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056-400-015
Floyd Brooks 'CC�� E/S Cohasset Rd.,app.2 mi.S.of Green- . wood Store, Cohasset `Permit #174-77P,E(uti ) '''" ELEC. MH GAS S / SUPP RT _ R ,-TURF 'REQ. /O {� CNPACTION TEST REQ. ye zJ" tJ Permit �k'174-2-7:Z -'` Xssued 056-400-015 "" J 06-01 •BROOKS, CHARLES-, - 8666 COHASSET RD, CHICO• Clint: SKYCREST ENT ,fin M/H PERM FND'(EX) l� r �!r r5d i _ T RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 2006-0032299 Recorded I IEC FEE 10.00 Official Records I County of I COPIES 2.00 Butte I CONFORMED COPY 1.00 CAME J. GRUBBS I County Clerk-Recorderl I I DD &:17PN 23-Jun,200f, I Page 1 of 2 ' SPACE ABOVE THIS LINE FOR RECORDER USE ONLY t 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. CHARLES F. BROOKS REAL PROPERTY OWNERILESSOR 8666 COHASSET ROAD 1 MAILING ADDRESS CHICO BUTTE CA 95973 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT SAME CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") - SAME MAILING ADDRESS _ SAME CITY COUNTY STATE ZIP • a UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 06-0918 (530) 538-7541 BUI D G PERMIT NO. TELEPHONE NUMBER _O • SIGNATURE OF LOCAL AWNCY OFFICIAL DATE SKYCREST ENTERPRISES/COUSIN GARY'S DEALER NAME (if not a dealer sale, write "NONE") 91265 DEALER LICENSE NO. SKYLINE HOMES INC. ' 2006 3702 -CT MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMEINUMBER 8V70 -0553 -U -A/1[3 50 X 12, 52 X 12 PFS968544/5 SERIALNUMBER(S) LENGTH XWIDTH INSIGNIA/LABELNUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER 056-400-015 HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD -Building Dept. RECORDING REQUdTEDbY: When Recorded Mail Document and Tax Statement To: Charles F. Brooks 8666 Cohasset Rd. Chico, Ca. 95973 Escrow No. Title Order No. APN: 056-400-015-000 GRANT DEED 111111lllllllillflltllltl111111111 2000-0002502 Recorded Official Records County Of BUTTE CANDACE J. 6RUBBS Recorder ROSEMARY DICKSON Assistant 10:08AM 21 -Jan -2000 I REC FEE 7.00 I I f I I I Maureen I page 1 of 1 SPACE ABOVE THIS LINE FOR RECORDER'S USE DOCUMENTARY TRANSFER TAX ti, _computed on full value of property cone r _computed on full value less fiem and encumbrances remaining at time of sale. ow.ft" de.at.rrtor.9tdewwnhp m an FOR A VALUABLE CONSIDERATION, moeipt of which is hereby acknowledged, I (We) Bernice Brooks. ' hereby GRANT(S) to Charles F. Brooks the following described real property in the City of Chico ( or in an unincorporated area of ) County of Butte State of California: Part of Lot 1 in Section 4,Township 23 1/2 North, Range 2 East, M.O.B. & M. described as follows: Beginning at the intersection of the South line of said Section 4 with the center line of Cohasset County Road and running thence Northeasterly along said center tine of Cohasset County Road 290 feet to the true point of begir>- ning of the parcel herein described; thence continuing along said road a distance of 100 feet; thence leaving said line and running East parallel with the said South fine of said Section 4 a distance of 600 feet; thence Southwesterly parallel to the said road line 100 feet; thence West a distance of 600 feet parallel to the said South line of said Section 4; thence Northeasterly along sald Cohasset County Road to the point of beginning. DATED: d -A .,) I .� 2 o 0 'C STATE OF CALIFORNi COUNTY OF v 4l Jf" ON N kyr O r0� !�1 before me, M 14 t/ personally appeared 'o��� personalty known to me (or procto me on the basis of satisfactory evidence ) to be the person(s) whose name(s) istare subscribed to the within instrument and acknowledged to me that he/she/ they executed the same in his/her/their authorized-�- �► ..� capacity(ies), and that by histher/their signatrue(s) 00N�RLD L SMITH on the instrument the person(s) ,or the entity upon COMM. ! 1229826 NOTARY pUBIIC _AU1 1A behalf of which the person (s) acted, executed COUNTY OF BUTTE y the instrument. LComm. Expir Aup. 20, 2003 It Witness my h and offs " F-'u� Signature MAIL T X STATEMENT AS DIRECTED ABOVE FD -213 (Rev 4/94) GRANT DEED .V r INTER -DEPARTMENTAL N?6?®STH 6 M TO: BUILDING DIVISION, OROVILLE � � TION FROM: G� ��Ic% 1 Y ENVIR. HEALTH, CHICO DATE. _-6 RELEASE ENV. HEALTH HOLD ON BUILDING FINAL FOR: OWNER NAME: _ _� a SEPTIC: ✓ WELL: AP#`'D���(�z::l S DRESSILOCATION: Comments: GL/memos/celeasehold W - RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DMSION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 23 -Jun -2006 2006-0032299 Has not been compared vith original BUTTE COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the,request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. CHARLES F. BROOKS REAL PROPERTY OWNEMESSOR 8666 COHASSET ROAD MAILING ADDRESS CHICO BUTTE CA 95973 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT SAME CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS t SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAH.ING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 06-0918 (530) 538-7541 BG PERMIT N0.A TELEPHONE NUMBER V,n 4W Co -23-0 -r -0lJ SIGNATURE OF LOCAL WCY OFFICIAL - DATE SKYCREST ENTERPRISES/COUSIN GARY'S DEALER NAME (if not a dealer sale, write "NONE") 91265 DEALER LICENSE NO SKYLINE HOMES INC. 2006 3702 -CT MANUFACTURER'S NAME I DATE OF MANUFACTURE MODEL NAMLNUMBER 8V70-0553-U-A/B 50 X 12, 52 X 12 PFS968544/5 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNU✓LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER 056-400-015 HCD FORM 433(A) REV. 8/91 06 11:50 FAX 530 899 9531 i' �j RECORDING REQUESTED BY: 1Miae Reauded Mal DOamart and Tax Statement To.- Chad" o: pmd" F. Brooks SM Cohasset Ra. Otho, CAL M73 Escrow No. MR gft No, Am 056 40-015000 ! FIDELITY NATIONAL TITLE + COUSIN_6ARYS 0005/005 20t�0�t�t0QJZ5�2 zoraea 11 I RE FEE 7, M I 11 horde J. Was 1 Iftdtru nerd and adatawledped b me that jWWW r( DICK N N&D rtant I Maureen 21-Jart-� I Rage 1 of i -rI OOCU111 MAR(TRANWIMM19 gmv*vIed ee W rete ar t#e- ly voWA ya r —GWWArd= M retro IW drifts and aretertWamom mmsb Yp at dw *I mom. GRANT DEED FOR A VALUABLE CONSIDERATION, recetpc of +Nddt is hnebp adorowbdped, I (tA/*) Bernice Brooks. horablt GRANTS) to aharbs F. Broft this WOO described real proem y in the Gy offig,( or h Sn unincorporated are of) Cady of a u - a at c laws li: Prtrt of Lot 1 N 06CS r+ 4,T0 nmW 23 J* Nottk p pe Z East, M.D.& a K desalsd as tollowa: Bepittnrtp Rt the Inter OOM of the BOOM kW of acid 68et M 4 wih qts raft Im of COltssset Cov* Rood and Pma Omm pard rtau�h&Wdssaf thence °0f iA° of cdmW caxtq� RMW zoo teal to MO INA POW of book- ning amid Irte and running d� MM amid raid a d�atanoe of 100 tusk 1 1 1 re leo ft tg � Pard f Yt M On acid S&Ah Bre a1 said Secion 4 a diefanea of ON took 9tertae duh pwWkd to the said road Yne 100 /eek Ihartce Nest a distarx m d aoo r at pwMd to the said Sa/h Iine of said SOOM 4: t mrum NWhaestay *" said Oohasad Cmq Road la the pbird of bagitNrp DATED. 