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066-210-049
66-21-49 Kerit'Rogers 220 Wichita Dr., lot 288, CC#4, Magalia contr: J. T. McGregor, Paradise ermit #6 28 76P , E (util V lop dc ELEC. GAS - 2� dU c, SUPPORT --'STRUCTURE REQ. A40 COMPACTION TEST REQ.— Alt> 66-21-49 .contr.:.Kopp'sd96bile Home Serv., OroviBe ?,e_rmidt #58-77MHI -77- Who '!� 57, �e e, 4 166-21-49 Permit-45745-17B(neV deck/MH) MLE 066-210-049" BORD, TERRY ';4 13507 WICHITA"- MAGA.L CONT: SIERRA MHSy EX MH PERM FND EX SITE I NOES RESIDENTIAL PERMIT NO. _ 066-210-049 02-2481 _ BORD, TERRY 13507 WICHITA, MAGALIA CONT: SIERRA MHS EX MH PERM FND EX SITE 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). (2 STATEMENT OF FACTS (ONLY ON NEW MH' S). ' INSPECTOR TO VERIFY SERIAL & LABEL #'S. SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER CA- Dl ?d _j JOB FINALED (Date) � /f (1Jv.1 Signature J=OK 0 = N01 OK . = NolReadyable 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 -„�t 4. 5. 6. Water; Location -Test -Easement Needed (S tch);:--,-- Electricity; Location-CLP�..r;es-Grnd-/ - •/A7 :- Gas; Location -Test -Wrap;-/ /" L'ft..'J7ti�' / P Nat. or/ /" L "ft./ P LPG v, 7. Well Clearance & Disconnect 8. Utilitv Clearance 6. Water; MH Test -Regulator -Connector 7. Water and Sewer;Connected-C/O to Grade -HD Approval 8. Gas and. Electricity.Tagged 9. Tie Dowris;Type-Installation Cert. 10. Exits; Insp =Sketch 11. Cert. of Occupancy - Date Card B-1 Date Card B-1 Date Card,B-1, Date . Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. a ning Requirements -Setbacks -Easements 2.,•Footings; Size -Spacing -Marriage Line 3c,,Blocking 4' Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricitv Taaaed jvjjvjP_M'i'fY #'s with Office 21'"EM '1311 Date Card B-1 M.- [W •rCard B-1 MISCELLANEOUS Date Card B-1 Date �,,�;.;�,. and B-1 Date Card B-1 Date ~" `'''Card B-1, Date MOBILE HOME INSTALLATION (P - 'r 'KWkcept #'s 1. Zoning Requirements-Setbacks=_Easerttenitg;rl , 2. Footings; Size-Spacing-Marriage',Eine>irs+if�, 3. Gas; MH Test-Demand-Valva=Connector.•; 2 , 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 Dowris;Type-Installation Cert. 10. Exits; Insp =Sketch 11. Cert. of Occupancy - Date Card B-1 Date Card B-1 Date Card,B-1, Date . Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. a ning Requirements -Setbacks -Easements 2.,•Footings; Size -Spacing -Marriage Line 3c,,Blocking 4' Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricitv Taaaed jvjjvjP_M'i'fY #'s with Office 21'"EM '1311 Date Card B-1 M.- [W •rCard B-1 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 T. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures-Panelboards-Ins. to Main -Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencinq-Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 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 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 T. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures-Panelboards-Ins. to Main -Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencinq-Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not - =NotAApplicable p . = Not Ready RESIDENTIAL (. Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ P' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth 4. Ftg., Porches & DeclZs; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; S eel-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/O -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 79. Elec. Receptacles in Garage (F.f.i.)-Romex Protection Date Card B-1 Date Card B-1 Date 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 89. Ventilation Throughout House Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. Date 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Date 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI Date 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al Comments at Final: 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral O Yes O 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 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 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 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing jingle & Dur',,: x) " Date , 3 F. _,I (continued) A7 ",ngers-PostCaps-Anchors-_Connectors �:. :;ling. Joist-Rftr. Ties-Purlin-Roll Brac.-T;,^g-Shting.-Rtng. _ a ,_p,�_j-)lace Ties pr Type AFlue-Fireplace Throat Clearance Romex Protection -Draft Stop -Ins. Baffles w Windows or Exitin Doe'- ? ': :Dimensions g :•ge Fire Protection Framing 1C Channel )Perty Line Firewall & Openings cxt. Doors -One �'-Check Garage 3rd Story, 2 Exits Width -_Headroom -Rise- Run- Land ing-Fire Protection _ iod on t,uof Overhang -Attic Vents -Rafter Outriggers ► 8 k._`iling Veneer '''-Drip Saeed -Fd. Vents-Underflc Access _ `•ilj'- lass Protection -Skylights -Plastic Bolts for V'all Panels F3. Inti,d�.•_ 'ills ndows _ Date •ird B-1 Date Card B-1 Date FI'_,, :✓ "glans) OK excepY4-,p,. 64. C�,.';,teps Door & SiT. 'ion 65. 65. Smoke Detector 66. F... nace Vents-cle ,_ a'.' _ ul�' _ � ,-. tor - In k_arage; Above FI y^,,; ,r eA� Pr-jxtion 67. Ber',00m Exiting 68. C -.F.. & Bath Fixtu - :;access-. " 69. Elec.Trim & Subp _� eker Sizes e, Labels 70. F•:irs & Rails 1 7- R•- Stove, ;learance--%(e;3;•�`;�- a at V,', Pane., t 73. Kit. Fixt. & Appliance; Gro • .z ., x; ?-king Clearance _ 74. Elec. Qytlets & Receptac at Kit. ; to 75. Garage Fire Door; Swing-Landinc 11:1 �g1^ 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.f.i.)-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 O Yes _ 83. Following Instld./Drive O Yes O No/Walks O 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: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION • 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev.12/96) APPLICATION AND PERMIT 02-2481 ASSESSOR PARCEL NUMBER a ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION 1440 R 77,760.00 OWNER'S MAIU ADDRESS 13907 WICHITA, MAGATTA, CA 99994 CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 77 760.00 ARCHITECT OR ENGINEER LICENSE NO. Flin Fee $ 20.00 Permit Fee 540,50.12$ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 13507 WICHITA MAGALIA Energy Plan Checking Fee $ $ PERMIT FEE S Z-' c LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE . SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.0015.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation O Other ❑ Describe Work: EX MH PERM FND EX SITE Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 800OR UE Main Service OVA OR LESS 23.00 LICENSED CONTRACTOR'S 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 fu force and effect.U License Class Lic. No. _/ 7 U 3 llC OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: O 1, 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. O I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. O 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: O 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 pe ormance of the work for which this permit is issued. U-11a-ve and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrjer and policy number are: Carrier Policy Number edi214 e/' /S (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 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 workers' compensation laws of California, and agree that rf I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall those provisions. forthwith cor�lpI Date X _ / 9 O L _ �} Signature of Applicant - O Owner ❑ Contractor [3 Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stori s in height. Main Service 200A TO ,000A 46.00 NEW CONST. DW EWNG OCCUR SO OR ADDNS. ( 6 ACC. S.3.5¢FT. =RDSIOTANCHOUTLET 97,50 POWER APPAMTUS 8 SINGLE OUTLET CIR. .00 EX. OCCU . OUTLET OR FWURES BAL O I.50 Ex. Occup. o rs .