The URL can be used to link to this page

Home My WebLink About065-120-057�. 65-12-57 James E. Owen $; ad( 11V I� 7 /S,,Del Oro Dr., 350'N.Of Imperial Way Magalia Permit # 699-77P E(util.,MH) EIEC. GAS SUPPORT STRUCTURE REQ,_�fC COMPACTIN TEST REQ, ;wI-IP6/99 65-12-57 Contr: Carrel -lo --Bros. MH, Chico, Permit ##4597-7 MHI Issued 65-12-57 Permit #4869-77B,E(new,.pri.garage) 065=120-057 06-2183_ SCHELL, GENEVA 14910 DEL ORO DR, MAGALIA • Cont: GREENE ROOFING I =� MH PERM FND(EX) l 5 coi un � c� RECORDING REQUESTED BY:., �. AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 2006-0051613 Recorded I Ufficial of 1 Count Butt�f e 1 CRiNM J. 6RUM I County Clerk-Recorderl I I Ifi2:�'3PM 02-0ct i 1 REC FEE 10.00 COWORPED UPY 1.00 LP Page 1 of 2 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. GENEVA L. SCHELL REAL PROPERTY OWNERILESSOR PO BOX 2283 MAILING ADDRESS PARADISE BUTTE CA 95954 CITY COUNTY STATE ZIP 14910 DEL ORO DR. INSTALLATION MAILING ADDRESS, IF DIFFERENT MAGALIA BUTTE CA 95954 CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE UNKNOWN MAILING ADDRESS DATE OF MANUFACTURE OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 06-2183 530 538-7541 BUILDING PERMIT NO. TELEPHONE NUMBER -D SIGNAT OF LOCAL AGENC FICIAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. MERRY HOMES 1977 UNKNOWN MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER S813A/B 60'X 24' 063007/8 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNWLABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER 065-120-057 HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD -Building Dept. F 08/30/06 14:54 FAX 530 894 7647 BTEC CUSTOMER SERVICE BTEC PARADISE 0 004/004 EXHIBIT A THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS: Order No. 00217424-003 ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE; STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS: PARCEL A: BEING A PORTION OF THE SOUTHWEST QUARTER OF THE NORTHWEST QUARTER OF SECTION 13; TOWNSHIP 23 NORTH, RANGE 3 EAST, M. D. B,.& M., AND BEING MORE PARTICULARLY DESCRIBED AS FOLLOWS: PARCEL 1, AS SAID PARCEL IS SHOWN ON THAT CERTAIN PARCEL MAP RECORDED MARCH 6, 1972 IN THE OFFICE OF THE RECORDER OF THE COUN'T'Y OF BUTTE, IN BOOK 41 OF PARCEL MAPS, AT PAGE 53. EXCEPTING THEREFROM ALL MINERALS AND/OR OIL, GAS AND OTHER HYDROCARBONS LYING WITHIN THE LIMITS OF SAID LAND BELOW A DEPTH OF 200 FEET FROM THE SURFACE. AP NO. 065-120-057 PARCEL B: A NON-EXCLUSIVE EASEMENT 60 FEET IN WIDTH AS SHOWN ON THAT CERTAIN PARCEL MAP RECORDED MARCH 6, 1972 IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, IN BOOK 41 OF PARCEL MAPS, AT PAGE 53. b AUG -30-2006 15:06 DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT Division of Codes and Standards Title Search Date Printed : 08/30/2006 Decal #: LBF3145 Use Code: SFD Manufacturer:. Original Price Code: AIQ Tradename: MERRY HOME Rating Year: 1977 Model: Tax Type: LPT Manufactured Date: 00/00/1977 Last ILT Amount: Registration Exp: Date ILT Fee Paid: First Sold On: 00/00/1977 ILT Exemption: NONI? Serial Number HUD Label / Insignia Length Width S813B 063007 60' 12' S813A 063008 60' 12' Record Conditions: PPF Exempt Voluntary Conversion to LPT Registered Owner: GENEVA L SCHELL PO BOX 2283 PARADISE, CA 95967 Last Title Date: 12/24/2004 Last Reg Card: 12/24/2004 Sale/Transfer Info: Price $20,000.00 Transferred on 07/07/2004 Situs Address: 14910 DEI, ORO DR MAGALIA, CA 95954-9754 Situs County: BUTTE Legal Owner: KATHLEEN L 13ALLOU 5665 CHANEY LANE PARADISE, CA 95969 Lien Perfected On: 12/08/2004 11:45:48 Inactive Decai/AM'V': DMV Sr8850, DMV SF8851, DMV SU4578, DECAL AAB8171 *** END OF TITLE SEARCH *** P. 01/01 TOTAL P.01 08/30/06 14:53 FAX 530 894 7647 RECORDING REQUESTED BY Bidwell Title & Escrow Company AND WHEN RECORDED MAIL TO Nam Geneva L, Schell suw Adrian P• 0• Box 2283 cuy,s�ou VP Paradise, CA 95967 BTEC CUSTOMER SERVICE BTEC PARADISE 003/004 CbIPj4—�GD4� 779 Recorded Official Records Count Uf BUTTE CANDACE J. 13RUB98 Recorder RubEMARY DICKSON Assistant mot l;N 07 -Jul -2004 1 REC FEE 10.00 TAX i10.00 I I I I Kathy I Page 1 of 2 orderNo. 00211424-003 SPACE ABOVE THIS LINE FOR RECORDER'S USE Parcel No. 065-120-OS7 GRANT DEED THIS FORM FURNISHED BY BIDWELL TITLE & ESCROW COMPANY The Undersigned Grantor(s) Declares) Documentary Transfer Tax is 10, 60 ❑ City/Town of ✓ computed on full value of interest or property conveyed, or ✓ Unincorporated Area of Magalia ❑ full value less value of liens or encumbrances remaining at the time of sale ❑ Monument Fee of $10.00 FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Kathleen L. BallOur An Unmarried Woman hereby GRANT(s) to Geneva L. Schell, An Unmarried Woman the following real property in the ❑ City of ✓ Unincorporated Area of Magalia County of, State of California: SEE 10MMIT A ATTACHED HERETO AND MADE A PART HEREOF Kathleen L. Ballon Document Date: June 29, 2004 State of California County of Butte SS. On before me, the undersigned, a Notary Public in and for said County and State, personally appeared **Kathleen L Bal lou*x* - e or proved to me on the basis of satisfactory FOR NOTARY SEAL OR STAMP evidence) to be the person(s) whose narrle(s) istare subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by Y. FORD his/her/their signature(s) on the instrument the person(s), or the entity COMM, # 1375792 upon behalf of which the person(s) acted, executed the Instnunent. NOTARY PUBLIGG1t1FORN) COUNTY OF BUTTE WITNESS my hand and official seal, COMM ExPirae Oct 18, 2006 Signature MAIL TAX STATEMENTS TO: 81maysAbova BTEC1GMNTDEED 065-120-057 ' ` ` 06-2183 SCHELL,GENEVA "114910 DE'L' ORO DR MA'GALIAfi'� NOTES PRO.DR, .,Y.. Cont:'GREENEROOFING�"' »7 -PERM FND(EX) a"` . s fi..', 50, RESIDENTIAL APN: Permit No. Owner_ Site Address- Contractor. Type of Permit:. 