HomeMy WebLinkAbout064-590-011iii
64-59-11 j
` hn Heck
624,7,,Hartne11 Ct . , lot 111, PP#11,
Magalka,
contr- Paxadise Modular Conc.,Pa a.
Permit #126-8,1P,E(u Ll. ,MH)
ELEC.2-2A-19I 20. A
GAS Z -24-$I zNage A,/,o
f' SUPPORT STRUCTURE kt
j COMPACTION TEST REQ.
_ - 64-59-11 2
contr �Pa adise Moduar Conc.,Pa
Pe�rmit #121-81MHI
fesued
064=;59 �0=011 ``,�� `'�`. 97-1146 BPEM-
' l 6247''Hartnell `
�,v/
HEITZMAN,Beverly; f
r Ct,�Magalia q
(MH/perm-,fdn).Zinks Remodel / 9
FA
�� S��ffi
RESIDFN I L r. ,
60 4-59-0-011 9%=114e rsrr—�
j HEITZMAN,-Beverly
3 6247 Hartnell Ct,SMaga a
(MH/perm fdn) Zinks Remodels
- existing site
PERMIT NO.
PERMIT EXPIRES
OWNER
CONTR.
ASSESSOR PARCEL
C6,I
4 oh
C6LJ
Cod
C64
180 0 i 8
LOCATION
40 ry 0
O�
I
4
Temp. Power Pole
cauea PGae—
Temp. Elec. Service
Called PG&E
t
Temp. Gas Service
Called PG&E
JOB FINALEO (Date)
Signature U r
V=OK
O = Not OK
Not `=N tRedypalble MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirern& tsSeftcks-Easements
1. Zoning Requirements - Setbacks - Easements
2. Footings; SoilsSize-0epthSpacing-ConnectorsSted
2. Soils; Special MH Support Sketch
3. Decks;. GirdersrWcK,,.Joists-Pecking-BracingStairs-Rails
3. Sewer, Location -Test -Fall -/O -Concrete
4. Wood Awn.; Posts -Beams Rftrs.-Connectore
Shthg.-Rfg: Bract
4. Water; Location -Test -Easement Needed (Sketch)
S. Alum. Awn:; Columns-ConnecbonsSplice-Decal-Enclosures
5. Electricity; Location-Clearances-Gmd-/ /Amp4Concreta
6. Carports; Windows -Doors
6. Gas; Location -Test -Wrap; / /`LYL
/ /Nat. or/ /°L'tL/ /LPG
7. Electric
7. Well Clearance & Disconnect
8. Fmtg.; Sils-AnchorsStuds-Rttrs-Trusses
8. Utility Clearance
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
Card B-1 Date Card B-1
1. Zoning Requirements- Setbacks Easements
Card B-1 Date Card BA
2. Footings; Size-Spadng-Marriage Line
POOLS (Plans) OK except #'s
3. Gas; MH Test-DemarKWalve•Connector
1. Setbacks -Easements
4. Electricity; MH Test -Crossovers -Breakers -Clearances
2. Soils; Compaction -Structure Stability
S. Drain; MH Test-FalWlex Connector
3. Pod Structure; Steel -Connections -Thickness
Dead Men -Lining
6. Water; MH Test -Regulator -Connector
4. Elec.; Receptacles and Lighting, Distance -GF]
7. Water and Sewer Connected -C/O to -Grade -HD Approval
5. Elec.; Pool Lighting; 15 Volts -GA
8. Gas and Electricity Tagged a
6. Elec.;.Enclosures; Conduit Entries -Terminals -listed
9. Tie Downs -Type -Installation Cert.
7. Elec.; Bonding; Metal w/5 -Circulating Equip. -}seater
10. Exits; Insp.-Sketch
8. Elec.; Grounding; Equip. w/3 Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
11. Cert of Occupancy
9. Health Department Approval
12. Permanent Foundation Only: license Decal
10. Plumb.; Cir Test -Nater Supply Test
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
m1s ELLANEOUS
Date
DECttt3, ep :.. .CAR RTS, QUAGES-(Plans)OK except #'s
1. Zoning Requirern& tsSeftcks-Easements
2. Footings; SoilsSize-0epthSpacing-ConnectorsSted
3. Decks;. GirdersrWcK,,.Joists-Pecking-BracingStairs-Rails
4. Wood Awn.; Posts -Beams Rftrs.-Connectore
Shthg.-Rfg: Bract
S. Alum. Awn:; Columns-ConnecbonsSplice-Decal-Enclosures
6. Carports; Windows -Doors
7. Electric
8. Fmtg.; Sils-AnchorsStuds-Rttrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext: Steps -Doors -landings
12. Braced WWI, Panels
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card BA
Date
POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pod Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distance -GF]
5. Elec.; Pool Lighting; 15 Volts -GA
6. Elec.;.Enclosures; Conduit Entries -Terminals -listed
7. Elec.; Bonding; Metal w/5 -Circulating Equip. -}seater
8. Elec.; Grounding; Equip. w/3 Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir Test -Nater Supply Test
11. Light Niche
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
_No RESIDENTIAL (S
O = Not OK ingle. & Duplex)
- = NotApplicahle
Not Ready
Date
UNDERFLOOR (Plans) OK except #'s
1. ZoningSetbacks-Easments-FloodSlope
Hangers -Post Caps -Anchors -Connectors
2.
Ftg., Main; Soils-Elec. Gmd. / /" Ftg. Depth
Cling. Joist-Rftr. Ties-Purlin-roff Brac.-Truss-Shting.-Rfng.
3. Ftg. Garage; Soils-Steel-Elec. Gmd/ P Ftg. Depth
48.
4. Ftg. Porches & Decks; Soils -Steel-/ / Ftg. Depth
5.
Stemwalls, Main; Steel-Blockouts-Wrapped
50.
6.
Stemwalls, Garage; Steel-Blockouts-Wrapped
51.
6a.
Hold Downs and Special Anchors
52.
7.
Slab, Steelpped
53.
8.
Piers -Fireplace Ftg.-Steel
54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
9.
D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
10.
UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test
11. Water Pipe; Test -Anchors -Regulator -Service Test
Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access
12.
Electric Underground
Glazing Area -Glass Protection -Skylights -Plastic
13.
Pienums & Ducts; Clearance -Material -Support -Ins.
Shear Walls; Nailing -Bolts
14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
60. Brace Interior / Exterior Wall Panels
15. Access & Ventilation
61.
16.
Insulation
62.
Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
PLUMBING (Permit) OK except #'s
17. Water Htr.; Vent -Access -Combustion Air Baffle
18.
Water Pipe; Test & Anchor -Nail Protection
19.
D.W.V.; Test Fittings & Anchor -Nail Protection
20. Shower Pan; Test, First Floor -Tub Access
Furnace; Vents -Clearance -Comb, Air-Conector-
In Garage; Above Floor-Ducts-Mech. Protection
21.
Test Tub & Shower, Second Floor -Tub Access
Bedroom Exiting
22.
Gas Pipe; Size & Anchors
G.F.I. & Bath Fixtures & Tub Access -Spa
68.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
Elec. Outlets at Wood Panel, Int. & Ext.
23.
Fixture & Transformer Clearance -Ins. Protection
Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance
24.
Elec. Receptacles Spacing -Lights & Switches at Doors
Elec. Outlets & Recepticales at Kit. Counter
25.
Size Boxes & No. of Conductors Stapled
Garage Fire Door; Swing -Landing -Closure
26.
Romex Installed Close to Edge of Studs & C.J.
A.C. Duct in Garage -Damper
27.
Equip. Ground made up w/Mech Fastners-Bond Gas & Water
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
In Garage; Above Floor-Mech. Protection
28.
2 Appliance Circuts in Kitchen & Conductor Size GFI
Plb., Elec. & Mech. Equip. Listed for Location
29.
Subfeed Wire Size / /ga. Cu or AI-A.C. Wire Size / / ga Cu or AI
Elec. Receptacles in Garage (G.F.I.)-Romex Protection
30.
Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or Al
Insulated Neutral 0 Yes p No
31. Service -Riser Conductors & Ground -Main Disconect
32.
Equip. Clearances Panels-Motors-Mech. Epuip.
33.
Clothes Closet Light -Shower Light -Spa Light
34.
Smoke Detector
84.
A.C. Unit Disconnect, Electrical -Plumbing
Date
85.
Card B-1 Date Card B-1
Date
86.
Card B-1 Date Card B-1
Date
87.
MECHANICAL (Permit) OK except #s
35.
A.C. Ducts Insulation & Support
36.
Vent Fan, Exhaust above insulation
37.
Condensate Drain & Overflow, Size & Grade
38.
Fumance-Vent Access -Comb. Air -Return Air Vent 115 outlet
39.
Attic Access & Platform if Furnace in Attic
93. Energy Compliance Certificate -Other Certificates
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
FRAMING (Plans) OK except #'s
40.
Sits Proper Materials & Anchors
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
Date
FRAMING (Continued)
46.
Hangers -Post Caps -Anchors -Connectors
47.
Cling. Joist-Rftr. Ties-Purlin-roff 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 Hgt. & 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-Underfir. 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-Conector-
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 & Recepticales 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 (G.F.I.)-Romex 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 p Yes
82.
Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 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 Throught 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
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:
J
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
16 7 County Center Drive - Orovilld, California 95965 - Telephone (916) 538-754 1:1,EPVT NO.
(Rev. 12/96) APPLICATION AND PERMIT ��1Y_
ASSESSOR PARCEL NUMBER 064-590-011 '
ZONING
BUILDING PERMIT
OWNER BEVERLY HEITZMAN
TELEPHONE
SO, FT, OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
6247 HARTNELL CT MAGALIA 95954
52O X 5 ,
080.00
CONTRACTOR'S NAME
ZINKS REMODELS
I TELEPHONE '
898-8155
CONTRACTOR'S MAILING ADDRESS
PO BOX 6514 CHICO 95927
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $ 82,080.00
ARCHITECT OR ENGINEER
W. SOMMERMEYER
LICENSE NO.
11538
Filing Fee
$ 20.00
QQmit Fee
$ 281.50
ARCHITECT OR ENGINEERS MAILING ADDRESS 9g33 /_ 20
1173 D EL CAMINO REAL ARROYO GRANDEI
Plan Checking Fee
$
BUILDING ADDRESS
6247 HARTNELL CT
Energy Plan Checking Fee
$
MAGALIA 95954
$
PERMIT FEE
3 324.50
LOT NO.
SUBDNISION'SNAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome 10 Other PERM FNDT EXIST.MOBILE
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00 15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other
Describe Work: PFRM FQ11NIIATI0N
Gas piping system 1 - 5 outlets
15.00 15.00
Building sewer
15.00 15.00
Mobile Home I S I G I W
920.00
PERMIT FEE
$ 65.00
ELECTRICAL PERMIT
I Fling Fee 20.00
Main Service 1100V OR LESS
" OR LESS
."0..S9
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 8 6 Lic. No. S `� j�
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 200A TO 1000A
46.00
NEW CONST. DWELLING OCCUP.
OR "DONS. ( & ACC. BUDS.
SO
3.5Q FT.
NEW CONST. MULTI.OUTLEr
NON RESID. NC c cu
@7.50
POWER APPARATUS
8 SINGLE OUTLET CIR.
Ex. Occup. ourLEroR FocruREs
BA� p l_ 0
PPLNS
Ex. Occup. ourrs RES D.ORE.,
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wirina
23.00
PERMIT FEE
$
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by 'section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE
S
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
XJL .�� _Date _4, Y __
Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $
389. 50
HqZ.
D. FEES
IMP
I FLOOD DF
PARCEL PD
HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indic bov for hich fees have been paid.
!� 2
By DateT
PERMIT EXPIRES ON 6 11 / 8
Date
Receipt No. 221984
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD•APPLICANT
.. ...�'''t. , ..'�'� ---,-T f^. "',+..-.- �� y.,^ l..y ...ds s�.r-r.x �.w'ti�r� .: s'�-`: "yt�'.s�;0-3�-y�i�'�:.J`'� �YrH'�•L'�.y.�},�'y:i+r�.,4'3�+l�Yii^r's�y,.��' ,
1
-COUNTY OF BUTTE DEPARTMENTOI�VELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVAFII LE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541
> _
t
PERMIT APPLICATION DATA SHEET
OWNER: Z ASSESSOR PARCEL 6 C( =!9�r CLQ !
Proposed Building Use: Building Inspector: Date: to - 2 -- F ?
=A11
rmit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
Date Received By
s have been submitted .-------------------------------------------------------------------------------------
❑2. Plot plans, 3/4 sets, signed by the preparer of plans- ---------------------------------------------------
113. Complete plans, 3/4 sets, signed by the prelarer of plans. --- -----------------------------------------
❑4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans.
05. Engineered truss details and layout in duplicate (required prior to plan, review) No faxes! ---------
❑ 6. 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 ----------
13 10. Fees of $---------------------------------- -----------------------------------------
❑ 11. Impact fees as shown on the attached schedule. --------------------------------------------.
