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065-172-011
a 65-172-11_x^ 65-172-11•Y'�� �( Ed Hawthorne(Health Clearance for 10/5/84) t _ NZ of lot 367, Fir Haven Sub, Magali fit �' Dec A! CONTR: Coleman Const., Parad'se j Permit X41 9-78P,E(util.,MH) 1y� ELEC. I (AS Kbk SUP OR STRUCTURE Rip. • g4.e2 It COMPACTION TEST REQ. -7-L.V i 65-172-11 Termit #5�` 78B,P,ECnew Ovate detach arage) AA /h , � r. tY L Lssue65-17-11 d ontr: Clemons Davis MH, Chico ermit #4721-79MHI 65-172-11 Contr: Cal Gas, Paradise Permit#4875-79P(plbg/4189 78) 1 •^-�-"---_--�� 65-172-11 Permit #7658-79B(new covered deck/MH), �A/"�65-172-11 Permit33231-84B,.P,F,(new garage) ` 65-172-11 ` Contr: R Van Stavern.MH Ser.-. Permit#3422-84MHI(exist3ing site'", Issued_ 065-172-011 .,PERMIT#97-2 46 PHELPS, William. . . .1 6508 Tikker Ln., Magalia Cont: Sierra Mobile D1( 11, Ex MH on Perm Fnd _ �1 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES INSPECTION CARD MUST BE ON JOB SITE 24 Hour Inspection Line (IVR) :(530) 538-4365 Office: (530) 538-7541 -Fax: (530) 538-2140 Website for Online Permits/Renewal Pavments: www.buttecountv.net/dds Permit No: B08-0897 Issued: 08/08/2008 Address: 650&TIKKER LN Area:. MAGALIA Owner: VALENTE, STEVEN Applicant: EXECUTIVE HOMES Permit Type: SFD-Mobile Home PFS APN: 065-172-011 Description: NEW MH REPLACEMENT EX SITE 16611 AREA 3 Flood Zone: None SRA Area: ass than Front: Ultimate R/W from CL: 30 Rear: SRA: Side: AG: Other: Total Setback from Centerline of Road:+30 I ALL PLAN REVISIONS MUST BE APPROVETI BY THE COUNTY BEFORE PROCEEDING Inspection Type IVR INSP I DATE Set a�, Found Bldg Permit: Pier/ J Address: Grad ' i Eufer OFFICE COPY. ' 117 Ceiling Insulation 118 Do Not Cover Until Above Signed T -Bar Ceiling / RC Forms j GAS By: s ' Date• . Pre -SI Electric By: Date: Gas T1___ 1__._.....- Stucco Lath 142 Stucco Scratch— 143 Gas Gas Test Yard 404 Masonry Grout 120 Masonry Bond Beam 119 Underfloor Framing 149 Underfloor Ducts 319 Shear Transfer 136 Under Floor Plumbing 412 _ Under Slab Plumbing 411 Gas Piping 403 Do Not Install Floor Sheathing or Slab Until Above Signed Holdowns/Straps 122 Shearwall/B.W.P.-Interior 135 Shearwall/B.W.P.-Exterior 135 Roof Nail/Drag Trusses 129 Do Not Install Siding/Stucco or Roofing Until Above Signed Rough Framing 128 Rough Plumbing 406 Rough Mechanical 316 Rough Electrical 208 Gas Piping 403 Shower Pan/Tub Test 408 Fire Sprinkler Test 702 Fire Sprinkler Final 702 Eli Inspection Type I IVR I INSP DATE Do Not Insulate Until Above Signed Wall Insulation 117 Ceiling Insulation 118 Do Not Cover Until Above Signed T -Bar Ceiling / RC 145 Stucco Lath 142 Stucco Scratch— 143 Stucco Brown 144 Swimming Pools Setbacks 132 Pool Plumbing Test 504 ,Gas Test 404 Pre-Gunute 506 Pool ElecBonding/Light Nitch 502 Pool Fencing/Alarms/Barriers 503 Pre -Plaster 507 Manufactured Homes Setbacks 132 , t Blocking/Underpining 612 Tiedown/Foundation System 611 Site Utilities/Trench Insp. 137 Gas Test Yard ',,. 404 Manometer Test 605 Continuity Test 602 1 < < Skirting/Steps/Landings 610 Coach Info Manufactures Name: .r Date of Manufacture: , J Model Name/Number: V.545 (,O Z Serial Numbers: C Cp C Length x Width: Insignia: Q C - ' Fit;als - ,,A Building Final 802 Electrical Final 803 Mechanical Final 809 Plumbing Final 813 Pool Final 802 Mobile Home Final 802 Public Works Fina 538-7681 Fire Department/CDF 538-6226 Env. Health Final 538-7281 Sewer District Final "PROJECT FINAL 801 I*Project Final is a Certificate oI Occupancy for (Residential Only) PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSIUANCE. IF WORK HAS COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION Inspect Copy c 1 i T IN er. J. BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION (IVR): (530) 538-4365 OFFICE: (530) 538-7541 FAX#: (530) 538-2140 ONLINE PERMIT/RENEWAL PAYMENTS: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 6508 TIKKER LN Owner: Permit No: B08-0897 APN: 065-172-011 VALENTE, STEVEN Issued Date: 08/08/2008 By KCG Permit type: RESIDENTIAL 6508 TIKKER LN Subtype: SFD-Mobile Home PFS MAGALIA, CA 95954 Expiration Date: 08/08/2009 Description: NEW MH REPLACEMENT EX SITI (530) 873-6386 Occupancy: R-3 Zoning: RT1A ' Contractor Applicant: Square Footage: EXECUTIVE HOMES EXECUTIVE HOMES Building Garage RemdUAddn 3042 ESPLANADE 3042 ESPLANADE 1,661 CHICO, CA 95973 CHICO, CA 95973 Other Porch/Patio Total (530)891-6992 (530)891-6992 1,661 FEE INFORMATION DBEH Building Review Fee $78.90 DBF MH Plan Check $241.16 DBFIRE Fire Inspection (SRA) $107.00 DBFIRE Fire Inspection (SRA) $107.00 DBFIRE SRA Fire Plan Review (S $107.00 DBMSC Mobile Home Permit Fee. $361.74 DBOMSC Fire Safe Standards Rev $118.98 Total Charged: $1,132.58 Fees Paid: $1,132.58 DBSMIP Residential $10.80 Balance Due: $0.00 Receipt No: B8215 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License EXECUTIVE HOMES 640583 / C47 / 03/31/2010 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in ful for and effect, of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the r--7 _ basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects 08/08/2008 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: iJ "Contra66rs Signature]Date ❑ I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK AND THE STRUCTURE IS NOT INTENDED OR WORKERS' COMPENSATION DECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or Pe onnance of the work for which this permit is issued. improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED as required by CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractors License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the EMPLOYERS COMP FN031696304 07/15/2009 Carrier: EMPLOYERS Number: Exp. Date: Contractors License Law.). (This section nee not a completed if the permit is or one hundred dollars ($100) or ass. ❑ 1 AM EXEMPT under Section B. & P.C. for this reason: ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California, and agree that if I should become subject to the workers' X 08/08/2008 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owners Signature Date provis .ions.. 08/08/2008 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building e CCN Signet J Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and property damage caused by, arising out of, or in any way connected with HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the rty owne ora aut orized to act on the prope J owners behalf. _ 08/08/2008 . CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for I Nbme of Permittee [SIGN] P� ring �� f�0�� Date ~❑ the performance of the work for which this permit is issued. (3097 civ. code) OwnerContractor OR: Agent for OwnerAgent for Contractor FILE COPY �`•' Lenders Address City State Zip BUTTE COUNTY PERMIT DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION NO. AND SUBMITTAL REQUIREMENTS —to%•O OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OF APPLICATION Website: www.buttecounty.net/dds BIN # **PLEASE PRINT CLEARLY** OWNER INFORMATION Last Names aQ e_n4� i r�t Name 1 S Mailing A dress11 Lk �/,e City n laorn State Phone$Gl I _ - Phone Fax E-mail CONTRACTOR Name •I Address� 2 e:—,, City i Statq 1 Zi Phone$Gl I _ - Fax I _ Email Lic # C19��--� APPLICANT INFORMATION ARCHI TECTIENGINEER Name Subdivision Name Address State City Phon State Zip Phone Fax E-mail State License Number APPLICANT INFORMATION Name Address Subdivision Name CityChi ©11 State Zig Phon Fax E-mail APPLICANT SIGNATURE �.�" ��111!il For office I : Zoning tkd tOW I I SRA t Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: `, PROJECTLOCATION AP# OCoS'— (T2- 01 1 Property Add.Les i City os treet D r WORKER'S COMPENSATION Policy Number Carrier O If hiring anyone o er than Iic nse contractors, a certificate & worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Descriptionor Scope of Work: r o Mobs t '2t�2 Sq T Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a pen -nit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Amount: Bldg a SRA Receipt #: Sheriff SMIP Date: �n Other �j Total Butte County Department of Devefopment Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds NOTICE TO BUILDERS" Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to expedite your permit: 0 Make sure your application is complete. 0 Be responsive to requests from County departments for any additional materials or requirements. The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes without a complete application adds to processing time. Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to expiration an indefinite number of times, provided construction progress has been documented by the Building Division during each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking and documentation may be required. Upon completion of work covered by this permit, please contact this office for final inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is issued without a final inspection. EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY" Application for which a permit has not been issued will expire one year after date of application. Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications, if the permit has not issued, but not after 180 days from the date of fee payment. Fees paid at the time of application are for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any refund amount) to determine no work was done. Fee/refund information can be read on-line at http://municit)alcodes.lexisnexis.com/codes/butteco/ "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. Reference Number: B08-0897 Date: 5/15/2008 Location: 6508 TICKER LN Parcel Number: 065-172-011 Owner Name: VALENTE, STEVEN Phone: (530) 873-6386 Description: NEW MH REPLACEMENT EX SITE 1661' Signature of Applicant: Date: 5/15/2008 FILE Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds "PERMIT APPLICATION DATA SHEET" Reference Number: B08-0897 Date: 5/15/2008 Location: 6508 TICKER LN By: GLB Parcel Number: 065-172-011 Sub Type: SFD-Mobile Home PI Owner Name: VALENTE, STEVEN Phone: (530) 873-6386 Description: NEW MH REPLACEMENT EX SITE 1661' ❑ ❑ The above permit application has the following Clearances required prior to permit issuance. Please contact each department indicated below regarding specific requirements pertaining to your permit application. Yes No SEWER DISTRICTS ❑ ❑ Thermalito Irrigation District, 410 Grand Avenue, Oroville CA 95965 - (530) 533-0740 ❑ ❑ LOAPUD, 1960 Elgin Street, Oroville CA 95966 - (530) 533-2000 ❑ ❑ City of Chico, PO Box 3420, 411 Main Street, Chico CA 95927 - (530) 879-6700 PARKS & RECREATION DISTRICTS ❑ ❑ Chico Area Recreation District, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711 ❑ ❑ Durham Park & Recreation District, 9447 Midway, Durham CA 95938 - (530) 345-1921 ❑ ❑ Feather River Recreaction & Park District, 1200 Myers Street, Oroville CA 95966 - (530) 533-2011 0' ❑ Paradise Parks & Recreation, 6626 Skyway, Paradise CA 95969 - (530) 872-6393 SCHOOL DISTRICTS ❑ ❑ Biggs Unified School District, 300 B Street, Biggs CA 95917 - (530) 868-1281 ❑ ❑ Chico Unified School District, 1163 East 7th Street, Chico CA 95926 - (530) 891-3006 ❑ ❑ Durham Unified School District, 4920 Putney Drive, Durham CA 95938 - (530) 895-4675 ❑ ❑ Gridley School District, 429 Magnolia, Gridley CA 95948 - (530) 846-4723 ❑ ❑ Marysville School District, 1919 B Street, Marysville CA 95901 - (530) 741-6000 ❑ Oroville Elementary School District, 2795 Yard Street, Oroville CA 95966 - (530) 532-3000 Oroville Union High, 2211 Washington Ave, Oroville CA 95966 - (530) 538-2300 Ext:105 [�� ❑ Paradise Unified School District, 6696 Clark Road, Paradise CA 95969 - (530) 872-6400 OTHER ❑ ❑ Recorded copy of Agricultural Acknowledgment Statement- See Attached Instructions ❑ City of Biggs Planning Department, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447 p� ❑ Other:] ssr+n¢.rr� ri�,ards YL Zj C e /�t.c ❑ ❑ Other: "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. Signature of Applicant: Date: 5/15/2008 FILE Butte County Department of public Works J. MICHAEL CRUMP, DIRECTOR LAND DEVELOPMENT DIVISION Storm Water Managment Program 7 County Center Drive Oroville, CA 95965 (530) 538-7266 Telephone (530) 538-7171 Fax www.buttecounty.net/dds National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment [LESS THAN 1 ACRE 1 Reference Number: B08-0897 Location: 6508 TIKKER LN Parcel Number: 065-172-011 Owner Name: VALENTE, STEVEN Description: NEW MH REPLACEMENT EX SITE 1661' Date: 5/15/2008 By: GLB Sub Type: SFD-Mobile Home PI Phone: (530)873-6386 By signing below, I the project owner/owners' agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site buildouts of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the state of California Regional Water Quality Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for this project that disturbes one acre or more of land may result in revocation of grading and/or