=.oeA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 Ere -Inspect -f-Oil PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ occ ICONST. TYPE TOTAL FEE $ i FEES IMP I FLOOD I CDF I PARCEL PD HD ISS E 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 WVT 2 By Dat PERMIT EXPIRES ON I I 1bt.) Receipt No. WHITE-D.D.S.-B.D. aNARWASSIMSYrR PINK -INSPECTOR GOLDENROD -APPLICANT if COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 ��81 pERMfT No. Rev. 12196) APPLICATION AND PERMIT -ESSOR.ARClLiWNdDI 6/ �sl _ 1 _ v BUILDINGPERMR -"4" `/ Tnswee SO. FT. I qqc. BUILDING VALUATION owNEns rAUND AD NCO NT RACTO$" U V COHTRIC.DR7 ND AO O CONSTRUCTION Lemot, UENCERS ►WUNO ADOrtss ARCNfTECT OR ENGINEER ARCNRECT OR ENOMiEER7 NYKJNO ADDRESS euaDwOADDRESS 1 -h I-- .d LOTNO. I sueorves)Nskme USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome?� Other MVEcsY TYPE OF WORK New ❑ Addiition ❑ Remodel ❑ LydNes ❑ instalation ❑ Other -%44 Describe Work: ike VV4 ;C'wl 41 sRl► � sltier -69 -3 Nt� Total Valuation Is ) <Cp V Filing Fee $ 20.00 Permit Fee $ «%G - a Plan Checking Fee $ Q -3 Energy Plan Checking Fee $ b PERMIT FEE _ PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 -� Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W (920.00 PERMIT FEE _ ELECTRICAL PERMIT Fifing Fee 20.00 Main Service 20�0A OORR LM 23.00 Main Service 20M TO IOWA 46.00 NEW CONST. OwELL1A OCCUP. OR ADONS. a AGC. etDS. 3.5eS Nn RE91n. I.�hNEW Com 1. O..T.. @7.50 Ex. Occup. O -UT OR IKn— I &Z .w Ex. Occup. i ovnFrs RIESID.I En) 5.00 Mobile Home Facilities 1 20.00 Mi . irin -- 23.00 -` PERMIT FEE i MECHANICAL—PERMIT Filing Fee 1 20.00 6.50 PERMIT FEP- S Moble Home Installation Fee S Energy Inspection Fee $ DD` 11T. TY1 TOTAL FEE _ This permit Is hereby issued under the appocable provisions of the Butte County Code and/or Resolutlons to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON XWV J 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: ASSESSOR PARCEL NUMBER Proposed Building Use: ewrl'� >f�in Counter Technician: Date: Items required in order to apply far a permit. All boxes MUST be checked OR m t d NA in order to apply. 1.. Plot plans, 3 or 4 sets, signedty 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. Energy compliance design and supporting documentation in duplicate. 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ 7. eta ui mgs: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The.permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................:.. ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... _ ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) 14. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... ❑ 15. Statement of Intent for Non -heated and A/C Buildings ............................................. ❑ 16. Sanitation and plot plan approval from the Environmental Health Department in 17. City of Chico Plumbing permit......................................................................... ❑ 18. California Department of Forestry plan approval ❑ paid. Sent by: ...................... ❑ 19. Planning approval for (A) Use: (B)Parking: . (C) Parcel Check: ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). 2. e -Inspection for _o required ................ ❑ 3. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization.................................................................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violatio s and/or expired permits ........................................... ❑ 30. i J Grant DeedM.H. Title/Statement of Facts, ❑ Letter from Legal OwnEheck to H.C.D. $ o 0 31. Other: When issued Telephone and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: �j Date: 9 /9 %6 L-- 1. 1. Index permit application for the above items numbered: Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised cf the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owne w advised of the abo data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: / L .8Z Plans approved by: `/1�, Date: Z Z Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division 1 h- u- K � " O r Q � U3 �^ N 4T z J SOVTH {'Al�K 4p0 2 — �t Cl l BUTTE COUNTY BUILDING DEPARTMENT APPROVED VECTOR DYNAMICS FOUNDATION SYSTEM WIND ZONE 1 & 2 INSTALLATION INSTRUCTIONS For the State of California INDEX SECTION INTRODUCTION PIER HEIGHTS GENERAL INSTALLATION SET-UP INSTRUCTIONS METAL PIER & V -DRIVE PARTS LIST CONCRETE INSTALLATION SCHEMATICS PAGE NUMBER 2 3 4 5 & 5a 6 7, 7A, 713 & 7C 8&9 WIND ZONE I - SINGLE SECTION 10 - SINGLE V DRIVE 11 - METAL PIER 12 DOUBLE SECTION 13 - TRIPLE SECTION 14 WIND ZONE II - SINGLE SECTION 15 - DOUBLE SECTION 16 - TRIPLE SECTION 17 SOIL CLASSIFICATION w COMPONENT PARTS AVAILABLE UPON REQUEST Foundation System BUTTE COUNTY BUILDING DEPARTMENT APPROVED Release Date 8/13/2001 Engineer Approval mf,- HEALTH 1 AJ &'`AWO f O V d l 18551 SUBJECT TO C01,1_^•.7-CTIONS NTOM APPROVAL DOES NOT AUTHORIZE OR APPROVE ANY OMISSIONS OR DEVIATION FROM REQUIREMENTS OF APPLICABLE STATE LAWS AND REGULAT!:1::S State of California Depament of Housing and Community Development D STANDARDS Date9-/o-v/ No. C? q - / - Pian Approval Evims 3 For Further Information TIE DOWN ENGINEERING 5901 Wheaton Drive Atlanta, GA 30336 404-344-0000 FAX 404-349-0401 1 www.tiedown.com Tie Down Engineering, Inc. VECTOR DYNAMICS INSTALLATION INSTRUCTIONS Introduction These instructions describe the proper use of the Vector Dynamics Foundation system in Wind Zones 1 & 2. Additional installation instruction is available in VHS video, from manufactured housing distributors or from Tie Down Engineering, titled, Vector Dynamics Installation Video. The Vector Dynamics foundation system supports the home by anchoring the two longitudinal main rails. The system is approved in Wind Zone. I & II & III areas of the Manufactured Home Construction and Safety Standards and Wind Standards; Final Rule 24CFR part 3280 for both single and multi sec- tion homes. Instructions for Class 5, Sub Soil Conditions, (Wind Zone I & II), are available through local distributors of Vector Dynamics or directly from Tie Down Engineering. General resist lateral and over turning movement of the home as required by the Federal The Vector Dynamics Foundation System provides the support to Manufactured Home Construction and Safety Standards in Wind Zones I & II when the system is used as described in these instructions. See manufac- t ares Home Installation Manual for other oier & anchorina rmn jrements. The following characteristics apply to