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058-670-001
A Joyce Montgomery n/s Truex Rd. app. 1 mi; W. of Hwy. 70 - Yankee Hill Permit 721-77 P,E (util./MH) _ ire ELEC- 3 O d0 GAS SUPPORT STRUC . -AAO COMPACTION TEST Atb 41-03-118 -- Permit #72.2-77MHI-- •---• '` = r 4 ! Issued 41-03-118 Contr: Lincoln ge MH, Villa ''roville ' Permit #5007- 9MH1-(existing sate) IssuedOf '�1 I 108 Permit 07' �e-79P,E(util MH) ELEC. �:leg:T-O GAS —,3�j_tr0 I SUPPORT STRUCTURE REQ,�j,� COMPACTION TEST REQ, 41-03-118 Contr: Johnson's MH Serf Sacto I Issued ' /✓/� 058-670-001 03r227,2 u SI(OR, JIM % 3/ 3245 WILD TURKEY RUN, OR IL IE RECONNECT ELECTRIC 058-670-001 SINOR, JIM 03-2850 3245 WILD T 2 DECKS • (ASBL�RUN, OROrINA� I 058-670-OOl 04-2220 SINOR, JIM 3245 WILD TURKEY RUN,0p!'!1VALE1Q) Cont: OWNER EX MH PERM FND EX SITE �t-lo elY 1k- 01 Order No. BU -20675.9-3 KB Description The land referred to herein is situated 'in the State of California, County of Butte, and is described as follows: PARCEL I: PARCEL 1, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON SEPTEMBER 18, 1975, IN BOOK 53 OF MAPS, AT PAGE(S) 43 AND 44. APN 0587670-001-000 _ PARCEL H: BEING A PORTION OF THE SOUTHWEST QUARTER OF SECTION 16, TOWNSHIP 21 NORTH, RANGE 4 EAST, M.D.B. & M., AND MORE PARTICULARLY DESCRIBED AS FOLLOWS: A NON-EXCLUSIVE EASEMENT FOR ROAD. PURPOSES AND PUBLIC UTILITY PURPOSES OVER A STRIP OF LAND 60.00 FEET IN WIDTH, LYING 30.00 FEET ON EITHER SIDE OF A LINE BEGINNING AT THE MOST NORTHERLY CORNER OF THAT CERTAIN PARCEL OF LAND DESCRIBED IN DEED TO FISCI BROS. INC., RECORDED NOVEMBER 5, 1969 IN BOOK. 1591, PAGE 68; OFFICIAL RECORDS; THENCE FROM SAID POINT OF BEGINNING, NORTH 50- 12' 53" WEST, 623.55 FEET TO THE BEGINNING OF A 300.00 FOOT RADIUS CURVE TO THE: RIGHT; THENCE ALONG THE ARC OF SAID CURVE, THROUGH A CENTRAL ANGLE OF 140 22' 39", AN ARC DISTANCE OF 75.28 FEET; THENCE NORTH 350 50' 14" WEST, 101.01 FEET TO THE CENTERLINE OF A 60.00 FOOT ROAD EASEMENT; THENCE ALONG THE SAID CENTERLINE ALONG THE ARC OF A 110.00. FOOT RADIUS, CURVE TO THE LEFT, WHOSE TANGENT AT THIS POINT BEARS NORTH 540 09' 46" EAST, THROUGH A CENTRAL ANGLE OF 950 37' 29" AN ARC DISTANCE OF 183.58 FEET; THENCE NORTH 41° 27' 43" WEST, 84.61 FEET TO THE BEGINNING OF A 100.00 FOOT RADIUS CURVE TO THE RIGHT; THENCE ALONG THE ARC OF SAID CURVE, THROUGH A CENTRAL, ANGLE OF 52° 12' 02", AN ARC DISTANCE OF 91.11 FEET; THENCE NORTH 10° 44' 19" EAST, 21.92 FEET TO THE BEGINNING OF A 100.00 FOOT RADIUS CURVE TO THE LEFT; THENCE ALONG THE ARC OF SAID CURVE, THROUGH CENTRAL ANGLE OF 19° 30' 57", AN ARC DISTANCE OF- 34.06 FEET; THENCE NORTH 8° 47'38" WEST, 29:76 FEET TO THE BEGINNING OF A 100.00 FOOT RADIUS CURVE TO THE RIGHT; THENCE ALONG THE ARC OF SAID CURVE, THROUGH A CENTRAL ANGLE OF 1000 05' 08", AN ARC DISTANCE OF 174.68 FEET TO A POINT 30.00 FEET SOUTH OF THE NORTH LINE OF SAID SOUTHWEST QUARTER OF SECTION 16; THENCE PARALLEL WITH SAID NORTH LINE SOUTH 880 42'30" EAST, 41.80 FEET TO THE EAST BOUNDARY OF AN EXISTING 60.00 FOOT ROAD EASEMENT. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. CONTINUED Order No. BU -206759-3 KB DESCRIPTION: CONTINUED PARCEL III: ALL THAT PORTION OF THE WEST HALF OF SECTION 16; TOWNSHIP 21 NORTH, RANGE 4 EAST, M.D.B. & M., DESCRIBED AS FOLLOWS: A NON- EXCLUSIVE EASEMENT OVER A STRIP OF LAND THE UNIFORM WIDTH OF 60.00 FEET LYING 30.00 FEET ON EACH SIDE OF THE FOLLOWING DESCRIBED CENTERLINE: BEGINNING AT A POINT IN THE EAST -WEST CENTERLINE OF SAID SECTION 16, DISTANT SOUTH 880 42' 30" EAST, 1129.09 FEET FROM THE WEST QUARTER CORNER OF SAID _ SECTION 16, SAID CORNER MARKED BY A FENCE CORNER POST IN A MOUND OF ROCKS; THENCE, FROM SAID POINT OF BEGINNING, ALONG THE FOLLOWING 8 COURSES; 1) FROM A TANGENT THAT BEARS NORTH .050 05' 20" WEST, ALONG THE ARC OF A CURVE, CONCAVE TO THE NORTHEAST, HAVING A RADIUS OF 200.00 FEET, SUBTENDED BY A CHORD BEARING NORTH 000 42' 45" EAST, 40.42 FEET, 2) NORTH 060 30'-50" EAST, 118.93 FEET, 3) ALONG THE ARC OF A TANGENT CURVE CONCAVE TO THE SOUTHEAST, HAVING A RADIUS OF 100.00 FEET, SUBTENDED BY A CHORD BEARING NORTH 470 07' 05" EAST, 130.17 FEET, 4) NORTH 87° 43' 20" EAST, 226.31 FEET, 5) ALONG THE ARC OF A TANGENT CURVE, CONCAVE TO THE NORTHWEST, HAVING A RADIUS OF 200.00 FEET, SUBTENDED BY A CHORD BEARING NORTH 720 30' 40" EAST 104.95 FEET, 6) NORTH 570 18' EAST 163.24 FEET, 7) ALONG THE ARC OF A TANGENT CURVE CONCAVE TO THE NORTHWEST, HAVING A RADIUS OF 250.00 FEET, SUBTENDED BY A CHORD BEARING NORTH 340 31' 20" EAST 193.58 FEET TO A POINT OF REVERSE CURVE, AND 8) ALONG THE ARC OF A TANGENT CURVE, CONCAVE TO THE, SOUTHEAST, HAVING A RADIUS OF 400.00 FEET, SUBTENDED BY A CHORD BEARING NORTH 280 26' 18" EAST 229.81 FEET TO A POINT IN THE WEST RIGHT OF WAY LINE. OF STATE ROUTE 70, SAID POINT DISTANT WESTERLY 140.97 FEET MEASURED AT RIGHT ANGLES TO THE BASE LINE AT ENGINEER'S STATION B 823+89.67 OF THE STATE OF CALIFORNIA DEPARTMENT OF PUBLIC WORKS 1962 SURVEY OF ROAD III -BUT 21-B HIGHWAY 70. THE SIDELINES OF SAID 60.00 FOOT STRIP TO BE LENGTHENED OR SHORTENED TO TERMINATE IN SAID EAST -WEST CENTERLINE OF SECTION 16 AND IN SAID WEST RIGHT OF WAY LINE OF STATE' ROUTE 70. RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 CORY of Document Recorded lib -Sep -2004 2004-0055574 Has not been compared with original BUTTE COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. JIM SINOR AND KIRSTEN SINOR REAL PROPERTY OWNER/LESSOR 3245 WILD TURKEY RUN RD. MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT SAME CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME') SAME ' MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION. BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE UNKNOWN MAILING ADDRESS DATE OF MANUFACTURE OROVILLE BUTTE CA 95965 CITY COUNTY STATE IIP 04-2230 530 538-7541 BUILDING VERMIT NO. TELEPHONE NUMBER SIGN U E OF LOCAL AftNCY OFF AL DATE N DEALER NAME (if not a dealer sale, write "NONE') NONE DEALER LICENSE NO LANCER HM 1979 UNKNOWN MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMEINUMBER S26360AJB 60'X 24' CAL157158/9 SERIAL. NUMBER(S) LENGTH X WIDTH INSIGNIAILABEL NUMBER(S) ASSESSOR'S PARCEL NUMBER 058-670-001 SEE ATTACHED ' Order No. BU -206759-3 KB Description The land referred to herein is situated 'in the State of California, County of Butte, and is described as follows: PARCEL I: PARCEL 1, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON SEPTEMBER 18, 1975, IN BOOK 53 OF MAPS, AT PAGES) 43 AND 44. , APN 058-670-001-000 PARCELI BEING A PORTION OF THE SOUTHWEST. QUARTER OF SECTION 16, TOWNSHIP 21 NORTH, RANGE 4 EAST, M.D.B. & M., AND MORE PARTICULARLY DESCRIBED AS FOLLOWS: A NON-EXCLUSIVE EASEMENT FOR ROAD PURPOSES AND PUBLIC UTILITY PURPOSES OVER A STRIP OF LAND 60.00 FEET IN WIDTH, LYING 30.00 FEET ON EITHER SIDE OF A LINE BEGINNING AT THE MOST NORTHERLY CORNER OF THAT CERTAIN PARCEL .OF LAND DESCRIBED IN DEED TO FISCI BROS; INC., RECORDED NOVEMBER 5, 1969 IN BOOK 1591, PAGE 68; OFFICIAL RECORDS; THENCE FROM SAID POINT OF BEGINNING, NORTH 500 12' 53" WEST, 623.55 FEET TO THE BEGINNING OF A 300.00 FOOT RADIUS CURVE TO THE RIGHT; THENCE ALONG THE ARC OF SAID CURVE, THROUGH A CENTRAL ANGLE OF 140 22' 39", AN ARC DISTANCE OF 75.28 FEET; THENCE NORTH 350 50' 14" WEST, 101.01 FEET TO THE CENTERLINE OF- A 60.00 FOOT ROAD EASEMENT; THENCE ALONG THE SAID CENTERLINE ALONG THE ARC OF A 110.00 FOOT RADIUS. CURVE TO THE LEFT, WHOSE TANGENT AT THIS POINT BEARS NORTH 540 09' 46" EAST, THROUGH A CENTRAL ANGLE OF 950 37' 29" AN ARC DISTANCE OF 183.58 FEET; THENCE NORTH 410 27' 43" WEST, 84.61 FEET TO THE BEGINNING OF A 100.00 FOOT RADIUS CURVE TO THE RIGHT; THENCE ALONG THE ARC OF SAID CURVE, THROUGH A CENTRAL, ANGLE OF 520 12' 02", AN ARC DISTANCE OF 91.11 FEET; THENCE NORTH 10° 44' 19" EAST, 21.92 FEET TO THE BEGINNING OF A 100.00 FOOT RADIUS CURVE TO THE LEFT; THENCE ALONG THE ARC OF SAID CURVE, THROUGH CENTRAL ANGLE OF 19.° 30' 57", AN ARC DISTANCE OF 34.06 FEET; THENCE NORTH 8° 47'38" WEST, 29.76 FEET TO THE BEGINNING OF A 100.00 FOOT RADIUS CURVE TO THE RIGHT; THENCE ALONG THE ARC OF SAID CURVE, THROUGH A CENTRAL ANGLE OF 100° 05' 08", AN ARC DISTANCE OF 174.68 FEET TO A POINT 30.00 FEET SOUTH OF THE NORTH LINE OF SAID SOUTHWEST QUARTER OF SECTION 16; THENCE PARALLEL WITH SAID NORTH LINE SOUTH 880 42'30" EAST, 41.80 FEET TO THE EAST BOUNDARY OF AN EXuSTING 50.00 FOOT ROAD EASE?TAT'. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. Order No. BU -206759-3 KB DESCRIPTION: - CONTINUED PARCEL III: ALL THAT PORTION OF THE WEST HALF OF SECTION 16; TOWNSHIP 21 NORTH, RANGE 4 EAST, M.D.B. & M., DESCRIBED AS FOLLOWS: A NON- EXCLUSIVE EASEMENT OVER A STRIP OF LAND THE UNIFORM WIDTH OF 60.00 FEET LYING 30.00 FEET ON EACH SIDE OF THE FOLLOWING DESCRIBED CENTERLINE: BEGINNING AT A POINT IN THE EAST -WEST CENTERLINE OF SAID SECTION 16, DISTANT SOUTH 880 42'- 30" EAST, 1129.09 FEET FROM THE WEST QUARTER CORNER OF SAID SECTION 16, SAID CORNER MARKED BY A FENCE CORNER POST IN A MOUND OF ROCKS; THENCE, FROM SAID POINT OF BEGINNING, ALONG THE FOLLOWING 8 COURSES; 1) FROM A TANGENT THAT BEARS NORTH .050 05' 20" WEST, ALONG THE ARC OF A CURVE, CONCAVE TO THE NORTHEAST, HAVING A RADIUS OF 200.00 FEET, SUBTENDED BY A CHORD BEARING NORTH 000 42' 45" EAST, 40.42 FEET, 2) NORTH 060 30'-50" EAST, 118.93 FEET, 3) ALONG THE ARC OF A TANGENT CURVE CONCAVE TO THE SOUTHEAST, HAVING A RADIUS OF 100.00 FEET, SUBTENDED BY A CHORD BEARING NORTH 470 07' 05" EAST, 130.17 FEET, 4) NORTH 870 43' 20" EAST, 226.31 FEET, 5) ALONG THE ARC OF A TANGENT CURVE, CONCAVE TO THE NORTHWEST, HAVING A RADIUS OF 200.00 FEET, SUBTENDED BY A CHORD BEARING NORTH 720 30' 40" EAST 104.95 FEET, 6) NORTH 570 18' EAST 163.24 FEET, 7) ALONG THE ARC OF A TANGENT CURVE CONCAVE TO THE NORTHWEST, HAVING A RADIUS OF 250.00 FEET, SUBTENDED BY A CHORD BEARING NORTH 340 31' 20" EAST 193.58 FEET TO A POINT OF REVERSE CURVE, AND 8) ALONG THE ARC OF A TANGENT CURVE, CONCAVE TO THE SOUTHEAST, HAVING A RADIUS OF 400.00 FEET, SUBTENDED BY A CHORD BEARING NORTH 280 26' 18" EAST 229.81 FEET TO A POINT IN THE WEST RIGHT OF WAY LINE. OF STATE ROUTE 70, SAID POINT DISTANT WESTERLY 140.97 FEET MEASURED AT RIGHT ANGLES TO THE BASE LINE AT ENGINEER'S STATION B 823+89.67 OF THE STATE OF CALIFORNIA DEPARTMENT OF PUBLIC WORKS 1962 SURVEY OF ROAD III -BUT 21-B HIGHWAY 70. THE SIDELINES OF SAID 60.00 FOOT STRIP TO BE LENGTHENED OR SHORTENED TO TERMINATE IN SAID EAST -WEST CENTERLINE OF SECTION 16 AND IN SAID WEST RIGHT OF WAY LINE OF STATE ROUTE 70. ti, O>b,c , tw7 Ki - - .' ,( 5 •• Y :"^t3 f 0. t t. a t r"'t• � . i5' �i' , t'�ts�3 � ' � r �dmS � �, _,. Yvoy.4 ,.,� .s ').. fsK., x;:.• r .9 �v,:. F � � , ,: � � ,' r c'+k�w �i �' 't , t i �'�"-r, s �, , F+��ur�`y ? !. }}; FOUNDAT'ION SYSTEM CERTI�FICATrE'OF OCC; i P' ,NCYfH.��a' s '4 .•e'ST� s s ♦ x hi 't'n�;a v'� � �:��- Ca v , � 15 r 't.�� M ,�,�+y � ai^ 9 �� t ^ : r� c � zJ r f�`i'a a i. . t:*. r, ..Yp, i...y.Qf `.'i.., 1°�iaSi {it4 .if:w�.�t: i� .•t 7.-3e;Al1, ..'�f A.. 'R.'i�; F'^?n .,,i Ce: .}.a, �, i6 ,; ,+.a.A a..:14'+l S.'i• P7�^K is'� i..�tti�r�'1✓.".. BUILDING PERMIT NUMBER: 04-2220 Address or location of unit: 3245 WILD TURKEY RUN RD. OROVILLE CA. 95965 Legal Description of Real Property: AP#: 058-670-001 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: JIM SINOR AND KIRSTEN SINOR Owner's address: 3245 WILD TURKEY RUN RD. OROVILLE, CA. 95965 INSIGNIA OR HUD NUMBER: CAL157158/9 SERIAL NUMBER OR V.I.N.: S26360A/B MANUFACTURER'S NAME: LANCER HM YEAR: 1979 OFFICIAL APPROVING INSTALLATION: DATE: S • � o • oq— PHONE: (530) 538-7541 H.C.D. 513C STATE OF CALIFORNIA - BUSINESS, TRANSPORTATION AND HOUSING AGENCY ARNOLD SCHWARZENEGGER, Governor DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT oOstNc q D:viston of Codes and Standards O0 13 1@ ,u Z 3 'r10 S n w Title Search0Q� Date Printed : 08/04/2004 Decal #: LAW3733 Manufacturer: LANCER HM Tradename: LANCER Model: Manufactured Date: 00/00/1979 Registration Exp: First Sold On: 00/00/1980 Serial Number S26360A S26360B Record Conditions Registered Owner: HUD Label / Insignia CAL157158 CAL157159 PPF Exempt Unclaimed Item Held in File Voluntary Conversion to LPT Use Code: SFD Original Price Code: AFH Rating Year: Tax Type: LPT Last ILT Amount: Date ELT Fee Paid: ILT Exemption: NONE Length Width 60' 12' 60' 12' JIM SINOR KIRSTEN SINOR (Joint Tenants with Right of Survivorship) 3245. WILD TURKEY RUN RD OROVILLE, CA 95965 Last Title Date: 03/24/2003 Last Reg Card: 03/24/2003 Sale/Transfer Info: Price $25,000.00 Transferred on 03/05/2003 Situs Address: 3162 WILD TURKEY RUN OROVILLE, CA 95965 Situs County: BUTTE Legal Owner: CURT ALLEN TILLMAN CRISTINA LYNN 'i ILLMAN (Joint 'Tenants with Right of Survivorship) 6111 LINCOLN BLVD OROVILLE, CA 95966 Lien,Perfected On: 03/05/2003 15:00:36 Inactive Decal/DMV: DMV SS6707 * * * END OF TITLE SEARCH RECORDIIVG REQUESTED BY MID VALLEY TITLE & ESCROW CO. AND WHEN RECORDED MAIL TO: JIM SINOR KIRSTEN SINOR 3455 GRUBBS ROAD OROVILLE, CA 95966 ila�-C21 17-9:1 �(Ep t5 :ie are'_! V y_ls ~ K h� •p iAi�Y ulis,aG;. Above This Line for Recorder's Use Only A.P.N.: 058-670-001 Order No.: OROX Escrow No.: 206759KB GRANT DEED THE UNDERSIGNED GRANTOR(s) DECLARE(s) THAT DOCUMENTARY TRANSFER TAX IS: COUNTY $79.20 X ] computed on full value of property conveyed, or. 11 computed on full value less value of liens or encumbrances remaining at time of sale, X] unincorporated area; [ ] City of OROVILLE , and' FOR A VALUABLE CONSIDERATION, Receipt of which is hereby acknowledged, CURT ALLEN TILLMAN and CRISTINA LYNN TELLMAN, Husband and Wife as Joint Tenants hereby GRANT(S) to JIM SINOR and KIRSTEN SINOR, Husband and Wife or.s jo ,tit- A -e. tit's the following described property in the City of UNINCORPORATED AREA, County of Butte State of California; SEE ATTACHED LEGAL DESCRIPTION T ALLEN TILLMAN Document Date: February 14, 2003 CRISTINA LYNN TILLMAN STATE OF CAI,ITORNIA )SS I> ; COUNTY OF '1"►7E ) j On 03 before me, /44e, --L( ;j; r��7 l cT O Tyfcz personally appeared �" Lh2 -r A LL E N Tt I -A tJ personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in hisJher/their authorized capacity(ies) and that by his/her/their signatures) on the instrument the person(s) or the entity upon behalf of which the person(s) a,:ted, executed the instrument. WITNESS my hand d official seal. Signature_ ' This area for official notarial seal. KARYJ. BO LL Commission #1381087 o D- C -1 Notary Public -California W Butte County My Comm. Exp. NOV. 08, 2006 Mail Tax Statements to: SAME AS ABOVE or Address Noted Below rA 31. 