other permits or other santions provided by law. Signed: Title: FILE Date: 5/15/2008 BUTTE COUNTY FEE SUMMARY 7 County Center Drive Oroville, CA 95965 Department of Development Services Phone (530) 538-7541 Fax (530) 538-2140 Permit Number: B08-0897 Job Address: 6508 TIKKER LN Contractor: EXECUTIVE HOMES 3042 ESPLANADE CHICO, CA 95973 Printed: 5/15/2008 2:39 pm Fee Description Account Number Fee Amount Paid Date Pmt Amt DBEH Building Review Fee 0021-540013-4614901-1010( $78.90 5/15/2008 $78.90 DBFIRE Fire Inspection (SRA) 0100-450001-4617240-1010( $107.00 0100-450001-4617240-1010( $107.00 5/15/2008 $107.00 DBOMSC Fire Safe Standards Rev 0010-440001-4210500-1010( $118.98 DBFIRE SRA Fire Plan Review (S 0100-450001-4617240-1010( $107.00 5/15/2008 $107.00 DBMSC Mobile Home Permit Fee. 0010-4400014210500-1010( $361.74 DBF MH Plan Check 0010-440001-4210500-1010( $241.16 5/15/2008 $241.16 DBSMIP Residential 1001-0-280-1011298 $10.80 Printed By: Gwyn Benedict 19132.58 $534.06 Balance Due: $598.52 At the time of permit application, I was advised the above fees are required prior to issuance of the permit. T e fees may change during the plan checking process. Signature: Date: 5/15/2008 Pursuant to Government code ection 66020, you are hereby notified those items listed above may have been imposed on your project. You have 90 days from the date of approval of the project or from the impostion of the above referenced items during which you may request a protest. The requirments for a protest are specified in Government Code Section 66020(a). a California Department of Forestry and Fire Protection Butte County Fire Department Fire Prevention Bureau 176 Nelson Avenue, Oroville CA 95965 (530) 538-7888 Office, (530) 538-2105 Fax Reference Number: B08-0897 Date: 5/15/2008 Location: 6508 TICKER LN By: GLB Parcel Number: 065-172-011 Sub Type: SFD-Mobile Home PI Owner Name: VALENTE, STEVEN Phone: (530) 873-6386 Description: NEW MH REPLACEMENT EX SITE 1661' To meet the requirements of Government Code section 51182 and Public Resource Code 4291, Butte County requires a pre -construction inspection to pro -actively provide the below building and site requirements to the property owner. Your property is located within the State Responsibility Area (SRA) of Butte County. All development within the SRA is required to meet the below requirements: ✓ Public Resources Code 4290 ✓ Public Resources Code 4291 ✓ California Building Code, Chapter 7A ✓ Butte County Improvement Standards Requirements prior to scheduling the pre -inspection: ✓ Full plan submittal to Butte County Development Services -Building Division ✓ Driveway and building pad must be identified on site ✓ Structure location must be staked out on the building site Requests for inspections shall be made a minimum of 72 hours in advance by calling the Fire Prevention Bureau's 24 hour inspection line at (530) 538-6226, (When the recording comes on, enter the extension number). For the pre -inspections, the property owner or authorized agent is required to meet the inspector at the construction site with two hard copies of the site plan. I have read and understand the above pre -inspection requirements. 5/15/2008 Date Rev'd 5/7/07 Sijn7a'tur0V'-- All of the Fire Safe Requirements are posted on the Butte County Fire Department website at http://buttefire.or2/Firei)revention/protplan/protplan.html FILE u4/ U'I / U t U9:30 PAX 5308940713 RECORDING REQUESTED BY: Fidelity National Title Company of California Escrow No.: 04307484 -WC Locate No.: CAFNT0958.0958-0003.0000307484 Title No.: 04 -307484 -BD When Recorded Mail Document and Tax Statement To: Mr, and Mrs. Steven Valente 6508 Tikker Lane Magalia, CA 95954 BTEC CUSTOMER SERVICE > EXECUTIVE HOMES 2006/015 z0CD4-00631+58 Recorded Official Records County Of BUTfE CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 09:00AM 15 -Oct -2004 I REC FEE 10.00 TAX 158.40 1 I Kathy IPage Iof2 APN: 065-172-011 SPACE ABOVE THIS LINE FOR RECORDER'S USE GRANT DEED The undersigned grantor(s) declares) Documentary transfer tax is $158.40 [ X ] computed on full value of property conveyed, or [ ] computed on full value less value of liens or encumbrances remaining at time of sale, [ ] Unincorporated Area /unincorporated area, FOR A VALUABLE CONSIDERATION, receipt of which Is hereby acknowledged, Eric B. Coney and Leill R, Coney, husband and wife hereby GRANT(S) to Steven Valente and Sandee J. Valente, husband and wife as joint tenants the following described real property in thi /unincorporated area, County of Butte, State of California: SEE EXHIBIT "A" ATTACHED HERETO AND MADE A PART HEREOF DATED: October 4, 2004 STATE OF CAFO IA COUNTYF & ON before me, personally appeared F -mc B - Con ,tyiei Leif R . personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within Instrument and acknowledged to me that he/she/they executed the same In his/her/their authorized capacity(les), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the Instrument. KRISTEN MAGGITTI O ,~ r Comm. #1472558 NOTARY PUBLIC CALIFORNIA Q BUTTE COUNTY -1 My CaeNWm Ex*ea Feb. 24.2M Witness my hand and official seal. Signature L TAX STATEMENTS AS DIRECTED ABOVE FD -213 (Rev 7/96) GRANT DEED (grant)(08-04) 9:30 FAX 5308940713 BTEC CUSTOMER SERVICE t yaw No.: 04 -307484 -WC rate No.; CAFNT0958-0958-0003-0000307484 01e No.: 04 -307484 -BD EXECUTIVE HOMES .�e Q007/015 EXHIBIT THE LAND REFERRED TO HEREIN BELOW IS SITUATED IN THE UNINCORPORATED AREA, COUNTY OF BUTTE, STATE OF i CALIFORNIA AND IS DESCRIBED AS FOLLOWS. The North Half of Lot 367, as shown on that certain Map entitled, "Fir Haven Subdivision", filed In the Office of the County Recorder of Butte County, California, on May 19, 1955, In Book 21, of Maps, at Page(s) 31, 32, 33, 34 and 35. Excepting therefrom all the valuable minerals beneath the surface of said land, with the right to mine and extract said minerals, it being agreed and understood that in all mining operations the surface of said land will be protected against damage, and that all such mining shall be carried on from tunnels, shafts or drifts' having their orifices outside of the surface area of the above described realty, all as excepted and reserved In the Deed from the Magalia Mining Company, a corporation, to E.D. Storts, et ux, recorded September 4, 1947, In Book 423, Page 385, of Official Records. Initials. Butte County Building Division MANUFACTURED HOME SUPPORT DATA Owner's name: LftVa �f '-- a I e A.P.# OyS - 1-70 - 01 01 Home Manufacturer: ;Ij (r (� Manufacture Year: 'moo Model Number /Name:_ �,� i I IQ Width: j'! (�,`r (ft.) Length: S �,� (ft.) FOOTINGS: Wood - pressure treated or foundation gradeOther:[ SUPPORTS: Concrete block N Other:[ ] Provide manufacturer's installation manual, support blocking requirements and state approved or engineered foundation or tie down system specifications' ",, . .Y '.. S10��. Pier Footing Sizes and Locations �iI�C:' ` ''_ IN SINGLE WIDE Line 1 ------ I -------------------------- MULTI -WIDE I D E -----=------------------•------------ Line 2 Section 1 Line 1Line 2 Line1 �� ---------------------------- � Line 3 Line 1 Piers: Minimum size piers: Spacing maximum: From ends maximum Line 2 Piers- -Minimum iers:•Minimum size piers: "Spacing maximum: From ends maximum Line 3 Roof Loads: Minimum size piers: Location (from front): Minimum size piers: Location (continued): Line 4 Roof Loads: Minimum size piers: Location (from front): Minimum size piers: Location (continued): ----------------------• ----------- Section 2 Line 2 --------------------------------------------------• - -----------Line 4 (triple wide only) ------------------ Section 3 Line 2 Snow Load: = psf ] X [ Z y] Snow Load requirements may be obtained at http://www.upstate-ca-com/butte/butte-county/ Insert AP #, view snow load in lower right corner. Lm 1 O enin s: [ 6 ] X [ Zo ] Minimum X[ ] D R at each si openings over j wide. is :C�1j�V+3` _ �.. a .J'UdP fJ �- j i D bme BEARING WALLS — _VU'OER SUPPORT ONLY—TABLE III (-' TOTAL CARPET 15'-0" X 8T-00 CIEAR WALLS SPAN AND SUPPORT—TABLE BEARING R PIER FOOTING SIZE REQUIRED (SQ. IN.) PIER Cl�PPIm FOOTING SIZE REOUIRED (SQ. IN.) PIER NO' PPR FOOTING SIZE REQUIRED (SQ. IN.) P1 PIER FOOTI NO' 18 1000 PSF G SIZE REQUIRED (SQ. IN.) 1500 PSF 2000 PSF L8Sl) 1000 PSF 1500 PSF 2000 PSF NO' (IBS.) 1000 PSf 1500 PSF 2000 PSF (LBS 1000 PSF 1500 PSF 2000 PSF 2500 360 240 180 4 5000 720 480 360 6 8000. 1152 768 576 8 12000 1728 1152 864 4000 576 384 288 5 6000 864 576 432 7 10000 1440 960 720 9 .16,000 2535 1690 1267 FROWCfi MODEL N0.) DMN1M0 TIftE) CARPET & PIER SERI S KS56002Z E�o^s SUPPORT LOCATIONS 60 LBS. ROOF LOAD SQUARE fT.KARSTEN 1,661 DATE) 03-03-03 998 OLD PLACERVILLE ROAD ocrom,;nto, CA, 95827 DMRANO FILE INFORMATION) DRAWN By. SWEET: —A RCVISEO: 05-13-08 lone: (918) 363-2681; Fax: (916) 363-4537 CAROLE '—VALENTE mthe cretenco.eom 1d�jil X000 Series CoVir-Y9' CEILING THROUGHOUT- on- 46X59 HR0UGHOUT- yah46X59 r'kyne Owl Tub i Opt � MASTER CD -:-8 H m o 0 Plan OPT. RECESSED i C) I MASTFR RFF 1661 SQUARE FEET * 2 BEDROOM, FAMILY * 2 BATH 11'-4" UTTE, CO U I �:1-Y ISIM MODEL KS56002Z RAGE 1 OF 2 P D 1 -2a - 011 OPT. DIVIDER WALL DETAIL iN From: 05/23/2008 09:00 #535 P.006/008 OPT, WOOD WEDGES or BLOCIONG 4 OO FOR LEVELING 2 3 12 4x BEAM 4 160 MKIING LINE \ RIM JOIST MATING LINE \ RIDGE BEAM SUPPORT MATING LINE \\ IM JOIST \ L_ _ 4xPIER SUPPORT B OR 36 FOR D0OR 4 PIER SUPPORT LISTED AND LABELED METAL PEIR RATED WIN. OF 4000# EA : APPROVED PAD _ OR2'x WOOD PAD flER TABLE N OF MANUAL SECMNAL VIEW ALONG MAIE Lim CROSSECTION THRIJ HOWE WIDTH S w LnOLE 8 FPOR'[S AT MAT M LINE 1...Y z 6.00 MATING LINE -,k" 4 16 000 RIM JOIST JUIL INC � I �31�Y � MATING LINE FLOOR JOIST APPROVED LIST@ AND LQ-LUD METRL PIER . 3 — 2'x5' NAILED TOGETHER k\ WITH 10d NAILS a 4" O.C. \� OR 4X5 BEAM _LISTED AND LABMIN. OF 0DO# AL PEIR RATED MIN. OF 40DD� FA FOOTING: APPROVED PAD OR 2"x TREATED WOOD PAD PER TABLE N OF MANUAL . 2 M.LTME SUPPORTS AT MATING LZC-- tanenat t rri:.lalr s GENERAL NOT'ESi I4 EMS erLSADr--O 4F_'.`xRh4fFACfIAZ$i� . 1M1SG CPHS7RJ�tDY� pp 1—i TY STAADTiRD �. L A!I ars snd.foodngs shaA baa roved for0 their Intended use by the euthoraty having 3�1 hlrlsdloUon L A mtntmm ground clearance of 12' shall be.s+yt/G��V i a= r malntdlned beneath the rawest member of the 7ohaesls 1'1' beaml. 3. The.maxlmum length to width ratio for ..If looting pads shall be 2.5:1. CO 5-2- 4. All footings (pada or continuous) may be planed dlreotly on the ground sufface Where pPAWO allowed by looet Jurlsdlotlon. provided thatTI-E 4�AT�1.E Pthe adfr firm and undisturbed or oomrtal. .PORTM21io7fill and Tree of grass ane orpanlo materialKAl3s-ff3d CaLFMY oaawl at Ivan K(9181 983-2881 ENGINEER STAMP f3LJYl''ii�T COUNTY MKI 15 2008 D�VELOpWN�1T ; M.WCES 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 Ground System �(al (05D,�, T',kke,r Ln VY)GgC�.L'k ��, C� 1�# O1o5 -1X2-,91 Xi2 Concrete System Engineer Approval State Approval MANUFACTURED HOMEIMOSME HOME FOUNDATION SYSTEM $MALTA 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 California MoportawA of Homins and Community Develop s aI0 OF COpES AND STANDARDS by— DATIS SPA NM far- ui�� Thio Pim AwV M Eayha Page 1 of 8 m 0 0 0 0 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 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, i • 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 8 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION (IVR): (530) 538-4365 OFFICE: (530) 538-7541 FAX#: (530) 538-2140 ONLINE PERMIT/RENEWAL PAYMENTS: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 6508 TIKKER LN Owner: Permit No: B08-0897 APN: 065-172-011 VALENTE, STEVEN Issued Date: 08/08/2008 BY KCG Permit type: RESIDENTIAL 6508 TIKKER LN Subtype: SFD-Mobile Home PFS MAGALIA, CA 95954 Expiration Date: 08/08/2009 Description: NEW MH REPLACEMENT EX SITI (530) 873-6386 Occupancy: R-3 Zoning: RT1A' Contractor Applicant: Square Footage: EXECUTIVE HOMES EXECUTIVE HOMES Building Garage Remdl/Addn 3042 ESPLANADE 3042 ESPLANADE 1,661 CHICO, CA 95973 CHICO, CA 95973 Other Porch/Patio Total (530) 891-6992 (530) 891-6992 1,661 FEE INFORMATION DBEH Building Review Fee $78.90 DBF MH Plan Check $241.16 DBFIRE Fire Inspection (SRA) $107.00 DBFIRE Fire Inspection (SRA) $107.00 DBFIRE SRA Fire Plan Review (S $107.00 DBMSC Mobile Home Permit Fee. $361.74 DBOMSC Fire Safe Standards Rev $118.98 Total Charged: $1,132.58 Fees Paid: $1,132.58 DBSMIP Residential $10.80 Balance Due: $0.00 Receipt No: B8215 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License EXECUTIVE HOMES 640583 / C47 / 03/31/2010 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 08/08/2008 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractor's Signature Date ❑ I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR WORKERS' COMPENSATION DECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code: Section 3700 of the Labor Code, for the performance of the work for which this peril is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the EMPLOYERS COMP FN031696304 07/15/2009 Cartier: Policy Numb Number Exp. Date: Contractors License Law.). (This section nee not a competed if the peril is or one hundred dollars ($100) or less. RI AM EXEMPT under Section B. & P.C. for this reason: ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California, and agree that if I should become subject to the workers' X 08/08/2008 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date provisions. X 08/08/2008 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnity, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and property damage caused by, arising out of, or in any way connected with HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the property owner or am authorized to act on the property owners behalf. 