9±&.J I STATE OF CAUFORN Qm OF J � el xuzbe/ae ma Per rally known to no (or pn-rAl f to ntd On an bade of saMbctory t"M) to be Ow person(:) ""me Wrim(a) Were srbmted b the wNbir Iftdtru nerd and adatawledped b me that jWWW they aroecuI - the dims In hlWhodVook BWNXi:ad rapatl"aa). and that by Marl wffitehsiortatrcre(s) N&D L SMRN on tM k abument On persons) .or V* an* upon blttdl Of r hid tea person (a) aped. aammood MAL I ineam 96N MOF W.66aft rrt;trtxrldrtt Lionft to. 2008 MAIL TAX STATEMENT AS DIRECTED A13OVE FID -213 (Rev 4M) GRANT DEED FOUNDATION SYSTEM CERTIFICATE OF OCCUPANCY BUILDING PERMITS NUMBER: 06-0918 Address or location of unit: 8666 COHASSET ROAD, CHICO, CA 95973 Legal Description of Real Property: 056-400-015 SEE ATTACHED (x) Mobilehome/Manufactured Home () Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: CHARLES F. BROOKS Owner's address: 8666 COHASSET ROAD, CHICO, CA 95973 INSIGNIA OR HUD NUMBER: PFS 968544/5 SERIAL NUMBER OR V.I.N.: 8V70-0553-U-A/B MANUFACTURER'S NAME: SKYLINE HOMES INC. YEAR: 2006 OFFICIAL APPROVING INSTALLATION: DATE: CD `23 - OCO PHONE: (530) 538-7541 H.C.D. 513C } COUNTY OF BUTTE r BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE '13 ►�bt��,C. 0� - Com? :<.OWNER PERMIT NO. .,.A routine inspection indicates'that the following violations of Butte County Ordinances exist at I'the above address and should be corrected. Please call for re -inspection when correction of c=:work is completed. If you have,.any questions pertaining to this matter, or need additional explanation, lease contact Building Inspector as indicated below. CDv ; `• r COUNTY OF BUTTE BUILDING DIVISION F DEPARTMENT OF DEVELOPMENT SERVICES a ?' 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE F + OWNER PERMIT NO. 'y A routine inspection indicates that the following violations of Butte County Ordinances exist at 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 _x explanation, please contact the Building Inspector as indicated below. r USS'vob5tiez (2c k( j: �s'•1 OJA Date � + � Inspector REV 4/05 Phone # 4i�)G K "� 2 FOR;RE-INSPECTION CALL: 538-7636 OR 891-2834 Butte County Department of Development Services. eu rE_ aREA I 7 County Center Drive, Oroville, CA 95965 (530) S38-7601 vnvw.bgA county netidds RESIDENTIAL AP N: Permit No. Owner. 056-400-015 06-0918 _ _ BROOKS, CHARLES Site Address: 8666 COHASSET.RD, CHICO _ Cont: _SKYCREST ENTERPRISES Contractor. M/H PERM FND (EX) Type of Permit --__ i I /,, /O�FFICE(,,COPY ,} Address &F' b la -'6d— `i ti t "Meter By Date 3- E By e,7/A Meterter By Date ! SPECIAL CONDITIONS ZSRA CHECKED BY ❑ FLOOD CERTIFICATE EQUIRED ❑ FIRE SPRINKLERS REQUIRED ❑ SPECIAL INSPECTION rrEMS M VERIFY OUSE PERMfT CONDITIONS ❑ SUBSTANDARD HOUSING LETTER ❑ ENCROACHMENT PERMrr 4 REINSPECTION FEE PAID ENV HLTH CLEARANCE pw sx#,) 0 7 V 0553 01371 �//z�-/. DATE JOB FINALED: % 1C/ J/ SIGNATURE: �� = OK = Not OK _ RESIDENTIAL (SIng.fe & Duplex) DATE JUNOERFLOOR DATE IPLUMBING t 1 Zoning -Setbacks -Easements -Flood -Slope 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 2 Ftg Main; Soils-Elec Grnd Ftg Dpth 54 Wtr Pipe; Test & Anchr-Nail Prtctn 3 Ftg Garage; Soils -Ste el-Elec Grnd Ftg Dpth_ 55 DWV; Test Fittings & Anchr Nail Prtctn 4 Ftg Porches/Decks; Soils -Steel Ftg Opth 56 Shwr Pan; Test, First fir -Tub Acc 5 Stemwalls Main; Steel-Blockouts-Wrapped 57 Test Tub & Shwr, 2nd fir - Tub. Acc 6 Stemwalls Garage; Steel-Blockouts-Wrapped•. 58 Gas Pipe; Sz & Anchrs 69 Hold Downs and Special Anchrs 59 Fire Sprinkler; Test 7 Slab, Steel Wrapped 60 Yard Gas Piping 8 Piers-Frplc Ftg-Steel ' 9 DWV; Fall -Fitting -Test -2 -way C/OSewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test 1.1 Wtr Pipe; Test-Anchrs-Rgltr-Service Test 12 Elec Undrgrnd DATE IMEC H A N I C A L 13 Plenums & Ducts; Cirnc-MaterialSupport4nsultn 61 AC Ducts Insulin & Support 14 GirdersSills-Anchr Botts Joists-Vnts-Cripples 62 Vent Fan, Exhaust abv Insultn 15 Acc & Vntltn 63 Condensate Drain & Ovrflw, Sz & Grade 16. Insulation 64 Furnace -Vent Acc-Comb Air Rtrn[Vent 115 Outlet 65 Attic Acc & Pltfrm if Fumace in attic DATE FRAMING 17 Sills Proper Materials & Anchrs 18 Walls Studs -Nailing Spacing & Braces -Plates -Sound 19 Bearing Walls over Girders & fir Nailing 20 Draft Stop in Walls (rat proof) 21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 22 Headers & Beams-Sz & Bearing 23 Hangers -Post Caps-Anchrs-Cnnctns 24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac-TrussShthg 25 Frplc Ties or Type A Flue-Frplc Throat Clmc 26 Attic Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions .28 Garage Fire Prtctn Framing -RC Channel 29 Prprty Line Firewall & Opngs 30 Ext Doors -One T -Check Garage 3rd Story, 2 Exits 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 33 Siding -Nailing Veneer 34 Stucco Lath -Weep Screed-Fndtri Vnts-Undrfir Acc 35 Glazing Area -Glass Prtctn-SkyLts-Plastic 36 Shear Walls; Nailing -Bolts 37 Brace Int/Ext Wall pnls 38 Insultn-Walls-Ceilings 39 Infiltration -Walls -W ndws s` o'er o` DATE JELECTRICAL 40 Fxtr & Tmsfrmr Clmc4ns Prtctn 41 Elec Rcptcls Spacing-Lts & Switches at Doors 42 Sz Boxes & No Of Cndctrs Stapled 43 Romex Installed Close to Edge of Studs ,& CJ 44 Eqp Grnd made up w/Mech Fstnrs 45 Grndng Electrode Bond Gas & Wtr 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI 47 Subfeed Wire Sz ga ❑ CU or DAL AC Wire Sz ga ❑ CU or ❑ AL 48 Range Circ qaF_j CU or AL Oven Circ ga ❑ CU or ❑ AL Insttlated Neutral ❑Yes .❑No 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp CImcs pnls-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector o'er \.c FINAL 66 Ext Steps -Door & SideLt Prtctn-Landings 67 Smoke Detector 68 Furnace Vnts-Clrnc-Comb, Air-Cnnctr In Garage; abv-flr-Ducts-Mech Prtctn 69 Bedroom Exiting 70 GM & Bath Fxtrs & Tub Acc-Spa 71 GFI Arc Fault 72 Elec Trim & Subpnl, Breaker Sts & Labels 73 Stairs, Guard/Handrails 74 Frplc or Stove, Clmc-Hearth 75 Elec Outlets at Wood Pnl, Int & Ext 76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Clrnc 77 Elec Outlets & Rcptcls at Ktchn Counter 78 Garage Fire Door, Swing -Landing -Closure 79 AC Duct in Garage -Damper 80 Wtr Htr; Vnts-Clmc-Com Air Cnnctr-PRV; abv fir Mech Prtctn- LPG Appince Undr House 3- drain 81 Plmb; Elec & Mech Eqp Listed for Loon 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 83 Insultn-Foam-Looked in Attic 84 Guard Rails & Deck Cnstrctn-Post Caps -85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Clrnc Drnge Planters ❑Yes ❑No 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Plmb 89 Vnts abv Roof, Plmb-Appinc-Frplc-DImc: to Opngs _90 Wtr Well, Dscnnct, Elec, Pimb _ 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd 92 Vntltn thru House 93 Glass Prtctn _ 94 Corrections from previous Inspctns _ 95 Gas Test -Meters Tagged, Gas-Elec _ 96 Wtr & Sewer Cnnctd-O/0 to grade -HD Apprvl —9.7 Energy Cmpinc Cert -Other Certs _ 98 Address Posted _ 99. Fire Sprinkler o`er o'er = OK nv MANUFACTURED HOMES MISCELLANEOUS DATE PERMANENT FOUNDATION SOFT -SET 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch - 3 Sewer; Loctn-Test; FaI1/C/O-Concrete t 3 44 tr; LoetirTest-Easement Needed -Regulator 5 Elec Loctn-Clrncs-Grnd Amp -Concrete J ' 0 rd Gas; Loctn-Test-Wrap .- Nat Q or L Inch Sz gth �� P 19 kld�n Sia i�ng-Marri� ne — as; MH Test-Demand-Valve-Gnnctr� Q-Ete—M_H Cntnty Test-Crasserrers-Brea Fs 10 Drain; MH Test -Fall -Flex Cnnctr ��' 11 Wtr Sewer Con ne C/O to Grade 12 Grams and Elec i agged 13 Tie Downs Foundations.