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HomeMy WebLinkAbout058-550-0311 058-55-,`92 `4 E f ' JAMES , Jan t A r: Yankee. Vis t Cr;' Oroville'"� mhu t ELEC �1) OD . �'�D ' ItiQ ) I GAS k • -314 COMPACTION TEST REQ i SUPPORT STRUCT "REQ 058-55-0-031 Y' 92-4218B JAMES, Jan 11121 Yankee Vita, Oroville / contr: MH Cen �r mhi 058-550-031 06-0932 JAMES, JAN 11121 Y*O(E V 0 E Cont: SI NM /H PE ion RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 2006-0022608 Recorded I REC FEE 10.00 Official Records I County of I COIFOROED COPY 1.00 Butte 1 CMM J. 6RL BBS 1 County Clerk-Recorderl 1 C11 010:49M W -Nay -2005 I Page 1 of 2 IIII III III I IN I III 111111111111111 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. JAN JAMES REAL PROPERTY OWNER/LESSOR 11121 YANKEE VISTA CIRCLE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT SAME CITY COUNTY STATE ZIP SAME UNIT OWNER (ifalso property owner, write "SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 06-0932 (530) 538-7541 BUILD)NG PERMIT NO, TELEPHONE NUMBER SIGN TURE OF LOCARIPENtY &FICIAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. CHAMPION HM BUILDERS 1992 SW621W MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER 09936213876 48 x 13'8" RAD671936 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNWLABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER 058-550-031 HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD -Building Dept. 89-14689 I' .PARCEL I_ PARCEL 2, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON AUGUST 28, 1985, IN BOOK 99 OF MAPS, AT PAGE(S) 76 AND 77. EXCEPTING THEREFROM A PORTION OF PARCEL 2, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE 07 CALIFORNIA, ON AUGUST 28, 1985, IN BOOK 99 OF MAPS, AT PAG':(S) 76 AND 77, AND MORE PARTICULARLY DESCRIBED AS FOLLOWS: BEGINNING AT THE NORTHWEST CORNER OF PARCEL 1, AS SHOWN ON SAID PARCEL MAP; THENCE ALONG THE WEST LINE OF PARCEL 2 OF SAID PARCEL MAP NORTH 40 DEG. 24' 09" EAST, 76.00 FEET; THENCE SOUTH 24 DEG. 451 26" EAST, 164.92 FEET TO THE NORTHEAST CORNER OF SAID PARCEL 1; THENCE ALONG THE NORTHERLY LINE OF SAID PARCEL 1, NORTH 51 DEG. 51' 06" WEST, 152.11 FEET TO THE POINT OF BEGINNING. RESERVING THEREFROM A 60 FOOT NON-EXCLUSIVE EASEMENT FOR INGRESS A14D EGRESS AND FUBLIC UTILITIES OVER YANKEE VISTA CIRCLE AND YANKEE VISTA DRIVE, AS SHOWN ON SAID MAP. PARCEL I7• A 60 FOOT NON-EXCLUSIVE. EASEMENT FOR INGRESS AND EGRESS OVER PARCELS 1, 2 AND 3, AND SHOWN AS YANKEE VISTA DRIVE A11D YANKEE VISTA CIRCLE, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON AUGUST 28, 1985, IN BOOK 99 OF MAPS, AT PAGE(S) 76 AND 77. PARCEL III• A RIGHT OF WAY FOR ROAD AND PUBLIC UTILITIES PURPOSES OVER PARCELS 1, 3 AND 4, AND SHOWN AS PHANTOM DRIVE, AS SHOWN 014 THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF DUTTE, STATE OF CALIFORNIA, ON JANUARY 13, 1982, IN BOOK 87 OF MAPS, AT PAGE(S) 35 AND 36. END OF DOCUMENT COPY of Document Recorded 3 -Play -2006 2006-0022608 r:. RECORDING REQUESTED BY:I Has not been compared with original AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 BUTTE COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. JAN JAMES REAL PROPERTY OWNER/LESSOR 11121 YANKEE VISTA CIRCLE MAQ LNG ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT l CITY COUNTY STATE 21P SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 06-0932 (530) 538-7541 BUILDJNG PERMIT N:0) TELEPHONE NUMBER .- SIGN TURF OF LOC OFFICIALDATE NONE DEALER NAME (if not a dealer We, write "NONE") NONE DEALER LICENSE NO. CHAMPION HM BUILDERS 1992 SW621W MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME NUM BER 09936213876 48 X 13'8" RAD671936 SERIAL. NUMBER(S) LENGTH X WIDTH INSIGNWLABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER 058-550-031 SEE ATTACHED HCD FORM 433(A) REV. 8/91 PARCEL I - 89-14689 PARCEL 2, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE' OF CALIFORNIA, ON AUGUST 28, 1985, IN BOOK 99 OF MAPS, AT PAGE(S) 76 AND 77. EXCEPTING THEREFROM A PORTION OF PARCEL 2, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN.THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE 07 CALIFORNIA, ON AUGUST 28, 1985, IN BOOK 99 OF MAPS, AT PAG.'i(S) 76 AND 77, AND MORE PARTICULARLY DESCRIBED AS FOLLOWS: BEGINNING AT THE NORTHWEST CORNER OF PARCEL 1, AS SHOWN ON SAID PARCEL MAP; THENCE ALONG THE WEST LINE OF PARCEL 2 OF SAID PARCEL MAP NORTH 40 DEG. 241 091° EAST, 70.00 FEET; THENCE SOUTH 24 DEG. 451 2611 EAST, 164.92 FEET TO THE NORTHEAST CORNER OF SAID PARCEL 1; THENCE ALONG THE NORTHERLY LINE OF SAID PARCEL 1, NORTH 51 DEG. 511 06" WEST, 152.11 FEET TO THE POINT OF BEGINNING. RESERVING THEREFROM A 60 FOOT NON-EXCLUSIVE EASEMENT FOR INGRESS AND EGRESS AND PUBLIC UTILITIES OVER YANKEE VISTA CIRCLE AND YANKEE VISTA DRIVE, AS SHOWN ON SAID MAP. PARCEL II: A 60 FOOT NON-EXCLUSIVE, EASEMENT FOR INGRESS AND EGRESS OVER PARCELS 1, 2 AND 3, AND SHOWN AS YANKEE VISTA -DRIVE AND YANKEE VISTA CIRCLE, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON AUGUST 28, 1925, IN BOOK 99 OF MAPS, AT PAGE(S) 76 AND 77. PARCEL III: A RIGHT OF WAY FOR ROAD AND PUBLIC UTILITIES PURPOSES OVER PARCELS 1, 3 AND 4, AND SHOWN AS PHANTOM DRIVE, AS SHOWN OIJ THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JANUARY 13, 1982, IN BOOK 87 OF MAPS, AT PAGE(S) 35 AND 36. END OF DOCUMENT SIERRA MOBILE SERVICE SIERRA FOUNDATION LIC NO 470386' 466 CIRCLE DR 530-534-0599 OROVILLE, CA 95966 PAY • C AMOUNT 66e,�.. AOn ` OF EXPLANATION AMOUNT 90-2267/12113827 19586 H168 wanly features uuULARS L �u�aee. WO9 � oatmm a mox. TO THE ORDER OF GROSS INC. TAX SOC. SEC. ST. TAX TAX CHECK MEDICARENUMBER I I $ ' (j 'Y✓'� DESCRIPTION US BANKNP AUTHORIZED SIGNATURE Ile OL9586I'm 1:L2LL22676i: L5340L4039 2 511- 3 S� M FOUNDATION SYSTEM CERTIFICATE OF OCCUPANCY BUILDING PERMITS NUMBER: 06-0932 Address or location of unit: 11121 YANKEE VISTA CIRCLE, OROVILLE CA 95966 Legal Description of Real Property: 058-550-031 SEE ATTACHED (x) Mobilehome/Manufactured Home () Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: JAN JAMES Owner's address: 11121 YANKEE VISTA CIRCLE, OROVILLE CA 95966 INSIGNIA OR HUD NUMBER: RAD671936 SERIAL NUMBER OR V.I.N.: 0993621876 MANUFACTURER'S NAME: CHAMPION HM BUILDERS YEAR: 1992 OFFICIAL APPROVING INSTALLATION: DATE: Jam'," 06 PHONE: (530) 538-7541 H.C.D. 513C BUILDING PERMITS NUMBER: 06-0932 Address or location of unit: 11121 YANKEE VISTA CIRCLE, OROVILLE CA 95966 Legal Description of Real Property: 058-550-031 SEE ATTACHED (x) Mobilehome/Manufactured Home - O Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: JAN JAMES Owner's address: 11121 YANKEE VISTA CIRCLE, OROVILLE CA 95966 INSIGNIA OR HUD NUMBER: RAD671936 SERIAL NUMBER OR V.I.N.: 09936218.76 MANUFACTURER'S NAME: CHAMPION HM BUILDERS YEAR: 1992 OFFICIAL APPROVING INSTALLATION: J6,. DATE: Jam'," 0(� PHONE: (530) 538-7541 H.C.D. 513C RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. JAN JAMES BUTTE COUNTY BUILDING DIVISION REAL PROPERTY OWNERILESSOR LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY . 11121 YANKEE VISTA CIRCLE 7 COUNTY CENTER DRIVE MAILING ADDRESS MAILING ADDRESS _ OROVILLE BUTTE CA 95965 OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP CITY COUNTY STATE ZIP SAME INSTALLATION MAI.ING ADDRESS, IF DIFFERENT SAME CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION 06-0932 (530) 538-7541 BUILDING PERMIT NO. A A TELEPHONE NUMBER SIGN4TURE OF LOCAWENCY OFFICIAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE N0. CHAMPION HM BUILDERS 1992 SW621W MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMEINUMBER 09936213876 48 x 13'8" RAD671936 SERIALNUMBER(S) - LENGTH XWIDTH INSIGNWLABELNUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER 058-550-031 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE - County Recorder CANARY - HCD PINK - Applicant GOLDENROD - Building Dept. BUILDING PERMITS NUMBER: 06-0932 .ter Address or location of unit: 11121 YANKEE VISTA CIRCLE, OROVILLE CA 95966 Legal Description of Real Property: 058-550-031 SEE ATTACHED (x) Mobilehome/Manufactured Home - O Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. , Owner's name: JAN JAMES ' i Owner's address: 11121 YANKEE VISTA CIRCLE, OROVILLE CA 95966 r . INSIGNIA OR HUD NUMBER: RAD671936 SERIAL NUMBER OR V.I.N.: 0993621876 I' MANUFACTURER'S NAME: CHAMPION HM BUILDERS,' YEAR: 1992 OFFICIAL APPROVING INSTALLATION: . DATE: JCr_ �" Oa f _ PRONE: (530) 538-7541 F ' H.C.D. 513C i M BUILDING PERMITS NUMBER: 06-0932 .ter Address or location of unit: 11121 YANKEE VISTA CIRCLE, OROVILLE CA 95966 Legal Description of Real Property: 058-550-031 SEE ATTACHED (x) Mobilehome/Manufactured Home - O Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. , Owner's name: JAN JAMES ' i Owner's address: 11121 YANKEE VISTA CIRCLE, OROVILLE CA 95966 r . INSIGNIA OR HUD NUMBER: RAD671936 SERIAL NUMBER OR V.I.N.: 0993621876 I' MANUFACTURER'S NAME: CHAMPION HM BUILDERS,' YEAR: 1992 OFFICIAL APPROVING INSTALLATION: . DATE: JCr_ �" Oa f _ PRONE: (530) 538-7541 F ' H.C.D. 513C i 89-14689 ' PARCEL i PARCEL 2, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON AUGUST 28, 1985, IN BOOK 99 OF MAPS, AT PAGE(S) 76 AND 77. EXCEPTING THEREFROM A PORTION OF PARCEL 2, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON AUGUST 28, 1985, IN BOOK 99 OF MAPS, AT PAG.."(S) 76 AND 77, AND MORE PARTICULARLY DESCRIBED AS FOLLOWS: BEGINNING AT TiE NORTHWEST CORNER OF PARCEL 1, AS SHOWN ON SAID PARCEL MAP; THENCE ALONG THE WEST LINE OF PARCEL 2 OF SAID PARCEL MAP NORTH 40 DEG. 24' 09t0 EAST, 70.00 FEET; THENCE SOUTH 24 DEG. 45' 26" EAST, 164.92 FEET TO THE NORTHEAST CORNER OF SAID PARCEL 11 THENCE ALONG THE NORTHERLY LINE OF SAID PARCEL 1, NORTH 51 DEG. 51' 06" WEST, 152.11 FEET TO THE POINT OF BEGINNING. RESERVING THEREFROM A 60 FOOT NON-EXCLUSIVE EASEMENT FOR INGRESS A14D EGRESS Alin FUBLIC UTILITIES OVER YANKEE VISTA C:IRC:LE AND YANKEE VISTA DRIVE, AS SHOWN ON SAID MAP. LRCEL ZI: A 60 FOOT NON-EXCLUSIVE. EASEMENT FOR INGRESS AND EGRESS OVER PARCELS 1, 2 AND 3, AND SHOWN AS YANKEE VISTA DRIVE AILD YANKEE VISTA CIRCLE, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON AUGUST 28, 1985, IN BOOT 99 OF MAPS, AT PAGE(S) 76 AND 77. PARCEL III• A RIGHT OF WAY FOR ROAD AND PUBLIC UTILITIES PURPOSES OVER PARCELS 1, 3 AND 4, AND SHOWN AS PHANTOM DRIVE, AS SHOWN OIJ THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JANUARY 13, 1982, IN BOOK 87 OF MAPS, AT PAGE(S) 35 AND 36. END OF DOCUMENT Butte County Department of Development Services. T C S 7 County Center Drive, Oroville, CA 95965 530 538-7641 ..c- ( ) vnwv.b4ttecounty ngyos °uw< RESIDENTIAL APN: 058-550-031 — 06-0932 Owner. JAMES, JAN _ 11121 YANKEE VISTA, OROVILLE Site Address: _ Cont: SIERRA MOBILE SRV M/H PERM FND (EX) Contractor . Type of Permit: SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUBSTANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE ,12- li ` 1 _ /— DATE JOB FINALED- SIGNATURE: = OK o = Not OK MANUFACTURED HOMES DATE "J VIRIVIANENT FOUNDATION " SOFT -SET ning-Setbacks-Easements Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; FalUC/0-Concrete 4 Wtr; Loctn-Test-Easement Needed -Regulator 5 Elec Loctn-Clrncs-Grnd Amp -Concrete 6 Yard Gas; Loctn-Test-Wrap . Nat ❑ or LPO Inch Sz Ft ingth 7 Blckng; Sz-Spacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-DIrncs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr 8 ewer Connected -C/0 to Grade 12 Ga d Electricity Tagged Downs f Foundation ❑ Exits 15 eft of Occupancy 1 HUD Label/Insignia Numbers Serial Numbers Drawing MISCELLANEOUS DECKS'C0VERS'CARP0RTS-GARAGES 1 Zoning -Setbacks -Easements 2 Ftgs; SoilsSz-DpihSpacing-CnnctrsSteel 3 Decks, GirderslJoists-Dcking-Brcing Stairs -Gua rd/Handrails 4 Wood Awn; Posts-Beams-Rftrs-Cnnctrs-Shthg Frmg-Brcng S Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs 6 Carports; Wndws-Doors 7 Electric 8 Frmg; Sills-Anchrs-Studs-Rftrs-Trusses 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof; Shthg-Roofing 11 Ext; Steps -Doors -Landings 12 Braced Wall pnls o 1 Setbacks -Easements 2 Soils; CompactionSiructure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance-GFI 5 Elec Pool Lting; 15 volts-DFI 6 Elec Enclsrs; Conduit Entries Terminals -t -fisted 7 Elec Bonding; Metal w!S-Crcltng Egp-Htr 8 Elec Gmdng; Eqp w/5' Crcltng Eqp-Pool Ightg Bones-EncisrsTnlboards-Insults to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Enctsr, Fencing -Alarms 13 Bonding, Diving board or Slide = OK = Not OK _ RESIDENTIAL (Single & Duplex) DATE JUNOERFLOOR DATE IPLUMBING 1 Zoning -Setbacks -Easements -Flood -Slope 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 2 Ftg Main; Soils-Elec Grnd Ftg Dplh 54 Wtr Pipe; Test & Anchr-Nail Prtctn 3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Dpth• 55 DWV; Test Fittings & Anchr Nail Pctctn 4 Ftg Porches/Decks; Soils -Steel Ftg Opth 56 Shwr Pan; Test, First flr-Tub Acc. 1 : 5 Stemwalls Main; Steel-Blockouts-Wrapped 57 Test Tub & Shwr, 2nd fir - Tub-Acc 6 Stemwalls Garage; Steel-Blockouts-Wrapped 58 Gas Pipe; Sz & Anchrs 69 Hold Downs and Special Anchrs 59 Fire Sprinkler; Test 7 Slab, Steel Wrapped 60 Yard Gas Piping 8 Piers-Frpic Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test °' 4 1.l Wtr Pipe; Test-Anchrs-Rgltr-Service Test 12 Elec Undrgrnd DATE JMECHANICAL 13 Plenums & Ducts; Clrnc-MaterialSupport-Insultn 61 AC Ducts Insultn & Support 14 GirdersSills-Anchr Bolts Joists-Vnts-Cripples 62 Vent Fan, Exhaust abv Insultn 1S Acc & Vntltn 63 Condensate Drain & Ovrflw, Sz & Grade 16, Insulation 64 Furnace -Vent Acc-Comb Air RtrnfVent 115 Outlet 65 Attic Acc & Pltfrm if -Furnace in attic DATE IFRAMING 17 Sills Proper Materials & Anchrs DATE FINAL 18 Walls Studs -Nailing Spacing & Braces-PlatesSound 66 Ext Steps -Door & SideLt Prtctn-Landings 19 Bearing Watts over Girders & fir Nailing 67 Smoke Detector 20 Draft Stop in Walls (rat proof) 68 Furnace Vnts-Clrnc-Comb, Air-Cnnctr. 