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064-410-007
- A.P. ---- 3 VIOLETLANSBERRY X56' Clarion .Way, -Lot 159, P.P.#5, Mag CONTR•R. N. Munjar_ Const..,Paradise t..�.............. 15O'.Clarion (utilities for mobile1''o eA P IOLET LANSBERRY Way, lot 159, unit 5.• Magalia ' Permit # 2734-74B (bui-ld deck, -MH) 64-41-7 Violet LansberryA! 1;4 � 150 Clarion Way, lot 159, PCCAS,Maga contr: Lloyd R. Roberts,•Magalia Permit.#217-78P,E(relocate existing util.,MH) S __ _.__ ELEC.9�$/7k %�-/00�p .... _UAS !/S�Z�-7-ifd►-c SUPPORT STRUCTURE REQ. i?/ �Rf' r-•_�� �' """-' - COMPACTION TEST REQ. /�V . - - -64-41-7._. Contr : Paradis-4-IMbdul' r Concepts - PErmit #828=78MH��� Issued • ��, �64-41-7 - Con r radise Modular Concepts Permit #1036-78P(gas piping)MH 64`41-7 Permit #5346-78B(new deck) MH 0-007 0.0-2030 - 064=41--� -- ,. DEN s.. � 1441 , . MAGALIA ' CON A�CONSTRUCTION ' ,.. EXIST•.�SITE'PERM.FND. 064-41007 DERRINGTON, KELLY_=a: x ,•, ' r ; 14416CLARION'WAY,NlAGA'L `, j�CONTR:EXECUTIVEHOMES 44": w MAN NEW .HOME ON PERM FND v,y,�� ' I�,,, c rpt, �'1 r. „ r'■ lmm� M. 0 �mm mm� t NOTES RESIDENTIAL PERMIT NO. 064-410-007 00-2194 DERRINGTON, KELLY 14416 CLARION WAY,MAGALIA I CONTR: EXECUTIVE HOMES M NEW MAN.HOE ON PERM FND THE HCD FORM 433A FOR THIS MH CANNOT j BE RECORDED UNTIL ONE OF THE FOLLOWING I HAVE BEEN TURNED IN TO THE BLDG DIV: i (1) LICENSE PLATE(S) or DECAL(THE INSPECTOR MUST RETRIEVE) (2) STATEMENT OF FACTS(ONLY ON NEW MH'S) INSPECT ' I lOR TO VERIFY SERIAL & LABEL # S A SPECIAL CONDITIONS 11 SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) Signature CHECKED BY J = OK 0 = Not OK - = Nat Applicable MOTILE HOMES = Not Ready Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or / /"L"ft./ /'LPG 7. Well Clearance & Discorinect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE E INSTALLATION (Plans) OK except #'s Line jl�' ec icity; MH Test -Crossovers -Breakers -Clearances �iL✓rai H Test -Fall -Flex Connector a , ater H Test -Regulator -Connector ater and Sewer Connected -C/O to Grade -HD Approval 8. Gas Electricity Tagged -installation Can. xttsketch ert. of ccupancy 42,_Pemanent Foundation Only; License Decal Date and B- Date Card B-1 Date Card Date Card B-1 i MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Con nectors Shthg.-Frg-Bracing S. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. _ Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (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, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 V= OK 0 = Not OK - = Not Applicable =Not Ready RESIDENTIAL (; Date Underfloor (Plans) OK except #'s Hangers -Post Caps -Anchors -Connectors 1. Zoning -Setbacks -Easements -Flood -Slope Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rfng. 2. Ftg., Main; Soils-Elec. Grnd.-/ r Ftg. Depth Fireplace Ties or Type A Flue -Fireplace Throat Clearance 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 5. Stemwalls, Main; Steel-Blockouts-Wrapped Garage Fire Protection Framing 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Property Line Firewall & Openings 6a. Hold Downs and Special Anchors Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 7. Slab, Steel -Wrapped Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 8. Piers -Fireplace Ftg.-Steel Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Siding -Nailing Veneer 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 11. Water Pipe; Test -Anchors -Regulator -Service Test Glazing Area -Glass Protection -Skylights -Plastic 12. Electric Underground Shear Walls; Nailing -Bolts 13. Plenums & Ducts; Clearance -Material -Support- Ins. Brace Interior/Exterior Wall Panels 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Insulation -Walls -Ceilings 15. Access & Ventilation Infiltration -Walls -Windows 16. Insulation Date Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Ext. Steps -Door & Sidelight Protection -Landings 17. Water Htr.; Vent -Access -Combustion Air Baffle Smoke Detector 18. Water Pipe; Test & Anchor -Nail Protection Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection Bedroom Exiting 20. Shower Pan; Test, First Floor -Tub Access G.F.I. & Bath Fixtures & Tub Access -Spa 21. Test Tub & Shower, Second Floor -Tub Access Elec. Trim & Subpanel, Breaker Sizes & Labels 22. Gas Pipe; Sixe & Anchors Stairs & Rails 70. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 72. ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral Q Yes Q No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector 84. A.C. Unit Disconnect, Electrical -Plumbing Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Water Well, Disconnect, Electrical, Plumbing MECHANICAL (Permit) OK except #'s 87. 35. A.C. Ducts Insulation & Support 88. 36. Vent Fan, Exhaust above insulation 89. 37. Condensate Drain & Overflow, Size & Grade 90. 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 91. 39. Attic Access & Platform if Furnace in Attic 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Date FRAMING (Permit) OK except #'s Date 40. Sits Proper Materials & Anchors Card B-1 Date Card B-1 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing >ingle & Duplex) �. Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. _ Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Ramex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor Q Yes 82. Following Instld./Drive Q Yes O NoMalks J Yes J No/Planters Yes No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted 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: t�b� t '� COUNTY OF BUTTE BUILDING DIVISION- 3 DEPARTMENT OF DEVELOPMENT.: 411 Main Street Chico • CA'* (530)A I r r {•7'County Cente& Drive o Oroville CA!'(5 CORRECTION:NOTI( OWNER r s A routine inspection indicates that the following violations of butte above'address and should be corrected. Please notice, this oft completed If you have any questions pertaining to this matter, please contact this office immediately.: , a 44 + �` E .F�tr. t- � 7- K�t" �� ••tib Date Inspector / '{ i ` { REV 10/92 ity'Or - nances exist at the !hen correction 1of.,work is ed additional explanation] �'� .s�•^* 3 ter(:. [i <.i S4. � 4 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 �j � �ER��No• cv \ (Rev. 12/' APPLICATIONAND'PERMIT (���/-,---f� ASSESSOR PARCEL NUMBER NN [� ZONING 1zIOWNER��� BUILDING PERMIT i i -Ct� TELEPHONE SO. FT. OCC. IL_I TION 199 ILI .OWNERS MAILING AD RE$ Q� CA 1r_il CONTR9=OR5 NAMES TELEPHONE Cy'RACTOR CO. MAIUNO ESS f FVl i CONSTRUCTION LENDER Fireplace Fire P LENDER'S MAILING ADDRESS Total Valuation $ ' ARCHITECT OR ENGINEER _ LICENSE NO. Filina Fee $ 20.00 Permit Fee _2_ $ ARCHITECT OR ENGINEERS MAILING ADDRESS "—" Plan Checking Fee $ BUILDINGADDRESS i Energy Plan Checking Fee $ i $ PERMIT FEE $ LOT NO. SUBDN SNAME 1 PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome/11� Other SPECIFY Each Trap 1 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New Addition ❑A lRemodel ❑ llfilities ❑ Installation ❑ Other ❑ Describe Work: ►V Q� man a -40.0a Iy j hQ� On j -fl) � �C [.�i 041� ���T ( � Gas piping system 1 - 5 outlets 15.00 Buildin sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service ZDDAOR. 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class CW -7 Lic. No. � OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service ro 46.00 W:L200A CCU000A NEW CONST. DWEWNG OCCUP. OR ( �,SaFO. EW coNsr. Mu�ou�TLSS. ET NONFRESID. CIRCUITS 97.50 POWER APPARATUS a SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20 @ I'� BAL @ .so Ex. Occup. o 'EEDfB RES p,OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' mpensationnsurance,,ca��((ier r:d policy nu er are: Carrier L(199el ✓ /VQ� 10 Policy Numb WD II& ')— (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation pr isions of section 3700 of the Labor Code, I shall fo with com y with those rovisions. 0 X Date 9 / D Signature o Applica ❑ Own r Con actor ❑ Agent An OSHA permit is re i ed for excavat ons over 5'0" deep and demolition or construction of structures over;Js s o es in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HAZ. D. FPES I i/ FLOOD CDF P PDQ HD ISSUE This permit is hereby issued under of the Butte Coun Code and/or indi at o e f WjTich fees have B PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date /� l6 Date Receipt No, L r c i WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ►L-�k+'*,p�,...H CQUNTf'OF BUTTE -DEPARTMENT OF DEV"� NT SERVICES - BUILDING- DIVISION y" 7 COUNTY CENTER DRIVE - OROVILLE, CALIF OIA 95965 -TELEPHONE (53.0) 538-7541 7PERMIT APPLICATION DATA SHEET .4 OWNER.M ASS SSOR PARCEL NUMBER:(/ &( r11 /D_4D Proposed BuilUse: g Inspector: Date: At time of pe� n, dvised the following data must be submitted prior to permit processing oror issuance: ' Date Received By ❑ 1. All items have been submitted---------------------------------------------------- --------------------------------- ot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ Complete plans, `3/4 sets, signed by the preparer of plans. ---------=------------------------------------------- gineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ 116. Energy Design Compliance and supporting documentation. 117. Statement of Intent for Non -Heated and A/C Buildings. ----------------- -------------------------------------- Hazardous Material Form. -:---------------------------------------------------------------------------------------- M ufactured Home data and installation instructions including Tie Down Specifications.------------------� V,,jr of $ b act fees as shownon the attached schedule.----------------------------------------------------------------fornia Department of Forestry plan approval/fees. --------------------------------------------------------- 4�1 Fl elevation certificate.--------t•------------------------------------------------------------------------ tion andplan approval Health Department. -------------------------------------------. City of Chico plumbing permit. ----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: ------------x _____________ ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- t 01119- croachment Permit for driveway (construction approval prior to occupancy).