08/08/2008 CONSTRUCTION LENDING AGENCY 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Permittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) Owner 1:1 Contractor OR. DAgent for Owner Agent for Contractor ASSESSOR COPY Lender's Address City State Zip r :.. 3000 Series CU�*V9' CEILING THR 0 UGHO UT - }r� i 46x59� 46) Oval Tub — -1�t °*� KITC MASTER W aN s BATH a m n I ODI. 1 _ WARDR08E i PIANT OPT. RECESSED CEWNG ` OPT. RECES! I i I I MASTER BEDROOM 1 I FAMILY ... 4 1661 SQUARE FEET * 2 -BEDROOM, FAMILY * 2 BATH MODEL KS56002Z PAGE 1 OF 2 k DI-W3- - o) OPT. DIVIDER WALL DETAIL .". Wt., C% C�, 1. 2. 3. 4. 5. 6. 7. 8. 9. 10 Installation of Xi2 Ground Systems Identify the number of systems to be used on the home using the chart provided. Identify the location where the systems will be installed. Clear all organic matter and debris from the pad site. Place U -bolts through holes in pan provided. Place pad centered under beam with the lateral strut bracket towards the inside of the home. Press or drive pan into ground until level and flush with prepared surface. Build pier according to State, Local or Home Manufacturers guidelines. (Fie ure 1) Attach the end of the smaller tube to the inside of pan using U -bolt & nuts provided 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) Install a minimum of four (#12 x 1 " tek screws) self -tapping screws into the holes provided in the lateral strut so that the two tubes are connected together. (Figure 1) J -Bolt Nut & Washer Figure 1 end o f N Or" e Bracket 1 -Beam 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. 'ansa GA, 30336 UE' (404) 349-0401 VOWNnr_ ENGINEERING - • Xi2 Ground Parts Detail Xi2 Ground Oyotem Xi2 Ground Lateral System Part Number 59306 Includes: 5' Strut, pad & hardware kit ,r ' (#59329-1 includes all nuts and bolts).Ae Longitudinal Hardware Kit Part Number 59331 Includes: 2 I-beam brackets & ;y 2 U -bolts with all nuts and bolts. Lateral and Longitudinal Combination Part Number 59333. " Longitudinal Strut ` �e & Hardware Kit .... T. ncludes:.5 Strut, Pad, Longitudinal Strut (459329), Lateral and Longitudinal Hardware :: Kit with all nuts and bolts. 0 Struts for Longitudinal Systems Part Strut Pier Height 40-Z"08111 ® 0 0 No. Length Up To: ���� Ground Longitudinal 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 ENGINEEl�ING • 590i' Wheaton Drive •Atlanta GA, 30336::" %/Erf _..__.__._._ __. _.___._.....__www.tiedown.com • (404J 3440000 •FAX (404) 349-0401 E��EN/N1` • I�l 1, 1. Identify the number of systems to be used on the home using the chart provided. 2. Identify the location where the systems will be installed. 3. Build pier according to State, Local or..Home Manufacturers guidelines. 4. Drill two 3/8"x 3" deep holes in the concrete using holes in galvanized bracket as a guide. Attach bracket to concrete pad using'3/8"x3-1/2" wedge anchors provided. Place nut &. washer on anchor, leave enough room for 1 to 2 threads showing on top of bolt. Using a hammer, tap the wedge bolts into hole through bracket, leaving nut & washer flush.with bracket. Using a 9/16" socket wrench, tighten wedge/anchor bolt, securing bracket to the concrete. 5. Attach the end of the smaller tube to the bracket mounted on the pad, using the . r grade 5,1/2" 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 1 next page) - 7. Install a. minimum of four (#12 x 1" tek screws) self -tapping screws into the holes provided in the lateral strut so that the two tubes are connected together ` 8. Install frame bracket clamps on I-beam on the inside of block/pier. 9. Insert.strut in frame bracket clamp and attach with nut & bolt. Attach opposite end to'concrete bracket, - 10. Pull the frame bracket clamp with fastened strut outward to remove any slack. Y 11. Tighten all nuts and bolts on system, w Page 5 of 8 TIE DOWN ENGINEERING 5901 Wheaton Drive Atlanta GA., 303360 www.tiedown.com. (404) 344-0000 * FAX (404) 349-0401 LIT If/a/ �t 1 1 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 Lone Nut & Washer Beam Clamp Bracket ;Beam Longitudinal Strut i Xi2 Concrete C,vGtovn ;)r Concrete Longitudinal Hardware Kit Xi2 Installation Placement Page 6 of 8 s` D0111/N.' • ENGINEERING . • a.r 77, ti t . Z lAAE x z % IT, Xi2 Installation Placement Page 6 of 8 s` D0111/N.' • ENGINEERING . • a.r Cl Offset Placement 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 0 -80' (76' Box) 4 Xi2 Systems Double Section Home 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 IIM • TI a , DOWNY ENGINEERING S • H L I Z! -r AV 6 —/� o, r/ai 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 10631 Z 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 112" 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 full thread Full Thread 10 10646Y Hex Nut 1/2-13 grade 5 zinc 2 10801 Carriage Bolt 1/2-12 x 2-1/2 U -Bolt 1/2-13 x 2.63 x 2.19 Thread 6 10646Y Grade 5 2 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 thread. Hex Nut 1/2" w/Serr Flange 1-3/4 zinc 4 10640 Push Nut 1/2 4 10519 Hex Nut 1/2" w/ Serr flange # 59329 Hardware for 59333 Lateral and 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 Carriage Bolt 1/2-12 x 3 full thread 5 10646Y Hex Nut 1/2-13 Grade 5 zinc 1 10801 Carriage Bolt 1/2-12 x 2-1/2 4 Grade 5 zinc 1 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 Thread 6 10646Y 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 Beam Clamp Top Flange 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 59272-2 Beam Clamp Top Flange Full Thread zinc 12 10646Y Hex Nut 1/2-13 Grade 5 zinc 4 10801 Carriage Bolt 1/2-13 x 2-1/2 Grade 5 zinc 6 10646Y 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 r , r�E DOWN ENGINEERING RECORDING REQUESTED BY: HE AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 97-037854 197-037854" X97-037854 97-037854; Rec -Fee z I Total Recorded I Official Records- I County of I Butte I Candace J. Grubbs I Recorder I 1:57pm 8 -Oct -97 I COMS SPACE ABOVE THIS LINE FOR RECORDER USE ONLY XX .00 .00 E 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 nami d owner of the real property and shall e deeme to give constructive notice as to its contents to all persons thereafter dealing with the real property. WILLIAM A./WILLIAM J./VERNA PHELPS BUTTE COUNTY BUILDING DIVISION MANUFACTURER'S NAME LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 6508 TIKKER LANE 7 COUNTY CENTER DRIVE MAILING ADDRESS MAGALIA, BUTTE, CA 95954 CITY COUNTY STATE ZIP SANE INSTALLATION MAILING ADDRESS, IF DIFFERLI. i' CIT)' COUNTY STATE ZIP SAME UNIT OWNER (Talso property owner, write 'SASIE') MAILING ADDRESS OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP 97-2046 (916)538-7541 BUILDING PERSIIT NO.. LEPHONE NUMBER 10/6/97 SIGNA'n1RE OF LOCAI. A(...' ' . ICIAL DATE NONE DEALER NAME idnot a dealer sale. write 'NONE') MAILING ADDRESS DEALER LICENSE NO. CITY COUNTY STATE ZIP UNIT DESCRIPTION FAR WEST HOMES _ 10/29/84 24X53RL2BR MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMEINUMBER 3556A, 3556B _ 53'X 24' 295740, 295741 SERIAL NUMBER(S) LENGTH N WIDTH INSIGNIAILABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION .ASSESSOR'S PARCEL NUMBER A.P. # 065-172-011 SEE ATTACHED LEGAL DESCRIPTION. HCD FORM 433(A) REV. 8:91 WHITE -County Recorder C'A\ARY - HCD PINK -Applicant GOLDENROD - Building Dept. BUILDING PERMIT NUMBER: 97-2046 Address or location of unit: 6508 TIKKER LANE, MAGALIA Legal Description of Real Property: A.P. 9065-172-011 SEE ATTACHED LEGAL DESCRIPTION. (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: WILLIAM AIWILLIAM JIVERNA PHELPS Owner's address: 6508 TIKKER LANE, MAGALIA CA 95954 INSIGNIA OR HUD, NUMBER: 295740, 295741 SERIAL NUMBER OR V.I.N. 3556A, 3556B MANUFACTURER'S NAME: FAR WEST HOMES YEAR: 10/29/84 OFFICIAL APPROVING INSTALLATION: DATE: 10/6/97 PHONE: (916) 538-7541 H.C.D. 513C 11 LEGAL DESCRIPTION 4.P.#065-172-011 ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS FOLLOWS: THE NORTH HALF OF LOT 367, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "FIR HAVEN SUBDIVISION', WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MAY 19, 1955, IN BOOK 21 OF MAPS, AT PAGE(S) 31, 32, 33, 34 AND 35. EXCEPTING THEREFROM ALL THE VALUABLE MINERALS BENEATH THE SURFACE OF SAID LAND, WITH THE RIGHT TO MINE AND EXTRACT SAID MINERALS, IT BEING AGREED AND UNDERSTOOD THAT IN ALL MINING OPERATIONS THE SURFACE OF SAID LAND WILL BE PROTECTED AGAINST DAMAGE, AND THAT ALL SUCH MINING SHALL BE CARRIED ON FROM TUNNELS, SHAFTS OF- -DRIFTS HAVING THEIR ORIFICES OUTSIDE OF THE SURFACE AREA OF THE ABOVE DESCRIBED REALTY, ALL, ASEXCEPTED AND RESERVED IN THE DEED FROM THE MAGALIA MINING COMPANY, A CORPORATION, TO E.D. STORTS, ET UX, RECORDED SEPTEMBER 4,1 947, IN BOOK 423, PAGF 385, OFFICIAL RECORDS. STATE OF CALIFORNIA -DEPARTMENT OF HOUSING AND -COMMUNITY DEVELOPMENT A PHELPS WILLIAM A/WILLIAM J/ o VERNA JTRS D 6508 TIKKER LN R MAGALIA CA 95954 a s a Rl a k eRNAS. IAM AMILL14 IAM J/J/ _ V b •:.. . �oY'":G� 1M.; _'t -^Y ;z...-4 ,.�rzin T • i'^-sa,;M I ;..;.+.'..+ern NE X A 6508 TIKKER LN T L E MAGALIA SCA 95954 > ell 0 �� O spy 0 8 6508 TIKKER LN w i� a kw �� IN T '. MAGALIA E CA 95954.. .... i 3 4 o Q • L E Q A L `al . J U V N i I R O 8 R T �» a �s 've "' IMPORTANT 01-023-02865 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 z TITLE STATUS OF THE UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT. 0100362 DECAL N0. MANUFACTURER NAME/ID TRADE NAME MODEL DOM DOT DFS SPC EXPIRATION FAR WEST HOMES INC/09945 FAR WEST 24X53RL2BR .10/29/84 11/06/84 11/14/84 U SERIAL NUMBER LABEL/INSIGNIA NUMBER WEIGHT LENGTH WIDTH ISSUED JSCC EXEMPF USE TYPE 3556A 295740 014200 000636 000144 01/26/95 04 SFD LPT z 35568 295741 015800 000636 000144 3 TOTAL 4 FEES 5 PAID: 6 S30.00 A PHELPS WILLIAM A/WILLIAM J/ o VERNA JTRS D 6508 TIKKER LN R MAGALIA CA 95954 a s a Rl a k eRNAS. IAM AMILL14 IAM J/J/ _ V b •:.. . �oY'":G� 1M.; _'t -^Y ;z...-4 ,.�rzin T • i'^-sa,;M I ;..;.+.'..+ern NE X A 6508 TIKKER LN T L E MAGALIA SCA 95954 > ell 0 �� O spy 0 8 6508 TIKKER LN w i� a kw �� IN T '. MAGALIA E CA 95954.. .... i 3 4 o Q • L E Q A L `al . J U V N i I R O 8 R T �» a �s 've "' IMPORTANT 01-023-02865 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 z TITLE STATUS OF THE UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT. 0100362 STATE OF CALIFORNIA- DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT - PGDTTCTfPATC nV TTTI C UnUTI CUMAC DECAL NO. I Ar_r.cst MANUFACTURER NAME/ID TRADE NAME MODEL DOM DOT DFS SPC EXPIRATION FAR NEST HOMES INC/09945 FAR WEST 24X53RL28R 10/29/84 11/06/84 11/14/84 q �-VERNA : ynT :w •z ash. ,. T U SERIAL NUMBER 3556A LABEL/INSIGNIA NUMBER 295740 WEIGHT 014200 LENGTH 000636 WIDTH 000144 ISSUED 01/26/95 SCC 04 EXEMPT USE SFD TYPE LPT 2. 35568 295741 015800 000636 000144 3 E MAGALIA'-.CA 95954 TOTAL 4 E . 1. FEES D s s4 PAID: 6 $30.00 A PHELPS WILLIAM A/WILLIAM J/ D VERNA JTRS D 6508 TIKKER LN R MAGALIA CA 95954 E a s E :t ff7 R PHELPS WILLIAM A/WILLIAM J/ �X� L j �4x = JTRS..� � O W % q �-VERNA : ynT :w •z ash. ,. T —9- .. R RELEASEAlOF LEGAL OWNER I A 6508 TIKKER LH E MAGALIA'-.CA 95954 E . 1. D RELEASE%OF REGISTERED OWNER s4 O. S 6508 TIKKER LH , W I.. N T E U MAGALIA ` CA 95954,E w„ l......, R 3 { . ...,_............ L E............, :.'... A L j (j O W % E 2.A) � R RELEASEAlOF LEGAL OWNER 8) C ASSIGNMENT OF OWNER 3. RELEASE OF DEALER NEW REGISTERED OWNER, FILL IN ZTEMS 4 - 9 stat 4.A) AND OR 8 ) ffi-, NAME - PLEASE PRINT —; _ fI ,V oCURREMT MAILING,' ADDRESS — -- 77 CITY- CNTY ST ZIP FUTURE MAILING,ADDRESS ti 92T LOCATION ADDRESS RO s)�`� CNTY ST ZIP PURCHASE PRICEDATE t ` �` q f m ^ ? NEWfXREGISTERED OWNER 6IGNATURE atatataF. NEW LEOAL� `OWNER, FILL IN ITEMS X10 - 12 stat* S, 3 � P NAME - PLEASE PRINT b,� 10 ADDREO$ 12. --CI'TYCNTY`Dw : ST ZIP mmm .NEW IST JR. LZEIV (OLDER, FILL IN ITEMS 13 - 15 atat)t �Y �Y NAME - PLEASE PRINT U F I N E14 I R = ADDRESS O a R T 15. CITY CNTY ST ZIP L atatat NEW 2ND JR. LIENHOLDER, FILL IN ITEMS 16 - 18 atatat I E 16. N S NAME - PLEASE PRINT M E ' O' C 17. L O ADDRESS D N E D 18. R CITY CNTY ST ZIP IMPORTANT 01-023-02869 THIS CERTIFICATE OF TITLE MAY NOT REFLECT ALL LIENS RECORDED WITH THE DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT AGAINST THE DESCRIBED UNIT. THE CURRENT TITLE STATUS OF THE UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT. 0100362 Order o ,• rno lw�No '11�/iSV�Ndi�t��J��iiS.r� iN1�11_ktei• WILLIAM A. PHELPS 6508 Tikker Lane Magalia, Ca. 95954 MAIL TAX STATEMENTS TO: . WTT J •�aM_A .._.PHELPS __ _.