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065-310-037
Z. Simpson gJ�%1 , 65 Echo Glen Ct., lot 111, PP#l,Maga'5 contr: M. A. Najera, Paradise Permit(4394-78P,E(relo� ate util. ,MH) ELEC 7 %�Q 14 GA � iC' SUPP RT STRUCTURE RDQ. 'AA1V COMPACTION TEST REQ. --/90' ^/ $' 65-31-37 Contr: Cal Ga.Magalia "Permit ##4535-78P(gas piping) MH a 37 contr: Paradise M du.lar:Conc., Para. Permit #4352 7/841 iI / ,I� / Issued ��� Al,f4w At o n�31Y � s= q .'M,- 1 ' a y L " W2, Mal �45 - 6 -�/ BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES INSPECTION CARD MUST BE ON JOB SITE 24 Hour Inspection Line (IVR) : (530) 538-4365 Office: (530) 538-7601 Fax: (530) 538-2140 Website: www.buttecounty.net/dds Permit No: B09-0786 Issued: 06/02jj/2009 Address: , MAGALIA D� a4v-> APN: 065-310-037 Owner: ESPINOSA, DAVID Permit Type: SFD-MOBILE HOME RET Description: EX MH EX SITE PERM FNDN (44X24) Flood Zone: SRA Area: Front: Centerline of Road: Rear: SRA: Side: AG: Other: Total Setback from Centerline of Road: ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING Inspection Type IVR INSP DATE Setbacks 131 Foundations / Footings 111 Pier/Column Footings 122 Grade Beams 114 Eufer Ground 216 Forms/Steel/Holdowns 112 Do Not Pour Concrete Until Above are Signed Pre -Slab 124 Gas Test House or Yard 404 Gas Piping House or Yard 403 Masonry Grout 120 Masonry Bond Beam 119 Underfloor Framing 149 Underfloor Ducts 319 Shear Transfer 136 Under Floor Plumbing 412 Under Slab Plumbing 411 Do Not Install Floor Sheathing or Slab Until Above Signed Straps/Holdowns 154 Shearwall/B.W.P.-Interior 134 Shearwall/B.W.P.-Exterior 135 Roof Nail/Drag Trusses 129 Do Not Install Siding/Stucco or Roofing Until Above Signed Rough Framing 153 Rough Plumbing 406 Rough Mechanical 316 Rough Electrical 208 4 -Way Rough Framing 128 Gas Piping House or Yard 403 Shower Pan/Tub Test 408 Fire Sprinkler Test.or Final 702 Do Not Insulate Until Above Signed Inspection Type IVR INSP DATE T -Bar Ceiling/ RC 145 Stucco Lath 142 Stucco Brown 144 Swimming Pools Setbacks 131 Pool Plumbing Test 504 Gas Test 404 Pre-Gunute 506 Pool Elec/Bonding/Light Nitch 502 ,Pool Fencing/Alarms/Barriers 503 Pre -Plaster 507 I Manufactured Homes Setbacks 131 Blocking/Underpining 612 Tiedown/Soft Set System 611 Permanent Foundation. System 613 - Site Utilities/Trench Insp. 137 Gas Test Yard 404 Manometer Test 605 Continuity Test 602 Skirting/Steps/Landings 610 Coach Info Manufactures Name: Date of Manufacture: Model Name/Number: Serial Numbers: 1111JOr Lenzth x Width: PLignia: Fintils F Permit Final 802 Electrical Final 803 Mechanical Final 809 Plumbing Final 813 "PROJECT FINAL 801 Public Works Fina 538-7681 Fire Department/CDF 538-6226 Env. Health Final 538-7281 Sewer District Final. "PROJECT FINAL 801 -rrolecr rmat is a %-ermicate of occupancy for txesiaennpi Vmy) PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSI.:ANCE. IF WORK HAS COMMENCED, YOU MAY PAY FOR AI I YEAR RENEWAL 30 DAYS PR!:OR TO EXPIRATION Inspector Copy BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT . 24HOURINSPECTION (IVR)#: (530) 538-4365 OFFICE #: (530) 538-7601 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFURIVIATION Site Address: Owner: Permit N0: $Q9-�%$( APN: 065-310-037 ESPINOSA, DAVID Issued Date: 06/02/2009 By: KEJ Permit type: RESIDENTIAL PO BOX 1793 Subtype: SFD-MOBILE HOME RET MAGALIA, CA 95954 Expiration Date: 06/02/2010 Description: EX MH EX SITE PERM FNDN (44X: Occupancy: Zoning: Contractor Applicant: Square Footage: PREMIER BUILDERS PREMIER BUILDERS Building Garage Remdl/Addn 6616 CLARK RD STE D 6616 CLARK RD STE D PARADISE, CA 95969 PARADISE, CA 95969 (530)570-3363 (530)872-1096 Other Porch/Patio Total FEE'INF DBF MH Plan Check $241.16 DBMSC Mobile Home Permit Fee. $361.74 I I Ar-:'L,!CENSEDrCONTRACTOR'S,DECLARATION :"I t Contractor (Name) State Contractors License No. / Class / Expires PREMIER BUILDERS 343173 / B / 09/30/2010 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. X 06/02/2009 Contractor's