HomeMy WebLinkAbout065-360-04465-36-44
Perry McClellandna.1 �-; iy'�%
155 Cresent, lot h1, Magalia
contr: Paradise Modular Concepts, Pare
I
Permit #69-77P,E(upgrack@ exis.sit4H)
ELEC. 0O
GAS 3
SUPPORT STRUCTURE REQ, egtV
COMPACTION TEST REQ. 1'r
65-36-44
contr: Paradise Modular Concepts,Para
Pemit #710-77MHI' j,, r�
Issued -.37'A?/729100_' -5 P�7
65-36-44
contr: Lloyd R. Roberts, Paradise
Permit #1317-77P3r,E (aew open deck &
coveree�e�,deckn &etri. garage/MH
765-36-44
contr: Lloyd R. Roberts, M% lia
} Permit#4329-77B(neV deck cover/MH)
00 �/
065-360-044 06-1332
RYDQUIST, GARY & PERRY
14867 CRESCENT DR, MAGALIA
Cont: DOP.EMUS, GERALD, p ty�
MH PERM FN.D (EX)� �U' .9J
FA
RECORDING REQ UATED BY:
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE CA 95965
Recorded I
Official Records I
County of I
butte I
LANDACE J. 6RIJOSS I
County Clerk—Recorderl
I
1
09:M 09--Jun-2b06 I
REC FEE 10.00
L' N-ORMED COPY 1.100
DD
Page I of P
SPACE ABOVE THIS LINE FOR RECORDER USE ONLY
NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, 9
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 Of
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.
GARY AND PATTIE A. RYDQUIST
REAL PROPERTY OWNER/LESSOR
14867 CRESCENT DR.
MAILING ADDRESS
MAGALIA BUTTE CA 95954
CITY COUNTY STATE ZIP
SAME
INSTALLATION MAILING ADDRESS, IF DIFFERENT
SAME
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
06-1332 (530) 538-7541
BUILDIIIA PERMIT NO. TELEPHONE NUMBER
SFMKATURE OF LOCAL AGENCY OFFICIAL — DATE
NONE
DEALER NAME (if not a dealer sale, write "NONE")
NONE
DEALER LICENSE NO.
GOLDEN WEST 1977 UNKNOWN
MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER
A16223, B/C16228 60'X 247 24'X 10' 245734/5/6
SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S)
REAL PROPERTY LEGAL DESCRIPTION
SEE ATTACHED
ASSESSOR'S PARCEL NUMBER 065-360-044
HCD I -ORM 433(A) REV. 8/91
WHITE - County Recorder CANARY - IICD PINK -Applicant GOLDENROD - Building Dept.
;W -
Preliminary Report
Description
Order No. BU -221021-2 MV
The land referred to herein is situated in the State of California, County of Butte, and is described as
follows:
LOT 291, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "SIERRA DEL ORO ESTATES UNIT
NO. 4", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY
OF BUTTE, STATE OF CALIFORNIA, ON SEPTEMBER 29, 1969, IN BOOK 35 OF MAPS, AT
PAGE(S) 48, 49, AND 50.
- - —--- --
EXCEPTING THEREFROM ALL OF TIDE VALUABLE MINERALS BENEATH TIS SITRFACE OF
THE SAID LAND WITH THE RIGHT TO MINE AND EXTRACT SAID MINERALS, IT BEING
AGREED AND UNDERSTOOD THAT IN ALL MINING OPERATIONS, THE SURFACE OF SAID
LAND WILL BE PROTECTED AGAINST DAMAGE AND THAT ALL SUCH MINING SHALL BE
CARRIED ON FROM TUNNELS, SHAFTS, OR DRIFTS HAVING THEIR ORIFICES OUTSIDE OF
THE SURFACE AREA OF THE ABOVE DESCRIBED REALTY, ALL AS EXCEPTED AND
RESERVED IN THE DEED FROM MAGALIA MINING COMPANY, A CORPORATION, TO E. D.
STORTS, ET UX, RECORDED SEPTEMBER 4, 1947, IN BOOK 423, PAGE 385, OFFICIAL
RECORDS.
APN 065-360-044-000
Butte County_ Department of Development Servicesurrf� AREA
t
(VOTES 065-360-044 06-1332
RYDQUIST, GARY & PERRY 04#j '
14867 CRESCENT DR, MAGALIA
Cont: DOREMUS, GERALD
MI -I PERM FND (EX) L
APN: Permit No.
Owner.
Site Address:
Contractor. _
Type of Permit:
CHECKED BY
SRA
FLOOD CERTIFICATE EQUIRED
FIRE SPRINKLERS REQUIRED
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
ENCROACHMENT PERMIT
REINSPECTION FEE PAID
ENV HLTH CLEARANCE
DATE JOB FINALED: v
SIGNATURE: 0t.0 {�7
w=OK
0 = Not OK
r
MANUFA TURED HOMES
MISCELLANEOUS -
DATE PERMANENT FOUNDATION Lj SOFT -SET
Zoning -Setbacks -Easements
2 Soils; Special MH Support Sketch
3 Sewer; Loctn-Test; Fall/C/O-Concrete
4 Wtr; Loctn-Test-Easement Needed -Regulator
5 Elec Loctn-Clrncs-Gmd Amp -Concrete
6 Yard Gas; Loctn-Test-Wrap Nat ❑ or LP❑
Inch Sz Ft Lngth
7 Blckng; SzSpacing-Marriage Line
8 Gas; MH Test-Demand-Valve-Cnnctr
9 Elec MH Cntnty Test-Crossovers-Breakers-Clmcs
10 Drain; MH Test -Fall -Flex Cnnctr
11 Wtr & Sewer Connected -C/O to Grade
12 Gnd Electricity Tagged
❑ Foundation
mi 0W
'Exits
15 god of Occupancy
HUD LabeUinsignia Numbers Serial Numbers
—�'
