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HomeMy WebLinkAbout066-050-02166-05-21 r Mi &' Mar l0 0.' Sullivan Z Tulsa. Ct., lot 50, CC�klagalia i ntr; Lloyd 'R Roberts; Magaermit #4 0. 8P,E(util�i) < ELEC. Q GAS ' SUPPOR ST UCTURE REQ -7 # f QMPACTION TEST Q. i Ana /f/dh* 66-05-21 f C tr : SOS .MH Sales, Par.' ' e it #6033-78MHI Issued 1 -66-05=21 . permitl��6�2:-7813,E(n�w'pri.g Ara e , v`r-d breezew�y�MH),}�o open decks & co e• . K _ -05 Permit# -90B (1st r�ri�w r320-^- _ i 78 066-050 021$ w�:.� x;04 2342 ru i a GORDON,�NANCY, ;I'`'j } € 13864 TULSA;"'MAGALI r CONT SIERRA, MHS z IN PERM aEX 1VIH PERM FND, 2�` i CSICSI Q RECORDING REQUESTED BY: , �, k ., AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 00.4 io!S 1 30 1 Recorded Official Records I REC FEE 10.*00 I CONFORM 1.00 CoBunty Of DATE OF MANUFACTURE CANDACE J. GRUBBS I Recorder I ROSEMARY DICKSON I Assistant I Kathyh 01:33PM 23 -Aug -2004 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. NANCY L. GORDON AND RACHAEL LEIGH MITCHELL REAL PROPERTY OWNER/LESSOR 13864 TULSA 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 STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE KEYBISCAYNE MAILING ADDRESS DATE OF MANUFACTURE OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 04-2342 (530) 538-7541 BUIL G PERMIT NO. TELEPHONE NUMBER �'' 8• iq•o4 SI TURE OF LOCAL -AGENCY OFFICIAL DATE NE DEALER NAME (if not a dealer sale, write "NONE") - NONE DEALER LICENSE NO. GOLDEN WEST 1978 KEYBISCAYNE MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER GW6CAL62278A/B 64'X 24' CALI 1328526 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER 066-050-021 - - SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE - County Recorder CANARY - HCD PINK - Applicant GOLDENROD - Building Dept. EXHIBIT ONE Parcel I: Lot 50, as shown on that certain Map entitled, "Paradise Pines Country Club Estates Unit No. 1 ", filed in the Office of the County Recorder of Butte County, California, on September 14, 1971, in Book 38 of Maps, at Page(s) 57, 58, 59 and 60. 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 the surface of said land. Parcel It: A non-exclusive easement over Lots A, B, C, D, E, F, G AND H (The Common Areas) of said Paradise Pines Country Club Estates Unit No. 1, and the Lots designated for common and recreation areas as described in the declarations of annexation for Units IV, VI, VIII, X, XI, XII, XIII, XIV, XV and Country Club Estates Unit No. I. . t STATE OF CALIFORNIA - BUSINESS, TRANSPORTATION AND HOUSING AGENCY ARNOLD SCHV DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT Division of Codes and Standards Registration and Titling Program P. O. Box 2111 Sacramento, CA 95812-2111 1-800-952-8356,(916)323-9224 From TDD Phones: 1-800-735-2929 December 13, 2004 BUTTE COUNTY DEPT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 Dear Sirs Governor Decal or ID Number: LBB405 DTN Number: 374508 Amount Paid: $0.0 Escrow Number: IMMEDIATE REPLY REQUESTED The application form 433A, Notice of Installation of a Manufactured Home, Mobilehome or Commercial Modular on a Foundation System, is being returned. We are unable to process the application for the following reason(s): No payment was received with the application. Please remit fees in the amount of $ 22. Please resubmit the 433A form and payment with this letter. Please call 1-800-952-8356 or 916-323-9224, if you have questions regarding this matter. Be prepared to provide the DTN number given in the box above. Registration and Titling Program Initials:_ -gid. A HCD-RT433DEF(REV 10/01) 3745087 ]BUTTE " COUNTY DEC 14 2004 DEVELOPiAENT SERVICES RECORDING REQUESTED BY: SEP -- 9 2 AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 23 -Aug -2004 2004-0051301 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. NANCY L. GORDON AND RACHAEL LEIGH MITCHELL REAL PROPERTY OWNER/LESSOR 13864 TULSA 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 STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE KEYBISCAYNE MAILING ADDRESS DATE OF MANUFACTURE OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 04-2342 (530) 538-7541 BUU14NG PERMIT NO. TELEPHONE NUMBER t g- i4.04 SI TURF OF LOCAL GENCY OFFICIAL DATE NE DEALER NAME (if not a dealer sale. write "NONE") NONE DEALER LICENSE NO GOLDEN WEST 1978 KEYBISCAYNE MANUFACTURERS NAME DATE OF MANUFACTURE MODEL NAMEINUMBER GW6CAL62278A/13 64'X 24' CALI 1328526 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNWLABEL NUMBER(S) ASSESSORS PARCEL NUMBER 066-050-021 SEE ATTACHED A /.: -- ... - - / 8 2004 �� L��.. �, �� `.6 �'• .L"L��. �j +i,7,L[ t "'''4'."Ly �i i�I. .4u a,•aF V: � '�� _ ., o -R 4 y-cy ..._ TOUNDATIO.N."SYSTEM CE{RTIFICATE.OF OCCUPANCY,, . ._-. - .,. a .. .. . •.. c -4 '' r BUILDING PERMIT NUMBER: 04-2342 Address or location of unit: 13864 TULSA CT. MAGALIA, CA. 95954 ' Legal Description of Real Property: AP#: 066-050-021 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: NANCY L. GORDON AND RACHEL LEIGH MITCHELL Owner's address: 13864 TULSA CT. MAGALIA, CA. 95954 , INSIGNIA OR HUD NUMBER: CAL11328526 4 SERIAL NUMBER OR V.I.N.: GW6CAL62278A/B MANUFACTURER'S NAME: GOLDEN WEST YEAR: 1978 OFFICIAL APPROVING INSTALLATION: ►x - DATE: 8.1Q. o4 PHONE: (530) 538-7541 H.C.D. 513C SEP - 8 2004 . ATTACHED ARE THE DECALS FOR " AN 6614WM Bi, c vlw� F I es F le Sty / e I a 1 ' • , .,• • r • !I r � .. V t • r� % • •' r 1. Parcel I: SEP s 8 2004 EXHIBIT ONE Lot 50, as shown on that certain Map entitled, "Paradise Pines Country Club Estates Unit No. 1 ", filed in the Office of the County Recorder of Butte County, California, on September 14, 1971, in Book 38 of Maps, at Page(s) 57, 58, 59 and 60. 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 the surface of said land. Parcel ll: A non-exclusive easement over Lots A, B, C, D, E, F, G- AND H (The Common Areas) of said Paradise Pines Country -Club Estates Unit No. 1, and the Lots designated for common and recreation areas as described in the declarations of annexation for Units IV, VI, Vlll, X, XI, XII, XIII, XIV, XV and Country Club Estates Unit No. 1. ( urU�msit Oo/y . Caiifornia �at� 7reamrer - Kmaiog 8 Community DevelnpKit u622045 09/V8/04 2 J6 36 22.00 Absence o/ Prior [ndorsemeot Suarooteed ^�' ) � . �.. | 11 An �' NAME: AP#: DATE: H.C.D. ATTACH -CHECK .Y t SEP ® 8 2004 c��� tea• r��(.. - _. .. Z3 04----------------------- - 4 RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 23 -Aug -2004 2004-0051301 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. " NANCY L. GORDON AND RACHAEL LEIGH MITCHELL REAL PROPERTY OWNEWLFSSOR 13864 TULSA 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 STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BLUDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 04-2342 (530) 538-7541 BG PERMIT N0.