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HomeMy WebLinkAbout061-600-008� , ^ _~ ^ � agon Creek C)p 1 Way, Bloomer mn., Berry Creek ffWheel W Permit #3172-78P.E(ut*l GAS SUPPORT STRUCTURE REQ. --.A 0 COMPACTION TEST REQ-�� Issue NEW OWNER _Issued � Contr: Executive Homes.,� 61-60-08 BURCH, Douglas 676 61-60-08 -08 91E '. de, Berry Creek 1151'Encina Gran " � 061'600-008 oo'vvov )1 l YlLL2 Cont: SIERRA ^« | h�8lPGK�iFND(na��. U - ar.w' �r M.. �I \t � q �I � �� •Ax _ � 01/09/2006 04:47 5305349789 COLD•JELL BANKER LAKE PAGE 01 STATE OF CALIFORNIA - ,PARTME'NT OF HOUSING AND. ')MMUNITX DEVELOPMENT - REGISTRATION CARR-_� •�� Manufactured Home Decal No: LAR9225 Menutatturer IDlNamo Trade Name I Model i DOM I DFS i RY exp. Date I 09534 FLEETWOOD HM SANOPOINTE ' 2582K 12'18!1990 , 0111111991 Serial Number Label/lnslgnla Number i Weight Length I Wldtit SPC SCC Exempt c Use Type I GAFLL17A12511SP RAD670540 18,200 58' I, 14' 04 SFD Lf'T Issued j Total Fees Paid I Jul 10, 2001 I $124.00 Addressee PAUL SEKULE n © ® 17050 MOUNTAIN VIEW OR aaa.'e n APPLEGATE, CA 95703 3 �� G� D TY D>r�ti~ Registered Owner(s) PAUL SEKULE 17050 MOUNTAIN VIEW DR APPLEGATE, CA 95703 Situs Address 1151 ENCINA GRANDE RD OROVILLE, CA 96966 IMPORTANT THE OWNER INFORMATION SHOWN ABOVE MAY NOT REFLECT ALL LIENS RECORDED WITH THE DEPARTMENT OF HOUS114G AND COMMUNITY DEVi±LOPMENT AGAINST THE .DESCRIBED UNIT. THE CURRENT TITLE STATUS OF THE UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT. DTN: 11180743 01102001- 372 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION 9: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE M (536) 538-7541 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. �/ O License Class : _ License Number. 17 39C Date: ff 0 S Contractor. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or. county which requires a permit to construct, alter, improve,demolish, or -repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves. thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of. sale.). PERMIT NO. BP060060 Issued Date: 01/12/2006 APN: 061-600-008-000 Site Address: 1151 ENCINA GRANDE RD BCK Map Index: Description: EX MH ON PERM FND Owner: SEKULE PAUL 17050 MOUNTAIN VIEW DR APPLEGATE, CA 95703 Applicant: SIERRA MOBILE SERVICE BILL REID 466 CIRCLE DRIVE OROVILLE, CA 95966 530-534-0599 ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: SIERRA MOBILE SERVICE not apply to an owner of property who builds or Improves thereon, BILL REID and who contracts for such projects with a contractor(s) licensed 466 CIRCLE DRIVE pursuant to the Contractors' .State License Law.).. OROVILLE, CA 95966 ❑ 1 am Exempt under Article 3 of the Business and Professions Code 530-534-0599 Date: Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -Insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 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: S iA O Policy 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 the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section .3706 of the Labor code, interest, and attorney's fees. License #: 470386 Architect: Engineer: Total Square Ft: 0 S. F. Valuation: $0.00 Census Code: CONSTRUCTION LENDING AGENCY This pe It Is hereby Issued and a applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resol tions t o work in�icate ab ve for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Name: BY Date: Address: PERMIT EXPIRES ON: ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code Is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the. above mentioned property for inspection purposes. Print Name: �F Signature: �� IQ.. Date: t 0 Owner 0--C—or tractor ❑ Agent for Owner ❑ Agent for Contractor Last Name �rK�1.E Address City 01fou t►.i^E Phone E-mail BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION **PLEASE PRINT CLEARLY** OWNER First Name G"N DE je0,40 Stale 01 Zil Fax >` y's5�G6 Name CONTRACTOR c Address 7777 City-,� State Zi p ?s -fee eE Phone Shy �S9 9 Fax E-mail Name Address City Phone E-mail Name Address City Phone E-mail y1TECT/ENGINEER State �Zlp Fax State LlCens, Niimher APPLICANT NAME zP y6E� State � S3 q OS -d E Fax APPLICANT SIGNATURE Zp f S%e'r X I For office use only: Zoning Flood ZoneSRA Yes - No Occ. �Typeonst. Subdivision Name Map Book I Page Lot # Planner Dale Approved: OVER FOR S-LIgMITTAI F �rn 111Rf`nn��t� c PERMIT NO. BP 0001,00 BIN # LOCATION AP# 06 / foo o�ob Property Address City (/S� ENcrNA C��wDt kp Oei&4 Cross Slreet 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 pennitissuance, LENDING AGENCY Address Description or Scope of Work: 5q. Footage O Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a pemut 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 required. 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 bl Amount D a' Bldg SRA Receipt #: 1 `112 tJ Sheriff SMTP Date: f )/ �j� Other RECORDING REQUESTED BY: When Recorded Mail Document and Tax Statement To: Paul S. Sekule P.O. Box 164 Berry Creek, Ca. 95916 APN: 061-600-008 GRANT DEED E GD Q4--QaQD64428 Recorded Official Records CoBUTyyty TE f CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 11:17AM 20 -Oct -2004 REC FEE 7.00 Alyce Page 1 of 1 SPACE ABOVE THIS LINE FOR RECORDER'S USE The undersigned grantor(s) declare(s) Documentary transfer tax is $ <� l FT [ A ] computed on full value of property core" yed, ror [ ] computed on full valueless value of liens or encumbrances remaining at time of sale, [ X ] Unincorporated Area City of FORA VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Paul Sekule, a married man as his sole and seperate property hereby GRANT(S) to Paul S. Sekule, a single man the following described real property in the County of Butte, State of California: Lot 31, as shown on that certain Map entitled, "Feather River Estates Subdivision Unit No. V. filed in the office of the County Recorders of Butte County, California, on January 15, 1970, in Book 35, of Maps, at Pages 62,63 and 64 DATED: October 20, 2004 STATE OF CALIFORNIA COUNTY OF Butte ON October 20, 2004 before me, the undersigned Notary Public personally appeared Paul Sekule 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 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 person(s) acted, executed the instrument. . Witness my h d and official seal. Signature A. TERRI A. FIW7!4N Commisslon 01442021n • Not Butte cPubfic-calounty My Comm. Exp. Wt.24, 2007 10 MAIL TAX STATEMENTS AS DIRECTED ABOVE FD -213 (Rev 7/96) GRANT DEED (grant)(09-04) :�1�� r.�p �.r.:r,: i-. �'' :t .`� tp ! � .. ;t �' j '• ,�, Cil/ 111 zurio 1L: U/ 'Jib-.714-b15b WESTLAND PAGE 01 M2 Foundation System Installations Instructions for- California for Ground & Concrete Systems HUD Wind Zone la 15 PSF Wind Load Seismic 4 By Tie Down Engineering XT Concrete Syslem Engineer Approval n+u i$i some soux"?ww MISIM M&MAM SAMY CODS ffCi M SIM . A1�i�oovsD wrsnct Yocou+�ecnwo t�o�ae A#PMWA1L0=sor r=*%A"j0vfP" d hams OR of alsw room fEQtAII6lI&M OF AFRADAKS UAt81,A" AM AVOWAMM flet of CWMb<W ar"d 4twon ft eA om==* Dadopme - C- **"tl -e-0 i St ay) Page 1 of 8 BUTTE COUNTY BUILDING DIVISION APPROVED •y i t � s + # Y F 1 1f �y 131. - . Y. • wa_ .. y • .{ • 1 534' �rry� t ./t• �. •'R ' i its • iry �•�'�- 3" yrj��• t .r • - R':r�v a �y � E 0617600-008 �t tt rt 06-0060 �urrE• naEa N ®TES ; ,SEKUL.E, PAUL,,, 'n.(7,*.I I 1151 ENCINA. GRANDE RD; OROVI.LI E .