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065-280-025
COPLAINT TO IV1TOR C l ' D� �Q 5 COM' LAINT TO INSPECTOR d � 25 John Lamothe 35 Pineview Dr., lot 66 ��Pw�SDO#l, Maga. contr: Sierra Dev. & Const., Magalia Permit #k 58-77P,E(util.,MH) ELEC . GAS SUpPORY S RUCTURE REQ. /V a COMPACTION TEST REQ. �%Cy 65•-28-25 - Contr: SOS MH Service, Paradise Permit ##6344-77MHI ssued 77 65-28-2 Permit #4184-72B(new deck) MH 065-280=025 PERM IT#9a-109 GOODWIN, William 14845 Wildlife, Magalia� New Pri Det Garage/Shop V110 065-280-025 02-3110 GOODWIN, WILLIAM 14845 WILDLIFE DR., MAGALIA LPG LINE 065-280-025 02-344 GOODWIN, MR. & MRS. INALE 14845 WILDLIFE, MAGALIA `O CONT: SIERRA MHS EX MH PERM FND EX SITE - f 0 - - . OM „ BUTTE COUNTY DEVELOPMENT SERVICES COMPLAINT FORM This information is not available to the public!!!!!!! DO NOT COPY FOR THE PUBLIC OR THE FIELD INSPECTOR!! The following information is required for Housing Complaints and the Complainant MUST BE the person living at the complaint address! Complainant: Address: Phone Number: The above information is not available to the public!!!!!'.'. (Z) �w-� vyViy� �l� . 042-( COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT AS S ESSOR PARCEL NUMBER Oe5-280-025 ZONING BUILDING PERMIT OWNR,lliam Goodwin 873-2670 Ii TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS 14845 Wildlife Drive Magailia CONTRACTOR'S NAME owner TELEPHONE CONTRACTOR'S MARINO ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 14845 Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: LPG line Gas piping system 1 - 5 outlets 15.00 .15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ 35,00 ELECTRICAL PERMIT Fling Fee 20.00 500VMain Service A 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] 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 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 TO Main Service To 46.00 NEW CONST. DWELL EE OCCUCUP. OR ADDNS. ( a ACC. BLDS. SO 3.5¢Fr: NNONN•REESINEW D. RANCHO CIRCUITS QG 7.50 POWER APPARATUS & SINGLE OUTLET CIR. EX. Occup. OUTLET OR FP(TURES .00 BAL @ I. 0 EX. Occup.ourLEEDTSAPP RESIO.) A. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE S MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ 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 orthwith comply with a provisions. ' X - -- Date �� d %-Q ' Z-- o Applicant - wrier ❑ Contractor ❑ AgentAn OSHA ermit is required for excavations over 5'0" deep and demolition orconstructionof strut u 3 stories in hei hl. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 35.00 HAz. o FEES I IMP I FLOOD CDF PARCEL PD HD IS UE by issued under the ty 4ave Lab r h en [nd PERMIT EXPIRES ON applicable provisions lutions to do work paSignature o VVV .17147) a ReceiptNo.''" WHITE-D.D.S.-B.D. CANARY-ASSE OR PINK-IriSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 a Telephone (530) 538-754 `4eV 1''96 APPLICATION AND PERMIT a� ( PiER�T NC *ORPAACELN/ /� �r-_y (1 /A 02- 20MN0 ll (V}• BUILDINGPERMIT T HONESO OCC. BUILDING VALU�0 ATION HONE '04 eC CONTRACTORS MAID40 ADID-FIES1 CONSTRUCTION LENDER LENDER S MAILING ADDRESS - Fireplace S ARCHITECT ValuationECi OR ENGINEER LICENSE NO. _Filing Fee $ 20.00 ARCHITECT OR ENGINEER'S "UNG ADDRESS Permit Fee $ o BUILDING ADDRESSPlan Checking Fee $ Energy Plan Checking FeeLl I—SI, L' t'l d �Tx S LOT NO. SUBDNISIONS NAME PARCEL MAP PERMIT FEE $ PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE Each Trap 7.00 Solar or heat um water heater 23.00 SF ❑ Duplex ❑ Mobilehome ` Other Water piping SPECIFY P p g 1 5.00 TYPE OF WORK Each as water heater or vent 15.00 New ❑ Addition ❑ Remodel ❑ UtilitiesInstallation 13 Other 13 Gas i in s stem 1 - 5 outlets 15 .00 C `` Buildingsewer 15.00 Describe Work: _ 4 ���� ,� Mobile Home Is I G W T 920.00 *PERMIT FEE PA2b SRA • . SHERIFF OTM AAil6VNT RECEZWt> •REC�r1' NViMiER �Nunn— �� � �� " TO N PVT zmTo C wvm Ex. Occup. OUTLET OR FIXTURES) 20 Lq 1.00 BAL .50 REX. OCCU EOUPRESSIO.a I 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirine 1 23.00; PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE I $ Mobile Home Installation Fee $ Energy Inspection Fee $ DDG oGN�T. TrPE TOTAL FEE $ o HA2. I D. FEES I IMP I FLOOD CDF I PARCEL I PO I HD ; ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By ReceiptNo. PERMIT EXPIRES ON WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLOENROD•APPLICANT Date PERMIT FEE $ ELECTRICAL PERMIT Fling Fee. 20.00 Main Service 600 OROR LESS 200. LESS 23.00 Main Service 200A TO IOOOA I 46.00! NEW CONST. ( OR ADONS. OWEI.LING OCCUP. 8 ACC. BLDS. -- 3.5cso NEW CONS ( NON•RES10. MULTI.OUTLET -BRnurw CIRCUITS4 @7.50 Ex. Occup. OUTLET OR FIXTURES) 20 Lq 1.00 BAL .50 REX. OCCU EOUPRESSIO.a I 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirine 1 23.00; PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE I $ Mobile Home Installation Fee $ Energy Inspection Fee $ DDG oGN�T. TrPE TOTAL FEE $ o HA2. I D. FEES I IMP I FLOOD CDF I PARCEL I PO I HD ; ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By ReceiptNo. PERMIT EXPIRES ON WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLOENROD•APPLICANT Date NOTES RESIDENTIAL 065-280-025 02-3446 PERMIT NO. GOODWIN, MR. & MRS.-- - - - -- 14845 WILDLIFE, MAGALIA CONT: SIERRA MHS ' EX MH PERM FND EX SITE �10 -THE THE HCD FORM 433A FOR THIS MH CANNOT BE RECORDED UNTIL ONE OF THE FOLLOWING HAS BEEN TURNED IN TO THE BUILDING DIVISION: (1) LICENSE PLATE(S) OR DECAL (THE INSPECTOR MUST RETREIVE). (2) STATEMENT OF FACTS (ONLY ON NEW MH'S). INSPECTOR TO VERIFY SERIAL & LABEL #'S. SPECIAL CONDITIONS_ SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) ( )y"y Signature CHECKED BY J=OK 0 = Not OK . = NotReadyable MOBILE HOMES Date MOBILE ROME UTILITIES (Plans) OK except #'s '1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/0 -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or/ /" L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Ccnnector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. " Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11.. Verify #'s with Office 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 -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails A. Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg=Frg-Bracing 5. Alurn. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men=Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" 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 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Date 17. Water Htr.; Vent -Access -Combustion Air Baffle Date 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test 69. Elec. Trim & Subpanel, Breaker Sizes & Labels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral ❑ Yes ❑ No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector 84. Stucco Brown -Finish Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors Date 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound Date 43. Bearing Walls over Girders & Floor Nailing Date 44. Draft Stop in Walls (rat proof) Comments at Final: 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Wal Is -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection' 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes 83. Following Instld./Drive O Yes O No/Walks O Yes O No/Planters O Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler 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 Center Drive • Oroville, California 95965 • Telephone (530) 538-754167, 0. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMaER ZONING BUILDING PERMIT D Mr. & Mrs. Goodwin 872-2670 TELEPHONE SO. FT. OCC. BUILDING VALUATION R R 0 775760.00 OWN 5 MAIU. ADDRESS 1+845 Wildlife Maoalia CA 95954 CONTRACTOR'S NAME Sierra M H Services TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 77 760, 00 ARCHITECT OR ENGINEER LICENSE NO. Film Fee $ 20.00 Permit Fee 540.50/2 $ 270.25 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDINGADDRESS 14845 Wildlife Magalia 95954 Energy Plan Checking Fee $ $ PERMIT FEE $ 313.25 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 15,00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ it Describe Work: EX jH Per -m End ZX si t ip Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service 2o0A OR IFSS 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.POWER License Class Y70 3e6 Lic. No. 