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056-320-026
....^.'^.,Fksi+r-r.•�»,. µ i3r De one ' E/S H app. 4/10 mi.S.of G rlaij 056-320-026 #98-2485 ,'r * d., For. anch { DUEY, DAVID & MARJORIE ,. Permit 46 E(u il"7m) 16993 HOME PLACE LOOP, FR� e ELEC. SIERRA MOBILE _ GAS - EX MH ON PERM FND ��� r) `15 SUP RUCTURE RE056-320-026 99-2680--- } i} r, COMPACTION TEST REQ. ��'�[VALES, ANDRES JR. fi ` 1 ..~ .. 16793 HOMEPLACE LOOP. FORtSTRANCH 1 ✓ 1 ' CONTR: COAST GAS F Permit #537 6MHI EXTEND GAS LINE O ,a >' - Issued q' % --- 056-320-026 02-0151 n R. obson SZe•3o-fib AVILES, ANDRES FERRER E/ ome Place Loop, 'appd200'N.of Head. 16993 HOMEPLACE LOOP, C� waters d . , Forest Ranch FOREST RANCH �J Permit # 7-80P,E(util.,t•1H) REMODEL GARAGE ELEGAS 056-320-026 06-1380 I �� D TRA, STEVE n SUPPORT TRUCT EQ. �t�� 41' % t COMPACTION TEST )�. &21 L HOMEPLACE LOOP, FOREST - RANCH � + �Sb-3g �6 Cont: JD SMITH CONST ontrr Lee's Mii;-Parad. Permit#3555-80MHI, fl I Issued L erson Awn.& MH Serv., Chico 4047-80E inst�,--aAwwning & porc 1 ck/MH)11'L- x. ��� yyq_yyz-�-;r 6z-aa-av _ , #4$�-99B(,ew pri.storage *. 14 , _ � 56-32-2t #987-82E(elec.for #887-82/ tg.bldg-)-0-026 91-4240 DAVID, MARJORIE MH CENTER HOME PLACE LOOP,T RAN 056-320-026 - #98-2485 _ !! ^ DUEY, DAVID RESIDENTIA ---�� & M�OPdE I 16993 HOME PLACE LOOP,.FR SIERRA MOBILE SEX MH ON PERM FND PERMIT NO.--- _.��- as � PERMIT EXPIRES „ r OWNER { CONTR. ASSESSOR PARCEL LOCATION THE HCD FORM 433A FOR THIS MH CANNOT BE RECORDED UNTIL ONE OF THE FOLLOWING HAVE BEEN TURNED IN TO THE BLDG DIV: t (1) LICENSE PLATE(S) or DECAL(THE i INSPECTOR MUST RETRIEVE) t (2) STATEMENT OF FACTS(ONLY ON NEW MH'S) INSPECTOR TO VERIFY SERIAL & LABEL #'S� CHECKED" BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. # SPECIAL INSPECTION ITEMS # VERIFY A _ sITemp. Power Pole Called PG&E KTemp. Elec. Service r Called PG&E 1' -Temp. Gas Service Called PG&E JOB FINALED (Date) Signature r V=OK O = Not OK Not ' = Not Ready MOBILE HOMES Date MOBILk HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements - Setbacks - Easements 2. Soils; Special MH Support Sketch 3. Sewer, Location -Test -Fall -C/O -Concrete 4. Water, Location -Test Easement Needed (Sketch) 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap; / fVft. / /Nat. or/ /"L°ft./ /LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 I Date Card B-1 Date Card B-1 Date MOBlkt HOME INSTALLATION (Plans) OK except #'s Ing Requirements- Setbacks Easements 2. tings; Size -Spacing -Marriage Line 3. Gas; MH Test-OemandValve-Connector 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� 01 Occupancy 12. -Permanent Foundation Only: License Decal Date Date Card B-1 Ci Date Card B-1 Card B-1 Date Card B-1 }• MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils-Size-DeplhSpacing-Connectors-Steel 3. Decks; Girders and/or Joists-Decking-BracingStairs-Rails 4. Wood Awn.; Posts-Beams-Rttrs.-Connectors Shthg: Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric B. Frmg.; Sils-AnchorsStuds-Rttrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance -GR 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pod Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 = OK O = Not No OK RESIDENTIAL (Single & Duplex) = Not Applicable l Not Ready Date UNDERFLOOR (Plans) OK except #s Date FRAMING (Continued) 1. ZoningSetbacks-Easments-FloodSlope 46. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Elec. Gmd. / /" Ftg. Depth 47. Cling. Joist-Rftr. Ties-Purlin-roff Brac.-Truss-ShWg.-Rfng. 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ /" Ftg. Depth 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 4. Ftg. Porches & Decks; SoilsSteel-/ /"Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall-Fittlng-Test-2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 57. 11. Water Pipe; Test -Anchors -Regulator -Service Test 58. 12. Electric Underground 59. 13. Pienums & Ducts; Clearance -Material -Support -Ins. 60. Brace Interior / Exterior Wall Panels 14. Girders -Sills -Anchor Bolts -Joists Vents-Orippies Insulation -Walls -Ceilings 15. Access & Ventilation Infiltration -Walls -Windows 16. Insulation Date Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Ext Steps -Door & Sidelight Protection -Landings 17. Water Htr.; Vent -Access -Combustion Air Baffle Smoke Detector 18. Water Pipe; Test & Anchor -Nail Protection Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor -Ducts -Meth. Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection Bedroom Exiting 20. Shower Pan; Test, First Floor -Tub Access 67. 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 23. Fixture & Transformer Clearance -Ins. Protection 73. 24. Elec. Receptacles Spacing -Lights & Switches at Doors 74. 25. Size Boxes & No. of Conductors Stapled -75. 26. Romex Installed Close to Edge of Studs & C.J. 76. 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 77. 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI 78. 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 79. Insulation -Foam -Looked in Attic 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral 0 Yes 0 No Guard rails & Deck Construction -Post Caps 31. Service -Riser Conductors & Ground -Main Disconect Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 32. Equip. Clearances Panels-Motors-Mech. Epuip. Following Instld./Drive 0 Yes 0 NoAAfalks 0 Yes 0 No/Planters 0 Yes 0 No 33. Clothes Closet Light -Shower Light -Spa Light Stucco Brown -Finish 34. Smoke Detector A.C. Unit Disconnect, Electrical -Plumbing 85. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 92. 38. Fumance-Vent Access -Comb. Air -Return Air Vent 115 outlet 93. 39. Attic Access & Platform if Furnace in Attic Date Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 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 Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing 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 Interior / Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor -Ducts -Meth. 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 -Meth. Protection 77. Plb., Elec. & Mach. 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 NoAAfalks 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: RECO-RDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 , It) 1 999-0103 1 964 Recorded Official Records County Of BUTTE CANDACE J. 6RUBBS Recorder ROSEMARY DICKSON Assistant 10:34AM 28 -Jul -1999 REC FEE .00 Nikki Page I of 2 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, R INSTALLATION ON A FOUNDATION SYSTEM �Jb Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. DAVID L. DUEY & MARJORIE DUEY BUTTE COUNTY BUILDING DIVISION REAL PROPERTY OWNER/LESSOR LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY PO BOX 807 7 COUNTY CENTER DRIVE MAILING ADDRESS MAILING ADDRESS FOREST RANCH, BUTTE, CA 95942-0807 OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP CITY COUNTY STATE ZIP 16993 HOME PLACE LOOP 98-2485 0 538-7541 INSTALLATION MAILING ADDRESS, IF DIFFERENT BUILD G PERM O. TELEPHONE NUMBER FOREST RANCH, BUTTE, CA 95942 AR 7/26/99 CITY COUNTY STATE ZIP SIGNATURE OF LOCAL AGENCY O-F—FiiIAL DATE SAME NONE UNIT OWNER (if also property owner, write "SAME") DEALER NAME (dnot a dealer sale, write "NONE") MAILING ADDRESS DEALER LICENSE NO CRY coU SrAM up UNIT DESCRIPTION HM SYSTEMS INC. 1991 BAYWOOD MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER HSCASNA/1392321140 666" X 266" PFS242935/6 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA(LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P.4056-320-026 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK - Appheant GOLDENROD- Building Dept LEGAL DESCRIPTION A.P. #056-320-026 All that certain real property situate in the County of Butte, State of California, described as follows: PARCEL I: PARCEL 3, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA,, ON JULY 7, 1980, IN BOOK 77 OF MAPS, AT PAGE(S) 33. PARCEL H: ANON -EXCLUSIVE EASEMENT FOR INGRESS AND EGRESS AND FOR PUBLIC UTILITIES OVER HOMEPLACE LOOP AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JULY 7, 1980, IN BOOK 77 OF:MAPS, AT PAGE(S) 33. PARCEL III: AN 80 FOOT NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITIES OVER PARCEL 10, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY.OF BUTTE, STATE OF CALIFORNIA, ON APRIL 21, 1971, IN -BOOK 37 OF MAPS, AT PAGE(S) 82, 83 AND 84. ' , RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 1 q 9— Ov"�1 c1(ol S b, e.+� c Oy- 5t rt c1 , SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. DAVID L. DUEY & MARJORIE DUEY REAL PROPERTY OWNERILESSOR PO BOX 807 MAILING ADDRESS FOREST RANCH, BUTTE, CA 95942-0807 CrN COUNTY STATE ZIP 16993 HOME PLACE LOOP INSTALLATION MAILING ADDRESS, IF DIFFERENT FOREST RANCH, BUTTE, CA 95942 CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write MAILING ADDRESS Girt COUR Y STATE rID UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE, BUTTE, CA 95965 Cry COUNTY STATE ZIP 98-2485 _____(-530)538-7541 BUILD GPERI�j0 TELEPHONE NUMBER Z,/ 4 ;` lt6�,�) 7/26/99 SIGNATURE OF LOCAL AGENCY OrAeUL DATE NONE DEALER NAME (ifnot a dealer sale, write "NONE") DEALER LICENSE NO. HM SYSTEMS INC. 1991 BAYWOOD MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER HSCASNA/B92321140 666" X 266" PFS242935/6 SERIAL. NUMBER(S) LENGTH X WIDTH INSIGNWLABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. #056-320-026 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD -Building Dept. :<:;::>::>::>::>::>::::::>::>::»::>:«;:::>::>::»>:::««::«<::::................................. . AX: ........................................... BUILDING PERMIT NUMBER: 98-2485 Address or location of unit: 16993 HOME PLACE LOOP, FOREST RANCH; CA 95942 Legal Description,of Real Property: A.P. #056-320-026' SEE ATTACHED 1 (x) Mobilehome/Manufactured Home Y ' O Commercial Coach Has been affixed to,the real property above by installation on a•foundation system pursuant to'Health and Safety Code Section 18551. Owner's name: DAVID L. DUEY & MARJORIE DUEY Owner's address: , PO, BOX 807, FOREST RANCH; CA 95942-0807 , ' INSIGNIA OR HUD NUMBER: PFS242935/6 ' SERIAL NUMBER OR V.I.N.: HSCASNA/B92321140 t MANUFACTURER'S NAME: HM SYSTEMS - YEAR:'1991 OFFICIAL APPROVING INSTALLATION: DATE: 7/26/99 PHONE: (530) 538-7541 H.C.D. 5130 I LEGAL DESCRIPTION A.P. #056-320-026 All that certain real property situate in the County of Butte, State of California, described as follows: PARCEL I: PARCEL 3, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JULY 7, 1980, IN BOOK 77 OF MAPS, AT PAGE(S) 33. PARCEL II: A NON-EXCLUSIVE EASEMENT -FOR INGRESS AND EGRESS AND FOR PUBLIC UTILITIES OVER HOMEPLACE LOOP AS SHOWN ON THAT CERTAIN PARCEL MAP; RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JULY 7, 1980, IN BOOK 77 OF MAPS, AT PAGE(S) 33. PARCEL III: AN 80 FOOT NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITIES OVER PARCEL 10, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY. OF BUTTE, STATE OF CALIFORNIA, ON APRIL 21, 1971, IN BOOK 37 OF MAPS, AT PAGE(S) 82,83 AND 84. t RECORDING REOLIUM BY: • WO VALLEY 7Mf • - WKW RECORDED MAIL TD INDC001DOXV ONE SWRTGA 9 CORPORATION Or MIC11IWIN : A MICHIGAN CORPORATIOM 9191 T01Qtt CENTRE DR' SU1 re 295 9g-Opgp6z ( Roe FM rj. pQ SAN DICOO, CA. !2122 1 Ch"* 23.00 LOAN IIIA0ILR: S62]1S0 Recorded 1 Ottlalai Records 1 County of 1 Butts 1 Candace J. Grubbs 1 Recorder 1 Isra Aeww TW UN.1Z.02pu 3-gar=92 1 PURL n DEED OF TRUST no DFm OW iRlW CSOcOft 1===n b AAS all tsaMMX 21ST. 1992 7be IN'"mr b DAVID L. DOZY AND NARJORIE DOZY, HUS8RtID AND MIs1c AS JODM TENANTS. (Marmwor-L 7be omtoa b CHICAGO TITLE CAJI WM, A CALDMRNIA CORJPORATION C hnwe 7bebeoefldryb INDEPENDENCE ONi MORTGAGE CORPORATION Or MICHIGAN , A MICHIGAN CORPORATION rbieb b orpaized Mia = sada 109 bvs of MICHIGAN . aed Wbm addren b 300 GALLERIA OFPIcmAAE, SOOTRYIELO, MI //034 (Zendel , RQWW Ores Gender 019 piaeips) sac of SIXTY'V'OUR THOUSAND FIVE HUNDRED AND NO/100 00G (U.S. S 44, 500.00 )-7W deb: b , id9eooa by Boma s am dued die am der as"SeaAW IasDAmnit CNMwh vbih porida for -gift psymooM wfib do Wa debt if sot paid aai'iier, due ane ptya b m MARCH 1ST, 2022 . . ebb Sww* humnicu reamer a Calder. (s) die npgrtoeot of dw debt , L4-9ed by die Now. widA boreal. and ab !o ewds. Uftnie eAs OW--thriddam of Oc Note; (b) ft pgnaau of sD o6 r wm& w* WHO ad -, r Pd wider psragspb 1 b prooec - Abe neoiiey of" Seem* twvwnoit wd (e) Abe perom iev d Bereoods onvep b ow, In &w � p Sef sale. uAd6c Wowft � lied p tib Bw*v.a lnevaesDly psnb An/ is DU TZ coffer of wx LEGAL DESCRIPTION ATTACHED HCRETO AND MADE A PMT HERS*? "Wilusdssdbessof 16993 NOMEPLACr =fOREST RANCH CdltonUa 95942 M10"Ad&Vo%- i t CAUFORMA - SMeU Family •• Ftrb N-Tdd6 Nee (Ir11R,AN WFrRVMW � 1191010 •�� (dt • ICta�t raw 3W MN "A4/fpw+A 1.A►.er 14r114N 111N rN114tg1 7i f 1 I r 91-09065 ' LOCAL DBSCRIBTION ! PARCEL 3. AS "OWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF f CALIFORNIA, ON JULY 7, 1900, IN BOOK 77 OF MAPS, AT PAGE(S) 33. • PSE., It: , A NON-EXCLUSIVE EASEMENT FOR INGRESS AND EGRESS AND FOR PUBLIC UTILITIES OVER HOHEPLACE LOOP AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUrrE, STATE OF CALIFORNIA, ON JULY 7, 1900, IN BOOK 77 OF BAPS, AT PAGE(S) 33. ' PJ1RCfiL I� k',� AN 80 FOOT. NOH -EXCLUSIVE EASMENT FOR ROAD AND PUBLIC UTILITIES OVER PARCEL 10, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN* THE OFFICE OF ,THE RECORDER •OF TUE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON APRIL 21, 1971, IN BOOK 37 OF MAPS, AT PAGE(S) 02, 83 AND 84. • END OF DOCUMENT A DUEY DAVID L/ D MARJORIE JTRS D PO BX 807 R FOREST RANCH CA 95942 E s s E 7 R DUEY DAVID L/, C. ItARJORIE JTRS G M ..� I A PO BX 807 s. s I u T L E FOREST RANCH3, A 95942 R E `yam 0: O s 16993 HOME PLACE LOOP . N T �? a E u FOREST -RANCH _ CA 95942, k �' R S s SEC PAC HOUSING SERV INC ::..... s G x ! I A 1737 H 1ST ST STE 540 L O SAN JOSE R w CA 95112 ix �A, w DATE: 01/14/92 09:40:00 n { R: J U F N I I R 0 s R T L I E N s H E O c L• O D N E D R o it%i L. vl vnL.li vnivim yu, /11T I muv I ut- muuoiiAu mmu uuIVImuINI I T utv-1 -- REGISTRATION CARD MOBILEHOME T P'* MANUFACIURER NAME/ID TRADE NAME MODEL DOM DOT OFS -- HM SYSTEMS INC/09578 BAYNOOD 182 11/25/91 11/27/91 12/26/91 r.� 11 SERIAL NUMBER ' H!)CASN892321140 LABEL/INSIGNIA NUMBER PFS242935 WEIGHT 026675 LENGTH 000800 WIDTH 000160 ISSUED 02/.03/92 SCC 04 Z HS?CASNA92321140 PFS242936 026675 000800 000160 TOTAL .. 3 a FEES s PAID: B $60.00 A DUEY DAVID L/ D MARJORIE JTRS D PO BX 807 R FOREST RANCH CA 95942 E s s E 7 R DUEY DAVID L/, C. ItARJORIE JTRS G M ..� I A PO BX 807 s. s I u T L E FOREST RANCH3, A 95942 R E `yam 0: O s 16993 HOME PLACE LOOP . N T �? a E u FOREST -RANCH _ CA 95942, k �' R S s SEC PAC HOUSING SERV INC ::..... s G x ! I A 1737 H 1ST ST STE 540 L O SAN JOSE R w CA 95112 ix �A, w DATE: 01/14/92 09:40:00 n { R: J U F N I I R 0 s R T L I E N s H E O c L• O D N E D R I 0 CALNO. 1 LAR2 SPC—1 EXPIRA SFD E IMPORTANT -03-029-01093 THE OWNER INFORMATION SHOWN ABOVE MAY NOT REFLECT ALL LIENS RECORDED WITH THE - DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT AGAINST THE DESCRIBED UNIT. 1 THE CURRENT TITLE STATUS OF THE UNIT MAY BE CONFIRMED -THROUGH THE DEPARTMENT. 030067 }�• T P'* y w'F." r.� �f. T I 0 CALNO. 1 LAR2 SPC—1 EXPIRA SFD E IMPORTANT -03-029-01093 THE OWNER INFORMATION SHOWN ABOVE MAY NOT REFLECT ALL LIENS RECORDED WITH THE - DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT AGAINST THE DESCRIBED UNIT. 1 THE CURRENT TITLE STATUS OF THE UNIT MAY BE CONFIRMED -THROUGH THE DEPARTMENT. 030067 }�• T P'* y w'F." ^T o� �f. T K daA A, I 0 CALNO. 1 LAR2 SPC—1 EXPIRA SFD E IMPORTANT -03-029-01093 THE OWNER INFORMATION SHOWN ABOVE MAY NOT REFLECT ALL LIENS RECORDED WITH THE - DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT AGAINST THE DESCRIBED UNIT. 1 THE CURRENT TITLE STATUS OF THE UNIT MAY BE CONFIRMED -THROUGH THE DEPARTMENT. 030067 }�• s a P'* x w'F." �f. T I 0 CALNO. 1 LAR2 SPC—1 EXPIRA SFD E IMPORTANT -03-029-01093 THE OWNER INFORMATION SHOWN ABOVE MAY NOT REFLECT ALL LIENS RECORDED WITH THE - DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT AGAINST THE DESCRIBED UNIT. 1 THE CURRENT TITLE STATUS OF THE UNIT MAY BE CONFIRMED -THROUGH THE DEPARTMENT. 030067 INDEPENDENCE ONE MORTGAGE CORPORATION OF MICHIGAN A MICHIGAN CORPORATION 9191 TOWNE CENTS DR SUITE 295 SAN DIEGO, CA. 92122 LOAN KT.TI✓.BER: 5623154 [Space Above This Line For Recording Data] DEED OF TRUST THIS DEED OF TRUST ("Security Instrument") is made on FEBRUARY 21ST, 1992 The trustor is DAVID L. DUEY AND MARJORIE DUEY, HUSBAND AND WIFE AS JOINT -TENANTS. ("Borrower"). The trustee is CHICAGO TITLE COMPANY, A CALIFORNIA CORPORATION ("Trustee").' The beneficiary is INDEPENDENCE ONE MORTGAGE CORPORATION OF MICHIGAN , A MICHIGAN CORPORATION , which is organized and existing under the laws of. ' MICHIGAN , and whose address is 300 GALLERIA OFFICENTRE, SOUTHFIELD, MI 48034 ("Lender"). Borrower owes Lender the principal sum of SIXTY FOUR THOUSAND FIVE HUNDRED.AND N01100 Dollars (U.S. $ 64,500.00 )- This debt is evidenced by Borrower's note dated the same date as this Security Instrument ("Note"), which provides for monthly payments, with the -full debt, if not paid earlier; due and payable on MARCH 1ST, 2022 This Security Instrument secures to Lender: (a) the repayment of the -debt evidenced by the Note, with interest, and all renewals; extensions and modifications of the Note; (b) the payment of all other sums, with interest, advanced under paragraph 7 to protect the security of this Security Instrument; and (c) the performance of Borrower's covenants and agreements under this Security Instrument and the Note; -For this purpose, Borrower irrevocably grants acrd conveys to Trustee, in trust, witlf power of sale, the following described property located ink" f , BUT County, California: • LEGAL'DESCRIPTION ATTACHED HERETO AND MADE A PART HEREOF rr S?i :IS Ou which has [headdress of 16993 HOMEPLACE LOOP FOREST RANCH s god [Street] [City] California 95942 ('Property Address"); ' [Zip Code] 4^ 0 CALIFORNIA Single Family -- Fannie Mae/Freddie Mac UNIFORM INSTRUMENT Form 3005 9/90 (page I of 6 pages) ITEM 18491_16910i). Great Lakes Business Forms, Inc. MFCD95,2,- 11/91 To Order Cell: 1.800-530.9393 O AX 616.791.1131 5623154 I -�✓ at its option, require immediate a men.. n shall „ Lender yp 9 payment in full of all sums secured by this Security Instrument. However, this option shall not be exercised by Lender 'if exercise is prohibited by federal law as of the date of this Security Instrument. �•If Lender exercises this option, Lender shall give Borrower notice of acceleration. The notice shall provide a period of not less than 30 days from the date the notice is delivered or mailed within which Borrower must pay all sums secured by this Security Instrument. If Borrower fails to pay h ' these sums prior to the expiration of this period. Lender may invoke anv remedies nermitred by this Seeurit%ATnstrument withnnt fiwther -6- — A—-1 DESCRIPTION ORDER NO. BU -169197 LN THE LAND REFERRED TO IN THIS REPORT. IS SITUATED IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, AND IS DESCRIBED AS FOLLOWS: PARCEL 1: PARCEL 3, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED .IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JULY 7, 1980, IN BOOK 77 OF MAPS, AT PAGES) 33. PARCEL II- A NON-EXCLUSIVE EASEMENT FOR INGRESS AND EGRESS AND FOR - PUBLIC UTILITIES OVER HOMEPLACE LOOP AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY• OF BUTTE, STATE OF CALIFORNIA, ON JULY 7, 1980, IN BOOK 77 OF MAPS, AT PAGES) 33. PARCEL III• AN 80 FOOT NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITIES OVER PARCEL 10, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON APRIL 21, 1971, IN BOOK 37 OF. MAPS, AT PAGE(S) 82, 83 AND 84. PAGE 6 ' COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 l;€�o. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 056-320-026 I 2ON1NO BUILDING PERMIT OWNER DUEY, DAVID & MARJORIE TELEPHONE SO. FT. OCC. BUILDING VALUATION 1584 R 85,536 OWNERS Ir vNES807, FOREST RANCH CA 95942 CONTR4CTORISfYQAMEA MOBILE HOME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDERS MAIUNG ADDRESS Total Valuation $ 85,536 ARCHITECT OR ENGINEER LICENSE NO. Filin Fee $ 20.00 Permit Fee 5 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGAf DERT13 HOME PLACE LOOP Energy Plan Checking Fee $ FOREST RANCH, CA PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome g Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: EXISTING MH ON PERM FOUNDATION Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 15 Mobile Home ISI GI W1 @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 R LES Main Service q OOV R LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is infull force and effect. License Class 6 Lic. NO. Y � O � 86 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BLDS. SO 3.5QFT: µp°� DT. MULTI.OUTLET @7,50 POWER A'P FATVS 8 SINGLE OUTLET CIR. EX. Occup. OUTLET OR FDRURES .00 e20 @ 1.50 Ex. Occup. ounEDTSA ASID.°Ew 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 :d PERMIT FEE $ 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 SX -_'k- �.,Gn„� MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEI= $ Policy Number(C-q? (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 workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. ���q/f X �.Ia eLz- t) 4 n Date /O XC Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 396.25 RAZ. D FEES IMP FLOOD CDF PARCEL _ PD HD ISSU This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indic bove fo which fees have been By itN \ Date PERMIT EXPIRES ON 7 hei t(Oita) provisions to do work paid. Receipt No. 251066/$63.00/74 d 6 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75412K__9_4T�� O. (Rev.12/96i + APPLICATION AND PERMIT As9ess00.PARC�HU4BFA V 1 ZOMNG BUILDING PERMIT °w v TEL0ri NONe SO. FT. OCC. BUILDING VALUATION NTRACTOWS NAME y ►Y�"4•C U��'• TEL81gHe CONRUCTDR'S MAUNG ADDRESS CONSTRUCTION LENDER IENOER'S MAUNG ADDRESS Fire lace Total Valuation $ ARCHITECT OR ENGINEEA LICENSE NO. —Filing Fee $ 20.00 ARCHITECT OR ENMEER S MAUADDRESS Permit Fee .J o_ rNG S , P S Plan Checking Fee $ BULOMADDRE88 ( / n rn Energy Plan Checking Fee $ PERMIT FEE $ , a5 LOT NO. ausavlsnNawluE PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF O Duplex O Moblehome XOther sPecsr Each Trap 7.00 . Solar or heat pump water heater 23.00 Water pipin 15-00 Each gas water heater or' vent 15.00 TYPE OF WORK Now O Addition O Remodel O Utilities O Installation O Other O Describe Work: hero, nGIAI Gas piping system 1 - 5 outlets 15.00 j Building sewer 15.00 . 60 Mobile Home S G W @20.00 PERMIT FEE S ' ELECTRICAL PERMIT I Filing Feel 20.00 Main Service o0 oOR 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penally 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 License Class Llc. No. 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. C3 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project ❑ 1 am exempt under Sec. , Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is Issued. ❑ 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 r 50' deep and demolition or construction of structures over 3 stories in eight Main service 20" To 1000A 48.00 MW OR ADONs.T �a A'cc elo°JPs 3.5;880. NMW OPUESID. MULTrouRET @7,50 PRAP a sHNmE ouPARAnr T .s Ex. Occup. ounErORFIXTURES �' o Ex. Occup.M .ip � 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 ?Asc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heatin Cooling Hood 8.50 Ventilation PERMIT FEL: $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEES S HAZ- I D FEES I IMP I FLOOD I COF PARCEL PO HD ISSUE This permit is hereby Issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date ADAM _ r.Receipt No. . M WHITE-D.D.S.-B.D. CA A-ASSESSO PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: / i— ASSESSOR PARCELER-0 o 3cPo -OCV- Proposed BW RQ Use: -All— f' Building Inspector: f> Date:_ /7 _ — 2 at At time of permit applicith ,(, was advised the following data must be submitted prior to permit processing and/or issuance: -0--% mac— Date Received By ❑ 1. All items have been submitted .---------------/--------------------------------------------------------------------- 02. Plot plans, 3/4 sets, signed by the preparer of plans. ---------------------------------------------------- 03. Complete plans, 3/4 sets, signed by the preparer of plans. --------------------------------------------- 04. 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! --------- E16. Energy Design Compliance and supporting documentation. ------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ------------------------------------------------ ❑ 8. Hazardous Material Form.