21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs In Garage; abv-fir-Ducts-Mech Prtctn 22 Headers & Beams-Sz & Bearing 69 Bedroom Exiting 23 Hangers -Post Caps-Anchrs-Cnnctns 70 GFI & Bath Fxtrs & Tub Acc-Spa 24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac TrussShthg 71 GFI Arc Fault 25 Frplc Ties or Type A Flue-Frplc Throat Clmc 72 Elec Tran & Subpnl, Breaker Sts & Labels 26 Attic Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles 73 Stairs, Guard/Handrails 27 Bdrm Wndws or Exiting Doors -SIM Ht & Dimensions 74 Frplc or Stove, Clmc-Hearth 28 Garage Fire Prtctn Framing -RC Channel 75 Elec Outlets at Wood Pnl, Int & Ext 29 Prprty Line Firewall & Opngs 76 Ktchn, Fxtr & Appinc; Gmd-Air-Gap-Cooking CImc 30 Ext Doors -One T -Check Garage 3rd Story, 2 Exits 77 Elec Outlets & Rcptcls at Ktchn Counter 31 Stairs; Width-Hdrm-Rise-Run-landing-Fre Prtctn 78 Garage Fire Door, Swing -landing -Closure 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 79 AC Duct in Garage -Damper 33 Siding -Nailing Veneer 80 Wtr Htr; Vnts-ClmcCom Air Cnnctr-PRV; abv fir 34 Stucco lath -Weep Screed-Fndtn Vnts-Undrflr Acc Mech Prtctn; LPG Appince Undr House 3' drain 35 Glazing Area -Glass Prtctn-SkyLts-Plastic 81 Plmb; Elec & Mech Eqp Listed for Loon 36 Shear Walls; Nailing -Bolts 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 37 Brace Int/Ext Wall pnls 83 Iris ultn-Foam-Looked in Attic 38 Ins ultn-Walls-Cei lings 84 Guard Rails & Deck Cnstrctn-Post Caps 39 Infiltration-Walls-Wndws 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Clrnc Drnge Planters Dyes ❑No 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Plmb 89 Vnts abv Roof, Plmb-Appinc-Frplc-Clmc to Opngs 90 Wtr Well, Dscnnct, Elec, Plmb 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd DATE 1ELECTRICAL 40 Fxtr & Tmsfrmr Clmc4ns Prtctn 41 Elec Rcptcls Spacing-Lts & Switches at Doors 92 Vntltn thru House 42 Sz Boxes & No Of Cndctrs Stapled 93 Glass Prtctn 43 Romex Installed Close to Edge of Studs & CJ 94 Corrections from previous Inspctns 44 Eqp Grnd made up w/Mech Fstnrs 95 Gas Test -Meters Tagged, Gas-Elec 45 Gmdng Electrode Bond Gas & Wtr 96 Wtr & Sewer Cnnctd-D/O to grade -HD Apprvl 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI 97 Energy Cmpinc Cert -Other Certs 47 Subfeed Wire Sz 9 ❑ CU or El AL . 98 Address Posted AC Wire Sz V ❑CU or ❑AL 99. Fire Sprinkler 48 Range Circ y, ❑ CU or F1 AL Oven Circ ya ❑ CU or ❑ AL Insulated Neutral ❑Yes ❑No 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Clrncs pnls-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING'.PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. We'll" e'll � Licens7�t Cl e06 License Number: / Date: Contractor: dCA' OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). O I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code Date: Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: 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. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: PERMIT NO. BP060932 Issued Date: 04/26/2006 APN: 058-550-031-000 Site Address: 11121 YANKEE VISTA CIR CON Map Index: Description: EX MH ON PERM FND Owner: JAMES JAN 11121 YANKEE VISTA CIRCLE OROVILLE, CA 95965 Applicant: SIERRA MOBILE SERVICE BILL REID 466 CIRCLE DRIVE OROVILLE, CA 95966 530-534-0599 Contractor: SIERRA MOBILE SERVICE BILL REID 466 CIRCLE DRIVE OROVILLE, CA 95966 530-534-0599 License #: 470386 Architect: Engineer: Carrier: STH 1-f Fo N Total Square Ft: 0 S.F. Policy#: YzS-7 Valuation: $0.00 Census Code: ❑ 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 the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of.Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby ssued under the applicable provisions of the Butte County Code and/or Resoiution o ork indica( d above for which fees have been'paid. I hereby.affirm that there is a construction lending agency for the � performance of the work for which this permit is issued (Sec 3097 Civ.) . Date: q1. !�' /' () 5 Name: By. PERMIT EXPIREOf Address: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: Lee f Signature: Date: ❑ Owner Contractor ❑ Agent for Owner ❑ Agent for Contractor a. U. Duiwmy rtlnnn v, 1v -v4 yy STATE OF CALIFORNIA - BUSINESS, TRANSPORTATION AND HOUSING AGENCY ARNOLD SCHWARZENEGGER, Governor DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT &NG 9 Division of Codes and Standards � O •�� Io © �.� z �rIQ � o w G�0 Title Search Date Printed : 04/20/2006 Decal #: LAU2546 Use Code: SFD Manufacturer: 90086 CHAMPION HM BUILDERS Original Price Code: AHF Tradename: WOODLAKE Rating Year: Model: SW621W Tax Type: LPT Manufactured Date: 12/03/1992 Last ELT Amount: Registration Exp: Date ELT Fee Paid: First Sold On: 12/23/1992 ELT Exemption: NONE Serial Number 09936213876 Registered Owner: HUD Label / Insignia RAD671936 Length Width 48' 13' 8" JAN JAMES 11121 YANKEE VISTA CIR OROVILLE, CA 95965 Last Title Date: 02/26/1993 Last Reg Card: 02/26/1993 Sale/Transfer Info: Price $27,219.00 Transferred on 12/23/1992 Situs Address: 11121 YANKEE VISTA CIR OROVILLE, CA 95965 Situs County: BUTTE Legal Owner: GREEN TREE FINANCIAL SERVICING CORP C/O VANDERBILT MORTGAGE & FINANCE INC PO BOX 9800 MARYVILLE, TN 37802 Lien Perfected On: 12/28/1992 15:27:00 Title Searches: FIDELITY NATIONAL TITLE 455 ORO DAM BLVD SUITE A OROVILLE, CA 95965 Title File No: 108397 * * * END OF TITLE SEARCH * * * Order `',o. Ess -.row No. 104557-2DF1 1 89-14689 d- 3 Lcen No. 89-014689 Rec Fee 7.00 Re49rr1cri DOC 3.3.20 Total WHEN RECORDED MAIL TO: 20.20 Off icial Records ; County of But to ;MIDVALLEY TITLE! CO. JAN JAMES Candace J. Grubbs ; 532 M.ELLA AVE. # 54 Recorder MOUNPAIN VIEW, CALIF. 94043 8:00am 24 -Apt, -89 VS 2 SPACE ABOVE THIS LINE FOR RECORDER'S USE MA:L TAX STATEMENTS T0: 13 20 DOCUMENTARY TRANSF TAX 5 .......:....................................... SAME AS ABO . Computed droll er Ion or value vl proearly conveyed: OR ...... Cotnput on the con C e o o value la Iona or encumbrances remefnin t time o1 I AP 58-55-31 Sipntvr o1 Declarant Or AOenr oaterminlne tea — F"rn Nem• MID VALLEY TITLE AND ESCROW CCMPANY GRANT DEED FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, LEE UATEN HALSTROM and CAROL HALSTROM, husband and wife hereby GRANT(S) to JAN JAMES, a unmarried woman the real property in the DtDMf UNINN' CIRPORATED AREA County of BUTTE State of Calif:.rnia, described as SEE LEGAL DESCRIPTION ATPRCHED Dated.._ MAR. 281 1989— LEE Ci HALSTRCM STATE OF CALIFQ(_�, COUNTY OF_--,----------. oil ..---'--- on. — APRIL 7, 1989 bolero me, the undersigned, a Notary Public in and for said State, per• CAROL HALSTROM eonallyappeared_117 MN HALSTROM AND CAROL HAISTROM �---- v for proved to me on the basis of satisfactory DAviD HALKOLA evidence) to be the person(st whose name(s) is/are subscribed to the NMny �N within Instrument and acknowledged to me that he/she/lh" eaeculed My cornmil"lon Ea ra 10 Mitch 22. 1' tna same. T ES myheadandfTW, Brea for olticiel notarial .eel) Sigator DAVID OL4 1002 (6/62) MAIL TAX STATEMENTS AS DIRECTED ABOVE i 0 1 ■ BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP060932 ts. L;. buuamg verma u i- io-uv pg LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 04/26/2006 APN: 058-550-031-000 the Business and Professions Code, and my license is in full force and effect. 