❑ 12. California Department of Forestry plan approval/fees. -------------------------------------
❑ 13. Flood elevation certificate. --------------------------------------------------------------------
❑ 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: ------
1118.
-----
❑18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. -------- --------------
❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). ----------------------------
0 20. Pre -inspection for
required Request to Building Inspector on
02 1. Contractor's license information. (Number, Name Style, Classification).
022. Workers' Compensation carrier and policy number. -----------------------
023. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). _
024. Letter of signature authorization
❑ 25. Recorded copy of Agricultural Acknowledgment Statement. ---------------------------------------------------
El 26.
-------------------------------------------------
❑26. Letter of intent on building use.------------------------------------------------------------------------------
027. Manufactured Home utility clearance. --------------------------------------------------------------------------
028. Existing violations and/or expired permits.-------------------��y- --------------------------------------
029. E1433 A, ❑Grant Deed, 11M.H. Title, 11 Check to H.C.D $ � .D 0 .---------------
030. Other:
(Date)
When you issu thhee permit, process as follows ❑ Mail to owner, C � contractor,
Telephone / and hold for pickup at r
El Telephone office. ❑ Deliver with inspector.
Applicant: z"", Date: 6 z A %
Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date:_ By:
Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By:
1. Index permit application for the above items numbered: ❑ 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 ciunter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building ivision counter, by Date:
Plans reviewed by: Date: Plans approved by: Date: 777
Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date:
Yellow Copy - Department of Development Services, Building Division.
THOMAS FERRARA, PH.D.
11-607973210
5925
P. O. BOX 6514
CHICO, CA 95927
4308190768
Mile
I'.1� 111 I IIP
O O
��i
GREAT WESTERN BANK
A Federal Swinge Bank
200 BROADWAY
' CHICO. CA 95928
' 1 -B00 -STATUS-
.
Im
rill'
1:3 2 1080 7961: 430819076811' S9 25
THOMAS FERRARA, PH.D.
11-807973210
5 910
P. O. BOX 6514 4308190768
CHICO, CA 95927
11:111•
nrllrr nl' _ .. rte.---- ------•----._ _ . _ ._ �-
GREAT �WVE TERN BANK UZ
A Fedo,al Savings Bank
200 BROADWAY
CHICO, CA 95928
1-B00-STATU -5
;��h. } ..
RECORDING REQUESTED BY:
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE CA 95965
'97-022625 97-022625 97-022625
97-022625'1 Rec Fee
1 Total
Recorded I
Official Records I
County of I
/ Butte I
Candace J. Grubbs I
Recorder I
10:14am 23 -Jun -97 I COMS
SPACE ABOVE THIS LINE FOR RECORDER USE ONLY
xx
.00
.00
VIA
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.
DAVID M. KLING (DECEASED)
6247 HARTNELL COURT
MAILING ADDRESS
MAGALIA, BUTTE, CA 95954
CITY COUNTY YFAIE LIP
SAME
CITY CUUNI'Y STATE ZIP
SAME
(it also property owner, write SAME
BUTTE COUNTY BUILDING DIVISION
LOCAL AGENCY 155 IFICATE OF OCCUPANCY
7 COUNTY CENTER DRIVE
MAILING ADDRESS
OROVILLE, BUTTE, CA 95965
CITY COUNTY STATE ZIP
-1146 (916) 538-7541
B G PE IT TELEPHONE NUMBER
6/19/97
SI TORE OF LOPAL AGENCY OFFICIAL DATE
N NE
DEALER NAME (if not a dealer sale, write 'NONE')
DEALER LICENSE NO.
UNIT DESCRIPTION
GOLDENWEST 1981 SUNNYBROOK
SB4303A/B/C/D 44'X20' AND 32'X20' 186016/186017/186018/186019
REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. # 064-590-011
SEE ATTACHED LEGAL DESCRIPTION.
HCD FORM 433(A) REV. 8/91
WHITE - County Recorder CANARY - HCD PINK - Applicant GOLDENROD - Building Dept.
LEGAL DESCRIPTION
A.P. #064590-011
ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE UNINCORPORATED AREA
OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, BEING MORE PARTICULARLY
DESCRIBED AS FOLLOWS:.
PARCEL I:
LOT 111, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "PARADISE PINES UNIT
NO. 11 ", FILED IN THE OFFICE OF THE COUNTY RECORDER OF BUTTE COUNTY,
CALIFORNIA, ON DECEMBER 17, 1970, IN BOOK 38 OF MAPS, PAGES 17, 18 AND 19. ,
EXCEPTING THEREFROM ALL MINERALS, OIL, GAS, ASPHALTUM AND OTHER
HYDROCARBON SUBSTANCES, WITH PROVISION THAT ANY AND AL'L MINING
OPERATIONS SHALL BE DONE FROM ORIFICES OUTSIDE THE SURFACE AREA OF
THE LAND DESCRIBED HEREIN AND THAT NO DAMAGE SHALL BE DONE TO THE.
SURFACE OF SAID LAND.
PARCEL II: t
A NON-EXCLUSIVE EASEMENT OVER LOTS A AND B (THE COMMON AREAS) OF
SAID PARADISE PINES UNIT 11 AND THE LOTS DESIGNATED FOR COMMON AND
RECREATION AREAS AS DESCRIBED IN THE DECLARATION OF ANNEXATION FOR
• UNITS IV, VI, VIII, X, XI AND XIII.
BUILDING PERMIT NUMBER: 97-1146
Address or location of unit: 6247 HARTNELL COURT, MAGALIA
Legal Description of Real Property: A.P. #064-590-011
SEE ATTACHED LEGAL DESCRIPTION. `r
(x) Mobilehome/Manufactured Home
O Commercial Coach
Has been affixed to .the real property above by installation on a foundation sytem
pursuant to Health and Safety Code Section 18551.
Owner's name: DAVID M. KLING (DECEASED)
Owner's address: 6247 HARTNELL COURT, MAGALIA, CA' 95954
INSIGNIA OR HUD NUMBER: 186016/186017/186018/186019
SERIAL NUMBER OR V.I.N. SB4303A/B/C/D
MANUFACTURER'S NAME: GOLDENW T 1981
OFFICIAL APPROVING INSTALLATION:
DATE: 6/19/97 PHONE: (916) 538-7541
H.C.D.513C
����':::':':':iii::iiiiiii':i'i:::
'i?:.... :.i:. r
: F` :..' ' ..' ,...... ..%' ....:: ... .. ... ` '....'::+...:
:.i:.i:.i}i}is�l�l�,�.�,.,.,.,.,.,�,.',.,.,.,.,.,..;:��
� � '':' :: :�'� :i:•: ii :::
:ilii i::;::.,.,.,.,.�,..,..,.,.,..3:�..
:::::. i:.::::...::::::i.':.
v' :F:`i:
::i
+:.::i •,.:
..: "• '... :::..::::.
:i::+:>::::: i`isi+<C?
'.: .. :::. 'ii'ii: ii:i: ::::::`_::i: i:;:..Y{:ilii;:;:;:;:;:ii
iiiiiiiiiiiiiiiiiiiii:::i::i::i::i:
++?{: .'`''•'•':::i::i::i::::::::±:::f'v::?is:i::::::i::.x.x.x..-x.�S
........... :::.
BUILDING PERMIT NUMBER: 97-1146
Address or location of unit: 6247 HARTNELL COURT, MAGALIA
Legal Description of Real Property: A.P. #064-590-011
SEE ATTACHED LEGAL DESCRIPTION. `r
(x) Mobilehome/Manufactured Home
O Commercial Coach
Has been affixed to .the real property above by installation on a foundation sytem
pursuant to Health and Safety Code Section 18551.
Owner's name: DAVID M. KLING (DECEASED)
Owner's address: 6247 HARTNELL COURT, MAGALIA, CA' 95954
INSIGNIA OR HUD NUMBER: 186016/186017/186018/186019
SERIAL NUMBER OR V.I.N. SB4303A/B/C/D
MANUFACTURER'S NAME: GOLDENW T 1981
OFFICIAL APPROVING INSTALLATION:
DATE: 6/19/97 PHONE: (916) 538-7541
H.C.D.513C
STATE OF'CALIFORNIA
BUSINESS, TRANSPORTATION AND. HOUSING AGENCY.,E�,o
DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT • -,�
DIVISION OF CODES AND STANDARDS
REGISTRATION AND TITLING PROGRAM
STATEMENT OF FACTS
This unit is a: ® Mobilehome 0 Commercial Coach 0 Floating Home 0 Truck Camper
Decal (License) No.(s) Trade,Name Serial No.(s)
ei0L.vE0651- CQ` f/Goi9/ / 8� of e
0OC-1--- Su 44 —V / $b 0,7', / r6 0!b
I/We, the undersigned, hereby state:
� , / ,
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 loss 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 perjury that the foregoing is true and correct.
Executed on y l?l f
(Date)
Signature(s)
(City)
Printed name(s) /
el
e ✓,<-A ( V Z. C'U!/� z 0
(State)
Address
City. jd7/�Gi4 � . State Cx ' j15;9-5y—
HCD 476.6 (REV 9/91)
1 ' STATE OF CALIFORNIA -DEPARTMENT OF HOUSING AND COMMUNITY `DEVELOPMENT
REGISTRATION CARD MOBILEHOME DECAL NO. LAA3840
MANUFACTURER NAME/ID TRADE NAME MODEL DOM OOT DFS SPC EXPIRATION
GOLDEN WEST HOMES/9248' SUNNYBROOK 00/00/00 00/00/81
¢ U SERIAL NUMBER LABEL/INSIGNIA NUMBER WEIGHT LENGTH WIDTH ISSUEDSCC EXEMPT USE TYPE
J S84303A 186016 012000 000384 000120 06/27/91 04 SFO LPT
1 2 SB43038 186017 010000 000384 000120
3 S84303C 186018 016000 000528 000120 TOTAL
4 SB4303D 186019 018000 000528 000120 FEES
s PAID:
s $55.00
A KLING DAVID M/JOYCE A JTRS I
D 6247 HARTNESS CT
D MAGALIA CA 95954
S
R KLING DAVID M/JOYCE A JTRS '•
E
OM I
I A 6247 HARTNESS CT '
T L
J3 MAGALIA• 95954
R
D .
O s 6247 HARTNESS� r
.� _
E u W4GALIA CA 95954,,- '......... '
L. _........
O
4z)
N I Ux
O S U �'
R T ,
N S r ,
H E '
O C 1
L O
D N 1
E D
IMPORTANT j 01-175-0155
THE OWNER INFORMATION SHOWN ABOVE MAY NOT REFLECT ALL LIENS RECORDED WITH THE DEPARTMENT
OF HOUSING AND COMMUNITY DEVELOPMENT AGAINST THE DESCRIBED UNIT. THE CURRENT
.2 TITLE STATUS OF THE UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT:'. '0100155:
r!r„' STATE OF CALIFORNIA - DEPARTMENT'OF- HOUSING AND COMMUNITY DEVELOPMENT
--- CERTIFICATE OF TITLE MOBILEHOPE DECALNO. LAA3840
'�.. MANUFACTURER NAME/ID TRADE NAME MODEL DOM DOT DFS SPC EXPIRATION
-- GOLDEN HEST HOMES/9248 SUNNYBROOK 00/00/00 00/00/81
U SERIAL NUMBER LABEL/INSIGNIA NUMBER WEIGHT LENGTH WIDTH ISSUED I SCC EXEMPT USE I TYPE
I W4303A 186016 012000 000384 000120 06/27/91104 SFD ILPT
2 5643036 186017 010000 000384 000120
= 3 S84303C 186018 016000 000528 000120 TOTAL
4 S04303D 186019 ..018000 000528 000120 FEES
5 _ PAID
B $55.00
A KLING DAVID M/JOYCE A JTRS 3.
D 6247 HARTNESS CT RELEASE OF DEALER
D MAGALIA CA 95954 NEW REGISTERED OWNER, FILL IN ITEMS 4 - 9 -
R
E ((( 4.A)
8 AND
8 OR B)
B 1 NAME - PLEASE PRINT `
R KLING DAVID H/JOYCE A JTRS )
Q M
or
CURRENT MAILING ADDRESS
�' B)
' I a 6247 HARTNESS CT
8 Z CITU CNTY' ST ZIP
T L
E HAGALIA 95954 6.
R FUTURE l4m,1NG ADDRESS
E1. y
D RELEASE?,OF'kEGZSTERED OWNER r
LOCATION"ADDRESS
O S 6247 HARTNESS CT =
W I
N T �I1Yr CNTY ST ZIP
E U HAGALIA CA 95954,,
,r'�=^-••••'•"--^� ers. `"�v i rPUR;CHA8E PRICE DATE
L
t
G - i � .r• -s 3` ^', . r� NEYflREGISTERED OWNER 32GNATURE
A i ( 3t NEW .LEGALOAINER. FILL IN ITEMS y10 - 12?t _
L
W
r N + NAME - PLEABE&PRINT
R RELEASE_ ..