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. ❑ 1, 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 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 rformance of the work for which this permit is issued. I have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier W„Zy Policy Number yfo / (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date /21—/,7 L Signature of Applica t - Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service To 46.00 CCU000A NEW CONST. DWEWNG OCCUP. SO W:o OR ADONS. ( 8 ACC. BLOB. 3.5¢,_ NEW CONST. TI -OUTLET NON•RESID. @7.50 APPARATUS 8 SINGLE OUfIEI CIR. OUTLET OR FIXTURES @ 1.00OWNER-BUILDER Ex. OCCU BA0 Ex. Occup. ZED .AA� D )EA. 5.00 Temp orary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 Pre—Inspect- on PERMIT FEE $ 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 $ 363.25 HAZ. D. FEES IMP FLOOD CDF I PARCEL L7 HD ISSU This permit is hereby issued under the applicable provisions of the utte County ode and/or Resolutions to do work indi e o for ich fees have been paid. By ! Date Za 0 PERMIT EXPIRES ON • �l Z3 d3 efe Receipt No. �AL�;��,�ti2 �S WHITE-D.D.S.-B.D. CANA -A S R PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-1541 PERMIT NO. (Rev.1:V96) I APPLICATION AND PERMIT ()_2AW *PERMIT FEE PAID SRA SHERIFF OTHER AMOVNT RECE=Wb " TO a Fur Z"T0 COMM 11 Ex. Occuo. I OUn'4ORr MES I I I ve" %' I I 11 Temporary Service N, 1 1 23.00 bile Home Facilities N, 1 1 20.00 FEE 1 $ Fee 1 20.00 6.50 PER T FED: I $ Mobile Home Installation Fee• $ Energy Inspectlon Fee $ acc CONST. TYPE TOTAL FEE $ Z S FIAZ 0. FEB DdP ROOD.CDP PARCEL PD NO � E -- • ._ This permit Is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work Indicated above for which fees have been paid. By Date ReceiptNo. PERMIT EXPIRES ON WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I ,"_•_, USEOFSTRUCTURE PERMIT FASSEMORPARCELNUMBER0ZOrONOBUILDING y � TEEL22- FT. OCC. BUILDING VALUATION wr mrs 27SQ. Water piping 15.00 ADDS S Each as water heater or vent 15.00 CO NAME ' TELEPHON Gas piping system 1 - 5 outlets 15.00 ,t Remodel ❑ UhTdies E3 installatiioon' ❑ Other ❑ Building sewer 15.00 d+ CONTRACTOR'S MARM ADDRESS �-��H MobOe Hom® SGW @20.00 CONSMCTMONLENDER PERMIT FEE $ S "° LENDER'S MAKING ADDRESS Fireplace Total Valuation $ Fling Fee 20.00 ARCWMCrOREHGINEEA UCENSE NO. Firing Fee $ 20-.00 ARCHRECT OR ENGWEEWS MAJUNG ADDRESS Permit Fee S d -; Z $ t 2 7 • --L- ' i1C' p f01 ��� /V- Pian Checkin Fee $ Plan o0 eUi{OPLGADDRESS Energy Plan Checking Fee $ __sOJ $ PERMIT FEE S 2S LOTNa SUEDMSION'SNAME PARCEL LDAP PLUMBING'PERMIT Filing Fee 20.00 *PERMIT FEE PAID SRA SHERIFF OTHER AMOVNT RECE=Wb " TO a Fur Z"T0 COMM 11 Ex. Occuo. I OUn'4ORr MES I I I ve" %' I I 11 Temporary Service N, 1 1 23.00 bile Home Facilities N, 1 1 20.00 FEE 1 $ Fee 1 20.00 6.50 PER T FED: I $ Mobile Home Installation Fee• $ Energy Inspectlon Fee $ acc CONST. TYPE TOTAL FEE $ Z S FIAZ 0. FEB DdP ROOD.CDP PARCEL PD NO � E -- • ._ This permit Is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work Indicated above for which fees have been paid. By Date ReceiptNo. PERMIT EXPIRES ON WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I ,"_•_, USEOFSTRUCTURE caul Ila Solar or heat pump water heater 23.00 SF ❑ Duplex ❑ Mobflehome ❑ Other Water piping 15.00 9°EOwy Each as water heater or vent 15.00 TYPE OF WORK Gas piping system 1 - 5 outlets 15.00 New ❑ Addition ❑ Remodel ❑ UhTdies E3 installatiioon' ❑ Other ❑ Building sewer 15.00 d+ Describe Work: �-��H MobOe Hom® SGW @20.00 PERMIT FEE $ S "° ELECTRICAL PERMIT Fling Fee 20.00 Service 23.00 ' i1C' p f01 ��� /V- Main rvic® =A To somA, 46.00 uum / OWFL TNG OCCWP. \ __sOJ *PERMIT FEE PAID SRA SHERIFF OTHER AMOVNT RECE=Wb " TO a Fur Z"T0 COMM 11 Ex. Occuo. I OUn'4ORr MES I I I ve" %' I I 11 Temporary Service N, 1 1 23.00 bile Home Facilities N, 1 1 20.00 FEE 1 $ Fee 1 20.00 6.50 PER T FED: I $ Mobile Home Installation Fee• $ Energy Inspectlon Fee $ acc CONST. TYPE TOTAL FEE $ Z S FIAZ 0. FEB DdP ROOD.CDP PARCEL PD NO � E -- • ._ This permit Is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work Indicated above for which fees have been paid. By Date ReceiptNo. PERMIT EXPIRES ON WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I ,"_•_, -'s,., ,.,:x- :ss��.x r`.a :. r�,r;.,. . -_ter �,`:-,r.��.••�'w «.�-.- �-:r .�r.a,•.r_.L'•�-�ss" 7 �;. ,a COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: ( -5 o('7A(a ) I 1p ASSESSOR PARCEL NUMBER I_ Kr, � 7() -(')IS Proposed Building User /a Counter Technician: -TP Date: -/a - / � GZ Items required in order to appl for a permit. All 66x -e; MUST be checked OR marked NA in order to apply. 1J1.. Plot plans, 3 or 4 sets, signed,�y the preparer of the plans. 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. 10 ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. -6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, Q)/Tie down or foundation plans, all in duplicate. ❑ 7.-WeeialTuil3-m-gs(A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the a engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The.permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................:.. ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... _ ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... ❑ 15. Statement of Intent for Non -heated and A/C Buildings ............................................. ❑ 16. Sanitation and plot plan approval from the Environmental Health Department in ❑ 17. City of Chico Plumbing permit......................................................................... ❑ 18. California Department of Forestry plan approval ❑ paid. Sent. by: ...................... ❑ 19. Planning approval for (A) Use: (B)Parking: . (C) Parcel Check: ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). V 22. Pre -Inspection for Tn 1) 4 V'41 N required ................ ❑ 23. Contractor's license information\ u'r! ber, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization.................................................................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits ............................................... ........ IJ30. "rant Deed,'L�IM.H. Title/Statement of Facts, ❑ Letter from Legal Owner, T�Q* heck to H.C.D. $ 2.6 o ❑ 31. Other: When issued Telephone :;� 4- -'el,11 and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: Date: I -Lill b t - r, � 1. Index permit application for the above items numbered: Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised cf the above data by ❑ phone, O'„'mail, ❑ counter, by Date: _ Contractor, designer, owner, was advised of the above data by ❑ phone, ' O,'mail ❑ counter, by Date: !'t,: ' Plans reviewed by: (LO , Date:. I'z Lo v -r.._ Plans approved by:62Yj Date: I Q 3. ()L Structural reviewed by: Date: Structural; approved by: Date: Note transfer by: Date: . �, Yellow: Building Division s PRE -INSPECTION REPORT OWNER: • Mf- t sr n �� DATE: LOCATION: /,q,3 qS UJI It �q01.411 _ A.P. #--/'I CONTRACTOR: Sierra, rnobA �ome_ Seryt[°aC ZONING:-? PRE-zNsPETION FOR. m t f' M 9 d t.t e, DATE TO INSPECTOR: `°�- /R�-(j� _ PERMIT HISTORY:( ) NONE WrAAS FOLLOWS: BUMDING INSPECTOR'S IMPORT Bulldin; Description: . Caanaerdal/Usege: ResidentiaW of Units: Currently Occupied Abandoned/Vacant Electric: Yes 4 No Electric currently On Off Condition of Electric Gas: Natural Propane None Currently On Off Obvious Problems: Sanitation: Plumbing Working Well Working Potable Water Obvious SewageProblems _ Comments: ACTION RECOMMENDED: ISSUE HOLD FOR f In�peeto . 112a Sketch buildings on reverse and indicate location on p'ropert (Rev.12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-1541 - PERMIT •- N0. APPLICATION AND PERMIT n ,� W Kn ASSESSORPARCELNUMBEA =ONN0 BUILDING PERMIT 15.00 OWNER TEIFPNONE 7 SG. FT. OCC. BUILDING VALUATION .OWNERADD S 15.00 SIGSIGI W1 CO NAMETELEPNON PERMIT FEE S RMIT Filing Fee a M oORR tt CONTRACTOR'S MARMS ADDRESS eau► To icwA 46.00 a LIN mOTA. CONSMUCTTON LENDER YULT yruir @7.50 3WER APPARATUS MM E OLM9r OR LENDER'S MNUNG ADDRESS RW OR RMMES i Fireplace r Total Valuation S ARCNDECr OR ENGDE=EA • UCENSE N0. FiM Fee S 20,.00 ARCNfrECr OR ENQUEER'S NAAM ADDRESS Permit Fee .S d '7'-2- 7'ZPlan PlanChecldna Fee S o0 SUMDMADORESS Energy Plan Checldng Fee $ a PERMIT FEE S LOTM susnrvrsroNSNAME PARCEL YAP PLUMBING'PERMIT Filing Fee !2JO.00 USEOFSTRUCTURE SF 0 Duplex 0 Mobilehome 0 Other TYPE OF WORK New 0 Addition 17 Remodel 0 Ulilfts 0 bsWatloonn O Other 0 Describe Work: —'–(IG�2��L�4�=1^F�. *PERAUT FEE PAIN .SRA SHERIFF OTHER AMOUW RECMWb Solar or heat p Water piping Each gas wale Gas piping sys Building sewer Mobile Home ELECTRICAL Service I Main rvice OR ADONS. O ' NON, 4M.t.m Ex. - Occup. Ex.Occuo. i ip water heater 23.00 15.00 eater or vent 15.00 r 1 - 6 outlets 15.00 15.00 SIGSIGI W1 @20.00 PERMIT FEE S RMIT Filing Fee a M oORR tt 23.00 eau► To icwA 46.00 a LIN mOTA. 9.54 YULT yruir @7.50 3WER APPARATUS MM E OLM9r OR RW OR RMMES i eek ®tau V* 06 20.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Mise: Whing 29.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 alto Coo Hood 6.50 Mobile Home Installation Fee S Energy Inspection Fee Is * ocC COW. TME TOTAL FEE $ " TO N PVT zwo COMM`7 / KA 1 0. FEB iMP I FLOOD. I CDF PARCEL ZS This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work Indicated above for which fees have been paid. By . Date ReceiptNo. PERMIT EXPIRES ON WMITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I ,,..