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HomeMy WebLinkAbout065-173-01865-173-113 Robert F. Lindstaedt 130 Tikker Lane,'lot 373, Magalia Permit 411 1-78P,E(ut' .,MH) ELEC. GAS SUPkIRT STRUCTURE HQ. /LIiO 1 COMPACTION TEST REQ. �h0 � �ae-65 -173-1 cGe 4arrelf Chico Permit 41644-78MHI Issued 1 B07-0533 r .,065-1737018 RESIDENTIAL ,; SFD-Mobile Home RET. RETRO FIT MH PERM FND; 6566 TIKKER,LN' FI JA 3IZq VARVEL, RICKIE T & LA RRIE 1 � u I 1 n O 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) 538-7785 Facsimile www.buftecounty.net/dds April 2, 2007 lblzz BUTTE COUNTY MAY 16 2007 (DEVELOPMENT SERVICES ADMINISTRATION * BUILDING * PLANNING Rickie and Larrie K. Varvel 6566 Tikker Ln. Magalia Ca 95954 RE: Building Code Violation Location: 6566 Tikker Ln. Magalia CA 95954 AP#: 065-173-018 Dear Rickie and Larrie K. Varvel: This is a courtesy notice to notify you that you are in violation of the Butte County Code, at the above -referenced location, as follows: Failure to obtain the required permits, inspections and approvals from this office for the construction of an addition to a single family dwelling. Since permits and inspections are required for the. above work, please submit three (3) complete sets of plans, apply for the required permits, and pay the appropriate fees. All work must stop until these permits are issued and you are authorized by our field inspector to proceed. The field authorization cannot be made until the existing wprk is inspected and approved. It is the County's goal to obtain voluntary compliance with the Butte County Code. However, you should be advised that Butte County has an active Code Enforcement Program which provides an effective means of enforcement if voluntary compliance is not obtained. Enforcement may be pursued through the issuance of citations, fines and the recording of a Notice of Violation including a description of the action necessary to abate the violation. You have thirty (30) days to voluntarily comply with the above directions or to present an acceptable: plan for abatement or corrective actions to be taken by you. Should you have any questions concerning this matter, please contact Bill Barron at 538-7541 or visit our office located at 7 County Center Drive, Orovi Ile. Our hours of operation are from 8:00a.m. to 4:00p.m. Sincerely, 'Bill Barron Supervisor, Building Inspections BB.: mjs Cc: Assessor `7 "513-0 030 MCI C1avrn S fe`nai ?n M- Ulo�a«� l lc vc. �G .ib /i Sp. +lto, /Y1 30 'HCl �/.S� Arn✓r�rg S �N �Ofca'r�idd� BUTTE COUNTY AREA DEPARTMENT OF DEVELOPMENT SERVICES 3 INSPECTION CARD MUST BE ON JOB SITE 24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico) Office: (530) 538-7541 Fax: (530) 538-2140 Website: www.buttecounty.net/dds Permit No: B07-0533 Issued: 03/20/2007 Address: 6566 TICKER LN Area: MAGALIA Owner: VARVEL, RICKIE T & LjAPN: 065-173-018 Applicant: RON'S MOBILE HOME Map Page: Permit Type: SFD-Mobile Home RET Description: RETRO FIT MH PERM FND Flood Zone: None SRA Area: Yes SETBACKS Front Setback: Side Setback: Rear Setback: Other Setback: Minimum Setback From Centerline of Street: ALL PLAN REVISIONS MUST BE`APPROVED BY THE COUNTY BEFORE PROCEEDING Inspection Type IVR INSP DATE Setbacks 132 Foundations / Footings 111 Pier/Column Footings 122 Grade Beams 114 Eufer Ground 216 Forms/Steel/Holdowns 122 Do Not Pour Concrete Until Above are Signed Pre -Slab 124 Gas Test House 404 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/13 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 Building Final 802 Electrical Final 803 Mechanical Final 809 Plumbing Final 813 Pool Final 802 Mobile Home Final 802 i Finals Ins ection Type 1 IVR I INSP I 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 1 507 Manufactured Homes Setbacks 132 Blocking/Underpining 612 Tiedown/Foundation System 611 Site Utilities/Trench Insp. 137 Gas Test Yard 404 Manometer Test 605 Continuity Test 602 Skirting/Steps/Landings 610 Coach Info Manufactures Name: Date of Manufacture: Model Name/Number: Serial Numbers: 5r Length x Width: Insignia: Publis Works Fina 538-7681 Fire Department/CDF 538-7111 Env. Health Final 538-7281 Sewer District Final **PROJECT FINAL 1 801 4 - rruieci rmai is a i-crnucate o► occupancy for (Kesiaennai umy) PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE. IF WORK HAS COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION Inspector Copy RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 DOPY of Document Recorded 3 -Apr -2007 2007-0016204 Has not been compared vith original BUTTE COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. VARVEL, RICKIE T & LA RRIE BUTTE COUNTY BUILDING DIVISION REAL PROPERTY OWNER/LESSOR LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 6566 TIKKER LN 7 COUNTY CENTER DRIVE MAILING ADDRESS MAILING ADDRESS MAGALIA BUTTE CA 95954 OROVILLE BUTTE CA 95965 CITY COUNTY.._.. STATE. ._.ZIP ,. .. .....CITY. _... COUNTY...... _ STATE. ZIP . 