LEGAL OWNER 11.
t ADDRE88p
B) �m j
RETENTION .OF"LEGAL OWNER i}l 12. ;
CITY. ^a g CNTY ST z
C) a � �* NEW 1ST JR. LZTiNHOLDER, FILL IN ZTEM3 13 - IS *4ee r:
ASSIGNMENT OF LEGAL.OifNER I " ” -
Ik
13.
4� ..
NAME - PLEASE PRINT "
U F a.
A e
N I 14.
I R ADDRESS.
O 3
R T 13.
CITY CNTY ST ZIP_
L _ i * NEW�2NO JR. LIENHOLDER; FILL IN ITEMS 16 - 18 `•
I
E 16.' ^
N S NAME - PLEASE PRINT
H E ` , ,° j
O C. 17.-
L O = ADDRESS
D N { y
E D-
R IY CITY CNTY' ST ZIP
IMPORTANT• 01=175-0155
THIS CERTIFICATE OF TITLE MAY NOT REFLECT ALL LIENS RECORDED WITH THE DEPARTMENT
OF HOUSING AND.COMMUMITY DEVELOPMENT AGAINST THE DESCRIBED UNIT. THE CURRENT
TITLE STATUS OF THE UNIT MAY BE CONFIRMED _THROUGH THE DEPARTMENT.',:: "a 0100155
COUNTY OF BUTTE
25 COUNTY CENTER DRIVE
OROVILLE, CALIFORNIA 95965
CERTIFICATE OF DEATii�., 4O C 1329
' n•ra r.L■ Nua.saR +•a •c•C" "- °V• • aa, °V
_ . , ".r[ a• o,ca«..—r,.ar �.a.. . a ,aewa , a uar s.w.,
i Joyce Anita i Klin
-l..e[ •,[ a• 2• -Dura, a Y. ) y,l Y aa.,+ rr.00.cC•• 0.+Ou•
'Z/':5/1926r 68 . �:'". •• F 08/19/ 994
30
oa<ao.. '
.a"ao".. PA '208-14_6730 _ _ Qx .,e... � Married 12
e•T• .. c. i a. - cI- i m, +wr ar..o•a.
j
i Caucasian ? McHenry's Restaurant
I � t.�.,�.-e�� Rc<Tauranr • ^2a
", 6247 Hartnell Court K
,e, � d ,..,. � , a. a �.K ..[c+. . ,oa r•wne.rw.....o,"..0 • ,oa
❑
.95.0 NCai i
]a
ut+e '9Magalia t:.59O5«4 2.. r,[ cgrn
19 -
s,• [ M rMWr CW
I ae CAS
.e
David M. Kling - Husband
6247 Hartnell Court, Magalia,rCA. 95954
5469 Pentz Road
for w.,+ r.a c.+u• .. nNru or• a.. c.raa .0 ..,. w. A.
Paradise
David
! M. Kling
srovae
."o t a, +.ra or r.r..a•• -.rn
! rn
•.RaNr,MIO"".rtONlwas
{ n se,a � as ..[. I x w,r a...a
Arthur Laird I KS
rO,w[,—r-n
Velma
rppln w I a0. Y n n•n
I ae Janet -'Wade I PA
a
08/25/1994 < Paradise Cemetery, Paradise CA.
c•usa
or
Olwi”
a> •a.
4784
i ❑ r a ..e
i t No r, OarUrr.,,e C.uL
„❑ .
•N° °.te.o.
LCCA, i •P M se
•a v< •e. aoo,"n a• ,•eon}., n n. n ,... ec
;_ �. 08/23/1994 7Y1H
04289 CERTIFIED COPY OF VITAL RECORDS
STATE OF CALIFORNIA, COUNTY OF BUTTE
This is a true and exact reproduction of the document officially registered ./
and placed on file in the office of the Butte County Clerk -Recorder.
DLCC 17 1996 CANTY CE J. G CORDS
DATEISSUED COUNTY CLERx RECORDER
This copy is not valid unless prepared on an engraved border, displaying the date, seal and signature of the County Clerk -Recorder.
,e, � d ,..,. � , a. a �.K ..[c+. . ,oa r•wne.rw.....o,"..0 • ,oa
❑
.u<.
Residence ❑ b ❑ l„�. ❑ eo.o ❑
�:: LJ ,.: °...� 136tte
.e
5469 Pentz Road
for w.,+ r.a c.+u• .. nNru or• a.. c.raa .0 ..,. w. A.
Paradise
"M°'•'° Cardiorespiratory Arrest
•�
cwss
Minutes R94-808
oua ro ,a, Severe Coronary Disease
_
I ,Oe. .Orn rf•rO,
Months El ., ® —
�•
c•usa
or
Olwi”
Due ro ,c,
oua ro ,a
i ❑ r a ..e
i t No r, OarUrr.,,e C.uL
„❑ .
„> o,ra• aa.oa.++co-nw.•
COPD
e.
o.....a+..o °.,a.
b,Tt MCt
-�.e Klrfab It,T a.,l +r.00•CC••
•"r•'
;► LLtI
r.rre
w� A35102 08/22/1994
.eo,aaa :.
easnne•.
11ON
.+, e'«..o +r.al. ee.. •,.e ••r.. wn�c,.r ...
12/23/1987 OS 994 I Efren Robinson M.D.a6161 Clark Rd. Paradise Ca.95969
., ... ,ao .. .. . I v, ,r..• e•,a
+. oe- «... ,az b,.. ,aa r,.ea or r,w•
, ,s. r.,•.0 o• a r:,. e.,c,w .or ,. cw•m roar,..
r — n
-c_ ..wao .....v.,
conoNa,•a
use
L � .e ".❑ 'r' .o+� <°..a
,
oNLr
,as. .oe.r,°r "...n ..e w..a• a c«. o— .r° un .r• °. a«u
se. rer.w.[ or c°wra. .aT o.n +r. a°.ee••
08/19/1994
as o, o.w .era•
:Michael P.Gaukel,Deputy Coroner
04289 CERTIFIED COPY OF VITAL RECORDS
STATE OF CALIFORNIA, COUNTY OF BUTTE
This is a true and exact reproduction of the document officially registered ./
and placed on file in the office of the Butte County Clerk -Recorder.
DLCC 17 1996 CANTY CE J. G CORDS
DATEISSUED COUNTY CLERx RECORDER
This copy is not valid unless prepared on an engraved border, displaying the date, seal and signature of the County Clerk -Recorder.
/
I
A
STATE FILE NUMBER
CERTIFICATE OF DEATH 3 19 9 6 Q 0 O 1 3 b
4TAnq eAL.FOR wA [
uA4 PLACR wK oNLr/No AwWAE. TEouTA ow •LTAR•TON4
A.11 IRev_ )/Dal OCAL RafRIiR•iIOH NuynlR
CERTIFICATION STATEMENT
THIS IS TO CERTIFY THAT THE ATTACHED IS A TRUE AND CORRECT COPY OF THE
VITAL RECORD WHICH IS ON FILE IN THIS OFFICE AND OF WHICH I AM THE LEGAL CUSTODIAN.
OF ILO
_ REGISTRAR OF VITAL STATISTICS
SIGNATURE OF CERTIFYING OFFICIAL OFFICIAL TIT'LF
BUTTE COUNTY DEPARTMENT OF PUBLIC HEALTH
188 COUNTY ZENTER DR., OROVILLE, CALIF. 95965 12/10/1996
PLACE OF CERTIFICATION DATE OF CERTIFICATION
I. NAY! O. OICEDENT-FIRST (1311[.0
2. MIDDLE
3. LAST IFAMILY)
David
M
Klin
4. DA I! OF SgTN Y Y / D D /CCYY
6. ADS TRI. I V UNDER 1 YEAR
Y UNDER 24 HOURS 6. to7.
DAT[ O/ OUTN Y Y / O D / C C T Y
8. Noun
MUMS I ' LUNurea
' MONTH. DAY.
09/11/1926
6 9
Male
7 /11/19146
17
9. .,Al. OF .-10.
SOCIAL SMNO
ECIRY M.
/ 1. ..'AR, ESRVICE 12.
MARITAL STATUS
13. EDUCANOTI -YEARI C-60.0[ce09nT
/CRSONAL
F
202-14-4228
❑
12
19 _ To 19_ Noya widow
DATA
14. RACE18.
le.
USUAL f1IPL01E4
Caucasian
I' 71-l".
YEI NO carpenter's
17. OCCUPATION IS.
RING OF VAINNESS
19. '6 RSIN OCCVPATION
Carpenter
Construction
35
20. Rf SIOaNC!-9-as, AND NUMSEA OR LOCATION
USUAL
6247 Hartnell Ct.
RESIDENCE
21. CITY
22, COUNTY
23. IIP CODE
24. YI18 N COUNT
25. STATE OR FOREIGN COUNTRY
Ma alis
Butte
95954
Unk 1
CA
26, NAME. RELATIONSHIP
27, MARINO ADORES/ ((917011(917011111THD
RANUMBER OR RURAL ROUTE HUMSQR, CITY OR TO.'",STATE ZIP)
INFORMANT
Judith M. Hudson Dau hter 1
6165 Bowmand Dr. Paradise-
28. MAY[ OP SURWYw SPOUSE-TRST 29.
MICOLC 30. UST
DAA408H NAME)
SPOUSE
-
-
AND
31. NAME OF FATHER-PIRBT 32.
WDGLE 33. LAST
34. SIXTH STATE
PARENT
INFORMATION
David
Marcus.
33. MAYS OI YOTMfS-FIRST 38. MIOpB 97. LAST DRng
AW [N) 98. onTN STATE
Junis - Benson Sweden
39. DAT[ Y y / O O /CCYY PLACE 01 FINAL DISPOEITION
w4ro•mwRn
PO,
07/16/1996 Paradise Cemetery. Paradise CA
FUNERAL
41. TVP! OF DISPOSRION(a)
42. SIGNATURE OF EMBALM ER
43. LICHNES NO.
DIRECTOR
AND
CR BU
► Not embalmed
-
LOCAL
44. NAY[ OF FUNERAL DIRECTOR
48. LICENSE M. 46. I A S L/OC�AL R RAR
47. DATE MM/OD/CCY�
REGISTRAR
paradise Chapel of the Pines
FD809 ► !.�`�v
07/15/1996,Qti1•
101. PLACE OF DRAM
102. IF NOSPRAL. IFSCIFY ONS: 103, PACSJTI OTHER TN SPRAT'
10p4. COUNTY
PLACE
Feather River Hosp.
Q ❑ ❑ ❑ ❑
Butte
OF
IF ER/OP DOA KIOSP. RU. OTNBP
0EATH
103. STREET ADDRESS -STREET AND HUMMER OR LOCATION
106.0-
5974 Pentz Rd.
Paradise
107. DEATH wAS c•uaao Dr. 1fNTER ONLY ONE CAUSE PER LNE FOR A. B, C. ANO D)
TIME INTERVAL
108. DEATH afP'coT[O To CORONER
ETWEEN ONSET
AND DEATH
DIE. ❑
NO
IMMEDIATE IAI
CAUSE Pneumonia W res irat fai U e -
D
�+,``JJ' r�i 9T11 7L06 W
0
109. BIOPSY PERFORMED
DUE TO IBI Diabetic ketoacidosis w azotemia
Days
❑ TEa ® ND
CAUSE
110. AUTOPSY PaRPORM[O
OF
DUE TO Ic) Sta locococal cellulitis
1 week
❑res (D.-
DEATH
IN
111. USE. w ORSRMIMNO GAMff
DUE TO IDI Traumatic extremityabrasions
1 week
❑ ❑ NO
112. OTHER IIONIMANT CONDITIONS CONTRIBUTING TO OSATN SUT NOT RELATED TO CAUSE GIVEN N 107
None
113. WAS OPERATION PERFORMED FOR ANY CONDITION N ITEM 107 OR 1127 IF YES, UST TYPE OF OPERATION AND DATE
No
114.1 CEPTIPT THAT TO TNI LUT 01 YY KNOWLEDGE 113
. elal TURie AND TRLII OP GERTvI[R
11e. LKENlH NO.
117. D4f YY/OO/CCY•
PHYSI.
DEATH OCCURRED AT THE ROUP, DATE AND
CLAN'S
RACE STATED FROM Mf CAUSES STATea 10.
DECEDENT
1334803
07 12 1 96
CF.RTIFICA.
ATTENDED EINES DECEDENT LAST SEEN AU VS
yy/00/CCTT 1 YY/DO/CCYY I
11310PP.All. PHI CIAN•D 1..VL MAKING AOOREBl . IIP
TGN
09/21/1995 07/11/1996 Seldon
E. Greer,M.D. 6161 Clark Rd. Paradise,CA.95969
1 GER IFY THAT IN MY OPINION DEATH OCCURRED 120.
T THI HOUR. DATE AND PLACE STATED FROM
.-RT AT WORK
121. INJURY DATE M M / O D /
C C Y Y 122. HOUR 123.