--------------------- -mspectron for required. Request to Building Inspector on 021. Contractor's license information. (Number, Name Style, Classification). ----------------------------- El 22. Workers' Compensation carrier and policy number. --------------------- i 3. er-Builder Verification (Given to owner ❑, Mailed to owner ❑). r ❑).Letter of signature authorization. ------------------------------------------ ecorded copy of Agricultural Acknowledgment Statement. ----------- 6. Letter of intent on building use. ------------- 7 ----------------------------- ❑27. Manufactured Home utility clearance. ------- ------------------------------------------------- ❑ 8:� � ttonsaendd/o r permits------------------------------- - ------ 43 A, H. Title, L�fJf Check to H.C.D $ , G 0. Other: Whenjou issue the pperr it, process as follows ❑ Mail to owner, ❑Mail t contractor. telephone d 9� /�'/�� and hold for pickup at iC U ,office. 11 Deliver with inspector. ApPlicanDate: /2-1,,:? Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑Air Polluti a Date* By: Copy of plans sent ❑ Health Department, o Fire Department, ❑Other: D By: : Index permit application for the above items numbered: ❑Plan Check List 2. Additional items required: ontrac or, esigner, owner, was advised of the above required data by,X phone, ❑ m1til, ❑ building Division counter, by Date: - C Contractor, designer, owner, was advised of the above required data by o phone, ❑ mail, o Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: 4@Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: , Vett.,.,, f`...... Tl.,_....-�._.,._.� ..r T_-•-�------` "---' - - - ,-. , . .-. EJ TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance b E.M. USE ONLY Plot Plan Attached Floo► Plan Attach d 04 Sant to 8.0. K, D.IaL �u-►1 1441 & Ctan irpt- kjlz 064- - 4 10 - C� 7 Owner Location AP# Plan Approved for: Sewage Disposal .,X' Water Supply: Public Private Well Clearance for —dwelling. Other [2Ta_c z .3 -"M 14 94Z c- I bed A4ff'a7a Hold final for: Final clearance O.K. for: (VOTE: l c .r icy -30-00 Environmental Health Specialist Date 8/96 AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DMSION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 ,.COPY of Document Recorded 16 -Nov -2000 2000-0044244 Has not been compared with original BUTTE COUNTY RECORDER AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the.use of agricltural cbemicah, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying,- pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural 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 159, AS SHOWN ON THAT CERTAIN MAP ENTITLED, paradise Pines Unit No. 5, Which map was recorded in the office of the recorder of the County of Butte, State of California, on August 20, 1970; in book 35 of maps, at page(s) 38, 89, 90, and 91. Bate 11100 PROPERTY OWNERS: ells' r►�ir�g -O State of California County of &Cc nuvru w me kur proveu w me on ine Daws 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.7...1n WITNESS m cial seal.A. Fl A.M. MORROW Signature Seal:NOTRPUSU-CAUFORRIA COUNTY OF BUTTE My Comm. Expires Jury 16, 2004 A.P.# LLL - fit CO -7 `MY`'i+�°'^i`ti'tCcl`-'.�'J2�+X"b' r',l,Lixy.. �JR,,,IhYFT„':",i'�.�.nt• BUTTE COUNTY SCHOOLS IMPACT -FEE CERTIFICATION FORM (One form per Building) School District �v �'� Building Department No. . A:P. Number �p`(" (�--� Jurisdiction: City County . Property Owner of rf Property Location/Address �4 1 (� C J ✓try �1 l/�/�(� t Subdivision Lot No. Commercial/Industrial _ I Building Department Re New, Addition (Floor mans reviewed oy Scnooi uistrict Personnel) District Identification No. t- /33 12� 4✓ School District certifies that (Street Address) (City) has complied with the requirements of Resolution No. representing /( square feet. School District Representative 11 Paid by Check # �1j � Remarks: (State) Sq. Footage (Including Exterior R fed Areas) a. Date _;� �zh (Applicant) v s3 3 -- Sto sly (Phone Number) '(Zip Code) by payment of $ I2926 $ FL MITIGATION $ 61— z -C Date Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act ICEQAI, this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls 00/98)dmm i R �. Residential Development 0 Sq. Footage f No of Living Units Mobile Home Installation[ Addition/ Conversion *Supplemental to (Group R) Permit # *(No .foundation inspection); Commercial/Industrial _ I Building Department Re New, Addition (Floor mans reviewed oy Scnooi uistrict Personnel) District Identification No. t- /33 12� 4✓ School District certifies that (Street Address) (City) has complied with the requirements of Resolution No. representing /( square feet. School District Representative 11 Paid by Check # �1j � Remarks: (State) Sq. Footage (Including Exterior R fed Areas) a. Date _;� �zh (Applicant) v s3 3 -- Sto sly (Phone Number) '(Zip Code) by payment of $ I2926 $ FL MITIGATION $ 61— z -C Date Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act ICEQAI, this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls 00/98)dmm i R �. APPROVED ❑CONDITIONALLY APPROVED ❑ RESOLVE PROBLEMS PRIOR TO AppROVAL PERMIT CLEARANCE - Permit tt: OD - 21 Ct y ( No .Date: Nitrate Action Plan Genera/Info�madon ❑ Yes Violation Area No ❑ Yes Specific Plan AP#: ❑ Yes Owners Name: D c r r i n q �or\ , V e I y Parcel Acreage: .0 q V Owners Address: Watershed Protection Zone NAo C3 Yes Building Site Address: \ `1 L\ 1 lo C (o f -i r... ---------------- ProoertYmat/on Permit Tvoe: ❑ Agriculture Building ❑ Commercial ❑ Industrial Mobile Home ❑ SFD ❑ Residential Accessory ❑ 2nd Dwelling ❑ Multl•Family >2 units per parcel ❑ Septic ❑ Well ❑ Other Zone District: Date of Zoning Ordinance: General Plan: , ,•. • t...p Development Agreement Nonce Use Permit: N c Variance: - N O,n Parcel Is In: Land Conservation Agreement ( No ❑ Yes, check use Nitrate Action Plan ONo ❑ Yes Violation Area No ❑ Yes Specific Plan �Mf No W ❑ Yes Enterprise Zone VNo ❑ Yes, check use Floodplain VNo []..Yes , Watershed Protection Zone NAo C3 Yes Minimum Acreage: ❑ Chico ❑ D2N Zone: X ❑ Cohasset' Panel Number: D'i 00 (2 - Proposed Use Complies With: aGeneral Plan ILa Zoning Prosed Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Accessory Building Use Commercial/industrial/Multi-Family Uses: Parking: ❑ Parking Requirements are OK as Shown ❑ Other Landscaping: ❑ Landscaping Requirements are OK as Shown ❑ Other Road and Drainage Improvements Required: i ❑ No Applicable Setbacks: ❑ Yes Zcning Ccde Street & Hi hwa s Fre Prevention Subdivision Ma Front 2 O Side Side street Rear \�i )0 ( Heicht Permit c%arance ❑ Comply with Old Subdivision Lot Ordinance (Maps Recorded Prior to Bock 17 of Maps Page 23). ❑ Construct road to C1 meet parcel size required by zone ❑ Meet current EHD requirements. ❑ Other :er.eral Comments• ��:\c\inQ 1�iV�S�or� '�-o enS.se-•e, ole{y�o�oi\� v�orn i � C'e.YYlo�/ec{ J Septic Permit Review: AgrkulDue Affidavit Required ❑ No ❑ Yes Well Permit Review: Designated Well Site ❑ No ❑Yes Land Devdopment Review: Drainage Plan (CorNUtd/Multl) ❑ No ❑ Yes Farce! Created by: ❑ Deeds Date of Creation: - Legal Access,Provided• - - ❑ No - ❑ Yes Deed Reference: Legal Access Required: ❑ No ❑ Yes ParCO.ftntage on Publicly Maintained:Road: ❑ No ❑ Yes, Road'Name: ' Complies with County Standards for Deed Creation: ❑ No ❑ Yes Camments: �ap�c�ad,�se 1�ines ()•ni4- No S_ Date of Recording: Lot: S Blodc: Book 3 S Page: - q editions That Must bP Met Pricr to issuanceof Pennit• ❑ Verify Legal Parcel ❑ Verify Legal Access ❑Provide Creation Deed ❑ Comply with condition no. of conditions of approval for the ❑ Obtain a Certificate of Compliance (See Planning Division for appileation). ❑ Construction across property lines is not pentiitted (See Land Development for a Merger Appikadon/Lot line Adjustment). ❑ Comply with Old Subdivision Lot Ordinance (Maps Recorded Prior to Bock 17 of Maps Page 23). ❑ Construct road to C1 meet parcel size required by zone ❑ Meet current EHD requirements. ❑ Other :er.eral Comments• ��:\c\inQ 1�iV�S�or� '�-o enS.se-•e, ole{y�o�oi\� v�orn i � C'e.YYlo�/ec{ J 0 B.I.N. REQUEST FOR INSPECTION Permit No. N/o. /40 Location: Z14i/1D L G✓!/1l�� (Nn�1 ///�G Owner. Contractor or Tenant: Complaint: BLDG. PLUMB/MECH ELECTRIC H.I./M.H.U. E - Form Rough Rough SPECTIO Housing Frame/Underfloor Top Out Temp. Service Corrections Stucco Lath Gas Pipinglrest Service Final Job Status Stucco Brown Temp. Gas Underground Permit Renewal Fireplace Bond Beam Insulation Sewer Piping Water Piping Shower Pan Well Circuit Light Niche Verify Utilities OTHER Nailing Corrections Final Corrections Final Corrections Final READY FOR A.M. INSPEC.ON 19_ P.M. Date: Time: Note: 7 PRE -INSPECTION REPORT OWNER: LOCATION:0�70/U PRE-INSPETION FOR: DATE: A.P. #. ZONING: �M DATE TO INSPECTOR: PERMIT HLSTOFY:( ) NONE Y},,AS FOLLOWS: Building Description: Electric: BUILDING INSPECTOR'S REPORT CommerciaWsage: Residential/# of Units: . Currently Occupied Abandoned/Vacant Yes No Condition of Electric Gas: ( Electric currently On Off Natural Propane None Currently On Off Obvious Problems: ; Sanitation: Plumbing Working Well Working Potable Water Obvious SewageProblems_ Comments: ACTION RECOMMENDED: Inspector. HOLD FOR Date 4g���iZI Sketch buildings on reverse and indicate location on property. A.P. n r VIOLET LANSBERRY y,W Clarion Way, Lot 159,, .#5Mag. CONTR: R. P P � :� µ • i 1�. Munj ar Const., Paradise tJ, Permit L,L, 9-73P, E --2.3 }y` (utilities for mobl e nome7 VIOLET LANSBERRY �r150 Clarion Way', lot 159, unit 5. Magalia Permit # 2734-74B (build deck, MH) s 64 1- 7 Violet Lansberryltl �t /+ PCV S,Maga n i �6 150 Clarion Way, lot 159, ': T` r "�� "'� r n contr : Lloyd R. Roberts Ma galia`�- 'zrs� Permit #217-78P,E(relocate existingr ' ^ util. M ELEC.V�POY /00,4ap M+ k '+ z GAS SUPPORT STRUCTURE REQ. Af 0 COMPACTION TEST REQ. A�V l� 64-41-7 Contr: Paradise,:Aodul r Concepts L �x �PErmit #828-78I �� • ,r Mt' 2` Issued , "`' i'v �,is.-s-r. �' syr '$�' ^� a," . �: � •,, +�,f r r " � " s r �. y164-41-7 ✓` , '' �� w:, r �'� 'a; hT _ �V""ix Con�4lraModular Concepts r Permit #1036-78P (gas piping)MH r f i 64-41-7� Permit #5346-78B (new deck) MH etz _r '--•"„r� r"�� r .•�` s .,r t sy ,Z A L tiv�^.c f f � D -.� ?v i � _ f a.