HomeMy WebLinkAbout066-230-061�f
i
A.P. 66-23-61
JACK A. POSEY
-35 Simonson -Ct�,,,--Lot -.1,72, -PPCC#4
Permit 4428-73P,E (utilties for MH)
f�- -'�
CONTR: C & M Elec, Magalia
A.P. 66-23-61
,!AcK POSEY
35 Simonson Ct., PPCC#4, Lot 172
C&knR':' 6&A-tfec. Ma ga il a-
13-?
P
ermit 731-74B(new p 5- Vate garag(
JACK POSEY A.P. 66-23-61.
35 -Simonson Ct., Lot 172, PPCC#4
CONTR:-Mobile"Homes Spec., Para.
Permit 895-74B (patio awn. &
-deck for --.MH)... ...
66-23-61
dontr: Mobilehome Specialist, Paradise
Permit #4030-78B(add footage to exist.
awning) MH jel'
66-23-61
Permit #4078-78B(construct addition to
existing deck) MH
AV17 t
066-230-061;01-0518
POSEY, JACK �
6361 SIMONSON CT. MAGALIA
CONT: CHICO MOBIL HOME
EX MH ON PERMTND EX SITE
066-230-06ir1'q 0:�2�4jl 7
MCCARTHY.,a(
-6S61•SIMONsbNCT. MAGALIA
-CONT: ABLE PLUMBING
REPLACE GAS UNE - MH TO TANKJ
L
&L
6a
414
I
I
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-756 NO.
(Rev.12/96) APPLICATION AND PERMIT VERMIT
�
ASSESso :, UMB,ET�,
ciUb—�.s�—gal
Z0NIN
1 G
BUILDING PERMIT
owNE�
TELEPHONE
73-1695
SO. FT. OCC. BUILDING VALUATION
Gw08T SVtNfC3IriSON CT. wAuA CA 95954
CONTRA, CjO " flq(dE�I
�� �
TELEPHONE
99-9009
CONI TOfiSiMAIU/SUJESffC0 CA 95927
t`�AViT�i
CONSTRUCTION LENDER 7
Fireplace
LENDER'S MAIUNG ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
I
Plan Checking Fee $
{��1 �/'��/�/t �'�'{�
BUILDV JbiRESl"SW Cr. 1- AGALTA CA 95954
b ;
Energy Plan Checking Fee $
$
t
PERMIT FEE $
LINO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
Each Trap
7.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ifs] Other k
SPECIFY r
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
NeoS ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other O
Describe Work: GAS LINE REPLAC.E�T
Ni TO TAW
Gas piping system 1 - 5 outlets
15.00 15.00
Building sewer
15.00
Mobile Home S G W
@20.00
PERMIT FEE $
35.00
ELECTRICAL PERMIT
Fling Fee 20.00
V OR
Main Service noOOOon oR LEssLESS
23.00
F
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 id in fill force and effect.
License Class � � � �% � �J +
L"'� o f- ' 'Lic. NO.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason: i
❑ 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
Main Service 200A TO 1000A
46.00
NEW CONST. DWELLING OCCUP.
OR ADDNS. 8 ACC. S.
SO
3.5¢FT,
NCONST. MULTI.OUTLET
NON-gESID. .U,.@7.50
POWER APPARATUS
8 SINGLE OUTLET Cw.
Ex. Occup. OUTLET OR FIXTURES
20 p 1,00
aAL@ .50
Ex. Occup. oFlunETs PESEso°EA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wirin
23.00
PERMIT FEE $
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
�t T'*..I 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 1<1 Lo % r ,. 7t . 1° F vw- /'
Policy Number 1, t I -^l & / C C, %
(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 lawslof 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 dose provisions.
•y1 j
Date �rl?,- ,)/11 _
X ./ r�"� . 1- G
Signature of"Applicant - ❑Owner p"Contractor ❑ Agent' 1
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
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 $ 35.00
HAZ.