PLACE 01 INJURY
THE CAUSES STATED.
119. MANNER OF DEATH
Y83 NO
0831RISS NOW -11 OCCURRED "VENTS YYNCN ReaULTSD IN DUUR1)
124,
❑ NATURAL ElSUCIOf ❑
CORONER'S
MOMICIOe
[:1_
USE
ACCIDENT[:]w (lTKOAYION❑ DETERM~NHDSS
ONLY
125LOCATION (STREET ANO NUMBER OR LOCATION AND CRY AMD 21► CODE]
126. SIGN•1URe OF CORONER D CGRON
127. DATE MM/DD/CCTV 129.
TYPED NAME. TITLE OP CoRONU on DEFUTT CORONER
*UILI P.,j�,
07/15/1996 chael
P.Gaukel,Deputy Coroner
STATE
A
B
C
D
E
P
13
N
FIRE AUTH. S 971 CENSUS
TRACT
REGISTRAR
CERTIFICATION STATEMENT
THIS IS TO CERTIFY THAT THE ATTACHED IS A TRUE AND CORRECT COPY OF THE
VITAL RECORD WHICH IS ON FILE IN THIS OFFICE AND OF WHICH I AM THE LEGAL CUSTODIAN.
OF ILO
_ REGISTRAR OF VITAL STATISTICS
SIGNATURE OF CERTIFYING OFFICIAL OFFICIAL TIT'LF
BUTTE COUNTY DEPARTMENT OF PUBLIC HEALTH
188 COUNTY ZENTER DR., OROVILLE, CALIF. 95965 12/10/1996
PLACE OF CERTIFICATION DATE OF CERTIFICATION
AT, ORNEY OR PARTY WITHOUT ATTORNEY !Name and Add. ass):
TELEPHONE NO.:
FOR COURT USE ONLY
LEO A. BATTLE SBN. 75784
5910 Clark Road, Suite A
(916) 872-3831
Paradise, CA 95969
F
Butte County
F
ATTORNEY FOR (Name): JOYCE MEYER
'
L,
Consolidated Courts
L
SUPERIOR COURT OF CALIFORNIA, COUNTY OF BUTTE
STREET ADDRESS: 1 Court Street
E
JAN - 8 1997
E
MAILING ADDRESS: 25 County Center
DriveD
D
CITY. AND ZIP CODE: Paradise, CA 95969
Shard �I�. d,
A�•vV��StM
BRANCH NAME:
ESTATE OF (NAME):
DAVID M. KLING,
DECEDENT
LETTERS
CASE NUMBER:
O TESTAMENTARY
O
F—R-32 OF ADMINISTRATION
32 9 8 8
- .
OF ADMINISTRATION WITH WILL ANNEXED
SPECIAL ADMINISTRATION
LETTERS
1. = The last will of the decedent named above having
been proved, the court appoints (name):
a. Executor
b. Administrator with will annexed
2. ® The court appoints (name): JOYCE MEYER
a.X® Administrator of the decedent's estate
b. = Special administrator of decedent's estate
(1) with the special powers specified
in the Order for Probate .
(2) with the powers of a general
administrator
3. ® The personal representative is authorized to admin-
ister the estate under the Independent Administra-
tion of Estates Act XX 1 with full authority
0 with limited authority (no authority, without
court supervision, to (1) sell or exchange real proper-
ty or (2) grant an option to purchase real property or
(3) borrow money with the loan secured by an
encumbrance upon real property).
WITNESS, clerk of the court, with seal of the court affixed.
Date: JAN — 8 1997
Clerk, by M. JOHNSON , Deputy
(SEAL)
SEAL;
AFFIRMATION
1. = PUBLIC ADMINISTRATOR: No affirmation required
(Prob. Code, 4 1140(b)).
2..X® INDIVIDUAL: I solemnly affirm that I will perform the
duties of personal representative according to law.
3. = INSTITUTIONAL FIDUCIARY (name):
I solemnly affirm that the institution will perform the
duties of personal representative according to law.
1 make this affirmation for myself as an individual and
on behalf of the institution as an officer.
(Name and title) :
4. Executed on (date): N6V6mb@r 14, 1996
at (place): Paradise , California.
(`/ ✓ ISIGNATURE) ✓
1 CERTIFICATION
I certify that this document is a correct copy of the original on
file in my office and the letters issued the personal representative
appointed above have not been revoked, annulled, or set aside,
and are still iA full force and effect.
Date: JAN — 8 1997
CI rk, by
16EPUTVI
Form Approved by the LETTERS Probate Code. it 463. 465. 501. 502. 540
Judicial Council of California Code of Civil Procedure. 1 2015.6
DE -150 lRev. July 1. 19881 (Probate)
FIDELITY NATIONAL TITLE COMPANY
6402 Skyway * Paradise, CA 95969
(916) 877-6268 * Fax (916) 877-3443
Title Department (916) 343-3716
PRELIMINARY REPORT
Escrow Officer: MARION L. BECKER
DP/cj
Our No.:3-59846MLB
TO:NILES HEITZMAN AND BEV COLLAZO
CC:.ESTATE OF KLING
Effective as of MARCH 31, 1997 at 7:30 a.m.
The form of Policy or Policies of title insurance contemplated by
this report is:
X CALIFORNIA LAND TITLE ASSOCIATION
_ STANDARD COVERAGE POLICY - 1990
X AMERICAN LAND TITLE ASSOCIATION LOAN POLICY (10/17/92)
WITH A.L.T.A. ENDORSEMENT - FORM 1 COVERAGE
OTHER:
The estate or interest in the land hereinafter described or
referred to covered.by this Report is:
A FEE
Title to said estate or interest at the date hereof is vested in:
The heirs or devisees of DAVID M. KLING, deceased, their
interest being subject to the administration of the estate of
said decedent.
The land referred to in this Report is situated in the State of
California, County of Butte, and is described on:
EXHIBIT "ONE" ATTACHED HERETO AND MADE A PART HEREOF.
Page 1
Order No.: 3-59846MLB
At the date hereof exceptions to coverage in addition to the printed
Exceptions and Exclusions in said policy form would be as follows:
ITEMS:
1. Property taxes, which are a lien not yet due and payable, including any
assessments collected with taxes to be levied for the fiscal year 1997
- 1998.
Property taxes, including any personal property taxes and any
assessments collected with taxes, for the fiscal year 1996 - 1997,
Assessor's Parcel Number 064 590 011.
Code Area: 093 014
1st Installment: $199.75 PLUS PENALTIES OF $19.97 due November
1, 1996,
delinquent December 10, 1996
2nd Installment: $199.75 due February 1, 1997,
delinquent April 10, 1997
Land: $36,915.00
Improvements: $7,600.00
Exemption: $7,000.00
Personal Property: $\\\
SUPPLEMENTAL ASSESSMENT FOR 1996-19.97,
r Bill No. 910 022 223
1st Installment: $118.55
Must be paid by: DECEMBER 10, 1996
2nd Installment: $107.78
Must be paid by: APRIL 10, 1997
4. The lien of supplemental taxes, if any, assessed pursuant to the
provisions of Chapter 3.5 (Commencing with Section 75) of the Revenue
and Taxation Code of the State of California.
i/ ONE SUPPLEMENTAL BILL IN PROCESS #990 167 426
5r: Easements and building setback line, dedications or offer for
dedications, if any, and statements, if any, as shown on that certain
map filed in. the office of the Recorder of the County of Butte, State of
California, on DECEMBER 17, 1970 in Book 38, of'Maps, at pages 17, 18
AND 19, referred to herein.
A Resolution by the Butte'County Board of Supervisors abandoning certain
public utility and recreational easements, recorded June 17, 1982 in
Book 2730, page 527.
The effect, if any, of a "Notice of Intent to Preserve Interest",
executed by Paradise Pines Property Owner's Association, Inc., recorded
September 16, 1993, under Recorder's Series No. 93-39802.
r
Pace 2
i
ORDER NO. 3-59846MLB
i
6. Covenants, conditions and 'restrictions (deleting therefrom any
restrictions indicating any preference, limitation or discrimination
based on .race, color, religion, sex, handicap, familial status or
national origin) as set forth ;n the document
Recorded: SEPTEMBER 4, 1970, Book 1632, Page 578 of Official Records
i
Said covenants, conditions and restrictions provide that a violation
thereof shall not defeat the liien of any mortgage or deed of trust made
in good faith and for value.
Modification(s) of said covenants, conditions and restrictions
Recorded: October 16, 1970, Book 1639, Page 433
March 16, 1971,iBook 1663, Page 348 of Official Records
I
The provisions of said covenants, conditions and restrictions were
extended to include the herein described land by an instrument
I
Recorded: JUNE 10, 1971, Book 1680, Page 206 Official Records
Modification(s) of said covenan4ts, conditions and restrictions
Recorded: April 9, 19184, Book 2927, Page 241
June 24, 19186, Instrument No. 86-19948
October 4, 1988, Instrument No. 88-33873
February 3,'1992, Instrument No. 92-4556
February 3,f1992, Instrument No. 92-4557
March 25, 1992, Instrument No. 92-12778
October 10,i1995, Instrument No. 95-34666
of Of f iciall Records
Liens and charges for upkeep an! maintenance as set forth in the above
mentioned declaration, payable to Paradise Pines Property Owners
.Association, Inc.
A lien to secure all sums due the Controller of the State of California
for postponed real property taxes on said land, evidenced by a notice of
lien
Recorded: APRIL 18, 1995, Instrument No.95-012465, of Official
Records
Controllers ID No: 064 590 011 000
First fiscal year of postponed tax: NONE SHOWN
i
Page 3
I
ORDER NO. 3-59846MLB
I
i
I
NOTES FOR INFORMATION: i
Note No. l: The charge for a policy. of title insurance, when issued
through this title order, willibe based on the Basic (not Short -Term)
Title Insurance Rate.
Note No. 2: BUTTE COUNTY RECORDERS OFFICE IS CLOSED ON FRIDAYS. Title
Companies are allowed to recordiMonday thru Thursday at 8:00 a.m. only.
We need your recording packagesiby 3:00 p.m. in order to record on the
following work day. j
i
Page 4
ORDER NO. 3-59846MLB
NOTE:
On or after August 1, 1987, the Butte County Recorder's Office will charge,
in addition to the regular recording charges, an extra $20.00 recording fee,
unless a document evidencing a change of ownership is accompanied by a
Preliminary Change of Ownership. In lieu of said report, signed by the
transferee, the Recorder will accept an affidavit that the transferee is not
a resident of California. Title billings will be adjusted to reflect such
additional fees when applicable.
NOTE:
California State Senate Bill number 2319, effective January 1, 1991, requires
that the BUYER in all sales of California real estate, wherein the seller
shows an out of state address, withhold 3 1/301 of the total sales price as
California State Income Tax, subject to the various provisions of the law as
therein contained.
NOTE:
A. Section 12413.1, California Insurance Code, commonly known as Assembly
Bill 512, became effective January 1, 1990. This legislation deals with the
disbursement of funds deposited with any title entity acting in an escrow or
subescrow capacity. The law requires that all funds be deposited and
collected by the title entity's escrow and/or subescrow account prior to
disbursement of any funds. Some methods of funding may subject funds to a
holding period which must expire before any funds may be disbursed. In order
to avoid any such delays, all fundings should be done through wire transfer,
certified check or checks drawn on California financial institutions.
B. Any funds to be disbursed by Fidelity National Title Company will be
disbursed in compliance with Section 12413.1 of the California Insurance
Code. A cashier's teller's or certified check will have next day availability
after deposit. All other local checks will have 3 day availability after
deposit. Non -local checks will have 7 day availability after deposit. Funds
received too late in the day for same day deposit will require one additional
day before they are available for disbursement.
C. The deposit of a cashier's, teller's or certified check, or electronic
transfer of funds will expedite the disbursement of funds and the close of
this transaction.
NOTE: The attached Assessor's Parcel Map is being furnished as a convenience
to locate the land described in this report with relation to adjoining
streets and other lands. Fidelity National Title Insurance Company does not
guarantee dimensions, distances, bearings or acreage stated thereon. It is
not 'intended to. illustrate legal building sites or supersede City or County
ordinances, i.e. zoning and building codes, etc. Official information
concerning the use of any parcel should be obtained from local government
agencies.
End of Items
Page 5
Order No.: 3-59846MLB
LEGAL DESCRIPTION
EXHIBIT "ONE"
All that certain real property situate in the unincorporated area of the
County of Butte, State of California, being more particularly described as
follows:
PARCEL I•
Lot 111, as shown on that certain map entitled "PARADISE PINES UNIT NO. 1111,
filed in the office of the County Recorder of Butte County, California, on
DECEMBER 17, 1970, in Book 38 of Maps, pages 17,,18 AND 19.
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 THE SURFACE OF SAID LAND.