4/70VA9 Site Address: 11121 YANKEE VISTA CIR CON License Cl ss : License Number: 2 4!4 Map Index: Date: Contractor: Description: EX MH ON PERM FND OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: JAMES JAN permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a 11121 YANKEE VISTA CIRCLE signed statement that he or she is licensed pursuant to the provisions of OROVILLE, CA the Contractor's Slate License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 95965 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: SIERRA MOBILE SERVICE Code: The Contractors' State License Law does not apply to an BILL REID owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, 466 CIRCLE DRIVE provided that such improvements are not intended or offered for OROVILLE, CA 95966 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of 530-534-0599 proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: SIERRA MOBILE SERVICE not apply to an owner of property who builds or improves thereon, BILL REID and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 466 CIRCLE DRIVE ❑ I am Exempt under Article 3 of the Business and Professions Code OROVILLE, CA 95966 530-534-0599 Date: Owner: License #: 470386 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. Engineer: ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: STA T -E fv ^' D Total Square Ft: 0 S.F. Yz5-7 Valuation: $0.00 Policy #: Census Code: ❑ 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 the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply withthose provisions. `/ �/b Date: 440 Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit isheressued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the of the work for which this permit is issued (Sec 3097 Civ.) Resolution o ork Indic d above for which fees have been paid. performance Name: BY Date: PERMIT EXPIRE$ OIC 0 Address: (Date) ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: Signature: o Date: L( V ❑ Owner Contractor ❑ Agent for Owner ❑ Agent for Contractor ts. L;. buuamg verma u i- io-uv pg BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (30) 538-7636 • C OFFICE #: (530) 538-7541 HICO: (530) 891-2834 A FEE WILL BE REQUIRED AT TIME OF APPLICATION **PLEASE PRINT CLEARLY** Subdivision Name OVER FOR SUBMITTAI RF'f111It��nnt`titr� PERMIT NO. �&-6q P BIN # LOCATION AP# d58 .-5-S'a 63/ Property Address City," ///Z/ YRAJIeEr i CT19 ©v.CUfI-►-E Cross Street WORKER'S COMPENSATION Policy Number Yzs� Carrier if hiring anyone other than license contractors, a certificate of worker's compensation mustbe shown at the Bme of permit issuance. Name LENDING AGENCY Address Description or Scope of Work: Co-1�--1---- .u,v,44 Sq. Footage ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be ro.,,,._ea REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan Check fees for work plan checked and other department costs are not refundable. Received by Amount qg() Bldg SRA Receipt #: f-7� Sheriff -MIP Datee:' Other `y �`7�% � 1 I • l i� - -� Q3 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES-BU/LDIIV/SION 7 County Center Drive, Oroville, CA .95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: \ yy� ASSESSOR PARCEL NUMBER Q 02<,54e Proposed Building Use: ! ! / a(M Permit Technician: Date: (p . Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. tV 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxesl ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Hazardous Material Form ❑ 12. Acknowledgement of building permit application without required clearances. ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 14. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable ❑ 15. Fire Sprinklers............................................................................................ ❑ 16. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 17. Soils Report and/or Engineered Foundation required ........................................... ❑ 18. Erosion Control Plan Required........................................................................ ❑ 19. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 20. City of Chico Plumbing permit........................................................................ ❑ 21. Site plan and business license approval from the City of Biggs .............................. Cl 22. California Department of Forestry plan approval ❑ paid. Sent by: ............. ❑ 23. Planning approval for (A) Use: (B) Parking: (C) Parcel Check: ............ ❑ 24. Contact Land Development about _ Improvements, _ Drainage ........................ ❑ 25. Fire Marshall Review (commercial projects only), Sent by: ...................... ❑ 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ .29. Worker's Compensation Carrier and Policy Number .......................................... ❑ 30. Owner -Builder Verification ( _ Given to owner, _Mailed to owner) ..................... ❑ 31. Letter of Signature authorization.....:.............................................................. ❑ 32. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 33. Existing violations and/or expired permits......................................................... ❑ 34. Deed Restriction.......................................................................................... ❑ 35. 9 Legal description, %M.H. Title, title search, registration or MCO ......................... ❑ 36. Other: ❑ 37. Other: When issued Telephone,5% - aand hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: Drioto =n ^ Date: % ` �'i)617 1. Index permit application for the above items numbered: Plan Check L- ett �r 2. Additional items required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date:Plans approved by: Date: Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: ' Yellow: Building Division K/Building/Plan Check/Data Sheets/data sheet page.2 9.27.05 Xi2 Foundation System Installation Instructions for California for Ground & Concrete Systems HUD Wind Zone 1, 15 PSF Wind Load Seismic 4 By Tie Down Engineering BUTTE COUNTY BUILDING DIVISION APPROVED Xi2 Concrete System Engineer Approval State Approval MANUFACTURED HOME/MOBILE HOME FOUNDATION SYSTEM NBALTH AND SAFETY CODE. SECTION 18331 APPROVED NB78CT TO CORRECTIONS NOTED A"RO'VAL DOES NOT AUTHORIZE OR APPROVE ANY 0 4MSMS OR DEVIATION FROM REQUIREMENTS OF APPL1G8L8 STATE LAWS AND REouLATIONS Safe of CalifMia VVE01 f of Roams and Coma nhy Drodopmod OF C ES AND STANDARDS ice) AMQ L...� PInAFp w atExpirn Page 1 of 8 0 �i 0 0 0 MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 PERMIT NO. �� '/2 IS f Address or location of mobilehome &/-2 1 I �4n11_pe IZ.5r,... C i J r Owner's name 1115a 01, e. t..-. r'G Owner's address Insignia or hud number—&Q Z) Manuf acturer I s name Serial number of Year of manufacture )q ing Installation IF THE MOJBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION' ACCEPTANC.F SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE'. MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. I' 1 � , COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS -1469 Humboldt Road, Chico, CA - (916) 891-2751 f 7 County Center Drive, Oroville, CA - (916) 538-7541 = 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE ja rn es 9z - 97,16 OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, Please contact this office immediately. n.... 1..-...—,..'—rs CIA>175 £ n10 491-3r e,4 C'S ave - 4y'` /;�rL.,.,I s --->"- te-Q,.'^',d— Date 14L2-1 2 Inspector REV 11/91 RESIDENTIAL 058-55-0-031 JAMES, Jan 92-4056P,g Yankee Vista Cr, Orovill mhu e 6 ` t mhi J OFFICE COPY j Address I J=OK 0.