� TELEPHONE NUMBER q • D A SI TURE OF LOCAL -AGENCY OFFICIAL DATE NE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. GOLDEN WEST 1978 KEYBISCAYNE MANUFACTURERS NAME DATE OF MANUFACTURE MODEL NANMWUMBER GW6CAL62278A/B 64'X 24' CAL11328526 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIAMBEL NUMBER(S) REAL PROPERTY PROPERTY LEGAL ASSESSORS PARCEL NUMBER 066-050-021 SEE ATTACHED Parcel I: EXHIBIT ONE Lot 50, as shown on that certain Map entitled, "Paradise Pines Country Club Estates Unit No. 1 ", filed in the Office of the County Recorder of Butte County, California, on September 14, 1971, in Book 38 of Maps, at Page(s) 57, 58, 59 and 60. EXCEPTING THEREFROM all minerals, oil, gas, asphaltum and other hydrocarbon substances, with provision that any and all mining operations shell be done from orifices outside the surface area of the land described herein and that no damage shall be done to the surface of said land. Parcel ll: A non-exclusive easement over Lots A, B, C, D, E, F; G- AND H (The Common Areas) of said Paradise Pines Country Club Estates Unit No. 1, and the Lots designated for common and recreation areas as described in the declarations of annexation for Units IV, VI, Vlll, X, XI, XII, XIII, XIV, XV and Country Club Estates Unit No. 1. BUILDING PERMIT NUMBER: 04-2342 Address or location of unit: 13864 TULSA CT. MAGALIA, CA. 95954. Legal Description of Real Property: AP#: 066-050-021 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: NANCY L. GORDON AND RACHEL LEIGH MITCHELL Owner's address: 13864 TULSA CT. MAGALIA, CA. 95954 INSIGNIA OR HUD NUMBER: CAL11328526 SERIAL NUMBER OR V.I.N.: GW6CAL62278A/B MANUFACTURER'S NAME: GOLDEN WEST YEAR: 1978 OFFICIAL APPROVING INSTALLATION: - DATE: S 1 Q Q 4 , PHONE:. (530) 538-7541 H.C.D.513C ' , i STATE OF CALIFORNIA • BUSINESS, TRANSPORTATION AND HOUSING AGENCY ARNOLD SCHWARZENEGGER, Governor DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT �stNc y Division of Codes and Standards �Z`O 41 O EI EI oil Z Title SearchG�w0 �Y DEV Date Printed : 08/02/2004 Decal #: LBB4056 Manufacturer: GOLDEN WEST Tradename: KEYBISCAYNE Model: Manufactured Date: 00/00/1978 Registration Exp: First Sold On: 11/01/1978 Use Code: SFD Original Price Code: AKF Rating Year: 1978 Tax Type: LPT Last ILT Amount: Date ILT Fee Paid: ILT Exemption: NONE Serial Number HUD Label / Insignia Length Width GW6CAL62278A MH271426 _ 64' 12' GW6CAL62278B MH271427 64' 12' Record Conditions: PPF Exempt Voluntary Conversion to LPT Registered Owner: NANCY L GORDON 13864 TULSA COURT MAGALIA, CA 95954 Last Title Date: 06/21/2000 Last Reg Card: 06/21/2000 Sale/Transfer Info: Price $23,000.00 Transferred on 02/04/2000 Situs Address: 13864 TULSA CT MAGALIA, CA 95954 Situs County: BUTTE Legal Owner: FLAGSTAR BANK 2600 TELEGRAPH RD BLOOMFIELD TOWNSHIP, MI 48302-0968 Lien Perfected On: 02/14/2000 12:10:00 Inactive Decal/DMV: DMV SN1247, DECAL ABF5766 *** END OF TITLE SEARCH *** C4 STATE OF CALIFORNIA BUSINESS, TRANSPORTATION AND HOUSING AGENCY r� DEPARTMENT OF HOUSING AND COWS (UNITY DEVELOPMENT 3. DIVISION OF CODES AND STANDARDS • REGISTRATION AND TrMING PROGRAM STATEMENT OF FACTS This unit is'a: 0 Mobilehome 0 Commercial Coach 0 Floating Home 0 Truck Camper Decal (License) No.(s) Trade Name I/We, the undersigned, hereby state: ,�- CAL 113 Serial No.(s� �w bC0L6zz 9 A (;=w 6 CAL6u7515 I/We further agree to indemnify and save harmless the Director of Housing and Community Development, State of California, and subsequent purchasers of said unit, for any loss they may suffer resulting from registration of the above-described unit in California, or from issuance of a California certificate of title covering the same. I/We certify under /penalty of perjury that the foregoing is true and correct. b' z Executed on 316�( at (Date) (City) Signature(s)Printed name(s) Z11?2V Address 64 City �c,— , State T 7/^r\ .-1L c /TftV OK)I1 (State) 08/01/2004 09:50 15 0 August 6, 200. 1. Regarding: Property address LIBERTY REV MORTGAGE 4 LIBEI,r]PLY —Reverse Afortgage— Nancy Gordon 13864 Tulsa Coun Magalia, CA 95954 PAGE . 01 To Whom It A t:ay Concern: This letter is ti, inform you Ms. Gordon loam at Flagstar Bank will be paid off by our lender Fi.nan6:d Freedom. Senior Funding Cod) out of escrow. If you leave any questions, please feel fre:� to contact me at 800-218-141,5 1�t.alzics, jj May Le Loan Processor Yoa7- Man ey. Yo4(r fro*Ne. yek7 3620 Fair Oaks Blvd., Ste. 400 1 Saeament0 I CA 195954 'oil Fmn: 870,21$,14151 n; 916.497.4$00 I F: 916.487."2.300 I nww,liberfyrerersexorn EQUAL N 1111191; OPPOPTURIn RECORDING REQUESTED BY: Fidelity National Title of California Escrow No. 2002004 -JH Title Order No. When Recorded Mail Document and Tax Statement To: Nancy L. Gordon 13864 Tulsa Ct Magalia, CA 95954 fill li{ Ifl I Illi f III Ill II I III{ If Ilf 24!02--0027Ea 1 9 Recorded OfficialRecords Count BUTTEOf CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 12s15PM 29 -May -2002 REC TAX FEE 10.00 TAX 55.00 Shauna Page l of 2 AF'N: 066-050-021 GRANT DEED SPACE ABOVE THIS LINE FOR RECORDER'S USE The undersigned grantor(s) declare(s) c? Documentary transfer tax is $ �j ��/ City Transfer Tax is $ .5- 1 1 computed on full value of property conveyed, or [ 1 computed on full value less value of liens or encumbrances remaining at time of sale, [ X 1 Unincorporated Area City of FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Nancy L. Gordon, an Unmarried Woman hereby GRANT(S) to Nancy L Gordon, an Unmarried Woman and Rachel Leigh Mitchell, a single person the following described real property in the City of Chico, County of BUTTE, State of California: . -» • JANET R. HERBERT D �y COMM. # 1351382 NOTARY PUBLI"ALIFORNIA QCOUNTY OF BUTTE w Coma. Expires April 17, 2006 DATED: May 3, 2002 STATE OF CALIFORNIA COUNTY OF Bu t6 ON 5-3-02 before me, _TanPt R. Herbert,N b efsonally appeared NNancji T.. Gordon personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity0es), and that JANET HERBERT by his/her/their signature(s) on the instrument the COUNTY OF BUTTE to person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. MAIL TAX STATEMENTS AS DIRECTED ABOVE Nancy L. Gor on seal Si FD -21 R. Q ®• COMM. # 1351382 iw l,'OTJIn"Y PUBLIC•CAOFgRNIA "U n' f remm. Explrea April 17, 2008 W GRANT DEED EXHIBIT ONE Parcel I:. Lot 50, as shown on that certain Map entitled, "Paradise Pines Country Club Estates Unit N6.'l ", filed in the Office of the County Recorder of Butte County, California, on September 14, 1971, in Book 38 of Maps, at Page(s) 57, 58, 59 and 60. EXCEPTING THEREFROM all minerals, oil, gas, asphaltum and other hydrocarbon substances, with provision that any and all mining operations shell be done from orifices outside the surface area of the land described herein and that no damage shall be done to the surface of said land. Parcel 11: A non-exclusive easement over Lots A, B, C, D, E, F, G- AND H (The Common Areas) of said Paradise Pines Country -Club Estates Unit No. 1, and the Lots designated for common and recreation areas as described in the declarations of annexation for Units IV, VI, Vlll, X, XI, XII, XIII, XIV, XV and Country Club Estates Unit No. 1. I ► r'"` NOTES RESIDENTIAL PERMIT NO.