1 • 1 1 r 1 i 1 SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITICiNS SUBSTANDARD HOUSING LETTER ENCROACHMENT PERMIT RMHSPECTION FEE PAID ENV HLTH CLEARANCE S DATE JOB FINAIED•� lU SIGNATURE ruerv=n nv - =OK 0 = Not MANUFACTURED HOMES Uta i t U PERMANENT FOUNDATION LJ SOFT -SET 1 ZoningSetbacks-Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Tesi; Fall/C/0-Concrete 4 Wtr; Loctn Test -Easement Nebded-Regulator 5 Elec Loctn•Clmcs-Gmd 'Amp -Concrete 6 Yard Gas; Loctn Test Wrap Nat Q or LPQ Inch Sz Ft Lngth 7 Blckng; SzSpacing-Marriage Line 8 Gas; MH Test -Demand Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-Clrncs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr 8. Sewer Connected -C/O to Grade 12 Gas and Electricity Tagged 13 Tie Downs Q Foundation 14 Exits. 15 Cert of Occupancy 16 HUD LabeUlnsignia Numbers Serial Numbers o,,a mss` da �a MISCELLANEOUS- DECKS-COVERS-CARPORTS•GARA GES 1 ZoningSetbacks-Easements 2 Figs; SoitsSz-DpthSpacing-CnncfnSteel 3 Decks. Girders/Joists-Dcldng-Brcing Stairs-Guard/Handrails 4 Wood Awn; Posts-Beams-Rftrs-CnnctrsShthg• Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs 6 Carports; WndwsDoors 7 Electric 8 Frmg; Situs-AnchrsStuds-Rftrs Trusses 9 Siding; Nailing VengerStucco-lath 10 Roof. Shthg-Roofing 11 EA Steps-Doors-Dandngs 12 Braced Wali pets 100 ��de vT� Drawing 1 Setbacks -Easements 2 Soils; Compaction -Structure Stability 3 Pool Structure; Steel-Cnnctrrs Thickness Dead Men-Uning 4 Elec Rcptcis"ng; Distance -GR 5 Elec Pool [ting; 15 volts-GFI 6 Elec.Enclsrs; Conduit Entries-TerminalsListed 7 Elec Bonding; Metal w/T Crdtng Egp-Htr 8 Elec Grndng; Eqp w/5' Crcltng Eqp-Pool Ightg B=qp,-Encis4s-pniboards-lnsultn•to Main Conduit 9 Health Dept APpm 10 *Plmb; Cir Tes#-Wtr Supply Test 11 Lt Niche ; 12 Encisr; Fencing -Alarms 13 Banding, Diving board or Slide Nat OK RESIDENTIAL (Single & Duplex) DATE JUNDERFLOOR DATE PLUMBING 1 ZoningSetbacks-Easements-FloodSlope 53 Wtr Htr, Vent Acc-Dmbstn Air Baffle 2 Ftg Main; Soils -Flee Grnd Ftg DPth 54 Wtr Pipe; Test & Anchr Nail Prtctn 3 Ftg Garage; SoilsSteel-Elec Gmd Ftg Dpth 55 DWV; Test Fittings & Anchr Nai! Prfctn 4 Ftg Porches/Decks; Soils-SteelFtg Dpth 56 Shwr Pan; Test, First flr-Tub Ace 5 Stemwatls Main; Steel-Blockouts Wrapped 57 Test Tub* & Shwr, 2nd fir - Tub Acc 6 Stemwalis Garage; Steel-Biockouts-Wrapped 58 Gas Pipe; Sz & Anchrs 6a Hold Downs and Special Anchrs 59 Fire Sprinkler; Test 7 Slab, Steel Wrapped 60 Yard Gas Piping 8 Piers-Frpic Ftg-Steel 9 DW V; Fall -Fitting -Test -2 -way CIO -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test a' v?s� oa• 0�s` 11 Wtr Pipe; Test-Anchrs-RgitrService Test 12 Elec Undrgmd DATE M E C H A N -ICA L 13 Plenums 8 Ducts; Cimc-materialSupport4asultn 61 AC Ducts Insuft & Support 14 GirdersSills-Anchr BoitsJoists Vnts-Cripples 62 Vent Fan, Exhaust abv Insulin 15 Acc & Vntltn 63 Condensate Drain & Ovrfiw, Sz & Grade - 16 Insulation 64 Furnace -Vent Acc-Comb Air RbrdVent 115 Outlet 65 Attie Acc & Pitfrin if Furnace In attic _ o'er o+� DATE jFvRAMING 17 Sills Proper Materials & Anchrs DATE F 1 N A L 18 Wills Studs -Nailing Spacing & Braces-PlatesSound 66 Ext Steps -Door & SideLt Prtctn-Landings 19 Bearing Walls ovet Girdert:,& flr Nailing 67 Smoke Detector 20 Draft Stop in Walls (rat proof) 68 Furnace Vnts-Gime-Comb, Air-Dnnetr 21 Fire Stops; Furred CeitingsStairs-Chasers Tutu In Garage; abv4lr-Ducts- Mech Prtctn 22 Headers 8 BeamsSi &'Bearing' 69 Bedroom Exiting 23 Hangers-P.ost:Ca�s Mclus-t mc6u 70 GFl & Bath Fxtrs &Tub Acc-Spa 24 Celb'ng Joisf-Rffr Tjes-Puriij�-Rogf Brac-TnmsShthg 71 GFl Arc Fault 25 Frpic Ties or hype A Flue=F��pp' Ie Throat Clmc 72 Elec Trim & Subpnl, Breaker Szs & Labels 26 Attic Acr Si &: Rrini Pin -[waft Stop ins Baffles 73 Stairs, Guard/Handrails 27 Bdrm Wndws or Exiting Doors -Sill lit & Dimensions 74 Frplc or Stove, Clyne -Hearth 28 Garage Fire Prtrbi Framing -RC Channel 75 Elec Outlets at Wood Pnl, Int & Ext 29 Prprty Line Firewall & Opnos' . 76 Ktchn, Fxtr & Appinc; Grnd-Air-GapCooking Clmc 30 Ext Doors -One 3' -Check Gaiade 3rd Story, 2 Exits 77 Elec Outlets & Rcptds at Ktchn Counter 31 Stairs; Width-Hdrm-R1se42rm4Land7ngfire Prtctn 78 Garage Fire Dobr, Swing -Landing -Closure 32 Plywd on Roof Ovrhng-Attic Vrft-Rftr ddirgm 79 AC Duct In Garage -Damper. 33 Sid-mg-Nairrng Veneer - 80 Wtr Htr, Vnts-Cimc•Com Air Cnnctr-PRV; abv fir 34 Stucco Lath Weep Screed-Fndtn Vnts-Undrflr Acc Mech Prtctn; LPG Appince Undr House 3' drain 35 Glazing Area -Glass PrtctnSkyL.Es-Plastic . 