Loading...
HomeMy WebLinkAbout064-460-019- --- -- 64-46-19 R. A. McCullough 320 Si it Cir.,lot 80, PP#6, Magalia I v contra J. cGregor,,Paradise Permit #1540-7 (util.,MH S EIEC. GAS . SUPPDRT STRUCTURE REQ. - COMPACTION TEST REQ. h contr: John W. ler, Yuba City Permit #4309- I Issued r 64-46-19 Permit #6229-76B(new carport, covered.' deck .& open d rok)`' � L � la 6 B07-2666 064-460-019 RESIDENTIAL - SFD-Mobile Home RET EX MH RETRO FIT PERM FND 14386 SINCLAIR ('IR MOORE, JUDY I �� 3 B b7 s r ! �I r -4 .. utik,. ,MH 1540-76P,E PERMIT NO. `. PERMIT EXPIRES OWNER I R. A. McCullough ' CONTR. J. T. McGregor, Paradim LOCATION (A.P. 64-46-19 } I 320 Sinclair Circle, lot 80, PP#6, Maga`Iia. ' } r ` _ jJ�! > �`, .�• „ ter; ;,�' f t I t s Temp. Power Po Called PG .2 it '� Temp\ EI Serv. y 0 ? Calle PG&E ` ' Temp. as Serv. C Iled PG&E ra J B INALED r ' 9. Electrical A. Is service large enough to provide adequate amperage. to mobilehome (must equal rating of mobilehome with a minimum0 amp) and other facilk�i�e's an lot, i.e.,, water pumps, " garage, cabana, etc.? Yes�o B. Is there proper clearances around panels. Yes_KNo C. Is power supply cord,,dr feeder assembly properly fused? Yes_Z�7No_ D. Is continuity test satisfactory as per the.following procedure? Yes o 1., De-energize electrical wiring system of the mobilehome at the pede al. 2. Make sure that the power supply_cord or feeder assembly conductors, includingmeutral 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 ro.obilehome 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. 71 mbly �6. Upon 'completion of.the above procedure, the power supply cord or feeder.asse, conductors. shall be connected to the site "service equipment. A further continuity test's.hall then be made between the grounding electrode and the chassis of the . mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health-Department for water and sanitation? 11. If eve-ry thing okay, sign off card and tag services. MOBILEHOME DATA � Manufacturer and/or Namestyle Length Width - A Vehicle Serial No, i T Z" l \ tN, 1 State Identification No. , Additional.Information or Comments:' -, MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1: Is the mobilehome located i it required separation from lot lines and buildings and generally conform to plot plan? Yes wNo " 2. Does the mobilehome have required clearances above ground? (Sec.5085) Ye No 3. Are footings and supports properly sized, spaced, and braceder approved plans? (Note possible variation at spring shackles.)Zvo 5082 & 5083) Yes No 4. Is the mobilehome level? (Sec. 5088) Yes 5. I.f w(he than a single unit, are crossover connections properly installed? (Sec. 5088) Yes No 6. Water A. Is 1 xible 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? YesyNo_ C. Backflow - If coa is State of California approved, does station have backflow device and pressure-relie' -ve? Yes No 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes No B. Does it have minimum 4' per foot slope and is it properly supported? Yes/ No C. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe? Yes' No D. If coach is not State of California approved, does station have required trap and vent? Yes No 8. Gas Piping and Gas *nts A. Connector -Ism ilehome connecte to the gas supply with an approved 3/4" minimum mobilehome connec r not more tha 6 ft. long? Note: All piping is to be at least as large as the mobil ome gas line inlet without reductions other than the mobilehome connector. Yes B. Test OK as per follow g pro dure? Yes No 1. Open all appliance conn for valves. 2.. Shut off appliance b ner and pilot valves. 3. Air test with nano to to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz cal'brated in tenth pound increments. Test for 10 min. without drop. 4. Connect gas me er to mobi home with connector, turn on gas, test connections with soapy water. C. Are all applia a vents properly installed? Yes No Y• COUNT_ Y QF BUTTE = DEPARTMENT OF PUBLIC WORKS . BUILDING INSPECTION -RECORD E BUILDING BUILDING (Cont'd)'- PLUMBING Setback Firewall Soil Piping Forms Parapets ' 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor StemwaII Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer < i Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. StemwaII Prov. for physically. Heaters Slab handicapped Appliances Carport Conformance of ex. Gas Piping & Test Footings structure Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Foo ing ELECTRICAL Masonry Walls - Thro Rough Reinf.. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Finel Subpanels Mesh ME AXfCAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMRKS OR CORRECTIONS 7c- r (NOTE: An entry must.be made on -this form each time.you visit the job site.) COUNTY OF BUTTE DEPINgT lEAT 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 Cal'�orni Administrative Code, Title 25, Chapter 5, under permit number for the 'following location: Cry C' Owner _ i d L-'] L fk, L e- bL' Owner's Address���'� Mobilehome Mfg. r �Model Year Insignia No. / V 2 14/ I ' Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Datef 1/ 0 17 By �GsA THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED x COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive Jrc i -Ile, California 95965 Telepho !�,: 534-4541 Y APPLICATION AND PERMIT a 'lull'- rCa fllauVeS UI In unry OT t naer�upon the Date ?� 2 ignat of Permit or Agent • Receipt o.- 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.RUBLIC WORKS lildinag � Date . i - % 6 permit expires Date 7'_ ! 7 % BUILDING Owner i SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor Total Valuation Mailing Addre , �� Permit Fee Plan Checking Fee&/or Penalty rf t �'� �Y. T(!'/J J G�` Permit Fee $ Building Address a PLUMBING No. @ FEE PERMIT FILING FEE $3.00 ca Each Trap 1.50 Repair drainage or vent piping 1.50 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 ,,//. FWS / ­&a� Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Improvemen.ts Lawn sprinkler system 2.00 Bld Parcel rovol Plans Ap r val Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 ' Main service 100 AMP V OR ORSLESS 5.00 pyo^ 7,4 �"'7 / Main service EA. ADO'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home � Others ❑ OVER 600V Main .service 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. LING OR ADDNS. ( DWEACCLBLDGOCCUP. &\ 20sgft / NEW CONSTR MULTI -OUTLET NON•RE51 D. ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS NON-RESID. (SINGLE OUTLET CIR..d CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of Califo nia Business & Professions ode under the name style of: Ex. Occup(OUTLETS OR FIXTURES) @�` BAL@1 Ex. Occu FIXED APPLNS. OR P• ( OUTLETS (RESID.) EA) 2'00 Temporary service 10.00 Mobile Home Facilities 15.00 License No.Classification Misc. Wiring 6.25 ❑ 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 Bufte�a=certificate of Workmen's Compensation Insurance. P�12ertify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California: • MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that l have read this application and state that the above information is Corr ct. I agree to comply to all County Ordinances and to La elating o bui g construction; Xand., hereby �. �% /�,,g7-4L•L T/oN 3,0•FDz) TOTAL PERMIT FEE a 'lull'- rCa fllauVeS UI In unry OT t naer�upon the Date ?� 2 ignat of Permit or Agent • Receipt o.- 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.RUBLIC WORKS lildinag � Date . i - % 6 permit expires Date 7'_ ! 7 % v COUNTY OF BUTTE — 'DEP' •I TMEI)T OF PUBLIC WORKS 7 County Center Drive — •Uroville, California 95965 Telephone: 534-4541 J APPLICATION AND PERMIT / cvieseniauvca Vr Me UOUrity UI buiie W enter upon the above-mentioned proper t or inspection purposes. x -� 2 `7 Date Sig ture,,••of Permitee�orr Age Receipt No. - r44vmi- / 1. , 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 SuHdi9 permit expires Date r"o, ' BUILDING Owner C L .1 0 U SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fire place Contractor E{ �,� Total Valuation Mailing Address �S'7� C?,d&o t I � /� •, Permit Fee Plan Checking Fee &/or Penalty 4/ 7eph09, t�,o.,, J r �, Permit Fee $ Building Address �,Q � � eL�, f�2 C ��� PLUMBING No. @ FEE _ PERMIT FILING FEE $3.00 g QPIO19 14- Each Trap 1.50 C Repair drainage or vent piping 1.50 Water piping • Each gas water heater or vent 1.50 _ (4_ C,.( (o_ e p A. P. No.