6566 TIKKER LN B07-0533 (530) 538-7541 INSTALLATION MAILING ADDRESS, IF DIFFERENT BUILDING PERMIT NO. r TELEPHONE NUMBER MAGALIA BUTTE CA 95954' - ..d 0 0-7 CITY COUNTY STATE ZIP SIGNATURE 0 QJLOCAL AGENCY OFFICIAL DATE SAME NONE UNIT OWNER (if also property owner, write "SAME" DEALER NAME (if not a dealer, write "NONE") SAME NONE MAILING ADDRESS DEALER LICENSE NO. SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION SKYLINE 1978 HILLCREST MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER 02750725A/BL SERIAL NUMBER(S) 50'X24' LENGTH X WIDTH REAL. PROPERTY LEGAL DESCRIPTION: SEE ATTACHED ASSESSOR'S PARCEL, NUMBER: 065-173-018 CAL100954/5 INSIGNIA/LABEL NUMBER(S) HCD FORM 433(A) REV 8/91 WHITE— County Recorder CANARY — HCD PINK—Applicant GOLDENROD— Building Dept. 02/13/2007 14:22 FAX 530 877 0124 CAROLYNS 0 S 006 OWN i r ORDER NOi, 3-62370SML I_t[UAL DFSCRIPTION J1.7. '1tAT i'I:R7Af11 RI:At. l'RCP1TRTY ::ITUATh IN THE UNINCORPORATED AREA �'� 71•p rrKrMTT rP IiVrh:, FTATR OF CALIFORNIA, BEING MORE rAaT1�'::I.�nLT DlLril"A;l1:U AS h'Ol.1.OWS: IWO; NwT11 II,AiJ' or l.rtr 313, AS SHOWN ON -NAT CERTAIN MAP ENTITLED F1ltRFr", 1, { A14D S OF FIR HAVEN SUBDIVISION", 11t T'I111 ��1'1'!C uF TILE' COUNTY RECORDER OF BUTTE COUNTY, (�A{ 1IA, lV4 ►tAT !:, 37!•1, IN 110010 25 OF MAPS, PAGE(S) 42, 93 AND TOW!'I!!:•n MITA A RICHT OF WAY FOR HUAL pt;,;;+n� AVER THE SOUTH 15 1 tt'7 t'Y l�,T': �:,0 AND 353 , AND OVER THE NORTH 15 PEST OF LOT 372. c•z,�tsr.lnl.; 'CNI:RHMCIM AND R1b5F,RvING T1IFREFROM ALI. OF TME VALUABLE nl1er11uel !IlI.N"T11 7118 5URFACH OF THE SAID LUNGS, WITH RIGHT TO MINE AtdlVkrftAOT RAlb MINERALS IT BEINC AGREED AND UND>rRSTOOD THAT IN 414, HINJIM OPERATIONS THE SURFACE OF SAID LANDS WILL BE PROTECTED AGh1NST 11hKAUR, AND THAT ALL SUC14 MINING SHALL, BE CARRIED ON FROM t1'r.1dEL±, :HANTS OR DRIFTS, HIVING THEIR ORIFICES OUTSIDE OF THE a�'aYA�`tT ARIA OF Illi.`' ADOVE DESCRIBED REALTX, ALL AS EXCEPTED AND �g;Ql;l'rn 1N THE DEED FROM MAGALIA MINING COMPANY, A CORPORATION, TO tiT UX, RECORDED ,SEPTEMBER 91 1957, IN HOOK 923, PAGE fIa", v.#Vvjr.lAI..RECOkn3 .OF BUTTE COUNTY. Al`o o6g-173-018 END OF LEGAL MAR. -01' 01 (WED) 09:47 FIDELITY NTL. TITLE TEL:530 343 4410 P.002 Order No. 403099 - A EXHIBIT The North half of Lot 373, as shown on that certain Map entitled, "Fir Haven Subdivision", filed in the Office of the County Recorder of Butte County, California, on May 12, 1961, in Book 25, of Maps, at Pagels) 42, 43 and 44. TOGETHER WITH a right of way for road purposes over the South 15 feet of Lots 350 and 351, and over the North 15 feet of Lot 372. EXCEPTING AND RESERVING THEREFROM all of the valuable minerals beneath the surface of the said lands, with the right to mine and extract said minerals, it being agreed and understood that in all mining operations 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 surface area of the above described realty, all as excepted and reserved in the deed from Magalia Mining Company, a corporation to E. D. Storts, et ux, recorded September 4, 1947, in Book 423, Page 385, of Official Records. Assessor's Parcel No: 065-173-018 � FOUNDATION SYSTEM 5 CERTIFICATE OF OCCUPANCY BUILDING PERMIT NUMBER: B07-0533 Address or location of unit: 6566 TIKKER LN MAGALIA CA Legal Description of Real Property: 065-173-018 SEE ATTACHED (x) Mobilehome/Manufactured Home () Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: VARVEL, RICKIE T & LA RRIE Owner's address:6566 TIKKER LN MAGALIA CA 95954 INSIGNIA OR HUD NUMBER:CAL100954/5 SERIAL NUMBER OR V.I.N.: 02750725A/BL MANUFACTURER'S NAME: SKYLINE YEAR: 1978 OFFICIAL APPROVING INSTALLATION: DATE: 3 129 /0-7 PHONE: (530) 538-7541 H.C.D. 513 STATE OF CALIFORNIA - BUSINESS, TRANSPORTATION AND HOUSING AGENCY ARNOLD SCHWARZENEGGER, Gover DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT O�StNG q� Division of Codes and Standards •'r .