both single and multi section homes: • Main rail minimum spacing of 86 inches or greater. • Nominal 8 foot or less top plate height at side walls. • Main rail depth of 12 inches or less. • Maximum roof slope of 20 degrees (4.4 in. in 12 in.) • Maximum pier height under main rail of 56 inches (see page 3). WIND ZONE I • Maximum single section home width is 16 feet including eaves; maximum eave width of 12 inches on each longitudinal side of home. • Maximum double section home width is 36 feet including eaves; maximum eave width of 12 inches on each longitudinal side of home. • Maximum triple section home width is 48 feet including eaves; maximum eave width of 12 inches on each longitudinal side of home. WIND ZONE II • Maximum single section home width is 15 ft. including eaves, maximum eave width is 6" per side. • Maximum single section home width of 16 ft. including eaves must use two additional vertical ties/ anchors/stabilizer plates (one per side) as listed in the charts on page 15. • Maximum double section home width including eaves 32 ft., maximum 12" eaves per side • Maximum triple section home width including eaves 48 ft., maximum 12" eaves per side The Vector Dynamics Foundation Systems may be used as a part of the vertical or gravity support system considering that each set of Vector Dynamic pad (s) has two (2) or three (3) square feet bearing area. Piers not used as part of the Vector system shall be located and constructed in accordance with the home installation instructions and/or state standards. To inquire about the use of the Vector Dynamics Foundation Systems with homes of four or more sections or on homes requiring pier heights greater than 56 inches which are not included in these instructions, contact Tie Down Engineering, Inc. at 800-241-1806. The Vector Dynamics Foundation Systems may be used on homes which require pier heights not to exceed 56 inches under one or both main rail(s). See page 3. Note that a ground anchor is used at each Vector system location in Wind Zones II & III. The use of interlocked double stacks of concrete blocks may be required by the home manufacturer or the state. Check with the most recent regulations in Calhmia. The Vector Dynamics Foundation System has not been designed for use on exposure "D" homes. Exposure "D" homes are homes located 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 include shear walls, mar- riage line ridge beam support posts, end frame ties and rim plates. The term end frame ties refers to the longitudinal ties that are attached to a home to resist wind load on the end walls. If longitudinal ties are required by the home installation instructions or other state standards, these longitudinal ties must be installed and connected to anchors that are independent of other ties and anchors. See separate instructions for the use of Vector Dynamics with Tie Down's Longitudinal Stabilization Device. The term rim plates refers to the factory brackets fastened onto the perimeter joist or specified as a location for vertical ties. c Page 2 California/2001 56 i ma Figure Maximum Pier Height (Wind Zones I & II only) The Vector Dynamics Foundation System may be used on homes which require pier heights not to exceed 56 inches under one or both main rail(s). Note that a ground anchor must be used at each side of a Vector system location in Wind Zone II, and where the pier heights exceed 24 inches on a single section home in Wind Zone I. Piers must be constructed in accordance with the manufacturer's installation instructions and/or state requirements. The use of interlocked double stacks of concrete blocks may be required by the home manufacturer or state. Check with the most recent regulations in your state. 56 ii ma) v'yulu � Unequal Pier Heights ( Wind Zones I & 11 only) 5 in. lax. Vector Dynamics may be used on homes with unequal pier heights of 56" or less under one or both main rails. The difference between the taller pier and the shorter pier cannot exceed 26". Note that a ground anchor must be used at each side of a Vector system installation in Wind Zone I and where either of the pier heights in that location exceeds 24 inches on a single section home in Wind Zone I. Only concrete blocks and pressure treated lumber compression members are permitted on unequal pier heights using the Vector system. Piers must be constructed in accordance with themanufacturer's installation instructions and/or state requirements. The use of interlocked double stacks of concrete blocks may be required by the home manufacturer or state. Check with the most recent regulations in your state. Page 3 California /2001 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. See manufacturer's home installation manual and state requirements for grading and other site preparation. FOOTINGS AND FROST LINES The Vector Dynamics Foundation System can be placed directly on top of the ground after clearing all loose vegetation. In areas where frost line/poured footers are required, the Vector system for concrete is used. See pages 8 & 9. FOUNDATION/FOOTING SPECIFICATIONS FOR VECTOR PADS Vector Pads must be used in place of conventional foundation pads for each Vector foundation system. Each (set of) Vector Pad(s) provides two or three square feet of pier bearing support. Vector Systems should be spaced as evenly as possible along the length of the home, with one Vector system within two feet of each end of the home. For pier locations in between the Vector Systems, use the foundation pads normally recommended by the home manufacturer and/or state requirements. Pier heights in excess of 24 inches or when unequal must follow instructions printed on page 3 of these instructions. Nominal 3-1/2 inch or 4 inch Schedule 40 PVC pipe or TIDE steel compression strut (#59043) may be used only when the pier heights are similar on fairly level ground. Steel strut and PVC are not permitted when metal pier foundations are used. The adjustable galva- nized steel compression strut, #59043, is attached to each inside pad with a 1/2" X 2-1/2" grade 5 carriage bolt and can only be used with the swivel connector on strap. The grade 5 bolt attaches the swivel connector and the steel strut to the pad. When the swivel connector is used with a wooden or pipe compressive member, the vector diagonal connector should be part #59279 not #59276. After tightening the end grade 5 bolts, adjust- ment bolt is installed through the two square steel compression struts to lock them in place. Foundation pad size and pier spacing must be consistent with home manufacturers' instructions and/or state requirements. LUMBER/MOISTURE - TERMITE SHIELD To cut lumber (2 - 2x4's or 1 - 4x4 per Vector system) for the center compression section, when using con- crete blocks for piers, measure center to center frame (I-beam) distance and subtract 16". When using METAL PIER STANDS, measure center to center frame distance and add 16". 