__066-050-021 r V 04,-2342 GORDON,NANCY 13864 TULSA, MAGALIA CONT: SIERRA MHS y EX MH PERM FND THE HCD FORM 433A FOR THIS MH CANNOT BE RECORDED,UNTIL ONE OF THE FOLLOWING HAS BEEN TURNED IN TO THE BUILDING DIVISION: (1) LICENSE PLATE(S) OR DECAL (THE INSPECTOR MUST RETREIVE). 'J (2) STATEMENT OF FACTS (ONLY ON NEW MH' S). INSPECTOR TO VERIFY SERIAL & LABEL #'S. f SPECIAL CONDITIONS CHECKED BY — SRA — FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. — SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER F JOB FINALED (Dat L i Signature "� f v=ox ' 0 = Not OK . = NotReadyable DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ P' L 'ft. / /'Nat. or/ P' L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance t 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date 12. Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Card B-1 Date Card B-1 1. Zoning Requirements -Setbacks -Easements Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date 12. Card B-1 Date Card B-1 Date Card B-11-1,Date Card B-1 Date PERM ND SYSTEM (ONLY) Card B-1 Date Card B-1 Date g Requirements -Setbacks -Easements Card B-1 Date Card B-1 Foo s; Size -Spacing -Marriage Line locking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Ga ,s-dnd_FzI<tricity Tagged xi Uot icense Decals 1 Verify #'s with Office Date jLj, p tF Card B-1 ,�jG/ Date Card B-1 Date rT Card B-1 - Date Card B-1 19A MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh t 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures -Panel boards -Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date FRAMING (Continued) Card B-1 Date Card B-1 Date Hangers -Post Caps -Anchors -Connectors Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Date 57. Card B-1 Date Card B-1 Date 58. Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Glazing Area -Glass Protection -Skylights -Plastic 24. Fixture & Transformer Clearance -Ins. Protection Shear Walls; Nailing -Bolts 25. Elec. Receptacles Spacing -Lights & Switches at Doors Brace Interior/Exterior Wall Panels 26. Size Boxes & No. of Conductors Stapled Insulation -Walls -Ceilings 27. Romex Installed Close to Edge of Studs & C.J. Infiltration -Walls -Windows 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Card B-1 Date Card B-1 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI Card B-1 Date Card B-1 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or All Insulated Neutral 0 Yes 0 No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector 69. Elec. Trim & Subpanel, Breaker Sizes & Labels Date 70. Card B-1 Date Card B-1 Date 71. Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Elec. Outlets at Wood Panel, Int. & Ext. 36. A.C. Ducts Insulation & Support Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 37. Vent Fan, Exhaust above insulation Elec. Outlets & Receptacles at Kit. Counter 38. Condensate Drain & Overflow, Size & Grade Garage Fire Door; Swing -Landing -Closure 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet A.C. Duct in Garage -Damper 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 80. 41. Sills Proper Materials & Anchors 81. 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 82. 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 83. 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 84. 46. Headers & Beams -Size & Bearing 'N, Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.FI.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes _ 83. Following Instld./Drive 0 Yes O No/Walks 0 Yes O No/Planters O Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: 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 PERMIT NO. BP042342 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 Issued Date: 08/13/2004 APN: 066-050-021-000 the Business and Professions Code, and my license is in full force and effect. )y rs License C ass : License Number: Site Address: 13864 TULSA CT MAG Date: 3 Contractor: K�-e/ Map Index: Description: EX MH PERM FNDN OWNER43UILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: GORDON NANCY L ETAL permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a MITCHELL RACHEL LEIGH signed statement that he or she is licensed pursuant to the provisions of 13864 TULSA CT 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 MAGALIA, CA 95954-9571 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant•- GORDON NANCY L ETAL Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: SIERRA MOBILE SERVICE not apply to an owner of property who builds cr improves thereon, and who contracts for such projects with a contractor(s) licensed BILL REID pursuant to the Contractors' State License Law.). 466 CIRCLE DRIVE ❑ 1 am Exempt under Article 3 of the Business and Professions Code OROVILLE, CA 95966 530-534-0599 Date: Owner: License #: 470386 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carder and policy number are: Carrier: d"�"`F/� Total Square Ft: 0 S. F. Valuation: $0.00 Policy#: 5-7 Census Code: ❑ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, 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 as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY "- I hereby affirm that there is a construction lending agency for the This permit is hereby issued under the applicable provisions of the Butte Count -Cods a 616r Resolutions t work indica above r whi fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) 2 Name: By Date: �J D PERMIT EXPIRES ON: Date Address: Cl I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. I ❑ 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 representatives of Butte County to enter upon the above mentioned property for inspection purpose Print Name: �� / Y Signature: Date: 0 Owner Q' Contractor ❑ Agent for Owner ❑ Agent for Contractor BUTTE COUNTY PERMIT DEPARTMENT OF DEVELOPMENT SERVICES NO. BUILDING PERMIT APPLICATION t a3 AND SUBMITTAL REQUIREMENTS B 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834 BIN OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION Name /{i/},v�Y OWNER Z 6folZ Po e Service Address G Tv, fA City 14496,41- 1.4 Zip 95966 Stateeh, Zip Phone Lic. # 470386 Fax E-mail E-mail `/e CONTRACTOR Name Sierra Mobile Service Address466 Circle Dr. City O r o v i l l e State C A Zip 95966 Phone 534-0599 Fax 534-0709 E-mail Lic. # 470386 Class B APPLICANT SIGNATURE X For office use only: ARCHITECT/ENGINEER Name �'�� /E 1,0 Address YG C rR �Z E D k City olec,ur State Zip Phone S7 `( oS9 i Fax E-mail Planner State