�o�N�y t Cont:-SILRRA MOBILE SERV MJH P ERM FND (EX)_ \ T3 s • f� � �� r t :� i n APN: Owner, Site Address: Contractor. Type of Permit: _ Permit No. CONDIT! CHECKED BY SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE DATE JOB FINALED: ^ ;J— ®6 SIGNATURE: �I = OK 0=Not RESIDENTIAL (Single. & Duplex) DATE UNDERFLOOR I DATE rPLUMBING 1 Zoning -Setbacks -Easements -Flood -Slope 2 Ftg Main; Soils-Elec Grnd Ftg Dpth 3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Dpth. 4 Ftg Porches/Decks; Soils -Steel Ftg Dpth ` 5 Stemwalls Main; Steel-Blockouts-Wrapped 6 Stemwalls Garage; Steel-Blockouts-Wrapped 6a Hold Downs and Special Anchrs 7 Slab, Steel Wrapped 8 Piers-Frplc Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test 1.1 Wtr Pipe; Test-Anchrs-RgltrService Test 12 Elec Undrgrnd 13 Plenums & Ducts; Clrnc-MaterialSupport-Insultn _ 14 Girders-Sills-Anchr Bolts Joists-Vnts-Cripples 15 Acc & Vntltn 16 Insulation mac` c` DATE IFRAMING 17 Sills Proper Materials & Anchrs 18 Walls Studs -Nailing Spacing & Braces -Plates -Sound 19 Bearing Walls over Girders & fir Nailing 20 Draft Stop in Walls (rat proof) 21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 22 Headers & Beams-Sz & Bearing 23 Hangers -Post Caps-Anchrs-Cnnctns 24 Ceiling Joist-Rftr Ties -Purl in -Roof Brac-TrussShthg 25 Frplc Ties or Type A Flue-Frplc Throat Clmc 26 Attic Acc; Sz & Rmx Prtctn-Draft Stop4ns Baffles 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 28 Garage Fire Prtctn Framing -RC Channel 29 Prprty Line Firewall & Opngs 30 Ext Doors -One T -Check Garage 3rd Story, 2 Exits 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 33 Siding -Nailing Veneer 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Acc 35 Glazing Area -Glass P rtctn -SkyLts -Plastic 36 Shear Walls; Nailing -Bolts 37 Brace Int/Ext Wall pnls 38 Insulin -Walls -Ceilings 39 1 nfi l trati on -Walls -W ndws DATE JELECTRICAL f __ 40 Fxtr & Trnsfrmr CImc4ns Prtctn 41 Elec Rcptcls Spacing-Lts & Switches at Doors 42 Sz Boxes & No Of Cndctrs Stapled 43 Romex Installed Close to Edge of Studs & CJ 44 Eqp Grnd made up w/Mech Fstnrs 45 Grndng Electrode Bond Gas & Wtr 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI 47 Subfeed Wire Sz ga ❑ CU or E:1 AL AC Wire Sz ga ❑CU or ❑AL 48 Range Circ ga ❑ CU or ❑ AL Oven Circ ga ❑ CU or ❑AL Insulated Neutral E] Yes ❑No 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Clrncs pnls-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector s e 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 54 Wtr Pipe; Test & Anchr-Nail Prtctn 55 DWV; Test Fittings & Anchr Nail Prtctn 56 Shwr Pan; Test, First flr-Tub Acc 57 Test Tub & Shwr, 2nd fir - Tub. Acc 58 Gas Pipe; Sz & Anchrs 59 Fire Sprinkler; Test 60 Yard Gas Piping UAIt IMECHANICAL 61 AC Ducts Insultn & Support 62 Vent Fan, Exhaust abv Insultn 63 Condensate Drain & Ovrflw, Sz & Grade 64 Furnace -Vent Acc-Comb Air RtrnNent 115 Outlet 65 Attic Acc & Pltfrm if Furnace in attic c FINAL 66 Ext Steps -Door & SideLt Prtctn-Landings 67 Smoke Detector 68 Furnace Vnts-Clrnc-Comb, Air-Cnnctr In Garage; abv-flr-Ducts-Mech Prtctn 69 Bedroom Exiting 70 GFI & Bath Fxtrs & Tub Acc-Spa 71 GFI Arc Fault 72 Elec Trim & Subpnl, Breaker Szs & Labels 73 Stairs, Guard/Handrails 74 Frplc or Stove, Clrnc-Hearth 75 Elec Outlets at Wood Pnl, Int & Ext 76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Clrnc 77 Elec Outlets & Rcptcls at Ktchn Counter 78 Garage Fire Door; Swing -Landing -Closure 79 AC Duct in Garage -Damper 80 Wtr Htr; Vnts-Clmc-Com Air Cnnctr-PRV; abv flr Mech Prtctn; LPG Appince Undr House 3" drain 81 Plmb; Elec & Mech Eqp Listed for Loctn 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 83 Insultn-Foam-Looked in Attic 84 Guard Rails & Deck Cnstrctn-Post Caps 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Clrnc Drnge Planters ❑Yes ❑No 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Plmb .89 Vnts abv Roof, Plmb-Appinc-Frplc-Clrnc to Opngs 90 Wtr Well, Dscnnct, Elec, Plmb 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd 92 Vntitn thru House 93 Glass Prtctn .94 Corrections from previous Inspctns 95 Gas Test -Meters Tagged, Gas-Elec 96 Wtr & Sewer Cnnctd-CIO to grade -HD Apprvl 97 Energy Cmpinc Cert -Other Certs 98 Address Posted 99 Fire Sprinkler OK NM nK MANUFACTURED HOMES MISCELLANEOUS DATE PERMANENT FOUNDATION SOFT -SET DATE ID E C K S -C 0 V E R S -C A R P 0 R T S 'G A R A:G E S I Zoning -Setbacks -Easements 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 2 Ftgs; S oils -Sz-Opth-S pacing-Cnnctrs -Steel 3 Sewer; Loctn-Test; FalUC/0-Concrete .3 Decks, Girders/Joists-Dcking-Brcing 4 Wtr; Loctn-Test-Easement Needed -Regulator Stairs-Guard/Handrails 5 Elec Loctn-Clrncs-Grnd Amp -Concrete 4 Wood Awn; Posts -Beams -Rftrs -Cnn ctrs -S hthg 6 Yard Gas; Loctn-Test-Wrap Nat ❑ or LPED Frmg-Brcng Inch Sz Ft Lngth 5 Alum Awn; Columns-Cnnctns-Splice-Decal-Enc'lsrs 7 Blckng; Sz-Spacing-Marriage Line 6 Carports; Wndws-Doors 8 Gas; MH Test-Demand-Valve-Cnnctr 7 Electric 9 Elec MH Cntnty Test-Crossovers-Breakers-Clrncs 8 Frmg; Si I Is-Anchrs -Stu ds-Rftrs -Trusses 10 Drain; MH Test -Fall -Flex Cnnctr 9 Siding; Nailing -Veneer -Stucco -Lath 11 Wtr & Sewer Connected -C/O to Grade 10 Roof; Shthg-Roofing 12 Gas and Electricity Tagged 11 Ext; Steps -Doors -Landings 13 Tie Downs ❑ Foundation F-1 12 Braced Wall pnls 14 Exits 15 Cert of Occupancy 16 HUD Label/Insignia Numbers Serial Numbers DATE IPOOLS 1 Setbacks -Easements 2 Soils; CompactionStructure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance-GF1 opo 41 5 Elec Pool Lting; 15 volts-GFI 6 Elec EncIsrs; Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal w15'-CrcItng Eqp-Htr 8 Elec Grndng; Eqp w/5' CrcItng Eqp-Pool Ightg Bokes-En cis rs-pnI boards -I nsultn to Main Co. -dUit 9 Health Dept Apprvi 10 PImb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Encisr; Fencing -Alarms 13 Bonding, Diving board or Slide Pool Drawing RECORDING RE -QUESTED BY: AND NVREN RECORDL'D \SAIL TO: BUTTE COUNTI' 13LJ[l_DI.NG DIVISION 7 COUNTY CENTER DRIVE- OROVILLE CA 95965 COPY of Document Recorded 26 -Jan -2006 2006-0004193 Has not been compared with original BUTTE COUNTY COUNTY RECORDER. SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (NIOBILEROME) OR COMMERCIAL COACH., INSTALLATION ON A FOUNDATION SYSTEM. Recording of this docwnent a.t the request of the local agency indicated is in accordance with California Health. and Safety Code Section 1.8551. This docunnen.t 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. PAULSEKULE REAL PROPERTY OW, IERLESSOR 17050 MOUNTAIN VIEW DRIVE MAILING ADDRESS APPLEGATE PLACER CA 95703 CITY COIINT\' STATE ZIP 1151 ENCINA GRANDE ROAD INST:\LL:\TION \I:\II.I\•G ADDRESS. IF DIFFERENT BERRY CREEK BUTTE CA 95917 CITY COUNTY STATE ZIP SAME 1'\'IT 0\V\'1'R (if ulSu poix,I awnci. wr4c "SAM1i"1 SAME MAILING ADDRESS SAME 01'), COU.\'I')' STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRL•SS OROVILLE .BUTTE CA 95965 CITY - COUNTY STATE ZIP 06-0060 530 538-7541 BUILDING4 T 'A '� TELEPHONE NUMBER SIGNATURE OF LOCAL AGENCY OFFICIAL DATE NONE DEALER NAME (ifnoi adealer sale. write "NONE") NONE DEALER LICENSE= NO FLEETWOOD 1990 2526K MANI FACT(: RER'S NAME DATE OF MANUFACTURE MODEL N.AM6'NUMBER CAFLL17A1251.1 SP 56 X 14 RAD576540 SERIN.. NUMBERS) LENGTH N WIDTH INSIGNIA/LABEL NUMBERS) R[,>I JI'R0 11 E L.r\_LE.QALPESCRIPTION� SEE ATTACHED ASSESSOR'S PARCEL NU?,-IBER 061-600-008 ,iNG REQUESTED BY: ,.,hen Recorded Mail Document and Tax Statement To: Paul S. Sekule P.O. Box 164 Berry Creek, Ca. 95916 Recorded OfficialRecords Count BUTTf E CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 11:17AM 20 -Oct -2004 REC FEE 7.00 Alyce Page 1 of 1 APN: 061-600-005 SPACE ABOVE THIS LINE FOR RECORDER'S USE GRANT DEED The undersigned grantor(s) declare(s) Documentary transfer tax is $ 6 l FT [ X ] computed on full value of property conveye , 'r [ ] computed on full valueless value of liens or encumbrances remaining at time of sale, [ X ] Unincorporated Area City of FORA VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Paul Sekule, a married man as his sole and seperate property hereby GRANT(S) to Paul S. Sekule, a single man the -following described real property in the County of Butte, State of California: Lot 31, as shown on that certain Map entitled, "Feather River Estates Subdivision Unit No. 1". filed in the office of the County Recorders of Butte County, California, on January 15, 1970, in Book 35, of Maps, at Pages 62,63 and 64 DATED: October 20, 2004 STATE OF CALIFORNIA COUNTY OF Butte ON October 20, 2004 before me, the undersigned Notary Public personally appeared Paul Sekule 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 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 person(s) acted, executed the instrument. Witness my h d and official seal. Signature , TERRI "A. RUS"pp CommlSsion #t44202tv Notary Pubtle -California -V Butte County My Comm. Exp, .Z4, 2007 MAIL TAX STATEMENTS AS DIRECTED ABOVE FD -213 (Rev 7/96) GRANT DEED (grant)(09-04) RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 2006-0004193 Recorded I REC FEE 10.00 Official Records 1 County of I CONFORMED COPY 1.00 But I CUACE I GRUBBS I County Clerk—Recorderl I I BW 03:51911 26—Jan—M I Page 1 of 2 IIII�IIII��III'IIII"III�III'III'I SPACE A13OVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED .HOME (MOB.I.LEHOME) OR COAII[MERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Flealth. 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. PAUL SEKULE BUTTE COUNTY BUILDING DIVISION REAL PROPERTY O%VNER/LESSOR LOCAL AGENCY ISSUING PERMIT mid CERTIFICATED[: OCCUPANCY 17050 MOUNTAIN VIEW DRIVE 7 COUNTY CENTER DRIVE MAILING ADDRESS MAILING ADDRESS APPLEGATE PLACER CA 95703 OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP CITY COUNTY STATE ZIP 1151 ENCINA GRANDE ROAD 06-0060 530 538-7541 INSTALLA'TIONMAILING ADDRESS. IF DIFFERENT 13UILDINGT• A. 