3-1/2" or 4" nominal schedule 40 PVC pipe meeting ASTM D1784 or Tie Down's steel compression strut (#59043) may be substituted for lumber as the center compression strut under certain conditions described above. Pipe adapter bracket, part #59281 must be used with PVC pipe simultaneously with the Inside Tie Brackets, part number 59276. The pipe adapter bracket is used on top of the pipe and under the Inside Tie Bracket. In certain regions the optional Moisture Termite Shield may be required between the lumber and ground. 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 TENSION All strapping must be tight upon assembly of the Vector system. Tests have been conducted with "hand tight- ened " strap in the Vector system to remove the need for specific tension specifications. Hand tight is defined as removing all slack with minimum of movement available when pressing on the strap. While subsequent tight- ening of the straps is not required, straps should be checked after any strong wind conditions, just as conven- tional anchor tie down straps should also be checked, to insure the maximum performance of the foundation system. A minimum of two factory 1/4" spot welds must be used when straps are connected to the swivel con- nectors with welds. Page 4 California N001 Set -Up Instructions for the Vector Dynamics Foundation System x#59007 (Kit #59007 is interchangeable with Kit #59018) 1. SET VECTOR FOUNDATION PADS Long short Clear all loose vegetation from the immediate bolt u ion u -eon area where your Vector foundation pads will LL/ rest. Press or hammer pads into the ground. Tip: Place a 3/8" nut on each U -bolt to keep it in place while you position the Vector pads. 2. SET BLOCKS (OR PIERS) ON \� VECTOR FOUNDATION PADS Center the foundation blocks over the Vector pads. Place the pre-cut 4x4, 2x4's (side by side), Schedule 40 PVC (w/PVC adapter plate, part #59281) or 1 adjustable TOE steel compression member, (part #59043) tightly between the blocks, with ends resting on the Vector pads, and centered on each U -bolt. 3. OUTSIDE TENSION BRACKETS Attach an Outside Tension Bracket to the U -bolts on the outside of the foundation blocks and Vector pads. Place one of the short 6"- 2x4's between the bracket and Vector pad. Adjust the short 2x4 so that it pushes against the foundation blocks, removing any space between the piers and . center compression section. Tighten the 3/8" bolts. 2 square foot pad placement or (1) 3 square foot pad 4. INSIDE BRACKETS AND STRAPS Attach the Inside Tie Brackets to the U -bolts over the pre-cut boards or PVC. Attach a strap with hook to each inside tie bracket. Tighten bracket. When using looped strap and a crimp seal, in place of the hook, place a 3" long section of strap, folded in half and inserted between the strap and inside tie bracket. Place other end of strap over the opposite (- beam and continue down to outside of the foundation blocks. Attach the strap to the Outside Tension brackets using the slotted bolt and nut provided. Wind strap a minimum of five times around the bolt. Continue tightening the slotted bolt until all slack has been removed and the strap is fight. 5. SET ANCHORS Refer to section home drawings for anchor installation information. Stabilizer plates are required for diagonal ties only. Preload anchor against stabilizer plate. Make certain all slack is removed and strap is tight. For single section homes in rocky soil conditions in Wind Zone 1 only (Soil Classifications 2 & 3 only), use minimum of 3 each V -Drive anchors per side. See drawing on page 6 for placement. Page 5 California 001 Set -Up Instructions for Vector System #59018 (Kit #59018 is interchangeable with Kit #59007) 'j, 1. Set Vector Pads Clear all vegetation 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. 4. Inside brackets & straps Attach the inside tie brackets to the U -bolts over the compression member. Attach a strap w/hook or swivel strap w/nut/washer & bolt (washers are required). Place other end of the strap over opposite I-beam & down to outside 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. Page 5a California N12001 0 tv O I Vector for WIND ZONE I eotio� h° stems Dynamics Systems Required , _ - - � " s or Y ua 9 ` Double Section Homes _ - - - - " a ?2 fk d P bmge°r StaNat�°n man_ (Materials Required..----"" EXa \qse s9eus<betoh°�` _ t�a a m , - 111ust1 a sp Ding oundation pads I , f I � ` I - , I - _ 1 Maximum allowable working drag load for the Vector System with the steel compression strut Is 3,150 pounds per the K2 Engineering test report. �2 sq. ft. pad 1 must be o:ottsistertt with home mattufacttrers' ittstalladW instructions and/or state requirements. Soil Classifications: Soil Bearing Capacity: Anchors Required: 2, 3, 4A, & 48 ' 1,000 PSF minimum None (marriage wall anchors may be required by home manufacturer) Home Length Vector Systems Required 0to48' 2 48' to 71' 3 72' to 89' 4 Each Vector Foundation System requires • One Vector Kit, 2 slotted bolts • 2 ea. 1-1/4 in. ties, length will vary with pier height (4725 Ib. min. break), 1 ea. 4 x 4 pressure treated wood compression member • or 2 ea. 2 x 4 pressure treated wood compression member • or 1 ea. 3-1/2" or 4" nominal SCH 40 PVC pipe compression member • or 1 TOE adjustable steel strut VECTOR DYNAMICS INSTALLATION DESIGN INSTRUCTIONS This Vector Dynamics Foundation system instruction is applicable only on homes set on soils classified as Class 4A 413, 3 and 2 as described in the table below. For separate instructions for sub -soil, Class 5 conditions (above 50 in. lbs.), contact Tie Down Engineering. SOIL CLASSIFICATIONS Soil Class Types of Soils Blow Count (ASTM Soil Test Probe (1) D1586) Torque Value (2) 1 Sound hard rock...... NA NA Very dense and/or 40 -up More than 550 in. lbs. cemented sands, coarse 2 gravel and cobbles, preloaded silts, clays, and corals Medium -dense coarse 24-39 350-549 in. lbs. 3 sands, sandy gravels, very stiff silts and clays 4A Loose to medium dense 14-23 275-349 in. lbs sands, firm to stiff clays 46 and silts, alluvian fill 175-275 in. lbs Peat, organic silts, 0-14 175 in. lbs 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 gage 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 inch lbs. 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. Information about geographical areas of termite infestations which .might require the optional termite and moisture shield when a wood compression member is used may be obtained from the local building official or may be found in the 1995 edition of the One and Two Fa Ay Dwelling Code. �o Page 18 California 8/2001 t- Selo 10 02 07:00a PRE -INSPECTION REPORT LOCATION: CONTRACTOR: %-sZ PRE-1NSPETION FOR: DATE TO Building Description: 6), Conuncrciawsar: ResidenaalM of Units: Cun-cntly Occupied Abandonoc Electric: UU Yes No Condition of Electric PERMIT HLSTORY:( ) NONE A.) AS BUQ.DING INSPECTOR'S REPORT Electric cutrentiy On t Off . p.1 DATE: ZONING: Gas: I / Natural Propane None V Currently On Off ✓ Obvious Problems: Sanitation: Plumbing Well Working Obvious SewageProblems Comments: ACTION REcomwEINDED: / ISSUE Potable Water HOLD FOR Inspector. Date _ Sketch buildings on. reverse and indicate location on proper Sep A 0 02 0,7 �J a p.2 C- 6 IST Fk VA 2 r w j 0 ri GJ Vic 0 %J 9L 0 ul C, Ln !L Qj C- 6 IST Fk VA 2 r w j 0 ri GJ L Qj CIO C- 6 IST Fk VA 2 r w j #12/96) 10 02 07:O1a p-3 UUUN IY OF BUTTE.