®/ 14 Exits 15 Cert of Occupancy 16 HUD labelflnsignia Numbers Serial Numbers DATE DEC K S•C O V E R S`C A R P O R T S `GARAGE S 1 Zoning -Setbacks -Easements 2 Ftgs; Soils-Sz-0pthSpacing-Cnnctrs-Steel 3 Decks, Girders/Joists-Dcking-Brcing Stairs-Guard/Handrails 4 Wood Awn; Posts-Beams-Rftrs-Cnnctrs-Shthg Frmg-Brcng 5 Alum Awn; Columns CnnctnsSplice-0ecal Enctsrs 6 Carports; Wndws-Doors 7 Electric 8 Frmg; Sills-Anchrs-Studs-Rftis-Trusses 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof, Shthg-Roofing 11 Ext; Steps -Doors-tandings 12 Braced Wall pnls 3 s` ° 4. + DATE IPOOLS 1 Setbacks -Easements ( 2 Soils; CompactionStructure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec RcptclslLting; Distance -GR 5 Elec Pool Lting; 15 volts-GFI 6 Elec Enclsrs; Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal w/5'-Crcltng Egp-Htr 8 Elec Grndng; Eqp w15' Crcltng Eqp-Pool lghtg Bdxes-EndsrsTnlboards4nsultn to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Enctsr-, Fencing -Alarms 13 Bonding, Diving board or Slide acs r S` 0'6 0� °'� �� i S I Pool Drawing • BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 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 the Business and Professions Code, and my license is in full force and effect.ff e4 License Class_ : (r-1 License Number: v Date: Contractor: c_ OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the 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 signed statement that he or she is licensed pursuant to the provisions of 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 she is exempt therefrom and the basis for the alleged exemption. Any 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).): ❑ 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 such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of 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 pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of the Business and Professions Code Date: Owner: WORKERS' COMPENSATION DECLARATION I 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. I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier andpolicynumber are: Carrier:��G�1 Policy#:c[ 6o aff;3 0 "2, ❑ 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 workers' compensation laws of California, and agree that if 1 should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. PERMIT NO. BP060918 Issued Date: 05/05/2006 APN: 056-400-015-000 Site Address: 8666 COHASSET RD COH Map Index: Description: MH PERM FND(1248) Owner: BROOKS CHARLES F 8666 COHASSET RD . CHICO, CA 95973 Applicant: SKYCREST ENTERPRISES COUSIN GARY'S HOMES 13468 H WY 99 CHICO, CA 95973 530-342-2694 Contractor: SKYCREST ENTERPRISES COUSIN GARY'S HOMES 13468 HWY 99 CHICO, CA 95973 530-342-2694 License #: 812930 Architect: Engineer: Total Square Ft: 1248 S.F Valuation: $81,120.00 Census Code: f�g5oty5 1`21-oG 'M, C6 CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butie County Code anoror I hereby affirm that there is a construction lending agency for the Resolutions to do work in icated above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) By: Name: BY , AA_ Date: PERMIT EXPIRES ON: �- 0`7 Address: ❑ 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 alter the substance of any official form or ocument of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: �/l r -✓=/0 MZ -0 V 614 Signature: Date: O ❑ Owner ❑ Contractor Agent for Owner AAgent for Contractor tt. c. tsuuamg rermn ui-io-u4 pg i f BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION Website: www.buttecounty.netldds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Name,6,, first Nam L AddressA D City C L SttateC, Iq ZiJY 73 Phone �s g 1�� Fax E-mail APPLICANT INFORMATION CONTRACTOR Name ?k — Addresy. 6 g p 1/►r V 1 City , /j; `e State e� Zip c73 Phone :3 _` Fax 3 / 7 E-mail Lic. # ti? M .. O Clas APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City State Zip Phone Fax E-mail State license Number APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail G' `j/ Ca �"'%Tli�_5' tij f n moi'✓' 1:,D l'rt APPLICANT SIGNATURE X For office use onl : Zoning Flood Zone I Y, I SRA es No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. ` 67` BIN # PROJECT LOCATION AP# o z— (; (/1" ) � Pr erty Address ;NGS �o�� �ti City ch,�� Cross Street WORKER'S COMPENSATION Policy NumberZ O �> ® o p� Carrier If hiring anyone other than license contractors, a certfcate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: W 9c, c rncsrK--- i 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 other department costs are not refundable. Received by:—P• Amount: (—`Zrp Bldg ` SRA Receipt #: ' 1C�O� Sheriff SMIP KAFORMSIBUILDING FORMS1BIdgApplSubRgmts.doc Page 1 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:a6 GNS. C! ho C K=S ASSESSOR PARCEL NUMBER Proposed Building Use: Tf .I (Y1 Permit Technician: Date:�l Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. J97 1. Site 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 faxesl ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 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: Installation manual, including marriage line info, Floor Plan, LUI Tie down or fnd plans, all in duplicate. 0 9. 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. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Hazardous Material Form P 12. Acknowledgement of building permit application without required clearances. ❑ 13. Other Rom ining 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 O'Chico ❑ Or vil as pplicable 15. Fire Sprinklers............................................................................................ 3 ❑ 16. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 17. Soils Report and/or Engineered Foundation required ........................................... ❑ 18pi! Erosion Control Plan Required:..............................:........................................ qjees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ ity of Chico Plumbing permit........................................................................ 0 21. Site plan and business license approval from the City of Biggs .............................. 22. California Department of Forestry plan approval l aid. Sent by: ............. 23. Planning approval for (A) Use: (B) Parking: (C) Parcel Check: ............ E- afic ❑ 24. Contact Land Development about _ Improvements, _ Drainage ........................ 025. Fire Marshall Review (commercial projects only). Sent by: ...................... 26. NPDES Form............................................................................................. 77. ncroachment Permit for driveway from the Public Works Dept ........................... 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 ................................. ❑ 33. Existing violations and/or expired permits......................................................... ❑ 34. Deed Restriction .......... �............................................................... ❑ 35. ❑ Legal description, l7'M.H. Title, title search, registration or MCO ......................... ❑ 36. Other: ❑ 37. Other: When issued Telephone,S�-?- U2 4 and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: Date: 1. Index permit applic n for the above items numbered: Plan Che. Lette/ 2. Additional items required r, designer, owner, was advised of the above data by, phone, ❑ mail, ❑ counter, by Date:-� ZS ontractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Structural reviewed by' Date: Structural approved by: Date: Note transfer by: Date: fQ Yellow: Building Division K/Building/Plan ChecklData Sheetsidata sheet page 2 9.27.05 Plot Plan Attached Floor Plan Attached' Sent to BD/DS . .