PARCEL II•
A NON-EXCLUSIVE EASEMENT OVER LOTS A AND B (THE COMMON AREAS) OF SAID
PARADISE PINES UNIT 11 AND THE LOTS DESIGNATED FOR COMMON AND RECREATION
AREAS AS DESCRIBED IN THE DECLARATION OF ANNEXATION FOR UNITS IV, VI, VIII,X,
XI AND XIII.
AP#064 590 011
End of Legal
Page 6
FIDELITY NATIONAL TITLE COMPANY
I
535 Wall Street!* Chico, CA 95928
(916) 343-3716 *'. Fax (916) 343-4410
I
TO: NILES HEITZMAN AND BEV COLLAZO
CC: ESTATE OF KLING
Order No. 3-59846MLB
LENDER'S SUPPLEMENTAL ADDRESS REPORT
Dated as of MARCH 31, 1997 at 7:30 am
The herein referred to order number, (.including any supplements or amendments
thereto), is hereby modified and/orI supplemented to reflect the following
additional information relating to the issuance of an ALTA/CLTA as follows:
(_) NOTE: Our A.L.T.A. Policy, when issued, will contain C.L
Indorsement No. 100.
(X) NOTE: Improvements located on said land are designated as:
A SINGLE FAMILY DWELLING AT 6247; HARTNELL COURT, MAGALIA CA 95954
t
(X) NOTE: The only conveyances affecting said land recorded within 2
as of this report are as follows,:
}
NONE
(_) Please eliminate the following items from your report:
(_) Please add the following items to your report:
i
I
}
I
I
Form CT -10A
i
I
i
I
Page 7
i
T. A.
year
S�F Al,",
io EE :,E
:-E
"U .^E -_<v E.
C�' E�LC—
1�:�pl' N,
�f ; OF
"' , - '.
-P—D.sf V, ;
- EOGDEv
: 0 1 1' 5,0., 1..., I�C COLCR`O
11, CO- y. A C,--3FO,-I.l
Cc 0
-3 1 P' --SI C -I.
'C;_;^ .Es
R: O;v 21 01 TR. -ST 00 "EPC By CEP: I..
Ci7. IS Rilfiil:2� ;0 OR �i;,
I 1 .0 RIC
liilp� 6
I.. E
COCZED FORDEF� ii,ES. -OSE PC-71G%S
GF
..!LL CC._•S1,9_
C CG,
orna
e._,_ :-__ F.:
: I , . , C,�
. " C
.,fY
T -r
I I ID :51
7-10
" "C",.-•
PL:
-.10 Lir R r 0 2 C.
El trlcl 1E FOR SpEcilic puzi'OsEs
:If ,GL LCI 10:
--t E
P,%R,IC Pr;WS CERTIFICLTE
C.Vim—
sr.E I
P.- 1,
PL iE.. I 1�f 'Elc.
z-`5 C" p 6� C v
or 0 0
r -C.•
E C. T n E !�;,Pc OF L -D LY -IG
E Li
S
D T-1 LFE
iE
.4 —7 t
o',S
0 R I C -PE,
a -:i -_<-S r-IT.1-a
..FC
r.ij 0 1"ER
Ocal IO%_
GAS $E va ICE
O�
ii .c F
S', ---E; 0 zC
I—S OR 'Pus.,
-7%-
5
D. 6,
F
s LC E
C. rl-' rY ItE I;C .;OF I F
f
C. :-r E -C- .0—
f! C, LL CT Lo
TI LI %
ICF ss
erropE Z o%OEFiSlG--EC)- A 'oli—
In 1 5 r �--7a PER,
'C'
S CC ELI %CCLI oi� ---G01•: � C, F C� r
z C. c ......
i0 EEo
.--sc,s C L in
—C)
or 1
�v
9
,
srccF 1 '4
S -TE Or CALiro:r,i* I ss
FrF,Rr
:ZT 0 �--E-ED
4 :L� '. - , .,
70E COU%T
-- -- --------
I Gmay
C r c
—CV7t:
Cl
OR
io EE :,E
:-E
"U .^E -_<v E.
C�' E�LC—
I'S I L7_ :lFICATE
F-77
11EIZE
L
IPECl._L
C, IL
[,pAl-
C I C -L : FOR,
'C"t
. .... is s
C I
TO 10 EE
M7�Kl -1E --IC
:C S
S-lj=?!%-l.Zl0l.l :.0
PARADISE PINES UNIT NO.
P T N SEEC 26 T 2 3 N. , R. 3 , 1-1, DM.
BUTTE COUNTY, CALIFORNIA
SCALE: 1'-- 100AUGUST ,IS70
MURIR-Y 5 McCORMICK INC
- 5 L -:-D S-JR;EYC)---S
19:2 F ST, ""FoRr"
SSEET . 01 3 SIEETS
I'S I L7_ :lFICATE
11EIZE
L
IPECl._L
C, IL
.% 0; L
y El Pa a__.. f 14'11.
p,J-y:IKi COME I R1- CERT IF I CAT-.
--t E
P,%R,IC Pr;WS CERTIFICLTE
or
.r
r -C.•
a -:i -_<-S r-IT.1-a
M7�Kl -1E --IC
:C S
S-lj=?!%-l.Zl0l.l :.0
PARADISE PINES UNIT NO.
P T N SEEC 26 T 2 3 N. , R. 3 , 1-1, DM.
BUTTE COUNTY, CALIFORNIA
SCALE: 1'-- 100AUGUST ,IS70
MURIR-Y 5 McCORMICK INC
- 5 L -:-D S-JR;EYC)---S
19:2 F ST, ""FoRr"
SSEET . 01 3 SIEETS
0.0
Q1.
Ik
09
sty
I'S
'Z3
71, .1 Zz
Cf)
m
H -u
Cf)
8y O ;u
0
0 'o
IZ
-4—
No
al
�I
Vllto
' y � ryq
Q1.
Ik
09
sty
I'S
'Z3
71, .1 Zz
Cf)
m
H -u
Cf)
8y O ;u
0
0 'o
IZ
-4—
No
MA
Telephone
(916) 898-8155
PROPOSAL End CONTRA
V� '
j65o10.,,.
ZINKS REMODELS
rp6 r{.
—0(1
State License No.
653505
Dale S/ 2f2 .19 f 7
� 1
AA
TO—
/O AdpeG.tla A, 971D A.)* L--7;1# % E — jPAA124A�3 4 Telephonx a ' �
We propose to furnish materials and labor to compf-eltif the followi g
Mobile Home Foundation or Earthquake Bracing System only.
2 /),1.4 Ajeut jf5n' tl AJ77A7io,J
Prices do not include permit costs. American Foundation"Systs., is not
liable for additional upgrades to meet 433(a) requirements. .
All of the above work to be completed In a substantial and work nlilie manner according to standard practices for
lhe-sum or llj&A. i 3 17C 4oa) a -c-3> � t;r tg o Dollars (S Z b rD =� )
"NOTICE TO OWNER"
(Section 7018.7019 —Canu actors License Law)
Under the Mechanics' Lien Law, any contractor, subcontractor.
laborer, malerialman at ollter person wlto helps to Improve your
property and Is not paid for his labor, services or material, has a
riglrl to enforce his claim against your properly. This means that.
offer a cnuel hearing, your properly could be sold by a court ofll-
cer and the proceeds or the safe used to satisfy the Indebtedness.
This can happen even 11 you have paid your own contractor In lull.
It the subcontractor, taboret, or supplier remains unpaid.
Under Ilse law you may protect yourself against such claims by
Iifing, before commencing such work of Improvement, an original
contract for lire work of Irnprnvernertl or a modification thereof. In
Its* off Ice of the counly recorder of lite county where tiro ptocotly
Is situated and requiring Thal a contractor's payment'boric ba re•
corded In such office. Said bond shall be In all amount not less
than filly percent 150::) of the contract price anti shall. In addition
to any conditions for lire performance of the contract, be condi.
Cloned for thePayment In lull of the claims of all persons furnish.
Ing labor, so 3.
equipment or materials for the work described
In said contract.
Respectfully slibmilled,
AMERICAN FOUNDATION SYSTEyiS
921 Iverness Drive
Paso Robles CA. 93446
(800) 797-4547
.Name and Registration Number of any,salesperson who
solicited or negotiated this contract:
Name
ACCEPTANCE
TOM FE.RRARA
No. 41860 -BA
You are hereby authorized to furnish all materials and labor required to complete the work mentioned In Ilia above
proposal, for which___, agree to pay the amount mentioned In said proposal, and according to the terms thereof:
E✓6:�') /4&//-,:;-Y14AJ
Owner's Name
C 7—
Street Address
/1'1�cALi�1 04 1��9s��
City IStale - 21p
Dale
Place of Business
19
ACCEPTED: '
��"I (Owner's Signalur
Conlraclo_Wa required -by law to be licensed and reg-
ulated by the Contractors' Stale License Board. Any ques-
llons concerning a contractor may be referred to lite
registrar of Ilia board whose address Is:
Contractors' Stale License Board
'1020 N Street
Sacramenlo, California 95814
r COUNTY OF BUTTE !
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
I
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should=be corrected. Please notify this office when correction of work
is completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
Date — j L ` Inspector
REV 10/92
= OK
= Not OK
= NotRpp+'kicable Not Ready RESIDENTIAL (Single and Duplex)
Date
UNDERFLOOR Plans OK except #'s
Date
FRAMING (Continued)
1.
Zoning requirements -Setbacks -Easements
48.
Property Line Firewall & Openings i
2.
Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
49.
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
3.
Fig., Garage; Soils -Steel- / /" Ftg. Depth
50.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
4.
Ftg., Porches & Decks; Soils -Steel- / /'' Ftg. Depth
51.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
5.
Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
52.
Siding -Nailing -Veneer
6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
7.
Piers -Fireplace Ftg.-Steel
54.
Glazing Area -Glass Protection -Skylights -Plastic
8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
55.
Shear Walls; Nailing -Bolts
9. Gas Pipe; Size -Anchors
10.
Water Pipe; Test -Anchors -Regulator -Service Test
11.
.Electric; Underground
12.
Plenums & Ducts; Clearance -Material -Support -Ins.
13.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FINAL (Plans) OK except N's
56. Ext. Steps -Door & Sidelight Protection -Landings
Card -BI
Date
Date Card -BI Date
PLUMBING (Permit) OK except N's
14. Water Ht.; Vent -Access -Combustion Air
57.
58.
Smoke Detector
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
15. Water Pipe; Test & Anchors -Nail Protection
16.
D.W.V.; Test-Fttngs & Anchors -Nail Protection
59.
60.
Bedroom Exiting
G.F.I. & Bath Fixtures & Tub Access
17. Shower Pan; Test, First Floor -Tub Access
18.
19.
Test Tub & Shower, 2nd Floor -Tub Access
Gas Pipe; Size & Anchors
61.
62.
Elec. Trim & Subpanel; Breaker Sizes -Labels
Stairs & Rails
63.
Fireplace or Stove; Clearances -Hearth
64.
Elec. Outlets at Wood Panel; Int. & Ext.
Card -BI
Date Card -BI Date
65.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date Card -BI Date
66.
Elec. Outlets & Receptacles at Kit. Counter
Date
ELECTRICAL Permit OK except q's
67.
Garage Fire Door; Swing -Landing -Closer
68.
A.C. Duct in Garage -Damper
20.
Fixture & Transformer Clearance -Ins. Protection
69.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
21. Elec. Receptacles Spacing -Lights &Switches at Doors
22.
Size Boxes & No. of Conductors -Stapled
70.
Plb., Elec. & Mech. Equip. Listed for Location
23.
Romex Installed Close to Edge of Studs & C.J.
71.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
24.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
72.
Insulation-Foam-Looked
am -Looked in Attic ❑Yes
25.
2 Appliance Circuits in Kitchen &Conductor Size
73.
Guard Rails Deck Construction -Post Caps
26.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al
74.
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
27.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al,
Insulated Neutral ❑Yes E) No
75.
Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑Yes ❑No
28.
Service -Riser Conductors & Ground -Main Disconnect
76.
Stucco; Brown -Finish
29.
Equip. Clearances; Panels-Motors-Mech. Equip.
77.
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
30.
Clothes Closet Light -Shower Light
78.
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
79.
Water Well; Disconnect, Electrical, Plumbing
80.
Exterior Elec. Trim; G.F.I. Receptacle -Underground
Card B -I
Date Card -BI Date
81.
82.
Ventilation throughout House
Glass Protection
Card B -I Date Card -BI Date
Date
MECHANICAL (Permit) OK except H's
83.
Corrections from Previous Inspections
84.
Gas Test -Meters Tagged; Gas -Electric
31.
A.C. Ducts; Insulation & Support
85.
Water & Sewer Connected -C/O to Grade -HD Approval
32.
Vent Fan; Exhaust above Insulation
86,
Energy Compliance Certificate -Other Certificates
_
33.
Condensate Drain & Overflow; Size & Grade
34.
Furnace -Vent; Access -Comb. -Air -Return Air Vent -115V outlet
35.