�D 1 o ( Gas piping system 1 - 5 outlets -t-550 — Each additional outlet .30 Fee&4WC. Sar io Fire Dept. Fire Zone Use Permit Building sewer EQA, I Parking Parcel Plans Declaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 BI (%RQ 9rRec'd Parce]45proval Plans pproval Permit Fee $ $ ' . NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3 — Main service 100 AMP ORV OR LESS5.00 • - Main service -EA. ADD•L too AMP 2.50 Family ❑ Duplex ❑ Mobil -Home Others [:1 Main service-100EAMP OR LESS 25.00 Main service EA. ADD•L too AMP 1.00 �S•iingle 7n0 ��% %�"- L%�w /� Q- / �� �� l��L-ES OR ADONS. ( ACCLBLOGOCCUP. &\ / 2¢sq ft - NEW CONSTR. MULTI -OUTLET NON-RESID• (BRANCH CIRCUITS)2.50ea - - NEW CONSTR. (POWER APPARATUS & NON-RESID.. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: - Ex.,Occup(OUTLETS OR FIXTURES) BAL@@1 Ex. Occu09 p. FIXED ALNS, OR P•(OUTLETS IPPRESID,) EA) 2•00 Temporary service 10.00 Mobile Home Facilities 15.00 /5' License No.Z7GL 57 -5 Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of Califomia. 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. 10 I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ._ r-1I certify that in the performance of the work for which this permitis issued_ I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of -,California. - MECHANICAL No.1 @ I 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 •.tip TOTAL PERMIT FEE $ /f cvieseniauvca Vr Me UOUrity UI buiie W enter upon the above-mentioned proper t or inspection purposes. x -� 2 `7 Date Sig ture,,••of Permitee�orr Age Receipt No. - r44vmi- / 1. , 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 SuHdi9 permit expires Date r"o, 1. - Owner's 'name : 2. Installer's na •�M BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS ` • . :-7-County--Center Drive, Orovifl'e, CA. ,-` }��• PHONE :' 534-4541' MOBILEHOME INSTALLAT-ION SHEET, 3. Is the site currently under permit? Yes No ('If yes, furnish permit number ) OR Is the site an existing.site? Yes /• / No T-7 (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft, away from septic tank'and leach.fields and clear of all setbacks and easements? Yes / / No,/ / (If no, clarify V) M 5- What is the mobilehome electrical rating? ---------------- Amps Clor 6. What is the mobilehome site service rating? --------------------- 0 Amps r 7. What is the mobilehome site circuit breaker rating? ------------- 0 4 Amps R 8. Is there any other electric load to be served by the mobilehome site service? -----------------------------------------;---=----- Yes / / No.j-11jq (If yes, identify the load and size: (Load)' (Amps) 9. What is the mobilehome-,site gas pipe size?? ------------ =---.�------ (in.) 10. What is the type of gas service?---•-----'®-��s= Natural / / LPG / 11. What is the gas pipe length from meter or tank" to the mobilehome? - - (ft.) `� 12. What is the mobilehome gas demand? -----=------------------------ --�--� � (BTU) (This information'not 'required if pipe length less than .6 ft. on natural gas or less than 50 ft. on LPG.) MOBILEHOMESUPPORT DATA Mobilehome Mfr. Setup Model No. Year 76 Width e;W.(ft.) Length �i (ft.) Expando Size fr (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). - Sin le -e> Footings (check. one) '1. Wood either pressure treated or Center Center Support A fdn-. grade. Support Footing Sizes �q Locations (in.) L�L 2. Concrete pad. C/ x 3. Other,: specify kin.) —-- — -- — — — - y. Supports (check one) f� 1. Concrete block - ( A0 _XAR/ 2. Concrete piers (It (in.)(in.) 3. Steel piers Other, specify Typical Support 0 �® Footing Size x' (in.) (in.) 4,3- - - - - -- SMax. Pier (ft Spacing . in.) .in, in.) ' t. in.) (in.) (in.), Max i ® Overhang *If center piers are other than drawn above, draw in locations, spacing, and dimensions. BUTTE COUNTY gfflLnPNG DEPARTMENT . S� This SO c� P!ans��r�,�� ��.�P mus r �o worl0m Cour] y o� s 'd0 vIVI'u7 c1117Ue,fo®N2 �AaV,�M 6Q�;, Dccc�e4 e^✓W"o^a 6v raa2a, fhi �. v"C' of c� 6,nnoS s, hcmc on 83 left (F(Dael) ��C- mob& homc,% �. T. McGREGOR 18`P Id o • 36� IS P� Lia d 24 p r� ,� • �_ 0 24 x 6o C VA c P r° co; 0 Z! Stw.O vi 00 6,0 GOP S.s... /29.2 ' i..���,r, ten* �� 50:a O�CSC V'Ifu� Q V) PARADISE PINES P.O.A. ARCHITECTURAL CONTROL COMMITTEE NAME _ 7Mr • J &C. g. 4. /V e T RAC - A•O :► LGT __ O DATE- - f6Y �C AGuRESS �_Z_D APPROVAL FOR L6T DEVELOPMENT," 04L' ELEVATIONS MUST BE SUBMITTED PRIOl Jam TO STRUCTURAL APPROVAL- The PPROVALThe R SeSac�z std ba 5 f�. Brom the Se63 proper�v line cind 50;�° �'Fom v'rip cer"(sr��pe cv vonirl, . 