= Not OK Not Not Readyable •MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1_�Zgning Requirements -Setbacks -Easements ; oils pecial MH Support Sketch 3 r; Location -Test -Fall -C/O Concrete ~ ater; Location -Test -Easement Needed ( ,ketch) 5. Ele ficity; Location-Clearences-Grn / mp-Concrete Gas; Location- est- ��ff p: / /"L"ft. / at. or' "L"tt./7"LPG ell Clearan e & Disc nnect Utility Clearance Date,L 15 and B-1 ,/' Date Card B-1 Date Card B-1 Date Card B-1 Date MOB1J.E HOME INSTALLATION (Plans) OK except #'s L3.4o.ning Requirements -Setbacks Easements o Ings; Size Spacing -Marriage Line as. MH Test-Demand-Valve—Connector lectr' ity; MH Test -Crossovers -Breakers -Clearances 5 r n; MH Test -Fall -Flex Connector ater; MH Test -Regulator -Connector 7. r and Sewer Connected -C/O to Grade -HD Approval . G—W. nd Electricity Tagged Exits; Insp.-Sketch _Cert. of Occupancy Date a z—Card B-1 =ti-- Date Card B-1 Date Card B-1 Date Card B-1 MD 6 7/?3,6 S c���3-�z1-3876 C MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Mans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 'J OK 0 = Not OK = Not Applicable Not Ready RESIDENTIAL (; = Date UNDERFLOO (Plans) OK except If's Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel- Bloc kouts-Wra pped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except #'s 16. Water Htr.: Vent -Access -Combustion Air -Baffle ---------------- -- -------------------------- 17. Water Pipe; Test & Anchor -Nail Protection --------- ----- --------------------- -- 18. D.W.V.; Test -Fittings & Anchor -Nail Protection ----------- - ------------------- - --19. Shower Pan: Test. First Floor -Tub Access ---- - 20. Test Tub & Shower, Second Floor -Tub Access ----------------------------------------- 21. Gas Pipe: Size & Anchors Date Card B-1 Date Card B-1 ------------------------ - -------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. -Protection - - ---------- 23. Elec. Receptacles Spacing -Lights & Switches at Doors -------- ----------------------------------------------------------- --------- 24. - Size - Boxes -& -No.--of Conductors -Stapled ----------------------------------------------------------- 25. Romex Installed Close to Edge of Studs & C.J. ------ ----------------------------------------------------------- 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water ----------- --------------------------------------------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI ------- -------------------------------------------------------- 28. Subfeed Wire Size r r ga. Cu or AI-A.C. Wire Size r r ga. Cu or AI -------------- -------------------------------------------------------------- 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No -------------------------------------------------------------------- 30. --------------------------- 30. Service -Riser Conductors & Ground -Main Disconnect _-------- - ---- --- ---------------------------------------------- ------------ 31 Equip. Clearances Panels-Motors-Mech. Equip. -------------------------------------- 32. Clothes Closet Light -Shower Light -Spa Light --------------- ------------------------------------------- --------------- 33. Smoke Detector ---------------------------------------------------------------------------------- Date Card B-1 DateCard B-1 - ------------------ -- ---------------------------- -------------------- ---------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except ft's 34. A.C. Ducts Insulation & Support ------------- ------------------------------------------------------- 35. Vent Fan: Exhaust above insulation -------------------------------------- --- - -- - 36. Condensate Drain & Overflow: Size & Grade - ------------------------------------ ---------- 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet -- --------------- ------- ------------------------------------------- - 38. Attic Access & Platform if Furnance in Attic ------------------------------------------------- ------------------------- Date Card B-1 Date Card B-1 --------------------------------------- --------------------- - ---------------- Date --------------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except h's 39. Sils. Proper Material & Anchors - - ------- ----------- ---------------- - -- --------- ---------- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound ----------- -------------------------- -- ----- -- 41. Bearing Walls over Girders & Floor Nailing -------------------- 42. Draft Stop in Walls (rat proof) -------------------------------- ------------------------------------------------- -------------- 43.- Fire -Stops: Furred Ceilings -Stairs -Chases -Tub ----- ---- ------------------------------------ --------- 44. Headers & Beam -Size & Bearing iiingle & Duplex) Date FRAMING (Continued) --+ 45. Hangers -Post Caps -Anchors -Connectors - - 46. Cing. Joist-Rftr. ties -Pu rlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles ----- 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing _ 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits - ------------------------------ _ _ 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers ---------------- - 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls: Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows ------------------ Date _ _ _Card B-1 Date Card B-1 Dale Card B-1 Date Card B-1 Date FINAL (Plans) OK except ft's 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector ------------------------ - 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 64. Bedroom Exiting ------------ ------------------ 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66.- Elec. Trim & Subpanel: Breaker Sizes & Labels ---------------------------------- 67. Stags & Rails _ 68. Fireplace or Stove Clearances -Hearth -------------- - 69. Elec. Outlets at Wood Panel: Int. & Ext. ----.....----------------------------- 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71 - Elec. Outlets & Receptacles at Kit. Counter - - ----------------------- --- 72. -Garage -Fire Door: Swing -Landing -Closer 73. A.C. Duct in -Garage -Damper 74. Wtr. Htr Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection ------------------------------------ 75. Plb__Elec_ & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection --------------- 7;. Insulation -Foam -Looked in Attic ❑ Yes 78. -Guard -Rails & Deck Construction -Post Caps 79. Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following Instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters--O-Yes ❑ No 81. Stucco: Brown -Finish ----------------------------------- - - 82. A.C. Unit_ Disconnect. Electrical, Plumbing 83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground ------------ ------------------------- -- 86. Ventilation Throughout House ------------------ ---------- a7. Glass Protection 88. Corrections from Previous Inspections ------- ---------------------------------------- 89. Gas Test -Meters Tagged; Gas -Electric -...-....