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065-370-021
i I I I I I Maurice, Keven °� 65-37-21 30 Pine Cone �249&4S1)0& Mag Pe5rmit #3983-79P,E(util. MH) ETEC. > GAS ' SUPPORT STRUCTURE REQ. COMPACTION TEST REQ. -12-7 _ r 15 �a e 65-37-21 Permit#7687-79P(gas line) MH � 65-37-21 cMil in MH, Parad/ C n r: Mise Permit#218-8 0MHI Issued 65-37-21 contr: Ron Stryker, Paradise _ < Permit #1918-80B(2 door hoods over 2 decks/MH) K0/7/�J � 65-37-21 Contr: Roy Anderson, Magalia Permit # 530-82 B(carport M/H) 5190a < 65-37-21 _ contra Golden West Enterp., Magalia Permit #1243-8:2B,E(neww pri.garage) >65-37-21( Contr: Golden e t Enterprises, Magalia Per��1358-03'58for 1243-82/garage) 65-37-21 14768 Pine Cone Way, Magalia �d �s��� Contr: Behar Const, Paradise Permit#2278-85B(new, patio cover/MH) �B06-2659 065-370-021 RESIDENTIAL SFD-Mobile Horne RET EX MH, EX SITE; PERM FND 14768 PINE CONE WAY F jtjA't, MAURICE D. KEVEN lop 160 i R-ECORDING REQUESTED BY: IIIIIiIIIttllitllllliilii0lllliiil Recorded I FEC FEE 10.90 Official Records I AND WHEN RECORDED MAIL TO: Count of 1 COFORr;n COPY 1.@@ GUAM J. GRUBB5 I County Clerk-Recorderl BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE I Bk1 OROVILLE CA 95965 09: 17-Nov,M I Page i of 2 SPACE ABOVE "IBIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this dOCUrnent 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. MAURICE D. KEVEN BUTTE COUNTY BUILDING DIVISION REAL PROPERTY OWNER/LESSOR LOCAL AGENCY ISSUING PERMIT and CERTIFICATE- OF OCCUPANCY 14768 PINE CONE WAY 7 COUNTY CENTER DRIVE MAILING ADDRESS MAILING ADDRESS MAGALIA I3L '1 TF.'. CA 95954 OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP CITY COUNTY STATE "LIP 14768 PINE CONE WAY B06-2659 (530) 538-7541 INSTALLATION MAILING ADDRESS, IF DIFFERENT BU I -DIN PERMIT NO. TELEPHONE NUMBER lA(iA :,IA I3j!'I "I'[: CA 95954 11/16/2006 CITY COUNT)' STATE ZIP SIGN TUR_ F LOCAL AGENCY OFFICIAL DATE SAME NONE UNIT OWNER (if also property owner, write "SAME" DEALER NAME (if not a dealer, write "NONE") SAME NONE MAILING ADDRESS DEALER LICENSE NO. SAME Cl Il, CUUN I S IA II-- LII' UNIT DESCRIPTION SKYLINE HOMES 1980 HILLCREST MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER 02750484AN/BN 48'X 24' CALI80025/6 SERIAL NUMBER(S) LENGTH X \\'IDTFI INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION: SEE ATTACHED ASSESSOR'S PARCEL NUMBER: 065-370-021 HCD FORM 433(A) REV 8/91 WHITE—Comity Recorder CANARY — FICD PINK—Applicant GOLDENROD — Building Dept. 2� EXHIBIT "A" All that certain real property situate in the County of Butte, State of California, described as follows: LOT 249, as shown on that certain Map entitled, "SIERRA DEL ORO ESTATES UNIT NO. 4", which Map was filed in the office of the Recorder of the County of Butte, State of California, September 29, 1969 in Book 35 of Maps, at pages 48, 49, and 50. EXCEPTING and RESERVING THEREFROM all of the valuable minerals beneath the surface of 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 he. 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 that certain Deed from Magalia Mining Company, a corporation, to E.D. Storts, et ux, recorded September 4, 1947 in Book 423 of Butte County Official Records, at page 385. (END OF .LEGAL FOR APN 065-3.70-021) CGUrra KW No. !., 5 2006 ID>EVFz0P. SlRV> ES BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES INSPECTION CARD 24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico) Office: (530) 538-7541 Fax: (530) 538-2140 Website: www.buttecounty.net/dds Permit No: B06-2659 Issued: 11/15/2006 Address: 14768 PINE CONE WAY MAGALIA _ Foundations / Footings 1 I 1 APN: 065-370-021 Permit Subtype: SFD-Mobile Home Owner: MAURICE D. KEVEN Applicant: DOREMUS GERALD GLEN Description: EX MH, EX SITE, PERM FND MUST HE ON JOIE RTE JOB SHALL BE READY PRIOR TO CALLING FOR INSPECTION. THE INSPECTION CARD AND APPROVED PLANS MUST BE AVAILABLE FOR EACH INSPECTION OR THE INSPECTION WILL NOT BE MADE AND A RE -INSPECTION FEE MAY BE ASSESSED. ALL (PLAN REVISIONS MUST BE APPROVED BY THE COUNTY ]BEFORE PROCEEDING Inspection Type IVR INSP DATE Setbacks 132 _ Foundations / Footings 1 I 1 Pier/Column Footings 122 Grade Beams 114 Eufer Ground 216 _ Forms/Steel/Holdowns 122 Do Not Pour Concrete Until Above are Signed Pre -Slab _ 124 Gas Test _ 404 Masonry Grout 120 Masonry Bond Beam 119 Underfloor Framing 149 _ Underfloor Ducts 319 Shear Transfer 136 Under Floor Plumbing 412 Under Slab Plumbing 411 _ Gas Piping 403 Do Not Install Floor Sheathing or Slab Until Above Signed Rough Framing 128 Rough Plumbing 406 _ Rough Mechanical 316 Rough Electrical 208 Gas Piping 403 _ Roof Nail 129 _ Shower Pan/Tub Test 408 Fire Sprinkler 702 Do Not Insulate Until Above Signed Wall Insulation 117�+_ _ Ceiling Insulation 118 Do Not Cover Until Above Signed T -Bar Ceiling / RC 145 _ Gas Test 404 Stucco Lath 142 Stucco Scratch 143 Stucco Brown _ 144 Building Final 802 Electrical Final 803 Mechanical Final 809 Plumbing Final 813 _ Project Final 801 PERMITS BECOME NULL AND VOID I YEAR FR COMMENCED, YOU MAY PAS' FOR A I YEAR RENEWAL 30 DAB'S PRIOR TO EXPIRATION Inspector Copy • BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 14768 PINE CONE WAY Owner: Permit No: B06-2659 APN: 065-370-021 MAURICE D. KEVEN Issued Date: 11/15/2006 By KCG Permit type: RESIDENTIAL 14768 PINECONE WAY Subtype: SFD-Mobile :Home RET MAGALIA, CA 95954 Expiration Date: 11/15/2007 Description: EX MH, EX SITE, PERM FND Occupancy: Zoning: RMH Contractor Applicant: Square Footage: DOREMUS GERALD GLEN DOREMUS GERALD GLEN Building Garage Remdl/Addn PO BOX 4121 PO BOX 4121 CHICO, CA 95927 CHICO, CA 95927 Other Porch/Patio Total (530) 895-1774 (530) 895-1774 FEE INFORMATION Mobile Home $329.94 Mobile Home Plan Check $219.96 Total Charged: $549.90 Fees Paid: $549.90 Balance Due: $0.00 Receipt No: B871 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License DOREMUS GERALD GLEN 445103 / C47 / 08/31/2007 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed — I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (comme ng with.Section 7000) of Division 3 of the Business nd Professions Code, and my license pursuant to the provisions of the Contractors License Law [Chapter 9 (commencing with Section 7000) is in f fort and effect. 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 11/15/2006 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contactor' Signature Date ❑ 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 ORKERS' COMPENSATION DECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, ElI, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED as required by ❑ CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compansation insurance carrier and policy number are, thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). Carrier: Policy Number: Exp. Date: (This section need not be completed if the permit is for one hundred dollars ($100) or less.) ❑ I AM EXEMPT under Section B. & P.C. for this reason: 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, and agree that if I should become subject to the workers' X 11/15/2006 ompensatio rovisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date provisio � X 11/15/2006 1 hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signature/ Date WARNIN FAIL E TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SH/LL SU JECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal HUNDRED THO{1SAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the DAMAGES ASIPROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. my to enter the above mentioned property for inspection purposes. I hereby certify that I am the Pr y owner or am author t on the property owns behalf. v\ 1 l /15/2006 CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency fora erm ee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) / F1 Owner D16ontractor OR. ElAgent for Owner DAgent for Contractor FILE COPY Lender's Address City State Zip 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 Xi2 Ground System '60420 BUILUNG MV00N APPROVED Xi2 Concrete System Engineer Approval State Approval MANUFACTURED HOME/MOBTLE HOME FOUNDATION SYSTEM MALTH AND SAFETY CODE, SECTION 18551 APPROVED WDJECT TO CORRECTIONS NOTED APPROVAL DOES NOT AUTHORIZE OR APPROVE ANY 01413SIONS OR DEVIATION FROM REQUIREMENTS OF APPIXULE STATE LAWS AND REGULATIONS State Of California DVwftftd atRooWng and Caapmanity Davdapmmt f OF CODES AND STANDARDS Alda tam) PkaApptamamphta Fi Ie, b�� Page 1 of 8 0 0 0 0 Xi2 Foundation System Installation Instructions for California for Ground & Concrete Systems j� 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.®l®l�141E * Xi2 components exceed HUD code 3280.306g "Anchoring equipment exposed to weathering shall have a� 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 momiow 0 0 0 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) 1-3/4" Tube Lateral Struts *0' °o , 1-1/2" Tube 4-#12x1" Tek Screws Figure 1 of Ni end � U -Bolt & mounting Bracket I J -Bolt Nut & W asher I �1 Strut (flag end) 1-15eam Figure 2 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. Page 3 of 8 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" Ground Longitudinal Hardware Kit Longitudinal Strut & Hardware Kit a Ground Longitudinal Strut 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 d ............................. Page 4 of 8 Installation of Xi2 Concrete Systems 1. Identify 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 1 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. 1># Page 5 of 8 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 Concrete Longitudinal Hardware Kit Nose of rn� 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 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 x_ Hardware Breakdown #59329-1 Hardware for 59306 Lateral System 1 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 thread Beam Clamp Base 1-3/4 zinc 4 10556 Tek Screw #12 x 1" 1 10631Z J Bolt 1/2 x 5-1/2 grade 5 zinc 2 10640 Push Nut 1/2 1 12107 Flat Washer 1 x2" SS 1 10646Y Hex Nut 1/2-13 grade 5 zinc 2 10519 Hex Nut 1/2" w/ Serr flange #59331 Longitudinal Hardware for 59306 2 59272-1 Beam Clamp Base 4 59272-2 Beam Clamp Top Flange 8 10926 Carriage Bolt 1/2-12 x 1-1/4 Carriage Bolt 1/2-12 x 1-1/4 4 10801 Full Thread 10 10646Y Hex Nut 1/2-13 grade 5 zinc 2 10801 Carriage Bolt 1/2-12 x 2-1/2 1 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 Thread Grade 5 2 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 thread 2 10519 Hex Nut 1/2" w/Serr Flange 1-3/4 zinc 4 10640 Push Nut 1/2 4 10519 Hex Nut 1/2" w/ Serr flange # 59329 Hardware for 59333 Lateral and Longitudinal combination 1 59329-1 Hardware Kit 1 59272-1 Beam Clamp Base 2 59272-2 Beam Clamp Top Flange 4 10926 Carriage Bolt 1/2-12 x 1-1/4 4 10801 full thread 5 10646Y Hex Nut 1/2-13 Grade 5 zinc 1 10801 Carriage Bolt 1/2-12 x 2-1/2 2 10801 Grade 5 zinc 1 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 Thread 6 10646Y 1-3/4 zinc 2 10640 Push Nut 1/2 2 10519 Hex Nut 1/2" w/Serr Flange #59315-1 Hardware for Lateral System 1 10631 Z 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 r m 0 0 0 0 STATE OF CALIFORNIA - DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT REGISTRATION CARD Manufactured Home Decal No: ABE7542 .;Manufacturer ID/Name SKYLINE HM INC Trade Name HILLCREST Model GOG906 DOM DFS 01/01/1980 RY 1980 Exp. Date Jan 31, 2007 Serial Number Label/Insignia Number Weight Length Width SPC SCC Exempt Use Type 02750484AN CAL180025 48' 12' AEW 04 SFD ILT 02750484BN CAL180026 48' 12' Issued Total Fees Paid Jan 19, 2006 $42.00 Addressee CTS P© y H O.D KEYEN FAMILY TRUST 041405 14768 PINE CONE WY MAGALIA, CA 95954 Registered Owner(s) _-- -__- KEYEN FAMILY TRUST 041405 14768 PINE CONE WY MAGALIA, CA 95954 Situs Address 14768 PINE CONE WY MAGALIA, CA 95954 ATTENTION OWNER: THIS IS THE REGISTRATION CARD FOR THE UNIT DESCRIBED ABOVE. PLEASE KEEP THIS CARD IN A SAFE PLACE WITHIN THE UNIT. INSTRUCTIONS FOR RWNEWAL: REGISTRATION FOR THIS UNIT EXPIRES ON THE DATE INDICATED ABOVE IN THE BOX LABELED "Exp. Date". THERE ARE SUBSTANTIAL PENALTIES FOR DELINQUENCY. IF YOU DO NOT RECEIVE A RENEWAL NOTICE WITHIN 10 DAYS PRIOR TO THE EXPIRATION DATE, CONTACT H.C.D. FOR RENEWAL INSTRUCTIONS. BUTTIZ C® NTY HUN 1., g 2006 DEVELOPMENT SERVICES 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. DTN: 4147759 R 01192006- 419 REQUES" ED BY: Law Office of C.A. Atherton WHEN RECORDED MAIL TO: Mr. Maurice Keven 14768 Pine Cone Way Magalia, CA 95954 IIII 191 Il11 ILII I Ill ill II II-III I NII Recorded I REC FEE 10.00 OfficialRecords.I CONFORM 1.00 CoBUTTOf E I CANDACE J. GRUBBS I Recorder I ROSEMARY DICKSON I Assistant I Travis 09:02AM 22—Apr-2005 I Page 1 of 2. GRANT DEED TO TRUST A.P.N. 065-370-021 The under�,igncd Grantor(s) 3eclare: DOCUMENTARY TRANSFER TAX $ 0.00 12, This conveyance is to the grantors' Computed On Full Value Of Property Conveyed. flu revocable living trust, R & T 11930. Computed On Full Value Of Liens and Encumbrances Remaining At Time Of Sale. FOR NO CONSIDERATION, MAURICE D. KEVEN, trustee of the Keven Family Trust, dated May 23, 1994, hereby GRANT(S) i; to MAURICE D. KEVEN, trustee of the Keven Family Trust, dated April 14, 2005, the real property in the County of BUTTE, State of California, described as: SEE ATTACHED EXHIBIT "A" nl DATED: i r L aurice D. Keven r NOTARY ACKNOWLEDGMENT STATE OF CALIFORNIA COUNTY OF BUTTE On April , U 41 2005, before me, BROOKE MANSFIELD, a Notary Public in and for said State, personally appeared MAURICE D. KEVEN, personally known to me (or proven to me on the basis of satisfactory evidence) to be the person whose name is subscribed to the within instrument and acknowledged to me that he executed the same in his authorized capacity, and that by his signature on the instrument, or the entity upon behalf of which the person acted, executed the instrument. WITNESS my hand and official seal. &"" r ) W, c (SEAL) Brooke Mansfield BROOKE AMANSFIELD Commission #1562972 n Notary Public -California Butte County 10ty:22mm. Exp. MA14. 24, 2009 C®UN I'V MAIL TAX STATEMENTS TO: - NOS'!, 5 �00� Maurice D. Keven, 14768 Pine Cone Way, Magalia, CA 95954 - D)EVELQD)isN ENT SERVICES EXHIBIT "A" All that certain real property situate, in the County of Butte, State of California, described as follows: LOT 249, as shown on that certain Map entitled, "SIERRA DEL ORO ESTATES UNIT NO. 4", which Map was filed in the office of the Recorder of the County of Butte, State of California, September 29, 1969 in Book 35 of Maps, at pages 48, 49, and 50. EXCEPTING and RESERVING THEREFROM all of the valuable minerals beneath the surface of 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 shal.l:.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 that certain Deed from Magalia Mining Company, a corporation, to E.D. Storts, et ux, recorded September 4, 1947 in Book 423 of Butte County Official Records, at.page 385. (END OF LEGAL FOR APN 065-3.70-021) a Pj C-C'UNTY NUY. 1.5 20,35 COPY of Document Recorded .RECORDING REQUESTED BY: 17-liov-2@06 2@06-Q@6(h171 Has not been compared vith original AND WHEN RECORDED MAIL TO: BUTTE COUNTY COUNTY RECORDER BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 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. MAURICE D. KEVEN BUTTE COUNTY BUILDING DIVISION REAL PROPERTY OWNER/LESSOR LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 14768 PINE CONE WAY 7 COUNTY CENTER DRIVE MAILING ADDRESS MAILING ADDRESS MAGALIA BUTTE CA 95954 OROVILLE BUTTE CA 95965 —CITY---COUNTY--STATE—ZIP---- -C-I-T--Y---—GOUN-T-Y S-T-ATE—ZIP 14768 PINE CONE WAY B06-2659 (530) 538-7541 INSTALLATION MAILING ADDRESS, IF DIFFERENT BU DIN PERMIT NO. TELEPHONE NUMBER MAGALIA BUTTE CA 95954 11/16/2006 CITY COUNTY STATE ZIP SIGN TU F LOCAL AGENCY OFFICIAL DATE SAME NONE _ UNIT OWNER (if also property owner, write "SAME" DEALER NAME (if not a dealer, write "NONE") SAME NONE MAILING ADDRESS DEALER LICENSE NO. SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION SKYLINE HOMES 1980 HILLCREST MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER 02750484AN/BN. 48'X 24' CAL180025/6 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REALPROPERTY LEGAL DESCRIPTION: SEE ATTACHED ASSESSOR'S PARCEL NUMBER: 065-370-021 HCD FORM 433(A) REV 8/91 ,P V _ 1-1('T) PTNK — Annlican BUILDING PERMIT NUMBER: B06-2659 Address or location of unit: 14768 PINE CONE WAY MAGALIA CA Legal Description of Real Property: 065-370-021 SEE ATTACHED (x) Mobilehome/Manufactured Home O Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: MAURICE D. KEVEN Owner's address:14768 PINE CONE WAY MAGALIA CA 95954 INSIGNIA OR HUD NUMBER: CAL 180025/6 SERIAL NUMBER OR V.I.N.: 02750484AN/BN MANUFACTURER'S NAME: SKYLINE HI OFFICIAL APPROVING INSTALLATION DATE e PHONE: (530) 538-7541 H.C.D. 513 2 as s aFP x D s ATION Sr TmEM n . , CERTIICATE OF OCCIIPANCY� .� ,. ,.. �.77 BUILDING PERMIT NUMBER: B06-2659 Address or location of unit: 14768 PINE CONE WAY MAGALIA CA Legal Description of Real Property: 065-370-021 SEE ATTACHED (x) Mobilehome/Manufactured Home O Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: MAURICE D. KEVEN Owner's address:14768 PINE CONE WAY MAGALIA CA 95954 INSIGNIA OR HUD NUMBER: CAL 180025/6 SERIAL NUMBER OR V.I.N.: 02750484AN/BN MANUFACTURER'S NAME: SKYLINE HI OFFICIAL APPROVING INSTALLATION DATE e PHONE: (530) 538-7541 H.C.D. 513 EXHIBIT "A" All that certain real property situate, in the County of Butte, State of California, described as follows.. LOT 249, as shown on that certain Map entitled, "SIERRA DEL ORO ESTATES UNIT NO. 411, which Map was filed in the office of the Recorder of the County of Butte, State of California, September 29, 1969 in Book 35 of Maps, at pages 48, 49, and 50. EXCEPTING -and RESERVING THEREFROM all of the valuable minerals beneath the surface of 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 gri.fices outside. of -the surface area of -the above described realty, all as excepted and reserved in that certain Deed from Magalia Mining Company, a corporation, to E.D. Storts, et ux, recorded September 4, 1947 in Book 423 of Butte County Official Records, at.page 385. (END OF LEGAL FOR APN 065-3.70-021) caTj& IDE GTLz1s' % 6CLtr t u�'TCEs cc Lrl 7u Lrl 71 cn ui Z 0- E LN �w LU cc Lrl 7u Lrl BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" - -- - - APPLICANT INFORMATION OWNER INFORMATION Last Name lu First Name—,--� Mailing Address 7 4, i v yi u/ City t State Zip Phone Phone.7`` Fax E-mail E-mail - -- - - APPLICANT INFORMATION CONTRACTOR Name City Address Zip Address Fax City L a) Stag, Zip -7 Phone.7`` E-mail Fax E-mail Lic. # _t_5- Clas - -- - - APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Page Fax E-mail Date Approved: State License Number - -- - - APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X /71 Fqi office use only: Zoning T j I Flood Zone SRA I Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. o(0265 BIN # PROJECT LOCATION AP#� D & ( Property Address . - City �/ llv-(, Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: 6. Sq FT- Living, Garage Open Cov ❑ Structure Built without Permits. ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. kyi Received by: Kl�. Amount: 9 • lb Bldg SRA Receipt #: Sheriff SMIP Other Date: � °� ` �j �,� art�I l � Total PERMIT NO. _ 2278-86B <7/PERMIT EXPIRES /o A OWNER .,MAURICE KEVEN CONTR. BeharConst ASSESSOR PARCEL 65-37-21 LOCATION_ 14768 Pine Cone Way, Magelia Temp. Power Pole— Called ole_Called PG&E _ Temp. Elec. Service Called PG&E_ Temp. Gas Service _ Cal led PG&E "t" JOB FINALED (Date) Signatu J=OK 0 = Not OK = Not Applicable MOEILEHOMES = Not Ready MISCELLANEOUS Date 1��7-fG dr/i[ MOBILEHOME UTILITIES (Plans) OK except N's Date DECKS, CO,Y,ERS, CARPORTS, ETC. (P ans) OK except is 1. Zoning Requirements—Setbacks—Easements ning Requiremen s Se cks—B� 2. Soils; Special MH Support—Sketch _ tings;—Ds�ttf Sp _ —C 3. Sewer; Location—Test—Fall-C/0—Concrete Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) �S� j:Wbod'AQva%^Poet�q�at——C�ruREc.<S1x+rtf�4Etfc�_Bs�jac� 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete o ons-Splice—Decal—Enclosures 6. Gas; Location—Test—Wrap:/ /"L"ft. / /"Nat. or/ /"L"fL/ /"LPG in oors 7. Utility Clearance Card -BI Date Card -BI Date Card -BI /h5 Date� G Card -BI Date Card -BI Date Card -BI Date Card-BI� Date �%J -Z'(, Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except k's Date POOLS (Plans) OK except H's 1, Zoning Requirements—Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 1, Setbacks—Easements 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. Electricity; MH Test—Crossovers—Breakers—Clearances 4. Elec.; Receptacles and Lighting: Distances—GFI 5. Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6. Water; MH Test—Regulator—Connector 6, Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. Water and Sewer Connected—C/O to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lgh[g. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9. Exits; Insp.—Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B-1 Date Card -BI Date Card-BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date la"40 17, V = OK 0 = Not OK = Not Applicable RESIDENTIAL (Single and Duplex)- , k = Not Ready Date UNDERFLOOR (Plans) OK except N's Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils -Steel -Elea Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage: Soils -Steel- / /" Ftg. Depth 50. Stairs; Width-Headroom-Rise=Run-Landing-Fire Protection 4. 5. Ftg., Porches & Decks; Soils=Steel'--/ /" Ftg.'Depth Stemwalls, Main; Steel-Blockouts-Wrapped-Slab `•- 51. 52. _ Plywood on Roof Overhang -Attic Vents -Rafter Outriggers_ Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh=Drip-Screed-Fdn. Vents-Underflr. Access_ 7. 8. Piers -Fireplace Ftg.-Steel ---• D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 54. _ Glazing Area -Glass Protection -Skylights -Plastic 55. Shear Walls; Nailing -Bolts 9. J10. Gas Pipe; Size -Anchors Water Pipe: Test -Anchors -Regulator -Service Test 11. 12. Electric; Underground Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI. Date Date FINAL (Plans) OK except Ws Gard -BI Date Card -BI Date Date PLUMBING (Permit) OK except q's 56. Ext. Steps -Door & Sidelight Protection- Landings 57. Smoke Detector Card -BI Card -BI 14. 15. 16. 17. 18. 19. Water Ht.: Vent -Access -Combustion Air Water Pipe: Test & Anchors -Nail Protection D.W.V.: Test-Fttngs'& Anchors -Nail Protection Shower Pan: Test, First Floor -Tub Access Test Tub & Shower, 2nd Floor -Tub Access Gas Pipe: Size & Anchors Date Card -BI Date Date Card -BI Date 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 59. Bedroom Exiting 60. 61. 62. G.F.I. & Bath Fixtures & Tub Access Elec. Trim & Subpanel; Breaker Sizes -Labels Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. 65. Elec. Outlets at Wood Panel; Int. & Ext. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL (Permit) OK except k's 67. 68. Garage Fire Door; Swing -Landing -Closer A.C. Duct in Garage -Damper Card B -I Card B -I 20. 21.. 22. 23. 24. 25. 26. 27. 28. 29. / 30. Fixture & Transformer Clearance -Ins. Protection Elec. Receptacles Spacing -Lights _& Switches at Doors Size Boxes & No. of Conductors -Stapled Romex Installed Close to Edge of Studs & C.J. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 2 Appliance Circuits in Kitchen & Conductor Size -- - Subfeed Wire Size,./--- Aga. Cu -r AI-A.C. Wire Size / ga. Cu or Al Range Circ. / ga. Cu or Al -Oven .Circ. / /-ga. Cu or Al,Following Insulated Neutral Yes No V- Service -Riser Conductors & Ground -Main Disconnect Equip.,Clearances: Panels-Motors-Mech. Equip. Clothes Closet Light -Shower Light _ -- ----_--.- .- ____ Date Card Bi Date______ _ _ _ Date Card -BI Date 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor -Meeh. Protection 70. Plb., Elec. &Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 72. Insulatiori-Foam-Looked in Attic E] Yes 73. Guard Rails &Deck Construction -Post Caps 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 75. PlanteinsfYe Drive - ❑ Yes ❑ No: Walks, ❑ Yes ❑ No; Planters ❑Yes C -J No 76. Stucco; Brown -Finish 77. _ A.C. Unit; Disconnect-Clrnces=Brkr. &'Gond. Siie-1 15V -Outlet 78, Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing _ 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. - Ventilation throughout House 82. - Glass Protection Date MECHANICAL (Permit) OK except N's 83. 84. _ Corrections from Previous Inspections - ---- - Gas Test -Meters Tagged; Gas -Electric Card -BI Card -BI 31. 32. 33. 34. 35. A.C. Ducts. Insulation & Support _ _ _ Vent Fan: Exhaust above Insulation _ Condensate Drain & Overflow: Size & Grade Furnace -Vent: Access -Comb. Air -Return Air Vent -115V outlet Attic Access & Platform if Furnace in Attic Date Card -BI Date Date Card -BI Date 85. Water & Sewer Connected -C/0 to Grade -HD Approval 86• Energy Compliance Certificate -Other Certificates -- --- - -- -- - -- - Card -BI Date Card -BI Date Card -BI Card -BI Date Card -BI Date Date Card -BI Date Date FRAMING(Plans) OK except N's 36. Sills: Proper Material & Anchors 37. Walls. Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) 40. Fire Stops: Furred Ceilings -Stairs -Chases -Tub 41 Header & Beam -Size & Bearing 42. Hangers -Post Caps -Anchors -Connectors 43. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 44. Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing Com ients at Final: _ - (NOTE Anentrymust be made each time youvisit jobsite) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS O PE 7 County Center Drive - Oroville, California: -95965« Telephone 916/534-4541 APPLICATION AICDPERMIT ASSESSOR` PARCEL NUMBER ZO INNG Iq BUILDING PERMIT OWNERv // TELEPHONE S0. FT. OCC. BUILDING VALUATION L ✓ c OWNER'S MAILING ADDRES vel wa'a _ g, CONT T R S N ME TEAEPAONE CONTR C 'S MAI ,ING ADDRES' L/- �, ,�� �Sv Fireplace CbfTSTRuC1r1ON LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LE DER'S MAILING ADDRESS Permit Fee $ .2 ' U ARCHITECT OR ENGINEER ' LICENSE NO. Plan Checking Fee $ /37 )v Energy Plan Checking Fee $ ARCH TE R ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 6 E/ �(! Permit fee $ o PLUMBING- PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME %/=Q/g� ML Q/7L MAP is qif ' Water piping 5.00 Each qas water heater or vent 5.00 USEOUCTURE SF ❑ Duplex❑ Mobilehome Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea' TYPE OF WORK New AdditionRemodels Utilities❑ Installation❑ Other 4 Describe work: [7 c� _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare rider penalty of perjury (check one): am licensed under. provisions Of Chapt. 9, Div. 3 of the BUSIneSS and Professions Code and my license is in full force and effect. 71 License No. �D /_70!' Z— Classification li / ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and. Professions Code for this reason NEW CONST. DWELLING OCCUP.&\ +/Z�sgft OR ADONS. ACC. BLDGS. / NEW CONSTF ULTI-OUTLET 2,50 ea NON -R ESID BRANCH CIRC ITS O /PWER APPARATUS yI \SINGLE OUTLET CIR. Ex. Occu 20®got Occup(OUTLETS OR FIXTURES aAL@30 FIXED EX. OCCUp. OUTLETS PK (RESID IEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate Of Consent to Self -Insure. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against s id County in con uence of the granting of this permit. pp X �� Date c� � Signature of Applicant — Owner ❑ Contractor [✓ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy inspection Fee $ TOTAL PERMIT FEE $ OCCOP. CONST.TYPrJ I I FLOOD r PARCEL PC No 1 This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC=OF _Date PERVd EXPIRES Date the applicable provi- resolutions to do fees have been paid. IC WORKS X j� (/ Ff L'n �7By Receipt No. 62 / % 7— WHITE -D. P. W., YELL�0 Eg30 R, PINK -INSPECTOR, GOLDEN Ra D -APPLICANT s / COUNTY OF BUTTE - DEPARTMENT OF PIJ!BLIC YORKS - BUILDING DIVISION / 7 COUNTY CENTER DRIVE - O�ROVILLE, CALIFORNIA95965 - TELEPHONE: 916/534-4541 PERM IT'APPLICATION DATA SHEET / / Permit No. OWNER 1i/l/1,1 �°�/ L _ �C/l,f; A. P. No. %5 Proposed Building Use Permit Fee Based Upon: -Complete Contract Price DPW Valuation Other (,Explain) Building Inspector / .�ii�/i� G /�•/�iP Date Z� At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED ,/ 1. All items have been submitted. . . . . . . . . . . . 2.., Plot plans in duplicate/triplicate. . . . . . . . . . . 3. Complete plans in duplicate. /triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . . . . a,O,O(./a rd 10. Sanitation approval from ,_ Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . 16. Mobi lehome Installation Data. . . . . . . . .. 17. Pre-Inspec. request to Pre -Inspection for Required. Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Other Date) When you -issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone q'l�_f and hold for pickup at 1.A_, office. Deliver w. /inspector. Other A pp l i cants ' ---A--F""'"`JD a t e O 1% 16 Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit is§uance: (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by By .Telephone Mail Date Plans checked by Date Plans approved by LnO!i Date Other: Copy—DPW Other a TO.- Building Department FROM: Environmental Health SUBJECT: SANITATION CLEARANCE OWNER Plans approved for: Hold final for: Final Clearance O.K. for: C,—. L" c, --3 LOCATION AP # Sewage Disposal _ Water Supply Clearance for bedroom mobile home. Other Clearance for addition of C `'` ?4 No t e** SANITARIAN Water Supply Water Supply J CL 7. 4 9 DATE 4 \ PERMIT NO. _ 1243-H2B,E PERMIT EXPIRES��� OWNER Maurice Keven CONTR. Golden West Enterp., Magalia ASSESSOR PARCEL 65-37-21 LOCATION 14768 Pine Cone Way, lot 249, SDO#4 Magalia Temp. Power Pole_ Called PG&E _ Temp. Elec. Service Called PG&E_ Temp. Gas Service _ Cal led PG&E _ JOB FINALED (Dat/— Signature Dat/—Sig re n V = OK 0 =, Not OK S' Not Applicable MOBILEHOMES MISCELLANE4111 = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except N's Date DECKS, COVERS, CARPORTS, ETC. (Plans) U..,xcept 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts- Beams- Rftrs.-Conhec.-Shthg: Rfg. -Eiracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap: / /"L"ft./ /"Nat. or/ /"L"ft./ /" LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI _ Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except k's Date POOLS (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure: Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. _ Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.: Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7, Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip.w/5'-Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B-1 Date Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date J = OK 0 = Ne t O K Not Applicable RESIDENTIAL (Sin-gte and Duplex) Not Ready Date UNDE LOOR (Plans) OK except #'s Date FRAAMNG Continued 1 oning requirements -Setbacks -Easements 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Dept Garage; Soils -Steel- /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel- / /'' Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab emwalls, Garage; Steel-Blockouts-Wrapped-SI 7. Piers -Fireplace Ftg.-Steel 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card-BI&Dat�1L �lL/Card-BI Date /F Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except q's 14. Water Ht.: Vent -Access -Combustion Air _ 15• Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 17. Shower Pan; Test, First Floor -Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 19. Gas Pipe; Size & Anchors Card -BI Date Card -BI Date Card -BI Date CardrBl Date Date ELEC_TMCAL (Permit) OK except N's 26'Ejx4ure & Transformer Clearance -Ins. Protection 2 Receptacles Spacing -Lights & Switches at Doors 24"-SiLe-Boxes & No. of Conductors -Stapled _ 23.**§oMe.x Installed Close to Edge of Studs & C.J. 2 quip. Ground made up w/Mech. Fasteners -Bond Gas & Water _ pp iance cults in Kitchen & Conductor Size 26. Subfeed Wire Size / a r AI-A.C. Wire Size / / ga. Cu or Al 2 Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated NeuTr' t` ❑Yes [I No 28. Service -Riser Conductors & Ground -Main Disconnect 29. Nuip. Clearances; Panels-Motors-Mech. Equip. 30. Clo es Closet Light -Shower Light Card B -I _ DateCard-BI _ Date Card B -I Date Card -BI Date Date MECHANICAL (Permit) OK except It's 31. .C. Ducts, Insulation & Support 32. nt Fa Exhaust above Insulation 33. Co e ate Drain & Overflow; Size & Grade 34. Furn e -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic A cess & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FR�AJIbN4G(Plans) OK except #'s _36. ,Srt'fs; Proper Material & Anchors _� Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 3 taring Walls over Girders & Floor Nailing_ _ raft Stop in Walls (rat proof) 40__F+re-3Iaps;-Furred Ceilings -Stairs -Chases -Tub 41.ea r & Beam -Size & Bearing 42. ants -Post Caps -Anchors -Connectors 43. e'fng. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Rfnq. ce ies_or Type A Flue -Fireplace Throat 4 _ic Acce s -Size & Romex Protection -Draft Stop -Ins. Baffles 4, . rm. Wind s 6 Exiting Doors -Sill Hgt. & Dimensions 47. ^^� e Fire Protection Framing -.47. - --- - Property Line Firewall & Openings 4T.- Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 5Q_. jj3i-&-, idth-Headroom-Rise-Run-Landing-Fire Protection 51. wood on Roof Overhang -Attic Vents -Rafter Outriggers 52 iding-Nailing-Veneer 53.tucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access G 54. zing Area -Glass Protection -Skylights -Plastic 55. Shea Walls; Nailing -Bolts Card -BI to r -BI Date Card -BI 11Date Card -BI Date Card -BI Date Card -BI Date Date FINAL & s) OK except #'s 56.4 xt. Steps -Door & Sidelight Protection -Landings Victor 58. Furnace; Vents -Clearance -Comb. Air -Connector - n arag bove Floor -Ducts -Meeh. Protection II62th'Fixtures &Tub Access 61.GElec. Trim & I a62'-Sfl s I; Breaker Sizes -Labels 63e{�+tcctrorStove; Clearances -Hearth 64. , ec. Outlets at Wood Panel; Int. & Ext. -6 Kit. Fixt. iance; Grnd.-Air Gap -Cooking Clearance 6��@Ottets-& Receptacles at Kit. Counter '67. -Garage -Fire -Door; Swing -Landing -Closer 68. in'Garage-Damper 69. Wt r. Vents -Clearance -Comb. Air-Connector-P.R.V.- In Grage; Above -Floor -Meth. Protection 70. Ib. Elec. & Mech. Equip. Listed for Location 71.Z.Elrec. Receptacles in Garage; (G.F.I.)-Romex Protec. 7 a ion- "am -Looked in Attic El Yes 73. mfs & Deck Construction -Post Caps 74. . Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 75. Following instld.: Drive Yes ❑ No; Walks ❑ Yes o; Planters ❑Yeso 76. `' drown Finish 77. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 78 ent bove Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. er'Well; Disconnect, Electrical, Plumbing W. Exterior P',- Trim; G.F.I. Receptacle-Und ound 81. Ventilation throughout House 82. Vass Protection 83. rrections from Previous Inspections 84. Ga Test -Meters Tagged; Gas -Electric 85. WatA & Sewer Connected -C/O to Grade -HD Approval 86. Enerby Compliance Certificate -Other Certificates Card -BI ( Date j41Vv' Card -BI Date Card -BI DateI T �),,,=Sardrd-BI Date Card -BI ate Card -BI Date Comments at Final: (NOTE: Anentry must be made each time you visit job site) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Californ4a 95965,- Telephone 916/534-4E APPLICATION AND PERMIT PERMIT NO. ASSESSg R PARCEL NUMBER 1d S- —29 Z NING /. GILDING PERMIT OWNER •'S TELEPHONE SQ. FT. OCC. BUILDING VALUATION O NE MAILING ADDRESS C TR AC TOR'S NAME TELEPHONE 1, 9e -se 6 J �- 7 I CO RAC OR's A�G`A ESS l Fireplace C NS RU' ENDER UNKNOWN Total Valuation / (10 Filing Fee $ 10.00 LAE 'S M (LING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ � BUILDING ADDRESS 1`�! Av' PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISIONNAMES .50 ® ilrI PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other ECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti Iities ❑ Installation ❑ Other'kf Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. `( DWELLING OCCUP.&) OR ADDNS. ACC• BLDGS. 2¢ sq�ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License Noy 2��r 21� Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ i, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR U TI.OUTLET 2.50 ea NON-RESID BRANCH CIRC ITS NEWCONSTR. POWER APPARATUS 6 NON -RESID. SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 50@250Q FIXED APPLNS, OR Ex. Occup.(ouTLETs (RESID,) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ;he permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said Count in co uence of the granting of this permit. X ndte ' Applicant - Owner ❑ Contractor [/Agent ❑ SignotueAprmit An 0 is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CON5T, I PARCEL PD 1 HD 1 ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which D.IR TPR OF PUBLIC By— PERMIT OPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS4,,/ Date Receipt No. I 2 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT / COUNTY OF QUTTE_- DEPARTMENT OF PUBLIC WORKS PE MIT NO. Y 7 County Center Drive - Oraville, C tl.iforrlia 95965 '• Telephone 916/534-4 1 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 3 ZONING BUILDING PERMIT o N g , TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNE S M (LING ADDRESS C TRAC R'S NA E TELEPHONE 73- � CO TRACTOR'S MAIL( G ADDRESS -341- 0) Sr to. Fireplace CONSTR CTI N LEND UNKNOWN C Total Valuation $ Filing Fee $ 10.00 LENDER'S ILING ADDRESS Permit Fee $ Yss ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCH ECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT FiIIng Fee 10.00 - 14 -2&6t1A (�/ cA� Each Trap 2.00 Repair drainage or vent piping 5.00 p11, Water piping LOT NO. SU BDI VISI N -AMEPARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other ECI FY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK VPermit Newt/ Addition ❑ Remodel ❑ Utilities [:1Installation❑ Other ❑ Describe work: Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service io°o AMP ORV OR LESS5.00 Main service EA. ADD'L too AMP 2.50 NEW CONST. DWELLING O c . U di- OR ADDNS. ACC, BLOGS. _ 2Q sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ❑ I am licensed under provisions of Chapt. 9, Div.3 of the Business and Professions Code and my license is in full force and effect. License No. 37? Z 6� Classification ❑ 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CON5TR L I.OUTL T 2,50 ea NON•RESID BRANCH CIRC ITS NEW CONSTR. (POWER APPARATUS 61 NON RES D. (SINGLE OUTLET CIR, I soL@1 Ex. Occup(o OR FIXTURES BALC�1 IXED APPLNS Ex. Occu UTL TS (RES, OR ll p.�OUTLETS (REBID,) EA./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. �/I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIIng Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County=csequence of the granting of this permit. X frL s - Sign re of Applicant — Owner ElContractor� Agent An SHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ —70 OCCUP. GROUPTYP �_ ( of CONST. ��'�\J// PARCEL PD H 5 5D This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT OF PUBLIC By PE EXPIRES Date the applicable provi- Date resolutions to do fees have been paid. WORKS Date `5— t� �_ ? Sic �� S Receipt No. l.'7 1-7 L( ! WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT _ a PERMIT NO. 530-82B PERMIT EXPIRES Aboa I ,19 o OWNER M. Keven CONTR. Roy.Anderson ASSESSOR PARCEL 65-37-21 LOCATION 14768 Pine Cone Way, Magalia r, • o Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Cal led PG&E i�. JOB FINALED (Dat ,) 7 .2 Signature 4 t� , r J = OK 0 = Not OK = Not Applicable MO.BILEHOMES MISCELLANEOUS = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except N's Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requirements—Setbacks—Easements . Zoning Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch _ o tings; Size—Depth;zSpacing-Connectors 3. Sewer; Location—Test—Fall-C/0—Concrete ems; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch)4L-food Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Location—Test—Wrap: / /"L"ft./ "Nat. or/ /"L"ft./ /" LPG 6. Carports; Windows—Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI .t/ Date 2 aR " Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except k's Card -B Date _ I Date ' Card -BI Date _ /PO -OLS (Plans) OK except #'s 1. Zoning Requirements—Setbacks—Easements 1, Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 3. Pool Structure: Steel—Connections—Thickness—Dead Men—Lining 4. Electricity; MH Test—Crossovers—Breakers—Clearances 4, Elec.; Receptacles and Lighting; Distances—GFI 5. Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6. Water; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7, Water and Sewer Connected—C/0 to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater B. Gas and Electricity Tagged B. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9. Exits; Insp.—Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B-1 Card B -I Date Card -BI Date Date Card -BI Date Card BI Card -B I Date Card -BI Date Date /Card -BI Date = OK = Not OK Not Applicable = Not Ready RESIDENTIAT (Siegle and Duplex) Date UNDERFLOOR Plans OK except#'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /'' Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /'' Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg.'Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 51. 52. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 54. 55. Glazing Area -Glass Protection -Skylights -Plastic Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except #'s 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except #'s 57. Smoke Detector _ 14. 15. Water Ht.; Vent -Access -Combustion Air Water Pipe; Test & Anchors -Nail Protection 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels _ 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -81 Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except #'s 67. Garage Fire Door; Swing -Landing -Closer 68. 69. A.C. Duct in Garage -Damper Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 20. Fixture & Transformer Clearance -Ins. Protection 21. Elec. Receptacles Spacing -Lights &Switches -at Doors 22. Size Boxes & No. of Conductors -Stapled 70. Plb., Elec. &Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs tugs & C.J. 24. 25. 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 2 Appliance Circuits in Kitchen & Conductor Size Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 72. Insulation -Foam -Looked in Attic E] Yes Guard Rails & Deck Construction -Post Caps 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor El Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or AI, Insulated Neutral []Yes El No 75. Following instid.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes EJ No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date _ Card -BI Date 81. Ventilation throughout House Card B-1 Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except #'s 83. Corrections from Previous Inspections 84. 85. Gas Test -Meters Tagged; Gas -Electric Water & Sewer Connected -C/0 to Grade -HD Approval 31. A.C. Ducts; Insulation & Support 32. Vent Fan; Exhaust above Insulation 86. Energy Compliance Certificate -Other Certificates 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI _ Date _ _ Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except #'s Comments at Final: 36, SHls; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) _ 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing 42. Hangers -Post Caps -Anchors -Connectors 43. 44. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat _ _ 45. 46. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE:Anentrymust be made each time youvisit jobsite) COUNTY OF BUTTE -:DEPARTMENT OF PUBLIC WOR 7 County Center Drive - Oroville, Californi y55965 - Telephol�e 916/ f APPLICATION AND PERMIT PERMIT NO. �O—Q� ASSESSOR PARCEL NUMBER I _7 v 2 1 ZONING BUILDING PERMIT OWNER _ l�1 ► � v�N TELEPHONE SQ.;FT. OCC. BUILDING VALUATION -OWNER'S MAILING ADDRESS CONTRA R'S NANn ' o c c d TELEPHONE 20 3�1 - CONTRACTOR'S CONTRACT!OR S MAILI ADDRESS IUT, -AJ C � � Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ 4, Eiv ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 17_,00 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ d BUILDING ADD ESS 9 C �NE' (,� PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME o PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome[y Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti Iities ❑ Installation ❑ Other Describe work: e!5 1R 069:r- Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 5.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUP.5i) 2� sq ft OR ADDNS. ACC, BLDGS. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): [� I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professi ns Code and my license is in full rce and effect. License NoJ Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR U TI.OUTLET 2,50 ea NON.RESID BRANCH CIRCUITS) NEW CONSTR. (POWER APPARATUS &) NON-RESID. SINGLE OUTLET CIR, 50 @ 250 Ex. Occup OUTLETS OR FIXTURES BAL�10Q Ex. Ex. Occup.(OUTLETS FIXED P(RESID,)REA.) Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 1 shall not employ any person in any manner so as to become subject 1�4 to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor 1 certify that I have re this application and state that the above information is correct. I agf to o0ply to all County Ordinances and State Laws relating to building oonstr c ionl and ereby authorize representatives of the County of Butte to er up n he a e -m ntioned property for inspection purposes. I also ree to av 99 emnif.and keep harmless the County of Butte against all Ii ilitie jud nts, costs a d expenses which may in any w y accrue aga ns Count in co equen of the granting of this permi . X, Date Signatu of ant— Owner ContractorX/ Agent An 0 A permit is required for excavations over 5'0" deep and demolition or construct- ion o structures over 3 storiesinheight. Mobile Home Installation Fee $ �p TOTAL PERMIT FEE $ OCCUP, GROUP TYPE OF CONST. JPARCELJ PD H SSUE This permit is,hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work .indicated above for which fees have been paid. DIRECT OF PUBLIC WORKS By Date 3, '7 -7—/Z,-,p PERM EXPIRES Date ] l/Z,-, ] Receipt No. (10, WHITE-D.P.W.. FELLOW -ASSESSOR, PINK-IN5P CTOR, GOLDENROD -APPLICANT PERM T NO. 1918-80B PERMIT EXPIRES /e� OWNER Maurice Kevens Ron Stryker, Paradise CONTR. LOCATION (A.P. 65-37-21 30 Pine Cone Way, lot 249, SDO#4, Magalia Temp. Power Pole Cfled PG&E T ? Elec. Serv. e7Called PG&E emp.Gas Serv. Called PG&E JOB -� FINALED (Date) (Signatur) \1�J� COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTIMURECORD BU LDING BUILDING (Cont'd) PLUMBING Setback 3 Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings ; Windows 3rd Floor •Stemwall Siding { To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents / Fixtures Footings Stemwall Garage Vents ; Insulation { Water Htr. Heaters Slab Carport p Footings/ Slab Prov. for physcally handlca ed Conformance of ex. structure Final 17 ( Appliances Gas Piping &Test Temp. Gas Sanitation Patio FIREPLACE Final Footings Footing I ELECTRICAL masonry Walls Throat Rou h / Reinf. Steel Final Fixtures Bond Begm Ffftt SPRINKLERS Motors L Framing W' Test ' Water Htr. f Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating --] Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lat Ventilation Permanent Door CloserV MOBILEHOME UTILITIES - - - - - - - - - - - - - - Final - - - - Elec. Service Finai Elec. Pedestal Water Piping ILEHOME INSTALLATION Sewer Support Gas Piping Elec. Continuity`✓ Water Piping , Drainage Gas Piping DATE REMARKS OR CORRECTIONS S 3 C%/�t /' �J (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive OroviIle, California 95965 /} - - Telephone: 534-s s41 (/� 1/%> APPLICATION AND PERMIT A autnonze representatives of the county or twtte to enter upon the above-mentioned property for inspectio purposes. X Date 1•S 0 Signature of Permitee or Agent Receipt No. �� I Ua - 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 OF �UBLIC WORKS By Date�� Building permit expires Date BUILDING Ownerv``ft CC �,' �'�./ S' SQ. FT. OCC. BUILDING VALUATION D (9 C7 Mailing Address Telephone No. Contractor oil S j2WC Mailing Address gFj % Fireplace Total Valuation r9 je A b i S C Telephone Ko. ,_ _-J2 (� Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee C'71 13 O - 11-4 C C c• rl C w A PLUMBING No. @ FEE y`'7 / (✓ �L PERMIT FILING FEE $3.00 Each TraD 1,50 Repair drainage or vent piping 1,50 -1 , Z A. P. No. �� ` Zo irf �y 8 Planning Water piping 1.50 Each gas water heater or vent 1.50 F �lO W'C. S Ion 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 Bui ding sewer 5.00 Bldg. Plans Rec' Parcel A proval Plans Approval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ S AX G ` D ®0� HOOD 0 V el (I X k I pec li ELECTRICAL No. @ FEE 'X �7 ° t� 1. t�°x� ` �� PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LE5•�� SS Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADO'L 100 AMP 2.50 Main service OVER 6 00V25.00 100 AMP OR LESS _ Main service EA. ADD'L 100 AMP 1,00 NEW CONST. OCCUP, 4\ 2¢syft OR ADDNS. ( DACCLBL GS. / 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: 01g49 Lo 0 • .S 7'/Q% �P� NEW COST R, NMULTI-OUTLET NO( BRANCH CIRCUITS)2.50ea NEW CONSTR.(POWER APPARATUS &, NON -R ESID, SINGLE OUTLET CIR, Ex. Occur){OUTLETS OR FIXTIiRES 5 L 250 @ , FIXED APPLNS. Ex. Occup.(OUTLETS ((RESID )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 �� License No. Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ o i autnonze representatives of the county or twtte to enter upon the above-mentioned property for inspectio purposes. X Date 1•S 0 Signature of Permitee or Agent Receipt No. �� I Ua - 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 OF �UBLIC WORKS By Date�� Building permit expires Date .:t r "A, PERMIT NO. 3983-79P,E PERMIT EXPIRES�� Maurice Keven� OWNER CONTR. owner I LOCATION (A.P. 65-37-21 ) 30 Pine Cone Way, lot 249, SDO#4, Magalia Temp. Power Pole Ca led PG&E Tem Elea Serv. failed PG&E Temp. Gas Serv. Called PG&E JOB G Q FINALED (Date) ' (Signatur COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 or 0 CXII�X PAN C�'Y This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number for the following location: r Owner ° Owner's Address Mobilehome Mfg. r,•,r Model Year Insignia No. Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date 1 - By ✓r THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White- Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE 'DEPARTMENT OF PUBLIC WORKS 695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70 Z 7 County Center Drive, Orovilie — Phone 534-4541 Skyway and Elliott Road, Paradise — Phone 877-3435 k l- t�, BUILDING OR PROPERTY ADDRESS A routine Inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. (12 O t;��- �/ 5 Inspector Date 0 a �F ish D is Under round In rtor Lath V ntilation i?ennanent or Closer anal Final MOBILEHOME UTILITIES �',�/ ------ Elec. Service 2i!t _ (, Elec- Pedestal ` Water Piping _. Sewer ` Gas Piping BILEHOME I ST LLATION - - - - - - - - - - - - - - Support 77,777V Elec. Continuity Water Piping ,I � � '�'L Drainage 1 1J Gas Piping DATEREMARKS OR CORRECTIONS ox, Com C/,7��£S �odJ' /�•� �/J� e/ #IV,- 'D (NOTE: An entry must be made on this form each time you visit the job site.) y(J COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS o BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Se'Vack FI wall kil Piping For s Parlpets Ist Floor Man Bldg. Restr m Finish Floor 4otin s Windo 3r Ioor St wall Siding To ou Sla Roof SheaNing If Water P 'n Piers Roofing Sewer Garage Fdn. Vents X Fixtures FootinglL Stemwa 11% Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for ph sic y. handicaped Conformance of ex. structure Appliances Gas PipingTesty Temp. Gas Slab Final X Sanitation Patio E LACE Final Footings Footing ELECTRI L Masonry Walls Throat Rough Reinf. Steel: --/ - Final Fixtures Bond Beam1FIR9 SPRINKLENV Motors% Framin Test .a Water Hti. r2" Stucco �- Final r Sub ariels Mesh MECHANICAL Grd. ault Prot. Scra h Heati Ser/1ce B n COOLA g ftemp. Pole �F ish D is Under round In rtor Lath V ntilation i?ennanent or Closer anal Final MOBILEHOME UTILITIES �',�/ ------ Elec. Service 2i!t _ (, Elec- Pedestal ` Water Piping _. Sewer ` Gas Piping BILEHOME I ST LLATION - - - - - - - - - - - - - - Support 77,777V Elec. Continuity Water Piping ,I � � '�'L Drainage 1 1J Gas Piping DATEREMARKS OR CORRECTIONS ox, Com C/,7��£S �odJ' /�•� �/J� e/ #IV,- 'D (NOTE: An entry must be made on this form each time you visit the job site.) y(J MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located with required separation from lot lines and buildings and generally conform to plot plan? Yes_ No 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes_ No 3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes No� 4. Is the mobilehome level? (Sec. 5088) Yes_ No 5. If more than a single unit, are crossover connections properly installed? (Sec. 5088) Yes No 6. Water A. Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes No B. Test - Does water piping withstand working pressure or 50 lbs, air test? Yes_ No C. Backflow - If coach is not State of California approved, does station have backflow device and pressure -relief valve? Yes_ No_ 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes No B. Does it have minimum 4' per foot slope and is it properly supported? Yes_ No C. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe? Yes No D. If coach is not State of California approved, does station have required trap and vent? Yes No 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as large as the mobilehome gas line inlet without reductions other than the mobilehome connector. Yes No B. Test'OK as per following procedure? Yes_ No 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"--14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without drop. 4., Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes_ No_ 9. Electrical A. Is service large enough to provide adequate amperage -to mobileiome'(must equal rating of mobilehome'with a minimum of 100 amp)..and other facilities on lot',.,i.e., water pumps, garage, cabana, etc.? Yes_ No B. Is there proper clearances around panels? Yes_ No C. Is power supply cord or feeder assembly properly fused? Yes_ No D. Is continuity test satisfactory as per the following procedure? Yes_ No_ 1. De -energize electrical wiring system of the mobilehome at the pedestal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of theelectrical tests, the lot or site service equipment may be approved for energizing. 10. Is.job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA Manufacturer and/or Namestyle Length Width Vehicle Serial No. State Identification No. Additional Information or Comments: a COUNTY OF BUTTE. 1 DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 -, Telephone:534-454f' APPLICATION AND PERMIT AA �, n_ autnonze representatives of the uounty of tsutte to enter upon the above-mentioned property for inspection purposes. A-4 X f �+ �Date Signature o Permitee 'or gent Receipt No. ea SM 71 (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 OF P BLIC WORKS By Date—/ ia•— 7 Building permit expires Date 7—/ o BUILDING Owner _ SQ. FT. OCC. BUILDING VALUA ION Mailing Address Tele hone No. Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address Plan ng Fee&/or Penalty Permit t Fee PLUMBING No. @ FEE C�� PERMIT FILING FEE $3.00 _p(j Each Trap 1.50 S -DO P4 /-4y. ;24V Repair drainage or vent piping 1.50 r� A. P. No.' 0- 37 r e%'� r' Zoning & Planning Water piping 1.50 , t7 Each gas water heater or vent 1.50 WS tion Parking Parcel EQA Plans I Declaration iFireDept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 I Parcel Map R/W Improvements Each additional outlet .30 Building sewer 5.00 — g. Plans Recd Parcel Appro Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ Permit Fee $ .00 $ G ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 , 60 Main service 600V O.R LESSESS 5•00 O 100 AMP OR L Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 S� Main service OVER 25.00 100 AMPP OR LESS O Main service EA. ADD'L 100 AMP 1.00 NEW CONST OR ADDNS. ( ACCLBLOGLING OCCUP. S) 2�sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW CONSTR. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUIT5)12.50ea1 NEW CONST. POWER APPARATUS 8 , D. (SINGLE OUTLET CIR. NON-RESIR Ex. Occup{OUTLETS OR FIXTI1PES) B L@IW FIXED APPLNS Ex. Occup.(OUTLETS ((RESID )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 ,5—,do License No. Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ MECHANICAL No. @ FE_ E WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 $ Pis: Oe TOTAL PERMIT FEE $ 'Z autnonze representatives of the uounty of tsutte to enter upon the above-mentioned property for inspection purposes. A-4 X f �+ �Date Signature o Permitee 'or gent Receipt No. ea SM 71 (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 OF P BLIC WORKS By Date—/ ia•— 7 Building permit expires Date 7—/ o COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center DriveOroviIle, California 95965 //��/ Telephone: 534-4541/nY2 ��� APPLICATION AND PERMIT «`!!L 4 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 40 X . ?'Y� IL/Lr/Ji 3 =a— t i" -mob _.z).D at e / 31 7 Signature of Permitee or AgenV L_ - Receipt No. 7� 0,5-4 — 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 p ECTO _ LIC WORKS By Date ! Z 100V r permit expires Date 14-"6C, BUILDING Owner MA.C.LrOl C(_ GL/L SQ. FT. OCC. BUILDING VALUATION Mailing Address _311 vVL S 1 i.� ��� h�2o . 0 A `r Telephone No. Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building AddressPlan Checking Fee&/or Penalty Permit Fee PLUMBING No.1 @ FEE PERMIT FILING•FEE $3.00 Gb Each Trap 1.50 L-,"-4ez L, Repair drainage or vent piping 1.50 ip-( 14 A. P. No. 6, 5 -- 3 7 —.o2l r— Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F4<s W2�. `�3m1fYH&rl Fire Dept. Fire Zone Use Pen -nit Gas piping system 1 - 5 outlets 1.50 6. Ob EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 BI g. P18 a�d Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES fZ OTHER ❑ Permit Fee $ 15,C7� $ aL 1 I— c� �L ELECTRICAL No. @ FEE � –• _ JQ 3T%-3 /� 72 PERMIT FILING FEE $3.00 Main service 10ov OR LESS 100 AMP OR LESS 5•00 Single Family.❑ Duplex ❑ Mobil Home ® Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 100100 AMPeoov OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. OR ADDNS. DACCLBLDGLING OCCUP. S) 2�sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW NON-RESIESID,CONSTMULTI-OUTLET BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS 8 NON-RESID. SINGLE OUTLET CIR. , Ex. OCCuo{OUTLETS OR FIXT11RES) g 1pQ Ex. Occup ( FIXED APP LNS. OR • OUTLETS (RESID•) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification— Misc. Wiring I 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. 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 PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ Land Development Fee $ $ TOTAL PERMIT FEE $ -, authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 40 X . ?'Y� IL/Lr/Ji 3 =a— t i" -mob _.z).D at e / 31 7 Signature of Permitee or AgenV L_ - Receipt No. 7� 0,5-4 — 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 p ECTO _ LIC WORKS By Date ! Z 100V r permit expires Date 14-"6C, COUNTY OF BUTTE — "'DEPARTMENT OF PUBLIC WORKS 7 County Center L -rive' — Oroville, California 95965 e , Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. E' X�c Date. Signature of Permitecelor Agent Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the But County Code and/or resolutions to do work indicated abov or hich fees have been paid. D1,REC PUBL.I:C WORKS 11-1/W YOW-9-MA _W11119* Building permit expires Date BUILDING Own ° SQ. FT. OCC. BUILDING VALUA ION Mailing Address Telephone No. Contractor Mailing Address Fireplace Total Valuation - - Tele hone No a o Permit Fee Building Address KZ PlanCheckingFee&/or Penalty Permit Fee O PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. 3 --�Z _ Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F U (' SaRitalt+an Fire Dept. FireZone Use Permit Gas piping system 1 -5 outlets 1.50 EQA Parking Plans I Parcel Declaration Parcel Map 60' R/W Improvem nts Each additional outlet .30 Building sewer 5.00 Bldg. R11 �.R.c'd Parcel Approval PI ns Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER/E] Permit Fee $. $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER s O 25.00 100 AMP OR LESS Main service EA. AOD•L 100 AMP 1.00 NEW CONST. OR ADDNS. ACCLBLDGS.LING CCUP. 41 20sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: / NEW CONSTR. !MULTI -OUTLET `/ NON-RE5ID. (BRANCH CIRCUITS/ 2.50ea NEW CONST R. (POWER APPARATUS 9 NON.RESI D. SINGLE OUTLET CIR. Ex. Occup (OUTLETS OR FIXTHRES, B L�1� FIXED APPLNS. OR Ex. QCCUp.�OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License 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 Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. �I Kave 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 Iee $ , L` TOTAL PERMIT FEE $ M authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. E' X�c Date. Signature of Permitecelor Agent Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the But County Code and/or resolutions to do work indicated abov or hich fees have been paid. D1,REC PUBL.I:C WORKS 11-1/W YOW-9-MA _W11119* Building permit expires Date 72 , I f � , 1 t 1, " � , I.. 1 , !, l I 1, . I 11 r ` 11 I - , � i , ( - I'-- I 7 ,�'_, "I,Itll,`� i, I � , ; j" � '-!�,�J;, ,,, �:, i'' , I , ,� - I" l . 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