� �_ 6508 Tikker Lane Magalia, Ca. 95954 / %3— 404W*0348-7g tI Recorded I Official Records I County of I Butte I Candace J. Grubbs I Recorder I 9:19am 17 -Aug -94 1 SPACE ABOVE DOCUMENTARY TRAI :g4-34��� ROC Bee DOC Check PUBL IS LINE FOR R ramainin t time of sale. GRANT DEED 9. 00 48. 40 57.40 XX 2 DRDER'S USE ,40 .......................................... -of property corive'yed; OR` P— less liens or encumbrances FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, JANIE J. PONS hereby GRANT(S) to WILLIAM A. PHELPS for life, and then to WILLIAM J. PHELPS and VERNA PHELPS as joint tenants the real property in the City ofi/Ancorporated area State of California, described as County of Butte SEE ATTACHED PROPERTY DESCRIPTION. Dated } STATE OF CALIFOWA�-�, }ss. COUNTY OF IS (1 I r 2 On before me, � Z GZI�)/l.J , personally appeared g\TV�A"J IF D SS E J. PO S +alit nnuuwunuunwuuwununnuuulullulU11111111iUs personally known to me (or proved to me on the basis of satisfactory =� OFFICIAL seA6 �� evidence) to be the person(s) whose name(s) is/are subscribed to the within N BR D M ssB R �� W.Z.J. OWN � instrument and acknowledged to me that he/she/they executed the same a NOTARY PUBLIC . CALIFORNIA th Q 4s• ' COUNTY OF BUTTE in his/her/their authorized capacity(ies), and that by his/her/their signs - W My Commission Expir*s July 20, 1907�IIIIII�IIIIIII1I111II1111111111IIIIIIIII►IIIIII111IIIIlIII,IIIIIIIIIIIIr tures) on the instrument the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand a d / (This area for official notarial sea[) Signature 1002(1/94) MAIL TAX STATEMENTS AS DIRECTED ABOVE 94-J4Of0 /T DEED TO WILLIAM A. PHELPS for life p,TTACHMENT TO GRANpHELpS as joint tenants from and then to WILLIAM J• PHELPS and VERNA . 'TAN -IF J. PONS dated June 2?, 1994' ORDER NO. BU -122952-2 VC DESCRIPTIONTHE STATE OF ALL THAT CERTAIN REAL PROSCRIBED S AFOLIAH : CALIFORNIA, COUNTY OF BUTTE, HORN ON THAT CERTAIN MAP ENTITLED, THE NORTH HALF OF IAT 367, AS STHE OFFICE OF WHICH MAP WAS RECORDED IN ON MAY " FIR HAVEN SUBDIVISION" BUTTE, STATE OF CALIFORNIA, 34 AND 95. COUNTY O THE RECORDER OF THE AT PAGES) 91, 72, �3, 19, 1955, IN BOOK 21 OF MAPS, RICHT TO MINE AND EXTRACT SAID lSINERALS, EXCEPTING THEREFROM ALL THE VALUABLE MINERALS BENEATH R MIONS THE NERALS* OF SAID LAND, WITH THE AND THAT IT BEING AGREED AND D NWILLTBEDPROTECTEDAAGAINSTNDAMAGE,SHAFTS OR SURFACE OF SAID IANON ALL SUCH MINING SHALL PE' CAOUTS EAND RESERVED IN THE DEED DRIFTS HAVING THEIR ORIFICES Z ALL SAS EXCEPTEDIDE OF THE SURFACE AREA A S ORTSOF E ABOVE DESCR GALL MINING COMPANY, A CORPORATION, PAGE 185r FROK THE MA 1947, -IN BOOK 423, ET UX. RECORDED. SEPTEMBER 4, OFFICIAL RECORDS. Ing CND OF DOCUMENT RESIDENTIAL .. \ r 065-172-011 PERMI . ( T#97-2046 PHELPS, William 6508 Tikker Ln., Magalia PERMIT NC. Cont: Sierra Mobile _ Ex MH on Perm Fnd PERMIT EXPIRES OWNER CONTR. ASSESSOR PARCEL LOCATION E HCD FORM 433A FOR THIS MH CANNOT BE CORDED UNTIL ONE OF THE FOLLOWING HAVE ,EN TURNED IN TO THE BLDG DIV: 1) LICENSE PLATE(S) OR DECAL (THE INSPECTOR MUST FIND & RETRIEVE) Temp. Powe Called I ECTOR MUST VERIFY_SERIAL & LABEL #'S Temp. Elec. Service Called PG&E _ Temp. Gas Service Called PG&E _ JOB FINALED (Date) 14,-6 * / t` r Signature s 4 = OK O = Not OK Not =Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements - Setbacks - Easement 2. Soils; Special MH Support Sketch 3. Sewer, Location -Test -Fall -C/0 -Concrete 4. Water, Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete MISCELLANEOUS Date DECKS, COVERS, CAilPOA ,GARAGES (Plane) OK except #'s 1. Zwird AequimmentsSetbacks-Easements . Z Footings; SolsSbwDept tSp cing-ConnectorsSteel 3. Decks; Girders and/or Joist-Dedking-BracingStairs-Rails 4. Wood'Awn.; Post-Beams-Rftrs:Corwectxa, Shthg.:N.-Bracing 5. Alum. Awn.; ColumnsConnections-Splice-Decal-Encbsures 6. Carports; Windows -Doors 7. Electric 6. Gas; Location -Test -Wrap;/ Mit / /Nat or/ /°L ft/ /LPG 7. Well Clearance & Disconnect 8. Utility Clearance 11. Ext; Steps -Doors -Landings 12. Braced Wall, Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBII,E`HOME INSTALLATION (Plans) OK except #'s Date Hing Requirements- Setbacks Easement 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test )emandValve-Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/0 to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert of Occupancy 12. Permanent Foundation Only: License Decal Date Card B-1 Date Card B-1 Date Card B71 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CAilPOA ,GARAGES (Plane) OK except #'s 1. Zwird AequimmentsSetbacks-Easements . Z Footings; SolsSbwDept tSp cing-ConnectorsSteel 3. Decks; Girders and/or Joist-Dedking-BracingStairs-Rails 4. Wood'Awn.; Post-Beams-Rftrs:Corwectxa, Shthg.:N.-Bracing 5. Alum. Awn.; ColumnsConnections-Splice-Decal-Encbsures 6. Carports; Windows -Doors 7. Electric 8. Ftmg.; Sils-AnchorsStuds-Rftrs-Trusses '9. Siding;NaiGngVeneepShkco-Mesh 10., Roof;-Shthg-Roofing 11. Ext; Steps -Doors -Landings 12. Braced Wall, Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #' 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men-Uning 4. Elec.; Receptacles and Lighting, Distance -GA 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 8. Elec.; Grounding;,Equip. w/5' Circulating Equip. -Pod Lghtg. Boxes-Enclosures-Penelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓_ No O = Not OK RESIDENTIAL ('Singl'e & Duplex) - = Not Applicable ` Not Ready Date UNDERFLOOR (Plans) OK except #Is 1. ZoningSetbacks-Easments-FloodSlope 2. Ftg., Main; Soils-Elec. Gmd. / P Ftg. Depth 3. Fig. Garage; Soils-Steel-Elec. Gmd/ P Fig. Depth 4. Ftg. Porches & Decks; SoilsSteel-/ P Fig. Depth S. Stemwalls, Main;,Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts- Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.Ste-d 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 10. UP Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test Anchors-RegulatorService Test 12. Electric Underground 13. Pienums & Ducts; Clearance -Material -Support -ins. 14. GirdersSills-AnchorBolts-Joists-Vents-Cdppies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except ^ 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 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sae & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 23. Axture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or AI Insulated Neutral 0 Yes 0 No 31. Service -Riser Conductors & Ground -Main Disconect 32, Equip. Clearances Panels-Motors-Mech. Epuip. 33. Clothes Closet Light -Shower Light- p Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #Is 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 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 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: TrussShting: 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 Fteadroom-Rise-Run-Landing-Fre 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 Fat. & 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 ❑ Yes 82. Following Instid./Drive () Yes 0 No/Walks 0 Yes 0 No/Planters Q Yes Q 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/0 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: COUNTY OF BUTTE- DEPARTMI±NTOF DEVELOPMENTSERVICES-BUILDING DIVISION V 7 County Center Drive - Oroville,r California 95965 - Telephone (916) 538-75� U MIT NO (Rev. 12/96) APPLICATION AND PERMIT �`,�j ASSESSOR PARCEL NUMBER 065-172-011 ZONING BUILDING PERMIT OWNER WILLIAM PHELPS TERgvNE1279 / J SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 6508 TIKKER LN MAGALIA, 95954 -1440 77,769 CONTRACTOR'S NAME SIERRA MOBILE TELEPHONE ' CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER - LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 270.25 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDING ADDRESS 6508 TIKKER LN -Energy Plan Checking Fee $ MAGALIA $ PERMIT FEE $ 313.25 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome Other 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: EX MH nt FOUNDATION - r-rs�vr�P�Trrrv�� Gas piping system 1- 5 outlets 15.00 Buildingsewer 15.00 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 - OR LIS Main Service 200AORLESS 23.00 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class L Lic. No. �\ `� 6 OWNER -BUILDER DECLARATION 1 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 ADDNS. ( a Acc. BLDS. 3.50xSO. NEW CONST. NON-RESID. MULTANCI- cl OUTLET 97.50 POWER APPARATUS 8 SINGLE OUTLET CIR. EX. Occup. OUTLET OR FIXTURES j 20 SAL @ 1.50 Ex. Occup. OFIxUTED RES 6. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 43.00 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the ,,prerrformance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensatio insure ce carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number .K - 9i (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. _/q X -------- Date _76 1' / / 7-- Signature of Applicant - ❑ Owner 13 Contractor ❑ Agent tt-- s o An OSHA permit is required for excavation5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 406.25 HAZ. D. FEES o.. IMP _ FLOOD CDF PARCEL PD r HD This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date D 98 Date Receipt No. 224613 - 83.00 22 V646 - 323 WHITE-D.D.S.-B.D. CANARY-ASSESSO PINK -INSPECTOR GOLD E ROD -APPLICANT If/ w��na�! �rn,w'+wacn.c..ter.:t�:::.r+,.�.awr-.....t..,«�w^N'1 ,. „"� . s r^r`�Y.nr••-..h; ry r..wcr-r.q�1-r �F7•,: w «clNs+...r•n.-v.{t-t.l,+rcti�4.:.:.r..r+.."r..y....-.. COUNTYOF BUTTE - DEPARTMEF I)EVECOPMENTSERVICES - BUILDING DIVISION '4. 1 7 COUNTY CENTER DRIVE - OROVILLE, CAL' IFORNIA95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER Proposed Building Use Building Inspector Date , ' At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ..................... . 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehom�e d a nufacturer's installation instructions, 2 sets. . 10. Fees of $.6 .............................. 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico,plumbing permit . .......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). . . Pre4nspedion requ� 20. Pre for required. . to Building inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance. ..........`..............: . 23. Owner -Builder Verification (Given to owner , Mail to owner )...... ;...... . 24. Recorded copy of Agricultural Acknowledgement Statement. .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded -deed of parcel creation and 60 right of way to a public road. ..... ` 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . ......................................... . 29. Documentation of legal access . ........................................ . 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Pan check lis,t. �..�.�..... .. 33. 4�R�Dc inEl ,b K1 C�V�Q�I�--.` I ��..... 34. When,you issue the ermitj�Process as follows: it to ovy er. Mail to contractor. Telephone `1'74!; 75 and hold for pickup at 1 office. Deliver with inspector. Other Parcel Creation �a Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior tit issuanc � (Ci new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by C. tg� Date Sets of plans on hold in� File cabinet AP folder Copy - Department of Public Works (Rev. 12/96) COUNTY OF BUTTE- DEPARTMEPi'-f OkDEVEI,.OPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT ' PERMIT NO. ASSESSOR PARCEL NUMBER �!'� V -. ZONING ' BUILDING PERMIT OWNER TELEPHONE 'l3 J SQ. FT." OCC. BUILDING VALUATION OWNERS MAID DRESS J n� I ~f CO ' CTOR'S NAME TELEPHONE n - CONTRACTORS MAKING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee $ 70,'a� Plan Checking Fee $ BUILDING ADDRESS So I -11 Energy Plan Checking Fee $ 'F#AACtL $ PERMIT FEE LOT NO. SUBDIVISIONS NAME MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome k Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 S , V Each gas water heater or vent 15.00 TYPE OF WORK r New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other J$ Describe Work: ) , \ Gas piping system 1- 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W (920.00 PERMIT FEE ELECTRICAL PERMIT I Fling Feel 20.00 600 OR LESS Main Service .VA OR 23.001,P3,CC 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,palp and my license is in full force and effect.POWER License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service sow To I000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BUDS. s0 3.50FT. MULTi0.UTLUU 97,50 APPARATUS 8 SINGLE OUTLET CSI R. Ex. Occup. OUTLET OR FIXTURES B20 00 ;00 ®' 50 Ex. Occup. ouTLEEDTs atsID�FRw 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ [�� WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' 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.