81 Pimb; Elec & Mech Eqp Listed for Loctn 36 Shear Walls; Nailing -Bolts 82 Elec Rcptcis in Garage (GF) Romex Prtcbn 37 Brace Int/Ext Wall pnis 83 Insultn-Foam-Looked in Attic 38 tnsultn-Walls-Ceilings 84 Guard Rails & Deck Cnstrcbi-Post Caps 39 Infiltration Walls-Wndws 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Clmc Dmge Planters 0 Yes Q No o. da 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Pimb 89 Vnts abv Roof, Plmb�ppinc-Frplc-Clmc to Opngs DATE ELECTRICAL 90 Wtr Well, Dscnnct, Elec, Plmb 40 Fxtr & Tmsfrmr Clmcans Prtctn 91 Ext Elec Trim, GFl Rcptc4-Undrgmd 41 Elec Rcptels Spacing-Lts & Switches at Doors 92 Vntltn thru House 42 Sz Boxes & No Of Cndctrs Stapled 93 Glass Prtctn 43 Romex Installed Close to Edge of Studs & CJ 94 Corrections from previous Irispctns 44 Eqp Gmd made up w/Mech Fsbus 95 Gas Test -Meters Tagged, Gas-Elec 4S Gmdng Electrode Bond Gas & Wtr 96 Wtr & Sewer Cnnctd-VO to grade -HD Apprv) 46 2 Appinc Cires in Ktchn & Cndctr Sz GFl 97 Energy Cmpinc Cert -Other Certs 47 Subfeed Wire Sz 0 C or ❑AL 98 Address Posted AC Wire Sz ya OCuorDAL 99 Fire Sprinkler 48 Range Ckc w Q CU or Q AL Oven Circ oa ❑ CU or QAL Insulated Neutral Q Yes ❑ No ar d4 49 Service -Riser Cndctrs & Grnd Main Dsennct 50 Eqp Clmcs pnis-Motors-Meth Eqp 51 Clothes Closet LtShwr Lt -Spa Lt 52 Smoke Detector BUTTE COUNTY .DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 536-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.netWds PERMIT NO. BP062183 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 09/12/2006 APN: 065-120-057-000 the Business and Professions Code, and my license is in full force and effect. License Cl s License Number: -3 q, z Site Address: 14910 DEL ORO DR MAG Date: oG Contractor. WA-1?01�J P4Ctiu9� Map Index: escri tion: EX MH EX SITE PERM FNDN 1440 D,p OWNER -BUILDER DECLARATION I hereby affirm under penalty' of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: SCHELL, GENEVA L to its issuance, also requires the applicant for such permit to file a PO BOX 2283 signed statement that he or she is licensed pursuant to the provisions of PARADISE, CA the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 95969-5506 she is exempt therefrom and the basis for the alleged exemption. Any 530- 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 ($900).): O I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not e^ intended or offered for sate (Sec. 7044, Business and Professions Applicant: PLOURU, MARVIN Code: The Contractors' Stale License Law does -not apply to an owner of property who builds or improves thereon, and•who does DBA PREMIER BUILDERS such work himself or herself or through his or her own employees, 1584 WAGSTAFF provided that such improvements are not intended or offered for PARADISE, CA 95969 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of 530-872-1096 proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, Contractor:.P,LOURD, MARVIN and who contracts for such projects with a contractor(s) licensed DBA PREMIER BUILDERS pursuant to the Contractors' State License Law.). 1584 WAGSTAFF' O 1 am Exempt under Article 3 of the Business and Professions Code PARADISE, CA 95969 530-872-1096 Date: Owner: License #: 343173 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. Engineer: C8' I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: f Cm M'• N ' ' Total Square Ft: 0 S. F. Policy #: l ( '2-7 Zee Valuation: $0.00 Census Code: ❑ 1 certify that in the performance of the work for which this permit is issued. I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwithco ply with those provisions. Date: l� Applicant:. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and atlomey's fees. ( CONSTRUCTION LENDING AGENC`f Thiisplermit is heree i ed under"e'ap_pliJcable provisions of the Butte County Codri ?nrUor I hereby affirm that there is a construction lending agency for the Resolutions t icated ab ve for which fees have been paid. /� performance of the work for which this permit is issued (Sec 3097 Civ.) BY Date: l • /Z) , (OL Name: " n Address: PERMIT EXPIRES ON: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health 8 Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information Is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all cDOnty and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or docum t of Butte County. I hereby , authorize represeent��ativresof Butte County to enterupon the abovementionedproperty for inspection purposes. 0 L9 uy"' `" f'`` Print Name: {�1 1��U ` Signature: Date: ❑ Owner YI-Cobtractor ❑ Agent for Owner ❑ Agent for Contractor N BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP062183 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 09/12/2006 APN: 065-120-057-000 the Business and Professions Code, and my license is in full force and effect. License Cl IS : _ License Number: 3�f/Zl Site Address: 14910 DEL ORO DR MAG Date: 112 bG Contractor. W A --ROI IN) P4C UP—P Map Index: Description: EX MH EX SITE PERM FNDN (1440) OWNER -BUILDER DECLARATION I hereby affirm under penalty' of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: SCHELL, GENEVA L to its issuance, also requires the applicant for such permit to file a PO BOX 2283 signed statement that he or she is licensed pursuant to the provisions of PARADISE, CA the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 95969-5506 she is exempt therefrom and the basis for the alleged exemption. Any 530- violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: PLOURD, MARVIN pp Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does DBA PREMIER BUILDERS such work himself or herself or through his or her own employees, 1584 WAGSTAFF provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one PARADISE, CA 95969 year of completion, the owner -builder will have the burden' of 530-872-1096 proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with ' licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, Contractor:.P.LOURD, MARVIN and who contracts for such projects with a contractor(s) licensed DBA PREMIER BUILDERS pursuant to the Contractors' State License Law.). 