�'. i r.'7.. �� ;t y } � .. _ - •: ti '� �V r> ;�i <,. -.ter �•." } � r:. r ,��.y `'7' 'xr ' S r (Rev. 12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSORPMCELNUM ER .1C �• ZONING _ BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S "AILINGDESS lY CONTRACTOR'S NAMETELEPHONE T) and A ronst-r-tirtiCin 33-9643 CONTRACTOR'S MAILING ADDRESS 1740 Feather River Blvd. Oroville 95965 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER UCEISE NO. Filing Fee b 20.00 Permit Fee $ / GO ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee b BUILDIN ADD E S �r "1 Energy Plan Checking Fee $ C a PERMIT FEE $ LOT NO. S DNISK)N'SNAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome 1A Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00I,,,Ct-_ Each gas water heater or vent 15.00 • p -p TYPE OF WORK New ❑ Addition l'❑ Remodel ❑ Utilities ❑ Installation �: Other El Describe Work: Q-e-ol �' S CA I (?46Sf-10 q 4-c 2 bP_C 2 _ hajy, Gas piping system 1 - 5 outlets 15.00 ,Ob Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ to ELECTRICAL PERMIT Fling Fee 20.00 Main Service OO V OR LESS zooA oR LESS V 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class —C 47 Lic. No. 457364 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service sow TO 46. NEW CONST. DWELLING OCCUP. CCU OR ( C.BL S. so 3.S¢R. cDNS.ONS NEW9 Mu NOKRESID. @7.50 POWER APPARATUS & SINGLE OUTLET CIR. EX. OCCU OUTLET OR FORUREs ��'•50 aAl p .so O Ex. Occup. o16.1 E U�TLEEOTs AE.w 5.00 Temporary Service 23.00 Mobile Home Facilities ,/ 20.00 Misc. Wiring 23.00 PERMIT FEE _ (Q3 • pv WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure' for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is Issued. $I I have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' coypensation insurance carrier and policy number are: Carrier Atlantic Mutual Policy Number 4 0 0 s 2 0119 ? (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is Issued, I shall-' not employ any person In any manner so as to become subject to workers'HAZ. compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner XX Contractor ❑ Agent. An OSHA permit is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspe0on Fee Is CONST. TYPE TOTAL FEE $ q a . Qv VThispermit D. FEES IMP FLOOD COF PARCEL PD HD rSSUE is hereby Issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON I the applicable provisions Resolutions to do work been paid. Date PA1e ReceiptNo. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT -NGT( N D & A Construction ►so,�$ 1740 Feather River Blv4. Oroville, Ca 95965 530-533-9643 CL#"457364 Way '954 )-007 ome with. ?3'4x52' . � , v . r ,-r....... �_..^�y�.J"L.^-T;,r�+.r'"lt^"^.l`""s-'R-:r.+`^ .•+'I`.Y.'`_^�!s rr^-'n v..� -..`..r ..af .r. .- '-�YY'_'.-.y .--�� ..yi�^r�� .. ... r.-. TT..� F ;^ BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) . /School District A.P. Number Property Owner Property Location/Address Subdivision Residential Development No of Living r Units Building Department No. ®County L' ot: No.. r ,�,o F _11r.0 S . Footage / Mobile Home Addition/ Supplemental to Gr up Installation r Conversion Permit # '(No foundation inspection): ................................................................................................................... Sq. Footage District (Street 1�1� (City) ' No. (Floor Plans reviewed by School District Personnel) has complied with the requirements of Resolution No. representing quare feet. Representative Paid by Check # District certifies that (Including Exterior Roofed Areas) Date tw�� (Phone Number) / (Zip Code) by payment of $ AB 2926 $ FULL MITIGATION $ /Q Date j Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 660201a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit i' ou from challenging the imposition of the fees in any court action. r If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls (10/98)d7m Department of Development Services Building Division r 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX Residential Construction •Requirenients BAPORTANT This set of plans and specifications MUST -be kept on the job site at all times "and it is unlawful to make any changes of alterations on same without written permission from the Building Division, County of '. Butte. • All materials and workmanship shall be in accordance with recognized good practices and of a quality prescribed for the specific use in the' -1998 California Building Code (1997 U.B.C.), -1998 California Plumbing Code (1997 U.P.C.), 1998 California Mechanical Code (1997 U.M.C.), and the 1998 California Electrical Code (1996'N.E-.C.) COMPLY WITH ITEMS INDICATED BELOW ❑ Your parcel lies within a designated 100 -year flood plain. Finish floor, electrical, H. V. A. C. equipment and services shall be a minimum of one foot above the elevation shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate wift also be required Note: We will normally accept the following as compliance with the flood elevation requirements: 1 Building is anchored to concrete stemwall system with conventional anchor bolts. 2. Building plate on top of stemwall to be one foot or more above the 100 -year flood elevation. (Plate height less than 24" above grade, or engineered design required). 3. - Electrical, heating, ventilation, plumbing and air conditioning equipment and facilities located above the plate. 4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total net area of not less than .1 square inch for every square foot of enclosed area. 5. The bottom of the openings shall be no higher than 1 foot above grade. 6.. The openings may be screened or covered with other devices that will permit automatic entry and exit of floodwater. ❑ Parcel lies within the State Responsibility Area'(SRA)' Comply with attached requirements. ❑ Fire sprinklers are required in this structure. ` ❑ The following parcel map requirements shall be met: ® All structures and equipment including overhangs shall be clear of all easements. A setback of 5' from the side and 15' from the rear property lines and 20 feet (25 feet if Federal Aid Route) from the edge of the right of way shall be clear of structures and equipment except for a 2 foot overhang. ® Expansive soil may be encountered on this site.TIds condition may require the foundation to be designed by a California registered engineer or licensed architect.IE , BUTTE" COUNTY . - BUILDING DEPARTMEW COPY Page 1 of 1 AP PR 0 E D Owners Name: Derrington - Building Permit Number: 00-21941- ` Plans Examiner: Glenn'Gibbons C M.H.I.-2 <:Yf :.S'tC{♦utZ'!:y��E�\tY♦ .:. :.. .•.}......tti .. ..} Jf.L:.:..:..:.:....4. .'•v. ::; :�:y;{ •}:•}:::.:.•:..♦. M. `: ; f. ,E. , Y .. �1�'�:: ff ►iWW:<45� 4. tf' y • •`Y.• !':>} . •. �f/'3'?!•;)..: :... ... •: vi :• v'{{{.}:•i:•:titi^Y'.i}}i::.: �:{^:i'.:vr:.:}v{ti •: {L}v::<rW:� v{.; :.. �•���'•�'•.'�'.•.'..', ::p:i4: x: �I�Y�4��.11�: .� . �,. •• {^F� . 1. Owner's Name: /fC ['GG V A, OC I X /.1/ 6. 7''n i1% 2. Assessor's Parcel Number: 3. Installer's Name: 5X4 e- V l/Z /71O1fe S 4. Is the site currently under permit? Yes[ ] NoV] Permit No. 5. Is the site an existing'site? Yes�K] No[ ] (If yes, furnish two plot plans). 6. What is the electrical rating of the mobilehome? X00 Amperes. 7. What is the mobilehome site circuit breaker rating? 2100 Amperes. 8. What is the electrical .rating of the mobilehome site? _ XO -0) Amperes. 9. Is the main service remote from the mobilehome site? Yes[ ] Nokq If it is, what is the rating? Amperes. 10. Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage etc.)? Yes[ ] NoN If yes, please identify the load and size: a) The mobile home site: Load- Amperes - b) The main service: Load- Amperes- 11. Type of gas service at mobilehome site: Natural[ ] Propanej - ] None[ ] 12. Size of gas pipe at the mobilehome . site from the meter or tank: inches. 13. What is the gas pipe length from the meter or tank to the mobilehome? 14. What is the mobilehome gas demand? B.T.U.* *(This information is not required if the pipe length is less than 6 feet on natural gas or less than 50 feet on propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION BUTTE COUNTY MUILDING DEPARTMENT May 1995 8.5 L i1 i. �O• In1f' Mob ilehome Manufacturer: Manufacture Year: Z �� If other than single wide, furnish Setup Model Number: 73 5 Z Z t_ Width:tz' e' (ft.) Length:_ S b' (ft.) Tagalong or Expaildo Size -9- (ft.) x -6 -_(ft.) On all mobilehomes m.Inufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. ' FOOTINGS: Wood pressure treated or foundation gradeN] Other: SUPPORTS: Concrete,bloc N] Other: Provide Tie Down Specifications for all Mobilehomes: 5 6, — 4A1-" PLS-� Pier Footings Sizes and Location STRGLE WIDE MULTI -WIDE Line 1 Line 1 Line 2Line 2 .................................................................................................. Main Beams Line2................................................................................................ R'Line 2 Line 1 Line 3 Line 2 .............:.................................................................................. Main Beams .......................................................... Line 2 ...................................... Line I .............................. ine 3 Tag or Triple ine 4 ine I Line 1 Piers: , Size minimum: zy x Z� . Spacing maximum: From ends -maximum: . ` ` Line 2 Piers: Size minimum: [ Z ] x Spacing maximum: 1, ` From ends-maximum1_1 O Line. 3 Roof Loads: Q Size minimum Z.`I„zo z`1,. Location (from front): Line 5 Roof Loads: Size minimum. ` Location (from front) May 1995 Line 1 Openings Size minimum: Each ] ). Each side of opens with width over: T` Line 4 Piers: Size minimum: ] x [ Spacing maximum: ` From ends -maximum: ` 0 WWI a@= MI V 8.4 3o bk30 3b „3o WWI a@= MI V 8.4 e'4' -7'V1 p a6 4/.ylr�-��a APPROVED Butte County Environmental Health 00 Date . ®®----Date------ Signature Environmental Health OCT 2 5 2000 Chico, California IV I 9R �r-- M d w,q &Oloo-sea xr 0 i S� SR3 r�K I .7o4110 00 I UeCouN 8l t INGDEPARTMENT JAPPRO�ED __._._..._...... ...-----... Zvi H O M E S, ovAL rus/ , ` SHOWER ED t t BATH 11: i III : z W z I I I MASTER BEDROOM I I I I I I M BEDROOM 9'-Z" X 11'-3" APPROV- Butte Co, -nay Environmental Health Environmental Health --__ i�? ®ate _-30 -cx7 SEP 1 3 2000 Suncrest Series te Chico, Califomia Model 3522E ti, rooms-.-2-Baths • 1,222 Square Feet s I s 52'-0" LS' C an t,) .g �cP N O�c�l- - �- cor7 SU/19/JUN99 DEN 11'-10" X 11'-5" r__ I J � I 1� li 11 I GLA55 J "� DOORS ENTRY DECOR GLASS BAR LIVING ROOM 21'-O" X 11'-5" on WALK-IN BAYS NOT AVAILABLE WITH OPT. PORCH 1� OPT. CORNER OPT. ANGLED BAY RECE55ED ENTRY OPT. CORNER RECESSED ENTRY *Rendering shown is a typical elevation DINING AREA 91-11"X111-511 U5/25/2000 10:48 . c z .. 0 m Z �o 0 U 93 3835207 i Cn K rn &ZOa Cil N � ABESCO � � � � � ✓� .fit ---,- MA1l 30° XI U t�i 1 Ij i iJ � . N W �n ro H . ��Y�//♦ �y m 0 M !