201 Kk'J"e��:T1=i4 LC71. 0.0 P00F—i-9i CO, 00 -e i of 4 A.P.N.: 058-670-001 Order No.: OROX Escrow No.: 206759KB GRANT DEED THE UNDERSIGNED GRANTOR(s) DECLARE(s) THAT DOCUMENTARY TRANSFER TAX IS: COUNTY $79.20 X ] computed on full value of property conveyed, or. 11 computed on full value less value of liens or encumbrances remaining at time of sale, X] unincorporated area; [ ] City of OROVILLE , and' FOR A VALUABLE CONSIDERATION, Receipt of which is hereby acknowledged, CURT ALLEN TILLMAN and CRISTINA LYNN TELLMAN, Husband and Wife as Joint Tenants hereby GRANT(S) to JIM SINOR and KIRSTEN SINOR, Husband and Wife or.s jo ,tit- A -e. tit's the following described property in the City of UNINCORPORATED AREA, County of Butte State of California; SEE ATTACHED LEGAL DESCRIPTION T ALLEN TILLMAN Document Date: February 14, 2003 CRISTINA LYNN TILLMAN STATE OF CAI,ITORNIA )SS I> ; COUNTY OF '1"►7E ) j On 03 before me, /44e, --L( ;j; r��7 l cT O Tyfcz personally appeared �" Lh2 -r A LL E N Tt I -A tJ personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in hisJher/their authorized capacity(ies) and that by his/her/their signatures) on the instrument the person(s) or the entity upon behalf of which the person(s) a,:ted, executed the instrument. WITNESS my hand d official seal. Signature_ ' This area for official notarial seal. KARYJ. BO LL Commission #1381087 o D- C -1 Notary Public -California W Butte County My Comm. Exp. NOV. 08, 2006 Mail Tax Statements to: SAME AS ABOVE or Address Noted Below Order No. BU -206759-3 KB Description The land referred to herein is situated 'in the State of California, County of Butte, and is described as follows: PARCEL I: PARCEL 1, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON SEPTEMBER 18, 1975, IN BOOK 53 OF MAPS, AT PAGE(S) 43 AND 44. APN 058-670-001-000 PARCEL I BEING A PORTION OF THE SOUTHWEST QUARTER OF SECTION 16, TOWNSHIP 21 NORTH, RANGE 4 EAST, M.D.B. & M., AND MORE PARTICULARLY DESCRIBED AS FOLLOWS: A NON-EXCLUSIVE EASEMENT FOR ROAD PURPOSES AND PUBLIC UTILITY PURPOSES OVER A STRIP OF LAND 60.00 FEET IN WIDTH, LYING 30.00 FEET ON EITHER SIDE OF A LINE BEGINNING AT THE MOST NORTHERLY CORNER OF THAT CERTAIN PARCEL .OF LAND DESCRIBED IN DEED TO FISCI BROS. INC., RECORDED NOVEMBER 5, 1969 IN BOOK 1591, PAGE 68; OFFICIAL RECORDS; THENCE FROM SAID POINT OF BEGINNING, NORTH 50- 12' 53" WEST, 623.55 FEET TO THE BEGINNING OF A 300.00 FOOT RADIUS CURVE TO THE RIGHT; THENCE ALONG THE ARC OF SAID CURVE, THROUGH A CENTRAL ANGLE OF 140 22' 39", AN ARC DISTANCE OF 75.28 FEET; THENCE NORTH 35° 50' 14" WEST, 101.01 FEET TO THE CENTERLINE OF A 60.00 FOOT ROAD EASEMENT; THENCE ALONG THE SAID CENTERLINE ALONG THE ARC OF A 110.00 FOOT RADIUS. CURVE TO THE LEFT, WHOSE TANGENT AT THIS POINT.BEARS NORTH 54° 09'46" EAST, THROUGH A CENTRAL ANGLE OF 950 37' 29".AN ARC DISTANCE OF 183.58 FEET; THENCE NORTH 41° 27'43" WEST, 84.61 FEET TO THE BEGINNING OF A 100.00 FOOT RADIUS CURVE TO THE RIGHT; THENCE ALONG THE ARC OF SAID CURVE, THROUGH A CENTRAL, ANGLE OF 520 12' 02", AN ARC DISTANCE OF 91.11 FEET; THENCE NORTH 10° 44' 19" EAST, 21.92 FEET TO THE BEGINNING OF A 100.00 FOOT RADIUS CURVE TO THE LEFT; THENCE ALONG THE ARC OF SAID CURVE, THROUGH CENTRAL ANGLE OF 19° 30' 57", AN ARC DISTANCE OF 34.06 FEET; THENCE NORTH 80 47'38" WEST, 29:76 FEET TO THE BEGINNING OF A 100.00 FOOT RADIUS CURVE TO THE RIGHT; THENCE ALONG THE ARC OF SAID CURVE, THROUGH A CENTRAL ANGLE OF 1000 05' 08", AN ARC DISTANCE OF 174.68 FEET TO A POINT 30.00 FEET SOUTH OF THE NORTH LINE OF SAID SOUTHWEST QUARTER OF SECTION 16; THENCE PARALLEL WITH SAID NORTH LINE SOUTH 880 42'30" EAST, 41.80 FEET TO THE EAST BOUNDARY OF ANT EXISTING 60.00 FOOT ROAD EASElvM4T. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. CONTINUED Order No. BU -206759-3 KB DESCRIPTION: - CONTINUED PARCEL III: ALL THAT PORTION OF THE WEST HALF OF SECTION 16; TOWNSHIP 21 NORTH, RANGE 4 EAST, M.D.B. & M., DESCRIBED AS FOLLOWS: A NON- EXCLUSIVE EASEMENT OVER A STRIP OF LAND THE UNIFORM WIDTH OF 60.00 FEET LYING 30.00 FEET ON EACH SIDE OF THE FOLLOWING DESCRIBED CENTERLINE: BEGINNING AT A POINT IN THE EAST -WEST CENTERLINE OF SAID SECTION 16, DISTANT SOUTH 880 42' 30" EAST, 1129.09 FEET FROM THE WEST QUARTER CORNER OF SAID SECTION 1.6,..SAID CORNER MARKED BY A FENCE CORNER POST IN A MOUND OF ROCKS; THENCE, FROM SAID POINT OF BEGINNING, ALONG THE FOLLOWING 8 COURSES; 1) FROM A TANGENT THAT BEARS NORTH 050 05' 20" WEST, ALONG THE ARC OF A CURVE, CONCAVE TO THE NORTHEAST, HAVING A RADIUS OF 200.00 FEET, SUBTENDED BY A CHORD BEARING NORTH 000 42' 45" EAST, 40.42 FEET, 2) NORTH 06° 30'-50" EAST, 118.93 FEET, 3) ALONG THE ARC OF A TANGENT CURVE CONCAVE TO THE SOUTHEAST, HAVING A RADIUS OF 100.00 FEET, SUBTENDED BY A CHORD BEARING NORTH 470 07' 05" EAST, 130.17 FEET, 4) NORTH 870 43' 20" EAST, 226.31' FEET, 5) ALONG THE ARC OF A TANGENT CURVE, CONCAVE TO THE NORTHWEST, HAVING A RADIUS OF 200.00 FEET, SUBTENDED BY A CHORD BEARING -NORTH 720 30' 40" EAST 104.95 FEET, 6) NORTH 570 18' EAST 163.24 FEET, 7) ALONG THE ARC OF A TANGENT CURVE CONCAVE TO THE NORTHWEST, HAVING A RADIUS OF 250.00 FEET, SUBTENDED BY A CHORD BEARING NORTH 340 31' 20" EAST 193.58 FEET TO A POINT OF REVERSE CURVE, AND 8) ALONG THE ARC OF A TANGENT CURVE, CONCAVE TO THE SOUTHEAST, HAVING A RADIUS OF 400.00 FEET, SUBTENDED BY A CHORD BEARING NORTH 280 26' 18" EAST 229.81 FEET TO A POINT IN THE WEST RIGHT OF WAY LINE OF STATE ROUTE 70, SAID POINT DISTANT WESTERLY 140.97 FEET MEASURED AT RIGHT ANGLES TO THE BASE LINE AT ENGINEER'S STATION B 823+89.67 OF THE STATE OF CALIFORNIA DEPARTMENT OF PUBLIC WORKS 1962 SURVEY OF ROAD III -BUT 21-B HIGHWAY 70. THE SIDELINES OF SAID 60.00 FOOT STRIP TO BE LENGTHENED OR SHORTENED TO TERMINATE IN SAID EAST -WEST CENTERLINE OF SECTION 16 AND IN SAID WEST RIGHT OF WAY LINE OF STATE ROUTE 70. •9 Mid. Valley Title and Escrow Company STATE OF CALIFORNIA } }ss. COUNTY OF. SUr i 77E On 3/j� 3 , before me,. ,<4vz,-. IT, JJd 2 y personally appeared C j2 s tJ,4 N rJ personally known to me (or proved tome on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s) or the entity upon behalf of which the persons) acted, executed the instrument. WITNESS my hand and official seal. Signature bkARYJ. 8i LL vi Commission JY n U Not Public - Calibm!a Butte County C9 MY Comm. Exp. NOv. 08, 2006 (This area for official notarial seal) Title of Document Date of Document • No. of Pages Other signatures not acknowledged 21 Oroville Chico Paradise ATTACHED ARE THE DECALS FOR AP# Q -::;-8 - 1e-70 ` 611 1 NAME: AN: DATE: q•3•�`f' NOTES RESIDENTIAL � r 1' PERMIT NO. _ 058-67-001 0 04-2220 i SINOR, JIM r 3245 WILD TURKEY RUN, OROVILLE Cont: OWNER EX MH PERM FND EX SITE `i 7 w THE HCD FORM 433A FOR THIS MH CANNOT BE RECORDED UNTIL ONE OF THE FOLLOWING HAS BEEN TURNED IN TO THE BUILDING DIVISION: (1) LICENSE PLATE(S) OR DECAL (THE INSPECTOR MUST RETREIVE). (2) STATEMENT OF FACTS (ONLY ON NEW MH' S). 1NSPECTO TO VERIFY SERIAL & LABEL #'S. SPECIAL CONDITIONS SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER r,. JOB FINALED (Date) � zo ' Signature CHECKED BY G J=OK 0 = Not OK .- o Readyable =Not MOBILE HOMES Date MOBILE HQME UTILITIES (Plans) OK except #'s Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements 4. 2. Soils; Special MH Support Sketch ' Electricity; MH Test -Crossovers -.Breakers -Clearances 3. Sewer; Location -Test -Fall -C/O -Concrete ' 4. Water; Location -Test -Easement Needed (Sketch) Water and Sewer Connected -C/O to Grade -HD Approval 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete =. 9. 6. Gas; Location -Test-Wrap; -/ P' L 'ft. / P Nat. or/ /" L "ft./ P LPG Exits; Insp.-Sketch 7. Well Clearance & Disconnect Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Utility Clearance Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main Conduit 9. 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 4. Gas;. MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -.Breakers -Clearances - r 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 ' -P L2L11. Cert. of Occupancy Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoni Requirements -Setbacks -Easements ootings; Size -Spacing -Marriage Line 6 o✓ i 3. Blockinq `� -- 4. Gas; MH Test -Demand Valve 5. Electricity; MH Test 6: -Wa"H Test ater and Sewer_rofinected nd EI icily Tagged 9. Exits + 1Q,Afrcense Decals 11. Verify #'s with Office i Date and B-1 rC 1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel i 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors {, 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels ':Date Card B-1 Date Card B-1 (Date 110late Card B-1 Date Card B-1 POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability :a 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI $ 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed s 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 Conduit 9. Health Department Approval 3 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms 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 (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ P' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors Date Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. Card B-1 Date Card B-1 Date 50. Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 52. 17. Water Htr.; Vent -Access -Combustion Air Baffle Property Line Firewall & Openings 18. Water Pipe; Test & Anchor -Nail Protection 55. 19. D.W.V.; Test Fittings & Anchor -Nail Protection Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 20. Shower Pan; Test, First Floor -Tub Access 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test 67. Bedroom Exiting Date 68. Card B-1 Date Card B-1 Date 69. Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Stairs & Rails 24. Fixture & Transformer Clearance -Ins. Protection Fireplace or Stove, Clearance -Hearth 25. Elec. Receptacles Spacing -Lights & Switches at Doors Elec. Outlets at Wood Panel, Int. & Ext. 26. Size Boxes & No. of Conductors Stapled Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 27. Romex Installed Close to Edge of Studs & C.J. Elec. Outlets Receptacles at Kit. Counter 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water _& Garage Fire Door; Swing -Landing -Closure 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI A.C. Duct in Garage -Damper 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral ❑ Yes ❑ No Plb.; Elec. & Mech. Equip. Listed for Location 32. Service -Riser Conductors & Ground Main Disconnect Elec. Receptacles in Garage (F.F.I.)-Romex Protection 33. Equip. Clearances Panels-Motors-Mech. Equip. Insulation -Foam -Looked in Attic 34. Clothes Closet Light -Shower Light -Spa Light Guard Rails & Deck Construction -Post Caps 35. Smoke Detector Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Date _ Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 85. 36. A.C. Ducts Insulation & Support 86. 37. Vent Fan, Exhaust above insulation 87. 38. Condensate Drain & Overflow, Size & Grade 88. 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 89. 40. Attic Access & Platform if Furnace in Attic Date Glass Protection Card B-1 Date Card B-1 Date Corrections from Previous Inspections Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) Date 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs Date 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. 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 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel;yBreaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets Receptacles at Kit. Counter 75. _& Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes _ 83. Following Instld./Drive ❑ Yes O No/Walks ❑ Yes O No/Planters Cl Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler 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: BUTTE COUNTY DEPARTMENT OF DEVEWPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP042220 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 08/11/2004 APN• 058-670-001-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 3245 WILD TURKEY RUN CON Date: Contractor. Map Index: Description: EX MH EX SITE 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: SINOR JIM &KIRSTEN permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a 3245 WILD TURKEY RUN signed statement that he or she is licensed pursuant to the provisions of OROVILLE CA 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 95965-8029 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).): ❑/, 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: SINOR JIM & KIRSTEN Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does 3245 WILD TURKEY RUN such work himself or herself or through his or her own employees, OROVILLE, CA provided that such improvements are not intended or offered for 95965-8029 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 Contractor' not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I 1 der Article 3 of the Bpu iness d Professions Code ail Date:Owner: License #: 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: ❑ 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: Carrier: Total Square Ft: 0 S. F. Policy #: Valuation: $0.00 Census Code: —/ l;Y I certify that in the of the work for this is performance which permit 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' compensatio provisions of Section 3700 of the Labor Code, I shall forthwith co plywith those provisions. ✓1 v Date: 1 / Applicant: 1 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 issued under the applicable