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058-330-045
a �S 0 r 58-33-45 GORGE HIENER 3 55, eadowSprings -Rd; Oroville PermitYk-147j7-85P,E(util, MH) ELEC ;?o W&c.L 20A058-330-045 PERMIT#94-157AG -: GAS G.PG HIENER, GEORGE H. SUPPORT STRUCTURE -RE 13356 MEADOW SPRINGS RD. :yc� COMPACTION TEST RE Fj/� AG EXEMPT PERMIT -TRACTOR & EQUIP STG. 58-33-45 Contr: Paci£.i< Modular Concepts Permi ks1780-85MHI --Y- I SIS X058-330-045 'PERMIT#98-151 HIENER, George �(� 13356 Meadow Springs d.,'Oroville i -Cont: Bruce Broderick-. Ex MH .on Pern Fnd (a/m 7 058-330-045 #98-164 HIENER , GEORGE P//0,411 /6 13356 MEADOW SPRINGS RD. ORO. OWNER r_ OPEN DECK & COVERED SCrp � room P 6 +inff�c FLAM L RESIDENTIAL 058-330-045 PERMIT#98-1516 HIENER, George PERMIT NO. 13356_ Meadow Springs Rd., Oroville Cont: Bruce Broderick PERMIT EXPI" Ex MH on Perm Fnd - OWNER CONTR. ASSESSOR PARCEL LOCATION rB HE HCD FORM 433A FORT1IIS�NTII CAM0T— E RECORDED UNTIL ONE OF THE FOLLOWING C� HAVE BEEN TURNED IN TO THE BLDG DIV: j (1) LICENSE PLATE(S) or DECAL(THE INS RETRIEVE i E INSPECTOR TO VERIFY SERIAL & LABEL #'S _ __ _ _ _ . ___. SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS ' VFRTFY Temp. Power Pole _ Called PG&E— Temp. Elec. Service Called PG&E _ Temp. Gas Ser Called PG! JOB FINALED Signature CHECKED BY V=OK 0 = Not OK ' =Not t Applicable NoReady 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) S. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location-Test0rap; / ^:tL / /Nat. or/ tL"ft./ /LPG 7. Well Clearance & Disconnect 8. Utility Clearance 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing Date Card B-1 Date Card B-1 Date Cana B-1 Date . Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Date 1. Zoning Requirements- Setbacks Easements Date ke-FoRtings: Size -Spacing -Marriage Line Date Gas, MI I Tos6Demena" ti _ __t _ 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector Water; 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert ccupancy 13 anent Foundation Only: License Decal 10. Plumb.; Cir. Test -Nater Supply W. Date ;,7_/_2-_,YAT 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-DepthSpacing-Connectors-Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Fong.; 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. Pod 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/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 -Nater Supply W. 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 _RESIDENTIAL (Single & Duplex) No O = Not OK - = Not Applicable I . ' Not Ready Date UNDERFLOOR (Plans) OK except #'s Date 1. ZoningSetbacks-Easments-Flood-Slope FRAMING (Continued) 2. Ftg., Main; Soils-Elec. Gmd. / /` Ftg. Depth 46. 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ p Ftg. Depth 47. 4. Ftg. Porches & Decks; SoilsSteel-/ P Ftg. Depth 48. 5. Stemwalls, Main; Steel-Blockouts-Wrapped 49. 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 50. 6a. Hold Downs and Special Anchors 51. 7. Slab, SteeMrapped 52. 8. Piers -Fireplace Ftg.-Steel 53. 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 54. 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test Siding -Nailing Veneer 12. Electric Underground 57. 13. Pienums & Ducts; Clearance-MaterialSupport-Ins. 58. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 59. 15. Access & Ventilation 60. Brace Interior / Exterior Wall Panels 16. Insulation Insulation-Walls-Cedings 62. Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date Date PLUMBING (Permit) OK except #'s Card B-1 Date Card B-1 17. Water Htr; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 63. 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 67. G.F.I. & Bath Fixtures & Tub Access -Spa Date 68. Card B-1 Date Card B-1 Date 69. Card B-1 Date Card B-1 Date 70. 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 Fastners-Bond Gas & Water A.C. Duct in Garage -Damper 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI Wtr. Htr; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor -Meth. Protection 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga Cu or AI 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or AI Insulated Neutral 0 Yes 0 No 31. Service -Riser Conductors & Ground -Main Disconect 32. Equip. Clearances Panels -Motors -Meth. Epuip. 33. Clothes Closet Light -Shower Light Spa Light 34. Smoke Detector Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 83. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 86. MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 89. 37. Condensate Drain & Overflow, Size & Grade 90. Corrections from Previous Inspections 38. Fumance-Vent Access -Comb. Air-Retum Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s Date 40. Sits Proper Materials & Anchors Comments at Final: 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 & Beamsaze & Bearing Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rttr. Ties-Purtin-rott Brac.-TrussShfing.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior / Exterior Wall Panels 61. Insulation-Walls-Cedings 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. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 82. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: Pa COUNTY OF BUTTE ` BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE b I'le Pi e �6 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, pleasepco/ ct this office immediately. t '0 /,- Z.." 4"� 2 1 c/r C_ Aal�2 r SSD /I/ "t ,fes, Date .2- el d Inspector _ REV 10/92 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California `95965 • Telephone (530) 538-754 PER IT NO. (Rev.JC6) APPLICATION AND PERMIT �^ ASSESSORp/�ETN�MBEih-045 V.JO J lJ 1 G 10 BUILDING PERMIT OWNER GFORGE, HTENER TELEPHONE SO, FT. OCC. BUILDING VALUATION 1/92 RT -6,768 . OWNERS MAILING ADDRESS 13356 MEADOW SPRINGS ROAD, OROVITLE, 95965 CONTRACTOR'S NAME 20J TELEPHONE 9669540 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 313.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 93-00 BUILDING ADDRESS 11196 MEADOW SPRINGS ROAD, OROVII-IR Energy Plan Checking Fee $ ,o $ PERMIT FEE $ 356.00 LAT NO. SUBDNISIOWS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑XOther 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 1� Describe Work: PERM FDN/EXISTING SITE Gas piping syste!2 1 - 5 outlets 15.00 UU Building sewer 15.00 15 oo Mobile Home I S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling 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 Secti 7000) of Division 3 of the Business and Professions Code, and my license is in fce and effect. 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: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number /�TThe 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' laws of California, and agree that if I should become subject to the workers' c pensation provisions of section 3700 of the Labor Code, I shall rthwit ply with those provisions. X Date < Sig a ure ofApplicant - ❑ Owner Contractor ❑ Ag t An OSHA permit is required for excavations over 5'0" deep and demolition or of structures over 3 stories in height. Main Service Zoog TO 46.00 CCU000A NEW CONST. DWEWNG OCCUP. SO OR ADDNS. ( DY; ACC. BLAS. 3.5¢FT; NOWRESIOT' MULTH1 CIRCUITS97,50 8Fs WE.R OPLIfL�ETTC R. Zo @ 1.00 EX. OCCLI . OUTLETOR FIXTURES BAL 50 P= 5.00 Ex. Occup. ourLEEDTs .) EA Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 421.00 HAZ. D. FEES IMP FLOOD COF PARCEL PD _ HD ,. Z7compensation This permit is hereby issued under of the Butte County Code and/or fees have indic5&Z By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date psi Date Receipt No. WHITE B. D. CANAR -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT �Y,,lr.-r'i'�'L3�i �".�tu��L``r-f;j``s"`*"�y'`i.F'�^�iin'ti�if�:'��I"`'"'""Y`f7w'�'•`Yy_�''`j� t i."✓""�'N'tiFiIT�'{�L91�,+'�,,,:+..+y+-.>a;�T.r. r,•jl't'x..:^.Y'y�-r,.... ,� II,� • '= O_UV•TY OF BUTTE DEPARTMENT OF DEAL.OPMENT SERVICES - BUILDING DIVISION -,; 7 COUNTY CENTER DRIVE - OROVILLEI CAfi FORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: WJE'©i ! r ifr, ASSESSOR PARCEL Proposed Building Use: h uilding Inspector: Date: At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: Date Received By ❑ 1. All items have been submitted. •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! ------------------ 06. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- 0 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ a 09: -Manufactured Home data and installation instructions including Tie Down Specifications .------------------ ' ❑ 10. Fees of $ ------------------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. ----------------------------------------------------------------- ;� ger 12. California Department of Forestry plan approval/fees. --------------------------------------------------------- ❑ 13. Flood elevation certificate. ---------------------------------------------------------------------------------------- lb 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: --------------- ---------- 0 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- ❑ 1.9. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- ❑20. Pre -inspection for required.. Request to Building Inspector on (Date) ❑21. Contractor's license information. (Number, Name Style, Classification). ---------------------- ------------- 0 22. Workers' Compensation carrier and policy number. ----------------------------------------------------------- 'Z!-�❑ Owner -Builder Verification (Given Owner ❑,, Mailed to owiief 0) - ------ —'---------------------------- '---`'--�--�-------------------------------------- --------------- 24. Letter of signature authorization. ❑25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- C-126. ------------------------------------------------- ❑26. Letter of intent on building use. ----------------------------------------------------------------------------------- ❑ 27. Manufactured Home utility clearance. ---------------------- ---------------------------------------------------- _q�18. Existing violations and/or expired permits --------------------------------- - ---------------------------- 433 A, ❑Grant Deed, ❑ M.H. Title �k to H.C.D $ � � � C/CJ 030. Other: ------- When you issue the permit, process as follows ❑ Mail to owner, ❑Mail to contractor. ❑Telephone and hold for pickup at office. iver with inspector. 9Applicant: 6Date: U Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department; ❑ Fire Department, ❑ Other: Date: By: IV 1. Index permit application for the above items numbered: �� ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required 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 f the above uired data by ❑phone, ❑mail, ❑ B ldin i ' n co ter, by Date: Plans reviewed by: Dater . Plans approved by: Date: % Sets of plans on hold ' Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, Colifornia `95965 • Telephone (530) 538-7541 PERMIT NO. (Rev.12/96) APPLICATION AND PERMIT A9SEeQ� """"� . _ Q�C ZONINGBUILDING PERMIT OWNERTELEPHON! SO. FT. OCC. BUILDING VALUATION OWNERSto AD S f CONT R5 NAME TQIEAIIgN! CONTRACTORS MALUM ADDRESS CONSTRUCTION LENDER LENDER'S MNLNG ADDRESS Fireplace Total Valuation b ARCHITECT OR ENGINEER LICENSE NO. Filina Fee S 20.00 Permit Fee j, 00 ARCWrECT OR ENGINEERS MwNG ADDRESS Pian Checking Fee b suanINGADDRESS Ad,Energy Plan Checking Fee b V ` . 6nlr: b ', "14192, PERMIT FEE _ s LOT No. sueonnsaNSNALNE PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF O Duplex O Mobilehome or Each Tr 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 O Addition O Remodel O tides O Installation O other .. - N . Nf Describe Work: � r L N Gas piping system 1 - 5 outlets 15.00 /S. 0 Buildin sewer 15.00 Mobile Home S G W Q20.00 PERMIT FEE i , ELECTRICAL PERMIT Fltin Fee 20.00 Main Service iw on = 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 License Class Lk:. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: O I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. O I, as owner of the property, am exclusively contracting with licensed contractors to construct the project O 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: O 1 have and will maintain a certificate of consent to self -Insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit Is Issued. O 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work forwhk:h this permit is Issued. My workers' compensation Insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) O 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that If I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - O Owner O Contractor O Agent An OSHA permit is required for excavations over 90' deep and demolition or construction of structures over 3 stories in height Main Service 10QA TO NOOOA 46.00 WEW CONST.OWELLNG oceuP. 3.5Qam OR ADS• +• ins• NO"ESID. ' MULTFo= @7.50 Powet ANroAR/1TIJ8 + sINLnE oLmEr as 20 Ex. Occup. OUTLET OR R nJRE9 ew 0 I yo Ex. Occup. =wEs 2, 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Mac. Wiring 23.00 PERMIT FEE b MECHANICAL PERMIT Filing Fee 20.00 Heatin Cooling Hood 6.50 Ventilation PERMIT FEt b Mobile Home Installation Fee b Energy Inspection Fee b occ CONST. TYPE TOTAL FEE $ FEES IMP nAoO COF vARCEL PD NND IssuE This permit is hereby Issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON I the applicable provisions Resolutions to do work been paid. Date mate) Receipt No. WHITE-O.D.S.-B.O. CA A Y -A S SS PINK -INSPECTOR GOLDENROD -APPLICANT �I Ai of i th Of J%. u Ii Q !7'i E /O C- o aU 320 .' This set of plans and specifications MUST be kept on the job at all f;, -Hes Old it is imlcrwful to make any changes or alterations on same without written permission from the Beparfrnent of public Works, County of .Butte, N S W tcordonce with Recoq "ar f a quality prosc-ibed f ni{orm Building, -Plumbing & hs µatiorxsl E6ctr. 4 C'..oda. to at a2 pis tm speci`tiCations mubf r* ego tw, His job of all times and it is unicrwful :x node changes or al+arations on same wi+hotrt rmissI from a DepaftdatCd an:hip %J 16 6 x,d Prac+ices orb ified ssse in the ago 7"1 "� " )TE:—AII Materials & Workmanship Shc cordance with Recognized Good Practi a quality prescribed for the Specified u iform Building, Plumbing & Mechanical National Electrical Code. 4 lot setback, of -&ft. from the �operty lines and a setback 50ft. from the road. Interline shall be clear of ructures or equipment exeapt it a 2 ft. eave overhang. N in and the and ++4 UCTr7." CMF-CyKED�j CONI?LY s {"; CURiiElN F.D I M� � NE09 UNIC AND UPC. 0 Utility 4ft. off directly r ha 14 of tl 'ctions shall be Within ,obilehome, either - d or within the raor dside clef;~) g f th' : ®" BUTTE COUNTY L)ILDTNG DEPAR7MENT- APPROVED\1\14. J; MEdOW s U MOBILEHOME SUPPORT DATA l If other than single wide A Mobilehome Mfr. �N furnish Setup Model No. v -D year Kidth _(ft.) Box Length -(ft.) Tagalong or Expando Size ft. x ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of mobilehome unless otherwise specified. F tins (check one) Sin le P 1 -1, g 1. Wood either pressure.treated or foundation grade. .lId- (ft.) in. (in.) (in.) 2. Other: ( specify) enter pport Center support locat ons* footing sizes Su or (check one) (in:) 1; Concrete block... x� 0 •2 : Other. ( specify) (f .)(in.) (in.) (in.) *----Tagalong or.Bxpando, show support details. (ft.) in.) (in.) (in.) x -- Typical Support (in. in.) Footing Size x yv (ft. (in.) (in.) (in.) -- Max. Pier Spacing (it.)(in.) Qa) x3 0 Max. Overhang (ft.) (in.) (in.) Cin.) (ft.)(in.) X � L— win? r *If center piers are other than drawn above, j A...,.. -1— 1—6-;.,na anar ino and dimensions. BUTTE COUNTY.DEPARTMEVT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: 2. Installer's name: S 3. Is the site currently under permit? YO; No (If yes, furnish permit number %'7 7 5 ) OR Is the site an existing site? Yes No / (If yea, furnish two (2) plot plans.) 3 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 =7 No ( If no, clarify r: 5. :What is the mobilehome electrical rating? ----------------------- Amps 6. What is the mobilehome site service rating? --------------------- dy Amps t 7.. What is the mobilehome site circuit breaker rating? ------------- b o Amps 8. Is there any.other electric load to be'served by the mobilehome siteservice? --------------------------------------------------- Yes 3:Z7 No (If yes, identify the Load and size: (Load) Amps) 9. What is the mobilehome site gas pipe size 10. What is the type of gas service? ------ 11. What is the gas pipe length from meter or -----I-------- ! It (in.) ------------- Natural 7-7 LPG MZ to the mobilehome? 7 12. What is the mobilehome gas demand? ------------------------------ (BTU) (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) BUTTE COUNTY BUILDING DEPARTMENT APPROVED Y) -a • ►.f[� •,:• :� ,:.1�. [`j•,�:i;;s;�.•� •:t r.t:� ,SY'kY�, �1 4�f��Y:�:"i•�.r 1.. 1:7%%:.`.i �.r:�i •�l tjSS'r}}[[�iyj��K J' r��Yit��"L' Ir? 0 � s t [: � is .V •'( ' 3 •1: p f J4Y. o 30 M$(�ILAU t*4 McTf t• �I I--(fic""M j41=p'K4 =rlll— --Iz=�'x---- M•>E-MIIDLMS bWi SUPPOR FIELD SUPPORT DETAILS, _ t z- IIpQ� GOLOtN WEST T-----�T/r r /�-vo so. FT. MORIA "oMls. INC M•>E-MIIDLMS bWi SUPPOR FIELD SUPPORT DETAILS, _ t z- IIpQ� GOLOtN WEST PACIT 00 �►'41I- so. FT. MORIA "oMls. INC ,BOOK ffiSl OMING u CARPET LAYOUT ANDRIDGE MouIL wo ,:D 000 pBEAM ; > �o C •WN Svf-1 °. :D Z CC) _� Q co T PIERS K�Y� IIpQ� GOLOtN WEST PACIT 00 �►'41I- so. FT. MORIA "oMls. INC ,BOOK ffiSl OMING u CARPET LAYOUT ANDRIDGE MouIL wo CALItl�� MMA My tKI/. pIW0 000 pBEAM FIELD SUPPORT PIERSmo►N "s°"`'IrIdI"`"' •WN Svf-1 and S-7 OP INSTAI1AYInN IUANII••....,._ � gal' •, f RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVELLE CA 95965 COPY of Document Recorded 28 -Jul -1998 1998-0031921 Has not been compared with original Butte COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME NOBILEHOME) 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. Ibis document is evidence that such local agency has issued a certificate of occupancy for installation of the unit descnbed hereon, upon the real property descnbed 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. GEORGE & BEVERLY MENER REAL PROPERTY OWNFRQE.SSOR 13356 MEADOW SPRINGS RD. MAILJNG ADDRESS OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT CITY COUNTY STATE ZIP SAME UNIT OWNER GI Woe Property owner, write "SAME*) MAERiG ADDRESS MY OWNrr RA7s ID BUTTE COUNTY BUILDING DIVISION LACAL AGENCY ISSUING PERMIT sod CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP 9W 16: . 530 538-7541 B IN O. TELEPHONE NUMBER 7/28/98 SIGN&OE OF LAC4L AGENCY OFFICIAL DATE NO DEALER NAME CJ not • deakr sale, write 'NONE') DEALER LJCENSE NO. UNIT DESCRIPTION GODLEN WEST HOMES 1985 KINGSTON KG60470 MANUFACTURMS NAME - DATE OF MANUFACTURE MODEL NAME/NUMBER GW6CALKG6170A/B 66'X28' CAL309840/ 1 SERIAL NUMBERS) LENGTH X WIDTH INSIGNIAILABEL NUMBER(S) REAL PR &XKMLLE9AL1ff.%3Z= ASSESSOR'S PARCEL NUMBER A.P. #058-330-045 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WWM - Canty Reowder CANARY - HCD PINK - Applic" GOLDENROD - B"ins Dcp. LEGAL DESCRIPTION A.P. #058-330-045 All that certain real property situate in the County of Butte, State of California, described as follows: BEING A PORTION OF THE SOUTHWEST QUARTER OF SECTION 3, TOWNSHIP 22 NORTH, RANGE 4 EAST, M.D.B. & M., MORE PARTICULARLY DESCRIBED AS FOLLOWS: COMMENCING AT THE SOUTH QUARTER CORNER OF SAID SECTION 3; THENCE ALONG THE EAST LINE OF SAID SOUTHWEST QUARTER, NORTH 0 DEG 12' EAST, 1992.78 FEET TO THE TRUE POINT OF BEGINNING FOR THE PARCEL HEREIN DESCRIBED; THENCE FROM SAID TRUE POINT OF BEGINNING, CONTINUING ALONG SAID EAST LINE, NORTH 0 DEG 12' EAST, 320 FEET; THENCE NORTH 89 DEG 44'37" WEST AND PARALLEL WITH THE NORTH LINE OF THE SOUTHWEST QUARTER OF SAID SECTION 3, A DISTANCE OF 660 FEET; THENCE SOUTH 0 DEG 12' WEST, 320 FEET TO A POINT THAT BEARS NORTH 89 DEG 44'37" WEST FROM THE TRUE POINT OF BEGINNING; THENCE SOUTH 89 DEG 44'37" EAST, 660 FEET TO THE POINT OF BEGINNING. TOGETHER WITH AND RESERVING THEREFROM ANON -EXCLUSIVE EASEMENT FOR ROAD PURPOSES AND PUBLIC UTILITY PURPOSES OVER A STRIP OF LAND 60 FEET IN WIDTH, LYING 30 FEET ON EACH SIDE OF THE FOLLOWING DESCRIBED LINE: BEGINNING AT THE NORTHWEST CORNER OF THE ABOVE DESCRIBED PARCEL; THENCE ALONG THE WEST LINE OF SAID PARCEL, AND SAID LINE PROJECTED, SOUTH 0 DEG 12' WEST, 2233.92 FEET; THENCE SOUTH 36 DEG 32'30" EAST, 24.30 FEET; THENCE SOUTH 76 DEG 45'30" EAST, 137 FEET; THENCE SOUTH 89 DEG 54' EAST, 512 FEET TO THE EAST LINE OF SAID SOUTHWEST QUARTER OF SECTION 3. ALSO TOGETHER WITH A NON-EXCLUSIVE EASTMENT FOR ROAD PURPOSES AND PUBLIC UTILITY PURPOSES OVER A STRIP OF LAND 60 FEET IN WIDTH, THE SOUTH LINE OF SAID EASEMENT BEING DESCRIBED AS FOLLOWS: BEGINNING AT THE QUARTER CORNER COMMON TO SECTIONS 3 AND 10, SAID TOWNSHIP AND RANGE; THENCE RUNNING EASTERLY ALONG THE SOUTH LINE OF THAT CERTAIN PROPERTY CONVEYED TO L.A. SCHAGER, ET UX, BY DEED DATED JULY 8, 1955 AND RECORDED JULY 12, 1955 IN BOOK 781 OF OFFICIAL RECORDS, AT PAGE 333, RECORDS OF BUTTE COUNTY, CALIFORNIA, A DISTANCE OF 720 FEET; THENCE NORTH 11 DEG 32' EAST ALONG SOUTH LINE OF SAID L.A. SCHAGER PROPERTY, A DISTANCE OF 147 FEET; THENCE CONTINUING ALONG SAID SOUTH LINE, NORTH 56 DEG 18' EAST, 774 FEET AND SOUTH 68 DEG 28' EAST, 445.54 FEET TO THE NORTHWEST CORNER OF THAT CERTIAN PROPERTY CONVEYED TO F.S. MARSHALL DATED OCTOBER 30, 1942 AND RECORDED DECEMBER 3, 1942 IN BOOK 305 OF OFFICIAL RECORDS, AT PAGE 473, RECORDS OF BUTTE COUTY, CALIFORNIA; THENCE ALONG THE NORTHERLY LINE OF SAID F.S. MARSHALL PROPERTY, EASTERLY TO THE EAST LINE OF SAID SECTION 3, SAID POINT BEING 381.5 FEET NORTHERLY OF THE SOUTHEAST CORNER THEREOF. I BUILDING PERMIT NUMBER: 98-1516 Address or location of unit: 13356 MEADOW SPRINGS RD., OROVILLE, CA 95965 Legal Description of Real Property: A.P. #058-330-045 SEE ATTACHED LEAGAL DESCRIPTION (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: GEORGE & BEVERLY HIENER Owner's address: 13356 MEADOW SPRINGS RD., OROVILLE, CA 95965 INSIGNIA OR HUD NUMBER: CAL309840/1 SERIAL NUMBER OR V.LN.: GW6CALKG6170A/B MANUFACTURER'S NAME: GOLDEN S 5 OFFICIAL APPROVING INSTALLATION: DATE: 7/28/98 PHONE: 30) 538-7541 H.C.D. 513C RECORDING RawwrtD BY • �fY+wIL ��fis. i mar cs�bis►7Yr-sty,. AND WIIxN RRCORD90 MAIL TO rAnthory P. Viraig, Zr.,, " N•i32u Concow Rd.JUN 19. I i 15 111'.1980 OroyMe California, 95965 crryAOD"a .Tart L J CLFttii:ItF.COhNCR 84-22316 FEE . Title Order NO Fw**+dNO SPACE ABOVE THIS LIN If FOR RECORDER'S USE ;Meeb of Trust 4nb assignment of Rents WESTERN TITLE FORM NO. 221 t1ro11.. Tbis 30eeb of Trust, Made this 13th slay of June, 19__8_4 joermeen GEORGE H. HIENER, Jr. and BEVERLY JOAN HIENER, hie wife herein called TRUSTOR, whose address is 351 E. Merrill, Rialto, California 92376 BUTTE COUNTY TITLE COMPANY, a corporation, herein called Trustee, and ANTHONY VIRNIG, JR., a single ren herein called BENEFICIARY, Eftneg0et6: That Trustor irrevocably GRANTS, TRANSFERS AND ASSIGNS TO TRUSTEE IN TRUST, WITH POWER OF SALE, that real prop-rty in the Unincorporated Area of the County of Butte , State of California, described as: LEGAL DESCRIPTION ATTACHED HERETO AS E.MBIT "A" TOGETHER WITH the rents, Issue@ and profits thereof, SUBJECT, HOWEVER, to the right, power and authority given to and conferred upon Beneficiary by Paragraph (10) of the provisions Incorporated herein by reference to collect and apply such Tents, issues and profits, for the P..ugose et aging payment of the Indebtedness evidenced by a promissory note, of even date herewith, executed by Trustor in the sum of _ . (X>V any additional sums and Interest thereon hereafter loaned by Beneficiary to the then record owner of said property wh;ch loans are evidenced by a promissory note or notes, containing a recitation that this Deed of Trust secure@ the payment thereof, any law- ful charge made by Beneficiary for a statement regarding the obligations secured hereby requested by or for