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065-310-027
ZI F 65-31-27 79 Les King lot .62, PP��l, maga. 13'45 Goldcone Dr•, Paradise contr: Lloyd Harris, Permit 4�727-77P,E(ut l•.,MR)- � ELEC. in � �, GAS �-® SUPP R TRUCTURE Q• COMPACTION TEST REQ• rte. 5-31-2 • King, Leslie 1355 Goldcone Dr., lot PPeT u contr : Gilbert Murrayne� ' Permit #3511-78B,P,E( private x garage) - �p37' 65-31-27 tr : Gilbert A . Murray, , Paradise ew covred ,P�°%� Permit #4766-78B,E(nr & screen roan/SF) 1' 065-310-027 06-2024 SIMMEN, THEODRE 14837 GOLDCONE DR, MAGALIA Cont: JERRY DEREWS MHPERM /A L 8 -30-OG 065-310-027 06-2024 A SIMMEN, THEODRE ' NOTES r 14837 GOLDCONE DR, MAGALIA Cont: JERRY DEREMUS _ MH PERM FND(EX) RESIDENTIAL APH: Permit No. Owner. Site Address- I Contractor_ t Type of Permit: �l T . t 01-- lklml^ &4y SPECIAL CONDITIONS CHECKED BY O SRA O ROOD CERTIFICATE EQUIRED O FIRE SPRINKLERS REQUIRED 0 SPECIAL INSPECTION ITEN{S O vERKFY O USE PERMIT CONDmNS O SUBSTANDARD HOUSING LEITER 0 ENCROACHMENT PERMIT 0 REINSPECTION FEE PAID 1 O ENV Hum CLEARANCE e . Il ' f %DATE JOB 3- e ✓ (/ '�+ t SIGNATURE: . =OK 0 = Hal MANUFACTURED HOMES DATE U PERMANENT FOUNDATION U SOFTSET 1 ZoningSetbacks-Easements 2 Soits; Special MH Support Sketch 3 Sewer, Lorin -Test; FalUC/0Concrete 4 Wtr, Loctn Test-Easeinent Nebded-Regulator 5 Elec Loctn-Clmcs-Gmd 'Amp -Concrete 6 Yard Gas; Loctn Test Wrap Nat ❑ or LP❑ Inch Sz Ft Lngth 7 Blckng; Sz-Spacing-Marriage Llne 8 Gas; MH Test -Demand Valve-Cnnctr 9 Elec MH Cntnty Test-Drossovers-Breakers-Clmcs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -CIO to Grade 12 Gas and Electricity Tagged 13 Tie Dowrts ❑ Foundation ❑ 14 Exits 15 Cert of Occupancy 16 HUD Labelllnsignia Numbers Serial Numbers 09r QTS` OSA MISCELLANEOUS- 0ECKS•COVERS`CARPORTS•GARAGES 1 ZoningSetbacks-Easements 2 Figs; SoilsSr-0pthSpacing-CnndrsSteel 3 Decks, GirderdJoists-Dcldng-Brcing Stairs-GuardlHandralls 4 Wood Awn; Pasts-Beams-Rftrs-C_nnctrsShthg• Frmg-Brcng _ 5 Alum Awn; Columns-CnncfnsSplice-Decal-Enclsrs 6 Carports; Wndws-Doors 7 Electric 8 Frmg; Sills-AnchrsStuds4Utrs Tnisses 9 Siding; Nailing VengerStucco-Lath 10 Roof; Shthg-Roofing ' . 11 Ext; Steps-Doors-Landlhgs 12 Braced Wall pnis o'f QTS o� aT� 1 Setbacks -Easements 2 Soils; Compaction -Structure Stability 3 Pool Structure; St_eet-Cnnctns Thidkness Dead Men -Lining 4 Elec Rcptds/Ung; Distance -GR 5 Elec Pool Lting;15 volts-GFi 6 Etec.Ericfsrs; Conduit Entries-TpnTdnals4Ssted - T Elec Bonding; Metal wl5'�Crdtng Eqp-Htr 8 Elec Gmdng; Eqp v 1W Crdtng Eqp-Pool Ightg Boxes-Enclsrs-pniboards4nsultn-to Main Conduit 9 Health Dept Appnrl . 10 Plmb; Or Test Wtr Supply Test 11 Lt Niche 12 Endsr, Fencing -Alarms 13 Bonding, Diving board or Slide O+P 0�� rid QTS Pool Drawing RESIDENTIAL (Single & Duplex) DATE JUNDERFLOOR DATE PLUMBING 1 ZoningSetbacks-Easements-FloodSlo ee 53 Wtr Htr• Vent-Acc-Cmbstn Air Baffle 2 Ftg Main; Soils-Elec Gmd Ftg Dpth 54 Wtr Pipe; Test & Anchr-Nail Prtctn 3 Ftg Garage; SoilsSteel-Elec Grnd Ftg Dpth 55 DWV; Test Fittings & Anchr•Nail Prfctn 4 Ftg Porches/Deda; SoilsSteel Ftg Dpth 56 Shwr Pan; Test, First fir-Tub Acc 5 Stemwalls (Main; Steel-Blackouts-Wrapped 57 Test Tubi & Shwr, 2nd fir - Tub Acc 6 Stemwalls Garage; Steel-Blockouts-Wrapped 58 Gas Pipe; Sz & Anchrs 6a Hold Downs and Special Anchrs 59 Fire Sprinkler; Test 7 Slab, Steel Wrapped 60 Yard Gas Piping a Piers-Frplc Ftg-Steel 9 DWV; fall-Fitting-Test-2-way CIO-Sewer Test 10 UF, Gas Pipe; Sz AnchrsSzTest m 11 Wtr Pipe; Test-Anchrs-RgltrService Test 12 Elec Undrgmd DATE M E C H A N'I C A L 13 Plenums & Ducts; Cirnc-MaterialSupport-Insultn 61 AC Ducts Insultri & Support.. 14 GirdersSills-Anchr Bolts-Joists-Vnts-Cripples 62 Vent Fan, Exhaust abv Insultn 15 Acc & VnUtn 63 Condensate Drain & Ovrflw, Sz & Grade 16 Insulation 64 Furnace-Vent Acc-Comb Air RlmNent 115 Outlet 65 Attic Acc & Pitfrin if Furnace in attic DATE FRAMING 17 Sills Proper Maferials & Anchrs DATE F 1 N A L 18 walls Studs-Nailing Spacing & Braces-PlatesSound 66 Ext Steps-Door & SideLt Prtctn-Landings 19 Bearing Walls ovet Girders.4 fir Nailing 67 Smoke Detector 20 Draft Stop in Walls (iat Ptoof) 68 Furnace Vnts-Cimc-Comb, Air-Cnnctr 21 Fire Stops; Furred CeilingsStairs-Chasers Tubs In Garage; abv-fir-Duds-Meth Prtctn 22 Headers & BeainsSi &'Bearing' 69 Bedroom Foiling 23 Hangers-Post 70 GFl & Bath Fxtrs & Tub Acc-Spa 24 Ceiling Joisf-Rf(rTes-PurI'- R%oof Brac TnusShthg 71 GFl Arc Fault 25 Frple Ties or Type A Flu" ' Ie Throat Cime T2 Elec Trim & Subpnl, Breaker Szs & Labels 26 Attic Aa.; Sz &; Riruiitctj�-Draft Stop-Ins Baffles 27 Bdrrn Wndws or Exiting DoorsSifl lit & Dimensions 73 Stairs, Guard/Handrails 28 Garage Fire Prtdri Framing-RC Ctrallnel 74 Frplc or Stove, Clmc-Hearth 75 flet Outlets at Wood Pnl, Int & Ext 29 Prprty Lane Fuewatl 8. Opngs' • 30 Ext Doors-One 3'-Check Garage 3rd Story, 2 Exits 76 Ktchn, Fxtr & Appinc; Gmd-Air-GapCooking Cimc 31 Stairs; Width-Hdrm-Rise-Run4:andinq+1re Pdctn78 TT Elec Outlets & Rcptcis ai Ktchn Counter Garage Foe Dobr, Swing-Landing-Closure 32 Plywd on Roof Ovrhng-Attic Vnts-Rffr Outrgrs 79 AC Duct in Garage-Damper. 33 Siding-Nailing Veneer • 80 Wtr Htr Vnts-Cimc-Com Air Cnnctr-PRV; abv fir 34 Stucco Lath Weep Saeed-Fndtn Vnts-Undrtir Acc Mech Prtctn; LPG Appince Undr House 3' drain 35 Glazing Are PrtctnSkyL.ts-Plastic • 81 Plmb; Elec & Mech.Egp Listed for Loc n 36 Shear Walls; Nailing-Bolts 82 Elec Rcptcls in Garage (GF) Romex Prtc n 37 Brace Int/Ext Wall pnls 83 Insulin-Foam-Looked in Attic 38 Insultn-Walls-Ceilings 84 Guard Rails & Deck Cnstrctrrpost Caps 39 Infiltration-Walls-Wndws 85 Fndn Vnts & Crawl Hole Door Dmge & Wood-Earth 86 Cimc Dmge Planters Q Yes Q No 87 Stucco Brown-Finlsh 88 AC Unit Dscnnct, Elec-Pimb 89 Vnts abv Roof, Plmb Appinc-Frpic-Clmc to Opngs DATE ELECTRICAL 40 Fxtr & Tmsfrmr Clrne-Ins Prtctn 90 Wtr Well, Dscnnct, Elec, Pimb 41 Elec Rcptcts Spacing-Lts & Switches at Doors 91 Ext Elec Trim, GFl Rcptd-Undrgmd 92 Vntltn thru House 42 Sz Boxes & No Of Cndc rs Stapled 93 Glass Prtctn 43 Romex Installed Close to Edge of Studs & CJ 94 Corrections from previous Inspctns 44 Eqp Gmd made up w/Mech Fstnrs 95 Gas Test-Meters Tagged, Gas-Elec 45 Grndng Electrode Bond Gas & Wtr 96 Wtr & Sewer Cnnctd-CIO to grade-HD Apprvl 46 2 Appinc Cires in Ktchn & Cndctr Sz GFl 47 Subfeed Wire SzW ElCU 97 Energy Cmpinc Cert-Mer Certs or AL AC Wire Sz : Q CU or g AL 98 Address Posted 99 Fre Sprinkler 48 Range Clic w CU or ❑ AL Oven Circ 9a CU orAL Insulated Neutral ❑Yes HNo a s` 49 Service-Riser Cnddrs &Gmd Maio Dsrnnd 50 Eqp Clmcs pnts-Motors-Meeh Eqp 51 Clothes Closet UShwr LI-Spa Lt 52 Smoke Detector de I& -e-e BUTTE COUNTY . ' DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP062024 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perl'ury that 1 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.