNAfl01No COUNTY 1j My rAmrNssim Explre5 MOV. 3.1838 (This area for official notarial seal) Escrow or Loan No. 30000074-sb IF NO PARTY SHOWN, MAIL AS DIRECTED ABOVE. /.. -22' 97 (TUE) 08.16 DESCRIPTION TEL:916 533 1526 ORDER NO. 704707 REFERENCE NO. 61-400126 TITLE OFFICER. CHARLOTTE OLMOS 'CfiE•LAND REFERRIrb TO IN THIS REppRT IS 51'IVATED IN THE CITY OF OROVILLE S'A'FE OF CALIFORNIA. COUNTY OF BUT', . AND IS DESCRIBED. AS FOLLOWS: PARCEL I THE NORTH HALF OF THE SOUTH HALF OF THE NORTHEAST QUARTER OF THE SOUTHEAST QUARTER OF SECTION 28, TOWNSHIP 2I NORTH, RANGE 4, EAST, M D B & M AST PARCEL II A RIGHT OF WAY FOR ROAD PMPOSES OVER A STRIP OF LAND 60 FEET IN WIDTH THE CENTS LINE OF -WHICH IS DESCRIBED AS FOLLOWS: R BEGINNING AT THE NORTHWEST CORNER OF THE NORTHEAST QUARTER OF TH QUARTER OF THE SOUTHEAST QUARTER OF SECTION, 28 TOWNSHIP 21 NORTH, RANGE 4 EH EAST D B & M THENCE SOUTH pp 07' 38 EAST 1205.22 FEET, THENCE SOUTH 80 I4' 35" WEST 115.33 FEET THENCE SOUTH 50 57' 03" WEST 174.88 FEET, THENCE NORTH 70 0V 53" SOUTH 44 21' 17" WEST I08.02 FEET, THENCE SOUTH 13 20'27"319.02 WEST EEE FEET, THENCE 88 3943" WEST 480,34 FEET TO A POINT ON THE EAST LINE OF O OR VILLE CHET THENCE SOUTH THE: END OF SAID CENTERLINE EROICIrE ROAD AND PARCEL III A RIGHT OF WAY FOR ROAD PURPOSES OVER A STRIP OF LAND 30 FEET IN WIDTH LYING SOUTHERLY OF AND ADJACENT TO THE SOUTHERLY LINE OF THE FOtLOWINC, DESCRIBED D THE NORTH HALF OF THE SOUTH HALF OF THE NORTHEAST QUARTER OF THE SO QUARTER OF SECTION 28, TOWNSHIP 21 NORTH, RANGE 4 EAST, M D B & M. UTHEAST P. 003 STATE OF CALIFORNIA DEPARTMENT OF HOUSING AND CQMMUNITY DEVELOPMENT 1� DIVISION OF:CODES AND STANDARDS REGISTRATION AND TITLING SECTION (Information pertaining to co-owner statutory requirements appears on the reverse side of this form) DESIGNATION OF CO-OWNER TERM This unit 3s a: E Mobilehome [] Commercial Coach [] Floating Home Truck Camper Decal*(Li.cense) No.(s).. :F LAG1456 Trade Name Silvercrest Serial No.(s) A3SC1160CA/B3SC1160CA -- •=We, wrequest:•the- Department.,;�of:..Housi.ng.... and.. Community. Development to register our ownership,interest`'in' the unit described *above with the following co-own term. ; .... • (READ THE FOLLOWING AND CHECK THE APPROPRIATE BOX) JTRS, Joint Tenants With Right of Survivorship Upon the death of aoint tenant th the surviving � � e interest of the deceased party passes to g joint tenant. The signature of each joint tenant is required. -to transfer or encumber the title. . -TENCOM AND, Tenants .in Common., with the .names joined by the word AND 4 u: Each tenant- in: common may, transfer. 'his or her individual..4interest Mifthout;:rthe signature: -.of the other-tenant(s). in common. The signature of each "tenant fre -common .is .required to transfer full interest in the title to a new registered owner -or to encumber the title. ' TENCOM OR, Tenants in Common with the names joined by the word OR y ,' Any one of. the tenants in common may transfer full ownership interest in the title to 'a new registered owner -without the signature of the other tenant(s) ..`•in ..'common. The signature of. each tenant in common is required to encumber the ,. .title. .COMPRO, Community Property Full ownership interest in the -title may be registered as in .the names. of a husband and wife. Thesignature of each to' "transfeir or encumber the title. .4 SIGNATURE OF EACH CO-OWNER: community property spouse is required. HC0 483.1 (REV 10/86) DEPARTMENT.OF HOUSING AND -COMMUNITY DEVELOPMENT DESIGNATION OF CO-OWNER,TERM REQUIREMENTS FOR ' REGISTERED OWNERS, LEGAL OWNERS, AND JUNIOR LIENHOLOERS Any application submitted to the Department of Housing and Community Development (HCO) to establish a new registration record or amend the permanent registration and titling record of any mobilehomecommercial coach, truck camper, or floating home wherein two or more Persons are being jointly recorded as registered owners, legal owners, or un or�r en o ers,.must- contain an appropriate co-owner term and bear the signatures • . of al:l` .: co=owners. affected -'by *the co-owner term. If this information is missing, the original application will be suspended by HCO until all required co-owner 'term information has been received. This requirement can be met by completing the "Designation of Co-owner Term":.form HCO 483.1 appearing on the reverse side of this sheet. Upon completion, return this form, any receipts, any attached documents, or other needed items to the Department of Housing and Community Development. SECTION:• 18080-�OF,,THE'CALI,FORNIA" HEALTH ' AND SAFETY CODE*'"HAS"� BEEN "REPRODUCED'" (BELOW) FOR. INFORMATIONAL PURPOSES REGARDING THE APPLICATION OF LAW AS IT PERTAINS TO CO-OWNER REQUIREMENTS. 18080.: Ownership registration and title to a manufactured home, mobilehome, cortmercial4 coach,; truck camper,. or floating home subject to registration may be held by.-.. ' two or, more. coowners as follows: (a) A manufactured home, mobilehome, commercial coach, truck camper, or. floating,,�.�� home ;may: be registered in the names of two or. more persons as joint tenants. Upon death of. ;a joint tenant',the interest of the decedent shall pass to the survivor or survivo'ri. The 'signature of each joint tenant or survivor or survivors, as the case may`6e,'"shall"be required 'to transfer or encumber the title to the manufactured home, mobilehome, conimercial coach, truck camper, or floating.home. (b) A manufactured :home, mobilehome, commercial coach, truck camper, or floating home.,may be -registered in the names of two or more- persons as tenants in common. If the i names' --of 'the 'tenants - in common are separated by the word "and", each tenant in., common', --may::, transfer - his •. or. her individual interest in the manufactured home, mobilehome, commercial coach, truck camper, or floating home without the signature of the other tenant or tenants in common. However, the signature of each tenant in common shall be required to transfer full interest in the title to a new registered owner. If `. the.. names .,of the tenants :in common are . separated by -the word "or", any one of the tenants,, 1n "Common may. transfer full interest in the title to the manufactured home, mobilehome, commercial coach, truck camper, or floating home to a new registered owner without the signature of the other tenant or tenants in common' The signature of each tenant in common- is required in all cases to encumber the title to the manufactured home, mobilehome, commercial coach, truck camper, or floating home. t�(c) A manufactured home, mobilehome, commercial coach, truck camper, or floating home"'may be -registered as community property in the names of a husband and wife. The,,. ,signature of each spouse shall be required to transfer or encumber the title to the ,manufactured home, mobilehome, commercial coach, truck camper, or floating home. '4 (d) All manufactured homes, mobilehomes, commercial coaches, truck campers, or floating homes registered,. on or before January 1, 1985, in the names of two or more persons as tenants in common, as provided in subdivision (b) shall be considered to be .the same as if the names of the tenants in common were separated by the word "or", as provided in subdivision (b). STATE OF CALIFORNIA BUSIIdESSTRANSPORTATION AND HOUSING AGENCY DEPARTMENT OF HOUSING AND COMA DEVELOPMENT ar-4.DIVISION OF CODSAND STANDARDSC REGISTRATION AND TITLING SECTION STATEMENT OF FACTS • SMOKE DE ECrOR " (Liman) No. (s) . Trade Name Serial No.