Attic Access & Platform if Furnace in Attic
Card -BI
_ Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Comments at Final:
Date FRAMING(Plans) OK except q's
36.
Sills; Proper Material & Anchors
_
37.
Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
-
38.
Bearing Walls over Girders & Floor Nailing
39.
Draft Stop in Walls (rat proof)
_
40.
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
_
41.
Header & Beam -Size & Bearing
_
42.
43.
44.
Hangers -Post Caps -Anchors -Connectors
Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Ring. _
Fireplace Ties or Type A Flue -Fireplace Throat
45.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
- -__
46.
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
47.
Garage Fire Protection Framing
(NOTE: Anentrymust be made each time youvisit jobsite)
V = OK
O = Not OK
= Not Applicable MOBILEHOMES
* = Not Ready
MISCELLANEOUS
v
Date
MOBILEHOME TILYTIES (Plans) OK except p's
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's
1. Zoni 44equirements—Setb —Easements
1. Zoning Requirements—Setbacks—Easements
2. Soils; Special MH Support—Sketch
_
2. Footings; Size—Depth—Spacing—Connectors
3. Set(eKLo4aYi—on—Test—Fall-C/0—Concrete
3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails
4. Wa Lo n—Ttsr— Easement Needed (Sketch)
4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing
5. Electr(pk5; Login—Clewes—Grnd.—/ / Amp—Concrete
5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures
6. Gas; L tion Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG
6. Carports; Windows—Doors
7. Ut y Clearance
_
7. Elec. l
Card -BI
Date /O Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date L 7>-% Card -BI Date
Card -BI
Date Card -BI Date
Dat
MOB OME INSTALLATION (Plans) OK except N's
Date
POOLS (Plans) OK except #'s
Z 'ng Requirements—Setbacks—Easements
1. Setbacks—Easements
49" -Footings; Size—Spacing—Marriage Line
2. Soils; Compaction—Structure Stability
.fS�C,�S^1NH Test—Demand—Valve—Connector
3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining
4, Elec.; Receptacles and Lighting; Distances—GFI
electricity; MH Test—Crossovers—Breakers—Clearances
Dr in; MH Test—Fall—Flex Connector
5. Elec.; Pool Lighting; 15 volts—GFI
W ter; MH Test—Regulator—Connector
6. Elec.; Enclosures; Conduit Entries—Terminals—Listed
Water and Sewer Connected—C/0 to Grade—HD Approval
7, Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater
-4-,&RT-and EI racily Tagged
8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg.
Boxes— Enc losures— Pane lboards—Ins. to Main in Conduit
W_oKiti; Insp.—Sketch
1 ert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test—Water Supply Test
Card B -I
3
<.. Dates Q Card -BI Date
Card -BI
Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
J.
PERMIT NO. 120-81P,E
PERMIT EXPIRES
OWNER John Heck
Para.Mod.Const., Para.
CONTR.
64-59-11
ASSESSOR PARCEL
LOCATION 6247 Hartnell Ct., lot 111,
PP#11, Magalia
Temp. Power Pole
Called PG&E
qq s
Temp. Elec. ServiceTo
q` Called PG&
Temp. Gas Service
Called,PG&E
1/INALED (Date) ` a
Signature
�r
P
r
�.. �;
.. _
COUNTY OF BUTTE
_ DEPARTMENT OF PUBLIC WORKS
_ ~ 695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70
7 County Center Drive, Oroville — Phone 934-4541
Skyway and Elliott Road, Paradise — 5
-57z-
C®RECTI TICS
BUILDING OR PROPERTY ADDRESS
A routine inspection indicates that the following violations of County Ordinande
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
1'ae • i
Inspector
t.
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE
s- OROVILLE, CALIF. - 534-4541
CERTIFICATE OF OCCUPANCY
This mobilehome has been installed in accordance with the requirements
of the Cali�5i AlTinistrative Code, Title 25; Chapter 5, under permit
number for the following location:'-
Al Z
Owner �11-�C. K c
Owner's Address �
Mobilehome Mfg. Model' Year t!
Insignia No. I`IA00 i �� 't ��° Serial;No.
s
It is hereby certified for occupancy at the above described location and
may be occupied.
Director of Publi'c Works
Date By • �°A�/f
i
THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED
White - Owner, Yellow - Installer, Pink - D.P.W.
44
COUNTY OF BATE - DEPARTMENT OF PUBLIC WORKS
7 County-Genter.Qrive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
. .,{- 11_ T
/ / PERMIT 0. '
ASS OR PARCEL NUMBER.,
I / r
Z,O�q N�G
PX /
BUILDING PERWr
0 E /4N --ll � -
fr
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OW 'S MAILING ADDRESS
NTRA TOR'S NAME
U
TELEPHONE,,
7/
ONTRRACCTOR'S M (LING ADDRESS
4Z
'-CONSTRUCTION LENDE W *UNK
�- / NOWN
14
Fireplace
Total Valuation $
LENDER'S MAILING DRESS
Permit Fee
$
ARCHITECT OR ENGI EER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR EN INEER'S MAILING ADDRESS
Permit fee
$
B ILDING ADDRESS
421
PLUMBING PERMIT
Filing Fee 3.00
Each Trap
2.00
Repair drainage or vent piping
2.00
Water piping ,
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
2.00
Gas piping system 1 - 5 outlets
USEOCTURE
SF ❑ Duplex❑ Mobilehome Other
SPECIFY
Building sewer
Lawn sprinkler system
2.00
TYPE OF WORK/
New ❑ Addition [IRemodel F] Utilities [_1 Instal lation[; Other ❑
Describe work: 04
Or lao —yl
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 3.00
Main service 10o AMP OR°V OR SLESS
5.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.&
OR ADDNS. ( ACC. BLDGS.
22 sq ft
CONTRACTORS LICENSE LAW
I declare der penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Profession Code and my license is in I for �nd effect.
n
License N / Classification C_
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEWC
CONSTR U TI -OUTLET
NON -REBID BRANCH CIRCUITS2.50 ea
NEW CONSTPOWER APPARATUS a
NON-RESI R D. (SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES 50@�
BAL@10¢
FIXED APPLNSOR
Ex. Occup.(OUTLETS (RESI,D,1 EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring J 6,25
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
have placed -on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making -this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
FiIingFee 3.00
Heating
Cooling
Hood
2.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Bute against
liabilities, judgments, costs, and expenses which may in any way accrue
agar t said Cou ty 'n consequen of the granting of this p rmit.
;;�1 /3 f
X to ��`
Sign of Applicant — caner❑ Contractor Agen1'�{ir -
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Land Development Fee $
TOTAL PERMIT FEE $ O
OCCUP. GROUP
I TYPE OF CONST,
PARCEL
PD
1 HD
SSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRE OR OF PUBLIC
By
PE _IT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
9-
'.. � � _ 7' „ � U
7
� r
' � w
`4
� _
w.w.n
~
/
' � w
`4
� _
w.w.n
. .
�
/
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA.
�
| � �
/
'
~
.
'
'
.
`
�
MOBILEHONE INSTALLATION SHEET
.
.
.
`
I..
owner's nam'e7:
2.
Instal:16r's me -
is the'site currently under permit? Ye!3 No :3—W
Z!
.(If yes, furnish p ermit number
OR
Is the site an existing site? Yes No
(If yes, furnish two (2) plot plans.)
4.
Will the mobilehome be located at least 5
.away f septic tank
om
and leach fields and
. ^ /~
���eaz o� all oe�6ac�o and aaoe�ao�oY ��o
���� 0n
^=_ ---_-
(If no, clarify
5.
What i s the mobilehome electrical rating? -----------------------
Cp 0 Amps
~.
`
_ -'- rating?
.a- _- the _--------- site -��
^'
� ^
|
/
'
[` '.
rating?
�zo�o
..
.8.
.
Is there other electric load to be served by the mobiIe6oma
'
site service? --- --------------- ---~~--------------------------~-
.
Yes.
No 4^:::�f �
, �~
.
(If yes,.identify the load and
.
--~-~(lo^){`�'S. Wbat"io tbomobllebome site gas pipe nle
. ' IO.
What is the type of gas service? ------
`4.
�6a� '�a the gas pipe leo��b from mm�mor
~
�
`
��^��� �
r
1,12'
'
.What io'tbe moblle6ome gas demand? ------
� ---------�~�-~---~--~--
(BTU)
'
(Tbla information not required if.pipe 1eoQtb Ieoo than 6 ft.
on natural
gas. �
-
or Ieob than 50 Et. on LPQ~)_
.
'
�
.
.
.
`
.'
Irk `
R
MOBILEHOME SUPPORT DATA h
If other than single wide,
Mobilehome Mfr.Svn3r�H h��o furnish Setup Model No. 5-0 j Year'
Width(ft.) Box Length !tea (ft.) Tagalong or Expando Size ft. x ft. -
(SHOW SUPPORT DETAILS BELOW)
On all mobilehomes manufactured after October 7, 1973;. furnish manufacturer's installation
manual and structural setup sheets (if not on file with the County of Butte).
All center supports measured from front of
mobilehome unless otherwise specified.
' s(check one)
� Sin leg Zootin
Wood either
pressure treated or
— — foundation grade.
(in.) (in.)
Center su ort Center support
locatio * footing sizes
(in.)
(in.) (in.)
(in.) (in.)
®_ E
2. Other'( specify)
Supports (check one)
Concrete block.
2. Other (specify)
Tagalong or Expando,'
show support details.
\yl I I I (/� TypicaSupport
"1 in.) (in.) FootingSize
(ft.)(in.) (in.) (in.) — _ -- Max. Pier Spacing
Max. Overhang
} (ft.) (.in.) (in.) (in.) 1 v
(ft.)(in.)
i
�Z1_gI
BUTTE COUNTY
BUILDING DE?ARTMEN7
*lf.center piers are other than drawn above, APPROVED
draw in locations, spacing, and
dimensions.
Tl
y�� ���bE
'
�
.A
t .K• .. -
'i
S
DI ,..L
._1_ i
r • '
i
' S
r • '
•I
��;:
yvia.
GOLDEN WEST HG"CIES
RIDGE BEAM FIELD StI PORT PIERS
�nlCOr1VENTlOn.A1 �ON1F_
MIDDLE' ZOITE
3'0 PSF ROOF
ion
E(FromFront of Unit)
UF
Capacity
(Lbs.)
Footirg 'Size
In.)
-,.i� � -. ,F�,H�, ,t-.tye.:•� �:'
��;:
yvia.
GOLDEN WEST HG"CIES
RIDGE BEAM FIELD StI PORT PIERS
�nlCOr1VENTlOn.A1 �ON1F_
MIDDLE' ZOITE
3'0 PSF ROOF
ion
E(FromFront of Unit)
UF
Capacity
(Lbs.)
Footirg 'Size
In.)
-,.i� � -. ,F�,H�, ,t-.tye.:•� �:'
e/c
Mat1N6 Je114
c/p
Jw
A/B
*fi,4G Jojwr
6/C
Mar1m6.b1.if
_(Sq.
�/�
r'4Ai1Nb J.,
81•rf
NlAnH4 JoINt
���
MA;lNIrJoINT
G
h(AfiH� Jolwt
O
3 � -4`.
O
lo' o►�
O
lob �'
—j 00
too
I�00
�r1�
I �iOO
��
I I o
� (o
rriy
�i2s
�jp
430
20� ou
I ro-o«
�! pn
moo
l �0
9
510
220
4-7 S
_
t � a"'
� �'r �
d. }
� •
� 59,E
*.: i�
I goo
2�
�Uncou
1TY
BUILDING DEPA.RTPAEMU
Notes:. ®VE®
.1 . For Fi'el d Support Details See Drawings 98. 02
2. Perimeter field support piers are required under the sidewalls
and'shall be spaced at 8=0" O.C. maximum with a capacity of
19ooIbs. '.(Footing area = 290 sq, in.). These perimeter supports
shall not be located.directly under any window -or doer opening.
s e''3 `2"}� " ,�r�.0 or�,_ e
n�S �, , ..uy't i { .� 1. ...
-,.i� � -. ,F�,H�, ,t-.tye.:•� �:'
"e.krr
9
s
r
_
t � a"'
� �'r �
d. }
� •
� 59,E
*.: i�
l
ti
l
B
IZx3o.
Ta
O1-0"
12x301.
t t'-4"
1230.
24X30
l oi_ 0„
10 �-0 �
t z�3o.
•
re-0°
Z4x30
'
I
(c�-411
Z'{X3a
Izx3O
.
l2 X30
20
37,� oy
I2x3o
2�{-x3o
-
zX3o
4410
lzX3 0.
J
COUNTY `OF BUTTE - DEPARTMENT 0F
7 County Center'Drive - r)roville, California 95965 -
APPLICATION AND PER
PUBLIC WORKS
Telephone 916/534-454
MIT
PERMIT
ASS Sq,PARCEL NUMBER j -
J_Aft— /
zON G
BUILDING PERMIT
OW R
TELEPHONE
S0. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
`T
ONTRA TOR'S NAME
0 Li/:
TELEPHONE
ONTR ACTOR'S AILING ADDRESS
3
CONSTRUCTION LEN ER
�
UNKNOWN
Fireplace
Total Valuation $
LENDER'S MAI LI
G ADDRESS -
Permit Fee
$
ARCHITECT OR NGINEER
LICENSE NO.