•DEPARTMEN1 UtIJ1:VtLUF+MtN 15tHVIGt.b-UU1LUrnuUIVISIUN 7 County Center Drive • Oroville. California 95965 • Telephone (530) 538.75 1 B�PEAW NC APPLICATION AND PERMIT ...oso,,..ffica-- 6u ) 0 , v n0""a 1 BUILDINGPERMIT aWtllR TaRSMON! S0. FT. OQC. BUILDING VALUATION **NSR7 1AW14 Aa . • o r SSS �" cONT11ACTOR7 Ao coNsTwicrdm eR ' Fireplace LENDS" LUNO ADOMS Total Valuation = —� AReNREer OR 040cm aces! No. Filing Fee S 20.00 Permit Fee 5qt,=j • a AACWECT OR 040NEM S usarNo ADWESa Plan Checking Fee L Q73 - aulcwoAociess ,rq•^ \ ^r , G� M� lJ/ 1 V Energy Plan Checking Fee $ b PERMIT FEE i RoTNo. suearea+srwl! rAt10EL w► PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobllshoma� Other Soler or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ PAmcidel ❑ UNKies 13 Insklatian ❑ O")d Describe Work: Gas piping system 1 - 5 oudete 15.00 Building sower 15.00 Mobile Home S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service » o'pn 23.00 SAX�mom O �� OEM • • • • S �) a or ice 20M To 100" 48.00 o+vBisq oocvr. 3.5Q a /ioC, RDs. Y�>tTrO{nlLr @7.50 POWER AFFAMTue sNOtt oRma ow wnwRo ew w rEx.Occup. . ov®e oroe.► 5.00 Service 23• ome Feeilities 20.00 rin 23.00 PERMIT FEE _ MECHANICAL RMIT Filing Fee 20 -OC Heating Coaling H 6.50 Hood Ventilation PERMIT FEE S Mobile Home installation Fee $ Energy lnepecdon Fee : «c ooMT. True TOTAL FEE iFill" I -L 0.RB O. �o aw Nkrn iscwvTza . wo Ix�u} •�nie This permit In hereby Msu•d under the applicable provision, of the Butte County Code and/or Repluyons to do w06 indicated above for which fees have been paid. gy Date PERMIT EXPIRES ON RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 19 -Sep -2002 2002-0049068 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. TERRY L. BORD BUTTE COUNTY BUILDING DIVISION REAL PROPERTY OWNER/LESSOR LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 13507 WICHITA DR. 7 COUNTY CENTER DRIVE MAILING ADDRESS MAILING ADDRESS MAGALIA BUTTE CA 95954 OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP SAME CTIY COUNTY STATE ZIP 61443A/B 02-2481 530)538-7541 INSTALLATION MAILING ADDRESS, IF DIFFERENT B PERMIT NO TELEPH NE BER LENGTH X WIDTH 4 CITY COUNTY STATE ZIP kIG TURF OF LOCAL AY O CIAL DATE SAME NONE UNIT OWNER (if also property owner, write "SAME") DEALER NAME (if trot a dealer sale, write "NONE") SAME NONE . MAILING ADDRESS DEALER LICENSE NO. CITY COUNTY STATE ZIP UNIT DESCRIPTION GOLDEN WEST 1977 KEY BISKAYNE MANUFACTURERS NAME DATE OF MANUFACTURE MODEL NAME/NUMBER 61443A/B 60 X 24 019859/60 SERIAL. NUMBERS) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P . # 066-210-049 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD -Building Dept. STATE OF CALIFORNIA - DEPARTMENT OF ,HOUSING AND COMMUNITY DEVELOPMENT CERTIFICATE. -OF TITLE Mkinufactirred biome Dccal No: LBA9153 Mariulacturer IDINimo Trade Name { Model 00M I DFS RY. Exp'.Date KEY BISKAYNE I 00/00/1977 01/11/1977 •I i Serial Number' LebeVInalgnla Number Wg19ht Length Width SPC • SCC Exompt U'. Type I 81443A ! 019859 60' 12' I 04 SFD I LPT 614438 019860 I 60' 12' T eesDal -{ 1 w • otal F d 2000 9 { ..May 4, � p � Addressee TERRY L BORD 13057 WICHITA DR MAGALIA, CA 95954 TERRY -13057% Situs 1350 Tress CHIT CA �"'f��.`i':IfH• ya } arrs� 3w 7.7 O ;. ifA 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. r:t: I``.rc">:cR f" �s ruil�Attreqt. afu' b' r .: t si � r +�y�r�Y':DA�T�I®N S�YST�E,M' :3�F7Y b gM RMA c Ca�¢Eq�Rj$TIFIATEV� LF¢O�CCUP =ANryCY r _ :--J!NL•H,i�Y..',��.?;i���"3.'3n•``-+`i:�.wl`�. r%.�i`�.i"�.a .��4�'�i't'K�Tyq�, � 4�'�7� S��l`s, �. .t a::� %�. .�%`.' irf5t'_ �� . }s/xWr.ltit+. •e �.>.iY'. �h3�.c5S.Y.KYd`��.' +� BUILDING PERMIT NUMBER: 02-2481 Address or location of unit: 13507 WICHITA DR., MAGALIA, CA. 95954 Legal Description of Real Property: A.P.# 066-210-049 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: TERRY L. BORD Owner's address: 13507 WICHITA DR., MAGALIA, CA. 95954 INSIGNIA OR HUD NUMBER: 019859/60 SERIAL NUMBER OR V.I.N.: 61443A/13 MANUFACTURER'S NAME: GOLDEN WEST YEAR: 1977 OFFICIAL APPROVING INSTALLATION: DATE: q11 PHONE: (530) 538-7541 H.C.D. 513C !` k"MW NO. 3009e3•WC TM* Ord@r No. 00300983 EXHIBIT ONE Parcel 1: Lot 288, as shown on that certain Map entitled, 'Paradise Pines Country Club Estates Unit No. 4% filed In the Office of the County Recorder of Butte County, California, on October 27, 1971, in Book 38, of Meps, at Pege(g) 69, 70, 71, 72, and 73, Excepting therefrom all minerals, oil, gas, asphaltum, and other hydrocarbon substances, lying below the surface of said land with provision that any and all the mining operations shall be done from orifices outside the surface area of the land herein described, and that no damages shall be done to the surface of said land. Parcel II: A non-exclusive easement over lots A, 8, C, D, E. F, G, H, I, K, L,ond M (The common ereaq) of said Paradise Pines Country Club Estates Unit No, 4 and the lots designated for common and recreational areas as desc declaration of annexation for units IV, Vi, VIII, X, XI, X11, ribed in the 3, and 4. XIII, XIV, XV and the Country Club Estates Units No. 1, 2, � . SPATE OF �alifornie COUNTY OF Bung On ane 17. 1999 before me, the unfttsigned. N21pry (Name, Title of Officer) personally appeared Vir inia L. D 'ver 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 capacityGes), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my, hand and offic' s al. I / WENDY CSER WMM #I 0 141110 NCITARY MC-CALIFORMA •. ` tr' BUTTE COVNTY p (Signature of Notary P b)ic) My COMM cpireoJune27.zoot (This area for notarial seal] feCOftDING REQUESTED BY: Fidelity National Title Company of 99-0026 7 35 California Recorded 1 REC FEE 13.90 Ewow No. 3DO993-WC DffCiocIa{ records TAX 43.19 This Ordw No. 00300863 County OiTT When Recorded Mail Document I OWACE J. ISMS I and lax Statement To: RecROSENM DICKWN I Mrs. Terry L. Bord Assistant I Fay 13507. Wichita Dr. 12:03DM 18 -Jun -1999 1 page 1 of 3 Magelie, CA 95954 XIIN: 066-210-04.4 GRANT DEED SPACE ABOVE THIS LINE FOR RECORDER'S USE The undersigned grantorls) declares) Documentary transfer tax Is $45.10 ( X 1 computed on full value of property conveyed, or 7. ( ) computed on full value less value of (ions or encumbrances remaining at tame of sale, ( 1 Unincorporated Area City of Unincorpotated f FOR A VALUABLE CONSIDERATION, receipt of which Is hereby acknowledged. Thomas C. Deivert and Virginia L. Deivert husband end ifs hereby GRANT(S)�gerry L. Bo►d, A Married Women as her Sole and Separate Property the following described real property In the City of Unincorporated County of Butte, State of California: SEE EXHIBIT ONE ATTACHED HERETO AND MADE A PART HEREOF /4v DATED: June -4y; 1999 STATE OF-GA4weAtttA wA S A r e' 94v k/ COUNTY OF ON before me, r N ersonaHy appeared person811y known to me (Or proved to me on the basis of satisfactory evidence) to be the person(s) whose names) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same In his/her/their authorized capecity(iesl and that Thomas C. Del -Vert N Vif inl8 (Vert by his/her/their signatures) on the Instrument the person(s), or the entity upon behalf of which the Person(s) acted executed the instrument, AS �-!