1. a mcnornum of c f�. caro ©vwhanq. aUTTE COUNTY BUILDING DEPARTMENT rr -rC 1� _..DEN ores TlZr-�E ._ REModI+L ��� j FoR M R +MRS R.A• 'MQ O(' - 2v0 AMP _.SrRUlCC ..PCLC- (� 432 5 /V �C.a� gT ° -4V E. 'TrLEE ��c�o c���t: a� #� Frt�r40n:r C940Jr. 44 5 F Cur ro . 8_P4- t Ent GrN Qgp 13 /O 24i ,z o O ,. 4' p h 010 S e �N . S� This SO c� P!ans��r�,�� ��.�P mus r �o worl0m Cour] y o� s 'd0 vIVI'u7 c1117Ue,fo®N2 �AaV,�M 6Q�;, Dccc�e4 e^✓W"o^a 6v raa2a, fhi �. v"C' of c� 6,nnoS s, hcmc on 83 left (F(Dael) ��C- mob& homc,% �. T. McGREGOR 18`P Id o • 36� IS P� Lia d 24 p r� ,� • �_ 0 24 x 6o C VA c P r° co; 0 Z! Stw.O vi 00 6,0 GOP S.s... /29.2 ' i..���,r, ten* �� 50:a O�CSC V'Ifu� Q V) PARADISE PINES P.O.A. ARCHITECTURAL CONTROL COMMITTEE NAME _ 7Mr • J &C. g. 4. /V e T RAC - A•O :► LGT __ O DATE- - f6Y �C AGuRESS �_Z_D APPROVAL FOR L6T DEVELOPMENT," 04L' ELEVATIONS MUST BE SUBMITTED PRIOl Jam TO STRUCTURAL APPROVAL- The PPROVALThe R SeSac�z std ba 5 f�. Brom the Se63 proper�v line cind 50;�° �'Fom v'rip cer"(sr��pe cv vonirl, . 1. a mcnornum of c f�. caro ©vwhanq. aUTTE COUNTY BUILDING DEPARTMENT rr -rC 1� _..DEN ores TlZr-�E ._ REModI+L ��� j FoR M R +MRS R.A• 'MQ O(' - 2v0 AMP _.SrRUlCC ..PCLC- (� 432 5 /V �C.a� gT ° -4V E. 'TrLEE ��c�o c���t: a� #� Frt�r40n:r C940Jr. 44 5 F Cur ro . 8_P4- t Ent GrN Qgp 13 /O 24i ,a PERMIT NO. 6229-76B" PERMIT EXPIRES •OWNER -R. A. McCullough CONTR. -owner LOCATION (A.P. 64-46-19 320 Sinclair Circle, lot 80, PP#6, Magalia F by ;4 o Temp. Power Pole Called PG&E Temp. Elec. Serv. 1' Called PG&E Temp: Gas Serv. E Call. d -155 &E JOB FINALED (Date) s 1 (Signature)r ,k COUNTY.OF BUTTE — DEPARTMENT OF PUBLIC WORKS ti BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd)Vy- PLUMBING Setback Z2 -'s6 Rt 1' - Firewall it Piping. Forms Parapets ^-� st Floor Main Bldg. Restroom Finish ' -- 2 Floor Footings Windows 3rd loor Stemwall Siding To out Slab --- Roof Sheathing Z-- 0-7-4 Water PiAng Piers $Sfi Cavo -epi &tc s0oofing 4 r7 ....7, Sewer Garage ,_.�� Fdn. Vents Fixtures ` Footings Garage Vents Water Htr. Stemwall r---- Insulation Heaters 71 J SlabProv, for physically Appliances Carport •�'----- handica e.Conformance Gas Piping & Tes > of ex. �e�✓Footings /Z— 6^ 7 structure Temp. Gas Slab ___--� Final 2 - • ` Sanitation Patio r'----- FIREPLACE Final Footings d ,g�`- Fo6ting ELEItThicAL Masonry Walls T h r'6q t Rough Reinf. Steel Final oo,Fixtures Bond Beam tF-SPRIN RS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault rot. Scratch �-- Heatin Service ' Brown Cooll Tem . Pole Finish �" D s Un er round Interior Lath entilation P rrnanent Door Closer �— FinalF al DATE REMARKS OR CORRECTIONS. m y Cw �-4e D A.e.C. 8 I p✓ r'b L" , r , ( f (NOTE: An entry must be made on this form each time you visit the job site.) 0 Y_ COUNTY OF BUTTE 'DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — OroviIIe; California 95965 Tel ephortq. )5344$41 APPLICATION AND 1PERMIT . I /.�-: W--4wt I .. �ct.�cacn wuvca vi nic livUlRy UI I7U Uc LU VIIRII UPU11 tilt; above-mentioned property for inspection purposes. Date _Sign0tu`re"akPerrnitee or Age4 Receipt No. �'y� 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 UBLIC WORKS By. • Date /1-/7—%i® ilding permit expires Date BUILDING Owner , I/ 0 ' �f� C L L U G SQ. FT. OCC. BUILDING VALUATION Mailing Address 3�d �7J/>/SLA j/Q. 00 Tel �ep ne No. /��0� Fireplace Contractor Total Valuation .Z C Mailing Address Permit Fee p Plan Checking Fee &/or Penalty • L° )d VGL Telephone No. Permit Fee $ , Building Address /J/ L�5 Ute/ # PLUMBING No. - @ I FEE PERMIT FILING FEE $3.00 4— a T Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. — y - / 9 Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 s Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA J Parking ParcelParcel Plans Declaration Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 131/9—PI.... Recd Parcel Approval Pla pproval Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER [:]ELECTRICAL - No. @ FEE PERMIT FILING FEE $3.00 00V OR LES Main service 10000 AMP ORS SLESS 5.00 Main service EA. ADD -L too 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 T QY e cam- NEW CONST. LING OR ADDNS. ( DWEACCLBL GOCCUP. &� 20sgft NEWCONSTR. (MULTI.OUTLET NON .RESID. BRANCH CIRCUITS)2.50ea _ NEW CONSTR. (POWER APPARATUS 8, NON.RESID. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of:Ex.Occup.