�x N rn B j'TE COUI UIL®ING DEPAF A P P V 05/25/2000 10:48 3835207 ABESCO N L4 , A � a m rn N x t'il O. .x wa x '0 POO o� PN n 1 i) m m eL 7n N ��di C 't j Ooom d1Nm W . ti TOl m N Qp� BUTTEBUILDIC® NG DEPARTAIENT AP'pR®y ED tl .0 1 m co LLI Q GENERAL NOTES GUS GUARD TUFSI CL 1. DESIGN LOADS : LIVE LOAD - 30i8. _ FLOOR LI VE LOAD - 40 M WIND LOAD - 80 WH EXPOSURE -C- SEISA•lIC 201E -4' •.SNOW LOAD IODPSF 2.. THIS FOMMATIO.1 SYSTEM IS DESIGN33} TO BE CONSTRUCTED ON A FAIRLY LEVEL SITE - WZM NO EXlSTTNG SM PR QlffLMlM 3. CHASSIS BEAM SUPPORT SHALL HE LOCATED AND SIZED FM THE LOADS AS SHCRM IN 7HEMOBILE HOKEWSTALIATIOMINSTRUCTMN. 4. Its AREAS WHEREDIFFERE]TnJ SETTLEMENT (D S. I CAN OCCUit WANUFACTURED HOS SHALL BEREADWSTED WHEND.S EXCEEDS IJT OR WHEN IT HILL HE ADVERSELY AFFECT)AANUFACTURfD HomE UNIT. S. CARRY All FUOITNGS DOW TO FUML UV4XSTURBED SILL_ FOOTINGS ARE DESIGNED FOR JOCK, PSF TOTAL LOAD S= PRESSURE AND SHALL BE C10A1pA'IIBLP vmM LOCAL. SOL CONDITIONS. CC &WACTED SAND MAY HE USED TO FILL LOCAL VODJS UNDER PADS. C 6. STRUCTURAL STEEL FABRICATE ACCORDING TO ASIC SPECIFTCAT MNS_ WELD ACCORDING TO AWS SPECIFICATIONS: EL.ECT1-ODES-370PLATES -ASTM A36BOLTS Lc1) SAE GR 5 -ASTM A449 . ASTM A3721. W Q 7. THE GUS GUARD A SSWN EMBLIES SHOBELOW SHALL BE LISTED AND LABEIFD BY BSK AND ASSOCIATES FOR THE POLI OWM LOADS: ALLOWABL=LOADS HCfUZOFLTAL VERTICAL GUS GUARD 7UF-1 =000 60000 GUS GUARD MGP PAD .22m 6000st GUS GUARD E -Z TIE PAD 22009 60" t DURINGPRELD-ONARY LNSPECnCLN_M EESTIMATORSF-&UENSURETHATb4MILE MME CHASSIS BEAMS ARE OF STANDARD SECIICOZ 9. EXISTING COACHES MAY BE RETROFITTED TO RESIST SEI%CCFORCES BY INSTALLING GUS GUARD TU7-1 UNITS AS SHOWN ON THIS PAGE OFTYPICAL fotq;DATjON: PLANS. 10. THE GUS GUARD TUF- 1 SYSTEMS ARE SAFE FOR INSTALLAT ION M FLOOD PLAIN AREAS WHERE DEPTH OF FI OMWG DOES NOT EXCEED THE tMGHT OF TEIREE FEET CN 11. MMTD42 UNI WSTALLATTON IS ACCEPTABLE PROVIDED TIM NSIMBPROFTUr-I UNITS LP UNDER EACH UNIT LS THE SAhfE AS SHOWN REQUIRED PER EACH UNIT m � GO I2. SENGLE-WIDE UMTS REQUIREADDITIONAL NAL RESTRAINT_ • (SEE SHEF-T t3) - L3_ ALL METAL CO&O ONENTS AND ATTACHMENTS TTFMS SHALL BE PROTECTIVE COATID_ m 14. FOR MGP PADS USE 1 IB EXTERIOR PLYWOOD WITH WOLNIANLZEDTRE&Tt CWrTo6.40 V MAX PCF RETE?�MC N WITH DRYING AFTER TREATMENT. m m . m co CV Lr) CV ui f .�pQ 13. LIG{THFAVY-WEIGHT PLASTIC AND STEEL PADS MAY BE USED IN PLA �'�' uj WOLbMANZM PADS �09Q2•ifWdFE"Co e..m=Sf4N lb. E,Z'T1E DOWN 11S13F ON SD4G.E-WIDI; ROUND STAKES (3k X EJ7 MAY 13E CE: OF THE 1'X US' FLAT BAR WHEN SOIL IS EXTREMELT HARD OR IN A=. iV17LAND SAFiTY COOe _�17ICH yly PRE—DRILLED WHEN NECESSARY. ■ C $$°fit APPROVED SNOW TO CCRRF]CT)CM IIE7I4D 17- GEIS GUARDTi7F-i FOUNDATION SYST_Fa1 PROVIDES AIZC➢WAH1F SNOW � MEN V67ALLED WITH EX1STM S' ANDARDS REQUIRED BY COACH JJf&7%ta® NWAa7e0t=CKAfZ A" �r®voaoeveivawfeva �epu�a OR REPLACE Tnr'3d ON A OIiETOOK BASIS,��as aDve uws Ma te0pAp¢ Id yCLMATION BLOCKs16' s 16' x 12' POIMED IN PLACE AT GItOUND LEVEL - dBamee4al ��y AT RZSTALLFRSS DaCIMMO L AS ALTFBNATiVE To PADS. � J pP CQDES AHD nk mAm YAk= 40,' - -W SIO: TARI-r od-VaT4 l ' L' r Q y�AOX--= 3 .SUF?I•,--.T AS R=- '0 9r rurnFAG LRS - TTP. n u D ❑uEl F� s7e / / t 2' / 5 `� mw ce Pvc sus PADS iN ANYPAB MAY STANDARD WM FOU?VATRON Plf3LS SUPPORT PAD BE RDA= 90 DI:GIEES AS RECt%04ZV= BY TLIE MANWAC URER TYP_ GRQ'PgTZ 0TIM0 DE ORTi�F2iGI2>ffitTYPiCAI TiIIt�7G[-0OCiL TO A:M CLEARANCE 7W-1 PERMANENT FOUNDAM.K SYST M SINGLE WIDE UNITS E= 2' YIN ! r MAX S- Ii' MEW t6 MAX DOUBLE WIDE UNITS ABESCO - GUS GUARD COMPANY P.G.Dox 123 e' f 27 CAT�S VAIZ.EY, C.t .95306 � RAX�Adf•3WS Yoe -38.?- k" SHETE 2 OF 3 - I t s r H.C.D. ATTACH CHECK .-1.4720"" - ., SECURITY MOBILE. HOME-SHOWINORTH, INC - • -P, y' - _ MES >> a2a817o -EXECUTIVE HO = Y' • �� �� 1210 3042 ESPLANADE PH. 530-891-6992 CHICO, CA 95973 PAY TO THE ORDER OF / ~lowells Fargo Bank N, www.wellsfar90-c0_m ' d • FOR_ u'0 L4 2 L04 288 2l:0 L 7.00 760041I'- A NAME: AN: DATE: RECORDING REQUESTED BY: f . AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 12 -Dec -2000 2000-0048794 Has not been compared rith original BUTTE COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section- 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. PATRICIA F. BALLANTYNE LIVING TRUST BUTTE COUNTY BUILDING DIVISION REAL PROPERTY OWNERILESSOR LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 14681 LAFAYETTE DRIVE 7 COUNTY CENTER DRIVE MAILING ADDRESS MAILING ADDRESS MAGALIA, BUTTE, CA 95954 OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP CITY COUNTY STATE ZIP 14416 CLARION WAY 00-2194 (530)538-7541 INSTALLATION MAILING ADDRESS, IF DIFFERENT G PERMIT NO. TELEPHONE NUMBER MAGALIA, BUTTE, CA 95954 M 12/11/00 CITY COUNTY STATE ZIP SIGNATURE OF LOCAL AGEfPJ0FFIbAL DATE KELLY DERRINGTON EXECUTIVE H&4ES UNIT OWNER (if also property owner, write 'SAhfE') DEALER NAME (if not a dealer sale, write 'NONE") 11 E. SHASTA 92081 MAILING ADDRESS DEALER LICENSE NO. ORLAND, GLENN, CA 95963 _l'IT1' coIYn * .STATE UP , UNIT DESCRIPTION FLEETWOOD 2000 SUNCREST 352-2L NIANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAIWIFJNUMBER CAM17A/1124063—SC12 56'.X 23'6", RAD1303503/4 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNWLABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. # 064-410-007 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE - County Recorder CANARY - HCD PINK - Applicant GOLDENROD - Building Dept. v �w � :,«f;� ��i�' �� � " r � � ,>j. ," t"ra �i4�}�,��;4" i ✓.� � Jf �� � ��+ Ri> �`�•"'�" �, ',� .,� �:'s � .y� fi= Y`�R1x� �� }ar�'•'} 3` ���.�. f . � � �� t�'.i. �AO� •'•' t / � � F�S R y ' ��. ) �`i a; ' f BUILDING PERMIT NUMBER: 00-2194 Address or location of unit: 14416 CLARION WAY, MAGALIA, CA 95954 Legal Description of Real Property: A.P. #064-410-007 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: KELLY DERRINGTON Owner's address: 11 E. SHASTA, ORLAND, CA 95963 INSIGNIA OR HUD NUMBER: W1303503/4 SERIAL NUMBER OR V.I.N.: CAFLY17A/B24063-SC12 MANUFACTURER'S NAME: FLEETWOOD YEAR: 2000 OFFICIAL APPROVING INSTALLATION: 6',C DATE: 12/11/00 PHONE: (530) 538-7541 H.C.D. 513C LEGAL DESCRIPTION A.P. #064-410-007 All that certain real property situate in the County of Butte, State of California, described as follows: PARCEL I: Lot 159, as shown on that certain map entitled, "PARADISE PINES UNIT NO. 5", which map was recorded in the Office of the Recorder of the County of Butte, State of California, on August 20, 1970, in Book 35 of Maps, at Page(s) 88, 89, 90 and 91. Certificate of Correction recorded December 2, 1970, in Book 1648, Page 2, Official Records. EXCEPTING THEREFROM all minerals, oil, gas, asphaltum and other hydrocarbon substances, with provision that any and all mining operations shall be done from orifices outside the surface area of the land described herein, and that no damage shall be done to surface of said land. PARCEL II: A non-exclusive easement over Lots A, B, C, and D (the common area) of said Paradise Pines Unit 5 for ingress, egress and the uses and purposes set forth in the Declaration of covenants, conditions and restrictions. STATE FORNIA �1n BUSINESS, TRANSP RTAT ONIAND HOUSING AGENCYO DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT DIVISION OF CODES AND STANOAR93 MANUFACTURED HOUSING PROGRAM NUMBER: , 8668470 MANUFACTURER CERTIFICATE OF ORIGIN Q(gjg1.11UM: ORIGINAL (PINK) COPY 1 (WHITE) COPY 2 (YELLOW( COPY 3 (GOLDENROD) HCD 493.0 - Side I - (7197) 1 FORWARD TINVENTORY CREDITOR UNLESS THERE 15 NONE. THEN FORWARD TO THE PURCHASER (DEALER OR TRANSFEREE) FORWARD T I DEPARTMENT AT P.O. BOX 1929. SACRAMENTO. CA •5912 -IMA WITIIIN FIVE (5) DAYS OF RELEASE. DELIVER TO THE TRANSPORTER TO ACCOMPANY THE UNIT TO ITS DESTINATION. YO RE RETAINED BY THE MANUFACTURER. e ,O ❑ CHECK IF THIS IS A DUPLICATE MCO•IiNTSR ORIGINAL MCO NO. r)ME OR MULTI. 1NIT MANUFACTURED HOUSING SF. (61 . Q(E FgMILY d1N6L) IAO) LrJ MUMH (MULjI-UNIT MANUFACTURED HOUSING NUMBER OF 2 TRANSPORTABLE SECTIONS COMMERCIAL COACH: OCCUPANCY GROUP MANUFACTURER NAME: MANUFACTUR R LI ENSE NUM8E : FLIMOOD HOMES 0! CALIFORNIA, INC. 9534 m"Wupgq impifisims. SUGGESTED ETAIL PRICE: ' PO zox 1308 WOODLAND CA 95776 CUFAC CI (Slats) ZI RER TRADE NAME: i s r MQOE� NAME AjQ10R DUMBER•: , , . ; DATE.OF MANUFACTURE: SUNCREST 3S22L 2001 11/22/2000 NAME OF DEALER OR TRANSFEREE (OWNERSHIP TRANSFERRED TO): 611111CVRITY N/H 101OW/NORTH, INC. CALIF. DEALER NUMBER OR TRANSFEREE DESIGNATION: DATE OF TRANSFER: DZA1 WMCOTIVS ROMR8 9aoe1 11/22/2000 DEALER OR TRANSFEREE AD 9: 3042 NBPLANADB CHICO CA 95973 SUeel Ply) StBLO) (Z1 INVENTORY CREOtTOR NAME: T)I 6 A!R;CA IN MY A ClE BLVD 390 B'_ Sheatst) CHMLOTTB NC 28226 C) Stele ZI SECTION MANUFACTURER SERIAL NUMBER NCO INSIGNIA OR HUD LABEL NUMBER LENGTH WIDTH WEIGHT 16 INCHES INCHES(POUNDS) 1 CAPLY17A24063-OC12 RAD1303303 672 141 19,460 2 CAFLY17B24063-9C12 RAD1303504 672 141 16,600 TRANSPORTER NAME: D 8 I TRANSPORT TRANSPORTER ADORES& &h,j0. BOX 179 DURHAM CA 95938 (Ckyj 16101 Z DESTINATION FOR UNIT DESCRIBED ABOVE: NAME 8lroet Cn eIw ^ I l Mty L008f 10.M11Y of Penury unow Uie Iewe of IM State d Cenomla PW Ple above red, ere I" ono tartan. Exe0uleaen .:11.122/2000el WOODLAND YOLO G I OUMYI i (Stole) 810NATURE OF AUTHORIZED AGENT: �— Q(gjg1.11UM: ORIGINAL (PINK) COPY 1 (WHITE) COPY 2 (YELLOW( COPY 3 (GOLDENROD) HCD 493.0 - Side I - (7197) 1 FORWARD TINVENTORY CREDITOR UNLESS THERE 15 NONE. THEN FORWARD TO THE PURCHASER (DEALER OR TRANSFEREE) FORWARD T I DEPARTMENT AT P.O. BOX 1929. SACRAMENTO. CA •5912 -IMA WITIIIN FIVE (5) DAYS OF RELEASE. DELIVER TO THE TRANSPORTER TO ACCOMPANY THE UNIT TO ITS DESTINATION. YO RE RETAINED BY THE MANUFACTURER. e ,O STATE OF CALIFORNIA `O„& BUSINESS, TRANSPORTATION AND HOUSING AGENCY e��'�" DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT c DIVISION OF CODES AND STANDARDS ' REGISTRATION AND TTnJNG PROGRAM S'T'ATEMENT OF FACTS NEW_ UNITS PERMANENT FOUNDATION This unit is a: Q Mobilehome [D Commercial Coach 0 Floating Home 0 Truck Camper Decal (License) No.(s) Trade Name Serial No.(s) FzeelTwoo d 0,V4, J7 f;/ ayo� a Sc E a 8,57-7-.1L I/We, the undersigned, hereby state: DEALER REPORT OF SAIF # THE ABOVE DESCRIBED UNIT HAS BEEN PLACED ON AN APPROVED FOUNDATION SYSTEM IN ACCORDANCE WITH 18551 OF THE HEALTH AND SAFTY CODE I/We further agree to indemnify and save harmless the Director of Housing and Community Development, State of California, and subsequent purchasers of said unit, for any toss they may suffer resulting from registration of the above-described unit in California, or from issuance of a California certificate of title covering the same. I/We certify under penalty of perjurythat the foregoing is true and correct. Executed on /-7v/;2- (b a t -7 /;2 - at Signature(s) .