-/ /� U License Class : /i- ` / rise ber: / 5 Date:rJ la ` 0(a Contractor: I hereby affirm under penalty of #rjury that I am exempt from the Contractors' Slate License Law foo the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she Is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or Improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of the Business and Professions Code Date: Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carder and policy number are: Issued Date: 08/23/2006 APN: 065-310-027-000 Address: 14837 GOLDCONE DR MAG Map Index: Description: EX MH ON PERM FND Owner: SIMMEN THEODORE P PO BOX 282008 SAN FRANCISCO, CA 94128-2008 Applicant: DOREMUS, GERALD GLEN P 0 BOX 4121 CHICO, CA 95927-4121 530-895-1774 Contractor: DOREMUS, GERALD'GLEN P 0 BOX 4121 CHICO, CA 95927-4121 530-895-1774 License #: 445103 Architect: Engineer: Carder: otal Square Ft: 0 S. F. Policy #: . Valuation: $0.00 I certify that in the performance of the work for which this permit is Census Code: issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, Ir and agree that if I should become subject to the workers' ! - <�— `/„r/"t/U�, Uvo compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / kc - Date: � 2:: 0 6 ��� 90 WARNING: . Fail re to secure workers' compensation coverage is unlawful, and sh II subject an employer to criminal penalties and one hundred thous nd dollars ($100,000), in addition to the cost of compensation, amages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY - I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Address: is dowork PERMIT EXPIRES under the applicable provisions of the Butte County ated abfl4e formhich fees have been paid. ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that -the above information is correct, and that I am the ow ne a duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the sub n of any ficial form or document of Butte County. [hereby authorize represe`ntatiivv s of Butte County to enter upon the above mentioned property for inspection . .CJi1L iv1 //� Signature:r ses Date ❑ Owner O Contractor ❑ Aaent for Owner ❑ Agent for Contractor 13 r R,dlAinn P—mit 01_16-04 00 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" APPLICANT INFORMATION OWNER INFORMATION Last Name l r irst Name 0 Address /to 0 cow 1l/ C� City State Zip Phone Zip Fax E-mail Fax APPLICANT INFORMATION CONTRACTOR Name l r s Address _L Fax City `e . State Map Book Zip Phone5 . 7 Fax SSM L E-mail Lic.#cr3 Clas L APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Map Book Fax E-mail Planner State License Number APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X For o ice u e only: Log Property Address(_40W(OWCity Flood Zone Cross Street SRA Yes No O Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. BIN # PROJECT LOCATION Property Address(_40W(OWCity Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name. Address Description or Scop f Work: _ Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Amount: Bldg Receipt #: Sheriff SMIP Date: /l Other g -v Total K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 REV 8-12-05 I I . SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK ❑ 1. Site plans, 3 or 4 sets, signed by the preparer'of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the pre' parer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxesl ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Installation manual,1�(B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped andsigned, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Building Permit Application Without Required Clearances Form ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approv e.I (if required). ❑ ❑ 4. 5. NPDES Form. i Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). I ❑ 9. Letter of Signature' authorization (if required). I ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530) 538-7541. 11 EXPIRATION SOF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the pErson who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department cos=s are not refundable. I OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05 RECORDING -REQ?,JESTED BY BIDWELL TITLE & ESCROW COMPANY Order# 3-186226 AND WHEN RECORDED MAIL TO THEODORE P. SIMMEN 14.837 GOLDCONE DRIVE MAGALLA, CA 95954 I1i111111111111111111111111111111{ , Recorded I REC FEE 10.00 'Official Records I TAX 77.55 r CoBUty Of TTE CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 09:00AM 14 -Apr -1999 Maureen Page 1 of 2 SPACE ABOVE THIS LINE FOR RECORDER'S USE AP? 065-310-026/027 Grant Deed THIS.FORM FURNISHED BY BIDWELL TITLE & ESCROW COMPANY The undersigned grantor(s) declare(s): Documntary transfer tax is $ 77.55 ( x ) computed on full value of property conveyed, or ( ) computed on full value less liens and encumbrances remaining at time of sale. ( x )_ Unincorporated area- ( ) Unincorporated area --` FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, ELAINE M. WILCOX, SURVING JOINT TENANT AND ELAINE M. WILCOX, THE ELAiNE M. WILCOX LIVING TRUST CREATED ON JULY 9, 1990 hereby GRANT(S) to THEODORE P. SIMMEN , AN U%%RRIED MAN the following described real property in the Unincorporated area County of 'Butte State of California: SEE` ATTACHED SCHEDULE C FOR LEGAL DESCRIPTION Dated: March 24, 1999 ELAINE M. WILCOX, TRUSTEE State of California County )f Nevada SS. On April 5. 1999 before me, the undersigned, a Notary Public in and for said State personally appeared Elaine M. Wilcox ------------------- - ------------------ (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/a4e subscribed to the within instrument and acknow:edged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s).or:the entity upon behalf of which the person(s)acted executed the instrument. r WITNESS my hand �%d official seal. Signature" MAIL TAX STAM 2 /W , and, TRUSTEE.OF 1-2 Z�- .ELAINE.M. WILCOX `° EUPk •. ROBIN ZOCH F E .. Comm. #1122999, NOTARY PUBLIC - CALIFORNIAb P NEVADA COUNTY .n '9 IFoA Comm. Exp. Jan. 16. 