-I 13151 MA8vh95 Gee-C7W IN 1�184s' WIL f NFU6'LIP, Cl q..9- t4 108' 108' ial1.� Ltl't 1315 28 25 in Lamothe o ��PV� Pineview Dr., lot 66, SDO#l, Maga. 1tr: Sierra Dev. & Const., Magalia rmit # 58 77P,E(util.,MH) PPORT S RUCTURE REQ • /V67 MPACTION TEST REQ. AQ 65-28-25 r: SOS MH Service, Paradise dt #6344-77NRiI Led /Z --e-- 77 t #4184-7 i5-280-025 PERMIT#97-1 )ODWIN, William E845 Wildlife, Magalia �w Pri Det Garage/Shop q11--, 065-280-025 02-3110 GOODWIN, WILLIAM 14845 WILDLIFE DR., MAGALIA LPG LINE 6 5 2 p i -- ' RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 27 -Dec -2002 2002-0071409 Has not been compared with original BUTTE COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. WILLIAM C. GOODWIN AND RAEJEAN GOODWIN BUTTE COUNTY BUILDING DIVISION REAL PROPERTY OWNER/LESSOR LOCAL AGENCY ISSUING PERMrr and CERTIFICATE OF OCCUPANCY 14845 WILDLIFE 7 COUNTY CENTER DRIVE MAILING ADDRESS MAGALIA BUTTE CA 95954 CITY COUNTY STATE ZIP MAILING ADDRESS OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP SAME 02-34 (530)538-7541 INSTALLATION MAILING ADDRESS, IF DIFFERENT B IN TELEPHONE NUMBER CITY COUNTY STATE ZIP SIdNAR& OF LOCAL AGU OFFICIAL DATE WILLIAM GOODWIN, RAEJEAN GOODWIN, MICHELLE REID AND FRANCIS J. REID NONE UNIT OWNER (if also Property owner. write "SA)VIE") DEALER NAME (if not a dealer sale, write "NONE") SAME MAII.ING ADDRESS CITY COUNTY STATE ZIP UNIT DESCRIPTION NONE DEALER LICENSE NO. GOLDEN WEST 1977 CALYPSO MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMFJNUMBER 61987A/B 60 X 24 CAK082728/9 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. # 065-280-025 SEE ATTACHED HCD FORM 433(A) REV. 8191 WHrrE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD -Building Dept. } r; FOUNDATION SYSTEM CERTIFICATE OF OCCUPANCY 4 BUILDING PERMIT NUMBER: 02-3446 Address or location of unit: 14845 WILDLIFE, MAGALIA, CA. 95954 Legal Description of Real Property: A.P.# 065-280-025 SEE ATTACHED (x) Mobilehome/Manufactured Home () Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: WILLIAM C. AND RAE JEAN GOODWIN AND MICHELLE AND FRANCIS J. REID Owner's address: 14845 WILDLIFE, MAGALIA, CA. 95954 INSIGNIA OR HUD NUMBER: CAL082728/9 SERIAL NUMBER OR V.I.N.: 61987A/B MANUFACTURER'S NAME: GOLDEN WEST : 1977 OFFICIAL APPROVING INSTALLATION: DATE: 1 0� - a `� - 6 PHONE: (530) 538-7541 H.C.D. 513C LEGAL DESCRIPTION A.P. # 065-280-025 All that certain real property situate in the County of Butte, State of California, described as follows: LOT 66, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "SIERRA DEL ORO ESTATES UNIT NO. 1"' WHICH MAP WAS FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, AUGUST 23, 1963 IN BOOK 30 OF MAPS, AT PAGES 47,48 AND 49. EXCEPTING THEREFROM ALL OIL, GAS AND OTHER HYDROCARBONS AND MINERALS, NOW OR AT ANY TIME HEREAFTER SITUATE THEREIN AND THEREUNDER, TOGETHER WITH THE FREE AND UNLIMITED RIGHT TO MINE, DRILL, BORE, OPERATE AND REMOVE FROM BENEATH THE SURFACE OF SAID LAND, AT ANY LEVEL OR LEVELS 200 FEET OR MORE BELOW THE SURFACE OF SAID LAND, AT ANY LEVEL OR LEVELS 200 FEET OR MORE BELOW THE SURFACE OF SAID LAND, FOR THE PURPOSE OF DEVELOPMENT OR REMOVAL OF ALL OIL, GAS AND OTHER HYDROCARBONS AND MINERALS SITUATED THEREIN OR THEREUNDER OR PRODUCIBLE THEREFROM. ....... . . . . . . Order N*. 1 3-55493 WC -y situate in the County of Butte, of All that certain real property State California, being more.particularly described as follows.- • Lot 66, as "enm on that certain map entitled, '$IBM DEL VRO ZSTATES W= No. jo, which map vas filed in the office of the Recorder of the County of uutte, state of California, August 23, 1963 in Book 30 of Iftpa, at pages 47. 48 and 49. ECCEpT=a TmmEmm all oil, gas and other hydrocarbons and minerals, now Or at any time- hereafter situate Zberein and 'thereunder, together vdtb the 'free and unlimited mi ted right to mine, drill, bore, operate and remove from beneath the surface of acid land, at any level or levels 200 feet o more below -the surface of said land, for the purpose of development or removal of all oil, gas suad other hydrocaxbo= and minerals situated therein or thereunder or - produj#b1a the xaErm. AP NO. 065.2$0-02S 0 CIL." RECORDING REQUESTED BY AND WHEN RECORDED MAIL TO Nsme William and RaeJean &*aot 14543 Grinnell Court Address Magalia, CA 95954 City, stale ZIP Order No. AP# 065-280-025 in QUITCLAIM DEED Llilil111{{llillf111�111lfllllf{{f 2¢10—�rLi��1620 R@corded Official Records CDMnty� f CAMEUUdI BRUNS Recorder ROSEMARY DICKSUN Assistant 03r04PM ^M -Apr-2l' 0Z TAX FE 17-60 CONFORM .00 Fay Page 1 of 1 THE UNDERSIGNED GRANTOR(s) DECLARE(s) Documentary Transfer Tax is $ © City/Town of �) computed -on full value of interest or property conveyed, or, 12 Unincorporated Area X full value less value of liens or encumbrances remaining at Parcel No. the time of sale FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Francis J. Reid and Michelle Reid, husband and wile, do(es) hereby REMISE, RELEASE AND FOREVBR QUITCLAIM to wi 11 i am C. Goodwin and RaeJean Goodwin, husband and wife, the following real property in the City of Maga 1 i a County of Butte , State of California: Lot 66, as shown on that certain map entitled, (Sierra del Oro Estates Unit 1), which map was filed in the Office of the Recorder of the County of Butte, State of California, August 23, 1953, in Book 30 of Maps at Page 47, 48 and 49. Commonly known as 14845 Wildlife Dr., Magalia, CA. Dated: Apr.; 1 1 A 70n2 STATE OF CALIFORNIA COUNTY OF �3 vr?25 On-il�4ct ! 1. /3. '�,-7 p07i, before me, the undersigned, a Notary Public in and for said County and State, personally appeared a,Jcic — 1M ;c.r-q) lE lie rp Personally known to me (o�proued tame �►ra-tks-basis-eL setisflreteyt-auidrel to be the person(s) whose namc(s) ,Ware subscribed to the within instrument and acknowledged to me that ieclthcy cxeeutcd the same in 10.407their authorized capaeity(ies), and that by ~/their signature(s) on the instrument the person(s), or the entity upon behalf of which the persons) acted, executed the instrument 'W'ITNES y h d and official se Signa DONALD H. MC ABEE Comm. 11257403 � sorAArvueuC•CAUPORMIA W AA.— toonty My Comm.{iplru fiarabts,l0ab `e MAIL TAX STATEMENTS 7o SAME AS ABOVE aTEGquuclai 12/27/2002 12:56 5308776875 SIERRA PAGE 02 tA7t' OF r cJ AGf <:• ` SS OR ION AND -TIOU ,I.N �h C'y r:'�;; _ J:ra 3�1>E S, i • pp(:C>1viTvfV?dM. ,J):EVF,L,t. pM IE T'0F Ii(7W'STNC A?\U .:... .:.:. I7'FVIS1v'N i�'F COD A ND" Si A.` ARDS ;:,1• RErI5T1 '110ND Tf'L'_N :I?RO faAlvi r.: •. T'it�`I' OF FACTS t.• •�Yc^`� •r•..' i n 0 Truck Camper ,:> mercial Coach Flaatin.g Home F - f�' 1 1Viob'il 'fiomc O: ;Cem: This •unit:t., -Serial No..(sj, \ ade 'Na'm'e • D661 pioi i) YN I/We furry@tti re.�-t a•ftid�rnnifj aril s�xe�harmless the Director -of Hq.us ir�g aild.Cr�m'muniry Development, State ±:t gent urchaser� of'sajd ,unit, for any loss dile :may suffer resulting from rof egistration of of C3iifQ: X11'' 6t3ei, ... p the: abov.61Y°:it :ia' California;. c from.issuance:of a Califtrnie .cert;ficate of title' crniering the same. IlWe cef . `;sunder.: pCt 2t ••.of ; er•'u. vhkt thew foregoing is true. astd`soerecr. Y P 1 rY ; $ g s ; •.. ;; '' t4�A i .::. �2 , :7 z� (y a p`y—�.,.� 'e"�. • _ — •J1',yY.r�Ytwr�•+µ� �CU ..3L'•, � ;� : .:.. _— (7Deir:.. (City' Cit (Sta'te) Printed names) -- — State--. (State) tate___- - DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT DIvlsion of Codes and Standards Decal #: LAX8143 Manufacturer: GOLDEN VIEST Tradename: CALYPSO Model: CALYPSO Manufactured Date: 00/00/1977 Registration Exp: First Sold On: 01/27/1978 Serial Number 61987A 61987B Record Conditions Registered Owner: Title Search Date Printed : 12/16/2002 HUD Label / Insignia CAL082728 CAL082729 PPF Exempt voluntary Conversion to LPT Use Code: SFD Original Price Code: AHD Rating Year: Tax Type: LPT Last ILT Amount: Date ELT Fee Paid: ILT Exemption: NONE Length Width 60' 12, 60' 12' WILLIAM C GOODWIN RAE JEAN GOODWIN MICHELLE REID FRANCIS J REID (Joint Tenants with Right of Survivorship) 14543 GRINNELL CT MAGALIA, CA 95954 Last Titic Date: 03/17/1997 Last Reg Card: 03117/1997 Sale/Transfer Info: Price $27,000.00 Transferred on 04/04/1996 Situs Address: 14845 WILDLIFE DR MAGALIA, CA 95954 Situs County: B'UTT'E _ i,egalOvvner: JOHN M LAMOTHE BARBARA S LAMOTHE (Joint Tenants with Right of Survivorship) 49 BLANCA LN SP 702 WATSONVILLE, CA 95076 Lien Perfected On: 05/18/1996 09:40:00 Inactive DecaUDMV: DMV SE1304, DMV SE1305, DECAL ABD3424 *** END OF TITLE SEARCH *** Uj G��0 '� DI9 1315 108 I t� i W (4.o0i►.E I_ Har+6 1 \I COVt:R&c IZ IL -- los' LIFt %R`�y1�t2S G.bwa�.