'TELEPIIONE NUMBER BERRY CREEK BUTTE CA 95917 /'— Z6 --O CITY COUNTY STATE ZIP SIGNATURE OF LOCAL AGENCY OFFICIAL DATE SAME NONE UNIT OWNER (iralso propeny owner, write "SA N•IE") DEALER NAME (irnot a dealer sale, write "NONE") SAME NONE MAILING ADDRESS DEALER LICENSE" NO. SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION FLEETWOOD 1.990 2526K MANUPAC'I'URf;R'S \Ai\1F DATE OF MANUFACTURE MODEL NAME/NUMBER. CAFLL17A1251.1SP 56 x 14 RAQ576540 SERIALNUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DE=SCRIP'T'ION SEE ATTACHED . ASSESSOR'S PARCEL NUMBER 061-600-008 I-IC'D FORM 433(A) REV. 8/91 WHITF - County Recorder CANARY - IICD PINK -Applicant GOLDENROD- Building Dept. skus �� i to vt=j i�rofrao�-si�tfa r��raJ i ,tNG REQUESTED BY. ,.,hen Recorded Mail Document and Tax Statement To: Paul S. Sekule P.O. Box 164 Berry Creek, Ca. 95916 APN: 061-600-008 GRANT DEED I I R 111111111lt ! tl! t t!!l111 ! tl! tN 290 04—QaGD64428 Recorded I REC FEE 7.00 Official Records 1. CoBUTTEf CANBACE J. GRUBBS i Recorder i ROSEMARY DICKSON I Assistant I Alyce 11:17AM 20 -Oct -2004 I Page 1 of 1 SPACE ABOVE THIS LINE FOR RECORDER'S USE The undersigned grantor(s) declare(s) Documentary transfer tax is $ 6 l FT [ X ] computed on full value of property cone" yeQ, `or [ ] computed on full valueless value of liens or encumbrances remaining at time of sale, [ X ] Unincorporated Area City of FORA VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Paul Sekule, a married man as his sole and seperate property hereby GRANT(S) to Paul S. Sekule, a single man the following described real property in the County of Butte, State of California: Lot 31, as shown on that certain Map entitled, "Feather River Estates Subdivision Unit No. 1". filed in the office of the County Recorders of Butte County, California, on January 15, 1970, in Book 35, of Maps, at Pages 62,63 and 64 DATED: October 20, 2004 STATE OF CALIFORNIA COUNTY OF Butte ON October 20, 2004 before me, _the undersigned Notary Public personally appeared Paul Sekule 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 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 person(s) acted, executed the instrument. Witness my h d and official seal Signature TERRI A. RWTIIJV r Commission 01442621 0Not Notary rr "a My Comm. Exp. aC'fti24, 2007 MAIL TAX STATEMENTS AS DIRECTED ABOVE FD -213 (Rev 7/96) GRANT DEED (grant)(09-04) FOUNDATION SYSTEM CERTIFICATE OF OCCUPANCY BUILDING PERMITS NUMBER: 06-0060 Address or location of unit: 1151 ENCINA GRANDE ROAD, BERRY CREEK Legal Description of Real Property: 061-600-008 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: PAUL SEKULE Owner's address: 17050 MOUNTAIN VIEW DRIVE, APPLEGATE INSIGNIA OR HUD NUMBER: RAD576540 SERIAL NUMBER OR V.I.N.: CAFLL17A12511SP MANUFACTURER'S NAME: FLEETWOOD YEAR: 1990 OFFICIAL APPROVING INSTALLATION: DATE: PHONE: (530) 538-7541 f H.C.D. 513C RESIDENTIAL • -•`" `�61-60-08 4238-90MHI BURCH, Douglas 1151 & Encina Grande, Oroville Contr: Executive Homes (installation/MH) I, t JOB FINALE Signature J=OK •O = Not OK f - = Not Applicable Not Ready RESIDENTIAL (S = Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg.-Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; -Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts=Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped --8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. -14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15.. Insulation Date Card B-1 Date Card B-1 Date - -Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 16. -Water Htr.; Vent -Access -Combustion Air -Baffle 17. • Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main. Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearinq ingle & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties -Pu rlin -roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions . 50. Garage Fire Protection Framing , 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B=1 Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. •70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps ; . 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes 0 No; Walks 0 Yes 0 No; Planters 0 Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B -1 - Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: (NOTE: An entry must be made each time you visit job site) J=bK O = Not OK =Not Applicable =Not Ready MOBILE HOMES � MISCELLANEOUS ' Date - MOBILE HOME UTILITIES Plans OK except #'s Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks entslop, 1. Zoning Requirements -Setbacks -Easements' 2. Soils; Special MH Supporttch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location -Test -F -C/ oncrete ' 3. Decks; Griders and/or Joists -Decking -Bracing, -Stairs -Rails 4. Water; Location - ment Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors 5. Electri ity; VW—Clearences-Grnd-/ /Amp -Concrete ' Shthg: Rig. -Bracing 6. 0a%- a' est -Wrap: / /"L' -ft.' 7 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures or/ /"Elft./ /"LPG Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION Plans OK except #'s. 1 ing Requirements -Setbacks Easements Footings; Size -Spacing -Marriage Line Gas; MH Test-Demand-Valve—Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances rMH Test -Fall -Flex Connector W r;.MH Test -Regulator -Connector --water and Sewer Connected -C/O to Grade -HD Approval of Date / /d Card B-1 Date Card B-1 Dat Card B-1 Date Card B-1 LS/'( SZ P z,54—l� i C�FLI f 7A/' J I o 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Pane Iboards- Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 A c� COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541- 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE R 2 PERMIT 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. ki Date/D Inspector.— r MOBILEHOME INSTALLATION ACCEPTANCE �`- COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE t OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 .r PERMIT NO.�%2 Address or location of mobilehome M,5,1 E-tiC", C-- - /r� Owner's name Owner's address /- fl, 4-'> C Insignia or hud number 2310D Manufacturer's name �t'C Serial number of V.f.N�./��rtLL � %Z� 115 -P_ Year of mariufacture — cial_A proving Installation) --� ,('Date IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 513B µWhite - Owner, Yellow - Installer, Pink - D.P.W. 61 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville,r Califorria 95965 - Telephone: 916/538-7541\ 1 j 1. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 6±-600-008 ZONING U I BUILDING P RMIT OWNER Douglas Burch TELEPHONE 893-3813 SO. FT. OCC. BUIL NG VALUATIO OWNER'S MAILING ADDRESS P.O. Box 1874, Chico, CA 95927 CONTRACTOR'S NAME Executive Homes TELEPH E 891—ej92 CONTRACTOR'S MAILING ADDRESS 3042 Esplanade Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER None LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDINGADDR SS 1151 Encina Grande Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehomeil Other ' SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Instal lationKX Other ❑ Describe work: existing site _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force annd[ effect. License No. / ;Z_2 Cs Classification �" T ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ orsa (Serthe owner, am exclusively contracting with licensed contract 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& OR ACDNS. ACC. BLDGS. , 2/2¢sgft NEW CONSTRESID, RANCH CIRCUITS) NO N.R ESID BRANCH CIRC ITS 2,50 ea (POWER APPARATUS &) SINGLE OUTLET CIR. ( EX. Occup\OUTLETS OR FIXTURES 9L@ 30 2AL@30 FIXED APPLNS. Ex. Occup. OUTLETS IIRESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. 19 I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilitie dgments costs, an expen hich may in any way accrue against u uence of t Ing of this permit. / „�� r �� X --� Dates Signature of pplicant ner❑ Contractor /Agent❑ An OSHA rmit is required for excavations over 5'0" deep and demolition or construct- ion of struc ures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 70.00 AL E HAZ CUA PARK PAR PD Ho Issue This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC BY P IT EXPIRES Date _ the applica le provi- resolutions to do have been paid. WORKS �z_z—>� Date ro iz— �' Receipt No. 34679 WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT IV COUNTY OF;:.BUTTE - DEPARTMENT OF,fPUBLIC WORKS -BUILDING DIVISION �. 