HomeMy WebLinkAbout065-190-01565-19-15
Melvin Marshall Jr.
-ale Rd., lot 466, .Fir Haven Sub,M-W
E Permit #1 96- 7P,E(util.,MH�
ELEC.; Z
`GAS' °
SUPP S UCTURE,REQ. AID
OMPACTION"TEST:REQ:-----
65-19-15
;aa %f/�
<, contra Kqr wood<_Mobile Home SAI&s,Ch1
r' Permit. f156 -77M*I t ` '+`'•
;Issued e- 77
R
65-19-15
Pe=mit #762-81B(nm pri.detagarage)
p
v
f 65-19-15�A Y/+
Permit 44353-82E(elec.for pri:garage)
065,190 015#. PERMIT#98 '0995
BLACK; Merles& Pegg'Y,'ri '�; jl' , � �Ir
4:
F] 4432 tUine'�Rd`:";.4Magalia,
Cont` Broderick',.Const.—, �..
` sF Ex QMH on'-Perm.�Fnd
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N.OV-15-07 05:14 PM LINDA.SIh1I 9163322566
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BUTTE
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NOV 1
IDEVELOYMEN A .
SERVICES
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P.01
9 9 sl-
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.buttecounty.net/dds
www.buttegeneralplan.net
ADMINISTRATION * BUILDING * PLANNING
November 15, 2007
RE: Request letter concerning Manufactured Home Foundation System
BP#:98-0995
APN: 065-190-015
Location: 14432 Vine Road, Magalia, CA
According to our records, the above building permit was finaled June 4, 1998, for the installation of
a manufactured home on a foundation system and met all the requirements of California Health and
Safety Code Section 18551 and Butte County Code. The 433(a) was recorded under document
number 1998-0023465 on June 5, 1998. The Gus Guard TUF-1 with MGP Pad Foundation System
plans (SPA NO. 40-617) used for this unit were approved by the State of California on April 7, 1998
and expired on May 15, 2000. The plans were designed by Kenneth D. Reed, a California
Registered Civil Engineer as per California Health and Safety Code Section 18551(a), 1, D:
(D) The manufactured home, mobilehome, or commercial coach manufacturer's
installation instructions, or plans and specifications signed by a California
licensed architect or engineer covering the installation of an individual
manufactured home, mobilehome, or commercial coach in the absence of the
manufactured home, mobilehome, or commercial coach manufacturer's instructions.
If you have any questions concerning this matter, please contact our office. Thank you.
Sincerely,
Alice Mefford
Supervisor, Permit Center
Post-ItIm brand fax transmittal memo 7671
# of pages 0,To
�: !'1 � � I SA {V1 ke
�/
From 1) Q WdYi'E j
Co.
Co.
li (KJ { V�
Dept.
Phone #5-;6--43 �J 7l
Fax# -700-4wio i
Fax#
RESIDENTIAL
065-190-015 PERMIT#98-0995
BLACK, Merle & Peggy
PERMIT NO. 14432 Vine Rd., Magalia
Cont: Broderick Const.
PERMIT EXPR Ex MH on Perm Fnd 5--Z8 • 99'
OWNER
CONTR.
ASSESSOR PARCEL
LOCATION
RECORDED UNTIL ONE OF THE FOLLOWING
AVE BEEN TURNED IN TO THE BLDG DIV:
(1) LICENSE PLATE(S) or DECAL(THE
INSPECTOR MUST RETRIEVE)
(SPEC Y SERIAL &LABEL #'S
CHECKED
SRA BY
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
Temp. Power Pole —
Called PG&E—
Temp. Elec. Service _
Called PG&E —
Temp. Gas Service —
Called PG&E
JOB FINALED (Date) " "
Signature ��" Y =�
�U 1
' RESIDENTIAL ".
065-190-015 PERMIT#98-0995•
BLACK, Merle & Peggy
.PERMIT NO. 14432. Vine Rd., Magalia
Cont:- Broder ick`C,ohSt:"----
Ex MH on Perm Fnd
PERMIT EXPIIt._1
OWNER
+ CONTR.
ASSESSOR PARCEL
LOCATION
t
Lm ' FORM -.4`3`31 OR"TITIS OT- .
E RECORDED UNTIL ONE OF THE FOLLOWING
t AVE BEEN TURNED IN TO THE BLDG DIV:
{� (1) LICENSE PLATE(S) or DECAL(THE
"I INSPECTOR MUST RETRIEVE)
INSPEC Y SERIAL &.LAB '
EL#S•
f �
CHECKED
SRA BY
FLOOD CERTIFICATE REQ. -
F, FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
Temp. Power Pole
rT Called PG&E
Temp. Elec. Service
t' Called PG&E
.Temp. Gas Service
Called PG&E
JOB FINALED (Date)
r' t Signature
V7OK
O = Not OK
`=Nott ReadApply MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
5. Alum. Awn.; Columns-ConnectionsSplice-Decal-Enclosures
1. Zoning Requirements - Setbacks - Easements
6. Carports; Windows -Doors
2. Soils; Special MH Support Sketch
7. Electric
3. Sewer, Location-Test-FallC/OConcrete
8. Frmg.; Sils-AnchorsStuds-Rftrs-Trusses
4. Water, Location -Test -Easement Needed (Sketch)
9. Siding; Nailing -Veneer -Stucco -Mesh
5. Electricity; LocationClearances-Gmd-/ /Amp -Concrete
10. Roof; Shthg-Roofing
6. Gas; Location-TesWrap; / ^:ft.
/ /Nat. or/ / L"ft./ /LPG
It. Ext.;Ste ps-Doors-Landings
7. Well Clearance & Disconnect
12. Braced Wall Panels
8. Utility Clearance
Date
Card B-1 Date Card B-1
Date
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
2. Soils; Compaction -Structure Stability
1. Zoning Requirements- Setbacks Easements
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
2. Footings; SizeSpacing-Manage Line
4. Elec.; Receptacles and Lighting, Distance -GR
3. Gas; MH Test -Demand -Valve -Connector
5. Elec.; Pool Lighting; 15 Volts-GFI
4. Electricity; MH Test -Crossovers -Breakers -Clearances
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
5. Drain; MH Test -Fall -Flex Connector
7. Elec.; Bonding; Metal w/SCircutating Equip. -Heater
6. Water; MH Test -Regulator -Connector
8. Elec.; Grounding; Equip. w/3 Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboerds4ns. to Main in Conduit
7. Water and Sewer Connected -C/0 to Grade -HD Approval
9. Health Department Approval
8. Gas and Electricity Tagged
10. Plumb.; Cir. Test -Water Supply Test
9. Tie Downs-Type-lnstallation Cert.
11. Light NIche
10. Exits; Insp.-Sketch
11. Cert of Occupancy
12. Permanent Foundation Only: License Decal
Card B-1 Date Card B-1
Date
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Sire -Depth -Spacing -Connectors -Steel
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs.Connectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns-ConnectionsSplice-Decal-Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg.; Sils-AnchorsStuds-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
It. Ext.;Ste ps-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 #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distance -GR
5. Elec.; Pool Lighting; 15 Volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/SCircutating Equip. -Heater
8. Elec.; Grounding; Equip. w/3 Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboerds4ns. 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
Not OK
O = NNoo RESIDENTIAL (Single & Duplex) .
- N t 1' bl
o App ice e
Not Ready
Date
UNDERFLOOR (Plans) OK except #'s
Date
1.
Zoning-Setbacks-Easments-FloodSlope
2. Ftg., Main; Soils-Elec. Gmd. / P Ftg. Depth
3.
Ftg. Garage; Soils-Steel-Elec. Gmd/ /" Ftg. Depth
4.
Ftg. Porches & Decks; Soils -Steel-/ /' Ftg. Depth
5.
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.-Steel
Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits
9.
D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
10.
UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
11.
Water Pipe; Test -Anchors -Regulator -Service Test
Siding -Nailing Veneer
12.
Electric Underground
13.
Pienums & Ducts; Clearance -Material -Support -Ins.
14.
Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
15. Access & Ventilation
16.
Insulation
62.
Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
Date
17. Water Htr.; Vent -Access -Combustion Air Baffle
FINAL (Plans) OK except #'s
18.
Water Pipe; Test & Anchor -Nail Protection
Ext Steps -Door & Sidelight Protection -Landings
19.
D.W.V.; Test Fittings & Anchor -Nail Protection
Smoke Detector
20.
Shower Pan; Test, First Floor -Tub Access
Furnace; Vents -Clearance -Comb, Air-Conector-
In Garage; Above Floor -Ducts -Meth. Protection
21.
Test Tub & Shower, Second Floor -Tub Access
Bedroom Exiting
22.
Gas Pipe; Sixe & Anchors
G.F.I. & Bath Fixtures & Tub Access -Spa
68.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
Elec. Outlets at Wood Panel, Int. & Ext.
23.
Fixture & Transformer Clearance -Ins. Protection
Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance
24.
Elec. Receptacles Spacing -Lights & Switches at Doors
Elec. Outlets & Recepticales at Kit. Counter
25.
Size B es & No. of Conductors Stapled
Garage Fire Door; Swing -Landing -Closure
26.
Romex Installed Close to Edge of Studs & C.J.
A.C. Duct in Garage -Damper
27.
Equip. Ground made up w/Mech Fastners-Bond Gas & Water
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
In Garage; Above Floor -Meth. Protection
28.
2 Appliance Circuts in Kitchen & Conductor Size GFI
Plb., Elec. & Mech. Equip. Listed for Location
29.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al
Elec. Receptacles in Garage (G.F.I.)-Romex Protection
30.
Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or AI
Insulated Neutral 0 Yes 0 No
Insulation -Foam -Looked in Attic
31.
Service -Riser Conductors & Ground -Main Disconect
Guard rails & Deck Construction -Post Caps
32.
Equip. Clearances Panels-Motors-Mech. Epuip.
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor 0 Yes
33.
Clothes Closet Light -Shower Light -Spa Light
Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No
34.
Smoke Detector
Stucco Brown -Finish
84.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #s
Exterior Elec. Trim, G.F.I. Receptacle -Underground
35.
A.C. Ducts Insulation & Support
36.
Vent Fan, Exhaust above insulation
37.
Condensate Drain & Overflow, Size & Grade
38.
Fumance-Vent Access -Comb. Air-Retum Air Vent 115 outlet
39.
Attic Access & Platform if Furnace in Attic
93.
Energy Compliance Certificate -Other Certificates
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FRAMING (Plans) OK except #s
Date
40.
Sits Proper Materials & Anchors
Comments at Final:
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-Pullin-roff Brac.-Truss-Shting: Rfng.
48.
Fireplace Ties or Type A Flue -Fireplace Throat clearance
49.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
5o.
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
51.
Garage Fire Protection Framing
52.
Property Line Firewall & Openings
53.
Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits
54.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
55.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
56.
Siding -Nailing Veneer
57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. 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 -Meth. Protection
66.
Bedroom Exiting
67.
G.F.I. & Bath Fixtures & Tub Access -Spa
68.
Elec. Trim & Subpanel, Breaker Sizes & Labels
69.
Stairs & Rails
70.
Fireplace or Stove, Clearance -Hearth
71.