--------------------------------------------------------------------------------- anufactured Home data and installation instructions including Tie Down Specifications. Fof$ ees----------------------------------------------- mpact fees as shown on the attached schedule. ----------------------------------------------- ❑ 12. California Department of Forestry plan approval/fees. ❑ 13. Flood elevation certificate. ------------------------------- ❑ 14. Sanitation and plot plan approval Health Department. ------------------ ❑ 15. 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. 111.9. Encroachment Permit for driveway (construction approval prior to occupancy). --- 1120. Pre -inspection for required Request to Building Inspector on 112 1. Contractor's license information. (Number, Name Style, Classification). ---------------------- =------------- ❑22. Workers' Compensation carrier and policy number. ----------------------------------------------------------- ❑23. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------- 024. Letter of signature authorization. -------------------------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- ❑ 26. Letter of intent on building use. ----------------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance.--------------------------------------------------------------------------- ❑ Existing vio t' and/or perim �gwo ------------------------------------------------------------ �3 A, t De�e������f-H. Title, H.C.D $ a� o c�--------------- ❑30. other: ------ �i �1 V A (Date) KWh you issue the permit, process as fo ows ❑ Mail to owner, ❑Mail o contractor. Telephone �S?and hold for pickup at ©� office. ❑ De 'ver with inspector. Applicant: Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Departm , ❑ Other: 1Date: By: . 1. Index permit application for the above items number ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Divi 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. Opt on.tihe. job at � oa duh t be fhe,?ka �y cjol �times and it is unlawful to i�ritteFi pe _s or alt" t'0113 on' me withaug r;!�ssio�. from '1 ., t astir or Butte a Pestment of Pubis a ? NOTE: All' Materials 'Workmanship MISM Be TZ Accordance with Recognized Good Praciices and of a Quality Prescribed for the Specified use in the Uniform Building. Plumbing & Mecaani Codes and the National Slootrlcal Code. y � 1�f �0�36 COVE P����� 0 V *'10 �•N � 5 0 c 14 �ohtE QkA�E <ooP Dvty i6cf913 14 AG6 Loop fORE6T r(NNc•t� 5G-3�—z6 p0v o� �. 6e PF MOBILEHOME SUPPORT DATA %�// If other than single wide, i Mobilehome Mfr. /791Y1Q SY 5��iryi5 furnish Setup Model No. Year T Width (ft. ) Box Length�(ft. ) Tagalong or Expando Size ��ft. x ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one)�1. Wood -pressure treated or foundation grade. a 2. Other (specify) SUPPORTS (check one)P1. _Concrete block.a 2. Other -(specify) Pier Footing Sizes and Locations SINGLE -WIDE F_ LinfiL -4 Line 1 Line 1 Piers: Line 1 Openings: Size -Min. ------------ k Size -Min. ------------------ Spacing-Max - -----------------Spacing-Max. --------- , Each Side of Openings From Ends -Max. ------- With Width Over --------- Line 2 Piers: Line 3 Piers: (Under Bearing Wall Only) Size -Min.------------ /2 ^ 30 Size -Min ------------------- Spacing-Max - ------------------ Spacing-Max.--------- ,_ O „ Spacing -Max- --------------- From Ends -Max.------- '_ " From Ends -Max. --------- Line 3 Roof loads: Size -Min. ------------ „x� „ „-30p ,, x50 9Sc 3a " „x Q „ .2H„x 2.1„ „x „ „x JV „ Location (From Front) _ / n ,_ n ,_ n Line 4 Pierre: q l 1' 'j ! n Piers :/ (oder Beating Wa s o y Size -Min.-------- ---- Size -Min ------------------- Spacing-Max ---------- ------------------ Spacing-Max.--------- , ., Spacing -Max .--------------- From Ends -Maxx-------- �_ „ From Ends -Max .------------- _ n Line 5 Roof loads: Size -Min .------------ ,.x „x „ „x „ „x „ ,k „ ,-x „ „x „ ,k „ Location (From Front) A P v R 0 r / NWES " RESIDENTIAL ' F..;. '056-320-0AND26 `; 02-0151 PERMIT N61 _ RES FERRER- - _ � � • � A�ILES; 16993 HOMEPLACE LOOP, I FOREST RANCH gEMODEL GAR -AGF- 9 SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. 1 SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) Signature FILE 6? V = OK 1 0 = N6tOK - = fgotApplicable • = Not Ready , MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements Footings; Soils -Size -Depth -Spacing -Connectors -Steel 2. Soils; Special MH Support Sketch Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 3. Sewer; Location -Test -Fall -C/O -Concrete Wood Awn.; Posts- Beams- Rftrs.-Connectors Shthg.-Frg-Bracing 4. Water; Location -Test -Easement Needed (Sketch) Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Carports; Windows -Doors 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / /"L"ft./ PLPG Electric 7. Well Clearance & Disconnect Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 8. Utility Clearance Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 1. 4. Electricity; MH Test -Crossovers -Breakers -Clearances 2. 5. Drain; MH Test -Fall -Flex Connector 3. 6. Water; MH Test -Regulator -Connector 4. 7. Water and Sewer Connected -C/O to Grade -HD Approval 5. 8. Gas and Electricity Tagged 6. 9. Tie Downs -Type -Installation Cert. 7. 10. Exits; Insp.-Sketch 8. 11. Cert. of Occupancy 9. 12. Permanent Foundation Only; License Decal 10. Plumb.; Cir. Test -Water Supply Test Date Light Niche Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS I' Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s t 1..Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Pane lboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 t V= OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (; Date Underfloor (Plans) OK except #'s Hangers -Post Caps -Anchors -Connectors 1. Zoning -Setbacks -Easements -Flood -Slope Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rfng. 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Fireplace Ties or Type A Flue -Fireplace Throat Clearance 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 5. Stemwalls, Main; Steel-Blockouts-Wrapped Garage Fire Protection Framing 6. Stemwalls, Garage; Steel- Blockouts-Wrapped Property Line Firewall & Openings 6a. Hold Downs and Special Anchors Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 7. Slab, Steel -Wrapped Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 8. Piers -Fireplace Ftg.-Steel Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Siding -Nailing Veneer 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 11. Water Pipe; Test -Anchors -Regulator -Service Test Glazing Area -Glass Protection -Skylights -Plastic 12. Electric Underground Shear Walls; Nailing -Bolts 13. Plenums & Ducts; Clearance -Material -Support -Ins. Brace Interior/Exterior Wall Panels 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Insulation -Walls -Ceilings 15. Access & Ventilation Infiltration -Walls -Windows 16. Insulation Card B-1 Date Card B-1 Date Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Ext. Steps -Door & Sidelight Protection -Landings 17. Water Htr.; Vent -Access -Combustion Air Baffle Smoke Detector 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or AI Insulated Neutral I] Yes I] No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing jingle & Duplex) Date 80. FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings Date 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romer. 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 ❑ Yes 82. Following Instld./Drive'] Yes J NoMalks D Yes Z) No/Planters 0 Yes ❑ No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: 0 COUNTY OF BUTTE - DEPARTMENT OF'DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 f�r PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT (1,(� ASSESSORPARCELNUZn,5/ ' _ 3av ZONING + BUILDINGPERMIT OWNER A 1 1.c(ALD n � / c17 ���IE SQ. FT. OCC. BUILDING VALUATION OWNER �MAµING AL`{DO SS I' 1 CONTRACTOR'S NAMELEPHO - LTJ T`r •4EV7 3(4 CONTRACT M14L1NQ,ADD SS IC../l Oj� 5�� CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. i Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS1(n g�,3 -cfrn,� -(a '�� Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO2 SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee • 20.00 " USEOFSTRUCTURE < SF C� Duplex ❑ Mobilehome ❑ Other SPECIFY - Each Trap 7.00 Solar or heat um water heater 23.00 Water piping 15.00 Each as water heater'or vent 15.00 TYPE OF WORK f New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ L �7f-� ,,,Q —, - Describe Work: til'/��cti.. L 3 GG�ISL G� 4 U 30"' Gas i iri stem 1 - 5 outlets ( 15.00 -(gyp Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ �j • (� ELECTRICAL PERMIT Fling Fee 20.00 Main Service eoov oR LEss 2o0A OR LESS 23.00 t� L LICENSED CONTRACTOR'S DECLARATIO_ N - I 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. L License Class _S •�D Lic. No. �`"� ;(moi OWNER -BUILDER DECLARATION- + { �':. 1 hereby affirm under penalty of perjury that I am exempt from+the Contract«§ License Law for the following reason: ❑ 1, as owner of the property, or my employees will wages astheir 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. f ❑ 1 am exempt under Sec. Business and Professions Code for this reason 11 Main Service 20M To ,00-A 46.00 NEW CONST. DWELLINGOCCUP. OR ADDNS. ( 6 ACC. BLDS. SO 3.5¢Fr. NEW CONS MULTI.OUTLET NON REs1D. @7.50 POWER APPARATUS 8 SINGLE OUTLET CSI R. EX. OCCU OUTLET OR FIXTURES 20 1.00 BAL p so FU(ED APPLNS. OR Ex. Occup. ounETs RESID. EA. 5.00 Temporary Service - 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ ' . WORKERS' COMPENSATION DECLARATION + . 1 hereby affirm under penalty of perjury one of the'following declarations: l ❑ 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 1 (The above sections need not be completed if the permit is for work of,; valuation * of one hundred dollars ($100) or less.) Iocc 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 sutject to the wo ers' rnsetion provisions of section 3700 of the Labor Code, I shall fo with omply w' `those provisions. X I /"� Date. I1 Signatu,e of`Applicarit"Owner ❑ Contractor VAgent .} An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. ( MECHANICAL PERMIT ., Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ Ott 3 co T. TYPE TOTAL FEE $.� iS HAZ. �... D IMP FLOOD CDF PARCEL I PD I HD I gj:Up 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. B Date �/ 3 y i. +rte �.c ro PERMIT EXPIRES ON //-X394000 Data Receipt No. p V ) or WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 14 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ., 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER A c r . TELEPHONE AQQ-27 8 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESSa_. PO Anir RE"m R m Q •- CONTRACTORS NAME ' MPER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDERS MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 29-00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan CheckingFee $ o BLIIL b ,NNS iOMEPLACE IA4P, FOREST RANCH Energy Plan Checking Fee $ $ PERMIT FEE $ 72.00 LAT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other O Describe Work: GARAGE REMODEL Gas piping system t - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W 920.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWEPUS License Class Lic. NO. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License L&Lw,for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: I 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 Main Service 200A TO 1000A 46.00 +� NEW CONST. ( DWELLNG OCCUP. 3.5Qso / .0 NRA DNS. MUACGoS. MOM-RESID. @7.50 8 SINGLER AOUTLETPARATCIR. Ex. Occup. OUTLET OR FIXTURES @ 1.00 SAL 20 @ .50 Ex. Occup. DFIxuTLEEo�A Aa D OEA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ 27.00 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ 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 workers' compensation provisions of section 3700 of the Labor Code, I shall f rthwith co ply with those,provisionsf. '`� 1-71-07- X `yam /Date Signature of Applicant - XOwner ❑ Con actor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories inkheight. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 94.00 =.A 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. ' `/ /�/ J� �f�( olvii� �/ tt A By ( Date "� 13 V.Z PERMIT EXPIRES ON���2 �t� Receipt No. 3375 /97 -9. W WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY -OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street o Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE ,4,1/00 OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. r_A Ca q Gan /1d•-V"rAde ed-.Q.a/ Date �_A C Inspector r� - REV 10/92 * 0 ` 056-320-026 ..•x:a e! . T ,1380 ��r NOTES {nTRA,sIEVE 993 HOMEPLACELOOP, FOREST - RANCH e An¢ D -U— Cont: JD SMITH CONST ra;v /l. / � : 06 �'► � . _ _ .� .� 1 << 9awe r'o®rr, C-0 I a IV hi -H L i aw � �� . APN: Permit No. 1 Owner. Site Address: M • ' Contractor. 17' 4 Type of Permit: �S i CHECKED BY NZ, a • 15-07 FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB ANDARD HOUSING LETTER EW-CROACHMENT PERMIT INSPECTION FEE PAID ENV HLTH CLEARANCE DATE JOB FINALED: a SIGNATURE: lJ� f 17' 4 Type of Permit: �S i CHECKED BY NZ, a • 15-07 FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB ANDARD HOUSING LETTER EW-CROACHMENT PERMIT INSPECTION FEE PAID ENV HLTH CLEARANCE DATE JOB FINALED: a SIGNATURE: lJ� COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES, 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE s OWNER PERMIT NO. t A A routine inspection indicates that the following violations of Butte County Ordinances exist.at =y the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional �Y explanation, please contact the Building Inspector as indicated below.: (0 rE - --� A �t a tii 3 r c AArzfA-r.r-• P/3 U U/ 0,45< R&(25 -%,T/9 -Cc- —\ .I q -1 All A'X1 V_r7) .PI�Dur DE nNA ),( , Os A ClIZ0 i /T 13i CWAf E--'- Y: FO 12- f VAa 1 ^_ Date a ��ay Inspector ����v0` �Cf 6--�g! E/1�/"F REV 4/05 Phone # S13 �� Z Z G'�Jo Y —%£ (3E-Twc-CA/ o Air► S; 30 Ami K1_ FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 �blz.- U� I R C 0 oE 3� elfin/. CCE�r2AAtC� [�(L- S'710"C r 0 f2C-rU/Zti ; A/ryi�s�t CL/9AQ (0 rE -1 .O 810) THE w r /37-f4 9; n F T -f E nnORL 0 (/5 S6 C b R EE R( Ct-V i7 7-0 PcATrag/Y .t °t IRFC1rP7 Art F �GU�2S V_r7) .PI�Dur DE nNA ),( , Os A ClIZ0 i /T 13i CWAf E--'- Y: FO 12- f VAa 1 ^_ Date a ��ay Inspector ����v0` �Cf 6--�g! E/1�/"F REV 4/05 Phone # S13 �� Z Z G'�Jo Y —%£ (3E-Twc-CA/ o Air► S; 30 Ami K1_ FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 �blz.- U� I R C 0 oE 3� elfin/. CCE�r2AAtC� [�(L- S'710"C r 0 f2C-rU/Zti ; . BUTTE COUNTY .DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7838 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.netldds PERMIT NO. BP061380 LICENSED CONTRACTORS 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 Issued Date: 08/14/2006 APN: 056-320-026-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: D�`1 Site Address: 16993 HOMEPLACE LOOP FRN •�/� Date , -iy lJ , Contractor. ,�1/.J!'Y///h �Oikc%i2 Map Index: Description: GARAGE (720) W/BATHROOM, OFFICE AND OWNER -BUILDER DECLARATION I hereby affirm under penalty' of perjury that I am exempt from the 720 ROOM GAME ( ) Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair.any structure, prior to its issuance, also requires the applicant for such permit to file a Owner: DUTRA, STEVEN AND EVE signed statement that he or she is licensed pursuant to the provisions of 16993 HOMEPLACE LOOP the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or FOREST RANCH, CA she is exempt therefrom and the basis for the alleged exemption. Any • 95942 violation of Section 7031.5 by any applicant for a permit subjects the 530-343-8033 applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ 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 (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: J. D. SMITH CONSTRUCTION pp such work himself or herself or through his or her own employees, 3706 COSBY AVE provided that such improvements are not intended or offered for CHICO, CA sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of 95928 proving that he or she did not build or improve for the purpose of (530) 343-8033 sale.). ❑ I, as owner of the property, am exclusively contracting with (0 licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' Stale License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed Contractor: J. D. SMITH CONSTRUCTION pursuant to the Contractors' State License Law.). 3706 COSBY AVE O 1 am Exempt under Article 3 of the Business and Professions Code CHICO, CA 95928 Date: Owner: (530) 343-8033 WORKERS' COMPENSATION DECLARATION - I hereby affirm under penalty of perjury one of the following declarations: License #: 587094 ❑ I 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. Architect: O I have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 1440 S.F. Policy #: Valuation: $64,080.00 qy 1 certify that in the performance of the work for which this permit is V Census Code: issued, I shall not employ any person in any manner so as to become subject to the 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. Date: Applican - I WARNING: Failure to se. ure workers' compensation coverage is unlawful, d shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of� compe sation, damages as provided for in Section 3706 of the Labor I code, interest, and attorney's fees. 1( S91 o5 CONSTRUCTION LENDING AGENCY This pe mit is hereby iss ed under the applicable provisions of the Butte County Codes anCVor I hereby affirm that there is a construction lending agency for the Resolution o ndicate3'ab ve for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) 1 Name: B y: Date: lJ PERMIT EXPIRES ON: Address: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to after the substance of any official form or doc ent utte Co nty. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name:'/�f Signature: Dale: -9-Z 7 `D4 ❑ Owner %Contractor Agent for Owner 0 Agent for Contractor AUG -28-2006 07:18 CHICO VA 612GG 5308795027 P.01 • 'i•: � .. is •!: +ItoC P.lurY►b LlaydWatson encs S. years ExPerf i::::;,�; : + : • sa' y.. 1. BOX 9288 y�.: :. : • _ ; { . , A C • 95927 Chlco, . .DIECtOit:.'.' i ore: S30-894 '802: rr 530-891788 % ?' a A4 i,"R+ ftii4CCGkW1iY.Y�rQQi ' ..•c: .. REQUEST'7i0 ttilSE PEX WATER -PIPE Building Division:approvaf required prior. to the installation ot'PEkWater• pipe: Permit tVun>ber A.P.-N. Property Address-, A 9JT ,r«�L.�.City�-�'"•rte/ p_';��. PEX Manufacturer. Manufacturers Phone Number: 1- . Installer'sName: Installers Phone Number..- ._.. 66" 3zv -I Cz If est approvlat b use:PE C water pipe at the,abbve. adorrrlss. �s3 under Section 301.2 of the California Plumbing Code {Atternative Materials and .ttypdsS>the Administrative Authority may allow the use of PEX tubing for Moth hot and•cold' potable water di5t0ibuliori: After careful review of all the information submitted and addijdonal`sumeys of other jurisdictions atlnWin9 the use of PEX tubing, we .have come to the conclusion that PEX Lubin% a viable'atteretative under:'the tollciwing condltions�and requirements: 1. All PEX piping must be listed and approved by ICC, IAPMO or other'natlortally recognized testing and/or listing agency -and instsillation, instrwctions. 2. All PEX piping installations must comply with the manufacturer's listings 3. A copy of the installation instructions must, be made BVGillable to the field:inspectitm st.*.vru site. 4. All PEX piping shall be kept clear of recess light fixtures. heat conducting flue vents, ducts or other materials that could cause physical damage. 5• All peSubmit evidence in or through firii of such listing priored to the nsta�latioshall n lot all piping. (Inccludin ma ifold/san approved i installed inrtt+p PP 9 J garage occupancy separation or firewall). Approved by. Oats: Aemnistrative AuOaAy . Oi6tAb�AOn aiitlAM4 File - conmior .... .•osr on c r T TOTAL P.01 1� R&ORTTM ESR -1837 Issued May 1, 2005 This report is subject to re-examination in one year. ICC Evaluation Service, Inc. www.icc-es.org DIVISION: 15—MECHANICAL Section: 15140—Domestic Water Piping. REPORT HOLDER: VIEGA N.A., INC. 3 ALFRED CIRCLE BEDFORD, MASSACHUSETTS 01730 EVALUATION SUBJECT: BudnesslRegional Office ■ 5360 Worlanm Mg Rcad, Whittier, Cafdornia 90601 ■ (562) 69940543 Regional Office ■ 900 Montclair Road, Suite A, Birmingham, Alabama 35213 ■ (205) 599-9800 Regional Office ■ 4051 West Flossmoor Road, Country Club Huls, lllirois 60478 ■ (708) 799-2305 VIEGA N.A., INC., PUREFLOWTM PEXCELTM AND FOSTAPEXTM TUBING AND PRESS SLEEVE FITTING SYSTEM 1.0 EVALUATION SCOPE Compliance with the following codes: ■ 2003 International Plumbing Code® (IPC) ■ 2003 Intemational Residential Code® (IRC) ■ 2003 IAPMO Uniform Plumbing CodeTM (IAPMO UPC)' Properties evaluated: ■ Temperature and pressure ratings ■ Physical properties ■ Drinking water system component—health effects 2.0 USES The Viega N.A., Inc., PureflowTM PexcelTmand FostapexTM cross-linked polyethylene (PEX) tubing and press sleeve fitting systems are used in potable hot- and cold -water distribution systems. 3.0 DESCRIPTION 3.1 Tubing: The Viega N.A., Inc., PureflowTM PexcelTM and FostapexTM tubing products are manufactured from crosslinked polyethylene (PEX) materials satisfying NSF 61, as well as ASTM F 876 and ASTM F 877. PureflowTM PexcelTM tube is black in color, and is available in nominally 3/a-,'/2-, 3/,-, and 1 -inch (9.5, 12.7, 15.9, 19.1, and 25.4 mm) sizes in coils ranging from 150 to 1000 feet (45 720 mm to 304 800 mm) in length, and in straight lengths of 20 feet (6096 mm). FostapexTM tubing is PexcelTM tubing with the addition of an aluminum layer and an outer coating of polyethylene. FostapexTM tubing is silver in color, and is available in'/2 , 3/4 and 1 -inch -diameter (12.7, 19.1 and 25.4 mm) sizes. The '/Z and 3/4 -inch (12.7 mm and 19.1 mm) diameters are available in 150 -foot -long (45 720 mm) coils, and all sizes, including the 1 -inch -diameter (25 mm) size, are available in 20 -foot -long (6 096 mm) straight lengths. The outer layer of the FostapexTM' tubing must be removed with a tool supplied by Viega NA., Inc., before a pipe/fitting joint is made: Viega N.A., Inc., tube and fitting products are pressure -rated for 100 psi (689 kPa) at 180°F (82°C), for a standard dimension ratio of 9. The standard dimension ratio is the ratio of tube outside diameter to the wall thickness and is constant for all Viega N.A., Inc., tube sizes. 3.2 Fittings: The same fittings are used for both PexcelTm and FostapexTM tubing. The fittings are bronze, insert -type, and are used with an external stainless steel press sleeve. The fitting shall be installed in the end of the tubing by installation of the stainless steel press sleeve over the tubing and insertion of the bronze insert fitting. The stainless steel press sleeve shall then be pressed onto the tube and fitting with a proprietary ratchet -style tool that is supplied by Viega N.A., Inc. The tool only releases from the fitting once the full compression is exerted on the fitting. The fittings comply with ASTM F 877 and are illustrated in Figure 1. Fittings shall be attached to tubing in strict accordance with Viega N.A., Inc., installation instructions. 4.0 INSTALLATION 4.1 General: Viega N.A., Inc., tubing and fittings shall be installed in accordance with the manufacturer's published installation instructions and this report. Where differences exist, the instructions in this report shall govem. 4.2 Water Distribution: Horizontally laid pipe shall be secured in such a manner that temperature -induced expansion and contraction are accommodated. In jurisdictions enforcing the IAPMO UPC, PEX tubing shall not be installed within the first 18 inches (457 mm) of piping connected to a water heater. 4.3 Inspection of Water Distribution Piping: Installed tubing shall be pressure -tested and inspected as required by Section 606.6 of the IPC, Section P2503.6 of the IRC or Section 103.5 of the IAPMO UPC. 5.0 CONDITIONS OF USE The Viega N.A., Inc., tubing and fittings described in this report comply with, or are suitable alternatives to what is specified in, those codes listed in Section 1.0 of this report, subject to the following conditions: 5.1 Tube and fitting systems shall be manufactured, identified and installed in accordance with this report, the applicable code and the manufacturer's published installation instructions. Manufacturer's published installation instructions shall be furnished to the code official. The instructions within this report will govem if there are any conflicts between the manufacturer's instructions and this report. F$ REPORTS" are not to be construed as representing aesthetics or any other attributes not specifically addressed, nor are they to be construed as an endorsement of the subject of the report or a recommendation for its use. Aere is no xnrronty by ICC Evaluation Service, Inc., express or implied as to any finding or other matter in this report, or as to any product covered by the report. Copyright O 2005 0� ac+te.mdenovs, nmua amrrana. Page 1 of 2 Page 2 of 2 ESR -1837 ;52 When installation is in fire -resistance -rated assemblies, evidence of compliance with IBC Section 712 (penetrations), UBC Section 709 (walls and partitions) and UBC Section 710 (floor/ceiling or roof/ceiling), as applicable, shall be provided to the code official for approval. 