� �• all w 3 0 Title Search Gti��. Date Printed : 02/20/2007 DE Decal #: LAV5734 Manufacturer: SKYLINE Tradename: HILLCREST Model: Manufactured Date: 00/00/1978 Registration Exp: First Sold On: 05/12/1978 Serial Number 02750725AL 02750725BL Record Conditions: Registered Owner: HUD Label / Insigni CAL 100955 CAL 100954 Voluntary Conversion to LPT Use Code: SFD Original Price Code: ADL Rating Year: 1978 Tax Type: LPT Last ILT Amount: Date ILT Fee Paid: ILT Exemption: NONE Length Width 50' 12' 50' 12' RICKIE T VARVEL LA RRIE K VARVEL (Joint Tenants with Right of Survivorship) 6566 TIKKER LN MAGALIA, CA 95954 Last Title Date: 04/21/2005 Last Reg Card: 04/21/2005 Sale/Transfer Info: Price $23,950.00 Transferred on 11/10/1997 Situs Address: Legal Owner: 6566 TIKKER LN MAGALIA, CA 95954-9322 Situs County: BUTTE CIT GROUP/CONSUMER FINANCE 11440 W BERNARDO CT STE 356 SAN DIEGO, CA 92127 Last Title Date: 04/21/2005 Lien Perfected On: 04/20/2005 14:37:17 Inactive Decal/DMV: DECAL AAU3264, DMV SJ8482, DMV SJ8481, DMV SR4620 * * * END OF TITLE SEARCH ..0 to I muL I 1 sb�9�tibtil RECORDING REQUESTED BY: AND WHEN RECORDED MAiL To, NAME 1 G I C.lo Y tMeET I l ADORESS nd zj TE aedLN1Ct P TO: 3651051 P. 1/3 NOTICE OF MANUFACTURED NOME (M081LLsiiOMl) OR COMMUCIAL COACH. - INSTAUATION ON A FOUNDATION SYSTEM Reoorduig of tlfis dodre>�nt at ba request of *0 tonal 01110-4 ildiooeed h in a mdonce wim Sattion 18SS1. Ibis doa� b a„idap dsas suds tocol Catifomis tlswllb and Safitr Gods dmaibad banan u *0 real ° O°�'RO°h of Pte► fa isaetoltoefaw of ttto unit shaft be eW=W da P�p�!► dnaribad wily a, d* below, as aF ttt<, dare of saaosdsq- Wbas , ft doomw ib tomo," to an oa"10d oar of da Ndprotu�► and" ba to Onaop no"mvs to�) n +�itti +Moat pmpe"y. b AL cmv f2 RAR a ear asagte R ;—h sir....,• •+r. Zsume� cm qp R i�1R • a %CCAL —.cr astw.a .aswr ..s of etaurAnc�r w►Ka.o A00�!!L3 cmr Gotsrsn gAM zw saaos+o Rosas ma trsan rawsse AQB+C OMCF&LDAVE ULM& or" lD — 4 iw - Nh..� O"m ucom as ff-2- 1 amV UNM xtx fa • WM FTM 44 MI 242 r.►� 4 y BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 6566 TIKKER LN Owner: Permit NO: B07-0533 APN: 065-173-018 VARVEL, RICKIE T & LA RRIE Issued Date: 03/20/2007 By GLB Permit type: RESIDENTIAL 6566 TICKER LN Subtype: SFD-Mobile Home RET MAGALIA, CA 95954 Expiration Date: 03/19/2008 Description: RETRO FIT MH PERM FND Occupancy: Zoning: RT1A' Contractor Applicant: Square Footage: RON'S MOBILE HOME SERVICES RON'S MOBILE HOME SERV Building Garage Remdl/Addn 19690 HIRSCH COURT UNIT #1 19690 HIRSCH COURT UNIT 1 ANDERSON, CA 96007 ANDERSON, CA 96007 Other Porch/Patio Total (530) 365-6118 (530) 365-6118 FEE INFORMATION DBF MH Plan Check $219.96 DBMSC Mobile Home $329.94 Total Charged: $549.90 Fees Paid: $549.90 Balance Due: $0.00 Receipt No: B2231 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 RON'S MOBILE HOME SERVIC 2127 / C47 / 01/31/2009 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER P N LTY O E RY that I am licensed under provisions of Chapter 9 (commencing with Sectio 0 isi 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) s in full force d e 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 03/20/2007 the applicant to a civil penalty of not more than five hundred dollars [$500); Please check one of the following: Contractor s Ure Date ❑ I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: HAVE AND WILL the work himself or herself or through his or her own employees, provided that such improvements ❑I MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the are not intended or offered for sale. If, however, the building or improvement is sold within one 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 Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Carrier. State Fund policy Number: 1786708 Exp. Date:06/0112007 Contractors License Law.). (This section need not be completed a the permit is or once unfired dollars ($100) or less. ❑ 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, aagAgree that if I should become subject to the workers' X 03/20/2007 compensation provisions of n 3700 of t or Code, I shall forthwith comply with those Owner's Signature Date provisions. X 03/20/2007 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 Slate 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, indemnify, and hold harmless Butte Coun ty, its officers, agents and a yees from a and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS $100,000 , IN ADDITION TO THE COST OF COMPENSATION, ( ) injury, including death, and prop am a cause arising out of, or in any way connected with the issuance of this permit. ereb ovule at issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND subsidewalk. I hereby authorize representatives of Butte use or oc�bvementio ATTORNEY'S FEES. County torty for inspection purposes. I hereby certify that I am the property ohe property owners behalf. 03/20/2007 CONSTRUCTION LENDING AGENCY 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Na Of Ftbrimiffee [SIGN) Print Date the performance of the work for which this permit is issued. (3097 civ. code) ElOwner contractor OR; Agent for Owner ❑Agent for Contractor FILE COPY Lenders Address City State zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION "PLEASE PRINT CLEARLY* CONTRACTOR OWNER A s Last Nam V, / � rst 1 Ci �,n St uCl't t Address D� Cit E Lic. # Cla Page S zip ✓. Phone o� Fax E-mail E-mail CONTRACTOR Name W CHITECT/ENGINEER ) p Addre 1 W ('5l� 6lr L �1I Ul Ci �,n St uCl't t zipq D� Fax Phone lJl S � E Lic. # Cla APPLICANT NAME A CHITECT/ENGINEER Nam 2- b Staf'e Address o U p J l City14' Subdivision Name Map Book Page S Zi5b Date Approved: _ O Fax D 4 .3 j _ 0q0 E-mail State License Number APPLICANT NAME Name AD t IDV Addres10 ✓ I 1 1 r� 1 Staf'e Zip 1,CUU holr%�,ln!