� TO: Building Division = Development Services FROM: Environmental Health SUBJECT: Sanitation Clearance 13roo V5 8666 Owner Location AP# Plan Approved for: Sewage Disposal: X Water Supply: Public Private Well 'X Clearance for dwaffing. Other 3 �g4, 'J /'I/-/ v 'l/- vHold final for: e- �•,�c�i lei C �, Final clearance O.K. for: NOTE: .EX�s�nc /�l>1% 71�) ,6e rCme)y Environmental Health Specialist Date Building Clearance 9/2005 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 www.buttecounty.net/dds PHONE (530) 538-7541 FAX 538-2140 RECEIPT OF FEES SCHEDULE - RESIDENTIAL Owner BROOKS, CHARLES APN No: 056-400-015 Permit Type: F---T-:]Subtype: App Date: 4/21/2006 Permit No: BP 06-0918 Permit Desc: 1 BUILDING PERMIT FEES ESTIMATED AT APPLICATION Plan Check portion of Permit Fee 2 FEMA RYes Flood Elevation Review $109.98 3 SRA* Yes Fire Plan Check - Non -Refundable $95.00 (State Responsibility Area) Building Inspection $109.98 NON-REFUNDABLE portion of fees due at application $549.90 $219.96 $329.94 Balance of Building Permit Fee 0 $95.00 $204.98 $109.98 $314.96 FEES DUE AND PAYABLE AT TIME OF PERMIT APPLICATION $424.94 FEES (BELOW) DUE PRIOR TO ISSUANCE OF PERMIT $338.05 $329.94 y 5p3r5 5.r $8.11 4 Balance of Building Permit Fees (from No. 1 above) 770 Butte Creek $7,997 5 SMIP* - Strong Motion Instrumentation Program (Enter amount from permit system) 6 Additional Plan Check Fees (NON-REFUNDABLE) 774 Lindo Channel $8,267 7 Other*: 777 PV Ditch $8,893 7a Other*: Temporary Dwelling I $136 At time of building permit $136 annual renewal fee for first 4 renewals. Not to exceed $684. 8 IMPACT FEES - RESIDENTIAL* jPer Dwelling I Per Dwelling 1per Dwelling MH Applications After 04/15/06 ,cF SFD MFD u County 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 SR -1, SR -3, SR-1/PD 8801.091 7395.041 8486.40 �c R-1 8897.09 7491.04 8582.40 tioc R-2 8390.091 6984.04 8075.40 R-3 7604.091 6198.04 7289.40 Processing Fee is automatically added to impact fee total 0 $100.00 9 WATER TENDER FEE )Not collected when Impact Fees Applicable) Enter Bat.# $200.00 DRAINAGE FEES* RECEIPT DATE Tech/Asst 450145 4121/06 Tammie RECEIPT DATE Tech/Asst 10 10a 11 11a CHICO STORM DRAINAGE MASTER PLAN 770 Butte Creek $7,997 RECEIPT DATE Tech/Asst 771 Comanche Creek $8,341 New construction, vacant land, on 1 acre or less - Enter 1 or less acre value 772 Little Chico Creek $9,088 773 Big Chico Creek $6,776 774 Lindo Channel $8,267 775 SUDAD Ditch $7,211 776 Mud -Sycamore Creek $6,275 777 PV Ditch $8,893 More than 1 acre, existing buildings - fees to be assessed by Public Works Fee Determination Sheet Needed - Enter amount determined by PW THERMALITO DRAINAGE AREA 1 $684 Maximum Per each new living unit on existing lots where full drainage fees have not been paid Temporary Dwelling I $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* 12a RECREATION DISTRICT FEES* Chico Unified School District 062 4,I&W `M' a S3 -06 I 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 Govern�meht cod ection 66020, you are hereby notified those Items followed by an " " may have been impose on your roject. You have 90 days from the date of approval of the porject or from the imp6stion of the above referenced items during which you may protest. The requ rements for a protest are specified in Goverment Code Section 66020(a). K:/Building/Forms/Schedule of Receipt Fees Residential 041506 Butte County Depa.ri:rnei2t of-Develop.rzlel,t S'erTnces rrF° 7 County Center Drive Oroville, CA 95965 - ° O (530) 538-7601 Telephone cot] (530) 538-7785 Facsimile N�y BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES I request and authorize the Building Division to process this building permit 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. , m 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 a' 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 buildingpermit or require submission of amended building 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: �L Applicant Name: APN: Building site address: &6 -lo Permit No.:k- a Wy 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: 4141-- oTnrr TuT ' F APPT.T-AW DATE 0& N\ Department of Public Works C o u m y o f B u t t e i J. Michael Crump, LAND DEVELOPMENT DIVISION Storm Water Management Program ' Director 7 County Center Drive Oroville, CA 95965 i`,Ue71C (530) 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 , rLESS THAN 1 ACRE] Project Description: Project Location and/or Parcel Number: e X5_6 - 4 0 " C2 / S By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 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: , . Date: Less than 1 Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/24/04 A Q �►ITOFNQ, i c�y11Ty OEC` :STATE OF CALIFORNIA NUMBER: BUSINESS, TRANSPORTATION AND HOUSING AGENCY DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT DIVISION OF CODES AND STANDARDS 874-8429 MANUFACTURED HOUSING PROGRAM MANUFACTURER CERTIFICATE OF ORIGIN •�S �, ❑ v� CHECK IF THIS IS A DUPLICATE MCO -ENTER ORIGINAL MCO NO. MANUFACTURED HOME OR MULTI -UNIT MANUFACTURED HOUSING NUMBER OF 13SFD (SINGLE FAMILY DWELLING) ❑ MUMH (MULTI -UNIT MANUFACTURED HOUSING TRANSPORTABLE SECTIONS 2 COMMERCIAL COACH: OCCUPANCY GROUP MANUFACTURER NAME: MANUFACTURER LICENSE NUMBER: SKYLINE HOMES INC 90002 MANUFACT)JRER ADDRESS: SUGGESTED RETAIL PRICE: 1720 EAST BEAMER STREET WOODLAND CA 95776 65,402.25 street C' State(zip)$ MANUFACTURER TRADE NAME: MODEL NAME AND/OR NUMBER: DATE OF MANUFACTURE: WESTBROOK + 3702—CT 5/25/2006 NAME OF DEALER OR TRANSFEREE (OWNERSHIP TRANSFERRED TO): CALIF. DEALER NUMBER OR DATE OF TRANSFER: TRANSFEREE DESIGNATION: SKYCREST ENTERPRISES/COUSIN GARY'SHOMES ' 91265 5/31/2006 DEALER OR TRANSFEREE ADDRESS: 13468 HWY 99 E CHICO CA 95973 street C" State (zip) INVENTORY CREDITOR NAME: GE CDF INVENTORY CREDITOR ADDRESS: P.O. BOX 94900 PALATINE IL 60094 (Street) (City) State(zip) SECTION MANUFACTURER SERIAL NUMBER HCD INSIGNIA OR HUD LABEL NUMBER LENGTH INCHES WIDTH INCHES WEIGHT (POUNDS) 1b) 1 8V70-0553—U—B PFS 968544 600 144 19,016 2 8V70-0553—U—A PFS 968545 624 144 21,007 TRANSPORTER NAME: BENNETT TRUCK TP,ANSPORT TRANSPORTER ADDRESS: P.O. BOX 17� DURHAM CA 0 95938 (Street) C' State (zip) JDESTINATION FOR UNIT DESCRIBED ABOVE: COUSIN GARY'S HOMES 13468 H.WY 99 E CHICO CA State 95973 (Zip) (NAME (Street) (City) I certify under penalty of perjury under the laws of the State of California that the above facts are true and correct WOODLAND YOLO CA Executed onal a (County) (State) SIGNATURE OF AUTHORIZED AGENT: DISTRIBUTION: ORIGINAL (PINK) FORWARD TO THE INVENTORY CREDITOR, UNLESS THERE IS NONE. THEN FORWARD TO THE PURCHASER (DEALER OR TRANSFEREE). COPY 1 (WHITE) FORWARD TO THE DEPARTMENT AT P.O. BOX 1828, SACRAMENTO, CA 95812-1828, WITHIN FIVE (5) DAYS OF RELEASE. COPY 2 (YELLOW) DELIVER TO THE TRANSPORTER TO ACCOMPANY THE UNIT TO ITS DESTINATION. COPY 3 (GOLDENROD) TO BE RETAINED BY THE MANUFACTURER. HCD 483.0 - Side 1 - (7/97) UEALEH CONY BEND '& PEEL Manufacturer's Name and Address HUD No. SKYLINE HOMES, INC. 1720 E. BEAMER ST. P.O. BOX 1870 PFS 968544 WOODLAND, CA 95776-0870 PFS 968545 Plant No. Model Designation Serial No. Date of Mfg. 355 WESTBROOK 37027 -CT 8V70-0553-UBA 05/25/2006 'his manufactured home is designed to comply with the Federal Manufactured Home Construction and Safety Standard in force at the time of manufacture. Design Approval by PFS Corp. Factory Installed Equipment Includes: MODEL RATINGS OF FACTORY INSTALLED CIRCUIT EQUIPMENT MANUFACTURER DESIGNATION (APPLIANCE NOT FACTORY INSTALLED) Comfort Heating 1 COLEMAN DGAA056BDTB - - NA Air Conditioning 2 NA NA 40 AMP Cooking Range 3GE JGB04PPH2WH NA Built -in -Oven 4 NA NA NA Counter -top Cooking 5 NA NA NA Refrigerator 6 GE GTS 16BBSARWW NA Water Heater 7 RHEEM 21IR40T NA Clothes Washer 8NA _ NA 20 AMP Clothes Dryer 9NA NA 30 AMP Dishwasher 10 NA NA NA Food Waste 11 NA NA NA Smoke Detector 12 FIREX ADC NA Fireplace 13 NA NA NA Other 14 Instructions for all work to be performed in the field are located in the kitchen drawer. he maps In this