��r� ►L1845' wit -v L %f e h\AC-PL iV�, cA gsgsti NO — --� o a — 3,tq BUTiE COUNTY iUN.DiMG DEPARIINEN? APPROVED VECTOR DYNAMICS FOUNDATION SYSTEM WIND ZONE 1 & 2 INSTALLATION INSTRUCTIONS For the State of California INDEX SECTION INTRODUCTION PIER HEIGHTS GENERAL INSTALLATION SET-UP INSTRUCTIONS METAL PIER & V -DRIVE PARTS LIST CONCRETE INSTALLATION SCHEMATICS PAGE. NUMBER 3 4 5&5a 6 7, 7A, 7B&7C 8&9 WIND ZONE I - SINGLE SECTION 10 • - SINGLE V DRIVE 11 - METAL PIER 12 - DOUBLE SECTION 13 - TRIPLE SECTION 14 WIND ZONE II - SINGLE SECTION 15 - DOUBLE SECTION 16 - TRIPLE SECTION 17 SOIL CLASSIFICATION iF.3 COMPONENT PARTS AVAILABLE UPON REQUEST Foundation System 4A D2- 34gl BUTTE COUNTY BULDING DEPARTMEW APPIROVID - - GW'l Releasee Date 8/13/2001 Engineer Approval V U. 26070 nip HEALTHJ fe— A�✓ &TcQ618551 SUBJECT TO CO;'Z'_: CTIONS NOTED APPROVAL DOES NOT AUTHORIZE OR APPROVE ANY OMISSIONS OR DEVIATION FROM REQUIREMENTS OF APPLICABLE STATE LAWS AND REGULAT!D;;S State of California Department of Housing and Community Develepment D F CODES AND STANDARDS By f Date xo. C:?,? - I F' Ptah APproval Expiry ? For Further Information TIE DOWN ENGINEERING 5901 Wheaton Drive Atlanta, GA 30336 404-344-0000 FAX 404-349-0401 ' www.tiedown.com Tie Down Engineering, Inc. VECTOR DYNAMICS, INSTALLATION INSTRUCTIONS LnImmoon These instructions describe the proper use of the Vector Dynamics Foundation System in Wind Zones 1 & 2. Additional installation instruction is available in VHS video, from manufactured housing distrbutors or from Tie Down Engineering, titled, Vector Dynamics Installation Video. The Vector Dynamics foundation system supports the home by anchoring the two longitudinal main rails. The system is approved in Wind Zone I & II & III areas of the Manufactured Home Construction and Safety Standards and Wind Standards; Final Rule 24CFR part 3280 for both single and multi sec- tion homes. Instructions for Class 5, Sub Soil Conditions, (Wind Zone I & 11), are available through local distributors of Vector Dynamics or directly from Tie Down Engineering. Ge—nma The Vector Dynamics Foundation System provides the support to resist lateral and over -turning movement of the home as required by the Federal Manufactured Home Construction and Safety Standards in Wind Zones I & II when the system is used as described in these instructions. Bee manufac- tures Home Installation Manual for other pier & anchoring reouirements The following characteristics apply to both single and multi section homes: • Main rail minimum spacing of 86 inches or greater. • Nominal 8 foot or less top plate height at side walls. • Main rail depth of 12 inches or less. • Maximum roof slope of 20 degrees (4.4 in. in 12 in.) • Maximum pier height under main rail of 56 inches (see page 3). WIND ZONE I • Maximum single section home width is 16 feet including eaves; maximum eave width of 12 inches on each longitudinal side of home. • Maximum double section home width is 36 feet including eaves; maximum eave width of 12 inches on each longitudinal side of home. • Maximum triple section home width is 48 feet including eaves; maximum eave width of 12 inches on each longitudinal side of home. WIND ZONE II • Maximum single section home width is 15 fl. including eaves, maximum eave width is 6" per side. Maximum single section home width of 16 ft. including eaves must use two additional vertical ties/ anchors/stabilizer plates (one per side) as listed in the charts on page 15. • Maximum double section home width including eaves 32 ft., maximum 12" eaves per side • Maximum triple section home width including eaves 48 ft., maximum 12" eaves per side The Vector Dynamics Foundation Systems may be used as a part of the vertical or gravity support system considering that each set of Vector Dynamic pad (s) has two (2) or three (3) square feet bearing area. Piers not used as part of the Vector system shall be located and constructed in accordance with the home installation instructions and/or state standards. To inquire about the use of the Vector Dynamics Foundation Systems with homes of four or more sections or on homes requiring pier heights greater than 56 inches which are not included in these instructions, contact Tie Down Engineering, Inc. at 800-241-1806. The Vector Dynamics Foundation Systems may be used on homes which require pier heights not to exceed 56 inches under one or both main rail(s). See page 3. Note that a ground anchor is used at each Vector system location in Wind Zones II & III. The use of interlocked double stacks of concrete blocks may be required by the home manufacturer -or the state. Check with the most recent regulations in California. The Vector Dynamics Foundation System has not Ibeen designed for use on exposure "D" homes. Exposure "D" homes are homes located within 1500 feet of the coastline. Additional vertical anchor ties that are unique to a home's design may be required by the home manufacturer. These locations include shear walls, mar- riage line ridge beam support posts, end frame ties and rim plates. The term end frame ties refers to the longitudinal ties that are attached to a home to resist wind load on the end walls. If longitudinal ties are required by the home installation instructions or other state standards, these longitudinal ties must be installed and connected to anchors that are independent of other ties and anchors. See separate instructions for the use of Vector Dynamics with Tie Down's Longitudinal Stabilization Device. The term rim plates refers to the factory brackets fastened onto the perimeter joist or specified as a location for vertical ties. c Page 2 California /2001 56 i ma Figure Maximum Pier Height (Wind Zones I & II only) The Vector Dynamics Foundation System may be used on homes which require pier heights not to exceed 56 inches under one or both main rail(s). Note that a ground anchor must be used at each side of a Vector system location in Wind Zone II, and where the pier heights exceed 24 inches on a single section home in Wind Zone I. Piers must be constructed in accordance with the manufacturer's installation instructions and/or state requirements. The use of interlocked double stacks of concrete blocks may be required by the home manufacturer or state. Check with the most recent regulations in your state. 56 i ma: r►yu►a c Unequal Pier Heights ( Wind Zones I & II only) i in. lax. Vector Dynamics may be used on homes with unequal pier heights of 56" or less 'under one or both main rails. The difference between the taller pier and the.shorter pier cannot exceed 26". Note that a ground anchor must be used at each side of a Vector system installation in Wind Zone I and where either of the pier heights in that location exceeds 24 inches on a single section home in Wind Zone I. Only concrete blocks and pressure treated lumber compression members are permitted on unequal pier heights using the Vector system. Piers must be constructed in accordance with themanufacturer's installation instructions and/or state requirements. The use of interlocked double stacks of concrete blocks may be required by the home manufacturer or state. Check with the most recent _ regulations in your state. Page 3 California /2001 GENERAL INSTALLATION INSTRUCTIONS SITE PREPARATION It is necessary that the home site be properly graded and sloped to prevent water and moisture from standing or flowing beneath the home. See manufacturer's home installation manual and state requirements for grading and other site preparation. FOOTINGS AND FROST LINES The Vector Dynamics Foundation System can be placed directly on top of the ground after clearing all loose vegetation. In areas where frost line/poured footers are required, the Vector system for concrete is used. See pages 8 & 9. . FOUNDATION/FOOTING SPECIFICATIONS FOR VECTOR PADS Vector Pads must be used in place of conventional foundation pads for each Vector foundation system. Each (set of) Vector Pad(s) provides two or three square feet of pier bearing support. Vector Systems should be spaced as evenly as possible along the length of the home, with one Vector system within two feet of each end of the home. For pier locations in between the Vector Systems, use the foundation pads normally recommended by the home manufacturer and/or state requirements. Pier heights in excess of 24 inches or when unequal must follow instructions printed on page 3 of these instructions. Nominal 3-1/2 inch or 4 inch Schedule 40 PVC pipe or TIDE steel compression strut (#59043) may be used only when the pier heights are similar on fairly level ground. Steel strut and PVC are not permitted when metal pier foundations are used. The adjustable galva- nized steel compression strut, #59043, is attached to each inside pad with a 1/2" X 2-1/2" grade 5 carriage bolt and can only be used with the swivel connector on strap. The grade 5 bolt attaches the swivel connector and the steel strut to the pad. When the swivel connector is used with a wooden or pipe compressive member, the vector diagonal connector should be part #59279 not #59276. After tightening the end grade 5 bolts, adjust- ment bolt is installed through the two square steel compression struts to lock them in place. Foundation pad size and pier spacing must be consistent with home manufacturers' instructions and/or state requirements. - LUMBER/MOISTURE - TERMITE SHIELD To cut lumber (2 - 2x4's or 1 - 4x4 per Vector system) for the center compression section, when using con- crete blocks for piers, measure center to center frame (I-beam) distance and subtract 16". When using METAL PIER STANDS, measure center to center frame distance and add 16". 