7 COUNTY CENTER DRIVE-.OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET (� Permit No. OWNER O0 ? k' " A. P. E� s ,► V1 TLC. Proposed Building Use J Ing Inspector Date 9 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED ~� APPROVED 1. All items have been submitted . ........................ ......... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form . ............... ..................... . 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) r 9. Mobilehome installation data including manufacturer's installation instructions........................................................ 10. Fees of $ ...................... . 11. Chico Urban Area fees paid ....................................... 1 . P k fees pai ............................... .h. a Q. tom. . �rD School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-inspec. request to ' Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. . Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 4. Recorded copy of Agricultural Acknowledgment Statement ......... Letter of signature authorization ................................... 26. A� 27. When you issue the emit, o ess as follows: M•' to owner. Mail to contractor. Telephone d hold for pickup office. Deliver w. /inspector. Other Applican Date Copy of Haz-Mat form sent Health Dept. Fire Dept. --Air Pollution #," Date Copy of plans sent _Health Dept. Fire Dept. Other Date By. The following data must be submitte 1. Index.permit for above items No. 2'. Additional items required: / I for to,permit issuance: (Circle new item not checked above), Contractor, designer, owner, was advised of above required data by—phone _--nail—counter by .date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Date 12TH<—' .6Plans approved by a Date 17--(('96 Sets of plans on hold in File cab'inet;,;'' AP folder Copy—DPW TO Buildinv Department FROM: Environmental Health SUBJECT: Sanitation Clearance Lt6 LA S Cc IL CW Locati AP# Owner � ``7L/Lr wa a Disposal y Water Supply Plan Approved for: Se q p Hold final for: Water Supply Final clearance O.R. for: Clearance for bedroom mobile home. NOTE * Sanitarian v Other Water Supply Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 p - afl APPLICATION AND PERMIT PERMIT NO. ASS R PARCEL NUMBER ZONI BUILDING PERMIT OWNER TYLE -PHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACT R'S NAME TELEPHONE CONTRA C O 'S AILING D KESS if :c Z E Fireplace CONSTRUCTION LENDER I UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ / O Energy Plan Checking Fee $ ARCHITECT OR ENGIN 'S MAILING ADDR Ss Penalty $ BU-fL G ADD SS 41e Permit fee - $ ` PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome]V Other GG ---1 SPECIFY Gas piping system 1 - 5 outlets . 5.00 Building sewer 5.00 Mobile Home S G 0.00e TYPE OF WORK New ❑ Addition ❑ RemodelD Uti ities ❑ Installation l�4 Other C] Describe work: / ` EJE Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100VAMP OROR LE SLESS 10.00 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. � %�/4 Classification i�-.v`7 El 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I,a (Seo. owner, am exclusively contracting with licensed contract- ❑ 7044) I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.� OR ADONS. ( ACC. BLDGS. , vtsgft NEW CONSTR ULTI-OUTLET NON.RESID BRANCH CIRC IT$ 2.50 ea (POWER APPARATUS e' -SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES 20070_ ewt03FIXED APLNS.0 Ex. OCCUp. OUT LETS IPRESID.)REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte -Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee ; Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnity and keep ha ml ess the County of Butte against all liabilitie dgme S. costs, a e es which may. in any way accrue against s unt con equenc granting of this permit. X �— �'� Date 5ignoturs of pplicont Owner❑ Contractor Agent[] I .An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Ily 61, Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ HAZ CUA PARK SCHL fLD J.PAR PO HD ISSUE This permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC BY PERMIT c PIQPQ fete the applicable provi- resolutions to do have been paid. WORKS Date ' Receipt No. - •. .._. _._, -. CAT. NO. NNO0634 ` TO 1950 CA 01-84) (Witness—Individual) STATE OF CAU COUNTY OF t W 11 W I W J 6 m 6 e� J TICOR TITLE INSURANCE S F. On 'L U L / / —7-U before e, th ndersigned, a Notary Public in and ,for said State, personally appeared• personally known to me to be the person whose name is subscribed to the within Instrument, or proved to be such by the oath of a credible witness who is personally known to me, as being the subscribing Witness thereto, said subscribing Witness being by me duly sworn, deposes and sap: hat t9'iis witn r sides in and th t said wit ess wasp sen nd saw guu1eeeeBennnmmoeeeemeeueuuuuMe/0u11e U li OFFICIAL_ SEAL personally kn wn to said witness to be t e same person described in and whose name is subscribed to the within a t" o �: /dlEll9t!®A. DALEY. v and annexed Instrument as a art thereto, execute and m _ 'b ' �1�° "oTAer PUBLIC _ CAUFOaNw COUNTY OF BUTTe deliver the same, and that affiant subscribed his/her U C*171171- ExFeb. 22, 1991 0 name to the within Instrument as a Witness. �aeeeouueoBeeBaeoeeBeeueeseeeeoee oenaeoeuueuuie� 3, WITNESS my hand and official seal., -� u Signed �N® OF DOCUMENT (This area for official notarial seal) L) REC. REQ. by: Bidwell Title & Escrow • Return to DPW AGRICULTURAL STATEMENT OF ACUOWLEDGEMNT ` L FOR RESIDFITTIAL DEVELOPMENT Section 26-8.1 of the Butte.,County Code requires this acknowledgemenbe recorded - --- --- — .- _ _ _ ...prior.. to. -issuance _of ..a.-:buil.d.ing:.permi-t. --.- -.• a _' _ . . .1 The property described herein is adjacent 90-053814 ; Rec Fee 5.00 to . land or included within an area zoned ; Recorded ; Check 5.00 for agricultural purposes, and residents Official Records .; of this property may be subject to incon- County of veniences or discomfort arising from the ; Butte use of agricultural chemicals, including, Candace J. Grubbs ; but not limited to herbicides, pesticides, -Recorder and fertilizers; and from the pursuit 8:00am 18 -Dec -90 , of agricultural operations including, \_ ^ _ CD 1 but not limited to cultivation, plowing, - _ - spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or -discomfort from normal, necessary farm operations. All that .real property situate in the County of Butte, State of California, described as follows: Lot 31, as shown on that certain MaD entitled, "EF....AT�!_F.? P_ITY7, RST42713-- SUBT)IVISION UNIT N0. 1"; which'inan was filed' in the office of the P.recorder of the Cotmty of Butte, State of California, January 15, 1970 in Book 35 of MAT)s , at oaRes' 62, 63 , and 64. AP# 61-60-08 Date :✓� f�� State of ) SS. f County of ) 1 PROPERTY OWNI ERS : On this the day of , 19 before me, the undersigned Notary Public, personally appeared t E] Personally known to me. F� Proved to me on the basis of satisfactory evidence. to be the person(s) whose name(s) subscribed to the within instrument and acknowledged that executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Present A.P. No. 0 Notary Public r; i t n rR ZLL O LLA 0a x _Ax G/- GDO-DDS O QS n setback of 5 ft. from the � property lines and a setback of 50ft. from the road �. centerline shall be clear of structures or equipment except for a 2 ft. pave overhanq..i' clear 0� all OWMv t) � circ 4 f Gas I 0 ✓ i�. y,X s-(. MIt' -44238-90 . ASF S�lc 'AALDING DE'PA RT EM a • � 12-1190 COW AM)S ' MOBILEROME SUPPORT DATA If other than single wide, Mobilehome Mfr. 4'46C-7- O 0 furnish Setup Model No. ��leo�% Year Width /3, (ft.) Box Length___§:!�(ft. ) Tagalong or Expando Size ft. x ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one)® 1. Wood -pressure treated or foundation grade. 2. Other (specify) SUPPORTS (check one)1. Concrete block. a 2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE- - MULTI_-WIDS Liar. I Line I Llne T2 - _ — — — — — _ — — —. — — — Line 2 Main Beams 1' -T-� ane Line I Main Beams �.s Line 1 --- — —----.-- Line ' Tag or Triple Line 1 Piers: Size-Min------------- Spacing-Max. ;-------- From Ends -Max. ------- o�rti� �S line 2 Piers: / Size -Min. ------------ la-x3a / Spacing -Max- --------- From Enda-Max.------- Size-Mip.------------ Ltx r. i Location (From Front) Line 4 Piers: Size -Min .------------ rk Spacing -Max.--------- From Ends -Max -------- r_ ].rine I Openings: Size -Min- ------------------ nX n Each Side of Openings With Width Over -------"' Line 3 Piers: (Under Bearing Wail Only) Size -Min ------------------- k " Spacing -Max.