(s) LAG14Silvercrest A3SC1160CA/ B3SC1160CA I/We tiu mtdersigned hereby state that the unit descn'� above is e9wpPed with an a raved s which is m proper working order as of moke detector I certify under (Date) Penalty' of perjury that the foregoing is true and correct. at (Date) Signature ........(�►) (state) ✓ Add=.a 3 a 6a.,0 aty &d,414 -L State C1� HCD 476.6A (REV. 5/91) 14 Escrow No. 30000074-sb PRELIMINARY CHANGE OF OWNERSHIP REPORT (To be completed by transferee (buyer) prior to transfer of subject property in accordance with Section 480.3 of the Revenue and Taxation Code.) THIS REPORT IS NOT A PUBLIC DOCUMENT SELLER/TRANSFEROR: Transamerica Financial Services/0422 SELLER'S.RECORDING DATE: DOCUMENT NO. BUYER/TRANSFEREE: Jon Richard Krauss and Shirley Jean Krauss ASSESSOR'S IDENTIFICATION NUMBER(S): PROPERTY ADDRESS OR LOCATION: 59 Crystal Pine Road, Oroville, California 95965 MAIL TAX INFORMATION TO: Name: Mr. Jon Richard Krauss Address: 2342 Stearns Rd. Paradise, California 9596.9 BOX ABOVE FOR RECORDERS USE ONLY A Preliminary Change in Ownership Report must be filed with each conveyance in the County Recorder's office for the county where the property is located; this particular form may be used in all 58 counties in California. NOTICE: A lien for property taxes applies to your property on March 1 of each year for the taxes owing in the following fiscal year, July 1 through June 30. One-half of these taxes is due November 1, and one-half is due February 1. The first installment becomes delinquent on December 10, and second installment becomes delinquent on April 10. One tax bill is mailed before November 1 to the owner of•record'. IF,THIS TRANSFER -OCCURS AFTER' MARCH 1 AND ON OR BEFORE DECEMBER 31. YOU MAY BE RESPONSIBLE FOR THE SECOND INSTALLMENT OF TAXES DUE FEBRUARY'l. The property which you acquired may be subject to a supplemental assessment in an amount to be determined by the m County Assessor. For further information on your supplemental -roll obligation, please call the m County Assessor at PART 1: TRANSFER INFORMATION Please answer all questions. YES I�0 A. Is this transfer solely between husband and wife? (Addition of a spouse, death of a spouse, divorce settlement, etc) — B. Is this transaction only a correction of the name(s) of the person(s) holding title to the property? (For example, a name change upon marriage) — C. Is this document recorded to create, terminate, or reconvey a lender's interest in the property? D.•Is this transaction recorded only as a requirement for financing purposes or to create, terminate, or reconvey a security interest (e.g. cosigner)? — ,,;�_E. Is this document recorded to substitute a trustee under a deed of trust, mortgage,"or other similar document? — F. Did this transfer result in the creation of a joint tenancy in which the seller (transferor) remains as one of the M joint tenants? G. Does this transfer return property to the person who created the joint tenancy (original transferor)? H. is this transfer of property: — pS I. to a trust for the benefit of the grantor, or grantor's spouse? — 2. to a trust revocable by the transferor? _ 3. to a trust from which the property reverts to the grantor within 12 years? — I. If this property is subject to a lease, is the remaining lease term 35 years or more including written options? _ J. Is this a transfer from parents to children or from children to parents? K. Is this transaction to replace a principal residence by a person 55 years of age or older? — L. Is this transaction to replace a principal residence by a person who is severely disabled as defined by Revenue and Taxation Code Section 69.5? If you checked yes to J.K or L. you may qualify for a property tax reassessment exclusion, which may result in lower taxes on your property. Failure to file a claim results in the reassessment of the property. Please provide any other information that would help,the Assessor to understand the nature of the transfer. ------------------------------------------- IF YOU HAVE ANSWERED 'YES' TO ANY OF THE ABOVE QUESTIONS EXCEPT J OR K. PLEASE SIGN AND DATE, OTHERWISE COMPLETE BALANCE OF THE FORM. PART II: OTHER TRANSFER INFORMATION Date of transfer,if other than recording date .B. Type4Af transfer. Please check appropriate box. Purchase Foreclosure Gift Trade or Exchange Merger, Stock, or Partnership Acquisition 'Contract of Sale-- Date of Contract — '— Inheritance - Date of Death Other: Please explain: — Creation of a Lease; Assignment of a Lease; _ Termination of a Lease Date lease began — Sale /Leaseback — ` } Original term in years (including written options) Remaining term in years (including written options) C:`Was only a partial interest in the property transferred? Yes !