box define the design loads for each geographical area. This ianufactured home has been designed for the roof and wind load zones: ❑ North 40 PSF ❑x South 20 PSF ❑ Middle 30 PSF ❑ Other PSF This home❑ requires ❑x does not require perimeter floor support. ROOF LOAD Q Zone I [-]Zone II ❑ Zone III HOME CONSTRUCTED FOR Thls home has not been designed for the higher wind pressure and anchoring provisions required for ocean/coastal areas and should not be located within 1500' of the coastline In Wind Zones II and III, unless the home and its anchoring and foundation system have boon designed for the Increased requirements specified for Exposure D In ANSVASCE 7-88. This home has ❑ has nottl been equipped with stone shutters or other protective coverings for windows and exterior door openings. For homes designed to be located in Wind Zones II and III, which have not been provided with shutters or equivalent covering devices, it Is strongly recommended that the home be made ready to be equipped with these devices in accordance with the method recommended In manufacturers printed instructions. tl EQUIPMENT SERIAL NUMBER 1 WOC6119920 2 3 LH 182995P 4 s n� 5 6 GL854119 7 RHNG0406SO2010 8 9 10 11 12 13 14 BEND & PEEL 06 11:50 FAX 530 899 9531 "mow REOOROING REQUESTED BY: Wean Recordod f1lefl Do nww WW Tax StaW n m To: Chad" F. Brooks 8848 Cohasset R4. Oft, C:a. 96979 Escrow No. n5a Q ft No. APIC 05&40-01 S.000 GRANT DEED FIDELITY NATIONAL TITLE + COUSIN_GARYS &05/005 201220��rd�lZSI�2 Recorded I IEE FEE 7488 Official Records f County ofReft; Mm J. aUW MSD Y DICKSON I 1818 A 11 -Jam I Passel of 1 SPACE ASM THIO LINE FOR RECORDER'S U8E OOClEENTAW T A WFM TAA Pmvwubd a M rotas or prm m - t11 r 601VAId = b volas 110 AM and onomoftemon mmmbYg 210M d wk. mwr,.e�arwa�eu�r.�r, FORA VALUABLE CANStOERA7XK eecelpt d otdds is h@n&j adorowkdped, I (ft) Benrioe @rooks. hendry GRANT(g) to Cbw*a F. Brooks Ute r0 dncnftd nra! pmomr1y Into Ciy d 90L(ar hen unlnoorporatad area Of) Caurdy of BMbr ISM aLGI ftow Poa1 of LQ'TR h Beeson 4,Tvmld p 23 W North, AMM 2 East, 11.D.S. S K dosafbed as follows; Be *MN at the Intersedbn of the Bouch f ne d acid eswm 4 Wh Im asr+Mr Ing of Comssel County Rodd and rft ofy sna of calaveet county Road 290 feel +o to tm point of eegr- r8 a" Par" v ith fee acid $o0 along said gond a didoneaid 'm WW ruoa d 100 feet: 9 1 , ne sav es ath lire d said Section 4 a distanoa of SM leek a let- ma dgY Parelkgto the sad load pne 100 fask 0lerrca YMss! b dlearlre d tido tet pwaftel m the said So1/11 I101e d sow Sec6ft 4: ttlenre tMtls mmt slog said Capel County Road loft print of beginink DATED: (� 2 0 C 4 STATE OF CAU" OOU Zy OF J ff b�e/ors afe, 1,) L�r�.yxr,aw aPPserod Paesonaly wlawn to me (or oto rm an me bass Of SOW100 1Y ) to be the psrson(s) Ohm roma(&) isfam seb mtod to des wafm h*Wnard and adm&Medped to ens sm ndmel e,oeeuted the same in M0,*dVM*aedMb0d aW6d (tet). and 1hd by his hwffi1eie *jWMbue(s) an tM insburnent the p>e MKs) ,or the anpbr upol behalf Of wflfth 1110 Paman (3) acted. minuted' DONALD L $MRH Aj .A8K dw insb'ta rw L fM,a p, Mlit Vltitrles9 n7 and fW11L T STATEMENT AS DIRECTED ABOVE FD -213 (Rev 4194) CHANT DEED EAST W OF FRACTAONri IL SWTOV 4t T23b2N, R2J; MWSM. ' v. c At7Tt'-®canpawl Mir* x TAb dwa Por ""swap l.ry.... wW., w arp wo NndIM. JOAN owe.b. _ U U. i8 C J " • eRlOD CD CLQ m ►T -►'►JM es°�'[ JOIOtD _ - _ - !.� •• - - oda SR v' cJ, C-1� a -- D ¢`A / %� segs j & 1JACt i 1! A21 ffi L lC,O eGs Q / / A ' 02Q ®UAC1 JAAct j i r o JJ A0.1� f7D / ffJ ac s _ ' r r i e JiP AG t { LAC! „ JaQs � ! AC a At"AAR9 asdii 4 3 z A2! !:,.C, i r m Pop q r-Aw 00 Pllf 44+0 F02 - C- C C U H . Z AWnW?a Ato Ab W-40 p THIS IS NOT A SURVEY 0200y of eaaftcmrc { Rome Or ALOMY skaa FJLK %ftq Kwr THIS IS A COPY OF THE COUNTY ASSESSORS PLAT MAP AND IS PROVIDED SOLELY TO AID IN LOCATING THE LAND IN RESPECT TO ROADS AND OTHER PARCELS. FIDELITY NATIONAL TITLE CO. ASSUMES NO LIABILITY FOR ANY LOSS OCCURRING BY REASON OF RELIANCE p THEREON. o • c cn fy M?�Iy.03 06 10:47a Butte Go Public Works 530 536 4356 p.1 OACHIVIE NT PERMIT County of Butte Department of Public Warks 7 County Centel- flrivc Oroville, CA 95965 1�Uc ,waa�' Phone: (530) 538.7681 Fux: (530) 538-4356 _ Alt inror+n;ttiotl exec %L sire must be typal t'>r IcKilriy printctl _ Pc��1-- C) NOTIrY COUNTY 24 HOURS BEFOREWOIa K IS " 0 tip START2D AGFeAnt7PS Paredi• P^Wcrty Owner's Name: (O /� ,s C — .4 beeNun,lrer YR'7rhltry (Beau;, ud): ptuat•: I•foperry Addretr: ,� - - OWNUR MB,lingAddrest(If DilTelert)': ,. C :•h "� r C A"' 3 9 --973 Wofk will beUadreetors Name performed by:Contrngor U Novelty Owner — Pholw Mleries: I�aa: V � !, /_.! r ..---- .. a.r.•0'1/Lt?a_LrL+L.r--�✓.•�-�--- -._—_..-- C;entraGdr'e Lkeru C'.n t}rlrsstrran;c a �a 1 W0KK o u1lrLsxritil�tAra�ytt2 A Yes O No l°F,R o"IED BY- Al,plicanl Is: ❑ Proper7y owner U Propn+y Uwner'f Arent �Contrsauf U Other: I/ Wi, ,the undersigned, hereby eppty to the CountY of Blltic for an encrOaChmell[ Pcrnlil to do the rollcjwing work under or over the Count' ads and hig}1wn , all in ncco_rdance with Coun ordinances findenerul laws. Signnttne: �'�` I)atc Signed;,, 1a Time und-DurAnnn ' uft;nwoeehmcur,Permanent Eatroaavnent ❑ 'temporary: from _ T^, LOCATION Tyrse of �— t ncroaclwcnl: Dtivrway D ftuadwny C Culvert 1 encs U Pipe/Pipeline Cl Sign/tlillboard 0 Other— $rte Plynl Yes(] No .. Attaci,ed: PTR11I1'1 IS: 75�Cl2ANTVD 0 11•ENIF-1) Coatliliortia: In complloncc. with the above request, end subioct to all term$, conditions (intludiag those ua Pagc 2 of this Pcrmitn(04110 ends cciul Cfgidit{nns written below, lur?nission is hutch ranted. �_ -_ 1. 0 Underground Service Alert (USA-) must be notified two working Jays Pripr to amry excavation. 1300-227.2Gti0 2. Y411 work shall ctnirDfpi to accompanying: )4-Pttoil o Plans O special Conditions ---- 3. D Othet Cnnditions: eM WIT CONDITIONS l2--. _ _ - ,, (I'o be fillet! in by County) s , �� QL� /�4�e �^ /`�L .•����... , ,Z. �'��ZD� •.,_40 1'.�iy`��.�—sem I�a� -plralion � ••�� Sarco: SIx,ued: f �Q G ° Date: Dore ,r/ Amo^m / i / �B Pail hetiRe.: Praia: (,� Pofd: 6 `lam~ 11.v- Nn, 6— Na: - -- Mike Crump, Director of Public Work, Y G/ hoed Ialnu; I Impceted DY: las s 1. J (' ykted • UK i._) Cumpincil - Not OK knxult" Wditiun,-I Commerds ArtAched For County .._—L Commenl�. -- • Use Only - i.. Nc+e: If i,cunit; 6fC I;rr.ed to OnV nu rbc, Ix:idrt (S.mU) iib•a15G, dwY Wn tie. del8•,Ze-1 u . W OIV. weeS.. .—�-. ,____,_• Po+nr:07So4f I' r -- Pace 1 ort e VQi! 03 06 10:47a Butte Co Public Works 530 5384356 p.2 EDGE OF EXISTING PAVEMENT FLOC! LINE DITCH PIPE IF REQUIRED, S17E AND LENGTH 'T0 BE DETERMINED IN TrJE FIELD jay OUNTY ROAD FOREMAN AREA TO BE PAVE) r R/W 10 MIN.,, I PROPERTY LINE I NOTES: I. PIPE TO BE C.M.P. OR EQUAL (12"DIA. MIN. 2. PAVING SHALL C0; 4 STIST OF " OF AGGREGATE BASE- MIN., AND 2" OF ASPHALT CONCRETE, MIN. IT IS 3. IF THE AT►ACHE CULVERT NDRIVEWAY O ANMENT EXIS NGRDRIVEWAY ONLY TNEN REPLACE A DRAINAGECH SH ALL '( SAME A ERAS THE EY. BEE TMEIS-nNG D DRIVEWAYFOR yHEIVEWAY STRUCTURAL SECTION. HE y+la4Nr STANDARD FOR: z, ►,`�� PRIVATE DRIVEWAY DETAILS ► COUNTY STANDARD NO. S-31 N,T.S. RMSED 015-25,-2004 �. School District A.P. Number Property Owner Property Location/Address BUTTE COUNTY SCHOOLS IMPACTTEE CERTIFICATION FORM (One form per Building) Jurisdiction: city Building Department No. E�4 Countq- Subdivision Ir Lot No. Residential Development ............. : Sq. Footage No of Living Mos M me 'Addition/ *Supplemental to (Group. p.R) so Units In all.tion Conversion Pefmit # '(No...................................... ........fo..u...n..da... .