provisions of the Butte County Code ?nrt/or I hereby affirm that there is a construction lending agency for the Resolutions to do w rind' ted above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) 7 ' Name: BY� //{{ Date: PERMIT EXPIRES ON: V Address: -n 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 owne 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 substanfficc of any oial fo or document of Butte County. I hereby authorize repres nt ElvesButte Cou ty to center upon the above mentioned property for inspection pure es. (of Print Name: - Y> Q 1 Signature: `' l 1 h V �• Date: Owner 13 Contractor ❑ Agent for Owner ❑ Agent for Contractor r ,• %J TTBUTTE Fo, DEPARTMENT °FDEVELOPMENT SERVICES 0 o BUILDING PERMIT APPLICATION ° AND SUBMITTAL REQUIREMENTS o _ :� ° 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 COV N'�y A FEE WILL BE REQUIRED AT TIME OF APPLICATION "PLEASE PRINT CLEARLY" OWNER Last Name r f no r irst Name I Address I no v 1 m CityO Address State Zip lrt Phone�50S�j Fax E-mail APPLICANT SIGNATURE G Q X For Wfice use only: ARCHITECT/ENGINEER CONTRACTOR Name I no v 1 m Address Address Q. U City O lrt City State Zip b•J Phon ; , O - 5 r b t 1 J J '1 0 Fax E-mail Lic. # Class APPLICANT SIGNATURE G Q X For Wfice use only: ARCHITECT/ENGINEER Name Name Address SRA City Address State Zip Phone City Fax E-mail (p Zp `(�l `l b S State License Number APPLICANT SIGNATURE G Q X For Wfice use only: APPLICANT NAME Name t -)It, SRA I Yes Address 00c. ddr ��j� Subdivision Name City tic State 1 �9 (p Zp `(�l `l b S Phon(I 5 r b t 1 J J '1 Fax E-mail APPLICANT SIGNATURE G Q X For Wfice use only: Zoning Flood Zone t -)It, SRA I Yes I No 00c. Type Const Subdivision Name Map Book Page Lot # Planner Date Approved: wtK runt 5Ut3Ml I IAL REQUIREMENTS 1C-%=n0hA0X0I III MIKIf1 --- PERMIT NO. BP BIN # LOCATION AN Property MQ5 cl /[Au 6 t -)It, F7! reet WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: Ex- M 14 C—,x-S t PEP—t=til.0 Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION - Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be rPnnireA 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: ' � I Amount: 549 q d Bldg SRA Receipt #:t� p( ¢ Sheriff SMTP Date:Other 7• Z7• 04 54`x. -9 c,Total I SUBMITTAL REQUIREMENTS i The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPH PAPER! OR 3 Sets Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting,documentation. (Note: Not required)or additions to mobile or modular homes.) ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 8. Sanitation and site plan approval from the Environmental Health Department. ❑ 9. Metal Buildings: (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 enidneer. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ' ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (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. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION KAFORMSSUILDING F0RMS\BIdgApp1SubRgmts.doc Page 2 of 2 REV 6-16-04 ,.,�- �..-„--��-r,=x7rrti.�...+G•:.--� ---+.. --, -Lr-�-y.-"'-' n ..o..� i �r,:-••+"�-� r ti �r-•l�r,�. �;, °��,-, .r, �PO4a a a � f COUNTY OF BUTTE -DEPARTMENT 6F'DEVELOPMENT SERVICES -BUILDING DIVISION ` 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: Y `"I ®� ASSESSOR PARCEL NUMBER oSB • G " O . Oo 1 Proposed Building Use: EX t-414 &>e 5 iTE 'PE 2M Fr/ -9 Counter Technician: Date: 7-V7. o4- It9ms required in ordtrjo apply for a permit. All boxes MUST be checked OR marked NA in order to apply. -11r• 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 faxes! ❑ 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. �1 •• 8. Manufactured homes: (A) Data sheets and installation inst, (B) 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. �O 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs O 12. Letter of intent for non-residential buildings O 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form ❑ 15. Sanitation and site plan approval from the Environmental Health Department in O Chico ❑ Oroville, as applicable. O 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) O17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........ O 20. Erosion Control Plan Required........................................................................ ........ ❑ 21. Fees as shown on the attached Schedule of Fees Due Sheet ..............:.•............... ❑ 22. City of Chico Plumbing permit.....................................................'.................. ❑ 23. California Department of Forestry plan approval O paid. Sent by: O 24. Planning approval (A) Use: (B)Parking: (C) Parcel Check: d ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... ❑ 26. NPDES Form............................................................................................. ❑ . 27. Encroachment Permit for driveway from the Public Works Dept ........................... C9X 28. Pre -Inspection for Ex MN Ex 51rt_ PEer-4 P-1 o , required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... 30. Worker's Compensation Carrierand Policy Number .......................................... 31. Owner -Builder Verification (_?Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization ...................................... :............................. O 33. Recorded copy of Agricultural Acknowledgment Statement ................................. O 34. Manufactured home utility clearan6e............................................................... ❑ -35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restrictic 37. O --Grant De 1.H. TitlelSt tement of Facts, etter from Legal Owner, O Check to H.C.D. $ 38. Other: ❑ 39. Other: When issued Telephone 5.33 - f 3eyO- and hold for pickup. ;1 have been informed of the above items and requirements for obtaining a building permit. P 101�2C�ip e -v �c Applicant: d �. Date: 7- Q 7- 1. Index per ' application for the above items numbered: P n Check Letter 2. Additional items require Contractor, designer s advised of the above data by one, ❑mail, ❑counter, b Date: `r Contractor, designer, ownr as advised of the abovelja a by phone, ❑ mail, ❑ count y Date: Plans reviewed by: (i Date: pt O Plans approved by: Date Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: -i Yellow: Building Division Building Permit Number: LO 2 Z Z O Owner Name: S r© r, Residential Construction Requirements EWPORTANT This set of plans and specifications MUST be kept on the job site at all times and itis unlawful to make any changes or alterations on same without written permission from the Building Division, County of Butte. All materials and workmanship shall be in accordance with recognized good practices and of a quality prescribed for the specific use in the 2001 California Building Code (2001 U.B.C), 2000 California Plumbing Code ( 2000 U.P.C.), 2000 California Mechanical Code (2000 U.M.C.) and the 1999 California Electrical Code (1999 N.E.C.) COMPLY WITH ITEMS CHECKED BELOW Your .parcel lies within a designated 100 -year flood plain. Finish floor, electrical, H.V.A.C. equipment and services shall be.a minimum of one foot above the elevation shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate will also be required Note: We will normally accept the following as compliance with the flood elevation requirements: 1. Building is anchored to concrete stemwall system with conventional anchor bolts. 2. Building plate on top of stemwall to be one foot or more above the 100 -year flood elevation. (Plate height less than 24" above grade, or engineered design required). 3. Electrical, heating, ventilation, plumbing and air conditioning equipment and facilities located above the plate. 4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total net area of not less than 1 square inch for every square foot of enclosed area. 5. The bottom of the openings shall be no higher than 1 foot above grade. 6. The openings may be screened or covered with other devices that will permit automatic entry and exit of floodwater: Page 2of 2 Building Permit Number: 6S/ �� Z Owner Name: Sir -70,r Parcel lies within the State Responsibility Area (SRA). Comply with attached requirements. Fire sprinklers are required in this structure. 90 The following parcel map requirements shall be met: ' All structures and equipment including oyprhangs shall be clear of all easements. A setback of 50 feet from the side and O feet from the rear property lines and 20 'feet (25 feet if Federal Aid Route) from the edge of the right of way shall be clear of structures and equipment except for a 2 foot overhang. Expansive soil may be encountered on this site. This condition may require the foundation to be designed by a California registered engineer or licensed architect. BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7_County Center Drive, Oroville, CA. PHONE: 534-4541 MOB ILEHOME INSTALLATION SHEET 1. Owner's name: 2. Installer's -name: V B . 3. Is the,site currently nder permit? Yes/ii%� No (If yes, furnish permit number ) OR Is'the site an existing site? Yes / / No 777 (If y.es., furnish two (2) plot plans.) 4. .Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes No (If no, clarify ( ) 5. What is the mobilehome electrical rating? ----------------------- Amps 6. What is.the•mobilehome site service•rating?--------------------- c(y<J Amps 7. What is the mobilehome site circuit breaker rating? ----------- --Amps 8. Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------- Yes No Te7 (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size?• ---------------------- (in.) 10. What is the type of gas service? ----------------------------- Natural' -f—/ LPG 11. What is the gas pipe length from meter or tank to the mobilehome? (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.) ELECTRICAL, MECHANICAL, PLAN CHECKEDPLUMBING CONSTRUCTION. CONSTRUCTION hiOi P SHALL COMPL CWrrH AND UP';- ENT ED11ION OF NEC, UM MOBILEHOME SUPPORT DATA If other than single wide, �y Mobilehome Mfr. Nom, furnish Setup Model No. / Year 6 Width- (ft.) Box Length d / (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.. Footings (check one; Single I. Wood either.. R �pressure treated c foundation grade.' (ft.)(in:) (in.) (in.) 2. Other (specify) Center support Center support locations* footing sizes Supports (check one; (in.) Concrete block. 2. Other (specify) (ft.)(in.) (in.) (in.) y 4 -----Tagalong or Expando,' k-:50 show support details. (ft.)(in.) (in.) (in.) l2 06 -- Typical Support (in.) (in.) Footing Size 7/4/ x 30 (ft.)(in.) (in.) (in.) S'' 'i -- Max. Pier Spacing (ft.)(in.) 1 41 i� x ��► r �• �� -- Max. Overhang (ft.)j (in.) (in.) (in.) (ft.)(in.) 6UTTF-- COUNT BUILDING DEPARTNIEN g APPROVED *If center piers are other than drawn above, a 2-x 2"x 3/15" - STEEL ANGLE m d c m U') m c, CHASSJIS FRAME 1/4" GRIPPER PLATE (2) REQU IRED 1/4- GRIPPER BASE 1/2-13UNC-A307 x BOLT WITH KUTS • (4).REQUIRED ._ 3/8" CAD PLA -ED BOLT, NUT & WASHER COUNTER BOREO FLUSH WITH 30TTOM AT e" D.C. (8) REQUIRED 1/4" STAND BASE A8ESC0 ABS PAD #503 DETAIL "A' COAC-I "C" FRAME 2" CHANNEL 1/4"x1-1/47- TEK STS (2) REQUIRED 1/4." GRIFPER BASE 1/2' A307 800 (2) REQUIRED 3/8"x S"x 6" STEL PLATE 1/2" A3137 BOLT (2) REQUIRED i�-10_00 --moi 10.00 09/16 HOLE (TYP) STAND BASE TOP VIEW 17918 ' `A`bvt- 4)�_ of C TUF--1 PERMANENT FOUNDATION SYSTEM AER5CO-GUS GUARD COMPANY 5851 FLORIN - PERY-WS ROAD SACRAMENTO, CA 95823 PH: (800) 382-8831 FAX: (916) 383-5207 1/4- GRIPPER PLATE C -BEAM ATTACHMENT COACH "J" FRAME 1/4`a1-1/4" TEK STS (4) REQUIRED J-BEAL4 ATTACH M' NT 1/4" GRIPPER BASE 1/2" A307 BOLT (4) REQUIRED 8" 1/2- DIA. HOLE (8) PLACES $ b STEEL FRAME TOF VIEW ST 9901111IOt1000RRiCtlO11Mom r-�c+�►,�%�e��lr' ioE/Iw+llyva,�21� .�f_: •. 8l DBYf11l10ii 1+1F1ir1E 1t�QEl�Asf� A?lilK'W&1fMlLAV.5Al® - &F WAYNE 7. POLVAOO, PE -LISTING NO. F94249 SHEET i of 3 GENERAL NOTES GUS GUARD TUF-1 DE&GN LOADS: LIVE LOAD - 30 L9. FLOOR LIVE LOAD - 40 PSF NINO LOAD - 80 MPH EXPOSURE 'C" SEISMIC ZONE '4" *SNOW LOAD 100 PSF (SEE NOTE 115) 2. THIS FOUNDATION SYSTEM IS DESIGNED TO BE CCNSTRUCTED ON A FA RLY LEVEL SITE WITH NO EXISTING SOIL PROBLEMS. S. CHASSIS BEAN SUPPORTS SHALL BE LOMTED AND SIZED FOR THE LOADS AS SHOWN 1N THE "MOBILE HOME INSTALLATION [NSTRUCTJONS". t, IN AREAS INHERE DIFFERENITIAL SETTLEMENT (D.S.) CAN OCCUR, MANUFACTURED HOME SHALL BE READJUSTED WHEN DS EXCEEE•S 1/4", OR, WHEN IT WJLL ADVERSELY AFFECT MOBILE HOME UNIT. 5. CARRY ALL. FOOTINGS DOWN TO FIRM, UNDISTURBED SOIL FODTINGS ARE DESIGNED FOR 1,000 PSF TOTAL_ LOAD SOIL PRESSURE, AND SHALL BE COIIPATTBL.E WITH LOCAL. SOIL CONDITIONS. COMPACTED SAND MAY BE USED TO Flit. LOCAL VOIDS UNDER PADS. E. STRUCTURAL STEEL- FABRICATED ACCORDING TO A1SC SPECIFICATION. WELD ACCORDING TO AWS SPECIFICATIONS. ELE(:TRODES-370 PLATES -ASTM A36 6OLTS-SAE GR S=ASTM A449=ASTM A3725. 7. THE 'CUS GUARD ASSEYBUES SHOWN ON THIS PAGE SHALL BE LISTED AND LABELED BY BSK AND A4SOCIATES FOR THE FOLLOWING LOADS: ALLOWABLE LOADS: HORIZONTAL VERTICAL GJS GUARD TUF-1 2200# 6000# GUS GUARD MGP PAD 22001 6000# GUS GUARD E -Z TIE PAD 22001 6000# S. DURING PRELIMINARY INSPECTION, THE ESTIMATOR SHALL ENSURE THIa MOBILE HOME CHASSIS BEAMS ARE OF STANDARD SECTION. .9. EXISTING COACHES MAY BE RETROFITTED TO RESIST SEISMIC FORCES BY INSTALLING GUS GUARD TUF-1 LNITS AS SHOWN 9N' THIS PAGE OF TYPICAL FOUNDATION 'LANS. UX THE CUS GUARD TUF-I SYSTEMS ARE SAFE FOR INSTALLATION IN FLOOD �. C PLAIN AREAS WHERE DEPTH OF FLOODING DOES NOT EXCEED THE HEIGHT OF THREE FEET. G) ;1. MULTIPLE UNIT INSTALLATION IS ACCEPTABLE PROVIDED in THE NUMBER OF TUE-1 UNITS UNDER EACH UNIT IS mc) THE SAME AS SHOWN REQUIRED PER EACH UNIT. -v 1D SINGLE -WIDE UNITS REQUIRE ADDITIONAL RESTRAINT. - (SEE SHEET #3) _• >lr ALL METAL COMPONENTS &ND ATTACHMENTS ITE41S SHALL BE PJ?OTECTWE COATED. MIZ WHEN CONCRETE .SLAB 15 IN E{ISTANCE, PAD IS NOT — REQUIRED. ANCHOR STAND TO CONCRETE SLAB WITH U I= -1 PERMANENT .4' FOUR (4) 1/2'x 3 1j2" EXPARSION ANCHORS. FOUNDATION SYSTEM x'175. GUS GUARD TUF-1 FOUNDATION SYSTEM PROVIDES ALLOAABLE SNOW LOAD TO 1 OC PSF WHEN JNSTALJED ABFSCO-GUS GUARD COMPANY WITH EXISTING STANDARDS REQUIRED BY COACH 5851 FLORN - FEFYJNS ROAD MANUFACTURER OR REPLACE THEM ON A ONE TO SACRAMENTO, CA 95$23 ONE BASIS. PH: (800) 382-8831 FAX: (916) 383-5207 16. FOUNDJLTION ELOCKS 16'x 16"xl2" POURED IN PLACE AT GROUND LEVEL MAY BE USED AT INSTALLERS DISCRETION ALTERNATIVE TO PADS. SINGLE WIDE COACHES DOUBLE/MULTIPLE COACHES E= 2' ►SIN. / 8' MAX. f= 2' MIN_ 11' MAX. S= 6` MIN. /16' MAX. S= 6' MIN_ / 22' MAX. VARIES 10'-70' (SEE TA3LE ON SHEET #3) -' E S S S----fi-r E Li u u ❑ ❑ u RIDGE BEAM SUPPORT AS REQUIRED BY MANUFACTURER E::] (TYPICAL) a !