< No .if yes. indicate the percentage transferred — k, BASED ON FORM SBE -ASD AN 502-A FRONT (REV. 5-26-94) 76PB30 ASSR 70 PRELIMINARY CHANGE OF OWNERSHIP REPORT Please answer, to the best of your knowledge, all applicable questions, sign and date. If a question does not apply, indicate with 'N/A'. PART III: PURCHASE PRICE & TERMS OF SALE A. CASH DOWN PAYMENT OR Value of Trade or Exchange (excluding closing costs) Q� Amount $ 7� B. FIRST DEED OF TRUST @ 9,7,5— 8 interest for years. Pymts./Mo. $ 28 5 (Priv. & Int. only) Amount $ _ FHA p� Fixed Rate � New Lew Loan Conventional _ Variable Rate Assumed Existing Loan Balance VA _ All inclusive D.T. ($ Wrapped) Bank or Savings & Loan _ _Cal -Vet _ Loan Carried by Seller _ Finance Company Balloon Payment _ Yes _ No Due Date Amount $ C. SECOND DEED OF TRUST @ 4 interest for years. Pymts./Mo. - $ (Priv. & Int. only) Amount $ _ Bank or Savings & Loan_ Fixed Rate _ New Loan _ Loan Carried by Seller Variable Rate _ Assumed Existing Loan Balance Balloon Payment _ Yes _ No Due Date Amount $ D. OTHER FINANCING: Is other financing involved not covered in (b) or (c) above? _ Yes No Amount $ Type @ % interest for years. Pymts./Mo. - E (Prin. & Int. only) Amount $ _ Bank or Savings & Loan—Fixed Fixed Rate _ New Loan Loan Carried by Seller Variable Rate _ Assumed Existing Loan Balance Balloon Payment _ Yes _ No Due Date Amount $ E. IMPROVEMENT BOND _ Yes _ No Outstanding Balance: Amount S F. TOTAL PURCHASE PRICE (or acquisition price, if traded or exchange, include real estate commission ifp d.) G. PROPERTY PURCHASED Through a Broker; Direct from Seller; D41Total Items A through E i % dpi Other (explain) •-e broker's—, If purchased-throughbroker, provide name -and -phone no-.:- 1� �,� 4 / A Q 4 sa Y2 Please explain any special terms, seller concessions, or financing and any other information that would help the Assessor understand the purchase price and terms of sale. PART IV: PROPERTY INFORMATION A. IS PERSONAL PROPERTY INCLUDED 1N THE PURCHASE PRICE? (e.i., furniture, farm equipment, etc.) (other than a mobilehome subject to local property tax)?_Yes &No If yes, enter the value of the personal property included n the purchase price E property) (Attach itemized list of personal B. 1S THIS PROPERTY INTENDED AS YOUR PRINCIPAL RESIDENCE: If yes, enter date of occupancy / 19 Month Day C. TYPE OF PROPERTY TRANSFERRED: WE residence _ Multiple -family residence (no. of units: ) _ Commercial/Industrial _ Other (Description: Yes No _ or intended occupancy / 19 Month Day _ Agricultural Timeshare _ Co-op/Own-your-own Mobilehome _ Condominium _ Unimproved Lot D. DOES THE PROPERTY PRODUCE INCOME: YesNo If yes, is the income from: Lease/Rent _ Contract _ Mineral rights _ Other -explain: E. WHAT WAS THE CONDITION OF THE PROPERTY AT THE TIME OF SALE? .Good Average Fair X Poor Please explain the physical condition of the property and provide any other information (such as restrictions, etc.)that would .assist thO Assessor'in determining the value of the operty k ms- � 'aw - �� - v� � fi-�.�►. -LUOP e 7n6u�. Sig S true, the beat of my knowledge and belie ,aQ/ Date: 711—o0.p -� '(New Owner g Representative/Corp or 0 ficer) Please P t Name of New Owner/Legal Representative/Corporate Officer -•Phone No. where you are available from 8:00 a.m. - 5:00 p.m. ( ) •:'� (Note: The Assessor may contact you for further information) If a document evidencing a change of ownership is presented to the recorder for recordation without the concurrent filing of a prellioinary change of ownership report, the recorder may charge an additional fee of twenty dollars ($20). BASED ON FORM SBE -ASD AH 502-A BACK REV. 5-26-94 76PB30 ASSR 70 is 8USIVEs3, TRANSPORT'AMON AND HOUSING AOBNCY DEPARINMOPHOUSiN4 AND OOMMUNfff DBVBL0PMlW ` DNtSION OF CODES AND SPANDARDS REGWMkTION AND MLING PROGRAM POWER OF ATPORNEY Dml.(Goetse) Number(s) LAG1456 . ?rade Name Silvercrest I (P&t fe name). Krauss, Jon' Ridhard I (print &11 name) Krau'Ss, Shirley Jean I (print tua namp), SaW Numba(s) to whom it may aosoran I 160CA the nadet:tpred do hereby dalr appoint the Wowin named pwon, Pacific Service Escrow to as as my attornq b AkM a* eo alp papers and document= thu mar be no maty is arch to newts Qdftdb leffisadnof or to ttan fer my 1 0 - he the above dsadtied sa I &n1wasm to ptataateeaad saveharmke the StataofC:llffOrnb and the i?ire=otHooftud Clommmdty DeWopuUMAW alj responsibility which might wcm doom the ianam of Calliontla reshtratioa or traar&r of =Ck colt. NOTE: An attomq In lh t aaaaot male ss &Mdwk or oati&W of the troth of Am us kwm a him. Sipes ✓ _ Due —7?—aS-Z — Slpbd Dae 3 Xs - 9 7 silow Dae — HCD 475.4 (REV W4 y V 4 PERMIT NO. 2`118-84P,E(MH) `J PERMIT EXPIRES 2 /�— OWNER RICHARD LEER CONTR. owner ASSESSOR PARCEL 41-50-12 LOCATION W/S Crystal Pines Rd, 2/10 mi NE of Cherokee Rd, Cherokee Area Temp. Power Poir - - , --� ; ti=- ►� -� _ '_ 1 OFFICE Called PG&E Address.._�U J t•�• Temp. Elec. Servs Called PG&E GASP =Meter:By" ELECTRIC_ Temp. Gas Servic :Meter= .1 CalledPG&E JOB FINALED (Date) 7 r Signature V '= 'O1<4 0 = Not OK = Not Applicable * = Not Ready 3f 1 MOBILEHOMES t t MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except #'s ,ov-22oning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements -Setbacks -.Easements Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors •Z a er; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails i 4 er; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing E ectricity; Location-Clearances-Grnd.-/c�)%%tDAmp-Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat.or.A0"L"ft./ "LPG Zeldi-ility Clearance 6. Carports; Windows -Doors 7. Elec. r ar I�d�(�fdate%- Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date M0BILEAe#E INSTALLATION (Plans) OK except H's Card -BI Date Date Card -BI Date POOLS (Plans) OK except IL's on i na..Requirements-Setbacks-Easements } 1, Setbacks -Easements ootings; pacing -Marriage Line ( 2. Soils; Compaction -Structure Stability 3 It -le -94 -Demand -Valve -Connector j 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4 ctr' H Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI ain H Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI ..6. ater• -Test-Regulator-Connector ater an Connected -C/O to Grade -HD Approval as and lectricity Tagged , ( 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7, Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9%►E its; I - ketch 10, of Occupancy g. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test { C ' B -I Date - jam!!r Card -BI Date ; Card -BI Date Card -BI Date Card B -I Date Card -BI Date # Card -BI Date Card -BI Date �`p G1 l 2 i f�/rdl /11"6- Jib 1 d1�1 j/�[��ad r� 't4. 6od�Dz /7, /e>0 G, 13,5� T 5 T ��-�- V T [P" J = OK 0 = Not OK = Not"Readyable = Not Ready RESIDENTIAL (Single a'nd' Duplex) � c Date UNDERFLOOR Plans OK exce t#'s _Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 48. 49. Property Line Firewall & Openings Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel -B lockouts -Wrapped -S lab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel -B lockouts -Wrapped -S lab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access ' 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. U.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test 9. Gas Pipe; Size -Anchors 55. Shear Walls; Nailing -Bolts - 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples - Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except N's Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 56. Ext. Steps -Door & Sidelight Protection -Landings 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 22. Size Boxes & No. of Conductors -Stapled 70. Plb., Elec. &Mech. Equip. Listed for Location 23. Romex Installed Close to Edge of Studs & C.J. 