Elec. Outlets at Wood Panel, Int. & Ext.
72.
Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance
73.
Elec. Outlets & Recepticales at Kit. Counter
74.
Garage Fire Door; Swing -Landing -Closure
75.
A.C. Duct in Garage -Damper
76.
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
In Garage; Above Floor -Meth. 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 0 Yes
82.
Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No
83.
Stucco Brown -Finish
84.
A.C. Unit Disconnect, Electrical -Plumbing
85.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
86.
Water Well, Disconnect, Electrical, Plumbing
87.
Exterior Elec. Trim, G.F.I. Receptacle -Underground
88. Ventilation Throught House
89.
Glass Protection
90.
Corrections from Previous Inspections
91.
Gas Test -Meters Tagged, Gas -Electric
92.
Water & Sewer Connected -C/O to Grade -HD Approval
93.
Energy Compliance Certificate -Other Certificates
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Comments at Final:
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
• 7 County, Conter Drive - Oroville, California 95965 - Telephone (916) 538-7541 M NO.
(Rev.12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
065-190-015
ZONING
RTIA
BUILDINGPERMIT
OWNERM
MAILING
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
1536 R 82,944,
OWNERS ADDRESS
14432 VINE RD., MAGALIA, CA 95954
CONTRACTOR'S NAME
BRUCE BRODERICK CONST,
TELEPHONE '
877-6432
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAIUNG ADDRESS
Total Valuation is
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$ 2 1.50
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS 14432 VINE RD, MAGALIA
Energy Plan Checking Fee
$
$
PERMIT FEE
LOT NO.
-
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome IX Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00 15. nn
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Add -Rion ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑X
Describe Work: EX MH ON PERM FND
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home IS G WF
920.00
PERMIT FEE
$ 50.00
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service zoono.LEss
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. / //2
License Class Lic. No. w"7J
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO I000A
46.00
NEW CONST. DWELLING OCCUR
OR ADONS. ( a Acc. BLDs.
SO
3.50x;
EW CONST.
NON-RESID. MULTI-CUTLETCUT.
97.50
POWER APPARATUS
d SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FIXTURES
z @ I. @ .550
BAL 0
LN
Ex. Occup. OflxUTLEEDTS REFS D ORS
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
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
p
X__ Date !� TIO
tr
Signature of Applicant - ❑ Owner ❑ Conactor A Agent
An OSHA permit is required for excavations over 60" deep and demolition or constructione
of structures over 3 stories in height.
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 374.50
HAZ.
,i
D. IMP
s /•
FLO
it
COF
PARCEL PD
L
HD
ISSUE
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.
Z �y
Dat n Q
7
Dafe
Receipt No. -
WHITE-D.D.S.-G.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
RECORDING REQUESTED BY:
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE CA 95965
1 998-0023465
Recorded
I REC FEE .00
OfficialRecords
Records
I CONFORM .00
Coun4 Of
I
CANDACE J. 6RLIBBS
I
Recorder
I
BUILDING P - TELEPHONE NUMBER
I Cindy
10:30AN 05 -Jun -1998
I Page 1 of 2
SPACE ABOVE THIS LINE FOR RECORDER USE ONLY
NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, {� �,{
INSTALLATION ON A FOUNDATION SYSTEM (J (j
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.
MERLE L. BLACK, JR. & PEGGY A. BLACK
REAL PROPERTY OWNERILESSOR
14432 VINE ROAD
MAILING ADDRESS
MAGALIA, BUTTE, CA 95954
CITY COUNTY STATE ZIP
SAME
INSTALLATION MAILING ADDRESS, IF DIFFERENT
CITY COUNTY STATE ZIP
SAME
UNI' OWNER (S also property ow=, write 'SAME')
MAILING ADDRESS
GRT wuU VATS 9P
UNIT DESCRIPTION
LANCER
1976
BUTTE COUNTY BUILDING DIVISION
LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY
7 COUNTY CENTER DRIVE
MAILING ADDRESS
OROVILLE, BUTTE, CA 95965
CITY COUNTY STATE
ZIP
98-0995 530
538-7541
BUILDING P - TELEPHONE NUMBER
6/3/98
SIGNATURE OF LOCAL AGENCY OF C L
DATE
NONE
DEALER NAME Gant a dealer sak, write 'NONE')
DEALER LICENSE NO.
CAMELOT
MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMEINUMBER
A4763/B4763 60'X24' 216867,216868
SERIAL- NUMBER(S) LENGTH X WIDTH INSIGNWLABEL NUMBER(S)
REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER
SEE ATTACHED LEGAL DESCRIPTION.
x
A.P. # 065-190-015
HCD FORM 433(A) REV. 8/91
WHIE - County Recorder CANARY - HCD PINK - Appliant GOLDENROD- Building Dept.
Owner's name: MERLE L. BLACK, JR. • AND PEGGY A. BLACK '
Owner's address: 14432 VINE ROAD, MAGALIA, CA 95954
INSIGNIA OR HUD NUMBER: 216867, 216868 ,
SERIAL NUMBER OR V.I.N.:, A4763/114763
MANUFACTURER'S NAME: LANCER YEAR: 1976. `
OFFICIAL APPROVING INSTALLATION:
DATE: 6/3/98 PHONE: (530) 538-7541
H.C.D. 513C ' ,,• r . r: �.
r
LEGAL DESCRIPTION
A.P. #065-190-015
The land referred to herein is described as follows:
All that certain real property situate in the County of Butte, State of California, described as
follows:
The South half of Lot 466, 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 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 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 of Butte County
Official Records, at page 385.
916 224 4817 P.01i01
S_ /7/o z,s-
PEGGY 'A JTR5
12108 MAGRUDER AVE.
- -- '" 13AXE:RSFIELD. CA 93317
LOCATTON• ADDRESS: 14432 VINE RD
MAGAT.11k CA 95954
is nUTTE COUNTY
END OF TITLE SEARCH.
LAST TITLE: 05-16-96
TOTAL P.01
STATE OF CALIFORNIA
DEPARTMENT OF .HOUSING AND COMMUNITY 1)E:VT::L.0PMENI'
,•.R 1\ ``'.', °.T:ITLE SEARCH - REQUESTED ON 09-27-96 AT 11.50 BY CDRED04
''PL .'e"`'LA7Ca290 MANUr:
;VNT1ffWN L &W CQR TRAnENAM: CAMELOT
MAR.UFACTURED'ON : 00-00-76 FIRST SOLD ON: 01-31-77
_-Z REG EXPIRATION DATE: NONE
USE. MH .SNGr,F. FAMILY TAX TYPE:LOCALPROPERTY
- SERTAL NUMBER(S)
LAEil;L/INSIGNIA NUMItI:R(S) LENGTH WTDTII
'.84763
216867 720 144
A4763
7.1.6868 720 14-4
•'.RECORD CON()t 46 PPF EXEMPT -MUST. REAPPLY FOR STATTIS IF' R/0 CHANGE
3.5 UNIT
TRANSFERRED TO I•PT UPON VOLUNTARY REQUEST
REGXS'CERFfl OWNER:
i3f.AClt MERLE L JR/ 'LAST REG CARD: OS -16-96
PEGGY 'A JTR5
12108 MAGRUDER AVE.
- -- '" 13AXE:RSFIELD. CA 93317
LOCATTON• ADDRESS: 14432 VINE RD
MAGAT.11k CA 95954
is nUTTE COUNTY
END OF TITLE SEARCH.
LAST TITLE: 05-16-96
TOTAL P.01
95-25246
--- RECORDING REQUESTED BY
BIDWELL TITLE & ESCROW CO. -- --
order # 3-111025 -MLB 95-025246'1 Rec Fee 9.00
I DOC 77.00
AND WHEN RECORDED MAIL TO Recorded I Check 86.00
Merle L. Black, Jr. Official Records
12108 Magruder Ave. County of
Bakersfield, CA 93312 Butte I
Candace J. Grubbs I
Recorder I
B:OOam 31 -Jul -95 I BWTC MD ..2
AP# 65-19-15 Grant Deed
THIS FORM FURNISHED BY BIDWELL TITLE & ESCROW COMPANY
The undersigned grantor(s) declare(s):
Documentary transfer tax is $ .77 .00
( X) computed on full value of property conveyed, or
( ) computed on full value of liens and encumbrances remaining at time of sale. ---_ — — — ---
( X) Unincorporated area: ( ) unincorporated area ,and
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, MELVIN PAUL MARSHALL, JR., an
unmarried man
hereby GRANT(S) to MERLE L. BLACK, JR., and PEGGY A. BLACK, husband and wife, as
Joint Tenants
the following described real property in the unincorporated area County of Butte
State of California:
.EE THE ATTACHED SCHEDULE C FOR LEGAL DESCRIPTION
Dated: July 10, 1995
Melvin Paul mars;hall, Jr.
State of California
County of Butte f SS.
On July ?4, 1995 before me, the undersigned, a Notary Public in and for said State personally appeared
*Melvin Paul Marshall, Jr.*
(This area for official notarial seal)
(or proved to me on the basis of satisfactory -
evidence) to be the person(s) whose name(s) is/are subscribed to the within0MCIAL SEAL
instrument and acknowledged to me that he/she/they executed the same in MAMON L BECKER
his/her/their authorized capacity(ies), and that by his/her/their signatures) ��SCA
FOrpa
on the instrument the person(s) or the entity upon behalf of which the 9N— CO
person(s) acted executed the instrument. M, Donn► Be" �. Im
WITNESS my d d official seal.
Signature
MAIL TAX ST TEMENTS TO SAME AS ABOVE
BTE-DED•05 (25005/95)
I
95-25246
SCHEDULE C
7red to herein is described as follows:
Order No. 3-171025
All that certain real property situate -in the County of Butte, State of
California, described as follows:
The.South half of Lot 466, 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 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 mining shall be
carried on from tunnels; shafts or drifts having their orifices-out"siiie
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 of Butte County
Official Records, at page 385.
AP No. 065-190-015
END OF DOCUMENT
OWAM .
sersrr.w Moslem W
97-St�08 -5119
Gregory J. DrislaLn
11RIDLAIN. ZINK • LXN1I
20 Indeperndence Circle
Chico. CA 95926
AM SvT tepOMM MA Te
Melvin P. Marshall
P. 0. Box 1284
,,. Magalia, CA 95958
L
11A& TAX aTATsisaasrit, TO
Melvin P. Marshall
P. O. Box 1284
Magalia, CA 9595/
11 a L
sur
.. Kt -t % Interspousal
92-0577081 Reo ..e coo
1 Cheok 8.00
11"orded 1
Official Records 1
County *I 1
butte 1
Candace J. Grubbs 1
Recorder 1
802ae 17 -Deo -72 1 PUDL MP 2
92-0544931 Roo Ire, 5100
I Check 3.0000
Recorded 1
Official Record■ 1
County of 1
Butte 1
Candace J. Orubbe 1
Recorder I
8t02a■ 90 -Nov -92 I PURL MP 1
ns er Grant u—eea--.