3-1/2" or 4" nominal schedule 40 PVC pipe meeting ASTM D1784 or Tie Down's steel compression strut (#59043) may be substituted for lumber as the center compression strut under certain conditions described above. Pipe adapter bracket, part #59281 must be used with PVC pipe simultaneously with the Inside Tie Brackets, part number 59276. The pipe adapter bracket is used on top of the pipe and under the Inside Tie Bracket. In certain regions the optional Moisture Termite Shield may be required between the lumber and ground. ALL WOOD MUST BE PRESSURE TREATED, GROUND CONTACT RATED. Tip: Pre-cut your lumber and mark as to brand or model of homes you will be installing. If frame widths are the same, the pre-cut boards will also be the same length in each Vector set-up. STRAP TENSION All strapping must be tight upon assembly of the Vector system. Tests have been conducted with "hand tight- ened " strap in the Vector system to remove the need for specific tension specifications. Hand tight is defined as removing all slack with minimum of movement available when pressing on the strap. While subsequent tight- ening of the straps is not required, straps should be checked after any strong wind conditions, just as conven- tional anchor tie down straps should also be checked, to insure the maximum performance of the foundation system. A minimum of two factory 1/4" spot welds must be used when straps are connected to the swivel con- nectors with welds. Page 4 California 001 Set -Up Instructions for the Vector Dynamics Foundation System #59007 (Kit #59007 is interchangeable with Kit #59018) 2. SET BLOCKS (OR PIERS) ON VECTOR FOUNDATION PADS Center the foundation blocks over the Vector pads. Place the pre-cut 4x4, 2x4's (side by side), Schedule 40 PVC (w/PVC adapter plate, part #59281) or 1 adjustable TDE steel compression member, (part #59043) tightly between the blocks, with ends resting on the Vector pads, and centered on each U -bolt. 3. OUTSIDE TENSION BRACKETS Attach an Outside Tension Bracket to the U -bolts on the outside of the foundation blocks and Vector pads. Place one of the short 6"- 2x4's between the bracket and Vector pad. Adjust the short 2x4 so that it pushes against the foundation .blocks, removing any space between the piers and center compression section. Tighten the 3/8" bolts. 2 square foot pad placement or (1) 3 square foot pad 4. INSIDE BRACKETS AND STRAPS Attach the Inside Tie Brackets to the U -bolts over the pre-cut boards or PVC. Attach a strap with hook to each inside tie bracket. Tighten bracket. When using looped strap and a crimp seal, in place of the hook, place a 3" long section of strap, folded in half and inserted between the strap and inside tie bracket. Place other end of strap over the opposite 1 - beam and continue down to outside of the foundation blocks. Attach the strap to the Outside Tension brackets using the slotted bolt and nut provided. Wind strap a minimum of five times around the bolt. Continue tightening the slotted bolt until all slack has been removed and the strap is tight. S. SET ANCHORS Refer to section home drawings for anchor installation information. Stabilizer plates are required for diagonal ties only. Preload anchor against stabilizer plate. Make certain all slack is removed and strap is tight. For single section homes in rocky soil conditions in Wind Zone 1 only (Soil Classifications 2 & 3 only), use minimum of 3 each V Drive anchors per side. See drawing on page 6 for placement. Page 5 California 001 Set -Up Instructions for Vector System #59018 (Kit #59018 is interchangeable with Kit #59007) miii fill A o O Long U -Bolts C D f f 1. Set Vector Pads 4. Inside brackets & straps Clear all vegetation where pads will rest. Place Attach the inside tie brackets to the U -bolts over a long U -bolt in pad as shown. Press or ham- the compression member. Attach a strap mer pad into the ground. w/hook or swivel strap w/nut/washer & bolt (washers are required). Place other end of the 2. Set Block or piers on pads. strap over opposite I-beam & down to outside Center foundation blocks or piers on pads. tension bracket. Cut strap 12 - 15 inches past Place pre-cut center compression member bracket. Attach strap & slotted bolt in bracket. between blocks, resting on pads, centers Tighten strap until tight with 4-5 wraps around between U -bolts as shown. bolt. Repeat with opposite strap. 3. Outside Tension Bracket Attach outside tension bracket as shown to out- side of pads. Page 5a California N12001 - - , WIND ZONE I Vector Dynamics Systems Required _ _ _ - - - - " e Se�r�o o sy stems It doubt for vec man for Double Section Homes - - - Z2 ac, ;ng ska\\akk0n (Materials Required. - EXaR,p\e o`" generbe ro tlo� p mist I I. " 111usira nd s acingJN on Pads a _ IN I _ _ \ I .; �` _U - 1 \ I •\ '- `� - - . - --- •'` :: 2 R max. EYP' , \ (D 0) Maximum allowable working drag load for the Vector System with the steel compression strut Is 3,150 pounds per the K2 Engineering test report. 0 2 sq. ft. pad ` - as a. max• ` __ - - - - I r" NOTE: Vector Systems should be spaced as evenly as is practicable along the length of the home, pier spacing must be consistent with home manufacturers, installation instructions and/or state regainemerds. Soil Classifications: Soil Bearing Capacity: Anchors Required: 2, 3, 4A, & 4B 1,000 PSF minimum None (marriage wall anchors may be required by home manufacturer) Home Length Vector Systems Required 0 to 48' 2 48' to 71' 3 72' to 89' 4 Each Vector Foundation System requires One Vector Kit, 2 slotted bolts • 2 ea. 1-1/4 in. ties, length will vary with pier height (4725 Ib. min. break), 1 ea. 4 x 4 pressure treated wood compression member • or 2 ea. 2 x 4 pressure treated wood compression member • or 1 ea. 3-112" or 4" nominal SCH 40 PVC pipe compression member • or 1 TDE adjustable steel strut • VECTOR DYNAMICS INSTALLATION DESIGN INSTRUCTIONS This Vector Dynamics Foundation system instruction is applicable only on homes set on soils classified as Class 4A 413, 3 and 2 as described in the table below. For separate instructions for sub -soil, Class 5 conditions (above 50 in. lbs.), contact Tie Down Engineering. SOIL CLASSIFICATIONS Soil Class Types of Soils Blow Count (ASTM Soil Test Probe (1) D1586) Torque Value (2) 1 Sound hard rock...... NA NA Very dense and/or 40 -up More than 550 in. lbs. cemented sands, coarse 2 gravel and cobbles, preloaded silts, clays, and corals. Medium -dense coarse 24-39 350-549 in. lbs. 3 sands, sandy gravels, very stiff silts and clays 4A Loose to medium dense 14-23 275-349 in. lbs sands, firm to stiff clays 4B and silts, alluvian fill 175-275 in. lbs Peat, organic silts, 0-14 175 in. lbs 5 inundated silts, loose fine and lower sand, alluvium, loess, varied clays, fill, fly ash. (1) The purpose of the soil test probe is to gage the strength of the soil below the surface and near the anchor's helical plate. The strength of the soil is estimated in terms of its' resistance to penetration (flow) under load by means of the torque probe and is measured in inch lbs. The test probe has a helix on it. The overall length of the helical section is 10.75 in.; the major diameter is 1.25 in.; the minor diameter is 0.81 in.; the pitch is 1.75 in. The shaft must be of suitable length for anchor depth. (2) A measure synonymous with moment of a force when distributed around the shaft of the test probe'. Information about geographical areas of termite infestations which might require the optional termite and moisture shield when a wood compression member is used may be obtained from the local building official or may be found in the 1995 edition of the One and Two Family Dwelling Code. �o Page 18 California 8/2001 RESIDENTIA 065-280-025 - PERMIT#97-1099 j PERMIT"N GOODWIN, . William _ { 14845 Wildlife, Magalia I PERMIT E New Pri Det Garage/Shop _ _ OWNER CONTR. ASSESSOR PARCEL LOCATION M 1 A� 17emp. Power Pole 1 Called PG&E_ Temp. Elec. Service Called PG&E Temp. Gas Service 'Called PG&E JOB FINALED (Date) Signature V=OK 0 = Not OK = Not Applicable •=Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except Ac's 1. Zoning Requirements - Setbacks - Easements 2. Soils; Special MH Support Sketch 3. Sewer Locabori-Test-Fali-CA0-Concrete 4. Water, Location- t -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Gmd-/ /Amp -Ca trete ISCELLANEO_US Date . DECKS, COVERS, CARPORTS, Alana OK exce t #'s en"effia asements tings; SoilsSize-DepthSpecing•Connectors-Steel 3. Decks; Girders and/or Jdsts-Deckirg-BmcingStairs-Rails 4. Wood Awn.; Posts-Beams•Rftrs.Sonnectors Shthg.