--------------- Prom Endo -Max.------------- r_ n irx rl_ r 'r 1. 11 rrx rrx rr nx rr r� rr Line _ins 5 Piers: (Under Bearing We e 0510. Size -Min .------------------ rrx rr Spacing -Max ---------------- From ------ --------From Endo -Max -------------- Line --------- --- Line ) ROpt loans: Size-Min------------- xa Ix a rrx a nx o rknx a Location (Flom Front) • �jRyy eg pA�peq�(q�p p}��q����� p�eay�p��rpp, ,iUILDI. G DE A RTMEN fi BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538=7541 MOBILEHOME INSTALLATION SHEET L. Owner's Name: 2. Inis.taller's Name :1 % 4 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 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? ------------- 0q0 C).v Amps 7. What is the.mobilehome site circuit breaker rating? ----- C 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? -------------- (in.) 10. What is the type of gas service? ------------------- Natural F LPG 0 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------------------- * 12. What.is the mobilehome gas demand? ---------------------- (BTU) *(This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) s 1'-0" MAX 8'-0' MAX PEER MAX SPACING (TYP) AXLE M SEE NOTE /1 AXIS QUANTITY TY MAY VARY MAY PM PIER NOTE SFE NOM /2 " TEPICAL PIER FOLNIDATIQ4 ` - aJPPORT LR40ER MAIN RAILS. 1. Foundations PPOM are required under each main rail @ 8'-0" o.c. maxima and shall be within l'-0' fzan front UE CAPACITY REpUIREME2M and rear of unit. Foundation supports for 14' wide sections using 8" main rails to be 7'-0' o.c. maximnn. IN TABLE FiE[fJW. 2. Periaeter piers mist be placed under the floor at the following locations (as applicable). a). Below jamb stud of sidewall door openings over 24" wide. 2e• Below sideuell at tiedown strap labeled G-2 b). Below masonry faced fireplace when located in overhang portion of floor. c). Belay each porch post an recessed =+ Els when post spacing -,e—k- 421. d). Perimeter pier land capacities stall not be less than 1.) 15001 For piers.uider jamb.studs and porch post up to 72" apart and for fireplaces 3. 31501 for piers under sidewall at labeled 2.) 22001 For piers under porch posts between 73" and 120" apart. C-2 strap PIER LOAD ALILLLIHIE MINIMUM ALLlI�11��Tx' MINIMAE Al"I"L MINIMAE ALLCkVJUE MINIMAE . 14' WIDE CAPACITY SOIL BEARING ECOTIAG SOIL BEARING FOOTING SOIL BEARING FOOTING SOIL BEARING FO0T7NC �II IN PCUNDS VAUI£ PSF SIZE VALUE PSF SIZE VALUE PSF SIZE VAUJE PSF SIZE E ij! •I; 1. lir ffOERrt MANUF6CTuf.EO J C=) fIOUS1rtG CONSIRUC11U8 & ShfLTY STANDARDS ! �__1 C D Q n A NO SAVE 4875 1000 - 24"x30" 1500 - 24"x20" 2000 - 24"x16" 3000 - 12"x20" 12" SAVE MAX. 5175 1000 - 24"x32" 1500 - 24"x22" 2000 - 24"x 16' 3000 - 12"x22" 18" EAVE MAX. 5450 1000 - 24"x34' 1500 - 24"x22" 2000 - 24"x18' 3000 - 12'x22" w P 3 Q n O V •I it 1� ? A NOTE,. 1. Piers be am=ete blocks shimed with wedges or an adjustable aetal or concrete asserbly. } L nn/ BASEMENT can 2. Footings can be om=ete, foundation grade or pressure treated min. 2 x 12 lumber. �9 ) FRAME PIFRING PLAN-30PSF FCW U)AD wnloT 3. If soil bearing Values are rot available use the 1000 PSF columE for min. footing sizes. l';; 14' SDi$F SFxTION 4. Additional info=tion on piers and footings may be found in the Hone Technical Insyallation Manual. o 7'JIna, //Y W1I/ 1 .N t. i 1 � • 72-18-0020 C 00 0 e:/',i7lFr`t9ii�JSW-��=`���Jtf+R`an7C��Z'+R►,±�'�T���'�'i �_EEr_._'.s-i1'^-,�„'- ...v-..r-T.+�+r"..•'._„ ._..- .. -�--v .v-.. .. ..�. ... ;,:, r..��w f A BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (One Form per Building) A.P. Number r•lG6L1�� ,•Building Department No. School District �' C'ty n County Jurisdiction � 1 Property Owner J IM V Q F UL4 /C_ r Project Location/Address A-),jn n G rYIC1E Subdivision Lot Number Residential Development: F]Sq. Footage # of Living4MH.' Addit'on (G.oup R) Units e Qc�S 2X1Sti ►1 ✓�% C � Commercial/Industrial: Sq. Footage New Addition (Including Exterior Roofed Areas) Build g Department Representative 1 Date a (Floor Plans reviewed by School District Personnel) D trict Id No.910131 School District...c'ertifies that 1 AA H Applicant Name eet Address ) ty has complied with their k.4, by theayA7nto $ (S i1.45 'rements.tofu !., repres JSchbol Distric Reprr € Illy PAID BY. 'CHECK r!&W11 BANK NO r4 ,td's" R^� PAIID ' BY CASH nta�trive +r REMARKSI:4 0 Phone Number square feet l Date NT /�/�— white -applicant, yellow -building departne ink s oo41 district SCHOOL . FEE (8/88)b a Ize-"; )/- I ASS COUNTY OF BUTTE - �F RTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovilit,�116 G'lifornia 95965 - Telephone: 916/538-7541 7 APPLICllAND PERMIT l� Douglas Burch NNER'S MAILING ADORESS P.O. Box 1874, Chico, CA 95927 ONTRACTOR'S NAME Executive Homes ONTRACTOR'S MAILING ADDRESS 3042 Esplanade ONSTRUCTION LENDER ENDER'S MAILING ADDRESS RCHITECT OR ENGINEER None RCHITECT OR ENGINEER'S MAILING ADDRESS UILDING ADDRESS 1151 & 1153 Encina Grande �_....__...: _..,___... .BUILDING PERMIT., -- HONE r SO, FT. OCC. BUILDING VALUATION UNKNOWN LOT NO. SUBDIVISION NAME PARCEL MAP SIG 35 62- ~ S�6F'S'fRU�TUf� SF ❑ Duplex[] MobilehomeU Other SPECIFY TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ InstallationKX Other ❑ Describe work: existing Site CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. ! l 7210 Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. (� I have placed on file with the County of Butte Building Department 'N a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabiIitie dgments costs, an expen hich may in any way accrue against u uence oft Ing of this permit. X Date Signature of pplicant ner❑ Contractor19--Agent An OSHA rmit is required For excavations over 5'0" deep and demolition or construct- ion of strut urea over 3 stories in height. Receipt No." bob/V WHITE-O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT Fireplace $ Contractor Total Valuation $ ELECTRICAL PERMIT Filing Fee 10.00 Filing Fee $ 10.00 Permit Fee $ t 2/20sgft Plan Checking Fee $ Energy Plan Checking Fee $ Penalty $ Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 Water piping 5.00 tach qas water heat er_na wa . as piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G IWT I [10-00ed Permit Fee $ Contractor 120@50t eALO 30 ELECTRICAL PERMIT Filing Fee 10.00 Main service e00v OR LESS 100 AMP OR LESS 10.00 Main service EA. AOD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.N OR AODNS. ( ACC, BLDGS. t 2/20sgft NEWCONSTR. MULTI -OUTLET Tc1 2.50 ea (POWER APPARATUS e SINGLE OUTLET CIR. Ex. Occup(ourLETs OR FIXTURES 120@50t eALO 30 Ex. Occup. OUTLETS P(RESl0.)R EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cool i ng Hood 3.00 Ventilation Permit Fee $ Contractor Mobile Home Installation Fee $ Energy Inspection Fee $ OCC I CONST TYPE TOTAL FEE $ 70.00 HA2 I CUA I PARK I SCHL I FLO I PAR I PO I HO/I ISSUE This permit is hereby issued under the appiicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date a OFFICE� Address lis` f MY Date ! ELECTRIC �J i Meter By "`T" Date��_Y -i COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS. � PERMIT NO. 7 County Center Drive = Oroville,"Califorrda 95965 - Telephone: 916;538-7541 APPLICATION AND PERMIT AS SO P CEL NUMBER —�—a�.----�=y== ZOG NIN1 .... _ ..., ... ..; BUILDING PERMIT - -- OW ER Douglas Burch P$Y3 S0. FT. OCC.1 BUILDING VALUATION,, OW�yEg,'S M,(+OXNOj ��pR Ethico, CA 95927 Y Vu tj j [F I COdTRAACTOR'S NAME wner TELEPHONE COfijACTOR'S MAILING ADDRESS �� Fireplace CObSTRUCTION LENDER one UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ - AR HITECT OR ENGINEER 1N�one LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS., 1151 Encina Grande, Berry Creek Permit fee $ N PLUMBING PERMIT Filing Fee -10.00 Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP l —Water piping ' 5,00 _ Each qas water heater or vent 5.00 USE OF STRUCTURE ( SF ❑ Duplex❑ Mobilehome❑R Other r ' SPECIFY Gas piping system 1 - 5 outlets 5.00 - Building sewer 5.00 Mobile Home S G 10.00 ':,:•." `- - TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Installation Ell Other ❑ Describe work: replace electric service { Permit Fee $ - Contractor ELECTRICAL PERMIT Filing Fee 10.00 - Main service 100OR . AMP ORSLESS 1U. 10.00 UU CONTRACTORS LICENSE LAW I declare under penalty of perjury ' P y p er ) y (check one): { ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code. and my license is in full force and. effect. License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service EA. ADD'L too AMP 2.50 NEW CONST. DWELLING OCCUP.