�in.inspection .................. L.. I Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document), Commercial/Industrial ' = New Addition Sq. Footage (including Exterior Roofed Areas) Date District Identificatiog, No. School District certifies that (Applicant) / 3�� ,vc- �i � S3U aa6� (Street Address) (Phone Number) _f� clJ��_2 (State) (Zip Code) has complied with the requirements of Resolution No. by payment of $ representing Lsquare feet. B29� 6 $ ULL MITIGATION $ School District Representative -Date Paid by Check # AA Remarks: Notice: You may protest the Imposition of the fees Identified above by submitting a written protest to the DhMct, In compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the Imposition of the fees In any*covrt action. If, subsetitmwit to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District to notified by the applicable Local Planning Agency that this project Is being reviewed under the California Environmental Quality i Act (CEQA), this project may be subject to additional school fees to fully midgets he Impact on the school d"Ws'schools. White (school district), Yellow (building department), Pink (applicant). fteformide (3105*m �QS-7 `C FirqT-10'-B"�5 5' 6' Gr poY,ner 2o' -a' is -a' - CuS r o .S•' ENVIRON E o -L HEALTH APR 2 4 2006 CHICO,.CALIFOHNIA BUl"LDING 19 °' ICON ay .... 9 � t APPROtfra POPISJiD1hE9 If1161I U2o tw M. AMD sw " It apron lD Wg root no (101 DP MCC P.fPI VVAHGWX RIFT o IbB RaFl1 RtlCt rH P uttatJl HY T l MW W Sf 1€v tlit a Wit vain 1101! RD m a ItSfr mu a 1N a1 Ir IAN D P psfe05JRJs1Jll Race WP15 017fM Jin jpl 9101 *Mgt B11X p{ SIMET -� ADD SUI R OPUtm nDe WU1G 3n ovn .+..,... H (52f50) �. - 3702-rl SZ'14-3CK-ZB-GII_ q California Department of Forestry and Fire Protection - Butte County Fire Department Fire Safe Requirements Permit# 06 - CfI N 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 Pq 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. Where the 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 surfaceshall 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 Pq 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. Pq (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 "T" 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 C F Is r� Q U I R E M E N T S y� 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) Crate 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 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 '4 1 Same Practical Effect for Buildings less then 30 feet from property line: ,-K 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) Stacco-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 [X] 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 constriction 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. APR 2 5 2006 Date Revised 02/28/06 3 Darren Read Fire Protection Planning Xi2 Foundation System Installation Instructions for California for Ground & Concrete Systems HUD Wind Zone 1, 15 PSF Wind Load Seismic 4 By Tie Down Engineering SUTTE ( 8011 r)IKI^ Part #59307 Xi2 Concrete System Engineer Approval "" i State Approval ✓ISS AClt1RED.�tOMFJAdOBtLE ROME MM=AWV> :«DS.MMI , 4PPROV�DMNPrAUTRaRzmm.APPRwn:Axr AttuG►�LB stx�s uwsi►iaa:x�sotu awi o�aau�. Page 1 of 8 i Xi2 Foundation System Installation Instructions for California for Ground & Concrete Systems �- HUD Wind Zone 1, 15 PSF Wind Load Seismic 4 By Tie Down Engineering Updated: 8/29/2005 REQUIREMENTS • These plans and specifications meet the requirements of Title 25 Section 1336.3 Sub Section A and 97 UBC Seismic Requirements, CBC 2001 addition. • Maximum vertical projection at sidewall is 9'. Higher walls may be used when the design loads are adjusted accordingly and approved by HUD... • Main rail spacing must be 75.5" - 99.5' - - a • Additional vertical anchor ties that°are unique to a home's design'may be required by the home manufacturer. These locations may include shear walls, marriage line ridge beam support posts, and rim plates. The longitudinal component of the Xi2 system replaces end frame ties. Check manufacturers set-up requirements. • Maximum pier height is 48" pier. Contact Tie Down if piers exceed these heights. HUD approval required. • Steel piers must be fastened to the I-beam with clamps provided with steel pier. • Systems must be placed as evenly as possible, no more than 10' from end of home. • Additional systems may be needed for roof slopes greater than 20 degrees, (4.37" in 12" Pitch ) See page 7. Additional Requirements for Concrete Systems • Poured concrete must be 2,500 PSI minimum at 28 days. • Square concrete pads minimum is 18" wide by 12" deep. Round concrete pads minimum is 18" wide by 14" deep. Strip footings minimum is 18" wide by 14' long by 6" deep. Xi2 components exceed HUD code 3280.306g "Anchoring equipment exposed to weathering shall have a resistance to weather deterioration at least equivalent to that provided by a coating of zinc on steel of not less than 0.30 ounces per square foot of surface coating...." Page 2 of 8 5ek mi -le r. A 12LII1_� �) � Butte County Building Division MANUFACTURED HOME SUPPORT DATA. Owner's name: 6A-voAS A. P.# OS 6" - ®O - 61S Home Manufacturer: .5Aid/ ' c- Manufacture Year: �6v Model Number / Name: - 1 32 OT CT - Width: (ft.) Length: (ft.) FOOTINGS: Wood - pressure treated or foundation grade[A Other:[ J SUPPORTS: Concrete block (Other:[ ] Provide manufacturer's installation manual, support blocking requirements and state approved or engineered foundation or tie down system specifications. rler rooiing aizub anu LUL,0uv1 is t SINGLE WIDE Line1 ------------------------------------------------- Line 2 Section 1 Line1 --------�--------------------------------------------------------- ------------------------------------------------- Section -----------------------------------Section 2 i� Section 3 Line 1 Piers: x Minimum size piers: [ ] X [ ] Spacing maximum: ' From ends maximum:, ' Line 2 Piers: Minimum size piers: X [2 ] Spacing maximum: 11 01O From ends maximum:Ea o Line 3 Roof Loads: Minimum size piers: Location (from front): . Minimum size piers: Location (continued): Line 4 Roof Loads: Minimum size piers: Location (from front): Minimum size.piers: Location (continued): MULTI -WIDE Line 1 Line 2 Line 3 Line 2 Line 4 (triple wide only) Line 2 Snow Load: ;2- ®' psf Snow Load requirements may be obtained at http://www. upstate -ca. com/butte/bufte_county/ Insert AP #, view snow load in lower right corner. Line 1 Openings: Minimum size pier: [ ] X kq. ] Required at each side of openings over ' wide. PERMIT NO. 1741-7,7P,E { PERMIT EXPIRES (OWNER Floyd Floyd Brooks CONTR. owner LOCATION (A.P. 56-02-39 E/S Cohasset Rd.', 2 mi.S.of Greenwood Store, Cohasset �t 1 F} . i I 7. A w { �f Temp. Power Pole Called PG&E Temp. Elec. Serv. 6 —1 I Called PG&E/�ef le—y 7,7 Temp,gGas Serv. ��—Zr % % (Sig, at re � 4 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) ewall So Pipin 1 Floor 2n Floor 3rd oor To out Water Pi i Sewer Fixtures Water Htr. Heaters Appliances Gas Piping &Test .. TemD. Gas MT ttlag. otin s St wal I. Slab Piers Garage Footings Stemwa l l Slab. Footi Slab Patio Footi el / - Framin Stucco Rest om Finish Windo Siding Roof Shea in Roofing Fdn. Vents Garage Vents Insulation Prov. forph sical handicaooed Conformance of ex. Foot Test Final MECHANICAL PLUMBING Final E CTRIC L Roucih Fixtures Motors Water Htr. Subpanel Grd. Fa t Prot. Servicif T p. Pole Fin ish Dtits I nder round In rior Lath ntilation N I JPermanent oor Closer Inal Winal MOBILEHOME UTILITIES Elec_ Service 1.