-Rfg.-Bracing 5. Alum. Awo- Columns-ConnectinsSnik-p-riae L.Frirk,�,,-. Windows -Doors lectric Fggr� ; Sils-AnchmStuds-Rttm-Trusses ng; Nailing-VeneerStucco-Mesh goof; Shthg4loofing Ur Ext; Steps-Ooors-tandings Braced Wall Panels Date Card B -T 0 f Da - -4-9 Card B-1 CltlC Da Card B-1 Date Card B-1 Date - r POOLS (Plans) Ok except N's 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Stricture; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -listed 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool LBhtg. Boxes-Enclosures-Panelboards4ns. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. TestWater Supply Test 11. Light Nlche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 6. Gas; Location -Test -Wrap; / /tlt / /Nat or/ / tL/ /LPG 7. Well Clearance & Disconnect - 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except Vs 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test0ernand VaheConnector 4. Electricity; MH Test-Cmssooers-Breakers-Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/0 to Grade -HD Approval 8. Gas and Electricity Tagged r 9. Tie Downs -Type -Installation Cert 10. Exits; Insp.-Sketch 11. Cert of Occupancy 12. Permanent Foundation Only: License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ISCELLANEO_US Date . DECKS, COVERS, CARPORTS, Alana OK exce t #'s en"effia asements tings; SoilsSize-DepthSpecing•Connectors-Steel 3. Decks; Girders and/or Jdsts-Deckirg-BmcingStairs-Rails 4. Wood Awn.; Posts-Beams•Rftrs.Sonnectors Shthg.-Rfg.-Bracing 5. Alum. Awo- Columns-ConnectinsSnik-p-riae L.Frirk,�,,-. Windows -Doors lectric Fggr� ; Sils-AnchmStuds-Rttm-Trusses ng; Nailing-VeneerStucco-Mesh goof; Shthg4loofing Ur Ext; Steps-Ooors-tandings Braced Wall Panels Date Card B -T 0 f Da - -4-9 Card B-1 CltlC Da Card B-1 Date Card B-1 Date - r POOLS (Plans) Ok except N's 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Stricture; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -listed 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool LBhtg. Boxes-Enclosures-Panelboards4ns. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. TestWater Supply Test 11. Light Nlche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 OK = No RESIDENTIAL (Single & Duplex) O = Not OK - - - = Not Applicable = Not Ready • Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. ZoningSetbacks-Easments-FloodSlope 46. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Elec. Gmd. / C Ftg. Depth 47. Cling. Joist-Rttr. Ties-Purlin-roll Brac: Truss-ShOng.-Ring. 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ /' Ftg. Depth 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 4. FIg. Porches & Decks; SoilsSteel-/ /' Ftg. Depth S. Stemwalls, Main; Steel-Blockouts4Nrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, SteeWyrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 10. UP Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor BoltsJoists Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card 0-1 Date Card B-1 Date Card B-1 Date Cab B-1 Date PLUMBING (Permit) OK except #s 17. Water Htr; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sae & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 23. FDdure & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fastners-Bond Gas $ Water 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / /ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or AI Insulated Neutral 0 Yes 0 No 31. Service -Riser Conductors & Ground -Main Disconect 32. Equip. Clearances Panels-Motors-Mech. Epuip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Fumance-Vent Access -Comb. Air-Retum Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #`s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrn. 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-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor -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 p Yes 82. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: _ COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev. 12'/96) APPLICATION AND PERMIT - 09, ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALU ON OWNER'S MAIUNG ADDRESS . `600 14543 GRIATELT, CT, MAGALIA, CA 99()54 U 0. CONTRACTOR'S NAME TELEPHONE ' CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation Is ARCHITECT OR ENGINEER - LICENSE NO. Filing Fee $ 20.00 Permit Fee '$ 126.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 14845 WILDLIFE,_ MAGALIA Ener Plan Checking Fee Energy 9 $ PERMIT FEE $ 227- n LOT NO. SUBDNISION'S NAME- PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other PRI DTT (;AWF/SHnP sPEaFv Each Trap 7.00 - Solar or heat um water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK NewY& Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE _ ELECTRICAL PERMIT Filing Fee 20.00 a00V OR LESS Main Service pp.AORLESS 23.00 LICENSED CONTRACTOR'S DECLARATION 1 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.P 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: °f 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 TO Main Service ( TO 46.00 NEW CONST. DWELLOCCUCUP. EL OR ADONS. ( a ADC. BUDS. SO21.00 3.5QFT: NON -RES DT NEW CONS. ANCI OUTLET 97.50 LET OWFR APPARATUS 8 SINGLE OUT. UTLIR. EX. OCCu OUTLET OR FIXTURES BAL 2U @''0° (':J .50 Ex. Occup. ouTEEDTs REwSID.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 41.00 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ 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 ort\ comply with those rovisions. - ..;%. / � X�yoy Date / I'Signat pplicant - Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 268.90 HAZ. D. FEES IMP FLOOD CDF ARCEL PD I HD SUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have / By /_) PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date t**'o — f27 Date Receipt No. ZL �% WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT C ®� •���. 1+'_'.Y""6r.tY�rltn"n''i^r'f•xt'� 1_.}�Y'�1�'��"'�,.T,-j�iwa'�,�,�y►`'.urdi-_ .' q %y.:if9S�'}it'�J'�6��„+t''�,yw�J��`r'TM'�.Yhr�'^'rt�-�tir!°1-7r"~'mow. COUNTY OF BUTTE DEPARTMENT OF DE'W OPMENT SERVICES -BUILDING DIVISION 6A 7 COUNTY CENTER DRIVE - OROVILLF,,CAL•IFORNIA 95965 - TELEPHONE (916) 538-7541 , tJ� p PERMIT APPLICATION DATA SHEET OWNER: �,I 111A1% ( od�W j,4,- f ASSESSOR PARCEL NUMBER: — �' ` o 2.5� Proposed Building Use: n n 5 C. Building Inspector: C S Date: 7 ;1/,-, '1 At time of permit applica4ion, I was advised the following data must be submitted prior to permit processing and/or issuance: Date Received By ❑ 1: All items have been submitted .------------------------------------------------- ----------------------------------- ❑2. Plot plans, 3/4 sets, signed by the preparer of plans. --------------------------------------------- :------------- 113. Complete plans, 3/4 sets, signed by the preparer of plans. -------------------------------------------- :-= ----, 111144. -Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. ----- -- S. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------c,, ❑6. Energy Design Compliance and supporting documentation.---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings.---------------------------------------------------------- 118. --------------------------------------------------------- ❑8. Hazardous Material Form. ------= --------------------------------------------------------------------------------- ❑9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------ ❑ 10. Fees of $ ' ---'t -------------------------------------------------------------------------------- ❑ 1). Impact fees as shown on the attached schedule. --- - ------------------------ --------------------------- California Department of Forestry plan approva S. -a��� ----------------------- 1. Flood elevation certificate. ------------------------------------------------------ft --------------------------------- 4. Sanitation and plot plan approval C,,4/l4, 4gealth Department. ------------------------------------------- ❑ 15. City of Chico plumbing permit. ----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ------------------------------------------- ----------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: ' ` ------ g: . ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----1----------------=- ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). --�X� 1 r-------------- r , El 20. Pre -inspection for required. Request to Building Inspector on 021. Contractor's license information. (Number, Name Style, Classification)- ------------------------- r' -------- ❑22. Workers' Compensation carrier and policy number. ---------------------------------------------- ------------- ❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------- ❑24. Letter of signature authorization. 025. Recorded copy of Agricultural Acknowledgment Statement.--------=------------------------------------------ 1__126. -----------------------------------------❑26. Letter of intent on building use. ----------------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance. --------------------------------------------------------------------------- ❑28. Existing violations and/or expired permits. ---------------------------------------------------------------------- ❑29. 0433 A, ❑Grant•Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .--------------- PO0. Other: L ( S,C / en you issue the permit, process as follows Kail to owner, ❑Mail to contractor elephone and hold for pickup at nfF;Ce_ . ❑Deliver with inspector. Apphc i� N� �r/is� Date: r-,17- /47 � � I►��li (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 r ed: Contractor, designer owner, as advised of the above required data by)(phone, ❑ mail, ❑ Building Division counter, by Date: -S - Contractor,esign o er, was advised of the above required data byhone, ❑ mail, ❑ Building Division counter, by Dater Contractor, designer was advised of the above required data by b phone, ❑ mail, @uilding Division counter, by ate: r Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, Building Division counter, by ate: Plans reviewed by: Date: Plans approved by: `Date: Sets of plans on hold in ❑ Plan Cabinet, 11 A.P. folder. Note transfer by: l Date: Yellow Copy - Department of Development Services, Building Division E.H. USE ONLY Plot Plan Attached �� �� • _ - Floor Plan Attached Sent to B.O. S• 7 - TO: FROM: SUBJECT: Building Department Environmental Health Sanitation Clearance C n1 b.1;61 i L(6 0 �G - a c6o - o2- Owner location AP# Plan Approved for: Sewage D' al �/ Water Supply: Public Private W- 11 Clearance for dwelling. Other �� X 30 �� SZ, 6,o c,si Hold final for: Final clearance O.K. for: (VOTE: Environmental Healpecialist 8/96 a D to Attention Property Owner. An "owner -budder" budding permit has been applied for in your name and bearing your signature. Please complete and return this information at your earfiest . opporttmiry to avoid unnecessary delay in processing and issuing your budding permit No budding permit wM be issued until this verification is received. ' �I. I personally plan'to provide the major labor and materials for construction of the ;. proposed property improvement: YES". .NO[ j. _-2. I HAVEM HAVE NOTI j sig6ed'an application for a buildingpermit for the proposed 3 I have contracted with the following person (firm) to provide the proposed_#: Y ,, construction. ;s NAME: ADDRESS: C=: PHONE: CONTRACTOR'S LICENSE NO. 4. T plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work • NAME - ADDRESS: CI'T'Y• PHONE: CONTRA►CTOW S LICENSE NO. 5. I willrovide some of the work but I have contracted p (hired) the following persons to provide -the work indicated: NAME r ADDRESS PHONE _ TYPE OF WORK 4, . 41, SIGNED: ,-... PROPERTY OWNER. '.H w' :.-, p r• � e ,. L.. ,�...: .. '+ti r; 1Vf ." ,,1' Y•r w.ry . _ .. _ 4j - y'aK ♦ �•I„ z N ( .( J•N .e r M.i`. w •'. k yS.W � . k .i .. w •'+.:,, �L. ?+• :. . Y l.I DA ljr: r M7 wr y ,. r �.4 r i"i. eft .:1�u. `iS•go-1'i wwL A} Y ' .^pry :. .. _ .`-.b�'•.;T k j i• .•r: ., u' :. ..� ,. rr•< r - e A J..n.. ew ..+. , i .�.. .. ....,.T. �' .fa NOTE: This owner -Builder Verification is required by Section 19831 and,' 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. ,r p„--s�'h s f , ` ray ; .• OVER _. . x 3.A'o ^12JUS Put tPT=H eru=o;rTrO ZIP 30 0£S6I uon-zS gq posmboi si uoneusso_ml ,zpjmg-izuA%o sn 310 uoP=dSM Sulplmg `JaS=CK •PauJ:ua: st uocseoguae ag= IPun pansst aq 1ou lltb =ttusad SmPtmq aU •sr=uem asaq];o as r = noL=egi =Zguoo um ava =T os uuo3 SnP Jo 2Pis auaeas M uo „uop=U=. 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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 ie completed. If you hive any questions pertaining to this matter, or need additional explanation, ct : please contact t office immediately. i JOoV S i Q M.) C,. ? Date / Inspecto REV 10192 ? r PCA"AMIT NO. 4184-79B PERMIT EXPIRES zmw OWNER JOHN LAMOTHE CON TR. owner • LOSsTfPN (A.P. 65-28-25 in vie , o ga is t is i • r t a • l; )r 1 1+ Temp. PowzPole 11 Ca I I ed/P G& E Temp. El,ec. Serv. ti Called PG&E f Temp1cled as Serv. C PG&E J4 FINALED �� 1 C.Ya/✓ �t ' t (Signa e) !a Footings COUNTY OF BUTTE, DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTIONAEC;ORD ELECTRICAL BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa l l Garage Vents Insulation Water Htr. Heaters Slab Carport p Footings Prov. for ph sically handica ed Conformance of ex. - structure I Appliances Gas Piping & Test Temp. Gas Slab Final G Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Relnf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh -MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec_ Service Elec. Pedestal Water Piping Sewer Gas Piping OBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping P 9 DATE REMARKS OR CORRECTIONS 0 (NOTE: An entry must be made on this form each time you vislt the job site.) y 4" .. COUNTY OF BUTTE — DEPAEiTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville► California 95965 Tel eph$ne: 534-4541 APPLICATION AND PERMIT authoriz repres ntatives of the County of Butte to enter upon the above -m tion property for ' pection purposes. kL�X Date ignature>of,PPermittee�e or Agent Rece t No. —/ J (0!-3Y 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. DIRECTO F PUBLIC WORKS ey Date 7-1 (o- uilding permit expires Date BUILDING IF Owner SO. FT. OCC. BUILDING VAL ATION Mailin Address 3� v , Telephone No. Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building AddressPlan S- 1A A 4 V Checking Fee&/or Penalty Permit Fee - OZI Q� PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 # 5 pp Repair drainage or vent piping 1.50 A. P. No. �$ �-5 Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 17#41 Wrt9.- S Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements-- Each additional outlet .30 Building sewer 5.00 Bldg. Pions Recd Parcel Approval L Plans Approval Lawn sprinkler system 2.00 NEW ® ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 100 AMP OR00V OR LE LESS5.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADO'L 100 AMP 1.00 NEW OR ADDNST % ACCLBLDGSCCUP. �\ 20sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9. Div. 3, of the State of California Business & Professions Code under the name style of: NEW CONSTR.S'., -OUTLET NON.R ESID BRANCH CIRCUITS/ 2.50ea NEWCONSTR./POWER APPARATUS 6 NON .RESID. `SINGLE OUTLET CIR. EX. OCCUD(OUTLETS OR FIXTIIRES BAL 21 Ex. OCCUp.(FIXED APPLNS. OR OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 19 1 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. r LNI 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 J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ authoriz repres ntatives of the County of Butte to enter upon the above -m tion property for ' pection purposes. kL�X Date ignature>of,PPermittee�e or Agent Rece t No. —/ J (0!-3Y 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. DIRECTO F PUBLIC WORKS ey Date 7-1 (o- uilding permit expires Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California .Administrative Code, Title 25, Chapter 5, under permit numberSS,Ka- 7 7 for the following location: Owner v Owner's Address Mobilehome Mfg. Model Year 2Z Insignia No. D 5,"-Z 7 a a'—a 9 Serial No. /y Y 7 It is hereby certified for occupancy at the above described location_ and may be occupied. Director of Public Works Date ./— Z 7— %y By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - O.P.W. 2 f PERMIT NO. 5580-77P,E . 7 PERMIT EXPIRES o� OWNER John Lamothe CONTR. Sierra Dev.