-I E] a 0 EaT ❑ 0 ❑ ❑ .n 8' NOM. �- n ❑. ❑ ,n PADS IN ANY PAIR MAY BE I STANDARD M.H. FOUNDATION - ROTATED 90 DECREES OR PIERS AS RECOMMENDED BY PVC SERIES OFFSET TO OTHER SIDE TO THE MANUFACTURER OR THE SUPPORT AVOID CLEARANCE PROD -EMS. ENGINEER. TYPICAL THROUGHOUT PAD (TYP) STATE APPROVAL MANUFACM3DROM Mam" �a t FOUNDAIION SYSnM HBAVM"D SATJfiiY 001114. M1;TTTOTN SUN APPItpNJ� Exp. FIc� sumecr yo OonscrrO"ROGRIBD ArnOVAL DOW NOTAtri1 OME DRA"SW E Ali! OMISSIONS OR DI3MnON FROM RBQ ili(W APPLICABLE STA7ELAWS AND ABWjLA2X ; State ofCstlferafs Z1b 9f K0m2ivS and Cttcauft 0011111111111001A _ r CODES AND or, 1w v SPA NO. _ �7�.J" wow �7Z'S'7aT' — Tl is Plan Ayprpvsl ExaTrm WAYNE T. POLVADO, PE -LISTING NO. F94249 SHEET 2 of 3 m CD W C7 u to ,' .x; 04 1n m ODm m 04 CV Lr) CD 1/2"x 3 1/2" --,, EXPANSION ANCHOR . ,;4) REQUIRED 7 - CONCRETE PAD INSTALLAMON CHASSIS FRAME 1/4" GRIPPER PLATE (2) REQUIRED 1/4" GRIPPER BASE 1/2-13UNC-A307 x 4' BOLT WITH NUTS (4) REQUIRED 1/2"x 8" ANCHOR (4) REC1 3/4" DIA. x 18" LG. (4) REQUIRED 3/8" CAO PLATED BOLT, NUT & WASHER COUNTER BORED FLUSH WITH BOTOM AT 8" O.C. ` (8) REQUIRED POURED IN PLACE 16xl6x12 MNCRETE FOUNDATION INSTALLATION 36' MAX un7l wwg Q�s TO BOTTOIi OF PAD VA 01/2"x 3" CJL LOCK PIN WITH 01/8" BRIDGE ! PIN' 01 1/2" SCH 40 PIPE RISER WITH r 01/2' ADJJSTER HOLES AND 3/A- I THICK TOP PLATE j < 02" SCH 4A PIPE STAND.WITH TWO J 01/2" ADJUSTER HOLES3 ASESCO ABS PAD #50 STEEL FRAME i0 �0 �Z -41 18 1/2" E - Z TIE PAD LIGH- HEAVY—WEIGHT PLASTIC PAG [INSTALLATION GTH OF H014E --2--41 1 TH OF NOME 2 26 44 UP TO 44 B 8 8 12 "_1' to se 11 12 12 18 ".-1' to 80 2020 20 24 mNrAR wmlt t1fa 3 LENGTH OF I ROME 10 WIDTH OF HOME 12 14 r 16 ilP TO 4S' 6 6 6 14'r-1 h 561 $ I 8 1 8 8 6W-1' to 801 10 1 in I f 0 10 NUMPER OF TUF-i REQUIRED NUMBER OF TUF-1 REQUIRED MOTE2 SINGLE WIDE 11NIPS REQIERE (4) E -Z TIE PADS.- GUS GUARD iUF-1 PIERS ARE IID BE PLACED AT APPROXIMATELY EQUAL I9'ITERIA1S ALONG EACH FRAME RAIL. rf lqO6 1791 * Exp. J'r9 C�Y�ti OF um TUF-1 PERMANENT FOUNDATION SYSTEM ABESCO,CM Ci1AItD COWAA'Y 5851 FIRKIN- PFRMS ROAD SACRANIENM, CA 95823 PH: (800) 382-8831 FAX: (915) 383-5207 STATE APPROVAL FC•UNDA77ION SYSTIM ANC SAFETYCODB, SBCriON 56531 APPROVED SUBB= TO CORRBMONB Norio APPROVAL. DOES NOT AU1HORM OR APPRWE ANI (' OMISS10'3 OR DEVIATION FROM REQUIRENOM 0? APPL:CABLB.TATB LAWS AND REGUL&TIONS -st,ofC,1irotda.. . F oodW D13 AND STATED / c•� BPA710. 7bl%PlanApPoval Evhm 0[.1.C1_1Ad l WAYNE T. POLVADO, PE—JSTIPIG NO. F94249 SHEET 3 of 3 OWNER-BUELDER 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 improvement: YES )& NO ❑ 2. .1 HAVE.0 HAVE NOT ❑ signed an application for a building permit for the proposed work I have contracted with the following person (firm) to provide the proposed construction: NAME: ' ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. . I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major worla NAM39: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. the work indicated: - NANIE ADDRESS PHONE TYPE OF WORK SIGNED: v PROPERTYOWNER: —SOebffi DATE: NOT' This Owner -Builder Verification is required by Section 19831 cid 19831 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the perm Dear Property Owner. O.B.-1 impmvemenisnk)r a bwldmg P� has been submitted in your name listing yourself as the builder of property specified. For your pmtecif on, You should be aware that as "owner -builder'+ you are � responsible party ofreeord on M rd� a permit Bu''i� permits am not requin d to fie signed by Property owners unless they are own work. If you- wark is being performed by someone other than � personally p�O� their liability if that person applies for the youuusell; you may protect yourself from possible PmPer P� in his or her name. o license Cniractors are required by law to be licensed and bonded by the State of California and to have a business om the city Or county. They am also required by law to port their license number on all permits for which trey aPP$'• If yon plan to do your own Wolk wft the exception of various trades that you plan to subcontract you should be aware of the following mon Sir your benefit and pmtectim. If You moploy or otherwise engage any persons other than your immediate family, and the work (mcung me,.als and other costs) is $300 or more for the entire pmjeci mb=&actors, then You may be an employer. ; and such persons are not licensed as contractors or ♦ If you are an employer you must register wig the State and Federal Gtaxo subject to several obligations inc Governments as as employer and you are workers compensation iasuram�, msmmo� income �Mo�n& federal social security taxes, ♦ There may be financial risks for tcost and unemployment compensation con>iburtions. with respect to worm's Y� Cyon do not °� these ob ns, and these risks are especially serious P compensation insurance. ♦ For more specific infonaafion about your obligations under Federal Law, conlraat tine hd nial Stateifyou withe DSmaBnsfims Adminisbatioa). sp For more ecific information about your obligations under epartmemt ofBenefit Payments and the Division of hx nstrial Accidents. If the sftuctn is intended for sale, property owners who are not licensed contractors allowed tO PerfiDrm their conditions. or work personally or through their own employees, without a licensed contractor are ur, only under limited - A frequent: practice of umHO=ed persons Profesft to be contractors is to secure as ¢owner builder" bmft Pew. �m�Y m]P� that the property Owner is providing his or her own labor anti permits are not required to be signed by prop�y, owners unless material Personally. Building imfomratiom about iiceased �, be obtained by �Y an m*actmgp� ti>� own work personally. cammzmiI or at 1020 N Street S CA. 95814. yrs State License Board in your Please complete the "Ow= Boulder yedficRdOe on the reverse side of this fame so that we can confirm that you are aware of these matters, The building P=Mt will not be issued >mnl the verification is returned. NOT. TYcis 0wner Eutlderin0'orrIon is requfred by Section 14830 ofthe Cafiforn& Hed& mzd Safety Code PRE -INSPECTION REPORT S OWNER: E: 2 U DAT LOCATION: Y1' A.P. #- CONTRACTOR ZONING: pmomPETION FOR SLS u DATE TO INSPECTOF_ P EPJM HIS'T0M ) NONE �(S AS FOLLOWS: " • BUILDING U SPECTOR'S REPORT Building Deamiption: Co:nm9rdsaWsag ResideatialM of Unit___ Cearcatly Occupied AbandonedJY=nt Electric: ' Yes_ No Electric currently Oa Off__ Condition of Electic Gu: Natural Propane_ None CurTcntly Off_ Obvious Problems: Sanitation: . Plumbing Worldag , ' wtu WoridnA _ Potable Wats Obvious ScwagePmblems _ Comment:• Je P GL s • c.l ACTION RECOMMMED: MUE: HOLD FOR - Inspector..—, _ / 9 Dste Sketch buildings on reverse and indicate location on proper Butte County Department ofDevelopment Services ADMINISTRATION *BUILDING * GIS * PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538.7541 Telephone (530) 538.2140 Facsimile August 13, 2003 Jim Sinor 3245 Wild Turkey Run Oroville, CA. 95966 RE: Building Code Violation Location: 3245 Wild Turkey Run, Oroville, CA. AP # 058-670-001 Dear Jim Sinor: This is a courtesy notice to notify you that you are in violation of the Butte County Code, at the above -referenced location, as follows: 4 Failure to obtain the required permits, inspections and approvals from this office for construction of (2) two decks. - Since permits and inspections are required for the above work, please submit three (3) complete sets of plans, apply for the required permits, and pay the appropriate fees. All work must stop until these permits are issued and you are authorized by our field inspector to proceed. The field authorization cannot be made until the existing work is inspected and approved. I . It is the County's goal to obtain voluntary compliance with the Butte County Code. However, you should be advised that Butte County has an active Code Enforcement Program which provides an effective means of enforcement if voluntary compliance is not obtained.. Enforcement may be pursued through the issuance of citations, fines and the recording of a Notice of Violation including a description of the action necessary to abate the violation. You have thirty 30 days to voluntarily comply with the above directions or to present an acceptable plan for abatement or corrective actions to be taken by you. Should you have any questions concerning this matter, please contact Scott Rutherford or Michael Vieira in this office at the address or telephone number listed above. Sincerely, .4-�Q— Scott Rutherford Chief Building Inspector SR: kj cc: Assessor COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Min Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 _ �t CORRECTION NOTICE jy OWNER PERMIT NO. x A routine inspection indicates that the following violations of butte county. Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, '^ please contact this office immediately. Q r; S:y Date7/ %/. % Inspectors r REV / 0/92 f a_ q 058 . -670-001 03-2272 SI'pd-vR, JIM 3245 WILD TURKEY RUN, OROVILLE, RECONNECT ELECTRIC . , OFFICE COPY Address -E.LECTRIC M . eter By — Da 3163 •. „ COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 I - (Rev.12/96) APPLICATION AN -1) PERMIT 14 ASSESSOR PARCEL NUMBER J53-570-001 ZONING BUILDING PERMIT OWNER .II:I Slid 1 TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS , a w"i l r),4u r.' a er 3245' CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS ); } Ia Energy Plan Checking Fee $ -324 $ PERMIT FEE $ LOT NO. SUBDNIS IONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF O Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 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 ❑ Utilities ❑� Installation ❑ Other 13 • Describe Work: ?�a'(Y�L)'.1� �, �r� i.'i ("� T-. s1 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 voUE Main Service 'OA 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.P License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: r IP 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. ❑ I have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. s0 OR ADDNS. ( & ACC. BUDS. 3.5¢Fr. I.,ONEINN,pG�Ip MULTI.OUTLET 97.50 OWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES �0 @ "00 Ex. Occup. ouTLEEDTsPRaoOEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 kqtL; i5j} , ` 23.00 PERMIT FEE S f.� fk1 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ 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.) 'M I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. A r t,of X i ew"-% / .�i� , Date /- ?D - Q 6 Signature of Applicant - % Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ Gu.00 HAZ. D. FEES IMP I FLOOD I CDF PARCEL I PD I HE E This permit is hereby issued under the applicable provisions the Butte County Code and/or Resolutions to do work indicated ab ve for which fees have been paid. •' , / I� By D Date v PERMIT EXPIRESLO a� �- Date Receipt No.-�u4y��l� ?�U•' WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 1 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 0�,�jort���D'J (Rev. 12/96) APPLICATION" AND PERMIT ASSESSOR PARCEL NUMBER 058-670-001 ZONING BUILDING PERMIT OWNER JIM SI&OR TELEPHONE SO. FT, OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS 3 CONTRACTOR'S NAME O W LVL:,L\ TELEPHONE TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER [,Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee $ Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS MIME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF )tI Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Ek Installation ❑ Other ❑ Describe Work: P�O�p�iTr. Gas piping sy2tern 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service E00V OR LESS 2o0A 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. License Class Lic. No. OWNER -BUILDER DECLARATION I herebyaffirm under penalty of perjury that I am exempt from the Contractors License P nY P I N P 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.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith compl with those provisions. U X Date %— �O -- d Sig ure of Applicant - 1 Owner ❑ Contractor ❑ Agent An SHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46,00 NEW CONST. DWELLING OCCUP. SG OR ( a ACC. stns. 3.50x: CONS NOON-ROSID. MULTI -OUTLET @7,50 POWER APPARATUS a SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES BA20 @ 1.000 Ex. Occup. FIXED APPLNS.OR OUTLETS ..,D. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PRE INSPECTION 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEP S Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 66.00 HAZ. D. FEES IMP FLOOD CDF PARCEL PD I HD I VE This permit is hereby issued under of the Butte County Code and/or indicated a ve for which fees have By PER XPIRES O the applicable provisions Resolutions to do work been paid. Date j 1IJJ�� Date ReceiptNo. 384991/$66.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ire. T-,' � 4 .-m �.m'c3 •!"� ,�r«Y:; a 9'1 "�"'"" �n.;:'+Fi,y� L+w - 3r` S L dt ria :� COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA, 9-5r6b� hone (530)538-7541 Fax (530)538-2140 -f PERMIT APPLICATION DATA SHEET OWNER: 1 G'� SSESSOR PARCEL NUMBER J�' ' / V / Proposed Building Use: p .Q_c Counter Technicianli�: Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in or a to apply. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. N❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. 