-- Elec. Pedestal Water Piping Sewer _ Gas Piping MOB16EHOME INSTA LATION ...... • ....... Support _ 7 17 Elec. Continuity ,7— 2-,Y— 77 Water Piping/,? - — WaterPiping/,? "A-77 Drainage Gas Piping 1.2-2- 7 -7 DATE REMARKS OR CORRECTIONS /d _2-s 7 -7 Alf, G/'r a4 .e&�r c Z. (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE " DEPARTMENT OF PUBLIC WORKS - 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with there uire'ments of the California Administrative Code, Title 25, pte= S, un er:permit number /754? %% for the following location: ST2e - �Gcrs 7- 0 w n e r Owner Owner's Address IiDX -?d �GP�SJ T sLla�sE Mobilehome Mfg. Model Year Insignia No. s— %�issl Serial No. ��► It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. Zl COUNTY OF BUTTE N DEPARTMENT OF UBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number /71.1— 77 for the following location: 4 Jrt Owner's Address Mobilehome Mfg. Model Year T /,3 f3o Insignia No. Serial No. It is hereby certified for occupancy at the above described location and may be occupied. - Director of Public Works Date I , By ` THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED .i White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE -W"' 11 DEPARTMENT 09!JBLIE WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY",. This mobilehome has been installed in accordance with ';they're"qquirements of the California Administrative Code, Title 25, Chapter r5;''"uln 'er *permit number 274 �— 7 7' for the following location: Owner `r Owner's Address Mobilehome Mfg. ��iNr N��,�,/ Model Year Insignia No. S— ��� y� Serial No. I f.3 �I—?Q It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date a THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED .r White - Owner, Yellow - Installer, Pink - D.P.W. ii0t3J:i.l?li(}t'tE INS'LLILLL\'I-W4 INSPECT TON CIiECK LIST d! Is the. mobileh.omc loc,:!tcd I"i."-I required separation from lot lines and buildings and generally gJ con.torzn to plot plan? Y('ci _ No /hoe_,; the mobilehome have required clearances above ground? (Sec.5085) YesV No Are footin-,s,and supports properly sized, spaced, and braced as pe ,,approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yeso_ lam. Is the mobilehome level.? (Sec. 5088) Yes& No� If more �� single unit, are crossover connections properly installed?(Sec. 5088) Yes_ Ido" /-water A. Is fle '�_'ble connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) . Yes ✓ No B. Pest — Does water piping withstand working pressure or 50 lbs, air test? Yes[/ No C. Backflow - If as is not State'of California approved, does station have backflow device and pressure- ��1valve? Yes' No /wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes t, No_ B. Does it have minimum ," per foot slope and is it properly supported? Yes No C. Are any leaks detectee ainage system after running 3 -gallons of water through each ,J fixture including wa Archine standpipe? Yes No D. If coachi.s no,$/Ste of California approved, does station have required trap and vent? Yes No ���� Gas Piping and. Gas Vents � A. Connector - Is mobilehome oe-nnected to the gas supply with an approved 3/4" minimum mobilehome connector more than 6 ft, long? Note: All piping is to be at least as large as the mobil ome gas line inlet without reductions other than the mobilehome connector.' Yes No B. Test OK as per following procedure? Yes l/ 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, soapy water. Yes r/ No C. Are all appliance vents properly installed? turn, on gas, test connections with 9. Electrical A. Is service large enough to provide adequate amperage to mobilehome (must equal rating of niobi_lehome with a. ::;inia::um of 1 0 amp) and other facilitiE!s on lot, i.e., water pumps, arae, cabana, ctc.? Yes f/ No B Is ther-,� proper clearances around panels? Yes v No C. Is power. supply cord or feeder. assetrilily properly fused? Yes 11-<o� test. Is continuity tet satisfactory as per the following Procedure? Yes �-No 1. De -energize electrical wiring syste:a of the mobilehome at the pedestal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected, 3. 'Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test instrument to the mobilehome grounding conductor and app fire Oiu.�'Y trait iA ear l niOu'i.�Cuullit Si.i� �1.y CUIIuuCtGr, iliCliiulilg neilLrdl. 5. All nor. -current, carrying metal parts of the mobilehome (aluminum siding, gas line, wsiter 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 to -;t shall then be made between the grounding electrode and the chassis of the 19.0bilehome. Upon satisfactory completion of the electrical tests, the lot or site service equi.pinent may be approved for energizing. fl, I,; 'ob card signed by health Departmeat for water and sanitation?/(/O 11.. If everything ol:ay, sign off card and tag services. MOBTLEMME DATA Manufacturer and/or Namest:yle t,ength_l Width � Vehicle Serial No. � 1te Identification No. __..,�77.7�% r.de_ ' t Tonal Information or Continents : 0 C.&LINTY-OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Urovi Ile, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives or the county of Butte to enter upon the above-mentioned property for inspection purposes. X Dat % Sigor/ej�oI PPeermiiitte�ee or Agent Receipt No. ,�L��171/ �/ b 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 0 P BLIC WORKS By 7 B ding permit expires Date I "���� 7,,Y BUILDING OwnerD SQ. FT. OCC. BUILDING VA UATION Mailing AddressA6 cz,X D a.S 5Avp- Telephone N Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty e Tlephone No. Permit Fee Building Address Sf PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 C Each gas water heater or vent 1.50 A. P. No. -� o� - 54 Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet 30 Fe W. on Fire Dept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements_,Lawn sprinkler system 2.00 s Re 'd Parcel A oval Plans Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER,® ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 c G(, ( Main service 1000 AMP OR00V OR SLESS 5.00 Main service EA. ADD'L too AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service R 600V 100EAMP OR LESS 25.00 Main service EA. ADD•L 100 AMP 1.00 NEW CONS. DWELING OR ADDNST ( ACCLBLDGSCCUP. &) 22sgft NEWCONSTR. MULTI -OUTLET NON .RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONSTPOWER APPARATUS & NON.RESIR. 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) gqL FIXED ALNS Ex. Occup. (OUT LETSP(RESID)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 QI 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. 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 $ $ 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 a dL4 TOTAL PERMIT FEE $ 36 d authorize representatives or the county of Butte to enter upon the above-mentioned property for inspection purposes. X Dat % Sigor/ej�oI PPeermiiitte�ee or Agent Receipt No. ,�L��171/ �/ b 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 0 P BLIC WORKS By 7 B ding permit expires Date I "���� 7,,Y MOBILEHOME SUPPORT DATA Mobil ehome Mfr, ! fj �,Q,„ Setup Model No. 9t. Year Width (ft.) Length1L (ft.) Expando Size ft.x• ft. (Draw support details below) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). Sin le - ®. Footings (check one) Ion 1: Wood either pressure treated or Center Center Support fdn. grade. Support Footing Sizes Locations (in.) 2. Concrete pad. r - x 1 / / 3. Other, specify jSupports (check one) / / 1. Concrete block TV— x a / / 2. Concrete piers in.) in. 3. Steel piers Other, specify ' - _-jv, Typical Support x°_, Footing Size f c (- in x ....i irie)Zin.) �- (in .) (in .)