License Number APPLICANT SIGNATURE X For office use only: APPLICANT NAME Name �'�� /E 1,0 Address YG C rR �Z E D k City olec,ur State Ct► Zip Phone S7 `( oS9 i Fax s3Y- 0 7 6 `r E-mail Planner 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: OVER FOR SUBMITTAL REQUIREMENTS LOCATION / P# �� CG 0.5--o 02-/ Property Address Cross Street n n ' `c:�,, WORKER'S COMPENSA Policy Number 4257 Carrier State Comp Ins 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 ork: Foundation un er existing M/H Sq. Footage 11 Structure Built without Permits O 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. I I Reed by: Amount: 9` Bldg I I �/a6_33 SRA Sheriff SMIP Other Y Total K:\FORMS\BUILDING FORMS\BldgAppISubRgmts.doc Page 1 of 2 REV 4-30-04 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 Cvc a r OWNER: ASSESSOR PARCEL NUMBER � 1 Proposed Building Use: JJX &A -0-vIM r. Counter Technician: Date:y 01L) Items required in order to apply for a ptmit. All boxes MUST be checked OR marked NA in order o apply. ], 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 faxes! ❑ 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. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) 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. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form ❑ 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. Cl 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........ ❑ 20. Erosion Control Plan Required........................................................................ ❑ 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 22. City of Chico Plumbing permit........................................................................ ❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. ❑ 24. Planning approval (A) Use: (B)Parking: (C) Parcel Check: ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... ❑ 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit f r daM Public Works Dept ........................... 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization.................................................................... �-y`'� ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ -35. Existing violations and/or expired permits......................................................... ❑ 36: Deed Restrictio�i,.............................................. ❑ 37. Grant Deed .H. Title/Statement of Facts,'�Letier from Legal Owner, ❑ Check to H.C.D. $ 2 Z ❑ 38. Other: ❑ 39. Other: When issued Telephone and hold for pickup. I have been informed of theaboveitems and requirements for obtaining a building permit. Applicant: Date: Y 1. Index permit application for the above items numbered: Plan Check L tter al items required nn Contract , designer, owner, was advised of the above data by phone, ❑ mail, ❑ counter, b Date: V Con actor, designer, owner, was advised of the aAove data by ❑ phone, ❑ mail, ❑ count , y Date: Plans reviewed by: IVVDate: O Plans approved by: Date Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division PRE -INSPECTION REPORT OWNER: DATE: O LOCATION: A.P. #��- CONTRACTOR: 1> ZONING: REASON FOR PRE -INSPECTION DATE TO INSPECTOR: PERMIT HISTORY ( ) NONE SEEATTACHED r BUILDING INSPECTOR'S REPORT Building Description: r Commercial/Usage: Residential # of Units: Mobile home # of Units: Currently Occupied ( ) Yes ( ) No a: Abandoned/Vacant: Electric: s, VtA4/ � Electric Currently ( ) On ( ) 0f Condition of Electric Gas: Currently () On () Off Condition ,. Sanitation: 1 Plumbing Worldng ( ) Yes ( ) No Obvious Sewage Problems ( ) Yes () No ACTION RECOMNTNDED: ISSUE (K es O No Hold for permits or verify: /L��yj ,(j� L� /V���-� Inspector: Date: �✓ s 66-05-21` rte_ v Mi & Marto O'Sullivan 8 Tulsa Ct., lot 50, CC#I,. agalia �. . ontr; Lloyd R. Roberts, Mag is Permit #4 0-8 ) K ELEC . '�% �. 7 •i . GAS�� } SUPPOR ST UCTURE REQ. UD A Q CTION TEST RXQ. /%�� 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 OF APPLICATION CONTRACTOR OWNER Name IP14 N (_ Y &'0/"- '©%zAddress Address G V % vdSA City r A Phone 534-0599 StateZ q Zip Phone Class B Fax E-mail Page CONTRACTOR Name Sierra Mobile Service Address466 Circle Dr. City O r o v i l l e State C A Zip 95966 Phone 534-0599 Fax 534-0709 E-mail Lic. # 4703861 Class B APPLICANT SIGNATURE X For office use only: ARCHITECT/ENGINEER Name Address Y� �+ I R G� E D R City State Zip Phone 57 `( as'9 i Fax E-mail Page State License Number APPLICANT SIGNATURE X For office use only: APPLICANT NAME Name Address Y� �+ I R G� E D R City State eA Zip 96-966 Phone 57 `( as'9 i Fax S3Y- d 7 0 `l E-mail Page APPLICANT SIGNATURE X For office use only: Zoning Flood Zone SRA I Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT LOCATION P# Ln C G o So 02-/ Property Address 3 944' Cross Street WORKER'S COMPENSATE Policy Number 4257 Carrier State Comp Ins 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: Foundation under existing M/H Sq. Footage ❑ 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. by: " e-"% -3 r � . Amount SRA Sheriff SMIP Other Y � . Total K:\FORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 1 of 2 REV 4-30-04 Building Permit Number: O q' 2 ,�3 V 2 Owner Name: 60 r-dey? Residential Construction Requirements IMPORTANT This set of plans and specifications MUST be kept on the job site at all times and it is unlawful to make any changes or alterations on same without written permission from the Building Division, County of Butte. All materials and workmanship shall be in accordance with recognized good practices and of a quality prescribed for the specific use in the 2001 California Building Code (2001 U.B.C), 2000 California Plumbing Code ( 2000 U.P.C.), 2000 California Mechanical Code (2000 U.M.C.) and the 1999 California Electrical Code (1999 N.E.C.) COMPLY WITH ITEMS CHECKED BELOW Your parcel lies within a designated 100 -year flood plain. Finish floor, electrical, H.V.A.C. equipment and services shall be a minimum of one foot above the elevation shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate will also be required Note: We will normally accept the following as compliance with the flood elevation requirements: 1. Building is anchored to concrete stemwall system with conventional anchor bolts. 2. Building plate on top of stemwall to be one foot or more above the 100 -year flood elevation. (Plate height less than 24" above grade, or engineered design required). 3. Electrical, heating, ventilation, plumbing and air conditioning equipment and facilities located above the plate. 4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total net area of not less than 1 square inch for every square foot of enclosed area. 5. The bottom of the openings shall be no higher than 1 foot'above grade. 