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 72. Insulation -Foam -Looked in Attic E) Yes 25. 2 Appliance Circuits in Kitchen &Conductor Size Guard Rails &Deck Construction -Post Caps 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. 28. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes ❑No Service -Riser Conductors & Ground -Main Disconnect 75. Followinginstld.: Drive ❑Yes ❑ No; Walks E3 Yes ❑ No; Planters ❑Yes ❑No 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77• A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. 82. Ventilation throughout House Glass Protection Card B -I Date Card -BI Date Date MECHANICAL (Permit) OK except q's 31. A.C. Ducts; Insulation & Support 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. 33. Vent Fan; Exhaust above Insulation Condensate Drain & Overflow; Size & Grade 86, Energy Compliance Certificate -Other Certificates 34. 35. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Card -BI Date Card -BI Date Date Card -BI Date Comments at Final: Card -BI Date Card -BI Date Date FRAMING Plans OK except q's 36. Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing 42. 43. Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties_-Purlin-Roof Brac.-Truss-Shthng.-Rfn_g_._ 44. Fireplace Ties or Type A Flue -Fireplace Throat 45. 46. 47. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing (NOTE:Anentrymust be made each time youvisit jobsite) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORks, 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE Hurt iso PFRKAI T Kin A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, pleas6 contact this office immediately. 1 � 1 F 1 Inspector �'� �� Date l ' COUNTY OF BUTTE --- DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California, Administrative Code, Title 25, Chapter 5, under permit number � « for the following location: r4 -1C 0,P l 5 r7k, r Owner 0 1,14 -4D In U I'— Owner's Address k -r –7 &,X 3A. -f `a !-1,4-10(A t t r /". -- Mobilehome Mfg. SI>~t1?JL-%� Model•3 Year�� Insignia NA4 L a4282–'Serial No. 1 It is hereby certified for occupancy at the above described location and may be occupied. �.�,j Director o Publ/i�c Works, Date �3% / By .G , Y �!C THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. / COUNTY OF BUTTE - DEPARTMENT40F"PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 y APPLICATION AICD PERMIT `` PERMIT iub. 4`Q ASSESSOR PARCEL NUMBER ZONI G- ` BUILDING PERMIT WNER ILOARo L SER TELEPHONE 534f- Si 86 S0. FT. OCC. BUILDING VAL TION OW R'S MAILING ADDRESS . T CTOR'S\mak l TTE�L-E7PHONE V LL^ A CONTRACTOR'S MLING ADDRES c{ Fireplace CONSTRUCTION LENDER UNKNOWNS Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ / Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ j^ Q BUILDING ADDRESS W S Crystal Pines Rd 2/10 mi NE Cherokee Rd, PLUMBING PERMIT Filing Fee 10.00 Cherokee Area Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome,;3�other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00e TYPE OF WORKPermit New ❑ Addition Remodel ❑ Uti lities ❑ -Jnstallation Other ❑ Describe work: �D�� I g — Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 3 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.g OR ADDNS. ( ACC. BLDGS. 2/20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): Ei-I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full ce and effect. ,� License No. 31 (�Z Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR. ULTI.OUTLET 2,50 ea NO N.RESID BRANCH CIRC ITS NEW CONSTR.POWER APPARATUS &\ NON-RESID. (SINGLE OUTLET CIR. I 20@50a Ex. Occup(o TS OR FIXTURES SAL@300 FIXED FIXED APPLES. OR EX. Occup. OUTLETS (RESID.) EA.I 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. [�/f have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot 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 s Id C my in con a uence of the granting of this permit. X 110t.tn.tt`� % 6 ��% Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 storiesinheight. Mobile Home Installation Fee $ OV TOTAL PERMIT FEE o OCCUP. GROUP I TYPE OF CONST: PARCEL PD I HD I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DI 4CTOR O BLIC f� BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date °r Receipt No. of ��yV WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT Order No. Escrow No. 3-76584 Loan No. WHEN RECORDED MAIL TO: Mr. and Mrs. Richard Leer P.O. Box 1268 Oroville, CA 95965 MAIL TAX STATEMENTS TO: same as above AP NO. 41-50-12 nFFtr�;AL RcCy,r._ _ a' SOS nEt=•-�:T=. - MIDVALLEY TITLE CO MAY 10 1130 l'11 CLERR - FFCY�E�Dir�:.n Fk' R _17338 SPACE ABOVE THIS LINE FOR RECORDER'S USE DOCUMENTA6R TRAN ER TAX 26.40 . Comp to o the co s eratio r v e of property conveyed; OR �. Com ut n the c I ti or us less liens or encumbrances rem n time Sly tura of Declare t or Adtnt de ennininp tax — Flrm Name MID VALLEY TITLE & ESCROW COMPANY GRANT DEED FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, KENNETH R. JOHNSON, an unmarried man hereby GRANT(S) to RICHARD LEER and GLENNA M. LEER, husband and wife, as Joint Tenants the real property in the XWXKK unincorporated area of the County of Butte PARCEL I: TRANSFER TAX PAID Change of Ownw- ship Statement NOT Filed. (Se; < R& T Code) Sent to mailing 9 address on documcni. O , State of California, described as The North half of the South half of the Northeast quarter of the Southeast quarter of Section 28, Township 21 North, Range 4 -East, M.D.B. & M. PARCEL II: A right of way for road purposes over a strip of land 60 feet in width, the centerline of which is described as follows: BEGINNING at the Northwest corner of the Northeast quarter of the Northeast quarter of the Southeast quarter of Section 28, Township 21 North, Range 4 East, M.D.B. & M.; thence -South 000 07' 38" East 1205.22 feet; thence South 800 14' 35" West 115.33 feet; thence South 500 '57' 03" West 174.88 feet; thence North 700 01' 53" West 178.35 feet; thence South 440 21' 17" West 108.02 feet; thence South 130 20' 27" West 319.02 feet; thence South 880 39' 43" West 480.34 feet to a point on the East line of Oroville-Cherokee Road and the end of said centerline. PARrPT. TTT A right of way for road purposes over a strip of land 30 feet in width lying Southerly of and adjacent to the Southerly line of the following described property: The North half of.the South .half of the Northeast quarter of the Southeast quarter of