�-', (City) U u. Printed name(s) ; /40K& -S (State) City t �c c..� , State_CIf f S f'T- HCD 476.6 (REV 9/91) u 11/06/00 17:04 BIDWELL TITLE CUSTOMER SERVICE 4 530 891 8753 N0.560 P003 0�_2 RECORDING REQUESTE=D BY i 998-0� 1 2 1 2E J� Mid Valley Title and Escrow Company Recorded I KC FEE 18.6 Trustee No. 163132 OffCountyROf rds I Order No. Butte I Loan No. CMM J. GRIIBBS I WHEN RECORDED MAIL TO: I Cindy Patricia F. Ballantyne Trust 09:0ftAGt 31 -star -1998 I Page 1 of 2 ATTN: Pat Ballantyne 14681 Lafayette Circle Magalia, CA 95954 APN#064-410-007 space AW415 THIS LINE FOR RECCIRDIU S UW MAIL TAX STATEMENTS TO: DOCUMENTARY TRANSFER TAX $00.00 SAME AS ABOVE Grantee was the foreclosing beneflclary, Consideration paid at the sale was: 543,005.74; The unpaid debt was: $43,005.14; Computed on the consideration or value of property conveyed; OR Computed on the consideration or value less liens or encumbrances remaining at time of sale. The undsrsl0ned daelarss rMer panattlr of 29&r r Signature of Declarant or Agent TRUSTEE'S DEED UPON SALE MID VALLEY TITLE AND ESCROW COMPANY, a Corporation, (herein called Trustee) does hereby grant and convey, but without covenant or warranty, express or Implied, to: Patdcla F. Ballantyne, as trustee of the Patricia F. Ballantyne Revocable Living Trust (herein called Grantee) the real property in the, County of Butte, State of California, described as follows: THE REAL PROPERTY AS MORE PARTICULARLY DESCRIBED IN EXHIBIT "A" ATTACHED HERETO AND MADE A PART HEREOF This conveyance is made pursuant to the authority and powers vested In said Trustee, as Trustee, or Successor Trustee, or Substituted Trustee, under that certain Deed of Trust executed by David Mitchell and Jennifer Mitchell, husband and wife, as Trustor, recorded September 21, 1985, as Instrument No. 95.32117, In Book n/a, Page nla, of Official Records in the Office of the Recorder of Butte County, California; and pursuant to the Notice of Default recorded November 18, 1997, as Instrument No. 9743760, in Book n/a, Page nla, of Officlal Records of said County, Trustee having complied with all applicable statutory requirements of the State of California and performed all duties required by said Deed of Trust, including, among other things, as applicable, the mailing of copies of notices or the publication of a copy of the notice of default or the personal delivery of the copy of the notice of default or the posting of copies of the notice of sale or the publication of a copy thereof. At the time and place fixed in the Notice of Trustee's Sale, said Trustee did sell said property above described at public auction on March 30,1998 to said Grantee, being the highest bidder therefor, for $43,005.74 cash, lawful money of the United States. /1 /1 Dated: March 30, 1998 MID VALLEY TLIAN9.,��C7/17 07PANJf, a corporation as Trustee,_ c ]\/ / Gy. Hunt, President Town= (PZV. Me) Page 1 11/06/00 17:05 BIDWELL TITLE CUSTOMER SERVICE 4 530 891 8753 NO.560 P004 Foreclosure No. Exhibit "A" All that cartain real property located in the County of Butte, State of California and described as follows; PAaCEL I _ LOT 159, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "PARADISE PINES UNIT NO. 5, WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA. ON AUGUST 20, 1970, IN BOOK 35 OF MAPS, AT PAGE(S) 88, 89, 90 AND 91. CERTIFICATE OF CORRECTION RECORDED DECEMBER 2, 1970, IN BOOK 1648, PAGE 2, OFFICIAL RECORDS. EXCEPTING THEREFROM ALL MINERALS, OIL, GAS, ASPHALTUM AND OTHER HYDROCARBON SUBSTANCES, WITH PROVISION THAT ANY AND ALL MINING OPERATIONS SHALL BE DONE FROM ORIFICES OUTSIDE THE SURFACE AREA OF THE LAND DESCRIBED HEREIN, AND THAT NO DAMAGE SHALL BE DONE TO SURFACE OF SAID LAND. PARCEL It: A NON-EXCLUSIVE EASEMENT OVER LOTS A, B, C,.AND 0 (THE COMMON AREA) OF SAID PARADISE PINES UNIT 5 FOR INGRESS, EGRESS AND THE USES AND PURPOSES SET FORTH IN THE DECLARATION OF COVENANTS, CONDITIONS AND RESTRICTIONS. STATE OF CALIFORNIA )ss COUNTY OF BUTTE } On March 30, 1998 , before me, GREG WOOD , a Notary Public in and for said State, personally appeared Daniel F. Hunt 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 parson(s) acted, executed the instrument. WITNESS my hand and official seal. MOD= (REV, ,M) Page 2 GREG WOOD (� Comm. 61111450 • NOTARY BUTTE PUBLIC Comm. F-cp. ON. 0.200 46 (fhts area for offk:lal notarial seal) FILE No.930 12/11 '00 AM 08:11 ID:EXECUTIVE HOMES FAX:530 891 8753 • Bute of California Eualnese, T►anspertaeoa and Housing Agency ,• Department of Housing wfal Community Development Division of Cedee and StandardsAle; APPLICATION FOR: Alteration/ConversIon [] Approval to Remenufecture C] Alternate Approval (3 Technical 8ervldes O Replacemen ISN REVERSE 8ID0 OF FORM FOR INSTRUCTIONS AND ADDITIONAL INFORMATION) .. CONTRACTOR/OWNER GUILDER DECLARATIONS Not required for Speole/ Purpo" Commerolel Coachas or Recreational Vehicles 1. LICENSED CONTRACTORS DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter S (commencing with Section 7000) of Divlslon 3 of the Stl&Inass and Professions Cods, and my Nnenso Is In full fort and affect. License Clus •C11LIc. No. 5up. Date ✓ �� �' Contractor ago ti Dau dckila 2. OWNER -BUILDER DECLARATION I hereby of firm under Penalty of perjury that 1 em •sem t from the Contractors License Law for the following reason lase. 70]1.6). Business and Professions Code: Any ally or county which requires a Permit to uunstruct, alter, Improve, demolish, or repair any structure, prior to Its lesuenno, also requires the applicant for such permit to file a signed statement that he or she Is licensed pursuant to the provl&lons of the. Contractors t.M.a se Lew (Chapter 9 (commencing with Section 70001 of Division 3 of the Business and Professions Codel or that he or she to exempt therefrom and the basis for the alleged exemption. Any violation rel Election 7031,5 by any applicant for a peen)It subjeels the sppllnsm to a civil penalty of not more than 11". r....._.r.,.-••--�-.I, SPATE OF CALIFORNIA .•"w' Depeun»nt of Housing 6 Ccmmunily DevelnpM0111 ' Division of Codes and Glandarda F4.. INYALL. IN$pECfION CER11FICATION BY:?�'l)rsseulolh�; 1117 Nu•I LAUOR DATA: AREA: �nNlfth I0•�6o'uth C'aur,1V No: 1'r,✓AL1 Cons ...lt1Ji�.!� LTJ.• I'll MILEL Tlul•: INSPIACT „___•,.— TtLNVEL IVAC (NEI f:;T10N DATA: PIjPsr1V hh PARK SECTION 1 -UNIT INFORMATION I/We ere retiussting Services for the following unflls): (Check Approprldle Boxl rsnulectured Home/Multi-Unit Manufactured Housing r,ulnatured Home/Multl-Unit Mfg. Hag. Component Structure reetlonal VeNols mmercial Coach (Occupancy Groupsclsl Pulp*@* Commorclal Conch Decol Of LIe&Suv No. Serial Manufacturer Mutlel Name yl e P4 )Cr'C I. ?�.ary t�J(.•I Year of Manulscturer Conn � InulonlaMUO Label Humberf&1 Owner Address A City 1 Lucatlon of )hell Above AppncaM 1 Addraml City PAGE 1 Insignia C1 Coding Inspection C01. N0, l 17 1 PEE RECD l i 11 DATE. • f.,n� • r�U G AA NO. ' RT TO RT BY No. _J.?ll U za7 fY J tJ � I/ I In:M6r11111T F1.00118 �. , SECTION 3 - CONTIIA OR, ARCHITECT OR ENGINEER IN 0 MATION � t _�-••��•r—•^�— ___..-- • • Contractor's Name y0e, VIOLAI1014 DATA: TOTAL CORnrCTICNS: -_ t � Address eIf d � `' F [ M—P—...CIO.. NF'_ ArcIdl6CllEnpinear Name LIaen10 No. FEE COLLEC11ON AIID OTHER I:JFORMATION: Address PEES S ——.r.— CKU DAIS SECTION 4. OE6CRIPTION Of WOAK/ACTAnTY AN&VALUATION 1 I'1•EMS ISSUED: I ICD 53 0 OAS CI Llsl•Lic n 1 A C. Describe the proposed work/dC11vltV k1 dutoil. Attach additional page& If necessary. If structural alterations ATTACHMENTS! U Tladovnt Cert. 13 Olhvr,— -- -- � or rom&nufocturing are -proposed, complete plana. &psolfkelions, details, and calculations must accompany .� tills form. Clunk has A II plansSec & appllcatlon. Provide 1116 make and modal of any appliance PERIAIT NO: 4711. -Z • —• 0 FILA CLOSED to be Installed and provide complotF. ilculetlon& for any electrical alter tions or additions. ,• •, ,,,,orn.v vt file work for which this permit b lesuetl, I Snellnot employ any parson In any monnor so as to become , subject to workers' eompan&etlon low$ of California, end acres that III ^ !• �/, ,; „• ; r &hound become sublact to workers' uompeneepOrr prnvlrlun& of Soctlan 3700 of the Labor Code, I *hell forthwith comply with thane pruvlolmu. Apphl csnl Date WXRNING: FAILURE ToCiSMPEN6xTf010' COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$100.000)• IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3709 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 4. CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of pe4ury that there Is a construction londlnp 1304M for the porformanco of the work for which this permit la lseued ISec,3007, Cw, C.). Londar'& Name IndICB10 the l0td C921 of the Work to he Parinrm6d a L� I/We hereby make application for the services designated above. It applying for replacement of a lost Inelgnlu for the unit described In SECTION 1 above, Itwe certify that there have boon no alterations, , addition*. or modifICAUuns to the unit that would affect the unit's compliance with California at (*dad Lew . . or the nllos and rugal door of the Doparrmnnt. fit Iterations, addlllons, or maellfleptlans have been made, e cudirtg Inapur)liun ruho ahfaln9d.) : Signature Dna 1 certify tarot I have read INS sppocetion end slots that the above DEPARTMENT USE ONLY information Is correct. 