(faehte6e rtom r66vor6taa tme« cant91 cottrottruon wroor6 1a ,. e 1
_ THIS F4nr ►VMNI§HKQ IlT POW111.11. TIM 6 210OW CpMrAMr_
This is an Intcnpoumd Transfer and not a change In ownership under 163 or the Revenue and Taxation code and Grantor(&)
haAhave) chocked the applicable exclusion from reappraisal:
o A u -securer to a trustee for the beneficial uad a spouse, or the surviving spouse of a decwed transferor, or by a trustee
of such a trust to the spouse of the trustor.
S) A trstnfcr to a spouse or former spouse In connection with a property settlement agreement or decree of dissolution of
marriage or legal separation, or
❑ A creation, transfer, or termination, solely between spouses, of any 0,o -owner's Interest.
❑ Thc distribution of a legal entity's property to a spouse or former spouse In exchange for the Interest of such spouse In the
Icga) entity In connection with a property actticmcnt agreement or a decree of dlssolution of a marriage or legal separation.
❑ Othcr:
FOR A VALUABLE CONSIDERATION. teceipt of which is hereby acknowledged,
CINDY LYNN MARSHALL
hereby GRANT(S) to 1 HAVE RECEIVED A COPY
�[
' MELVIN PAUL MARSHALL, JR. /� SiSnalure OF THIS DOCUMENT. Date
the real property In the Clry of MAGALIA
State of Cilifornla, described as
See Attached.
ICA,C'rcv,c✓rd 7*0 �a9it/ ,E%aSc.c.;w�,b.✓
Dated November 23, 1992
STATE OF CALIFORNIA as.
COUNTY OF BUTTE
On November 23 1992
before me, the undcnigned. a Notary Public in and for said
State. personally .ppcarod
CINDY LYNN MARSHALL
personally known to rte (or proved to me on the basis of
satisfactory evidence) to be the penon(s) whose namc(s) is—
subscribed to the within inururnent and acknowledged to me
that hcJshe/thcy executed the same.
W I NESS rT,y haul and official aca1.
CINDY
wl.�la,r.urarl,.".o.g
orr,o,.L OaAL D
"M
JANE E. STANSELL
Q t.or�vPW0a,e-eai,ror (p
Q cowTV or auTTX u
a.04.06"13.10,06
�Mfr.IM„I,111 W IIAMI-I,YIg1,11.1/p"I,IAl�
�%_ ...• C �M t.1L�� frAis arca for orra•W nouriJ
Signature � — '---
_. Ac n1139:rTFn ennvF Cnfn (1F r�OCUM
HCD 4OM4 • Nd. 1 (REV 11/24
USE CODE
EXPIRAIION DAIS
IAA
TYPE ORIO COS] PLAICE CODE YR SALE PRICE
DEPARTMENT USE ONLY
STATE Of CAUFOAXtA ' ;
DEPARTMENT USE ONLY
L
TRANS COOS
RECEIPT DATES) CLERK'S INITIALS SALE DATE
WURESS. TTLWSPORTATION AND HOUSINO AGENCY
DCPARTMENT Of HOUSING AND COMMUNITY DEYELOPMENT ��,;�:
NEW DECAL •
..
L..t
DMWON Of CODES AND STANDArtDS
..
OWNER(S)
A9EGtETRATION AND TTTUNG P1V>0RIW
MARSHALL
Melvin P.
Name ($))
1
a TICKER P
ZMARSHALL
II
Melvin P.
APPLICATION FOR DUPLICATE
SWUNO ADORESS
Str..l
14432 Vine Road
aTT"a °C
CA 9595
_
Of U"�
CERTIFICATE O F TITLE
OLD DECAL 0
a Ma alfa
X— of Mwwi&olurw
LEGAL OWNER
.
*wW r.» ,.r.)
MFG ID •Tial.•/xor
Model NA�w. of •
....r
"uNG ADDRESS
VUNKNOWN�
260 E. 2nd St.
�'=
`SCA 9592V--5468
D.A. d 1t..wA..r.
C.NL O++t.+ L1o..... •
Title and RejZistration Card to he issued as follows.
D+�. air«..aw to D..tw Mo.. N.T EA..�pUo..
D.�. Ftnt Sots N...
00-00-76
MWdl.
OWNER(S).
MFG
Merle
01-31-77
DECAUUGE,K" •
MANUFACTURER LERIAL NUMSER(S)
HUD LABEL OR HCD INSIONUI •
LENGTH
WIDTH
WEIGHT
DATE FIRST SOLD
Peggy
A.
(M.of.»)
(M.o/w..)
M,. t.I. #-.4 o.`. d tt.. bowl
(pow.d.)
(Ir dYtw.ri nw .so.•� .
AAR8663
MAULING ADORESS a&-.4
B4763
aW
CA .9331
fvrvRE MAILING Sym
620
144
S..r 21P
ADDS"
same
AAR8663
A4763
14432 Vine Road
`ky Magalia Co-" Butte
620
144
.
HCD 4OM4 • Nd. 1 (REV 11/24
USE CODE
EXPIRAIION DAIS
IAA
TYPE ORIO COS] PLAICE CODE YR SALE PRICE
ILT EXT
LPT PPT
L
RECEIPT NUMGER(S)
RECEIPT DATES) CLERK'S INITIALS SALE DATE
REGISTERED
L..t
IF 11.4
MlddW
OWNER(S)
[Print True
MARSHALL
Melvin P.
Name ($))
1
ZMARSHALL
II
Melvin P.
SWUNO ADORESS
Str..l
14432 Vine Road
CMT
Ma alfa
CA 9595
_
Of U"�
at..a
14432 Vine Road
a Ma alfa
s CA 9595
LEGAL OWNER
*wW r.» ,.r.)
SEC PAC NATL BK
"uNG ADDRESS
sa..t
260 E. 2nd St.
��" Chico-
`SCA 9592V--5468
APPLICATION FOR TRANSFER BY NEW OWNERS
l[We rcgucst that the new Cali(icatc o%
Title and RejZistration Card to he issued as follows.
REGISTERED
t.w
If"
MWdl.
OWNER(S).
BLACK (Jr.)
Merle
L.
[Print true
name (6)I
Z
BLACK
Peggy
A.
M,. t.I. #-.4 o.`. d tt.. bowl
❑ TLNCOM OR
❑ JTR3 ❑ TLNCOM AND
❑ COMPRO
MAULING ADORESS a&-.4
Cay
12108 Magruder Ave. Bakersfield
aW
CA .9331
fvrvRE MAILING Sym
CMT
S..r 21P
ADDS"
same
Lo RGN ADG'� `°"`
14432 Vine Road
`ky Magalia Co-" Butte
SU" CA 95951
.
LEGAL OWNER
K tJ. d�.cA on. of tf.. Ioso..t
❑ TENCOM OR
❑ JTTt3 ❑ TTNCOM AND
❑ COMPRO
MAJUNO ADDRESS
Stn.t
M
$46. ZIP
FIRST JUNIOR
LIENHOLDER
brrt rv. rA+y
Y oppftabU, cA.o\ one of b.. to ,o A
. ❑ TTNCOM OR
JTRS ❑ TTNCOM AND
❑ COMPRO
MAUUNO ADDRLSS
Mrwt
City
SIAM Z*
ADO JMM ED -
NOTL'
SECTION I.—CERTIFICATION OF MISSING TITLE.` ON THE REVERSE SIDE MUST aE COMPLETED. TO COMPLETE A TRANSFER OF
HCD 4OM4 • Nd. 1 (REV 11/24
STATE OF CALIFORNIA
DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT
DIVISION OF CODES AND STANDARDS
REGISTRATION AND TITLING SECTION
(Information pertaining to co-owner statutory requirements
appears on the reverse side of this form)
DESIGNATION OF CO-OWNER TERM
This unit is a: ® Mobilehome [] Commercial Coach 0 Floating Home
Decal(License) No.(s) ITrade Name Serial No.(s)
B4763 & A4763
Truck Camper
We request the Department of Housing and Community Development to register our
ownership interest in the unit described above with the following co-owner term:
(READ THE FOLLOWING AND CHECK THE APPROPRIATE BOX)
JTRS, Joint Tenants With Right of Survivorship.
Upon the death of a Joint tenant, the interest of the deceased party passes to
the' surviving joint tenant. The signature of each joint tenant is required ;to
transfer or encumber the title.
TENCOM AND, Tenants in Common with the names joined by the word AND
Each tenant in common may transfer his or her individual interest without the
signature of the other tenant(s) in common. The signature of each tenant in.
common is required to transfer full interest in the title to a new registered
owner or to encumber the title.
TENCOM OR, Tenants in Common with the names joined by the word OR
Any one of the tenants in common may transfer full ownership interest in the
title to a new registered owner without the signature of the other tenant(s)
in common. The signature of each tenant in common is required to encumber the
title.
0 COMPRO, Community Property
Full ownership interest in the title may be rggistered as community property
in the names of'a husband and wife. The signature of each spouse is required.
to transfer or encumber the title.
SIGNATURE OF EACH CO-OWNER:
Merle L. Black, Jr. —,fr \\\ U
—Peggy A. Black
DATE
HCD 483.1 (REV 10186)
41
� LO Lt�
0 DOG
Gz P !
MOBILEHOME SUPPORT DATA
Mobilehome Mfr. ��f� � �„ Setup Model Year %97�
Width (ft.) Lengthft. to
( ) E xpando Size ft.x ft.
(Draw support details below)
On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation
manual and structural setup sheets (if not on file with the County of Butte).
--I,
Center
Sin le �.
Footings (check one;
-el L Wood either
pressure treated or
fdn. grade.
Center Support
'
i
Support
Footing Sizes
Locations
(in.)
®
LLL 2. Concrete pad.,
fL•j( •
�
•) ri.
I _
/ / 3. Other, specify
,.
Supports (check one;-
1. •,Concrete 'block
2.. Concrete piers
ft) Zin)
(in.) (in.)
3. Steel piers
Other, specify
--- - Typical Support
x� Footing Size
(in
in.)n.)
{
J _ Max. Pier
Spacing
(in•) (;n•)
- i Max.
iLL
Overhang
*If center piers are other than drawn above,
draw.in locations, spacing, and dimensions.
BUTTE COUNTY
BUILMNGS D'"PARTMSNT
APPROVED
all `
COUNTT-0��B���� , T�TE.- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7'C(UNT;eY< LATER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541
PERMIT APPLICA TION DA TA SHEET
OWNER: a4. `T; s ASSESSOR PARCEL NUMBER:
Proposed Building Use: 1,e4 14 1:7.l �, 5�� Building Inspector: Date:
At time of permit application, l was advised1he following data must b se ubmitted prior to permitp6cessini and/or issuance:
Date Received By
❑ 1. All iiems have been submitted --------------------------------------------------------------------------------------
E12. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------
❑3. Complete plans, 3/4 sets, signed by the preparer of plans. -----------------------------------------------------
❑4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. --------
❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------
0 6. Energy Design Compliance and supporting documentation. -----------------------------------------------------
❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ---------------------------------------------------------
❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------
❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications.------------ ------
1110.
-----
❑10. Fees of $------------------------------------------------------------------------------ - ------
❑ 11. Impact fees as shown on the attached schedule.--------------------------------------------------------- '-------
❑ 12. California Department of Forestry plan approval/fees- -------------------------------------------------- -------
Ell 3.