---DATE ID E C K S•C 0 V E R S'C A R P O R T S •G A R A G E S
1 Zoning -Setbacks -Easements
2 Ftgs; SoilsSz-DpthSpacing-CnnctrsSteel
3 Decks, Girders/Joists-Dcking-Brcing
Stairs-Guard/Handrails
4 Wood Awn; Posts-Beams-Rftrs-Cnnctrs-Shthg.
Frmg-Brcng
5 Alum Awn; Columns-CnnctnsSplice-Decal-Encisrs
6 Carports; Wndws-Doors
7 Electric
8 Frig; Sills-AnchrsStuds-Rftrs-Trusses
9 Siding; Nailing -Veneer -Stucco -Lath
10 Roof; Shthg-Roofing
11 Ext; Steps -Doors -Landings
12 Braced Wall pnls
� ya
DATE IPOOLS
1 Setbacks -Easements
2 Soils; Compaction -Structure Stability
3 Pool Structure; Steel-Cnnctns-Thickness
Dead Men -Lining
4 Elec Rcptcis/Lting; Distance-GFI
5 Elec Pool Lting; 15 volts-GFI
6 Elec Enclsrs; Conduit Entries -Terminals -Listed
7 Elec Bonding; Metal w/5'-Crcitng Egp-Htr
8 Elec Grndng; Eqp w/5' Crcltng Eqp-Pool Ightg
Boxes-Encisrs-pniboards-lnsuitn to Main Conduit
9 Health Dept Apprvl .
10 Plmb; Cir Test-Wtr Supply Test
11 Lt Niche
12 Encisr; Fencing -Alarms
13 Bonding, Diving board or Slide
40 40
Pool Drawing
0 = Not OK
RESIDENTIAL (Single & Duplex) _
DATE UNDERFLOOR"
DATE
PLUMBING "
1 Zoning -Setbacks -Easements -Flood -Slope
53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle
2 Ftg Main; Soils-Elec Grnd Ftg Dpth
54 Wtr Pipe; Test & Anchr-Nail Prtctn
3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Dpth
55 DWV; Test Fittings & Anchr_ Nail Prtctn,
4 Ftg Porches/Decks; Soils -Steel Ftg Dpth
56 Shwr Pan; Test, First fir -Tub Acc
5 Stemwalis Main; Steel-Blockouts-Wrapped
57 Test Tub & 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
8 Piers-Frplc Ftg-Steel
9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test
41
10 UF, Gas Pipe; Sz Anchrs-Sz Test
11 Wtr Pipe; Test-Anchrs-RgitrService Test
12. Elec Undrgrnd
DATE
IMECHANICAL
13 Plenums & Ducts; Cirnc-MaterialSupportdnsultn
61 AC Ducts Insults & Support
14 GirdersSills-Anchr Bolts-Joists-Vnts-Cripples
62 Vent Fan, Exhaust abv Insultn
15 Acc & Vntitn
63 Condensate Drain & Ovrflw, Sz & Grade
16 Insulation
64 Furnace -Vent Acc-Comb Air RtrnfVent 115 Outlet
65 Attic Acc & Pltfrm if Furnace In attic
41
DATE IFRAMING
17 Sills Proper Materials & Anchrs
DATE
IFINAL
18 Walls Studs -Nailing Spacing & Braces -Plates -Sound
66 Ext Steps -Door & SldeLt Prtctn-Landings
.19 Bearing Walls over Girders & fir Nailing
67 Smoke Detector
20 Draft Stop In Walls (rat proof)
68 Furnace Vnts-Clmc-Comb, Air-Cnnctr
21 Fire Stops,"Furred CeilingsStairs-Chasers-Tubs
In Garage; abvAr-Ducts-Meth Prtctn
22 Headers & Beams -Si & Bearing
69 Bedroom Exiting
23 Hangers -Post Caps-Anchrs-Cnnctns
70 GFI & Bath Fxtrs & Tub Acc-Spa
24 Ceiling Joist-Rftr Ties-Puriin-Roof Brac-TrussShthg
71 GFI Arc Fault
25 Frplc Ties or Type A Fiue-Frplc Throat Cirnc
72 Elec Trim & Subpnl, Breaker Szs & Labels
26 Attic Acc; Sz & Rmx Orton -Draft Stop -Ins Baffles
73 Stairs, Guard/Handrails
27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions
74 Frplc or Stove, Cirnc-Hearth
28 Garage Fire Prtctn Framing -RC Channel
75 Elec Outlets at Wood Pnl, Int & Ext
29 Prprty Line Firewall .& Opngs
76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Clrnc
30 Ext Doors -One X -Check Garage 3rd Story, 2 Exits
77 Elec Outlets & Rcptcls at Ktchn Counter
31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn
78 Garage Fire Door; Swing -Landing -Closure
32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs
79 AC Duct In Garage -Damper
33 Siding -Nailing Veneer
80 Wtr Htr; Vnts-Cirnc-Com Air Cnnctr-PRV; abv fir
34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Acc
Mech Prtctn; LPG Appince Undr House 3" drain
35 Glazing Area -Glass PrtctnSkyLts-Plastic "
81 PImb; Elec & Mech Eqp Listed for Loctn
36 Shear Walls; Nailing -Bolts
82 Elec Rcptcls In Garage (GFI) Romex Prtctn
37 Brace Int/Ext Wall pnis
83 Insultn-Foam-Looked in Attic
38 Insultn-Walls-Ceilings
84 Guard Rails & Deck Cnstrctn-Post Caps
39 Infiltration-Walls-Wndws
85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth
86 Cirnc Drnge Planters Yes No
Qao 4t °� oma
87 Stucco Brown -Finish
88 AC Unit Dscnnct, Elec-PImb
89 Vnts abv Roof, PImb-Appinc-Frplc-Cirnc to Opngs
DATE JELECTRICAL
90 Wtr Well, Dscnnct, Elec, PImb
40 Fxtr & Trnsfrmr Cirnc-Ins Prtctn
91 Ext Elec Trim, GFI Rcptcl-Undrgrnd
41 Elec Rcptcls Spacing-Lts & Switches at Doors
92 Vntitn thru House
42 Sz Boxes & No Of Cndctrs Stapled
93 Glass Prtctn
43 Romex Installed Close to Edge of Studs & CJ
94 Corrections from previous Inspctns
44 Eqp Grnd made up w/Mech Fstnrs
95 Gas Test -Meters Tagged, Gas-Elec
45 Grndng Electrode Bond Gas & Wtr
96 Wtr & Sewer Cnnctd-C/O to grade -HD Apprvi
46 2 Appinc Cires in Ktchn & Cndctr Sz GFI
97 Energy Cmpinc Cert -Other Certs
47 Subfeed Wire Sz ga ❑ CU or ❑AL
.98 Address Posted
AC Wire Sz ga Q CU or ElAL
99 Fire Sprinkler
48 Range Circ ga 0 CU or 0 AL
Oven Circ ga Q CU or QAL
Insulated Neutral Q Yes ❑ No
49 Service -Riser Cndctrs & Grnd Main Dscnnct
50 Eqp Clrncs pnis-Motors-Mech Eqp
51 Clothes Closet Lt-Shwr Lt -Spa Lt
52 Smoke Detector
o'' m o'er It
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.
U. %... ounumy ren nn v 1-1w- Py i
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
Issued Date: 06/05/2006 APN: 065-360-044-000
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. (�C )
Number: (J /U
Site Address: 14867 CRESCENT DR MAG
License Class: License
Date: - � ��l � Contractor:
Map Index:
Description: EX MH, EX SITE, PERM FND
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
Owner: RYDQUIST, GARY & PERRY
permit to construct, alter, improve, demolish, or repair any structure, prior
to its issuance, also requires the applicant for such permit to file a
14867 CRESCENT DR
signed statement that he or she is licensed pursuant to the provisions of
MAGALIA, CA
the Contractor's Slate License Law (Chapter 9 commencing with Section
95954
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
Applicant: DOREMUS, GERALD GLEN
Code: The Contractors' State License Law does not apply to an
owner of property who builds or improves thereon, and who does
P O BOX 4121
such work himself or herself or through his or her own employees,
provided that such improvements are not intended or offered for
CHICO, CA 95927-4121
sale. If however, the building or improvements are sold within one
530-895-1774
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
Contractor: DOREMUS, GERALD GLEN
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.).
P O BOX 4121
CHICO, CA 95927-4121
❑ I am Exempt under Article 3 of the Business and Professions Code
530-895-1774
Date: Owner:
License #: 445103
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for
workers' compensation, as provided for by Section 3700 of the
Architect:
Labor Code, for the performance of the work for which this permit
is issued.
Engineer:
❑ I 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 carrier and policy number are:
Carrier:
Total Square Ft: 0 S. F.
Valuation: $0.00
Policy #:
0-'1certify 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,
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.
Date:
Applicant:
WARNING: Failure o secure workers' compensation coverage Is
unlawful, and shall s ject an employer to criminal penalties and one
hundred thousand dollars ($1 00,000),in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees.
CONSTRUCTION LENDING AGENCY
This permit is hereby issued under the applicable provisions of the Butte County Code and/or
I hereby affirm that there is a construction lending agency for the
Resoluti ns to do work Indic led above for which fees have been paid.
performance of the work for which this permit is issued (Sec 3097 Civ.)
%l
'� Date: "r -v
Name:
B Y r
_ 5-0
PERMI EXPIRES ON:
Address:
Date
❑ 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 or the d 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 substa a of any ffici form or document of Butte County. I hereby
represe� es of Butte County to enter upon the above mentioned property for inspection os S.
authorize
-7
nn �
Print Name: 1,Jn2 eiw 1. Signature: - ' -'
Print
Date:
❑ Owner ❑ ontractor ❑ Agent for Owner ❑ Agent for Contractor
U. %... ounumy ren nn v 1-1w- Py i
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.
BP061332
b. U. csuuarng rerrnR u i - io-ev Ny
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
Issued Date: 06/05/2006 APN:O65-360-044-000
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.
Number:
Site Address: 14867 CRESCENT DR MAG
License Class: license
Map Index:
Date:D Contractor:
Description: EX MH, EX SITE, PERM FIND
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Contractors' Stale License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
Owner: RYDQUIST, GARY & PERRY
permit to construct, alter, improve, demolish, or repair any structure, prior
to its issuance, also requires the applicant for such permit to file a
14867 CRESCENT DR
signed statement that he or she is licensed pursuant to the provisions of
MAGALIA, CA
the Contractor's State License Law (Chapter 9 commencing with Section
95954
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
Applicant: DOREMUS, GERALD GLEN
Code: The Contractors' State License Law does not apply to an
owner of property who builds or improves thereon, and who does
P O BOX 4121
such work himself or herself or through his or her own employees,
provided that such improvements are not intended or offered for
CHICO, CA 95927-4121
sale. If however, the building or improvements are sold within one
530-895-1774
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 properly, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
Contractor: DOREMUS, GERALD GLEN
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.).
P O BOX 4121
CHICO, CA 95927-4121
❑ I am Exempt under Article 3 of the Business and Professions Code
530-895-1774
Date: Owner:
License #: 445103
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for
workers' compensation, as provided for by Section 3700 of the
Architect:
Labor Code, for the performance of the work for which this permit
is issued.
Engineer:
❑ I 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 carrier and policy number are:
Carrier:
Total Square Ft: 0 S. F.
Valuation: $0.00
Policy #:
Census Code:
I certify that in the performance of the work for which this permit is
issued, I shall not employ any person in any manner so as to
become subject to the workers' compensation laws of California,
tl v
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.
Date:
Applicant:
workers' compensation coverage is
WARNING: Failure �Iean
unlawful, and shall s mployer to criminal penalties and one
hundred thousand tlollars ($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.
CONSTRUCTION LENDING AGENCY
This permit is hereby issued under the applicable provisions of the Butie County Code and/or
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.) '
Resoluti ns to do work indic ted above for which fees have been paid.
CA--5-0
Name:
BY t Date:-.
PERMIT EXPIRES ON:
Address:
(Date)
❑ 1 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 thqow authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. Iacknowledge it is unlawful to alter the subform cr document of Butte County. I hereby
2anffici
authorize reprpse�ess offnB�utteCounty to enter upon the above mentioned property for inspection
Print Name: 'C) OWL / �f��'ewy� Signature:
-7
Date:,6'
/Agent
❑ Owner ❑ ontractor ❑ for Owner ❑ Agent for Contractor
b. U. csuuarng rerrnR u i - io-ev Ny
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
Namecln
Last Name
Address
First Name
Address
Address
State
J 6
City
Book
Stat
Zip
Phone
C t_.0
Fax
z
E-mail
_7LI
Fax 5,
APPLICANT INFORMATION
CONTRACTOR
Namecln
City
Address
lGG A0�.
Address
V (,w
State
J 6
City
Book
State
Z' ,
Planner
C t_.0
z
Phone
_7LI
Fax 5,
E-mail
Lic. # 445103
45i 3
Clads
APPLICANT INFORMATION
ARCHITECT/ENGINEER
Name
City
Address
Zip
City
Fax
State
Zip
Phone
Book
Fax
E-mail
Planner
State License Number
APPLICANT INFORMATION
Name
Address
City
State
Zip
Phone
Fax
E-mail
APPLICANT SIGNATURE
X
For offich use only: .
Zoning
T (
Flood Zone
Cross Street
SRA
I Yes
No
Occ.
Type Const.
Subdivision Name Map
Book
Page
Lot #
Planner
Date Approved:
OVER FOR SUBMITTAL REQUIREMENTS
K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc
PERMIT
NO.
BPO&M_
BIN #
PROJECT LOCATION
AP# %5_/
Property Address
City
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
Page 1 of 2
scription or Scope of Work:
D r--
O.� ea I,,I r�✓li
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
required.
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
permit and no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
refundable.
Received by:
Receipt
Date�-W&
Amount:tl ,` 1 .L fi Bldg
Sheriff
SMIP
Other
I�Total
REV 8-12-05
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 preparer 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 faxes!
❑ 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, (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 and signed, 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.)
E-11. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required).
❑ 2. Impact Fees.
❑ 3. California Department of Forestry plan approval (if required).
❑ 4. NPDES Form.
❑ 5. 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).
❑ 9. Letter of Signature authorization (if required).
❑ 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.
EXPIRATION OF 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 costs are not refundable.
OVER FOR BUILDING PERMIT APPLICATION
KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 BM1 3n�
PERMIT APPLICATION DATA SHEET
OWNER:iJ ASSESSOR PARCEL NUMBER n C ' -TI�O�
y
Proposed Building Use: iv
Permit Technician: Date:
Items required in order to apply for a permit All boxed MUST be checked OR marked NA in order to apply.
D 1. Site plans, 3 or 4 sets, signed by the preparer of the plans.
❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans.
❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑ 4. Engineered truss details and layouts in duplicate. No faxesl
❑ 5. Letter from Engineer or Architect for truss design review.
❑ 6. Energy compliance design and supporting documentation in duplicate.
❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
`o. 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie downor'frid plans all in
duplicate.
❑ 9. 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.
❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate.
❑ 11. Hazardous Material Form
❑ 12. Acknowledgement of building permit application without required clearances.
❑ 13. Other_
Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
❑ 14. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable
❑ 15. Fire Sprinklers............................................................................................
❑ 16. Agricultural Buffer dr and site plan apr from the Ag Commissioner Sent by
❑ 17. Soils Report and/or Engineered Foundation required ...........................................
❑, 18. Erosion Control Plan Required........................................................................
.&, 19. Fees as shown on the attached Schedule of Fees Due Sheet ..............................
❑ 20. City of Chico Plumbing permit........................................................................
❑ 21. Site plan and business license approval from the City of Biggs ..............................
❑ 22. California Department of Forestry plan approval ❑ paid. Sent by: .............
❑ 23. Planning approval for (A) Use: (B) Parking: (C) Parcel Check: ............
❑ 24. Contact Land Development about _ Improvements, _ Drainage ........................
❑ 25. Fire Marshall Review (commercial projects only). Sent by: ......................
❑ 26. NPDES Form.............................................................................................
❑ 27. Encroachment Permit for driveway from the Public Works Dept ...........................
❑ 28. Contractor's license information. (Number, Name Style, Classification) ...................
❑ 29. Worker's Compensation Carrier and Policy Number ..........................................
❑ 30. Owner -Builder Verification (_ Given to owner, _Mailed to owner) .....................
❑ 31. Letter of Signature authorization....................................................................
❑ 32. Recorded copy of Agricultural Acknowledgment Statement .................................
❑ 33. Existing violations and/or expired permits.........................................................
❑ 34. Deed Restriction..........................................................................................
35. t;LLegal description, M.H. Title, title search--r_6isfrat`on or MCO .........................
❑ 36. Other.
❑ 37. Other.
When issued TelephoneT u v r1 and hold for pickup.
I have been informed of the above items a��nd requirements for obtaining a building permit.
Applicant ` Date:
1. Index pe p do 'f6rtfi6 a'Avtems-nI1mbered: Plan Check Letter
2. Additional items required
Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date:
Contractor,'designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date:
Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ cou r�r"�by Date:
Plans reviewed by: �Date: Plans approved by: (� , L� Date:
Structural reviewed by: Date: Structural approved by: Date:
Note transfer by: Date:
Yellow: Building Division
a
at
Xi2 Foundation System
Installation Instructions for California
for Ground & Concrete Systems
HUD Wind Zone 1,
15 PSF Wind Load Seismic 4
By Tie Down Engineering
Engineer Approval
State Approval
MANUFACTURED HOMElMOEILE HOME
FOUNDATION SYSTEM
iIEALTH AND SAFETY CODE, SECTION IRSSI
APPROVED
B DRICT TO CORRECTIONS NOTED
APPROVAL DOES NOT AUTHORIZE OR APPROVE ANY
MISSIONS OR DEVIATION FROM REQUIREMENTS OF
APPLWABLE STATE LAWS AND REGULATIONS
Stift of California
Of XQUWUS +ad C.awWan4 Drodapawd
,-,PPW10 OF CO>?ES AND STANDARDS
wmt uu g j)Ep I � n,4
�i
ppn� o �,-5-0G-
4,: SQ336 ;` ' TIE'
9f'
Xi2 Foundation System
Installation Instructions for California
for Ground & Concrete Systems
HUD Wind Zone 1, 15 PSF Wind Load Seismic 4
By Tie Down Engineering
REQUIREMENTS
• 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 home'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, (20° - 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" deep. Round concrete pads minimum is 18" wide by
14" deep. Strip footings minimum is 18" wide by 14' long by 6" deep. E@>
`Ff
* Xi2 components exceed HUD code 3280.306g "Anchoring equipment exposed to weathering `shaI hav a l -
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 0
o
TIE DOWN ENGINEERING * 5901'Wheaton Drive Atlanta GA., 30336
o
0
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
Installation of Xi2 Ground Systems
Identify the number of systems to be used on the home using the chart provided.
Identify the location where the systems will be installed.
Clear all organic matter and debris from the pad site.
Place U -bolts through holes in pan provided.
Place pad centered under beam with the lateral strut bracket towards the inside of the home.
Press or drive pan into ground until level and flush with prepared surface.
Build pier according to State, Local or Home Manufacturers guidelines.(Figure 1)
Attach the end of the smaller tube to the inside of pan using U -bolt & nuts provided
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)
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)
1-314" rube
J -Bolt Nut & Washer
I�
Lateral Struts Strut
(flag end)
°
p° 1-1/2" Tube
4-#12x1"
Tek Screws 1-0eam
Figure 2
U -Bolt & mounting
Figure 1
Bracket
fNome
�ti o
F�M
11. Install frame bracket clamps to I-beam on in
side of block/pier. Do not tighten nuts at this time.
12. Attach longitudinal strut to U -bolt in pan using
nuts provided.
13. Insert strut in the frame bracket clamp, attach with
nut and bolt. Do not tighten at this time.
14. Pull the frame bracket clamp with the fastened
strut outward to remove any slack.
15. Tighten all nuts and bolts on the struts and
beam clamps.
I TIE
:`DOWN
ENGINEERING .,
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
No.
Length
Up To:
59330-44
44"
4 Blocks or 32"
59330-65
65"
6 Blocks or 48"
Longitudinal Strut
& Hardware Kit
QD
o
Ground Longitudinal
Hardware Kit
Xi2 Stabilization Pier Placement for Ground or Concrete
Single Section Home
0 -80' (76' Box) 4 Xi2 Systems
Xi2 Pier Placement
Double Section Home
0 -62' 3 Xi2 Systems'
63' - 80' 4 Xi2 Systems
*2 Xi2 systems can be placed at either end of the home.
Triple Section Home
0 -62' 4 Xi2 Systems
63' - 80' 5 Xi2 Systems
�1 {
r.
.................
Page 4 of 8
I
Installation of Xi2 Concrete Systems
1. Identity the number of systems to be used on the home using the chart provided.
2. Identify the location where the systems will be installed.
3. Build pier according to State, Local or Home Manufacturers guidelines.
4. Drill two 3/8"x 3" deep holes in the concrete using holes in galvanized bracket as
a guide. Attach bracket to concrete pad using 3/8"x3-1/2" wedge anchors
provided. Place nut & washer on anchor, leave enough room for 1 to 2 threads
showing 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
grade 5,1/2" x 2-1/2" bolt/nut provided.
6. 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 t next page)
7. 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
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. Pull the frame bracket clamp with fastened strut outward to remove a lack.
11.Tighten all nuts and bolts on system. }
Page 5 of 8
m
0
0
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.
,Nut & Washer
Figure 1 Beam Clamp
Bracket
J -Bolt
Lone
-Beam
Longitudinal
Strut
d
P_ ti
of N°me
Xi2 Installation Placement
o
Concrete
Longitudinal
Hardware Kit
d
P_ ti
of N°me
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.
Xi2 Stabilization Pier Placement for Ground or Concrete
Xi2 Pier Placement
Single Section Home
0 -80' (76' Box) 4 Xi2 Systems
Double Section Home
0 -62' 3 Xi2 Systems*
63' - 80' 4 Xi2 Systems
*2 Xi2 systems can be placed at either end of the home.
Triple Section Home
0 -62' 4 Xi2 Systems
63' - 80' 5 Xi2 Systems
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 1x2" SS
1 10646Y
Hex Nut 1/2-13 grade 5 zinc
2 10519
Hex Nut 1/2" w/ Serr flange
#59331 Longitudinal Hardware for 59306
2
59272-1
Beam Clamp Base
4
59272-2
Beam Clamp Top Flange
8
10926
Carriage Bolt 1/2-12 x 1-1/4
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
4 10801
Grade 5 zinc
#59027 Hardware Kit for 59307 Lateral System
2 59264 3 Way Concrete Bracket
4 10530 Wedge Anchor 3/8 x 3.50
1 59315-1 Hardware Kit
#59263 Longitudinal Hardware for 59307
2 59272-1
Beam Clamp Base
4 59272-2
Beam Clamp Top Flange
8 10926
Carriage Bolt 1/2-13 x 1-1/4
1 59315-1
Full Thread zinc
12 10646Y
Hex Nut 1/2-13 Grade 5 zinc
4 10801
Carriage Bolt 1/2-13 x 2-1/2
4 10926
Grade 5 zinc
#59364 Hardware for 59332 Lateral and
Longitudinal
combination
1 59264
3 Way Concrete Bracket
2 10530
Wedge Anchor 3/8 x 3.50
1 59315-1
Lateral Hardware Kit
1 59272-1
Beam Clamp Base
2 59272-2
Beam Clamp Top Flange
4 10926
Carriage Bolt 1/2-13 x 1-1 /4
Full Thread zinc
2 10801
Carriage Bolt 1/2-13 x 2-1/2
Grade 5 zinc
6 10646Y
Hex Nut 1/2-13 Grade 5 zinc
Page 8 of 8
DOWN;
ENGINEERING
L-&-- »,,,
0
0
0
0
PAR/C '
RECORDING REQUESTED BY
MID VALLEY TITLE CO.
AND WHEN RECORDED MAIL TO:
MR. & MRS. RYDQUIST
C. `1�)r15 A
A.P.N:: 065-360-044 Order No.:
r ��� Ilil�glll��lilnl�lifl9i6101111�1��1
if/1 i, I • y 4/4i tljl , , r-, • # -1
Recorded
Official Records
County Of
BUTTE
CANDACE J. GRUBBS
Recorder
ROSEMARY DICKSON
Assistant
09n00AM 03 -May -2004
REC FEE 13.00
TAX 126.50
Barbara
Page 1 of 3
Above This Line for Recorder's Use Only
Escrow No.: 221021MV
THE UNDERSIGNED GRANTOR(s) DECLARE(s) THAT DOCUMENTARY TRANSFER TAX IS: COUNTY $126.50
X computed on -full -value of property. conveved.,.or.. _
] computed on full value less value of liens or encumbrances remaining at time of sale,
X ] unincorporated area; [ ] Town of _, and
FOR A VALUABLE CONSIDERATION, Receipt of which is hereby acknowledged,
PERRY W. MCCLELLAND, SUCCESSOR TRUSTEE OF THE MCCLELLAND FAMILY TRUST DATED
DECEMBER 17, 1990
hereby GRANT(S) to
GARY N. RYDQUIST and PATTIE A. RYDQUIST, Husband and Wife as Joint Tenants
the following described property in the UNINCORPORATED, County of Butte State of California;
See Legal description attached hereto and made a part hereof.
PERRY W. MCCLELLAND, SUCCESSOR TRUSTEE'
OF THE MCCLELLAND FAMILY TRUST DATED
DECEMBE
R 17, 1990
By -.4e
PERRY W�MCCLELLAND
SUCCESSOR TRUSTEE
Document Date: April 28, 2004
STATE OF CALIFORNIA /�
COUNTY QF l Aal
On L-11 1201) 1 0—f
personally appeared V" .t ..,I 11_1 ` `\ I o l �_ V i G ► t tm t ul
personally known to me (or proved to me on the basis of satisfactory evidence) to be the personX.whose name
instrument and acknowledged to me that she/they executed the same in her/their authorized capacity(5es.)
the instrument the person(s) or the entity upon behalf of which the person(s),acted, executed the instrument.
WITNESS my hand and official seal.
Signature -T I� 1t'Z IY"42,
Mail Tax Statements to:
subscribed to the within
bytther/their signaturekon
Preliminary Report
Description
Order No. BU -221021-2 MV
The land referred to herein is situated in the State of California, County of Butte, and is described as
follows:
LOT 291, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "SIERRA DEL ORO ESTATES UNIT
NO. 4", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY
OF BUTTE, STATE OF CALIFORNIA, ON SEPTEMBER 29, 1969, .IN BOOK 35 OF MAPS, AT
PAGE(S) 48, 49, AND 50.
EXCEPTING 1'I�REFROM ALL OF THE VALUABLE MII�IERALS BENEATH THE SURFACE OF "
THE SAID LAND WITH THE RIGHT TO MINE AND EXTRACT SAID MINERALS, IT BEING
AGREED AND UNDERSTOOD THAT IN ALL MINING OPERATIONS, THE SURFACE OF SAID
LAND WILL BE PROTECTED AGAINST DAMAGE AND THAT ALL SUCH MINING SHALL BE
CARRIED. ON FROM TUNNELS, SHAFTS, OR DRIFTS HAVING THEIR ORIFICES OUTSIDE OF
THE SURFACE AREA OF THE ABOVE DESCRIBED REALTY, ALL AS EXCEPTED AND
RESERVED IN THE DEED FROM MAGALIA MINING COMPANY, A CORPORATION, TO E. D.
STORTS, ET UX, RECORDED SEPTEMBER 4, 1947, IN BOOK 423, PAGE 385, OFFICIAL
RECORDS.
APN 065-360-044-000
STATE OF CALIFORNIA - DEPARTMENT OF DOUSING AND COMMUNITY DEVELOPMENT
REGISTRATION CARD
Manufactured Home Decal No: LBG3178
Manufacturer ID/Name
Trade Name
GOLDEN WEST
Model
DOM
00/00/1977
DFS
04/25/1977
RY
Exp. Date
Serial Number
LabeUlnsignia Number
Weight
Length
Width
SPC
SCC
Exempt
Use
Type
B16228
245734
60'
12'
04
SFD
LPT
A16223
245735
60'
12'
C16228
245736
24'
10'
Issued
Total Fees Paid
Aug 19, 2004
$118.00
Addressee
GARY N RYDQUIST
14867 CRESCENT DR
MAGALIA, CA 95954
0V51NG q�
•`�` ee Q
0 ®®� 3 Z
eq� ee lJ
G� 04
DtiV��
0
Registered Owner(s)
GARY N RYDQUIST
PATTIE A RYDQUIST
Joint Tenants with Right of Survivorship
14867 CRESCENT DR
MAGALIA, CA 95954
Situs Address
14867 CRESCENT DR
MAGALIA, CA 95954-9374
IMPORTANT
THE OWNER INFORMATION SHOWN ABOVE MAY NOT REFLECT ALL LIENS RECORDED WITH THE
DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT AGAINST THE DESCRIBED UNIT.
THE CURRENT TITLE STATUS OF THE UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT.
TITTT- 1Ar KKR
RECORDING REQUESTED BY:
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE CA 95965
COPY of Document Recorded
9 -Jun -2006 2006-0029523
Has not been compared with
original
BUTTE COUNTY RECORDER
SPACE ABOVE THIS LINE FOR RECORDER USE ONLY
NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH,
INSTALLATION ON A FOUNDATION SYSTEM
Recording of this document.at the request of the local agency indicated is in accordance with California Health and Safety Code
Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit
described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document
shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to
its contents to all persons thereafter dealing with the real property.
GARY AND PATTIE A. RYDQUIST
REAL PROPERTY OWNER/LESSOR
14867 CRESCENT DR.
MAILING ADDRESS
MAGALIA BUTTE CA 95954
CITY COUNTY STATE ZIP
SAME
INSTALLATION MAILING ADDRESS, IF DIFFERENT
SAME
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
06-1332 530
538-7541
B LD PERMIT NO. TELEPHONE NUMBER
S T RE OF LOCAL AGErqCY OF IAL
DATE
NONE
DEALER NAME (if not a dealer sale, write "NONE")
NONE
DEALER LICENSE NO.
GOLDEN WEST 1977 UNKNOWN
MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMENUMBER
A16223 B/C16228 60' X 247 24' X 10' 245734/5/6
SERIAL NUMBER(S) LENGTH X WIDTH BJSIGNL4/LABEL NUMBER(S)
REAL PROPERTY LEGAL DESCRIPTION
SEE ATTACHED
ASSESSOR'S PARCEL NUMBER 065-360-044
HCD FORM 433(A) REV. 8/91
WHITE - County Recorder CANARY - HCD PINK- Applicant GOLDENROD -Building Dept.
BUILDING PERMITS NUMBER: 06-1332
Address or location of unit: 14867 CRESCENT DR., MAGALIA CA 95954
Legal Description of Real Property: 065-360-044
SEE ATTACHED
(x) Mobilehome/Manufactured Home
() Commercial Coach
Has been affixed to the real property above by installation on a foundation system
pursuant to Health and Safety Code Section 18551.
Owner's name: GARY AND PATTIE A. RYDQUIST
Owner's address: 14867 CRESCENT DR., MAGALIA CA 95954
INSIGNIA OR HUD NUMBER: 245734/5/6
SERIAL NUMBER OR V.I.N.: A16223, B/C16228
MANUFACTURER'S NAME: GOLDEN WEST YEAR: 1977
i
OFFICIAL APPROVING INSTALLATION: ( - y"! e
DATE:
PHONE: (530) 538-7541
H.C.D. 513C
Preliminary Report
Description
Order No. BU -221021-2 MV
The land referred to herein is situated in the State of California, County of Butte, and is described as
follows:
LOT 291, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "SIERRA DEL ORO ESTATES UNIT
NO. 4", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY
OF BUTTE, STATE OF CALIFORNIA, ON SEPTEMBER 29, 1969, IN BOOK 35 OF MAPS, AT
PAGE(S) 48, 49, AND 50.
EXCEPTING THEREFROM ALL OF THE VALiJABLE MINERALS BENEATH TIS S>:TRFACE OF J
THE SAID LAND WITH THE RIGHT TO MINE AND EXTRACT SAID MINERALS, IT BEING
AGREED AND UNDERSTOOD THAT IN ALL MINING OPERATIONS, THE SURFACE OF SAID
LAND WILL BE PROTECTED AGAINST DAMAGE AND THAT ALL SUCH MINING SHALL BE
CARRIED ON FROM TUNNELS, SHAFTS, OR DRIFTS HAVING THEIR ORIFICES OUTSIDE OF
THE SURFACE AREA OF THE ABOVE DESCRIBED REALTY, ALL AS EXCEPTED AND
RESERVED IN THE DEED FROM MAGALIA MINING COMPANY, A CORPORATION, TO E. D.
STORTS, ET UX, RECORDED SEPTEMBER 4, 1947, IN BOOK 423, PAGE 385, OFFICIAL
RECORDS.
APN 065-360-044-000
ru
0
o
,--PERMIT N0.
692-77P,E
PERMIT EXPIRES
OWNER Perry McClelland
CONTR. Paradise Modular Concepts, Paradise
LOCATION (A.P. 65-36-44 )
155 Cresent, lot 291, Magalia
Temp. Power Pole
Called PG&E
Temp. Elec. Serv.11
Called PG&E c
Temp. Gas Serv.
Called PG&E
JOB
FINALED
(Date)
(Signature)
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE
OROVILLE, CALIF. - 534-4541
CERTIFICATE OF OCCUPANC'my
This mobilehome has been installed in accordance with the requirements
of the California Administrative Code, Title 25, Chapter 51 under permit
number ✓� 9_� '% for thhee following location:
,f A f'��t-eS �o-r f- !n%{o�/ 1
r �
Owner—
Owner's
wner Owner's Address�*'^�'� -
���� _
�-
Mobilehome Mfg. t1 i� C sa � � .
Model Year,�`
Insignia No. 'i .' 41 S e-', Serial No.C- d 1 ? a -5?
It is hereby certified for occupancy at the above described location and
may be occupied.
Director of Public Works
Date c '� �� By�!?«-x.7��
THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RIECORD
BUILDING
BUILDING (Cont'd)
PLUMBING
Setback
Firewall
Soil Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
StemwalI
Siding
To out
Slab
Roof Sheathing
Water Piping
Piers
Roofing
Sewer -
Garage
Fdn. Vents
Fixtures
Footings
StemwaI I
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport
Footings
Prov. for ph sically
handicap;ed
Conformance of ex.
structure
Appliances
Gas PipingTest
Temp. as
Slab
Final
Sanitation
Patio
FIREPLACE
Final
Footings
Footing
E ECTRICAL
Masonry Walls
Throat
I Rough
Reinf. Steel
Final
I Fixtures
Bond Beam
FIRE SPRINKLERS
I Motors
Stucco
Final
Sub anels
Mesh
MECHANICAL
Gird. Fault Prot.
Scratch
Heating
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Underground 7?
Interior Lath
Ventilation
Permanent
Door Closer
Final
Final
MOBILEHOMEUTILITIES------------------
Elec_ Service
/g-
Elec. Pedestal — ---�;-
Water Piping /` -�
Sewer —�
(.�
Gas Piping i
BI E )ME INSTALLATION - - - - - - - - - - - - - -
Support
—.-t
Elec. Continuity— 77 7
Water Piping ?--G-r 77 �
Drainage
Gas Piping 2`...� / 7
DATE REMARKS OR CORRECTIONS
Ft
1010V 'o"
(NOTE: An entry must be made on this form each time you visit the job site.)
MOB:Ii,l?1iOME' IASII`1LLA112.'EON INSPECTION CHECK LIST
1, Is the. mobilehonit 1oc;-!ted viA_h required separation from lot lines and buildings and generall.y
conform to plot plan? YeNo�
?, Does the m: bil.ehorre have required clearances above ground? (0'ec.5085) Yes'No
3. Are f.00tin';s and supports properly sized, spaced, and braced as per approved plans? (Note
possible variation at spring shackles.) (Sec. 5082 & 5083) Yes No_
4. Is the mobilehome level.? (Sec. 5088) Ye sX,
No,
5. If more than a single unit, are crossover connections properly installed? (Sec. 5088)
Yes No
S. Water.
A. Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566)
`Le5 No
B. Test Does water piping withstand working pressure or 50 lbs, air test? Ye� No
C. faf - If coach is not State of California approved, does station have backflow device
'ssure-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 i.t have minimum k," per foot slope and is it properly supported? Yes -Z No
C. Are any leaks detected in drainage system after running%,3..gallons of water through each
fixture including washing machine standpipe? Yes No
D. T:f c is not State of California approved, does station have required trap and vent?
Yes o
8. Gas Pi -ping 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 mo�eftome gas line inlet without reductions other than the mobilehome
connector. Yes No
B. Test OK as per following procedure? Yes No
1. Open all appliance connector valves.'
2. Shut off appliance burner and pilot valves.
3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum
6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min, without
drop..
4. Connect.. gas meter to mobilehome with connector, turn on gas, test connections with
soapy water.
C. Are all appliance vents properly installed? Yes No
9. Electrical
Is service I,�tcj -,nro<<gl to pr.bvide adequ.)te amperage. to mobi"l.el�ome, (must equal rating of
mobi.lehorie critic a ::;in.i::um .c f- 1O0 amp) ati l other facilities; on lot, i.e. , water pumps,
cab Erna, eta ..? Yes No
13. Is
there. :>roper
clearances around
panels? Yes No
C. Is
power supply
cord or feeder assembly properly fused?. Yeo�
D. Is
con i:i.nuit:y te.:S,t. satisfactory aF
per tine following procedu�re�? Yes No__
1.
De. -energize
electrical wiring,
systeri of the mobilehome at the pledestal.
2. make sure that the power supply cord or .feeder assembly conductors, including neutral
conductor, ba -,,e been disconnected.
3. Switch all breakers and switches in the mobilehome to the "on" position.
4. Connect one. Icad of a test instrument to the mobilehome grounding conductor and
appy tie WLIJei• Lead %o each IIIUUL.LL1LUllle supply coiluuctoi, 'Iicluuing e.oLi•al.
5. All nor. -current, carrying metal parts of the mobilehome (aluminum siding, gas line,
;pater line), including fixtures and appliances, shall be tested for continuity from
such aqt:i.pment and the grounding conductor. :
6. Upon compl.etic•n of tine above procedure, the power supply cord or feeder assembly
conductors shall be connected to the'site service equipment. A further continuity
to -L 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 oqui.pment may be approved -for energizing.
s Job card si ned by health Department for water and sanitation?
1�.. If evoT..:ything ol:ay, sign off card and t.a; services.
'MOB ILLM.M.E' DATA 77
Manufacturer and/or Namest:yle
L e n g t h-- ---�-- Width C
Lam........
Vehicle Serial No. � CJ �""✓✓ii � /�r�7
State Identification ;ho.
^.cMLLional Infn-mati.n or Cormnents:
-7
Zoe ----s
J
6', s-
/L ( '?=7 S�<-�. C-� <Ss� c /``�� cz-« - O clue:-�i¢a
Lae �' �%�� CO (Y
COUNT -Y OF 43UTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Orov.1le, California 95965
Telephony' 534-4541
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above -m ntioned prope y for inspection purposes.
Date- / 7
Signature f Permit or Agent
Receipt No. ('T `o( ( 7
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR Qf�PUBLIC WORKS
By Date F- 7 �7
Bui ding permit expires Date—� �}7
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Fireplace
— —
Contractor
Total Valuation
Mai I i ng Address �p 3 3Permit
Fee
Plan Checking Fee &/or Penalty
nle
hone So.
�r 7
Permit Fee $
$
Building Address
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00 i
SS i') �`•
Each Trap 1.50
o7— J 78
Repair drainage or vent piping 1.50
Water piping .3-616- / 0
Zdn ng Verification .. n )t
Each gas water heater or vent 1.50
A. P. No. '" ��`7 �-�'
n
Gas piping system 1 - 5 outlets �,s0
Each additional outlet .30
F064W
Sa i io
, Fire Dept.
FireZone
Use Permit
Building sewer T156
EQA Parking Parcel I
Parcel Ma
Plans Declaration p
60' R/W
Im r ements
p
Lawn sprinkler system 2.00
Bld . I' ,QTR_ec'd
arcel Appr al
Plans Approval
Permit Fee $ _
$
NEW ❑ ADDITION ❑ UTILITIES � OTHER ❑
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00 �j o
'
Main service soov OR LESS 5.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 2.50
Main service 1100EAMP oR LESS 25.00
Single Family ❑ Mobil Home Da Others ❑
Main service EA, ADD'L 10o AMP 1,00
'A❑�{{�� ,!Duplex
1600 SQ. FT. IviINNUM
NEW
OR ADDNST ( DACCLBLOGLING OCCUP. &) 2¢sgft
NEW CONSTR. (MULTI -OUTLET
NON -RESID--- - BRANCH CIRCUITS) 2.50ea
FOR MMLES
NEWCONSTR, POWER APPARATUS &
NON -RESID. (SINGLE OUTLET CIR.
CONTRACTORS LICENSE LAW
am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions. Code under the name
style of:
Ex. Occup(OUTLETS OR FIXTURES)@�Q
BAL@1
FIXED APP LNS, OR
Ex. OCCup.(OUTLETS (RESID.) EA) 2.00
Temporary service 10,00
Mobile Home Facilities 15.00 %5
License No. e Classification �6 / J y-4ql
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
MECHANICAL No. @ FEE
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
forW rkmen'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.
PERMIT 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
TOTAL PERMIT FEE
$ (}
authorize representatives of the County of Butte to enter upon the
above -m ntioned prope y for inspection purposes.
Date- / 7
Signature f Permit or Agent
Receipt No. ('T `o( ( 7
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR Qf�PUBLIC WORKS
By Date F- 7 �7
Bui ding permit expires Date—� �}7
COUNTY OF BUTTE' — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive _ UrO\ Ile, 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.
X 4ZAW-A1"Ca45_7 Date
/'� /::77
Signatu a of P rm' r U t
Receipt No. —
White-D.P.W. — Ye low -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 0 UBLIC WORKS
By Date 3 Z ._ 7 i
Building permit expires Date 3— — 7
BUILDING
OwnerSO.
e
Mailing Address
FT. OCC. BUILDING VALUATION
Telephone No.
Fireplace
Contractor
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
o
ephone No.
Permit Fee $
$
Building Address
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00
��
Each Trap 1.50
91 o _ ,
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No. -' I
Zoning & Planning
Gas piping system 1 - 5 outlets j 1.50
Each additional outlet .30
Fdze
Wt a
Saa+iatia-
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
I Parcel
Declaration
Parcel Ma P
R/W
Im r
pro v ments
Lawn sprinkler system 2.00
Bldg. C.Io <sRec'd
Parcel Appr al
Pla Approval
Permit Fee $
$
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
y
�Z 77Main
service 600V OR LESS 5.00
100 AMP OR LESS
Main service EA. ADO'L 100 AMP 2.50
Main service OVER 600V 25.00
100 AMP OR LESS
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Main service EA. ADD'L 100 AMP 1.00
NEW CONST. DWELING CUp- &) 20 Sq ft
OR ADONS. ( ACCLBLDG OCS.
NEW CONST R. MULT I.OUTLET
NON-RESID, BRANCH CIRCUITS) 2.50ea
NEW CON STR, 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:
/� ,,
/c-��f_Y1:S'� �J� �Nti.
Ex. Occup(OUTLETS OR FIXTURES)@�C
BAL@1
Ex. Occup. ( FIXED APPLNS, OR
OUTLETS (RESID,) EA/ 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
nC� / �
License No_- 7/'� Classification �� (tom
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.
have placed on file with the County of Butte a certificate of
orkmen's Compensation Insurance.
El pI 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 1 1 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 PERMIT FEE
$ O c�
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X 4ZAW-A1"Ca45_7 Date
/'� /::77
Signatu a of P rm' r U t
Receipt No. —
White-D.P.W. — Ye low -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 0 UBLIC WORKS
By Date 3 Z ._ 7 i
Building permit expires Date 3— — 7
PERMIT NO. 4329-77B
PERMIT EXPIRES v
OWNER P. W. McClelland
CONTR. _ Lloyd R. Roberts, Magalia
LOCATION (A.P. 65-36-44 )
27 Crescent Dr., lot 29,1 , SDO#4, Magalia
Temp. Pd/ler Pole
Called PG&E
Temp/Elec. Serv.
Called PG&E
Temp. Gas Serv.
Called PG&E
JOB
FINALED G 1
(Date)
(Sign ture)
COUNTY OF BUTTE — DEPARTMI T OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDI,40,z I BUILDING (Cont'd) I PLUMBING
Setback '�
Firewall
Soil Piping
Forms i,
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings'
Windows
3rd Floor
Stemwall
Siding
To out
Slab
Roof Sheathing
Water Piping
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
StemwaI l
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport
Footings
Prov. for physically
handica ed
Conformance of ex.
structure
Appliances
Gas Piping & Test
Temp. Gas
Slab
Final
Sanitation
Patio
FIREPLAC
Final
Footings
Footing
ELECTRICAL
Masonry Walls
Throat
Rough
Reinf. Steel
Final
Fixtures
Bond Beam _ I FIRE SPRINKLERS I Motors
Framing
Test
Water Htr.
Stucco
Final
Subpanels
Mesh
MECHANICAL
Gird. Fault Prot.
Scratch
Heating
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Underground
Interior Lath
Ventilation
Permanent
Door Closer
Final
Final
MOBILEHOME UTILITIES ------------------
Elec- Service
Elec. Pedestal
Water Piping
Sewer
Gas Piping
MOBILEHOME 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.)
l{
4 , COUNTY OF B.UTTE_ — DEr4RTMENT OF PUBLIC WORKS
7 Oounty Center Dri,e Uroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentio eperty for in tion rp pes' �-
Date
/ I re Pe mitee or Agent
Receipt No. ` `0 L ` —
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 bee aid.
DIRECTOR P BLIC WORKS
By -,Date
(ding permit expires Date F' Z6 - 7F
BUILDING t�
Owner
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Fireplace
Contractor ���%�� �,�%
Total Valuation '
� y7D� �� /
MailingAddress ,. +G7
Permit Fee
Plan Checking Fee&/or Penalty
✓
T eq yoc
permit Fee $ 185 --
--Building
Building Address�'���'�'� ���PLUMBING
No. @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
c
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No. (� —� �j 7'
Zoning 8 Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
FoefW.
ire Dept. Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking Parcel
Plans Declaration
Parcel Ma p
60' R/W
Im rovements
p
Lawn sprinkler system 2.00
Bldg. Inns Rec'd
ParceApproval
Plan pprovaI
Permit Fee $
$
NEW ADDITION ❑ UTILITIES ❑ OTHER ❑
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service 100v OR LESS 5.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 2.50
Main service OVER 600V 25.00
100 AMP OR LESS
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Main service EA. ADD'L 100 AMP 1.00
i C 1
v �,' •�
NEW CONS. WELING
OR ADDNST ( ACCLBLDGS.OCCUP. &) 21�.sg ft
NEW CONSTR. MULTI -OUTLET
NON-RESID. ( BRANCH CIRCUITS) 2.50ea
NEW CONSTR: POWER APPARATUS &j
NON -REST D. (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:
C�— �p.f/ , ` • ����� --�
Ex. Occup(OUTLETS OR FIXTURES)50 @252
109
FIXED APPLNS. OR
Ex. Occup.(OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
4- ��
Horne Facilities 15.00
.r
License No. Classification
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
MECHANICAL No. @ FEE
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section 3700 of the California Labor
Code which requires every employer to be insured against liability
or en's Compensation.
have placed on file with the County of Butte a certificate of
W
Workmen's Compensation Insurance.
❑I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood I J 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
TOTAL PERMIT FEE
$
authorize representatives of the County of Butte to enter upon the
above-mentio eperty for in tion rp pes' �-
Date
/ I re Pe mitee or Agent
Receipt No. ` `0 L ` —
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 bee aid.
DIRECTOR P BLIC WORKS
By -,Date
(ding permit expires Date F' Z6 - 7F
n
k
PERMIT NO. 1317 -
op
PERMIT EXPIRES
OWNER P. W. McClelland
CONTR. Lloyd R. Roberts, Pandise
LOCATION (A.P. 65-36-44 )
27 Crescent Dr., lot 291, SDO#4, Magalia
Temp. Power Pole
Called PG&E
Temp. Elec. Serv.
Called PG&E
Temp. Gas Serv.
Called PG&E
FINALED
(Date) ov,
(Signature
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
• r
BUILDING INSPECTION RECORD
BUILDING
BUILDING (Cont'd)
PLUMBING
Setback --
Firewall
Soil Piping
Forms
Parapets
1st Floor
Main Bldg.--'--
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
StemwaII
Siding
To out
Slab
Roof Sheathing
Water Piping
I Piers
..
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Stemwa I I
Garage Vents
Insulation
Water Htr.
Heaters
Slab
_Carport
�. Footings
Prov. for physically
handica ed
Conformance of ex.
structure
Appliances
Gas Piping & Test
Temp. Gas
Slab
Final 5
Sanitation
_1
Patio
FIREPLA
Final
Footings s
Footin
ELECTRICAL
MascwiTy Walls
Throat
Rough
Reind. Steel Final Fixtures
Bond Beam FIRE SPRINKLERS Motors
Framing Test Water Htr.
Stucco Final Subpanels
Mesh MECHANICAL Grd. Fault Prot.
Scratch Heating Service
Brown Cooling Temp. Pole
Finish Ducts Underground
Interior Lath Ventilation Permanent
Door Closer Final Final : ) `
MOBILEHOME UTILITIES Elec- Service Elec. Pedestal v
Water Piping Sewer Gas Piping
OME 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 Drivg-1,= broviIIe, Cali torn ia 95965
Telephone: 534-4541
APPLICATION AND PERMIT
autnorize representatives OT the uounty or butte to enter upon the
above-mentioned property for inspection purposes.
X J Dat —17--77
Signal e,+of P�ermitee or Agent
Receipt No. / J z07 —
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 3- ') 7
Building permit expires Date -7X
7
BUILDING
Owner 7
iC+ r r�700,9
s l�
SQ. FT. OCC. BUILDING VALUATION
3.3 60
Mailing Address C �'�
Telephone No.
Fireplace
Contractor c� C� Q
Total Valuation "00
Mailing Address r 2Permit
Fee QD
Plan Checking Fee&/or Penalty
t
�.y�
(o fy J�
T lephone N�
' Permit Fee
Building Address 7/z'46P,:m
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00
Each Trap 1,50
eS CO v1 7- e.L
Repair drainage or vent piping 1,50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No. �j S .3
Zoning 8 Planning
Gas piping system 1 - 5 outlets 1.5U
Each additional outlet .30
s
S i do
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking Parcel
Plans Declaration
rc� a p
60' R/W
p ovements
Improvements
Lawn sprinkler system 2.00
Bldg. PI ns Recd
arcel Approval
Plans 4pproval
Permit Fee $
$
NEW ADDITION ❑ UTILITIES ❑ OTHER
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00 1,00
f
Main service soovAMP DR LEORLSS ESS 5.00
700
Main service EA. ADD'L 100 AMP 2.50
Main service OVER 600V
100 AMP OR LESS 25.00
Singe Family Duplex ❑ Mobil Home Others ❑
Main service EA. ADD'L 100 AMP 1.00
19
NEW CONST. DWELING O &
OR ADDNS. ( ACC.LBLDGS 20sqftlla, Jo
NEW CONSTR, (MULTI -OUTLET
2.50ea
NON-RESID, ( BRANCH CIRCUITS)NEW
Q
)
NON .RES ID R (SINGLE OUTLETTCIR.&J
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:
�; � �
I
Ex. OCCUp(OUTLETS OR FIXTURES)50 @25¢
BAL@1
Ex. Occup. ( FIXED APP LNS. OR
OUTLETS (RESID) EA 2.00.(/�
Temporary service 10.00
r
0 If
Mobile Home Facilities 15.00
License No Classification
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $ /J7,110
$ Q
MECHANICAL No. @ FEE
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
forWork '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.
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
1 certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
TOTAL PERMIT FEE
$
autnorize representatives OT the uounty or butte to enter upon the
above-mentioned property for inspection purposes.
X J Dat —17--77
Signal e,+of P�ermitee or Agent
Receipt No. / J z07 —
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 3- ') 7
Building permit expires Date -7X
7
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7
R 1� Oop�
0 - 1352-
coy 352-
cou
WILDING DEPARTMENT
So p R 0 V E D
G -S-06
K.G.