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X _ Date Signature of Applicant - ❑ Owner O.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 C. TYP TOTAL FEE $(�(�, :.A]12dIMP I FLOOD I CDF PARCEL Po HD sSUE This permit is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date EXPIRES ON ate rReceiptNo. a ?� �.PERMIT HITE-D.D.S.-B.D. CANARY-ASSE SOR PINK -INSPECTOR GOLDENROD -APPLICANT PERMIT NO. 3231-84B,P,E PERMIT EXPIRES OWNER ED HAWTHORNE CON -TR.. owner ASSESSOR PARCEL 65-162-11 LOCATION 6508 Tikker, Magalia L� Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E t JOB FINALED (Date) Signature G J = OK 0 = Nbt OK = Not Applicable MOBILEHOMES MISCELLANEOUS = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except #'s Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -.Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5_ Elertricity• Lnratinn-Clearanrns-rrnd_-/ / Amn-r: nrraie 1 5_ Alum. Awn_• Cnhimnc-Cnnnectinns-Snlice-Decal-Enclnsures 6. Gas; LocationrTest-Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4, Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date = OK = Not OK = Not Applicable = Not Ready RESIDENTIAL Ni'ngle and Duplex) Date UNDERFLOOR Plans OK exce t#'s Date FRA"NG Continued 1. Zoning requirements -Setbacks -Easements 4 . P erty Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49.,'Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth -Headroom-Rise-Run-Landing-Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 5 2ywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 5 Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 8. O.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 54. Glazing Area -Glass Protection -Skylights -Plastic 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 1 Electric; Underground kO 1. 12. Plenums & Ducts; Clearance -M terial-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 FIN (Plans) OK except N's Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except q's 14. Pefer Ht.; Vent -Access -Combustion Air Ext. Steps -Door & Sidelight Protection -Landings moke Detector Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 1 ater Pipe; Test & Anchors -Nail Protection D.W.V.; Test-Fttngs & Anchors -Nail Protection -oRl Ekiting 17. Shower Pan; Test, First Floor -Tub Access 'afh Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access rec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors f2r3te1rs & Rails _fi3__E4rap4eee-or Stove; Clearances -Hearth @1iElec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 6 . & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66_-E4ec-OutTeis & Receptacles at Kit. Counter Date ELRI Permit OK except q's ZZ -Garage -Fire Door; Swing -Landing -Closer in ara a -Dam er tur Transformer Clearance -Ins. Protection tr. Htr.; Vents -Clearance -Comb. Air -Connector P.R.V. In rage; Above Floor-Mech. Protection io 21. c. ceptacles Spacing -Lights & Switches at Doors 22 Si oxes & No. of Conductors -Stapled Ib., Elec. &Mech. Equip. Listed for Location 23 ex Installed Close to Edge of Studs & C.J. lec. Receptacles in Garage; (G. F.I.) o Pro 2 Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water su at_ion-Foam-Looked in Attic ❑Yes ce ircui in Kitchen &Conductor Size u ails & Deck Construction -Post Caps 26. Subfeed Wire Size / ga. r AI-A.C. Wire Size / / ga. Cu or AI Brits & Crawl Hole Door -Drainage & Wood -Earth Clearance Loyd under Floor ❑ Yes 27. nge Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At,ollowing I ulated Neutral ❑Yes ❑No instld.: Drive E] Yes []No; Walks ED Yes []No; Planters ❑Yes ❑No ,Z6. Planter Brown -Finish _ZZ -A -e -Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 28. Se vice -Riser Conductors & Ground -Main Disconnect 29. Equ .Clearances; Panels-Motors-Mech. Equip. 30. Cloths Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. Water Well; Disconnect, Electrical, Plumbing G--E*Wior Elec. Trim; G.F.I. Receptacle -Underground Card B- Date - Card -BI Date 8T-.--V-entilation throughout House ,82-13 y "s Protection Card B -I Date Card -BI Date Date MECHANI L (Permit) OK except p's .83_-Gorrections from Previous Inspections �_ -e;.--G�-rest-Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support ter & Sewer Connected -C/O to Grade -HD Approval 32. Vent an; Exhaust above Insulation 9Y Compliance Certificate -Other Certificates 33. Conde sate Drain & Overflow; Size & Grade 34. Furnac -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Ac ess &Platform if Furnace in Attic Card -BI z Date Card -BI Date Card -BI Zt IL Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRA G Plans OK except q's Comments at Final: 3; Proper Material & Anchors 3 Is; Studs -Nailing, Spacing & Bracing -Plates -Sound 3 . aring Walls over Girders & Floor Nailing 39 D t Stop in Walls (rat proof) 40. re Stops; Furred Ceilings -Stairs -Chases -Tub 4 Heade & Beam -Si earing 43 rs- ost Caps -Anchors -Connectors Ing. Joist-Rftr. Ties-Purlin- Roof _Brac.-Truss-Shthng.-Rfnp_.__ p ace Ties or Type A Flue -Fireplace Throat ss; i'ze & Romex Protection -Draft Stop -Ins. Baffles ows or Exiting Doors -Sill Hgt. & Dimensions 47. arage Fire Protection Framing (NOTE: An entry must be made each time youvisit jobsite) JCOUNTY OF BUTT- DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orov(Ile, Califorr,a 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ,,PERMIT A w ASSESSOR PARCEL NUMBER ZONING Z -a/ BUILDING PERMIT OWNER TELEPHONE, AW-ri' ©�� SO. FT OCC. BUILDING VALUAT ON C.J R'&—b OWNES MAILING AD/D�TREESS �O /00 D / (p CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ arD ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex Mobilehome❑ Other� ❑ I�--1 _ I!fA2e" SPECIFY Building sewer 5.00 Mobile Home S G W 10-00e TYPE OF WORK New Addition ❑ Remodel ❑ Utilities Installation❑ Other Describe work: C/ % E ,dp Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 00v OR LESS 1 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST.(DWELLING OC UP LGS 12/ J - a2sgft ` - CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. 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 e for this reason NEW CDON5TRA ULTB OD TL NON-RESID BRANCH CIRCUITS) 2.50 ea NEW CONSTR. (POWER APPARATUS t1) NON -RES ID, (SINGLE OUTLET CIR. Ex. Occu 20050c P�ourLETs OR FIXTURES SAL®ao FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. `P1' 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 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyof 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 against said County in consequence of the granting of this permit.. X ' -'�% /�.d'YYl�L Date Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE OCCUP. GROUP I TYPE OF CONST. I PARCEL I PDND _1 1550 This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO F PUBLIC BY PER EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS - Date 2— � � Receipt No. 1 60s % WHITE-D.P.W., YELLOW -A556550 R, PINK -INSPECTOR, GOLDENROD -APPLICANT 0 COUNTY OF BUTTE — DEdARTMENT OF PUBLIC WORKS 7 County Centerve Oroville, California 95965 i T ephone: 534-4541 APPLICATION AND PERMIT autnorize representatives oT the county OT tsutte to enter upon the above-mentioned property for inspection purposes. X Signature of Permitee or Agent Date This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Receipt No. ' White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Building permit expires Date Date BUILDING Owner , _ �� + �� SQ. FT. OCC. BUILDING VALUATION Mailing Address YJ 0 � • '( (1tf CL.. Telephone No._ 1 r Contractor Mailing Address �I (�, / t! y �, Fireplace Total Valuation A' Telephone No. Permit Fee Building Address Plan Checking Fee Vor Penalty Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00.,; D Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. I % /r Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fees 1W. C. Sanitation FireDept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 /G v J EQA Parking Plans I Parcel Declaration Parcel Map 60' R/W I Improvements Each additional outlet .30 Building sewer 5.00 Bldg. Plans Recd Parcel A rovol Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILIT Permit Fee $ / 3 3U .$ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service 600v OR LESS 100 AMP OR LESS 5.00 Single Family ❑ Duplex Mobil Home Others ❑ Main service EA. ADO'L 100 AMP 2.50 •1 „t � ,� .!` l � d Main service OVER e O 25,00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST OR ADDNS. ACCLBLDGSLING COUP. 2¢Sgft 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: {� t n rte —.tAu NEW CONSTR BRANCH CIRCUITS) NON.RESID ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS e NON-RESID. SINGLE OUTLET CIR, EX. QCCUp OUTLETS OR FIXTIIRES BA� 250 1� FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID,) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. 1', 2 Classification C- 2 Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 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 1 shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ i r, r: autnorize representatives oT the county OT tsutte to enter upon the above-mentioned property for inspection purposes. X Signature of Permitee or Agent Date This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Receipt No. ' White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Building permit expires Date Date COUNTY OF BUTTE - DETARTAENT OF PUBLIC WORKS 7 County Center Drive '= 10(6hiille, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT BUILDING )wner fz_,�dbf )� SQ. FT. OCC. BUILDING V LUATI DJC CY Aai I i ng Address n, uirnl�/ U ,ontractor ,Aai I i ng Address C) �^ y T `ephonpo. f 3uilding Address 2/A4, a-&- Gv 4. P. No. 45--02 — It 4Z FIS Wt<. I SmMiriion I Fire Dept. Fire Zone Parking Parcel EQA Plans Declaration Parcel Map Bld ans Rec'd I Parcel Approval NEW ❑ ADDITION ❑ UTILITIES ❑ oning&Planning Use Permit W I Improvements Plans Approval OTHER El Single Family ❑ Duplex ❑ Mobil Home Er Others ❑ 1 P t 'r— 15 il 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: 01Cla _ License No. ?.J / 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 D 1.50 1.50 1.50 1.50 4-S& lD.o D .30 5.00 2.00 Permit Fee $ '�•DC�, ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service 601V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Main service OVERe00v 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. ! DWELLING OCCUP. 1) OR ADDNS. \ ACC. BLDGS. 2P Sq ft NEW CONSTR. /MULTI-OUTL T NON.RESID (MULTI CIRCUI TS)J 12.50ea NEW CONSTR. (POWER APPARATUS 9 NON.RESID. SINGLE OUTLET CIR. EX. OCcuD(OUTLETS OR FIXTIIRES BAL@1 BAL@1 EX. QCCUp. (0 FUITLETS P(RESI D IRE A) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above -me ti ed property for inspection purposes. / Date Signa ure of Permitee oar-Agen Receipt No. _�T White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant MECHANICAL I'Vi-I L Irtt PERMIT FILING FEE 1 J$3.00 Heating Cooling Ventilation Hood 1 1 2.00 Permit Fee $ $ Land Development Fee $ TOTAL PERMIT FEE $ / This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. An=— PUBLIC WORKS By �Date —T — % Building p it expires Date Civ �T 02 7658-79B P,EIVAIT NO. PERMIT EXPIRES. OWNER Ed Hawthorne CONTR. owner 65-172-11 LOCATION (A.P. ) 110 Tikk r Lane, lot 367, Fir Haven Sub, magalia y ♦ W 1. I J 1 - - �99 :t .t i { Temp. Power Pole Called PG&E Temp!Elec. Serv. Called PG&E Temp. Gas Serv. 'Called PG&E FINALED l� -/A0-..')4 (Date) (Signature) . atucav Final x Subpanels Mesh AECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior LA4h Ventilation Permanent Door Clos6 Final Final MOBILEHOME UTILITIES ------------------Elec Service Elec. Pedestal Water Piping Sew Gas Piping I E IME INSTALLATION - - - - - - - - - - - - - - Support—,,, Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS 1 (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS It. BUILDING INSPECTjOk,.RECORD .BUILDING BUILDING (Cont'd") PLUMBING Setback Firewall Soil PIPin Forms Parapets 1st Floo Main Bldg. Restroom Flni 2nd Flook. Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa l l Garage Vents Insulation Water Htr. Heaters Slab Carport Footin s Slab Prov. for physically handica ed Conformance of pzy.-� structure Final 1 Appliances Gas Piping & Te4t Temp. Gas Sanitation Patio FIREPLACE Final Footin s Footing E ECTRICAL Masonry Walls J Throat Rough Reinf. Steel Final Fixtures Bond Bea F111RE SPRINKLERS Motors atucav Final x Subpanels Mesh AECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior LA4h Ventilation Permanent Door Clos6 Final Final MOBILEHOME UTILITIES ------------------Elec Service Elec. Pedestal Water Piping Sew Gas Piping I E IME INSTALLATION - - - - - - - - - - - - - - Support—,,, Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS 1 (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Orovi Ile, California 95965 ? ' Tel ephonpr:9q47-_15411 `7�ZZ APPLICATION AND PERMIT Ah I 11' authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X /.