6. The openings may be screened or covered with other devices that will permit automatic entry and exit of floodwater. Page 2of 2 Building Permit Number: 0 cf- -2 Owner Name: Gv� Parcel lies within the State Responsibility Area (SRA). Comply with attached requirements. MFire sprinklers are required in this structure. MThe following parcel map requirements shall be met: All structures and equipment including overhangs shall be clear of all easements. A setbac 5AqeeI from the side ander —'vIee_t from the rear property lines and 20 feet (25 feet if Federal Aid Route) from the edge of the right of way shall be clear of structures and equipment except for a 2 foot overhang. Expansive soil may be encountered on this site. te.� This condition may require the foundation to be designed by a California registered - engineer or licensed -architect. 11 Vector Dynamics Foundation System INSTALLATION INSTRUCTIONS for the State of California Version 9/2/2003 INDEX Approval PAGE RELEASE SECTION NUMBER DATE MANUFACTUREDHOMB/MOBRXHOMIS FOUNDATION SYSTEM MALTA AND SAFETY CODE, SECTION 18551 APPROVED INTRODUCTION 2 .9/2/03 SUBJECT TO CORRECTIONS NOTED GENERAL INSTALLATION 3 9/2/03 OVAL DOES NOT AUTHORIZB OR APPROW ANY PARTS LIST 4 & 5 9/2/03 MISSIONS OR DEVIATION FROM REQUIREMENTS OF LONGITUDINAL DEVICES 6 9/2/03 ADPLICABLBSTATE LAWS AND REQULATIONS ���St--ate of California PIER HEIGHTS 7 9/2/03 t PHouuo and CommunityD"opment SET-UP INSTRUCTIONS 8 9/2/03 _7+N0 ODES ANDSTANDARDS r DATE � (tignsture) SPA FOOTER SIZES This An APPravalExpirn+ WIND ZONE I - SINGLE 9 9/2/03 y�'7-D -'DOUBLE " " 10 " ` - ` "9/2/03 -TRIPLE 11� - HIGH PIER 12 9/2/03 _ WIND ZONE II - SINGLE 13 9/2/03 �o?Ko FEs$/oNV` - DOUBLE 14 9/2/03 M. - TRIPLE 15 9/2/03 No.6 245 m V -DRIVE & PIER SYSTEMS 16 9/2/03 ��A� i ft- FcA�IF°\P SOIL CLASSIFICATION 17 9/2/03 CONCRETE INSTALLATION 18 & 19 9/2/03 BUTTE COUN'Pt ULDING D PARTM0m COMPONENT PARTS AVAILABLE UPON REQUEST IP PRO, V k Tie Down Engineering, Inc. VECTOR DYNAMICS INSTALLATION DESIGN INSTRUCTIONS Introduction These instructions describe the proper use of the lateral and longitudinal foundation system. You may also refer to the home manufacturer's installation manuals that include the Vector Dynamics system as an alternate foun- dation system. General The Vector Dynamics Foundation System provides the support to resist lateral, longitudinal and over -turning movement of the home as required by the Federal Manufactured Home Construction and Safety Standards in a specified wind zone when the system is used as described in these instructions. Please verify state or local wind load requirements prior to installation of the home. The Vector Dynamics Foundation System resists lateral & longitudi.nal wind & seismc loads by anchoring the two longitudinal main rails. The system is approved to be used on single or multi section homes: Nominally 12 feet to 16' feet wide- (single section) with main rail spacing of 95 inches or greater on center, multi section main rail spacing of 75 inches or greater on center. Nominal 8 foot or less top plate height at sidewalls-with main rail depth of 12" or less. Maximum roof slope of 20 degrees (4.4" in 12" slope). Maximum eave width (roof overhang of sidewal1) of 12" for Zone. I, 8" fo Zone II Maximum pier height under main rails -see page 7. The Vector Dynamics Foundation Systems may be used as a part of the vertical or gravity support system con- sidering that each Vector Dynamics pad has two (2) or (3) square feets bearing area. To inquire about the use of the Vector Dynamics Foundation Systems with homes of four or more sections, other widths, or on homes requiring pier heights which are not included in these instructions, contact Tie Down Engineering, Inc. at 1-800-241-1806. The Vector Dynamics Foundation System has not been designed for use on exposure T" homes within 1500 feet of the coastline. 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, end frame ties and rim plates. Page 2 California Q(9-912100= , GENERAL INSTALLATION INSTRUCTIONS SITE PREPARATION It is necessary that the home site be properly graded and sloped to prevent water and moisture from standing or flowing beneath the home. FOOTINGS AND FROST LINES The Vector Dynamics Foundation System was designed to be placed directly on top of the ground (or poured concrete) after clearing all loose vegetation. In areas with frost heave, use Vector for Poured Concrete (see pages 20 & 21) to comply with local requirements for footer depth. FOUNDATION/FOOTING SPECIFICATIONS FOR VECTOR PADS Vector Pads are used in place of conventional foundation pads: One Vector pad provides two or three square feet of bearing support. Vector Systems should be spaced as symmetrically as possible along the length of the home. For pier locations in between the Vector Systems, use the normal foundation pads. LUMBER/MOISTURE -TERMITE SHIELD To cut PVC or lumber (2 - 2x4's,1 - 4x4 or 1 adjustable steel commpression member per Vector system) for the center compression section,when using concrete blocks for piers, measure center to center frame (I-beam) dis- tance and subtract 1.6". When using METAL PIER STANDS, measure. center to center frame distance and add 16". ALL WOOD MUST BE PRESSURE TREATED, GROUND CONTACT RATED . Tip: Pre-cut your lumber and mark as to brand or model of homes you will be installing. If frame widths are the same, the pre-cut boards will also be the same length in each Vector set-up, STRAP INSTALLATION All frame ties and diagonal straps must go from the anchor. to the top of the I -Beam. See Illustration below. 1. Attach frame hook to top inboard location of °I" beam. (Frame hook must be attached to frame at points closest to floor support.) 2. Keeping in line with the hook, wrap galvanized strap completely around °I" beam. 3. Pull strap past anchor head approximately ten inches before cutting to allow enough strap to give a minimum of five turns around the slotted anchor bolt. 4. Thread loose end through slotted bolt so that the strap is flush with the other side of the bolt. 5. Tighten slotted tensioning bolt a minimum of five full turns. Page 3 Californiaa.� 9/2/03. 