------
❑13. Flood elevation certificate.----------------------------------------------------------------------------------'-------
❑ 14. Sanitation and plot plan approval Health Department. ------------------------------------I-------
❑ 15. City of Chico plumbing permit. -----------------------------------------------------------------------------------
❑ 16. Plot plan and business license approval from the City of Biggs: ----------------------------------------------
❑ 17. Planning approval for (A) Use: (B) Parking: --------------------------
❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. -----------------------
❑ 1.9. Encroachment Permit for driveway (construction approval prior to occupancy). ----------------------------
020. Pre -inspection for
required. Request to Building Inspector on
021. Contractor's license information. (Number, Name Style, Classification). ---------------------- -------------
022. Workers' Compensation carrier and policy number. -----------------------------------------------------------
❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner 0) - --------------------------------------
J4. " Eter o signature authorization. ------------------------------
=corded copy of Agricultural Acknowledgment Statement.
026. Letter of intent on building use. -------------------------------------------------------------------
❑27. Manufactured Home utility clearance.-----------------------------------------------------------.
❑28. Existing violations and/or expired permits. --------------------------------------- --------------
029. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $
030. Other:
_ (Date)
When you issue the permit, process as follows ❑ Mail to owner, []Mail to contractor.
kelephone S 7 7- - and hold for pickup at office. ❑ Deliver with inspector.
/,A plicant: Date:
Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By:
Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By:
1. Index permit application for the above items numbered: ❑ Plan Check List
2. Additional items required:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Di on counter, by Date:
Plans reviewed by: Date: Plans approved by: Date: 'j
Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date:
Yellow Copy - Department of Development Services, Building Division.
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
County Center Drive - Oroville, California 95965 - Telephone (916) 538-754 P RMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT �F - 09C_
ASSESSORPARCELNUMBER ^`
V1
ZONING
14M
BUILDING PERMIT
OWNER P
TELEPHONE
SO. Fr, O C. BUILDING VALUATION
_G
OWNERS MAILING ADDRESS ^� �
733
G�
COMRACTOR' ETELEPHONE
'
COMfUCT S MAILING ADDRESS `�
'
'SS ! LJ
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fire lace
Total Valuation S Z
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee E
20.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
BUILDING ADDRESS /q C( ? z I—irw
J w
Permit Fee6 S
g/ _3
Plan Checkin F $
Energy Plan Checking Fee $
S
C o PERMIT FEE S
LOT NO.
SUSONtSIDN'SNAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilshomeoef-,Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00 IS o0
TYPE OF WORK
New O Addition 9 Remodel ❑ Utilities ❑ Installation ❑ Other,H_�
Describe Work: ( L/ S
Each as water heater or vent
15.00
Gas piping stem 1 - 5 outlets
15.00 ��od
Building sewer
15.00
Mobile Home I S I G W
Q020.00
PERMIT FEE S
011 ftp
ELECTRICAL PERMIT
Filing Fee 20.00
Main ServiceeoOV OR LESS
zooA OR LESS
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 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.
O I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
O 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
O 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
Policy Number
(The above sections need not be completed d 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
not employ any person in any manner so as to become subject to workers'
compensation laws of California, arfd agree that 0 1 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 ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60' deep and demolition or construction
of structures over 3 stories in height.
Main Service 20" TO I000A 48.00
NEW CONST. DWELLING OCCUP. SG
OR ADONS. ( a ACC. eLOS. 3.5¢FT:
° MULTFOUTLET
NON REsio. @7.50
POWER APPARATUS
a swGLE GurtEr CIR
Ex. Occup. OUTLET ORFOnUREs aApi e'.00
50
Ex. Occup. °,AP 6 .°� 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE S
Mobile Home Installation Fee E
Energy Inspection Fee S
OCC
CONST. TYPE
TOTAL FEE $15'
5'
HAz. D FEES
IMP
FLOOD
CDP
PARCEL
PD
HO
ISSUE
This permit is hereby issued under the applicable
of the Butte County Code and/or Resolutions
indicated above for which fees have been
Z.V
By Date
PERMIT EXPIRES ON
I
provisions
to do work
paid.
to
Receipt No.��,�s
WHITE-D.O.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD•APPLICANT
u
L
6 ti.. "i'1t'� i� Ate' c ,�.kn.,...5. yt.c sd _ • • -
.Y
. • C X15. : yli.y...r-. k.. M /� � . ". ,
F
06 5-46 - 9/5"
BRUCE J BRODERICK. CDLA0860 o 1 672
Po Box 2231 (919) 877-8432 I
" PARADISE, CA 96987 r t " q �j f II35p210 �"
• i Y.E•yyia.�s��-°. r�•,° Date .123-�.
'?Pay to the ice. `. + .
'.Ord .e.rrr of r
Sys { ivr4-,, Dollars
,M Of jay,
-' .
k Peradise, Brenoh #0423 " • ? '�,%. �`' � "," ` i
E .6296 Skyway 7 , M'. y '"� . ti:rtq• ,
a; f Peradie CAS
'K > i, FU�a'a{''.t^rf�tu "ic` � �n7Pr .� x r, ^ ,.7tG...,..n 'M"ns�•'^ S z-` .'
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Si.e,••..:i%�lR.i'�`.a`.Y''�-u'o'Q....• n-,I.=:r3w�.'ya,y r 1 ,
COUNTY OF BUTTE----•' .
BUILDING DMSION —,
1DEPARTMENT-OF DEVELOPMENT SERVICES
r 411 Main Street, Chico, CA - (916) 891-2751
P -
7 County Center Drive, Oroville, CA - (916) 5384541
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
is completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
Date Inspector
REV 10/92 i�
-'k 0�1' FA
-1 01 CSIMIL ECOVER SHEET
Date:
To:
From:
i C-&
Subject: ,pi 2S
Number of pages (including this cover sheet):
Telephone Number of Receiving Telecopier:
a
r -
If you do not receive all of the pages, please call (530) 538-7541 as soon as possible.
Special Instructions:
X Review and respond accordingly.
0 For your information only.
-1 5 GL C'-niol-i 0-t �L
s—
Sincerely,
(k��
CONFIDENTIALITY NOTE: The information contained in this facsimile is confidential and may also contain
privileged information. The information is intended only for the use of the individual or entity to whom it is addressed.
If you are not the intended recipient, you are hereby notified that any use, dissemination, distribution, of copying of this
communications is strictly prohibited. If you have received this facsimile, in error, please notify us immediately by
telephone, and return toe original to us. Thank you.
SEP -29-99 01:22 PM P.01
CTX MORTGAGE COMPANY
A n
/Foul
ke:AN* Obs—fav - o►5—
V, V6
�'�f� pe,- ern I Z -A, -- �
v vyw
b�evne .
5921 1i,,. • Sart: C' • I�AttADISt:. Cnt.u-c 1tNIA 05967
U,ru:,: (1 30) 877-349!-) 0 FAX (a30) 877-349(3
n
DATE
FROM:
Name: _
Address:
Attn:
Phone:
Fax:
TO: Butte County Building. Division
7 County Center Drive
Oroville, CA 95965
Phone (916) 538-7541
Fax (916) 538-2140
SUBJ: Request for Building Permit Information
Request you research the building permit records for the following parcel:
A.P. # ADDRESS OWNER'S NAME
Please research any building permits applied for, issued and finaled on this property.
I understand a research fee of $23.00 (minimum) is required by the Building Division.
Research and report time in excess of 30 minutes will be billed at $46.00/hour in 30 minute
intervals. (Butte County Ordinance #3075, effective 7/12/93, requires payment of this fee.)
Please O Mail O Fax report to me at address/Fax # above.
Signature of Requester
Atch: Check for $23.00
(Payable to Butte County Treasurer)
t
..
PERMIT NO. 1496-77P,E
PERMIT .EXPIRES
OWNER Melvin Marshall Jr.
CONTR. owner
LOCATION (A.P. 65-19-15
,¢
y
55 Vie Rd., lot 466, fir Haven Sub, Magalia
7
r
II
}
1.
- f
f
l
Temp. Power Pole
Called PG&E
x
Temp. Elec. Serv.
r
Called PG&E 3
Temp. Gas Serv.'
Called PG&E
JOB
FINALED J / .7
(Date)
(Signatur
1
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING BUILDING (Cont'd) PLUMBING
Selpack
F ewall
S I Piping
For
Pa ets
1 t Floor
Mai Bldg.
Rest om Finish
2n Floor
Fo tins
Windo
3rd oor
Stem all
Sldin
To out
Slab
Roof Shea)blng
Water PI i
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footin s
Garage Vents
Water Htr.
Stemwal l
Insulation
Heaters
Slab
Carport
Po
Footings V
Prov. for ph sical
handicaped
Conformance of ex.
structure V
Appliances
Gas Piping &Test
Temp. Gas
Slab A
Final
Sanitation
Patio
F EP ACE
Final
Footings
Footing
E ECTR
Masonry Walls
Throat
Rough
Reinf. Steel
Final
Fixtures
Bond Beam
JFIRE SPRINKLE
Motors
Framing
Test
Water Htr.
Stucco
Final
Sub anel
Mesh
MECHANICAL
Grd. F It Prot.
Scrat
HeatlQ6
Servigi
Bro
IV—Coo ng
T mp. Pole
FI sh Dults ifiderground
Int for Lath )IJAntilation Permanent
D r Closer anal/Final
MOBILEHOME UTILITIES ------------------ Elec_ Service Elec. Pedestal
Water Piping al�L 7 Sewer r}(, =77 Gas Piping y 1
OBILEHOME INSTALLAT ION - - - - - - - - - - - - Support Elec. Continuity '
Water Piping Drainage Gas Piping
DATE REMARKS OR CORRECTIONS
(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
OROVILLE, CALIF. - 534-4541
CERTIFICATE OF OCCUPANCY
This mobilehome has been installed in accordance with the requiroments
of the California Administrative Code, Title 25, Chapter 51 under permit
number TV for the following location:
4>n..
Owner �'--� yD't!'�.�9-t>c.�/F_•
Owner's Address
Mobilehome Mfg.Model f+�^4���� Year f
Insignia No. Serial No.
a
It is hereby certified for occupancy at the above described location and
may be occupied.
Director of Public Works
Date S �7 i gl"w'-�
y
THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED
Septic system
• to I be as per
Butte Co�:n; y f-1 atth Dept. Rem
gvirements.
The S Setback shaft be 5 it. from the
side property line and 50 ft. from the
cente•",e,of the road, permitting a maxi-
m;,Yr, of a 2 t. eave overhang but entirely
our Qf all easements.
T?. CA *t
)
All hil' ' ;f Y connections shall * be
located within e ft. 00side the rear
third section of the mobile home
on the left (road) side of the mobile
home.
#n ^ � r �. S
� n ,+O fD
BUTTE COUNTY
BUILDING DEPARTMENT
'i4PPPOVED
Sao>Z
Ci -aa n O :.
Q �m
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COUNTY OF BUTTE — DEPAR'q MENT OF PUBLIC WORKS
7 County Center Drive — UroviIle, California 95965
Telephone: 5344541
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
Date 3 2�
„ 19-2
Signature of Permitee or Agent
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.