� (�� _ %✓s . We-,,IjMnz,a l Date -22-�0 Signature of Permitee or Agent Receipt No. ::3 —"3 OS -0 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRE OF, BLIC WORKS By Date Building permit expires Date- BUILDING Owner�-- SO. FT. OCC. BUILDING VALUATIOPI a / Mailing Address Telephone No. Contractorel>. Mailing Address Fireplace Total Valuation Telephone No. Permit Fee , en, qzt:- Building Address G� L�`'�' Plan Checking Fee&/or Penalty Permit Fee ,OZ PLUMBING No. @ FEE PERMIT FILING FEE J$3.00 Each TraD 1.50 Repair drainage or vent piping 1.50 A. P. No. 4S /zlning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Kees I Sa t 'on Fire Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 EOA Parking Parcel Plans Declaration ParceLAftp 60' R/W Improvements Each additional outlet 30 Building sewer 5.00 � Bldg. ISL nes Read Parcel A royal Plans A�prasQr Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 600V OR LESS Main service 100 AMP OR LESS 5.00 j� Single Family ❑ Duplex ❑ Mobil Home I._ Others ❑ Main service EA. ADO'L 100 AMP 2.50 v. Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNS.r ACCLBLDGS,LING CCUP. 71) •ZG, sq ft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name st le of: Y NEW RESID,CONSTBRANCOUTL T NON-RESID BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS B NON.RESID. SINGLE OUTLET CIR. Ex. OCcuo(OUTLETS OR FIXTIIRES) BAL@10a Ex. Occup. FIXED APP LNS. OR p• OUTLETS (RESID.) EAY 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of 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 -I @ 1 FEEPERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and .State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X /.� (�� _ %✓s . We-,,IjMnz,a l Date -22-�0 Signature of Permitee or Agent Receipt No. ::3 —"3 OS -0 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRE OF, BLIC WORKS By Date Building permit expires Date- :j PERMIT NO. 41$9-78PI E c r .. PERMIT EXPIRES 7/27/79 OWNER ED HAWTHORNE ,coNTR. Coleman Construction -LOCATION (A.P. 65-172-11 ) 110 Tikker*Lane, lot 367, Fir Haven Sub Magalia 0, �3< 4� �r 1 T � , =1w N Lf `1 4,+ f ,x'xJJ� Temp. Power Pol Called PG&// Temp. Elec.%erv._�1�� G Called PG&E Temp. Gas Serv. Cal4ed PG&E JO/ F�YNALED�'� LJ (Date) t (Signature) MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome .located willh required separation from lot lines and buildings and generally conform to plot plan? Yes /No 2. Does the mobilehome have required clearances above -ground? (Sec.5085) Y No 3. Are footings and supports properly sized, spaced, and braced asit approved plans? (Note possible variation at spring shackles.) Se . 5082 & 5083) Yes o 4. Is the mobilehome level? (Sec. 5088) Yes 5. If mo than a single unit, are crossover connections properly installed? (Sec. 5088) Yes__ }o 6. Water A. Is f exile connector of adequate size and properly installed (1/2" ID min.)? (S'5566) Yes ��— r B. Test - Does water pi withstand working pressure or 50 lbs, air test? Yep No C. Backflow - If coach i not State'of California approved, does station have backflow device and pressure -relief ve? Yes No 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each.end? YNo B. Does it have minimum 4" per foot slope and is it properly supported? Yes —)Q No J v— C. Are any leaks detected in drainage system after runni 3 -gallons of water through each fixture including washing machine standpipe? Yes_ No D. If coach is not State of California approved, does station have required trap and vent? Yes No 8. Gas Piping and Gas 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.. ',pi is to.be at least as large as the mobi home 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 mobilehome with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes)L No. 9. Electrical A. Is service large enough to provide adequate amperage -to mobilehome (must equal rating of mobilehome with a minimumo 100 amp) and other facilities on lot, i.e., water pumps, garage,.cabana, etc:? Yes No B. Is there proper clearances around panels? Ye;�L No C. Is power supply cord or feeder assembly properly fused? Yes No D. Is continuity test satisfactory as per the following procedur Yes No 1. De -energize electrical wiring system of the mobilehome at the pe ectal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 5.. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. , 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA , Manufacturer and/or Namestyle Length G Width Vehicle Serial No. OF > r-/ State Identification No. Additional Information or Comments: COUNTY OF BPTTE — DEPARTMENT OF PUBLIC WORKS 7 County Cente'r Drive — Orovi Ile, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT r, ' C1U111UII4C ICPFt::bt:ff?1dLIVC5 UI Ultr L.UUflly U1 DUMC LU UIRU1 UPUII me above-mentiofled property for inspection purposes. Date 1 1 Signature of Permitee or Agen) ( Receipt No. 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. j' D'I RE CTOR OF PUBLIC WORKS By - r'"� ���'�."'' Date I } t Building permit expires Date�� BUILDING Owner SO. FT. OCC. BUILDING VALUATION Mailing Address Lzz ti 4�7 7h Ne�a$''� Contractor Mailing Address v G d Fireplace Total Valuation TeLep�o N�of XX JJ rr ``�� Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee PLUMBING No. @ FEE !/l v PERMIT FILING FEE $3.00 3,00 Each Trap 1.50 Repair drainage or vent piping 1.50 �A. P. No. / tj — T �/T Zoning 8 Planning Water piping 1.50 Each gas water heater or vent 1.50 Fees UW -C. I Sari'tatTon Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 4v6a /p.p /) EQA Parking Plans I Parcel Declaration Parcel Map • 60' R/W Improvements Each additional outlet .30 Building sewer 5:00 Bldg. -Plans Rec'd Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER 0 permit Fee $ J, -3,0v.$ T37-0 6,45 )cWW i i r-last.6 '' tI V / , - 2 _78 ELECTRICAL No -1 @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home 2/ Others ❑ Main service EA. ADD'L 100 AMP 2.50 1'1 k. —TJ t OVER 600V Main service 100 AMP OR LESS 25.00 Main service/ EA. ADD'L 100 AMP 1.00 NEW OR ADDNST C ACCDWELBLDGSLING CCUP. S) 20sgft CONTRACTORS LICENSE LAW 1 am licensed under the provisions of Chapter 9, Div. 3, of the State of California- Business & Professions Code under the name St le of: y /y�(/�� t NEW CONSTR BRANCHMULTI-OCIRCUITS) NON-RESID. BRANCH CIRCUITS 2.50ea NEW CONSTR. (POWER APPARATUS e NON -RESID. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTI-RES 50*25 EX. OCCU FIXED APPLNS. OR Occup. (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. -S/ % C',a a Classification Misc. Wiring 6.25 ❑ 1 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 @ 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 and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FE E $ 13 lo� C1U111UII4C ICPFt::bt:ff?1dLIVC5 UI Ultr L.UUflly U1 DUMC LU UIRU1 UPUII me above-mentiofled property for inspection purposes. Date 1 1 Signature of Permitee or Agen) ( Receipt No. 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. j' D'I RE CTOR OF PUBLIC WORKS By - r'"� ���'�."'' Date I } t Building permit expires Date�� ' .. .ii -OF BUTTE DEPARTMENT OF PUBLIC,WARKS 695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70 7 County Center Drive, Oroville — Phone 534-4541 Skyway and Elliott Road, Paradise — Phone 877-3435 CORRECTION NOTICE � n 7i" 4 . R * BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work Is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. 0 � ` , Ck%- Inspector Date 120 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California ,Administrative Code, Title 25, Chapter 5, under permit number ' for the following location: Owner Owner's Address Mobilehome Mfg. Model Year/�� Insignia No. Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director of Public/Works Date r /9 By / 0'Y •.1 �f/,i�/.� I THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED .J White - Owner, Yellow - Installer, Pink - D.P.W. t COUN Y OR UTTE—.DEPAiTMENT OF PUBLIC WORKS t BUILDING INSPECTION RECORD BUILDIN9 � n�i BUILDING (Cont'd) PLUMBI Setback 46 x Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwal I IV 1,qInsulation Garage Vents Water Htr. Heaters Slab Carport Po Footings Slab Prov. for ph sically handica edy Conformance of ex. structure Final Appliances Gas Piping &Test Temp. Gas Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough " Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Finish Cooling Temp. Pole Ducts Underground Interior Lath Ventilation Permanent *` Door Closer Final 13 Final MOBILEHOME UTILITIES Elec. Service ------------------ ..�-J-� .��� Elec. Pedestal Water Piping - �4- 2 t Sewer C Gas Piping z I thfX "k�: MEIN L TI N - ----------Support it., Elec.Continuity Water Piping 794 ` Drainage a �, Gas Piping A140 s— 7D Akrr Ay 64,f /96 DATE RE ARKS 6R CORRECTIONS pfd pzx 11"Ve C�6/ �i�-�-s✓`O 4117`i i� �s7 acv %� % (NOTE: An entry must be made on this form each time you visit the job site.) V COUNTY OF BUTTt DEPARTMENT OF PUBLIC WORKS �F 7 County Center Drive - Qroville, California 95965 Tel ep;lone: 534-4541 APPLICATION AND PERMIT .authorize representatives of the County of Butte to enter upon the above-mentioned propertyforinspection purposes. X to 7-1'7-7S� Signature of Permiteet or Agent Receipt No. / y// �r/� White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR Oif)PUBLIC WORKS By Date Z_,-7-7 - 91' Building permit expires Date — 7—�-7 - WE BUILDING Owner SO. FT. OCC. BUILDING VALUATION. Mailing Address 1?Y- 1 4,^ Telephone No. Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Addr I_ p /J+-,- Plan Checking Fee &/or Penalty -- Permit Fee PLUMBING No. @ FEE Za PERMIT FILING FEE $3.00 ao Each Trap 1.50 Zoning Veriflca}7oih Only Repair drainage or vent piping 1.50 A. P. No. — �� T-- NWater Zoning &Planning piping -1-59- / a,o 0 Each gas water heater or vent 1.50 s S on Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EOA Parking Parcel Plans Declaration Parcel M 60' R/W Improvements Each additional outlet .30 Building sewer5:00- /v, 0 0 Bldg. PI s Recd Parc rovol Plans Approval Lawn sprinkler system 2.00 NEW ® ADDITION ❑ UTILITIES OTHER ❑ Permit Fee $ $ p( ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 p O Single Family ❑ Duplex ❑ Mobil Home ER Others ❑ Main service 600v OR LESS 100 AMP OR LESS 5.00 d Main service EA. ADD'L 100 AMP 2.50 S -o WO SQ. FT. MINIMUM FOR MOBILES Main service OVER eoov 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST DWELIN. OR ADDNS. ACCLBL GS.CCUP. h\ 20sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name st I of: y� �� ( NEW RESID.CONSTBRANCH CIRCUITS) NON.R ESI D, `BRANCH CIRCUITS) 2.50ea NEW CONST. POWER APPARATUS e NON- R RESID. SINGLE OUTLET CIR. Ex. OCCUI)(OUTLETS OR FIXTURES g @� FIXED ALNS. Ex. Occup. PP (OUTLETS (RESID.)OR EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00�J �p r? 3�T 541 F' License No. Classification' `' Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of 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 Hood J 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee 0 - TOTAL PERMIT FEE $ .authorize representatives of the County of Butte to enter upon the above-mentioned propertyforinspection purposes. X to 7-1'7-7S� Signature of Permiteet or Agent Receipt No. / y// �r/� White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR Oif)PUBLIC WORKS By Date Z_,-7-7 - 91' Building permit expires Date — 7—�-7 - WE e ,JV 7 FA ti COUNTY OF BUTTE — DEPARTNENT, OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 ' / Q APPLICATION AND PERMIT 40�/ 7 aUL11U11LC IR!PICJCIILaIIVCJ UI IIIV L UUllLy UI DULLU LU Ulit"I UFIUII Lilt: above-mentioned property for inspection purposes. r X&Y.4211e&- to 61-71 Signature of Permitee or Agent Receipt No. a 9-0 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 abov r hich fees have been paid. F PUB C WORKS ate Building permit expires Date `3 'rS BUILDING �G�a��� Owner /7�!