0 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Find plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Site plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................... ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... ❑ 13. `Fire Sprinklers............................................................................................ ❑ 14. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 15. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) 0 16. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... _ '0 17. Statement of Intent for Non -heated and A/C Buildings ............................................. _ ❑ 18. Sanitation and site plan approval from the Environmental Health Department in �❑ 19. City of Chico Plumbing permit...................................................................... _ 0 20. California Department of Forestry plan approval ❑ paid. Sent by: ............... I...... ,D 21. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: _ ❑ 22. Contact Land Development about ❑ Improvements, '❑ Drainage ............................... _ ❑ 23. NPDES Form............................................................................................. _ ❑ 4. Encroachment Permit for riveway fro thte Public Works De . .............................. _ �! 25. Pre -Inspection for required ................ _ ❑ 26. Contractor's license information. (Number, Name Style, Cassif� ation)...................... _ ❑ 27. Worker's Compensation Carrier and Policy Number ............................................. _ ❑ 28. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... _ ❑ 29. Letter of Signature authorization.................................................................... _ ❑ 30. Recorded copy of Agricultural Acknowledgment Statement .................................... _ ❑ 31. Manufactured home utility clearance............................................................... _ ❑ 32. Existing violations and/or expired permits......................................................... _ ❑ 33. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, )Letter from Legal Owner, ❑ Check to H.C.D. El$ 34. Other: 1 _ When issued Telephone I Yand hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. o Applicant: Lo, je6Date: 1-7- 1. 1. Index peri application for the above items numbered: Plan Check Letter 2. Additiona ' ems required r' 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 i Date: Plans reviewed by: Date: Plans approved by: Date: Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division O.B.- I 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. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES 4 NO ❑ I HAVE _❑ HAVE NOT K signed an application for a buildingpermit for th p e proposed work. I have'contracted with the following person (firm) to provide the proposed construction: AME: ADDRESS: CITY. PHONE: CONTRACTOR'S LICENSE NO. 4. I to provide portions of this work, but I have hired the following person to coordinate, supe se, and provide the major work: N DRESS: CITY: P NE: CONTRACTOR'S LICENSE NO. 5. I will pr vide some of the work but I have contracted (hired) the following persons to provide the wor indicated: N ADDRESS PHONE TYPE OF WORK SIGNED: ' PROPERTYOWNER: DATE:_ 7�— NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This . verification must be completed and returned to our office before we are permitted to issue the permit. OVER O.B.-1 I OWNER BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner 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 contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. rely, Mic el C. Vi ira, C.B.O. M ger, Building Inspection NOTE. This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. `1 OWNER_ LOCATION: PRE-INSPE } i ON REPORT _ DATE: A.P. #- CONTRACTOR � `/v W-^-1 v V ZON1INCr. PRE-INSPETION FOR DATE TO INSPECTOEL PERHU HISTORY:( )NONE AS BUELDING INSPECTOR'S REPORT Building Description: Coaxnetti sage: Residentialm of Units: r CinTeatly Occupied Abandoned) ==~ a' Electric: ' Yes No Electric currently On Off Condition of Electric Gas: Natural PropanC NOnee__ Currently On Off Obvious Problems Saaltstion: Plumbing Woridng Well Working _ Potable Water. Obvious ScwageProblems ACTION RECOMMENDED: ISSUE: HOLD FOR – — Inspector., Date7,2 2 Sketch buildings on reverse. and indicate location on proper COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754 ,-7� .� RMIT NO. Rev.12/96) . APPLICATION AIS® PERMIT ASSESSOR PARCEL NUMBER l r ✓� ^ b l ZONING _ - BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION 17 rn OWNERS G ADD CONTRACTOR'S NAME � \� ) (,-TJELFPXONE CONTRACTOR`R'SAMAILIi INvG/ ADDRESS CONSTRUCTION LENDER LENDERS NWUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MA UNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS _ )y Energy Plan Checking Fee $ $ PERMIT FEE S LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE Solar or heat um water heater 23.00 SF ❑ Duplex ❑ Moblehome ❑ Other Water piping 15.00 SPEDWY Each gas water heater or vent 15.00 TYPE OF WORK Gas piping system 1 - 5 outlets 15.00 New ❑ Addition ❑ Remodel ❑ Uffides ❑ Installation ❑ Other ❑ Building sewer 15.00 Mobile Home I S I G I W @20.00 Describe Work: PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 2-0.00 Main Service =OR 9S 23.00 - / Main Service 200AWEL N CCU080A 46.00 NEW CONST. OWBIJNG OCCUP. 3.52FT.. OR ADDNS. ( a ACC. BLDS. i 1 d NEW RCONST. MULTI-OUTLET NON @7.SD S:M APPARATUS a SINGLE AP= C R �� AL OVTLEr OR FDCTIIRES 20 @ 1.00 Ex. Occup. BAL @ " Ex. Occup.vn ETs 6 °F�a 5.00 ��� III, �� � Temporary Service 23.00 Moble Home Facilities 20.00 Wise. Wiring 23.00 PERMIT tEE g —� MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling • `'� __ Hood 6.50 �w� Ventilation a PERMIT FEE $ Mobile Home Installation Fee $ �� •���►� Energy Inspection Fee $ N� e* j occ CONST. =OTAL FEE $ WZ D. FEES IMP 1. FLOOD I CDF PARCEL = This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work Date indicated above for which fees have been paid. 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 By Date ReceiptNo. PERMIT EXPIRES ON WHITE-D.D.S.-B.D. CANARY-ASSESSOR PINK-INSPECTOR GOLDENROD-APPLICANT DefeJ ' Joyce Montgomery mery S� n/s Truex Rd. W. of Hwy. 70,i Yankee Hill " la ; Permit 721-77 P,E (til./MH) C w ELEC. 3 _ S GAS I 'SUPPO T STRUC, AAO COMPACTION TEST Atb , 41-03-118 l _ Permit #722-77 IssG�-�% 41-03-118 �I Contr: Lincol- Village MH v j Permit �k5007- 9MHI(existin r°ville J Issued site) / /� -'�� Yl" I �8 �y41-03-118! ELEC. #7 79P,E(util�MH .CSO - 5'rr� � GAS SUPPORT STRUCTURE RE Q. COMPACTION TEST REQ. 41-03-118 J !Contr: Johnson's MH Ser !Permit#551-80 I • Sacto Issued 058-670-001- 03-2850 SINOR, JIM 3245 WILD TURKEY RUN, OROVILLE 2 DECKS (AS BUILT) I COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 01-2050 ASSESSOR PARCEL NUMBER 058-570-001 ZONING BUILDINGPERMIT OWNER ainoxx SINOR JIM0 TELEPHONE ',1-1-1104 SO. FT. OCC. BUILDING VALUATION 1421.00 OWNER'S MAILING ADDRESS 3245 wild turkey run OROVI 95960; 63 CONTRACTOR'S NAME l TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ f 2f 1 A 9 1 W ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 35.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 324 W j Energy Plan Checking Fee $ PERMIT FEE $ 59.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Unities ❑ Installation ❑ Other ❑ Describe Work: 2 DECKS AS BUILT 6.5X9.7 Albld AND 10X20X4 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I GI W1 @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service 200, 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. 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: q I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively, contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BLDS. SO 3.5¢FT, NST =REOS'. ' MULTI.OUTLET @7,50 POWER APPARATUS a SINGLE OUTLET CIR. Ex. Occu OUTLET OR FIXTURES BAL. ®' a Ex. Occup. onxuTLEEDTs Ra100�, 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirilg 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) © I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X �q�s iL�.0-as�l Date 9/� 4 3 Signature of Applicant - q Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 55.00 HAZ. — D. FEES IMP — — FLOOD — —" CDF PARCEL _ — --� PD HD SUE — This permit is hereby issued under of the Butte County Code and/or indicated above for/which fees have i Bye PERMIT EXPIRES ON I IF the applicable provisions Resolutions to do work been paid. Date Date Receipt No. -� o J4 . UtJ WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELQPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 03-285e ASSESSOR PARCEL NUMBER 058-670-001 ZONING - BUILDING PERMIT OWNER Kixagx SINOR JIM TELEPHONE - SO. FT. OCC. BUILDING VALUATION 0 0 1421.0 .OWNERS MAILING ADDRESS 3245 wild turkey run OROVILLE 95966 63 0 CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 35.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Ulilities ❑ Installation ❑ Other ❑ Describe Work: 2 DECKS AS BUILT 6.5X9.7 ADN AND 1OX2OX4 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 600V OR LESS Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. 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.) i I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that f I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. v X Date �6 e 3 Si ture of Applicant - Owner ❑ Contractor ❑ Agen An SHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 2 TO 46.00so EL CCU000A NEW CONST. owETlING Occup. 3.52F°: ( OR ADDNS.NEW CONST. MUL�TIC-Ou�TtET NON-RESID. U @7.50 POWER APPARATUS a sINGLF ourLEr cIR. Ex. OCCu OUTLET OR FDTTURES 20®''50 BAL Q .50 Ex. Occup. ountDrs ASID°EA 5.00 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 FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 55.00 HAZ. _ _ D. FEES IMP _ _ _ _ FLOOD — — — — CDF PARCEL — — — PD HD SUE _ This permit is hereby issued under the applicable provisions of the Butte Coun Code and/or Resolutions to do work indic a v for which fees have been paid. " B Dote 9 �OLO-5 PERMIT EXPIRES ON ` �'6 Date Receipt No. 395677755 -nn WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 P§RMIT NO. APPLICATION AND PERMIT (Rev.12/96) ASSESSOR PARCEL NUMBERZONING BUILDING PERMIT bcD OWNER �l\ E NONE SO �, OCC. BUILDING VALUATION p� 3� 0 ..-- OW " l�RE ,41 1 v' CONTRACTORS / CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation is —� ARCMrrECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ -� ARC nECT OR ENGINEERS MAILING ADDRESS Plan CheckingFee $ BUILDING ADDRESS _ �s Energy Plan Checking Fee $ PERMIT FEE $ LAT NO. SUBDNIS IONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑Duplex ❑ Mobile Other SPEC" TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Installation ❑ Other Describe ork Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S G I W @20.00 PERMIT FEE $ U Y ELECTRICAL PERMIT Filing Fee 20.00 Main Service M.OR L�Ess 23.00 PERMIT FEE PAID $ J j SRA$ SHERIFF $L— OTHER $ $ AMOUNT RECEIVED $ Q 1 % \C/ „ DATERECEIVED.J REC EIPT ## Main Service Zoon To 1000A 46.00 NEW CONST. DWELLING OCCUP. 3.5QSo. OR ADDNS. ( d ACC. BLDS. FT• NEW "NST - RES D. MULTI.00UTLET @7.50 PS APPARA, IS 8 SMG1F OUTLET C0. OU TLET OR FDCTURES 20 @ 1.00 Ex. Occup. BAL @ .50 Ex. Occup. OL1TlFDrs =)0EA 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 FET= S Mobile Home Installation Fee $ Energy Inspection Fee $ CCC CONST. TYPE TOTAL FEE $ IMP FLOODCDF PARCEL PD MD 6Sl�f This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON eye COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 �,� PERMIT APPLICATION DATA SHEET! OWNER:CE) ' T \ 6,/- ASSESSOR PARCEL NUMBER v p • �� C� GG Proposed Building Use: Counter Technician: Date: Items required in order to apply for a permit. All boxes MUST be c ecked OR marked NA in ord to ao. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. t2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs:,(A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate.. ❑ 9. Site plan and business license approval from the City of Biggs...... D 10. Letter of intent for non-residential buildings ............................... D 11. Detached Accessory Building Form filled out by the owner........ ❑ 12. Hazardous Material Form ...................................................... ❑ 13. Fire Sprinklers.................................................................... ❑ 14. Agricultural Buffer clr and site plan apr from the Ag Commissioner ❑ 15. Other Sent by Date Received By Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 16. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... _ ❑ 17. Statement of Intent for Non -heated and A/C Buildings..................................r .. -18. Sanitation and site plan approval from the Environmental Health Department if _-U� - ❑ 19. City of Chico Plumbing permit........................................................................ _ ❑ 20. California Department of Forestry plan approval ❑ paid. Sent by: _ ❑ 21. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: _ ❑ 22. Contact Land Development about D Improvements, ❑ Drainage ............................... _ ❑ 23. NPDES Form............................................................................................. _ D 24. Encroachment Permit for driveway from the Public Works Dept ................................. _ ❑ 25. Pre -Inspection for required ................ _ D 26. Contractor's license information. (Number, Name Style, Classification) ...................... _ ❑ 27. Worker's Compensation Carr' "and Policy Number ............................................. _ rV8. Owner -Builder Verification Given to owner, D Mailed to owner) ..................... _ ❑ 29. Letter of Signature authorization.................................................................... _ ❑ 30. Recorded copy of Agricultural Acknowledgment Statement .................................... _ D 31. Manufactured home utility clearance............................................................... _ ❑ 32. Existing violations and/or expired permits....................................................:.... _ ❑ 33. ❑ Grant Deed, ❑ M.H. Title/Statement of Fac , D Letter from Legal Owner, D Check to H.C.D. $ El 34. Other: � _ When issued Telephone and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: L Date: 2- /1,- D S 1. Index perg per'application for the above items numbered: Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑oun Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ un Date: Plans reviewed by: Date: Plans approved by: Date: Structural reviewed by: Date: Structural approved by: Date: i Note transfer by: Date: Yellow: Building Division E.H. USE GAILY Piot Plan Attached Rout Plan Atwchad ✓ Sant to G.D. / —0l TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposal ✓ Water Supply: Public Private Well ✓ Clearance for dwelling. Othere!E2e0.c9 r— '9"'.1 i/x & is " A4 0& A5C/i�, /D 1 x taO Hold final for: Final clearance O.K. for: NOTE: lie, a20y-s, Environmental Health S ecialist Date 8/96 O.B.- I M 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. personally plan-to:provide the major labor and materials for construction of the proposed property improvement : YES NO 13. 1 HAVE JJ HAVE NOT ❑ signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction: AME: 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: \NAM[E: f LitliLlD: CITY: PHONE: CONTRACTOR'S 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 IGNED: PROPERTYOWNEFt: VMS M! 1,11 11121gi DATE:—\)6 NOTE: This Owner -Builder Yerifuation is required by Section 19831 and 19832 of the California Health and Safety Code This verification must be completed and returned to our office before we are permitted to issue the permit. OVER OWNER BUILDER INFORMATION. Dear Property Owner. An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner builder" you are the responsible party of record on such a permit Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself; you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is *$300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, ifyou 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 struchre 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 contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. . S ..B.O. Inspection NOTE: INS Owner -Builder Informadon is required by Section 19830 of the California Health mid Safety Code OVER 6' 7YP. 4-ext," 1._ Ti G PLYWOOD CC EXT, - ! .�- Z. 2',t DECKING '(ALT) ® 3/gBOLT ' 4 w(c DF 2• GIRDERS _ 1 Ys' TA G PLYWOOD CC EXT: - •, In MOBILE ISE OR DEL MAX I 48. • ' MTL. FRMU • MAX. CLIP (EA. RE 9'MI '4 q.•,9V • 4'x4' POST' 2X12 z GUARDRAIL 1%2DF._ Eox: 21k4"PRESSURE' (2) 3/s' TRrATE'Lt ok a • 6 MF IN. 60LT's ��RTDW,000PIATr If MAX. DECKIiJG' GIRDER zo V. M l� - 40 ' W PRECAST 499 POST j 1lDEQU4TF DIAGONAL TER _ 6 I�• BRACING. TYPICAL, R ESIDE'A IM ST�P.S ANo/QD,ECK ,I (�• ` �• C`OUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS r'�nS 14"x�l�''(Nu�J, FOOTING 7CountyCenterDrlva — Orovlile.Calllornla95986 n Telephone: MR -7541 i 1 _ _ -j _ • a• Z. 2',t DECKING '(ALT) ® 3/gBOLT ' 4 w(c DF 2• GIRDERS _ 1 Ys' TA G PLYWOOD CC EXT: - •, In MOBILE ISE OR DEL MAX I 48. • ' MTL. FRMU • MAX. CLIP (EA. RE 9'MI '4 q.•,9V • 4'x4' POST' 2X12 z GUARDRAIL 1%2DF._ Eox: 21k4"PRESSURE' (2) 3/s' TRrATE'Lt ok a • 6 MF IN. 60LT's ��RTDW,000PIATr If MAX. DECKIiJG' GIRDER zo V. M l� - 40 ' W PRECAST 499 POST j 1lDEQU4TF DIAGONAL TER _ 6 I�• BRACING. TYPICAL, R ESIDE'A IM ST�P.S ANo/QD,ECK ,I (�• ` �• C`OUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS r'�nS 14"x�l�''(Nu�J, FOOTING 7CountyCenterDrlva — Orovlile.Calllornla95986 n Telephone: MR -7541 i 1 _ _ -j _ son= m _ = _� 2' x 12" STAIR STRINGER. 00 ® -TOO VIEW (' H RI,IDQRIL NOT SHOUT N • FDR CLARITY. fit Z. 2',t DECKING '(ALT) ® 3/gBOLT ' 4 w(c DF 2• GIRDERS _ 1 Ys' TA G PLYWOOD CC EXT: - •, In MOBILE ISE OR DEL MAX I 48. • ' MTL. FRMU • MAX. CLIP (EA. RE 9'MI '4 q.•,9V • 4'x4' POST' 2X12 z GUARDRAIL 1%2DF._ Eox: 21k4"PRESSURE' (2) 3/s' TRrATE'Lt ok a • 6 MF IN. 60LT's ��RTDW,000PIATr If MAX. DECKIiJG' GIRDER zo V. M l� - 40 ' W PRECAST 499 POST j 1lDEQU4TF DIAGONAL TER _ 6 I�• BRACING. TYPICAL, R ESIDE'A IM ST�P.S ANo/QD,ECK ,I (�• ` �• C`OUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS r'�nS 14"x�l�''(Nu�J, FOOTING 7CountyCenterDrlva — Orovlile.Calllornla95986 n Telephone: MR -7541 5'KCD lu 117 LQ I C), BUTTE COUNTY BUILDING APPROVED tte County nmental Health jI � I / slignatu e6 7 � � � I j AI �UTTE COUNTY BUILD NG DIVISION DQ� A 'PROVEO I I I I viro M,, 'nWHealtt, 26 I Uri y 3 . Cir S(Kd APPROVED��FNTgI y tte County E10 E v' mental e�� ,coe/ ate ignatu SEP 1 20',-.3 DEVELOPMENT SERVICES �� i ru , 9 t3" F. TYt 'OP fi. y � T' ..raL •it,3mh FP' 1 p ` -. 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'v i "•in yar: '-5. t .• r ori Y- i rE� . y ` SEP j//��f/IP yy q 7 Y{L �?!2%lW UyiFf�y�n Si { U�`I�.CL1 43 3$S P!Aft,a st S 7 y�.Wo—, � � u ��M�. ^5.jlr�w .fT t.� �r�•l` �yjb, �5F�5'S +�.��'��i) 6,FV �• rf _ t ' Orovill� t 1 , * -f—I a .,:, ?, r„r..' �✓' t `s2'f. •'i •F 4G fah 1 f4�i ".ss t„ . ca .,... "'k" ., e i "F,��,� :�.+ s -'k v'1H 7k ..r,v�x i^ e•. ?' r ti tern . 4 I i 1 II I I I � j 4 APPROVED tte Counttyy E ii nm.ental Health r. 7278-79P E.. - ".r. PERINIT NO. PERMIT EXPIRES OWNER Joyce Montgomery CONTR. owner 41-03-118 LOCATION (A.P. N/S Carmella Rd., 1.8 mi.from end of Trevox Rd., i mi.E.of Truex Rd.; i mi.S.of Hw-v 70, j� Yankee Hill I +y Temp. PT15r Pole Called PG&E /r,-Ele,. Ser,. 2 Called PG&E Temp. Gas Serv. ` / Called PG&E JOB FINALED (Date) cw') (Sign e COUNTY OF BUTTE —;DEPARTMENT OF PUBLIC WORKS . ' BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Se ack firewall oil Pipin For4 Arapets 9 1st Floor Mai Bldg. Res room Finish Nd Floor Fo ins Wind s 3r Floor Stem all - - Sidin To ou Slab Roof ShAthina Water P in Piers Roofing Sewer Garage Fdn. Vents Fixtures Footin s Stemwa l l Garage Vents Insulation NHeaters Water Htr. Slab Carport Footings X Prov. for ph sica y handica pea Conformance of ex. structure Appliances Gas Piping& Tes Temp. Gas Slab Final X Sanitation Patio FIAElkLACE Final Footings Footing ECT CAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Bea IRE SPRINK I E'IRS Motors t-rarning 1 Test Stucco I Final mesn MECHANICAL Gird. F It Prot. )lnrior a h Heatin Servs e n Cool g T mp. Pole fish Du is t1n er round Lath ntllationmanent Closer Inal MOBILEHOME UTILITIES ---------- Elec_ Service — Elec.,p Z Water Piping!y, cgo Gas Piping MOSILEHOME INSTALLATION - - - - - - - • - - -_ --Support �� Elec. Continuity 8 Water Piping Drainage cep Gas Piping DATE REMARKS OR CORRECTIONS C9 J J� c •l s s �� ��� //VC - (NOTE: An entry must be made on this form each time you visit the job site.) 9. Electrical A. Is service large enough to provide adequat-,amper'age-4to mobilehomd'(must equal rating of mobilehome with a minimum of 1Q0 amp) ,and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes_v B. Is,there proper clearances around panels? Yeses No_ C. Is power supply cord or feeder assembly properly fused? Yes Y D. No_ Is continuity test satisfactory as per the following procedure? Yes X 1. De -energize electrical wiring system of the mobilehome at the pedestal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure; the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag'services. MOBILEHOME DATA ,q Manufacturer and/or Namestyle Length_ Width 0� Vehicle Serial No. State Identification No. f;,4 Additional Information or Comments: 0 MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1.1"Is the mobilehome located wiequired separation from lot lines and buildings and generally conform to plot plan? Yes_ No 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes"No 3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes �No_ 4. Is the mobilehome level? (Sec. 5088) YesL-"'� No_ 5. If more han a single unit, are crossover connections properly installed? (Sec. 5088) Yes_ No - 6. Water A. Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566), Yes `—No B. Test � Does water piping withstand working pressure or 50 lbs, air test? Yes v o C. Backflow - If coach is not State of a approved, does station have backflow device and pressure -relief valve? Yes_ N01 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes v No B. Does it have minimum 4" per foot slope and is it properly supported? Yes v No C. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe? Yes No D. If coAeh is not State of California approved, does station have required trap and vent? Ye No 8. Gas Piping and Gas Vents / A. Connector - Is mobilehome connected to the as s ply with an approved 3/4" minimum mobilehome connector not more than 6 ft. 1 ng? ote: All piping is to be at least as large as the mobilehome gas line iAl t w' hout eductions other than the mobilehome connector. Yes No B. Test OK as per following procedu 1. Open all appliance connector, 2. Shut off appliance burner 3. Air test with manometer to 6oz.-maximum 8 oz.) c ibr ° drop, 4. Connect gas meter to mobileh soapy eater. ? es o va es. lot alves. "-14" water o umn, or test with slope gauge (minimum d i tenth pound increments. Test for 10 min. without with connector, turn on gas, test connections with C. Are all appliance vents properly installed? Yes_ No COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70 s 7 County Center Drive, Oroville — Phone 534-4541 Skyway and Elliott Road, Paradise — Phone 877-3435 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations'of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter; or need additional explanation, please contact this office immediately. S ��ZF - Aeg mow.. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number �� s4'� for the following location: /V/ c1f 91 .&A *,-a Owner Owner's Address Mobilehome Mfg. _� . �- Model -7 Year 90 Insignia No. ---,,4Z Z -�- 71 �- �•� �1 Serial No. 3GD It is hereby certified for occupancy at the above described location and may be occupied. / Director of Public Works /' / Date r,72. JHIS CERTIFICATE IS VOID WHEN MOBILEHOME'1 RELOCATED White- Owner, Yellow- Installer, Pink - D.P.W. COUNTY OF 8UTTE — DEPPIIRTMENT OF PUBLIC WORKS 7 County Center Drive: - OrQviIIe, Calif ornia 95965 �7 Telephone: 534-4541 �� �V— APPLICATION AND PERMIT ;*I authorize representatives of the County of Butte to enter upon the abov entioned property for inspection purposes. ie Date aA, 9 ignature of Permitee or ant - / Receipt No. ZI White-D.P.W. - Yellow -Assessor - Pink -Inspector - Gal den rod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR,OF PUBLIC WORKS BY Date /2- f 7� Building permit expires Date Z -I BUILDING 71 Owner GE .lrrCtiO SO. FT. OCC. BUILDING V LUATION Mailing Address I �io�eZ7 Telephone No. Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee �A Building Address S /!'r/pJ� �'�- Plan Checking Fee &/or Penalty Permit Fee o evp>2 t L �D /l.G! /vim PLUMBING No. @ FEE fill,0�, PERMIT FILING FEE $3.00 %j,eO Each Trao 1,50 C,UC6W A,&A OQO Repair drainage or vent piping 1.50 A. P. No. 14 t -v OL, Zoning & Planning Water piping 1.50./0,40 Each gas water heater or vent • 1.50 FVes Nk_. Sa i n Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Par ing Parcel Plans Declaration Parcel/Map 60' R/W Improveme Each additional outlet .30 Building sewer 5.00 /O.QO Bldg. Plan R c'd Par royal Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES E OTHER ❑ Permit Fee $ �Or/ ,$ lj Q ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 -0c> Main service 600V OR LESS too AMP LESS 5.00 SinSingle Family Duplex Mobil Home Others 9 Y ❑ P ❑ ❑ -L Main service EA, ADDtoo AMP 2.50 O a; Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNS/ CONSTDWEACCLBLDGS.LING CCUP. h) 20sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business &Professions Code under the name st le of: Y NEW CONSTRES'D, -OUTLET NON-RESID, BRANCH CIRCUITS) 2.50ea NEW CONSTR /POWER APPARATUS.5, NON-RESID/• \SINGLE OUTLET CIR. Ex. OCCUQ{OUTLETS OR FIXT11RES Mt?: � BAL:1 Ex. OCCU FIXED APPLNS, OR P• OUTLETS (RESFIXED EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 r00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ of D $ (o WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of W rkmen's Compensation Insurance. certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL N0.1 @ FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee I $ a664 TOTAL PERMIT FEE $ G authorize representatives of the County of Butte to enter upon the abov entioned property for inspection purposes. ie Date aA, 9 ignature of Permitee or ant - / Receipt No. ZI White-D.P.W. - Yellow -Assessor - Pink -Inspector - Gal den rod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR,OF PUBLIC WORKS BY Date /2- f 7� Building permit expires Date Z -I COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive Oroville, California 95965 " Telcphbne': 934-4'541 APPLICATION AND PERMIT SS1_Pj authorize repre ntat)ves or to ount or Butte to enter upon the above -men io property r i s ect" n urposes. . X Date �Q Signature o%f�Per ii or Agent Receipt No. w �� White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Bu a County Code and/or resolutions to do work indicated abo fo which fees have been paid. RE OF PU LIC WORKS Date Building permit expires Date^� BUILDING i Owner 6,y&C 0"t7ey SQ. FT. OCC. BUILDING VA ION Mailing Address Telephone No. Contractor pf/�(%S'pNs /�/J• �i. s�iei�/G' Mailing Address 909/ CjC—ejEA, Fireplace Total Valuation J,�,�, �� _5ACieJ��I �V f v i4 S8Z� F� pI Permit Fee Building Address s �V 21i, Plan Checking Fee&/or Penalty Permit Fee PLUMBING No.1 FEE PERMIT FILING FEE J$3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 �p+ A. P. No. /—Ci�" / O A. -8 Zoning Planning Water piping 1.50 Each gas water heater or vent 1.50 Fr`s We 6&Flk� Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans I Parcel Declaration Parcel Map 60' R/W Impro ents Each additional outlet .30 Building sewer 5.00 Bldg. Plan ec'd Parcel A rovol Pans Approval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ©/ Permit Fee $ is 44.1 ;*/z- /L -- tc>69 `- 7Z-78-7 ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS _ 100 AMP LESS 5.00 Single Family Duplex ❑ Mobil Home ❑Others 9 Y ❑ -L Main service E4. ADD'L 100 AMP 2.50 Main service OVER s 25.00 100 AMP O OR LESS Main service// EA. ADD'L 100 AMP 1.00 NEW CONSDWELLING O OR ADDNST l ACC. BLDGS.CCUP. 22sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of YaA1000" lyo-w� NEW CON STR MULTI-OUTL T NON-RESID, � NCH CIRCUITS 12.50ea BRA NEW CONSTR (POWER APPARATUS .