1584 WAGSTAFF ❑ I am Exempt under Article 3 of the Business and Professions Code PARADISE, CA 95969 530-872-1096 Date: Owner: License #: 343173 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. I have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: f f A-'rC.9 A4 P, I N s r Total Square Ft: 0 S. F. Policy #' 1 I 2-7 6 Z 6 ` 7_,51;'T Valuation: $0.00 Census Code: ❑ I certify that in the performance of the work for which this permit is issued. 1 shall not employ any person in any manner so as to become subject to the 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 forthwithcofnply with` those provisions. lI !o Date: Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. ^,6 CONSTRUCTION LENDING AGENCY This permit is here%i ed and a apppliJcable provisions of the Butte County Code'?nrilor I hereby affirm that there is a construction lending agency for the Resolutions t icated ab ve for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Name: By: Date: EXPIRES D Address: PERMIT ON: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health 8 Safety Code is not applicable to the scheduled construction of this project. O Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all co0nty and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or docum t of Butte County. I hereby authorize representatives of Butte County toenter upon the above mentioned property for inspection purposes. �y1 c .. Print Name �4Zv Signature: -/ Date: _1 0 Owner gl-IC73-ntractor 0 Agent for Owner 13 Agent for Contractor t BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" CONTRACTOR OWNER INFORMATION Last Name ,First Name _ v G Mailing Address � � C, �r 3 City t9- (P9 ISS Stated Zip 9 Phone I Class Fax E-mail E-mail CONTRACTOR Name MA_Ezu 11V PLOU O Address (PDQ Zaglzp ljtz)9 City FP_f�_'p 1515 State Gam ZIp5S526 91 Phone Fax E-mail Lic. # �p(,5l _;) I Class APPLICANT SIGNATURE X �'ELP� For office use only: ARCHITECT/ENGINEER Name A-` WO TW Rk Address oS c r=�RIA U15�i9 City I No State Zip Phone Map Book Fax E-mail Planner State License Number APPLICANT SIGNATURE X �'ELP� For office use only: APPLICANT INFORMATION Name A-` WO TW Rk Address oS c r=�RIA U15�i9 City I No State Zip Phone Map Book Fax E-mail Planner APPLICANT SIGNATURE X �'ELP� For office use only: Zoning Property Address 14 q Flood Zone Cross Street t 1kAtiE7?_141, SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. W_ 2�� BP BIN # PROJECT LOCATION API Property Address 14 q City U,19- A4 A,9 Cross Street t 1kAtiE7?_141, WORKER'S COMPENSATION Policy Number `eco Z (6 — o Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: t°4=P_Ma4)L-1 d_=,N 1`C90?JVP19_7'76 to ,5 ?) #40B(J_4 Sq FT- Living �211 Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Receive y: Amount: 1 Bldg SRA Receipt pt #: y Q )a� ( Sheri ff SMIP Datter Q� Other - /lJ Total K:\Building\WEBSITE FORMS\BldgApplSubRgmts82506.doc Page 1 of 2 REV 8-25-06 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxesl ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, (E) Manufactured Home Support Data (form available on our website) all in duplicate ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs (if building in the City of Biggs). ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Building Permit Application Without Required Clearances Form ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). If your project is located in State Responsibility Area (SRA), you are required to meet the SRA Fire Safe Requirements sheet. ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. ❑ 13. Planning Division approval for parcel check, use and parking (if required). If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530) 538-7541. A FEE WILL BE REQUIRED AT TIME OF APPLICATION. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KABuilding\WEBSITE F0RMS\B1dgApp1SubRgmts82506.doc Page 2 of 2 REV 8-25-06 Xi2 Ground System Xi2 Foundation system Installation Instructions for California for Ground & Concrete systems HUD Wind Zone 1, 15 PSF Wind Load seismic 4 By Tie Down Engineering Xi2 Concrete System Engineer Approval State Approval MANUFACTURED HOME/MOETLE HOME FOUNDATION SYSTEM HEALTH AND SAFETY CODE, SECTION 18551 APPROVED SUBJECT TO CORRECTIONS NOTED APPROVAL DOES NOT AUTHORIZE OR APPROVE ANY OMISSIONS OR DEVIATION FROM REQUIREMENTS OF APPLICABLE STATE LAWS AND REGULATIONS State of Califomie Dawmeffi of HousioS and Community Davc1opme, -• R1/i qN OF CODES AND STANDARDS - Page 1 of 8 0 U) 0 0 0 0 M2 Foundation System Installation Instructions for California for Ground & Concrete Systems A-19� HUD Wind Zone I, 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 3280.306g "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 coating...." page 2 of s;, 0 0 0 0 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 guidelines. (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) - 1-O-Install-a-minimum-of-four(#12-x-1",tek-screwsrseff-tapping-screws into -the -Doles provided -in the lateral"strut so that the two tubes are connected together. (Figure 1) Figure 1 1-314" Tube Lateral5truts j r ° 1-1/2" Tube 4-#112x1" Tek Screws U -Bolt & mounting Bracket Ho"1e rnd °% J -Bolt Nut & Washer ' - 1I®` Strut �" (flag end) Figure 2 ' 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. I T/fOWN;GINEERING o. 0 0 0 r Xi2 Ground Parts Detail X2 Ground Xi2'Ground Lateral System ,P System Part Number 59306 Includes: 5' Strut, pad & hardware kit (#59329-1 includes all nuts and bolts). ----- __- -- .. Longitudinal Hardware Kit Part Number 59331 — -- Includes: 2 I-beam brackets &.