--- ---------- ----------- ------ ----------- 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates ----------------------------------------- -- --- Date Card B-1 Date Card B-1 - ------------ ------------------------------------- Date Card B-1 Date Card B-1 ------- --------------------------------- Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS , 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICA i 10N AND PERMIT PERMIT NO. z qc ASSF,;SSOR PARCEL NUMBER i 058-550-031 ZONING FR2 BUILDING PERMIT OWNER ROSF)534-5829 TELEPHONE S0. FT. OCC. BUILDING VALUATION OW 'S LING ADDRE S VISTA CIR LLE 95965 CON OR's NAME OWNRR TELEPHONE _ CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Q ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee - $ Penalty $ BUILDING ADDRESS YANKEE VISTA CIR VILLE Permit fee $ 20,00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO- Z SUBDIVISION NAME PARCE MAP T� Z ( Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome[3X Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home @ 15.00 45.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities o Installation ❑ Other ❑ Describe work: MHU Permit Fee $ 60.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service ESS 200AORV OR LLESS 18.50 Main service 200A TO t0o0A) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code .for this reason NEW CONST. ( DWELLING OCCUPM OR ADDNS. ACC. BLDGS. II 3.60 sq.ft. NEW CONSTR. MULTI -OUTLET NON-RESID BRANCH CIRC ITS @ 5.00 /POWER APPARATUS &) 1 SINGLE -OUTLET CIR, / Ex. OCCup(OUTLETS OR FIXTURES zo 76 Ex. OCCUp. OUTLETS PIRESID )REA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring -15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. 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. FL I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyof Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X �� Date %� %�-5 7i Signature of Applicant — Ownerc� Contractor E]Agent❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST TYPE I I TOTAL E EE 50 HAz OFEES IMP I FLPft I CD PARCE PD I SUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees RE T OF PUBLIC BY PERV E PIRES Date applicable provi- resolutions to do have been paid. WORKS D a t e Receipt No. 129817 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT E.H. . sf ONLY Hot Ilan nuuchad Floor Han Au.clwd S4 -- scut lu B.D. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Kee i Cr SFS -�5� 3� Owner Locati n AP1# Plan Approved for: Sewage Disposal -------Water Supply: Public Private Well Clearance for bedroom mobile home. Other BUILDING AlE TSF Hold final for: NOV 1 7 1992 Final clearance O.K. for: NOTE: Environmental 8/92 Specialist A�oV MA�,- Da e ''"T'LY'� r".�4'17�!�O.h�r• '1y'^.,,rr/''iV�j•'`�+1�`�'' :Gi�' 1.t��'�"i'P�'1f "�`'�f" r��yq,'s""1+"'^' t1dK'�i.1Y7.+�+'{ y�...�.(M...�4.y.-.y^ '7'� r,.i 't a COUNTYOF BUTTE - DEPARTMENTOFAVIOPMENTSERVICES - BUILDING DIVISION F,-9 X 7 COUNTY CENTER DRIVE - O LE, CALIFORNIA95965 - TELEPHONE (916) 538-7541 Yl S3$; Z/yo PERMIT APPLICATION d'A.,TA SHEET OWNER \d A )6 All S A. P. No. S-8 1557- 0 - Proposed Building Use /l/% `% U Building Inspector - Date 7-17 At time of permit application, I was advised the following.data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1, All items have been submitted . ............ :......... ............... :::�!�/2. Plot plans, 3/4 'sets, signed by preparer of plans . ........................ 3. Complete plans, 3/4 sets, signed by preparer of plans. �— .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form. ........,... ............................... . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $......................................... 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 0 Health Department. .... 0R� .............. . 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: AR -Contact Land Development about (A) Improvements (B) Drainage. ........... 1 Driveway permit (construction approval required prior to occupancy). .. .. .. . llnspection request Pre -inspection for required. .. to Building ldspector (Date) 1. Contractor's license information. (No., Name Style, Classification) .............. . Certificate of Workmans Compensation Insurance. ........... Owner -Builder Verification (Given to owner , Mail to owner I/ )............ I Recorded copy of Agricultural Acknowledgement Statement . .................. . Letter of signature authorization . ........................................ ! 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 yodissue they re mit;,Process as follows: Mail to owner. Mail to contractor. _ZTelephone.SW58,29 ' - and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applicant siY - Date�-- z,. Copy of Haz-Mat form sent Health Dept.. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other f Date By The following data must be submitted prior tq perr it issuance: circle new item not checked above). 1. Index permiffor above items No. 2. Additional items required: 1 Contractor, designer, owner, was advised of above required data by _ pho mil Counte ate A Ll Contractor, designer, owner, was advised of above required data by _ phon _ mail Counter by _ Date Plans checked by Date Plans approved by Date /I Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA. 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention,Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvementes or no) w ' . 2. I ave/ ave not) ,�. signed an application for a building germ it for pro proposed work. P P . 3. I have contracted with the following person (firm) to provide the proposed construction: Name /U /p, �- Address City Phone Contractors 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 ti City Phone Contractors License No. 5. I will provide.some of the work but I have contracted (hired) the following persons to provide the work indicated: Name .. Address Phone Type of Work (ti\ sem. &&, h. 0. / ua-� S_f l _351q CA )-e-" 4LY,-; Ali', 6k Z v7i 0 /—OL vrOJ,(Ic tri - It o `tg�GL� e car c e �. . Signed: Property Owner Social Security Number Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. 9 303 Anna Ave. Mountain View, CA 94043 November 17, 1992 County of Butte Oroville, CA TO WHOM IT MAY CONCERN: I Jan James hereby authorize my son-in-la7vr, Marvin Rose, to have signature authority for my signature on all permits and other paperwork needed for developing my parcel #58-55-031. Sincerely, Jan James N -"-:`,Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDG ?F [ENT FOR iEIDEN71AL DEVELOPMENT Section 26-8.1 of the Butte. County::. Code requires this `acknowledgement be recorded prior to issuance of a building permit. The. property described hereinNIS is adjacent 2 to land or included within an area zoned 92-053462 -` for agricultural g purposes, and residents of this property may be subject to incon- veniences or discomfort arising from the NOT COMPARED WITH use of agricultural chemicals, including, OR(GINAL DOCUMENT 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 agricul- tural zones which have as a.priority use for productive agricultural purposes, and residents within. said zones and on adjacent property should be prepared to accept such inconvenience .or discomfort from normal, necessary farm"operations. All that real. property. situate in the County of Butte, State. of California, described as follows: 5 -e. ouao� Dater C�( till, 5 CLA,\ C.vr`a.5 PROPERTY OWNERS: State of - eA On this the day of �f�fC[tit,�r 19q Z , SS:- undersigned Notary Public, personally appeared - County of 6L Pk`_ WLP-S b661'ZO 030 saj.!dx3 •wwo0 AW A.LNnoo V8V10 V1NVS'! � OOOMHVH 'H NVSn(, 'IM A8VION 1VI01:1:1() \ ' ' :`• OFFICIAL NOTARY SEAL SUSAN R. HARWOOU Notary Public — California SANTA CLARA COUNTY Corpm-Expicgs .OEGV4L)i%6o before me, the Personally known to me. Proved to me on the basis of satisfactory evidence. to, be the person(s) whose name(s) .Ja_�k -a a,,_ts subscribed to the within instrument and acknowledged that $' .executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. 