„1 s_ ✓l� l Fax U E-mail f o e bb . POI APPLI-SIGNA- RE X For office use only: Zoning Cross Street Flood Zone SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS FBI PERMIT NO. BIN # AP#. Proper ry . o� _h ___`LOCATION r 1 ` li � � ► ` ity � �' Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name -Mdfess J K:TORMSMILDING F0RMS1BldgApplSubRgmts.doc Page 1 of 2 L:XP1KATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be 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. Receiv b Amount: SRA Receipt #: Sheriff SMIP Date: Other r otal REV 6-16-04 SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit: INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPH PAPER! OR 3 Sets Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to mobile or modular homes.) ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 8. Sanitation and site plan approval from the Environmental Health Department. ❑ 9. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. . 4 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3.. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION KAFORMSSUILDING F0RMS1BIdgApp1SubRgmts.doc Page 2 of 2 REV 6-16-04 This unit is e: ., wi.r �. . JJY.iL'7JO170j I U 3bblw51 STATE OF CALInFoRNIA BUSS TRANSPORTATION AND HOUSING AGENCY DEPARTMENT OF HOUSING AND COMMUNITY DEMOPMENT DIVISION OF CODES AND STANDARDS RE STRAmON AND TrnMC,, PROGRAM bTATEmeN'T OF FACTS P.3/3 R Mobstehome 0 aD W C,,ch ® moating nwn� 0 Truck Campo Deca1(License) Nc.($) f A --v r, �J Traft Name serial No.(s) � rL,)r I fn I I C1[ST � 62755725Yk yw>the am.;w4 mmr wm Dfca.IS WtrE los+ I/We further agree W k*m* and save harmless the Dircctor of Of C�lifM* and subsequent p�,tcba m of said uni 'NHominiry ng and CbmmuDevelopment, State the "a-yc. W'. �d unit in t' enY loss t� may sutr resuldng from registration of Ca>ifornia, ar tiom issuance of a California Certificate of tide convexing the same. I/We camly I _ P"'Of es that Nie foregoing is and /1 w A ! going i8 title and OdrreCt. ted I a-- M/ is (State) 02/13/2007 14:21 FAX 530 87.7 0124 CAROLYNS,O S 2003 i C-Y��y D tri op �--�-. % '�., �, l _ � -r- , ! � .�.. ._. .i _. - --• RoN'S sER� �o���F i�F HO�,y 1 690 ,irA V D S,/P C Y T UP X530) 3 "rl5 rsOn. , 9 Unit 6118 Fak 3s5 - ��A v / A Uti��S Ail r � r� (s Ll -73—Ll Ll a BUTTE COUNTY BUILDING DIVISION APPROVED Q- SERV9CE AN®Unit #1 19g90 Hirsch CA 9'6007 Anderson, (530)365-611B Fax 365-1051 a„ W 6 s 6 C'S�s 66 S 7S Y 7 UILDING I-ql,ON APPRO sION X12 Foundation System Installation Instructions for California for Ground & Concrete Systems HUD Wind Zone i, 15 PSF Wind Load Seismic 4 By Tie Down EngineeringBUTTE COU TY r 13UILDING DIVISIM4 sOVED W Concrete System Engineer Approval lr/u�rinflaJ�fbY� Bora FOUNDATION SYSTEM RM1W MD &AFM CODE, S8CTM 1rii1 APPROVED SUR=r TO coKR Cnor!)w4w A"ROYAL Dow NOT AUTHORIZE OR APPROVE ANY "OSSIONS OR DEVIATION FROM REQUIREMENTS OF APPIJC"LB STATE LAWS AND UWLAT/oNS W.r Id Wirwnis iswnwnt Of HuRaiog god Comawiq Dwpolopmew R�1k�I,i�JL�.�(08 CODES AND SIANAAIID>t sPAWa� ----L2- ) �- w (75 -C-UtS[M Installation of Xi2 Ground Systems 1. Identify the number of systems to be used on the home using the chart provided. 2. Identify the location where the systems will be installed. 3. Clear all organic matter and debris from the pad site. 4. Place U -bolts through holes in pan provided. 5. Place pad centered under beam with the lateral strut bracket towards the inside of the home. 6. Press or drive pan into ground until level and flush with prepared surface. 7. Build pier according to State, Local or Home Manufacturers guidelines. (Figure 1) 8. Attach the end. Qf the smaller tube to the inside of pan using U -bolt & nuts provided 9. Attach the flag end of the larger tube to the opposite I-beam using the "J" bolt over the top of the.1-beam with the nut & washer provided. (Figure 2) 10. Install a minimum of four (#12 x 1" tek screws) self -tapping screws into the holes provided in the lateral strut so that the two tubes are connected together. (Figure 1) e r-nd 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. TIE DOWN ENGINEERING 4Z' 1l/►)05 J -Bolt Nut & Washer 1-3/4" Tube Lateral Struts Strut (flag end) 1-112" Tube 4 - #12 x 1" Tek Screws 1 -Beam 1 Figure 2 U -Bolt mounting :.. r.:::......::•, ........:.. Figure 1 Bracket e r-nd 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. TIE DOWN ENGINEERING 4Z' 1l/►)05 