5.3 Viega N.A., Inc., tubing and fittings shall be protected from exposure to direct sunlight. Tubing and fittings shall be protected from physical damage with an oversized flexible corrugated sleeve at structural mass penetrations and when the tube is uncovered. Annular spaces between sleeves and pipes shall be filled or tightly caulked in an approved manner. 5.4 During placement of cover over the tubing, the tube shall be maintained at the greater of 1'/Z times the working pressure or 100 psi (689.4 kPa). 5.5 Each installation shall be pressure -tested for leaks in the presence of the code official or the code official's designated representative. 5.6 Clearances from heat -producing equipment shall be in accordance with Section 503.7.7 of the 2003 Intemationa/ Fuel Gas Code®, or Section M1306 of the IRC, as applicable. 6.0 EVIDENCE SUBMITTED 6.1 Manufacturer's descriptive literature. 6.2 Data in accordance with the ICC -ES Acceptance Criteria for PP, PEX, and PEX-AL-PEX Tube and Fittings Used in Radiant Heating and Water Supply Systems (AC122), dated March 2005. 6.3 A quality control manual. 7.0 IDENTIFICATION 7.1 Pipe: The Viega N.A., Inc., PureflowTm PexcelTm and FostapexTm tubing covered by this report shall be labeled every 5 feet (1524 mm) with the manufacturer's name and/or trademark (Viega N.A., Inc.), nominal tubing size, potable water designation, standard dimension ratio (SDR 9), material designation (PEX), pressure and temperature rating [180`F @ 100 psi (82`C @ 689 kPa)], ASTM F 876/F 877 designation, mark of the third -party inspection agency (NSF International), the evaluation report number (ESR -1837), and the evaluation report number of the tubing manufacturer (Hewing GmbH; ER -5421). 7.2 Fittings: 5.7 The minimum cold bending radius is six times the The Viega N.A., Inc., press sleeve fittings covered by this outside tube diameter. The outside diameter is the report shall be labeled with the Viega N.A., Inc., trademark, nominal diameter plus'%, inch (3:2 mm). potable water designation, nominal size, product code, and ASTM F 877 designation. Packages of fittings shall bear the 5.8 The tubing is manufactured by Hewing GmbH in. Viega N.A., Inc., name, product name, model numberand the Ochtup, Germany, and the fittings are manufactured in evaluation report number (ESR -1837). Attendom, Germany, under a quality control program with inspections by NSF International (AA -633). FIGURE 1—MEGA PRESS SLEEVE FITTINGS 'Uniform Plumbing Code is a trademarked publication of the International Association of Plumbing and Mechanical Officials, 5001 East Philadelphia Street, Ontario, California 91761. 08/28/2006 18:56 5303458643 WATSON PAGE 01 Purim ' The person named below has completes ft Vine Putml low CtederdW Session and Is hateby awarded the CERTIFICATE OF TRAINING. j traraglst'a Name hifimmeo GomP-ri hrfivaor AN i AM FkAhkidAM cormleme No: 051223 Mwft Dmy V06 -j' s } fico �-, �, i a � • W"!Lf-im 2. CBUW l ®P Tm&. $ %%KL F" mail DROP fte . FMMM7 OM WA.L ca ~Go ��b,` �► t o . zu CAM 9Fiifi f.�igal "Kam Fil fis-slpxt- R.�.. �Lv.7. o- f•t 67, +=OK n - u..• nv - MANU,FACTURED HOMES MISCELLANEOUS - . DATE DATE f PERMANENT FOUNDATION Lj SOFT -SET 1 ZoningSetbacks-Easements , 2 Soils; Special MH Support Sketch - 3 Sewer; Loctn-Test; FaIIICIO-Concrete 4 Wtr; Loctn-Test-Easement Needed -Regulator 5 Elec Loctn-DIrncs-Grnd 'Amp -Concrete 6 Yard Gas; Loctn-Test-Wrap Nat or LPQ Inch Sz Ft Lngth . 7 Bickng; SzSpacing-Marriage Line 8 Gas; MH Test -Demand Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-Clmcs 10 Drain;MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -CIO to Grade 12 Gas and. Electricity Tagged 13 Tie Downs Q Foundation 14 Exits 15 Cert of Occupancy 16 HUD Label/Insignia Numbers Serial Numbers —DATE D E C K S•C O V E R S -C A R P O R T S `G A R A G E S 1 ZoningSetbacks-Easements 2 Ftgs; SoilsSz=DpthSpacing-CnnctrsStee_ I 3 Decks, Glyders/Jotsts-Dcking-Brcing Stairs-GuardlHandralls 4 Wood Awn; Posts-Beams-Rftm-CnnctrsShthg. Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-Encisrs 6 Carports; Wndws-Doors 7 Electric 8 Frmg; Sills-AnchrsStuds-Rftrs Tnuses 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof; Shthg-Roofing 11 Ext; Steps -Doors -Landings 12 Braced Wall pnis ys DATE IPOOLS 1 Setbacks -Easements 2 Soils; CompactlonStructure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men4 Jning 4 Elec Rcptcls/Lting; Distance-GFI 5 lec ;Pool Lting; 15 volts-GFI 6 EIec.Encisrs; Conduit Entries -Terminals -listed 7 ' Elec Bonding; Metal w/5'-Drcltng Egp-Htr 8 Elec Grndng; Eqp w/5' Crcltng Eqp-Pool Ightg Boxes-En6lsrs-p0lboards4nsultn to Main Conduit 9 Health Dept AppM 10 Plmb; Cir Test Wtr Supply Test 11 Lt Niche 12 Endsr; Fencing -Alarms 13 Bonding, Diving board or Slide dA �� as d� c� dA - Pool Drawing 0 = Nat OK - : -RESIDENTIAL (Single & Dup_I.e.x). DATE DI- RFLOOR -3' DATE jPLJrMBING -E• . — ' [ i cewwrgvemac Ftg Dpth ' LFtg•Garage; Soils-Steel-Elec Grnd Ftg Dpth F 4 Ftggear ches/Decks; Soils -Steel Ftg Dpth _ S"Stemwalis Wain; Steel-Blockouts-Wrapped mwalls Garage; Steel-Biockouts Wrapped 6a Hold�f owns and Special Anchrs #,Vaib, Steel Wrapped 0 8 Piers,F[ tg-Steel 9-DVO i; Fall -Fitting -Test -2 -way C/O -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test 11 Wtr Pipe; Test-Anchrs-RgltrService Test 12. Elec Undrgmd 13 Plenums & Ducts; Clrnc-MaterialSupportansultn 14 GirdersSills-Anchr BoltsJoists Vnts-Cripples 15 Acc & VnUtn t 16 Insulation 4e DATE FRAMING •IIs Proper Materials & Anclus 1Slhalis Studs -Nailing Spacing & Braces -Plates -Sound Bearing Wails over Girders & flr Nailing 20 graft Stop in Wails (rat proof) qy� a Stops, Fur red CellingsStairs-Chasers-Tubs eaders B BeamsS &'Bearing' Eling igers-Post Caps-Anchrs-Cnnctns Joist-Rftr Ties-Purlln-Roof Brac TrussShthg X25, F Ic Ties or Type A Flue-Frplc Throat Clmc .ma c Acc; Sz & hi x prtctn-Draft Stop4ns Baffles j 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions } 28 Garage Fire Pdctri Framing -RC Channel 19�P rty Une Firewall & Opngs' ,. 38'Ext Doors -One X.Check Gaiage 3rd Story, 2 Exits .3 Stair Width-Hdrm-Rise-Run-Lagding-Fire P&tn r 0 don Roof�rr�Atde�ts-Rftr d.augrs _ 3 Siding -Nailing Veneer 34 cco Lath -Weep Screed-Fndtn Vnts-Undrfir Ace Glazing Area -Glass PrtetnSkyLts-Plastic . 36�ear Walls; Nailing -Bolts t2 �, to (Z-1 y7 Bice Int/Ext Wall pnis / 39'lnsultn-Walls-Ceilings 39 I nfiltration-Wails-W ndws 0.3'1 DATE JELEZTRICAL & Trnsfrmr Clrncans Prtctn lec Rcptcls Spacing-Lts & Switches at Doors FqPE:p Boxes & No Of Cndctrs Stapled mex Installed Close to Edge of Studs & CJ Grnd made up w/Meth Fstnrs 41KGmdng Electrode Bond Gas & Wtr 46 ,?/Appinc Cires in Ktchn & Cndctr Sz GFI 4 rSubfeed Wire Sz ya ❑CU or [:IAL AC Wire Sz oa ❑ CU or ❑ AL 48 Range Clic ya ❑ CU or ❑ AL Oven Circ pa ❑ CU or ❑AL Insulated Neutral ❑Yes F-1 No 49 service -Riser Cndctrs & Grnd Main Dscnnct 5p/ qp Clrnes pnis-Motors-Meth Eqp Iothes Closet UShwr USpa Lt 5l Smoke Detector A 0 e nY , - o, X41 55�btr Htr; Vent Acc-Cmbstn Air Baffle, tr Pipe; Test & Anchr-Nail Prtctn.'- WV; Test Fittings & Anchr Nail Prtctn 56 Shwr Pan; Test, First flr-Tub Acc 57 Test Tub '& Shwr, 2nd fir - Tub Ace 58 Gas Pipe; Sz & Anchrs 59 Fire Sprinkler; Test ^'- 60 Yard Gas.Piping 'Ole up►tt IM EX HAN'ICAL Ducts Insults & Support int Fan, Exhaust abv Insulin :. condensate Drain & Ovrfiw, Sz & Grade mace Vent Acc-Comb Air Rtrn/Vent 115 Outlet Attic Acc & PlUrm if Furnace in attic DATE FIN A L & SldeLt Prtctn-Landings ke Detector umace Vnts-CImc-Comb, Air-Cnnctr In ge; abv-flr-Ducts-Meth Prtctn .pdFoom Exiting GF Bath Fxtrs & Tub Acc-Spa c Fault ZI,Elec Trim & Sybpnl, Breaker Szs & Labels 73 Stairs, Guard/Handrails 74 Frplc or Stove, Clme-Hearth 75 Elec Outlets at Wood Pnl, Int & Ext Kt Fxtr & Appinc; Gmd-Air-Gap-Cooking Clrnc cutlets & Rcptcls at Ktchn Counter arage Fire Door, Swing -Landing -Closure 79 Al [pct in Garage -Damper. Htr; Vnts-Cimc-Com Air Cnnctr-PRV; abv fir Me.qh Prtctn; LPG Appince Undr House 3' drain SYPI ; Elec & Mech Eqp Listed for Loctn IRcptcls in Garage (GFI) Romex Prtctn BYfnsultn-Foam-Looked in Attic 84 Guard Rails & Deck Cnstrctn-Post Caps d Vnts & Crawl Hole Door Dmge & Wood -Earth 86 Clmc Dmge Planters ❑ Yes [::]No tt Dscnnct, Elec-Plmb E&Vks abv Roof, PImb-Appinc-Frplc-Clmc to Opngs 90WTvWell, Dscnnct, Elec, Plmb 64ZSpec Trim, GFI Rcptcl-Undrgrnd g�gK2�nU� thru House a�ss Prtctn ctions from previous Irispctns st-Meters Tagged, Gas-Elec 9E-Wtr A,Sewer Cnnctd-C/O to gradetiFlDlAnrarOfJ 97 rgy Cmpinc Cert -Other Certs N'Address Posted 99 Fire Sprinkler D C 07.-1(0-oT0,� c_ s. BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP061380 LICENSED CONTRACTORS 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 Issued Date: 08/14/2006 APN: 056-320-026-000 the Business and Professions Code, and my license is in full force and effect. License Class: L7 License Number: r� D� Site Address: 16993 HOMEPLACE LOOP FRN Date -/y �%G Contractor:.2Mi� �y/�� Map Index: Description: GARAGE (720) W/BATHROOM, OFFICE AND OWNER -BUILDER DECLARATION I hereby affirm under penalty' of perjury that I am exempt from the p GAME ROOM Contractors' State License Law for the following reason (Sec. 7031.5 720 ( ) Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a Owner: DUTRA, STEVEN AND EVE signed statement that he or she is licensed pursuant to the provisions of 16993 HOMEPLACE LOOP the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or FOREST RANCH, CA she is exempt therefrom and the basis for the alleged exemption. Any 95942 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): 530-343-8033 ❑ 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 (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: J. D. SMITH CONSTRUCTION pP such work himself or herself or through his or her own employees, 3706 COSBY AVE provided that such improvements are not intended or offered for CHICO, CA sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of 95928 proving that he or she did not build or improve for the purpose of (530) 343-8033 sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed Contractor: J. D. SMITH CONSTRUCTION pursuant to the Contractors' State License Law.). 3706 COSBY AVE ❑ I am Exempt under Article 3 of the Business and Professions Code CHICO, CA 95928 Date: Owner: (530) 343-8033 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: License #: 587094 ❑ 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. Architect: ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of Engineer: the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 1440 S.F. Policy a: 4y I certify that in the performance of the work for which this permit is Valuation: $64,080.00 t� Census Code: issued. I shall not employ any person in any manner so as to become subject to the 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. Date: 441-1,11-1:9611 Applican ilure to se ure workers' compensation coverage is WARNXha unto all subject an employer to criminal penalties and one hundrind dollars ($100,000), in addition to the cost of / ��� �� �^ `J,1\� 1�•�I4-1 compoamages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. I� SS's o5 � ^ CONSTRUCTION LENDING AGENCY This permit is hereby iss d under the applicable provisions of the Butte County Coda anrUpr I hereby affirm that there is a construction lending agency for the Resolution o wo ndicate ve for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) % Name: B ' y Date: Uj PERMIT EXPIRES ON: Address: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health 8 Safety Code is not applicable to the scheduled construction of this project. O Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or doc ent' utte Co nty. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection uroses. Print Name: �/%% (/ Signat Date: /� �l r �Q fAgent ❑ Owner %Contractor r Owner 0 Agent for Contractor ,eoi)T�'� BUTTE COUNTY PERMIT /o o DEPARTMENT OF DEVELOPMENT SERVICES NO. o o BUILDING PERMIT APPLICATION o o AND SUBMITTAL REQUIREMENTS o 0 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2534 BP o= '=�= ' o OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION BIN #� CQ1f ��y Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** OWNER INFORMATION Last Name � First Nam !amu e Address 6� �70✓I'I L°�iA c e City/�)/Z L°J 4- 124 Nr StateZ Zip9.J 9 Phone 3 q3 �3 0 33 Fax E-mail CONTRACTOR Name � � �� � �� ��,ti✓�`c u cJi o �v Address 3 7 0 6 C ✓� City 6 ! ��G Statee-4 Zips G' Z Phone _ �1 9 g Fax E-mail uc?09 y Class/ APPLICANT INFORMATION ARCHITECT/ENGINEER Name f � �� fvY1i f%7 Cp/l/✓�/Lu�i�o Address "Pig City Fax State7• Zip Phone Book Fax E-mail Planner State License Number APPLICANT INFORMATION Name 1-1,4 vr9 e f z2- Jnvl Address 3 ��✓� v City �c State "Pig Phone-3�J 3 y 3 ��� �� Fax E-mail APPL!P.ANTAIG./. ■ MATO, WREA For ffice use only: Hing _ Flood Zone Cross Street /7l�Ac��di3- P/L.f SRA Yes No Occ. Type Const. Subdivision Name .� Map Book I Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PROJECT LOCATION AP# des -326 G Property Address A/-, e City A, Cross Street /7l�Ac��di3- P/L.f WORK R'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must he shown at the time of permit issuance. LENDING AGENCY Name �Cz,c�ihA Address n i Description or Scope of ork: , 72.0 7Zv Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and otherepartfrm t costs are not refundable. - ti .-.h l(_ v Amount: Bldg SRA Receipt #` Sheriff 465 � /�� Sheri(J sm'p Date: Total ,C SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Building Permit Application Without Required Clearances Form ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530) 538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the.person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: II-� v\ - `, ASSESSOR PARCEL NUMBER Proposed Building Use: N S \ Permit Technician: Date: Items required in order to apply for a permit All boxes MUST be checked OR marked NA in order t�apply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. E!,r 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. VL 4. Engineered truss details and layouts in duplicate. No faxesl ❑ 5. Letter from Engineer or Architect for truss design review. l� 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Find plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Hazardous Material Form 0 12. Acknowledgement of building permit application without required clearances. ❑ 13. Other 13�a ning items needed to issue the permit (May require additional plan review upon receipt of the following items.) 14. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable ❑ 15. Fire Sprinklers............................................................................................ ❑ 16. Agricultural Buffer dr and site plan apr from the Ag Commissioner Sent by ❑ 17. Soils Report and/or Engineered Foundation required ........................................... ❑ /12Site Erosion Control Plan Required........................................................................ ©/Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ City of Chico Plumbing permit........................................................................ ❑ plan and business license approval from the City of Biggs.. .......4...... 22. California Department of Forestry plan approval ❑ paid. Sent o1L 23. Planning approval for (A) Use: (B) Parking: (C) Pa 1 eck:.. rl.... 7 1124. Contact land Development about _ Improvements, _ Drainage ........................ jF ❑ 25. Fire Marshall Review (commercial projects only). Sent by: ...................... IC26. NPDES Form................................................................................:............ J§J per 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 29. Worker's Compensation Carrier and Policy Number .......................................... ❑ 30. Owner -Builder Verification ( _ Given to owner, _Mailed to owner) ..................... ❑ 31. Letter of Signature authorization.................................................................... ❑ 32. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑/ xisting violations and/or expired permits......................................................... e1eed Restriction ........................................ .................................................. ❑ ❑ Legal description ❑ M.H. Title, title search, re istration or MCO ......................... E� Other. C9- ay e lin, Q( 1. ❑ .Other. ,,)� When issued Telephone `1"' U and hold for pickup. I have been informed of the above it0s andpquirerr�ents for obtaining a building permit. 1. Index pennitffiplication for the 2. Additional items reauired Date: /_ - 8 - O l Plan Check Letter , UontractoVesigner, owner, was advised of tht aboveOaTby ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was adv' ed of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer ner, vised of the abovdat by ❑phone, ❑mail, ❑ a er Date: Plans reviewed bDate: D Plans approved by: Date: Structural review Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division E.H. USE ONLY Plot Plan Attached Floor Plan Attached L-- Sent —Sent to SD/DS / 3y3 80�� TO:Building Division — Development Services FROM: Environmental Health SUBJECT: Sanitation Clearance Na��4 APP 3 Awzc--R�0�s 65To - 3,2 a-6g whet Location AP# Plan Approved for: Sewage Disposal: Water Supply: Public Private Well Clearance for Hold final for: Final clearance O.K. for: NOTE: Other T-%, EnvironmentaTAealth 3p-ecialist Building Clearance 9/2005 r Dat E.H. USE ONLY Plot Plan Attached Floor Plan Attached- _ Sent to BONDS TO:. Building Division ..Development Services FROM: Environmental Health SUBJECT: Sanitation Clearance Towner Location AP# Plan Approved for: Sewage Disposal: Water Supply: Public Private Well Clearance for dwelling. Other Hold final for: Final clearance O.K. for: NOTE: Environmen-fal Health Specialist Building Clearance 9/2005 Da FACSIMILE TRAN.SIVIITTAL- SHERT TO: ROM: Alice Medford Steve and Eve DL rm (-,ONSI)ANY: 1") ATI . Butte County Department of 8/7/2006 Development Service r:AX NUMBER: TOTAL NO. OF PAc;P'.5 INi:LUDINO COVNR' 530 538 7785 3 PHONY; NUMBER: SENDETUs ItL•:I'1:RFNCSi NUMBEL'W S30 538 7163 Permit #06-1380 It P.: YOUR Rj-.FI;.A1iNtai NUMBER: 16993 Homeplace Loop Permit #06-1380 X URGENT ❑ FOR REVIEW ❑ P1.liA';[: COMMENT ❑ PLEASE [ ETLY ❑ Pl•.HASf: Rf-:CYCLE NOTES i:Cinlbtr,N'CS: . Dear Sirs: Please find attached a copy of page #2 of the Deed Restriction and notice of ..TUU*-dd• Use: Facility. Ido not understand the phrase: This Vin ted - use facility shaft beud6kedin compliance with those limitations presc bed by :the ' Califonzia ..BWding Coate occupancy classif cation assigned by the bLdIding odicial, except the following uses are not allowed: the owner of the parcel or lot must occupy either the main dwelling or the second dwelling" . Out permit is for a 3 Car garage and recreation room with hedroorn and bath.. '11.1c=e is no functioning kitchen in this building. There is no second dwelling. Since ive are unable to add on to our modular home and need more .room for entertaining, we chase this option.. Please CxOlin the above phrase to tne. I have spoken to two different gentlemen in your office and both agree- this titl1teinctit makes no sense. Sincerely, Eve Dutra jCl.l(K Ir U. It R. AND TYPE,KI:"CURN AUl7R1?Sy� P.UG-07-2006 09:14 CHICO VA 612GG When recorded return to: County of Butte Department of Development Services Planning, Division 7 County. Center Drive Oroville, CA 95965-3397. 5308795027 P.02 for (rev,5/04) Owner Name: Steven Dutra & Eve See -Dutra Building Permit No: 06-1380 DEED. RESTRICTION AND NOTICE -OF LIMITED` USE FACILITY 1. WHEREAS, on this 3rd day of August, 2006, Steven Dutra & Eve & Eve See -Dutra, hereinafter referred to as owners), is the record owner of.!M :following real C, 94tx- property: 16993 Home PlaWe Loop, Forest Ranch, CA 955942, APN: 056320-026, and as further set forth in Exhibit "A" attached hereto and hereby incorporated by reference, hereinafter referred to as "the subject property"; and IL WHEREAS, the Building Division of the Butte County Department of Development Services is acting on behalf of the People of Butte County; and III. WHEREAS, the owner applied to the Building Division for a building permit in order to develop the subject property described above; and IV. WHEREAS, Building- Permit No. 06-1380 was applied for on .tune 6, 2006 by the owner in accordance with the provisions of the Butte County Code and the California Building Code; and V. WHEREAS, the use allowed by Building Permit No. 06-1390 has been reviewed and approved for only the limited purposes set forth below; and VI. WHEREAS, it is intended that this Deed Restriction and Notice of Limited Use Facility shall constitute an enforceable restriction and remain in effect until a change in use or character of use has been approved by the Butte County; Building official or a change in law has occurred, either of -which. charige all6ws. the uses otherwise restricted herein to be conducted on the real property described herein. Under either circumstance allowing such change in use, Owner shalt be entitled to have AUG -07-2006 09:15 CHICO VA 612GG 5308795027. • P.03 this Deed Restriction and Notice of Limited Use Facility rescinded by the execution of a subsequent document entitled Rescission of Deed Restriction and Notice of 1imited Use Facility by the Director of Development Services; and VII. WHEREAS, Owner acknowledges that Owner will comply with the limited use restrictions that were incorporated in reviewing and approving Rodding. Permit No. 06-1380 which enabled Owner to undertake the limited use. authorized by this permit. NOW, THEREFORE, with the issuance of Building P®rmit;No. 06.1°380 to Owner by Butte County, Owner hereby affirms Owner's desire to. develop a limited use facility, as set forth below, which establishes restrictions on the use and enjoyment of this limited use facility. The undersigned Owner, for himself/herself and for his/her heirs, assigns, and successors in interest, acknowledges and agrees to those restrictions. This limited use facility shall be utilized in compliance with those limitations prescribed by the California Building Code occupancy classification assigned :by the building official, except the following uses are not allowed: the owner Of the parcel -or lot must occupy either the main dwelling or the second dwelling unlL If any provision of these restrictions is held to be invalid or: for any .reason becomes unenforceable, no other provision shall be thereby affected or impaired. This deed restriction and notice of limited use facility shall remain .;n full force and effect during the period that this permit, or any modification or amendment thereof, remains effective, and during the period that the development authorized by this permit, or any modification of this development, remains in existence `in or upon; any part'.0f, and thereby confers benefit upon, the subject property described herein and to that extent, this deed restriction and notice of limited use facility is hereby acknowledged and agreed to by Owner to restrict the use and enjoyment of this limited= use facility and shall be binding on Owner and all his/her assigns or successors in. interest. Owner agrees to record this.,Deed Restriction and- Notice of. Limited Use Facility in the Recorder's Office for the County of. Butte as soon as: possible after the date of execution. This document shall be recorded and returned to tho Butte Cbunty Pete Calarco Assistant Director ' AUG -07-2006 09:15 CHICO VA 612GG 5308795027 P.04 Department of Development - Services, Building Division prior to the issuance: of Building Permit No..06-1380. DATE: 20' Pete Calarco Assistant Director Owner Signature: Print or Type blame of Above Owner Signature: Print or Type Name of Above TOTAL P.04 r? `f• BUTTE COUNTY SCHOOLS IMPACT,FEE CERTIFICATION FORM (One form per Building) School District vV Building Department No. . A.P. Number Jurisdiction: City County Property Owner Property Location/Address Subdivision Lot No. 139 0 - Residential