2001 -' (This area for official notarial seal) t t v rt t r X-121- Foundation Systemow Installation Instructions for California �- for Ground & Concrete Systems HUD . Wind Zone 1, 15 PSF Wind Load Seismic 4 By _Tie Down Engineering Xi2 Concrete System L), TIE DOWN EN ww Engineer Approval State Approval MANUFACTURED HOME/MOBILE HOME FOUNDATION SYSTEM MALTH AND SAFETY CODE, SECTION 18-431 APPROVED BMW= TO CORRECTIONS NOTED APPROVAL DOES NOT AUTHORIZE OR APPROVE ANY EMISSIONS OR DEVIATION FROM REQUIREMENTS OF APPLICABLE STATE LAWS AND REGULATIONS Staeo of Cslifomis Dwa tmmt sf ilonwas sad Commadw Devdapmmt f. Of COQ$S AND STANDARDS BU'"r- COUNTY BUILDING E)IVISION APPROVED Page 1 of 8 X12 Foundation System Installation Instructions for California for Ground & Concrete Systems �- HUD Wind Zone 1, 15 PSF Wind Load Seismic 4 By Tie Down Engineering i I REQUIREMENTS i • These plans and specifications meet the requirements of Title 25 Section 1336.3 Sub Section A and 97 UBC Seismic Requirements, CBC 2001 addition. • Maximum vertical projection at sidewall is 9'. Higher walls may be used when the design loads are adjusted accordingly and approved by HUD. • Main rail spacing must be 75.5" - 99.5" * Except single sections 95" minimum • Additional vertical anchor ties that are unique to a r:ome's design may be required by the home manufacturer. These locations may include shear walls, marriage line ridge beam support posts, and rim plates. The longitudinal component of the Xi2 system replaces end frame ties. Check manufacturers set-up requirements. • Maximum pier height is 48" pier. *Except for single sections 36". • Steel piers must be fastened to the I-beam with clamps provided with steel pier. • Systems must be placed as evenly as possible, no more than 10' from end of home. • Designed for 7:12 roof slope. *Except single sections, 1200 - 4.37 in. 12" pitch). Additional Requirements for Concrete Systems • Poured concrete must be 2,500 PSI minimum at 28 days. • Square concrete pads minimum is 18" wide by 12" creep. Round concrete pads minimum is 18" wide by 14" deep. Strip footings minimum is 18" wide by 14' long by 6" deep. ®> * Xi2 components exceed HUD code 3280.306 "Anchorin equipment ex osed to weathe n g shall ha4a� } 9 gp g resistance to weather deterioration at least equivalent to that provided by a coating of zinc on steel of not less than 0.30 ounces per square foot of surface'coating...." Page 2 of 8 . ,� . .. o LO TIE DOWN ENGINEERING 5901 Wheaton Drive Atlanta GA., 30336,',�`i o Installation of Xi2Systems �� k Ground • 1. Identify the number of systems to be used on the home using the chart provided. `2. Identify�jhe location where the systems will be installed. 3. Clear;'all organic matter and debris from the pad site. ,`4. Place U -bolts through holes in pan provided. ` pad centered under beam with the lateral strut bracket towards the inside of the home. 5. Pi�ce6. Press or drive pan into ground until level and flush with prepared surface. 7. Build pier according to State, Local or Home Manufacturers guidelines.(Figure 1) 8. Attach the end of the smaller tube to the inside of pan using U -bolt & nuts provided 9. Attach the flag end of the larger tube to the opposite I-beam using the "J" bolt over the top of the I-beam with the nut & washer provided. (Figure 2) 10. Install a,'minimum of four (#12 x 1" tek screws) self -tapping screws into the holes provided in the lateral strut so that the'two tubes are connected together. (Figure 1) Y i Nut Washer 1-3/4" Tube J -Bolt . Lateral Struts 5tru�flag end) O �Y ma, Tube 1 a, 4-#12x1" Tek Screws 1-5eam Figure 2 �I �r Figure 1 +i Hof U -Bolt & mounting Bracket Install frame bracket clamps to I-beam on in side of block/pier. Do not tighten nuts at this time. Attach longitudinal strut to U -bolt in pan using nuts provided. Insert strut in the frame bracket clamp, attach with nut and bolt. Do not tighten at this time. Pull the frame bracket clamp with the fastened strut outward to remove any slack. Tighten all nuts and bolts on the struts and beam clamps. ................. TIE DOWN ENGINEERING 0 0 0 0 0 Xi2 Ground Parts Detail Xi2 Ground lateral System Part Number 59306 Includes: 5' Strut, pad & hardware kit (#59329-1 includes all nuts and bolts). Longitudinal Hardware Kit Part Number 59331 Includes: 2 I-beam brackets & 2 U -bolts with all nuts and bolts. Lateral and Longitudinal Combination Part Number 59333 Includes: 5' Strut, Pad, Longitudinal Strut (#59329), Lateral and Longitudinal Hardware Kit with all nuts and bolts. ®® Struts for Longitudinal Systems Part Strut Pier Height ® ® o No. Length Up To: 59330-44 44" 4 Blocks or 32" Ground Longitudinal 59330-65 65" 6 Blocks or 48" Hardware Kit Xi2 Stabilization Pier Placement for Ground or Concrete Xi2 Ground Longitudinal Strut & Hardware Kit Ground Longitudinal Strut Single Section Home 0 -80' (76' Box) 4 Xi2 Systems Xi2 !Pier Placement Double Section Home 0 -62' 3 Xi2 Systems* 63' - 80' c Xi2 Systems *2 Xi2 systems can be placed at either end of the home. Triple Section Home 0 -62' 4 Xi2 Systems 63' - 80' 5 Xi2 Systems Y, tt 16 Page 4 of 8 m 0 I I � 0 0 0 I Installation: of XiZ-Concrete Systems 1. Ideitify the number of systems to be used on the home using the chart provided OUx 2. Ideitify the location where the systems will be installed. 3. Build pier according to State, Local or Home Manufacturers guidelines.' Viz,.,£ £ z z£ 4. Drill two`3/8"x 3" deep holes in the concrete using holes in galvanized bracket as g®RK a gjide.1�Attach bracket to concrete pad using 3/8"x3-1/2" wedge anchors n FR provided. Place nut & washer on anchor, leave enough room for 1 to 2 threads shcwing on top of bolt. Using a hammer, tap the wedge bolts into hole through, bracket,{leaving nut & washer flush with bracket. Using a 9/16" socket wrench, tighten wedge/anchor bolt, securing bracket to the concrete. 