1415�4 44_�,:57( Notary Public PARCEL I: PARCEL 2, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE 'OF CALIFORNIA, ON AUGUST 28, 1985, IN BOOK.99 OF MAPS, AT PAGE(S) 76 AND 77. EXCEPTING.. THEREFROM A PORTION OF PARCEL 2, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN .THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON AUGUST 28, 1985, IN BOOK 99 OF MAPS., AT PAGE(S) 76 AND 77, -AND MORE PARTICULARLY DESCRIBED AS FOLLOWS: BEGINNING AT THE NORTHWEST CORNER OF PARCEL 1, AS SHOWN ON SAID PARCEL MAP; THENCE ALONG THE WEST LINE OF PARCEL 2 OF SAID PARCEL MAP NORTH 40 DEG. 24' 09" EAST, :70.00 FEET; THENCE SOUTH 24 DEG. 45' 26" EAST, 164.92 FEET TO THE NORTHEAST CORNER OF:SAID PARCEL 1; THENCE ALONG THE*NORTHERLY LINE OF SAID PARCEL 1, NORTH 51 DEG. 51' 06" WEST, 152.11 FEET TO THE POINT OF BEGINNING. RESERVING THEREFROM A 60 FOOT NON-EXCLUSIVE EASEMENT. FOR INGRESS AND EGRESS AND PUBLIC UTILITIES'OVER YANKEE. VISTA .CIRCLE AND YANKEE VISTA DRIVE, AS SHOWN ON SAID MAP. PARCEL II: A 60 FOOT NON-EXCLUSIVE EASEMENT;:FOR INGRESS AND EGRESS OVER PARCELS 1, 2 AND 3, AND SHOWN AS.: -YANKEE VISTA 'DRIVE' AND YANKEE VISTA CIRCLE, AS SHOWN ON THAT CERTAIN PARCEL MAP, 'RECORDED IN THE OFFICE. OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF AND77. CALIFORNIA, ON AUGUST 28, 1985, IN BOOK 99 OF MAPS, AT'.PAGE(S) 76 PARCEL III: A RIGHT OF WAY FOR ROAD AND PUBLIC UTILITIES PURPOSES OVER PARCELS 1, 3 AND 41 AND SHOWN AS PHANTOM DRIVE, -AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE.OFFICE OF THE RECORDER OF THE COUNTY':OF BUTTE, STATE OF CALIFORNIA, ON JANUARY 13, 1982, IN BOOK 87' -OF. MAPS, AT PAGES) 35 AND 36. COUNTY OF BUTTE - DF-PARTMENT OF PUBLIC WORKS County Center Drive - Oroville,'Galifornia 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT I PERM T NO. ASSESSOR PARCEL NUMBER 68-55-Z ZONIj 2 BUILDING PERMIT OWN �� JI -q hi TELEPHONE IS l66 % SQ. FT. OCC. j,BUILDING VALUATION OWNER'S MAILING ADDRESS 30 N i WtV WEW C o CONTRACTOR'S NAME TELEPHONE moklIE Horng CeOirzjz Z 343^ CONTRACTOR'S MAILING ADDRESS 3 L - 0,14to cry. %s,32r, Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 2 Permit fee 4.$ 3 D PLUMBING PERMIT Filing Fee 15.00 C ' 55 Each Trap w 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 1 7.00 Each qas water heater or vent7.00 USE OF STRUCTURE SF ❑ Duplex[]Mobilehomeg Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Et Mobile Home I S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installationg Other ❑ Describe work: HU ItYZ-q Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Ir � Main service 200A 00A OR LESS OR OR LES18.50 2 Main service 200A TO 1000A) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): X 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. ��77�� n,;� f� License No. GJ�) ICJ 7 Classification C_4/ ❑ 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 CONST./ DWELLING OCCUP.8i) 3.64sq.ft. OR ADONIS.1 ACC. BLDGS. NEW CON5TR ULTI.OUTLET NON.R ESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS tr (SINGLE OUTLET CIR. Ex. Occu o 20 760 p OUTLETS OR FIXTURES Ex. Occup. OUTLETS FIXED P(RESID.)REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. Ip I have placed on file with the County of Butte Building Department �I a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FilingFeE 15.00 Heating Cooling g Hood 6.50 Ventilation permit Fee $ L2ontractor 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 togenter n the above-mentionedpproperty for inspection purposes. g I also a ree o s ve, indem d lee harmless the Count of Butte against all liabilit' s, dgments, osts and xpenses which may in any way ac rue against s d C my in c , equ ce the granting of this pe t. X Date caner 9 FP ❑ Contractor Agent ❑ si nature of Applicant -7ries An OSHA permit is requiexcavations over 5'0' deep and demolition or construct- ion of structures overr stn height. Mobile Home Installation Fee S 70,00 Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ p5 �d i HAz DFEE IMP FLOOD COF PAR L PD HD Iss This permit is hereby issued under the applicable provi- sions of the Butte ou ty Code and/or resolutions to do Wo indi ed for which fees have been paid. R OF PUBLIC WORKS By !�' Date P IT EXPIRES Date/ -��3 Receipt No. �M 1-75? WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTYOF BUTTE -DEPARTMENT OF;b V,EbsOPMENTSERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 PERMIT�APPLI,CATION DATA SHEET OWNER _J/1_/V i A M 67c; A. P. 0.0_S—y —5S-,:31 Proposed Building Use �� Building Inspector Date Z Z At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted......................................... 2. Plot plans, 3/4 sets, signed by prepaier 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 $......................................... &11 Impact fees as shown on attached schedule . .............................. 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)... .. .. . 20. Pre -inspection for Pne4nspe�on n'qu� required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . ........................... 23. Owner -Builder Verification (Given to owner , Mail to owner ............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ....................................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ...... 27. 'Letter of intent on building use. ......................................... �,W28. Mobilehome utility clearance . ........................................... f a 4 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 . ...................................... Plan check list. D£a z.1!_ 1 200 l�•� /la Tis Mq d- zo iy/ oid .�..... . .34. When issue the permit, process as follows: Mail to.o ner.Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation � ZZZ/F.Z Acreage Applicant L4"iq Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution D e ' Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to mit iss an : (Circle..new item not checked above). 61 Ifidex permit for above items No. 2. Additional items require"A-eoom Contra or, designer, owner, was advised of above required data by phone Sof; Counter by�ate Z– ' 2 Contractor, designer, owner, was advised of above required data by ` phone _ mai Counter by _ Date Plans checked by Date Plans approved byZ- Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works ` r COUNTY OF BUTTE -.DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916)5387541 OWNER � (or ?ROPOSED BUILDING USE / 11 L� 4 A. P. NO. �S 3 DATE /z -b- ( /�7 Zi REC . - # DATE REC _X�< School Distric Fees ot2 (paid at District Office) 2. Sheriff Fees (paid at Building Department) Residential .......... = l Z �71s 12- A Z unit amt. Commercial(per sq.ft.) X =$ sq.ft. amt. 3. Urban Area Fees (paid at Building Department Residential (per unit) X =$ r units amt. Commerical(per sq.ft.) X =$ sq.ft. amt. 4. Recreation District Fees (paid at District Office) .......................... 