(OUT Ex. Occup(OUTLETS OR FIXTURES) @251'oC ETSP(RESID.)REA) 2:00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 ffT am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. F-1 have placed on file with the County of Butte a certificate of 'Workmen's Compensation Insurance. certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ o[ C .. �ct.�cacn wuvca vi nic livUlRy UI I7U Uc LU VIIRII UPU11 tilt; above-mentioned property for inspection purposes. Date _Sign0tu`re"akPerrnitee or Age4 Receipt No. �'y� 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 UBLIC WORKS By. • Date /1-/7—%i® ilding permit expires Date M2 Foundation system lnstailatl®n Inst ructions for California f®r around & Concrete- systems HUD Wind Zone 1, w w 7b Psr Vwx"a 160MU sewsna,C at By Tie Down Engineering A2 Ground Sy, -,,tem X12 C©rerete Sys bem Y? Engineer Appeal State Approval MANUFACTURFU TIO MSIMOME }TOMB FOUNDATION SYSTEM MALTH AND SAPETY CODE, SEC71ON 18551 APPRO'4 ED 61J67f= TO CORPVCTIONS NOTED /APPROVAL DIM NOT AUTHORIn OR APPROIT, ANY OMISSIONS OR DEVIATION MOM REQUIREMENTS OF AppUCABL8 STATF LAWS AND REGULATIONS Steen of California bow"Wal Of Rating and Cot MMtIy DMWPOMM -- _MTE 'tide rflaaAppsa+sy taw �' 4,---® Page 1 of 8 '�EN(r7N�'R1NG,' XGU2 FoundationSystem "Installation lnstructions for California for Grund & 'Concrete Systems HUD Wind Zone 0, 15 PSF Wind Load Seismic 4 By Tie Down Engineering REQUIREMENTS • These plans and specifications meet the requirements of Title 25 Section 1336.3 Sub Section A and -97 UBC Seismic Requirements, CBC 2001 addition. • Maximum vertical projection at sidewall is 9'. Higher walls may be used when the design loads are adjusted accordingly and approved by HUD. • Main rail spacing must be 75.5" - 99.5" * Except single sections 95" minimum • Additional vertical anchor ties that are unique to a home's design may be required by the home manufacturer. These locations may include shear walls, marriage line ridge beam support posts, and rim' plates. The longitudinal component of the Xi2 system replaces end frame ties. Check manufacturers set-up requirements. • Maximum pier height is 48" pier. *Except for single sections 36". • 'Steel piers must be fastened to the I-beam with clamps provided with steel pier. • Systems must be placed as evenly as possible, no more than 10' from end of home. • Designed for -7:12 roof slope. *Except single sections, (20° - 4.37 in. 12" pitch). Additional- Requirements for Concrete Systems • Poured concrete must be 2,500 PSI minimum at 28 days. • Square concrete pads minimum is 18" wide by,12" deep. Round concrete pads minimum is 18" wide by 14" deep. Strip footings minimum is _18" wide by 14' long by 6" deep. , * Xi2 components exceed HUD code 3280.3060 "Anchoring equipment'exposed to weathering shall have a resistance to weather deterioration at least equivalent to that provided by a coating of.zinc on steel of not less than 0.30 ounces per square foot of surface coating19 ....,, Page 2 of 8 . r o 0 Wv191 a49-DDDD y FAX.14D41 ad -.milt IV Com;` 4, • Installation of Xi2 Ground Systems . 1. Identify the number of systems to be used on the home using the chart provided. 2. Identify the location where the systems will be installed. 3. Clear all organic matter and debris'from the'pad site. 4. Place U -bolts through holes in pan provided. 5. Place pad centered under beam with the lateral strut bracket towards the inside'of the home. 6. Press or drive pan into ground until level and flush with prepared surface. 7. Build pier according to State, Local or Home Manufacturers g'uidelines.(Figure 1) 8. Attach the end of the smaller tube to the inside of pan using U -bolt & nuts provided - 9. Attach the flag end of the larger tube to the opposite I-beam using the "J" bolt over the top of the I-beam with the nut & washer provided. (Figure 2) 10. Install a minimum of four (#12 x 1" tek screws) self -tapping screws into the holes provided in the lateral strut so that the two tubes are connected together. (Figure 1) J -Bolt Nut & Washer 1-3/4" tube Figure 1 Lateral Otruts 1-1/2" Tube —#12X1" k Screws U -Bolt & mounting Bracket of e f7 _ sJF Strut (flag end) sa 1-5eam Figure 2 Al 11. Install frame bracket clamps to I-beam on in side of block/pier. Do not tighten nuts at this time. 12. Attach, longitudinal strut to U' -bolt in pan using nuts provided. 