5. Attach the end of the smaller tube to the bracket mounted on the pad, using the Ns grade 5,'1/2" x 2-1/2" bolt/nut provided. W 6. Attach the flag end of the larger tube to the opposite I-beam using the "J" bolt over ONE the top of the I-beam with the nut & washer provided. (Figure 1 next page) 7. Install a minimum of four (#12 x 1" tek screws) self -tapping screws into the holes provided iin the lateral strut so that the two tubes are connected together 8. Install frame bracket clamps on I-beam on the inside of block/pier. 9. Insert strut in frame bracket clamp and attach with nut & bolt. Attach opposite end to concrete bracket. 10. NO the bracket clamp with fastened strut outward to remove arty slack. ' 11.Tighte`n,'all nuts and bolts on system. 0 T Page 5 of 8 TIE m DOWN ENGINEERING 5901 Wheaton Drive Atlanta GA., 3033wwwAiedown.come (404) 344-0000 * FAX (404) 349-040o 0 0 Xi2 Lateral Concrete Systems Part #59307 Includes: 5' Strut, Bracket, & Hardware Kit #59315-1 with all nuts and bolt. Longitudinal Struts for "Concrete Systems" Part No. Length Pier Height #59013 44" up to 4 Blocks #59015 65" up to 6 Blocks Longitudinal Hardware Kit Part #59263 (Includes 2 sets per kit: I-beam bracket, nuts, bolts and washers) Lateral and Longitudinal Combination Part#59332 Includes: 5' Strut, Longitudinal Strut (#59364) Lateral and Longitudinal Hardware Kit with all nuts and bolts. Figure 1 Lonc J Longitudinal Strut �I V Nut & Washer Beam Clamp Bracket C4 of N n °me r p 8 9 o a Concrete Longitudinal Hardware Kit Xi2 Installation Placement Offset Placement Diagrams represent examples of double and triple section offsets. Total size is determined by the length of unit plus offset. 4 ` Xi2 Stabilization Pier Placement for Ground or Concrete U Xi2 Pier Placement i i I � - i Single Section Home Double Section Home 0 -80' (76' Box) 4 Xi2 Systems 0 -62' 3 Xi2 Systems* 63' - 80' 4 Xi2 Systems *2 Xi2 systems can be placed at either end of the home. Triple Section Home 0 -62' 4 Xi2 System 63'- 80' 5 Xi2 Systems Hardware Breakdown #59329-1 Hardware for 59306 Lateral System 1 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 thread Beam Clamp Base 1-3/4 zinc 4 10556 Tek Screw #12 x 1" 1 10631Z J Bolt 1/2 x 5-1/2 grade 5 zinc 2 10640 Push Nut 1/2 1 12107 Flat Washer 1 x2" SS 1 10646Y Hex Nut 1/2-13 grade 5 zinc 2 10519 Hex Nut 1/2" w/ Serr flange #59331 Longitudinal Hardware for 59306 2 59272-1 Beam Clamp Base 4 59272-2 Beam Clamp Top Flange 8 10926 Carriage Bolt 1/2-12 x 1-1/4 Carriage Bolt 1/2-12 x 1-1/4 4 10801 Full Thread 10 10646Y Hex Nut 1/2-13 grade 5 zinc 2 10801 Carriage Bolt 1/2-12 x 2-1/2 1 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 Thread Grade 5 2 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 thread 2 10519 Hex Nut 1/2" w/Serr Flange 1-3/4 zinc 4 10640 Push Nut 1/2 4 10519 Hex Nut 1/2" w/ Serr flange # 59329 Hardware for 59333 Lateral and Longitudinal combination 1 59329-1 Hardware Kit 1 59272-1 Beam Clamp Base 2 59272-2 Beam Clamp Top Flange 4 10926 Carriage Bolt 1/2-12 x 1-1/4 4 10801 full thread 5 10646Y Hex Nut 1/2-13 Grade 5 zinc 1 10801 Carriage Bolt 1/2-12 x 2-1/2 2 10801 Grade 5 zinc 1 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 Thread 6 10646Y 1-3/4 zinc 2 10640 Push Nut 1/2 2 10519 Hex Nut 1/2" w/Serr Flange #59315-1 Hardware for Lateral System 1 10631Z J Bolt 1/2 x 5-1/2 Grade 5 zinc 1 12107 Flat Washer 1/2" SS 4 10556 Tek Screw #12 x 1 " 2 10646Y Hex Nut 1/2x-13 Grade 5 zinc 1 10826 Carriage Bolt 1/2-12 x 3 Grade 5 zinc #59027 Hardware Kit for 59307 Lateral System 2 59264 3 Way Concrete Bracket 4 10530 Wedge Anchor 3/8 x 3.50 1 59315-1 Hardware Kit #59263 Longitudinal Hardware for 59307 2 59272-1 Beam Clamp Base 4 59272-2 Beam Clamp Top Flange 8 10926 Carriage Bolt 1/2-13 x 1-1/4 1 59315-1 Full Thread zinc 12 10646Y Hex Nut 1/2-13 Grade 5 zinc 4 10801 Carriage Bolt 1/2-13 x 2-1/2 4 10926 Grade 5 zinc #59364 Hardware for 59332 Lateral and Longitudinal combination 1 59264 3 Way Concrete Bracket 2 10530 Wedge Anchor 3/8 x 3.50 1 59315-1 Lateral Hardware Kit 1 59272-1 Beam Clamp Base 2 59272-2 Beam Clamp Top Flange 4 10926 Carriage Bolt 1/2-13 x 1-1/4 Full Thread zinc 2 10801 Carriage Bolt 1/2-13 x 2-1/2 Grade 5 zinc 6 10646Y Hex Nut 1/2-13 Grade 5 zinc Page 8 of 8 RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 2006-0045018 Recorded I REC FEE 10,00 Official yyRecords I CoButteof I CONFOMB COPY 1.01 C WAM J. 6RUBB5 I County Clerk-Recorderl I I CW 69:05M 31 -Aug -2N6 I Page 1 of 2 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM 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. THEODORE P. SIMMEN REAL PROPERTY OWNER/LESSOR PO BOK 282008 MAILINGADDRESS ' SAN FRANCISCO SAN FRANCISCO CA 94128 CITY COUNTY STATE ZIP 14837 GOLDCONE DR. INSTALLATION MAILING ADDRESS, IF DIFFERENT MAGALIA BUTTE CA 95954 CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE UNKNOWN MAILING ADDRESS DATE OF MANUFACTURE OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 06-2024 530 538-7541 BUILD G PERMIT N0. TELEPHONE NUMBER 46NATURE OF LOCAL AGENCY OFFICIAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. _ MERRY HM INC. 1978 UNKNOWN MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER S946A/B 53'X 24' CAL107892/3 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER 065-310-027 HCD FORM 433(A) REV. 8/91 WHITE - County Recorder CANARY - HCD PINK - Applicant GOLDENROD - Building Dept. A Order No. 3-186226 SCHEDULE C THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS:, ALL 'THAT CERTAIN REAL PROPERTY SITUATE 'IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS: LOTS 61 AND 62, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "PARADISE PINES MOBILE HOME ESTATES UNIT NO. 111, WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON APRIL 10, 1970 IN BOOK 35 OF MAPS, AT PAGES 65 ,66, 67 AND 68 EXCEPTING THEREFROM, ALL OF THE VALUABLE MINERALS, INCLUDING GOLD AND SILVER, BENEATH THE SURFACE OF SAID LANDS, WITH THE RIGHT TO MINE AND EXTRACT SAID MINERALS; IT BEING AGREED AND UNDERSTOOD THAT IN ALL'MINING'OPERATIONS THE SURFACE. WILL BE PROTECTED AGAINST DAMAGE AND THAT ALL OF SUCH MINING SHALL BE CARRIED ON FROM TUNNELS, SHAFTS AND DRIFTS HAVING...THEIR ORIFICES OUTSIDE OF THE SURFACE AREAS.OF THE ABOVE DESCRIBED REALTY, AS RESERVED IN DEED RECORDED SEPTEMBER 4, 1947, IN BOOK 423 OF BUTTE COUNTY OFFICIAL RECORDS, AT PAGE 385. AP NOS. 065-310-027 0 " RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA`95965 COPY of Document Recorded 31 -Aug -2006 2006-0045018 Has not been compared vith original BUTTE COUNTY -RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. THEODORE