Plan Checking Fee t
$ �' p .v®
Penalty
$
ARCHITECT O ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDREss
d
PLUMBING PERMIT
Filing Fee /0.00
Each Trap
2.00
Repair drainage or vent piping
2.00
Water piping
�QrQI�J
LOT NO.SUBDIVISION
NAME'
//
PARCEL MAP
1
Each•gas water heater or vent
2.00
Gas piping system 1 - 5 outlets
USEOFSUCTURE
SF ❑ Duplex[—]DuplexMobilehome Other
' SPECIFY
Building sewer
41.100
Lawn sprinkler system
2.00
TYPE OF WORK
.New n Addition❑ Remodel❑ UtilitiesEk<nstallationD Other ❑
Describe work:
/S O
VVII__L�(��FF��II
Permit Fee
$ 370.0-0
Contractor
ELECTRICAL PERMIT
Filing Fee 1 /0.00
Main service 1000 AMP ORV OR LESS5.00
8V
Main service EA. ADD'L 100 AMP
2,50
NEW CONST. / DWELLING OCCUP.&
OR ADDNS.. ( ACC. BLOGS.
20 sq It
CONTRACTORS LICENSE LAW i
I declare der penalty of perjury '(check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professi ns Code and my license is in f I for d effect.
/
License No Classification �-
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR U TI -OUTLET
NON-RESID BRANCH -CIRCUITS) 2.50 ea
NEW CONSTR ( POWER APPARATUS &)
NON-RESID. SINGLE OUTLET CIR. /
50 @ zsa
Ex. Occup(ouTLErs OR FIXTURES BAL@lot
FIXED APP LNS. OR
Ex. Occup. (OUTLETS (RESID.) EA.� 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 6.25
Permit Fee $
Contractor
MECHANICAL PERMIT
FiIingFee 3.00
WORKMEN'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
IZ—I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating
Cooling
Hood
2.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs„and expenses which may in any way accrue
inst said Cou y in consequ ce of the granting of this permit. p
ate / p
i Lure of Applicant — Owner❑ Controctor Ager
An OSHA permit is required for excavations over 5'0” deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Land Development Fee $'
TOTAL PERMIT FEE $ 7Z D
OCCUP. GROUP
I TYPE OF CONST,
I
IPARCELI;fPD
�V//
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
By4P
PER EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
-
Date
7� �Z'—'
Receipt No. /901 <-
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
0
j
�
� 4
p'y1G�'".J } J �. .7 •+,+�h�r i �., sC,5.� yy; y, 1 :a +}
��S' KK '�+4 F7 ..�-t� `c'a'c ,•�i•-' ,r -"�: ', •`la'•+�� '}.�iF. .��� rk �"�„'�iT �• '.'�'+ '[�•:'�'Y.. {p F
• �•: i� 1+'h,'�•1� F?� � t .? .1 i
�t�.1 „ .i�vi ).� , �. t Y"w ... ' • n -'„iy �n 't •'" +�,Ir 1'`7•, ,rt - Mt +�'KM`��! ;r j " ��
.�•c,+.? - +'.+�k. ''v'� _ - — -- ar _ A" 3 •: �.,'s..vl-...,f .'f -Ydra Me
& Workmansi1�Shall Ben i
t�t�l`E:--AI( Ma+erials �
ANccorda`06.'with` f2ecognized Good Practices and
of: Aa quality, prescribed for' the Specified use in the ;' I^l.,
Uniform Wlding,.'PI4m6ing & Machanical Codes and.
fhe National • Electrical Code. ;` ` , • +�,r; 1'
This,"set of {dans and specifications MUST be
feat' on the A dt all times 'ansa, it is unlawful t ��£ e., } ` ti 3 dk.
,�
t mom' rynv chart4es or altera+ions on some with t E
`piri}ten permission -from the Department of P I;c
rArks, County 'saj &&e.
qe-
g connections
' ft. 4f the Sha
l( 'w►th' 500,SQ. FT.`'MINI UM
directlind O eho!t, either �n FOR `MOBILE
hail �f the r�''Cth'
�`obileh dside (I ft
om =� a cif th
\ 1p
14(
A setba of 5 ft. f�gm the
property lines and 1%etback
9 of 50ft. f om the rod
centerlin shall be clear of �. A
�.\ a' structure or equipment exce t� per '�� ill 6
ice; rat on e r u6d -Di
.for a 2 ft eave overhang.�'
c(�Arfz ALC .LASEM C� the 'ir�obile
tai 7 •\ � �G \` I 2. ;: , � L�-. . •- 1'
tilt
%' �,y\ i''• c> ��A mak, + f
UTTE 'COUNTY
x:, \ 0ING DEPARTMENT- _ , i
^f.LAY xw" 3 y . irrwrr
if other tha»
furnish Setup No. 50 le �5- Year -
(f t.)
ear-(ft.) ate= Lengthy (ft.) Tagalong or �8ndo Size ft. x ft.
DETAILS BELOW)
���-�G•-(-�jglW SU NPO
w�1 ������� �,chomes mam`afactured after October 7, 1973, fwd;�h manufacturers installation
;etu sheets (if not on file with i
tructural P �-aunty of Butte).
. ) rsti d
z ar n,ipports measured from front of
,i,,less othe%vise specified.
Single
F(i..
In.)
/1i •�
Centor support
foot t.ilg sizes
( ill.)
(in.1 (in.)
E=
(it%,) (in.)
E=X
( ko (in.)
ax piers are ctb*�i� than drawn move,
cif, QP_41� �.,,ntlona. smIcAppax.,and diMRR$_3•ans.
,00tin s (check one) j
1. Wood either ,
pressure treated or
foundation grade.
2. Other
(specify)
.(p ify)
Supports (check one)
i
Concrete block.
❑ 2. Other (specify)
Tagalong or Expando,'
show support details.
Typical Support
(in') ��Z•) Footing Size
Max. Pier Spacing
Max. Overhang
(,t.)(ill')
BU
ry^7 .���.:.,.� mAM_ INT.;..
h M BUTTE coUNTY DEPARTMENT OF PUBLIC WORK
7 County Center Drive, Orov'Ile CA
PHONE: 534-4541
1. Owner's name: _.� el "
2. Installer's name
3.
MOBILEHOME INSTALLATION SHEET
Is the site currently under permit? Yes No
(If yes, furnish permit number )
Is the site an existing site? Yes / / No /�/
(If yes, furnish two (2) plot plans.)
4. Will the mobilehome be located at least 5 ft. away f om septic tank and leach fields and
clear of all setbacks and easements? Yes'�`No
(If no, clarify ,
5. What is the mobilehome electrical rating? -------------- _
6. What 4s the mobilehome site service rating? -----____
7., What is the mobilehome site circuit breaker rating? -----__-
8. Is there any other electric load to be served by the mobilehome
,900 Amps
V Amps
Dd
Amps
site
service? --------------------------------------
OR
4. Will the mobilehome be located at least 5 ft. away f om septic tank and leach fields and
clear of all setbacks and easements? Yes'�`No
(If no, clarify ,
5. What is the mobilehome electrical rating? -------------- _
6. What 4s the mobilehome site service rating? -----____
7., What is the mobilehome site circuit breaker rating? -----__-
8. Is there any other electric load to be served by the mobilehome
,900 Amps
V Amps
Dd
Amps
site
service? --------------------------------------
------------- Yes
No
(If yes,.identify the load and size:
(Load)
l
(Amps)
9. What
is the mobilehome site gas pipe size?
8.0.. What
is the type
nl�-
of gas service. ---------------
--
L1.
--- ---- Natural
LPG
What
is the gas pipe length from meter or tank
the mobilehome?
(ft.)
.2: :What
is the mobilehome gas demand? -----_____
--------.-----------
(.BTU)
(This information not required if pipe
or less than 50 ft.
length less than 6 ft. on natural gas
on LPG.)
'
BL o0uN 1 1
SLAM MG T,_PAF
yzm--,i1.. �- .r'. �__-�•7-- -. ____... - i .._____. .. _
{: � � IY ""'�.,•i� t( Y'�Y i' 1 Y� �� rt �.
� b5e
p G
!
O'- 0
I S.*- 30.
z X30
10-411
Z4X3.o
3 7,1-0
2�-x3o
�gn
12-X30
44 -LO
lzX3 0.
Vjj.aVd3a - 311nb :1U
�
Bgin
�
o' -O"
t Z�c30
o"
FZ4)y(,3
120°
I2x30
i�1 o11
IZx30
3�i 0
l2 7(3020
,e
IZx30
BUTTE COUNTY
SUILDING .DE?ARTMENI
APPROVED
.-!
2z� 1/2 ,
n
O
I O
/ 9/16" DIA. TYP.
/4" ROOD, WELDED
OR PUNCHED DIMPLES
RIPPER PLATE DETAIL
NO SCALE
6.
tyQ
0',
'01 Y)0
(pe
g1,6f1
O
OVotyP
BASE
PLATE DETAIL
3"
:1
3'
O
u
1" TYP.
1/4" PLATE
BASE PLATE
DETAIL
NO SCALE
f,\,O
o PQ,O
tyR
03r
0
2-1/4'
3n
e
11
a
-
2-1/4" TYP.
1/4" PLATE
BASE PLATE
DETAIL
FOR AFS -CP PADS
NO SCALE
2z� 1/2 ,
n
O
I O
/ 9/16" DIA. TYP.
/4" ROOD, WELDED
OR PUNCHED DIMPLES
RIPPER PLATE DETAIL
NO SCALE
6.
0',
O O
9/16" DIA. TYP.
GRIPPER
BASE
PLATE DETAIL
NO SCALE
/ GRIPPER PLATES - SEE DETAIL
I -1/2" X 2" M8 TVP.
—
1/4" BASE PLATE - SEE DETAIL
1-9/16" ROD WELDED TO
LL
GRIPPER BASE PLATE. 1/2" X 5" THREADED ROD.
1/2" FILLET BELOW OR 1/4" FILLET WELD BELOW
PLUG WELD ABOVE R PLUG WELD ABOVE TO
1-1/8" X1 -3/4"t BASE PLATE
HEAVY TUBING. 2" O.D. SCH 40 PIPE WITH 1/2" HOLE
1/4" FILLET/
BOTH SIDESO 1/2" HOLE FOR LOCKING PIN - P
o
'^ 2-1/4" 0.0. SCH 80 PIPE
o
®�� m 4 - 3/8" CADMIUM -PLATED MB TNI
INTO ST -IN-PLACE FERROL ADS
[BOWITHAPPFFS-CPI/201NSERTS)HAVE12
e- t S-EL9 SIDE VIEW
-0 NO SCALE
zt
3e�t
GUSSET SUPPORT
PLATE DETAIL
NO SCALE
1/2"X 3" STEEL PIN
WITH LOCK INC KEY -
ATTACH SECURELY TO
MOBILE HOME SUPPORT
GIRDER - TYP
- rr
OESICN LISTED AND TESTED BY BSK 6 ASSL'�ATE� �
WAYNE T. POLVADO, PE - LIST INC N0. F016.."•43EI
o�
Q�OFES&
T. PO
4
G90F�'G�
�N C 051110 m
* Exp. 01 'So CA
sT�.-
.w lflv_lw EptwtpallC}r -61t.
® AFS -PCP PAD SHOWN HEAIfH AND SAFM COO2. SERIF+ f63l1
A P P R O V E D
C: SUe1fC1 f0 CORRECTX>NS NOTED
�ppro.el den .o- o.deriix w opp__ o"T _i__ o- Mw41b
' �� 4on .oa"rwwn of eop661..toh k— a m;Nk o.
Sane of Ccnfomu
' Dn,o"nve of 10 :v -d Co...My 0 -1-
0 -.S.
-1b N�
Ofv,Sl S AND N1111W
f�•1
• SPA MO.---_�_•__'!
A' --x6.01 EiDIPRi
TYP I CAL INSTALLATION DETAIL
(� 1) 8 Esslo
���•Sl P p. so";/
No ]y"�3d m
�i
AFS-EL9 FRONT VIEW
NO SCALE --PATENTS PENDING --
v
OF CAL1fTi�'��
PERMANENT FOUNDATION SYSTEM
APS -EX -9 STAND
APS -WP. AFS -CP AND AFS -PCP PADS
WILLIAM A. SOMMERMEYER
CIVIL ENGINEER
1173-0 EL CAMINO REAL - ARROYO GRANDE CA 93420-2SS4
RCE 11658 exp.12/31/00 (8051 489-5380
APRIL 1997 SHEET 1 OF 4 SHEETS
TOP VIEW
2" X 28" X 1/8" STRAP - 2 EA - TYP
0 - 0 o C
1
EXT -PLYWOOD, WOLMANIZED
1-1/811 SEE NOTE 15
,0 0 0 G
I
i 1/2" CADMIUM -PLATED CARRIAGE BOLT
8 EA - TYP
BOTTOM VIEW
/2" CLIP @ 45° TVP.