1 agree to comply with all city and county ordinances and state Iowa relsting to building construction, and / hera41ya tthorifte representatives of this county to enter upon the PIRO [] CONDITIONS loan rnvarar sinal 13 Dlsepproved (eso r6v rva s11101 ab ve•ihentloned p`oparty f J Rection palpossa. I/ F/�r' (r�(/ t �•- �,1�) 1� 1 �1 1� (Q r Slgnswro rel Daperhnani Roprusonlallvo oto AnEA OFFICE ;�- . f COUNTY OF BUTTE Oroville, California GENERAL CLAIM CLAIMANT: ADDRESS: 1740 FEATHER RIVER BLVD. CITY £t STATE: OROVILLE, CA 95965 DATE OF CLAIM: 12/11/00 IMPORTANT. SEE INSTRUCTIONS ON REVERSE SIDE 1 SUBMIT CLAIM Tn DFPARTMF/vT RFrFit1mr. rrnnnc no cizowrrre DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT OWNER DECIDED NOT TO BUILD. (AP#064-410-007, BP#00-2030,RECEIPT #302625, DATED 8/22/00, OWNER: KELLY DERRINGTON.) TOTAL AMOUNT PAID $412.00 RETAIN REFUND PROCESSING FEE $ 225.00 RETAIN BUILDING PERMIT FILING FEE 28.88 RETAIN ELECTRICAL PERMIT FILING FEE 20.00 TOTAL AMOUNT TO BE RETAINED $ 85.00 TOTAL AMOUNT TO BE REFUNDED $327.00 TOTAL $327 00 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true an as stated. Dated this Cl day of 20 Ct,, at Qbr,P kCalif. I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles spa ' e above have a pert rmed or delivered and that t Budget Appropriation I ] or Specific Board Approval [ ] (Check one) for the same. Dated this 11TH day of DECEMBER 2000 at OROVILLE Calif. e artmen Head or Authorized Deputy Dept. Code 440-002 Exp. Code 4210500 PAYABLE 6OM CO STRUCTION PERMITS Dept. Code Exp. Code PAYABLE FROM Dept Code Ex . Code PAYABLE FROM DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. FOR BUILDING DIVISION USE: Receipt Information: Number: Date: Issued To: Amount: 3c�(a�S �I aalo� a, 6v Fees Retained: ✓Processing Fee: $ Bldg Filing Fee: $ t� :t/Plbg Filing Fee:.. $ ,. V1.1111EIec Filing Fee: $ Mech Filing Fee: $ Energy P/C Fee: $ na Plan Check Fee: $ Inspection Fee: $ r SRA Fee: $ �\ X11 Total Amount Retained $ TOTAL REFUND DUE $ �� REFUND CLAIM APPLICATION CLAIMANT'S NAME ',D s N Lbno �'• MAILING ADDRESS V IL -lo e cL�J�Q r Uy -ex sky k C)Ycv� lle_ Ca- °65QCCE; ASSESSOR PARCEL #: ©�CLI - LA-10—be)') RECEIPT NUMBER(S) 36 toa5 Request a refund of fees paid on the above receipt number(s) for the following reasons: lir PnL en nr.e l por rti • J r Please refund any applicable fees in the following categories: (Check those. categories which you wish to have refunded.) (/) Building Permit Fees ( ) SRA Fees (CDF Fire Planning) Disposition of Plans: N Plans returned to me at counter ( ) Sheriff Fees ( ) Urban Area Fees ( ) Please mail plans to me at above address. ( ) Please dispose of plans. SIGNATURE DATE � ns � � •tom • COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Orovil!e, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev.12/96) APPLICATION AND RERM�IT Ud` 0 ASSESSOR PARCEL NLOBER VV 064-410-007 ZONING BUILDING PERMIT OWNER �,E��} T,�- l!N§643 3 SQ. FT. OCC. BUILDING VALUATION 64 584 . OWNERS MAILING ADDRESS 11 E Shasta, Orland, CA 95963 CONrRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ + 584.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ SUILDINIApgT6 Clarion Way .L 4444 (b� Energy Plan Checking Fee $ $ Magalia, CA 95954 PERMIT FEE $ LOT NO. SUBONISIOWS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome 6 Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 1500 Each gas water heater or vent 1 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation XX Other ❑ Describe work: Replace M/H existing site 2 bed 2 bath 23X52' perm foundation system. Gas piping system 1 - 5 outlets X 15.00 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ 65.00 ELECTRICAL PERMIT Fling Feel 20.00 Main Service 2�oon°oaLEss 23.00 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. /��• License Class q 7 Lic. No. TJ -7 �iG� OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service TO 1000A 46.00 NEW CONST. DWEWNG OCCUP. W OR ADONS. ( a ACC. sLDs. SO 3.5¢FT: No RES D. MULTI -UT OU CIRCUITS @7,50 POWER APPARATUS a SINGLE ovTLEr CIR. EX. Occup. Oun.ET OR FDRURES .00 BAL @ +_.50 Ex. Occu . OFlxunFrs R D OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 63.00 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' co-t??pensation insurance carrier and policy number are: Carrier Policy Number vgnrZO LCJ i (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. y, X 1�1jLc L� Date ' r k–A—) _ Signat�e of hpplicant - ❑ Owner Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEIE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOT L FEE $ 412.00 HAZ. D FEES IPK FLOOD CDF PARC PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON Date Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT "'COUNTY OF BUTTE - DEPARTMENT 6PFMTELOPMENT SERVICES - BUILDIN>r DIVISION ' 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 53,8`-`7541 PERMIT APPLICATION DATA SHEET OWNER:ASSESSOR PARC / ER: lD Proposed Building Use: Building Inspector. Date: At time of permit application, I was advised the following data must be s mitted prior to per ❑ 1. All iiems have been 112. Plot plans, 3/4 sets, signed by the preparer of plans. ---------------------------------------------------- E33. --------------------------------------------------- ❑3. Complete plans, 3/4 sets, signed by the preparer of plans. --------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! --------- 06. Energy Design Compliance and supporting documentation. ------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ------------------------------------------------ El8. Hazardous Material Form.--------------------------------------------------------------------------------- ❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------- ❑ 1 ees of $ ------------------------------------------------------------------------------------- 1.Impact fees as shown on the attached schedule. ------ ❑ 12. California Department of Forestry plan approval/fees------------------------------------------------------ ❑�`1�. Flood elevation certificate. ---------------------------------------------------------------------------------------- u� 14. Sanitation and plot plan approval Health Department. ------------------------------------------- ❑ 15. City of Chico plumbing permit. ❑ 16. Plot plan and business license approval from the City of Biggs. -------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- 1:119. ---------------------- ❑19. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- ❑20. Pre -inspection for VZS required Request to Building Inspector on ❑21. Contractor's license information. (Number, Name Style, Classification). ------------------------------------ 1122. Workers' Compensation carrier and policy number. ----------------------------------------------------------- ❑23. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - ______________________________________ ❑24. Letter of signature authorization. -------------------------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- ❑26. Letter of intent on building use. ----------------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance.--------------------------------------------------------------------------- ❑ 8. Existing vio ions and/or expired permitss-------------------------- - - ---1-- "29. E1433 A, Grant Deed❑ M.H. Title, Ll Check to H.C.D $ OW' v 030. Other: ssing and/or issuance: Date Received By n you issuCpe�r►it, pr� ce�as follows ❑ Mail to owner, ❑Mail to tractor. Telephone 53 3 �10 and hold for pickup at office. ❑ Deliver with inspector. Applicant: �� Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Polflition Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: (Date) ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: .PERMIT NO. 217-78P,E PE RMIT EXPIRES OWNER Violet imsberry CONTR. Lloyd R. Roberts, Magalia 64-4-1-7 LOCATION (A.P. ) 150 Clarion Way; lot 159, Magalia i Temp. Power Pole Called PG&E Temp. Elea Serv. Called PG&E /Toep.Gas,Serv. Called PG&E ••FINALED (Date) (Signatur-47 F M . - MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located with required separation from lot lines and buildings and generally conform to plot plan? Yes, No 2. Does the mobilehome have.required clearances above ground? (Sec.5085) Yes °/No - 3. Are footings and supports properly sized, spaced, and braced as /Per approved plans? (Note possible variation at spring shackles.) (Sec: 5082 & 5083) Yes_ No 4. Is the mobilehome level? (Sec. 5088) Yes//— No 5. If more than a single unit, are crossover connections properly installed? (Sec. 5088) Yes— No - 6. Water A. Is f legible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes `/,No B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes No— C. Backflow - If coach i n t State of California approved, does station have backflow device and pressure -relief val e? Yes ° No - 6 ; 7. o ':7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes No CB- oes it have minimum" per foot slope and is it properly supported? Yes_ No C. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe? Yes— No D. If coach is not State of California approved, does station haverequired 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 a reductions other than the mobilehome connector. Yes No B. Test OK as per following procedure? Yes 1[ No 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without drop. 4. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes_)CNo r' t 9. Electrical A. Is service large enough to provide adequate amperage-to mobilehome (must equal rating of mobilehome with a minimum of& 0 amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes No B. Is there proper clearances around panels? Yes No l� C. Is power supply cord ,or feeder assembly properly fused? YesX No D. Is continuity test satisfactory as per the following procedure? Y No 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 &ectrical 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 Length Width_ Vehicle Serial No. 1,rc ZFF9 ' 3"°11 /`3'9:8 State Identification No. Oct .093 11V-161 Additional Information or Comments: Bond Beam/ I /FIRE SPRINKLE& I Motors Meso COUNTY OF BUTTE — DEPARTMENT. OF PUBLIC WORKS BUILDING INSPECTION RECORD MECHANICAL BUILDING BUILDING (Cont'd) PLUMBING k F ewall Ski Piping >r Pa ets 7 t Floor Ma Bldg. Rest om Finish 2n Floor Fo tins Windo 3rd Noor :tem all Siding To out :lab Roof SheaNing Water Pipkg Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Cavort Footings 4 Prov. for physical handica ed Conformance of ex. V structure Appliances Gas Piping &Test Tem . Gas S ab Final Sanitation Pat o REP ACE Final Footings 4 Footing E ECTRI L isonr Walls _ Throat Rouah Bond Beam/ I /FIRE SPRINKLE& I Motors Meso MECHANICAL Grd. Fallt Prot. - Scrae6h Heatl Servl Co ng T p. Pole D is nder round LBn entilation Permanent Final final MOBILEHOME UTILITIES ----------------- Elec. Service �- f j" -� 'ODA- Elec. Pedestal Water Fiping 2— :- 7 f 41 Sewer Gas Piping ;3 _G .� MOSIUEUQME INSTA LAT& N .. - - - - - - - - - - - Support '7 Elec. Continuity Water riping 'Z, ` • Drainage Gas Piping DATE REMARKS OR CORRECTIONS 2- ..23,-7 3 _ 7 (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY - This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number 7—/ 7 — % 5( for the following location:: n � Owner-1�.r►-�o'� Owner's Address " Mobilehome Mfg. Model Year 79' Insignia No. PA 09 1 S Serial No. 3_ nyl j % It is hereby certified for occupancy at the above described location and may be occupied. 