•N• RO-1% !-f �e wndvon t Ac+ Avkd act 6s SIOV Wh�s8 �n n of °'�• �C. c� tAOTAR Signature 1 , ptJ t4 rrr1yNIN ?809•• . ,•~ MAIL TAX STATEMENTS AS DIRECTED ABOVE 1,0-213 (Rev 7/96) OFIANT DEED Al 91!0-0 $' —moor, PERMIT NO. 5745-77B PERMIT EXPIRES "All S V Kent Rogers OWNER g CONTR. owner LOCATION (A.P. 66-21-49 220 Wichita Dr., lot 288, CC#4, Magalia 7f . °I .S ti Temp. Power Pole Called PG&E Temp. Elec. Serv. CallDed PG&E y Temp? Gas Serv. Called PG&E i JOB {� INALED_ G V (Date) i. l- (Signature) e COUNTY OF BUTTE — DEPARTMENT OF, PUBLIC WORKS BUILDING INSPECTIONAEC-ORD F BUILDING BUILDING (Cont'd) PLUMBING Setback AX —% COUNTY OF-B.UTT.E' — DEPARTMENT OF PUBLIC WORKS -' - 7 County Center Drive — Uroville, California 95965 ��///-- /�� Tals-a"one: 534-4541 Yl� APPLICATION AND PERMIT A/ L4I dutnonce representatives of the county of tsutte to enter upon the above-mentioned property for inspection purposes. X !®��G r Date y Signature of Permiteeo'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 been aid. DIRECTOR 0 P BLIC WORKS BY Date 8-'1 ^ 77 8-4-7_7 — _ 7_7 uilding permit expires Date BUILDING Ownertsy� d S SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address a 0 / c- !-{ 1 •i- Q %L ^ /'T le hone No. 3 '•! X1:39 Fireplace Contractor © r/L�,n, Total Valuation L Mai I Ing Address Permit Fee 2 Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ �- /� Building Address /-4 1 AJ /� • PLUMBING No. @ FEE PERMIT FILING FEE J$3.00 O 7— $ t7 C C _�4 • Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 / Q A. P. NoLb 7 Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F CeXJS�( n Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Imp rovements P Lawn sprinkler system 2.00 Bldg. Plo4g4ec'd Parcel Approvalans Approval Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL N0.1 @ I FEE PERMIT FILING FEE $3.00 Main service 8000V OR LE 0 AMP ORLESS5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home 19 Others ❑ OVR 600V Main service 100E EAMP OR LESS 25.00 Main service EA. AOD'L loo AMP 1.00 r NEW DWELING OR ADDNST ( ACCLBLDGS.CCUP. &) 22sgft NEW CONSTR (MULTI -OUTLET NON.RESID. BRANCH CIRCUITS) 12.50ea NEW CONSTPOWER APPARATUS & R RESID. (SINGLE OUTLET CIR. NON. 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:Ex. BAL@25¢1 Ex. Occup(OUTLETS OR FIXTURES)@ Occup. 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 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. 14? I certify that in the performance of the work for which this L"ILpermit 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 $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ �oZ dutnonce representatives of the county of tsutte to enter upon the above-mentioned property for inspection purposes. X !®��G r Date y Signature of Permiteeo'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 been aid. DIRECTOR 0 P BLIC WORKS BY Date 8-'1 ^ 77 8-4-7_7 — _ 7_7 uilding permit expires Date .. ..,,,at,.....e• - _ - ....:..;::...�,...... .... s s.. _ !' sr +'r.i!•7'.r" /.' -✓ ^ �".! Y _ *•.f �.«.. .. X s... , -..t ? �.., ��Srti �{. r w`1 � f �-�/ J` .. "' .♦ �y •�� a _ �= t,• � i _ _ + s.� I � � i f - �---1 �.. 'i�ez-'r s.x,f,, •.r �..• �.. � _ �-=�s:,c +r--,.•+�-�.•. .tea _ � �ry�.. s '+ r.! `„y ... '`fir � t� -- ��� s�*�f✓ .?..�. } �,� „r a„�. -..n y v r • i `. r - •iF ' ,,� , i � - _ �; S_' .w - e,_.-�...,.. � ;_..,. ... �• "'� , Z'' S .r�'YM? � Y3.:x si j _ . `yr r� y «s � j >. t_ ; a:� / . � �' . �. I .a. �� � • � -� _- _ . . ..y � -,. �i J ' � ' .y `.. ..._ � .. �r.- ��•:••.�^- _-r .-... rte, � �� �• 44'. i.-. .-�ti-.-}��•r•' .� � �t�.�"` J.,y:.-..i ,�}'.x'". ^`a - ".s� / - '� � �'r r ��1 - .. . 1 � ., - r !1 -,.. '- � h � "r. . /.•' � � . -�• - . _ •fid.?' ,^'� �_ � � � - r-.�-i+,. `q% �4 "'t �r�. .rte �+^ t�'�{ �i - _ -... ,s. 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COUNTY,OF• BUTTE DEPARTMENT"OF PUBLIC'WORKS' 4' ' ' •�7 COUNTY,CENTER DRIVE,"` OROVILLS, CALIF.- •534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the reqquirements 4 ,of • the California Administrative Code, Title 25, Chapter 5, under',permit number -G 7 7,f - 7a- for the following location: '2 a* tai ✓ tr : T7n 1�. ,L.'� A r' a. �.0 '' Owner A-1 lN' /Pep - C, -T Owner's Address -Z p - !•�'�� c: +P . T",a., $ .II•V Ar_-.* c Mobilehome Mfg. ' r"le wr` Model I Year T T Insignia No. Serial No. It is hereby certified for -:occupancy at the above described location and' may be occupied. Director of Public Work's Date /` /l -- 7-7 By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED ,t r PERMIT NO. 6728-76P,E • PERMIT EXPIRES QWNER: 4 Kent Rogers ONTR. J. T. McGregor, Paradise LOCATION (A.P. 66-21-49 220 Wichita Dr., lot 288, CC#4, Magalia ,r,. � J x t �t ,rf Temp. Power Pole Called PG&E i Tqa.2p: Elec. Serv. 7-7 Called PG&E Temp.aCI's Serv. -alled PG&E ' JOB ` ` FINALED / "'� �/ �" -7-7 r (Dat) �, �� a'" y� (Signature) I V (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF"PUBL'IC WORKS BUILDING INSPECTIONRECORD BUILDING BUILDING (Cont'd) PLUMBING Setback 7 7 kirewall Soil Piping Fohps P a ets 1st Floor Mai Bldg. Res oom Finish 2nd Floor Foo n s Windo s 3rd Floor ' Stem II Siding To out _ __ Slab Roof She hing Water Piping 2 - Z+ '7 6 Piers Roofing Sewer�-�-- Garage Fdn. Vents 4 Fixtures Footings Garage Vents. Water Htr. Stemwall Insulation Heaters Slab Prov. for h sicall --�'-� A liances Carport handica e� Conformance of ex. Gas Piping & Test f Footings structure z Temp. Gas Slab Final A Sanitation _ Patio / FIR PL CE Final •— // -- 7-7 Footings Footing ELECTRICAL Masonry Walls Throat Rough •. Reinf. Steel Final Fixtures _Bond Beam Flo SPRINKLE4 Motors Framing Test Water Htr. Stucco Final Subpanels y„ Mesh MECHANICAL ------ Grd. Fault Prot. ScratchHeating Service r 2 @ .. Brown Cooling Temp. Pole Finish Ducts Under round iy 'z ✓"''� �- Interior Lath Ventila on Permanent i Al -7 - Door Closer Final Final -/—-' DATE REMARKS OR CORRECTIONS C v z T'c Va. -4 'fC F7 71 a 4- '-0 6,4 t./ ! / 0 7-0 .- �2 O O Q 0.n V- S .Q r y C c• "a -t9 O � -�...` f' YG.p.• IC �,�� i L1 xJ � e,r 6-�O w.• d (NOTE: An entry must be made on this form each time you visit the job site.) Di0BT .1?110,1E INSTALLAT700 INSPECTION CHECK L, IST , 1. Is the.. mobileh6mt located with required separation from lot lines and buildings and general].,, conform to plot plan? Yes 1i No 2, noes thE' mc,bilehome have required clearances above ground? (Sec. 5085) Yes 1--�No 3. Are footin;s and supports properly sized, spaced, and braced as per approved plans? (Note' possible variation at spring shackles.) (Sec. 5082 & 5083) Yesf/ No 4. Is the mobilehome level.? (Sec. 5088) Yesl/ No_ 5. If more than a single unit, are crossover connections properly installed? (Sec. 5088) Yes S. Water A. Is flexible connector of adequate size and.proper.ly installed (1/2" ID min.)