DIRECTOR F UBLIC WORKS
B Date
4/u, Id ing permit expires Date �`
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
Mailing Address 461r3 A G1,WG "
/a
/�
a/ ` C
elephonl o� /
C.
F i rep l ace
�f G
Contractor f° '`7 3y bJ
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.'
Permit Fee $
Building Address:%/c
V
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping
' (/ ld ZonTnq Verificafion Only
Each gas water heater or vent 1.50
—�
A. P. O. �/�
�T
Zoni
Gas piping system 1 - 5 outlets 1-,59 C�
Each additional outlet 30
es
sa on Fire Dept.
Fire Zone
Use Permit
Building sewer
EQA
Parking
Plan
Parcelparcel
Declaration
Ma
60' R/W
lmrovements
p
Lawn sprinkler system 2.00
n
/ ans Recd
rce Approva
PI royal
Permit Fee $T—L03$
o)
NEW ❑ ADDITI TILITIES [21 OTHER ❑
ELECTRICAL No.1 @ FEE
PERMIT FILING FEE $3.00 Qd
Main service 100 AMP OR0V OR LE LESS5.00 i
Main service EA. ADD'L too AMP 2.50
Single Family ❑ Duplex ❑ Mobil Home � Others ❑
Main service OVER e00V 25.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 1.00
,pp SQ. FT. MINIMUM
NEW CONS. DWELING
OR ADDNST ( ACCL BLDGS.CCUP. &) 20sq ft
NEW CONSTR. MULTI -OUTLET
NON.RESID. ( BRANCH CIRCUITS) 12.50ea
FORMOBILES
NEW CONSTR. POWER APPARATUS &)
NON.RESID. (SINGLE OUTLET CIR.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
Ex. Occup(OUTLETS OR FIXTURES)50 @250
SAL@104
Ex.Occup.(OUTLETSP(RESID)REA) 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
o 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 to building construction, and hereby
��
TOTAL PERT FEE
$
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
Date 3 2�
„ 19-2
Signature of Permitee or Agent
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.
DIRECTOR F UBLIC WORKS
B Date
4/u, Id ing permit expires Date �`
Order No. 80832-F
Order No. 81530-466-S
Recorded at the request of
OROVILLE TITLE. MlPmy
Retum to Frail Tax Statements to
�L.@.Y?ii.Tl_.A.ewe-�.QPments-_ Y nc -----
9100 Wilshire Blvd.
.:90 __
212
Attn: H. D. Cathcart
TAX PAID'
r_�;.��
0FcOviLLE riiit WMIJANY
34 U 1370
e
LLL'::;
. FEE
94321
GRANT DEED (Corporation)
For valueaw*"'ed AMERICAN SECUP.ITIES .COATANY, a corporation and
WELLS FARGO BANK
GRANT—_;to LA`ZWIN DEVELOPP=s INC-. without warranty or
Implied covonants
atl ti -t veal Property oiteute.in the
CrzratY Butte ,State of CoWomia,dmwtbtdmnfoiloas:
- The Sou
th half of Lot 466,
. as shown on that certain record of survey of Fir Haven Subdivision,
-uhich m.Lp was filed'in the office of the Recorder of the County 'of .
Butte, State of California, on Nay 12, 1961 in Book 25 of.tlaps; at
pa -es 42, 43 and 44.
Z :C - MNG AIM-r.ESZRVjKG THErWRO`I all of the valuable minerals be-
T�eath the surface of the said lands, with the right .to mine and exp
tract said minerals, it being.agreed and understood that in all i
min n; operations, the -surface of said lands will be protected
against damage.and that all such mi-5.ng shall be carried on from
tunnels. shafts or drifts having, their orifices outside of the sur-
Xace area zf the above described realty, all -as excepted and re-
Ferved in, the Deed from Kagalia Mining Company, a cerporation. to
D..Storts..Pt ux, recorded on Bep4mber 4, 1947 in Boot 423 of
?kith+ COU11ty Official Records, at page 385.
a ,
VIU=M am 1
swt WAZE of SUMOr Co Mo. I �,
c
CAN e—crsa mn vent akairf esu tu<a.rm._ ttaz
�J ave= aMw to otasramo AT o=E or &uL
IN \\'ITIi cS5 \i'?f R O , raid corporation has executed thew prevents by its officers thereunto duly authorized,
this 13th. dayof re . A. D. BICELO�NE_RI
'7-0`"' ACAN S IT rrS. OPVAIdY,
WELLS FARGO BANK' ssstsranr rtcE wRis1of71T A CORPQ�T ,O
r- .. _.._ .. _ - ....Y _..�.•.._ �._
BY. NO TRUST OFFICER /
Y D. BIGE1 O\7
STATE OF
IMEK
wo U7^�
.Coa.e7 el- �__�__ _ ......_. tr. Br..•..__._..' - .�aS85i'4Te'S'S�'7iui'v -
•
r. Nae. PaHit.iw oadfar mea.____.___._....._._..Cwwt�eea..L�tr,.pne.erilrap/a.reJ_`__ .
Ede... .__—....:_.._......_.......... .
Sx•rte.� eJ lir rw➢wafie. t:af craeaard Ikrsitkiw iw <lrr.trwl, and ad<n bwmr. t. ever d. br [kr pr.u�e trL. err<ptw� ef. eve ,detk.tJ of sari <er yo.etin.,
ewd «k.a dedtrd b.ar teat wri p...rim< a.err.rra ter <e aer, ..d fo tkn -k.—i dtra t. car Edo er<i cw-
. eu<aJrd /Lin iw<vwv.ta
9ovar.I to err kq.daa•r x ..r>�deJiw of err Bm.a: J Ui,rrfo... Yr 1
' b/�saaeaai.riea tdrpi<or._'---------•-•--.. —^ ,
OROVILLE'T1TLE COMPANY -11
lL TAX STATEN'=S AS DIRFCTSD ABOVE
Sao IMI na401
ti0}37.1 1'aiU,iG IIVS'I'ALLAT.10 J INSPECTION Cl1ECK LIST
1. Is the mobilehomt loc�!tcd wi.l.h required separation from lot lines and buildings.and generally
conform to plot plan? Y(!s >/No
2, Doem.; the mr,bilehome have required clearances above ground? (Sec.5085) Yes No
3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note
possible variation at spring shackles.) (Sec, 5082 & 5083) Yes L -".No
4. Is the mobileliome level..? (Sec. 5088) Yes"),"' No
5. If more than a single unit, are crossover connections properly installed?'(Sec. 5088)
Yes No
`i Water.
A. Is flexible connector of adequate size and properly installed (1/2" ID'min.)? (Sec. 5566)
Yes ✓ No
B. Test - Does water piping withstand working pressure or 50 lbs, air test? Yes"✓ No
C. Backflow - If coach is not State of California approved, does station have backflow device
and pressure -relief valve? Yes No
7. Wastes and Drains
A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes V"' No
B. Does .it have minimum k," .per foot slope and is it properly supported? Yes '� No
SS
•C. Are any leaks detected in drainage system after rupning 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 piping is to be at least as
large as the mobilehome gas line inlet without reductions other than the mobilehome
connector. Yes N/ 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 mobilehorne with connector, turn, on gas, test connections with
soapy water.
C. Are all appliance vents properly installed? Yes V/ No
9. Electrical.
A. Is service large enongli to provide .adequate amperage to mobilehome (must equal rating of
mobilehome caith a ::;inu::um of 100 amp) and other facilities on lot, i.e., water pumps,
garage, caoana, ct Lc.? Yes � No
li. Is ther--� proper clearances around panels? Yes L/ No
C. Is power supply cord or feeder assembly properly fused? Yes 1/N0_,
D. Is continuity test satisfactory as per the following procedure? Yes �No
1. -De-energize electrical wiring system of the mobilehome at the pedestal.
2. Make sure that the power supply cord or feeder assembly conductors, including neutral
conductor, have been disconnected.
3. Switch all breakers and switches in the mobilehome to the "on" position.
4. Connect one 1,�,.1d of a test instrument to the mobilehome grounding conductor and
, ,.
apply tine ail -_- a.ead t:o each wow- .LCLIUIIIe supf�I cUituriCtor, ilicUl>tg neai Ldi.
5. All nor. -current, carrying metal parts of the mobilehome (aluminum siding, gas line,
water line), incliiding 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
t conductors shall be connected to the site service equipment. A further continuity
te.:;r_ shall then be n.ade between the grounding electrode and the chassis of the
111obilehome. Upon satisfactory completion of the electrical tests, the lot .or site
service equipment- may be approved for energizing.
;j, T;> job card signed by Health bepartmeat for water and sanitation?
11.. if everything okay, sign off card and to services.
'NOBTLE11Ut^L•' DATA
Manufacturer and/or Namestyle
Length 1, 1/ Width
Vehicle Serial No. L O
State Identif.icati.on No. P-14
4 dei � t ional Information or Corrnp.ent s :
f
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA.
PHONE: 534-4541
MOBILEHOME INSTALLATION SHEET
1.
Owner's name:
2.
Installer's name:
3.
Is the site currently under permit? Yes 77-7.
No
(If yes, furnish permit number/ /C (77
)
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 /T�/
No
( If no, clarify
)
5.
What is the mobilehome electrical rating? -----------------------
a -p Amps
6.
What is the mobilehome site service rating? -----------------.----
0--p Amps
7..
What is the mobilehome site circuit breaker rating?
-------------
ffi� Amps
8.'
Is there any other electric load to be served by the
mobilehome
site service? --------------------------------------
-------------
Yes / / No
(If yes, identify the load and size:
(Load) (Amps)
9.
What is the mobilehome site gas pipe size? ----------------------
(in.)
10.
What is the type of gas service? ------- ----------------------
Natura�% LPG
11.
What is the gas pipe length from meter or tank to the
mobilehome? (ft.)
12.
What is the mobilehome gas demand? -------=----------------------
(BTU)
(This information not required if pipe length
less than 6
ft. on natural gas
or less than 50 ft: on LPG.)
MOBILEHOME SUPPORT DATA
Mobilehome Mfr. �z Setup Model No Year %�' 7�
--�
Width < (ft.) Length --— (ft.) " Expando Size ft.x ft.
(Draw support details below)
On -all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation
manual and structural setup sheets (if not on file with the County of Butte).
M� in. 6X C°9
(in.)(in.)
f
f(t`-. ft. in.)
I
If . .. _-.—
S
*If center piers are other than drawn above,
draw in locations, spacing, and dimensions.
�. Footings (check one)
1. Wood either
pressure treated or
I I fdn. grade.
/ L 2. Concrete pad.
3. Other, specify
Supports (check one)
1. Concrete block
2. Concrete piers
3. Steel piers -
4. Other, specify
11 --,T
— ' - - Typical Su ort
PP
Footing Size
I
f
e II Max. Pier
(ft.) (TH.) Spacing
j_ J Overhan
BUTTE COUNTY
BUILDING DEPARTMENT
APPROVED-
4�-
Center
Center Support
Support
Footing Sizes
Locations
(in.)�
/L •
(`f }min.
!� x
� in.)
4
'(in'')
(ft)
in. In.
M� in. 6X C°9
(in.)(in.)
f
f(t`-. ft. in.)