C7 Residential Development Q • Q Q € Sq. Footage lJ No of Living Mobile Home Addition/ 'Supplemental to (Group. R) Units Installation Conversion Permit # '(No foundation inspection) ..................................... .................................................. , �y- Commercial/Industrial New Department 0 Addition Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document), District Identification No. t ' L` School District certifies that qq3 (Street Address) (City) �a a- L a o (State) Sq. Footage (Including Exterior Roofed Areas) Date Q VQ () � A (Applicant) (Phone Number) (Zip Code) has complied with the requirements of Resolution No. Qa Q by payment of $ representing lcz O square feet. rB 2926 $ LL MITIGATION $ School District Paid by Check # Remarks: Date 0 IVotla: You may protest the Imposition of the fees Identified above by submitting a written protest.to the District. In cohVilance with Govemm "- Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the Imposition of the fees In any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project Is being reviewed under the California Envtronmenbd Quality Act (CEQIy this project may be subject to additional school fees to fully nrUgetp Its' I; P l an the school dlstrkfttseluools. CIA White (school district), Yellow (building department), Pink (applicant) feeform.xlsr(3M5)dr= Butte County Department ol-Developinciit SelTlces 7 County Center Drive Oroville, CA 95965 aG (530) 538-7601 Telephone °�,r. y° (530) 538-7785 Facsimile 0- ]BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES I request and authorize the Building Division to process this building pen -nit application through the plans examination process WITHOUT first obtaining all necessary, related permits and clearances from other regulatory entities, including but not limited to, Planning, Environmental Health, Land Development, County Fire, and Agriculture. I hereby acknowledge: I need to submit applications for septic and/or well to Butte County Environmental Health immediately. • I am required to bring the approved Environmental Health site plan and approved sanitation clearance to the Building Division as soon as clearance is obtained ® I am responsible for notifying Development Services, in writing, to stop processing of the application and to arrange for disposition of plans. The Building Division will process the application through the plans examination process, as submitted, without input from other regulatory entities that could prohibit issuance of the building permit or require submission of amended buildink plans to the Building Division. Once the plans examination process begins, there will be no refund of plans examination fees. Any changes requiring submission of amended plans to the Building Division will incur additional fees. ' Within one year from the date of application for a building permit, all other required permits and clearances from other entities must be obtained for the permit to be issued. Failure to obtain these permits/clearances will void the application. Typically other required permits/clearances include, but are not limited to, verification the parcel was legally created, adherence.to.all mitigations and conditions imposed on the parcel at time of creation, as well as zoning requirements, legal access, and applicable set -backs and environmental issues (fire, agriculture buffer zones, and habitat/species). Please print: Applicant Name:f �m eJ f�, fi-r�� �`i APN: Q .I'G —3 2 d d Z 4 Building site address: A/,+ e- e- A D 07,-0 Permit No.: I have read, understood and accept . the terms and conditions as expressed herein as indicated by my submission of the above -referenced building permit application and my signature below: SI/ATUIRE OF PPLICANT DATE p�QP¢_!MENT /• gU T 0 1 O T<r ,1 O O O �� c�UNZy p�eClC WOP�9 Department J. Michael Crump, Director of Public o f B u t Works LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive oroville, CA 95965 1530)538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement [LESS THAN 1 ACRE1 Project Description:g.) B;,o /%nom e - Project Location and/or Parcel Number: D S—G v 3 Z D By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB I acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or, failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: Less than 1 Acre NPDES & SWPPP Compliance Certification Butte County Stone Water Management Program og y FROM : See-Dutra FAX NO. 15308998119 't FAX COVER SHEET PLEASE DELIVER THE FOLLOWING PAGE (S) TO: COMPANY NAME: U'A/ 7 -Li /-; 0 v Jul. 28 2006 09:23AM P1 ATTENTION: FAX NUMBER: 6-36- /¢6 DATC_T�-�-�► 28; NUMBER OF PAGES: (INCLUDING COVER PAGE) FROM: ,Sr,�vE_Til FAX !! DESCEUPTION: flo ®to /3 o FROM :r5 -Dutra ,C RECORDING REQUESTED BY Mid Valley Title & Escrow Company AND'WHEN RECORDED MAIL TO., Steven L. Dutra and Eve See -Dutra 16993 Homeplace Loop Forest Ranch, CA 95942 FAX NO. : 15388998119 Jul. 28 2006 09:24AM P2 Illi III III I IIII I II II (IIII I II II IIII 211a�4—m0S7'01 S Recorded I REC FEE 13.00 Official Records I TAX 258.50 CoWt'rEOf 1 CA DACE J. GRURBS I Recorder I R(ISEQARY DICKSM I Assistant 09:NAN 16 -Sep -2104 I Kathy I Page 1 of 3 Above This Line for Recorders Use Only ' A.P:N: OS6-32Q?0 6.-0.. File_No.0401-•1518267 (DP) GRANT DEED The Undersigned Gran rnr(s) Dedare(s): DOCUMENTARY TRANSFER TAX $258 50; CITY TRANSFER TAX $0.00; SURVEY MONUMENT FE'� $ � � X } mxjWXed on the consideration or full value of property oonveyed, OR S computed on the consideration or full value less value of liens and/or encumbrances remaining at time of sale, X unincorporated area; I I City of Forest ltaneh, and FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Andres F. Aviles, 3r., who acquired title as an unmarried man and Tammy Waller, his wife hereby GRANTS to Steven L. Dutra and Eve See -Dutra, husband and wife as joint tenants the following described property in the unincorporated area of Forest Ranch, County of Butte, State of California: SEE ATTACHED EXHIBIT "A" Dated: 04/071/2004 Andres`F. Aviles Jr. mmy Waller Mail Tax Statements To: SAME AS ABOVE FROM : See -Dutra FAX NO. : 1530899B119 Jul. 2B 2006 09:24AM P3 • a A.P.N.: 056-320-026-0 Grant Deed - continued File No.:0401-1578267 (DP) Date: 09/07/2004 STATE OF CALIFORNIA } COUNTY OF BUTTE } On 9— before me, personally appeared -� personally known, to me (or proved to me on a basis of satisfactory nce) to be the person(s) whose 'riame(s),is/ r!,. uescribed to the within instrument and acknowledged to me that he/she/they executed the -same in his/her/their authorized capacity(ies) and that hls/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. This area for offciar notarial seal f Signature/Z,� • DEE PALMER COMM.# 1358088 My Commission Expires: Q NosARr PUBUGCALIFORNtA COUNTY OF BUTTE W Comm. bolres June 22,200 Notary Name: Notary Phone: Notary Registration Number: County of Principal Place of Business: S FROM :r -See -Dutra FAX NO. : 15308998119 Jul. 28 2006 09:25AM P4 File Number: 0401-1578267 • Exhibit "A" Real property in the unincorporated area of the County of Butte, State of California, described as follows: PARCEL I: i PARCEL 3, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JULY 7, 1980, IN BOOK 77 OF MAPS, AT PAGE(S) 33. PARCEL II. A NON-EXCLUSIVE EASEMENT FOR INGRESS AND EGRESS AND FOR PUBLIC UTILITIES OVER HOMEPLACE LOOP AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JULY 7, 1980, IN BOOK 77 OF MAPS, AT PAGE(S) 33. PARCEL III: AN 80 FOOT'NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITIES OVER PARCEL 10, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON APRIL 21, 1971, IN BOOK 37 OF MAPS, AT PAGE(S) 82, 83 AND 84. APN:056-320-026-0 r 0 C'D California Department of Forestry and Fire Protection Butte County Fire Department Fire Safe Requirements Permit# - 3� Under authority of Public Resources Code Section 4290, the following checked items are required by CDF/Butte County Fire Department and made part of this permit, These requirements are minimums and may be superseded by Butte County local regulations, which equals or exceeds these standards. Butte County Building 'Inspectors will make compliance inspections. 1272.00 Maintenance of Defensible Space Measures [X] To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued availability, access, and utilization of the defensible space provided for these standards during a wildfire, provisions for annual maintenance shall be included in the development plans and/or shall be provided as a condition of the permit, parcel or map approval. Public Resources Code 4291 information will be provided. 1273.10 Driveways [X] (a) All new driveway construction or an extension of an existing driveway shall comply with Public Resources Code 4290 roadway requirements. [X] (b) All driveways shall provide a minimum 10 foot• traffic lane and unobstructed vertical clearance of 15 feet along its entire length. [X] (c) Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Wherethe driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart [X] (d) A turnaround shall be provided to all building sites on driveways over 300 feet in length, and shall be within 50 feet of the building. 1273.02 Roadway Surface [X] The surface shall provide unobstructed access to conventional drive vehicles, including sedans and fire engines. Surfaces should be established in conformance with local ordinances, and be capable of supporting a 40,000 pound load. 4" of class 2 aggregate base shall be required for all driveways, turnouts, and turnarounds. 1273.03 Roadway Grades [X] The grade for all driveways shall not exceed 15 percent. Grades above 15% shall have 4" of class 2 aggregate base and 2" of asphalt concrete. No driveways allowed in excess of 20%. 1273.04 Roadway Radius [X] (a) No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional surface width of 4 feet shall be added to curves of 50-100 feet radius; 2 feet to those from 100-200 feet. [X] (b) The length of vertical curves in roadways, exclusive of gutters, ditches, and drainage structures designed to hold or divert water, shall be not less than 100 feet. 1273.05 Roadway Tumarounds [X] Turnarounds are required on driveways and dead-end roads as specified in this article. The minimum turning radius for a turnaround shall be 40 feet from the center line of the road. If a hammerhead -T is used, the top of the "'I"' shall be a minimum of 60 feet in length 1273.06 Roadway Turnouts [X] Turnouts shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. Revised 02/28/06 �A IC F Is E Q U I R E M E N T S �S 1273.07 Roadway Structures [X] (a) All driveway, road, street, and private lane roadway structures (Bridges, culverts, and other appurtenant structures which supplement the roadway bed or shoulders) shall be constructed to carry at least the maximum load and provide the minimum vertical clearance as required by Vehicle Code Sections 35550, 35750 and 35250. [X] (b) Appropriate signing, including but not limited to weight or vertical clearance limitations, one-way road or single lane conditions, shall reflect the capability of each bridge. [X] (c) A bridge with only one traffic lane may be authorized by the local jurisdiction; however, it shall provide for unobstructed visibility from one end to the other and turnouts at both ends. 1273.11 Gate Entrance [X] (a) Gate entrances shall be at least two feet wider on both ends then the width of the traffic lane(s) serving that gate. [X] (b) All gates providing access from a road to a driveway shall be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that road. [X] (c) Where a one-way road with a single traffic lane provides access to a gated entrance, a 40 foot turning radius shall be used. 1274.08 Addresses for Buildings [X] All buildings shall be issued an address by the local jurisdiction which conforms to that jurisdiction's overall address system. Accessory buildings will not be required to have a separate address; however, each dwelling unit within a building shall be separately identified. 1274.09 Size of Letters. Numbers and Symbols for Addresses [X] Size of letters, numbers and symbols for addresses shall be a minimum 3" letter height, 3/8" stroke, reflectorized, contrasting with the background color of the sign. 1274.10 Installation. Location and Visibility of Addresses [X] (a) All buildings shall have a permanently posted address, which shall be placed at each driveway entrance and visible from both directions of travel along the road. In all cases, the address shall be posted at the beginning of construction and shall be maintained thereafter, and the address shall be visible and legible from the road on which the address is located. [X] (b) Address signs along one-way roads shall be visible from both the intended direction of travel and the opposite direction. [X] (c) Where multiple addresses are required at a single driveway, they shall be mounted on a single post. [X] (d) Where a roadway provides access solely to a single commercial or industrial business, the address sign shall be placed at the nearest road intersection providing access to that site. 1276.01 Setback for Structure Defensible Space (a) All parcels 1 acre and larger shall provide a minimum 30 foot setback for buildings and accessory v buildings from all property lines and/or the center of the road [ ] Your parcel is larger then 1 acre but your minimum setback for buildings and accessory buildings is less then 30 feet from all property lines and/or the center of the road. You are required to meet the'same practical effects requirements listed on page three. [ ] (b) For parcels less than 1 acre, the local jurisdiction shall provide for the same practical effect. See page three for same practical effect requirements. Revised 02/28/06 n Same Practical Effect for Buildings less then 30 feet from property line: (1 [ J If the Building Setback is less then 30 Feet from all property lines and/or the center of the road, the following shall be.required; • Class A roof • Fully enclosed eaves on entire structure • Fire rated metal doors on side toward property line with insufficient setback • Siding on entire structure from the following list: (a) Stucco -3 coat (b) Non combustible Hardi-Board, Plank or similar siding (c) Masonry (d) Metal (e) Other Butte County Fire Department approved materials 1276.02 Disposal of Flammable Vegetation and Fuels [XJ Disposal, including chipping, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction, and fuel modification shall be completed prior to completion of road construction or final inspection of a building permit. Other Requirements- Installation of Residential Fire Sprinklers [X] If your property was part of a parcel split after January 1, 1991, you are required to install residential fire sprinklers. It is your responsibility to inspect the official parcel map to confirm if sprinklers are required. JUN 2 8 2006 Date 0 Revised 02/28/06 Darren Read Fire Protection Planning BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION . I _ 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 www.buttecoun(y.net/dds PHONE (530) 538-7541 FAX 538-2140 RECEIPT OF FEES SCHEDULE - RESIDENTIAL Owner DUTRA, STEVE APN No: 056-320-026 Permit Type: Subtype: IV App Date: 6/8/2006 Permit No: BP 06-1380 Permit Desc: 1 BUILDING PERMIT FEES ESTIMATED AT APPLICATION $2,147.00 Plan Check portion of Permit Fee $858.80 $1,288.20 Balance of Building Permit Fee 2 FEMA Res Flood Elevation Review $109.98 0 3 SRA* Yes Fire Plan Check - Non -Refundable $95.00 $95.00 (State Responsibility Area) Building Inspection $109.98 $109.98 - $204.98 NON-REFUNDABLE portion of fees due at application $953.80 RECEIPT bj_DA/TE Tech/Asst FEES DUE AND PAYABLE AT TIME OF PERMIT APPLICATION$1,063.48-LISS11-65 FEES (BELOW) DUE PRIOR TO ISSUANCE OF PERMIT � t 4 Balance of Building Permit Fees (from No. 1 above) 5 SMIP* - Strong Motion Instrumentation Program (Enter amount frim permit ste� 6 Additional Plan Check Fees (NON-REFUNDABLE) 7 7 Other*: 7a Other*: 8 IMPACT FEES - RESIDENTIAL* Per Dwelling Per Dwelling Per Dwelling MH Applications After 04/15/06 MFD ,s County 1 4249.11 3183.54 3238.72 Chico Urban Area 6146.23 4538.82 5648.44 EI Medio Fire District 3249.97 2385.76 2422.68 North Chico Specific Plan A SR -1, SR -3, SR-1/PD 8801.091 7395.041 8486.40 R-1 1 8897.091 7491.041 8582.40 1•° R-9 I Rign ncil Fgaa n41 Rn75 an R-3 1 7604.091 6198.04 Processing Fee is automatically added to impact fee total 1 9 WATER TENDER FEE (Not collected when impact Fees Applicable) Enter Bat.# DRAINAGE FEES* 10 CHICO STORM DRAINAGE 770 Butte Creek MASTER PLAN 1 1771 Comanche Creek New construction, vacant land, on 1 acre or less - Enter 1 or less acre value 772 Little Chico Creek 773 Big Chico Creek 774 Lindo Channel 775 SUDAD Ditch 776 Mud -Sycamore Creek 777 PV Ditch 7289.4( $100.00 $200.00 1 $1,288.2057 $6.41 G �� �pcl RECEIPT DATE Tecf4�C1;s4N" . pIq ` f RECEIPT DATE Tech/Asst SIJ 10a More than 1 acre, existing buildings - fees to be assessed by Public Works Fee Determination Sheet Needed - Enter amount determined by PW 11 THERMALITO DRAINAGE AREA 1 $684 Maximum Per each new living unit on existing lots where full drainage fees have not been paid 11a Temporary Dwelling $136 At time of building permit �] $136 annual renewal fee for first 4 renewals. Not to exceed $684. PROOF OF PAYMENT OF FEES (BELOW) MUST BE RECEIVED PRIOR TO ISSUANCE OF PERMIT. Forms will be prepared after plan check is completed for applicant to take to respective district office. 12 SCHOOL DISTRICT FEES* Chico Unified School District 062 . ZIW i -A12a RECREATION DISTRICT FEES' At the time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan checking process. Applicant: Date: Pursuant to Gove nt code Section 6 20, you re hereby notified those Items followed by an "* may have been imposed on your project. You have 90 days from the date o a roval of the porject or from the impostion of the above referenced items during which you may protest. The requirements for a protest are specified in G rment Code Section 66020(a). K:/Building/Forms/Schedule of Receipt Fees Residential 041506 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev�12/96) APPLICATION AND PERMIT �2�1151 ASSESSOR PARCEL NUMBER 096-190-026 ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION CONT OWNERS MAILING ADDRESS 1?() 'ROY 14, FOREST RANCH 95949 CONTRACTOR'S NAME OWNFR TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filen Fee $ 20.00 Permit Fee $ 29.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ Ao BUILDING ADDRESS 16993 HOMEPLACE LOOP, FOREST RANCH Energy Plan Checking Fee . $ $ PERMIT FEE $ 72.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome P Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other IN Describe Work: GARAGE REMODEL Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 RLESS 600VMain Service 20 OA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION 1 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.P License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: (X�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: I 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 Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUR ( ,�j.5¢ 7.0 NEW CONST. MUL�TC0 ��7 NON-RESID. C 97.50 OWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FOTTURES 20 Q 1.00 aAL_ @ .so Ex. Occup. OFIxUTs aSD OEA A 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE $ 97 nn. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ 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 workers' compensation provisions of section 3700 of the Labor Code, I shall f IthJcoply with thos islon r ' X , \ D"ate °- Z (� Z_ _ Signature of Applicant - . Owner' ❑ Con actor •❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction3// of structures over 3 stories in h 'ght. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 99.00 HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD SSUE This permit is hereby issued under of the Butte County Code and/or indicate above for which fees have ` yfi_,�;�JDate( PERMIT EXPIRES ON j the applicable provisions Resolutions to do work been paid. `— �� U A �. De e rwReceiptNo.335 'ITE•D.D.S.-B. D. CAN Y•ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT v 2/96) w�++trs wva.w �.00wct�ss , a , Aox 1 OM1n[r0Ai ta�lU+O AOI 7.jjw • ielep APPLICATION AND PERMIT sonnO UM'--.0 UM. --.G "ON "'Cut :`a"S M.rt140 %Doftgo -C••nECT 04 CHMP404 �C.tiER OA [>gMlD17 wtlJNO �OOrt[SS ,EJ�,O �Oo�tss 4 99 3 r NO at- ONS11MY( Nc:14, C.4, 9's"",v -?- tICt,6! W USEOFSTRUCTURE O Duplex O Mobilshome O Other T TYPE OF WORK Ow O Addition Remodel Utilities O installation ❑ Other ascribe Work: "PERAUT FEE PAl® SRI • . SHERIFF OTHER AAk6VN'T RECEIVED $-2 / 61 / wRECEIlT MJAA�Ht 33 % `5 \` TO WTO COM/VTE'ft all SO FT e (»U) 538.7541 �ERMIT h I'� BUILDINGPERMIT OCC BUILDING VALUATION F -re tete PERMIT FEE ! Ex. Occup. 'DfEO A°°"'° 00 ounen ESID) EA ELECTRICAL PERMIT Total Valuation S Mein Service n 20.00 Flin Fee S 29.00 Main Service 3w^ ro ioao,t 48.00 Ovr cosi. n,00ws. 20 Oa Parmit Fee HPdo-wnES D�ULMOVW �O 7.50 Pian Checkin a Fee S 3 Off/ Energy Plan Checking Fee S S PERMIT FEE S 7)-Q PLUMBING PERMIT Fling Fee 20 00 Each Trap7.00 Solar or heat um water heater 29.00 Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 1S.00 5.00Buildin Building sower 15.00 - Mobile Home I S G W 1920.00 Ex. Occup. OVT1 ror, nmA s PERMIT FEE ! Ex. Occup. 'DfEO A°°"'° 00 ounen ESID) EA ELECTRICAL PERMIT Filing Fee 20.00 Mein Service 2 °;" 20.00 Misc. Wiring toss 29.00 Main Service 3w^ ro ioao,t 48.00 Ovr cosi. n,00ws. o;Z04 occur. A A.M. Otos. tss° 3.5 L0 d HPdo-wnES D�ULMOVW �O 7.50 Ex. Occup. OVT1 ror, nmA s w a 1.00I SAL Ex. Occup. 'DfEO A°°"'° 00 ounen ESID) EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.001 PERMIT FEE S 02 . OQ MECHANICAL PERMIT Fling Fee 20.00 Heatin Coolie Hood 8.50 PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee S «� "' r~.! TOTAL FEES O. CEO Wp I 11800 COI I PAACa I ro rp et�t This permit is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION -• 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET % / 3 aa- oa( OWNER: C�✓� ASSESSOR PARCEL NUMBER O 5�! Proposed Building Use. JLQ maid i�lCtACounter Technician: Date: � �3 - Z Items required in order to a ly for a permit. All b es MUST be checked OR marked NA in order to apply. ❑ L. Plot plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the en ig neer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................... ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... ❑ 15. Statement of Intent for Non -heated and A/C Buildings ............................................. ❑ 16. Sanitation and plot plan approval from the Environmental Health Department in ❑ 17. City of Chico Plumbing permit......................................................................... ❑ 18. California Department of Forestry plan approval ❑ paid. Sent by: ...................... ❑ 19. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization.................................................................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance............................................................... O 29. Existing violations and/or expired permits......................................................... 0. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ 1. Other: or -l en issued Telephone and hold for pickup. 0j20 / s 7 - dr o'r�.2 I hDave been in ed of t abov items iid re uirements for obtaining a building permit. plicant: Ote: / p _U 1. Index permit application for the above items numbeE�,�&Ipa4A66� L° ' rt Plan Check Letter 2. Additional items ren' Contractor, designer,, was advised of the above data by K' phone, ❑ mail, ❑ counter, bys�/ Date: Contractor, designer,, was advised of the above data by ❑ phone, ❑ mail, ❑ courlLer, by . Date: Plans reviewed by: Date: Plans approved by: Date: 'f S Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division 1N��b 7 o C) SE l i5 IV.E� ROOM y C- �r1 c t1S Sio�t4G� �iZ � -o f, K- E� i 7,14 Au/r;ES L"�> t= Cr!-Hi5V- iv�,0 12C- C- C- OT �S -y� ��L�OO�'✓� �O O/J� ��LL %� L/INC e OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. ql I,personally, plan to provide the major labor and materials for construction of the proposed property. S . _ I�HAVEA�-HAVE�NOT C3 signed an application for a building permit f �epvroposedlwo& —3. I e contracted with the following person (firm) to provide the pr sed construction: a �1 PHONE: CONTRACTOR; 4. I plan to provide portions s work, supervise, and provide the major k: NAINEE: 'ADDRESS: PHONE: 5. I will provide so the work indi NAME SE NO. have hired the following person to coordinate, CITY: CONTRACTOR'S of the work but I have contracted (hired) ADDRESS I PHONE NO. wing persons toprovide .