1. Director of Public Works r Date - By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White- Owner, Yellow- Installer Pink - D.P.W. " J COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE N OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number -- for the following location: Owner Owner's Address r Mobilehome Mfg. lt.-= -» ��"� Model YearL117 Insignia No. Serial No. 10 It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works n Date B > THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED white - owner, Yeiiow - instaiier, rinK - L).r.W. .;� 1f t`o Owner Mailing Address Contractor Mai I ing Address Building Address COUNTY OF BUTZE ,DEPARTMENT OF PUBLIC WORKS "`7 County Center Drive — rgroviIle, California 95965 Teleph&e: 534.4541 —/{, i ../ "'P CZ C/ APPLICATION AND PERMIT BUILDING SQ. FT. I OCC. I BUILDING VALUA Telephone No. ephone N A. P. No. Zoning & Planning Feed W--6. S io Fire t. FireZ6ne Use Permit EQA Ppik�g Declares a el I1ap 1 60' R/W I Improvements O iJ Bldg. Plans Recd Parcel Approval Plans Approval NEW ❑ ADDITION ❑ UTILITIES FYT OTHER Single Family Duplex ❑ Mobil Home Others ❑ 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 lie License Nc62?1%�i�/ Classification ❑ I am exempt from the Contractors License Laws of the State of California. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code w 'ch requires every employer to be insured against liability for W men's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is Issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. 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 ins ection purposes. /d ^� Ot e e of ermitee or Agent / Receipt No. / /o 4 !� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 9Z Fireplace $ a3 -p9 Total Valuation ELECTRICAL No. @ Permit Fee PERMIT FILING FEE $3.00 Plan Checking Fee &/or Penalty Main service 100 AMP ORV OR LE LESS5.00 Permit Fee $ Main service OVER 6 00V25.00 100 AMP OR LESS PLUMBING"' No.1 @ FEE PERMIT FILING FEE $3.00 NEW CONSTR. MULTI.OUTLET NON•RESID. ( BRANCH CIRCUITS) 2.50ea Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping Ex. OCcup(OUTLETS OR FIXTURES) 109 Q,0 d Each gas water heater or vent 1.50 Temporary service 10.00 Gas piping system 1 - 5 outlets 1.50 /.5:00 Each additional outlet .30 Building sewer Permit Fee 10a Lawn sprinkler system 2.00 MECHANICAL No. Permit Fee $ a3 -p9 $ e) ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 r Main service 100 AMP ORV OR LE LESS5.00 Main service EA. ADD'L 100 AMP 2.50 Main service OVER 6 00V25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST ( DWEACCLBLDGS'LING CCUP. &\ 22sgft 1 NEW CONSTR. MULTI.OUTLET NON•RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS & NON•RESID. SINGLE OUTLET CIR. Ex. OCcup(OUTLETS OR FIXTURES) 109 Ex. Occup.(OUTLETSP(RESI0.)R EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.0.0 /.5:00 Misc. Wiring 6.25 Permit Fee $ x.00 MECHANICAL No. @ FEE PERMIT FILING FEE J$3.00 Heatino Cooling Ventilation Hood 1 1 2.00 Permit Fee $ $ � wD Diu. -6r oLs- 0o TOTAL PERMIT FEE 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 P B IC WORKS By Date -z-2— 7� Buil ing permit expires Date X10 6 # i rte"' ?•:. ''il ..��. ... �� �� 1,,,, •'�, � 1 '1Rd',�r�i "',,'''',+„�E � td�'�'•Z' i' NAME =-.. j ............ UN ",fi lyti .� ,. ADDRESS DATE - -` „^ LOTV 1 ADDRESS PHONE _�i�_ 7�.. �•; PREPARED BY: � . r _. APPROVED BY: r 1 . Standard County 'app roach i 20' to 12' with 12" x .20' - 1 ns �. culvert.. �Gwr��r ' 2. Instal ft. of��rr�, i 3. Install�,�sq. ft. of 3110 l , •.�f �' 'l,�l� '< ��- r' I? park al` -a 4. Instal l�Zsq. ft. of 311 coachs,pad 5. Install /00 2 vol _ r' 2 0 %� ! ;j. O. t serV I Ce box On /: r, i7, f.• ,..I^ n 6. Install Ft. of AMP U.G.cable. ' �;._._•__ ------ Lin. 7:. Install gallon septic tank and r` ' 8. Install / P J� Lin Ft. leach 1 ine. ¢� 1G.` f J ,O ' -C nn�Lin. Ft. water sgf(dbl bibs. ,;s " t '9. Clear lot- o debris (no stump i 10. Bui ld ft. garage as per attached plan ' 4 • �" ,•- z" �4 Req red P is _ 1 �:, i;' , +� ',•,� a•t _-S r�. I 13. this. set of plans , :i iNQTE:--�-AII hvlcterials aricl .�pe4iflcgttr�}tiy�l & Workmanship Shall Be 'in cept on the job `at all times•,nrj COUNTY OF,.BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Orovi lie, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT 42 BUILDING IV rLiT Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contra or Total Valuation Mailing Address 3 Permit Fee Plan Checking Fee&/or Penalty Permit Fee $ /�P Tepy e tlty,i/ / d 7 Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 _ Repair drainage or vent piping 1.50 _ p Water piping 1.50 Each gas water heater or vent 1.50 A. P. No — — Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F s Fire Dept. Fire Zone Use Pen -nit Building sewer 5.00 EQA Parking Parcel Plans eclaration Parcel Ma P 60' R/W Improv ments Lawn sprinkler system 2.00 s Recd I Parcel val Pans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER [' ELECTRICAL No.1 @ I FEE PERMIT FILING FEE $3.00 _�MJ7—_797Main service so0v OR LESS 5.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2,50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1,00 OR ADDNSNEW % CONST. DACCLBLDGS.LING Ccup-&) 22sgft NEW CONST R. MULTI.OUTLET NON-RESID, (BRANCH CIRCUITS) 2.50ea NEW CONTR. POWER APPARATUS & NON•RES,D. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: f Ex. Occup(OUTLETs OR FIXTURES) BAL@ FIXED AL N S.0 Ex. Occup. (OUTLETSP(RESID)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License N Classification G Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of Cali fomia. 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. �ihave placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not em P to an employ y person in any manner so as to become subject to ,the Workmen's Compensation Laws of California. MECHANICAL No.1 @ I 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 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X �- Date 1;?_—,2-1C1—7e— C•n ..I A_ �-1 "' I TOTAL PERMIT FEE s 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 bee�` id. DIRECTOR O� PUIBLIC WORKS 1 /� A II Date 7 Z7 --7,f Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant B ding permit expires Date 2' y7 --7 12 COUNTY OF BUTTE — D PARTMENT OF PUBLIC � U C WORKS 7 County Center Drive — 0�oville, California 95965 Tel eph2rne: 534-4541 APPLICATION AND PERMIT ' BUILDING Owner Q. SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor �- Total Valuation Mailing Address 33 Permit Fee Plan Checking Fee&/or Penalty rJ Tel le hone No. —S 5 7 I Permit Fee $ Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 3, Each Trap 1.50 Repair drainage or vent piping 1.50 /14 Water piping 1.50 Each gas water heater or vent 1.50 _ �/_ A. P. No. / Zoning &.Planning Gas piping system 1 - 5 outlets "tY Each additional outlet .30 F kb -5-1 Sertf"Meff Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA PPprking lans I Declaration Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 18449-1a' ans ec d I Parcel Approval I Plans Approval Permit Fee s NEW ❑ ADDITION UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3,00 ' Main service 10V OR L 100 AMP ORSLESS 5.00 / _ F� Main service EA. ADD'L too AMP 2.50 Single Family E] Dupl EJ Mobil Home Others ❑ OVER 600V Main service 100 AMP OR LESS 25.00 Main service EA. ADD'L loo AMP 1.00 NEW CONST. DWELING OR ADDNS. ( ACCLBLDGS.OCCUP. &) 20sgft NEW CONSTR. MULTI -OUTLET NON-RESID, BRANCH CIRCUITS)2.50ea NEW CONSTR. POWER APPARATUS & NON.RESID- (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California B esss && Professions Code under the name style of: �,r"' ` r Ex. Occup(ouTLETs OR FIXTURES) BAL�j 0 a FIXED P(RESID.)LNS REA) 2.00 Ex. Occup. ( OUTLETS Temporary service 10.00 Mobile Home Facilities 15.00 License Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee s WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for W men's Compensation. Whave placed on file with the County of Butte a certificate of orkmen's Compensation Insurance. I Io an certify that in the performance of the work for which this ermit is issued I shall not em P employ y person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No.1 @ FEE PERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE r 1VJ-0V11LaUvca UI L"e LXMIIY UI Bulle to enter upon the above-mentioned property for ' pection purposes. x�Date - 3- 7 Signature of ^mite/e or Agent Receiot No. / Y 1 L/ 0 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. DI R R OF PUBLIC WORKS �f By Date permit expires Date /� BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County -Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: 2. What is the mobilehome. electrical rati g? ------ ---------- Installer's na6��Oa%L�42.p 3. Is the site currently under permit? Yes No the mobilehome site service (If yes, furnish permit number ----- ps 7. ) OR the mobilehome site circuit Is the site an existing site? Yes./ / No /— i (If yes, furnish two (2) plot plans.) be served by t obilehome i ; 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 /L--/– No yes, identify the load..and ( If no, clarify (Load ps 9. What j ) the mobilehome site gas pipe size? --------------- i ----- _ (in.): 10. What 5. What is the mobilehome. electrical rati g? ------ ---------- -- %� s 6. What is the mobilehome site service rating? --- ----- ps 7. What is the mobilehome site circuit breake ating?------------- Q C� Amps 8. Is.there any other electric load to be served by t obilehome site service? --------------------------------------------------- Yes / / No (If yes, identify the load..and size: (Load ps 9. What is the mobilehome site gas pipe size? --------------- i ----- _ (in.): 10. What is the type of gas service? --------------------- ------- Natural / / LPG 11. What is the gas pipe length from meter or tank to th mobilehome? (ft. 12. What is the mobilehome gas demand? ----------------- ------------- (B ) (This information not -required if pipe length 1 ss than 6 ft. on natural gas or less than t50. ft.. on LPG.) ^,�/(/j. (/rJ� MOBILEHOME SUPPGRT DATA Mobilehome Mfr. , „Lu ,l/��i Setup Model No.T Year % d Width .(ft.) Length . 60 . (.ft.) -. Expand' .Size ft.x ft. (Draw support details. below). On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. .(.if not on file with .the, County of Butte) . i Center Support Locations in. Center Support Footing Sizes (in.) A/ FX--- X r iri.� w 3� (in.)(in.) 41/ (in. 3!n. Single , 4 r�t.Win.) 1n•) a (in.) (in.) I *�`c,�e er piers dRe eotZer tha rawn above, dw in locations, spacing, and dimensions. Footings-(check.one) 1. Wood. either - pressure treated or fdn. grade. 