13. Insert strut in the frame bracket clamp, attach with nut and -bolt. Do not tighten at this time. 14.Pull the frame bracket clamp with the fastened strut outward to remove any slack. .15. Tighten all nuts and.bolts on the struts and beam clamps. ENGINEERING. .. ; =C4> 4> rl t Xi2 Groun' d Parts Detail Xi2 Ground W. Ground Lateral System Part Number 59306 J -Includes.- 5' Strut, pad & hardware kit (#59329-1 includes all nuts and bolts). —. Longitudinal Hardware Kit Part Number 59331 Includes: 2 1-beam,brackets & -- 2 U -bolts with all nuts and bolts. • —% , Lateral and Longitudinal Combination �..: - _::., '�� " Lon Part. Plumber 59333 itudinal Strut 9 Includes: 5' Strut, Pad, Longitudinal Strut -"- &Hardware Kit (#59329), Lateral and Longitudinal Hardware Kit with all nuts and bolts. <0 CIO Siruts for Longitudinal'Systems� Part Strut Pier Height ®` ®ern �e� itudinal No. Length Up To: ��� o®. Ground Long 59330-44 44" 4 Blocks or 32" Strut 59330-65. 65" 6 Blocks or 48" Ground Longitudinal ; Hardware Kit i Xi2 -Stabilization Pier Placement for Ground or Concrete Xi2 Pier Placement Single Section Home Double Section Home . Triple Section Home 0 -80' (76' Box) 4 Xi2 Systems 0 -62'_ 3 Xi2 Systems" ,. 0 -62' 4 Xi2 Systems 63' - 80' 4 Xi2 Systems 63' 80' 5 Xi2 Systems 42 Xi2 systems can be placed at either end of the home. Page 40 8 0 • r r r r r r ►; r! o r� M=CPQ° Installation of Xi2 Concrete Systems 1. Identify the. number of systems to be used on the -home using the chart provided. .2. Identify the location where the.systems will be installed. 3. Build .pier according to State, Local or Home Manufacturers guidelines-. 4... Drill two 3/8":x 3" deep holes in the concrete using holes in galvanized bracket as a guide. Attach bracket to concrete pad using 3/8"x3-1/2" wedge anchors provided. Place nvt:& washer on anchor; leave;enough room for 1 to 2 threads showing on top of bolt. Using.a hammer, tap the wedge bolts into hole through bracket, leaving .nut &washer flush with bracket. Using a 9/16" socket wrench, tighten wedge/anchor bolt, securing bracket to the .concrete. 5. Attach the end of the smaller tube to the bracket mounted on the pad, using the grade 5 1/2" x 2-1/2" bolt/nut provided. 6. Attach the`ffag end of the larger tube to the opposite -beam using the "J" bolt over the top of the: I-beam with the nut & washer provided. (Figure i next page) 7. Install a minimum of four (#12 0" tek screws) self -tapping screws into the holes provided in the lateral strut so that the two tubes are connected together 8. Install frame bracket clamps on I-beam on the inside of block/pier. 9. Insert strut in frame bracket clamp and attach with nut & bolt. Attach opposite end to concrete bracket. 10. Pull the frame bracket clamp with fastened strut outward toyremove any slack. 11. Tighten all nuts and bolts on system. Page 5 of 8 �DD1N.111 • ENGINEERING` • 19+ X►2 Later8l Concrete -Systems' �..Ya Xi2 Concrete Part #59307 _ Includes: 5"Strut, Bracket, &.Hardware..Kit i���' 5y5tem -E. #593'15-1 with all nuts and bolt. i1 Longitudinal Struts for "Concrete Systems" Part No. Length Pier Height - #59013 44". up to 4 Blocks.'"> :....•..,� , #59015. 65 up to 6 Blocks Longitudinal Hardware Kit Part #59263 (Includes 2 sets per kit: I-beam bracket, nuts, bolts and washers) Lateral and Longitudinal Combination a Part 459332'. Longitudinal Includes: 5' Strut, Longitudinal Strut(#59364), Strut Concrete Longitudinal Lateral and Longitudinal Hardware Hardware Kit Kit,with all nuts and. bolts.* ` Nut & Washer I F'gLr 1 Beam Clamp me /-� Bracket ►� x,r. -BoltV \ ' end f an�7 _ � ice;; ..-,•...'�-•' , .� Lateral'::';<- 6 ¢ Longitudinal I-beam u Xi2 Installation Placement Page 6 of 8 ici • ` � I f � � I f I � F I � f s f I i I e • � I ( r � I r � I� 1 � I I tt r I • i 1 k w I Li Diagrams represent examples of double and triple section offsets. Total size is determined by the f length of unit plus offset. ' Xi2 Stabilization Pier Placement for Ground jor Concrete Xi2 Pier Placement Single Section Home . Double Section Home Triple Section Home * 0 -80' (76' Box) 4 Xi2 Systems 0 -62' 3 Xi2 Systems* 0 -62' 4 Xi2 Systems 63' - 80' 4 Xi2 Systems 63' - 80' 5 Xi2 Systems - *2 Xi2: systems can be placed at•either end of the home. Page 7 of 8 TIE Do -DOWN ENGINEERING 59bl o• 1404) 344-0000 FAX (404) 349-0401 O C 4 Hardware Breakdown - 959329-1 Hardware for 59306 Lateral System • #59315-1.:Hardwarr for Late a! System " 1 845332 U -Bolt 1/2-13 x 2.63 x 2.19 thread 1 10631Z J Bolt 1/2'x 5-1/2 Grade 5 zinc . 