& Const., Magalia LOCATION (A.P. 65-28-25 i �5 Pinevia Dr., lot 66, SDO#l, Magalia y4 f � Y �r • d SjCrF 7 l� ti f r i Temp. Power Pole } Called PG&E 3 ,t Temp. Elea Serv. Called PG&E I Temp. Gas Serv. ` Called PG&E JOB FINALED r% (Date) (Signatu ' V 9. Electrical A. Is service large enough to provide adequate amperage -to mobilehome (must equal rating of mobilehome with a minimum of 100 amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes No ` B. Is there proper clearances around panels? Yes No C. Is power supply cord,or feeder assembly properly fused? Yes_ No 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 lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services., MOBILEHOME DATA rr Manufacturer and/or Namestyle _d� Length �� Width 2 - Vehicle Serial No. State Identification No. Additional Information or Comments: I MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located with required separation from lot lines and buildings and generally conform to plot plan? Yes No 2. Does the mobilehome have.required clearances above ground? (Sec.5085) 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_ No 4. Is the mobilehome level? (Sec. 5088) Yes_ No 5. If more than a single unit, are crossover connections properly installed? (Sec: 5088) Yes No 6. 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_ No B. Does it have minimum k" per foot slope and is it properly supported? Yes_ No C. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe? Yes_ No D. If coach is not State of California approved, does station have required trap and vent? Yes No 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as large as the mobilehome gas line inlet without reductions other than the mobilehome connector. Yes_ No B. Test OK as per following procedure? Yes_ No 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without drop. 4. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes_ No MaIX Bldg. Fo tin s Stem all Slab Piers Garage Footings Stemwa I I Slab Carport Footings Slab Patio Footings isonry Wall: Relnf. Stee Bond Beam CiOUNTY OF BUTTE = DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) A PLUMBING FI wall Ski Piping Para ets At Floor Restro m Finish 2n Floor Windows Sidin Roof Sheath\ng Roofing Fdn. Vents Garage Vents Insulation Prov. for phsicall! handicaooed Conformance of ex. Footin Mesh MEC Scratolf Heati Bron Coo ng F 1sh D is In rior Lath ntilation .-or Closer anal OBILEHOME UTILITIES ------------------ Elec. Service Water Piping /– ) Sewer //,—/f 7" MOBILEHOME INSTALLATION ..... - - - - - - - Support Z Water Piping Z Drainage CE RINKLE DATE REMARKS OR CORRECTIONS 3rd Noor To out Water Pi I Sewer Fixtures Water Htr. Heaters Appiiances Gas PiDina & Test Temp. Gas Sanitation Final EIIECTRICA Motors Water Htr. Sub anel Grd. Fa It Pr, Servic Tek). Pole anal .� ;Z.3c/X-•lec. Pedestal y Gas Piping Elec. Continuity Gas Piping (NOTE: An entry must be made on this form each time you visit the job site.) °— -- COUIQTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS -9��-�7 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 ((J APPLICATION AND 115ERMIT • •�••- I, via J L e UOUMy 01 ouuc 1u enter upon 1ne above-mentioned property for inspection purposes. YX. Date /� ".S `2 •Signature of Permitee or Agen Receipt No. / -7 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR F P BLIC WORKS BY Date Z- ` — 7 7 uilding permit expires Date / z BUILDING Owner L 7,h e SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor S,/,>-.rLy Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. 7 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. G S�-�- �� Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F WAd_ Sanir rinn Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans�� Parcel Declaration Parcel Ma 60' R/W P� Imp rovements P Lawn sprinkler system 2.00 Bldg. Plans 41.ed Parcel Appro oCl Plans Appror Permit Fee $ Is NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 l /4? / , /�✓ S %-'�4 A /9 Main service 100 AMP OR LESS 5.00 Ak��/%� V < i Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ OVER 600V Main service 00 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 ' NEW CONST DWELING OR ADDNS. ( ACCLBLDGS.CCUP. &) 20.sgft NEW CONST R. MULTI -OUTLET NO N.RESID. BRANCH CIRCUITS) '2.50ea NEW CONST. POWER APPARATUS &) NON.R R ESID. (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: D b Ex. Occup(ouTLETS OR FIXTURES) BA@@ 09 Ex. ccu FIXED APPLNS. OR O P•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License Classification e / 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 for kmen's Compensation. placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. F]I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building• construction, and hereby JV 5 % s*/, 1, q 7—/ -0, r —,JJ0 no TOTAL PERMIT FEE O $ ©4 • •�••- I, via J L e UOUMy 01 ouuc 1u enter upon 1ne above-mentioned property for inspection purposes. YX. Date /� ".S `2 •Signature of Permitee or Agen Receipt No. / -7 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR F P BLIC WORKS BY Date Z- ` — 7 7 uilding permit expires Date / z 1. Owner's name: 2. Installer's name: BUTTE COUNTY,,, -,DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET Q 3. Is the site currently under permit? Yes /7 No / (If yes, furnish permit number ) OR Is the site an existing site? Yes / / No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes No ( If no, clarify �� ) 5. What is the mobilehome electrical rating? ----------------------- 8O Amps 6. What is the mobilehome site service rating? -------------------- „� �� Amps 7. What is the mobi-lehome site circuit breaker rating? ------------- 2�� Amps 8. Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------- Yes / / No 7777 - (If /(If yes, identify the load..and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? in;T.I 10. What is the type of gas service? ----------------------------- Natural / 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 -150 .ft.. 'on LPG.) MORILEHOME SUPPORT DATA. ii / Mobilehome Mfr. �A I Setup" etu Model No. -��G �(� Year. Width 2q(ft.) Length.6 (.ft.) .`Eipando .Size ft.x ft. (Draw support details. below).. r1 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) Sin le �Q� I Center Center Support Support Footing Sizes Locations (in.) t in. in.jn.� -- - - 4e, - -- Q f� lin-) 'in. )�� (in.)(in.) Footings -(check one) y 1. Woo& either pressure treated or fdn. grade.. f j 2.. Cone"rete pad. 3. Other,: specify Supports (check one) �l. Concrete block 2. Concrete piers 3. Steel piers 4. Other, specify Typical Support ;�x 30 Footing Size �in.j in.) Max. Pier Spacing (ft-. in.) t. ( in.) (in.) �. ! ( Max. L Overhang I - *If center piers are other than drawn above, draw in locations, spacing, and dimensions. BUTTE -COUNTY BUILDING DEPARTMENT APPROVED COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 • t Telephone: 534-4541 APPLICATION AND PERMIT s��Po-77 A Uvt-PLAW W Date (612-V 7 UIrttt, I U Ut- bLIU VVUHKS Signature of Permitee or Agern �' 002.E BY Date/2`3/- 7J Receipt No. " White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Building permit expires Date __ �� �%-7 JP BUILDING M Owner J 014111 A-4,1 07','/x-• SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor S e K`C r9 aeru. (. p"7 S Total Valuation Mailing Address (7 . � vX '% -1 (. Permit Fee Plan Checking Fee &/or Penalty �%j')v4 a_►•� lephone No. '7,�- /73 U Permit Fee $ Building Address PLUMBING No.1 @ FEE FILING FEE J$3.00 nPERMIT J' / N ( • le Each Trap 1.50 t9�G Sz9o � Repair drainage or vent piping 1.50 JAWater + �' / Zan nq Yerificafi piping >S /0— Each gas water heater or vent 1.50 A. P. Flo. 11�5 %2 q ��S CJ 2 _ a Gas piping system 1 - 5 outlets 1.50 Each additional outlet 30 Fe .C. a ( Fire Dept. Fire Zone Use Permit Building sewer —R.Ge- C)^ EQA PPlan s Declaration I Parcel Mapr 60' R/W I Improvements Lawn sprinkler system 2.00 Bldg. 6&-JRrc'd Parc pproval Plans proval Permit Fee $ $ 023 NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 100 AMP OR00V OR LESS5.00 Main service EA. ADD'L 100 AMP 2.50 S Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service OVER 00 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 ' r 1, NEW OR ADDNST % DACCLBLDGOCCUP, &) 2¢syft NEWNONBRANCH BRANCH CIRCUITS)2.50ea FOR MOBILES NE 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: L \� Ex. OCcup(bYTLETS OR FIXTURES)@tea BAL@1 Ex. Occup.( OUTLETS P(RESID IKEA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. 3 ��� Classification Misc. Wiring 6.25 , ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ j S s 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 rkmen's Compensation. have placed on file with the County of Butte a certificate of WWborkmen'sCompensation Insurance. I certify that in the perforrr:ance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California: MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above- tioned property for inspection urposes. Ai L4 �2 TOTAL PERMIT FEE is %3 This permit is hereby issued under the applicable provisionsof the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. A Uvt-PLAW W Date (612-V 7 UIrttt, I U Ut- bLIU VVUHKS Signature of Permitee or Agern �' 002.E BY Date/2`3/- 7J Receipt No. " White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Building permit expires Date __ �� �%-7 JP