Trustor, and the performance of each agt.xment herein contained. By the execution and delivery of this Deed of Trust and the note secured hereby, the provisions (1) to (14), Inclusive, of the fictitious deed of trust recorded in Santa Barbara County and Sonoma County October 18, 1961, and in all other counties Octobei 23, 1961, In the book and at the page of Official Records In the office of the county recorder of the county where said property is located, noted below opposite the name of such county, viz, COUNTY BOOK PAGE COUNTY BOOK PAGE COUNTY. BOOK PAGE COUNTY BOOK PAGE Alameda 435 684 Kings 792 833 Placer 895 301 Sierra 29 335 Alpine 1 250 Lake 362 89 Plum&@ 151 5 Siskiyou 468 181 Amador 104 348 Lassen 171 471 Riverside 8005 523 Solano 1105 182 Butte 1145 1 Los Angeles 12055 899 Sacramento 4331 62 Sonoma 1851 689 Calaveras 145 162 Maden 810 170 San Benito 271 383 Stanislaus 1716 456 Colua 296 617 Marin 1508 839 Ban Bernardino 5567 61 Butter 572 297 Contra Costa 3978 47 Madpoa 77 292 San Francisco A332 905 Tehama 401 289 Del Norte 78414 Mendocino 579 530 San Joaquin 2470 811 Trinity 93 366 EI Dorado 688 456 Merced 1547 538 San Luis Obispo •1151 12 Tulare 2294 275 Fresno 4626 572 Modoc 184 851 Ban Mateo 4078 420 Tuolumne 135 47 Glenn 422 184 Mono 52 429 Santa Barbara 1878 860 Ventura 2062 386 Humboldt 657 527 Monterey 2194 638 Santa Clara 6336 841 Yolo 653 245 Imperial 1091 601 Napa 639 86 Santa Crux 1431 494 Yuba 334 486 Inyo 147 598 Nevada 305 320 Shasta 684 528 Kam 8427 60 Orange 5889 611 Ban Diego—Series 2 Book 1961, Pap 183887 (which provisions, Identical in all counties, are printed on the reverse hereon hereby are adopted and Incorporated herein and made a part here- of errof as fully as though at forth herein at length; that he will observe and perform said provisions; and that the references to property, obligations, and parties in said provisions &hall be construed to refer to the property, obligations, and parties set forth In this Deed oL Trustor requests that a copy of any Notice of Default and a copy of any Notlevot Sale he, nder *Rall" hl;p at sbdress given herein. STATE CSF CALIFORNIA ) Butte ) is. County or 11 on June 4, „ 19_ 4 Detore me,}he OndersredH+ Naary PltDlie, Iain¢to�34p�t.teperseluUr.amre.»�George tt. lent, dr. eYe•1 Joan Hiener roved to me on the bases �o ae�iae nalne�$ are subscribed to the within instrum a d acknowledged to me that T�� executed the amp - Notary c FOR NOTARY DEAL OF. 'TAMP INTKUL SUL GAYIFNE B. HUSTON VOTARY PUBLIC • WORM COUNTY OF BUTTE Mr Comm. Gpims l4rc.122, 1985 1 0 EXHIBIT "An DESCRIPTION All that certain real property situate in the County of Butte, State of California, described as follows: neing a portion or the Southwest quarter of Section 3, Township 22 North; Range 4 East, M.D.B. & M., more particularly described as follows: Commencing at the South quarter corner of said Section 3; thence along the East line of said Southwest quarter, 'forth 0°12' East, 1992.78 feet to the true point of beginning for the parcel herein described; thence from said true point of be- ginning; continuing along said East line, North 0°12` East, 320.0 feet; thence North 89044'37" West and parallel with the North line of the Southwest quarter of said Section 3, a distance of 660.0 feet; thence South 0°12' West, 320.0 feet to a point that bears North 89°44'37" West from the true point of beginning; thence South 89044'37" East, 660.0 feet to the point of beginning. TOGETHER WITH AND RESERVING THEREFROM a non -c a)clusive easement for road purposes and public utility purposes over a strip of land 60.0 feet in width, lying 30.0 feet on each side of the following described line: Beginning at the Northwest corner of the above described parcel; the: -t --e along the West line of said parcel, and said line projected, South 0°12' West, 2233.92 feet; thence South 36031'30" East, 24.30 feet; thence South 76°45'30" East, 137.0 feet; thence South 89°54' East, 512.0 feet to the East line of said Southwest quarter of Section 3. ALSO TOGETHER WITH a non-exclusive easement for road purposes and public utility purposes over a strip of land 60.0 feet in width, the South line of s being described as follows: aid easement Beginning at the quarter corner common to Sections 3 and 10, said Township and Range; thence running Easterly along the South line of that certain property con- veyed to L. A. Schager, et ux, by Deed dated July 8, 1955 and recorded July 12, 1955 in Book 781 of Official Records, at�page 333, records of Butte County, Cal- ifornia, a distance of 720.0 feet; thence North 11°32' East along the South line of said L. A. Schager property, a distance of 147.0 feet; thence continuing along said South line, North 56°18' East, 774.0 feet and South 68°28' East, 445.54 feet to the Northwest corner of that certain property conveyed to F. S. Marshall dated c October 30, 1942 and recorded December 3, 1942 in Book 305 of Official Records, at page 473, records of Butte County, California; thence along the Northerly line cc of said F. S. Marshall property, Easterly to the East line of said Section 3, Cil said point being 381.50 feet Northerly of the Southeast corner thereof. b. n rn END OF DOCUMENT STATE OF CALIFORNIA -DEPARTMENT OF, HOUSING ANGICOMMUNITY DEVELOPMENT CERTIFICATE OF TITLE MOBILEHOME DECAL NO. LI MANUFACIURER NAME/10 TRADE NAME NOVEL DOM DOE DFS spc EX GOLDEN FEST HOMES/09248 KINGSTON KG60470 06/Z4/85 06/28/85 07/12/85 GN6CAL.KG6170A 1 GWGCALKG61708 a 5 6 A HIENER GEORGE H JR/ D BEVERLY JOAN JTRS D 13356 MEADOW SPRINGS RD R OROVILLE CA 95965 E S S e CAL309840 CAL309841 M I11Lf/CK G—EU CUC H diV e BEVERLY JOAN JTRS Gm I A 13356 MEADOW SPRINGS RD S Z T L e OROVILLE CA 95965 R e 1. D RELEASE OF REGISTERED OWNER o s 13356 MEADOW SPRINGS RD W I N T E U OROVILLE CA 95965 R S L F G A L O W N E 2.A1 R RELEASE OF LEGAL OWNER J U F N I I R O S R T B) Cl RETENTION Of LEGAL OWNER ASSIGNMENT OF LEGAL OWNER 023000 1000792 1000168 023000 000792 000168 TOTAL FEES PAID: $37.00 3. RELEASE OF DEALER NN NEW REGISTERED OWNERo PILL IN ITEMS 4 - 0 NN 4.A) AND OR S) NAME - PLEASE PRINT 3.Ai .• .. •. . CURRENT MAILING ADDRESS B) CITY CNTY ST ZIP 6. FUTURE MAILING ADDRESS 7.A) LOCATION ADDRESS B) CITY CNTY ST ZIP e. PURCHASE PRICE DATE 9. NEW REGISTERED OWNER SIGNATURE +'NNN NEW LEGAL OWNER& FILL IN ITEMS 30 - 12 NNN 10'.A) 11. e) NAME - PLEASE PRINT ADDRESS CITY CNTY ST ZIP ANN NEW IST JR. LIENHOLDER* PILL IN ITEMS 13 - 13 NNN 13. NAME - PLEASE PRINT 14. ADDRESS 15. CITY CNTY ST ZIP NNN NEW 2NO JR. LIENHOLOERP PILL IN ITEMS 16 - 10 NNN 16. NAME - PLEASE PRINT 17. ADDRESS 10. CITY CNTY ST ZIP IMPORTANT 01-242-00431 THIS CERTIFICATE OF TITLE MAY NOT REFLECT ALL LIENS RECORDED WITH THE DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT AGAINST THE DESCRIBED UNIT. THE CURRENT TITLE STATUS OF THE UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT. 0100061. Return-t.o'DPW AGRIC' "URAL STATEMENT OF ACKNOWLEDGEM' T rOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement ; be recorded prior to issuance of a building permit. :.-1.J06G RECORDED III (PF'i' WAL kECOR OF BUTTE COURT XCALIFORHI AT THE REQUEST OF 1985 MAY 22 AM 10: 12 The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this ELEANOR M.BECK ER property may be subject to inconveniences or discomfort arising from CLERK -RECORDER FEE_ the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting -Which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: 4 !! �/ 15 � 7-6 eNc.0 a/o" 9 Tic Fo r7 �i ve '..on7�')e.uC�77, d�f/1E Sov�hg�ae�Coe...oe= >ar S�.^'>•31. � - // / G e a. is � �O °'�n = f-Oi�f' i�)Sv�v�gitiuvr) jOS /� �jQ46it� 7n6,`4E 1(lorn $G,d Te(JE vi v/ e�C ,NN�n' / ,4 ^ ,� /° Cag1.Nviv� a�os�g s4i��irflM[��410 '%2',-,1 7 �.�O.OTE6/•6t/G �el�J YF AyYY 3% ~Wi-S "61,ata.�11_/ �!4 noel p �.G� /7Xm S4vv/ ,v1,,C C7 a*a�'a said 5-,tc�4,,., 4 O0, 0 1F.G`r-7e.1a/o T' �QSsCs �y� X37 l T?, -1% f//G r�E7�lGo / / ,� DrEe�fA/�v � O'ivv.t . l3Fiv9 4 poc`' � a, 7kc �,7% ►Cc`a�� ca,e.>�e2,jns� M 3, rw,,r�. j�aa d/o�J�� R/4 %iaeFi �6scai�D.�j �S oV /^1 Date: State of ) SS County of c ) On this the, day of -19,,r�, before me, the undersigned Notary Public rsonally appeared ---------George H Hiener Jr and Beverly Joan Hiener------ / / Personally known to me. Proved to me on the basis o satisfactory evidence. to be the person(s) whose name(s) subscribed to the within instrument and acknowledged that _they executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. -� OFFICIAL SLAL SHELLEY SHELDON IFFF\'�� ^' !: 'I �!('•'i,t i'I;L'..I:"..•:..'•.I.IrL1-i�JIA Aly COmnt"•;I�n F.+PACS •5tipl 30. lytlb �- otary Public Present A.P. No. ' ' 058-330-045 —� #98-1648 HIENER, GEORGE -- RESIDENTIAL 13356 MEADOW SPRINGS RD. ORO.- OWNER RO. OWNER 5e r eeh ec( r^o a iy— OPEN DECK & COVERED PAHp PERMIT NO. PERMIT EXPIRES OWNER CONTR. ASSESSOR PARCEL LOCATION fo -- _—._.__, _-----.---- CHECKED � BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E r JOB FINALED (Date) Signature V=OK O = Not OK `=Not t Applicable NoReady 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-Cy"oncrete 4. Water, Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap; / /`LYL / /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 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 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert of Occupancy 12. Permanent Foundation Only: License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, ERS, CARPORTS, GARAGES lana OK except #'s ing Requirements -Setbacks -Easements 2. Footings; Soils-Size-DepthSpacing-Connectors-Steel ecks; Girders and/or Joists -Decking -Bracing -Stairs -Rails Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing S. Alum. Awn.; Columns-ConnectionsSplice-Decal-Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frrng.; Sils-AnchorsStuds-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing Steps -Doors -Landings 12. Braced Wall Panels Date 9R Card B-1 y/�.� 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. Pod Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting. Distance-GFI 5. Elec.; Pod Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries-Terminalsd.isted 7. Elec.; Bonding; Metal w/5 -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 0-1 Date Card B-1 Date Card B-1 Date Card B-1 V = No OK RESIDENTIAL (Single & Duplex) - N t 1' bl o App ica e Not Ready Date UNDERFLOOR (Plans) OK except #s 1. Zoning-Setbacks-Easments-FloodSlope 2. Ftg., Main; Soils-Elec. Gmd.-/ C Ftg. Depth Cling. Joist-Rftr. Ties-Purlin-Toff Brac: Truss-Shting: Rfng. 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ N Ftg. Depth 4. Ftg. Porches & Decks; SoilsSteel-/ /' Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts•Wrapped Garage Fire Protection Framing 6a. Hold Downs and Special Anchors Property Line Firewall & Openings 7. Slab, Steel -Wrapped Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 8. Piers -Fireplace Ftg.-Steel Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Siding -Nailing Veneer 11. Water Pipe; Test-Anchors-RegulatorService Test 57. 12. Electric Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 61. 16. Insulation 62. Infiltration -Walls -Windows Date 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 PLUMBING (Permit) OK except #'s 17. Water Htr; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection Ext Steps -Door & Sidelight Protection -Landings 19. D.W.V.; Test Fittings & Anchor -Nail Protection Smoke Detector 20. Shower Pan; Test, First Floor -Tub Access 65. 21. Test Tub & Shower, Second Floor -Tub Access 66. 22. Gas Pipe; Sixe & Anchors 67. G.F.I. & Bath Fixtures & Tub Access -Spa Date 68. Card B-1 Date Card B-1 Date 69. Card B-1 Date Card B-1 Date 70. ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance4ns. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 25. Size Boxes & No. of Conductors Stapled Elec. Outlets & Recepticales at Kit. Counter 26. Romex Installed Close to Edge of Studs & C.J. Garage Fire Door; Swing -Landing -Closure 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water A.C. Duct in Garage -Damper 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor -Meth. Protection 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al Plb., Elec. & Mech. Equip. Listed for Location 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral 0 Yes 0 No Elec. Receptacles in Garage (G.FI.)-Romex Protection 31. Service -Riser Conductors & Ground -Main Disconect Insulation -Foam -Looked in Attic 32. Equip. Clearances Panels-Motors-Mech. Epuip. Guard rails & Deck Construction -Post Caps 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector W. Stucco Brown -Finish Date 84. Card B-1 Date Card B-1 Date 85. Card B-1 Date Card B-1 Date 86. MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Fumance-Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic 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 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 Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-Toff 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. Bdnn. 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-Cedmgs 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor -Meth. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.FI.)-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 Instid./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No W. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541PE IT NO. (Rev. 12/96) APPLICATION AND PERMIT '- [(�_. j ASSESSOR PARCEL NUMBER 058-330-045 ZONING BUILDINGPERMIT OWNER GEORGE HIENER TELEPHONE 533-55600 OCC. BUILDING VALUATION 896 . OWNERS MAILING ADDRESS 1 M ct 6 F3241r$ CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $1 D8, ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ -70 - 20-9-2-.-65 BUILDING ADDRESS 11156 MEADOW SPRINGS REI- Energy Plan Checking Fee $ $ PERMIT FEE $ )5 LAT NO. SUBDNISIOWS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ 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 P Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: OPEN DECK & COVERED Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 EL PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 OOOVOR LE Main Service 20 DA 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.8 License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: Id 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. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: IV 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 �arrier 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 wolk 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 fo with comply wi h tho a provisio Q _ Date �o[ 6 ,Y Signat e.6f Applicant - 0 Owner tractor ❑ Age6t An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service sooA To ,000A 46.00 NEW CONST. DWELLING OCCUR SO OR ADDNS. ( 8 ACC. S.3.5¢FT: NON-RESID. T.MULT, CIRCUITS@7.50 OUTLET CWELER APPARATUS ITN. IR. sop ,.00 Ex, Occup. OUTLET OR FD=RFS BAL- @ .SD Ex. Occup. mE%(gM.)0E'AJ 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee s Energy Inspection Fee s OCC CONST. TYPE TOTAL FEE $ 1-53�g q�, ZO HAZ, �.. D. FEES IMP �- FLOOD CDF .— PARCEL --_ Po —. HD _ ISSU 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. ate h9d Gl� v DReceiptNo. Datta 244660 ( WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Le.Ti Y Y• •`.e .�j n�W y :Y+ rf:N y . ,a" - J5 rt r: COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION .', 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORMA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: J— W JE k ASSESSOR PAR EL ER: 4�25_1? 0 Proposed Building Usez9fi/v R — Building Inspector: Date: At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: Date Received By ❑ 1. ems have been submitted-------------------------------------------------------------------------------------- ot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- ❑4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ 06. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------ Feesof $ ------------------------------------------------------------------------------------- ❑ 11. Impact 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. Ell 5. 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. ❑ 1.9. Encroachment Permit for driveway (construction approval prior to occupancy). --- 020. Pre -inspection for required. Request to Building Inspector on ❑21. Contractor's license information. (Number, Name Style, Classification). El 22. Workers' Compensation carrier and policy number. ----------------------- 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). -- 024. Letter of signature authorization. -------------------------------------------- ❑ 25. Recorded copy of Agricultural Acknowledgment Statement.-------------- E126. ------------- ❑26. Letter of intent on building use. ---------------------------------------------- 1127. Manufactured Home utility clearance. --------------------------------------- 028. Existing violations and/or expired permits. -------------------- ❑29, 0433 A, ❑ ant Deed, ❑ (M(�..H. Title, 13 Check to H.C.D $ 0914/Other:- �V�'Yi-<�' -�'f -6-m �` -�ol� C e When u•issue the ennit mit, procefollows El Mail to owner, []Mail e ephone �j _ and hold for pickup at 00 5_7/17E 9&W00Fb (h /QA6 f8 LT +v rx-6 b)' I _t kv)__ (Date) . Date: 9 Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ P6141lution I Date: J I Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ r: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, WA advised of the above required data by phone, ❑ mail, ❑ Building Division counter, by ate: Contractor, designer, owner, was advised of the above required data by 13 phone, 11 mail, 11 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 own ise of the above r by ❑ phone, ❑ mail, ❑ B "1 is' ter, b ate' Plans reviewed by: Date: Plans approved by: D't Sets of plans o hold ' ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your sign", Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide th major labor and materials for construction of the proposed property improvement: YES ! NO ❑ - 2. I HAVE` HAVE NOT ❑ signed an application for a building permit for the proposed w�otic. 3. I have contracted with the following person (firm) to provide the proposed construction:. NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I.have hired the following person to coordinate, supervise, and provide the• major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. - 5. I will provide some of the work but I have contracted (hired) the following persons to pNvide the work indicated: �. NAME ADDRESS PHONE TYPE OF WORK SIGNED: PRO SOCIAL DATE: - -- NOTE. '__-_Thu Owner -Builder Verification is required by ction 198.3 and79U2_gj7ko— California Health and Safety Code. This verification must be -completed and returned to our office before we are permitted to issue the permit. OVER 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-buildee, 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 coon ..T-hey-aie-also_r\ired by law to put their license number on all permits for which they apply. If you�p Sn to do your own work, with the be aware of t e following information for your be ♦ If you mploy or otherwise engage any pers4 and cher costs) is 5300 or more for the subc ntracto� . then you may be an employ ption of various trades that you plan to subcontract, you should and protection: other than your immediate family, and the work (including materials tire project, and such persons are not licensed as contractors' or ♦ If yo are an ployer, you must reg' it with the State and Federal Governments as an employer and you are subjec to seve ligations inc ing state and federal income tax withholding, federal social security taxes, . workers compensation ce, disability insurance costs, and unemployment compensation contributions: ♦ There ma e ' ancial 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 builder" 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 contrac!prs 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. i rely, '�� Mic el C. Vi iia, C.B.O. M ger, Building Inspection NOTE. This Owner-Builder.lnformatlon is required by Section 19830 of the California Health and Safety Code. OVER (Rev. 12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCELNUMSER Q s -g o ZONING BUILDING PERMIT OWNER g C GGou L� T"_33F�.z,��.�.� )�7 SCJ SO. FT. OCC. BUILDING VALUATI N O . OWNER'S AWUNO ADDRE�4S E • /n /� S s c•JZ l/Xn i'v C \ CONTRACTOR'S NAME ® Cu _ - TELEPHO E CONTACTORS MAI ING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ tJ 0 ARCHITECT OR ENGINEERS MAILING ADDRESS 91 Plan Checking Fee $ BUILDING ADDRESS -� Energy Plan Checking Fee $ $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Tra 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other sPECFY Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Udlides ❑ Installation ❑ Other ❑ Describe Work: n pf—Al d VLCd 7/ 9AIS ems- v Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W Q20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service =OORRLLss 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. 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 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is Issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that In the performance of the work for which this permit is Issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 50• deep and demolition or construction of structures over 3 stories in height. Main Service TO /p00A 46.00so NEW CONST. DWElLMlO OCCUP. SO W: OR ADONS. a Aoc..S. 3.5aFt: NtW I. NON-ROESID. MULT.10N r @7,50 PSO APPARATUS a swGLE oun Er CIR 0 100 Ex. Occup. OUTLET OR FIXTURES)— SAL @ :50 Ex. Occu . aLmETs�ro.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FE15 $ Mobile Home Installation Fee $ Energy Inspection Fee $ GCC OONST. TYPE TOTAL FEES S 3,6 RAZ D FEES IMP I FLOOD I COF I PARCEL Po HD ssUE This permit is hereby Issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By Date PERMIT EXPIRES ON provisions to do work paid. Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD-APPLICANT(Date) c- Q 171 E/0/ .JEC ,U ---•— ,c:32O 110 This set of plans and specifications MUST b . kept on the job at all furies and it is rinlnwful to make any changes or alterations orr some wifhout written permission from the Department of Public Works, County of Butte, hi S (COTE*--- Al Cvkswals A Workmansmp 94 'lea Accordance with Recognized Gond Proctices and of a quality proscri6ad for the Snacifiod use in th¢ Uniform Building, Plumbing & Vec�an:coj C t� 'he National ClectricalOft / I fie#i tL4 3POcifica$i 09 tlrries ttnd It ?,as gCUS11 l MaioonlyChj�Rf �S Or off eri]tIC!� AA s on is$` ion from thp e eParfittani o wit ho #Psl�i NOTE:—All Materials & Workmanship Sha :,Be in -� Accordance with Recognized Good Practi sand Utility p coons shall b9 yyithin o a quality prescribed for the Specified u i� the 4 ft. of fii� obilehome, elthQr iform Building, Plumbing & Mechanical dg's and directly dor th National Electrical Code. within.the rear heti of th ro dside (left) 9f 1h� O mobileho xb "a QU 26 �y ► to V)tt r' setbeck of --rr ft. from the 3 . property lines and a setback f 50ft. from. the road ��� �` � enterline shall be clear of 1 tructures or equipment eXCePf q>, \ or a 2 ft. eave overhang, v I bur Ciez4a's a I �E�ac -A 4C, con J L71 L . Nav,/ r"'cv2.cN �F �atia�?�, rTlz�G?t,11�E 1 -/7 0, H c-4X--P,T,COL. L (a -o a•G, 2X 12 SILL G,1ZD I X48"�,c, Sul/Aeb-11GliT—=� o, s, I; . r-1. e'4 o Rv� JT �Lx6D,F, FLP, JT �d 2q•`�O.G. "UZI B7e6X ICo C,/1,a, wat.C-, JOAN 4 4 EMZ z E "QONOHO 13470 CIR��B44Y CREEK ROAD O�16J �uff E(�vT6395965 8626 DING DEPAF4 T iME': . PPROVE un vu , LTtal, Ln,�� F�IGoir� QorzcN rcc�o� c�N �/�;��t,��Ac7�e,c� ��LD�r IVa -Lt-: 20 23 C- L?/? 