Section 28, Township 21 North, Range 4 East, M.D..B. & M. i Dated May 1st, 1984 X n Kenneth R. Johnson I STATE OF CALIFOR A Is& COUNTY OF I before me, they dersig ed a Notary Public in sonally appeared p" per - 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. WITNESSImy hgQd and official seal v 0 0 lV _ -ca a OFFICIAL SEAL Y '? -, ELIZABETH A. BR001(S rri (v: tt NOTARY PUBLIC .CALFORNIA My Comm. Expm:s ion 16, 1988 R / (This area for official notarial seal) Signatur ' 1Ca02 16,F2)MAIL TAX STATEMENTS AS DIRECTED ABOVE ;rpt, (J" C�C�LI► .Lt:, A setback of 5 ft. from the if property lines and a setback 5 , of 50ft. from the road centerline shall be clear of structures or equipment except J f6r a 2 ft. eave overhang. DT' ` 16-0 fi A permit will be regt4rod for the , AAstallation or the mobilehorne. L .. ., IL -Zz !t ' ' Utility connections shall be within 4 ft. of the mobil home, either directly behind or W; -'-rain the rear y half of the roadside (left) of the- mobilehome. f d This set of plans and specifications MUST &e • . _ : kop+ on the job at all times and if is unlawful to C� make any changes or alterations on same without v ' j wr ,&n permission from the Department of Public "AA04s, County of Butte. t��TF:--All Materials &, Workmanship Shall Be 'n ' a It= w IPSI N ees a 'quality prescribed for the Specified use in the Uniform Building, Plumbing & Machanical Codes and BUILDING DEPARTMENT fife National Electrical Cade. � � �� D % / COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Califorcia 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT 140. ASSESSOR P RCEL NUMBER /-�j> — /Z ZONING �� BUILDING PERMIT OWNER/� `_ 1r-%G�-� ICfJ/��J TF�EP ONE , 53 E SQ. FT. OCC. BUILDING VAL ION OWNER'S MAILING ADDRESS003 %z ©MI 6E � / CO/NNTTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEEA LICENSAND. Plan Checking Fee ,$' -�Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUIL�o� AD`S%�L/�P /0 (,�/ l.e PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome Other SPECIFY Building sewer 5.00 Mobile Home 0.00 a -A) TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Installation❑ Other ❑ Describe work: Permit Fee $ . B,a Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1100V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.&` OR ADDNS. ACC. BLDGS. 1 I 2/20sq It CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification [f I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR ULTI.OUTLET 2.50 ea NON.RESID BRANCH CIRC ITS NEW CONSTR. POWER APPARATUS &) NON.RESID, SINGLE OUTLET CIR. Ex. Occu P�o Ts OR FIXTURES 20e50C BAL®30 FIXED Ex. Occup. OUTLETS P(RESID,)REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 , p� Misc. Wiring 15.00 Permit Fee $ ,µp Contractor MECHANICAL PERMIT FiIIng Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate Consent to Self -Insure. - I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all li lities, judgments, costs, and expenses which may in any way accrue agai s said unt n Vrce of the granting of this permit. X Date Signature of Applicant - Contractor ElAgent Owner An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE OCCUP. GROUP I TYPE of CONST. PARCEL PD H� 1550E This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE ROF BLIC b BY PERMIT EXPIRES Datei%�� the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. 552-05 WHITE-D.P.W., YELLOW -ASSESS , PINK -INSPECTOR, GOLDENROD -APPLICANT Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT ,;FFIC;ZL.F., OF Section 26-8.1 of the Butte County Code requires this acknowledgement PAR7 SHOWN be recorded prior to issuance of a building permit. UL 19 The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of thi-411"--fFCOWIER property may be subject to inconveniences or discomfort arising from FEE the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes, and residents within' .said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: � PSIV cq 60 P01 4,6,CD4 023 _ �• y °2�%J"�10ar!-lam' ! 7y8� rr i J /0 VS. i 3 �� kJ / 74, Ss f Vic. S990 Date :`t)� - PRO RTY .WNERS: 11,21 State of California ) On this the 5th day of July , 19 84 , before ) SS. me, the undersigned Notary Public, personally appeared County of Nevada ) RICHARD D. LEER /X/ Personally known to me. // Proved to me on the basis of satisfactory evidence. to be the person(s) whose name(s) is subscribed to the within instrument and acknowledged that he executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereyiito set my hand and official seal. Ni t-arl"ub1is Present A.P. No. r' OFFICIAL SEAL JEANNE A. O'CONfdELI` NOTARY PUBLIC -CALIFORNIA \ Principal Office in NEVADA Cou* ,� \�, ,•. , MY Commission ENOW3 Inn 1a foac 00 0 - BUTTE COUNTY_ DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. - PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: 2. Installer's name: R(C-LILIP-0 VA N ` y eR N �' ( . - 3. Is the site currently under permit? Yet / '7No (If yes, furnish permit number ) OR Is the site an existing site? Yes -No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes / / No ( If no, clarify ) 9. What is the mobilehome site gas pipe size? ---------------------- 10. What is the type of gas service?` -------.---------------------- (in.) Natural 77 LPG 50° 11. What is the gas pipe length from meter or tank to the mobilehome? 12. What is the mobilehome gas demand? ------------------------------ (BTU) (This information not required if pipe length less than 6 ft. on natural gas . or less than 50 ft. on LPG.) i 5. What is the mobilehome electrical rating? ----------------------- Amps 6. What is the mobilehome site service rating? --------------------- Z o o Amps 7.. What is the mobilehome site circuit breaker rating? ------------- 160 Amps 8. Is there any other electric loadLto(be,served by the mobilehome siteservice? --------------------------------------------------- Yes No (If yes; identify the load and size: (Load) -Q. g (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- 10. What is the type of gas service?` -------.---------------------- (in.) Natural 77 LPG 50° 11. What is the gas pipe length from meter or tank to the mobilehome? 12. What is the mobilehome gas demand? ------------------------------ (BTU) (This information not required if pipe length less than 6 ft. on natural gas . or less than 50 ft. on LPG.) i MOBILEHOME SUPPORT DATA if other than dingle wide, Mobilehome Mfr. furnish Setup Model`No. 3 3 Year I I 'I�T Y idth -- (ft.) Box Length Te— (ft.) Tagalong or Expando Size r- x ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973; furnish manufact r is installation manual and structural setup sheets (if not on file with the Coun y te). All center supports measured from front of d mobilehome unless otherwise specified. {� Footings (check one) Single Wood either. pressure treated or 5 foundation grade.. 