✓ SQ. FT. OCC. BUILDING LUATION C r '0000l 'L Mailing Address Telephone No. contractor CLEM©NrS"ONVIS .4t69/1Z5 POMC SAGES F— Mailing Address, 33 6�SRIAAIAOC A VIE- Fireplace Total Valuation (i tL0 T.5le hone No. 3-J Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee (�,✓' d PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each TraD 1.50 Repair drainage or vent piping 1.50 _ A. P. No.Q(p —�� �O Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F �Vl�!G� -Sanitation Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans ParcelEach Declaration I Parcel Map 60' R/W Improve is additional outlet .30 Building sewer 5.00 Bldg. any Rec'd Parcel A PI s Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home L_k3 Others ❑ Main service EA. ADD•L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST DWELING OR ADDNS. ACCLBLDGS.CCUP. 51 20sgft 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: Cl_P_M005- oqVs � H T NEW NON-RESIESID, MULTI BRANCH CI (RCUITS/ 2.50ea CONSTCONTRACTORS NEW CONSTR. POWER APPARATUS 6 NON -RESID. SINGLE OUTLET CIR. Ex. Occuo(OUTLETS OR FIXTIIRES g L@1 FIXED APP LNS. OR 2.00rOUTLETS (RESID.) EA) Temporary service 10.00 Mobile Home Facilities 15.00 License No. 35;362,6 Classification e y �" Mise. Wiring 6.256 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. LfJ 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 J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 0 I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ aUL11U11LC IR!PICJCIILaIIVCJ UI IIIV L UUllLy UI DULLU LU Ulit"I UFIUII Lilt: above-mentioned property for inspection purposes. r X&Y.4211e&- to 61-71 Signature of Permitee or Agent Receipt No. a 9-0 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 abov r hich fees have been paid. F PUB C WORKS ate Building permit expires Date `3 'rS •p /,._� 17 TT + t �T'j_r�� -�-TT.._f-1T`�- I 200T ' �\ l Y ~All 1Y R'� �� f. Is 1-T` l S t n —'_ - 1 i`i� r ! Y + ..etbc�c� .hai be�5 ftt,_ rjn:the, -r--� �� "►� - n��f ,�1?� , +n''j -s�dc p{ u `rfy C� ean� I4':'from tote F1 h '.' I.., i i t. + z_ f usP n het- s i. I d d - of;n :.=f�I-; I ccr,�E ..ne c{, fl a rr- , perph.-in a max►-• .Unifor�i : Ir(/ t 1!i,l �' r'• 1 -- n urh c'it't� 2'tt eave overhang but .ent�tely . the National Electrical' Code i r --L " 1 : uti_ofall- X180' ... , _rt__ , _, t r 4 _ . r This set otf aplans anr7} spl cific ;t ons lMa" bs r + P�II �at:l,t cflorls �hall b� y.„, _ keit on .the job at all tames � nod it pis uril�awfui .i0� - 'ca-f , rt+'I, 4-Lf '-Gutsi`C'r F Yi-i 2cTr"— -.' Ima, a any c!�ariges or alterations on` same wl hout FF ' tiiarr'.S,. tic oT--ikie .mob�l� •liorne - tr f jarrit;an permisson, from the Department oft ohithe ieFt�(ro_ad)Usk p of'tiJ�--in-Obfie_' ' --1 ' Pubt c 1 �_ a '160 works, County of Butte. s Ome: -'septic system and location c�i�d` 1 _ t to' as°peo 1fe County .Health Dept: Re= 1 i i T40' quire en ; I i. i j _ -r-} r- rul 1.20' A+ AW II �' � s � fi i tom-- +�-1--� i--}-F--�-• I-�- I--•1 - 1 �. I I t { �� /��/. p LI 00 } r _ I , e: mit will be irega red} for the s ' Ration of ih�robilehom t r r-+- ,-} - — - ---w --_ - - .' _ _ 1�.-. `� Q� �F`- . - - I �� -i--I- I r • -�- ,- i- -i trl�!�f - ; -t `�,� -�_ '-t-' _-� .:� - --} � i I ; . . 40 F, T 1J BOTTE -COUNTY : ; - 7tz� } , } ; ;•�Ia�1�1L�fNG EPARTMiENI _..:.: �" 40' 60' ; I 1 180' I i-TT1001 I l i f l I Di ' 1 .O TOL BUTTE COUNTY -DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME•INSTALLATION SHEET 1. V Owner's name: 2. Installer's name: C L L MONS DIA U 19 Web 814E 1'(0PIA L 96-11/16P 3. Is the site currently under permit? Yes / / No (If yes, furnish permit number r— ) OR Is the site an existing site? Yes /X/ No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 £t. away from septic tank and leach fields and clear of all setbacks and easements? Yes /x/ No ( If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- l!► Amps 6. What is the mobilehome site service rating? --------------------- 2 D Amps 7. What is the mobilehome site circuit breaker rating? ------------- dy Amps 8. Is there any other electric load to be served by the mobilehome siteservice? --------------------------------------------------- Yes No 7 (If yes, identify the load and size: (Load (Amps 3�- c�. 9. What is the mobilehome site gas pipe size? ------------- -------- (in.) 10. What is the type of gas service? ---------------- ----------- Natural / / LPG /X/ 11. What is the gas pipe length from meter or tan to the mobilehome? / d (ft.) 12. :What is the mobilehome gas demand? --------- -------------------- (BTU) ' (This information not required if pipe ength les ha i o natural,g s or less than 50 ft. on LPG.) MOBILEHOME SUPPORT DATA If other than sin le wide i g Mobilehome Mfr. furnish. Setup Model No. Year 63 72 Width- D�4_(ft.) Box Length t S (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. Footings (check one) Single 2[-1. Wood either AA pressure treated or foundation grade. o z�f xao k (ft.)(in:) (in.) (in.) ( 2. Other (specify) Center support Center support locations* footing sizes Supports (check one) (in.) 1:'Concrete block. ti 2 x o % r 2 Other ( specify) (ft.)(in.) (in.) (in.) !r—Tagalong or Expando,' show support details. 3*, a�f 30 (ft.)(in.) (in.) (in.) 12- x3o -- Typical Support (in. (in.) Footing Size 9f.in. (i .) (in.) �J (��' -- Max. Pier Spacing y- ��• -- Max. Overhang (ft.) (in.) (in.) (in.) 1 (ft.)(in.) E$urTE couNrr BUILDING DEPARTMENT APPROVED *Tf Fenter piers are other than _drawn above, draw in --locations, spacing, and dimensions. To: Building Department From: Environmental Health Subject: Sanitation Clearance 1,7 Owner Location AP Plans approved for: hold final for: Sewage Disposal _ Water Supply4— Final Clearance O.K. for: Clearance for 2–' bedroom mobile home. Clearance for addition of Water Supply Water Supply• 0 t h e rte() /1 tel- Ls &,Zdd,,2 /VA- Z4 � v � nitarian. ate A IPEPRMIT NO. 5357-78B,P,E PERMIT EXPIRES x !OWNER ED HAWTHORNE �CONTR. owner LOCATION (A.P. 65-172-11 ) ,110 Tikker Lane, lot 367, Magalia .r o) W a d • yc M1 (t b fT ,k Temp. Power Pole Called PG&E Temp. EIec. Serv. Called PG&E 79 Temp. Gas Serv. Called PG&E JOB.. FINALED (Dat (Sig at e) y3 l COUNTY OF BUTTE -,DEPARTMENT OF PUBLIC WORKS BUPLDING INSPECT?ON RECORD BUILDING etback 'I- Y J,p Forms { — — r —%Y Main Bldg. Footinas BUILDING (Cont'd) Firewall Parapets Restroom Finish— Windows-, I Slab Roof Sheathin W r . t Piers Roofing Garage Fdn. Vents Footings / 7 StemwaII L - Garage Vents Insulation Slab Carport Footings Prov. for physicall handicapped Conforman a of e . structure Slab Final Patio FIREPI. Footinas Footinn Soil Piping 1st Floor 2nd Floor 3rd Floor Topout Water PI i c Sewer Fixtu Water Htr. Appliances Temp. Gas Sanitation FinalA> / PLUMBING �ZZ�7S O% .eCTRICAL Relnf. Steel Final Fixtures Bond Beam I FIRE SPRINKLERS Motors Framing I G ` Test r Water Htr. Stucco ' Final Subpanels Mesh MEC NICAL Grd. Fault Prof. Scratch Heatina Service (& /) _G Brown Cooling Temp, Pole V Finish Ducts Underground Interior Lath y V Ventilation Permanent - / Door Closer Final Final i MOBILEHOME UTILITIES ---------------Elec. Service Elec. Ped 'al Water Piping Sewer Gas Pik,9'9 MOSILEHS?ME INSTALL I N --------------Support E Continuity Water Piping Drainage Gas Piping L � DATE REMARKS OR CORRECTIONS ©�� ut s wf'TGf Cts�r �e , s/� �� .v t=el r� j�C' �f, %V>e;4 � � oma/ c.J�o _ejS / s� at% T , Xr-C �/ �tQy r 7' y/�9 7�' Fi �e�' �'cc �a a� �" /1D �/r d � CC X /%-(i� .o✓v d d �7 4.1/ �X�+d S£ C� � !�' 0 ?�et (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY'0F' BU•TTE — DEPARTMENT OF PUBLIC WORKS w 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICAT 0NAD PERMIT BUILDING Owner ED A4 A) TH0RV45 SQ. FT OCC. BUILDING VALUATION � a Mai I i ng Address /�f ; ,%30)(J6/ UALIBU Contractor Mailing Address Building Address AA & OG Sus. llD %IKLCC/L Telephone No. rie 1pl MA4,1-IA A. P. No. 5-- /7�)_--/> Zoning& Planning FV*9- Fire Dept. Fire Zone Use Permit EQA Parking Parcel Parcel Ma 60' R/W I Im rove nts Plan Declaration p P R� dg. I Rec' Parcel AEproval NEW ❑ ADDITION ❑ UTILITIES ❑ Single Family ❑ Duplex ❑ Mobil Home ❑ R1. DE -T. il:A-RA-GE . PIah.slipprovaI OTHER P Fireplace Permit Fee Ex. Occup.(OUTLETS P(RESID )REA) ELECTRICAL Total Valuation PERMIT FILING FEE Main service 600V OR LESS 100 AMP OR LESS rte/ Others Permit Fee 6.25 Plan Checking Fee &/or Penalty Main service EA. ADD'L 100 AMP NEW CONST. / DWELLING OC 5 OR ADDNS. `ACC, SLOGS. Permit Fee o�+00 00 PLUMBING No. @ FEE PERMIT FILING FEE $3.00 3,00 Each Trap 1.50 Iq xS_0 Repair drainage or vent piping 1.50 Water piping 1.50 i �= Each gas water heater or vent 1.50 Gas piping system 1 - 5 outlets 1.50 1,50 Each additional outlet .30 Building sewer 5.00 Lawn sprinkler system 2.00 NEW CONSTR. (MULTI-OUTL T CONTRACTORS LICENSE LAW n�nni.R Esl `BRANCH CIRCUITS 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. Classification $3.00 5.00 2.50 25.00 1.00 2. C,o $ IVd FEE x000 Ex. OCCUDjOUTLETS OR FIXTI ]RES Permit Fee Ex. Occup.(OUTLETS P(RESID )REA) ELECTRICAL Temporary service PERMIT FILING FEE Main service 600V OR LESS 100 AMP OR LESS rte/ Others Main service EA. ADD'L 100 AMP 6.25 Main service OVERe0o 100 AMP OvR LESS Main service EA. ADD'L 100 AMP NEW CONST. / DWELLING OC 5 OR ADDNS. `ACC, SLOGS. NEW CONSTR. (MULTI-OUTL T CONTRACTORS LICENSE LAW n�nni.R Esl `BRANCH CIRCUITS 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. Classification $3.00 5.00 2.50 25.00 1.00 2. C,o $ IVd FEE x000 Ex. OCCUDjOUTLETS OR FIXTI ]RES BAL 1� pQl Ex. Occup.(OUTLETS P(RESID )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee MECHANICAL WORKMEN'S COMPENSATION INSURANCE 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 permit is issued 1 shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. 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 icp 7 Date — k-' Signature ofpPermitee or Agent Z Receipt No. r White-D.P.W. - Y . Pink -Inspector - Goldenrod -Applicant Coo I i $3.00 FA Ventilation Hood 1 2.00 Permit Fee $ $ Land Development Fee $ TOTAL PERMIT FEE 4%,o5 $ This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated a for w ich fees h ve been paid. IIS OF P IC WORKS �n B at fj( Building permit expires Date I 0, o� PERMIT NO. 3422-.84MHI Existing 1 /) c �•-•� s i e PERMIT EXPIRES. 106 OWNER ED HAWTHORNE CONTR. KOXXR R Van Stavern MH Ser ASSESSOR PARCEL 65-172-11 LOCATION 6508 Tikker, Magalia t I ti t l w 0, o� PERMIT NO. 3422-.84MHI Existing 1 /) c �•-•� s i e PERMIT EXPIRES. 106 OWNER ED HAWTHORNE CONTR. KOXXR R Van Stavern MH Ser ASSESSOR PARCEL 65-172-11 LOCATION 6508 Tikker, Magalia t I ti t JOB FINALED (Date) } Signature �- � f 4 OFFICE COPY Address 7/t::�C_ i �r {� GAS �j Meter B v) Date/ / �J ELECTRIC Meter By Date Temp, Powe? Called PG&E s t+ Temp. Elec. Service i 1` Called PG&E • Temp. Gas Service Called PG&E JOB FINALED (Date) } Signature �- � J = OK 0 = Not OK — = Not Applicable = Not Ready MOBILEHOMES MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except p's 1. Zoning Requirements—Setbacks—Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except Lt's 1. Zoning Requirements—Setbacks—.Easements 2. Soils; Special MH Support—Sketch 2. Footings; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/0—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) 4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows—Doors 7. Utility Clearance 7. Elec. Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date POOLS (Plans) OK except q's Zoning Requirements—Setbacks—Easements 1. Setbacks—Easements ootings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability as; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining Electricity; MH Test—Crossovers—Breakers—Clearances 4. Elec.; Receptacles and Lighting; Distances—GFI rain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI "!2r; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed ater and Sewer Connected—C/0 to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater s and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit .9. Exits; Insp.—Sketch 40 --cert. of Occupancy 9. Health Department Approval 44 14LDate 10. Plumb; Cir. Test—Water Supply Test Card B -I Card -BI Date Card -BI Date Card -BI Date Card B -I q Date Card -BI Date Card -BI Date Card -BI Date &Yv ��P, 4 e0,v c=gknL3 I t� ir. q J = OK 0 = Not OK - = Not Applicable RESIDENTIAL (Single and Duplex) * = Not Ready Date UNDERFLOOR Plans OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. 4. Ftg., Garage; Soils -Steel- / /" Ftg. Depth Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 50. 51. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel -B lockouts -Wrapped -S lab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 54. 55. Glazing Area -Glass Protection -Skylights -Plastic 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 Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except q's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q'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. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. 64. Fireplace or -Stove; Clearances -Hearth 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. 73. Insulation -Foam -Looked in Attic ❑Yes Guard Rails & Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen &Conductor Size 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 74. 75. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes Following instld.: Drive ❑ Yes [D No; Walks El Yes []No; Planters ❑Yes ❑No 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral []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 N'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. 