4 Longitudinal Stabilizer Devices The use of LSD systems on a . single or multi. section home replaces longitudinal anchors, stabilizer plates and straps. ' The Longitudinal Stabilization Deyicc (LSD) is vavcl „-;41-, 1kc Vcc+or Dynamics System to resist loads in the longitudinal direction (short dimension) of home. The number of LSD required is- shown on pages 10-13. LSD 1. Longitudinal Foundation Pad 2. Beam Clamp (2 per system) 3. Longitudinal Strut (2 Per systcm) 4. Tie Bracket (2 per system) Combine Vector Dynamics & LSD Note: Two struts =1 L.S.D. Can be used on one Pad or e opposite ends of the home. Exa m pled of Possible Placement: (Contact TIE DOWN for placment in other Wind Zones) Wind Zone I Single Section I I .I I I I I I I I I I I I I I I I I I I I I I Wind Zone I Double Section 18 Ft. Max. 32 Ft. Max, Forgreater widths use triple Section design, Page 6 Wind Zone Triple Section I I I 1 i i I I I I I I I I ' i Wind Zone I Tag Section Ina 48 Ft. Max. California 9/2/03 50 in max. Maximum Pier Height Vector Dynamics Foundation Systems may be used on single section homes in Wind Zone I which require pier heights (from surface of Vector pads to top of concrete or metal pier) not to exceed 50 inches under one or both main rail(s). Note that a ground anchor must be used at each Vector system location where the pier height exceeds 24 inches for single section homes. On multi -section homes in Wind Zone I, an anchor must be used at each Vector System location with pier heights above 46" with the following exception: double section homes that are 24' wide, in Wind Zone I, have a maximum pier height without anchors of 38". See page 12 for double section home high pier set instructions. 50 it Max. Unequal Pier Heights Homes with unequal pier heights are limited to 50" maximum pier height. and the shorter pier cannot exceed 26". Page 7 Taximum The difference between the taller pier California 9/2/03 Set -Up Instructions for Vector System #59018 Wif Long U -Bolts 1. Set Vector Pads Clear all vegatation where pads will rest. Place - a long U -bolt in pad as shown. Press or ham- mer pad into the ground. 2. Set Block or piers on pads. Center foundation blocks or piers on pads. Place pre-cut center compression member between blocks, resting on pads, centers between U -bolts as shown. 3. Outside Tension Bracket Attach outside tension bracket as shown to out- side of pads. Page 8 4. Inside brackets & straps Attach the inside tie brackets to the U -bolts over the compresion member. Attach a strap w/hook or swivel strap w/nut & bolt. Place other end of the strap over opposite I-beam & down to out- side tension bracket. Cut strap 12 - 15 inches past bracket. Attach strap & slotted bolt in bracket. Tighten strap until tight with 4-5 wraps around bolt. Repeat with opposite strap. Califor 9/2/03 WIND ZONE I, SEISMIC ZONE 4 _ - . R �• Vector Dynamics Systems Required for Double Secfion Homes (Materials Required) _ _ : - - " - - _ _ - - - " h ` P, , se a.�2, double mi „ I \ \ I - 1\ •t��,. _ate`' mac` _ •, � ��, z G \ \ I � _ I r i !' - \\ ...: •moi -m _ Y.Y - ftaX. r co , NOTE: Vector Systems should be spaced as symmetrlcally as possible along the length of the home. Pier spacing must be consistent with home manufacturers' instructions and/or state requirements. r No anchors required. For pier heights up to 46" for WIND ZONE I 28'-36' wide, 38"for 24' wide. See Pg 12 for high pier instructions. ". 2 sq. ft. pad. Soil Bearing Capacity: 1,000 PSF minimum Anchors Required*: None ('Marriage wall anchors ma be re u' d b h r Home Length Vector Systems' Required Y q Anchors Required Per Side ire y ome L.S.D. 0 to 40' 2 0 2 41 "to 66' 3 0 3 67' to 84' 4 0 4 85' to 90' S ^ 0 4 manufacturer) Note: L.S.D.= Longitudinal Stabilization Device See Page 6. Each Vector System.requires one of the following: t 1-4x4 or 2-2x4's pressuretreated wood compression member, _ Schedule 40, PVC Pipe or 1 adjustable steel compression (see parts list) VECTOR DYNAMICS INSTALLATION DESIGN INSTRUCTIONS Vector Dynamic Foundation Systems may be used only on homes set on soils classified as Class 2, 3, 4A and 413 as described in the table below: SOIL CLASSIFICATIONS Soil Class Types of Soils Blow Count (ASTM Soil Test Probe (1) D2586) Torque Value (2) 1 Sound hard rock...... NA NA Very dense and/or 40 -up More than '550 lbs - in. cemented sands, coarse 2 gravel and cobbles, preloaded silts, clays, and corals Medium -dense coarse 24-39 350-549 lbs - in. 3 sands, sandy gravels, very stiff silts and clays 4A Loose to medium dense 14-23 275-349 lbs - in. sands, firm to stiff clays 4B and silts., alluvian fill 175-275 lbs - in Peat, organic silts, 0-44 175 lbs - in. 5 inundated silts, loose fine and lower sand, alluvium, loess, varied clays, fill, fly ash. (1) The purpose of the soil test probe is to gauge the strength of the soil below the surface and near the anchor's helical plate. The strength of the soil is estimated in terms of its resistance to penetration (flow) under load by means of the torque probe and is measured in Ib -in. The test probe has a helix on it. The overall length of the helical Section is 10.75 in.; the major diameter is 1.25 in.; the minor diameter is 0.81 in.; the pitch is 1.75 in. The shaft must be of suitable length for anchor depth. (2) A measure synonymous with moment of a force when distributed around the shaft of the test probe. Vector Foundation Pads Equivalent to Footer Pads* Footer Size: Footer Size: _ 16x16 = 256 sq. in. =2k ' 14; 20x20 = 400 sq, in. _ or 16x18 = 288 sq. in. y`';- ".,'.y-;: or 17x25=425 sq. in. EQUALS EQUALS - - 2 -Vector Pads # 59275 �� ` 1 -Vector Pad # 59271 - - .r..A'... 288 sq. in. or 432 sq: in. 1 Vector Pad # 59130 Vector Pad(s) exceed the surface area required when used as the equivalent liste bone. 'Foundations in soil with a bearing capacity of less than 1,000 PSF must be designed by a Registered Professional Engin tar with site condilons - Page 17 California 9/2/03 4 PERMIT NO. ' - PERMIT EXPIRES r OWNER Mike O'Sullivan CONTR. owner LOCATION (A.P. 66-05-21 ) 80 Tulsa Ct. ,, lot 50, PPCC#1, •Magalia /77 7- �o k - i y} t' h t Temp/El. C t TempCTemp- dled PG&E - JO `,,FINALED 2 ® (Date) (Si nature) "I'll COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMPING Setback'-,Z� 79 �' Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish > 2nd Floor Footings Windows r4 I z 1 3rd Floor Stemwall Siding, t To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwall // S %1L Garage Vents Insulation Water Htr. Heaters Slab Carport p Footings Prov. for phslcally handica ed Conformance of ex. structure Appliances Gas Piping &Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELE TRICAL Masonry Walls Throat CRough o1- - 7 Reinf. Steel Final J F Framl Stucco Final Subpanels Mesh MEC ANICAL Gird. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOMEUTILITIES-------•---------- Elec- Service Elec. Pedestal ., Water Piping Sewer Gas Piping MOBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS 7 D Ala 5�d•�! L 1-7- ,'.w "/ �/7�75' .Zdo S£wCJtG£ 41,11a cll��17- © �itoridde 54tu s {{£/9G 7 �% (JSE /%/L�is¢E:rtfa�1i'ade this lZffhvHacfyyo��t the j2site.) �" COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS rr 7 County Center Drive - .Oroville, California 95965 l\I ' Tel ephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to•enter upon the l above-mentioned property for inspection purposes. X ( �L—Date Signature of Permitee or Agent Receipt No.