P. SEAMEN REAL PROPERTY OWNER/LESSOR PO BOX 282008 MAILING ADDRESS SAN FRANCISCO SAN FRANCISCO CA 94128 CITY COUNTY STATE ZIP 14837 GOLDCONE DR. INSTALLATION MAILING ADDRESS, IF DIFFERENT MAGALIA BUTTE CA 95954 CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 06-2024 530 538-7541 BUILD G PERMIT NOV TELEPHONE NUMBER / �— 3 L6121 ATURE OF LOCAL AGENCY OFFICIAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO MERRY HM INC. 1978 UNKNOWN MANUFACTLRER'S NAME DATE OF MANUFACTURE MODEL NAMENUMBER S946A/B 53'X 24' CAL107892/3 SERIAL NUMBER(S) LENGTH X WIDTH TNSIGNIA/LABEL NUMBER(S) RFet PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER 065-310-027 Order No. 3-186226 SCHEDULE C THE -LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS: ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS: LOTS 61 AND 62, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "PARADISE PINES MOBILE HOME ESTATES UNIT NO. 1", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON APRIL 10, 1970 IN BOOK 35 OF MAPS, AT PAGES 65, 66, 67 AND,68. EXCEPTING THEREFROM, ALL OF THE VALUABLE MINERALS, INCLUDING GOLD AND SILVER, BENEATH THE SURFACE OF SAID LANDS, WITH THE RIGHT TO MINE AND EXTRACT SAID MINERALS; IT BEING AGREED!'AND UNDERSTOOD THAT IN ALL MINING OPERATIONS THE SURFACE WILL BE PROTECTED AGAINST DAMAGE AND THAT ALL OF SUCH MINING SHALL BE CARRIED ON FROM TUNNELS, SHAFTS AND DRIFTS THEIR ORIFICES OUTSIDE OF THE SURFACE AREAS OF THE ABOVE DESCRIBED REALTY, AS,RESERVED IN DEED RECORDED SEPTEMBER 4, 1947, IN BOOK 423 OF BUTTE COUNTY OFFICIAL RECORDS, AT PAGE 385. AP NOS. 065-310-027 0 RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DMSION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 31 -Aug -2086 2096-0045018 Has not been compared rith 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. THEODORE P. SIMIVIEN REAL PROPERTY OWNERILESSOR PO BOX 282008 MAILING ADDRESS SAN FRANCISCO SAN FRANCISCO CA 94128 CITY COUNTY STATE ZIP 14837 GOLDCONE DR. INSTALLATION MAILING ADDRESS, IF DIFFERENT MAGALIA BUTTE CA 95954 CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 06-2024 530 538-7541 BUTA G PERMIT NO. TELEPHONE NUMBER 19 ATI RE OF LOCAL AGENCY OFFICIAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO MERRY HM INC. 1978 UNKNOWN .MANUFACTURER'S NAME - - DATE OF MANUFACTURE MODEL NAME/NUMBER - S946A/B 53'X 24' CAL107892/3 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIAILABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER 065-310-027 HCD FORM 433(A) REV. 8/91 Order No. 3-186226 SCHEDULE C THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS: ALL THAT'CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS: . .LOTS 61 AND 62; AS SHOWN ON THAT CERTAIN MAP ENTITLED, "PARADISE PINES MOBILE HOME ESTATES UNIT NO. 1", WHICH MAP WAS RECORDED IN'THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON APRIL 10, 1970 IN BOOK 35 OF MAPS, AT PAGES 65, 66, 67 AND 68. EXCEPTING THEREFROM, ALL OF THE VALUABLE MINERALS,'INCLUDING GOLD AND SILVER, BENEATH THE SURFACE OF SAID LANDS, WITH THE RIGHT TO MINE AND EXTRACT SAID MINERALS; IT BEING AGREED AND UNDERSTOOD THAT IN ALL MINING OPERATIONS THE SURFACE WILL BE PROTECTED AGAINST DAMAGE AND THAT ALL OF -SUCH MINING SHALL BE CARRIED ON FROM TUNNELS, SHAFTS AND DRIFTS HAVING THEIR ORIFICES OUTSIDE OF THE SURFACE AREAS OF THE ABOVE DESCRIBED REALTY, AS RESERVED IN DEED RECORDED SEPTEMBER 4,, 1947, IN.BOOK 423 OF BUTTE COUNTY OFFICIAL RECORDS, AT PAGE 385. AP NOS. ! _ 065-310-027 FOUNDATION SYSTEM CERTIFICATE OF OCCUPANCY BUILDING PERMITS NUMBER: 06-2024 Address or location of unit: 14837 GOLDCONE DR. MAGALIA CA 95954 Legal Description of Real Property: 065-310-027 SEE ATTACHED (x) Mobilehome/Manufactured Home O 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: THEODORE P. SIMMEN Owner's address: PO BOX 282008 SAN FRANCISCO CA 94128 INSIGNIA OR HUD NUMBER: CAL107892/3 SERIAL NUMBER OR V.I.N.: S946A/B MANUFACTURER'S NAME: MERRY HM INC. YEAR: 1978 OFFICIAL APPROVING INSTALLATION: DATE: PHONE: (530) 538-7541 H.C.D. 513C STATE OF CALIFORNIA • BUSINESS, TRANSPORTATION AND HOUSING AGENCY 1 ARNOLD SCHWARZENEGGER, Gover DEPARTMENTOF HOUSING.AN�.c:nMluti iNirv'.'nFvrncMGwir... : . ivianuiaCTUret t r ` "�B , s w : &` 4 :; u ri � � �y� MERRYrrHM INC „P r OnginalPnce Code`� 77 = x a, fi t ; r , rvicFt!.h`�a"` ;h -r t. .rZ .,itr „� .r4 SFS ti3pyG+z rM nr1!`FJ':- lYti.. #{•} .Y� f *� 4Y �,t t a 'l xcf Tradename f a , o s iv1ERRY HM Ratulg�YeaI 2 } rly i 7 k i rr 1� <y5i Model M Taxj` e i x x r Xf i K,sr s! Manufactured`Date. 0/00/1579:"Last ILT:Amount. ' ' Registration Exp: Date ILT Fee Paid: First Sold On: 06/02/1978 MT Exemption: NONE j Serial Number HUD Label/ Insigni Length Width S946A CAL107892 53' 12' ,p S946B CAL 107893 53' 12' Record Conditions:r PPF Exempt . I Unclaimed Item Held in File Voluntary Conversion to LPT Registered Owner: THEODORE P SIMMEN PO BOX 31561 ) ' SAN FRANCISCO, CA 94131 . Last Title Date: 09/27/1999 q Last Reg Card: 09/27/1999 Sale/Transfer Info: Price $20,000.00 Transferred on 04/14/1999 Situs Address: i 14837 GOLD CONE MAGALIA, CA 95954 Situs County: BUTTE Inactive Decal/DMV: DMV SL3804, DMV SL3805 * * * END OF TITLE SEARCH a PERMIT NO. 4766-78B,E PERMIT EXPIRES /.�� OWNERLeslie King CONTR. Gilbprt A- Murray, Paradise 65-31-27 -LOCATION (A.P. 1345 Goldcone Dr., lot 62, PP#l, McWlia tk IN Temp. Power Pole rIn Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. -Called PG&E JOB FINALE6 (Signaturev COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) N Y-'a::+..ac, ��srG:ti;; "'*.vim: --�."^ �..f.. ,e •_ti.�r�. �sa.''`'" COUNTY OF $UTTE Department of Public Works V. 7 County Center Drive .0roville---=-534-4541 ELECTRICAL INFORMATION FOR DE -RATING MOBILEHOMES Owner Leslie C. King Location 1345 Goldcone Drive, Mega.lia, CA 95954 Mobilehome Installation Permit No. 30.18-78 FILL IN INFORMATION FOR ITEMS 1 THRU 10 Watts 1. Width 24 x Box Length 53 x 3 = 3y816 2. 2 Kitchen Appliance Circuits = 3,000 3. 1 Laundry Circuit = 1,500 4. Ovens ........ .................................. = 3,200 5. Cook Stove Top 6,700 6. Hot Water Heater ........ .... ...... = 4,500 7. Dishwasher & Disposal = 8. Clothes Dryer ........................ = 5,60o' 9. Other (specify, i.e., motors, exhaust fans, etc.) freezer, exhaust fan, radar range . 920W 48ow 1600w = 3,000 Sub -total - Watts ..... 