I
If . .. _-.—
S
*If center piers are other than drawn above,
draw in locations, spacing, and dimensions.
�. Footings (check one)
1. Wood either
pressure treated or
I I fdn. grade.
/ L 2. Concrete pad.
3. Other, specify
Supports (check one)
1. Concrete block
2. Concrete piers
3. Steel piers -
4. Other, specify
11 --,T
— ' - - Typical Su ort
PP
Footing Size
I
f
e II Max. Pier
(ft.) (TH.) Spacing
j_ J Overhan
BUTTE COUNTY
BUILDING DEPARTMENT
APPROVED-
4�-
/ COUNTY OF BUTTE — DEPAR'TMENT'OF PUBLIC WORKS
7 County Center Drive — Urov ille, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
IM v,--
,,1969-77
Signature of Pe mitee or Agent
�� � 913 ,L. By Date y—�� %Z
Receipt No. �_.Lp � 7�
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant BU ding permit expires Date OO
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Fireplace
Contractor�
Total Valuation
Mailing Address O, ��
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee
Building Address
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No.Gas
Zoning &Planning
piping system 1 - 5 outlets 1.50
Each additional outlet .30
Fe e'
V_C.
—Semtatton
FireDept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
parcel Ma P
60' R/W
ImprovementsLawn
sprinkler system 2.00
Bldg. ans Recd
Parce val
��
anPT—s Approval
Permit Fee $
$
NEW ❑ ADDITION YTILITIES ❑ OTHER [
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
_
Main service 8001 OR LESS 5.00
100 AMP OR LESS
_7
Main service EA. ADD'L 100 AMP 2.50
OVER
Main service OVER s 25.00
AMP OR LESS O
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Main service// EA. ADD'L 100 AMP 1.00
NEW CONS.DWELLING
OR ADDNST % ACC!-BLDGS.CCUP. &) 21Psgft
NEW CONSTR. MULTI.OUTLET
NON•RESID. ( BRANCH CIRCUITS) 2.50ea
NEW CONSTR. (POWER APPARATUS .&)
NON•RESID. (SINGLE OUTLET CIR.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
Ex. Occup(OUTLETS OR FIXTURES) 109
Ex. Occup. (FIXED APPLNS. OR
OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. 1;� �.� �5.3 Classification ae /
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 I 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 $
$ eo
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- entioned property for inspection purposes.
C/—Z/-77
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.
DIRECTOR 94-TUBLIC WORKS
Signature of Pe mitee or Agent
�� � 913 ,L. By Date y—�� %Z
Receipt No. �_.Lp � 7�
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant BU ding permit expires Date OO
�,tl�r�t0I�6eg��
ZZ61 � � B a li' � iv
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�. 762-81B
PERMIT NO.
! PERMIT EXPIRES J190�
OWNER Melvin Maidtall, Jr.
1
owner
CONTR.
,j 65-19-15
ASSESSOR PARCEL
4
LOCATION 144,32 Vine Rd., lot 466, Fir
� L
Haven -Sub, Magalia
i
�r
t
r
Yyu{I
t1
Temp. Power Pole
,i Called PG&E ...y
Temp. Elec. Service
Called PG&E
d
; Temp. Gas Service
i
Called PG&E
JOB FINALED ( ate)
Signature
j
J = OK .*
(S = Not OK
- = Not Applicable
= Not Ready
MOBILEHOMES
MISCELLANEOUS
S
Date
MOBILEHOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'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
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
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
4. Electricity; MH Test -Crossovers -Breakers -Clearances
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
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/O 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 -BI
Date Card -BI Date
Card B -I Date Card -BI Date
Card B-1
Date Card -BI Date
Card -BI
Date Card -BI Date
0
t
J = OK t • �.
0 = Not OK r"
= NotFoad able
= Not Fready RESIDENTIAL. (Single and Duplex)
Date
UNDERF OOR Plans OK except #'s
Date FRA
N ontinued
1 oning requirements -Setbacks -Easements
48.
y Line Firewall & Openings
2. F g., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
49.
t. Doors -One 3' -Check Garage -3rd story, 2 exits
Ftg., Garage; Soils -Steel- / T Ftg. Depthth-Headroom-Rise-Run-Landing-Fire
Protection
4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
51.
P ood n Roof Overhang -Attic Vents -Rafter Outriggers
5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
52.
Si -Nailing-Veneer
temwalls, Garage; Steel-Blockouts-Wrapped-Slab
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
7. Piers -Fireplace t .-Steel
54.
Glazing Area -Glass Protection -Skylights -Plastic
8. D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test
55.
Shear Walls; Nailing -Bolts
9. Gas Pipe; Size -Anchors
10. Water Pipe; Test -Anchors -Regulator -Service Test
11. Electric; Underground
12. Plenums & Ducts; Clearance -Material -Support -Ins.
13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Card -BI
Card -BI
Date and -BI Date
Date Card -BI Date
Date Card -BI Date
Card BILL
Dat rid` Card -BI Date
Date FINAL_ans) OK except N's
Card-BI7 Date7 Card -BI Date
Date
PLGMBIAG (Permit) OK except N's
56.416M.
Steps -Door & Sidelight Protection -Landings
moke Detector
14. fter Ht.; Vent -Access -Combustion AirSB.
A, -Clearance-Comb. Air -Connector -
In Garage; Above o r-Ducts-Mech. Protection
15. Wat Pipe; Test & Anchors -Nail Protection
16. D.W. . Test-Fttngs & Anchors -Nail Protection
59.
rating
17. Shower n; Test, First Floor -Tub Access
Beth Fixtures & Tub Access
18. Test Tub & hower, 2nd Floor -Tub Access
61.
Vic. Trim & Subpanel; Breaker Sizes -Labels
19. Gas Pipe; Siz & Anchors
Is
or Stove; Clearances -Hearth
Card -BI
Date Card -BI Date
64.
ec. Outlets at Wood Panel; Int. & Ext.
iance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date Card -BI Dates
& Receptacles at Kit. Counter
Date
EECJTCAL Permit except q's
ire Door; Swing -Landing -Closer
7-117-MGOK arage-Damper
2 u Transformer Clearance -Ins. Protectionjo
R9�-Yr4rr�li
''-1L nests -_Clearance -Comb. Air-Connector-P.R.V.-
G e; Above oor-Mech. Protection
c. Receptacles Spacing -Lights &Switches at Doors
70.
b , E� Mech. Equip. Listed for Location
2 oxes & No. of Conductors -Stapled
71,
. Receptacles in Garage; (G.F.I.)-Romex Protec.
Ro nstalled Close to Edge of Studs & C.J.
24 quip. Gro a up w/Mech. Fasteners -Bond Gas & Water
- am -Looked in Attic E) Yes
2 Appliance Circuits in Kitchen•& Conductor Size
d M2119 & Deck Construction -Post Caps
_
2 Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al
. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under oor Yes
27. ange Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al,
I ulated Neutral ❑Yes ❑No
75,
Following instld.: Drive ❑ Yes "AL Walks ❑Yes o;
Planters ❑Yes 0 rT
28. Ser 'ce-Riser Conductors & Ground -Main Disconnect
76q,Stucco;
Brown -Finish
29. Equip. learances; Panels-Motors-Mech. Equip.
77,
C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
30. Clothes t Light -Shower Light
78,
ents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
79.
W er Well; Disconnect, Electrical, Plumbing
80.
Ext rior Elec. Trim; G.F.I. Receptacle -Underground
Date
81.
Vent lation throughout House
Card B -I
Date Card -BI Date
82.
Glass Protection
Date
MECHA CAL (Permit) OK except N's
83.
Correc ions from Previous Inspections
84.
Gas Te t -Meters Tagged; Gas -Electric
31. A.C. cis; Insulation & Support
85.
Water & ewer Connected -C/O to Grade -HD Approval
32, Vent FaNgxhaust above Insulation
86,
Energy mpliance Certificate -Other Certificates
_
33. Condensate'lkain & Overflow; Size & Grade
34. Furnace -Vent; ccess-Comb. Air -Return Air Vent -115V outlet
35. Attic Access & P form if Furnace in Attic
.114
Card -BI
Card -BI
Date and -BI Date
Date Card -BI Date
-
Card -BI Date Card -IN Date
Card -BI
Date Card -BI Date
Card -BI Date Card -BI Date
Comments at Final:
Date FR MI Plans OK except q's
36. Proper Material & Anchors
37.GWalls; Studs -Nailing, Spacing & Bracing -Plates -Sound
_
3�i8eartTRfWalls over Girders & Floor Nailing
39r--VfaTt'SM in Walls (rat proof)
_re Sto s; Furred Ceilings -Stairs -Chases -Tub
41. H & Beam -Size & Bearing
42 Ha^gocs-P6s1 Caps -Anchors -Connectors
43. oist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng.
rep ace ies or Type A Flue -Fireplace Throat
_ ize & Romex Protection -Draft Stop -Ins. Baffles
4 r Exiting Doors -Sill Hgt. & Dimensions
47. _ e Fire Protection Framing
(NOTE:Anentrymust be made each time youvisit jobsite)
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751.
7 County Center Drive, OroviIle— Phone: 534-4541
Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57
CORRECTION NOTICE
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.
Inspector Date
. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive,- Oroville, California 95965 - Telephone 916/534-4541 ✓7/ �/
APPLICATION AND PERMIT / C� _A
ASSESS R PARCEL NUMBER ONIN
'r
BUILDING PERMIT
OW E T TELEPHONE
1 GJ
SQ. FT. OCC. BUILDING V LU TION
6MD
OWNER'S MAILING ADDRESS -AA
Lf(4-32 V
CONTRACTOR'S NAME - TELEPHONE
CONTRACTOR'S MAILING ADDRESS ,
Fireplace
C STRUCTI LENDER
(,
V1 1 0 1'1
UNKNOWN
Total Valuation $
Filin Fee
g -
$ 10.0
L DER'S MAILING AD RESS
aK falAC4 cla
Permit Fee"
$ _56 lop
ARCHITECT OR ENGINEER _
LICENSE NO.
Plan Checking -Fee
$ 00
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
'
Permit fee
$
BUILDING ADDRESS
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00.
Repair drainage or vent piping
5.00
Water piping
LOT NO. SUBDIVISION NAME
frj Y V
RCEL MAP
Each qas water heater or vent
5,00
Gas piping system 1 - 5 outlets..
USE OF STRU URE,Building
SF ❑ ' Duplex Mobilehome❑ Other I��� �a
SPECIFY
sewer
La wn sprinkler system
5.00
t .
TYPE OF WORK
New W? --Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
5.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. ( DWELLING OCCUP.a)
OR ADDNS. ACC. BLDGS. /
22 sq It
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
F] I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
ense 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) 1 _
❑ I am exempt under Sec. , Business and Professions Code
forthis reason
NEWi.RESID R. BRANCH CIRCLET
TS 2.50 ea
NEw .CONSTR. ( POWER APPARATUS 9
NONR ESI D. ` SINGLE OUTLET CIR,
so @ zS¢
Ex. OCCUR(OUTLETS OR FIXTURES BAL@1
EX. QCCU /FIXED APPLNS. OR
P•\OUTLETS (RESID.) EA. 2.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
. Permit Fee $
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
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
M/ of Consent to Self-Insure._��]
shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
S
Contractor
L
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence f the granting of this permit.