1-3/4 zinc .1 12107 Flat Washer 1/2" SS 4 10556 Tek Screw #12 x 1" 4 10556 Tek Screw 412 x 1" 1 106312 J Bolt 1/2 A-5-1/2 grade 5 zinc 2 10646Y Hex Nut 1/2x-13 Graue 5 zinc 2 10640 Push Nut 1/2. 1 10826 Carriage Bolt 1/2-12 x 3 1 . 12107 Flat Washer 1x2" SS Gracie 5 zinc 1. 10646Y Hex Nut 1/2-13 grade 5 zinc 2 10519 Hex Nut 1/2" w/ Serr flange #59027 Hardware Kit for 59307 Lateral Systern 2 59264 3 Way Concrete Bracket - #50-331 Longitudinal Hardw.sare for 50,306 4 10530 ''Redge, Anchor 3/8 x 3.50 ` 2 59272-1 Beam Clam Base P 1 593 i 5-1 Hardware Kit f , 4 59272-2 Beam Clamp Top Flange 8 10926 Carriage Bolt 1/2-12 x 1-1/4 #59263 Longitudinal Hardware for 59367. Full Thread 2 59272-1 Beam Clamp Base ' 10 10646Y . Hex Nut 1/2-13 grade 5 zinc 4 59272-2, Beam Clamp Top.Flange r 2 10801 Carriage Bolt 1/2-12 x.2-1/2 _ 8 10926 Carriage Bolt 1/2-13 x•1-1/4 Grade 5 FulIT hread zinc 2 845332 U -Bolt 1/2-13 ><2.63 x 2.19 thread. 12 10646Y� Hex Nut 1/2-13 Grade 5 zinc 1-3/4 zinc 10801 - Carriage Bolt 1/2-13 x 2-1/2 L 4 10640 Push Not 1/2 <r.. Grade 5 zinc 4 10519 Hex Nut 1/2" w/ Serr flange ....#59364 Hardware for 59332 Lateral and i # 59329 Hardware for 59333 Lateral and Longitudinal combination Longitudinal combination 1 59264. 3 Way Concrete Bracket 1 59329-1 Hardware Kit 2 10530 Wedge Anchor 3/8 x 3.50 i 1 59272-1 Beam Clamp Base _ 1-5931-5=1—L-a-ter-al-Ha'r-d--wa're-Kit j ' 2 59272-2 Beam Clamp Top :Flange 1 59272-1 Beam Clamp Base 4 10926 Carriage Bolt 1/2-12 x 1-1/4 _ '2 , 59272-2 Beam Clamp Top Flange full ttiread4 10926 Carriage Bolt 1/2-13 x 1-1/4 5 10646Y Hex Nut 1/2-13 Grade 5 zinc 'Full,Thread zinc i 1 10801 Carriage Bolt 1/2-12 x 2-1/2 2, 10801 Carriage Bolt 1/2-13 x 2-1/2 Grade 5 zinc �'. Grade 5 zinc 1 84533Z - U -Bolt 1/2-13 x.2.63 x 2.19 Thread 6 10646Y Hex -Nut 1/2-13 Grade 5 zinc 1-3/4 zinc 2 10640 Push Nut 1/2 - 2 105.19 Hex Nut 1/2" w/Serr Flange ' Page 8 of $ _.:......._ . Q 9.0 G VK I BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION_ Site Address: 14386 SINCLAIR CIR Owner: Permit NO: $07-2666 APN: 064-460-019, MOORE, JUDY I Issued Date: 12/27/2007 By GLB Permit type: RESIDENTIAL 14386 SINCLAIR CIR Subtype: SFD-Mobile Home RET MAGALIA, CA'95954 Expiration Date: 12/26/2008 Description: EX MH RETRO FIT PERM FND 530 Occupancy: Zoning: RTI Contractor Applicant: Square Footage: PREMIER'BUILDERS PREMIER BUILDERS Building Garage RemdUAddn 6055 TERRA VISTA, 6055 TERRA VISTA PARADISE,• CA 95969 PARADISE, CA 95969 Other Porch/Patio Total (530) 872-1096 (530) 872-1096 FEE INFORMATION DBF MH Plan Check ` .$233.56 DBMSC Mobile Home Permit Fee. $350.34 , Total Charged: $583.90 Fees Paid: $583.90 Balance Due: $0.00 Receipt No: B5812 LICENSED'CONTRACTOR4S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License PREMIER BUILDERS 343173 / B / 9/301/2009 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed 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 pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7006) is in full force and effeci. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the X basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]; 12/27/2007 Please check one of the following: - .. -,Contractor's Signature Date - I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does' t WORKERT.COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: HAVE the work himself or herself or through his or her own employees, provided that such improvements ❑I AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). I� I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by E ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the ' Carrier: STATE FUND Policy Number: 1127626-06 E p, Data:5/1/2008 Contractor's License Law.). (This section nee not be completed if the permit is or ons a uindi rad dollars ($100) or less. ' 0 1 AM EXEMPT under Section B. & P.C. for this reason: ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' ° Compensation laws of California, and agree that if I should become subject to the workers' X 12/27/2007 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date provisions. X 12/27/2007 Q� I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building