& NON-RESID, (SINGLE OUTLET CIR. Ex. OCCUP(OUTLETS OR FIXTIIRES 5 L@t FIXED APPLES. OR EX. OCCUp.�OUTLE TS (RESID.) EA) 2•00 Temporary service 10.00 Mobile Home Facilities 15.00 License No.13 Classification A& Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws o1 California. - MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby $ TOTAL PERMIT FEE $ C7� authorize repre ntat)ves or to ount or Butte to enter upon the above -men io property r i s ect" n urposes. . X Date �Q Signature o%f�Per ii or Agent Receipt No. w �� White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Bu a County Code and/or resolutions to do work indicated abo fo which fees have been paid. RE OF PU LIC WORKS Date Building permit expires Date^� ,M1 • _ --BUTTE , BUTTE COUNTY DEPARTMENT -OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. _ PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: 2. Installer's name: 3. Is the site currently nder permit? Yes %�%� No (if yes', furnish permit number ) OR Is*the site an existing site? Yes / / No (If yes_, furnish` two (2) plot plans.) 4.,, Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and ,.clear of all setbacks and easements? Yes No (If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- W Amps 6.. Whatisthe-mobilehome site service rating? --------------------- Amps 7.. What is the'mobilehome site circuit breaker rating?.------------- ,KU 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) (Amps) 9. What is the mobilehome site gas pipe size?e---------------------- 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.) 12. What is the mobilehome gas demand? ------=------------------------ (BTU) (This information'not required;"if p.ipe.length less than 6 ft. onnatural gas or less than 50 ft. on LPG.) MOBILEHOME SUPPORT DATA If other than single wide, �y Q Mobilehome Mfr. furnish Setup Model No. �J / Year 6 -Width241Z (ft.) Box Length Z/-1 (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.. Footings (check .one) Single lr7L' 1. Wood either. '146 pressure pressure treated or foundation grade., (ft.)(in:) (in.) (in.) 2. Other (specify) Center support locations* Center support footing sizes Supports (check.one) (in.) �• 1: Concrete block. 0'4 2. Other (specify) (ft.)(in.) (in.) (in.) !r—Tagalong or Expando,' show support details. 3'//11 (ft.)(in.) (in.) (in.) (ft.)(in.) (in.) (in.) '1axMj Typical Support (in.) (in.) Footing Size Max. Pier Spacing (ft.)(in.) /02 x Max. Overhang (ft.) (in.(ft.)(in.) BUTTE COUNTY BUILDING DEPARTMEN APPROVED *If center piers are other than drawn above, draw in. -locations, spacing, and dimensions. i r 1-77 P g PErAMIT NO. ' _ t PERMIT EXPIRES -OWNER Joyce Montgomery CONTR. owner LOCATION (A.P. '41-03-118 1 n/s Truex Rd. app. 1 mi. W. of Hwy. 70, Yankee Hill i Temp. Power Pole Called PG&E Temp. Elec. Serv.� Called PG&E l�f Temp. Gas Serv. Called PG&E JOB FINALED (Date) (Signature) i t A, .. '�,�'._ ��, *�, tom} y .�� . 't c _ _+ c • � j ��'� � �. � J "�i � i- 1. � • E +. - , n ti � . ,. -� - 1 . .� K ^+ ��. \ �`\. `moi . „A I• � ^` 1 Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heatin X Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer JkFinal Final MOBILEHOME UTILITIES ------------------ Elec. Service 4ibg- _ 04 7 Elec. Pedestal Water Piping f1 -7W- ?% 4C\¢___ Sewer ' ,� �'Z„ It Gas Piping MORILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS 2- �� �� o�-r✓ 7i-�Q C 1 ��- (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Set , ck F ' wall S, it Piping Form Par' ets Itst Floor Main Idg. Restr m Finish d Floor Foo s Windows 3 Floor Stem II Siding Too Slab X Roof Sheath Water R, in Piers Roofing Sewer arae Fdn. Vents Fixtures Footings Stemwa I I Garage Vents Al Insulation Water Htr. Heaters Slab Carport Footings Prov. for phsically" handica ed Conformance of ex. structure Appliances Gas PI in & , est Temp. Gas Slab Final Sanitation Patio FIREPL E Final Footings Footing ELgJTRICAL Masonry Walls I Throat XRou h Relnf. Steel I Final X I Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heatin X Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer JkFinal Final MOBILEHOME UTILITIES ------------------ Elec. Service 4ibg- _ 04 7 Elec. Pedestal Water Piping f1 -7W- ?% 4C\¢___ Sewer ' ,� �'Z„ It Gas Piping MORILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS 2- �� �� o�-r✓ 7i-�Q C 1 ��- (NOTE: An entry must be made on this form each time you visit the job site.) ger) GCS COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70` 7 County Center Drive, Oroville — Phone 534-4541 Skyway and Elliott Road, Paradise — Phone 877-3435 CORRECTION NOTICE ILDINVOR PROPERTY ADDRESS A rou'rine inspection indicatifs 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 Da �4 ii0}3li.l.liU�1E INSTALLATION. INSPECTION CHECK LIST 1. Is the mobilehome loc;�!ted wit -11 required separation from lot lines and buildings and generally conform to plot plan? Y(.cs No ?. Does they mi-,bileehome have required clearances above ground? (Sec.5085) Yes No 3. Are footin,s and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes No 4. Is the mobilehome level.? (Sec. 5088) Yes No� 5. If more than a single unit, are crossover connections properly installed? (Sec. 5088) Yes_ No- 5, o `.i, Water A. Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes No B. Test - Does water piping withstand working pressure or 50 lbs, air test? Yes No C. Backflow - If coach is not State of California approved, does station have backflow device and pressure -relief valve? Yes No 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes No B. Does it have minimum z;" per foot slope and is it properly supported? Yes No C:. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe? Yes_ No D. If coach is not State of California approved, does station have required trap and vent? Yes No 8. Cas,Piping and Gas Vents A. Connector - Is mobilehome connected to'the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as large as the mobilehome gas line inlet without reductions other than the mobilehome connector. Yes No B. Test OK as per following procedure? Yes_ No 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated -in tenth pound increments. Test for 10 min. without drop. 4. Connect: gas meter to mobilehome with connector, turn. on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes No a 9: Electrical ' A. Is service large to provide adequare ampc:!rage to mobilehome. (must equal rating of mobilehome taitii ra :::'irl.l.ifiUlll of 100 amp) and other facilities on l.ot,• i.e., water pumps, g..ira,e, cabana, ctc.:- Yes_ No B. Is ther,-� proper clearances around panels? Yes^ No C. Is power supply cord or feeder assembly. properly fused': Yes_ No_ D. Is continuity test satisfactory as per the following procedure? Yes_ No_ 1.• De -energize electrical wiring, system of the mobilehome at the pedestal. 2. Make sure that file power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one 1cad of a test instrument to the mobilehome grounding conductor and 1 the OLI -,r J.LaCi to each TIobrletLufie supply Cor,'L.ictGr, UllaUdlrtg iLe�lLrdi. pY 3` 5. All non-current, -carrying metal parts of the mob ilehome,(aluminum siding, gas line, water line), inclitding fixtures and appliances, shall be tested for continuity from such equipment- and the grounding conductor. b. Upon completion of: the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity te:;t: shall then be made between L.he grounding electrode and the chassis of the I'tobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. I>job card signed by Health Departmeat for water and sanitation? 1.1.. If everything okay, sign off card and services. MOBTLEi?OI11:_DATA Manufacturer and/car Namestyle Length Width Vehicle Serial No. State Identification No. __ ! Adpi;tional Information or Comments: COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS • 7 County Center Drive — Oroville, California 95965 f Telephone: 534-4541 APPLICATION AND PERMIT 7o��2-77 A 4, -- autn Ize representatives of the County of Butte to enter upon the ab -mentioned property for inspection purposes. Date .111-5 Signatur o mite r Agent White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been aid. DIRECTOR P BLIC WORKS By _Date//— &9-? ;7 BVding permit expires Date //""7-!5;,' 7)7 BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mai I i ng A ress IJ 4 Telephone No. Fireplace Contractor Total Valuation Mai I i ng Address Loo Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building AddressPLUMBING No. @ FEE PERMIT FILING FEE $3.00 e Each Trap 1.50 ll)RL4.) Repair drainage or vent piping 1.50 Water piping 1.50 (.2•L Np�J Each gas water heater or vent 1.50 P. No. Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fes W. Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA I Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 80xa Parcel Approval Pla pproval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER, ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 e j/' — 1K-, Ila :h a,,)4 i< Main service 100 AMP OR LESSLESS 5.00 -e' Main service EA. ADD -L 100 AMP 2.50 Main service OVER 600V100 AMP OR LESS 25.00 Single Family ❑ Duplex ❑ Mobil Home IS Others ❑ Main service EA. ADO'L 100 AMP 1.00 NEW LING O OR ADDNST ( ACCL BLOGS.CCUP. &) 2¢sq ft NEW CONSTR. MULTI.OUTLET NON.RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS &) NON.RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES) BqL@251C FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. Elhave placed on file with the County of Butte a certificate of 'Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No.1 @ FEEPERMIT FILING FEE 1$3.00- $3.001 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby /i 30 OL # TOTAL PERMIT FEE $ �0 Qz autn Ize representatives of the County of Butte to enter upon the ab -mentioned property for inspection purposes. Date .111-5 Signatur o mite r Agent White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been aid. DIRECTOR P BLIC WORKS By _Date//— &9-? ;7 BVding permit expires Date //""7-!5;,' 7)7 e .•'• COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 _ Tel ep4pne: 334-4541 APPLICATION AND PERMIT authors r presentatives of the County of Butte to enter upon the abov me tioned property for inspection purposes. ✓x ae V. .ff//P��err''itee o ge a♦n Receipt No. /c�7r White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable pro vis ons of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. O DIRECTOR RUBLIC WORKS BY Date Z ' 2-$ - 7 7 Z. Bui ding permit expires Date -v'" �� BUILDING Owner _Qove��e Oil C10'K4`I?yV SQ. FT. OCC. BUILDING VALUATION Vr Mai I ing Address ©n � dam/ T-gl�phone s Fireplace Contractor Ke r Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building AddressA) �� ��Art PLUMBING No. @ FEE PERMIT FILING FEE $3.00 fe UA C04- d y) U '?40 Each Trap 1.50 �3 v `/'� C/ l Repair drainage or vent piping 1.50 Water piping 1.50 14).0-0 d caf' Each gas water heater or vent 1.50 .. A. P. No. / Za ^ ^g Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fe Sa) n"ll Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declara ' n P cel a 60' /W Im rovements p Lawn sprinkler system 2.00 Bldg. Plans Recd !�� arcel Approval Plans oval Permit Fee $ 00 2 Ot NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 C� Main service 6011 OR LESS 5.00 100 AMP OR LESS . 00 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home ® Others ❑ Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONS. DWELING OR ADDNST ( ACCL BLOGS.CCUP. &) 20sq ft NEW CONSTR. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. (/POWER APPARATUS & NON-RESID. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business &Professions Code under the name style le of: Ex. Occup(OUTLETS OR FIXTURES)@'tea BAL@1 Ex. Occup.( FIXED APPLNS. OR p• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 , License No. Classification Misc. Wiring 6.25 11-11M•1 am exempt from the Contractors License Laws of the State of California. Permit Fee $ 26A10 $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. 'have placed on file with the County of Butte a certificate of ❑ Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 a'1l a ve b TOTAL PERMIT FEE L authors r presentatives of the County of Butte to enter upon the abov me tioned property for inspection purposes. ✓x ae V. .ff//P��err''itee o ge a♦n Receipt No. /c�7r White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable pro vis ons of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. O DIRECTOR RUBLIC WORKS BY Date Z ' 2-$ - 7 7 Z. Bui ding permit expires Date -v'" �� MOBILEHOME SUPPORT DATA Mobilehbme Mfr. ZAM co 69— ! Setup Model No. Year/��i� Width /fj (ft.) Length Q5_0 . (ft.) Ekpando Size ft.x ` ft. (Draw support details below), On all mobilehomes manufactured after October. 7,, 1973, furnish manufacturer's installation manual and structural setup sheets (if not.on .file with the County of Butte). J. . . 1 Center enter Support Support Footing Sizes Locations (in.) . r _ X in. , f,07 3.n x inJ - Sin le - _ � l *If center piers re other than drawn above, draw in'location ,.spacing, and dimensions. Footings (check -one) -1. Wood.. either . pressure treated or fdn. grade. 2. Concrete pad. 3. Other,: specify Supports (check one) VLA. Concrete block 2. Concrete piers 3. Steel piers 4. Other, specify �zl _ )Typical Support Xx 3f! )))Footing Size _.___ x. Pier Spacing toy" in. ' Max. , • - d—) Overhang BUTTE COUNTY BUILDING DEPARTMENT APPROVED BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: U 12_ 2. Installer's name: OGJAj(�� 3. Is the site currently under permit? Yes .