Date 3
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 $
0CCUP. GROUP
;,�/��
6n'�
TYPE OF CONST.
v A/L/
PARCEL
PD
1,/ I UE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECT OF PUBLIC
By
PER I EXPIRES Date
the applicable provi-
resolutions to do
fees have 'been paid. -
WORKS
Date 3--17 `�
�-1 /
Receipt No. - LM 2V r_
WHITE-D.O.W., YELLOW-AESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
SS
COUNTY OFrBUTT�.; DEPARTMENT OF PUBX9134-4541
PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Teleph��APPLICATUDN AND PERMIT
ASSES OR PARCEL NUMBER
--/ --f
ZONING
BUILDING PERMIT
OWNER
In T " t2 S A 4 .
TELEPHONE
8'73—O s
SO. FT. OCC. BUILDING VALUATION
OWN R' AILING ADDRESS 91
P
CONT A''^CTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEERLICENSE
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
Repair drainage or vent piping
5.00
Water piping
LOT NO.
SUBDIVISION NAME
PARCEL MAP,
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other 2
Describe work:
� – A
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100V DR LESS
100 AMP OR LESS
5.00
Main service EA. ADO'L100 AMP
2.50
NEW CONST. DWELLING O •!d�
OR ADDNS. ACC. BLDGS
2dsgft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
ElI 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
A� 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
NNEW U0N5T(ML11 ON•RESID R. BRANCH T ETITS 2.50 ea
NEw CONSTR (POWER APPARATUS &I
NON-RESID. SINGLE OUTLET CIR.
80 @ 25¢
Ex . Occup o OR FIXTURES gqL ami
ED A
FXED PPLNS. OR
Ex. OCCup.(pUIXTL ETS (RESID.) EA. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
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.
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
Filing Fee 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
again t said ouny in consequence of the granting of this permit.
X // Date �_�3,��
Signature of 9pplicant — 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 $ aj
OCcuP. GROUP
TYPE OF CONST.
PARCEL
PD
F_7B_[7F95_E
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated bove for which
DI TOR OF PUBLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
at ^ 2
P._
Receipt No. f 91S 1
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING Dr67SION
7 COUNTY CENTER DRIVE
ORON•ILLE CA 95%5
ill illi II II Ilii I III
III II III 1111 llir A
1 `398—tm02 1 248
Recorded
I REC FEE 10.00
Official Records
I COPIES 1.50
County Of
I
Butte
I
CAMACE J. GRUBBS
1
I
Maureen
11:13AM 22 -May -1998
I Page 1 of 2
AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT 2
FOR RESIDENTIAL DEVELOPMENT
Section 26-8 of the Butte County Code requires this acknowledgment to be recorded prior to issuance of a building permit.
The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of
this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited
to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation,
plowing, spraying, pruning," and harvesting which occasionally generate dust, smoke, noise, and odor; `,Butte County has
established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such
inconvenience or discomfort from normal„necessary farm operations.
All that real property situate in the County of Butte, State of California, described as folloNNs:
Date: Z PROPERTY OWNERS:
&AC -l<
State of California )
County of Q U -#e )
On kk`before me,
�'
personally appeared—WK—\e— L - C ac K. , :yr, avl p
hnown4e-me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) ib/are subscribed to the
within instrument and acknowledged to me that a/they executed the same in *isomer/their authorized capacity(ies), and
that by hi&%Wtheir signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted,
executed the instrument.
WITNESS my ha d and official seal. JAY P. MILLS
`y COMM. / 1'160650
W �NOTARY PUBLIC-MFORNIA N
a COUNTY OF BUTTE
Signature eal: My Comm. Expires Nov. 8, 2001
i
NOTE TO RECORDER: DO NOT RECORD THIS SIDE
AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT
A.A. - I
Instructions for recording Agricultural Statement of Acknowledgment:
1. Insert the legal description of the property in the space provided on the other side of this form.
The legal description is the narrative description of the property - which will be on your deed. If.
you don't have access to the deed, the Recorders Office can provide this information. (The
description may be handwritten or typed in the space provided or attached on a separate sheet is
more space is required).
2. Property o A hers must sign in the presence of a Notary Public and have the form notarized.
3. Make a copy of the form and then take the original and copy to the Recorder's Office at 25 County
Center Drive, Oroville (the Administration Center building). The Recorder will record both the
original and copy. They will keep the original and return the copy to you. Just bring the copy
back to the Building Division at 7 County Center Drive.
RECORDER'S FEES: $7.00 - 1st Page
$3.00 - Each Additional Page
RECORDER'S OFFICE HOURS: 9:00 a.m. - 5:00 p.m. (Monday - Friday)
95-25246 .
Order No. 3-171025
E
SCHEDULE C
The land referred to herein is described as follows:
All that certain real property situate in.the County of Butte, State of i
California, described as follows:
The South half of Lot 466, 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 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 mining shall be
carried on from tunnels, shafts or drifts having their orifices"oats-i&
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 of Butte County
Official Records, at page 385.
AP No. 065-190-015
1. END OF'DOCUMENT
1 G 0 C-11
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ICC/ 'Mrrt I/Z"ICA�*.<1,NG
NUT OR CCiI PIN
�% r74�E7:USW'
a
r Ft?,RE7 SCH40
ri,» .,r CORNZRS
M0SILE iv^SAE CO'CU
SUPPORT GIRDER - TYP.�
I i/c _..:<. 4.1 a!a_
2" DIA. HOL=
cno onoc C3 11 I
a
PP- 1-Hfl
P.4 D
X. S0440 PIPE
* rZ'Se-?-' TYPICAL INSTAU.ATION. DETAI
aie 11131ri."41,4 ' �I:
pcLrr;vccA - rvr. C ,{
X19/,o CJk f f
PATENT:� PENDING
i
T. PCL`/,00, P;... - L ISTDfC
.�c:�'lof:^,t_� t'i.�z•+uar:is.+ >,�llcti:
;.-Atr'< AND SAFM CICVQ . sZcr:cr. +3531"
A P 9 R 0 V E G
SPA NO.
lr.;.n •-�.1. r......a n{ vppiKaillt slab !31•..1 m:�: ry'U:i '.:Ga
G' ar:rn•:.• :;! ltc�::...1 ::.: Canu...,n�.y C:.^Icv.sri:f
*his PkA A; ---wovai ExOmsyc
f
PERMANENT
FOUNDATION SYSTEM
GUSGUARD TUF 1 WITH A,!GP PA -D,'
Kenneth D. Reed, P.E. },
Registered Civil Engineer
8976 SimmonsNq
Redding,
Voice/ -,-=4'��
April 1
_ r1EET
1-800-322-2479
1
1 G 0 C-11
1 I
1 +�1 7 ✓✓✓
1 I -- I ICV. 'fra. � A�
i 7 \��5
io
t GRIP`R eAE= Dc AILIc"i-to ?IPF
j
1 �' =m Ar CCRNE?S ('/� 0 A WeaJ �
aur: o
s -:IG ca-+; Vis
O O C ° o
I
1 I irllli�
I CAP PL'�t� DEI.;L
23'
i
I
I ,
TCP VIEW - MGP _ PAD • ,
I I/3 C(r. MG PUAVCCt7_—,-�—
•,eCtw::lZ_o — S` 40T_ t♦
SIDE VIEW - MCP - PAD
2"• X 2" X
ANCLE IRON 2S
TU F— —I
9/17 CLIA rIz/
GRIPER PL\TE OE AIL
cc
3/3' x ° r MACH aOer
FLUSH 'ANO COUN—LR SU:,x
(8 EA. TYP)
ENO VIc'! - MGP - PAD
CCA PRESSURE TREATED
MCP= IMARINc GRADE PLYIN000 CCX P ANO S
i/r C.4.ACE S PIN OR ECLn
ICC/ 'Mrrt I/Z"ICA�*.<1,NG
NUT OR CCiI PIN
�% r74�E7:USW'
a
r Ft?,RE7 SCH40
ri,» .,r CORNZRS
M0SILE iv^SAE CO'CU
SUPPORT GIRDER - TYP.�
I i/c _..:<. 4.1 a!a_
2" DIA. HOL=
cno onoc C3 11 I
a
PP- 1-Hfl
P.4 D
X. S0440 PIPE
* rZ'Se-?-' TYPICAL INSTAU.ATION. DETAI
aie 11131ri."41,4 ' �I:
pcLrr;vccA - rvr. C ,{
X19/,o CJk f f
PATENT:� PENDING
i
T. PCL`/,00, P;... - L ISTDfC
.�c:�'lof:^,t_� t'i.�z•+uar:is.+ >,�llcti:
;.-Atr'< AND SAFM CICVQ . sZcr:cr. +3531"
A P 9 R 0 V E G
SPA NO.
lr.;.n •-�.1. r......a n{ vppiKaillt slab !31•..1 m:�: ry'U:i '.:Ga
G' ar:rn•:.• :;! ltc�::...1 ::.: Canu...,n�.y C:.^Icv.sri:f
*his PkA A; ---wovai ExOmsyc
f
PERMANENT
FOUNDATION SYSTEM
GUSGUARD TUF 1 WITH A,!GP PA -D,'
Kenneth D. Reed, P.E. },
Registered Civil Engineer
8976 SimmonsNq
Redding,
Voice/ -,-=4'��
April 1
_ r1EET
1-800-322-2479
GENERAL NOTES - GUS -GUARD TUF-1
1, DESIGN MAIDS: ROOF LIVE LOAD = 30 FS -
FLOOR
SFFLOOR LIVE LOAD = 40 PSF
WIND LOAD - 80 !,1P'H, E;XPOSUR= C
SEI -13,1111C ZONE 4
r
2. THIS FOUNDATION SYSTEM IS D'ESIGI`1ED TO SE CONSTRUCTED C- I A F A!;RLY L "`; EL
SITE'r'/ITH 1` O EXISTII`1G SOIL DEF INCIES -
3. CH,•=,SSIS SE,'ii SUPPORT SHALL 6E LOCATED {ID SIZED FC,R TI - L0 SCS S'"'.C'� /?1 i�N
THE �MOB!LE HOIi IE INSTALLATION IINSTRUC T IONS
4. IN AREAS'%'.!HERE DIFF=R`1`JT!AL SETTLE.ME' T (D.S.) CAN OCCUR, ,41ANUFACTURcD
HOME SHALL 8= READJUSTED WHEN D.S. EXCEEDS %', OR lhHEN IT WILL
ADVERSELY AFFECT MANUFACTURED HC ,1E UNIT
5. C ` RRY ALL FOTTINGS DOWN TO FiR;M, UNDIS T URKI) SOIL. FOOTINGS ARE
DESIGNED FOR 1000 PSF TOTAL SOIL PRESSURE;=,ND SHALL SE COi',Ir`ATi= 'i/iTH
LOCAL SOIL CO`IIDITIOMS. CO!;!P,;CTED S""D iM'y 8= USED TO FiL L LCC.'_ VMS
UNDER PACS
6. STRUCTURAL S T EEL SHALL BE FABRICATED ACCORDING TO AISC SPECIFICATIONS.
WELDS SHALL CON=CR TO AWS SPECIFICATIONS. ELECTRODES SHRILL BE X70.