014 (ZI,*�, a E 0,41L 1 (oy0G T�n G�/�i,r�, fr��?N ����f_ (s.lo L, ,ar3 114-70 JOAN 4 4 EMZ z E "QONOHO 13470 CIR��B44Y CREEK ROAD O�16J �uff E(�vT6395965 8626 DING DEPAF4 T iME': . PPROVE un vu , TATE OF CALIFORNIA --BUSINESS, TRANSPORTATION AND HOUSING AGENCY OF HOUSING AND COMMUNITY DEVELOPMENT oWo,DEPARTMENT DIVISION OF CODES AND STANDARDS ACTIVITY REPORT Date /,)- L _4 , Report by /t "� 'e a"'4 /`3 "k AREA OFFICES / [ / 4 ❑Neitham Araa Applicant 4000 r e:; r t t' Of/ / 8911 Folsom Blvd. Address / 3 (a M,-,4 �2 P.O. Box 1407 eln 1,..)5 ,/ LY Sacramento, CA J Activity Site (If Other than above) • 1407 Tell. (916) 255-2501 1 ��' i t J / I �+ ❑Cnu kern Aran Owner (If other than above) 3737 Main Street, Suite 400 Address j G a1 c– Riverside, CA 92501 Tel. (909) 782-4420 NUKF'U1t UF• KLI'UK I: (checked ( if ) as appropriate) INSPECTION RECORD ONLY ❑ INFORMATION ONLY ❑ NOTICE OF VIOLATION AND RELATED INFORMATION: This report provides notice of violations of the California Health and Safety Code, Division 13 or the California Code of Regulations, Title 25, Division 1, Chapter , Sections indicated. Copies of the regulations may be obtained from Barclays Law Publishers, P. O. Box 3066, South San Francisco, CA 94083-3066. Violations indicated shall be corrected and a written request for further inspection filed with the Area Office indicated above on or before _. The request for inspection shall be . accompanied by a minimum fee of $ A permit shall be obtained from the Area Office identified above for work to correct item(s) # If you believe this report has been issued in error or is factually incorrect, please contact the Area Supervisor at the. Area Office indicated above. Type of Unit A/4- Box Size r / / Overall Manufacturer, Year and Model HUD LABEL or HCD Insignia No. f*'_' A4 C Serial No. or V. I. N. RT'Decal DEPARTMENT USE ONLY FILE IDENTIFICATION CPT/ASSIGNMENTx FAC. ID # LABOR DATA: DR ID 2 Y DATE/F}'l y� PCA/ACT CODEM N4 %) i r AREA Al CO 04 LOC TR MILES TIME:INSP/ACT TR INSPECTION DATA: ❑ TIME REPORT ONLY Q"INITIAL INSPECTION D REINSPECTION # HOME/UNITS # FLOORS 2 VIOLATION DATA: TOTAL � MP TENANT S—F_M—P—G/O—NP MH ALTERATION TYPE: ACO ACC ❑ ROOF ❑ FP ❑ O ❑ THIRD -PARTY MONITORING: QAA @ HQ ❑ IP ❑ DLO IS ❑ DAA #PLANS #COMPLY MP INSPECTION DATA: BLG/FIX_ MH LOT_ RV LOT_ AS_ EH INSPECTION DATA: ❑ ACTIVE ❑ INACTIVE MAX CAP P CAP OCC SFD DORM MH/RV 0 - FEE ACCOUNTING: COL# 9,A/0 7 3 4 USED DUE ATTACHED INSPECTION INSIGNIA OTHER RECEIVED TITLE DEPARTMENTAL USE ONLY: Action: . Close File El/Reinspection Required ❑ Progress Inspection Required ❑ Enforcement Action Needed ❑ Other SEND COPIES TO: ❑ Recipient ❑ Owner SAA El OL =0ther SUPERVISOR REVIEW DATE COPIES SENT BY DATE HCD•61 (Rev.OBA16) PAGE 1 of T OSP 96 89167 re ired.by Section 3700 of the or o W woRrfor.which this Permit is issued. My workers' compensation SECTJON 4 - DESCRIPTION OF WORK/ACTIVITY AND VALUATION insuren'ce tamer end policy number are: $ ,aA-y) r ;f r '•"`1'T�3c ai "u �` De'scribe the proposed work/acti detail. Attach additional ageslf necessary: •If structural alterations Cemer'f • Des vitt' in d P • , ^• o�`iemariufactunng are proposed, complete jiI ' specihcetions,`,detads, end calculetio� s must accompany PolioMumber•; r - • this form: Check boxll.Qif plans acro_ mpany this application. Provide the make and model of any appliance,, (Thisseir0on neednot a comp eta i the permit is or onehundredto be Inst led and provide complete ale trice) calculatio for any elocirical alterations or additions. l dollars ($100) or less). ,- 1:17 -Certify that in the performance of the work for which this permit is \ issued, I shall not employ any person in any'manner so as to become -- • ^ _ subject to workers' compensation laws of California, and agree that if I r should becoqqie subject to workers' compensation provisions of Section ` 1 . ti��} i : , 3700 of thelabor Code, I shall forthwith comply with those provisions. fr , Z A.11 t. � • gPPlfcant . Date.` WARNIN PEiM7X9 T— Indicate the Total Cost ofthe to be Performed'$ ti t COVERAGE IS'UNLAWFUL„AND SHALL SUBJECT AN EMPLOYER TO CRIy1INAL PENALTIES ANOCIVIL FINES UP TO ONE HUNDRED z THUUS7CND DOLLARS (9100;000), IN ADDITION TO THE COST OF SECTION 5 - SIGNATURE AND CERTIFICATION COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. J/Wo,hereby make application for the services designated above. If applying for replacement of a lost +s r4 CONSTRUCTION»LENDING AGENCY' 0 ” "" insignia for the unit described In SECTION 1 above, I/we certify that there.have been no alterations, i. �_: 1 hereby affirm under penalty of perjury that there is a construction' * `additlons, or m ifiCations to the unit thaYwould effect unit'a compliance with California or federal law lending agency for the performance of the work for which this permit is or the rules a egulatio of.the Depart ant. (If alta a�' ns, additions, or modifications have been made, a -issue"Sec.3097-Qv-C.I,. -- -coding inspe must bP,,nwtn - _ Lender's Name L Date” I nnAar'sAddress 10wner of it musa replace LinsigN-,is being requested). it-a'h L +5, -CERTIFICATION— --- I certify that I have read `this application and state that the above _ information is correct._ I agree to comply with all. city and county -- ordina ces and state laws relating to building construction, and her autho •ze-re esentatives of this county to enter upon the _- abo entio d pe forinspectio p rposes. G ig to o pp is t or an - -• —a - - - _.'. HCD 415, Side 1 (02/96) DIST ION: YELLOW - DEPARTMENT szrov •_ i I ^—� Disapprov (seer arse Signature of Department Representative WHITE AREA OFFICE PINK - O'A /AFFLIGArv•1 2 Division of Codes and Standards APPLICATION FOR: to Remanufacture 13 Alternate- Approval O Technical Services O Replacement Insignia ❑ Coding Inspection Alienation/ConversionOApproval (SEE REVERSE SIDE OF FORM FOR INSTRUCTIONS AND ADDITIONAL INFORMATION) CONTRACTOR/OWNER BUILDER DECLARATIONS USE ONLY SECTION 1 -UNIT INFORMATION.. P%TMQE'N^T/U��} t/ 1 ' �� Not required for Special Purpose Commercial Coaches or L: rl'I -' _ Recreational Vehicles E0. - V / V I/We are requesting services for the following unit(s): OL N :re-nL •::-. 1. LICENSED CONTRACTORS DECLARATION I licensed under (Check Appropriate Box) O Q ).hereby affirm under penalty of perjury that am provisions of Chapter 9 (commencing with Section 7000) of Division 3 Manufactured Home/Multi-Unit Manufactured Housing Manufactured Home/Multi-Unit Mfg. Hsg. Component Struct�ire FEE RECD of the Business and Professions Code, and my license is in full force and Recreational Vehicle effeet.%'^° bar €ih"' Exp. Date Commercial Coach (Occupancy Group Commercial Coach J �j License Class Lic. No. Special Purpose D4T Contractor Date Decal or License No. ANO. 2. OWNER -BUILDER DECLARATION of perjury that I em exempt from the Serial Numbers) Lvivz (..hereby affirm under penalty Contractors License Law for the following reason (Sec. 7031.5), Code: Any city or county which requires a --^^/�-•- RT TO 1 �1�• C1`'l) L Business and Professions permit to construct, alter, improve, demolish, or repair any structure, RT BY prior to its issuance, also requires the applicant for such permit to file a he or she is licensed pursuant to the provisions of Manufacturer Name/ sigfied'statement that the Contractors License Law (Chapter 9 (commencing with Section _,7QOQj of Division 3 of the Business and Professions Code) or that he or Any Model Name p p she Is exempt therefrom and the basis for the alleged exemption. Section 7031'.5 by any applicant for a permit subjects the Year of Manufacturer 7 V violation of to a civil penalty of not more than five hundred dollars18500).1: t Insignia/HUD Label Number(s) ,tapplicent f) 1, as owner of the property; or my employees with wages as their sole compensation, will do the work, and the structure is not intended of offered for sale (Sec: 7044, Business and Professions Code: The SECTION 2 - OWNER/APP LI AN INFORMATION Contractors License Law does not apply to an owner of property who nen GC -q ¢.. / /ENS Teleph� No.530 153-3-5%0 builds orimproves thereon, and who does such work himself or herself 0 or through' his or her own employees, provided that such improvements a are not intended or offered for sale. If, however, the building or -`improvement is sold within one year of completion, the owner -builder dress _ G� _ �/�. / -c Zip' !' A /Z ~ ';'wilhh"eve'the burden -of proving that he or she did not build or improve City Y U%1 Fry County fir purpose of sale.). Location of Unit if Different y I, as owner of the property, am exclusively contracting with licensed lTiari`Above wnti>#ctore;to construct the project (Sec. 7044, Business and Law does not apply to in P%& sons Code:- The Contractors License Applicant owner of* property who builds or improves thereon, and who contracts ;to(`Suct�projects:with a contractor(al licensed pursuant to the Law.). y Address `_ Contractors License ( ) Iam exempt under Sec: , B. & P.C. n: for this reaso CZip' Telephone No. ity _ } _. t^ i SECTION 3 - CONTRACTOR ARCHITECT OR ENGINEER INFORMATION li. .Dat 3 WORK S' COMPENSATION DEC ATION 1 h eby affirm under penalty of perju one of the following declarations.- � for Cantrector'a Name Addiess �, r•i - , f 1� / '3Z j Jl�t!a?,9`and will maintain a certificate of consent to self -Insure Section 3700 of the Labor' ,, o e -•J License No e wirke ,-„compensation as provided for by the perfortnanace of the work for which this permit is issued.. ArchitecUEn^ mean Name ti Kq �o ,e / r „ i., i.» «; - wjll maintain workers' compen'satlon insurance, as ran • ... Address r 6 r �tM,t f 1,have and Lab Code for the performance of the •) t _ • ,i, , :• � ?) . re ired.by Section 3700 of the or o W woRrfor.which this Permit is issued. My workers' compensation SECTJON 4 - DESCRIPTION OF WORK/ACTIVITY AND VALUATION insuren'ce tamer end policy number are: $ ,aA-y) r ;f r '•"`1'T�3c ai "u �` De'scribe the proposed work/acti detail. Attach additional ageslf necessary: •If structural alterations Cemer'f • Des vitt' in d P • , ^• o�`iemariufactunng are proposed, complete jiI ' specihcetions,`,detads, end calculetio� s must accompany PolioMumber•; r - • this form: Check boxll.Qif plans acro_ mpany this application. Provide the make and model of any appliance,, (Thisseir0on neednot a comp eta i the permit is or onehundredto be Inst led and provide complete ale trice) calculatio for any elocirical alterations or additions. l dollars ($100) or less). ,- 1:17 -Certify that in the performance of the work for which this permit is \ issued, I shall not employ any person in any'manner so as to become -- • ^ _ subject to workers' compensation laws of California, and agree that if I r should becoqqie subject to workers' compensation provisions of Section ` 1 . ti��} i : , 3700 of thelabor Code, I shall forthwith comply with those provisions. fr , Z A.11 t. � • gPPlfcant . Date.` WARNIN PEiM7X9 T— Indicate the Total Cost ofthe to be Performed'$ ti t COVERAGE IS'UNLAWFUL„AND SHALL SUBJECT AN EMPLOYER TO CRIy1INAL PENALTIES ANOCIVIL FINES UP TO ONE HUNDRED z THUUS7CND DOLLARS (9100;000), IN ADDITION TO THE COST OF SECTION 5 - SIGNATURE AND CERTIFICATION COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. J/Wo,hereby make application for the services designated above. If applying for replacement of a lost +s r4 CONSTRUCTION»LENDING AGENCY' 0 ” "" insignia for the unit described In SECTION 1 above, I/we certify that there.have been no alterations, i. �_: 1 hereby affirm under penalty of perjury that there is a construction' * `additlons, or m ifiCations to the unit thaYwould effect unit'a compliance with California or federal law lending agency for the performance of the work for which this permit is or the rules a egulatio of.the Depart ant. (If alta a�' ns, additions, or modifications have been made, a -issue"Sec.3097-Qv-C.I,. -- -coding inspe must bP,,nwtn - _ Lender's Name L Date” I nnAar'sAddress 10wner of it musa replace LinsigN-,is being requested). it-a'h L +5, -CERTIFICATION— --- I certify that I have read `this application and state that the above _ information is correct._ I agree to comply with all. city and county -- ordina ces and state laws relating to building construction, and her autho •ze-re esentatives of this county to enter upon the _- abo entio d pe forinspectio p rposes. G ig to o pp is t or an - -• —a - - - _.'