? (Sec. 5566) Yes-ZNo B. Test Does water piping withstand working pressure or 50 lbs. air test? Yes 4,, -No C. Backflow - If coachate of California approved, does station have backflow device A�v�eYcs_ and pressure -relief No ' 7. Wastes and Drains A. Is connection made with. Schedule 40 DWV and have flex connectors at each end? Yes L-- No B. Does it have minimum k," per foot slope and is it properly supported? Yes i.,—No (:. Are any -leaks detected in drainage system after running 3-gallons'of water through each fixture including washing machine standpipe? Yes_ No L_�' D. If :c;�K�t State of Californiaapproved, does station have required trap and vent? 8. Gas Piping and Gas Vents A. Connector - Is mobilehome /conneed to the gas. supply with an approved 3/4" minimum mobilehome connector not mn 6'ft. liong? Note: All piping is to be at least as large as the mobileho`�e gainlet without reductions other than the mobilehome connector. Yes NB. Test OK as per foll 'ng pe? Y s ! No 1. Open all applia c convalv s 2. Shut off appl' nceVburer and p',ot valves. 3. Air test wit manoto 10"- 4" water column, or test with slope gauge (minimum 6oz.-maximu. oz.ibrated in tenth pound increments. Test for 10 min, without drop. 4. Connect gas meter to mobilehome with connector, turn. on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes No 9. Electrical A. Is service large enollgl. to provide ,adequ;rt_e amperage to mobilehome (must equal rating of mobilehome witli a. ::sinh-um of 100 amp) and other facilitl.e.s`on' lot, i.e., water pumps, garage, cabana, c:rc.: Yes !/fQo� B. Is ther,-� proper clearances around panels? Yes ✓No_ C. Is power supply cord or feeder assembly properly fused? Yes k--�Tlo- D. Is continuity test satisfactory as per the following procedure? Yes Flo_ 1. De -energize electrical wiring systeri 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 1,�,ad of a test instrument to the mobilehome grounding conductor and • . , cuapplytiie Ui��.�' a.c:au to each (ii0u,.l.�ciiuuit Supply CUIIuuCtUr, ill�luutlig Yle�lLrdt. 5. All nor. -current, carrying metal parts of the mobilehome (aluminum siding, gas line, iter 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 �.he grounding, electrode and the chassis of the clobilehome. Upon satisfactory completion of theclectrical tests, the lot or site service equipment- rLa'yT be approved for energizing. ;.tj, T,, ,;.ob card signed by Health Departmeat for water and sanitation? 1.1.. If everything ol(ay, sign off card and tet, services. MOBTLEiJOME DATA Manufacturer and/or Namestyle CeZA-_W*e-S v— Length to Width_ Vehicle Serial No. ,�Q (ii�f j ' a 6 iq 3 , State Identification No. ..drt;tional Information or Comments: COUNTY OF BUTTE — DIEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Uroville, California 95965 ^ �r7 Telephone: ,534-4541 �/j APPLICATION AND PERMIT "en �+uu_I_ represeniau ves UI LIC County UI Butte to enter upon the above-mentioned property for inspection purposes. X /14e, //,Ow Date - Signature of Permite orA'gent Receipt No. _3�(� / White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF P BLIC WORKS BY Date /— %— 7 % '/— %� �� uilding permit expires Date BUILDING Owner kQ S SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractorko Se jrU%C Q Total Valuation Mai I i ng Address <.tL% Permit Fee Plan Checking Fee &/or Penalty y`_ Tee ho a No. Permit Fee Building Address Z O �C ! tc-x Onv.4� PLUMBING No.1 @ FEE PERMIT FILING FEE J$3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 �> (+/ 7 / a Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. o �� _ Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F W. ire Dept. FireZone Use Permit Building sewer 5.00 EQA ParkinPlans Declaration Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel Approval I Plans Approval Permit Fee NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ,N ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 1( �`C� V f9(, 6 — Main service 100V OR 0 AMP ORSLESS 5.00 Main service EA. ADD•L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ OVR 600V Main service 10 EAMP OR LESS 25.00 Main service EA. ADD•L 100 AMP 1.00 NEW CONST. DWELLING OCCUP. & OR ADDNS. ( ACC. BLDGS. ) 22sgft NEW CONSTR. MULTI -OUTLET NON-RESID. BRANCH CIRCUITS)2.50ea NEW CONSTR. (POWER APPARATUS & NON -RES D. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: _ — IZAP/'n 3 6A 0 1/ 1-fr 1+c Ex. Occup(OUTLETS OR FIXTURES)BAL@1 @2 09 Ex. Occup.(FIXED APPLNS. OR P•( OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No.. 4! 20% 1—ClassificatiorC•�v t 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 19 Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not em P to an employ y 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 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 -30 Civ TOTAL PERMIT FEE is 3li ct �+uu_I_ represeniau ves UI LIC County UI Butte to enter upon the above-mentioned property for inspection purposes. X /14e, //,Ow Date - Signature of Permite orA'gent Receipt No. _3�(� / White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF P BLIC WORKS BY Date /— %— 7 % '/— %� �� uilding permit expires Date MOBILEHOME SUPPORT DATA Mob ilehome Mfr. b S % r Setup Model No. /3 - �� i Year /9'7') Width (ft.) Length.. (ft.) -Ekpando Size ft.x ft., (Draw support details below) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. (if not.on .f.ile with .the County of Butte). Sin le - Footings-(check,one) 1. Wood. either . pressure treated or fdn..' grade. ` Ll 2. Concrete pad. 3. Other,: specify -Supports (check one) RZ 1. Concrete block., 2. Concrete piers 3. Steel piers ".4. Other, specify Typxx Foot'cal Support /Ti 8 Footing Size *If center piers are other than drawn above, draw in locations, spacing, and dimensions. IMax. er c g P g Center f. 3.n.) Center Support Support Footing Sizes �,� bion s� Overhang (in.) 30 in.j(in. of [� x35 (fit) inv (in,;) (in.) . $'A�LIZ P x 3 D (. • In. • x ..(in.)(in.) t } e ft. in.) Sin le - Footings-(check,one) 1. Wood. either . pressure treated or fdn..' grade. ` Ll 2. Concrete pad. 3. Other,: specify -Supports (check one) RZ 1. Concrete block., 2. Concrete piers 3. Steel piers ".4. Other, specify Typxx Foot'cal Support /Ti 8 Footing Size *If center piers are other than drawn above, draw in locations, spacing, and dimensions. `BUTTE 'COUNTY BUILDING DEPARTP`A5-KIY `APPROV IMax. er c g P g f. 3.n.) Overhang `BUTTE 'COUNTY BUILDING DEPARTP`A5-KIY `APPROV BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. owner's name:. %� 61-6 4G J 2 . Installer's name: 3. Is the site currently under permit? Yeses / a`/ No ,o E� ) 4 ( If yes, furnish permit number (� �,�'�� � OR Is the site an existing site? Yes / // No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes // . No ( If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- 6. What is the mobilehome site service rating? --------------------- 7. What is the mobilehome site circuit breaker rating?------------- r.� 8. Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------- (If yes, identify the load and size: (Load) 9. What is the mobilehome site gas pipe size? ---------------------- a U D Amps j 8 Amps ; Amp's:. . Yes / / No (Amps) (in.) 10. What is the type of gas service? ----------------------------- Natural LPG / / 11, What is the gas pipe length from meter or tank to the mobilehome? 