33. Vent Fan; Exhaust above Insulation Condensate Drain & Overflow; Size & Grade 86. Energy Compliance Certificate -Other Certificates 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. Hangers -Post Caps -Anchors -Connectors 43. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Ring. 44. Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. 47. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing (NOTE: An entry must be made each time you visit jobsite) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7-COUNTY' CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit numb er-`for the following location: 111.3 /r-4 A Owner 1= % ei"")%/(Or( A )i-:- Owner's i'Owner's Address x-102 71 �r"0 1-1f-} t-tA Mobilehome Mfg. 1 /07:, 3T Modell) Year r Insignia No ( ��— -�� �v Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Directorrof Public Works Date > /l /! �r By r THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville,•-Califor6ia 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. AS E OR PARCEL NUMBER . , ZONING BUILDING PERMIT OWNER 0.. TELEPHONE 9'.73-0-74 SQA FT. OCC, BUILDING VAL60.41ilftIN ER' MAILING ADDRESS 71 1< Mere, of R T.,OR'S NAME ice+ Re Q a 14. SE RVic.E TELEPHONE 0-71-076 F CONTRACTOR'S MAILING ADDRESS ('if -3a �RoLL Pq�2k91S� C -i4 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ &Q -0i BUILDING ADDRESS /Y 508 kKEfZ �� G e �j 'I PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome Other SPECIFY Building sewer 5.00 Mobile Home JSJGJWJ 10-00e TYPE OF WORK New F1 Addition RRemodel[-]Utilities❑ l/�/ InstallationOther❑ Describe work: K Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main Service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 21/20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): E9,11 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code nd my license is in full force and effect. License No. Classification C — (0I ❑ 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 ULTI.OUTLET NON•RESID BRANCH CIRC ITS. 2.50 ea NEW CONST R. ( POWER APPARATUS &1 NON .RESI D. SINGLE OUTLET CIR. 20@501 Ex. Occup(o XED TS OR FIXTURES SAL®30 FIXED APP LNS. OR EX. Occup. OUTLETS (RESID.) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. �l have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate P 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 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said Count in consequence of the granting of this permit. X ("""" Date Z Signature of Applicant — Owner ContractorTIR"*' Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 7 0,g) Occup. GROUP I TYPE OF CONST. J.PARCELJ PD ND S DE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE O OF PUBLIC By MIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date 0— - Z rsttories Receipt No. 9 l� WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT OWNER COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE,'CAL,IF0 NIA 95965 - TELEPHONE: 916/534-454111 / PERMIT APPLICATION DATA SHEET Permit No. / r A. P. No. �.,�5^ 172—)/ Proposed Building Use ' f� Permit Fee Based Upon: Complete Contract Price I =.-DPW Valuation Other (Explain) Building Inspector Date / a ^o -t q'" > At time of permit application, I "s advised the following data must be submitted prior to permit processing and/or I,SSuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate./triplicate. . . . . . . . . . . 3. Complete plans in duplicate./triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . _Letter of signature authoriz ti n. itat ion approval from Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . .. •Pre-Inspec. request to Pre -In tion for Req fired. Building Inspector ,l8 Other ey Date) When you issue the permit, process'aS follows: M o owner. Mail to contractor. l�Telephone 'i�?cZ-0.3 Co q and hold for pickup at (7 office. Deliver w/inspector. Other A p p I icant kl-A Date Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance. (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. OnS 10'7 p, AeZ 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by (/Telephone Mail Other By Date Plans checked by. Plans approved by Other Copy—DPW Date Date Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT 0��161 ectif 26-5.1 of the Butte County Code requfies.this acknowledgement OU F b be recorded prior to issuance of a building permit. R g of?q 9n The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this Lek ,i.." 0.1;4 property may be subject to inconveniences or discomfort arising from6.1�' the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limi to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate duo smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes, and residents within said zones and"'on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. A1l that real property/situate in the County of Butte, State of California, described as follows: se et C. J,-6- A I Date: / c1. ,-2 6' - f PROPERTY OWNERS: T State of CAL' �r�h i �) On this the a�y � day of _ � Y�be r , 19SY, before SS. me, the undersigned Notary Public, personally appeared County of�.,.•�,e, ) / /_, l j�/ 4� .! ��0 r h e LLy7'{ d�. Al MCS !/ ZA i1y /7 f L/ Personally known to me. 2111� Proved to me on the basis of satisfactory evidence. to be the person(s) whose hame(s) ^2.L subscribed to the within instrument and acknowledged that executed the same for the purposes therein containa. IN WITNESS WREREOF, I hereunto set my hand and official seal. Present A.P. No. ��o S - 7 - a -U �l -Q OFFiCiaL SEAL ` o ' DOLORES M LINDELL ° ti9 NOTARY pur - CALIFORNIA I eUfTE COUNTY My comm. expires SEP 19, 1987 Hl$nC'l`�!�7.st�F.�!�B.^�:'7fa44Xxt;;�t��?!t�'i'�,i,+JGYed�ues4?7a;'nh!rove.✓.,u�.:�i,<;JC��?�sr.�ti"�'l�iavvnne�.rr��mwcemaropy!s+�z�,aea+�,•xrnal.,a,�wc,:.. ORDER NO. 104641 6551-P All that certain real property situate in the County of Butte, State of California, described as follows: The North half of Lot 367, as shown on that certain map entitled, "FIR HAVEN SUBDIVISION", which map was recorded in the office of the Recorder of the County of Butte, State of California, May 19, 1955, in Book 21 of Maps, at pages 31, 32, 33, 34 and 35. EXCEPTING AND RESERVING THEREFROM, all of tho valuable minerals beneath tho surtice of the said lands, with the right tw vine and extract said minerals, it being agreed and understood that in all mining opere.tions the surface of said lands will be protected against damage, and that all such mining shall be carried on from 'tunnels, shafts or drifts having their orifices outside of the aurface area of the above described realty, alles excepted and reserved In, Deed from Magalia Mining Company, a corporation, to E. D. Stortsat ux, recorded September 4, 1947, in Book 423 of Butte County Offi;ial Records, at page 385. , ' N END OF DOCVA" Qn ,� .'ir. •�,.. �ksf'• "O�y��.'r..'t .4v'w4v •:);hit w"::Yii. �j��. .vJ''n "�1:'SA�E"•�.�i ,•r r y t�O: a1: ... RIGHT OF WAY .. ..� .. .. .. ... .. .. ... .. ... .. .. .. ...6 ,: i......i........................... g _�.i...� :1 . :..................._y...._. �............................. ..:�5S..... :......:.......1 ..............yt....... ............ `. .. ... .. ............... /� t. r rte`' l :1 I Vim+ sA : ......... . ... I . BUILDING DI°y ............:....................:......_ l _......:......:.................. _ ,', : r s : y,i .' PERMIT#08 - ... .... :.. .. .........3....:......:............:......:..........'..................;.�....;........... ASSESSOR'S r..1��.}.:....:.�.....:......`............... ..................:..........,.........E.............. - - - - -- ........... ... .. :M.4.' :1 + f \E"a.• dS .. ... .. f 1 . ........ Ga..,.,:... .. ... ... .. ... . .. .. .. .. .............. .. .. ... ............ ... Assessors Parcel Number: Owner Name Address / Phone No. Site Location Contact: Name ' 00ff — 00�— .Q0© Scale: 1" 11 �I .. .. .. Ulf - . F ..: - .. _... ........................... . . 11�� �E PLANNING DIVISION -:BUILDING PLAN APPROVAL �C ... ...... lJse _ I ate �� �=(� . :.......:.... �....:......:................ ................. T�9;:... Ing: r--- l3 ... .. ... ..:.. . �.. ....Outer...:... � . S L sl�at�r.... . .. ... .. .. ... .. ............ Z ....�.. ... ... ...:.... .. ..; .. . ": .............. .. ... ... .. ... .. ............ . :y ��.........._ Phone oqy �- ZI.,2003 FOR OFFICE USE ONLY Zoning: General Plan Desig: Size, Acres ,; FILE"COPY USES: SITEPLAN LANDINGS AT DOORS ALL COVERED DECKS AND 1E1�'.._:_€ ................................... ... _ .. ... ................................... i ....... ... OPEN DECKS EXCEEDING 36 .................. <... a' 1v©STP# �'4e ....................................... t ... ... 2007 C 5, SECTIONS AREA WILL L.;...... :'• f........... ......:...................,......,...... M .....,...... ......;.... ,......; ......:.................. .. .. ... .. .. ... .. ... �.... 1 1 O O B 1 1 009.4 & 1010.6 REQUIRE A BUILD NG PERMIT .. 15 :200 ... ... .. ... .. ... .. ... .. .. ... . ..... .. .. . . . . . . . . D . ��. y _ ... .. .. .. .. ... ...........: . . . . - s. 4 ... - ... -... .. !... .. .............. .. ---- - - -- - _.. :......:......:............:...................:.....................................<...... :....:.. ..:.. .. ... ... .. .............. -- ------ ------ -=,,. ALIFORNIA CODE OF ... .. . ... COMPLY WITH CDF/ CAL FIRE O N S TITLE REGULATIONS L TI ......:..... ;......_............:..... REQUIREMENTS PRIOR TO BUILDING ...... ........... . . i DIVISION FINAL. CONTACT CAL FIRE "' . REQUIREMENTS AS AMENDED ......:.........;.....;......;.....;.....iI ..:...: ... ...... CALIFORNIA ON — - - D!lJ7J�7F Y THE II IRIS DICTION APPLY t ; ^:.:............'......[............. ... .. .. ... .. ... iJl'/i rj:rs... p- F'3R 1 iJF�(M J� 4 TD THIS PROJECT ...:...................:....................:.............:.........................n.. '� a.... [[ n IN BG', :Jf'-... .r.._. ... ..... .. ... ..a.... y ......:......:......:.. . �c :......;......,.....,. a ; FRONT SETBACKS ARE .... :j i — _ q ...... ; .......:.....:......:......:......:......:......:... f ......: ................ t.. :.. ;.. ... ._ .. ... ... .. .. .. ... .. ... .. .. ... ... MEASURED FROM THE C i i [ a �.• :: �.. i-- i v_- �...................... ... ..i....... G�... -> — .. ..:. ..:. .. ... _ ... �• :...._ .... ... .. f yt . THE ULTIMATE EDGE OF L. y t�O: a1: ... RIGHT OF WAY .. ..� .. .. .. ... .. .. ... .. ... .. .. .. ...6 ,: i......i........................... g _�.i...� :1 . :..................._y...._. �............................. ..:�5S..... :......:.......1 ..............yt....... ............ `. .. ... .. ............... /� t. r rte`' l :1 I Vim+ sA : ......... . ... I . BUILDING DI°y ............:....................:......_ l _......:......:.................. _ ,', : r s : y,i .' PERMIT#08 - ... .... :.. .. .........3....:......:............:......:..........'..................;.�....;........... ASSESSOR'S r..1��.}.:....:.�.....:......`............... ..................:..........,.........E.............. - - - - -- ........... ... .. :M.4.' :1 + f \E"a.• dS .. ... .. f 1 . ........ Ga..,.,:... .. ... ... .. ... . .. .. .. .. .............. .. .. ... ............ ... Assessors Parcel Number: Owner Name Address / Phone No. Site Location Contact: Name ' 00ff — 00�— .Q0© Scale: 1" 11 �I .. .. .. Ulf - . F ..: - .. _... ........................... . . 11�� �E PLANNING DIVISION -:BUILDING PLAN APPROVAL �C ... ...... lJse _ I ate �� �=(� . :.......:.... �....:......:................ ................. T�9;:... Ing: r--- l3 ... .. ... ..:.. . �.. ....Outer...:... � . S L sl�at�r.... . .. ... .. .. ... .. ............ Z ....�.. ... ... ...:.... .. ..; .. . ": .............. .. ... ... .. ... .. ............ . :y ��.........._ Phone oqy �- ZI.,2003 FOR OFFICE USE ONLY Zoning: General Plan Desig: Size, Acres ,; FILE"COPY USES: ......................I ..............:. :. ...........__ ::s. . : ............. � - : �'. -- - -�'_ �_ -_ � �U T TF. Assessor's Parcel Number: 0 — ©70 � - Ed a a Scale: 1" _ �,o Owner Name S L"''yg- Address / Phone No. U)5 r Site Location 7)acu Contact: Name 9-61 E Phone 1 (Ogg odobar r., axis Zoning: General Plan Desig: Size, Acres 4.00" PROVIDE FOR ALL ADJACENT PARCELS SIZE (AC): ZONING: GEN PLAN: USES: �1 BJ1, eVr e ' cot ' � 4 }a(r � i 0 N ° NN � '.I�: (1 '� ,;:r,. ,. •�',�`.j' :�.'\``�\'dr'�\ '`.l'� .I `d .. IS xe I'm + i :;��:8� -t ';` >,. ti B.^„gT H N � •, d;r;`- r�:;"' :,,;.. �.,.y: � o\ �+i'�\�.\?\�`' ,�' _ .{'�,� '.� i. - �S '�t�,' '1 a •I 9 ,R. � '�., I .Y •.l (�.) �. �"Nit,<}kl;P1!.t Slil i t�M :iil J ���lt, �liu °L1.'LIII• • ��I�� — 'I ;«•, -`.� �N; s ager a�'•'j'n':,id,�, _ - •� ,(. .i �� � �� � ��'^ .g � � •' it II I��. I ,.,�II I'ti'.i:q;'ji • 3• ,r��. 'r_ '� '' I '-�' � n �. • r1� j' �° .WJ .$ I:I f::I il'Ij I:I it : ,Ip.' : I I i i ; f',, R , •� � . �... Ip, � ..LSI I il�t,�i • `� ' I _ , is `�-!.' 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