31';3.16 First 10,000 watts @ 100% ................................. = 10,000 Remaining X1,316 watts @ 40% .......................... = 8,526 10. Air;,Conditioner 2,200 watts @10070.. 2,200 ) ' Larest Demand = 14,940 Central Heat System 19,600 watts @ 65%.. _ f2,740 TOTAL DEMAND WATTS REQUIRED 33,466 "Demand Watts Required"' ; 230 .............. ....... = 145 AMPS De -rate Mobilehome to ......................... 150 AMPS COUNTY OF L'UTTE Department of Public Works 7 County.Center Drive .Oroville ----- 534-4541 ELECTRICAL INFORMATION FOR DE -RATING MOBILEHOMES Owner Us.lie C. Kin Location 13+5 Goldcone Drive, Magelia, CA 9595+ Mobilehome Installation Permit No. 3018 -78 - FILL IN INFORMATION FOR ITEMS 1 THRU 10 Watts 1: width 2�+/ x Box Length 53 "' x 3 = 3`;81'6, 2. 2 Kitchen Appliance Circuits = 3,000 3.. 1 Laundry Circuit 1,500 4. Ovens ......................................... = 3,2:00... 5. Cook Stove Top ................................_,*21"� 6. Hot Water Heater = 4;500.. '7. Dishwasher & Disposal ........................ _ 8. Clothes Dryer ................................ _ 9. Other (specify, i.e., motors, exhaust fans, etc.) freezer, exhaust fan, radar range 92o w 480W , 1,.�1600W ,r Sub -total - Watts ..... 3.1,316 First 10,000 watts @ 100'/0 .................... ....0,... = 10,000 Remaining 21,3 6 t watts @ 40% 10. Air Conditioner 2,200 watts @100%.. = ;2,200 ) Largest Demand = .14,",94Q Central Heat System 19000.-a watts @ 65%., = 12,740 > TOTAL DEMAND WATTS REQUIRED , ............. �. 33"46&, "Demand Watts -Required" ; 230 ..... ............ = 145. AMPS 5 De -rate Mobilehome to .................................... 10` AMPS COUNTY OF 130T•T15 I— DEPARTMENT OF PUBLIC WORKS M .1,7 County Center Drive , &oville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Date Siattu/ure of ermitee or Agent Receipt No/Z6! V - 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. DIRECTObl'Q'FIPUBLIC WORKS By Date �ilding permit expires Date 7,-2, BUILDING Owner SQ. FT OCC. BU LDING V LUATfON Mai I i ng Address Telephone No. Contractor ` f' Mailing Address Fireplace 00 Total Valuation 1 elep one No. Permit Fee p Building Address Plan Checking Fee&/or Penalty - Permit Fee O PLUMBING No. @ FEE /r PERMIT FILING FEE $3.00 Each Trap 1.50 Z — / Repair drainage or vent piping 1.50 0 A. P. t 3 '"� Zoning 8, Planning Water piping 1.50 Each gas water heater or vent 1.50 es I w.e. S ation Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parkin Parcel a,ns Declaration Parcel M - 60' R/W I vements Each additional outlet .30 Building sewer 5.00 B g. Plans Recd Parce A roval Plans Approval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service &0ov OR LESS 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home � Others ❑ Main service EA. ADD 'L 100 AMP 2.50 7, /� A ���/ CJ Main service OVER &oov 25,00 100 AMP OR LESS Main service/ EA. ADD'L 100 AM�tP 1.00 NEW OR ADONST C ACC DWELBLDG / 4) 2(tsgft O 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 RANCHU L T NON -REBID BRANCH CIRCUITS 2.50ea y NEW CONSTR. (POWER APPARATUS & NON-RESID. SINGLE OUTLET CIR. Ex. Occup{OUTLETS OR FIXTIIRES 9 L 0 Ex. OCCU FIXED APPLNS. OR Occup. (RESID•) EA) 2.00 Temporary service 10.00 Of �' Mobile Home Facilities 15.00 y� License No—I /9-f92 Classi 'c ion—AOL / Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 9�certify that in the performance of the work for which this ermit 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 Land Development Fee $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Date Siattu/ure of ermitee or Agent Receipt No/Z6! V - 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. DIRECTObl'Q'FIPUBLIC WORKS By Date �ilding permit expires Date 7,-2, I "'PERMIT NO. 3511.-78B,P,E 1`. Q PERMIT EXPIRES OWNER Leslie King CONTR. Gilbert Murray, Paradise 65-31-27 ,,LOCATION (A.P. ) 1355 Goldcone, lot 62, PP#l, Ugalia r•. kY v ( t• /.t ! jj1515,, ? f( i �t Eyy 4 F 4 Temp. Power Pole x Called PG&E Temp. Elea Serv. Called PG&E Temp. Gas Serv. ' Called PG&E JOB lQ FINALED © V (Date) ' .f COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RtCORD Fixtures UILDING BUIL ING (Cont'd) PLUMBING Setback '7 < 42� Firewall Soil Piping _i Forms rp - Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor StemwalI Siding To out Slab Roof Sheathina Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for ph sically -Landicappe Conforman a of ex. structure A Appliances Gas Pipinq & Test Temp. Gas Slab Final Sanitation Patio FI EPLACE Final f& -,G ^� TRICAL Ma Reinf. SteelFinal Fixtures Bond Beam i F14 SPRINKLERS Motors Framing t v Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts . Under round Interior Lath Ventilation Permanent Door Closer Final Final Q Val MOBILEHOME UTILITIES .......... Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping BI E ME INSTALLATION - - - - - - - - - - - - - Support Elec. Continuity Water Piping Ji Drainage Gas Piping DATE REMARKS OR CORRECTIONS � R (NOTE: An entry must be made on thi `form each time you visit the job site.) f" COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Cenfer Drive - Orville, California 95965 • �� Telepho`ne:534-4541 APPLICATION AND PERMIT BUILDING Owner ���/� /C i IS0. FT. OCC. UILDING VALUATION t0 Mailing Address Telephone No. Contractor /C. 9co-'t' -)Y2u & oc .�,. Mailing Address %Q o lJ Q %V% Fireplace ° T a hone N Total Valuation 3 190,C.,_. — 7.7 Permit Fee Building Address - Plan Checking Fee &/or Penalty Permit Fee 3 pt.0 PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 e,4 L./!9 Repair drainage or vent piping 1.50 Water piping 1.50 A. P. No. 1PP D -� /.. �� % Zoning & Planning Each gas water heater or vent 1.50 F tion Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 Parking Parcel Each additional outlet .30 EOA Plans Declaration Parcel Map 60' R/W Improveme Building sewer 5.00 Bldg. PI s Rec'd Parcel Ap rova Plans Approval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ t9 ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 �- Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home ❑ Others Main service EA. ADO'L 100 AMP 2.50 OVER 600V .per e4f_� Main service 100 AMP OR LESS 25.00 Main service EA. ADD•L 100 AMP 1.00 NEW CONST. DWELLING O OR ADDNS. ACC.BLDG 20sgft EW,CCONTRACTORS LICENSE LAW NNONRESESoSID , MULTI -OU T ( BRANCH CIRCUITS 2.5Oea NEWCONSTR POWER APPARATUS 8 I am licensed under the provisions of Chapter 9, Div. 3, of the NON -RESID. (SINGLE OUTLET CIR. State of California Business & Professions Code and the name Ex. Occuo(OUTLETS OR FIXT11RES 5 L 250 , st le of Ex. OCCU FIXED APPLNS. OR %� P•�OUTLETS (RESID.) EA� 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 License Nol ��r_9 q Z Classification - ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ % $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE PERMIT FILING FEE $3.00 1 am aware of the provisions of Section3700 of the California Labor Heating Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Cooling Workmen's Compensation Insurance. I certify that in the performance of the work for which this Ventilation permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of Hood 1 1 2.00 California. 