�� White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have bee aid. (RECTOR PUBLIC WORKS B Date Building permit expires Date A&I'lE-O BUILDING Owner Liz O' � �� SQ. FT. OCC. BUILDING VALUATION Mailing Address 7 VL GJi C Telephone No. Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address _ Plan Checking ee&/or Penalty Permit Fee . UO O2 PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 - CCf 4,0T Z"kf6.04-1 t Repair drainage or vent piping 1.50 / _ I A. P. No. ee OS — OZ! 1 'Q Z`a/ ing & Planning Water piping 1.50 Each gas water heater or vent 1.50 41rs- I Y(r-.C. . FireDept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans I Parcel Declaration Parcel Map 60' R/W I Improvements Each additional outlet .30 Building sewer 5.00 -Bldg--RQ"_Rac:d Porcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ 5 0O -7p ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 60ov OR L ESS LESS 5.00 Main service too AMP Single Family ❑ Duplex Mobil Home Others ❑ ❑ ® -L Main service EA. ADDtoo AMP 2.50 Main service OVER eoovR LESS 25.00 100 AJOUR Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST ACCLBLDGS.LING CCUP. Y) 20sgft ' CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name St le of: y NEW RESID.CONSTBRANCH CIR T NON-RESID. BRANCH CIRCUITS 2.50ea NEW CON ST R. POWER APPARATUS 8 NON-RESID. SINGLE OUTLET CIR. Ex. OCcup(OUTLETS OR FIXTI]RES g L2@510 Ex. QCCU FIXED APPLNS. OR p•(OUTLETS (RESID.) EA) 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 $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liability 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 Pi 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 N0.1 @ FEEPERMIT FILING FEE J$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 is TOTAL PERMIT FEE $ �s authorize representatives of the County of Butte to•enter upon the l above-mentioned property for inspection purposes. X ( �L—Date Signature of Permitee or Agent Receipt No.�� White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have bee aid. (RECTOR PUBLIC WORKS B Date Building permit expires Date A&I'lE-O t" COUNTY OF 13UTTE — DEPARTMENT OF PUBLIC WORKS r 7 County Center Driyre ,-•- broville, California 95965 Telephone: 534-4541 �,5,20. ��' APPLICATION AND PERMIT AA is/ t / 11x authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. XCate (v i Signatui of P1 rmitee or Agent Receipt No. '/hite-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. DIREP-T,OR OFYBLIC WORKS By /-) 1 Date Building permit expires Date leg , �-, BUILDING Owner, SO. FT. OCC. BUILDING VALUATION d D o0 Mailing Address Alt/ Z / 7 Tele hon�e�r� JJ 2 /� o Contractor Mailing Address Fireplace Total Valuation,$ % �p, 0 Telephone No. Permit Fee c7 Building AddressPlan 27— Checking Fee&/or Penalty Permit Fee PLUMBING No.1 @ FEE O ��� PERMIT FILING FEE $3.00 Each Trap 1,50 Repair drainage or vent piping 1.50 A. P. No. �(' =�� ��Zo ning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fees *,-,- FireDept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Parcel Plans Declaration Parcel Ma 60' R/W Imp ovements Each additional outlet .30 Building sewer 5.00 � -'' Bldg. PI�Rec'd Parcel A' rovol Pans Approval Lawn sprinkler system 2.00 NEW J0 ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3 611V OR LESS Marn service 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home ® Others Main service EA. ADD'L 100 AMP 2.50 c Main service OVER .11.V25.00 100 AMP OR LESS Main service/ EA. ADD•L 100 AMP 1.00 OR ADDNST C ACCLBLDNEW CONS. h) 20sgft 55qF7, r) CONTRACTORS LI NSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name le of: style NEW RESID,CONSTBRANCH T T NON.RESID � BRANCH CIRCUITS) 12.50ea NEW CONSTR. (POWER APPARATUS d NON-RESID. SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTIIRES B L0; Ex. Occup. FIXED APP LNS, OR p•(OUTLETS (RESID,) EA) 2.00 [Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 i ® 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. f� I certify that in the performance of the work for which this l� ® 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 Land Development Fee $ TOTAL PERMIT FEE 11x authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. XCate (v i Signatui of P1 rmitee or Agent Receipt No. '/hite-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. DIREP-T,OR OFYBLIC WORKS By /-) 1 Date Building permit expires Date leg , �-, PERMIT NO. 4130-J8R,E- PERMIT EXPIRES/ OWNER Mike & Marlo O'Sullivan 'CONTR. 1,1oyd R Rohorts, M Wl is 66-05-21 LOCATION (A.P. 80 Tulsa Ct., lot 50,_CC#l, Magalia A , f _ A Temp. Power Pole Called PG&E Temp.fElec. Serv. _ /a/ailed PG&E X412 , D Te. Gas Serv. - alled PG&E FINALED (Date) (Signature) OKEl. rical � ` . 1. A. s service•large.enough to provide adequate amperage-to-mobile'home (must equal rating ofN mobilehome with a minimum of 100 amp,) and other facilities on lot, i.e.,.water'pumps, garage, cabana, etc.? Yes-4 No. B. �Is there proper clearances around panels? Yes_ No C. v 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 (=9 le® �J� Length Width Vehicle Serial No. State Identification No. Additional Information or Comments: MOBILEHOME INSTALLATUON INSPECTION CHECK LIST / �Is the mobilehome located with'required separation from lot lines and buildings and generally conform to plot plan? YeS-ANo OIL Does the mobilehome have required clearances above ground? (Sec.5085) Yesb,No OP.&re footings and supports• properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes No O4 Is the mobilehome level? (Sec. 5088) yesNo_ 55C If more than a single unit, are crossover connections properly installed? (Sec. 5088) Yes No ti` Water A. Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes ;,4 -No B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes No C. Backflow - If coach rove is t�je e does station have backflow device and pressure-�x-�i No 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 V 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 St to o alifornia approved, does station have required trap and vent? Yes No 8.. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas suppl mobilehome connector not more than 6 ft. long? No large as the mobilehome gas line inlet without r uc connector. Yes_ Nom B. Test OK as per followinprocedure? Ye .No 1. Open all appliance co ector valv 2. Shut off appliance burner pilot valves. with an approved 3/4" minimum All piping is to be at least as tions other than the mobilehome 3. Air test witVto 10"\withcon lumn, or test with slope gauge (minimum 6oz.-maximumatednd increments. Test for 10 min. without drop. 4. Connect gas ehomtor, turn on gas, test connections with soapy water. C.. Are all appliance vents properly installed? Yes, No DATE REMARKS OR CORRECTIONS £t.Jf� c/£�•.�/ p d 7 £'t`c �s � (�E' p v% o� ,5�2 r/cc�' D Fe "list e /V 6.78' I/x Cea/e�e� `ua�,r d��K/o/ ���� �oc��,fT/ �- .