� '.Il) A SIG. ED:s:: "'t PRO PERTYOWNER: SOCIAL SECURITY NUMBER: - ID- _� L NOTE: This Owner -Builder Verification is required by Section 19831. and 19832 of the California Health and Safety Code. This verification must be completed, and returned to our office before we are permitted to issue the permit: OVER 1 OWNER BUILDER INFORMATION I Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible parry of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply ' If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or subcontractors. then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as. an employer and you are subject to several obligations including state anincome d federal tax withholding; federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific,information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner buildee' building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. 4rv1gerC,�BVuii1d'Zng , C.B.O. Inspection NOTE: This Owner -Builder Info rrrnatfon is required by Seclion 19810 of the Callfornla Health and Safety Code- 11 0 yo' Li i T T ME" CtECTR►CAL EXbSri1jG, SLN� Q duT �-ET S H//NG Ohl TOIGeT EX,STII►JG �9 2�c� SHTN ROOM w° -S7-0/2,q G U- I Roo /1 -' pOO2 %/ OVER►16Ab L iao T �l1 1N CE/t /N C- MEW EtEcTR►CAL ou't�E7 NEI,l Y' Do0►2 -4 -Z o NEW NigL,L EXIST /N G TNF NSW hlA�� 5 w/c G . B� ela qT FEET HIGH %O ^466'F uP IVE-" wALt-S w/LL ctE FQAMt'-b /A/ w/TN zxzi GONSTQC/CT/OAJ, .STUDS /poi/ CA/ C EA/'r&--XL . NEN /./AL_tS BE /NSutATt� A�✓/� G O ✓me -b ti /TN Sil EST lZOc K . EX ►ST//V G SIDE ffboo R W _ -7- C) -0 Z69 /--Z3-oz =1 W cD Q a yU TNF Nr r,J/4I-t S w/c G BF E/GNT jEET H/GN To n'EET v? /.J,TN JVEw wAt�S w/tt. QE FQAmt�,b /n/ w,?� Z,Ytl Co,vSTQIICT/O AJ, STu D S Oiv C E,VTE79- . NEN wAUcS c./,cL BF /N504A7-t-0 A,//C c o ✓ E72 E7D /., /TN Sq. -r -r JZ>c A . 3ac -oo?& .-Illoj MEw CtEc7Jt►CAL EX,ST/�/�,, W/IVGOh1 Q oU7 t -CTS v j. - Tol�f7 8/:fN Roow1 w `� i . N 4` NF�J ovElLHEAb t►GNT W /N CE/t,MC-7 EtEcTR►fAL OUTLET MEh% NEW J.JA L,I- EXII MICS SIDE boolz EX /ST /AI C -f TNF Nr r,J/4I-t S w/c G BF E/GNT jEET H/GN To n'EET v? /.J,TN JVEw wAt�S w/tt. QE FQAmt�,b /n/ w,?� Z,Ytl Co,vSTQIICT/O AJ, STu D S Oiv C E,VTE79- . NEN wAUcS c./,cL BF /N504A7-t-0 A,//C c o ✓ E72 E7D /., /TN Sq. -r -r JZ>c A . 3ac -oo?& .-Illoj Dec -09-99 07:46A P.01 DEPARTMENT OF DEVELOPMENT SERa ICES - ILIG DIVISION COUNTY OF BUTTE 95965 - pbone (8530}p538-- 7541 PE �Rm I N 0. 7 County Center Drive - oroville, California IT APPLICATION AND PERM i Rev 12/96) ZONING eUILDINGpERMIT _OCC. 01A ASSESSOR PARCEL KU TELEPH - - — ---------- ........... ................. BUILDING XVA�LUATION r_1LFP8ONi 0 ir I'' S FT. gF� AAn AWWO-1,0 V. , , r !Mvim– --- DRESS • _CW;NER' CA_ -9 or 31H 0 SS—q 7�3� 7 34. u u rONSTRUCTIONLENDER —Fireplace Total Valuation $ 20-00 EA S MAJUNG ADDRESS CH E TOR ENGINEER $ Permit Fee AacMAILING ADDRESS HTFCT OR ENGINEERS PI Energy Plan Chec i Fee $ 5UILDING ADDRESS C/2 PERMIT FEE $ g Feel 20.00 PLUMBING PERMIT Filing — LOTNO�3 StjaDfVcSON'S�-AME 7.00 Each Trap TRUCTURE _�j USEOFS Solar heat urn water heater 1 5.00 Water SF Duplex 0 Mobilehome 0 Other SPECIFY ESSLOas NtatGr heater 3r vent 15.00 TYPE OF WORK Gasp !ping .!y!stL8_-1 —.5oudetS 15.00 15.00 F �1 7_i�g �tUCTURE ..P'.x sK. Building sewer -.-@20.00 New 0 Addition 0 Remodel C3 Lydiffies 0 Installation 11 Other 13 Mobile Home Fs -1 _T F Work: Describe Work: ---,e 0— PERMIT FE — ELECTRICAL PERMIT Filing Fee 20-00 000V a i.9S IZin Service 20oA OR LESS 46.00 2.— —A MainrVice OW 3.50sFT LICENSED CONTRACTOR'S DECLARATION NEW CONST. OR ADONS. C OCCUR I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter —NEw ONSr. MULTI -OUTLET 9 (commencing with Section 7000) of Division 3 of the Business and Profeiiions Code. NO!±_R.�1111-_ Professions WEA APPARATUS GS LEOVt and my license is in full force and affect. 2�O _10 i7'00 R FIXTURES L .50 License Class C.,3_ Lic. No. 5t OWNER -BUILDER DECLARATION FIXED APPL4S. OR _J_.00 - ors License Ex. OccuP. ( OUTLETS (RESID.) EA. I hereby affirm under penalty of perjury that I am exempt from the Contractors 23.001 LTemoLa�qe L, Lice r Law for the following reason: Mo 20.00 _* 'Yages as their sole compensation, bLil; 0 1, as owner of the property_ o. a Home Facilities Mi C. ad or offered for sale. Misc. Wiring OFFICE COPY 23.00 racting with licensed contractors s and Professions Code for this PERMIT FEE Filing "a 20-00 Address MECHANICAL PERMIT FL—ARATION -)wing declarations: Heating tT I hi Z, self -insure for workers'. I G Date—,-- ant to self -ins Cooling AS 'o of the Labor Code, for the Hood Meter By issued. ELECTRIC Date wrance, as required by Section Ventilation — C Meter is issued. Meter By �k for which this per �Qyner and policy number are: PERMIT FOE Mobile Horne installation Fee Policy Number (The above sections need not be completed if the permit is for work of avaluation Energy Inspection Fee of one hundred dollars ($100) or less.) C G&RO TYPE -3 L4* TOTAL FEES 3.5-06 I certify that in the performance of the work for which this permit is issued, I shall IMP FLOOD CDF PARCEL 0 not employ any person In any manner so as to become subject to workers' FETL1�__T_-T_ compensation laws of California. and agree that it I should become subject to the . ovislons of section 3700 of the Labor Code, I shall This permit is s I tion pr hereby issued under the applicable provisions ___.y "._,I kers' e� th 'se provisions. 'hwit of the Butte County Code and/or Resolutions to do work Date < N 7fo 1 indicated bove for which fees have been paid. X -&�pplica,4, caner CO1V actor Agent .n 5'0" d and demolition or construction Al rt� An OSHA peri By uo Oats 1�3:5tk- PERMIT EXPIRES ON Receipt Receipt No. r� W w", CANARY-ASSESSORPINK-INSPECTOR GOLDEN ROO_APPL1CANT 141TE-B.-B.D. t COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530),891-2151 7 County Center Drive • Oroville, CA • (530)'538-7541 CORRECTION NOTICE - OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work'is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. I% Date Inspector V %ciC REV 10/92 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPME19 T SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541P RMIT NO. (Rev. 12/96) APPLICATION AND PERMIT (�, W,9�_ ASSESSOR PARCEL NUMnDJS -10 ZONING BUILDING PERMIT ' OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNE3i'$/11'AV MoSS aY Lt CONTRACTOR'S o TELEPHONE 342-�3f� CONTRACTp J yJ\ILJ ADD S ' /"� (v , 5qq 0. I`./rN"0'/v�„ VN CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. ARCHITECT OR ENGINEERS MAILING ADDRESS Filing Fee Permit Fee J Plan Checking Fee $ 20.00 $ $ BUILDINGADDRESS / 993 Energy Plan Checking Fee $ $ PERMIT FEE $ LAT NO�3 SUBDNISION'SNAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ;� Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work:J&k2%!,LQ= 30 / Gas piping system 1 - 5 outlets 1 15.00 ',()o Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S 5 0 ELECTRICAL PERMIT Fling Fee 20.00 Main Service 2o0A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION 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. -� i �^� p y 5 License Class `!- LIC. NO. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors license Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO i000A 46.00 NEW CONST. DWELLING OCCUP. OR oNia. ( S. I 3.5¢so MUL�TIC-ouTLET NON•RESID. CU @7.50 PowER APPARATUS d SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES aAL @';50 Ex. Occup. OUXTEEDrsA RD,D� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for -workers' compensation, as provided for by section 3700 of the Labor Code, jor 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 Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ 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, 1 shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that f I should become subject to the wo kers' tion provisions of section 3700 of the Labor Code, I shall fo with omply •t ose provisions. X \` Date �� _ Signs u e of Applican - caner ❑Contractor Agent An OSHA permit is required for excavations over 60" deelvand demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ cC %� 3 Ge T. TYPE ( TOTAL FEE $ 3S-406 HAZ. D ES IMP FLOOD CDF pggCEl pD _ HD SU This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated bove for which fees have been paid. By Date PERMIT EXPIRES ON 11'.93a060 I Date Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT IM .' ENTIAL. ~* �� Al 056-32- - O O2G / OUEy ' ' S1 -424O � , DAV/D, MARJOR(E ' DONTR: MH CENTER � 16833 HOME PLACE LOOP, FOREST RANI � y1M( /^� /o�-^��~ � ` Af MOBILEHOME- INSTALLATION ACCEPTANCE COUNTY OF BUTTE 4}•DEPARTMENT OF PUBLIC WORKS.— 7 COUNTY CENTER DRIVE OROVILLE;yCALIFORNIA -- 534-45,41 PERMIT NO1�%� f Address or location of mobi.lehome.. � " `{ J i-! dp f t d4/< 4.6wner's.name f. I Owner's address 7?tf t?:F ^4t` r r bX.> Grp�x zr�.,25.01 2Insignia or hud numberPF�n/.SC:2' , — M:.. i ` Manufacturer's name. Serial number of V.I.N. I: SCAN 1:Sg237.11q0) Year of manufacture �n n p(Offici•al Approving Installation) jIF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION .ACCEPTANCE SHALL BECOME INVALID. THIS FORM -SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. k i 513B White - Owner, Yellow - Installer, Pink - D.P.W. J=OK O='Not OK = Not Applicable b = Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils: Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L"ft. / /"Nat. or/ /"L"ft./ /"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 MOB HOME INSTALLATION (Plans) OK except #'s Zo ' g Requirements -Set cks Ea tents ootings; Size -Spat g-Marri a Line lectricity; MH T rossovers-B ers-Cie races rain; MH -Fall-Flex C ector ter; MH Test -Regulator -Con ector ater and Sewer Co ed -C/O to Grade -HD Approval 8."y Tageel— !f Exits; Insp.-Sketch 1 ert. 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 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O = Not OK Applic No Readyable RESIDENTIAL Date UNDERFLOOR (Plans) OK except ti's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except ti's 16. Water Htr.: Vent -Access -Combustion Air -Baffle 17. Water Pipe: Test & Anchor -Nail Protection 18. D.W.V.: Test -Fittings & Anchor -Nail Protection ------------- ---- ------------- 19. Shower Pan: Test. First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access - ----- --------------- -------------- 21. Gas Pipe: Size & Anchors Date Card B-1 Date Card B-1 ------------- ---------------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ti's 22. Fixture & Transformer Clearance -Ins. -Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors ------------- ------------ --------------------------------------- 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. - ----------------------------------------------- 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water --- ---------------------------- ------------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size r i ga. Cu or AI-A.C. Wire Size / / ga. Cu or -Al -- ----------------------------------------------- 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No ------------------------------------------------ 30 Service -Riser Conductors & Ground -Main Disconnect -------------- Equip. Clearances Panels-Motors-Mech. Equip. ----------------------------------------------------------------------------- 32. Clothes Closet Light -Shower Light -Spa Light ------------- 33. --------- --33. Smoke Detector ----------------------------------------------------------------------------------- ------------ ----------- ----- - -- ----- - ------------------------------------ ---- Date Card B-1 Date Card B-1 --------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except a's 34. A.C. Ducts Insulation & Support 35. Vent Fan: Exhaust above insulation ----------- ------- --- ---- ---------- ------- ------------------------ ------------ 36. Condensate Drain & Overflow: Size & Grade 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet --------------------------------------------------------------- 38. Attic Access & Platform if Furnance in Attic -------------------------------------------------------------------------------- Date Card B-1 Date Card B -1 ------------------------------------------------------------ --------------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except ti's 39. Sils. Proper Material & Anchors ------- ------- ------------------------------------------------------------------ ------------- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing ---- --- - ---------------------------------------- - ---------------- ---- 42. Draft Stop in Walls (rat proof) -------------------- 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub ---------------- --- ---------------------------------------------- 44. Headers & Beam -Size & Bearing "Ingle & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. _ 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits 53. Stairs: Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer _------- __ 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls: Nailing -Bolts 59. Insulation -Walls -Ceilings ----------- - 60. Infiltration -Walls -Windows --------------- ------------------ Card B-1 Date Card B-1 Date Card B-1 Date Card'B-1 Date FINAL (Plans) OK except f1'§ 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector -------------------------- - 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meth. Protection 64. Bedroom Exiting -------------------------- --- 65. G.F.I. & Bath Fixtures & Tub Access -Spa `+ + ------------------------------ 66. Elec. Trim & Subpanel: Breaker Sizes & Labels ----------- - 67. Stairs & Rails 68. Fireplace or Stove: Clearances -Hearth -------- ------ -------------------------- 69. Elec. Outlets at Wood Panel: Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance ------- -- - - ------------------------- -- 71. Elec. Outlets & Receptacles at Kit. Counter --------------------- ---------- ------------------ ---- 72. -Garage -Fire Door: Swing -Landing -Closer ---------------------- - 73.--A.C.-Duct in -Garage -Damper 74. Wtr. Htr Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection 75. Plb. Elec. & Mech. Equip. Listed for Location ------------------- 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection 77 Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.: Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No ----------------------------- 81. Stucco: Brown -Finish ------------- 82. A.C. Unit: Disconnect. Electrical, Plumbing ------------------------------- 83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well: Disconnect, Electrical, Plumbing - ------------------------------ --- 85. Exterior Elec. Trim: G.F.I. Receptacle -Underground ------------------------------ 86. Ventilation Throughout House ----------------------------- 87. ------------87. Glass Protection _88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged: Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval------------------------------- _ 91. Energy Compliance Certificate -Other Certificates •------ ------------------------------ - 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: ,i/ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICAT*A AND -PERMIT o il 77mml A9{�S ARCTEL �A'�ER._ . • zON i5 y1 Q BUILDING PERMIT 'VVNER SO. FT. OCC. BUILDING VALUATION -D OWN AILI ADD ES O n� 617 /�5 C A fr� � L l� A E T O p4E� CO �tjTOR.%67WAILIN DDREss��z) rC-- (C�,u�J( > Fireplace CONSTRUCTION LFu_ `. c) 1/ UNKNOWN c Total Valuation $ Filing Fee $ 15.00 LENDER'S MAILINGD R s�v$y ��JV+/ Permit Fee $ A ,.0 ITECT OR RNGIN `� ` � LI Plan Checking Fee $ 2-40,0 D Energy Plan Checking Fee $ T R\EI •s AI IN ADDR Penalty $ NHI bD Es rn d- -a Permit fee $ PLUMBING PERMIT Filing Fee 15.00 . - J Each Trap 5.00 Solar or heat pump water heater 20.00 LOT 30. SUBDIVISION NAME PARCEL MAP 122--2 Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeA Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Instal lation' ' Other ❑ Describe work: 7 o, _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service sOov200A OR LESS OR LESS 18.50 Main service 200ATO1o00A) CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Profes�ip s Code y license is in full grce n ffect. License .J 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) FJ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST./ DWELLING OCCUPM OR ADDNS. ( ACC. BLDG S. II _37.50 3.54 sq.ft. NEWCONSTR ULTI.OUTLET NO N.R E." BRANCH CIRC ITS /1 500 l: POWER APPARATUS IN (SINGLE OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES 20 760 Ex. Occup. OUTLETS (RESIC.)REA.� IA 1 3.001. Temporary service 15.00 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. 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 shall be deemed revoked. MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling Hood 6.50 Ventilation permit Fee $ L 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 upo the above-mentioned property for inspection purposes. I also agree to s e, indemnify and keep harmless the County of Butte against all liabilitie u ments, costs, and expenses which may in any way accrue ains I Coun in consequence of the granting of this perm't. X Date Si nature of A lira owner g pp ❑ Contractor ❑ Agen ' T 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 S 70,00 Ener Inspection Fee $ gY P OCC CONST TYPE TOTAL FEE $ lGtS�oD HAz I DF S I IMP I F CDF PARC PD I HD ISS This permit is hereby issued under the applicable provi- sions of the B e Cou y Code and/or resolutions to do work Indic e e f r which fees have been paid. I T OF PUBLIC WORKS By A-15— Date%Z,�d-S% PERMIT EXPIRES Date / z - Z -o — 9 Receipt No.'" Q:313 WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENTs,OR PUBLIC WORKS -BUILDING DIVISION 't 7 COUNTY CENSIi,DRIVE - ORQUILL` �A IFORNIA 95965 -TELEPHONE: 916/536-7541 �.LL W PERMIT APPICATI.AN DATA SHEET OWNER Proposed Building Use 0A1 ') Permit No. c A. P. 5 C Building Inspector Date - 3 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVEDl All items have been submitted . .................................... 2 Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8 Engineered truss details and layout in duplicate (required prior to plan check) 9. obilehome installation data including manufacturer's installation Instructions....................................................... 10. Fees of $ 11. 12. 3. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. ,Chico Urban Area fees paid .............. ...................... Parkfees paid .................................................... Scho I District fees paid .............. Z D Sanitation approval from X21 Health Department �e... 2. City of Chico plumbing permit ..................................... P-e� Q,.eN� p� Plot plan and business license approval from City of I If (see City for other requirements) N 1-4c -L+L• Planning approval for (A) Use: (B) Parking: ...... L, � 1 /4-2-3-1/ Improvements may be required. Contact Land Development Section DPW Fee, �'� Driveway permit (construction approval required prior to occupancy) Pre -Inspection for required Pre-Inspec.request to Building Inspector (Date) Contractor's license information (No., Name Style, Classifications ... Certificate of Workmans Compensation Insurance .................. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... Recorded copy of Agricultural Acknowledgment Statement ......... 4fetter of signature_authorization................................... ' When you issue the ermit, process as follows: Mail o owner. Mail to contractor. Telephone and hold for pickup at , office. Deliver w/inspector. Other _ Applicant .Date 9/( Copy of Hdz-Mat form sent Health Dept. Fire Dept. air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data_ prior to perm) n e: (Circle nem&=i4ew=nat=&hejeked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone---nail—counter by ..date Contractor, designer, owner, w s advised of above required data by—phone —ma ll—counter by date Plans checked by Date a" Plans approved by Date 12 Sets of plans on hold in File cabinet AP folder Copy—DPW ,A ,Chico Urban Area fees paid .............. ...................... Parkfees paid .................................................... Scho I District fees paid .............. Z D Sanitation approval from X21 Health Department �e... 2. City of Chico plumbing permit ..................................... P-e� Q,.eN� p� Plot plan and business license approval from City of I If (see City for other requirements) N 1-4c -L+L• Planning approval for (A) Use: (B) Parking: ...... L, � 1 /4-2-3-1/ Improvements may be required. Contact Land Development Section DPW Fee, �'� Driveway permit (construction approval required prior to occupancy) Pre -Inspection for required Pre-Inspec.request to Building Inspector (Date) Contractor's license information (No., Name Style, Classifications ... Certificate of Workmans Compensation Insurance .................. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... Recorded copy of Agricultural Acknowledgment Statement ......... 4fetter of signature_authorization................................... ' When you issue the ermit, process as follows: Mail o owner. Mail to contractor. Telephone and hold for pickup at , office. Deliver w/inspector. Other _ Applicant .Date 9/( Copy of Hdz-Mat form sent Health Dept. Fire Dept. air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data_ prior to perm) n e: (Circle nem&=i4ew=nat=&hejeked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone---nail—counter by ..date Contractor, designer, owner, w s advised of above required data by—phone —ma ll—counter by date Plans checked by Date a" Plans approved by Date 12 Sets of plans on hold in File cabinet AP folder Copy—DPW DEC L-6 191 10:1. -7 7o OF LIA 1 -Tr" 0 R N I A DEF AR's OF ON AT ie):2 0 B y CDRED02 DECAL : l-'AR501 4' MANUF; UNKNOWN TRADENAW-SI GNATURE MODEL:. UNKNOWN,1., jil MAMUF'AC'rLJREI) ON: 00-00-80 FIRST SOLD -ON! 00-00—Ew. 1 RATING YR' .NONE ORIGINAL PRICE CLASS; AM7 REG EXPIRATION DATE: NONE ILT EXEMPTION; NONE LISF: MH SNCL.E FAMILY TAX TYPE': LOCAL PROPERTY' SERIAL NUMBER(,V)' A6SC1,104 I ADEL./INSIGNIA NUMBER(S). LENGTH WIDTH 1605107 ' B6$C i 104 528 144 C&SM104 16090.8 492 1141, D6SC*1 104 16()90.9 192 141 6 5 2'0 F(ECORD COND: 47 "NO PARK F'URCH,'': -BUND EXEMPTION ESTABLISHED 35 UNITTr -Wq.VFEr\,REl) TO LLT UPON VOLUNTARY. REQUEST REG -ISTERE)D 0WMER::',-'DUr:.Y DA'vl_lD/MAR.jQF<y LAST REG CARP: 05-01 —9* P0 BX 0 r RL.4T RAINCH, CA 2 LOCATION ADDRES-.,b HOME PLACE LOOT' "OREST RAMCH CA 95942 BUTTE E G A t. 0'.J !4 E.'. R, LA:; T T i'r t. C' 6 9 0 2 'ACRAMENTO CA ?5826 PZ'R FE C T E D Gig 0 .7-90 P, T 5 0 if if it ND OF TITLE SEARCH 0 +�BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM �.; (One Form"per Building) t y A. P Number"' p- 3� .a. Building Department No. �' 4 Cit D County � Jurisdiction School : District ,� (,� S /"�, y Property Ownerv� or..� Project� Location/Address (� �� F=�B-�y�p.��G e loon OL Subdivision, ' ,'f r Lot Number Residential Development: rY .