&) OR ADDNS. ACC. SLOGS. 21�t2sgft NEW CONSTR ULT' -OUTLET 'tJON.RESID BRANCH CIRC ITS 2.50 ea ;,� •7 POWER APPARATUS a SINGLE OUTLET CIR. ) 4. .♦ e,y, Ex. OCcu OUTLETS OR FVXTURES P� aAL(?30a FIXED APPLNS. OR Ex. Occup. OUTLETS (RESI 0.1 EA.) 1 2.00 Temporary service 10:00. Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee Contractor $ L WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 4,10.00 Heating ' k Cooling Hood 3,00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agains aid Coppty in c nsequence o{ the granting of this permit. 1' j, ) %� L '� I � � Date Signature of App . ant — Owner Contractor ❑ Agent ❑ � An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ r^ Energy Inspection Fee occ I CONSTTYPE �. . TOTAL FEE $ HAz I CUA I PARK I SCHL FLo I PAR PO HD ISSU This permit is nereb issued under P y sions of the Butte County Code and/or work i ated above for which fees DIRV OF PU JIWORK� PERMIT EXPIRES Date the applicable to do resolutions to do, have been. -paid... p ` Date, - "= - Receipt No. t WNITC-D.P.W., TCLLOW-A88C990R, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orov(IIe,.California 95965 - Telephone: 916/538-7541 APPLICAT10N kNP P . RMIT PERMI� ASS�E,SSO�PP�FCEL NUMBER t71 UU ZONING U BUILDING PERMIT DWBER ouglas Burch SQ. FT. OCC. BUILDING VALUATION OWp. . VOXNG,(a 4 Sdh>_CO, CA 95927 CO TRACTOR'S NAME �wner TELEPHONE CORTR-ACTOR'S MAILING ADDRESS NNN Fireplace COMSTR CTION LENDER UNKNOWNone Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ AR HITECT OR ENGINEER None LICENSE No. Plan Checking Fee - Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS 1 Penalty $ BUILDING ADDRESS 1151 Encina Grande, Berry Creek Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑X Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities K3 Installation[] Other ❑ Describe work: replace electric service Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6101 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD -1- 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 1 1, as the owner, or my employees with wages as their -sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.DWELLING oCCU1.1k OR ADDNS. (ACC. BLDGS. , 2/z ¢sq ft NEW CONSTRESID* BRANCH NON•RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 5AL9ALo30 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESIO.) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 1 0171 Misc. �Virin g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agains aid Co ty in c nse uence o the granting of this permit. X `��� _- Date Signature of'App j, ont - Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE FEE TOTAL AL HAz CUA PARK FLD PAR PD HD Issu This permit is nereby issued under sions or the Butte County Code and/or work i ated above for which fees DIRERT OFPU I B PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORK ^ atel Y Receipt No. WHITE-O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE-VDuartr;_het elf Public Works 7 County Center pri�ve, Oroville, CA 95965 Phone: 916=538-7541 OWNER -.BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) b' 2. I (have/have not)'- signed an application for a building permit for the proposed work. 3. 1 have contracted with the following person (firm) to provide the proposed construction: !� Name Address City Phone Contractors License No. 4. I- plan to provide portions of this work, but I have hired the following person to coordina, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Al//t . Address Phone Type of Work Signed: Property Owner 0IL6 L)> A I Social Securi y Number Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. t. —PERMfT NO.. 6757-79MHI'(existing site) PERMIT EXPIRES .OWNER ROBERT B. INGERSOLL � CONTR. Oroville Trailer Sales LOCATION (A.P. 62-42-08 iWS Ponderosa Way, 550' S of WAgon Wheel Way, Bloomer Mt. i 4 I `i t' rB a` . 1 r Temp. Power Pole rCalled PG&E Temp. Elec. Serv. Called PG&E emp. Gas Serv. Called PG&E JOB FINALED (Date) „ �., /0 i7 (Sigoture) Stucco COU N Y OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD Subpanels BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor ' Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing f Sewer Garage Fdn. Vents 'i Fixtures Footings • Stemwall Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handica ed Conformance of ex. structure Appliances Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRF CPRINKI FRC untnm Stucco Final Subpanels Mesh MECHANICAL Gri. Fault Prot. Scratch Heating Service - Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec_ Service s Elec. Pedestal Water Piping Sewer Gas Piping ,DJQBILEHOMEINST LATION-------•------Support4�2Q Elec.Continuit Water Piping 7,//, f7 Drainage _Gas Piping DATE REMARKS OR CORRECTIONS l (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 51 under number t,'-7% 7- 71 for the following location: permit F Owner Owner's Address 423 5 Mobilehome Mfg. �'d— '3�'� Model: � +��-�°'r -�- Year 79 Insignia No. ��� +�%' Serial Nolezw— •4`f4'�!'7.;G � It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works 1 Date - �{ ' '�� By / U✓� {� i/ v THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. L County of Butte DEPARTMENT OF PUBLIC WORKS 695 Oleander Ave., Chico — 343-4211, Ext. 70 7 County Center Dr., Oroville — 534-4541 Skyway and Elliott Rd., Paradise — 877-3435 CORRECTION NOTICE ..............` ..............e.................. 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. ac ......... ...................... ....... .....� a ...... `.......... `'...........�... �'......... ...........................✓L-....... .................... j......................... ........................................................................................................................ . 0" (2Date..(...//�.�Inspector .. .....:...,,,, Do Not Remove This Tog I/ MOBILEHOME INSTALLATION INSPECTION CHECKLIST. 1. Is the mobilehome located with wired separation from lot lines and buildings and generally conform to plot plan? Yesz.---No 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes_1e4o 3. Are footings and supports properly sized, spaced, and braced as per 4pproved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes_t�I�o 4. Is the mobilehome level? (Sec. 5088) Yes- No If more than a single unit, are crossover connections properly installed? (Sec. 5088) Yes No 6. Water A. Is flexible connector of adequate size and properly installed (1/2" ID mi:n.)? (Sec. 5566) Yes -t_ --go B. Test - Does water piping withstand working pressure or 50 lbs, air test? Yes�yNo- 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 A ­No B. Does it have minimum 4" per foot slope and is it properly supported? Yes C. Are any leaks detected in drainage system after running 3- allons of water through each fixture including washing machine standpipe?.Yes No If coach is not State of California approved, does.station have required trap and vent? Yes No 8. Gas Piping and Gas Vents , A. Connector - Is mobilehome connected to the gas 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. Yeses/N�_ B. Test OK as per following procedure? Yes jj,­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? Yesr 9. Electrical A. Is'service large.enough to provide.adequate amperage -to mobilehome (must equal rating of mobilehome with a minimum of 100%amp);and other facilities on, -,lot, i.e., water pumps, garage, cabana, etc.? Yes 1 --"'No_ B. Is there proper clearances around panels? Yes r,�No C. Is power supply cord or feeder assembly properly fused? YesNo D. Is continuity test satisfactory as per the following procedure? Yes_iNo . 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 Manufacturer and/or Namestyle _;r a �-ae Length 2- Width %L Vehicle Serial No. ✓� �Gf%�'%�(`7// State Identification No. Additional Information or Comments: COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7'County.,Center Drive' — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize repres fitatives of the County of Butte to enter upon the above-mentione property for inspection purposes. z9X Date a vO Signature o ite_e or �n Receipt No. 91 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 which fees have been paid. R C OF P LIC WORKS A4qB e Date Z1 — Z Building permit expires Date l! L — �� BUILDING Owner ZZ, SQ. FT. OCC. BUILDING UATION Mai I i ng Address AE Telephone No. Contractor 09SIL.46 g .S Mailing Address d ifI e%Z L_149 Fireplace Total Valuation C/1 Telephone No. Permit Fee Building Address P I an Checking Fee &/or Penalty Permit Fee ,5- wmv mv 5:5-0, S ar PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 u A. P. No. 2 — / 2—Q 8 Zoning &Planning Water piping 1.50 Each gas water heater or vent 1.50 F on Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel claration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. Pland I s Rec Parcel A Pla s Approval Lawn sprinkler system 2.00 NEW_—W ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 00V OR LE Main service 100 AMP ORSLESS 5.00 Single Family ❑ Duplex 0 Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 / d i Main service OVERe00v 25.00 100 AMP OR LESS Main service EA. ADO'L 100 AMP 1.00 NEW CONST. ( OR ADDNS. ACCLLING BLDGS.CCUP. 5i) 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 Q&111ZJ_1r �iS Ck 15X/_1 S NEW C SID.