&acoe (i %x.20 � G% ��D(/it/C✓ �F" T`/�E�✓ S��/�'��' CG..t/ �' G[�Gi �sC �%r/�, ,��� C� �c/r .� z L►•G � d /D - 3- 7�' Gt �d vzr' w��� Goa G`r ; `t�1 � �rc c�.. �o � £a/y'e ©/a %,v (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD ,. BUILDING BUILDING (Cont'd) PLUMBING Se ck ewall oil Piping For Pa ets st Floor Mai Bldg. Rest om Finish d Floor FoN,tings WIndoVX 3r loor Stem all Siding To out Slab Roof Sheaking Water PlAng Piers Roofing Sewer Garage Fdn. Vents Fixtures Footin s Stemwa 111 Garage Vents Insulation Water Htr. Heaters Slab Carport Footin s Prov. for ph sicall handica ed Conformance of ex. structure Appliances Gas Piping & Test Temp. Gas Slab Final Sanitation Patio 04REPkACE Final Footin s Footing E ECTRIC L Masonry Wall Throat Rough Reinf. Ste Final Fixtures Bond Be FIRE SPRINKLERS Motors Framinq Test Water Htr. Stucco Final Subpanels/ Mesw MECHANICAL Grd. Fault Prot. Scr ch Heatih Servic BrJwn Co ng Tejo. Pole nish D is der round I rlor Lath entllation ennanent oor Closer anal tonal MOBILEHOME UTILITIES ------------------ Water Piping d — 7 7 Elec. Servicrd Q. 0V l Y �� Sewer — Elec. Pedestal Gas Piping MOBILEHOME INSTALLATION - - - - - - - - - - - - - - Support 1 Water Piping A& //-/-7Drainage t� 6C l l— I � -?� eQ�j Elec. Continuity Gas Piping DATE REMARKS OR CORRECTIONS £t.Jf� c/£�•.�/ p d 7 £'t`c �s � (�E' p v% o� ,5�2 r/cc�' D Fe "list e /V 6.78' I/x Cea/e�e� `ua�,r d��K/o/ ���� �oc��,fT/ �- .&acoe (i %x.20 � G% ��D(/it/C✓ �F" T`/�E�✓ S��/�'��' CG..t/ �' G[�Gi �sC �%r/�, ,��� C� �c/r .� z L►•G � d /D - 3- 7�' Gt �d vzr' w��� Goa G`r ; `t�1 � �rc c�.. �o � £a/y'e ©/a %,v (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE AEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit' number - '-Z for the following location: Owner /3/ 54r 4-4 Owner's Address e*5 Mobilehome Mfg. G= P4 Model Year i 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. �/' Owner/,6x8 Mai I i ng Address Contractor Mailing Address Building Address C A. P. NK 66 Fins .C. S EQA Parking Plans Bldg. Plans Re NEW .COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS- _ 7 County Center Drivp Groville, California 95965 Telephone: 534-4541 ( ' APPLICATION AND PERMIT Telephone No. "I lephone toning Verification OnIA _ BUILDING SQ. FT. I OCC. I BUILDING VALU Fireplace Total Valuation Permit Fee Plan Checking Fee &/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping 'j' --i Water piping � tonin & lanai Each gas water heater or vent 141 n FireDept. FireZone Use Permit Gas piping system 1 - 5 outlets Parcel Each additional outlet Declaration I Pa a 60' R/W I Improvements ADDITION Building sewer royal Pkfns Ap roval Lawn sprinkler system UTILITIES P OTHER ❑ Single Family ❑ Duplex ❑ Mobil Home Others ❑ 500 SQ. FT. MINIMUM EQJJ MOBILES 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: �� icense Classification Permit Fee ELECTRICAL PERMIT.FILING FEE Main service 600V OR LESS 100 AMP OR LESS Main service EA. ADD'L 100 AMP Main service OVER eooV 100 AMP OR LESS Main service EA. ADD'L 100 AMP NEW CONST. (DWELLING OR ADDNS. OCCUP, 5 ACC. BLDGS. NEW CONSTR. NON.RESID. (MULTI -OUTLET BRANCH CIRCUITS 0 7P @ FEE $3.00 OL 1.50 1.50 • 00 1.50 1.50 .30 /B.UC 2.00 $3.00 5.00 2.50 25.00 1.00 t¢so ft FEE 3,0(3 ;, as NON-RESID. I SINGLE OUTLET CIR. / Ex. OCcup(OUTLETSOR FIXTIIRES e0@23¢ BAL01 FIXED APPLNS. OR EX. QCCU p.( p•\OUTLETS (RESID.) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 'p Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of Califomia. Permit Fee WORKMEN'S COMPENSATION INSURANCE I am: aware of the provisions of Section3700 of the California Labor Code which r quires every employer to be insured against liability for Wor 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 authorize repre atives of the C.qunt uttg to enter upon the above -menti D Dertwl3r i t' o KI i /Y� �IP mitee oo{rp�9;�- Receipt No.s/ White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant MECHANICAL PERMIT FILING FEE Heating Cooling $3.00 Ventilation Hood 1 1 2.00 Permit Fee $ $ Land Development Fee $ p TOTAL PERMIT FEE d$-73 4 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 O ELIC WORKS By Date 1F__''?1 7 Buiing permit expires Date ' Za'- 7,' COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WOR S 7 County Center Drive • z `OrV. ovilfe, California 95965 Telephone: 534-4541 /0� APPLICATION AND PERMIT (U j BUILDIN Owner O / SQ. FT. OCC. BUILDING VALUATI t COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WOR S 7 County Center Drive • z `OrV. ovilfe, California 95965 Telephone: 534-4541 /0� APPLICATION AND PERMIT (U j authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Date 4-.!:2 Signature of Permit or r Receipt No. ` X 3 6 �d/ White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid DIRECTOR P B C WORKS By 20;�" Date /- — Z .7— ' l' )ding permit expires Date 'L3-7 BUILDIN Owner O / SQ. FT. OCC. BUILDING VALUATI Mailing Address Telephone No. Contractor -5 0. •� Mailing Address Fireplace Total Valuation T le one No. ' _- Permit Fee Building Address U Plan Checking Fee&/or Penalty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. Zoning 8 Planning Water piping 1.50 Each gas water heater or vent 1.50 Vs I W!C. I &jMailon I Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. P s Recd Porce roval Pla s pproval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ 413o —?f ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5•�0 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD•L 100 AMP 2.50 Main service OVER soov 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELING OR ADDNS. ( ACCLBLDGS.CCUP. 4� 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: s (� NEW RESID, BRANCH CIRCUITS) NON RESID, BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS 8 NON-RESID. (SINGLE OUTLET CIR. Ex. OCcuo(OUTLETS OR FIXTIIRES BAL@1 FIXED APPLNS, OR Ex. Occup. (OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No.(�0�� Classification —�L_ 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. 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 Land Development Fee y is Q -,,I-C TOTAL PERMIT FEE Ity $ (� authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Date 4-.!:2 Signature of Permit or r Receipt No. ` X 3 6 �d/ White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid DIRECTOR P B C WORKS By 20;�" Date /- — Z .7— ' l' )ding permit expires Date 'L3-7 ELECTRICAL, MECHANICAL, AND PLUMBING CON s-rRUCTION ( NOT PLAN CHECKED ) SHALLCOMPLY WITH CURRENT ED!'nON OF NEC, UMC AND UPC. p L/- �? 3q,?— OLMS COU'' BUIL DIING DEPAR INN V is: a AC (r. o � � Q 4 7 /- � in Q _. 10 ELECTRICAL, MECHANICAL, AND PLUMBING CON s-rRUCTION ( NOT PLAN CHECKED ) SHALLCOMPLY WITH CURRENT ED!'nON OF NEC, UMC AND UPC. p L/- �? 3q,?— OLMS COU'' BUIL DIING DEPAR INN V is: iV�Nc Y L, c.oRo n►, �3 861 TuL-SA e—, r MAGA1 IA CA. y -, d`(e OSb - OA Tins N i 153'