.( 1" X 2" X 1/8" X 28" TYP.
36" ,
SIDE VIEW
AFS—WP PAD
NO SCALE
a
r
i
END VIEW
36"
1-1/2" TVP 1-1/2" TYP
CAST-IN-PLACEFERROL INSERTS
FOR 3/8" CADMIUM -PLATED MB
4 EA - TYPn
M1jN YOLVEStf,P
POLVNE, CONG0.EjE
0 0
TOP VIEW
2"
36" J
SIDE VIEW
AFS—PCP PAD
NO SCALE
END VIEW
TOP VIEW
3-5/.16" 1-15/16"
8"
45"
.SIDE VIEW
AFS—CP PAD
AFS-EL9 STAND
10"
PPFI-1/2 - 2 EA
SEE DETAIL -
°5/16"
5 -
02 REBARS TRANSVERSELY I) P O.C.
OR APPROVED EQUAL
0 - 03 REBARS IF 5" O.C. OR APPROVED EQUAL
AFS—CP
REINFORCING DETAIL
NO SCALE
NO SCALE
,To 1F1-128 "EX CDUPLI"C 'IT
1ITx 1.t/2- - PPFI-1/2 12 EAI
1/a FILLET _ELO I - 12 X..,w
-EAC" SIDE
PPFI—1/2 DETAIL
NO SCALE
END VIEW
--PATENTS PENDING --
DESIGN LISTED AND TESTED BY BSK 6 ASSOCIATES
WAYNE T. POLVADO, PE - LISTING NO. F01600438
T. POC
No. C 051110
Exp. T
CN11.
SO
Jin,��,o,�
iV��
0, �nL1io� �Gy%
PERMANENT FOUNDATION SYSTEM
AFS - EL9 STN
AD
AFS -WP- AFS -CP AND AFS -PCP PADS
WILLIAM A. SOMMERMEYER
CIVIL ENGINEER
1173-0 EL CAMINO REAL - ARROYO GRANDE CA 93020-2554
RCE 11658 exp.12/31/00 1805) 489-5380
APRIL 1997 SHEET 2 OF 4 SHEETS
GENERAL NOTES
VARIES - 30'-77' SEE TABLE
J NORMAL LOADS
E 5 S
E
SNOW LOAD 0
1. DESIGN LOADS: ROOF LIVE LOAD --20 PSF FLOOR LIVE LOAD --40 PSF
WIND LOAO•-80 MPH EXPOSURE 'C' SEISMIC ZONE --4 SNOW LOAD
I
NO. OF
AS REQUIRED BY BUILDING OFFICIAL
2' NOM.
WIDTH
LENGTH
UNITS
2. THIS FOUNDATION SYSTEM IS DESIGNED TO BE CONSTRUCTED ON AN
.)
10'
70
4
APPROXIMATELY LEVEL SITE.••
I
_37
38-58'
6
8' NON.
10'
59-78'
8
3. CARRY ALL FOOTINGS DOWN TO FIRM, UNDISTURBED SOIL. FOOTINGS
ARE DESIGNED FOR 1000 PSF TOTAL LOAD SOIL PRESSURE.
OY'lt`EO
p0 -5j4
12'
TO 32'
4
4. CHASSIS BEAM SUPPORTS SHALL BE LOCATED AND SIZED FOR THE LOADS
- S3P1N�R C1'
I
33-50'
6
AS SHOWN IN THE MOBILEHOME MANUFACTURER'S INSTALLATION
_
O
O
51-68'
8
INSTRUCTIONS.
12'
69-85'
10
5. IN AREAS WHERE DIFFERENTIAL SETTLEMENT (D.S.) CAN OCCUR. MANU-
E3 9
13'
TO 30'
-4
FACTURED HOME SHALL BE READJUSTED WHEN D.S. EXCEEDS 1/4". OR
O RIDGE BEAM SUPPORT AS
O
D
31-47'
6
WHEN IT WILL ADVERSELY AFFECT MANUFACTURED HOME UNIT.
.... REQUIRED BY MANUFACTURER-TYP.
i
48-64'
8
6. ALL PORTLAND CEMENT CONCRETE USED IN THE MANUFACTURE OF THE
STANDARD MH FOUNDATION PIERS - AS RECOMMENDED
BY THE OMHMANUFOUNDATACTURER OR THE ENGINEER - TYPICAL
13'
65-80'
10
AFS -CP PAD SHALL HAVE A MINIMUM f = 3000 PSI 0 28 DAYS.
c
THROUGHOUT. RELOCATE AS NECESSARY - TYP.
14'
TO 28'
4
7. STRUCTURAL STEEL: FABRICATE ACCORDING TO AISC SPECIFICATIONS.
29-44'
6
WELD ACCORDING TO AWS SPECIFICATIONS. ELECTRODES --370
PLATES --ASTM A36 BOLTS --SAE GR.5 = ASTM A449 = ASTM A3725
PADS IN ANY PAIR MAY BE ROTATED
0 90° TO AVOID CLEARANCE PROBLE MS
0
14'
45-60'
61-76'
8
10
8. THE STAND AND PAD ASSEMBLIES SHALL BE LISTED AND LABELED BY
BSK S ASSOCIATES FOR THE FOLLOWING LOADS: HORIZONTAL 10741.
20'
TO 32'
6
VERTICAL 59701.
PLAN FOR 12 AFS SUPPORTS OR LESSI
33-44'
8
45-56'
10
9. THESE'STAND AND PAD UNITS ARE DESIGNED TO BE USED WITH MOBILE-
57-68'
72
HOME CHASSIS BEAMS OF STANDARD SECTION EQUAL TO OR GREATER
THAN W8X101. ANY OTHER SECTIONS SHALL BE FIELD ENGINEERED TO. --
-•-- -- - ---- - - - - -- w - -- - - - - -�
- - - -- __.�0'_
_69-80'
_-14.
ADAPT TO SECTIONS ACTUALLY ENCOUNTERED.
24'
TO 37'
8
10. EXISTING COACHES MAY BE RETROFITTED TO RESIST SEISMIC FORCES
38-48'
10
BY INSTALLING THESE UNITS AS SHOWN ON THE TYPICAL FOUNDATION
VARIES - 30'-77' SEE TABLE
I
49-60'
12
PLAN.
E S S S
E
24'
61-70'
14
11. MULTIPLE -UNIT INSTALLATION IS ACCEPTABLE PROVIDED THE NUMBER
OF AFS UNITS MEETS THE REQUIREMENTS SHOWN ON THIS SHEET AND
2'MOM.
26'
TO 34'
8
THE PLACEMENT AND INSTALLATION PROCEDURES ARE FOLLOWED
1T1E0
35-44'
10
P45-54'
12
55-64'
14
12. FORLONG DURATION SNOW LOADS, USE APPROPRIATE NUMBER OF
ADDITIONAL UNITS AS DETERMINED BY THE FOLLOWING FORMULA:
i
B' NON. S1 PWO FOIL CL10H
2I '
65-73'
16
ALONG TERM SNOW LOAD */FT-) X (ROOF AREA SQ.FT.)) _ 5970 .
USE EVEN NUMBER OF UNITS ARRANGED 501 EACH DIRECTION.
28'
TO 32'
8
RIDGE BEAN SUPPORT AS REQUIRED BY
33-41'
10
13. METAL COMPONENTS AND ATTACHMENT ITEMS SMALL BE PROTECTIVE
'
_.
O MANUFACTURER-TYP.
O
42-50'
1
COCOATED.
••-
51-59'
60-68'
14
16
14. METAL SURFACES IN CONTACT WITH THE EARTH SHALL BE COATED
WITH OREGON RESEARCH AND DEVELOPMENT COMPANY RUBBERIZED
Q O O
O
28'
69-77'
18
PROTECTIVE MEMBRANE "SNOW ROOF SPRAYABLE GRADE" OR APPROVED•••'
EQUAL.
STANDARD MH FOUNDATION PIERS - AS RECOMMENDED
15. FOR AFS -WP PADS. USE 1-1/8" EXTERIOR PLYWOOD WITH WOLMANIZED
BY THE MANUFACTURER OR THE ENGINEER -TYPICAL
THROUGHOUT. RELOCATE AS NECESSARY - TYP.
TREATMENT TO 0.60 PCF RETENTION WITH DRYING AFTER TREATMENT.
PADS IN ANY PAIR
MAY
16. FOR AFS -PCP PADS. USE CONCRETE MATERIAL CONSISTING OF SAND
AND GRAVEL AGGREGATE BOUND TOGETHER WITH A POLYMER AND
BE ROTATED 90°
0 0 0 AVOID CLEARANCE
TO
O
REINFORCED WITH CONTINUOUS WOVEN GLASS STRANDS. THE CONCRETE
:_.. PROBLEMS
THUS PRODUCED MUST HAVE THE FOLLOWING MINIMUM MECHANICAL
PROPERTIES:
COMPRESSIVE STRENGTH - 11,000 PSI
PLAN FOR MORE THAN 12 AFS SUPPORTS
TENSILE STRENGTH - 1700 PSI
,
FLEXURAL STRENGTH - 7500 PSI
THE MANUFACTURER MUST CERTIFY THAT THE MATERIALS HAVE BEEN
TESTED TO THE REQUIREMENTS OF ASTM METHOD D-543. SECTION 7.
PROCEDURE 1. SAID CERTIFICATION WILL GUARANTEE THAT THE CON- TYPICAL- PERMANENT FOUNDATION PLANS
CRETE HAS CHEMICAL RESISTANCE AGAINST THE FOLLOWING CHEMICALS NO SCALE
IN THE CONCENTRATIONS NOTED:
SODIUMCHLORIDE 0. N E - 2' MIN / 6' MAX S - 6' MIN / 24/ MAX
SULFURIC ACID O.1
SODIUM SULFATE O.1N
HYDROCHLORIC ACID 0.2N
SODIUM HYDROXIDE O.1N
ACETICA CID
ACID 51
KEROSENE PER ASTM D-543
TRANSFORMER OIL PER ASTM D-543
DESIGN LISTED AND TESTED BY BSK 6 ASSOCIATES
WAYNE T. POLVADO, PE - LISTING NO. F01600438
No: C051110 a
Exp. at3olri-I
PERMANENT FOUNDATION SYSTEM
AFS -ELS) STAND
AFS -WP, AFS -CP AND AFS -PCP PADS
WILLIAM A. SOMMERMEYER
CIVIL ENGINEER
1173-D EL CAMINO REAL - ARROYO GRANDE CA 93420-2554
ACE 11658 exp.12/31/00 (805) 489-5380
--P4TENT5 PENDING-- APRIL 1997 SHEET 3 OF 4 SHEETS
1�1 I TYPICAL CHANNEL SUPPORT
i
1
I
6"X6" TOP PLATE (TYP) ,1
9/16" HOLES ADJUSTMENT BOLT OMITTED
FOR MB - TY� FOR CLARITY
STD. GRIPPER
PLATE
�•2-1/2"X6"X1/4" ALTERNATE ATTACHMENT SYSTEM FOR CHANNEL SUPPORTS
(/� BASE PLATE
(1/2"X2" MB - TYP NO SCALE
2"X2 -1/2"X1/4," o.ATE ,
SECTION A — A
NO SCALE �p0�p S / pTTpCH SECURELY TO
tp yQ• •Y MOBILE HOME SUPPORT
�.A t h' �-"• CIROER - TYP
1SP`O � O
SJQe . SJYQO�y1
OF
\1/2"X STEEL PI�
WITH
LOCK
KEY
HO SCALE
CC CONFIGURATION .
AFS -PCP PAD SHOWN
TYPICAL INSTALLATION DETAIL-
OPTIONAL-
ETAIL
OPTIONAL BRACING SYSTEM "
NO SCALE
--PATENTS PENDING --
DESIGN LISTED AND TESTED BY BSK 8 ASSOCIATES
WAYNE T. POLVAOO, PE - LISTING NO. F01600438
?ROFESS/� q
SO:N.1CIP �y\\
h
PERMANENT FOUNOATION SYSTEM
APS - EL9 STAND
AFS -WP . APS -CP AND AFS - PCP PADS
WILLIAM A. SOMMERMEYER
CIVIL ENGINEER
1173-D EL CAMINO REAL - ARROYO GRANDE CA 93020-2554
RCE 11658 exp.12131100 18051 489-5380
APRIL 1997 SHmnx 4 OF 4 SHEETS
FJLL1-[L1iiA,DLULiJ
FaX
• fVy
��
6j-
921 Inverness Dr.
Paso Robles, CA 93446
97 Ilay 30 07:05
805.227-4547
pe- 4cc— (p pi c-ta- -rem
Z q -7 (21r
3y E