I D. FEES IMP
I FLOOD
I COF
PARCEL
I PD
HD
ISSUE
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.
nn
By ('! kl-%rYYI L,.jr �yi Vj— Date -P'e)J?" a
PERMIT EXPIRES�N
Date
Receipt No. U141 1;/2r%
WHITE-D.D.S.-B.D. CANARY -ASSESSOR OINK -INSPECTOR GOLDENROD -APPLICANT
.c
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • OroviII4, CAIITornia 95965 • Telephone (530) 538-75 1 al ERT NO.
(Rev. 12/96) APPLICATION AND PERMIT (
ASSE�,v gUf1L�I�VUMM1
L
ZO G •.
BUILDING PERMIT
owNMCCARTHY, JIM
TELEPHONE
73-1695
SO. FT. OCC. BUILDING VALUATION
OWN NG SIMONSON Cr. MAGALIA CA 95954
CONTRACTORS NAME
ABLE PLUMBING
TELEPHONE
99-900
CONTRACTORS MAILING ADDRESS
PO BOX 7907 CHICO CA 95927
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS
6361 SIMONSON Cr. MAGALIA CA 95954
Energy Plan Checking Fee
$
$
PERMIT FEE
$
LAT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome )I Other
SPECIFY
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
Describe Work: GAS LINE REPLACEMENT
III TO TANK
Gas piping syste!2 1 - 5 outlets
15.00 19-00
Building sewer
15.00
Mobile Home I S I G W
@20.00
PERMIT FEE
s 35 .00
ELECTRICAL PERMIT
Filing Fee 20.00
R LES
Main Service 200, 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 I�Il orce and effect.
License Class %� (o Lic. NO. Z —7 6 O
OWNER -BUILDER DECLARATION
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.
Vl 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' co pensation in urance carrier and policy num are:
Carrier _ ' " — _ n u„ —ir15 ,
Policy Number - C.'
(The above sections nee 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 of California, and agree that if I should become subject to the
workers' co ens tion provisions of section 3700 of the Labor Code, I shall
orth ith cc pi ith those provisions.
X Date 2_Z,
Signature App' ant - ❑ Owner actor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in height.
Main Service 200A TO IOOOA
46.00
NEW CONST. DWELLING OCCUR SO
OR AODNS. ( a ACC. UDS. 3.50FT;
NOµRESiD MULTI.OUTLET 97.50
FowER APPARATUS
8 SINGLE OUTLET CIR.
.00
EX. Occu OUTLET OR FIXTURES BAL @ I. 0
Ex. Occup. o untDrs RES D.OEA 5.00
Temporary Service
23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE S
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 35.00
HAZ.
I D. FEES IMP
I. FLOOD
CDF
PARCEL
I PO
I HD
ISSUE
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.
By CQi1rY�l'Yl
PERMIT EXPIRES OJN
Date
Receipt No. �[ 34��S7/-��5
WHITE-D.D.S.-B.D. I:FIVA ESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville,-Ca%farnia 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96)
APPLICATION AND PERMIT n yI 7
ASSESSOR PARCELNUMB? ^3
Ci/J� C—.7`)
IONINO
`
BUILDING PERMIT
OWNERS /� ^
TELENE
OQ. -3n
l/69S
SO. FT. OCC. BUILDING VALUATION
OWNERS MAI 160 ADDRESS C)
l/U,
"V/��IJ,V_1'\
('1 1
r 1
1 l
coM 03'S ME
TELEPHONE
-9do
COM TOR'/ MAIUNO DRESS
V .
I �.-/ I4
'•
CONSTRUCTION LENDER
Fireplace
LENDER'S MAIUNG ADDRESS
Total Valuatlon $
ARCHITECT OR ENGINEER
UCEISE NO.
—Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDIyG ADDRESS
1/l�J,
n ^J
Li{f-1)1/ A��/+-!%!J+
Energy Plan Checking Fee
$
—
$
PERMIT FEE
$
LOT No.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome' Other
' SPECIFY
Each Trap
1 7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ //Otherjj
Describe Work: j:� Q r1 0 42 SC � Q_,��%JI'��
YYN 11� v U
Gas piping system 1 - 5 outlets
15.00 I (�
Building sewer
15.00
Mobile Home S G W
@20.00
PERMIT FEE
S 3K_ Da
ELECTRICAL PERMITFling
Feel 20.00
Main Service 2o0A OR LESS
23.00
-
'
r�
*PERAUT FEE Wit> �j
�A
SPA
S
SHERIFF
O TM
r^
APAOUW RECEII co : v
*RECWT NV�M , 3 3 _
" TO til KIM INTO Comm
Main Service 200A TO 1000A
46.00
NEW CONST. DWELLING OCCUP.
OR ADDNS. & ACC. BUDS.
3.5�so.
FT.
NEW CONST. MULT OOUTLET
NON-RESID. @7.50
POWER APPARATUS
b SINGLE LET OUTCIR.
20 @ 1.00
OUTLET OR FIXTURES
EX. OCCU SAL @ .SO
EX. OCCU FIXED APPLNS. OR
O.RESID. EA
5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wirina 23.00
PERMIT FEE t
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $
HAI.
D. FEES IMP
I FLO7
CDF
PARCEL
I PD
HD ISSUE
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
By
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
Date
Daro
Receipt No.
WHITE-D.D.S.•B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMEN=T>SERVICES-
411 'Main Street • 'ChiFo, CA • (530) 891=-2751 r
7 County Center Drive • Oroville, Ck x''(530) 53877541 .
CORRECTION NOTICE
OWNER
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected. Please notice this office when correction of work is
completed. If'you have any questions pertaining to this matter, or need-additional..explanation;
t please contact this office immediately.
to
1, � ..•, ..� � _ _ _ � � = - / _
atte Co n
LAND OF NATURAL WEALTH AND BEAUTY
i:..
PLANNING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397
TELEPHONE: (530) 538-7601
FAX: (530)538-7785
July 10, 2001
Department of Housing and Community Development
Division of Codes and Standards
Manufactured Housing Section
P.O. Box 31
Sacramento, CA 95812-0031
Re: Jack A. Posey & Edith N. Posey
6361 Simonson Court, Magalia
APN 066-230-061
To Whom It May Concern:
This 433A was originally recorded March 27, 2001, and sent to you with the check for
$22.00.
In May it was brought to our attention by the owner that the legal description was in
error. The document was re-recorded with the correct legal description and re -sent to
y u.
Si cerely,
t�%C�
Paula Atterberry
Plan Application Assistant I ;
I
(DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT
DIVISION OF CODES AND STANDARDS
MANUFACTURED HOUSING SECTION
1800 Third Street, Suite 260
P. O. Box 31 Sacramento, CA 95812-0031
(916) 445-3338 FAX (916) 3274712
From TDD Phones: 1-800-735-2929
June 29, 2001
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DR
OROVILLE, CA 95965
County: BUTTE
Owner: POSEY
�v51NG q
f��� RD.
goo u Z
3 t W
D
3G '
,Y EV��
We have reviewed your application form 433A for manufactured homes, mobile homes or
commercial coaches, installed on a foundation system. We are unable to update the permanent
legal record because the following information is needed to record the application.
No fees were received with the application.
Fees in the amount of 22.00 are required.
($11.00 Per transportable section)
In order that the record can be properly documented and recorded, please resubmit the forms and
checks within twenty (20) days. If you have any questions feel free to contact our office at (916)
445-3338.