1 j (ft.)(in;) Center support locations* �f - (ft.)(in.) (ft.)(in.) (ft.) (in.) <6 (in.) (in.) Center support footing sizes (in.) (in.) (in.) L.L. (in.) (in.) ��x ��jz> (in.) (in.) x3 Z) (in.)t (in.) *If center piers are other than drawn above, draw in -locations, spacing, and dimensions. 2. Other: (specify) Supporta (check one) ff L Concrete block. E] .2: Other. (specify) Tagalong or Expando,' show support details. $L X3 -- Typical Support Ln. (in.) Footing Size ' G -- Max. Pier Spacing (ft.)(in.) �� -- Max. Overhang BUTTE COUNTY BUILDING DEPARTMENT APPROVED . PERINIETER SUPPORT aL0011NG DETAILS NOTES: 1. MAIN RAIL SUPPORTS ARE SPECIFIED IN .EXHIBITS A & B. 2. FRAME TIE DOWNS ARE SPCCIFIED 1N _EXHIBITS A & D. 3. PERIMETER SUPPORTS AREREQUOED FOR ALL HOMES WHO'S ROOFS EXCEED 20 LIVE LOAD. 4. PERIMETER SUPPORTS ARE REQUIRED FOR ALL SILVER SHIELD HOMES & FOR HOMES PANELED WITH GYPSUM WALLBOARDS. 5. ALL -OPENINGS OVER 30" REQUIRE A SUPPORT AT EACH SIDE OF OPENING. PIER ' CAPACITY RATING SPACING CENTER TO CENTER 20.& 30 PSF 60 PSF 80 PSF MODULE WIDTH MODULE WIDTH MODULE WIDTH 12W _ OR. LESS 14W 12W OR LESS . 14W '12W OR LESS. 14W q,-0„ b'_0" 5,_0„ 4,_6., 4,_0„ 5000# 12;_0„ 12'=0`` 12,_0„ 10'-0" 91_01, 8._0„ FLOGi SCfViALL BUTTE- - --------- - - Vm= • COUNTY t -r-o• µiH Z r 6 R-"- AT ETCH P'�4 ) `'� 8� (,tit A x) BUILDING TMENT TYR A-F'.KVED .PER A MER SUP A P p . .PORT P. V1 ANDFOCTtNG APPROVED V E FCR -- x D , CtPACM Of PIEN ANO FOOT; FOOTING- . • KF`R M EXHfarrS A 1 6 _ .. . GRC[?IO 6. . COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE (BUILDING OR PROPERTY ADDRESS A routine inspecti✓on indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, 'please contact this office immediately. h .may Am:k r 15EC. 28 TWP. 21 Al R. 4 EY M. D. 41— T 410/iP Plolx iod N 89° 12' 23 E 2655.62 114 663791 663.9 Cor. < o O 4C 29 2.5 4C ,V 5 1 300 2.5 4C 2 7. 3 4C 0 1327 vi 1 5o4 N c -- 400 -------------------------------- 1104 Is F 'J6 56x.83 En try /V&. Ho 3-4 JJ 7 32;o Lu k) 22 131.68 A c 2.774c Ac ISS C\li 4 14. 744c 105Ac. r3 ?7.,.78 12.68 Ac. 14.86 Ac V. %D in Lu � 03 r \j T � N u �J O _ l��� S 9. 1.5 V O ni8 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. • 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER's MAILING ADDRESS - q ) CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each das water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF [:1Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New❑ Addition[] Remodel❑ utilities ❑ Installation❑ Other M" Describe work: _ '''' " % u Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS �•�� Main service EA. ADD'L 100 AMP 2.50 NEW CONST.( DWELLING OCCUP.51 OR ADDNS. ACC, BLOGS. 2G sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license Is In full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑"'I,a (Stheca owner, am exclusively contracting with licensed contract- ❑ 7044) I am exempt under Sec. , Business and Professions Code for this reason NNEW ON-RESID R BRANCH ciRCTIrS 2.50 ea NEw CONSTR, (POWER APPARATUS e) NON-RESID, (SINGLE OUTLET CIR, Ex. OCCUp OUTLETS OR FIXTURES_ BAL@10C IXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc YVi.rin 9 :: `, :� 7.50 ;.'. Permit Fee $ Contractor�, MECHANICAL PERMIT FiIirig Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shal I be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee S Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. Signature of Applicant — Owner D —contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP, GROUP TYPE OF CONST. PARCEL PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPfRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT l �-... +� .. -,,,,t,,.._ .w , �.a„�:.r+-.-.--.Y..�. •.. .++,j'c.•+w,r-...::..r` . :�/ .r-.. �.�'_r'-,-ti..t � ti s ... y,_. . ..�—+1, �..._.,sv�,.»r.,]. !''J �, � � ��•..� _ ER/360 C# d } t e r, P F _ t t 1 � nZ v COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS ER IT NO. Center •: 7 County Drive - Oroville, California 95965 - Telephone 916/534-4 1 APPLICATION AND PERMIT ASS OR PARCEL NUMBER Pa. ZON NG� �_ BUILDING PERMIT �j OWNETELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S AILING ADDR S _ CONTRACTOR'S NAME TELEPHONE C CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDERUNKNOWN Total Valuation $ Filing Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING AD RE S O 0,rl-y1TV, yq W, ItEach PLUMBING PERMIT Filing Fee 10.00 'Q w Trap 2.00 Repair drainage or vent piping 5.00 Water piping oo LOT NO. SUBDIV SI N NAME PA EL MAP Each Aas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ I tallation❑ Other Describe wor IC 1" Permit Fee $ ,i'•,© Contractor ELECTRICAL PERMIT Filing Fee 10.00 ' \U�� VVV I0 Main service 0OV OR LE 100 AMP ORSLESS .00 Main service EA_ ADD'L 100 AMP 2.50 NEW CONST. (DWELLING OCCUP.y) OR ADDNS. l ACC. BLDGS. 22 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions Of Chapt. 9, Div. 3 Of the BUslnes$ and Professions Code and my license is in full force and effect.— License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract— ontrac ors. (Sec. 7044) ors. ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR I.Ou LET 2.50 ea NON-RESID BRANCH CIRC ITS NEW CONSTR. / POWER APPARATUS &) NON-RESID, %SINGLE OUTLET CIR• i EX. OCCUp OUTLETS OR FIXTURES BAL@1 IXED APPLNS. OR Ex. Occup,(GUTLETS (RESID•) EA. 2.00 Temporary service 10.00 Mobile Home F ilities 15.00 Misc. ' V_ 7.50 1 Permit Fee $ Contractor ,Q MECHANICAL PERMIT FiIirig Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of nsent to Self -Insure. shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shal I be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee S Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned pro r inspection purposes. I also agree to save, ' dem eep armle the County of Butte against all liabilities, en , costs, a pen which may in any way accrue against i unty in co ue e f th ranting of this permit. X Date Signature of Applicant Owner Contractor ❑ Agent ❑ An OSHA permit i required for excavations over 5'0" deep and demolition or construct- ion of structures o er 3 stories in Mobile Home Installation Fee $ TOTAL PERMIT FEE OCCUP. GROUP TYPE OF CONST. PARCEL PD HD This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF P f1BLIC By ` PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date �+� r ((height. Receipt NO. 'iii WHITE-D.P.W.• YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT I PERMIT N0. 2959-84B9 ` PERMIT EXPIRES OWNER RICHARD LEER CONTR.. owner ASSESSOR PARCEL 41-50-12 LOCATION mi off E/S Cherokee Rd on W/S pri rd, opposite Cherokee Cemetery i r¢ r Temp. o,....... o..... C; Temp. C; Temp. C; i JOB F V = OK 0 = Not OK - = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's Date DECKS OVERS, CARPORTS, ETC. (Plans) OK except a's 1. Zoning Requirements -Setbacks -Easements Z,4oning Requirements -Setbacks -.Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts- Beams- Rftrs.-Connec.-Shthg.-Rig.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Locatiort-Test-Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except q's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except N's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts -GF] 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/O to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date = OK = Not OK = Not Applicable = Not Ready RESIDENTIAL'(Singie and Duplex) Date UNDERFLOOR Plans OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 51. 52. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 9. Gas Pipe; Size -Anchors 54. Glazing Area -Glass Protection -Skylights -Plastic 55. Shear Walls; Nailing -Bolts 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except N's Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 56. 57. 58. Ext. Steps -Door & Sidelight Protection -Landings Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. 63. Stairs & Rails Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Date Card -BI Date ELECTRICAL Permit OK except #'s 66. Elec. Outlets & Receptacles at Kit. Counter 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. &Mech. Equip. Listed for Location 22. 23. Size Boxes ll No. of Conductors -Stapled Romex Installed Close to Edge of Studs & C.J. 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic E3 Yes Guard Rails & Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen &Conductor Size 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes E-1 No 75. Following instld.: Drive ❑ Yes E) No: Walks ❑ Yes [I No; Planters ❑Yes 0 N 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. 82. Ventilation throughout House Glass Protection Card B -I Date Date Card -BI Date MECHANICAL (Permit) OK except q's 31. A.C. Ducts; Insulation & Support 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. Vent Fan; Exhaust above Insulation 86, Energy Compliance Certificate -Other Certificates 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except q's Comments at Final: 36. Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing 42. Hangers -Post Caps -Anchors -Connectors 43. 44. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng_.-Rfn_g_._ _ Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: An entry must be made each time youvisit jobsite) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS n 5. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. w ASSESOR PARCEL NUMBER ZONIN _ 2 BUILDING PERMIT OWN R TEL PHONE L SQ. FT. OCC. BUILDING VALUATION C1 4 OWN 'S MAILING A ESS / �- CONTRACTOR'S A TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LE DER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAIL N ADDRESS Permit Fee $ ARCHITECT OR ENGI EE LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDR —/ _5 0 PLUMBING PERMIT Filing Fee 10.00 mi off ES Cherokee Rd on WS pri rd opposite Each Trap 2.00 Solar Water Heater Cemetery Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or ventGas M20.00Cherokee piping system 1 - 5 outletsUSE OFSRUCTURE SF ❑ Duplex❑ Mobi lehome Other SPECIFY Building sewer Mobile Home S G W TYPE OF WORK Other EJ New ❑ Addition Remodel ❑ Utilities ❑ Installatio�ooljw_- Describe work: %�t9-v►T Dee--& r, VC 2- A9 X� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 &OOV OR LESS Main service 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 21/20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and m license is in full force and effect. y icense No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR MULTI -OUTLET 2.50 ea NON.RESID BRANCH CIRC ITS NEW CONSTR. POWER APPARATUS &) NON•RESID. %SINGLE OUTLET CIR. OR FIXTURES BAL®30Q Ex. Occu zAL@30 P�o FIXED A Ex. Occup. our OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate �f Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liab' ities, judgments costs and xpenses which may in any way accrue again aid Cou y i o se ce the granting of this permi . X Date Signature of Applicant — Owner oniractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCuP. c;R67T TYPE OF CONST. I rARCFL I PD 1 V71 Isco This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR 0 By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. IC WORKS D to : Receipt No. ��� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT j.(_y,CPUNTY OF BUTTE - DEPARTMENT'OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE,=CAkL•1FORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET i n n Permit No. OWNER V \ Proposed Building Use Permit Fee Based Upon Building Inspector Complete Contract Price Other (Explain) A. P. No. 44 1 — Fn ^ 1'1_ DPW Valuation Date 9 - At` At time of permit application, I was a prised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED All items have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate/triplicate. . . . . . . . . . . 3. Complete plans in duplicate/triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. . . 11. Planning approval for (A) Use: (B) Parking: . 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . .•. . Pre-Inspec. request to 17. Pre -Inspection for Required- Building Inspector 18. Other Date) When you issue the permit, process as follows: (—Mail to owner. Mail to contractor, i Telephone and hold for pickup at office. Deliver w/inspector. Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance. (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by By Telephone Mail Plans checked by Date Plans approved by Date Other: Copy—DPW Date Other A setback of 5 ft. from the property lines and a setback of 50ft. from the road centerline shall be clear of structures or equipment except for a 2 ft. eave overhang. This set t f plans and specifications MUST b_ e kept on the iob at all times and it is unlawful tc make any chf,ngi ,s or alterations on same without wri+ten aerr:�',,�:c; ° rrom the Department of Pub, '.c Works, County of Butte. ll NOTE:—All MaterialsWor Good Practanship ice Beand in Accordance with RecognizedSpecified use in th® of a ;lual��y pro sr,, i,:ed for the Sp g,�ual code. Mechanical Godes an Uniform Buildin. the National 1:lectric OTY =01:i9114-011 WIN l APPROVED 0 EXT. 1 /a T4 G PLYWO D CC Com' TYP. 44X V „ # DECKING (ALT) 4 x (o" DF 2 GIRDERS 1'/a" T4G PLYW00 . z W CC V '�— CTUARDRAIL 9"MAX. DECKIWG PRECAST ,PIER � ?o FRMIJ G. � I�L 2' x 12" STAI'STRINGER. 