►— /z Max. Pier Spacing (in.)(in.)c: ((.i �ifl Max. i `- Overhang • BUTTE 05UNTY *If center piersk-are other than drawn above, BUILDING DEPARTMENT draw in locations, spacing, -and dimensions. - APPROVED • BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: -7 2. Installer's name: 3. Is the site currently under permit? Yes / / No / (If yes, furnish permit number 1/2" % I ,- ) OR Is the site an existing site? Yes / / No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes //\ / No ( If no, clarify ) ( F 5. What is the mobilehome electrical rating? ------- -- )1V 6. What is the mobilehome site service rating? ------ - o� �JO 7. What is the mobilehome site circuit breaker rating? ------------ % ra 8. Is there any other electric load to be served by the mob site service? --------------------------------------------------- Yes /�C/ No / / (If yes, identify the load and size: IKe ,2 26-V (Load) X0 (Amps) 9. What is the mobilehome site gas pipe size? ----------------------- 10. -------------------- 10. What is the type of gas service? ----------------------------- Natural / / LPG /x / 11. What is the gas pipe length from meter or tank to the mobilehome?4 (ft,) 12. What:is t,he.mobilehome gas demand? ------------------------------ (BTU) (This' nformation,not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) car • ,/�ii7A I J77 acksh�ll 6.e _�_ �,, _. h® S .# from` T b n ft. r ®. a 50 \ , ici ry hn� d axi - - e rOpe ,. .. p, - W,mltting , oenterine o he road;- ut esti ' - a - , - A t 'ave o`v,.eCliang,b > rwum of a 2 f SII ea : • \ / - \� \ 77 , , �, rc, y , r Aft of iiryoryhe�tions ' h O fp \_ t r' .1'`•i \ - - / \ -_ \ �O.GateC�t / \lttSl \ / h i n : `�! _\, +% / . _' 1 \ .__? -. ' (_ ` ` lthird sects 'n' ° - s \._ \ t 1© �e am �\ `•/\ �\ % .\ /... _\ / 1`•:z+:Qa4- \` On t�e lef�i�/`$oAEi .0�'s.$ PnOGrI - - - _. — j. J / \ ^\ Ai ,OGa a a5. \/ \ �f _ ;[{. _,_'. _ : \ `, Sip•,' �a�th`_ Oki NN - 41--� I f \ J / �'�'- =All%'Ma'teriai�, NN i �.� - ac't: ces - rid -�' A` `/: �. /_4 orJmansliip t< `• noe Good Pr; \ d `''' / ` ' -rrda \ th�-S use' in ahe'- �jFlcco pecif�ed lo r .\§ c I� q iJ� { Y,f a uah !p�� �,rC�chanical Codes and }tie 4c�trlcal Cole A !V ✓ d'\ /� r v \ '\; \ \.' \ ':✓ y.! 4/ { �AI"`rIj / /This; \ e.+ of kept On\t�7�\' eft°°(1�1R�r.S'7 xY1Out' _ 1' `make'an�► C tF� )written ermiss7o ; p ,fks Co unty',of_'Bsat�te.\, or, i y 0 r IM I COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS • 7 County Center Drive — UroviIle, California 95965 Telephone: 534-4541 � "�// / 77 APPLICATION AND PERMIT IV -- .. ...L.. v.+..n wai v...� arc vim—" — o.— w CIIICI U'u., LIIC above-mentioned property for inspection purposes. XDat *% $i ture of Permitee or Agent Receipt No. M() 1,61or White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisioris of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUSLIC WORKS Building permit expires Date BUILDING Owner QO/��- SQ. FT. OCC. BUILDING VALUATION Mailing Address D 3d S Ge Telephone No EZFireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee Building Address �� �� / - CI PLUMBING No. @ FEE PERMIT FILING FEE $3.00 .Q'O rr/ p U p Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 7 _ n ,?,Will A. P. `$^ .— ,J Z " Gas piping system 1 - 5 outlets 1.50 0 ,C¢W Each additional outlet 30 VS S eDept. Fire Zone Use Permit Building sewer 5.00 ,� EQA Parking Plans Parcel Declara ion Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 Bldg. Plans Rec'd P Appro pl�pprovoI Permit Fee $ •3"ao NEW ❑ ADDITION UTILITIES [X OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3.0-0 00V OR L Main service 100 AMP ORSLESS 5.00 C� Main service EA. ADD'L 100 AMP 2.50 iso Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service OVER 25.00 100 AMPP OR LESS O Main service/ EA. ADO'L 100 AMP 1.00 NEW OR ADDNST ACCDWELBLDGOLING CCUP, &) 2¢sgft NEW CONSTR. 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)@L BAL@1 2@SQ Ex. Occu FIXED APP LNS. OR P•(OUT LETS (RESID,) EA) 2.00 Temporary service 10.00 ' Mobile Home Facilities 15.00 If License No. Classification Misc. Wiring 6.25 1 am exempt from the Contractors License Laws of the State of California. Permit Fee __Z6,46_6 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. r-1 have 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 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT F E -- .. ...L.. v.+..n wai v...� arc vim—" — o.— w CIIICI U'u., LIIC above-mentioned property for inspection purposes. XDat *% $i ture of Permitee or Agent Receipt No. M() 1,61or White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisioris of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUSLIC WORKS Building permit expires Date OWN 6 . �,,mwwl rwokm n4d - -m DATE��'3- 9 V A.P. # D5 --q6-b --(O ) CONTRACTOR: - ZONING PRE -INSPECTION FOR: FI �2_C \ 4 DATE TO INSPECTOR =-=-----------------------------------------------------------------------------=---- ------------------------------------------------------------------------------------- PERMIT HISTORY: NONE Ej AS FOLLOWS: � J. TYPE OF OCCUPANCY ----------------- ----------------- FIELD - INFORMATION BUILDING USAGE: TENNANT: OCCUPIED , Q HAS ELECTRIC HAS GAS HAS SANITATION FACILITIES 0 HEATED -COOLED PERSON CONTACTED OTHER COMMENTS: ACTION RECOMMENDED: �] ISSUE -0 OTHER: BY.�/` HOLD FOR DATE PAG T7 OF CDF / BCFD DAILY INCIDENT LOG /� �7 ,Y/DATE FROM 0800 ��� / DAY/DATE TO 0800�Qt.�/' / ,►++#+,►+*+#++###*+++++#+##++++fir+*#+++#+r+++++++,►++++++++++fir+++,►+,q+++++++*++*++ I:Aubt: tI UINtb: Uur at-ru I wffkS4� Ul-tK.M DAMAGE: SO WT DOZ CREW AA AT HC SAVED: OTHER EOUIP: MEDICS l� LAND USE: ACRE/TYPE TOTAL WNER/T NANT WRA X/ O R.P. 6,eo B.I. MISC.: INC#466Y FIRE # NAME TYPE aM � REPORT TIME TART TIME CONTROL TIME ' v R.O. LZjA AJ STA. LOCATION: z - BAT. ,/'CAUSE: EN INES: CDF BUDCO#%?I� -lOFFICER: DAMAGE: I so WT DOZ CREW AA AT HC SAVED: O OTHER E UIP: MEDICS 5 O **i►**+**ter Y CAUSE• DAMAG SAVED; /LAND L MIDL.: /T/- rtt- J b - "Ty "' / •� ###+++**ji****_**,F*+#+#++#+fir+++++#*++####+ U R.P. .P. MISC.: ���,►�#**fir*fir �#�##+ Z -i / Z A .) 1191�eb,-LA 1/ JJi� . Ll/ �,_J - L DAMAGE: so WT DOZ CREW AA AT HC r SAVED: OTHER EQUIP: MEDICS 0 U V M15G.: 4-0 c_ 4,1*ii14 # * 4 i #####*####+t##+#+*#+++#***#+#*#,***i **+#*#**++++*++++++++*++++++++ DAMAGE: SO WT DOZ CREW AA AT HC SAVED: OTHER EQUIP: MEDICS L �y • 1 �' / osY �I�c w M� N• � y x So� i 3 B d h� lY� EX. D vE? 4N e f0&t-t 5SC / JV D, /0 2: — — roe+ en x. j, �... n A �Y} I O'o +-n L rc r -c n-% ov rq I Assessor's Parcel Number. a a a- a a a- a a a Scale: 1" Owner Name Address/ Phone No 96 6G Site Location Contact: Name / Phone 3 Ir -W- 2Gg5 SAM, PLANNING NASION - 9UILDING P N APPROVAL --ridng:_-,-,--_.— Landscaping; )ther. ,nature: 10VT REVIEWED BY fire protection Planning Officer CDF, Butte County Fire' This project is approved with compliance of conditions on attached sheet 611vV/A - 1 nature Date 0 FOR OFFICE USE ONLY Zoning: General Plan Desig: Size, Acres 4.W BUTTE COUNTY BUILDINCz 01!:331ON- - APPROV�1Q i. ADJACENT PARCELS SIZE (AC): . ZONING: GEN PLAN: USES: � � . , 2 `�� � � g�% y S �- �2 �� . %; q� � � Q�/ ' � / � 2� � a: � � u � e ; . � F,� y - */ U / § • . � .Q � I. � � _• - _ . � � � � . � t` \ ' D \ m. � �� v - .( � j/ /\ / & \ ( \ ® • �/ | . �2 | �\ � /� � ! |! � � | '! � \� � @ � « . �: � t � |, . , � @ 2 / , /� 99 � . [� : . ` i� � �' {� 7 ( A q |� . �/ ����� j — \