Y,`l
ROSS, Program Technician I
'tured Housing Program
cc: Jack or Edith Posey
6361 Simonson Court
Magalia, CA 95954
S-
ARE_CORDING REQUESTED BY:
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE CA 95965
� (III IIIII�'IIIIIIII'�I�III'll'I'II
Recorded
OfficialRecords
Count
BUTTOf
E
CANDACE J. GRUBBS
Recorder
ROSEMARY DICKSON
Assistant
12:52PM 27 -Mar -2001
REC FEE .00
CONFORM '.00
Cindy
Page i 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.
JACK A. POSEY AND EDITH N. POSEY
REAL PROPERTY OWNER/LESSOR
6361 SIMONSON COURT
MAILING ADDRESS
MAGALIA, BUTTE, CA 95954
CITY COUNTY' STATE ZIP
SAME
INSTALLATION MAILING ADDRESS, IF DIFFERENT
CITY COUNTY STATE ZIP
SAME
UNIT OWNER (if also property owner, write "SAME")
MAILING ADDRESS
CITY COUNTY SPATE ZIP
UNIT DESCRIPTION
BUTTE COUNTY BUILDING DIVISION
LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY
7 COUNTY CENTER DRIVE
MAILING ADDRESS
OROVILLE, BUTTE, CA 95965
CITY COUNTY STATE ZIP
01-0518 (530)538-7541
BUIL IN P"IT NO. TELEPHONE NUMBER
N
o 10 03/23/2001
NA URE OF LOCAL AGENPI FICIA DATE
NONE
DEALER NAME (if not a dealer sale, write "NONE")
DEALER LICENSE NO.
UNKNOWN 1974 WESTERN
MANUFACTURER'S NAME - DATE OF MANUFACTURE MODEL NAME/NUMBER
S398U/X 60'X 24' 148143/4
SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S)
REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. #j066,230,Q6.1;
SEE ATTACHED
HCD FORM 433(A) REV. 8/91
WHITE -County Recorder CANARY - HCD PINK -Applicant GOLDENROD- Building Dept.
LEGAL DESCRIPTION
A.P. #066-230-061
All that certain real property situate in the County of Butte, :State of California, described as follows:
Lot 173, as shown on that certain Map entitled, "PARADISE PINES COUNTRY CLUB
ESTATES, UNIT NO. 4", recorded in the Office of the Recorder of the County of Butte, State of
California, on October 27; 1971, in Book 38 of Maps, at pages 69, 70, 71, 72, and 73.
Excepting all minerals, as excepted of record.
RECORDING REQUESTED BY:
WHEN RECORDED MAIL TO:
Butte County Building Division
7 County Center Drive
Oroville, CA 95965
COPY of Document Recorded
22 -Kay -2001 2001-0021392
Has not been compared with
original
BUTTE COUNTY RECORDER
NOTICE OF MANUFACTURED HOME(MOBILEHOME)
OR COMMERCIAL COACH, INSTALLATION OF A
FOUNDATION SYSTEM
THE ATTACHED DOCUMENT IS BEING RECORDED TO CORRECT ERROR IN THE
REAL PROPERTY LEGAL DESCRIPTION ON NOTICE OF MANUFACTURED HOME
(MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION OF A FOUNDATION
SYSTEM, RECORDED ON MARCH 27, 2001, UNDER SERIAL NUMBER 2001-0011943.
THIS PAGE ADDED TO PROVIDE ADEQUATE SPACE FOR RECORDING
INFORMATION.
J
RECORDING REQUESTED BY:
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE CA 95965
SPACE ABOVE THIS LINE FOR RECORDER USE ONLY
NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH,
INSTALLATION ON A FOUNDATION SYSTEM
Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code
Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit
described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document
shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as
to its contents to all persons thereafter dealing with the real property.