—NSTR BRANCH CIRCUITS) NON-RESID. ( BRANCH CIRCUITS 2.50ea NEWCONSTR. POWER APPARATUS & NON -RESID. (SINGLE OUTLET CIS. Ex. OCCUD(OUTLETS OR FIXTURES g L@; Ex. Occu FIXED APPLNS. OR p•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No.%'`�� Classification C 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 ich requires every employer to be insured against liability for rkmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued 1 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 J$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 $ TOTAL PERMIT FEE �C authorize repres fitatives of the County of Butte to enter upon the above-mentione property for inspection purposes. z9X Date a vO Signature o ite_e or �n Receipt No. 91 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 which fees have been paid. R C OF P LIC WORKS A4qB e Date Z1 — Z Building permit expires Date l! L — �� '�� aT IvL,VAI US F,� ,.s I�USt be s e�iVica * * to unlawful s and i§ is oui lan t tim s an Sage w�t11 jhis set -of P a:1 n of pub ob at ;lions o , kep f apy' c ! .N��, §romav elh Depa`tme W� men Pe` County of Butt ks, lic or Materials & M/orkmanshi C �ccorda ce �iifh p Shall Be in Of a qu it Recognized Good Uniform y prescribed for Me Practices and Building PlumbingSpecified use in the Mech.- Me Nati nal Electrical e Mechanical Codes and Code. L iMe A setback of 5 it . froma setback pYOp�rty. lines and odd of 5pft. f rorn the clear of centerline shall be ent exceO structures or eaoverhang.. . for a 2 it. eave r Sha11 bE �ithiea ect :° ns e l either Utility conn mobiieh° hin the Tw Aft 01. h rd or `N deft) of the Ec°f the roadside l dir h ,0 , eh°Cne. ��as ��N� cO� � DEPARTMER+, App.,koveD BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS ..7 County Center Drive, Oroyil1 e, CA. PHONE:' 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: 2. Installer's name: 090111LJ-6 TRA/LFA SALE 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.) `• y 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach f ields and clear of all setbacks and easements? Yes 72� No (If no, clarify ) ( ) r 5. What is the mobilehome electrical rating? ----------------------- AM Amps 6. What is the mobilehome site service rating? --------------------- /Q Amps 7. What is the mobilehome site circuit breaker rating? -------------- /U0 Amps 8. Is there any other electric load to be served by the mobilehome siteservice? --------------------------------------------------- Yes // No k! yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- -�/y! (in.) 10. What is the type of gas servicei'--------------------------- Natural / / LPG DTd 11. What is the gas pipe length from meter or tank to the mobilehome? ;;2-0 (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.) MOBILEHOME SUPPORT DATA • lti . If other than 'single wide, rip Mobilehome Mfr. ��-�E%(��� _ furnish.. Setup..Model.• No.. Year . / 7 Width Za (ft.) Box Length Z.:, (it.) - _'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 mobil_ehome unless -otherwise specified., Footings (check one) Single 1. Wood either A, pressure treated or foundation grade. x` (ft.)('in;) -(in.) ( n.) ,® 2. Other (specify) Cent support Cent support T loc tions*\ foo .rig sizes Supports (check one) in l: Concrete block: L Other (specify) x (ft -)(i .) A (An.) in. * ---Tagalong or Expando,' # show•support details. (ft.Xin- J (.n:) (in.) / 6/ x,2y - Typical Support in. in. Footing Size \ ' X (f .),(in.) (in. (i .) 5.-1 bll __ Max. Pier Spacing (ft.) (in.) x 611 -- Max. Overhang (fi.) (in:) (in.) (in. (ft.)(in.) BUTTE COUN41 BUILDING DEPARTMENT APPROVED *if center piers are other than drawn above, Arne 4"..1 4nnc onnn 4"e nnri fl4mnnc4nnc COUNTY.OF BUTTE DEPARTMENT OF PUBLIC WORKS ,, COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance withthe requirements of the California Administrative Code, Title 25, Chapter 5, under permit number. /45/— �%j -for the following location: Wl-S W14,/ /SPP ,�S/) , 5 D� (.y ,0� u /r�is� WAY �rGt r� Owner )"10v 14MAI �4 14L C Owner's Address 6,9V DEL_ '&&XXL C)e&�IC Mobilehome Mfg. Fj F T�_AAn F Model Year Insignia No.?""AL 01.6'1%.1 1 Serial No. It is hereby certified for occupancy at .the above described location and may be occupied. GG Directorof Public VWs11"' Date �oB Y THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED t°PERMAT NO. + 3172-78P,E / �. PERMIT EXPIRES �•LOWNER Mary Ann Ewald , 'CONTR. R.B. CONST., Oroville 62-42-8 ;'LOCATION (A.P. ) *' W/S Ponderosa Way, app.550'S.of Wagon Wheel Way, Bloomer Mtn., Berry Creek �I • l ' f i• • 1 T. yy f Y. 1 Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E �'.. Temp. Gas Serv. l0 — .� o `7 �-�-•J `• �' Called Pl4QM ON 5� P JOB FINALED (.✓- (Date �� *!'tZ- j- (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD 'BUILDING // I BUILDING (Cont'd) % I \ PLUMBING s �Malv owg. Fullitings Ste all Slab Piers Garage Footings Slab Carport Footing: Slab Patio Footing; isonry Wall Reinf. Ste( Bond Bean Stucco nlsh 1pferlor Lath oor.Closer MOBILEHOME UTIL Water Piping A Water Piping Iv – dt N- - Finish Window Siding Roof Shea in Roofing Fdn. Vents Garage Vents Insulation Prov. for phsica handicappedy Conformance of ex. structure F4REAJ.ACE Footing Throat Final IRE SPRINKLEI Test Final MECHANICAL Heatin C00111A nal -----------------Elec- Service Sewer ION--7--�----------- Support 5mJ( ✓ — Drainage t 1s NF Noor 2nd Noor 3rd FIV To out Water. Pi in Sewer Fixtures Water Htr. Heaters Appliances Gas Piping & Test Temp. Gas Sanitation Final Motors Water Htr. Subpanellf Grd. Falot Prot. Servic Te p. Pole U der round ermanent Final Elec. Pedestal Gas Piping Elec. Continuity •� Gas Piping TR DATE REMARKS OA�CORECTZIONS�.... ®v -4V O-L�� - (NOTE: An entry must be made on this form each time you visit the job site.) 9. Electrical. A. Is service Large enouglk to provide adequate amperage to mobilcl-iome (must equal- rating, of mobilehome caith a. :::inv,:um of 1 0 amp)'and other faciliti_Eis on lot, i.e.; water pumps, garaGe, cab.ina, etc.? Yes2No_ B. Is there prope4clearances around panels? Yeses<40_ C. Is power supply cord or feeder assembly properly fused? YesL1_< D. Is continuity test satisfactory as, per :.the following procedure? Yes_-L_O De -energize electrical,wi.ring syste;il of the mobilehome at the pedestal. r Y. Make sure that the power supply cordor feeder assembly conductors, including neutral, conductor, have been disconnected, � ^ _ I z_ ,Y! Switch all breakers and switches, -in' the mobilehome to the "on" position., Connect one load of a test instrument to the mobilehome grounding conductor and lead* ,. ,, _,. supply , . , app.L tine OtU.e Ll Q11 i.0 `Gai it Tiiuul.�ri�ulut Sii :L CUII�IuCtU'i, iliCliiCilTt� YLE �.li tSt. All nor. -current, carrwi_ng metal pats of the mobilehome (aluminum siding, gas line, water line), including fixtures anddappl.iances, shall be tested for continuity from such equipment and the grounding conductor. a' 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:�_ shall then be made between the grounding electrode and the chassis of the mobilehome. UDO11 satisfactory completion of the electrical .tests, the lot or site service equipment may be approved yf:or energizing. Ijob card sined by llealC•h Department for water and sanitation?,o . t 1.1.. If everything okay, sign' -off card and tai; '.services. «ti -MOBTL :il MIE DATA " Manufacturer and/car Namest:yle/ wow Length— in Width � �-- C;J �X /•£..� �i�P�NlD O Vehicle Serial No. _16..-2 e State Identif.icat..on No. G AL. eo:25 4 A.1 ..detitional Information or Comments: A �`,. �,�rT •tib i• i0BIi"'.1i0.11, INS7'ALLA`F-I00 INSPECTION CHECK LIST 1., Is the moBilehomt located wi.tli equired'separation from lot lines and buildings and generally 4f conform to plot plan? Yes No_ Doe:; thE! mobilehome have required clearances above ground? (Scc.5085) Yes �No 3. Are foot:ui�s and supports properly sized, spaced, and braced as pe pproved plans? (Note possible varication at -spring shackles.) (Sec. 5082 & 5083) Ycs!