I-X4A Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, injury, including death, and property damage caused arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge thatt is issuance of this. permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enter the above mentioned property for inspection purposes. I hereby certify that I am the property owner or am authorize ct on the pro any owner's behalf. CONSTRUCTION LENDING AGENCY ' 12/27/2007 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction tending agency for Name of Permittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) ❑ Owner e -Contractor . OR; ElAgent for Owner RAgent for Contractor FILE COPY Lender's Address City State Zip : BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION* OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds PLEASE PRINT CLEARLY PERMIT NO. X111 ' a� BIN # "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. APPLICANT INFORMATION OWNER INFORMATION Last NameA 'vl. � �C First Name Mailing Address 1 [-f 3 t96 j y_ llZ Cil f� City C ` State 014 Z* SY�4 Phone E-mail Fax E-mail State License Number APPLICANT INFORMATION CONTRACTOR Name � � /J PL-euip—p Address ps3-- � Z�rz.g-- vi sTig City 6944 Pl-';WS State c� Zip S c i Phone 87::? — f0 IF Fax E-mail E-mail Open State License Number q-3 !73 Class i3c APPLICANT INFORMATION ARCHITECT/ENGINEER Name Address �•� Address City �'I�RA-DfsF City State - State Zip Phone Fax Fax E-mail Open State License Number APPLICANT INFORMATION Name /2l'6l�! PLOVIZ-A Address �•� 7-r— vrs7-19 City �'I�RA-DfsF Yes State - Zip 9'S Phone �— f0% �o Fax E-mail Sq FT- Living Garage APPLICANT SIGNATURE X � PROJECT LOCATION AP# t)(04-4(00 (f% Property Address City C WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than licensed contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: � pct N D foX� u D� �X'rs sive � SRA Yes No Occ. Type Const. Sq FT- Living Garage Open ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office on y: Zoning Flood Zone SRA Yes No Occ. Type Const. f O cz (� 12/26/07 11:37 FAX {' i2/26/07 11:17 FAX 5305590713. RErORDiNa RgauEsm By- FidelitY tNabonai Title Company of California Esrow No. 301471-SML Tale Ardor Na, poa*1471 r When jteoorrled Mgw Document � and Tax ste Affront TO, Ms..iudV 1. Moore c/o 5905-D Cie* Road Paradise, CA 96968. BIDWELL TITLE r � 002/005 E'9C CUSTOMER SERVICE BTEC PARAJJLbb 4 1(1111111111111%H1 lit =WW)_m0 j 149_ OifiRICO bdords L I�+X F . ca8UTT6 l ' CANDAM J. MUM1 or i VICHSON I Far Rei Assist It I Rage of 4 r 5Ac I r CaRAw DEED The undersigned onegiterlel declarelsl " r bocurnentary transfer um is $64.99 ) ( X I computed on full value of Property conveyed. or 1 computed an full value tees value of )retie of encumbrances remaining at time Of sai6, ( ) Unincorporated Area City of unincorporated area of the Margaret WQR A VAL1dA1�LE OONSIDWATION, receipt Of WW96 le hereby acknowledged: Robert C. McCullough, 'A: Gregory and Kathleen Sue M cCullcugh, Co -Tru stee+ Of the RAYMOND A. MC CULI.OUGH TRUST hereby GRANT(S) to Judy 1• MoorY, An Unmardid Women she following described real property.In the unincorporated area of the County of Butte, State of Callfomim, SEE EXHIBIT ONE ATTA04ED HERM AND MADE A PART HEREOF THIS DEED IS BEING RECORDED IN COUNTI'1 AFtT. AAIB TOGETHER CONSTITUT93 ONE DOCUMENT. ' y DATED: March 22, 2000 5TAT6 OF GAUFORNIA - Robert C. MaCuliough, Margaret A. Gregory and Kathleen Sue McCullough, Co -Trustees of. the COUNTY OF A RAYMOND A. MC CULLOUGH,TRUST did 2124196 An A i before me, Orson elly appeared � . w.4,.�w4 n M CUL i aY• .. Robert C. Mc Cottuilough, Tr %q , personally known bn me tar i Q d tQ me an the tuuta of satisfactory evidence) to be the ,person(s) whose, BYN9argffie:t A. Gregory, Trustee nama(s) talars subscribed to the wkNn lnsbrr7n+ant tie9d - ecknowledged to rna that helshefMey executed the same in Va her/their authorized csPaPitylies), and that BYKathleen Sue McCusou®h, Trustee by bWherltheir signaturalsl on the Instrument the personls), Of the entity upon behalf of which the , - person(s) acted, executed the instrument, Witness imy hand and Official seal. SHERFIY i=0' Comm 61215180 , Slgns�ur� y WrAW ForitBA Z edr G'w,e•• Dies MAV 147007. f ' MA(L TAX STA .Tff WS AS DIRECTED ABOVE FA -113 (F(av 7196) oK MT GEED f� Y I 0