• =,oar'' ' �r ° Sq Footage / -7 -7 f # of- Living HI Addition (Group R) . Unitsl' Commercial/Industrial:. O Sq. Footage New Addition (Including Exterior Roofed Areas) Building Department Representative Date (Floor Plans reviewed by School District Personnel) District Id No. [ A/ P 7;�� School District certifies that j d / (Applicant Name) PQ Bim/ 80% (Phone Number)) (Street Address) t4`ice ( City) ( State) ,-(Zip Code) has complied with the requirements of Resolution No. Y by the payment of $ C� representing / 77� square feet. School District7 nepresentative Daae - w PAID BY CHECK NO. BANK NO PAID BY CASH- / white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) 13'-4" '• - TUB _ O GARDEN 0 12'-0" I BATH I DINING MASTER BEDROOM - I I6'- o"' 'PLAN 182. MpNome Systems, Inc. Rancho Cordova, CA 95670 (916) 635-5332 FAX (916) 635-7054 Movie �IOBi1E Ce CWCo WV9 , I 3130 R.rDT A „443-5611 21'-4" I ,I ❑❑ -- -- FREEZER � D WH OPL DESK SPACE L - KITCHEN UTILITY :w L_ OPT. BRKFST E � BEDROOM 3 H 2 CL LIVING ROOM FAMILY ROOM BEDROOM 2 I I 18--8" 66'-8 CATHEDRAL CEIL14G MW Home Systems Quality For- 5/91 EXTERIOR , . • Heavy "I Beasteel frame w/outriggers • Transversem floors w/2x6 floor joist on 16" center .,:} ; E 100 Amp electrical service • 16" front overhang • R-14 blown ceiling insulation, R-7 in floors & walls • Kraft back insulation barrior in sidewalls • 30 Ib. composition shingle roof • Residential, painted hardboard 1/2 in. siding • 4/12 roof pitch (nominal) on all 26'& 28' wide • Beautifully designed exterior on all homes • 30 gal. electric water heater • Energy efficient gas down flow furnace • White framed residential windows • Beautiful porch lights at all exterior doors INTERIOR • Designer wall coverings throughout • Spectacular cathedral ceilings per plan • White painted flush passage doors • Blown acoustical ceilings • Stain resistant carpet. • Large W/I wardrobes—most models 1 cnico � V� 3130 .i��"�'VAT.3tB 611 C'HICr�, 'q 95926 Discriminating Buyer • Entry closets—most models • Designer light fixtures • Designer window treatment • Potting shelves, soffits, & louvers, std most models • Silent electrical switches • Bullnose closet shelves KITCHEN • Spacious cabinet systems with decorative pulls • Overhead lined cabinets • Built-in drawers in kitchen • Free standing gas range and oven • Brand name refrigerator • Range hood with power exhaust fan & light • Gourmet islands --some models • Double cell built-in sink • Color keyed, self -edged laminated counter tops—all white appliances & fixtures • No -wax floor S"Pwd Quality in Every Detail Due to continuing progressive product improvement, prices and specifications are subject to change without prior notice. These homes conform to all FHA standards in effect at time of manufacture. Square footage is measured on the basis of exterior wall and is an approximate figure. Length indi- cated in floor plans is floor length only. Add four feet to arrive at overall length when hitch must be in- cluded in your calculations. Renderings and diagrams shown here are meant to be representative may vary in some details. All dimensions are nominal. Ask your dealer for specifics. MASTER BATH/GUEST BATH • Beautiful garden tub with 36" stall shower—master bath only, most models • Spacious cabinetry • All white bathroom fixtures • Designer wall coverings • Large Panoview mirror • Bathroom fixtures included • Self -edge laminated counter tops CUSTOMIZING OPTIONS • 1/2" sheetrock tape & texture • Beautiful wood -burning fireplaces • Fine built-in hutches & buffets Entertainment centers • Discriminating dormers • Relaxing porch systems • Glamour kitchen package • Deluxe Elevation NOTE: Many other options & features available. %t& Home Systems, Inc. 11320 Amalgam P.O. Box 265 Rancho Cordova, CA 95670 Ph. (916) 635-5332 FAX (916) 635-7054 V t "P Home Systems, Inc. Rancho Cordova, CA 95670 (916) FAX (916) 63�54 Moto MOME Cewrost- CHICO� 3130 ESPLANADE CMCO, CA 959'.7-: 13'- 4" 12'- 0" 21`4" 9'-4" 1O. -B, • -I I I I Pm O GAiUBN O• O O O❑ -- L-- FRE IF_R r D wH O - OPf DESK SPACE L- KITCHEN UTILITY i w L_ • OPT. BATH 1 DINING BRKFST FAU N. `,�' PANT. BEDROOM 3 O 3 �� OO BATH 2 CLOSET CL MASTER LIVING ROOM FAMILY ROOM BEDROOM 2 BEDROOM 16'-d' 18'-8" IB' -B° 13'-4" 'PLAN 182 CATHEDRAL CEILING i 0 V Honw Home Systems Quality Fort T 5/91 Z Heavy I:BearVsteel frame w/outriggers • . Transverse.floors w/2x6 floor joist on 16" center 100 Amp electrical service • 16" front overhang • R-14 blown ceiling insulation, R-7 in floors & walls • Kraft back insulation barrior in sidewalls • 30 Ib. composi ion shingle roof • Residential, painted hardboard 1/2 in. siding • 4/12 roof pitch (nominal) on all 26'& 28' wide • Beautifully designed exterior on all homes • 30 gal. electric water heater • Energy efficient gas down flow furnace • White framed residential windows • Beautiful porch lights at all exterior doors INTERIOR • Designer wall coverings throughout • Spectacular cathedral ceilings per plan • White painted flush passage_ doors • Blown acoustical ceilings • Stain resistant carpet. • Large W/I wardrobes—most models s• o' mowl,§ Cehter Inc CWCO up Illy 3130'ESFI.AN343E 611 �IIOA, CA 95.926 Discriminating Buyer • Entry closets—most models • Designer light .fixtures • Designer window treatment • Potting shelves, soffits, & louvers, std most models • Silent electrical switches • Bullnose closet shelves KITCHEN • Spacious cabinet systems with decorative pulls • Overhead lined cabinets • Built-in drawers in kitchen • Free standing gas range and oven • Brand name refrigerator • Range hood with power exhaust fan & light • Gourmet islands --some models • Double cell built-in sink • Color keyed, self -edged laminated counter tops—all white appliances & fixtures • No -wax floor Quality in Every Detail Due to continuing progressive product improvement, prices and specifications are subject to change without prior notice. These homes conform to all FHA standards in effect at time of manufacture. Square footage is measured on the basis of exterior wall and is an approximate figure. Length indi- cated in floor plans is floor length only. Add four feet to arrive at overall length when hitch must be in- cluded in your calculations. Renderings and diagrams shown here are meant to be representative may vary in some details. All dimensions are nominal. Ask your dealer for specifics. MASTER BATH/GUEST BATH • Beautiful garden tub with 36" stall shower—master bath only, most models • Spacious cabinetry • All white bathroom fixtures • Designer wall coverings • Large Panoview mirror • Bathroom fixtures included • Self -edge laminated counter tops CUSTOMIZING OPTIONS • 1/2" sheetrock tape & texture • Beautiful wood -burning fireplaces • Fine built-in hutches & buffets • Entertainment centers • Discriminating dormers • Relaxing porch systems • Glamour kitchen package • Deluxe Elevation NOTE: Many other options & features available. fiaHome Systems, Inc. 11320 Amalgam P.O. Box 265 Rancho Cordova, CA 95670 Ph. (916) 635-5332 FAX (916) 635-7054 I ,.,..,.y +� M a QV WN CZTS-6ZS(9T6) jime G38-JZI-UaO awoH attgoW TO �.. Building Department .FROM: Environmental Health, SUBJECT: Sanitation -Clearance ' A✓t h % e�z �� �cro-3 i - Z6 Owner Location AP# Plan approved for: Sewaqe Disposal Water Supply Hold final for: Water Supply Final clearance O.K. for: Water Supply Clearance for, bedroom mobile home.' Other �' !rr *n1t Arw, a'rr`e^.�.�,'k+,�rr2;icirs'yl5taeti•'hr. err,..:....-.«. -....: r+.,.•..��Mdt*R+r�NIMl9rt"Mr�,"Mr•+^"rc�.Q ^«r 1 •, � :t { r r.fn ��k� i•Jaryl � , ` ' ' . ,' '. J�b a','�� i'� h , �.{ t "_ s J� •. r;'. From Mobile Home Center -RED BLUFF (916)529-5123 �� ;.rP03 � s r! �s � yt �r ,Y�d at �,. t•t {,,,, SA �1 + e,t.. i.tt J x.+t a�„' h �.fK;'w t. c;t,,'sW��!'J♦Ss ° •."�yelayyr�'��rlw� ' • t aF ,-.•r - :� t ; y i Y. °•' 1r hJ Ka iryAtp t '��'f�;�?,u j tY: a � •�--� � .'' '.i � �,t 'Z �' ,,�;r`��l }.:iJ X. ^x"F�+tr����i i} .•v W1j.s ,i�����j r�r 7Se}f�tif dFt' `'i ir, ;•:�1 . 'f" � i;,'. t, � ,: syy�,� ��� i�t,•R�r� � �ys1-;���/" ��i+,l,.: rt rr,i rrt!'�.e. �'+� t.�+v.'• 1 ••f + � � .' ,.r .. ... .�„ `•• yt .F K.t ,�."4` 4,'iy �„ "L�.,•�rj �hl+,•Cy�,-c{�"C•rJ ;� tr" t'��Y1!''1 �/ I��'A}j6r err Y. ' ��// i''�'--� •t,�'ri,�Y,t•• �}e4�t�MM r�(�T•�,�' �i'�,� 1 �L�.�A7�tf � a•.•, 't.� :�71t. �.�M.*,�°{' J :i` t5 a; t' •� � Ft. r+ yR$9! f'f' Xj i !� ty4 i :lf ..`t '°'r �. }'���xfJ�\f�'7",`�r+fyk;hi•[ ,� � •• 3 � 11 J,:'��`�.�� ���`i±����t} �'! x 'dam ` •v.. 4' ,r'tr�, ii i (Z }?�'J '��.. +' .•: � �' .'fit �'���.;.• r. �l �� "�/�,ti, \�`' r t CEJ ��1 r � y,1 ih S!_.h i t1{t ..� r.^�.'� � `r4 �l `• �s •, � 'n.� jK ` t, / \ I it � rK 't,+4r� �t t' �. � ' r� a +!�. ,t' •�+ t> ,•\�,. (•� �o `1` '•, ,�'• e� , l/� t� �, t;•. •F+ df�C�3+r�{ $'{C't`�'4� ° rS' •t• �,,: r ' v ft 'J'•• Q j C i>'• w,f, �. y i.. : � ' �. tt' 3 • i a ; � a �.� � M.q�y . tom' , t.LUfS',f•,' •°.(i_ � •. ` t ! S T '.3 +,a r 7ti.}. �a..l��i`-���'.. + �+ if��!* rx� "ir'f� � }.• 'f'�. hA:.., �,�� tr,�.T zr�ri.�Aht ���,�jr`�'-� ,., J ,iR ' ••t C. •� ILA �� ��; I ' � II LI91�� ,c• Ililt I Ems, ---a----- %�! Home Systems, Inc. Rancho Cordova, CA 95670 (916) 635-5332 FAX (916) 635 i c?"1..�s$S:r Itis. r SCO � � 343-5511 3130 �„ PL hYA-1�- CiflC`J, CA 959 i-6 CATWWAL CE:L NG zI'-�• s' -d w' -e• i i I i Tu L- p- KITCHEN c UTILITY i f • I nl 1`' li BATH 1 _ rVT �- BEDROOM ml \01 N QDlE! > C MASTER LIVING ROOM FAMILY ROOM BEDROOM 2 BEDROOM _ BU's nviror, CATHEDRA_ CEILNG Plan 182 28'x 668" APPROX. S.F. 1792 �i With the • -. -. quality . "PLUS" Features-----' -. 9/90 EXTERIOR. CONSTRUCTION • 6" save standard, 28 wiles (16" eave optional) 4/12 roof pitch (nominal) _. • Exterior tri -color trim on front and entry sides • Detachable hitch • 30 Ib. shingle roof • Front roof overhang • Decorative cottage outswing exterior doors • Residential, painted hardboard 112* siding • Exterior porch lights at all sxterior doors • Fib9rgiass Class "A" shingles INSULATIO-N • Floor R-7 • Sidewall KR -7 • Roof R-14 blown Rockwool APPLIANCE AND ELECTRICAL • 100 AMP electrical service • 30 gallon electric water heater • Gas downf low furnace MASTER BEDROOM • Delight carpet - • Painted chair rail moulding • Spacious cathedral ceiling • Large walk-in wardrobe (most models) • Decorative draperies on traverse rods LIVING ROOM. DINING ROOM. DEN • Spacious cathedral ceiling • Decorative Draperies on traverse rod • Delight carpet • Deluxe chandelier • Beautiful painted chair rail moulding MASTER AND GUEST BATHS • Garden Tub with separate stall shower (Master Bath) (some models) • ABS tub with shower head (guest bath) • Beautiful self edge laminated countertops • Decorative no wax vinyl flooring • Standard base sholves in cabinets • Textured ceilings UTILITY ROOM • Decorative no wax: vinyl flooring • Convenient overhead shelf above wa0er and dryer area • Textured ceilings PLVS ADDITIONS • Decorative gypsum wall paneling throughout • Blown acoustical ceilings • Passage doors simulated oak with metal hardware • Ask your dealer or sales counselor about the additional standard features Due to continuing progressive product improvement, prices and specifications are subject to change - without prior notice. These homes conform to all FHA standards in effect at time of manufacture. Square footage is measured on the basis of exterior wall and is an approximate figure. Length indi- cated in floor plans is floor length only. Add four feet to arrive at overall length when hitch must be in- cluded in your calculations. Renderings and diagrams shown here are meant to be representative may vary in some details. All dimensions are nominal. Ask your dealer for specifics. KITCHEN • Spacious cathedral ceiling • Decorative no wax vinyl flooring • Nominal 14 cubic foot single door refrigerator • 30" free standing gas range • Powered range hood with light • Spacious two cell porceiain sink • Base shelving in all cabinets • Painted cabinet interiors on overheads • Textured ceilings CUSTOMIZED OPTIONS • Optional 12" sheetrock textured and painted walls • Oak cabinet system (per model) • Optional fireplace • China Buffet - • Optional bookcase/entertainment center • Walk -a -Bay Windows—Tower II windows • Optional pantry and freezer space • All electric home • Redwood entry porch • Residential roof dormers • Starlite window dormer (per model) NOTE: Many additional options/features available. Ask your dealer/sales counselor. 4: ��J Home Systems. Inc. 11320 Amalgam P.O. Box 265 - Rancho Cordova, CA 95670 Ph. (916) 635-5332 FAX (916) 635-7054 }impel ti82 I bo: aze L I MB A- O AL -F i'1N-Lil-ltlde �DilC tiWCS l C� J11 C dYY 4LJl Vuo a supports at bearihs poi: is along the centar- line_ The snpportK (Jaz : s) Nast have a uQs- cit.y that mill suj►port t h= ridge beans lands' The chart ioditaLes the ridge Dcaa Lands in pounds, and the le>catiocs fer footings aAd supporta at bearing ppicts Along the certer- 12". The size of footi r ss -1�re shown is Sq- for q-far various soil eonl,icioas. A support pier should b*t : selected fot each location indicated for;--cur,model. he ca? City of the support pi f:. shzL11 De co e'qaal or greater than the p I rc a required in the ridge beam loads col cin the ckart.- For additional footing -ego'.ir~Dts tef er n to the hoe installati -r manual_ Picrs 6 fa>tings Requirecents C .� E F � 9 ; 2 $O�Cv 52�a Co�Z S�b� So��. 35ob � :35-7 404- 756 959 t i• coo t��`-"A COAD3-19ASo 6�31581 L� i 5 1000 �. soil en, 0 400 capacite* l footing 2000 sq.in. i'1N-Lil-ltlde �DilC tiWCS l C� J11 C dYY 4LJl Vuo a supports at bearihs poi: is along the centar- line_ The snpportK (Jaz : s) Nast have a uQs- cit.y that mill suj►port t h= ridge beans lands' The chart ioditaLes the ridge Dcaa Lands in pounds, and the le>catiocs fer footings aAd supporta at bearing ppicts Along the certer- 12". The size of footi r ss -1�re shown is Sq- for q-far various soil eonl,icioas. A support pier should b*t : selected fot each location indicated for;--cur,model. he ca? City of the support pi f:. shzL11 De co e'qaal or greater than the p I rc a required in the ridge beam loads col cin the ckart.- For additional footing -ego'.ir~Dts tef er n to the hoe installati -r manual_ Picrs 6 fa>tings Requirecents C .� E F � 9 ; 2 $O�Cv 52�a Co�Z S�b� So��. 35ob � :35-7 404- 756 959 t i• coo t��`-"A COAD3-19ASo 6�31581 KA AN AVID -BB --)AD SYSTEMS' 'NC' �dr-�VAtl1 GI4AKT (.y L� i 5 en, 0 400 7 C KA AN AVID -BB --)AD SYSTEMS' 'NC' �dr-�VAtl1 GI4AKT (.y • f t BUTTE COUNTY bEPARTMENT OF PUBLIC WORKS' 7 County Center"-Driv`e, Oroviile; )CA PHONE: 538=7541 MOBILEHOME INSTALLATION SHEET I., Owner's,Name: v� 2. Installer's Name: 4 �' (�e N 3. Is the site currently under permit? Yes No f (If yes, furnish permit number ) OR Is- th-e site an existing site? Yes No a (If yes, furnish two plot plans.) 4. Will the, mobilehome be located at least 5 ft. away,from septic tank and leach F. fields and clear of all setbacks and easements? Yes No F-1 (If no, clarify 5. What 'is the mobilehome electrical rating? --------------- a Amps . 6. What is the mobilehome site service rating? --------------- ---------- Q O Amps 7. What is the .mobilehome site circuit .breaker rating? Amps 8. Is there any other electric load to be served by the 3 mobilehome site service? ---------- Yes-=----------------- v No (If yes, identify the load andv size: (.Load) (Amps) , J• t't. •�r .75 air' 9. What is the mobilehome.site.gas pipe, size?..-----= ------ ' (in.) 10. What is the type'of gas ser'vice?----=-------------- Natural F-1 LPG F-1 .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 th.av �.j natural gas or less than 50 -ft. on LPG,) �AVCN COUNTY OR BUTTE BUILDING DEPT % 0 '1) MOBILEHOME SUPPORT DATA If other "than single wide, Mobilehome Mfr._AL&?�l _ .5furnish Setup Model No. Year"Isg Width,W $ (ft.) Box Length,6LE(ft.)---Tag`a'long or Expando Size f—�ft. x ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one). Wood -pressure treated or foundation grade. 2. Other (specify) SUPPORTS (check ,one)Concrete block. 2. Other` (specify) Pier Footing%Sizes and Locations SINGLE -WIDE Main Beams Line 2 Main Beams .4—Line + Tag or Triple _—i.ine 4 .� Line 1 Line 1 Piers: Line 1 Openinge: Size -Min. ------------ k Size -Min. ---------------- . k „ Spacing -Max. �'------- ,_ „ Each Side of Openings From Ends -Max. ------- '- " With Width Over --------- Line 2 Piers: , - Size -Min .------------ Spacing -Max. --------- From Ends -Max .------- '. Line 3 Roof Loads: Q2�� size -Min. --- - ---0 rifCJ ',X_qD„ Location (From Front) / '-/)`/" �n Line 4 Piers: Size -Min .------------ ,k „ Spacing -Max.--------- r n From Ends -Max .------- Line 5 Roof Loads: Size -Min.------------ Line 3 Piers: (Under Bearing Wall Only) Size -Min ------------------- Spacing-Max - ------------------ Spacing-Max---------------- From Ends -Max .------------- +- + a9"ir MM :f11 M2HHNWa II F NW-W��®® ,3.--- Size-Min .------------------ ,k „ Spacing -Max.--------------- From Ends -Max .------------- '_ u Location (From Front)I ut. 335780P,E PERMIT NO. PERMIT EXPIRES John R. Dobson OWNER CON7R. owner LOCATION (A.P. 56-24-9CE'f-hri, 101 .: ) E/S Home.Place Loop, app.1200'N.of Head- waters Rd., Forest Ranch r i; A` I• / � C Temp. Power ole .�. Called G&E Temp. Elec. Serv.__� o Cal.ed PG&E A em fGas Serv. Called PG&E I ' JOB �— O FINALED (D ) ignature) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY I& This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit I umber for the following location: -+� � G :�tr�-s.ti n .Ct�".��. �. .'�../'!-s%ya t 1 fJf1 r/"✓ h�- _ -%U/_` r-�/-r,y+ Owner Owner's Address �t- Mobilehome Mfg. of -- Modelle" "1.4 L�-�-'-Year Insignia No. -Y.07 147 Serial No1//,W -4Rr- n It is hereby certified for occupancy at the above described location and may be occupied. Director•of Public Works r Date /x" -7- By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70 7 County Center Drive, Oroville — Phone 534-4541 Skyway and Elliott Road, Paradise — Phone 877-343E- CORRECTION 77-343E CORRECTION NOTICE MMM BUILDING OR PROPERTY ADDR A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. COUNTY OF, BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING , BUILDING (Cont'd) PLUMBING Set'kack FI wall ,S ON Pipin Form ts 1s Floor Main Idg. Finish 2nd loor Foo 'n s s 3rd F or Stem II ®Roofing To out Slab heath Water Pi in Piers i Sewer Garage Fdn. Vents Fixtures Footings Stemwa l l Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physicall handica ed Conformance of ex. structure Appliances Gas Piping &Test Temp. as Slab Final 4 N Sanitation Patio 1A REP L CE Final Footin s Footing ECTRICAt Masonry Wall Throat Rou h Reinf. St el Final Fixtures bona t3 am /FIRE SPRINKLER,% Motors Framinal Test Water Htr. Stucco.- Final Sub anel Mew MECHANICAL Grd. Fa t Prot. S atch Heatind Servic lAown CooIA/g Te p. Pole finish I tenor Lath oor Closer MOBILEHOME UTILI Water Piping 7— MOBILEHOME INSTA Water Piping DATE Final ----------------- Elec. Service ?b Sewer — – IQ ON -- ----------Support rainage REMARKS OR CORRECTIONS_ �, a �.. • —.. Kinal Elec. Pedestal Gas Piping ! l7 Elec. Continuity — Gas Piping W D (NOTE: An entry must be made on this form each time you visit the job site.) ti 9. .Electrical •. �' A. Is service large'eou ngh to provide adequate, amlperage- to mobileLiome'(mus.t equal rating,!. -of mobilehome with a minimum of 100-amp),'and other facilities on lot, i.e., wattr 4mps`-f' garage, cabana, etc.? Yes_ No_ " B. C. D. ;Is the e proper clearances around panels? Yes No Is power supply cord -or feeder assembly properly fused? Yes_ No_ Is continuity test satisfactory as.per the following procedure? Yes_ No_ 1. De -energize electrical wiring system of the mobilehome at the pedestal. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 2. 3. Switch all breakers and switches in the mobilehome to the "on" position, 4. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure,. the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of theelectrical tests, the lot or site service equipment may be approved for energizing. , 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA Manufacturer and/or Namestyle Lengt4 Vehicle Serial No. State Identification No,�(p� /� �Aq-4>C 07 Additional Information or Comments: el -VOL 1 '..- MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located with required separation from lot lines and buildings and generally conform to plot plan? Yes_ No 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes_ No 3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes_ No 4. Is the mobilehome level? (Sec. 5088) Yes_ No 5. If more than a single unit, are crossover connections properly installed? (Sec• 5088) Yes No 6. Water A. Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes_ No B. Test - Does water piping withstand working pressure or 50 lbs, air test? Yes_ No, C. Backflow - If coach is not State of California approved, does station have backflow device and pressure -relief valve? Yes_ No_ 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes_ No B. Does it have minimum V per foot slope and is it properly supported? Yes_ No C. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe? Yes_ No— D. If coach is not State of California approved, does station have required trap and vent? Yes— No� i 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft, long? Note: All piping is to be at least as large as the mobilehome gas line inlet without reductions other than the mobilehome connector. Yes No B. Test OK as per following procedure? Yes_ No_ 1. Open all appliance connector valves. 2• Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments, 'Test for 10 min, without drop, " 4, Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes No COUNTY OF BUTTE; DEPARTMENT OF PUBLIC WORKS PERMIT NO� / 7 County Center Drive-,Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSES R PARCEL NUMBER " • ZQNING • BUILDING`PERMIT O R 51 TEL PHONE SQ. FT. OCC. BUILDING V ALU ION NER'S X(LING/SDR ESS = ,;- TR.0 OORW NA E, • / TELE HCE - /OITRACT 'S MAILING ADDRESS CONSTRUCTION LENDER UN ,0WN Fireplace - - �TOtaI Valuation $ ' LENDER'S MAILING ADDRESS - Permit Fee $ ARCHITECT OR ENGINEER - . LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING. ADDRESS I Permit fel - $ BUILDI ADDRES PLUMBING PERMIT. Filing Fee 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO. SUBDIVISIONNAME PARCEL MAP Each qas water heater or vent •2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New ❑ - Addition ❑� model Q Utilities ❑ st l lation Other ❑ Describe work: ,L/a� ar�.+t� — ` Permit Fee $ Contractor ELECTRICAL PERMIT. Filing Fee 3.00 OR L Main service 10000 AMP ORSLESS 5.00 • * Main service EA. ADD'L 100 AMP 2.50 NEW CONST DWELING OR ADDNS. ( ACCLBLDGS.CCUP.&) 21tsgft - CONTRACTORS LICENSE LAVJ I declare under penalty of perjury (check one): 1 - ' 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.,5-YM%r 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 - NEWi•aesio R BRANCH MULTI -OUT LET ITS 2.50 ea NEW CONSTR POWER APPARATUS a NON RES D, - ( SINGLE. OUTLET CIR.- / Ex. Occup( OUTLETS OR FIXTURES 50L�` BAL�1oc Ez. Occu FIXED APPLES, OR \ p•(DUTLE TS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one):., ❑ The permit`is for $100.00 (valuation) or less. ' ❑ I have placed,on file,with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. �Q I shall not employ any person in any manner so as to become subject to the W. C. laws of California. a 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 Filing Fee 3.00 Heating Cooling Hood 2.00 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 agains s id County i cons ueGnc of the granting of thi ermit. �I Date Q Signature of Applicant — Owner ❑ Contractor ❑ Age t ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE OCCOP. GR00P I TYPE OF CONST, [77b I HD ISSUE f� This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO F. PUBLIC By PIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date %rJ"'/'� �/ v Receipt NO. l �Z WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT - *if center piers are other than drawn above, draw in -locations. enacina•_ and dimPnGinna_ MOBILEHOME SUPPORT DATA If'other than single wide,- Mobilehome Mfr. �: ",' furnish � Setup Model .No:. Year Width ft. Bo L ng4 -;� (ft) Tagalong -.or Expando Size ft. x ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October,7;..1973;-;furnYsh.manufacturer's installation ' manual and structural setup sheets'(if not on file with'.the..County of Butte). "Wf All center supports measured from or mobilehome unless otherwise'specifie'd. . . t ,� \� ti' • .. -° . `; r ��� . Foot Ings, ,(check one) Single. 1.., Wood either pressure treated or (� foundation grade. (ft.)(in:) (in.) (in.) „ �, 2. -Other (specify) Center support locations* Center support footing sizes- Supports'(check one) (in.) 1:` Concrete block. .-2: +Other (specify) (ftj(in:) • 47 ---Tagalong or Expando show 'support details.. (ft.)(in.) (in,) (in.) -- Typical Support (in.)' (in.) Footing Size , (ft.)(in.) in. (in.) MAX. -- Max. Pier Spacing Max. Overhang (ft.)( (in.) (in.) (in.) J *if center piers are other than drawn above, draw in -locations. enacina•_ and dimPnGinna_ 1. Owner's name: 2. Installer's na BUTTE'COUNTY DEPARTMENT - OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE:.534-4541 MOBILEHOME INSTALLATION SHEET 3. Is the.site currently under permit? Yes /7 �/ No (If yes, furnish permit number a ) 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.N / No ( If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- / Amps 6. What is the mobilehome site service rating? --------------------- �D�_ Amps 7.. What is the mobilehome site circuit breaker rating? ------------- ��� Amps 8. Is there any other electric load to be served by the mobilehome siteservice?--------------------------------------------------- (If --------------------\-------------------------- (If yes, identify the load and size: (Load) 9. What is the mobilehome site gas pipe size? ---------------------- Yes No I" / (Amps) 10. What is the type of gas service?,--.--. -------------------------- Natural 11. What is the gas pipe length from meter or tank to the mobilehome? 12. What is the mobilehome gas demand? ------------------------------ (This information not required if pipe length less thann66 ft. on or less than 50 ft. on LPG.) BUTTE COUNTY BUILDING DEPARTMENT APPROVED (in.) LPG / /. (ft.) (BTU) gas ddb _LN3W1d`dd3O SNI4II(_10—__ =3 ,l . _.