Xi2 Ground Parts Detail Xi2 Ground Lateral System Part Number 59306 Includes: 5' Strut, pad & hardware kit (#59329-1 includes all nuts and bolts). Longitudinal Hardware Kit Part Number .5933,1 . , Includes: 2 I-beam brackets & 2 U -bolts with all nuts and bolts. Lateral and Longitudinal Combination Part Number 59333 Includes: 5' Strut, Pad, Longitudinal Strut (#59329), Lateral and Longitudinal Hardware Kit with all nuts and bolts. Struts for Longitudinal Systems Part Strut Pier Height No.. Length Up To: 59330-44 44" 4 Blocks or 32" 59330-65 65" 6 Blocks or 48° 0 Ground Longitudinal Hardware Kit Longitudinal Strut & Hardware Kit ) Ground Longitudinal Strut Xi2 Stabilization Pier Placement for Ground or Concrete Single Section Home 0 -80' (76' Box) 4 Xi2 Systems Xi2 Pier Placement 1 1 1 1 1 1 1 1 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. �M° 0 Ground Longitudinal Hardware Kit Longitudinal Strut & Hardware Kit ) Ground Longitudinal Strut Xi2 Stabilization Pier Placement for Ground or Concrete Single Section Home 0 -80' (76' Box) 4 Xi2 Systems Xi2 Pier Placement 1 1 1 1 1 1 1 1 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 Page 4 of 8 TIE DOWN° ENGINEERING —> 4* * �rz liq_z /1'llaS— i f Triple Section Home 0 -62' 4 Xi2 Systems 63' - 80' 5 Xi2 Systems Page 4 of 8 TIE DOWN° ENGINEERING —> 4* * �rz liq_z /1'llaS— 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. Nut & Washer Figure 1 Beam Clamp Bracket J -Bolt Xi2 Installation Placement Longitudinal Strut I 00 00�� Concrete Longitudinal Hardware Kit Page 6 of 8 CT/E: DOWN ENGINEERING 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 I 1 1 I I I i 1 1 I I I 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 7 of 8 TIE DOWN. fNGINffRINGMit Hardware Breakdown #59329-1 Hardware for 59306 Lateral System 1 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 thread 4 59272-2 1-3/4 zinc 4 10556 Tek -Screw #1120" 1" 1 10631Z J Bolt 1/2 x 5-1/2 grade 5 zinc 2 10640 Push Nut 1/2 1 12107 Flat Washer 1x2" SS 1 10646Y Hex Nut 1/2-13 grade 5 zinc 2 10519 Hex Nut 1/2" w/ Serr flange #59331 Longitudinal Hardware for 59306 2 59272-1 Beam Clamp Base 4 59272-2 Beam Clamp Top Flange 8 10926 Carriage Bolt 1/2-12 x 1-1/4 2 59272-2. Full Thread ,10 10646Y Hex Nut 1/2-13 grade 5 zinc 2 10801 Carriage Bolt 1/2-12 x 2-1/2 5 10646Y Grade 5 2 84533Z . U -Bolt 1/2-13 x 2.63 x 2.19 thread 2 10801 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 4 10801 full thread 5 10646Y Hex Nut 1/2-13 Grade 5 zinc 1 10801 Carriage Bolt 1/2-12 x 2-1/2 2 10801 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 4 10801 Grade 5 zinc #59027 Hardware Kit for 59307 Lateral System 2 59264 3 Way Concrete Bracket 4 10530 Wedge Anchor 3/8 x 3.50 1 59315-1 Hardware Kit #59263 Longitudinal Hardware for 59307 2 59272-1 Beam Clamp Base 4 59272-2 Beam Clamp Top Flange 8 10926 Carriage Bolt 1/2-13 x 1-1/4 1 59315-1 Full Thread zinc 12 10646Y Hex Nut 1/2-13 Grade 5 zinc 4 10801 Carriage Bolt 1/2-13 x 2-1/2 4 10926 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 .7 N q O I I O O C DN� X2/13/2007 14:21 FAX 530 877 0124 F IItQW01000 Ri t]UQ1T[D 4r: i i II,Mllry ~,,mast, '" Whom "Stomal Ma ' ` �`�►'any to 9 %—` 0 "no T.a star tcum.M en�r+r To. C►4C 140 a l o� i • T V.r v.1 Iw prig r. v i t I Rhc:orded Ret Fee DOC i g• Ot, •� �• I .i.e r,kA.r t..n. OffICiB1 RQCerde 1 t THF �i- 00 2.00 ►49e11• CA rSs�e Co Butte tof ( Check g1. 70 raw**No.Candace; 170-19141, T►tMOtdr /jp• ,), I I Recorder 3eI170 0NL A1,14A1,14 1 004P m; I J,O-Nov�97 i AS. 17r•o1r I Jr* PGBL ' Tth' `a'd�tOned GRANT 0L ar �n+eroA p OraMer(s) d rsownanrary ►►.Hata 1rA :a I x+t 1 unmpysq on fup to City taxnuted onveuo of rgvny onve U^kw,orpnretehalvalue less valuofd Area eRane or ehCUrnbanCity or CSp s iemalhl n e at time r,r1`014A VALUABLE CON91DF14ATIM1.LIAh M• [iQaoeipt 01 which Ie hereby acnowlRVl-yfS,O.le Truotee of THE edged, p�L9I9ti 1?AMILY TktlbT DATap 6/12/91 h byQRANT(9Ho RICAIR T. VARVEL and I.t. RRIE x V husband and wife as 10I17I 1'I'NANTS th i a ellowinp described reel ro wanly of P Party In toe. L oDueLe State Af thO unincorYoret. IR@ LdtAESCAIpT;ON CaNtornla; -d area of Ftq ATTAcg>;p ofHERETp 44lin 7�Dr1) MADE A PART IMPItEOF DATED; Npvon+b°r OG, l99> STATE OF CALIFORNIA COUNTY OF - - before me, W ^ellW. yappeared Peraonally k � to ma (or ProveO to aatlatectory avlEdncel 1`o be the -0 on the bests of whose nam,6q ac►maWledaetllalAft cto� t0 the WM��I,strurnm,t alld In his/jw/� that d capacitypacity executed the sere or ItH, hla,(�/lbak sfgrtstureQ9 rh instrument n person bV executed nt I ►fin 040 It of Which the pe ((gy�pp +tstrument person acteid. ! I i r' t✓ - I wi1]iam tt. Develbire., Truiptee i WITNESS my d and ofnciaist„ 3lgnatur*-Maweiroi lam" 1`o Yt3 ft6v 31w1 MAIL TAX STATEMeM aM a,r,r Mtpy� �Yrr q'FO i i +1 . [a 005 13/2007 14:22 FAX 530 877 0124 CAROLYNS 0 S I 0 006 i I I ' I r i i i r ' I r ORDER NO�. 