- 2 U -bolts with all nuts and bolts. Lateral and Longitudinal Combination Part Number 59333 Includes: 5' Strut, Pad, Longitudinal Strut (#59329), Lateral and Longitudinal Hardware Kit ith II t d b It Longitudinal Strut & Hardware Kit Q Om wa nu s an o s. Struts for Longitudinal Systems Part Strut Pier Height ® ®��Q�� Ground Lon itudinal No. Length Up To: ' ® LAg Strut 59330-44 44" 4 Blocks or 32" Ground Longitudinal 59330-65 65" 6 Blocks or 48" Hardware Kit Xi2 Stabilization Pier Placement for Ground or Concrete Xi2 Pier Placement Single Section Home Double Section Home 0 -80' (76' Box) 4 Xi2 Systems 0 -62' 3 Xi2 Systems* 63' - 80' 4 Xi2 Systems '2 Xi2 systems can be placed at either end of the home. Triple Section Home 0 -62' 4 Xi2 Systems 63' - 80' 5 Xi2 Systems Page 4 of 8 TIE. DOWN 'ENGINEERING Installation of Xi2 Concrete Systems Xi2 Concrete System i. ioentiry. the numoer 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.:, Drilr.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 and of the smaller tube to the bracket mounted on the pad, using the grade 5;:1/27 x 2-1/2" bolt/nut provided. 6. 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 f next page) 7. Install a minimum of four (#12 x 1" tek screws) self -tapping screws into the holes provided yn the lateral strut so that the two tubes are connected together 8. Install frame bracket clamps ori 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 to remove any slack. 11.Tighten.all nuts and bolas on system. Page 5 of 8 T/f DOWN ENGINEERING: lb Xi2 Lateral. Concrete Systems Part #59307 Includes: 5' Strut, Bracket, & Hardware Kit #59315-1 with all nuts and bolt. 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 Part #59332 Includes: 5' Strut, Longitudinal Strut (#59364), Lateral and Longitudinal Hardware Kit with all nuts and bolts. Figure 1 j ,Nut & Washer °, Beam Clamp Bracket I Ater -Al LongitudinalL- -- --- L . f -Beam lJ Xi2 Installation Placement Longitudinal Strut Xi2 Concrete System e P_ti °fes Page 6 of 8 0 LO 0 0 I BBB9 Concrete Longitudinal Hardware Kit e P_ti °fes Page 6 of 8 0 LO 0 0 I Offset Placement i � I Diagrams represent examples of double and triple section offsets. Total size is determined by the length of unit plus offset. Xi2 Stabilization Pier Placement for Ground or Concrete Xi2 Pier Placement Single Section Home Double Section Home 0 -80' (76' Box) 4X2 Systems 0 -62' 3 Xi2 Systems' .63' - 80' 4 Xi2 Systems '2 Xi2 systems can be placed at either end of the home. Triple Section Home 0 -62' 4 Xi2 Systems 63' - 80' 5 Xi2 Systems Page 7 of 8 TIE. TOWN, ENGINEERING. • X0 Hardware Breakdown #59329-1 Hardware for 59306 Lateral System 1 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 thread Beam Clamp Base 1-3/4 zinc 4 10556 Tek Screw #12 x 1" 1 10631Z J Bolt 1/2 x 5-1/2 grade 5 zinc 2 10640 Push Nut 1/2 1 12107 Flat Washer 1x2" SS 1 10646Y Hex Nut 1/2-13 grade 5 zinc 2 10519 Hex Nut 1/2" w/ Serr flange #59331 Longitudinal Hardware for 59306 2 59272-1 Beam Clamp Base 4 59272-2 Beam Clamp Top Flange 8 10926 Carriage Bolt 1/2-12 x 1-1/4 Carriage Bolt 1/2-12 x 3 Q 10801 Full Thread 10 10646Y Hex Nut 1/2-13 grade 5 zinc. 2 10801 Carriage Bolt 1/2-12 x 2-1/2' Beam Clamp Top Flange 4 Grade 5 2 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 thread Full Thread zinc 2 1-3/4 zinc. 4 10640 Push Nast 1/2 4 10519 Hex Nut 1/2" w/ Serr flange >' Hex Nut 1/2-13 Grade 5 zinc -and # 59329 Hardware for 59333 Laterai Longitudinal combination 1 59329-1 Hardware Kit 1 59272-1 Beam Clamp Base 2 59272-2 Beam Clamp Top Flange 4 10926 Carriage Bolt 1/2-12 x 1-1/4 full thread 5 10646Y Hex Nut 1/2-13 Grade 5 zinc 1 10801 Carriage Bolt 1/2-12 x 2-1/2 Grade 5 zinc 1 84533Z U -Bolt 1/2-13 x 2.63-x 2.19 Thread 1-3/4 zinc 2 10640 Push Nut 1/2 2 10519 Hex Nut 1/2" w/Serr Flange #59315-1 Hardware for Lateral System 1 10631Z J Bolt 1/2 x 5-1/2 Grade 5 zinc 1 12107 , Flat Washer 1/2" SS 4 10556 Tek Screw #12 x 1" 2 10646Y Hex Nut 1/2x-13 Grade 5 zinc 1 10826 Carriage Bolt 1/2-12 x 3 Q 10801 Grade'5 zinc . ° #59027 Hardware Kit for 59307 Lateral System 2, 59264 3 Way Concrete Bracket 4 10530 Wedge Anchor 3/8 x 3.50 1 59315-1 Hardware Kit #59263 Longitudinal Hardware for 59307 2 59272-1 Beam Clamp Base 4 59272-2 Beam Clamp Top Flange 8 10926 Carriage Bolt 1/2-13 x 1=1/4 2 Full Thread zinc 12 10646Y. Hex Nut 1/2-13 Grade 5 zinc Q 10801 Carriage Bolt 1/2-13 x 2-1/2 1 Grade 5 zinc ".'-#59364 Hardware for 59332 Lateral and Longitudinal combination 1 59264->"-, 3 Way Concrete Bracket 2 10530 Wedge Anchor 3/8 x 3.50 1 59315-1 Lateral Hardware Kit 1 59272-1 Beam Clamp Base 2 59272-2 Beam Clamp Top Flange 4 10926 Carriage Bolt 1/2-13 x 1-1/4 Full Thread zinc 2 10801 Carriage Bolt 1/2-13 x 2-1/2 Grade 5 zinc 6 10646Y Hex Nut 1/2-13 Grade 5 zinc Page 8 of 8 DOWN ENGINEERING 0 LO o' 0 0 $ERM tIT NO. PERMIT EXPIRES OWNER James Own CONTR. owner. LOCATION (A.P. 65-12-57 E/S Del Oro Dr., 350'N.of Imperial Way, agalia Temp. Power Pole Called PG&E TaElec. Serv. Called PG&E J T mp. Gas Serv. Called PG&E 14 OB FINALED— (Date) (Signature) BUI Setback . - Forms Main Bldg. Footings Stemwa I I Slab Piers Garage Footings Stemwa I I Slab Carport Footings Slab Patio Footings Masonry Walls Reinf. Steel COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTIOk RECORD G BUILDING (Cont'd) Firewall Soil Piping Parapets 1st Floor Restroom Finish 2nd Floor Windows 3rd Floor Siding To out Roof Sheathing Water Piping Roofing Sewer Fdn. Vents Fixtures Garage Vents Water Htr. Insulation Heaters Prov. for phsically handicap e. Conformance of ex. structure Appliances Gas Piping& T Temp. Gas Final . 