-� No (If yes, furnish permit number ��% — �% ) OR Is the site an existing site? Yes / / No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes' No ( If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- �� Amps 6. What is the mobilehome site service rating? --------------------- ad O Amps 7. What is the mobilehome site circuit breaker rating? ------------- 10 d Amps 8. Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------- Yes / / No (If yes, identify the load and size: (Load) Amps) 9. What is the mobilehome site gas pipe size? --------------------- �c� (in.)` 10. What is the type of gas service? --------------------------- - Natural / / LPG -ZG,L 11.. What is the gas pipe length from meter or tank to the mobilehome? (ft.) 12. What is the mobilehome gas demand? ----------------------------- (BTU) (This information not{required if pipe length less tha4,6 ft. on n l,�gas or less than,=50 'ft! 4•oii LPG.) ,U 1 n .1; ° - �'e�'+f"'i.r"i7.+ti.'7sF'r�' :- - r'��ri-.' . .-"-`., �1P-•r^. �-.-r� v..�...wa. COUNTY OF BUTTE BUILDING DIVISION rt DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street, Chico, CA - (916) 891-2751 70 7 County Center Drive, Oroville, CA - (916) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please 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. JTtieil r— G o -r,� H /�� ; ti rL r e. cls •- - :5ey�icL i /t S �•✓ A- 3 4 7 /�D.y OT �'o- 4 /w/4 :.✓ /6 r -c4 G —4501.� Date S-%8 7 o Inspector REV 10/92 PDO07 COUNTY OF BUTTE PROPERTY SYSTEM ASSESSOR INQUIRY I 09/0/98 9:16.19.0 FEE PARCEL PARCEL: 058 670 001 000 STATUS° A 00/00/00 CREATED: 83R2843121 00/00/00 SEC TRA: 110003 KILLED: DESC: 3245 WILD TURKEY RUN ZONING: FRIO 00 ASSMT: 058 670 001 000 STATUS: A 00/00/00 CREATED: 83R*2843121 00/00/00 TRA: 110003 TAX CD: 000 BASE: 00/00 KILLED: CUR DOC: 94R 1930 05/23/94 DESC: 3245 WILD TURKEY RUN BONDS: BLANK:ENCHIP DAWN ETAL ROLL ASSESSES: N GABEHART H KENT RETAINED OWNER: Y n 345 WILD TURKEY RUN ACRES: t�,C)i_)nj OROVILLE CA 95365 ET AL OWNERS: Y SUPL CNT: COMMENT: 5867000100 CONVERTED 09/08/88 SITUS: 3245 WILD TURKEY RUN ORO F8=ASMT SUMMARY OPTION: NXT OWN PCL SIT EXP TAX PRE RET SC's ATT HON APR MEN HLP PHY PBU501 COUNTY OF BUTTE 09/02/'38 PROPERTY SYSTEM 9:16:43,' PHYSICAL CHARACTERISTICS INQUIRY ASSMT: 058 670 001 000. OWNER: BLANK:ENCHIP DAWN ETAL SITUS: 3245 WILD TURKEY RUN COMMENT: 5867000100 CONVERTED .03/08/88 CODE AREA: 110003 USE CODE: RN DWELLING: 0001 ACRES: 0.00 ZONING CONFORMITY: EFFECTIVE YR: USE CONFORMITY: YEAR BUILT: 00 'BUILDING CLASS: MH SQUARE FOOTAGE: 0 NUMBER OF BEDROOMS: 0 G NUMBER OF BATHS: 0.0 LAND TYPE: GARAGE: N POOL: N FIREPLACE: HEATING: COOLING: PA1 = NEXT PA's = PREVIOUS PF7 = RETURN r �•'tP6RMIT NO. 5007-79MHI(existing site) '. PERMIT EXPIRES OWNER JOYCE MONTGOMERY Lincoln Village MH ,CONTR. �► L CATION A.P, 41-03-118) 4N S Truex Rd, app 1 mi W of Hwy 70, Yankee Hill r i t J si 4 rt' �f Temp. Power Pole / !� Called PG&E f {' Elea Serv. JT Called PG&E?n, rs/, Temp. Gas Serv. Called PG&E JOB FINALED 7i (Date) (Sign ure) a COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS "BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor StemwaIl Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport p Footings Prov. for phsically handica ed Conformance of ex. structure Appliances Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Roucih Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent � Door Closer Final Final ` MOBILEHOME UTILITIES Elec. Service -lec. Pedestal Water Piping Sewer ing BI E OME INSTALLATI N - - - - - - - - - - - - - Support ec. Continuity Water Piping Drainage Z S Gas Piping , DATE REMARKS OR CORRECTIONS < i ) (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number Z'E -" 2` for the following location: -• Owner jl ��l1 vd►—n.• �.�1 Owner's Address Mobilehome Mfg. Model i`� y L% Year ' Insignia No. Serial No _ f It is hereby certified for occupancy at the above described location and may be occupied. Date Director of Public Works By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS -RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. a r� t MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located with r uired separation from lot lines and buildings and generally conform to plot plan? Yes o_ 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes No 3.. Are footings 'and supports properly sized, spaced, and braced as pe- approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes o_ 4. Is the mobilehome level?•(Sec. 5088) Yes • No_ 5. If m a than a single unit, are crossover connections properly installed? (Sec. 5088) Yes No 6. Water A. Is fle*ble connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes v No , B. Test - Does water piping withstand working pressure or 50 lbs, air test? Yes No C. Backflow - If coach is not alifornia approved, does station have backflow device and pressure -relief valve? Yes No 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yeso B. Does it have minimum 4" per foot slope and is it properly supported? YesZNo C. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe? Yes No_L_ D.1=f State of California approved, does station have required trap and vent? 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft, long? Note: All piping is to be at least as large as the mobil ome gas line inlet without reductions other than the mobilehome connector. Yes_ No B. Test OK as per following procedure? Yes No_ 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.:-maximum 8 oz.) calibrated in tenth pound -increments. Test for 10 min. without drop. 4.- Connect gas -meter to mobilehome with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes No 9. Electrical A. Is service large enough to provi adeqUate amperage -to mobilehome (must equal rating ofi mobilehome with a minimum of - amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes 41ZNo_ B. Is there proper clearances around panels? Yes /No C. Is power supply cord or feeder assembly properly fused? Yes P,/No D. Is continuity test satisfactory as per the following procedure? Yes No 1. De -energize electrical wiring system of the mobilehome at the edestal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and -appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. MOBnEHOME DATA Manufacturer and/or Namestyle _%2Z2 F Length Width Vehicle Serial No. State Identification No. Addit' 1 Information or Comments: 21 `� �, COUNTY OF^BUTT-E - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 TelQphone: 334-4541 APPLICATION AND PERMIT QUtIIUIILe IC ICSCn IGtIVCJ UI Ute 1-UUFILY UI DUlle to enter Upun Ine above men oned propert for inspection purposes. X ��`% Date Sign Are,of Peermmitee or Agent Receipt No. 29 ` O3 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR -OF PUBLIC WORKS By Date- Zi ate ilding permit expires Date . e pBUILDING Owner `t� Yr�®m fL SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor IJ WOW (A E &0&6 A01115 Mailing Address CcxN &.Vb- Fireplace Total Valuation OW V t� y cA ^!m5 Teleph=ne No. Permit Fee Building AddressPlan �!�- Checking Fee&/or Penalty Permit Fee OW Y %0_ PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 v Repair drainage or vent piping 1.50 A. P. No. I— (�3— � Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F s -S i on Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Pigas ParcelEach Declaration Parcel Map 60' R/W Improveme s additional outlet .30 Building sewer 5.00 Bldg. ons Rec'd Parceloval PI pproval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ • UTILITIES ❑ OTHER Permit Fee $ TXSAA_ MH ON CX t S N C Sl1'G ELECTRICAL No.1 @ FEE T r PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil'Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 100 AMP60ov OR LESS 25,00 Main service EA. ADD•L 100 AMP 1.00 NEW OR ADDNST % ACCLBLOGS.LING OCCUP, 4') 22sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business &Professions Code under the name St 6 of: % %,wif� NEW RESID,CONST% BRAN/MULTCH CII T NON -REBID `BRANCH CIRCUITS) 12.50ea NEW CONSTR (POWER APPARATUS 9 NON-RESID. SINGLE OUTLET CIR. EX. OCcur)�OUTLETS OR FIXTIIRES 50@ BAR M Ex. Occup. FIXED APPLES. OR LETS (RESID) EA) y cervi Temporary service 10.00 0.00 Mobile Home Facilities 15.00 / p License No, IQ O�` Classification—C-6-7 Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. . 1`have placed on file with the County of Butte a certificate of � Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner loo so :as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby ee �T $-� TOTAL PERMIT FEE $ �0( QUtIIUIILe IC ICSCn IGtIVCJ UI Ute 1-UUFILY UI DUlle to enter Upun Ine above men oned propert for inspection purposes. X ��`% Date Sign Are,of Peermmitee or Agent Receipt No. 29 ` O3 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR -OF PUBLIC WORKS By Date- Zi ate ilding permit expires Date Illy 4r ficationS r 1 is set of plans and speci uis uZ at .all times and lif t on the job changes or alterations on same Wi.. ake any c6anc - wrii*en permissionf fro -the Departme nt o m --iii: WQAS County,of Buttest. All utility connections shall �e located within 4 ft. outside the rear 'third section of the mobile home on the left (road) side of the mobile home. Th&Jbk* Setback shall be 5 ft, from tUe' side property line and 50 ft. ffom fim centerline of fhe road, permitting a M {num of a 2 ft. save overhang but out of cdl easements. D Bu I P_ COU NTI !SUI ING DEPARTMO41 !UI LOOP- 4F mompow I e BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET s "(This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) •.r -name service? ------------------------------------------- -------- Yes / / No 17 1. Owner' s : (If yes, identify the load and size: (Load) (Amps) 9. 2. r NC'�L�� 1//� �//%�► L`,a�s (in.) 10. What Installer's name: type of gas service? ----------------------------- Natural / / LPG • 11. What is the gas pipe length from meter or tank to 3. Is the site currently under permit? Yes / / No (If yes, furnish permit number :What ) OR mobilehome gas demand? ------------------------------ (BTU) Is the site an existing site? Yes / T No " (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes No '(If no, clarify ) 5. What is the mobilehome electrical rating? -------------,---------- i7 A. 6. What is the mobilehome site service rating? --=------------------ Amps 7. What is the mobilehome site circuit breaker, rating? ------------- Amps 8. Is there any other electric load to be served by the mobilehome "(This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) •.r site service? ------------------------------------------- -------- Yes / / No 17 (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome "site gas pipe size? ---------------------- (in.) 10. What is the type of gas service? ----------------------------- Natural / / LPG • 11. What is the gas pipe length from meter or tank to the mobilehome? - (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.) •.r MOBILEHOME SUPPORT DATA If other than single wide m Mobilehome Mfr. �I U C) furnish Setup Model No.Year Y F Width(ft.) Box Lengt(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. Footings (check one) Single 1. Wood either pressure treated or foundation grade. x (ft. (in:) (in.) (i ) 2. Other (specify) Center s_pport Center pport locati s* footin, sizes Supports (check one) (in )i 1: Concrete block. 2. Other ( specify) i 4 ---Tagalong or Expando, show support details. (ft.)(in.) (in.) (in.) -- Typical Support (in.) (in.) Footing Size X• (ft.) n.) (in. (in.) -- Max. Pier Spacing t.) (in.) x -- Max. Overhang ( t.)I (in.) (in.) (in.) (ft.)(in.) 81.Mr= d t COUN-1 fUILDING DEPARTMER' 0 APPROVED *If center piers are other than drawn above, draw in. -locations, spacing, and dimensions. A' PRE -INSPECTION REPORT OWNER: JIM s►^4oa-DATE: 04 LOCATION: 3345 V�l ,o+� �y ��-'�/ , �� A.P. # CONTRACTOR: ZONING: REASON FOR PRE -INSPECTION Gx M H Ex S i -re ?Ea" F1,40-rKI DATE TO INSPECTOR: PERmrr HISTORY ( ) NONE (,,KEE ATTACHED BUILDING INSPECTOR'S REPORT Building Description: Commercial/Usage: _ Residential # of Units: Currently Occupied (Yes ' . (.) No Abandoned/Vacant: Electric: Mobile home # of Units: 0^L', Electric Currently • OOn ( ) Off ' Condition of Electric riDd Gas: Currently O On ( ) Off ConditionO� Sanitation: l Plumbing Working )Yes ( ) No I. Obvious Sewage Problems ( ) Yes (*,o ACTION RECOMMENDED: ISSUE (Yes O No °r Hold for permits or verify: f Inspector: Date: tde • j- Joyce Montgomery n/s Truex Rd. app. 1 mil. W. of Hwy. 70 Yankee Hill !', �+� /�; Permit 721-77 P, E (ut il./MH) 7e ��/ ELEC . C fig ► s" as "o `- GAS77 SUPPO T STRUC.__ COMPACTION TEST_ i Perm 41-03-118 it ��722-77MHI.. Issued�J�,_�� Contr: 41-03-118 Lincoln, Village Permit #5007- 9MHr(exisEin roville F Issued e) � ff Yl� 41-03-118 �! a Permit' ��7 77- 79P,E ELEC. (uti1�MH) • GAS = SUPPORT STRUCTURE RE Q. � COMPACTION TEST REQ, i — 4� - 41 Contr:-03-118 Johnson's MU Ser —Mlt- k5S1_ Sacto Issued 80 ; y� I " 058-670-001 0 RE 2 SI OR, JIM )Cp� 7 03 . 3245 WILD TURKEY RUN, ORO� RECONNECT ELECTRIC 058-670-001 SrNOR, JIM 03-2850 2 D5 WILD RUN DECKS (AS BUILT)' OR OVIL-L"E'� INALE 3A0 I I, , i I w, J 5 P SITE PLAN T ............ .............. I ..... ...... 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Assessor's Parcel Number: ® ® — a [E °' ® ® ©Scale: V= "gv= ,q'-- Owner Name j e t S i .6rg- 4- K i A��pr4 .4; aAddress/ Phone No. 3�4,5 e-a;;Lai Site Location s ��� ; "o -ro—j EA k'� a � , � S'A�� �� Contact: Name ^4g K ri��,,rnil 5 fl —c—A Phone m 17:3 1 — 13 C) Odcbw M, =3 FOR OFFICE USE ONLY Zoning: General Plan Desig: Size, Acres a.0(r PROVIDE FOR ALL ADJACENT PARCELS SIZE (AC): ZONING: ' GEN PLAN: USES: oROV'Lj'E �I 17 LAKE 1'7 1 C_ -32 20 21 4 =/ 41 i♦ 114 G 0 21 10.000. 10.85 001 CTATE 01VISION ,t Pm82-9 HIW4 YS 6 3F RS 7 -25 -Assessors ,Vop No. 58-67 CcJnty of Butte, Col' August, 198! ALM , - a 11 11 Uounty of Butte,'Olif Al Morch, 1985 OIL 0-8 1986