Signature Date total 1,nargea: 156UL.9U tees Yalu: $602.90 Balance Due: $0.00 Receipt No: B0512 J 4 _ OWNER / BUILDER DECLARATION_, I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) (Section 7031.5, Business and Professions Code: Any city or county that requires a permit to 9 construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' 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 from licensure 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).): ,4WORKERS;,COMP,ENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: ❑I have and will maintain a certificate of consent to seffinsure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Policy No. E] I have and will maintain workers' compensation insurance, as required by Section 3700 If the Labor Code, for the performance of the work for which this permit is issued. My workers' Cartier. STATE FUND Policy Number: 1127626,06 Exp. Date: 05/01/2010 I certify that, in the performance of the work for which this permit is issued, I shall not r_1 employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. X r 06/02/2009 Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. E CONSTRUCTONLENDING AGENCµPLRATION �w.:jY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lender's Name and Address Lender's Name & Address City State Zip I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or improved for the purpose of sale.). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 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 the projects with a licensed Contractor pursuant to the Contractors' State License Law.). I am exempt from licensure under the Contractors' State License Law for the reason: 06/02/2009 Date ARATION By my signature below, I certify to each of the following: I am U a California licensed contractor or U the property owner` or U authorized to act on the property owner's behalf". I have read this construction permit application and the information I have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or county to enter the above -identified property for inspection purposes. California Licensed Contractor, Property Owner' or Authorized INSPECTOR COPY 06/02/2009 STATE OF CALIFORNIA - BUSINESS, TRANSPORTATION AND HOUSING AGENCY ARNOLD SCHWARZENEGGER, Governor DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT Division of Codes and Standards o\)SING .00uZW *".b Ile0 3G' Title Search �Fv DEJ Date Printed : 06/01/2009 Decal #: LBG 1621 Use Code: SFD Manufacturer: SKYLINE HOMES INC Original Price Code: ADX Tradename: HOMETTE Rating Year: 1978 Model: 801 ALLISON Tax Type: LPT Manufactured Date: 00/00/1978 Last ILT Amount: Registration Exp: Date ILT Fee Paid: First Sold On: 08/25/1978 ILT Exemption: NONE Serial Number HUD Label / Insignia Length Width 03750221 AM 117364 44' 12' 0375022IBM 117365 44' 12' Record Conditions: PPF Exempt Voluntary Conversion to LPT Registered Owner: DAVID M ESPINOSA ROSE A ESPINOSA (Joint Tenants with Right of Survivorship) PO BOX 1793 MAGALIA, CA 95954 Last Title Date: 09/19/2007 Last Reg Card: 09/19/2007 Sale/Transfer Info: Price $10,000.00 Transferred on 09/10/2007 Situs Address: 6705 ECHO GLEN CT MAGALIA, CA 95954-9332 Situs County: BUTTE Inactive Decal/DMV: DECAL AAH7188, DMV SL3769 * * * END OF TITLE SEARCH 1. PERMIT NO. 4394-78P,E h �j PERMIT EXPIRES�� OWNER Z. Simpson CONTR. M. A. Najera, Parafte 65-31-37 LOCATION (A.P. � 65 Echo Glen Ct., lot 111, PP#l, Magalia Y" r. :$l Al �t TF AI Temp. Power Pole Called PG&E Temp. Elea Serv. a Called PG&E Temp. Gas Serv. i` Called PG&E POB F NALED__���� • t (Date) i P (Signature 9. Electrical ; A. Is ser,7ice large enough to provide adequate amperage -to mobilehome (must equal rating of mobilehome:'with a minimum VNo 00 amp) and other facilities on lot, i.e., water pumps, garage, c,abana,'etc.?. Yes B. Is there proper clearances around Panels? Yes No_ C. Is power supply cord or feeder assembly properly fused? Yes L / No D.