12. What is the mobilehome gas demand? ------------------------------ (This information not required if pipe length less than 6 ft. on natural gas ..or less -than 50 ft. on LPG.) (ft.) (BTU) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS • 7 County Center Drive ii:_ ..)r;;ville, California 95965 7� ry� Tel ephone:. 534-4541 / • APPLICATION AND PERMIT au u orze represemaLivCJ IRC I�UUlily UI Butte to enter upon the above mentioned propertyI o inspection purposes. X C\\",��rDate Sig tyre of ermitee or Age — __C?��. Receipt No. 5 - 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 n paid. DIRECTWR 00 PUBLIC WORKS BY Dated Z- Z '1 - -7 (o ildina permit expires Date Z'"''-77 BUILDING Owner ;PLOSQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor rT Total Valuation Mailing Address 's tV° dl pro key rph Permit Fee Checking Fee&/or Penalty r -,"Plan d i .s a^ T�I�p�-e�lj°�[ d Permit Fee $ Building AddressPLUMBING 01 No. @ FEE PERMIT FILING FEE $3.00 • s¢ Li ,t) Each Trap 1.50 Repair drainage or vent piping 1.50 ' ! _- fn Alt-L/p %— 9 P 25nIng VerMca ion Onl Water piping 1f� or, bD Each gas water heater or vent 1.50 A. P. No. -- (-- P T ` Za" Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 FSa ion ire Dept. Fire Zone Use Permit Building sewer .047 EQA Parking Parcel Plans ration M Parcel p 60' R/W Imp ro ements Lawn sprinkler system 2.00 Bldg. Plans d ec' Parce proval Plans Approval Permit Fee $ 1P 31 Va $ NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 spa Main service 1,00V OR 100 AMP ORLESS5.00 S,p� Main service EA. ADD'L 100 AMP 2.50 2— ,'"b Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service R 600V 1100EAMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 LOO S4• FT. K41NIMUM NEW OR ADDNST [DWELLING ACCBGOCCUP. &) 22.sgft NEW CONSTR.MULTI-OUTLET NON-RESID. ( BRANCH CIRCUITS)2.50ea R MO3ILES • NEW CONSTR- (POWER APPARATUS & NON -RESID. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: /- -r Ex. Occup(OUTLETS OR FIXTURES)BAL@1 @2 Ex. Occup. ( FIXED AP IRE S, OR OUTLETS RESID,) EA 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 1E. Vp License No. z 76 7�� Classification F� Q Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ a S,Jp $ c d 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. rZA I have placed on file with the County of Butte a certificate of LP Workmen's Compensation Insurance. certify that in the performance of the work for which this I to ermit is issued I shall not em P 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 $ $ 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 4 AICI TOTAL L PERMIT FEE $ 7-3 —G au u orze represemaLivCJ IRC I�UUlily UI Butte to enter upon the above mentioned propertyI o inspection purposes. X C\\",��rDate Sig tyre of ermitee or Age — __C?��. Receipt No. 5 - 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 n paid. DIRECTWR 00 PUBLIC WORKS BY Dated Z- Z '1 - -7 (o ildina permit expires Date Z'"''-77 I COUNTY OF BUTTE Oroville, Califomia GENERAL CLAIM CLAIMANT: GREG SMITH CONSTRUCTION ADDRESS: 1625 GRAYSTONE CT. CITY & STATE: PARADISE, CA 95969 DATE OF CLAIM: 9/29/98 ONPORTANT. SEE INSTRUCTIONS SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES ON REVERSE SIDE DATE DESCRIPTION OF CLAIM DESCRIBE FULLY TO AVOID DELA AMOUNT PERMIT TAKEN IN ERROR, REROOF NOT REQUIRED FOR MH.(A.P. #066-210-049, BP#98-2088, RECEIPT #244781, DATED 9/15/98, OWNER: THOMAS & VIRGINIA DEIVERT. Total Amount Paid..........................................................$ 47.00 Total Amount to be retained ...........................................$ 0.00 Total Amount to be Refunded.........................................$47.00 TOTAL $ -, 47. 00 I, the undersigned, declare under penalty of perjury that the services or articles claimed have beenormed or def red, and that this claim is true and correct as stated. Dated this t day of , 192 at , Calff. j Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the servicesrticles specified above ha been performed or delivered and that there is a Budget Appropriation I I or Speck Board Approval I I (Check one) for the sa Dated this 6 day of 0t:f 19/8 at f��V/L Calif. Departinent Head or Authorized Deputy Dept. Code 440-002 Exp. Code 4210500 PAYABLE FROM CONSTRUCTION PERMITS FUND Dept. Code Exp. Code PAYABLE FROM FUND Det Code ExD. Code PAYABLE FROM FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY - DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. 011 September 29, 1998 Greg Smith Construction 1625 Graystone Ct. Paradise, CA 95969 Dear Mr. Smith: 1 Aeutte county LAND OF NATURAL WEALTH AND BEAUTY BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530) 538-2140 RE: Request for Refund (A.P. #066-210-049) Your request for a refund was received by our office on 9/29/98. Please find attached a general claim' form ready for your signature. Please sign only where indicated and return to this office so that we may process your refund. Should you have any questions concerning this matter, please contact Alice Mefford of this office at (530)538-7541. Yours very truly, MiCiAel. C. V' eira, C.B.O. Manager, Buidling Inspection MCV:aam COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 EMIT O (Rev. 12,196) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER .�-. O ZONINGA I //�/'� BUILDING PERMIT OWNER o'YrlV ' r � � /•1 � � Q r I I U C� f•- TEI.EPXO E SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS JL CONTRACTOR'S NAME Q S PfrZ7 TELEPHONE 39 7.) CONT TORS Wi^M7 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 2 % A &-0 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS f cL � + Energy Plan Checking Fee $ VYI & $ PERMIT FEE $ LOT NO. SUBMSION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other 01"" Describe Work: 0--4040 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 6000 R LESS Main Service 20.A VOR LESS 23.00 LICENSED CONTRACTOR'S 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 ' full force and effect. C l License Class Lic. No. �� 7� 7 , l OWNER -BUILDER D CL R TION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason 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 is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 11 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 workers'FEES compensation laws of California, and agree that if should become subject to the wor ers' compensation rovisions of se ' n 00 of the Labor Code, I shall h ith comply with a provision. X Date —/ 7.— Sig re o Ap icant - Owner )4) Contractor Agent An OSHA pe it is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service zoDA TO 1000A 46.00 CCS NEw CONST. DwEwNo Occup. 3.5QF°; OR ( EW coNsr. MUAiT�i ou NON-RESID. 97.50 POWER APPARATus 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FDRURES BAL O 1.50 Ex. Occup. ouTLEEDTsq' D.oER. L 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE t MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ IMP FLOOD CDF PARCEL Po HD This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By 1v� PERMIT EXPIRES ON I the applicable provisions Resolutions to do work been paid. Date ` "x Date Receipt No.d-YY WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I,