48'0.x. MAX. 70P VIEW HAIJDRAIL NOT SHOWM FOR CLNZITY. w MOBIL HOME �f ORD LIC 9„ m C= MAX. MTL. FKM1)— — CLIP (EA. IDE) MIg` 4"X4 POST 2"X 1 0 x #2DF s�Z 2'4' VR�SSURF oR (280LTSE':.: RFD ooD �'AT� GIRDER TY ,N, IVY. 12" PIERS f EPARTMEN „ # DECKING (ALT) 4 x (o" DF 2 GIRDERS 1'/a" T4G PLYW00 . z W CC V '�— CTUARDRAIL 9"MAX. DECKIWG PRECAST ,PIER � ?o FRMIJ G. � I�L 2' x 12" STAI'STRINGER. 48'0.x. MAX. 70P VIEW HAIJDRAIL NOT SHOWM FOR CLNZITY. w MOBIL HOME �f ORD LIC 9„ m C= MAX. MTL. FKM1)— — CLIP (EA. IDE) MIg` 4"X4 POST 2"X 1 0 x #2DF s�Z 2'4' VR�SSURF oR (280LTSE':.: RFD ooD �'AT� GIRDER TY ,N, f EPARTMEN 4'x,4" PO ST - jJDFQUAT DtAc, 0NA L PROVED �R �G' TYPICAL RF51DE-1yr1Al ���I�S Aiv%QD�CK COUNTY OF BUTTE — DOF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 e RECORDING REQUESTED BY: 11 AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 97-018830 197-018830 197-018830 97-018830; Rec Fee I Total Recd I " Official Records I County of I Butte I Candace J. Grubbs I Recorder i 11:28am 21 -May -97 I COMS SPACE ABOVE THIS LINE FOR RECORDER USE ONLY XX .00 .00 2 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. JON R. AND SHIRLEY J. KRAUSS MANUFACTURER'S A 59 CRYSTAL PINES ROAD MAILING ADURL55 OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE SAME STATEINSI ALLAi ION MAILING ALIVRESS, 11- DIFFERENT CITY COUNTY SAME UNFI OWNER (it also property owner, write SAME 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 97-0878 (916) 538-7541 BUILDING PERMIT NO. TELEPHONE NUMBER 'e 5&19 SIGNATURE OF LOCAL AGENCY qyFICIAL DATE NONE DEALER NAME (if not a dealer sale, write 'NONE') DEALER LICENSE NO. UNIT DESCRIPTION SILVERCREST 1984 335 MANUPACI URI -.R S NAME DATE OF MANUt-ACI URI: MODEL NAME/NUMBER A3SC1 160CA/B3SC1 160CA 58'x24' CAL288081/288082 SERIAL( INSIGNIA/LABEL REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. # 0417500-012 SEE ATTACHED LEGAL DESCRIPTION. HCD FORM 433(A) REV. 8/91 WHITE - County Recorder CANARY - HCD PINK - Applicant GOLDENROD - Building Dept. LEGAL DESCRIPTION A.P. #041-500-012 THE LAND REFERRED TO IN THIS REPORT IS SITUATED IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, CITY OF OROVILLE, AND IS DESCRIBED AS FOLLOWS: PARCEL I: THE NORTH HALF OF THE SOUTH HALF OF THE NORTHEAST QUARTER OF THE SOUTHEAST QUARTER_ OF SECTION 28, TOWNSHIP 21 NORTH, RANGE 4, EAST.- M.D.B. AST;M.D.B. & M. PARCEL II: A RIGHT OF WAY FOR ROAD PURPOSES OVER A STRIP OF LAND 60 FEET IN WIDTH THE CENTER LINE OF WHICH IS DESCRIBED AS FOLLOWS: BEGINNING AT THE NORTHWEST CORNER OF THE NORTHEAST QUARTER :OF THE NORTH EAST QUARTER, OF THE SOUTHEAST QUARTER OF SECTION 28 TOWNSHIP 21 NORTH, RANGE 4 EAST, M.D.B. & M. THENCE SOUTH 00 07' 38 EAST 1205.22 FEET, THENCE SOUTH 80 14' 35" WEST, 115.33 FEET. THENCE SOUTH 50 57' 03" WEST 174.88 FEET, THENCE NORTH 70 01' 53" WEST 178.35 FEET, THENCE SOUTH 44 21' 17" WEST 108.02 FEET, THENCE SOUTH 13 20' 27" WEST 319.02 FEET THENCE SOUTH 88 39' 43" WEST, 480.34 FEET TO A POINT ON THE EAST LINE OF OROVILLE-CHEROKEE ROAD AND THE END OF SAID CENTERLINE. PARCEL III: A RIGHT OF WAY FOR ROAD PURPOSES OVER A STRIP OF LAND 30 FEET IN WIDTH LYING SOUTHERLY OF AND ADJACENT TO THE SOUTHERLY LINE OF THE FOLLOWING DESCRIBED PROPERTY: THE NORTH HALF OF THE SOUTH HALF OF THE NORTHEAST QUARTER OF THE SOUTHEAST QUARTER OF SECTION 28, TOWNSHIP 20 NORTH, RANGE 4 EAST, M.D.B. & M. BUILDING PERMIT NUMBER: ' 97-0878 . Address or location of unit: 59 CRYSTAL',PINES ROAD, OROVILLE Legal Description of Real Property: A.P. #041-500-012 SEE ATTACHED LEGAL DESCRIPTION. (x) Mobilehome/Manufactured Home O Commercial Coach Has been affixed to the real property above by installation on a foundation sytem pursuant to Health and Safety Code Section 18551. Owner's name: JON R. AND SHIRLEY J. KRAUSS , Owner's address: 59 CRYSTAL PINES ROAD, OROVILLE, CA 95965 INSIGNIA OR HUD NUMBER:. CAL 288081, 288082 SERIAL NUMBER OR V.I.N. A3SC1160CA/B3SC1160CA MANUFACTURER'S NAME: SILVERCREST YEAR: 1984 OFFICIAL APPROVING INSTALLATION: DATE: S�� 014 PHONE: (916) 538-7541 H.C.D. 513C Y• BUILDING PERMIT NUMBER: ' 97-0878 . Address or location of unit: 59 CRYSTAL',PINES ROAD, OROVILLE Legal Description of Real Property: A.P. #041-500-012 SEE ATTACHED LEGAL DESCRIPTION. (x) Mobilehome/Manufactured Home O Commercial Coach Has been affixed to the real property above by installation on a foundation sytem pursuant to Health and Safety Code Section 18551. Owner's name: JON R. AND SHIRLEY J. KRAUSS , Owner's address: 59 CRYSTAL PINES ROAD, OROVILLE, CA 95965 INSIGNIA OR HUD NUMBER:. CAL 288081, 288082 SERIAL NUMBER OR V.I.N. A3SC1160CA/B3SC1160CA MANUFACTURER'S NAME: SILVERCREST YEAR: 1984 OFFICIAL APPROVING INSTALLATION: DATE: S�� 014 PHONE: (916) 538-7541 H.C.D. 513C � 7 ' 06 map may or may not be a survey of the land ict®d, hereon. You shoulde not rely upon it for other than orientation to the General 1/4 purpose location of the parcel or parcels depicted'. . .- . 89 • ,! zJ f 26JJ. 6Z i�J.9t 66J 9 Cor. IDWELL TITLE & ESCROW CO:, eupressly � j,, e,2.5 AC !-aims any liability. for alleged loss otbanjag n `'i is 5,c• 1 hick may result from reliance on this map. a 30 - 2.5 Ac e q via^ • b 27.3Ac. 3 0 St5. 400 ' Ai?J . 4 all Q i2Alm35 9.6fiac o 06 USA �4 q,'e 7 /OAc to ry al c33X \ 77 6.06 nBB^:6•�S-F 7y 584.l6 DS. BJ �E5 1 . tj Lot 42 A4/nsro/ Entry No. 80 Bk rC ' Pot. Pg. 337 y° 32 a ® 2 I n e rK,M Oen= ry ;. ,1.. 'J O t alit n ` b b I 14 744c /aa ii i w 1�7e /O /T.68 Ac O 2 _. .�a 35 m Qc - ,/• \ 14.86 ac o ,; � ^ m / ..68u 8 //.N AC �5 ,pA17f950N "` 'e '•c� 0 /8 2.06Ac �� ta.o <= Jy � •� . i9.a CI 3.71c 28 t {� 3 27 dw304 �VP+^ _ —... de^ ro s6 c /J.. ?e 9C J9 GPJ Pia = Assessor's Mop No. 4/-50 ^Q 43 County of Butte, Col. << eon. -rd Com OG// 0'00 P�5 -d. J? 22:iec 1970 J9 MON /32 a• / Mar -12-99 08:33 butte county planning 530 538 7785' P.01 BUTTE COUNTY DEVELOPMENT SERVICES Complainant: Mr. & � Mrs. Peter Callaghan 229 Purple Glen Dr.SanJose Ca.95119 _ _ - , P Address: 126 Crystal Pines Road 0xovi11e, Ca. 95965 Phone Number. Unlisted call (408) 225-7504 San Jose, Ca. Number QcherComments:Mrs. Krauss notified owners of Parcel, 14, an ,,_ alcohol,drug,narcotic raid was made on'Parc.els .410,12,29/30 approxi; second week of april, Inspector mast draw a plot pian with all building ldfttlons: Additional Comments from Inspoctor. Lj i