JACK A. POSEY AND EDITH N. POSEY
REAL PROPERTY OWNEWLESSOR
6361 SIMONSON COURT
MAILING ADDRESS
MAGALIA, BUTTE, CA 95954,
CITY COUNTY STATE ZIP
SAME
INSTALLATION MAILING ADDRESS, IF DIFFERENT
CITY COUNTY - :STATE ZIP
SAME
UNIT OWNER (if also property owner. write'SAME')
MAILING ADDRESS
CITY COUNTY . STATE ZIP
UNIT DESCRIPTION
BUTTE COUNTY BUILDING DIVISION
LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY
7 COUNTY CENTER DRIVE
MAILING ADDRESS
OROVILLE, BUTTE, CA 95965
CITY COUNTY
STATE ZIP
01-0518
(530)538-7541
BUI 1 PERMIT NO.
TELEPHONE NUMBER
j 12 i Mm"
03/23/2001
'SIGNATURE OF LOCAL AGEOF EZ
VP
DATE
NONE
INSIGNIAILABEL NUMBER(S)
DEALER NAME (if not a dealer sale, write *NONE*)
NONE
DEALER LICENSE NO
UNKNOWN
1974.
WESTERN
MANUFACTURER'S NAME -
- DATE OF MANUFACTURE
MODEL NAME/NUMBER
S398U/X
60'X 24
148143/4
SERIAL NUMBER(S)
LENGTH X WIDTH
INSIGNIAILABEL NUMBER(S)
REAL PROPERTY LEGAL DESCRIPTION. ASSESSOR'S PARCEL NUMBER
SEE ATTACHED
A.P. #066-230-061
HCD FORM 433(A) REV. 8/91
WHITE -County Recorder CANARY - HCD PINK -Applicant GOLDENROD -Building Dept.
1 .
LEGAL DESCRIPTION
A.P. #066-230-061
All that certain real property situate in the County of Butte, State of California, described as follows:
Lot 172, as shown on that certain map entitled, "PARADISE PINES COUNTRY CLUB ESTATES UNIT NO.
4", recorded in the office of the Recorder of the County of Butte, State of California on October 27,1971, in Book
38 of Maps, at pages 69, 70, 71, 72 and 73.
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.
RECORDING REQUESTED BY:
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE CA 95965
IIII III III I Illl I II IIII if II II I (IIII
�QJ01 —oZiO 1 1'343
Recorded
Official Records
CountyBUTTEOf
CANDACE J. SRUBBS
Recorder
ROSEMARY DICKSON
Assistant
12:52PM 27 -Mar -P001
REC FEE .00
CONFORM .00
Cindy
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.
JACK A. POSEY AND EDITH N. POSEY
REAL PROPERTY OWNERILESSOR
6361 SIMONSON COURT
MAILING ADDRESS
MAGALIA, BUTTE, CA 95954
CITY COUNTY STATE ZIP
SAME
INSTALLATION MAILING ADDRESS. IF DIFFERENT
CITY , . COUNTY STATE ZIP
SAME
UNIT OWNER (ifalso property owner. write 'SAME*)
MAILING ADDRESS
CTTY COUNTY STATE It.
UNIT DESCRIPTION
BUTTE COUNTY BUILDING DIVISION
LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY
7 COUNTY CENTER DRIVE
MAILING ADDRESS
OROVILLE, BUTTE, CA 95965
CITY COUNTY STATE ZIP
01-0518 (530)538-7541
BUI IN PkRMITNO. TELEPHONE NUMBER
010.1 03/23/2001
NA OF LOCAL AGENPI FIC DATE
NONE
DEALER NAME(ifnoi a dealer sato, writo'NONE')
DEALER LICENSE NO.
UNKNOWN
1974
WESTERN
MANUFACTURER'S NAME
DATE OF MANUFACTURE
MODEL NAME/NUMBER
S398U/X
60'X 24'
148143/4
SERIAL NUMBER(S)
LENGTH X WIDTH
INSIGMA/LABEL NUMBERS)
REAL PROPERTY LEGAL DESCRIPTION ASSESSORS PARCEL NUMBER A.P. # 066-230-061
SEE ATTACHED
HCD FORM 433(A) REV. 8/91
WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD -Building Dept.