__ _ f COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS County Center Drive - Oro .isle, California 95965 - Telephone 916/534-4541 7c�r,,,ZvC- PPLICATI0N I.ND PERMIT ` PERMIT N0. A55 DR P BUILDING PERMI WNE W- ®z, .E -LE HONES SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADF�py�� Ss (- CONTRACTOR'S NA'bT.E TF_LEr HONKi .. CONTRACTOR'S MAILING ADDRESS - CONSTRUCTION LENDER - UNKNOWN, I Fireplace Total Valuation ,$ LENDER'S MAILING ADDw RESy - ' Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS - Permit fee $ BUILD ADDRESS PLUMBING PERMIT Filing Fee 3.0 ���'sa Each Trap 2.00 Repair drainage or vent piping 2.00 C� Water piping do O f0� LOT NO._J7 SUBDIVISION NAME - PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets O. oOr O USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome Other SPECIFY Building sewer O.Ov /O. O Lawn sprinkler system 2.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities;K Installation ❑ Other ❑ Describe work: Permit Fee $ 53,0() Contractor ELECTRICAL PERMIT Filing Fee 3. Main service V OR L 100 AMP ORSLESS 5.00 ® O Main service EA. ADD -L 100 AMP 2.50 NEW CONST DWELINGOR ADDNS. ( ACCLBLDGOCCUP.&\ l 20 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 andeffect. License No. Classification K4 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 NON•RESID BRANCH CIRCUITS 2.50 ea NEW CONSTR POWER APPARATUS & ON RES (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 50@SQ 0C BAL@1FIXED APLNS. \ Ex. Occup. (OUTLETS P(RESID )KEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00'' c Mfsc. 6Viring 6.25 Permit Fee $ S Contractor WORKMEN'S COMPENSATION INSURANCE declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or Iess. ❑ 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. X I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Not a 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 Filing Fee 3.00 Heating Cooling Hood 2.00 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 agai t said ounty in n e nce f the granting of this permit. Dat 1 lure of Applicant - Owner Contractor EJ t ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Land Development Fee $ ®(� "TOTAL PERMIT FEE $ OCCUP. GROUP TYPE OF CONST, P\RC PD HD ISSUE his permit is hereby issued under ions of the Butte' County Code anc/or work indicated above for which DIR OR OF PUBLIC / By MIT•EXPIRES Date_. the applicable provi- resolutions to do f=_es have been paid. - WORKS 7 Date/—/o--may6 7'-.10— / Receipt No. WHITE-D.P.W., YELLOW- ASSESSOR'• PINK -INSPECTOR, GOLDENROD -APPLICANT r 4047-80B PERMIT NO. PERMIT EXPIRES John & Gladys Dobson- OWNER CONTR. Andks6n Awning & MH Serv., Chico 56-24-99 LOCATION (A.P. E/S Home Place Loop, app.1200'N.of Head- waters Rd., Forest Ranch cc ' "T1 7 1f t Temp. Power Pole Called/PG-E Temp. ElervCalleedE Gas Temp. Serv. � led PG&E JOB FINALEDAignature) jr COUNTY OF BUTTE — DEPARTMENT,OF PUBLIC WORKS . BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Sidin —z To out Slab Roof Sheathinpa, Water Piping Piers Roofing toSewer - Garage Fdn. Vents Fixtures Footings Stemwa l l Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for ph sically handica ed Conformance of ex. structure Appliances Gas Piping & Iliest Temp. Gas Slab Final 0 Sanitation Patio FIREPLACE Final Footings C Footing ELEC'1441CAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam F E SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Gird. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES------------------Elec- Service Elec. Pedestal Water Piping Sewer Gas Piping WO ULEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS -OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE - DEWRTMENT OF PUBLIC WORKS OPER IT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-454 t�. APPLICATION AND PERMIT , ASSESSOR PARCEL NUMBER S6. -,a ZONING u[ BUILDING PEF&TrT O ER • ND.Ci TELEPHONE .5q SO. FT. OCC. BUILDING VALUATION NE MAILIN A R SS r� n 2_ Cv v J / [ C TR CT 'SNATELEPHONE ' 3YA-6TV1 CONTRACTOR'S MAILING ADCS -4!91 ' ® C 7 5.9X7 CONSTRUCTION LENDS© UNKNOWN Fireplace Total Valuation I $ 1710 LENDER'S MAILING ADDRESS Permit Fee $ / , CJ ARCHITECT OR ENGINE LICENSE NO. Plan Checking Fee $ 660aVd Penalty $ ARCHITECT OR ENGINEER'S (LING ADDRESS Permit fee $��- BUIj..�((((ING ADORES `p PLUMBING PERMIT Fi ling Fee' 3.00 IV r RY -3-24 RD-ri.c Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO.SUBDI V ION NAME PARCEL MAP Each qas water heater or vent 2.00 , Gas piping system 1 - 5 outlets t USE OF STRUCTURE SF ❑ Duplex[] Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New P' Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: — -elk Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 OR Lo Main service 10DDD AMP ORSLESS 5.00 Main service EA, ADD'L IDD AMP, 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC, BLDGS. 22 Sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): �-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. 3?91 �C`&I % 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 NON -RES,., BRANCH CIRCMULTI.OUTLETITS 2.50 ea NEw CONSTR (POWER APPARATUS 61 NON -RES,D. SINGLE OUTLET CIR. / Ex. Occup(OUTLETS OR FIXTURES 50 @25C BAL@IDT OR ouTLETS Ts (R(RESESI,D,) EA.) 2.00 Ex, Occup. OUTLETS Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. 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 Filing Fee 3.00 Heating Cooling Hood 2.00 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 said County in c sequence of the granting of this permit. X �__, _ y,V �l �� �8d 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 stories in height. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE $ CJS occu P. GROUP I TYPE -57-7 I PARCEL PD HD SsUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC R OF PUBLIC By P IT EXPIRES Date_ the applicable provi- resolutions to do fees have been paid. WORKS Date y Receipt No. �l .7 pd j WHITE-D.P.W., TELLdW-ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT Complaint Date Other Date.Ile. o . BUTTE COUNTY, OWNER 'Address VIOLATI COMPLAINT: A.P.#� Zoning pp rlal�en By': h IG D OTHER 4 4- 4 PERMIT HISTORY ON FILE Q NONE AS FOLLOWS: FIELD INFORMATION TENANT: Name Address . Y Description of Violation. :( P T w OTHER COMMENTS: Approx. Bldg MH Size l�ue�.e. '4 Approx. 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CLAIM CLAIMANT: Stan .Tones ADDRESS: P_ n Rnx ZAJ CITY & STATE: Forest- Ra-n6h , CA— 95942 IMPORTANT: DATE OF CLAIM: May 16, 1989 SEE _ INSTRUCTIONS ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RF[Flvtmr. r_nnnc no.. ecouie DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT This permit was taken out by mistake. Building Permit #1436-89B,-. AP#56-32-26, dated 5/10/89, Receipt #37063 ui ing Permit Fees Paid ------------ -------- $27,50. TOTAL REFUND DUE------------------------------------- 27.50 TOTAL •. I, the undersigned, declare under penalty'of.. perjury _that the services or articles claimed have ee - claim is true and correct ea stated. _ per n a t e t this ' Dated thin � (oim del ere .. . L c� .....:... ...1....... day of19 ............... . ' � Stgnetur of let I, the undersigned, hereby certify that, to the best of 'my knowledge, the services or articles -specified above have been Performed. or de- livered and that there Is a Budget. Appropriation or .Specific Board Approval ❑ (Check on the s e. . Dated this 24th. day or ......:.MaY............. 1989, at .:.Oroville.....caur.. :....... apartment _ _ Head or Authorize u D ty. Dept. 440-002 EYP. 4210500. Code „Code PAYABLE FROM CoAtt. Permits ................................. ....................................................................... DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM.NO.= INV. NO. INV. DATE ENCUMB. FUND GROSS AMT. COUNTY -OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. 1 I ASSESSOR PARCEL NUMBER �(o - 2- — :. ZONING BUILDING PERMIT OWNER i 54-a 1 eS �p TELEPHONE o�15 3�% O SQ. FT. OCC. BUILDING VALUATION OWN R'S MAILING ADDRESS © ,6 D � 4! / 5J ' % U r c2- CONT_RACTOR'5 NAME - TELEPHONE ' CONTRACTOR'S MAILING ADDRESS /a., G c S !2 �; Fire CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee - $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 7.S"-0 ARCHITECT OR ENGINEER -. LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee S PLUMBING PERMIT Filing Fee 10.00 o - Each Trap 2.00 Q,Ve k Solar or heat pump water heater 20.00 LOT NO. - SUBDIVISION NAMEPARCEL MAP Water piping - 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF�Duple.❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home Is 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation U Other ❑ Describe work: —7- A., .5 -lC<. /Z GtJ B o�5 �� d/+` _-OW-0ozI54Ou e- i y:j4a u�e./�►r ,` � ' � Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 - ' i Main service 1100V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 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 ❑ 1, 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) 0 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 CONST. / DWELLING OCCUP.SI OR ADDNS. ACC. SLOGS. C /20sq ftNEW CONSTRMULTI-OUTLET NON.RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS e (SINGLE OUTLET CIR. - Ex. OCcup(OUTLETS OR FIXTURES 200SOt 9ALO 30 FIXED APLNS. Ex. Occup. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00. Mobile Home Facilities 15.00 Misc. IYirin 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g 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 inspect ion. purposes. I also agree to save, indemnify and keep harmless the County of Butte against all Iiab' -'ties, judgments, costs, and expenses which may in any way accrue again said County intcPnseeuenceof the ranting of this permit. X�� Signature of Appli ant- wner 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 $ Energy Inspection Fee $ TOTAL PERMIT FEE � �.� OCCUP. CONST.TYPEJ SCHOOL 7PARCELI PD I NO I ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS p By ate m� S PERMIT EXPIRES Date (/ �Recelpt No. -2 D % 3 NIT!-D.P.W., YELLOW-ASe935OR. PINK -INSPECTOR, GOLDENROD -APPLICANT M r r r- kPtRMIT NO. 4632-761!,E t s - PERMIT EXPIRES OWNER Del Halone CONTR. owner LocaTloN (A.P. MD2W4M 56-24-94,95,96,97,98, 1 E/S of Hwy 32, app. 4/10 m&le S..of Garland Rd., Forest Ranch C /ALED// r Poe - G . erv. 47-..? 0� G&E , cs erv. G&E / a r . 610UNTY OF BUTT-<= IYtPARTMENT�OF PUBLIC WORKS BUILDING INSPECTION RECORD 134tILDING BUILQING (Cont'd) PLUMBING Setback Firewall Soil Piping Mesh Forms Parapets 1st Floor Heating Main Bldg. Restroom Finish 2nd Floor Temp. Pole Footings Windows 3rd Floor Interior Lath Stemwall Siding To out Final Slab Roof Sheathing Water Piping Piers Roofing Sewer — 2 Garage Fdn. Vents Fixtures Footings Stemwall Garage Vents Insulation Water Htr. Heaters / Slab Carport Footings Prov, for physically handica ed Conformance of ex. structure Appliances Gas Piping Temp. as & Test Slab Final Sanitation Patio FIREPLACE Final Footings Footing LECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKIIERS Motors Stucco Final 4 Subpanels 4 7 CY-.3 Mesh MECHJ<NICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent f% 7i Door Closer Final Final / / /B DATE REM RKS OR CORRECTIONS 1000 / gam, (NOTE: An entry must be made on this form each time you visit the job site.) - COUNTY OF BUTTE —' DEII' ARTMENT OF PUBLIC WORKS 7 County Center Drive 5— Uro-•ille, California 95965 �j Telephone: 534-4541 �!- �ir7 6 7(4�) APPLICATION AND PERMIT A u,ac repreScniaU CJI I the UUUIILY UI oulte io enter upon the above-mentioned property for inspection purposes. X Date 9 Z V W Signature of Permitee or Agent Receipt No. '4S_� :3 --LP White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit 'is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. - DIRECTOR OF/rUBLIC WORKS BY Date i (ding permit expires Date T� _ Z�= 2 BUILDING Owner eL L o via- SQ. FT. OCC. BUILDING VALUATION Mailing Address Q, O ti �Telephone No. i"'j , 221 Fireplace Contractor Total Valuation Mailing Address e� Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee Building Address F w .Z- PPS o PLUMBING No. @ FEE PERMIT FILING FEE $3.00 #/10 i(_,..5e et 7%j o%C Each Trap 1.50 u Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 /oa �Jv i A. P. Nos(. — � � _ T 97'-'kff-,�- Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 FL�r rslm+#ttFon Fire Dept. Fire Zone I Use Pen -nit Building sewer 5.00 EQA I Parking Plans I Parcel Dec ration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Bldg. Plans ec'd Parcel Ap rovol Plans Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER [� -ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 R- % O itJ O ✓ �t�"= / � ��� Main service soov OR LESS 5.00 100 AMP OR LESS Main service EA. ADO'L 100 AMP 2.50 Single Family ❑ Duplex 1:1Mobil Home Others ❑ Main service100 VEAMP OR LESS 25.00 Main service EA. ADD'L Too AMP 1.00 NEW CONST. DWELING OR ADDNS. ( ACCLBLDGS.OCCUP. &) 20sgft NEW CONST_. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS &) NON-RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES)@25C BAL@T Ex. Occu FIXED APP LNS. OR P'(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities .15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's.Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEEPERMIT FILING FEE -$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that, the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby .1/5%iO &. A% j0 A/ oe TOTAL PERMIT FEE Is 30 OC u,ac repreScniaU CJI I the UUUIILY UI oulte io enter upon the above-mentioned property for inspection purposes. X Date 9 Z V W Signature of Permitee or Agent Receipt No. '4S_� :3 --LP White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit 'is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. - DIRECTOR OF/rUBLIC WORKS BY Date i (ding permit expires Date T� _ Z�= 2 'MOBILEHOME SUPP&T DATA Mobilehome Mfr. L-1 13 C t y Setup Model No. Year 9 Width a- (ft.) Length 6'0 + (ft.) Expando.Size -A All Qft.X NON c2ft. (Draw support detail. s.below) ; On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and.structural setup.sheets. (if not.on.file with..the.County of Butte). - Sin le Footings (check. -one) '� 4 �� , 1. Wood. either T Cen er . (IF, *If center piers are other than drawn above, draw in locations, spacing, and dimensions. pressure treated or fdn. grade. 2. Concrete pad. 3.. Other,: specify Supports (check one) 1. Concrete block 2. Concrete piers 3. Steel piers T1.4. Other, specify Typical Support Footing Size Max. Pier Spacing f in.) . .2.- 8 MaxOverhang MR. BUTTE COUNTY WILDING DEPARTMENT APPROVED t BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: O -Aj tE 2. Installer's name L 7�f} �— c9 itJ r-- 3. 3. Is the site currently under permit?. YesTW No L/ (If yes, furnish permit number (0 3 a- % 6_) OR Is the site an existing site? Yes / / No (If yes, furnish two (2) plot plans.) } -J 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 ) 5. What is the mobilehome electrical rating? ----------------------- © Amps 6. What is the mobilehome site service rating? ---------------------r Amps 7. What is the mobilehome site circuit breaker rating? ------------- 1 0 Amps 8. Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------- Yes / / No (If yes, identify the load and size: 2'�2-- /�`� t (Load) 3 (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- ��F (in.) 10. What is the type of gas service? ---------------------- '------- Natural / / LPG 77, 11. What is the gas pipe length from meter or tank to the mobilehome? l (ft.) 12. What is the mobilehome gas demand? ------------------------------ (BTU) (This information not required if pipe length less than 6 ft. on natural gas or less 'tfian�SQ=ft.;?on ,L -PG.) TO: Building Department I FROM: environmental healtri RZS: Sewa6e and/or ;dater Clearance ft_ Ow'NV R Ck` Has been approved for: S'J'+�IAUJ DISPOSAL ; i ''!: A�I'_�it SJR .P.�T Y S95-775 r Sanitarian mate COUNTY OF'BU TTE, DEPAWTM EN T_ OF PUBLIC WORKS'. 7 COUNTY CENTER DRIVE PROVILLE, CALIF! 534-454i CERTIFICATE OF OCCUPANCY This mobilebo.& has been installed in accordance with the requirements .of '�he: California Administrative Code,- Title 25,' hapter 5 a - ;3y erpVrmit 5376-76 0 number- —for the following loceio... s Hwy ap x 4119,mi.' S. of Garland.Rd., Forest Ranch - Del Halone b, w ner Owner's Addre�s P.OBox 1485, Chico, CA. 95926 'Mobilehome'Mfg. Liberty Model Year 1972 253128 1785 ln�ignia No. Serial No. -It is hereby certified for occupancy at the above described location and may,be occupied. _U r of ublic Works Dire Dat6 Nov. 16, 1976 B y THIS CERTIFICATE IS VOID WHEN MOBIL EHOME IS RELOC�A,�'TE'13 'NOB Ti,1?PCO E:Is'-i'h1S1'ALLAI fOU S.1NSPECTION CHECK L, IST 1. Is the. rnobileh.om� located wi.t.ii required separation from lot lines and buildings and generally conform to plot plan? Ye:,_Xl_ No ?• Does the mobilehome have requir<�d clearances above ground? (Sec.5085) Yes No 3. Are footin,s and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Ye No 4. Is the mobilehome level.? (Sec. 5088) YesX No+ 5. If more than a �yln1gle unit, are crossover connections properly installed? (Sec. 5088) Yes_ No S. Water A. Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes No B. Test - Does water piping withstand working pressure'or 50 lbs, air,test? YesANo_ C. Backflow If coach is not State of Califo. is approved, does station have backflow device and pressure -relief valve? Yes_ NO 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes No B. Does it have minimum " per foot slope and is it properly supported? Yes No ,C. Are any leaks detected in drainage system afteru ning 3 -gallons of water,through each fixture including washing machin e, standpipe. ,Yes No_ D.'If coach is note, tate .of California approved, does -station have required trap and vent? Yes No_ 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas siipply with an approved 3/4" minimum mobilehome connector not more than 6 ft, long?- Note: All piping is to be at least as large as the mobilehome gas line inlet without reductions other than the mobilehome connector.Yes No B. Test OK as per following procedure? Yes o 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. ` 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min, without drop. 4. .Connect: gas meter to mobilehome with connector, turn. on gas, test connections with soapy water. C. Are all appliance vents properly installed? YesIVo_ Wh+a 537 (a.-z,(.o y. Electrical A. '. Is service large enaugll to provide adequate amperage tr` mobi.leliome (must equal rating; of mobilehome faith a. :::iah:um o 100 amp) and other facilities on lot, i.e., water pumps, g.:ira e cabana, eta .:- Ye"No_ l;. Is ther.-� proper clearances around panels? YesXNo_ C. Is power supply cord or feeder assembly properly fused? YeskNc:,_ D. Is continuity tesL satisfactory as per the following procedure? Y'es�No__ 1. De -energize electrical wiring, system of the mobilehome at the pedes 2. Make sure that Che power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one le.d of a test instrument to the mobilehome grounding conductor and 2Upi COUNTY OF BUTTE PAR,TMENT OF PUBLIC WORKS 7 County Center Drive— .0ioville, California 95965 1 / Telephone: 534-4541 APPLICATION AND PERMIT l , �;7 B y Dated- Z- 6 - % � Receipt No. � C� - �I X61 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant permit expires Date 7 BUILDING Owner �� SQ. FT. OCC. BUILDING VALUATION Mailing Address , b t G-0 Telephone No. Fireplace Contractor Total Valuation eN- Mailing Address • Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee Building Address S O� Lv ,j �- iJP►'O ' PLUMBING No. @ FEE PERMIT FILING FEE $3.00 / L e- ✓L A 0 Each Trap 1.50 G -Repair drainage or vent piping 1.50 Water piping Luning Verification -()n( Each gas water heater or vent 1.50 A. P. No. S b _ �. 9�� C%,®� U, %.Zo-ns e • Gas piping system 1 - 5 outlets 1.50. Each additional outlet .30 F S re Dept. Fire Zone Use Permit Building sewer -@500 tj.Df7 EQA Parking Parcel Ma Plans p 60' R/W Im rovements p Lawn sprinkler system 2.00 Bldy. Plans Recd Parcel Plons proval Permit Fee NEW ❑ ADDITION ❑ UTILITIES E4 OTHER E]ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3,00 00V OR L Main service 100 AMP ORSLESS 5.00 •O Main service EA. ADD -L Too AMP 2.50 2 — Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service 1100EAMP OR LESS 25.00 Main service EA. ADD -L. 100 AMP 1.00 ' - NEW CONST. DWELLING OCCUR. & OR ADDNS. ( ACC. BLDGS. ) 120 sq ft .NEW CONSTR. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS) '2.50ea - " ' NEW CONSTR. POWER APPARATUS&J NON•RESI D. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW' I am licensed under the provisions of Chapter 9, Div..3, of the State of California Business & Professions Code under the name style of:( Ex. Occup(OUTLETS OR FIXTURES)50 @ga BAL@109 EX. QCCU FIXED APPLNS. OR P;OUTLETS (RESID.) EA) ,2.00 Temporary service. 10.00 Mobile Home Facilities 15.00 $, OD License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ .3 -ds WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. Elhave placed on file with the County of Butte a certificate of 'workmen's Compensation Insurance. I certify that in the performance of the work for which 'this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. - @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentio ed property for inspection purposes. Date--��-76 Signature of Permitee or Agent TOTAL PERMIT FEE Is 4V .5-e 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 id. � DIRECTOR OF P BLIC WORKS l , �;7 B y Dated- Z- 6 - % � Receipt No. � C� - �I X61 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant permit expires Date 7 RE,CORDI•NG REQUESTED BY 4 OROVILLE TITLE COMPANY 96480/1.4039C I Nama Street Address Cray a store L . !. Nome Street Address City a State L .. AND WHEN RECORDED MAIL TO Mr. & Mrs. Delmer Halone 705 Parkwood Drive Chico, Ca.' 95926 MAIL TAX STATEMENTS TO SAME AS ABOVE S�siEy�SS�L.I..C. 41iE.i:.6�. Vr►J!3`%d'� }I�'' (ice 01 11 15505 N —SPACE ABOVE THIS LINE FOR RECORDER'S USE— .11 The undersigned grantor (s) declare (s): Documentary transfer fax is $....3.9_,.60 eel on full value of r)roperfy cO.-I eyed, or ( )° comp fed on full vcl: e lass vc^ ! e ^f ': a and encumcrances remc ring 01 '-ime (X) Unincorporcfed crea: ( ) Cify of ________..................... TO 404 CA (9-68) I Joint 'Tenancy Grant Deed D.T.T.8_ •_ THIS FORM FURNISHED BY TITLE INSURANCE AND TRUST COMPANY FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, JANICE K. LATHROP, a married woman, MARY E.. EASTERLING and" WILLIAM A. LATHROP hereby GRANT(S) to DELMER HALONE and CAROL HALONE, husband and wife the real property in the Unincorporated County of Butte 3AB PAID. , AS JOINT TENANTS, State of California, described as: 1, portion :of the North one half of the Northwest cquarter'of Section 2S, To�,Tr.sh D. 24 I�'orth, :�an�ne 3 S,st, M.D.L'. & 1"k. and more particularly described 'as follows: Commencing at -a brass cap st tim ed LS3079 in a. race: mound mark ink the Ncrthwe st cornL�r of said° Section 28;t -hence South S8o 00' /;.9t' Nast (the basis of b-e-ri.nc, bin California Grid Co-ordinate S stem Zone' II Y ) along the North boon.', — line of said Section. 28, a distance of 783,7.0 feet_ to 'the East-er.ly <, Way linL2 of the St ate I:i�;hway and the true • point- of be;innincr of t:he na�,ccl Of land herein describes'• thence Sour -h 30 171 27'1 t�ar�t along saic I=.astcr.ly right of way line, a distance of 87.43 feet;'' thence continuing a7_on*(-, sai_c! richt of way line, along a curve concavo to the. right VTith a radius° of 1495.00 feet-'thr�gh a central anile of 270181-.1811, an arc distance of 712.46 fee -t; thence: South 240 00.' 51" West . along said right of way line ; a distance o' 643.31 feet, more or: less, to the S6uth boundary of the -North one half of the Northwest quarter of said Section 28; thence leaving the. State }-.inhvlay rigl•t of way lirje, South 880 19'• 38" East along said South boundary, a distzfnce of 1320.96 feet; thence North 241 00' 51" i~:ast:, paru:,7_el to and 1221,80 feet Easterly, . at richt angles, from the Stat&. Highway -Easterly right of way line a distance o'r'146.19 feet; .thence along a curve concave to the left that is concentric with and. 1221.80 feet radially from said State Highway ria•h!_ of way r curve and that has a radius of 27.1.6.80 fact, an arc distance of 1269.1 leer, more or less,; to the North bounary. of said Section 28; thence Nort-h 80°i. 00' 49", West alcrl� said North boundary, a dist4nca of. 1227.03 feet, more c: -CD .ess to the true point of beginning' Mary'its. xaszeriir,g -. �__ • - _ . _. C_.�..