• Is continuity test satisfactory as per the following procedure? Yes U No 1. De -energize electrical wiring system of the mobilehome at the pedestal.- 2. edestal. 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. Cor-nect one lead of a test instrument to the mobilehome grounding conductor and apF1y the other lead to each mobilehome supply conductor, including neutral. S.r 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 LengthnT Width 2 `/° i Vehicle Serial No. State Identification No. Additional Information or Comments: 1 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) YesNo 3. Are footings and supports properly sized, spaced, and braced as p r 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 4" per foot slope and is it properly supported? Yes t-INo C. Are any leaks detected in drainage system after running Y"allons of water throVgh each fixture including washing machine standpipe? Yes' No V 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 CI No 1. Open all appliance connector vi.lves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"014" 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 mobilehoiqe.with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes No_ t COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS• BUILDING INSPECTION RECORD ; BUILDING BUILDING (Cont'd) PLUMBING S ack FI wall Sokpiping For Para is is Floor Mak Bldg. Restro%jn Finish 2nd loor FoNtings Windows 3rd FI or Ste alI Siding To out Slab Roof SheatNo Water PI in Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwal I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for ph sicall handicapped Conformance of ex. structure v Appliances Gas Piping &Test Temp. Gas Slab Final A Sanitation `APatio FI EPL CE Final k Footin s Footing EL&CTRICXL Ma� Mry Walls Throat Rou h Riiknf. Steelt Final Fixtures Bond Bead E M 0 ors Framlho Test Water Htr. Stuccos Final Sub anel I Meshy MECHANICAL Grd. Favft Prot. I; Scr ch Heatin Servic L'flor + Cool I g T p. Pole Du s nder round ath V ntilatlon Permanent ser anal Final MOBILEHOME TILITIES - - - - - - - - - - - - - - - - - Elec. Servi 3 Elec. Pedestal Water Piping Sewer Gas Piping MOBII,EHOME INSTALLATION .............. Support Elec. Continuity Water Piping y'} - Drainage Gas Piping !' DATE REMARKS OR CORRECTIONS IVI ( ��,► ��� cam. (NOTE: An entry must be made on this form each time you visit the job site.) ..,�. ;� t ��� ���o. g��/2� �q C � Gw �4-S A%Y��'% �S'3�-3�' .� a �, zio COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE :s OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY' .This mobilehome has been installed in accordance with therequirements of the California Administrative Code, Title 25, Chapter 5, under _permit number for the following.location: °'Owner Owner's Address Mobilehome Mfg. Model Year % Insignia No. 1 i' ' .�' f "fes' Serial No. - -It is hereby certified for occupancy at the above described location and ,may be occupied. Director-of Public Works Date ' F` Bya"" THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White- Owner, Yellow- Installer, Pink - D.P.W. COUNTY OF -BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive Orobille, California 95965 'n Telephone:. 534-4541 APPLICATION AND PERMIT ` BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor Mailing Address Fireplace Total Valuation ^ T elephone No. Permit Fee Building Address Plan Checking Fee &/or Penalty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 ? _ -J - A. P. No -65--3-1 .J Zoning 8 Planning Water piping Each gas water heater or vent 1.50 F Sa i on Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Parcel Plans Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer r B s %Rec'd Parcel A ro Plans pproval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ Permit Fee $ 73"- $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3 - Main service 100 AMP OR0V OR L LESS5.00 Single Family ❑ Duplex ❑ Mobil HomePC Others ❑ Main service EA. ADD'L 100 AMP 2.50 3� Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST DWELLING OR ADDNS. ACC. LDGS.CCUP. Y) 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: p /���� NEW CONSTR MULTI LET ++ NON-RESID BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS B NON-RESID. SINGLE OUTLET CIR. Ex. Occuo(OUTLETs OR FIXTIIRES 5 250 L , EOAPPLNS x. ccup ( FIXED TS (RES. OR OUTLETS ESID.) EA) .2.00 Temporary service . • 10.00 v Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 E]I am exempt from the Contractors License Laws of the State of California. Permit Fee $CQy 3-v- $ L"Ci 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. FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood - 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ 9 TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. is Date Signature of PevKito e r Agent Receipt No. _?d 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. aDVIRCT UBLI WORKS B 42, Oat Building permit expires Date V P COUNTY OF BOTTE- — DEPARTMENT OF PUBLIC WORKS W. County Center Drive —. OroUle, California 95965 d Telephone: 534-4541 APPLICATION AND PERMIT BUILDING Owner- G¢Z� SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contracto Mailing Address � Fireplace Total Valuation 7 I e a*— Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee �P S �` PLUMBING No. @ FEE ` PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage.or vent piping 1,50 A. P. No. 3 /, Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F Fire Dept: Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map � 60' R/W Im ments Each additional outlet .30 B ilding sewer 5.00 �� /� Bldg. 46ns Rec'd Parcel A royal Plans A a Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTH R M Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Single Family Du lex Mobil Home Others 9 Y ❑ P ❑ ®� ❑ Main service eoov OR LESS 100 AMP OR LESS 5.00 Main service EA. ADC -1- 100 AMP 2.50 OVER eoov Main service 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1,00 NEW CONST. DWELLING OCCUR. N OR ADDNS. ACC. BLDGS. 20sgff 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: License N ! Classification NSTR. MULTI-VUT Lt -_J SID- BRANCH CIRCUITS EX. OCCUP(OUTLETS OR FIXTIIRES so a Z¢ BAL @ if EX. QCCU // FIXED APPLNS. OR P•1OUTLETS (RESID,) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 U I am exempt from the Contractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE MECHANICAL PERMIT FILING FEE I am aware of the provisions of Section3700 of the California Labor Heating Code which requires every employer to be insured against liability for W kmen's Compensation. ave placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X� Date S 7 Signatu f Permit. . or Agent Receipt No. t / k 7 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Cooling $3.00 Ventilation Hood 4 1 1 2.00 Permit Fe - (� r Land Development.Fee $ TOTAL PERMIT FEE $�O 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 aid. DIRECTOR UBLIC WORKS BYDate y— .!- i� B ding permit expires Date O �a�" 7f_ 1. Owner's name: 2. Installer's n BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS. 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 3. Is the site currently under permit? Yes /t// 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 A-' No ( If no, clarify ) 5. What is the mobilehome electrical rating? --------- ----------- ��! Amps 6. What is the mobilehome site service rating? ---- Amps o 7. What is the mobilehome site circuit breaker rating? ------------- %© Amps 8. Is there any other electric load`to be served by the mobilehome site service? --------------------------------------------------- Yes / / No lPif (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas%pipe size? ---------------------- �7 (in.) 10. What is the type of gas service? ----------------------------- Natural / / LPG �--/ 11. What is the gas pipe length from meter or tank to the mobilehome? (ft.) 12. What is the mobilehome gas demand? ------------------------------ (BTU) (This information not required if pipe length less than 6 ft. on natural gas. or less than 50 ft. on LPG.)IOU x �iJILD1r.1 DOARTMP-A MOBILEHOME SUPPORT DATA ` If other than single wi Mobilehome Mfr. � furnish Setup Model No. Year Width I /-/) Box Le (ft.) Tagalong or Expando Size ft. x _ ft. c (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.supp mobilehome red from front of e Ocified. io*.. q.., Single *If center piers are other than drawn above, draw in locations, spacing, and dimensions. Footings (check one) 1. Wood either pressure treated or foundation grade. 2. Other (specify) Supports .(check one) ET",: Concrete block. F] 2. Other (specify) !—Tagalong or Expando, show support details. --,Typical Support Footing Size -- Max. Pier Spacing -- Max. Overhang V Owner / S /9 - Mailing Address Contractor Mai I i ng Address Building Address COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive --• Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT Telephone No. A. P. No. S-31- Zoning &Planning Fe Wll;+9�Fire Dept. Fire Zone Use Permit EOA Parking I Parcel Parcel Ma 60' R/W Improvements Plans Declaration P p ovements Bldg. an RecdParcel A rovol Plans Approval NEW ❑ ADDITION UTILITIES ❑ OTHER Single Family ❑ Duplex ❑ Mobil Home Others ❑ 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: License No— %O 1 � _ Classification �� W15y,� BUILDING SQ. FT. OCC. BUILDING VALUATION Fireplace Total Valuation Permit Fee Plan Checking Fee &/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional. outlet Building sewer Lawn sprinkler system Permit Fee ELECTRICAL PERMIT FILING FEE Main service 600V OR LESS 100 AMP OR LESS Main service EA. ADD•L 100 AMP Main service OVER 600V 100 AMP OR LESS Main service EA. ADD'L 100 AMP NEW CONST. ( OR ADONS, DWELLING OCCUP. 4 ACC, BLOGS, NEW CONSTR. NON-RESID. (MULTI -OUTLET l BRANCH CIRCUITS $3.00 5.00 2.50 25.00 1.00 50ea NON-RESID. %SINGLE OUTLET CIR. EX. Occup(OUTLETS OR FIXTIIRES) BAL@1 BAL@1 FIXED APPLNS. OR EX. OCCUP•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wirina 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE MECHANICAL PERMIT FILING FEE I am aware of the provisions of Section3700 of the California Labor Heating Code which requires every employer to be insured against liability for Workmen's Compensation. NI have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑I • certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date —� SignatureR of Permiteee or [Agent Receipt No. / / &7 A ' White-D.P.W. ' Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Cooling $3.00 FEE I Ventilation Hood 1 1 2.00 Permit Fee $ $ Land Development Fee $ TOTAL PERMIT FEE $/8 This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS. By ( -� Dat Rr e a �trifd'if_g permit expires Date &J-) MAY -26=2009 10:42 P.01/03 REQORDYIlti REQUIEM W. 2007-0042319 of Qffmb Rim do sawnw. 040006-Mmlr offie I mit 1�� I >n� ns: 07 aoayo no Whm Rem" omwnant I I� cealr aerN-�«en� awrmstmip -- tTe; tr1r. aud' Mrs Dsvld M. 2pAM 11111011111111111 oft"m I Ip 1 of 2 6705 Echo Glen Court M390k APN: 065-310 37 WMAWWrOI.A D Rtre iffi g GRANT DEED The undaaspned:) dedaaeis) �+arasarday b rifler Ux is $u&n X , to �. ] ; , ann fd � of °' pay umveyed, or r aompuDed ovalva I= value of Ileac or encumbrum rer ak" at time of safe, [ ] udnoorporated Ares tsy of 1lnlraoorpareted, FOR AftA1.11AdLE O0-=ERAjZCN, reoalptofvrtddr Ira haamilyedalrowbd0ed, 70"I DIGI m deal and Lorena A. DfGtordano, k8band and wre WON GRAMRS) m David M. BWM and hose A. Asplrac90, husband and wife as joint tenants i SEE DRRW `A' A Bt ANDMADE A Y of 6uls� 9taie ct�lilbr : DATED: Sep rim s, 2007 STATE OF bBliearp me, (here Furiawsr raaoMm w me (or paved bo ate on the baste of slbdhctort► evWww) to be the persons) whose mn*s) Woe wbwtbed oo the wlgrht insbumerd and mcbWaledod to rrm dot hWdej"" cmoed the same ®paWlmJ and tha; by hh/herNrdr stgr mrgs) on the Mstruanent the pm=ft(s), or the enter upon behalf of which the pis) ado �000rbed the Irtstitarrrent • X11 fWWAX� auwr - 2000-07-07 02:41 MISSION HILLS M Page 1