/ No ,1 4. Is the mobilehome level.? (Sec.`5088) Yes No 5. If more an a single unit, are crossover connections.properly installed? (Sec. 5088) 'w. Yes_ No 5. Water. A. Is ilexx_i `connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes L-`; No B. Test - Does water piping withstand working pressure or 50 lbs. air.test? Yes AC� Backflow - If coach is not State Iof 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 " per. foot slope and is it. properly supported? Yes N .•C. 'Are any leaks detected in drainage system after running -3 llons of water through each fixture including washing machine standpipe? Yes No DIA—If coach is not State of California approved, does station have required trap and vent? �V Yes No 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas siipply with an approved 3/4" minimum mobilehome connector not more.than 6 ft, long? Note: All piping is to be at least as large as the mobile a gas line• inlet without reduct-ions other than the mobilehome connector. Yes No h ! ,�'� •; r': { �: rig � � B. Test OK as per following procedure? Yes��_ No Open all appliance connector valves. 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. �Connect gas meter to mobilehome with connector, turn. on gas, test connections with soapy water.. .C. Are all appliance vents properly installed? Yes — No COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 : Telephone: 534-4541 p� �0 APPLICATION AND PERMIT • it f authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signature of PPermitee or Agent If Receipt No. 17:2R/—i,, R 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 ate6—f.7— 7 P B ding permit expires Date 6 -13 -7,9 BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor Mailing Address Fireplace Total Valuation D n y) I I� Telephone ( oS f t0 Permit Fee Building Address S $ 41 4 Plan Checking Fee &/or Penalty Permit Fee ,sof l� PLUMBING No.1 @ FEE no tiY1 PERMIT FILING FEE $3.00 Each Trap 1.50 ZA 'Br; Y c Repair drainage or vent piping 1.50 /^ A. P. No. �O =� Z Water piping 1.50 Each gas water heater or vent 1.50 F 461 S rti •on FireDept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel M 60' R/W Improv ents Each additional outlet .30 Building sewer 5.00 Bldg.® ec'd Parce royal Plans/Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ Permit Fee $313,1910$ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3 Main service 100v DR LESS 11� 100 AMP OR LESS 5.00 ` l/ Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADO'L 100 AMP 2.50 ' Main service 100 A MP so0ORv LESS 25.00 100 A Main service/ EA. ADD'L 100 AMP 1.00 OR ADDNS. \ ACCNEW CONST.LBLOGSCCUP. y) 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 style of: Y COAo157. NEW CONSTRESID, BRANCH CIRCUITS) NON -REBID � BRANCH CIRCUITS) 2.50ea NEWCONSTR. POWER APPARATUS B NON -RESID, SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTIIRES BAL21 Ex. Occup. FIXED TS (RESAPPLISIS. OR P•�OUT LETS (RESID,) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 ^ C arZ License No.�` A"fo �gY Classification A Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 10 $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. fI 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 Land Development Fee 0C kE TOTAL PERMIT FEE authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signature of PPermitee or Agent If Receipt No. 17:2R/—i,, R 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 ate6—f.7— 7 P B ding permit expires Date 6 -13 -7,9 COUNTY OF BU�TE — DEPARTMENT OF PUBLIC WORKS " 7 County Center Drive — OroviIle, California 95965 h l Teepone: 534-4541, �O r APPLICATION AND PERMIT '`•4 BUILDING r OwnerSQ. FT. OCC. BUILDING VALUATION Mailing Address 1'Fr Telephone N% Contractor Mai I i ng Address Building Address Tel hone No. t „ A. F. No. Zoning & Planning - FAS W4.Irl F1reDept. FireZone Use Permit EQA Parking Parcel parcel Ma 60' R/W Im ments Plans rove Declaration P P Bldgl lansRecd Parcel Arovol Plans Approval NEW ❑, ADDITION ❑ UTILITIES ❑ _ OTHER ❑ ' Single Family Duplex Mobil Home ❑ Others ❑ Fireplace Total Valuation Permit.Fee Plan Checking Fee &/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system Permit Fee ELECTRICAL PERMIT FILING FEE Main service 600V OR LESS 100 AMP OR LESS Main service EA. ADD'L 100 AMP I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representative the County of Butte to enter upon the above-mop pTylor inspection purposes. Date 4 "7 n Lure f erm eeorAgentLSig Receipt No. f 71 e White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant @ FEE $3.00 1.50 1.50 1.50 1.50 1.50 .30 5.00 2.00 $3.00 5.00 2.50 25.00 1.00 2.00 10.00 15.00 6.25 $3.00 2.00 TOTAL PERMIT FEE I k-lre) 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 UBLIC WORKS By ilding permit expires Date Main service OVER 600V 100 AMP OR LESS Main service EA. ADO'L 100 AMP NEW CONST. l DWELLING OCCUP. S OR ADDNS, ACC. BLDGS. CONTRACTORS LICENSE LAW 1 am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business& Pr fessions Code der the name der TLET NEW RES,.,CO / BRANCH CIRCUITS NON-RESID. 1 BRANCH CIRCUITS NEW CONSTR /POWER APPARATUS 6 NON-RESID. `SINGLE OUTLET CIR. Ex. Occup{OUTLETS OR FIXTURE: EX. OCCU FIXED APPLNS. OR p•(OUTLETS (RESID.) EA Temporary service Mobile Home Facilities /� License No. c2di O IO Classification Misc. Wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE I 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. Q? ave placed on file with the County of Butte a certificate of ��11�� 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 PERMIT FILING FEE Heating Cooling Ventilation Hood Permit Fee (_„ /J � I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representative the County of Butte to enter upon the above-mop pTylor inspection purposes. Date 4 "7 n Lure f erm eeorAgentLSig Receipt No. f 71 e White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant @ FEE $3.00 1.50 1.50 1.50 1.50 1.50 .30 5.00 2.00 $3.00 5.00 2.50 25.00 1.00 2.00 10.00 15.00 6.25 $3.00 2.00 TOTAL PERMIT FEE I k-lre) 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 UBLIC WORKS By ilding permit expires Date '�L_j 1. Owner's name: 2. Installer's na C BUTTE COUNTY DEPARTMENT OF -PUBLIC WORKS 7 County Centei Drive, Oroville, CA. PHONE: 534-4541 p { MOBILEHOME INSTALLATION SHEET 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 /—b,—�. No ( If no, clarify ) 5. What is the mobilehome electrical rating? -------------- ® Amps 6. What is the mobilehome site service rating? -------------- APs 7. What is the mobilehome site circuit breaker rating? ----------- - 11404/ Amps 8. Is there any other electric load to -,be served by the mobil ome -Yes / No site service? ---------------------------------------- -------- - ,(If yes, identify the load and size: (Load) aAW (Amps) 9. What is the mobilehome site gas pipe size? ------------- -------- ��7 (in.) 10. What is the type of gas service? ------------------------=-- Natural / / LPG /kl 11. What is the gas pipe length from m er or tank to the mobilehome? (ft.) 12. :What is the mobilehome gas de nd?------------------------------ (BTU) (This information no required if pipe length less than 6 ft. on natural gas or less than 50 f on L'PG.) J,, 4e h '� 411 a BUM COUNTY UILgING DEPARTMENT A.DUEp ' MOB ILEHOME.SUPPORT DATA �r�.�/ ••If other than single wide, Mobilehome Mfr.r, .® furnish Setup Model No. Year Width (ft.) Box Length (ft.),_ Taplong. or Expando Size_ ft. xft. (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. (ft. (in:). Center sup ort .locationsr X (in.) in..) Cent support foot ng sizes, in.) X ( n.) (in.) w (in.) "(in.) (ft.)n.) I (i�) (in.) (f.) (in.) (in�),() fir: #`i. r~�_I _7•'�. �', *If center piers are -other than•=drawn above, draw, in locations,k.spacirig", and' dimensions. -- Typical Support ,. in.) (in.) Foot, ing.Size' (ft.)(in.) - Max. Pier Spacing - -- Max. Overhang Footings (check one) Single Wood either: A' pressure treated or foundation grade. I. Other, (specify) . Su orts . (check one) � ..1: Concrete block. ` r. 2. Other (sp'ecify) *-Tagalong or Expando, show support'detaiis. (f.) (in.) (in�),() fir: #`i. r~�_I _7•'�. �', *If center piers are -other than•=drawn above, draw, in locations,k.spacirig", and' dimensions. -- Typical Support ,. in.) (in.) Foot, ing.Size' (ft.)(in.) - Max. Pier Spacing - -- Max. Overhang 649 ' �9o" dnIa n� oSl 996 Sb Qvo7J 3icic+�?�9 tlr���n"� ISII ' 1^dd