. HCD 415, Side 1 (02/96) DIST ION: YELLOW - DEPARTMENT szrov •_ i I ^—� Disapprov (seer arse Signature of Department Representative WHITE AREA OFFICE PINK - O'A /AFFLIGArv•1 { MMJ •i�,•STATE OF CAI.I PO RNIA, - DAT % : 1. • ,iSO=i ..'vITAOfg''tgA l OFFICE,MEMO,.,et r; ao,16-40A STD 100 (RE r i •, , ri s nr,;r 5Clem. .nX Alteration/Conversioi r t -I y t3oita0i}qqe TO- CONTRACTOR/6 O Coding •ItlspeCfion t r. CONTR/1CTOR/0{ BER 2s ,�,�. +.' •' Roots fi1uM f ,� .ENT USE ONLY Not required for Spei Ce aT t 7z •, , c.., rt}it�'" t, L Rel 1. LICENSED CONTRACTORS-}.`r1.�n vY 4 = s? r£aQ Srai�' I hereby affirm under pens , ,��1 *c' , provisions of Chapter 9 (tomo of the Business and Protesslor :s ROM ter a o t < Y y effect. :-r, ?:.:.•1f -x?,; 1�' ! ayG � - w k. rd rr+ :! t,t •11PfIf74r r T15u- l'r xr 3+' y NUMD License Class,, - VC No �>^ '' ° i n- ^ zo>-�K t y .PM ON£ S1z yd b0�h�se1�, . Contractor :4 • .. r t s� F ' fit.., ^ �r(J 2. OWNER -BUILDER DECLARA'�� a? 3fntaT hereby affirm under penalb { .SUBJECT s,. f Contractors License Law for the' ;- Business and Professions Code: t f ,} a E,' -` T permit to construct, alter, imps prior to its issuance, also require Sighed statement that he or she } t r ��- the Contractors License Law (Ch':^,r "7Q00) of Division 3 of the Busine e, ;, f { ' ` t« w i.», ~. ' ,r� 3 #�/s'•tinsFA.. she is exempt therefrom and the, A s )! _ f y • yrT, ,�Y`�''`°'S violation of Section 7031'.5 ti era x' * y, j °ms's pplicant to a civil penalty of not �� +1 t,-, .. 3 �:. :J'12rt' Da S hl., ! e • t J lir L* i TR¢i�d' :..\ f'' ! L� � x �v� rw.1-•�r.++tri.4.�`rs I 2918Zt17 �llitp.Q}... [ l I, o owner io the property; or -r .:! k/4 d(/(� sole compensation, will do the wa lv+na.3•.:r � ry lJ �'L•V s•• .err-xw e�t'z'�x- M> rj-• s .�,�•� offered for sale (Sec: 7044, Busin t•{ s+ x v .t; , ""� gf'C��f."L� r �a -� , <•• • ! - Contractors License Law does not 'x 4} S;i[ !A4a+': y # t+ ?ate"zit Yp t4 -f builds or -improves thereon, and wl A `rt, r *n , •' w ri z;* tY ^~a1 tr+ ktffiysir ; or through his or her own employer ,; , ! '� 4 f:' are not intended or offered for sale a f.•�r - , r ° -+ ) �, ' i improvement is sold within one yet 5 a x., tY� , wilhhave the burden of rovin the ! a r r * *o+Y r r i ahs_ P e' >f r: tr +sitr,�+ fres r J �` w iso ¢ " fort a purpose of sate.}. • • ` - + y - Aly , W ^° z G• : •r7.,a«ta..?-Yt'tlt4. P-C��r•' ' f1/I I as owner of the property, am r,- 5, ! l y 1 7A P PertY i^$six y cy t + • e ,.: 7J 1r > # r y` ra- rr k.r uM s�. i (�5"+1 Crti:t,«ZgO� contractors to construct the project y Profs slons Code:-�TheCoMreMore 'ip owner of property who Wilda or img ?A-. for such projects with a contractor(. r, Contractors License Law.)�`" s ` �, � ` , � ` x + Uaaticl A ftiaf. I I I em exempt under SBC ,� 14 t ` '�,4 1d. y`(f, ... �". ! k h'•, - ' e,l+hi «7 �•i'X.S ._ .-r•-r 1�•. • O .n 'F. � ', ...y a ui. l PS .,u ,•s .. hho _.1. moi' i�.- .x't..e �r} { a} � Or'I►l�� ftl9sl 3��WORK S' COMPENSATION DECL { ' ` *4 h0�eby affirm under penalty of perjud t + '" 1= ��- 1 0 3 -4. r �✓y ; i 5 t^r h�tr2 �t4a ,,,«;i I II have and will maintain a certificate v` workers' compensation, as provided fo `.r- i m e Code, for the performance of the work •* ' 4' - . , _- t:•, i• <� t�i� yJ�y*,; [ 1 I have and will maintain workers cc of r required by Section 3700 of the Labor 1. n 1: a,r . i "'' ° ` y - `y j x-•` ti, }" F' r a+ - � �.i> •+. work for which this permit is issued. N �.. ' 1 �a.tt ,4 insurance carrier and policy number are: Carrier [+tC113332 I alterations Policy Number ^ -V.,, t' ' t�P tr x �Fi rl� k a G' accompany (This section nee not complete t dollars (9100) or less). y applian� ? 4'� til u 3tc�4 8sht 3"yl may; ons.f' certify that in the performance of th t ;;� - i=ce i " I; _ 7 '-' v'. „ ; _ < ,+; •,,. • £ j�31TO�2 issued, I shall not employ any person in a subject to workers' compensation laws oi' lL should becogie subject to workers' comp) 3700 of the"Labor Code, I shall forthwith Applicant _ u r ` z* ca r c ++✓ t� WARNING: .'a r)"�,,► a COVERAGE IS UNLAWFUL, AND SHALL 5 T CR!MINAL PENALTIES ANdCIVIL FINES U •1 c THOUSAND DOLLARS (8100,000), IN ADI SECTION 5 - SIGNATURE AND CERTIFICATION --•_----_ COMPENSATION, DAMAGES AS PROVIDE. rvH IN SECTION 3706 OF _ +� r THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I/We hereby make application for the services designated above. If applying for replacement of a lost c• ' C3s'1 a , ri 4. CONSTRUCTION LENDING AGENCY s insignia for the unit described in SECTION 1 above, 1/we certify that there have been no alterations,;mtit49C I hereby affirm under penalty of perjury that there is a construction additiAormcations to the unit that would affec;M>p unit's compliance with California or federallaw' 'o lending agency for the performance of the work for which this permit is or theutations ofthe Depart ant.(lfalte at'nsadditions,ormodifications have beissued (Sec.3097,.Civ. C.). �__ _ __ _ __ dinustb tai)Lender's Name Lender's Addr s Sign•__�.__,_,_.__Date 5. CERTIFICATION--- _ _ __ __ ._ it must sign, when a replace insignia is being requested). 1 certify that 1 have read'this application and state that the above DEP MENT USE ONLY information is correct.A agree to comply with all city and county ordina ces and state laws relating to building construction, and ED C N TIONS aers 1 ❑ Disapprov (seer arse `� �_boentio hoMd�p�e 'at*ves of thisicolinty to enter upon the for ins;ctio purposes. 2 X - G Signature of Department Representative Date Ig tw o pp Ic t or en _e HCD 415, Side .110.2/96) DIST ION: YELLOW - DEPARTMENT WHITE - AREA OFFICE PINK - OWNER/APPLICANT 41 0 5w- STATE OF CALIFORNIA- BUSINESS TRANSPORTATIONAND HOUSING AGENCY PETE WILSON Governor DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT DIVISION OF CODES AND STANDARDS 1800 THIRD STREET, Suite 260 P.O. Box 1407 SACRAMENTO, CA 95812-1407 (916) 445-9471 FAX (916) 327-4712 TDD 800-735-2929 August 25, 1998 George H. Hiener Jr. 13356 Meadow Springs Rd. Yankee Hill, CA 95965 Re: 13356 Meadow Springs Rd. Yankee Hill, CA 95965 Alternate Approval No. 98-47 I.D. No.04-PP Your request for an alternate approval to attach a wood awning to a manufactured home has been approved with the following conditions: ➢ The manufactured home shall be installed on an. approved foundation system incorporating a perimeter support system. The applicant or owner will be responsible to provide evidence to the -- enforcement agency that the home is installed on an approved- foundation -system. ➢ Required permit(s) shall be obtained from the local enforcement agency for the construction of the awning. ➢ Required permit(s) and inspection(s) for the alteration to the manufactured home shall be obtained from the Department's Northern Area Office. ➢ The permit application submitted to the Department shall be accompanied by plans depicting the approved foundation system, a copy of the approved alternate approval and awning design with attachment detail(s). ➢ The granting of the alternate approval is a concept approval only and is not an approval of the submitted plans. This alternate approval is issued pursuant to the authority granted the Departrhent under Health and Safety Code Section 18305 and a positive recommendation from the Northern Area Office. Any questions concerning this alternate approval should be directed to Dan O'Donnell, Northern Area Office District Representative II, at (916) 255-2501. Sincerely, Chris L. Anderson Mobilehome Parks Program Manager c: Dan O'Donnell ✓ Local enforcement agency AA File BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT�'OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT /PER IT O. Agricultural building is defined as follows: Agricultural building is a structure designed apd constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO.OS8 , �2 0` DZ I e J •J ZONING OWNER • PHONE NO.T ,?/e 53c3 5C 0 OWNER'S ADDR S/ /-:3 lt?. -o LOCATION OF BUILDING C J r � USE OF BUILDING Q _ ` SIZE OF STRUCTURE ' X SQ. FT. TYPE OF CONSTRUC7: WOOD FRAME STEEL CONCRETE OTHER (Spec'Ify) TYPE OF SIDING ROOF COVERING FLOOR TYPE _I ESTIMATED COST OF CONSTRUCTION $ AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows: FRONT 5!5 SIDES %0 REAR If AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation USGS Datum. I declare under penalty of perjury that the building will be used as stated above and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requir ments in effect a hat time and before occupancy. Date Signature of O ner AA -f V-ze0ez., Permit Fe - 560.00 The above described AG Building is exempt from a buil ' g permit. Receipt No. �`%� %F FLoo PARC L P.D RO.OF/IyG ISSU tv/ v Manager Building Division By Date White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant +.. 'A.+:.itwa�..,..y1J"�:iv.�w'ww.[,�.�+,...-c..'.-tw-�..vl'�'y'•7i��}Y7.fn3ai:��"'K"iJ="fi*-,'"�; -i.. 1,�r.J'{��,�'..��'-.;17'7r.ti+.i."., . �.r.. :,.�. �J'�'ir////[[['�►�/t/SSI,,\` rn.,. �. � COUNTY OF BUTTE -DEPARTMENT OF DE PMENTSERVICES -BUILDING DIVISION 7COUNTY CENTER DRIVE -OROVILLE,CALIFORNIA95965-TELEPHONE(916)538-7541 _ PERMIT APPLICATION DATA SHEET OWNER r_wa Proposed Building Use as> Building Inspector f Date r� At time of emit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED.• BY 1. All items have been submitted . ....................................... . 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ..................... . 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ..................... . 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ ......................................... It - 11. Impact fees as shown on attached schedule. ............................. . 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. ........... 19. Driveway permit (construction approval required prior to occupancy)... . . �Fre4nspedion request 20. Pre -inspection for required. . to Building lnapector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner _). .......... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent -on building use . ....................................).... . 28. Mobilehome"utility clearance . ...............".......................... . 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When you issue the permit, process as follows: _ Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail, Counter by _ Date - Contractor, designer, owner, was advised of above required data by _phone _mail Counter by _ Date Plans checked by Date Plans approved by.Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works PERMIT NO —+47"--85P,EQT PERMIT EXPIRES Aqg /9& OWNER GEORGE HEINER CONTR.. owner ASSESSOR PARCEL .58-33-45 LOCATION 13356 Meadow Springs Rd, Q*9v4444L-- TV OFFICE COPY Temp. Gas Si Called JOB FINALE Signature Address ii GAS Meter g—y_ Date ELECTRI Meter By Date Lie- 0I& Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Si Called JOB FINALE Signature J _ CiC O = Not OK = Not Applicable MO.BILEHOMES MISCELLANEOUS * - Not Ready Date MOBIkEHOME UTILITIES (Plans) OK except N's Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's Zo ing Requirements—Setbacks—Easements 1. Zoning Requirements—Setbacks—.Easements of ; Special MH Support—Sketch 2. Footings; Size—Depth—Spacing—Connectors r; Location—Test—Fall-C/0—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails er; Location—Test—Easement Needed (Sketch) 4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing I tricity; Location—Clearances—Grnd.—/ / Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures Location—Test—Wrap:/ /"L"ft. o/.Z /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows—Doors Utility Clearance 7. Elec. 