3.62370SML I-F�YAI. DESCRIPTION CTP7AIH '1'1,1. 1'AC'!'RRTY NIT'UATH IN TIIE UNINCORPORATED AREA f •P "'Hp t`Cnp"—. ttt• HUT -F. STATE OV CALIFORNIA, ;BEING rAx±Ir;;I,AhLY VLr*EA;1bGb AS F01.I.3NS; MORE NO NosTH IIAI.r Or I1rT 313 AS SHOWN ON THAT CERTAIN MAP ENTITLED cr :H1il:r3 3. 4 AND ; OF FIR HAVEN ^SUBDIVISION", �i 1 QLO Its 7tt11 "I'"' It OF THE COUNTY RECORDER OF BUTTE 111 ax1A, for KAY !: 19(,j.l, IN HCOUNTY,, 25 OF MAPS, PAGEPAGE(S)42, 43 4ND M I TYI A R I CI IT Op WAY POR WALP O Pr'� 3SI , AND OVER THE NORTII ,IJ --,F ER SOUTH 15 lrk;'f OF LOT 372. � r•if'tll°:IM'; tIl1:RRFittIM AND RIXF.RVING T1IEREFROM ALI, OF THE VALUABLE N1ltYRALI dGNI ATFL T11C 5URFACE OF THE SAID LANDS, WITH RIGHT TO MINE Arol' ekTIt.At T RAFD MINERALS IT BEING AGREED AND UNDERSTOOD THAT IN i 11id. NINJIM OPHRATIONS THE SURFACC OF SAID LANDS WILL BE PROTECTED r AGhINIIT I.IAMAUR. AND TEAT ALL SUCH MINING SHALL, BE CARRIED t1I.NLI.�, r1lAFtTS OR DRIFTS. HAVING THEIR ORIFICES OUT$ DEOOFFTHE !,!,KFAi`R ARItA OF THE ABOVE DESCRIBED REALTY, ALL AS EXCEPTED AND IN T11E DEED FROM MAGALIA MINING COMPANY, A CORPORATION, TO tiT UX, RECOROED SEPTEMBER 4, 1957, IN BOOK 423, PAGE tn�:, t,rMlrlAt. RKCO" OF SU'rTE COUNTY. i APN 065.173-018 ' i • I i i END OF LEGAL NOTICE TO ASSESSOR HCD 433(8) 4/86 THIS FORM MUST BE COMPLETED BY THE OWNER OF A MANUFACTURED HOME MOBILEHOME OR COMMERCIAL COACH AND FORWARDED TO THE COUNTY ASSESSOR UPON COMPLETION OF THE INSTALLATION OF THE UNIT ON A FOUNDA- TION SYSTEM PURSUANT TO SECTION 18551 HEALTH AND SAFETY -CODE. ORIGINAL PURCHASE PRICE FOR: 1. The Basic Unit $ 2. Optional Equipment d Upgrades 3. Subtotal 4. Accessories 8 Accessory Structures 5. Other (Specify) 6. Delivery 8 Installation 7. TOTAL SALES PRICE S DOES THE BASIC PRICE INCLUDE: The Towbar(s) ❑ YES --Eft Tires b Wheels ❑ YES - Q-IgO 's/heelhubs d Axles ❑ YES 9'FIO UST NUMBER OF ROOMS: Bedrooms Dining Room Baths Family Room Kitchen Utility Room living Room Other Rooms The sales price as shown does not include any amount for any in-place location. Type of Exterior Wall Covering: MV o0 , etc.) Type of Roof Covering (Metal, Wood, Composition, etc.) Hecting Type: Forced Air ;9N oar or Wall Air Conditioning: ❑ S Tons Evaporative Cooler: YES Built-in Cooktop: ❑ ES Built-in Oven: YES ❑ O Built-in Dishwasher: JOYW*� OBuilt-in Wet Bar: S NORefrigerator: S rNO,"' Roof Overhang (Eaves): ❑ YES inches Furniture Included: ❑ YESValue S .(LENGTH X WIDTH) Carport: ❑ YES X Awning:❑ S NO X . Porch: YES ❑ X I (n T Garage: VES N� X Storage Shed: L- NNO X Skirting: ❑ NO LINEAL d FEET �aon1 � � � � l The Assessor's Parcel Number of the installation site is S ill ' (Signature) C Addr ss a 1�C 86 41568 Telephone 1 PERMIT NO..151-78P,E PERMIT EXPIRES W V7 OWNER Robert FA F. Lindstaedt CONTR. owner LOCATION (A.P. 65-173-19 130 Tikker Ln., lot 373, Magalia Temp. Power Pole Called PG&E Temp. Elec. Serv. 7' Called PG&E , f-)—rc-- Temp. Gas Serv. ailed PG&E FONAB L ED (Date) (Signature) i- COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) Se ack F ewall S I Piping Forlh Par ets 1 t Floor Mai Bldg. Rest om Finish 2ncKF1ooi PLUMBIN Fo ins WindoA 3rd oor Stemall Siding To out Slab Roof Shea)bino Water PI i Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwall Garage Vents Insulation Water Htr. Heaters Slab Carport p Footings Prov. for physicalAppliances handicapped Conformance of ex. structure V Gas Pip no & Test Tem . Gas Slab Final Sanitation Patio REP ACE Final L Reinf. Steel / \ I Final / \ I Fixtures / \ stucco Final X Sub anel Mesh MECHANICAL Grd. F It Pro Scra h Heati Servigif B n Coo ng T p. Pole F fish D is nder rouni In rior Lath ntilation Permanent or Closer final final MOBILEHOME UTILITIES ---•---------- Elec_ Service %L- Elec. Pedestal Water Piping / Sewer /• / Gas Piping BI E OME INSTALLATION JV- - - • /-- Elea Continuity Water Piping DATE �� } / Z L%L� 0 �C ✓im � 1 Drainage REMARKS OR CORRECTIONS �C Gas Piping (NOTE: An entry must be made on this form each time you visit the job site.) If 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 51 under permit number for thefollowing location: Owner Owner's Address Mobilehome Mfg. %C' — Model Year Insignia No. t' D 4 %,c/ ti ti Serial No. d �/ It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date �� By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. MOf3Tk*F'HOME' DIS'I'ALLATI 4I INSPECTION CHECK LIST 1. Is the mobilehome located with .required separation from lot.lines and buildings and genera.11%, conform to plot plan? Yc:> ---_�No 2, Doe's the mobilehome have requireA clearances above ground? (Sec.5085) Yes �No 3. Are footiii,-,s and supports property sized, spaced, and braced as pQ.r approved plans? (Note possible variation at spring shackles.) (Sec.55082.