3 Sanitation FIREP LACE// Final F E PLUMBING ELECTR rinai suo aneis Mesh MECHANICAL Gird. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final G(- MOBILEHOME UTILITIES------------=-----Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping OBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS l"%Yw'''`��C� (NOTE: An entry must be made on this form each time you visit the job site.) W:7 UTTE — DEPARTMENT OF PUBLIC WORKS ty Center Drive — Uroville, California 95965lip Telephone: 1534-4541 ,APPLICATION AND PERMIT authorize representatives of the county of Butte to enter upon the above-mentioned property for inspection purposes. %( Date Signature of Permiteeor Agent Receipt No. 17 o for -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 beeaid. DIRECTOR O,F PjiJBLIC WORKS BY B ing permit expires Date BUILDING OwnerVY,fe S O kjjfil a `� tJL41 e$'1 SQ. FT. OC BUILDING VALUATION J ID Mailing Address 's 1`-Frx, A U'7 Fireplace Contractor % Total Valuation 3 Mailing Address Permit Fee'"'- Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address � � (., Q Q � [//� G�' PLUMBING No. @ FEE PERMIT FILING FEE $3.00 e/G ntV Each Trap 1.50 ern 1r Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. ^� 2 7' Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F s C. i FireDept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Parcel Plans Declaration Parcel Ma P 0' R/W Im vements P Lawn sprinkler system 2.00 Bldg. s Recd Parcel Appro Plans Approval Permit Fee $ NEVA ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service 1i001 OR LE 0 AMP ORSLESS 5.00 Main service EA. ADD'L too AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home ❑ Others OVER 60 Main service 1100 AMP OR LESS 25.00 Main service EA. ADD'L too AMP 1.00 NEW CONST.(DWELLING OCCUb8 OR ADDNS. ACC. BLDGS P � 12,tsqft NEW CONSTR. MULTI -OU L NON.RESID. BRANCH CIRCUITS) 12.50ea • NEWCON5TR. POWER APPARATUS & NON .RESI D. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style Of: Y Ex. Occup(OUTLETS OR FIXTURES) 50 BAL2j FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 ESI am exempt from the Contractors License Laws of the State of California. Permit Fee $ ✓ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No.1 @ I FEEPERMIT 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 State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ 3.!and authorize representatives of the county of Butte to enter upon the above-mentioned property for inspection purposes. %( Date Signature of Permiteeor Agent Receipt No. 17 o for -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 beeaid. DIRECTOR O,F PjiJBLIC WORKS BY B ing permit expires Date -7 COUNTY OF BUTTE Departwnt' of -Public Wortcs I County Center Drive Oroville ----- 534-4541 ELECTRICAL INFORMATION FOR DE --RATING MOBILEHOMES Location � Mobilehome Installation Permit No. FILL IN INFORMATION FOR ITEMS 1 .THRU 1.0 Watts 1. .Width L/ x Box Length x: 3=e.3��'' 2. 2 -Kitchen Appliance Circuits . ...... . ... . .... . e ; p00T 3. 1.Laundry Circuit ........... .... ..... A 500��m .... o ....... ................ . 4. Ovens ....... 5. Cook Stove Top ......... ........ 6. Hot Water Heater .o ........................... = 3 b d .7. Dishwasher & Disposal .......................... _ / s -(,f S. Clothes Dryer ................................ 9. Other (specify, i.e., motors, exhaust fans, etc.)_ Sub -total.- Watts First 10,000 watts @ 100% .... = 10,000 Remaining ±92v�- watts @.40% ............ `p is 731 I.O. Air Conditioner watts @100%..' L,argest� = �,/ Central Heat System yri watts @ 65 41, � W -,/& iDemand ce) TOTAL DEMAND WATTS REQUIRED ....... -�-=j— °°Dared Watts Required" 0 230 ............. ;R 3 AMPS De®ra.te.Mobilehome to �a/ JAMPS BUTTE COUNTY BUILDING DEPARTMENT APPROVED -313 *-2699-177P,E PERMIT NO. PERMIT EXPIRES ,OWNER James E. Owen Owner LOCATION (A.P. 65-12-57 E/S Del Oro Dr., 350'N.of Imperial Way, Mag�,ali tii Temp. Powef'Pole Calle,VPG&E Temp. Elec. Serv. I Called PG&E 11-7 7 Temp. Gas Serv. Called PG&E JOB '?- ) � FINALED (Date) (Signat U�/ �14_ z Se Fo tin s Stem all Slab Piers Garage Footings Stemwa I I Slab Patio Footi Masonry W Reinf. S Bond Bi Framing Stucco COUNTY 'OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING A BUILDING (Cont'd) •ewall A! Piping Pa ets 1 't Floor Rest om Finish 2n \Floor Windo4 3rd Noor SidinI To out Roof Shea Ing Water PI I < Roofing Sewer Fdn. Vents Fixtures Garage Vents Insulation Water Htr. Heaters Prov. for phsical handica ed Conformance of ex. structure A liances Gas Pi in Gas Final -Temp. Sanitation FfiREPXACE Final F FIRE SPRIN Scraltth Heatl B n Co ng F ish D is In rior Lath entilation oor Closer Final MOBILEHOME UTILITIES -------------- Elec_ Service Zepj� 1 Water Piping -7 Sewer E OME INSTALLATION Support Water Piping 9). Z -'7 7 Drainage DATE REMARKS OR CORRECTIONS_ �l Subpanelif IGrd. F It Pro Servs T p. Pole nder round Permanent anal Elec. Pedestal Gas Piping lz Elec. Continuity Gas Piping (NOTE: An entry must be made on this form each time you visit the job site.) PLUMBING L M0B1.iX110L•1li INSTALLATION" INSPECTION CHECK LIST .1 Is the. mobilehomt loc;�itcd wi.i.h required separation from lot lines and buildings and generall.,, conform to plot plan? Yes iI No 2. Does the m( -.b H ehome have required clearances above ground? (Sec.5085) Yes ✓ No 3. Are footin,;s and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec, 5082 & 5083) Yes No 4. Is the mobilehome level.? (Sec. 5088) Yes +� No 5. If m7e than a single unit, are crossover connections properly installed? (Sec. 5088) Yes No 5, Water A. Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes No B. Test Does water piping withstand working pressure or 50 lbs, air test? Yes +/ No C. Backflow - If coach is not State of California approved, does station have backflow device and,pressure-relief valve? Yes No 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes -V --No B. Does it have minimum z," per foot slope and is it properly supported? Yes ✓No C. Are any leaks detected in drainage system after running 3 -,gallons of water through each fixture including washing machine standpipe? Yes- No_,Z- D. If coach is not State of California approved, does station have required trap and vent? Yes No 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft, long? Note: All piping is to be at least as large as the mobilehome gas line inlet without reductions other than the mobilehome connector. Yes No B. Test OK as per following procedure? Yes_ No 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min, without drop. 4. Connect: gas meter to mc,bilehorae with connector, turn, on gas, test connections with soapy water. , C. Are all appliance vents properly installed? Yes No 9, Electrical !+. Is service Large enollgl. to provide adequate ,amperage to mobilehome (must equal rating of mobi_lehorne with a. :::in.iwum of 1.00 amp) and other faciliti_c!s onulof, "i.e., water pumps, ,ara,e, cabana, erc,r Yes V No 1;. Is them Proper clearances around panels? Yes_ No C. Is power supply cord or feeder assembly properly fused? Yesc,_ D. Is // conti114ty test satisfactory as per the following procedure? Yes �IVo 1. De -energize electrical wiring system of the mobilehome at the pedestal., 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one 1:7 -ad of a test instrument to the mobilehome grounding conductor and ahpty Llie other l ad v..G eacin i4Vl)i'LeLLO llr SliPply CGf1UuCtGY, Illi iiUlilg flEllLra't. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, .ater line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply, cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity te:;r_ shall then be made between i:.he grounding electrode and the chassis of the 1110bilehome. Upon sati_:;factory completion of the electrical tests, the lot,or site service equipment clay be approved for energizing. iO, Is job card signed by health Department for water and sanitation? 1,., If evarything okay, sign off card and ta- services. MOB IL E M0 .L DATA Manufacturer and/or Namestyleki �/L� ;length Width Vehicle Serial No. State Identification No. ("Z/ r.&,, Ltional Informarlon or Cormnents: Y CQU'NTY CIF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Tel epRone: 534-4541 APPLICATION AND PERMIT 7 authorize representatives of the County of Butte to enter upon the above-mentioned property forinspe tion purposes. X Date Signot aof Per-mitee or Went Receipt No. / L „/ 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. DIR R OF P BLIC WORKS By IL Date BZt permit expires Date ��-Z BUILDING Owner J�Lfykp (A-2 ie SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace ContractorC(,t y y oleO S Total Valuation Mailing Address w t� Permit Fee Plan Checking Fee&/or Penalty CA / LD lephone No. Z Permit Fee $ Building Address �. 1 PLUMBING No. @ FEE PERMIT FILING FEE $3.00 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. . t Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F&S" FireDept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 6 ' R/W Im provements Lawn sprinkler system 2.00 Bldg. ns Recd Parcel Ap val I p oval Plans Apt", Permit Fee $ $ NEW B" ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 10001 OR 0 AMP ORSLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service OVER 600V 100 AMP OR LESS 25.00 Main service/ EA. ADD'L 100 AMP 1.00 AA' NEW CONST DWELING OR ADDNS. ( ACCLBL GS.CCUP. &) 20sq ft NEW CONSTR. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS & NON.RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: !� I1,I u cc, -1 rr// �✓ iZ O $ ��/ 1�/ s— Ex. Occup(OUTLETS OR FIXTURES)50 @25¢ BAL01 FIXED APPLNS. OR Ex. OccuP•(2.00 OUTLETS (RESID.) EA) Temporary service 10.00 Mobile Home Facilities 15.00 2 License No.3_/0 t/ Z a Classification —(p 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 INen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation E2.00 Hood Pe it Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby — TOTAL PERMIT FEE $.-7 ) U authorize representatives of the County of Butte to enter upon the above-mentioned property forinspe tion purposes. X Date Signot aof Per-mitee or Went Receipt No. / L „/ 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. DIR R OF P BLIC WORKS By IL Date BZt permit expires Date ��-Z BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: �Q/Y� P S D (AJ (F A) 2. Installer's name: C_uZ2"0- � IS R 0S 3. Is the site.currently under permit? Yes No (If yes, furnish permit number ) :OR Is the,site an existing site? Yes / / No/—,/– (If yes,.furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes No ` ( If no, clarify ) 5'. What-'is"t e mobilehome electrical rating? ----------------------- �� 0 Amps 6. What is the mobilehome site service rating? --------------------- Q Q Amps -- 7. What is the mobilehome site circuit breaker rating? ------------- Q kAmps.,, 8. Is there any other electric load to be served by the mobilehome site service?