'Card- Card -BI DateBI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MO EHOME INSTALLATION (Plans) OK except N's Card -BI Date Date Card -BI Date POOLS (Plans) OK except N's Z 'ng Requirements—Setbacks—Easements 1. Setbacks—Easements Foo ; Size—Spacin arriage Line 2. Soils; Compaction—Structure Stability 3 as; MH Test—De nd—V —Con 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4 tricity; MH Te ros — e0 s—Cleaances 4. Elec.; Receptacles and Lighting; Distances—GFI rain; MH Test�—Eal(--F & C ector 5. Elec.; Pool Lighting; 15 volts—GFI MH st—Regi —Conn for 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed r and Sewer Connected—C/O to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 9m2nd Electricity Tagged B. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtc. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit Ro'OExits; Insp.—Sketch Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B -I Cop Date t Card -BI Date Card -BI Date Card -Bl Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date = OK = Mot OK ' = Not Applicable RESIDENTIAL (Single and Duplex) = Not Ready Date UNDERFLOOR Plans OK exce t#'s Date FRAMING Continued 1.Zoning requirements -Setbacks -Easements 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 48. 49. Property Line Firewall & Openings Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 51. 52. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel -Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 54. 55. Glazing Area -Glass Protection -Skylights -Plastic Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10.Water Pipe; Test -Anchors -Regulator -Service Test 11.Electric; Underground 12.Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except k's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except p's 57. Smoke Detector 14. 15. Water Ht.; Vent -Access -Combustion Air Water Pipe; Test & Anchors -Nail Protection 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. 63. Stairs & Rails Fireplace or Stove; Clearances -Hearth Card -BI Date Card -BI Date 64. Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor -Meth. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. &Mech. Equip. Listed for Location 22. 23. Size Boxes & No. of Conductors -Stapled Romex Installed Close to Edge of Studs & C.J. 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 72. 73. Insulation -Foam -Looked in Attic ❑Yes Guard Rails &Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen &Conductor Size 26. 27. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral ❑Yes ❑No 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 75. 76. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No Stucco; Brown -Finish 28. Service -Riser Conductors & Ground -Main Disconnect 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. 82. Ventilation throughout House Glass Protection Card B -I Date Card -BI Date Date MECHANICAL (Permit) OK except N's 31. A.C. Ducts; Insulation & Support 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. 33. Vent Fan; Exhaust above Insulation Condensate Drain & Overflow; Size & Grade 86. Energy Compliance Certificate -Other Certificates 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Card -BI Date Card -BI Date Date Card -BI Date Comments at Final: Card -BI Date Card -BI Date Date FRAMING Plans OK except #'s 36. Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing 42. Hangers -Post Caps -Anchors -Connectors 43. 44. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng_._-Rfn_g_._ _ Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: An entry must be made each time you visit jobsite) MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 Address orlocation off ( ! Owner's name (� Owner's address Insignia or hud number Manufacturer's name_ Serial number of��N. >Vl f] } PERMIT NO. 17 (RQ mobilehome 4I r ficial Approging Installation) t^k y1 Year of manufacture (Date) IF 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. 5138 White - Owner, Yellow iInstaller, Pink - D.P.W. COUNTY OF BUTTE ' DEPARTMENT OF PUBLIC WORKS z 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville -- Phone: 53413541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE OWNER PERMIT NO. 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. Inspector_ __ Date u r Inspector_ __ Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Or iIle, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMITVNO. ZY ASSESSOR PARNUMBER ZONING BUILDING PERMIT OWNER `7 EP6 Inl1� TELEP SQ. FT. OCC. BUILDING VALUATION OWNER'S MA LI G ADORES c lfi CONTRACTOFTvSNAME T LEP ON CONT CTOR'S MAILING ADDRESS Fireplace CONSTRU TION LENDER UNKNOWN Total Valuation Is Filing Fee $ 1.0"-' LEND S AILING ADDRESS Permit Fee $ ARCHITE T OR ENGINEER LICENSE NO. Plan Checking Fee $ 06 Penalty $ ARCHI CT OR ENGINEER'S MAILING ADDRESS Permit fee $ /S,00 BUILDING ADDRESSUtz PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 U Water piping 5.00 LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobi lehome V Other SPECIFY Building sewer 5.00 Mobile Home S G 10.00 e 1Z - TYPE OF WORK New F1 Addition❑ RRemodeI❑ Utilities Installation❑ Other ❑ Describe work: c�8 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 - NEW CONST. DWELLING OCCUP.& OR ADONS. ( ACC. SLOGS. 2AOsgft 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 Y(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 NNEW ON.RESID R BMULT LETITS 2.50 ea RANCH CIRCI-OUT NEW CONSTR ( POWER APPARATUS &) NON.RESID. SINGLE OUTLET CIR. 20@50a Ex. Occup(o Ts OR FIXTURES SAL®a0 FIXED PR Ex. OCCUp. OUTLETS (RESID.)EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 m Permit Fee $ Ss A-0 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 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that 'I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I al o agree o save 'ndem ify and kyeep harmless the County of Butte against all li ilitie judg ts, osts, and Oxpenses which may in any way accrue aga t said C ty in on equence o e granting of this permit. 5. Z /. as Date Signa ur o pplicant — Owner LIJ C tractor ❑ Agent ❑ An OSH permit is required for excavations over 'Q�ee and demolition or construct- ion of structures over 3 stories in height. k Mobile Home Installation Fee $ TOTAL PERMIT FEE $ ,S OCCUP. GROUP I TYPE OF CONST. I V EE I PARC PD �ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT OF PUBLIC BY PERMI XPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date �_� Z�?S ' 1-1'^,? Receipt No. " 7 So 0.0© WHITE-D.P.W., YELLOW -ASSESSOR, PINK-INSP OR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS ✓ 7 County Center Drive - Oroville, Califdrnia 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. P— 8a`� ASSESSOReh.R LNUMBER:3_ ZONING BUILDING PERMIT o R TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAI ING DR SS /33 C RACTO NAM �% TELEPHONE -CONTRACTPR'S MAILJUG ADDRESS ` „f Fireplace CONS RUC TI N LEN ER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING70RESS Permit Fee $ ARCHITECT OR EN NEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR E GINEER'S MAILING ADDRESS Permit fee $S D� BUILDING ADDRESV' PLUMBING PERMIT Filing Fee 10.00 \ e f of Each Trap 2.00 Solar Water Heater 20.00 f. U�tJC > Water piping 5.00 LOT NO. = NAMEPARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF ICTURE SF ❑ Duplex❑ Mobilehome Other SPECIFY Building sewer 5.00 Mobile Home S G W O.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Instal lation Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 r Main service jp0 AMP OR1 OR LESS10.00 8� t� Main service EA. ADD•L too AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. BLOGS. 2,hQSgft CONTRACTORS LICENSE LAW I declar er penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professi s Cod and y license is in full rce a d effect. �f,f(%�f1� License N�?'��) S Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CO ID R BRANCH CIRCT TS 2.50 ea NEW CONSTR POWER APPARATUS & NON.RESID. (SINGLE OUTLET CIR. Ex. Occup(o OR FIXTURES 20@50C 9AL®ao FIXED A FIXED APP LNS. OR EX. OCCup. OUTLETS (RESID,) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under22naty of perjury (check one): rmit is for $100.00 (valuation) or less. ❑�'Iha,replaced onfile with the County of Butte Building Department ificate 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 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of utte to enter upon the above-mentioned property for inspection purposes. I a gree to save, indemnify and keep harmless the County of Butte against all liabi ' ies, judgments costs, and expenses which may in any way accrue against sai County i co equence o t e granting of this ermit. X Date > %ICASignature o Ap icant — Owner Contractor ❑ Agent ❑ An it is require or excava o er '0" ep and demolition or construct- ion of structur s over 3 st I n ig Mobile Home Installation Fee $ ATOO TOTAL PERMIT FEE $ - occuP. GROUP I TYPE of CONST. I PARCEL PD I NDfISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT OF PUBLIC BY PER66 EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date 6 `� Receipt No. 1 WHITE-D.P.W., TELLO - SS OR, PI INSPECTOR, GOLDENROD -APPLICANT MWIM 4, Q ryie low C e- 71 a k) 44� 32o IN R A i WWT Material: & Workmanship Acf+ c Shan "I Recognized Good Practice e. w, lit -i U. Y Prescribed for the Specified use In; nit r, I ilding, Plumbing & Macho P Cod ,v- r nical 04, 4a) Nli� al Electrical Code. N9 %n AL A setback of Oft. from the pZ property lines and a setback of 50ft. from the road centerline shall be clear of structures or equipment extepi for a 2 ft. eave overhang. tbaj This set of plans and specifications MUST be 60 on the job at all times and if i6 tmhwwftA to n"k19 GMY changes or cJfer-fans on some w%ouf Wiffen permission from the Department of p.Mr Works- County of Butte. U 4 tility. 4 ft. 6' Xe4a// be ctlth wit'in direei'- ho Tq�-eithe half ofe r"d or with Mobileh oadside (left the r - "r in Ome. fi) Of the Wo Ft& Shoff 0 -< � , f �eo,j,q - 0 TTE COUNTY BUILDING DEPARTMENJ APPROVE @(`' w 2�Gj A v A- MC::j0w SP a)!,- 4 t, a i Fnl 1, 1. I \x C4, r AP # ''/58 - 33 -YS OWNER Re iwe'r . PERMIT14177 -$S MH UTIL.CLEARANCE DATE INSPECTOR ELECTRIC GAS Support Struc. Compaction Test Re Service Other Pipe YES NO YES NO Size Load Type Size Length and �10 a"P P `� r 6'Q ry J'& loll %-b 4 320 E This set of plans and sPecificHinns MUST be kept on .the job at all times and it is tm6wft.tl to nwke einy changes or alterations on same without Wr4fen permission from the Department of Pubile 14 S WOrks, GWMfY of Butte. W .0 :•—AN Materials & Work m-anship ,dance with Recoqnized Good ProCTIC and crmllty prescribed for the Specified the om -m Building, Plumbing & Machanical anti gitional Electrical Code. 0 Lt A setback of #ft. from the property lines and a setback of 50ft. from the road centerline shall be clear of structures or equipmentexcep. for a 2 ft, eave overhang, 2 util ' 4r) "tion S S rn e thir Of 0 1 eh* recti orne eit half of,the "roa or wtth-ln the eat Mo i/ehorne. * dside (left ) -of t a IW( -I a 1 ra K Na �IID BUTTS %.o%J Pt I I I CZ) f W I L4.0 IN SI�7 Liz r Im C 1— —1 thar- eo APPROVE �`! ®�® mejow 24;� ��Oal Return to DPW AGRICULTURAL STATEMENT OF `K1L,1QT AC FOR RESIDENTIAL'DEVELO HENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. 1. RECORDED IN OFFICIAL RECOA OF BUTTE COUNTY. CALIFORNI AT THE REQUEST OF 1985 MAY 22 AM 10. 12 The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this ELEANOR M.BECKER' property may be subject to inconveniences or discomfort arising from CLERK -RECORDER FEE._ the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: / Lom��Nj e��n6 S°v+guaeCoe�voe. �s9,c�sc�7:.�3; 7�ja,vcC al°�9i�e Ear7L/ivc ajsQ�4/Suf�w�t� •'��' j49 � �FG •,� // . �� �'a 1 vivV a10n s ci;1 dia � " D la , � f. / 6/e7�1 �S ° ! � e. � ��cr ; 3.70 , O 1��' ��tla6 ° %FS Qe� %�E! illi �4 7rJE �f/sf / L /�v4eT8 SaiciSEc4 G o,o ��f T�i�� z°cfio'41 " X/er% �ao,o ��� r s�- �`-fi �s 89 °f� `3. ��06f/A /217 7�4C ar04I on'/4r �s¢f 4at64'�s.6o E I s V • bate: kz5-,,,1a7 - UFS_ State of' ` ) County of ) mz On this the 2 day of 19J�L_, before SS. me, the undersigned Notary Public, rsonally appeared. ---------George H. Hiener Jr. and.Beverly Joan Hiener------ / / Personally known to me./ Proved to me on the basis o satisfactory evidence. .