& 5083) Yes—',,— No 4. Is the mobilehome level.? (Sec. 5088) Yes 0 5. If more than a single unit, are crossover connections properly installed? (Sec. 5088) Yes V No 5. Water A. Is fle 1.ble connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes 7. B. Test - Does water piping withstand working pressure or 50 lbs, air test? Yes -o C. Backflow If coach is not State of California approved, does station have backflow device and pressure -relief valve? Yes No 7. Wastes and Drains A. Is connection made with. Schedule 40 DWV and have flex connectors at each end? Yes No B. Does it have minimum " per foot slope and is it properly supported? Yes C:. Are any leaks detected in drainage system after running 3 llons 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 mobilehome connector not more than 6 ft. 1 large as the mobilehome gas Nine inlet wi connector. Yes No B. Test OK as per following procedu e? Ye _ 1. Open all appliance connector alve s supply with an approved 3/4" minimum ? Note: All piping is to be at least as t reductions other than the,mobilehome No 2. Shut off appliance burner andpil/t valves. 3. Air test with manometer to 10" -All water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.)•calibrated i tenth pound increments. Test for 10 min. without drop. 4. Connect gas meter to mobilc-'ome will connector, turn. on gas, test connections with soapy water. / 1 C. Are all appliance vents proyerly i.nstall�d? Yes_ No 9. Electrical A. Is service large enoiigl. to provide adcquat_e amperage to mobilehome (must equal rating of mobilehome with a ::;in.i.-:um of 100 amp) and other faciliti_as on lot, i.e., water pumps, ,.:rage, cat)ana, etc.", Yes ✓No_ B. Is there. proper clearances around. panels? Yes ------N0 C. Is power supply cord or feeder assembly properly fused? Yes-�o_ D. Is continuity test satisfactory as per the following procedure? Yes o_ 1. De -energize electrical wiring syste:a of the mobilehome at the pedestal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one 1:.1d of a test instrument to the mobilehome grounding conductor and a .L t[te oiii.er lead to each wobiieiioiiie supply cori.iuctu'r, ilrcludillg Yleuirdi. 1' Y � 5. All nor. -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 completio_n of: the Above procedure, the power supply cord or feeder assembly conductors shall be connected to -the site service equipment. A further continuity te:;t shall then be made between the grounding electrode and the chassis of the mobilehome.• UDOI1 satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. ;.t. Is job card signed by health Department for water and sanitation? 1:.. If everything (A -ay, sign off card and t.a; services. MO B TL E i I OML _UATA r Manufacturer and/or Namestyle _ Length Width1x_ Vehicle Serial No. 1 j State Identif ication No. ja P.&,. t ional Inform t -j on or Cormnents : COUNTY OF BUTT.,E — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive. — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT Mi -v— 7de`�, nrlhv ✓ icN,cocn iou vca IIIc lJUU11L, UI DUMC to enter upon he abo -men io ed pr perty inspection purposes. Date -3' S— Signature of Permitee/for Agent Receipt No. l 1// b 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. ,DIRECT OF PUB C WORKS By Date permit expires Date :�5 ��� BUILDING r �'' Owner 6 wCr F t, 037'79`�O7—" SQ. FT. OCC. BUILDING VALUATION Mailing Address XQ© f 4: Telephone No. — Fireplace Contractor & Total Valuation Mailing Address Permit Fee e Plan Checking Fee&/or Penalty Telephone No. Permit Fee Building Address / 3© ��+ h PLUMBING No. @ FEE PERMIT FILING FEE $3.00 � �y 0713 / 3 , Each Trap 1.50 pnp a pogo aseLA-10016 Repair drainage or vent piping 1.50 Water piping _u6e c Q,/Q�ning Verification OnIll Each gas water heater or vent 1.50 A. P. No. t� ,, Zonin Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F s a o Fire Dept. Fire Zone Use Permit Building sewer EQA Parking Parcel Plans Declaration Parcel M 60' R/W Im proveme Lawn sprinkler system 2.00 Ions Recd L�973 arc pproval Plans Approval Permit Fee $ �' NEW ADDITION ❑ ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3 '' Main service 100 AMP ORV OR LE LESS5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ VR 600V Main service 100EAMP OR LESS 25.00 Main service EA. ADD•L 100 AMP 1.00 W SQ. FT. MINIMUII4 NEW CONST. OR ACDNS. ( ACCLBLDGS.CCUP. &) 2¢sgft NEW CONSTR. MULTI -OUTLET NON-RESID, BRANCH CIRCUITS) 2.50ea FOR MOIJUS " NEW CONSTR. POWER APPARATUS &) NON-RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of:Ex. Ex. Occup(OUTLETS OR FIXTURES) BAL21 09 Occup. ( FIXED APPLNS, OR OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No.Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ sl $ ZFSTW 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. Elhave 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 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 !9__bui(ding construction, and hereby c9 v u f--t-e- _25 TOTAL PERMIT FEE —Eq — icN,cocn iou vca IIIc lJUU11L, UI DUMC to enter upon he abo -men io ed pr perty inspection purposes. Date -3' S— Signature of Permitee/for Agent Receipt No. l 1// b 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. ,DIRECT OF PUB C WORKS By Date permit expires Date :�5 ��� MOBILEHOKE SUPPORT DATA If other than single wide, t1 Mobilehome Mfr. / N r✓ furnish Setup Model No. �� 1 Year 725 Width(ft.) Box Length (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 centersupports measured from front of mobilehome unless otherwise specified. ma^ k", Single -A aY x3 � (ft.)(in:) (in.) (in.) T , . I Center support Center support locations* footing sizes (in.) - D (ft.)(in.) I (in.) (in.) (in.) (in.) -� x (in.) (in.) (ft.)I (in.) (in.) (in.) *If center piers are other than drawn above, draw in locations,- spacing, and dimensions. Footings (check one) 1. Wood either pressure treated o: foundation grade. E41-2. Other (specify) Supports (check one) ;gjY Concrete block. 2. Other (specify) Tagalong or Expando, show support details. bj• x z yt -- Typical Support (in.) ,(in.) Footing Size �� -- Max. Pier Spacing Max. Overhang (ft.)(in.) BUTTE COUNTY BUILDING DEPARTMENT APPROVED �2"" A G r BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner.' s name: Q &' e -y 7— F; h. n/ D S %* 6 r,>7- 2. Installer's name: 3. Is the site currently under permit? Yes 710 / No 3 , (If yes, furnish permit number ) OR Is the site an existing site? Yes / / No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes No / (If no, clarify ) 5. What is the mobilehome electrical rating? --------------- Amps 6. What is the mobilehome site service rating? --------- =- Amps 7. What is the mobilehome site circuit breaker rating? ------------- k5—Z' Amps 8. Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------- Yes / / (If yes, identify the load and size: (Load) No (Amps): 9. What is the mobilehome site gas pipe size? ---------------------- (in.) i 10. What is the type of gas service? ----------------------------- Natural / / LPG 11. What is the gas pipe length from meter or tank to the mobilehome? (ft.) 12. What is the mobilehome gas demand?, (BTU) ------------------------------ BTU (This information not required if pipe length less'than 6 ft. on natural gas or less than 50 ft. on LPG.) --- -=L' Ir j t - orkmpins u 1p,-, Ftn�- can e G-- §dd -lPrc .- I Yr,.. i Sp Sol - CQUNTY,OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive- —' Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. OX Date —� Signu e of Permitee or Agent > -7 /Iii Receipt No. / % 4 h 7"A 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 beervl�Nd. DIRECTOR OF PUBLIC WORKS BYB Date e -1-2:j �7r ildina permitexpiresDate q— 2 -J -79 BUILDING OwnerJt S0. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor yiy eas 5 Total Valuation Mailing Address py �'�L�cti.>ti�e Permit Fee Plan Checking Fee&/or Penalty Telephone No. Z 3 ti i.- permit Fee $ Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 1/ C Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. o. _ _ iq '� f7 Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F s ,!� w'G r�+Eei+eR FireDept. FireZone Use Permit Building sewer 5.00 EQA Park Plain Parcel parcel Map P 60R/W ' Im Provements Lawn sprinkler system 2.00 Bldg. PI ns Rec'd Parcel Ap roval 54.n ,proval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Jra & 0jp Main service 100 AMP ORLESS5.00 r7 Q Main service EA. ADD•L 100 AMP 2.50 OVR Main service 1100EAMP OR LESS 25.00 Single FamilyDuplex ❑ Mobil Home Others ❑ Main service EA. ADD•L 100 AMP 1.00 F DWELING NEW CONS. ( ACCLBL GS.CCUP. &\ 22 Sq ft OR ADONST I NEW CONSTR. MULTI.OUTLET NON•RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS & NON•RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Y / It as Mab!:!5 Ex. Occup(OUTLETS OR FIXTURES)@� BAL@1 Ex. OCCU FIXED APPLNS. OR P• OUTLETS (RES( D.) EA) 2•00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. —3/0 yZb 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.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 w TOTAL PERMIT FEE $ >�i .3a authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. OX Date —� Signu e of Permitee or Agent > -7 /Iii Receipt No. / % 4 h 7"A 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 beervl�Nd. DIRECTOR OF PUBLIC WORKS BYB Date e -1-2:j �7r ildina permitexpiresDate q— 2 -J -79