------------------------------------------------------ Yes / / No (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome ------------ site gas pipe size? -------- ------------------ - (in.) 10. 10. What is the type of gas service? ----------------------------- Natural /, / LPG 11. What is the gas pipe length from meter or tank to the mobilehome? 12. What is the mobilehome gas demand? ------------------------------ (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) (ft.) (BTU) MOBILEHOME, SUPPORT DATA Mobilehome Mfr. � $�V � etup Model No. Year 7Z5 Width 99 .(ft.) Length` (ft.)' - txpando Size ft.x ft. (Draw support details below) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte).. Single %. Footings (check one) Center Support Locatio Center Support Footing Sizes (in.) � ` X (v •) (in�l --� iOY4 df l rt.7�in.) �.- x (in.) (in.) I 'u a *If center piers are other than drawn above, draw in locations, spacing, and dimensions. 1. Wood either pressure treated or fdn. grade. Concrete pad. / / 3. Otlier, sp cify 140 Supports (check one) Concrete block 2. Concrete piers / [3. Steel piers / / 4. Other, sp cify -- ( Typical Support n.) Footing j(l;)Footing Size I Max. in. Max. - U_; Overhang . _j (_ in.. BOUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS ` 7 County Center Drive, — 'Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT BUILDING �. Owner T4 �w SQ. FT. OCC. BUILDING VALUATION ` Mailing Address L c y 0 $ ^ !Q lel �� Contractor Mailing Address Building Address ;�/ s •yn_ CJs Tele hone No. Telephone No. (v- A. P. No. — / p— Zo F"91 S 84 1p,o FireDep t.I� Fire Zone Use Permit ECA Parking arcel P'9fcel 60' R/W Im rovements Plans Declaration p Bld . orQ��d ' Parcel Approval Plan proval NEW ❑ ADDITION ❑ UTILITIES U' OTHER ❑ Single Family ❑ Duplex ❑ Mobil Home [K Others ❑ CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: License No. I am exempt from the Contractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE MECHANICAL PERMIT FILING FEE I am aware of the provisions of Section3700 of the California Labor Heating Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this 161 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. Classification Fireplace Total Valuation Permit Fee _ Plan Checking Fee &/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets ' Each additional outlet Building sewer Lawn sprinkler system @ FEE $3.00 1.50 1.50 1.50 4-..6w O .30 /o- 2.00 Permit Fee $ ;2-3— ELECTRICAL No.1 @ FEE PERMIT FILING FEE J$3.00 3 -- Main service ,000 AMP ORV OR SLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 J 3 Main service OVER 800V 1100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST % LING O, ACCLBLDGS.Ccup, &) 20syft NEW CONSTR. IMULTI.OUTLET N1 1, rn.... � Ex. Occup OUTLETS OR FIXTURES � 109 1 EX. OCCU FIXED APPLNS. OR P• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wirina 6.25 I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X e Date SignatureofPermitee or Agent Receipt No. !p 1729 - White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Coo I i Ventilation Hood Permit Fee @ FEE $3.00 2.00 K] nr;7 v FeL-- I Ws -- TOTAL PERMIT FEE $ � SO 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 F PUBLIC WORKS ey4L4 Date ilding permit expires Date �'�"-7 tµ S• I + '. �9i �'.' . . K' - .. , •. A ' 1- , [:Sir' 6 90 E' O —Z -r,9 —0 —'L / —5 9 0 CA A O L• ` This set of plans and • spzoWm" as'MUST le 4 ' kept on the job at all -times and if is unlawful NOTE: - nx=a any changes or alterations on same.witho All Ma�`e; ials Vfork manship Shall Be in wrif&en permission from the Departmentlou Pu o t rAGcbrrtda ' of a 94a ce with Recognized,",Good Practices and C` lic �Norks, County of Bute. _ �1 ay prescribed for Ae, Specified Uniform use in the wilding, plumbing & "Mechanical Codes and ` +he Nnti al Electrical. Code: • .,; , 41 Irl . Tho g}c}g Setbnck shall be 5 ft. from ft e " Se tic system a1-144 sida property line and 50 ft. from Me ..be of the road, permitting a ma i - 'EW to as per centerline to County. Health Dept. Re- mum of a 2 ft. eave overhang but entir ly. 4T,=ents. L" • out of all easements. A permit will be required for the r C�) insfallaticn of the mobilehome. ) k . 3 G 001 o0 .r L• BUTTE COUNTY i411%utiiity conrecfions shall be. BUILDING DE PARTME�iI _ -+ located within 4' R. outside the rear � third section of the mobile home � APPROVED the left (road), side the mobile on of o home. oo L:�. {'trrrf " W3�..-L_�_�.-.C�i.7�a...� ryi.. � r.. !� *._. .. .... lt._��a)_�- ✓_ . ...Lf.�t..:... • •{i .. ....f 4.•.LT7iYR i &alie:cs.,fiel_d, C;alifor, 1ay 31, t°77 TC tr Ori �T rA 00 iT ds is to a,athorize Pr. Louis Cvren .or J"auaie Owen to ta'_•,e care of. of ray bhsir_e s cone�'.Zi parcel' I, n:unver 0C'15/P-1-2-0-'O`'7-0 as sjin—n on that co:^tarn -ap reco-o(�e+' P,.-arch C,1;'72 _i .n tiie o�'fic- of he recorder: of 'the county of "'mttt , n o `' Ra--,cel- ?;ans . at page 53- Ta i s 3,Tais pro e—L-ty is a portion of thesot�til'r est c;«�rter of the aectj.on 13, Tot•.�si�_i_p _3 ?forth, �t�apB r;e 3 asV II%D.B.& 11. Lou is and Naudi e Ogren are without need to co;i salt ..e on an77 n eg of i a,tiorls . ycli l r, A, .:J r t `T .._.Z Jw _',. _ :7'r .,t, k : 1 .< ii •:r..c.