• to be the person(s) whose names) _614_0_ -a:subsrcribed to the within instrument and acknowledged that tjaey �. ' executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. OFFICIAL SEAL LQ SHELLEY SHELDONd NOTARY PUBLIC -CALIFORNIA Principal Ottice in BUTTE County My Commission Expires Sept. 30, 1988 11 otary Public Present A.P. No. END OF DOCUMENT w 92p ITE:—All Materials & Workmanship Sha :;Be in cordance with Recognized Good Practs sand a quality prescribed for the Specified u70:1. iy� the form Building, Plumbing & Mechanical?1d9i and National Electrical Code. V w setback.of ft. from the 3 roperty lines and a setback f 50ft. from the road. interline shall be clear Of" rructures or equipment OXC@pt x a 2 ft. eave overhang, v This set of plans and specifications MUST be kept on the job at all tithes and it is 1m1nwftil to make any changes or alterations on same without written permission from the ®epartment of Public Works, County of Butte. Utility 4ft. ofI' directly haR-of ti Ictions shall be with+'n iobilehomo, elthpr. �d or wlthin th@ f@yr kdsidi',� (Ieft, 9if lih@ �o I \ 131 wo2Ks�o� s BUTTE COUNTY � JILDTNG DEPAR7MENr — \ c� e. APPROVE��_- l ', �`9Eciow S.,! s moa. N S w 92p ITE:—All Materials & Workmanship Sha :;Be in cordance with Recognized Good Practs sand a quality prescribed for the Specified u70:1. iy� the form Building, Plumbing & Mechanical?1d9i and National Electrical Code. V w setback.of ft. from the 3 roperty lines and a setback f 50ft. from the road. interline shall be clear Of" rructures or equipment OXC@pt x a 2 ft. eave overhang, v This set of plans and specifications MUST be kept on the job at all tithes and it is 1m1nwftil to make any changes or alterations on same without written permission from the ®epartment of Public Works, County of Butte. Utility 4ft. ofI' directly haR-of ti Ictions shall be with+'n iobilehomo, elthpr. �d or wlthin th@ f@yr kdsidi',� (Ieft, 9if lih@ �o I \ 131 wo2Ks�o� s BUTTE COUNTY � JILDTNG DEPAR7MENr — \ c� e. APPROVE��_- l ', �`9Eciow S.,! s moa. BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 A MOBILEHOME INSTALLATION SHEET l,. Owner's name: n 2. Installer's name: ( ,Q 3. Is the site currently under permit? Yep / / No ( If yes, furnish permit number %'7 % Q ) OR - Is the site an existing site? Yes /7/r No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leaoh fields and clear of. all setbacks and easements? Yes 7 i. No ( If no, clarify ( ) 5. -What is the mobilehome electrical rating? ----------------------- Amps 6. What is the mobilehome site service rating? --------------------- adv Amps 7.. What is the mobilehome site circuit breaker rating? ------------- / 6 Amps . 8. Is there any other electric load to be' -served by the mobilehome siteservice? ---------------------------------------------------- Yes No (If yes, identify the load and size: (Load) QJ LA_ (Amps) 9. What is the mobilehome site gas pipe size -•----------------- 10. What is the type of gas service? ------- ------------- Natural � LPG 7Z 11. What is the gas pipe length from meter or 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 than 50 ft. on LPG.) BUTTE COUNTY' BUILDING DEPARTMENT APPR0VE, MOBILEHOME SUPPORT DATA ll If other than single wide q b Mobilehome Mfr. P( �N furnish Setup Model No. o -d Year F idth__.,2� (ft.) Box Length i� �o (ft.) Tagalong or Expando Size ft. x__ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of mobilehome unless otherwise specified. ; 11t in s (check one) - Single 1. Wood either, pressure treated or foundation grade. � X2 � (ft.) in:) (in.) (in.) Center pport Center support locat ons* footing sizes (in.) (f .)(in.) (in.) (in.) (ft.) in.) (in.) (in.) 2. Other: (specify) Su or (check one) 1Co Concrete block. E] •2: Other (specify) 4 --tagalong or Expando,' show support details. x -- Typical Support (in.) -(in.) Footing Size x (ft. (in.) (in.) (in.) -- Max. Pier Spacing (ft.)(in.) aC4 0 0 x Max. Overhang (ft.) (in.) (in.) (in.) (ft.)(in.) X f *If center piers are other than drawn above, draw in -locations, spacing, and dimensions. �:' 'fi:t . i,t:. ,>'��"• ;a ',z�Y;;�.:,i71; ' `" i(.�':;:. •1 j,;�" 4,• L � + t�� �.�;:ai. ..t �" u•: I, `•� ,rJ! • •�,'!(trY. y . �" �4 �. +s ,i1:'e l.�"�: .. i�, .!•' S'•, � SAS '• •.�,�(.:• .L,f7r �Z',�7.7. .::'` '. .f''.r.•, 1i•.i'•�., lj• '.jt .aL .a• If s•. .TI f y. ,, �'L;,:.• .y.'•.{... , j•' •' .i...C^.tLT'.Pal.•�J..�?:',••'�: �t •r NIX - v�;v ZCL/ r11.1 Ty - — O 0o O Vol c� •�.g•® qg 3o 3!e K3 Xao -- M, M .�.;�.� ewe <aa�?] � •� -- - r�i v+ Irl Q $ 30 }''FeTfc' rwIL.Y tcow" Lav"/>Y7wl m •a, t -.,,,r`• in -•--i-co Lu v�;v ZCL/ r11.1 Ty - — Ifl 0o CL C qw�r . M•>!t• -r ltyLw rowir SUPPORT PIERS 2000 I!I-x24IF 4000 n 000 n 6000 x 0 000 FOR FIELD SUPPORT DETAILS, SE DWG'S. 3-1 and S-] OP INiT � G , Iv►► , NIF , bH I1 -y Nriff'�• M, tiDUl� M I � ?-I o x I,�,QQ GOLDEN WEST DOTING S ZEJ eN11 �. SO. FT, tao�tu Nolllt, INC rOIT L M/.MU.W. 21 4 811 li ft No rooli, ko IIA u.n GLI/. g701 x 4 mu CARPET LAYOUT AND RIDGE ,t„„wa0l 0 x24 REAM FIELD SUPPORT PIERS 1=Gr-�ic+i�1 [001A**ft w I) I 3 oRwo NO. tTl-�N' MANUAL, PA Lu ZCL/ D 0o CL C a _Z a_ m o Q m � G , Iv►► , NIF , bH I1 -y Nriff'�• M, tiDUl� M I � ?-I o x I,�,QQ GOLDEN WEST DOTING S ZEJ eN11 �. SO. FT, tao�tu Nolllt, INC rOIT L M/.MU.W. 21 4 811 li ft No rooli, ko IIA u.n GLI/. g701 x 4 mu CARPET LAYOUT AND RIDGE ,t„„wa0l 0 x24 REAM FIELD SUPPORT PIERS 1=Gr-�ic+i�1 [001A**ft w I) I 3 oRwo NO. tTl-�N' MANUAL, PA 0 0 f I _1 � _ � 'Z 0- -I,%hpo SC440 P!FL 4T CI -R 0/1. 0 -'01 - 110 1/&, Y Ar c!) 0 C A PL -T;_ /rt �� 2' X 2' X AtiGUE IRON 205' ENO -MCP - PAD CC.-\ Ploc-'SSURE TRE�ATIIDD %jc'p= ' IE GRADE PLY'.7000 (,-C:< P AND 5 I/f CFACE 3 P14 CR Ec LCC< -mr--t 1/f LCIMNC NUT OR C--77EA P'4 9 MCC!, 7 U:1111 cc, SUPPORT Gi-OZO - T(P I I/Z- .43 ;'Fr - 7 2- 01.4. FOLE !"-.0 0(-,.n7 C-1111 -- - f -H&,15 RZ ,49,404,4474T J-16 .-IND T 5 D o�':ESsfo PO4 co t 5 No. 0 1110 C r /,I, - 'A Ni6-�'r-t f0t: A P P .1 1.3 y L) s";3J'Ec7 t7 C-:'A�!CT!c"s ---------- cat: 7- T2, -;?A No. —:7 PERMANENT FOUNDATION SYSTEM GUSGUARD TUF-1 WITH MGJO PAD -iri c e r X. CHAX) -!':D, SPIPE Vm(sp, P'�'o Kenneth D. Reed, P.E. TO Ile 9i Re- stered Civil Eng TYPICAL INS TALLaT!ON DEiA:� 8976 Simmons Rd Redding, Ca. 96001 i L1,c7c LFrW4z-0 4 p r ..If- LJ C F a -, c 9 - r1 -.;'6'i L-V)T 73-1-71 rg'6A Vo. 2, 4 3 R3 9/1 s-, C'A. CAT:INT5 r-NuiNtj f Aor'll 1997 PW'f- urw V &-w q�e — / (9 (f 1-800-'322-2479 1 0 2 3" - TOP VIEVI NIGP P'D- O 0 3 c G R IF ER, L II TZ 0 E -I I L G? I/S* OCT. Vc PLr.lvccc- cc '&CL%"N1ZZO '40 t Z- 14- .31!r :r MACH SCLrS 3r � WHO, X r >— SIDE VIEW MCP - PAD fLUSIA 'MO CCUN7.4 SUNK / ( a EA. 2' X 2' X AtiGUE IRON 205' ENO -MCP - PAD CC.-\ Ploc-'SSURE TRE�ATIIDD %jc'p= ' IE GRADE PLY'.7000 (,-C:< P AND 5 I/f CFACE 3 P14 CR Ec LCC< -mr--t 1/f LCIMNC NUT OR C--77EA P'4 9 MCC!, 7 U:1111 cc, SUPPORT Gi-OZO - T(P I I/Z- .43 ;'Fr - 7 2- 01.4. FOLE !"-.0 0(-,.n7 C-1111 -- - f -H&,15 RZ ,49,404,4474T J-16 .-IND T 5 D o�':ESsfo PO4 co t 5 No. 0 1110 C r /,I, - 'A Ni6-�'r-t f0t: A P P .1 1.3 y L) s";3J'Ec7 t7 C-:'A�!CT!c"s ---------- cat: 7- T2, -;?A No. —:7 PERMANENT FOUNDATION SYSTEM GUSGUARD TUF-1 WITH MGJO PAD -iri c e r X. CHAX) -!':D, SPIPE Vm(sp, P'�'o Kenneth D. Reed, P.E. TO Ile 9i Re- stered Civil Eng TYPICAL INS TALLaT!ON DEiA:� 8976 Simmons Rd Redding, Ca. 96001 i L1,c7c LFrW4z-0 4 p r ..If- LJ C F a -, c 9 - r1 -.;'6'i L-V)T 73-1-71 rg'6A Vo. 2, 4 3 R3 9/1 s-, C'A. CAT:INT5 r-NuiNtj f Aor'll 1997 PW'f- urw V &-w q�e — / (9 (f 1-800-'322-2479 1 0 GENERAL NOTES - GUS -GUARD T OF -1 1. C)=SG'i LOADS: ROOF LIVELOAD = 30 FSF FLOOR LIVE LOAD = 40 ?SF '+'lll ID LOAD - 80 !,!Fri, EXPOSUIR_ I, SE!SiMIC ZO'IE: 4 2. THUS FOUNDATIO`! SYSTEM IS DESIGINED TO SE CO'ISTRUC T ED CN A Fr ~LY LEL SITE ; INI i H INO PX:S I'IG SOII D_FINCI=S 3. CHASSIS 8=;1%I SU-•;�ORT SHALL 6E LCCAT D :-.'ID S!ZED FCR T -=LC: -DSS, O','rt1 IN THE %IOLiL'E HOt"IE I, iSTALLaTIC'I. Ii ISTRUCTIC, IS 4. IN AREAS S'� 1HER` DIFFERENTIAL SETTLEMENT (D.S.) CA.N OCCUR, U;?ED HOS,"= SH.:�LL >✓= READJUSTED I ED'NHEN D.S. EXCE=DS'/: , GR't'JI-i"ciI IT'+'iILL ADVERSELY AFFECT t!A.^IIJFAC I URED HOM—c: UNIT 5. CARRY ALL FOTTiNGS DOWN TO FiRIM, U`IDISTUR3EID SGiL. FCOTiNGS ARE D=SIGN=D FOR 1CC0 PSF TOTAL SOIL PRESSURE A'dD S I:,LL CC. 1?ATiELE'r'iITH LOC AL SOIL COI iT1G`!S. CV41?ACTED S 3N0 MAY c= USED TO FILL LGCAL VCiIDS U" D=R PADS 6. STRUCTUR..L STEEL SHALL SE FABRICATED ACCORD i IG TO A! SC SPECIF;CA TION S. WELDS SHALL CON FCR TO A'NS SPECiFICA T IONS. ELcCTKODYS S =LUTES CW LL 8E A36. BOLTS SHALL BE Ga=.DE (ASTM A--".9 CR A323) 7. THE GUS -GW RD PIER ASS?,fEBL!ES SHOWN cELOY1 SHALL EE LISTrD A;'ID L, --D. S'(SSK ARID ASSOCIATES FOR THE FOLLOWING LOADS: ALLOWABLE LOADS ' HORIZONTAL VERTICAL GUS-(-JUARD TUF-1 PIERS 2200 LS 6000 LS GUS -GUARD MISP PAD 2200 LS 6000 L5 8. DURING PRELIMINARY INSPECTION, TME ESTPOIATOR SHALL ENSURE THAT THE COACH CHASSiS SEA ,1S ARE OF S T ANDARD SECTION - SEE SEAIM SIZE NOT=S Ir 0'=3!'r -N L !STED AN IO T ESTEO 8Y SSX � .A:; CCIATES .. PCL'!. ;0, P.E. - LIS Ti'IG'I �. x;42;3 11. ':!tJLTiPL �UNITI'iSTAL LaTiO'i ISAC,.� !..3�==Rv;.�_� j -•,T II._ I, ,,,.._ = J ; � '- C I.. tA.RD TU-•1.Pict S lj '10=RL'II I '••� I rJ � i.! F,i if �,� : y a � THE S' ` = LENGTH 1 UCUaLr-',11Dc COACH, GF 1 �.•:I'- u-^ IR �!�DITiC'!.`L RESTRAINT - SEE S� -EET 3 12. S1''i 1 I -moi I ��I I I • .. dzLlf cap'rit r -rain 2^1 r-nr• b A-rf Y? ke FEC" Cr t r --d To A.' 4 L. Single Wide Units Langth i 1 I -moi I ��I I I • .. dzLlf cap'rit r -rain 2^1 r-nr• b A-rf Y? ke FEC" Cr t r --d To A.' 4 L. * (Lquire3 fay ct 9ca at ends Cf eat, -.;I rf 2 ; .d r4f mus "tom 50 ft :_!n-0, anxg Bi h -,a rril. H� rx areae to C w. -,"-..:n 4 .'W d C:e end of eXh Mme r..d Vilier a ccz i ;er�11 exoe�_'ds 50 -eet in !ems, additcrd ;',ddq. ns an to be Gk to center cf eam tram ia3 tr a t -J of 6 hcldcmns. F c k.ow rrivj jt _ augeis, ccss r`r�es er c�- d��s;mv�ed Cy ha rp a rated :0-d: }e A r / " o yI Single Wide Units Langth Length b:ridth up to 44' 43'_66' over co' up to 44' F-66' over 66' 10' I 12' ( 14' 1 10 4' 6' 8' 4' 6' 8' 4' 6' 8' 4 6 8 * (Lquire3 fay ct 9ca at ends Cf eat, -.;I rf 2 ; .d r4f mus "tom 50 ft :_!n-0, anxg Bi h -,a rril. H� rx areae to C w. -,"-..:n 4 .'W d C:e end of eXh Mme r..d Vilier a ccz i ;er�11 exoe�_'ds 50 -eet in !ems, additcrd ;',ddq. ns an to be Gk to center cf eam tram ia3 tr a t -J of 6 hcldcmns. F c k.ow rrivj jt _ augeis, ccss r`r�es er c�- d��s;mv�ed Cy ha rp a rated :0-d: }e A r / " o yI ._-. 1 �UiCJ. C� s C ar3 ier, alp s� to spaced at appr��er�ely ell �rr� acrg each fiar�e . ^li. C' -G a-�+ y,ieS rrzy be �tSed on cea�:es n wers'of h' ter C -.an :;0 �' psf srscwr � rc-Ad C.: t~e .tmvdjate � haw pca,'Cve at�.rrert b Gee c'&.zsr's Barrs, jr✓zu,dtexi52U0l4=2 C_-J5G�C.A 7Ur1F`�4k (� r Sly.'/,! ,_r- it/!L>E P�+ � �/.a��t E: '�l �� ,u � i • � >;<�i,. ,`� Till { ff No. C 0511, � ! Ch`s PERMANENT � FOUNDATION SYSTEM GUvGUARD i OF 9 WITH MGP PAD Kenneth D: Reed; P.E. Registered Civil Engineer 8976 Simmons Rd Redding, Ca. 9600.1 Voice/Fax 9166-243 3�_9 " r�`��� - pI.` April 1997 SHEET 3 OF`'3 Double Vide Units ' Langth b:ridth up to 44' 43'_66' over co' 24' 26' 123' 8 8, 12 12 16 ; 16 8 12 ?v ._-. 1 �UiCJ. C� s C ar3 ier, alp s� to spaced at appr��er�ely ell �rr� acrg each fiar�e . ^li. C' -G a-�+ y,ieS rrzy be �tSed on cea�:es n wers'of h' ter C -.an :;0 �' psf srscwr � rc-Ad C.: t~e .tmvdjate � haw pca,'Cve at�.rrert b Gee c'&.zsr's Barrs, jr✓zu,dtexi52U0l4=2 C_-J5G�C.A 7Ur1F`�4k (� r Sly.'/,! ,_r- it/!L>E P�+ � �/.a��t E: '�l �� ,u � i • � >;<�i,. ,`� Till { ff No. C 0511, � ! Ch`s PERMANENT � FOUNDATION SYSTEM GUvGUARD i OF 9 WITH MGP PAD Kenneth D: Reed; P.E. Registered Civil Engineer 8976 Simmons Rd Redding, Ca. 9600.1 Voice/Fax 9166-243 3�_9 " r�`��� - pI.` April 1997 SHEET 3 OF`'3