' PLATES SHALL BE A36. BOLTS SHALL K GR. -,DE 5 (ASTM A449 OR A325)
f
7. THE GUS -GUARD PIER ASSP;IEBLIES SHOWN KLOW SHALL BE LISTED AiNlD LABELED
BY 8SK AND ASSOCIATES FOR THE FOLLOWING LOADS:
8.
ALLOWABLE LOADS
HORIZONTAL VERTICAL
GUS -GUARD TUF-1 PIERS 2200 LB 6000 LB
GUS -GUARD MGP PAD 2200 LB 6000 LB
DURING PRELIMINARY INSPECTION, THE ESTIMATOR SHALL ENSURE THAT THE
COACH CHASSIS BEAiNIS ARE OF STANDARD SECTION - SEE BE;AiM SIZE NOT -
9.
9. EXISTING COACHES MAY BE RETROFITTED TO RESIST SEISMIC FORCES BY
INSTALLING GUS -GUARD TUF-1 PIEE,4S AS SHOWN ON THE TYPICAL FOUNDATION
PLAN AND THE TABLES ON SHEET 3
10. THE GUS -GUARD TUF-1 PIERS 141AY BE INSTALLED IN FLOOD PLAIN LOCATIONS
WHERE THE EXPECTED DEPTH OF FLOODING DOES NOT EXCEED A HEIGHT OF 3
rFET
cr_i
,
11. 'JUL Ti?L_c UNIT PIS T ALLAT10i J iS ACCE?T,�31_= ?ROVIv=D THAT T!-, E `It!, 1Z '''� OF
' 1 '1,J �t
GUS GUARD T 1 1 Pt=RS UD=R E -`,Cis !,"IIT iST 141 'z 5,=, IE AS ;-Or', E ;Ci 1 U II T CF,1,
COUSLE-WII E COACH OF TI,E SAME LENGTH
12. SINGiLE-NIDE CONCHES RECUR= ar0!TI01`J:�L RESTRAINT - SEE SHSET 3
!
13. ALL „7AL A,C A TACH cNS Su,' � FZl l_C ,'i E CJa =❑
L! q
i
i
1-"'. P,GPP,';D SHALL 8=1-118' EXTERIOR GRADE
1 t l
i TRE iT l`,!ENT TSD O. JO PCF l'.1AXI?,1L'M R_TEITiCN AFT II ER DRYING
I
I
I
t
Sri'
P %05 iN A.14 ( PAMMAY
3E R TA:4D-P 0302 FT TT
M OTHER SIDE T,).%%'O77
CLE.cLoicE?30aums
2' 11Q%L✓
w1TH NG2 ?.tcs • r.? _
c.= 2' lr1IN.
S=6' kin+.
DESIGN L!ST--D A. 1".10 TES TED. 8Y 8 S K �, ;+S3CO3A TES
Y/AYi IE- T. POL` ALOO, P.E. - L!STiNG IN0. F142•:9
BEAA 1r SIZE NOTES
Sp u;n , s`csn cn "this plan are for coache>
vi,'i 10' and 12' deep chassis I Eearr:s or'C'
and J gears cf _iny siza
?Ur 1 P:ar ""III rct p8 C! -,cad acre tt,aty
ce.'m ^.ds and to scaced at r:ct rr:crA
than t �' pn ccac` es Frith ct X;zis 12earrs f
r- E0 3Y
}'RER cR Tri2
:i:St;CA:<O
YP. 33 i. ,CA 3
PERIMANENT
FOUNDATION SYSTEM
vUSGUARD TUF 1 AITTHNIGP PAL)
Xenneth D. Reed, P.E.
Registered Civil Engineer
8976 Simmons Rd
Redding, Ca. 96001
Voice/Fax 916-2=13-3296
April 1997
SHEET 2 OF 3
'
-
F
•
L..S 3S.ta ::?:': A'
L ? Cid ?7
.
?i has •.0 =3i
3tGl
NF -i PERS. 1
AS VECEss'u1
F-1
E J
.
- y "'''F—I
E1_
n
P %05 iN A.14 ( PAMMAY
3E R TA:4D-P 0302 FT TT
M OTHER SIDE T,).%%'O77
CLE.cLoicE?30aums
2' 11Q%L✓
w1TH NG2 ?.tcs • r.? _
c.= 2' lr1IN.
S=6' kin+.
DESIGN L!ST--D A. 1".10 TES TED. 8Y 8 S K �, ;+S3CO3A TES
Y/AYi IE- T. POL` ALOO, P.E. - L!STiNG IN0. F142•:9
BEAA 1r SIZE NOTES
Sp u;n , s`csn cn "this plan are for coache>
vi,'i 10' and 12' deep chassis I Eearr:s or'C'
and J gears cf _iny siza
?Ur 1 P:ar ""III rct p8 C! -,cad acre tt,aty
ce.'m ^.ds and to scaced at r:ct rr:crA
than t �' pn ccac` es Frith ct X;zis 12earrs f
r- E0 3Y
}'RER cR Tri2
:i:St;CA:<O
YP. 33 i. ,CA 3
PERIMANENT
FOUNDATION SYSTEM
vUSGUARD TUF 1 AITTHNIGP PAL)
Xenneth D. Reed, P.E.
Registered Civil Engineer
8976 Simmons Rd
Redding, Ca. 96001
Voice/Fax 916-2=13-3296
April 1997
SHEET 2 OF 3
Tlti�rr�s, f=d 5
r1'-rm� ��l 'rit5 "rte ? ;1
is req ire; `ald�m� r-_'.ev -zt''^0 a2 r: ci?- 0 '--
`*•-^- .a..,.�i:2:oi1 :ptij fAt r..cte .?an 50 i zCe1 Ai-•-�.
;a!g each frame rail.
Hc.dcw+s a e to to F rrin 4 `tet cfi ,e erd cf : ac' `ar e rH. 'h}er a rzri Cus t� r� ; iers are be spaced at apprvxirrbly du te"2is aierg exi lime
1e711 exceeds 50 iDet ul ler 1, 3d . �C -C'd MlS cle '4J be ;:aced a, a center -4
each;a m- rJ icr a b! of 6 hcidams.
CIZ-C-uard Fees .'maybe installed on coa-ct',es in aeas of hryher than 30 psf srww legs
Hcldo my to augers, a�essmrves or o!he devk (meed _ry nave a -ted wMidzd the C e r '�rr�drate piers have afiacttr It to the c! beams
capao ,y of 4n,!b.
r t_ 0__!<
j f�•f' A'iL`O ii1lt
lW`y
w/4C. i L ,rrrt C:Xdtl OF C.'
1 ,
FERMAINkANT
Vr R& F',ead or f, �f T .
To J 4 S•'e;; r rrr, ,d GdlSGUAFt-D T OF 1 WITH MGP PAD
rcrt';11257.4:? CwS1,UAAJ
7uf-f �= 4 :'o,'rt TZ' t, n P fl P IP
• � �1'lYl�' s
� Registered Civil Engineer
8976 Simmons Rd
- '•< >-••
Redding, 1
Ca. 9 GO 0
Voice/Fax 916-243-3296
Aprii 1997 SHEET 3 OF 3
vq
q0 -GAF
Single M -de Units
fEjjHLEHb1e,Vr17de
Length
W,cth
Width
up jo 44'
5'-66'
over 66'
10' 1 12' 1 14'
1 16' ,
4•
6-
8•
4-
6•
8•
4-
6.
8.
4
6
8
is req ire; `ald�m� r-_'.ev -zt''^0 a2 r: ci?- 0 '--
`*•-^- .a..,.�i:2:oi1 :ptij fAt r..cte .?an 50 i zCe1 Ai-•-�.
;a!g each frame rail.
Hc.dcw+s a e to to F rrin 4 `tet cfi ,e erd cf : ac' `ar e rH. 'h}er a rzri Cus t� r� ; iers are be spaced at apprvxirrbly du te"2is aierg exi lime
1e711 exceeds 50 iDet ul ler 1, 3d . �C -C'd MlS cle '4J be ;:aced a, a center -4
each;a m- rJ icr a b! of 6 hcidams.
CIZ-C-uard Fees .'maybe installed on coa-ct',es in aeas of hryher than 30 psf srww legs
Hcldo my to augers, a�essmrves or o!he devk (meed _ry nave a -ted wMidzd the C e r '�rr�drate piers have afiacttr It to the c! beams
capao ,y of 4n,!b.
r t_ 0__!<
j f�•f' A'iL`O ii1lt
lW`y
w/4C. i L ,rrrt C:Xdtl OF C.'
1 ,
FERMAINkANT
Vr R& F',ead or f, �f T .
To J 4 S•'e;; r rrr, ,d GdlSGUAFt-D T OF 1 WITH MGP PAD
rcrt';11257.4:? CwS1,UAAJ
7uf-f �= 4 :'o,'rt TZ' t, n P fl P IP
• � �1'lYl�' s
� Registered Civil Engineer
8976 Simmons Rd
- '•< >-••
Redding, 1
Ca. 9 GO 0
Voice/Fax 916-243-3296
Aprii 1997 SHEET 3 OF 3
vq
q0 -GAF
Units
fEjjHLEHb1e,Vr17de
Width
pto 4•#'88
45'-66'
over E6'
L6'
28'
12
16
12
16
8
12
16
is req ire; `ald�m� r-_'.ev -zt''^0 a2 r: ci?- 0 '--
`*•-^- .a..,.�i:2:oi1 :ptij fAt r..cte .?an 50 i zCe1 Ai-•-�.
;a!g each frame rail.
Hc.dcw+s a e to to F rrin 4 `tet cfi ,e erd cf : ac' `ar e rH. 'h}er a rzri Cus t� r� ; iers are be spaced at apprvxirrbly du te"2is aierg exi lime
1e711 exceeds 50 iDet ul ler 1, 3d . �C -C'd MlS cle '4J be ;:aced a, a center -4
each;a m- rJ icr a b! of 6 hcidams.
CIZ-C-uard Fees .'maybe installed on coa-ct',es in aeas of hryher than 30 psf srww legs
Hcldo my to augers, a�essmrves or o!he devk (meed _ry nave a -ted wMidzd the C e r '�rr�drate piers have afiacttr It to the c! beams
capao ,y of 4n,!b.
r t_ 0__!<
j f�•f' A'iL`O ii1lt
lW`y
w/4C. i L ,rrrt C:Xdtl OF C.'
1 ,
FERMAINkANT
Vr R& F',ead or f, �f T .
To J 4 S•'e;; r rrr, ,d GdlSGUAFt-D T OF 1 WITH MGP PAD
rcrt';11257.4:? CwS1,UAAJ
7uf-f �= 4 :'o,'rt TZ' t, n P fl P IP
• � �1'lYl�' s
� Registered Civil Engineer
8976 Simmons Rd
- '•< >-••
Redding, 1
Ca. 9 GO 0
Voice/Fax 916-243-3296
Aprii 1997 SHEET 3 OF 3
vq
q0 -GAF