5. Drainage District Fees (Contact Land Development) ......................... 6. Other 7. Other At time of permit app cation, I was advised the above fees are required to be paid pr--; o= :o issuance of the p rm t. C_ APPLICANT DATE 2 �� if�ati�V".+`^"^'rrc:.-�xN*ns�.`x"�+��Y�e+�i�f'�'�'�'''n`r'�'^�C��'""`t ti*t,R;+r'M.+.1"'�:MW�4:�,„y�.,%j�i,A'y,,�►r�` "'`�� n BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School District O%2 D (/y Building Department No. A.P. Number �j "" J� "'d Jurisdiction City County ~ Property Owner Property Location/Address ���•� YA) A- E &%A Subdivison Residential Development 0 E '/ No. of Living MHI Units Commercial/Industrial 0 New Lot No. 0 Sq. Footage Addition (Group R) 1 0 Sq. Footage ` Addition (Including Exterior Roofed Areas) Suilding DepartWent Representative Date (Floor Plans reviewed by School District Personnel) °``'" District Identification No. 900629 of. School District certifies that (Applicant) (Street Address/ (Phone Number) has complied with the requirements of Resolution No. representing (D `Y 0 square feet. 5; d j9,4 CID Sf- School fSistrict Representative Paid by Check Number Bank Number Paid by Cash by payment of $ (o ' do _ (fs crow Date Remarks:d(,(,m/ -l'L 4 0?- If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this,project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) . feeform.Al (4/92) e , j, LIRov..lc� co 95563 IoM < S3 y-5 c) wink 533- try6S �" s o Ld tjor\ c aZ 6 and spec%{lc , �n aN}��1 h { p1a s es a d it - s me ti n of st ores 1s Se o at 11 tim ;ons on men o{ ip ent all be s.vna e �°b. es f after the peps clea of Ilea a nt . kept on �har•g n if iF ake a y ecmXssi Otte. m �r tten p Gount °{ all Be t Pub1�c�°rks, ON'"on �vp� t�ces the APPROVED & �1 o P . use Butte oo}er9,e bgnizea G5 tide Goaes °r Environ County mental 1`1p, dance Wit Scrib {ar & tllec n►ca Health " p eaO,ym pre 1u b109 e o{ a 4ua8u�1drn9 t«cal Cade' - at Un+�Or a 1are1 pec / L'IN - '----- -- 1 Sign_ i dv LIV Ir COUNTY ()it BUTTE BUILDING DEPT / ;r r, �sv � tl > ° ., ''� � t _r ,. ", u .. •wr; 'a r-- .. '• �Y l c. � �_ � �.JR � _ r+r'f;ol 1 �i`� 1 ", '. e, ��� �J • _, - L,%' Sys _ . 7h; y\�,..� �.-���k'k'� ��C. � „_ �, � �. .. � � �� L ``1'• 4 I " V ,1 r, �sv � tl > ° ., ''� � t _r ,. ", u .. •wr; 'a r-- .. '• �Y l c. � �_ � �.JR � _ r+r'f;ol 1 �i`� 1 ", '. e, ��� �J • _, - L,%' Sys _ . 7h; y\�,..� �.-���k'k'� ��C. � „_ �, � �. .. � � �� L ``1'• 1A.SA I A -1 -f -1 4 04 OD U-) MT E Q0 ,g� Ll.j F- CD [-BEDROOM MODEL 621C 141X48-1 640 SO. S"8r --3) •//�S « vi s>A G��. �kOki. .ct� CP►, 95-563 gom 5-3 y-5 &a 9. 533- i(y6 o S,CA OA ,Ayl us1b. o,.. Lot' and spe61..ti,, unla�'1�i;th a 6 ns d +t \t4 %I els set- of plans all times an . s on same of the job at alteration pepartment kept °n changes f tom the make anen permission o{ gate. out wtitt s County all 8® 1n �Nork , Pvb,+c WorkR►an 'pracoe 1 {he Location of structures & ena1S a Goa a Use Md� o Hite Sea+§ie des yDd . eqViPrnent shall as shown t,Q�Ae wit sGRehea {or & McG�a�+cal C° 5 clear of all easements. or b+ng, �2Eae s�� { o qua18u1an9� ?\Ual Code. Vr��otm Tonal Electri � �� 2caap• Vp V j pLd a sep 13 7. y' a�- �C Permi# will installation of So t-e-uirect`foP the themobilehcmee A ij �U E COUNTY BUILDING DEPARTMENT AV QED Qk / %120/ q 7— 7. y' a�- 1 BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS i 7 County Center Drive, Oroville, CA:�f PHONE: 538-7541 MOBILEHOME INSTALLATION SHEET 1. Owner's Name: 714N-qm,� 2. Installer's Name: Q�I �C -Q e M EZ 3. Is the site currently under permit? Yes No F (If yes, furnish permit number ) OR Is the site an existing site? Yes No (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach NZ fields and clear of all setbacks and easements? Yes No (If no, clarify . ti? 5. What is the mobilehome electrical rating? -------------- - Amps pU 6. What is the mobilehome site service rating? ------------o 0 Amps 7. What is the.mobilehome site circuit breaker rating? ----- /100 Amps (, 8. -Is there any other electric load to be served by the ; .� ELL Z K�--------t--------------Yes No mobilehome site service? - (If yes, identify the load and size: u (Load Qq6 (Amps) 9. What is the mobilehome site gas pipe size? ------------ 3�� (in.) • 10. What is the type of gas service? -------------------• Natural LPG 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------------------- (ft.) ) f . * 12. What is -the mobilehome gas demand? ---------------------- (BTU) *(This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) MOBILE'HOME SUPPORT DATA If other than single wide, t Mobilehome Mfr. Cu.�.i�l(J(O]1� furnish Setup Model No._+0 Year_qf Width4 (ft.) Box Length (ft.) Tagalong or Expando Size _ft. x ,ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one)© 1. Wood -pressure treated or foundation grade. 2. Other (specify) SUPPORTS (check one)1. Concrete block.a Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE Main Beams Line 2 Main Beams — — — — — — — - - - -- — — — — — -- — .s -Line Tag or Triple Line 1 Line 1 Piers: Size -Min. --------=--- k , Spacing -Max ---------- From ---------From Ends -Max.------- " Line 2 Piers: Size -Min .------------ 'x ' Spacing -Max. --'------- ,_ 16 n From Ends -Max. Z ---- /..6.1 Line 3 Roof Loads: Size-Mio.-- - ,x Location (From Front) Line 4 Piers: Size -Min.------------ ux Spacing -Max .--------- ., From Ends -Max .------- Line S Roof Loads: Line 1 Openings: Size -Min. ------------------ , n Each Side of Openings With Width Over --' ------ Line 3 Piers: (Under Bearing Wall Only) Size -Min.------------------ „x n Spacing -Max .--------------- t c PromEnds -Max .------------- M ,_ ,iI ,_ r#I ,_ 1.1 ,_ Of Size-Min------------------- „� n Spacing -Max ---------------- From ------ --_.--From Ends -Max -------------- '_ n Size -Min. ------------ 1.x 1. ,k „ ,y� „ „x Location (Flom Front) I CD LILUKULIM H 00 t4 0 I-BEDR00AW MODEL 621C 14,PX4.51 640 SO. F li ui 0 - CD w VV t3U'irE Department of Public Works 7 County Cotner Drive Oroville----- S34-4541 SamELECTRXCAL MFOM4ATION FOR DE -RATING MOBILEHOMES 4 Locat: Mobilehome xnstall,ation Permit No. FILL IN YNFORMATION FOR ITEMS 1 THRU 10 Watts 1. Width x Box Length x 3 2. 2 Kitchen Appliance Circuits ..........,....... _-. 3,000 3. 1 Laundry Circuit: _ 1.500 4. ovens kin S. Cook Stove Top . ,,r, *.4 ................ .. 6. Hot: Water Heater ..4(�..Yi'i.�i.••.•...•r.•... - 7. Dishwasher & Disposal .NQ , N4. C-\�.P.L 8. Clothes Dryer ................................ - 9. Other (specify, i.e., motors, exhaust fans, arc �S�S'T=�f� N a �-. ?a!2 NCE 1='RN Sub -total - Watts First: 10,000 watts @ 1007 ..................0...........@$ ., 10,000 Remaining watts @ 40% 10. Air Conditioner ��101�( _ watts @100%., - _) �t4Largest Demand - CentralHeat Systemwatts @ 65%.. TOTAL DEMAND WATTS REQUIRED ............. "Demand Watts Required„ AMPS 230 ... .... ..,.. De -rate Mobilehome to ....4... ....... r/_'�-- AMPS f J- q�z/� RUTTY COUNTY BUILDING DEPARTMENT APA0VEQ 1992-12-08 08:05 PAGE _ 01 TAW SAKES k-,,.\ yAQKEi. p9-0uI►-\E CA 9 os 8 5 so 031 S - 1„ - 6,0, 17'/ f1c,f F