� William A. Lathrop William A. Lathrop/ known to .me 76a%unetctasaalalElewes.arm,e:!!lratsmleaesuuun!!l6e to 7)e the person S _whose name S are subscribed to the within OF k I C I A L S E A L e' instrument and acknowledged that theme ( w < ,• G•. F�i,l_AU'G!'3U'P4 r.., executed the same. NOV.RY pULql.11 — CAII; +JRN!A WITNESS my hand and official seal. iis'f nRiar;li'.'.t_ �,:FICE IN ihE COUNVY OF .BUTTE 1 q My Commission Ezpiees August 23, 1977 a Signature J. G. McLaughlin Name (Typed or Printed)( -This area for official notarial seal) Title Order No. Escrow or Loan No:_ EMD OF DOCUMENT MAIL TAX STATEMENTS AS DIRECTED ABOVE �. SEE ATTACHED Datecl: December. ' Janice K. Lathrop ly !i � ISS. STATE OF CALIFORNIA t SS (12 COUNTY OF Butte On December 4, 1975 before mc, the tinder- Mar, y Easterling_.. signed, a Notary Public in and for .said Statepersonally appeared , c` Janice K. Lathrop Mary E. Easterling William A . Lathrop / ' William a >< athron ' ,known to'roe. . �7sael �esu:�sourtaiia:e;tr.;eats eanassaeesiuuuuasee�. e, to be the person, S--whose name S are subscribed to.the within.. �.r-.OFF I C t A. L S E A L instrument and acknowled ed tial' the�esccutid' the same. g J. G. McLAIUGSH" IN- y' _ h"' NOTS.RY P;1CLIC — CALIFORNIA FITNESS my liand and official 8cal. \T f Y GRiNCIi 4t.' IFFICr IN THE COUnrY CID - OF BUTTE c"D .. I �'I ON My Conmssion Eypf.es August 23, 1977 .co _.Za :. r ... - c - ,• -'�,>yy�.: ,.-L v d..��. .. .... utq s... p ../" Signature m -- J` G. McLaughlin C�"t • Name (Typr.•rl or Printed) (This area for official notarial seal) Title Oreler No. Escrow or Loan No. — END OF DocumENT MAIL TAX STATEMENTS AS DIRECTED ABOVE AGRICULTURAL BUILDING ,Exemption from Permit's 3 IQ owner of the property located at D (pleade print) a' /O Assessor Parcel # - 7 intend to construct-an.agricultural building on this property,that is not subject to permits. Agricultural building'is defined as follows: Agricultural building is a structure designed and constructed'to house farm implements, hay, grain, poultry, i livestock, or other horticultural products. This structure.shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. I understand that if I change the use or occupancy of this building in the future, that I will be•subject to the necessary -permits, inspections, and approvals from the Butte County Building Department. of Property � Signature p y Owner Date" 0 f x J f 0 f i W. NOTE:—All Materials & Workrnanshtp $hcill i ON fI Accordance with! Recognitecl ood and cifed cos the of a quality prescribed for the Uniform Buil ing,. Plumbing & M�achanical � d ' th Nationa Electrical Cod®. �f L This set C on the • kept On any cl written per Works, Cc J I c / poi 6000 p0A"c47v 14 u.iC .2-0� JC . � J lu v1Y,- 1 C9 ^i4 ( 0 r \� A setback o ft. fro th@ property lines nd a etbaek of 50ft. from th road'';{ { centerline shall b clew, f � structures or equi entiexc for a 2 ft. eave ove an `-T 1 i Utility connections. shall bew hIM � �, ifjo: 4 ft. of the mobilehome, eith r S ,,►C -' <9 directly behind or within the ear v � � half of the roadside (left) of e ! h mbilehome. UST be `� ��� (s and specifications M _ I t gt�jTE COUNT s and it is ualaw{thout Qe��i�o�� 4 u,109,v �t all t me P�S�opo y� --AWILDING DEPART s or cr! erc�'ionsartmen of public /?1 a1)�1�d n fro the Dep of B> e. t A P P R O V r _ LAPJD 0 F !NATU:"•.A! WEALTH AND BEAU T Y DEPARTMENT OF- PUBLIC WORKS CLAY CASTLEBERRY, Director 7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA 95965 Telephone: (916) 534-4681 H. W. McDONALD Deputy Director September.24, 1979 David Wright and RE: AP 56-24-94 through 101 Dennis Challma.n Application for Determination P.O. Box 411 Forest Ranch, CA 95942 Gentlemen:. At the regular meeting of the ,Butte County Subdivision Violation Co'mmitte'e held. September 19, 1979; .the Committee said that the. action on the application for •deterimination for AP 56-24+ 94 through 101 will remain the same as that previously issued by document recorded on December 30, 1975. The.condition on the previous Certificate of Com= . pliance was as follows: 1. That a subdivisiori•map be filed on AP 56-24-94, 95, 96,. 97, 98, 99, 100 and 101 orthat the parcels be recombined. into one parcel. If,no appeals are timely filed --within fifteen (15) days of the date of the Subdivision Violation Committee's decision --with the Clerk of the Board of Supervisors, this action will be,final. If you have any questions regarding this matter, please contact this office. Very truly yours, ' Clay Castleberry Director of Public Works Original signed by JOHN MENDONSA John Yendonsa Assistant Director JNi/mv . cc Flanning Department Health Department �Bu lding Department Ringel & Associates, Inc., 331 Wall Street; Chico; CA 95926. Attn: Russ Croninger PERMIT NO. PERMIT EXPIRES John Dobson OWNER CONTR. Owner ,LOCATION (A.P. 56—?4-99 ) . P ti i E%S Home Place loo a 1200'N.of Head- waters waters Rd., Forest Ranch u { M1 1. 9 ' qq1. i F 1 Temp. Power. Pole Called PG&E Temp. Elec. Serv. K Called PG&E S Temp. Gas Serv. Called PG&E JOB ' FINALED (Date) G��� /• (Signature) COUNTY OF BUTTE Departmept of,yublic Works. 7 County Center Drive Oroville ----- 534-4541 ELECTRICAL INFORMATION FOR DE -RATING MOBILEHOMES Owner Tcl� /�O L� ,f0 -✓ Location '1�S Mobilehome Installation Permit No. FILL IN INFORMATION FOR ITEMS 1 THRU-10 Watts 1. Widtlfo L c/ x Box Length 4/11 x 3 = .l �pL/ 2. 2 Kitchen Appliance Circuits .... :.. = 3,000 3. 1 Laundry Circuit .. .... .................. = 1,500 4. Ovens ................................. .:. _ / .� -7 5. Cook Stove Top ............................... _ 6. Hot Water Heater ............. ............ 7. Dishwasher & Disposal ....... ................ 8. Clothes Dryer ..... ...... ............... .9, Other (specify, i.e., motors, exhaust fans, ' Sub -total - Watts ..... f 3 First 10,000 watts @ 100% ................................ = 10,000 Remaining 24 JY3 watts @ 40-% ....................... _ 7/7 10, Air Conditioner F watts @100%,. _ ) Largest Demand = �� Central Heat System watts @ 65%.. _ ) TOTAL DEMAND WATTS REQUIRED .'............ l(� 717 "Demand Watts Required" - 230 = Z 9 AMPS De -rate Mobilehome to ... ....................... .... / ?y AMPS / C/fit �� c1 COUNTY OF,, EjTTE DEPARTMENT PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 IP Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this ma er, or need additional explanation, 'please contact this office immediately. 0504-1, f_"��%i�SL cJ_. re's �l rF�/i/Jti ✓Y✓ /Ff �lSssS X�i'o"e ke— r F6 49 Jj 471,�,FpU Wee rtiry 4-06 / V< Inspector �-F� � � � '.� Date �C-- COUNTY OF BUTS!t-DEPARTMENT OF (PUBLIC WORKS 3 BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) I PLUMBLNIG Setback C fs Forms Main Bldg. Footings Stemwal I Slab Piers Garage Footings Stemw Slab a I Slab Patio Footin s isonry Walls Reinf. Steel Bond Beam arnk.11 9 Firewall Z i Soil Piping Parapets r 1st Floor Restroom Finish 2nd Floor Windows.— r%/ Q 3rd Floor Siding To out Roof Sheathing Water Piping Roofing Sewer Fdn. Vents Fixtures Garage Vents - Insulation Water Htr. Heaters Prov. for physically handicapped Conformance of ex. structure Appliances Gas Piping & Test Temp. Gas Final Sanitation FIREPLACE Final Footing ELE TRICAL Mesh rinai 4r__ MECHANICAL °SuD aneis — L J N Grd. Fault Prot. _—?i Scratch Heating I Service Brown Cooling 1 Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final _ Final — �/— MOBILEHOME UTILITIES - - - - - - - - - - - - - - - - - - Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping OBILEHOME INSTALLATION - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you vis....t the job site.) I 1 . '• .^ • • .. . , ' i'' •. , _:..: + '' � Y `f ` ii Y ' t, � v. t7 •`r ^ r�---•:. • "rid COUNTY OF BUTTE DEPARTMENT OF• PUBLIC WORKS P M T N 7 County•Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLSCATI�3N-Af�D PERMIT ASSESSOR PARCEL NUMBER- - ZO =�_1 Uwd,-ILDING •PERMIT O NER D �n% ' TELEPHONE SQ. FT. OCC. BUILDING VAL d OW R'S MAILING ADDRESS X i"-4 CONTRACTOR'S NAME ' TELEPHONE- - CONTRACTOR'S MAIL NG ADDRESS CONSTRUCTION LENDER- - UNKNOWN - FireplaceA49,411 - TOtaI.VdlUatlOn '$ O♦ Q� LENDER'S MAILING ADDRESS Permit Fee $ O O ARCHITECT OR ENGINEER - -, - £ LICENSE NO. Plan Checking Fee $ eQ U Penalty _ $ ARCHITECT OR ENGINEER'S MAILING ADDRESS - Permit fee , $ 'BUILA DRE55 /,fji PLUMBING PERMIT Filing Fee 3.00' ' 4 Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO. SUBDIVISION NAME ,. PARCEL MAP Each qas water heater or vent 2.00 ' 'Gas piping system 1'- 5 outlets USE OF STRUCT RE• SF ❑ Duplex❑ Mobilehome❑ .•Other 1 SP I FY• Building sewer Lawn sprinkler system 2.00 ' TYPE OF WORK New [r Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: — ' Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 6000AMP ORV OR LESS5.00 - Main service EA. ADD -L too AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. -( ACC. BLDGS. 2¢sgft CONTRACTORS LICENSE LAW ' I declare under penalty of perjury (Check one): ElOUTL 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 wage`s as their sole compen- sation, will do the work,and the structure isnot intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting•with licensed contract -- ors. (Sec. 7044) 0 I am exempt under Sec. Business and Professions Code for this reason NEw CONSTR ULT' -OUTLET -NON•RESID BRANCH CIRC ITS 2,50 ea NEW CONSTR POWER APPARATUS &\ NON-RESID. (SINGLE O_WTL IR. / Ex.' Occup(5 OR FIXTUR 5 50 @ � BAL@toc FIX D APPLNS. OR Ex. Occup.(0 LETS (R ID,) EA \ / 2.00 :Temporary s (vicetflAf 10.00 Mobile Ho4 Fa - i es 15.00 Misc. Wirin 6.25 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): r ❑ The permit is for $100.00 (valuation) or less. r ❑ 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 shall be deemed revoked. - MECHANICAL PERMIT FiIingFee 3.00. Heating Cooling ;Hood 2.00 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 said County in consequence of the granting of this permit. X - Date i arure of Applicant — - Owner Contractor ❑ g r ❑ n OSHA permit is required for excavations over 5'0" deep and d o tion or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE $ 6 occuP`GRO UPTYP'JV/A0 OF CpNST. N/ PARCEL PD No SSS This permit is hereby issued under sions of the Butte County Code and/or work indicated above. for which DIRECTO PUBLIC By PER EXPIRES Date_ the applicable provi- resolutions to do fees have been paid. WORKS v Date Receipt No. � —2 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT V n COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS P RMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-45 -; APPLICATION ,AND PERMIT ASSESSO PAR CELINUMBER 2 ZON NG S UILDING PERMIT OWNS , 4.7 TELEPHONE SQ. FT. OCC.1 BUILDING VALUATION OWNE 'S MAI ING ADDRESS _ i /1-01 oX / c CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER ^1 UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER .. —71 /UJiJ'r CENSE NO. Plan Checking Fee ,$ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BL,lyD N',A;/ESS PLUMBING PERMIT Fee Filin Fee 10.00 Filing S Each Trap 2.00 Repair drainage or vent piping 5.00 G Water piping LOT NO.SUBDIVISION NAME PARCEL MAP Each etas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTIARE SF ❑ Duplex❑ Mobilehome❑ Other SPJfCTFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ RernodelD U iii ies ❑ Installation[] Other Describe work: �L'e�/� Permit Fee $ ontractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6011 OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2:50 NEW CONST.DWELLING d OR ADONS. ( ACC. BLDG � . )• sq ft V - 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 1, 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 -OU T 2,50 ea NO N.RESID BRANCH CIRCUITS) NEW CONSTR POWER APPARATUS Q NON.RESID. (SINGLE OUTLET CIR. / e0 @ ase Ex. OccupOUTLETS OR FIXTURES BAL�1 Ex. Occup. (ouTLE TSP(RESID.)REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 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 of Consent to Self -Insure. t I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 again said Co my in co sequ ce of the granting of this permit. S �'Lpate`�,U S n re of Applicant — �OwnerN Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structuress over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 00 OCCUP. GROUP I TYPE OF CONST, PARCEL PD I ND I 1551E This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DI ECT R OF PUBLIC BY PERMIT eWIF1 te_ the applicable provi- resolutions to do fees have been paid. WORKS Date�>lZJ�� /- I? i Receipt No. (o/ s WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT v March 29, 1982 Jchn. Dobson RB; Permit application v3T82r$0 P.0..Box 4.15 for storaa,go building, • Foreht Ranch,,CA,95942 (AP 56-32-26) Dear Por. Dobson: With referexace to the above,subject in July, 1980', youap;Alied for a permit to coastaruct a. ,private storage building on your property on - the past ;side of Bowe place 14op io Forest inch. (I believe you had:prevI6u9.ly constructed the building as. an agricultural building). The.building permit was not issued as you did notfurctish the - re4uired plans to u$:• � Would -you ,please contact this office ''thin ton (lp) daps of the date of this letter end odvive of your.intentions concerning,thts matter. Yours vary truly, Clay Cnatleberry Director of ' °public Vorks JFGtds Chief Building insipector Gc Chico Office Assessor A� . •-c- File No: BUTTE COUNTY. Public Works Dept. (For Action 1, 2,3) r`Por-I "formation ✓) qInsp.Admin. t / J n. D&C / Traffic Const. Rd. Des. Br. Des. Sur. & Loc. Transp. r R/W Mapping Land Dev. Ref. Disp. Drng. / S. 1. Sub. & Pcl. Maps Perm its 5e�" Uw./0 dad l e.y". 10 Addres BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL INSPECTION REPORT Tenant: Building Location: Type of Inspection requested: 1. Housing 2. Financing 4.. Other (specify) Present use of bui A. P. # Date of Inspection Inspector L4 /1�'k 3. Change of Occupancy to A. Sanitation (Housing) � -S e–e— 1. Water closet: 2. Lavatory: 3. Bathtub or shower: 4. Kitchen sink: 5. Hot and cold water to fixtures: 6. Heating'facilities: 7. Natural light and ventilation: 8. Room and space requirements: '9. Bedroom window or door for second exit: 10. Infestation of insects, vermin, or rodents: 11. Connecti.or to sewage disposal: 12. Connection to.water'supply: 13. Rubbish and garbage facilities: 14. Comments: - B. Structural 1. Piers and footings: 2. � Floor construction: I. Wall construction: 4. Ceiling and'roof construction: 5. Fireplaces• 6. Comments: C. Electrical 1. Service and ground:_ 2. Receptacles: ' 3. Fusing: 4. Comments: D. Plumbing 1. Fixtures connected and vented: 2. Gas water heater: 3. Gas heating vents: 4. Comments E. Other 1. Maintenance and repair: 2. Fire hazards: 3. Safety hazards: _ 4. Weather protection: 5. Underfloor and attic ventilation: -- 6. Comments: F. Commercial Buildings 1, Roof covering: _ 2. Distance to property lines: 3. Physically handicapped: 4. Rest-oom floors and walls: 5. Exits: 6. Improvements: 7. Zoning-_ 8. Comments: - - G. Field Problems or Violations 1. Problem or violation (give complete description): 2. What action taken (give complete description):_ 3. What acsi.on recommended: T-/ A. information only - file. 3KB. Hold for ten, (10) days, then writcletter. / / t„ Wxi.te letter. 77D. Other: 06, • zz x age c AGRICULTURAL BUILDING Exemption from Permits Downer of the property located at (plea e_pr'int) IV , Assessor Parcel # :"� �� , intend to construct an agricultural building on this property that is not subject t permits. Agricultural building is defined as follows: Agricultural building is a structure designed and constructed'to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure,shall not be a place i of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. I understand that if I change the use or occupancy of this -building in the future, that I will be1subject to the necessary permits, inspections„and-appro, s� from the Butte County Building Department. Signature of Property Owner L .7 r (- ? �N L� Date �t't/Y,�-e” 3 0 f d )( f2 c at 9mm rim i FWIIDAPIS or NCO [1 PLAN SING • WIDE OBILE COACH DOUBLE WIDE I�t081LE COACH __ _._�. _ 1-E.. . . Neale: f' - 10' Noir. f 14' 11M1.. STANDARD PIER i FOOTING SPACING FOR MORE THAN TRIPLE WIDE UNITS• SUBMIT IR01 IIT TO THARP /1 ASSOC. OR APPROVAL. PER MOBILE NOME MLIIUFACTUIRER': LAYQ f INSTALLATION MANUAL. BTANDARD PIER i FOOTING SPACING CONFIGURATI3N SHOWN is THE; MINIMUM PER MOBILE HOME MANUFACTURER'S NUMNER OF PALLS REQUIRED. INSTALLATION MANUAL L.LJ 3' X 3' PLATE - I 10' 30' 4 - 3/r 1 77 D S" SHORT TUBE 14' LONG TUBE r' DIA N IG7! KLTS TIGHTEN O 3/16' PLATE 3/14 - TO li0 91 IN-TTOR" tZIf111c PILRS i IOUNWrAa 91 1� OUTLINEor 1116511.11 cum N 91 1 SINGL H WIDE TYPICAL gs rc ' Vill 5/16' PLATE 5/8' X 1 1/4' KLT W17H HARDENED MASHER SEISMIC PIER Not to Scate C.P. SEISMIC PIER#1 - PATENT PENDING NOTE, ISO IN -POUNDS IS EQUIVALENT TO 13 FT -POUNDS 1 2 - 3/8' x 1' 213LTS ,.. ,. FIELD DRILL HOLES 4 OPTION OF 4 - 1114 TEX STS, 11 _ COACH C PLAN SING • WIDE OBILE COACH DOUBLE WIDE I�t081LE COACH __ _._�. _ 1-E.. . . Neale: f' - 10' Noir. f 14' 11M1.. STANDARD PIER i FOOTING SPACING FOR MORE THAN TRIPLE WIDE UNITS• SUBMIT IR01 IIT TO THARP /1 ASSOC. OR APPROVAL. PER MOBILE NOME MLIIUFACTUIRER': LAYQ f INSTALLATION MANUAL. BTANDARD PIER i FOOTING SPACING CONFIGURATI3N SHOWN is THE; MINIMUM PER MOBILE HOME MANUFACTURER'S NUMNER OF PALLS REQUIRED. INSTALLATION MANUAL L.LJ 3' X 3' PLATE - I 10' 30' 4 - 3/r 1 77 D S" SHORT TUBE 14' LONG TUBE r' DIA N IG7! KLTS TIGHTEN O 3/16' PLATE 3/14 - TO li0 0 N IN-TTOR" tZIf111c PILRS i IOUNWrAa 3/4' THREADED OUTLINEor 1116511.11 cum N m (� 1 SINGL H WIDE TYPICAL TYP OF 4 PLAN SING • WIDE OBILE COACH DOUBLE WIDE I�t081LE COACH __ _._�. _ 1-E.. . . Neale: f' - 10' Noir. f 14' 11M1.. STANDARD PIER i FOOTING SPACING FOR MORE THAN TRIPLE WIDE UNITS• SUBMIT IR01 IIT TO THARP /1 ASSOC. OR APPROVAL. PER MOBILE NOME MLIIUFACTUIRER': LAYQ f INSTALLATION MANUAL. BTANDARD PIER i FOOTING SPACING CONFIGURATI3N SHOWN is THE; MINIMUM PER MOBILE HOME MANUFACTURER'S NUMNER OF PALLS REQUIRED. INSTALLATION MANUAL I/4'x2'x4' ANGLE 3' WIDE 4-1/2' BOLTS OR J TEAM 30 x 0 PLATE SEISMIC PIER TYPICAL BEAM CONNECTIONS' .� Not to' Scale It it IN NE11912E rot LIgMNIi AN$ OR MO SO["" CONFIGURATION SHOWN 13 THE MINIMUM INSERT roR.- NUANER OF PALLS REgUIRISD. �~ ` 11/40 N1. • 1101186 IIISOBI►MNe. MIM O+IMSIRIR• ELEVATION NOT TO SCALE sir r I wr rLAMCHIP AI" ,,AIMLESS ,AI:i 3.5' 04-4n4 VWT I • J I PRECAST CONCRETE FOUNDATION PAD SCALE, 1' = 1.5' . 301021x3/4' PLYWOOD HOLES fan 1/2' x z 1/2' C•11. 1�'x32'x3/4' PLYWOOD is 3/4' PLYWOOD SHEETS SCREWED TOGETHER WITH 12 #9 x 1 1/2' FHWS (o' � COACH I BEAN 3' X 3' PLATE - I 10' 30' 4 - 3/r 1 MAX TUK HEIGHT SOtT% S" SHORT TUBE 14' LONG TUBE r' DIA 4 - 3/1, ;TD PIPE KLTS TIGHTEN O 3/16' PLATE 3/14 - TO li0 IN-TTOR" 3/4' THREADED 3/160 PLATE LEGS ROD TYP OF 4 rc ' Vill 5/16' PLATE 5/8' X 1 1/4' KLT W17H HARDENED MASHER SEISMIC PIER Not to Scate C.P. SEISMIC PIER#1 - PATENT PENDING NOTE, ISO IN -POUNDS IS EQUIVALENT TO 13 FT -POUNDS 1 2 - 3/8' x 1' 213LTS ,.. ,. FIELD DRILL HOLES 4 OPTION OF 4 - 1114 TEX STS, 11 _ COACH C I/4'x2'x4' ANGLE 3' WIDE 4-1/2' BOLTS OR J TEAM 30 x 0 PLATE SEISMIC PIER TYPICAL BEAM CONNECTIONS' .� Not to' Scale It it IN NE11912E rot LIgMNIi AN$ OR MO SO["" CONFIGURATION SHOWN 13 THE MINIMUM INSERT roR.- NUANER OF PALLS REgUIRISD. �~ ` 11/40 N1. • 1101186 IIISOBI►MNe. MIM O+IMSIRIR• ELEVATION NOT TO SCALE sir r I wr rLAMCHIP AI" ,,AIMLESS ,AI:i 3.5' 04-4n4 VWT I • J I PRECAST CONCRETE FOUNDATION PAD SCALE, 1' = 1.5' . 301021x3/4' PLYWOOD HOLES fan 1/2' x z 1/2' C•11. 1�'x32'x3/4' PLYWOOD is 3/4' PLYWOOD SHEETS SCREWED TOGETHER WITH 12 #9 x 1 1/2' FHWS (o' � 11v I I 10' 30' . 1 (o• ALTERNATIVE PLYWOOD FOUNDATION PAD SCALEI 19=1.5' RRFRRpC& CALTPO M CODS 01 RNOU"TOA MS 311 AW..34104 1. Daw LDAp1: i . 3 ' THII DUM LOADS SLLAIL. LIR COIi1:11 f Wn ROOF !M LOAD, WMD 1141041% AND SRIL = Las AR UTA"No FOR FRU Ml11T !"f 1010 WITION A RPNCM WAL ARRA► 3• THO FOLINDAT ON M Camig ft TO COWnTIM A n WA T POUT MTLON. A coHgmMKMUMAU DUMM 000 M! Lao " MM= ANDML #9� W1= LOCAL SOL CONDma1R• . S. STRUCTU AL ITBM. L IIHA L CONFORM TO ASTM AK F - 36 KSI 11INIM A1. 11. SHALL NR FMIRICATRD ACCORD�Ifi TO Alf C pW11CATIM4 L/HAIL NSR ��A O RDD'IQ TO AWOL FICA"M41I4 iL PLATU A� AM W. AtIL3WR WT* SAS ORS-AIITN A440 -ASTM W. BOLT!. TTLRSADtD ROD: A333 COLD DRAWN LOW CARR+<If'1 WRIDAKS W. A ALL. N TALC%aqWq D1cU10m Mai ♦ JCRM R'A'G AMR TO 10 FROM11111; C04= 71111 I= AND ROM NWM RPAP ROVIID BQUIVALRNT AND T NR U r= AND IANBM NY W= TWRT'[NAiSTM AND CONI I.TINq IIIL w2l mm FOR TIiR FOL IMM LOAM �. LATRRAI•: 1700 RA IIAX k VRRTICAL: Ow"IMAX 7• THIII OUNDAFouNDATI N 1f FOR FL.AC" MA"MAC"M CON1T'RL 'I'RD WrM LO NOMMUL OR � R ► �LiW, t �R1't'Li1�'D�t'j' OOCI�! DtW'IXD MPGR I�A �R NDPR !.Y {.NVR!. UI'R WCfH NOr RIQi'fINQ ROQ. !. IN ARRAS WNW DIFFRR!<M U, SMU M IT NR) CAN OCCUR. NANUMC'R1R>iD HONKS SHALL. SIR RLADXXTIRD WHAM !D -L XKC=4 W � QR VW IT WL ABY AMOT THt IM19 01 TO NANUFAC'1UM MOMR. to' • THIS BY11=14 ALDAPTAR S TO /TANAARID WUM NAIMMY X= WR 11. FOR ROOF tJVR LOAM O! UP TO f0 W. T = FOUNMTM nT= MAY R LARD WITH TNR NUMU 0/ C -P. M=8C PNRS SLLOWN ON j= FLAN• Wffl S• MOF L1UD/ 11'ILINRR =AN 30 FBF NAY RRQLARSIN TUB>f Qr AGC[1IONAL f 1'AN4ARD FAQ ANp M�!'INTD: Ai TIN AMRAIAC't11RRR'41NRTMI.ATKIN NAIRIAI. ' • I TopM TION M pAp � WN THIS MN NN A ►UCAST WNCRM FO UNPA M FAR L TIN FYWOW pot3• FoLeMATSW PAW MAI .L9ff R -:V! =CN t 11VR1• 3. w 3000 Fit AT 3/ DAYS Al TRSTRD ANA M. IFAL"IZIRRD NY 01ARL0 WR14fiI' CONCRR'I7G k = FrRacu.Mut t CLDAi'i! NRIW (M I�IvN oN THR !L!1N> PPAPOW OFIM FAA NR No Mon TOM HALJI OF THS IPAD8 DI A e r TRA RVRRiR LMCLAN W,41= $0=4T= LOIiO•ODAMI N a TO FADS 40 FARAf.t4 70 4• 3H OICII A F /k 4VL4 R1iT LIRIOS R iR't# OG Fux10t1R DNR - QA 397. FR1-I4 ,COI&CH3IZIE N=J: 1. MAXIMM 1s1J07'H OB' $V4M R W0* COACH -61 FBI'. 3. MAXIMUM LSNOTH CW DOUNLI WIDS COACH + 74 PISRT. 3. UM= APPROVED BY U" A ASSOC.. FUM TQ RLDQR HWHT NOT TO DiCRED: s. S Mr FOR IRM I W= COACILRS ► 10 Mr BOOR 311 DOUKZ WIDS COACINS v. 13 MT FOR 3#.3r• N =fW4 R8 WLDR OOACHRS 4. rM TRIMA W91 K OOAC3LR/r IGU M SAAR FL1CRMWI! FAT nMN AS UMN ON THS DOUBLE WIDS Wallu COACH. S. FOR ANY COACH I= OTHU THAN AS SHOWN ON TM FLAN Oit RRFlRPOM ANOVR, THE PIER AND PAD LAYOUT OLUL U RR,VNWRD AND APPMID NY DON" it TILARF a ASSOCIAM VABI 5= • 1• BPACINO SHOWN ON' TW PIAN AU FOR COA= WfM 10 R= AND 13 DfCH RRAMS Olt f INCH PACO CORRLIOATRD 1111AA L 1 ANY OTMR S INCH MAU 0 NOT TO CAI T MIR MORR THAN 6.0 FRIT ON RACAL PWOF tM AND QACM OF SCUM M U CAN NOT 13•S YM. �AANNNc� ��nK1'1 41MIpx .... amwI MID wn COOL, now we) 11440 10 coMBcfK" •SawNO ca4mg Pn ti.w..erl�wlr.� ,W "ON" SW 1.M OW N,ML oft 1 E><r I 2" BlNwlw� d N'r'M'o w6 Q w■I t SpdNMA 1i' �. I'.1 Y I! 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(` YEA~ f ,— ; , V, # it �+.` Y. ... ,yam w t k I <<'L�f r• , '"''"1 and ocat�on'pxbuif�t+ ,; t x ept sys �. • * ng drai -out."to „be j em I n stub as �'` . ;, T utt •County Heal#F� 7epf' k �1 �,,X-r � ` � y r' } . r # } - �+ .: px rte" :p, �r Ja a; +, •. trem2rit5,� i.11 -.«i : tiu r '` ,+ a ' 31 I r.: x. <1. M. , w T� 4:1 It � t' ! t` ,,. ''i �- 4 SES ,i. .9.TA 4' � 4 k � �,. �- ,- /} ✓� , X, <:- r I null' 4�* � * 1 �-r�rx�. , V tF ' ;1 cow. ,� -� All util4tyax connections shall�'be• V` �, " 1 � " " , °�,' located wiikiin 4 #t,`outside the rear , t ` IV '� '` ofIt i thud section :of fhe:mobile 'home .� ' �'�11 `o ai ,� bn the le#t ,(roil? sidtAof the mobile Y`11 kt,ti I , - "' _, , � ► i' i 'h 4�+^ -t 4k.4 f1f�1T4r�, yt; Y I wrw,w 11 I � / ! �!11 (� - -- - - r s, A permit w l e�e�qulced r - t►I � _ �. I ,t. r 1 ; . blilQ i6 F: i� r i IlattOti Oj th , m N -,, j*c 4�*. J .y , s f 1 �r� �f.�� a�_ Ar �,%,! -., t �t �! 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't -W �U the centerline of tht road, perm+tfing : I � BUTTEOUN1Y> J -- • '( a maximum of a 2 ft. eave overhang• (^� -- i . G DEPARTME fLDI`iV HT. '� : } !! , Ijj1. ...[ .i �+ ` J .. ,; r .v '.". � , i*y t<Sk"" " 4 �` f � •t': '• •ii {"T ; i - .i•' , r�1, i U ,',, . 1i n hah, lk 11 I '� 1 --AA Materials & Workmanship .$ M c� . NOTE. _ . , k11 _ '- � �;' t , � r PPR 'D - �, , x rdance with Recognized Good' ?ractices and �� .k x� �,, o Acco` Y • „ r h' t� i� �' rest d fo ; I T? (� - of a uality p rine r the Specified use my;the i r+ ; .. F. 1 q . S.Y. • • ,h • - ... �,.* _ - .F,' . �1': •'C� �' ,Iden Plumbirr & Machamc al Codes and <K >� r -,, , -Ili Uniform Bu Building, 9 r. _.. , ' , ,� ,r, , T(, + - — ! J; I . ' the Na#i0nal Electricle� al Code. : , :;, ' , ' -a , _ e: V11i ,:. :. n' a Y dIS 11 1— . 1 .w r'}' ,tit ..,;:.' a= - _ }" , :: '� %. •'} `'`• �;3 :�• .x: : - ,::.:. �y ,, ia . Jl1 t d r �: 3+ 11 n �,�. . , ,. .r a: - I1 <_ . { yy Y. 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