777 2..Concrete pad. 3. Other,:specify Supports (check one) 1. Concrete block. 2. Concrete piers 3. Steel piers 4. Other, specify Typical Support k. X)PinFooting Size in.) Max. Pier .Spacing -� Overhang BUTTE COUNTY BUILDING DEPARTMENT APPROVED Temp. Pov - c Called Temp. Ele ' Called Temp. Gas Called JOB FINALED F COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUIL4?IN.G, BUILDING (Cont'd) PLUMBING Setback Flrewall Soil Piping Forms Paraets 1st Floor Main Bldg. Restroom Finish 2nd Floor _ 1 Footings Windows 3rd Floor I Stemwall Siding To out a Slab Roof Sheathing Water PipingI Piers Roofing Sewer I Garage Fdn. Vents Fixtures Footin s Stemwall Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for phsic lly handica ed Conformance of x. structure 4 Appliances Gas Piping &Test Temp. Gas Slab Final 14,u Sanitation MOBILEHO d E UTILITIES ---------.-•------- FIREPLACE Final Aaadfts P—zs--,78 ah Footina ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam d FIRE ORINKLERS Motors Framing.. Test Water Htr. Stucco Final Subpanels Mesh JMECHANICAL Grd. Fault Prot. ' Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final l MOBILEHO d E UTILITIES ---------.-•------- Elec. Servi . Elec. Pedestal Water Piping Sewer Gas Piping l M 1 EHOME INSTALLATION - - - - - - - - - - - - Support Elec. Continuity Water Piping DrainageGas PipingIf DATE REMARKS OR CORRECTIONS V i x, le C/J) (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, California 95965 Telephone; 5341541 APPLICATION AND PERMIT aumonze representatives or me L;ouniy or tsuire to enter upon me above-mentioned property for inspection purposes. 411, X ate Signature ermitee or Agent Receipt No. 11� 7 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. DhJPF PU C WORKS B ti� Date Building permit expires Date BUILDING Owner V L (��� L va, tgz � SQ. FT. OCC. BUILDING VALUATION y !J r •, Qct V6 l �/ Mai I ing Address ! S (� tv �� \� II\, �J q l p --F .� yl- Telephone No. Contractor Contractor p w �i Q Mailing Address Fireplace Total Valuation .� w elephone No. � _0Di1.5 Permit Fee Building Address S' G L Q � Plan Checking Fee &/or Penalty Permit Fee Od Cl LA A CAS 14 S L4 PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1,50 Repair drainage or vent piping 1.50 A. P. No. — — 7 Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F W_e Sal n FireDept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 EQA Par ing plans - Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. Plan Recd Parcel A oval Plan pproval Lawn sprinkler system 2.00 _+. NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ ELECTRICAL No. @ FEE . PERMIT FILING FEE $3.00 600V OR L Main service 100 AMP' ORESLS 5.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 i Main service OVER e O 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST. ( DWELLING 1 OR ADDNS. ACC. BLDGS,CCUP, hl 22sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW CONSTR. BRANCH CIRCUITS) NON-RESID BRANCH CIRCUITS 2.50ea NEW CONST//POWER APPARATUS & NON -RESID, (SINGLE OUTLET CIR. Ex. Occup (OUTLETS OR FIXTIia£S B L@; FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ 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. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws .of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ aumonze representatives or me L;ouniy or tsuire to enter upon me above-mentioned property for inspection purposes. 411, X ate Signature ermitee or Agent Receipt No. 11� 7 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. DhJPF PU C WORKS B ti� Date Building permit expires Date 1� 'PERMIT NO. '2734=74B P y E M MH UTIL. PERMIT NO. PERMIT EXPIRES 'OWNER' Violet Lansberry kCON TR. a *LOCATION (A.P. 57-77-07 ) a 150 Clarion Way, lot , 159 , PP##5, �3 Magalia y a' a Temp. Power Pole Called PG&E Temp. Elea Serv. Called PG&E Temp. Gas Serv. f Called PG&E ?./FFINALED OB (Date) (Sign re) .Footings i K. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD ELECTRICAL BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor r+ Footings Windows 3rd Floor Stemwall Sidinq To out' ` Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structur Gas Piping & Test Temp. Gas Slab Final Sanitation Patio - F REPLAC Final .Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. �k Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole 1i Finish Ducts Underground Interior Lath Ventilation Permanent [ Door Closer Final Final DATE REMARKS OR CORRECTIONS �I 'f ' PERMIT: 449-73 pr' 7 LOSBERRY, TIOLET �. ' 150 Clarion Way . Lot 159 Unit 5 PP (Utilities for mobile home) 09 t WAV, T,ER ,4 /v O. 0 /71, fd ;I r OP ',T-) g NAME UNtt-4- ADDRESS -1 DATE LOT# -5- 9 Z, ADDRESS PHONE Z!�7 .PREPARED BY: YJ 11,,*4,.�_ APPROVED BY: 1. Standard county 1approach j 201 to 12' with 12" x.20' culvert. (owner2. ) Install, sq, ft. of 7b2, driveway3. Install � 7g sq. f t - of 3 T_r 13 park area 4. Instal l�q . f t - of 3 4,�h/d if e /4, r � �; coach pad S. Install ori AMP. 220 volt service box on & 6. Install Lin. Ft. of AMP I.I.G. cable. 7 Install %gallon septic tank and. in Ft. leach line. 8. Install /._4-o Lin. Ft. wate rsgI bl bibs. 9. Clear lot of debris (no stump 10. Build ft, garage as per attached plan 11. Required Permits 12. 7 _I to 13. 14. gh'As-sst-JA -plan-, and specifications MUbl rae kept on the job at all times and it is unlawful -to make any changes or alterations on same with.Q'ui*'_.. written parmisson from the Department of Public Works, County of Butte, 8 OTTE COUNTY Z_ A r< 8UILDING,' DEPARTME AV4 k ENT OVE -It J 4 a I XI 01 s0f?, II A,) Arr I U `Septic s i Baa p.t" . , c Sy ter -6 be as per th Dept. Re - Butte County, Heal10 i\ Iqu ireMen ts. <1 All cinnections shall lbe utility c located withih. 14 ft. outside the rear third section of'.the mobile home P0 on the left (road) side of the mobile N', 11 s, home. .5 N, f LLj tn U) sI J LJ u- Df 9 < V < X • COUNTY OF BUTTE — DEPARTMENT'OF' PUBLIC WORKS • 7 County Center Drivp -u Oroville, California 95965 Telephone: 534-4541 (71 APPLICATION AND PERMIT —r—- . — u , — �uunLy u vinic ru cnic� uNun uie above-mentioned property for inspection purposes. / X Date — / O ` 74 Signature ermitee or Agent �A Receipt No. T 7 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF.PUBLIC WORKS By Date �l Iding permit expires Date...............'�'_74� BUILDING Owner SQ. FT. OCC. BUI ING VALUATION Mailing Address O Fireplace on r1c C4y Total Valuation 1400 Mai I i ng Address Permit Fee 5 O 8 Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $ O� Building Address/5-6- 0 1.4 4 PLUMBING No. @ FEE PERMIT FILING FEE $2.00 1114q,441,y Each Trap 1.50 lO -5— ,[ Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. ` 7 --o Zoning $ Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 s Sa on, Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA I Parking ParcelParcel Plans Declaration Map]60' R/W Imp ents Prove Lawn sprinkler system 2.00 Bldg. Recd Parce A val PI proval Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (morethonl2) Single Family ❑ Duplex ❑ Mobil Home ©1" Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixturesbai__ aid Receps., switches & fix outlets IV 0:15 dill, I (@ 10 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: Hood, Ex. Fan or F. A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring ® I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S .COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner ' so as to become subject to the Workmen's Compensation Laws of California. 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 MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ TOTAL PERMIT FEE $ —r—- . — u , — �uunLy u vinic ru cnic� uNun uie above-mentioned property for inspection purposes. / X Date — / O ` 74 Signature ermitee or Agent �A Receipt No. T 7 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF.PUBLIC WORKS By Date �l Iding permit expires Date...............'�'_74� COUNTY OF BUTTE — DEPAF�TMENT OF PUBLIC WO 7 County Center Driver' — Oroville, California 95965 Telephone: 533-1230, Ext. 259 APPLICATION AND PERMIT BUILDING SQ. FT. OCC. BUILDING VALUATION Owner Mai I i ng Address Fireplace Contractor Total Valuation Permit Fee Mailing Address Plan Checking Fee &/or Penalty • Permit Fee $ $ Building Address PLUMBING No. @ FEE PERMIT FILING FEE $2.00 ©Q Each Trap 1.50 ' - Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 —�� JD Gas piping system 1 - 5 outlets / 1.50 A. P. No. Zoning A—ZlEach additional outlet .50 Fire Zone Fire Dept. Sanitation PIing i ing sewer 5.00 �Q I Plans Fees W. C. Lawn sprinkler system 2.00 R/W Encroachment 'Ad NEW ADDITION ❑ OTHER ❑ Permit Fee W. ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 13,40V Main service incl. 1 meter J goo ?,da Additional meters, each 1.00 JT V -V Sub -panel (12 or less) (more than 12) USE OF ST CTURE Single Family Duplex ❑ Others ❑ Range, dryer or water heater 1.00 Oven, Cook -top or space heater 1.00 Light fixtures ' Receps., switches & fix outlets CONTRACTORS LICENSE LAW Hood, Ex. Fan or F.A. Furn. Motor 1.00 I am licensed under the provisions of Chapter 9, Div. 3, of the Evap. cooler, gar, disp. or D.W. 1.00 State of California Bus' n & Professions Code nder the name Air conditioner or heat pump style of: , Water pump Misc, wring s License No. �� Classification ❑ i am exempt from the Contractors License Laws of the State of California. Permit Fee $ D $ WORKMEN'S COMPENSATION INSURANCE MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 1 am aware of the provisions of Section3700 of the California Labor Heating 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 Cooling Workmen's Compensation Insurance. I certify that in the performance of the work for which this Ventilation 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. Permit Fee $ $ I certify that I have read this application and state that the above InsfrumentationtrY Qtarn $0.07/$1000 Evaluation 0 informatio correct. I agree to comply to all County Ordinances TOTAL PERMIT FEE $ and Stat La relating to building construction, and hereby Agwic autM%z_ ves of the County of Butte to enter upon the This permit is hereby issued under the applicable provisions of aborty for inspection purposes. the Butte County Code and/or resolutions to do work indicated above for which fees have beenpaid. XDate F- DIRECTOR OF PUBLIC WORKS ign ate or nt �' By Dater 2a-23, u re o Receipt No. 10 — Building Permit Expires Date 2,7r.--7� White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant