HomeMy WebLinkAbout065-370-0481. 0. Mylar AP 65-37-48
_ CrovP Cf, , T,nt •967,-5D0#4,
Magalia f'
CONTR: Fuller & Powers Constr.,Magalia
i Permit 7 2-77 P E (util./MH
ELEC. ✓
GAS
SUPPOR ST UC.
i
COMPACTION TESan
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65-37-48
Contr.: Gene Schmitt Mobile Home Se
Permit ##6800-77MHI
Issued - -
065-370-0484' 06-1227
EDGELL, WILLIAM �}
r 6427 GROVE CT, MAGAL'IA
l Cont: DAVID KEMPTO
1 f MH PERM FND (EX) ,\
a
i
i
rcol
M
RECORDING REQUESWI) N:
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE CA 95965
2006-0029795
Recorded I REC FEE 10.00
Official yRecords 1
CoButteof COIFOR10 MpY 1.@g
CMM L GRUBBS 1
County Clerk-Recorderl
I
1 DD
81:1&& 12 -Jun I Page 1 of 2
SPACE ABOVE THIS LINE FOR RECORDER USE ONLY
NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH,
INSTALLATION ON A FOUNDATION SYSTEM
Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code
Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit
described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document
shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to
its contents to all persons thereafter dealing with the real property.
WILLIAM F. AND PATRICIA EDGELL
REAL PROPERTY OWNER/LESSOR
6427 GROVE COURT
MAILING ADDRESS
MAGALIA BUTTE CA 95954
CITY COUNTY STATE ZIP
SAME
INSTALLATION MAILING ADDRESS, IF DIFFERENT
SAME
CITY COUNTY STATE ZIP
SAME
UNIT OWNER (if also property owner, write "SAME")
SAME
MAILING ADDRESS
SAME
CITY COUNTY STATE ZIP
UNIT DESCRIPTION
BUTTE COUNTY BUILDING DIVISION
LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY
7 COUNTY CENTER DRIVE
MAILINGADDRESS
OROVILLE BUTTE CA
95965
CITY COUNTY STATE
ZIP
06-1227 (530)
538-7541
BUILD PE N0. TE EPHONENUMBEI(
Q
SIGNATURE' 0 CALGENCY OFFICIAL
DATE
NONE
DEALER NAME (if not a dealer sale, write "NONE")
NONE
DEALER LICENSE NO.
SKYLINE 1978 RAMADA
MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER
A/13207 30379L 56 X 24 UNKNOVn11
SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABELNUMBER(S)
REAL PROPERTY LEGAL DESCRIPTION
SEE ATTACHED
ASSESSOR'S PARCEL NUMBER 065-370-048
HCD FORM 433(A) REV. 8/91
WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD- Building Dept.
05/19/2006 15:57 FAX
I Ili
Description
530 877 5214 FIDELITY PARADISE C21 SELECT MAGAL 121002/002
Order No. BU -198816-2 VG
The land referred to herein --is situated in the State of California, County of Butte, and is descnbed as
follows:
-LOT 267, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "SIERRA DEL ORO ESTATES UNIT
NO. 4", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY
OF BUTTE, STATE OF CALIFORNIA, ON SEPTEMBER 29, 1969, IN BOOK 35 OF MAPS, AT
PAGES) 48, 49, AND 50.
EXCEPTING THEREFROM ALL OF THE VALUABLE MINERALS BENEATH THE SURFACE OF
THE SAID LAND WITH THE RIGHT TO MINE AND EXTRACT SAID MINERALS, IT BEING
AGREED AND UNDERSTOOD THAT IN ALL MINING OPERATIONS, THE SURFACE OF SAID
LAND WILL BE PROTECTED AGAINST DAMAGE AND THAT ALL SUCH MINING SHALL BE
CARRIED ON FROM TUNNELS, SHAFTS, OR DRIFTS HAVING THEIR ORIFICES OUTSIDE OF
THE SURFACE AREA OF THE ABOVE DESCR.MED REALTY, ALL AS EXCEPTED AND
RESERVED IN THE DEED FROM MAGALIA MINING COMPANY, A CORPORATION, TO E. D.
STORTS, ET UX, RECORDED SEPTEMBER 4, 1947, IN BOOK 423, PAGE 385, OFFICIAL
RECORDS.
APN 065-370-048-000
RECORDING REQUESTED $Y:
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE CA 95965
2006-0029794
X 4
Recorded I REC FEE 10.00
Official Records I
County of I CONFORMED COPY 1.00
Butte I
CAME J. 6RLIBBS I
County Clerk—Recorderl
I
I DD
01:1" 12—Jun,I2l g I Page 1 of 2
IMI III III � NII I III IN IIII I III II �i
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.
ENSLEY CHARLOTTE FAMILY TRUST
C/O CHARLOTTE ENSLEY
REAL PROPERTY OWNERILESSOR
6465 MARIN CT.
MAILING ADDRESS
MAGALIA BUTTE CA 95954
CITY COUNTY STATE ZIP
SAME
INSTALLATION MAILING ADDRESS, IF DIFFERENT
SAME
CITY COUNTY STATE ZIP
SAME
UNIT OWNER (if also property owner, write "SAME')
SAME
MAILING ADDRESS
SAME_
CITY COUNTY
UNIT DESCRIPTION
STATE ZIP
BUTTE COUNTY BUILDING DIVISION
LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY
7 COUNTY CENTER DRIVE
MAILING ADDRESS
OROVILLE BUTTE CA 95965
CITY COUNTY STATE ZIP
06-1163 (530) 538-7541
BUILD PE IT TELEPHONENUMBER
�
SIGNAT CAL AGENCY OFFICIAL DATE
NONE
DEALER NAME (if not a dealer sale, write "NONE")
NONE
DEALER LICENSE NO.
GOLDEN WEST
1979
SUNNY
MANUFACTURER'S NAME
DATE OF MANUFACTURE
MODEL NAMENUMBER
SB4134A/B
48'X 24'
161232/3
SERIAL NUMBER(S)
LENGTH X WIDTH
INSIGNIAILABEL NUMBER(S)
REAL PROPERTY LEGAL DESCRIPTION
SEE ATTACHED
ASSESSOR'S PARCEL NUMBER 066-150-011
HCD FORM 433(A) REV. 8/91
WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD -Building Dept.
Me
s ` r DESCRIPTIOL' `
All that certain real property situate in the County of Butte,
State of California, described as follows:
PARCEL I:
Lot 55, as shown on that certain Map entitled, "PARADISE PINES
COUNTRY CLUB ESTATES UNIT 3" which Map was filed in the Office of
the Recorder of the County of Butte, State of California, on
October 13, 1971, in Book 38 of Maps, at pages 64, 65, 66, 67 and
68.
EXCEPTING THEREFROM all minerals, oil, gas, asphaltum and other
hydrocarbon substances, with provision that any and all ,mining
operations shall be done from orifices outside the surface area
of the land described herein, and that no damage shall be done to
surface of said land.
PARCEL II:
A non-exclusive easement over Lots A, B, C, D, E, F, and G, (the
common areas) of said Paradise Pines Country Club Estates Unit 3
and the lots designated ;for common and recreational areas as
described in the Declaration of Annexation for Units IV, VY,
VIII, X, XI, XII, XIII, XIV, XV and Country Club Estates Unit
No's. 1, 2, and 3.
END OF DOCUMENT
t
RECORDING REQUESTED BY;
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE CA 95965
COPY of Document Recorded
12 -Jun -2006 2006-0029795
Has not been compared with
original
BUTTE COUNTY RECORDER
SPACE ABOVE THIS LINE FOR RECORDER USE ONLY
NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH,
INSTALLATION ON A FOUNDATION SYSTEM
Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code
Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit
described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document
shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to
its contents to all persons thereafter dealing with the real property.
WILLIAM F. AND PATRICIA EDGELL
REAL PROPERTY OWNER/LESSOR
6427 GROVE COURT
MAILING ADDRESS
BUTTE COUNTY BUILDING DIVISION
LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY
7 COUNTY CENTER DRIVE
MAILINGADDRESS
NIAGALIA BUTTE CA 95954 OROVILLE-BUTTE CA 95965
CITY COUNTY STATE ZIP CITY COUNTY STATE ZIP
SAME
INSTALLATION MAILING ADDRESS, IF DIFFERENT
SAME
CITY COUNTY STATE ZIP
SAME
UNIT OWNER (if also property owner, write "SAME")
SAME
MAILING ADDRESS
SAME
CITY COUNTY STATE ZIP
UNIT DESCRIPTION
06-1227 (530) 538-7541
BUILD PE NO. _ ^ TEPHONE NUMB�
SIGNA 0GENCY OFFICIAL DATE
NONE
NONE
DEALER NAME (if not a dealer sale, write "NONE")
NONE
DEALER LICENSE NO.
SKYLINE
1978
RAMADA
MANUFACTURER'S NAME
DATE OF MANUFACTURE
MODEL NAMEINUMBER
A/B20730379L
56 X 24
UN{jy0IAN
SERIAL. NUMBER(S)
LENGTH X WIDTH
INSIGNWLABEL NUMBER(S)
REAL PROPERTY LEGAL PROPERTY LEGAL DESC�TION
SEE ATTACHED
ASSESSOR'S PARCEL NUMBER 065-370-048
HCD FORM 433(A) REV. 8/91
WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD- Building Dept.
�*b z
FOUNDATION SYSTEM
CERTIFICATE OF OCCUPANCY
BUILDING PERMITS NUMBER: 06-1227
Address or location of unit: 6427 GROVE COURT, MAGALIA, CA 95954
Legal Description of Real Property: 065-370-048
SEE ATTACHED
(x) Mobilehome/Manufactured Home
() Commercial Coach
Has been affixed to the real property above by installation on a foundation system
pursuant to Health and Safety Code Section 18551.
Owner's name: WILLIAM F. AND PATRICIA EDGELL
Owner's address: 6427 GROVE COURT, MAGALIA, CA 95954
INSIGNIA OR HUD NUMBER: UNKNOWN
SERIAL NUMBER OR V.I.N.: A/B2073039L
MANUFACTURER'S NAME: SKYLINE YEAR: 1978
OFFICIAL APPROVING INSTALLATION:
DATE: (.0 ' l " 0�0
�)
PHONE: (530) 538-7541
H.C.D. 513C
05/19/2006 k5:57 VAX 530 877 5214
Description
FIDELITY PARADISE 4 C21 SELECT MAGAL a002/002
Order No. BU -198816-2 VG
The land referred to herein -is situated in the State of California, County of Butte, and is described as
follows:
-LOT 267, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "SIERRA DEL ORO ESTATES UNIT
NO. 4", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY
OF BUTTE, STATE OF CALIFORNIA, ON SEPTEMBER 29, 1969, IN BOOK 35 OF MAPS, AT
PAGES) 48, 49, AND $0.
EXCEPTING THEREFROM ALL OF THE VALUABLE MINERALS BENEATH THE SURFACE OF
THE SAID LAND WITH THE RIGHT TO MINE AND EXTRACT SAID MINERALS, IT BEING
AGREED AND UNDERSTOOD THAT IN ALL MINING OPERATIONS, THE SURFACE OF SAID
LAND WILL BE PROTECTED AGAINST DAMAGE AND THAT ALL SUCH MINING SHALL BE
CARRIED ON FROM TUNNELS, SHAFTS, OR DRIFTS HAVING THEM ORIFICES OUTSIDE OF
THE SURFACE AREA OF THE ABOVE DESCRIBED .REALTY, ALL AS EXCEPTED AND
RESERVED IN THE DEED FROM MAGALIA MINING COMPANY, A CORPORATION, TO E. D.
STORTS, ET UX, RECORDED SEPTEMBER 4, 1947, IN BOOK 423, PAGE 385, OFFICIAL
RECORDS.
APN 065-370-048-000
•
_, .�...��,..��='�
.�
W) -a /U-V4i5
EDGELL, WILLIAM ti
NOTES .6427 GROVE CT, MAGALIA
,-Cont: DAVID KEMPTON
MH PERM FND (EX)
APN: Permit No.
Owner.
Site Address:
Contractor.
Type of Permit:
SRA
FLOOD CERTIFICATE EQUIRED
FIRE SPRINKLERS REQUIRED
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUBSTANDARD HOUSING LETTER
ENCROACHMENT PERMIT
REINSPECTION FEE PAID
ENV HLTH CLEARANCE.
C(0
DATE JOB FINALED:: (,e) v 0(0
SIGNATURE: v)
CHECKED BY
+=OK
0 = Not OK
MANUFACTURED HOMES
MISCELLANEOUS
DATE Lj PERMANENT FOUNDATION SOFTSET
1 Zoning -Setbacks -Easements
2 Soils; Special MH Support Sketch
3 Sewer; Loctn-Test; Fall/C/O-Concrete
4 Wtr; Loctn-Test-Easement Needed -Regulator
5 Elec Loctn-Clrncs-Grnd `Amp -Concrete
6 Yard Gas; Loctn-Test-Wrap Nat ❑ or LP❑
Inch Sz Ft Lngth
7 Blckng; SzSpacing-Marriage Line
8 Gas; MH Test-Demand-Valve-Cnnctr
9 Elec MH Cntnty Test-Crossovers-Breakers-Clrncs
10 Drain; MH Test -Fall -Flex Cnnctr
11 Wtr & Sewer Connected -C/O to Grade
12 Gas and Electflcity Tagged
13 Tie Downs ❑ Foundation ❑
14 Exits
15 Cert of Occupancy
16 HUD Label/insignia Numbers Serial Numbers
DATE ID E C K S'C O V E R S'C A R P O R T S •G A R A G E S
1 Zoning -Setbacks -Easements
2 Ftgs; SoilsSz-DpthSpacing-CnnctrsSteel
3 Decks, Girders/Joists-DckIng-Brcing .
Stairs-Guard/Handralls
4 Wood Awn; Posts-Beams-Rftrs-CnnctrsShthg.
Frmg-Brcng
5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs
6 Carports; Wndws-Doors
7 Electric
8 Frmg; Sills-AnchrsStuds-Rftrs-Trusses
9 Siding; Nailing -Veneer -Stucco -Lath
10 Roof; Shthg-Roofing
11 Ext; Steps -Doors -Landings
12 Braced Wall pnls
1 ya
°� 0
DATE IPOOLS
1 Setbacks -Easements
2 Soils; Compaction -Structure Stability
3 Pool Structure; Steel-Cnnctns-Thickness
Dead Men -Lining
4 Elec Rcptcls/Lting; Distance-GFI
5 Elec Pool Lting; 15 volts-GFI
6 Elec.Encisrs; Conduit Entries -Terminals -Listed
7 Elec Bonding; Metal w/5'-Crcltng Egp-Htr
8 Elec Grndng; Eqp w/5' Crcltng Eqp-Pool Ightg
Boxes-Enalsrs-pnlboerdsdnsultn•to Main Conduit
9 Health Dept Apprvl ,
10 Pimb; Cir Test-Wtr Supply Test
11 Lt Niche ,.
12 Enclsr; Fencing -Alarms
13 Bonding, Diving board or Slide
00
Pool Drawing
v=OK
0 = Not OK
RESIDENTIAL (Single & Duplex)
DATE JUNDERFLOOR
DATE
IPLUMBING
1 ZoningSetbacks-Easements-FloodSlope
53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle
2 Ftg Main; Soils-Elec Grnd Ftp DRth
54 Wtr Pipe; Test & Anchr-Nail Prtctn
3 Ftg Garage; SoilsSteel-Elec Grnd Ftg Dpth
55 DWV; Test Fittings & Anchr Nail Prtctn
4 Ftg Porches/Decks; Soils -Steel Ftg Dpth
56 Shwr Pan; Test, First fir -Tub Acc .
5 Stemwalls Main; Steel-Blockouts-Wrapped
57 Test Tub '& Shwr, 2nd fir - Tub Acc
6 Stemwalis Garage; Steel-Blockouts-Wrapped
58 Gas Pipe; Sz & Anchrs "
6a Hold Downs and Special Anchrs
59 Fire Sprinkler; Test
7 Slab, Steel Wrapped
60 Yard Gas Piping
8 Piers-Frpic Ftg-Steel
9 DWV; Fall -Fitting -Test -2 -way C/0 -Sewer Test
°¢
P
0 o�
10 UF, Gas Pipe; Sz Anchrs-Sz z Test
11 Wtr Pipe; Test-Anchrs-RgltrService Test
12. Elec Undrgrnd
DATE
M E C H A N I C A L
13 Plenums & Ducts; Clrnc-MaterialSupport4nsultn
61 AC Ducts Insultn & Support
14 GirdersSills-Anchr BoltsJoists-Vnts-Cripples
62 Vent Fan, Exhaust abv Insulin
15 Acc & Vntltn
63 Condensate Drain & Ovrflw, Sz & Grade
16 Insulation
64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet
65 Attic Acc & Pltfrm if Furnace in attic
o'er
�41
DATE IFRAMING
17 Sills Proper Materials & Anchrs
DATE
IFINAL
18 Walls Studs -Nailing Spacing & Braces -Plates -Sound
66 Ext Steps -Door & SideLt Prtctn-Landings
19 Bearing Walls over Girders 8 flr Nailing
67 Smoke Detector
20 Draft Stop in Walls (rat proof)
68 Furnace Vnts-Clmc-Comb, Air-Cnnctr
21 Fire Stops,'Furred Ceilings -Stairs -Chasers -Tubs
In Garage; abv-flr-Ducts-Mach Prtctn
22 Headers & Beams-Sz &Bearing
69 Bedroom Exiting
23 Hangers -Post Caps-Anchrs-Cnnctns
70 GFI & Bath Fxtrs & Tub Acc-Spa
24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac-TrussShthg
71 GFI Arc Fault
25 Frpic Ties or Type A Flue-Frpic Throat Cirnc
72 Elec Trim & Subpnl, Breaker Szs & Labels
26 Attic Acc; Sz &'Rmx Prtctn-Draft Stop -Ins Baffles
73 Stairs, Guard/Handrails .
27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions
74 Frplc or Stove, Clmc-Hearth
28 Garage Fire Prtctn Framing -RC Channel
75 Elec Outlets at Wood Pnl, Int & Ext
29 Prprty Line Firewall & Opngs
76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Cirnc
30 Ext Doors -One X -Check Garage 3rd Story, 2 Exits
77 Elec Outlets & Rcptcls at Ktchn Counter
31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn
78 Garage Fire Door; Swing -Landing -Closure
32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs
79 AC Duct in Garage -Damper
33 Siding -Nailing Veneer
80 Wtr Htr; Vnts-Cirnc-Com Air Cnnctr-PRV; abv fir
34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Acc _
Mech Prtctn; LPG Appince Undr House 3" drain
35 Glazing Area -Glass PrtctnSkyLts-Plastic
81 Plmb; Elec & Mech Eqp Listed for Loctn
36 Shear Walls; Nailing -Bolts
82 Elec Rcptcls In Garage (GFI) Romex Prtctn
37 Brace InUExt Wall pnls
83 Insultn-Foam-Looked in Attic
38 Insultn-Walls-Ceilings
84 Guard Rails & Deck Cnstrctn-Post Caps
39 Infiltration-Walls-Wndws
85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth
86 Cirnc Drnge Planters ❑ Yes ❑ No
87 Stucco Brown -Finish
88 AC Unit Dscnnct, Elec-Plmb
89 Vnts abv Roof, Plmb-Appinc-Frpic-Cirnc to Opngs
DATE JELECTRICAL
90 Wtr Well, Dscnnct, Elec, Plmb
40 Fxtr & Trnsfrmr Cirnc-Ins Prtctn
91 Ext Elec Trim, GFI Rcptcl-Undrgrnd
41 Elec Rcptcls Spacing-Lts & Switches at Doors
92 Vntltn thru House
42 Sz Boxes & No Of Cndctrs Stapled
93 Glass Prtctn
43 Romex Installed Close to Edge of Studs & CJ
94 Corrections from previous Inspctns
44 Eqp Grnd made up w/Mech Fstnrs
95 Gas Test -Meters Tagged, Gas-Elec
45 Grndng Electrode Bond Gas & Wtr
96 Wtr & Sewer Cnnctd-C/O to grade -HD Apprvl
46 2 Appinc Cires In Ktchn & Cndctr Sz GFI
97 Energy Cmpinc Cert -Other Certs
47 Subfeed Wire Sz Oa ❑ CU or ❑ AL
98 Address Posted
AC Wire Sz ga ❑ CU or ❑AL
99 Fire Sprinkler
48 Range Circ ea [:ICU or ❑ AL
Oven Circ Oa ❑ CU or ❑ AL
Insulated Neutral ❑ Yes ❑ No
°�
0�s` 400 0s`
49 Service -Riser Cndctrs & Grnd Main Dscnnct
50 Eqp Clrncs pnls-Motors-Mech Eqp
51 Clothes Closet Lt-Shwr Lt -Spa Lt
52 Smoke Detector
STATE OF CALIFORNIA - DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT
CERTIFICATE OF TITLE
Manufactured Home Decal No: ABC9780
Manufacturer ID/Name
SKYLINE
Trade Name
RAMADA
Model
DOM
00/00/1978 1
DFS
02/24/1978
RY
1978
Exp. Date
Feb 28, 2000
Serial Number
Label/Insignia Number
Weight
Length
Width
SPC
SCC
Exempt
Use
Type
A20730379L
56'
12'
AHD
37
SFD
ILT
B20730379L
56'
12'
Issued
Total Fees Paid
Mar4, 2000
$1,736.50
Addressee
WILLIAM R EDGELL
6427 GROVE COURT t• Y -.�.*rte
MAGALIA, CA 95954
Registered.Owner(s)-"
WILLIAM R EDGELL4.% , rl �� \
.
PATRICIA'EDGELCJTRS I;`
6427 GROVE COURT
MAGALIA, CA 95954 ���� .�,...,�� r''� � �° . • :�ti
Situs Address �-.` `•,` =• �`s`� f t �•
r
6427 GROVE CT
MAGALIA, CA 95954
'y.� �{�'ti: •t.. .,� ..—a�.. V fir. i . .. // � -•¢�._•�.
'•� �! *� a.., yl .ri. .f �a.•-.e�••, y,�14.�t • r q ^.,ate '
x �
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.
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
the Business and Professions Code, and my license is in full force and
effect. ? 46
'
License Class : �_ Lic se Number: �1
Date:. ^06 Contractor: Q usd 1':LMj2�1(\
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior
to its issuance, also requires the applicant for such permit to file a
signed statement that he or she is licensed pursuant to the provisions of
the Contractor's State License Law (Chapter 9 commencing with Section
7000) of Division 3 of the Business and Professions Code) or that he or
she is exempt therefrom and the basis for the alleged exemption. Any
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
❑ I, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
intended or offered for sale (Sec. 7044, Business and Professions
Code: The Contractors' State License Law does not apply to an
owner of property who builds or improves thereon, and who does
such work himself or herself or through his or her own employees,
provided that such improvements are not intended or offered for
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
proving that he or she did not build or improve for the purpose of
sale.).
O I, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
❑ 1 am Exempt under Article 3 of the Business and Professions Code
Date: Owner:
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for
workers' compensation, as provided for by Section 3700 of the
Labor Code, for the performance of the work for which this permit
is issued.
❑ I have and will maintain workers' compensation insurance, as
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier:
Policy #:
yq I certify that in the performance of the work for which this permit is
\ issued, I shall not employ any person in any manner so as to
become subject to the workers' compensation laws of California,
and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
Date:
Applicant:`
WARNING: Failure to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages ap provided for in Section 3706 of the Labor
code, interest, and attorney's fees.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the
performance of the work for which this permit is issued (Sec 3097 Civ.)
Address:
PERMIT NO.
BP061227
Issued Date: 05/30/2006 APN: 065-370-048-000
Site Address: 6427 GROVE CT MAG
Map Index:
Description: EX MH ON PERM FND
Owner: EDGELL WILLIAM F & PATRICIA
6427 GROVE CT
MAGALIA, CA
95954-9312
Applicant: KEMPTON CONSTRUCTION
6348 SPAR WAY
MAGALIA, CA.
95954
530-873-1002
Contractor: KEMPTON CONSTRUCTION
6348 SPAR WAY
MAGALIA, CA.
95954
530-873-1002
License #: 766471
Architect:
Engineer:
Total Square Ft: 0 S. F.
Valuation: $0.00
Census Code:
5551 �•`�`l
PERMIT EXPIRES
lcable provisions -of the Butte County Code and/or
which fees have been paid. 5J6166
Date:
❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby
authorize repres talives of Butte County to enter upon the above mentioned property for inspection purpos
Print Name: e U\"c� i ey"t IPTd'V\ Signature:
Date:
❑ Owner
Contractor
❑ Agent for Owner
❑ Agent for Contractor
B. C. Building Permit 01-16-04 pg 1
IsW9 01)
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834
OFFICE #: (530) 538-7541
A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION
Website: www.buttecounty.net/dds
**PLEASE PRINT CLEARLY* *
OWNER INFORMATION
Last Name �--
,L.c)
First Name
W ; (\ i'c- w\
Address 6 q ai l C5 r d vc—, CT,
City
State
Zip?6,7 e
77
Phone
Fax
E-mail
APPLICANT INFORMATION
CONTRACTOR
Name ,
)
Address 6 3 q
Spar r.J y .
City �� ��
Fax
State Ca
Zip?sys-y
Phone S)3-I60Z
Fax g�3-taS�
E-mail
E-mail
Lic. # ?W01 /
Class,3
APPLICANT INFORMATION
ARCHITECT/ENGINEER
Name
City
Address
'zip
City
Fax
State
Zip
Phone
Address
Fax
E-mail
State License Number
APPLICANT INFORMATION
Name
Address
City
State
'zip
Phone
Fax
E-mail
APPLICANT SIGNATURE
X
For office use only:
Zoning Flood Zone SRA I Yes I No
Occ.
Type Const.
Subdivision Name
Map Book
Page
Lot #
Planner
Date Approved:
PERMIT
BP
BIN N
PROJECT LOCATION
AP# U 6 !S�_' 3?0 ^ O
Prop erti Address /
b LI7 � rO v � CT .
CixtYy,�,
/ /!Q Ci
Cross��}}reet
V�OSec j00W4
WORKERS 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
OVER FOR SUBMITTAL REQUIREMENTS
K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2
Descri 'nor S of Wor .
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
Received byWr. Amount:
SRA
Receipt #: 166 (0 Sheriff
lam ` / � SMIP
Date_2
Total
REV 8-12-05
SUBMITTAL & PERMIT REQUIREMENTS
The following drawings and specifications must be submitted to the Building Division in order to apply for a
permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED, ALL PLANS MUST BE LEGIBLE AND IN INK.
❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper!
❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR
Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes!
❑ 4. Energy compliance design and supporting documentation in duplicate.
❑ 5. Statement of Intent for Non -heated and AIC for Non -Residential Buildings.
❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans,
all in duplicate
❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and.calcs in triplicate, (C) Elevations in triplicate. (D) Floor
plans in triplicate. All of these must be stamped and wet -signed by the engineer.
❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required).
❑ 9. Site plan and business license approval from the City of Biggs.
❑ 10. Letter of intent for non-residential buildings.
❑ 11. Building Permit Application Without Required Clearances Form ,
❑ 12. Hazardous Material Form (for Commercial Buildings only).
Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning
review (May require additional plan review upon receipt of the following items.)
❑ 1.
Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required).
❑ 2.
Impact Fees.
❑ 3.
California Department of Forestry plan approval (if required).
❑ 4.
NPDES Form.
❑ 5.
Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
❑ 6.
Contractor's license information. (Number, Name Style, Classification).
❑ 7.
Worker's Compensation Carrier and Policy Number.
❑ 8.
Owner -Builder Verification (if required).
❑ 9.
Letter of Signature authorization (if required).
❑ 10.
Recorded copy of Agricultural Acknowledgment Statement.
❑ 11.
❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO.
❑ 12.
Sanitation and site plan approval from the Environmental Health Department.
If you have questions or would like additional information regarding this process, please contact a
Permit Assistant at (530) 538-7541.
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one year after date of application. In order to renew action
on an application after expiration, a new application, plans and fees will be required.
REQUEST FOR FEE REFUNDS
Refunds can only be made upon written request by the person who paid the fee. The request must be made within two
years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits
issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not refundable.
OVER FOR BUILDING PERMIT APPLICATION
KAFORMSWILDING F0RMS\B1dgApp1SubRgmts.doc Page 2' of 2 REV 8-12-05
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive, Oroville, CA .95965 Phone (530)538-7541 Fax (530)538-2140
PERMIT APPLICATION DATA SHEET
OWNER: 1 J ( / ASSESSOR PARCEL NUMBER �� �ZX
Proposed Building se: _ ) Permit Technician:
Items required in order to apply for a permit. All boxes MUST be Locked OR marked NA in '0(der to apply.
35- 1. Site plans, 3 or 4 sets, signed by the preparer of the plans.
❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans.
❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑ 4. Engineered truss details and layouts in duplicate. No faxesl
❑ 5. Letter from Engineer or Architect for truss design review.
❑ 6. Energy compliance design and supporting documentation in duplicate.
❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
1 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (Tie down or fnd plans, all in
duplicate.
❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these
must be stamped and wet -signed by the engineer.
❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate.
❑ 11. Hazardous Material Form
❑ 12. Acknowledgement of building permit application without required clearances.
❑ 13. Other
Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
❑ 14. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable
❑ 15. Fire Sprinklers............................................................................................
❑ 16. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by
❑ 17. Soils Report and/or Engineered Foundation required ...........................................
❑Erosion Control Plan Required........................................................................
1 9 Fees as shown on the attached Schedule of Fees Due Sheet .... Sa1..Oi�.3;� 9 )
❑ City of Chico Plumbing permit........................................................................
❑ 21. Site plan and business license approval from the City of Biggs ..............................
❑ 22. California Department of Forestry plan approval ❑ paid. Sent by: .............
❑ 23.1 Planning approval for (A) Use: (B) Parking: (C) Parcel Check: ............
❑ 24. Contact Land Development about _ Improvements, _ Drainage ........................
❑ 25. Fire Marshall Review (commercial projects only). Sent by: ......................
❑ 26. NPDES Form.............................................................................................
❑ 27. Encroachment Permit for driveway from the Public Works Dept ...........................
❑ 28. Contractor's license information. (Number, Name Style, Classification) ...................
❑ .29. Worker's Compensation Carrier and Policy Number ..........................................
❑ 30. Owner -Builder Verification ( _ Given to owner, _Mailed to owner) .....................
❑ 31. Letter of Signature authorization....................................................................
❑ 32. Recorded copy of Agricultural Acknowledgment Statement .................................
❑ 33. Existing violations and/or expired permits.........................................................
❑ 34. Deed Restriction..........................................................................................
❑ 35. 1- Legal description, Q�&.H. Title, title search, registration or MCO .........................
❑ 36. Other:
❑ 37. Other:
When issued Telephone !r% - Q2_ and hold for pickup.
I have been informed of the above items and requirements for obtaining a building permit.
Applicant: ' �� T " Date: 3 - r
1. Index permit app kation for the above items numbered: Plan Check Letter
C
o al items required
or, esigner, owner, was advised of the above data by e', mail, ❑ counter, by Date:
r, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date:
Contractor, designer, owner, was adv* edof the above dat by ❑ phone, ❑ mail, ❑ counter, by Date:
Plans reviewed by: Date: lei) Plans approved by: te: O
Structural reviewed by: Date: Structural approved by: Date: L
Note transfer by: �./L� Date: L' 2G
Yellow: Building Division
K/Building/Plan Check/Data Sheets/data sheet page 2 9.27.05
0
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 Concrete System
Engineer Approval
State Approval
MANUFACTURED HOMEIMOBME HOME
FOUNDATION SYSTEM
RBALTN AND SAFETY CODE, SECTION 18551
APPROVED
BUBRWT TO CORRECTIONS NOTED
APPROVAL DOES NOT AUTHORIZE OR APPROVE ANY
OMISSIONS OR DEVIATION FROM REQUIREMENTS OF
APPLWABLB STATE LAWS AND REGULATIONS
Su to of Celifomis
Dwa,twim stROMMS =4 City
l i OF COQ4S AND STANDARDS
';"E %'E"(OtJNTY
NLw�ly �r �SiJ9 C9
APPROVE D7 Page 1 of!heaton Drive Atlanta GA
30336
8
0
0
lou Xi2 Foundation System
Installation Instructions for California
for Ground & Concrete Systems
HUD Wind Zone 1, 15 PSF Wind Load Seismic 4
By Tie Down Engineering
REQUIREMENTS
• These plans and specifications meet the requirements of Title 25 Section 1336.3 Sub Section A
and 97 UBC Seismic Requirements, CBC 2001 addition.
• Maximum vertical projection at sidewall is 9'. Higher walls may be used when the design loads are
adjusted accordingly and approved by HUD.
• Main rail spacing must be 75.5" - 99.5" * Except single sections 95" minimum
• Additional vertical anchor ties that are unique to a home's design may be required by the home
manufacturer. These locations may include shear walls, marriage line ridge beam support posts, and rim
plates. The longitudinal component of the Xi2 system replaces end frame ties. Check manufacturers
set-up requirements.
• Maximum pier height is 48" pier. *Except for single sections 36".
• Steel piers must be fastened to the I-beam with clamps provided with steel pier.
• Systems must be placed as evenly as possible, no more than 10' from end of home.
• Designed for 7:12 roof slope. *Except single sections, (20° - 4.37 in. 12" pitch).
Additional Requirements for Concrete Systems
• Poured concrete must be 2,500 PSI minimum at 28 days.
• Square concrete pads minimum is 18" wide by 12" deep. Round concrete pads minimum is 18" wide by
14" deep. Strip footings minimum is 18" wide by 14' long by 6" deep. ®*
* Xi2 components exceed HUD code 3280.3068 "Anchoring equipment exposed to weathering sha1I ha�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 0
Ln
0
TIED
'o
• i a
05/19A90�06 15:57 FAX 530 877 5214 FIDELITY PARADISE C21 SELECT MAGAL X001/002
,3 '1D10 I
� IIIIIIIIIIIIIlII111111lIII{1111111
PARC ' 2002—t�tm38219�
RRCORDING RXQUE9= BY Recorded I REC* FEE 10.00
MID VALLEY TITLE CO. Official Records I
AM MWN AHCORDED MAIL TO: CoHn�_Of 1
3 MR. AND MRS. WILLIAM F. EDGELL CAWARecorder dRUBBS I
6427 GROVE -COURT ROSEMARY DIMSON I
MAGALIA, CA 95954 Assistant I Fay
e9:06AM 26 -Jul -212 I page 1 of 2
Space Above Tins Line for Recorder's Use Only
A.P.N.: 065-370-048 Order'No.: Escrow No.: 198816VG
GRANT DEED
TIM UNDERSIGNED GRANTOR(s) DECLARE(s) THAT DOCUMENTARY TRANSFER TAX IS: COUNTY $-0-_
[ computed on full value of p conveyed, or
[ computed on full value less of liens or encumbrances remaining at time of sale,
[ ] uninoorporated area; [ ] Town of_. and �]
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, /
WILLIAM F. EDGELL, WHO ACQUIRED TITLE AS WILLIAM R, EDGELL AND PATRICIA EDGELL;
HUSBAND AND WIFE
hereby GRANT(&) to WILLIAM F. EDGELL and PATRICIA EDGELL, Husband and Wife as Joint Tenants
the following deem'bed property in the UNINCORPORATED AREA, County of BUTTE State of California;
See Legal description attached hereto and made a part hereof.
'THIS CONVEYANCE CONFIRMS A CORRECTION OF NAME, AND THE GRANTOR AND GRANTEE ARE THE
SAME PARTY.' R & T 11911."
110 MWo,0_!�
Document Date: July t7. 2002
STATE OF CAL.EPORNIA
COUNTY OF
AS
personally known to me (or proved to me on the basis of sa"etory evidence) to to the permn(s) whose name(s) is/ate`s66sr:n'bed to dee within hwtrumeat
and aolmowledged to toe that helsbe/fey eteouted the same in his/her/their authorized capacity(tes) and that by his/her/their signatures) on the inswwwnt
the person(s) or the 'ty upon behalf of w n(s) acted, executed the instrununt.
wTTN= my W.
Sigmture A.M. MORROW
COMM. f 1270896
IWWy weuc•cwrOapu
COUNTY OF BUTTE
rlAy Comm. tixpiras July Is. 2W4
Mail Tax Statements to: SAME AS ABOVE or Address Noted Below
• PERMIT NO. 732-77 P,.E
v PERMIT EXPIRES
OWNER I.O. Mylar
CONTR. •Fuller. &Powers Constr. ,Magalia
LOCATION (A.P. 65-37=48 )
oZ, Grove Ct., Lot:267, SDOgk4, Magalia
i
Temp. Power Pole
Called PG&E
Temp. Elec. Serv. ` !2l
Called PG&E
mp.Gas Serv.
Temp. Power Pole
Called PG&E
Temp. Elec. Serv. ` !2l
Called PG&E
mp.Gas Serv.
Called PG&E
j
B
FINALED
(Date)
(Signatur
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
• t
BUILDING
BUILDING (Cont'd)
PLUMBING
Set ck
Agewall
AW'Piping
For
Pa ets
t Floor
Main idg.
Res tr om Finish
Ari, Floor
Foor s
Windo
3r loor
StemAj,I
Siding
To out
Slab X
Roof Shea%inq
Water Ain
Piers x
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Stemwa I I
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport
Footings
Prov. for physical
handicapped
Conformance of ex.
structure
Appliances
Gas Piping & Te t
Temp. Gas
Slab
Final
Sanitation
Patio
FIREPL, CE
Final
Footings
Footin%g
ELEC ' ICAL
Masonry Walls
Throat
Rough
Reinf. Steel
Final
Fixtures
Bond Beam
FIRE SPRINKLERS
Motors
Framing
Test
Water Htr.
Stucco
Final
Subpanels
Mesh
MECHANICAL
Grd. Fault Prot.
Scratch
Heatlng
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Underground
Interior Lath
Ventilation
Permanent
Door Closer
Final
anal
MOBILEHOME UTILITIES Elec_ Service
Elec. Pedestal
Water Piping
SewerAju=
Gas Piping
OBILEHOME INSTALLATION
- - - - - - - - - - - - • - Support
Elec. Continuity
Water Piping
Drainage
Gas Piping
+ DATE
REMARKS OAR-CORRECTIONS
(NOTE: An entry must be made on this form each time you vislt the job site.)
COUNTY OF BUTTE
DEPARTMENT rR PUBLIC WORKS 7 COUNTY CENTER DRIVE
OROVILLE, CALIF. - 534-4541
CERTIFICATE OF OCCUPANCY
This mobilehome has been installed in accordance with the requirements
of the California Administrative Code, Title 25, Chapter S, under permit
number—Z ' -2 for the following location:
Owner
Owner's Address
Mobilehome Mfg. Model Year 1
Insignia No. Serial No.
It is hereby certified for occupancy at the above described location and
may be occupied.
Director of Public Works
Date By
THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED
White - Owner, Yellow - Installer, Pink - D.P.W.
MOBYLEHOME INSTALLATION INSPECTION CHECK LIST
1. Is the mobilehome located with required separation from lot lines and buildings and generally
conform to plot plan? Yes_ No '
2. Does the mobilehome have.required clearances above ground? (Sec.5085) Yes_ No
3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note
possible variation at spring shackles.) (Sec. 5082 & 5083) Yes_ No
4. Is the mobilehome level? (Sec. 5088) Yes_ No_
5. If more than a single unit, are crossover connections properly installed? (Sec. 5088)
Yes No
6. Water
A. Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566)
Yes No
B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes_ No
C. Backflow - If coach is not State of California approved, does station have backflow device
and pressure -relief valve? Yes_ No_
7. Wastes and Drains
A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes No
B. Does it have minimum k" per foot slope and is it properly supported? Yes_ No
C. Are any leaks detected in drainage system after running 3 -gallons of water through each
fixture including washing machine standpipe? Yes No
D. If coach is not State of California approved, does station have required trap and vent?
Yes No
8. Gas Piping and Gas Vents
A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum
mobilehome connector not more than 6 ft. long? Note: All piping is -to be at least as
large as the mobilehome gas line inlet without reductions other than the mobilehome
connector. Yes_ No
B. Test OK as per following procedure? Yes_ No_
1. Open all appliance connector valves.
2. Shut off appliance burner and pilot valves.
3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum
6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without
drop.
4. Connect gas meter to mobilehome with connector, turn on gas, test connections with
soapy water.
C. Are all appliance vents properly installed? Yes_ No
n
9. Electrical
A. Is service large enough to provide adequate amperage -to mobilehome (must equal rating of
mobilehome with a minimum of 100 amp) and other facilities on Lot, i.e., water pumps,
garage, cabana, etc.? Yes No
B. Is there proper clearances around panels? `Yes No
C. Is power supply cord,or feeder assembly properly fused? Yes_ No_
D. Is continuity test satisfactory as per the following procedure? Yes_ No
1. De -energize electrical wiring system of the mobilehome at the pedestal.
2. Make sure that the power supply cord or feeder assembly conductors, including neutral
conductor, have been disconnected. ,
3. Switch all breakers and switches in the mobilehome to the "on" position.
4. Connect one lead of a test instrument to the mobilehome grounding conductor and
apply the other lead to each mobilehome supply conductor, including neutral.
5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line,
water line), including fixtures and appliances, shall be tested for continuity from
such equipment and the grounding conductor.
6. Upon completion of the above procedure, the power supply cord or feeder assembly
conductors shall be connected to the site service equipment. A further continuity
test shall then be made between the grounding electrode and the chassis of the
mobilehome. Upon satisfactory completion of the electrical tests, the lot or site
service equipment may be approved for energizing.
10. Is job card signed by Health Department for water and sanitation?
11. If everything okay, sign off card and tag services.
MOBILEHOME DATA
Manufacturer and/or Namestyle--r
Length CU Width ^; 30379
Vehicle Serial No, l` ti �� 1�g7 �5
State Identification No.5
Additional Information or Comments:
.C.OUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 Courrty Center Drivg —a Oroville, California 95965
.. Telephone: 534-4541
APPLICATION AND PERMIT
774
6000,77
autHOrZ6 represvoLaLivCS UI Ine Cuuniy of Buiie to enter upon the
above-mentioned property for inspection purposes.
0
X - DateL�Z'���-�
Signature of Per/m'itee or Agent
Receipt No. &09:9
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 fo hich fees have been paid.
DI PIE CTO 0 PUB WORKS
B to
Building permit xpires Date
BUILDING
Owner 4101
SQ. FT. OCC. BUILDING VALUATION
Mai l i ng Address
Telephone No.
Fireplace
Contractor
Total Valuation
Mailing Address °�
Permit Fee
Plan Checking Fee &/or Penalty
T�IepJlo_e yo
3sG� ('
Permit Fee
Building Address
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping 1.50
t �^
�O //LQ
Each gas water heater or vent 1.50
��� .. ' / (/
A. P. No. �!'d
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
F
Set�
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
I Parcel
Declaration
Parcel Ma P
60' R/W
provements
Improvements
Lawn sprinkler system 2.00
Bldg. Plansns R�
Par pprovol
PlanTo4proval
Permit Fee $
$
NEW ricn ADDITION ❑ UTILITIES ❑ OTHER ❑
ELECTRICAL No.1 @ FEE
PERMIT FILING FEE $3.00
Main service 600V OR L
100 AMP ORSLESS 5.00
zA04d :7 elOVER
Main service EA. ADD -L 100 AMP 2.50
Single Family ❑ Duplex ❑ Mobil Home Others❑
Main service 100 AMPOOR LESS 25.00
Main service EA. ADD'L 100 AMP 1.00
NEW CONST. DWELING
OR ADDNS. ( ACCLBLDGS.CCUP. &) 22 sq ft
NEW CONSTR. MULTI.OUTLET
NON.RESID. BRANCH CIRCUITS) 2.50ea
NEWCONSTR. POWER APPARATUS &
NON •RESID. (SINGLE OUTLET CIR.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style _
le Of:
7" 7 �% %� .5 4- R
Ex. Occup(OUTLETS OR FIXTURES)@�#
BAL�1
FIXED APPLNS. OR
Ex. Occup. (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
/
License No.s3%i.Z.3a7,3 Classification �' Co
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
have placed on file with the County of Butte a certificate of
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.
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
MECHANICAL No.1 @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 1 1 2.00
Permi Fee $
$
�fJ
TOTAL PERMIT FEE
$c3 ._
autHOrZ6 represvoLaLivCS UI Ine Cuuniy of Buiie to enter upon the
above-mentioned property for inspection purposes.
0
X - DateL�Z'���-�
Signature of Per/m'itee or Agent
Receipt No. &09:9
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 fo hich fees have been paid.
DI PIE CTO 0 PUB WORKS
B to
Building permit xpires Date
COUNTY`OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Qrive' a Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes. .
X �'Z��' / Ob✓�— Date
Signature of Permitee or Agent
Receipt No. ISI//O C. a "I -
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 PU LIC WORKS
By Date
Bring permit expires Date 7�— I -y -%
BUILDING
Owner !n, ��� r
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Fireplace
Contractor EU L — YZ OWL(-'.
Total Valuation
Mai l i ng Address ��
'
Permit Fee
Plan Checking Fee &/or Penalty
L,, I
To hNo
�
3e��0�
Permit Fee $ r
Building Address
PLUMBING @ FEE
PERMIT FILING FEE J$3.00
—^
vl Ge- C�-•
Each Trap 1.50
/,- 0 A G S,0 0�,/
/•
Repair drainage or vent piping 1 .50
Water piping ure 14)r
Zoning Verification O
Each gas water heater or vent 1.50
rcl
A. P. No. 51--3 %
�-
Gas piping system 1 - 5 outlets 1.50
Each additional outlet 30
Fe
a o
FireDept.
FireZone
11rUse Permit
Building sewer /
EQA
Parking Parcel
Plans Declaration
parcel Ma P
60' R/W
Improvements
p ovements
Lawn sprinkler system 2.00
BI 4as ec'd
arcel Approval
ans Approval
Permit Fee $
$
NEW ❑ ADDITION ❑ UTILITIES OTHER ❑
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service 100 OR
ORSLESS 5.00 s
Main service EA. ADD'L 100 AMP 2.50
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Main service OVER 600V 25.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 1.00
SQ FT I\,tnl
NEW CONST. ( DWELLING&1
OR ADDNS. 22sgit
ACC. SLOGS. //
NEW CONSTR. MULTI -OUTLET
NON-RESID. (/ BRANCH CIRCUITS) 2.50ea
,500
FOR MOBILES
NEWCONSTNON-RESID R (POWERT
OUTLETCIR.&
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
St le of:
y
Ex. Occup(OUTLETS OR FIXTURES)@25¢
BAL @1
Ex. Occu FIXED APPLNS. OR
P• OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
7
License No. 32 A Classification
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $ �—
$
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
®I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEE
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
44110 7eu, e-
TOTAL PERMIT FEE
$
73
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes. .
X �'Z��' / Ob✓�— Date
Signature of Permitee or Agent
Receipt No. ISI//O C. a "I -
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 PU LIC WORKS
By Date
Bring permit expires Date 7�— I -y -%
W
SITE PLAN
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Assessor's Parcel Number:
Owner.Narne
Address / Phone No.
Site Location
Contact: 'Name L)n0 a
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Phone
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-- - Odnlrs?3, 303
FOR OFFICE USE ONLY
Zoning:
General Plan Desig:
Size, Acres
4.00.. ,
PROVIDE FOR ALL
ADJACENT.PARCELS
SIZE (AC):
ZONING:
GEN PLAN:
USES:
I
File Copy
Owner FDC
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APN O b5'- 3-7 O - b y
BP# N - 112'7
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