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 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Date gnature of Permitee or Agent Receipt No. White-D.P.W. — Yellow- Assel, or — ink -Inspector — Goldenrod -Applicant Land Development Fee $ TOTAL PERMIT FEE $ 6� 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 0 P BLIC WORKS By Date 6 - Zh --ZR_ B ing permit expires Date _6 - z- z Q- PERMIT No. 3727-77P,E PERMIT EXPIRES OWNER Les King CONTR. Lloyd Harris, Paradise LOCATION (A.P. 65-31-27 { M Goldcone Dr. lot 62, PP#1, Magiia /3 V I+ o Temp. Power Pole Called PG&E _ Temp. Elec. Serv. ? Called PG&E 7 Temp. Gas Serv. ailed PG&E JOB FINALED (Date) w `' (S �i, nj ture) 9. Electrical " A. Is service large enough to provide adequate amperage -to mobilehome (must equal rating of mobilehome with a minimum f 100 amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? YesNo B. Is there proper clearances around panels? Yes4 No C. Is power supply cord ,or feeder assembly properly fused? Yes No .D. Is continuity test satisfactory as -per the following procedure?, Yes4-P o_ 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. S. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the,grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA Manufacturer and/or Namestyle Length 5 L-- Width Vehicle Serial No. �� t�� �9Z State Identification No. Additional Information or Comments: I I MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located*i h 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) Ye s_$ No 3. Are footings and supports properly sized, spaced, and braced as er approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yespo- 4. Is the mobilehome level? (Sec. 5088) Y;s No 5. If more than a single unit, are crossover connections properly installed? (Sec. 5088) Yes -10- 6. Water A. Is flexible connector of adequate size and properly installed (1/2" ID mrin.)? (Sec. 5566) Yes= No B. Test - Does water piping withstand working pressure or 50 lbs. air test? N _ No C. Backflow - If coacXhs not State of California approved, does station have backflow device and pressure-relielve? Yes— No - 7. Wastes and Drains �� /� A. Is connection made with Schedule 40 Dk'V and have flex connectors at each end? a No B. Does it have minimum k" per foot slope and is it properly supported? YesY No C. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe? Yes— No _)Cj D. If coach is n tate of California apgroved, does station have required trap and vent? Yes No 8. Gas Piping and Ga Vents A. Connector - Is obilehome connected o the gas supply with an approved 3/4" minimum mobilehome conne for not more than ft. long? Note: All piping is to be at least as large as the mobs ehome gas line i let without reductions other than the mobilehome connector. Yes No B. Test OK as per folI wing procede? Yes— No 1. Open all applia a connect valves. 2. Shut off appliance\burner/ and pilot valves. 3. Air test with manome er to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) chYibrated in tenth pound increments. Test for 10 min. without drop. 4. Connect gas metertq�mob M ehome wi_h connector, turn on gas, test connections with soapy water. / \ C. Are all appliance venfs properly installed? Yes No Mum COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING A BUILDING (Cont'd) PLUMBING tback F ewall Sokpiping s PAvets 1s loor Ain Bldg. Resthorn Finish 2nd Xioor otin s Windo 3rd F or St wall Siding To out Sla Roof SheaNqiIng Water Pi in Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport p Footings Prov. for ph sica handicapped Conformance of ex. structure Appilances Gas PI in &Test Temp. as Slab Final Sanitation Patio IRE ACE Final Footin s Footing EJtECTRICA isonry Walls Throat Rough Reinf. Stee Final Fixtures Bond Bea FIRE SPRINKILEIIIS Motors Mum Final Subpanelif Mesh MECHANICAL Grd. F It Prot. Scr ch Hea Serviot BiGn Co Ing T mp. Pole finish D cts nder round I erior Lath entilation Permanent oor Closer Final inal MOBILEHOME UTILITIES -----•---- ----- Elec_ Service .-17'Z Lso _.Elec. Pedestal Water Piping �' Sewer � � 3 --/ Gas Piping OBILEHOME INSTALLATION - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number. '74 -for the rfollowing location: Owner ..+. Owner's Address Mobilehome Mfg. -Ikl- Model Insignia No. / Serial No. Year Z"' It is hereby certified for occupancy at `the above described location and may be occupied. ;,y• ;Uifeptor-of Public Works Date l x f �BY �' '` !/ 4�11 . THIS CERTIFICATE IS VOID WHEIJ MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE_,— DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 �"] �J�% -�� Telephone: 534-4541 � / -77 / APPLICATION AND PERMIT LIZ .� . .•- .rr.�..+ a a �.a. �, v v a v� L — vvunLy v� UU— lv cnlc1 u(JUII Lilt: above-mentioned, roperty for inspection purposes. X d` r Date 6 '1 Signa ure of Permiitte'e or Agent Receipt No. /���� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR PUBLIC WORKS By Date '— wilding permit expires Date �70 BUILDING / Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace r Contractor ZZ',� s` Total Valuation Mailing Address Permit Fee Plan Checking Fee &/orPenalty 41r C Telephone No. Permit Fee $ Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00 d Each Trap 1.50 `r Repair drainage or vent piping 1.50 —� ming Verifi fio O,I)y Water piping 4-•5p- O Each gas water heater or vent 1.50 A P J?l-.1� C/ �?7 = f ng Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F s Fire Dept. Fire Zone Use Permit Building sewer EQA Parking Plans I Parcel Declaratio parcel Ma P 60' R/W Im P rovements Lawn sprinkler system 2.00 BI g. PI ns Recd Parcel Appro I I Permit Fee $ $ (� NEW ADDITION ❑ ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 OQ 100 AMP OR LESS 5.00 Main service 600V OR LESS S f D Main service EA. ADD'L 100 AMP 2.50 O Single Family ❑ Duplex ❑ Mobil Home Others ❑ OVER Main service EAMP OR LESS 25.00 Main service EA. ADD•L 100 AMP 1.00 500 5 . FT. MIN NEW CONST. DWELLING OCCUP. & OR ADDNS. ACC. BLOGS. ) 20sgft NEW R ( BRANCH CIRCUITS) 2.50ea EOR LvR MOBILES NEW NON•RESID R. (SINGLE OUTTLETPOWER TCIR.& CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Profe sions Code under the name style of: ^ Ex. Occ Up(OUTLETS OR FIXTURES)50 @25t 109 E x. Occup. FIXED APPLNS. OR P• ( OUTLETS (RESID.) EA) 2.50 Temporary service 10.00 Mobile Home Facilities 15.00 License No. �_% gClassification L, /1 f� 1 �" Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ' ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No.1 @ I FEE PERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby (� TOTAL PER IT FEE $ .� . .•- .rr.�..+ a a �.a. �, v v a v� L — vvunLy v� UU— lv cnlc1 u(JUII Lilt: above-mentioned, roperty for inspection purposes. X d` r Date 6 '1 Signa ure of Permiitte'e or Agent Receipt No. /���� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR PUBLIC WORKS By Date '— wilding permit expires Date �70 COWNTY OF L"JTTE — DEPARTMENT OF PUBLIC WORKS "7 County Center Drive — Uroville, California 95965 Tglephone: 534-4541 APPLICATION AND PERMIT xld�1_7 AA authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date 30' Signat r of`P7ermitee or Ag�e}nt Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been DIRECTOR PU LIC WORKS rBY Date ,4• Z—;7 BtF>i ing permit expires Date — d!57, Z��� BUILDING Owner L e I SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor C ,Y ,y�l Total Valuation Mailing Address 30 Permit Fee Plan Checking Fee&/or Penalty / Telephone No. Permit Fee $ Building Address C PLUMBING No. @ FEEPERMIT FILING FEE $3.00 61^ 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. &S-3 I Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F W. Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans ParcelParcel Declaration Ma P 60' R/W Improve nts P Lawn sprinkler system 2.00 Bldg. Pla Recd Parcel proval P pproval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 -• Main service 100 AMP ORV OR LESS5.00 Main service EA. ADD'L too AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service OVER 600V 1100 AMP OR LESS 25.00 Main service EA. ADD'L too AMP 1.00 NEW OR ADDNST ( ACCLLING OCCUP. & BLDG \ 20sq ft / NEW CONSTR. MULTI -OUTLET NON.RESID. ( BRANCH CIRCUITS) '2.50ea NEW CONSTR. POWER APPARATUS &) NON•RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: n//11 A n -_W& gg-(% arj �� Ex. Occup(OUTLETS OR FIXTURES)@@'SQ BAL@1 Ex. ('�P•ccu FIXED APPLNS. OR X OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No.3)l D '-') 'LO Classification(--& Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability WWor en's Compensation. have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No.1 @ FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 t? Oc T TAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date 30' Signat r of`P7ermitee or Ag�e}nt Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been DIRECTOR PU LIC WORKS rBY Date ,4• Z—;7 BtF>i ing permit expires Date — d!57, Z��� Ud VQV 0161 U �v VI Atli LO smaonn onana do •taa(3 auna ao .unnOZ) i MOBILEHOME SUPPORT DATA If other than single wide, 5'b.v� Mobilehome Mfr. rr,�. furnish Setup Model No.. �Z-1 Year./ Width _(ft.) Box Length SZ (ft.). Tagalong or Expando Size ft. x ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973; fUrnish manufacturer's installation manual and -structural setup sheets (if not on file with the County of Butte). All center supports measured from front'of mobilehome unless otherwise specified. Footings (check one) Single 1. Wood either Apressure treated of foundation grade. 0 � z X'3 01 (ft.)(in.) (in.) (in.) ,�/L: Other (specify) �hc�N DI1/ Iia.(/s Center support Center support locations* footing sizes Supports (check one) (in.) ' Concrete block. DEE. x� ® 2. Other ( specify) (ft.)(in.) (in.) (in.) 4 -Tagalong or Expando, show support details. (ft.)(in.) (in.) "(in.) XZq -- Typical Support (in.) (in.) -Footing -Size (ft.( (in. (i ,.) in.) �--.Max. Pier Spacing (ft.)(in.) L! L4 x30 -- Max. Overhang (ft.) (in.) (in.) (in.) } (ft.)(in.) BUTTE COON"l 1 BUILDING DEPARTMEN 1 APPROVED *If center piers are other than drawn above, draw in locations, spacing, and dimensions. } BUTTE COUNTY DEP&RTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: LP-5ZI)o k' 2. Installer's name: rr1 ,,c I Z I�0 S 3. Is the site currently under permit? 'Yes 7it-7 No (If yes, furnish permit number ) OR. Is the site an existing site? Yes / / No (If yes, furnish two (2) plot plain 4. Will the mobilehome be located at least`5 ft. awayyffrom septic tank and leach fields and clear of all setbacks and easements? Yes / R No ( If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- 6. What is the mobilehome site service rating? ------------------ 7. What What is the mobilehome site circuit breaker rating? ------------- 8. Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------- (If yes, identify the load and si-e: (Load) ZO a . Amps dti® 10 Amps P--,00 Amps Yes / / No (Amps) ---------------------- !1 in. 9. What is the mobilehome site gas pipe s=ze. !%/Y ( ) 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) i (This information not required ifpipelength less than 6 ft. on natural gas or less than 50 ft. on LPG.) � .�_ . - - - __ - _ 1 .'s_-._ I• is i j _ i ! ' -;-_! - ,: , ! a j r I. = { ji it IZ CL `—(- f � ' t vl� s -- '- —t {)�{''t - �- -; r- 1-1 If _'—�--'� •'�{• _ -F y, ' e�1V �+••i� � t --� � �� �Y--1--7--�_J_.. �. _ —, [-r i, t_.�....� COA —T: 1, I 1 ',1 xi _ L f; I F ! `•e _- y ._ � � a__ _ y _ _ •' _ _ -1= t..a.._ t.".t' ' .�• ..�._.. 1. L.. ;1 _ . . -.-r. r---r� �^-T � -�- 1 _ 1 l —.- r t _ �_ ._,+{'— i _'_ s{� __ 1 i 1 ;1 r—i •_`j__ _ �•_ (tom—?yI j + _.L " 17 _.^—'—. �---j'—�1�' I t �''_ F i--—•i-..r-"!- r — ! �_--'t --1- r __J ,,,,i C_ ' .r ;.r -_ �j^07 1M i I 4 !. t "".T"" ' >�! ;.•...�.r..-_. ... _ - ...,.. _!.....I � - j ! ��i�-moi -,y� AZ if if Alt t