RECORDING REQUESTED BY:
Donald R. Travers
WHEN RECORDED RETURN TO:
Donald R. Travers
Attorney at Law
529 Pearson Road
Paradise, California 95969
MAIL TAX STATEMENTS TO:
Jack Arnold Posey
Edith Nadine Posey
6361 Simonson Court
Magalia, California 95954
91 ••3566&
' ai ♦�'
JY �'
.y
. 1
91-035668 1 Rec Fee 9.00
I STF
Recorded I Check
Official Records I
County of I
Butte I
Candace J. Grubbs I
Recorder I
8:02am 28 -Aug -91 I
GRANT bEED
A.P.N. .066-23-0-061-0
2.00
11.00
JJ 3
The undersigned grantors declare: Documentary transfer tax is
NONE.
No consideration given. Change in formal title only. (See note
1 below)
FOR NO CONSIDERATION, JACK A. POSEY and EDITH N. POSEY, husband
anu wife, do hereby REMISE, RELEASE AND FOREVER GRANT to JACK
ARNOLD POSEY and EDITH NADINE POSEY, as Trustees of the POSEY
REVOCABLE INTER VIVOS TRUST initially created on August 20,
1991, all of their right, title and interest in and to the
following described real property in the County of Butte, State
of California:
SEE ATTACHED PROPERTY DESCRIPTION
NOTE A1:. Conve__yy��ance transferring Grantors' interest into a
revocableiiv�ng [rust: This conveyance trimers the
Grantors' interest Tn the described property into their
revocable living trust which is not pursuant to a sale and is
exempt pursuant to Rev. and Tax Code Section 11911.
NOTE A2: Grantor JACK A. POSEY is the same person as Trustee
K KR—NOLD POSEY, and Grantor EDITH N. POSEY is the same person
as. Trustee EDITH NADINE POSEY. This conveyance to a revocable
1
j.
. 1
91-035668 1 Rec Fee 9.00
I STF
Recorded I Check
Official Records I
County of I
Butte I
Candace J. Grubbs I
Recorder I
8:02am 28 -Aug -91 I
GRANT bEED
A.P.N. .066-23-0-061-0
2.00
11.00
JJ 3
The undersigned grantors declare: Documentary transfer tax is
NONE.
No consideration given. Change in formal title only. (See note
1 below)
FOR NO CONSIDERATION, JACK A. POSEY and EDITH N. POSEY, husband
anu wife, do hereby REMISE, RELEASE AND FOREVER GRANT to JACK
ARNOLD POSEY and EDITH NADINE POSEY, as Trustees of the POSEY
REVOCABLE INTER VIVOS TRUST initially created on August 20,
1991, all of their right, title and interest in and to the
following described real property in the County of Butte, State
of California:
SEE ATTACHED PROPERTY DESCRIPTION
NOTE A1:. Conve__yy��ance transferring Grantors' interest into a
revocableiiv�ng [rust: This conveyance trimers the
Grantors' interest Tn the described property into their
revocable living trust which is not pursuant to a sale and is
exempt pursuant to Rev. and Tax Code Section 11911.
NOTE A2: Grantor JACK A. POSEY is the same person as Trustee
K KR—NOLD POSEY, and Grantor EDITH N. POSEY is the same person
as. Trustee EDITH NADINE POSEY. This conveyance to a revocable
1
r '� .. 1'•Ke�v
2
`
-9 I -35668
trust, and pursuant to Rev.
and Tax Code Section. 62(d) (2), does=.
not subject the property
to reassessment.
Dated:
A. POSEY
I�
EDITH�POSEY
ACKNOWLEDGMENT-
;'
I"f't
t STATE OF CALIFORNIA )
COUNTY OF BUTTE
k
On 1991, before me,
J
ELLA H. TRAVERS, a N6tary
Public in and for said State,
`trlw;
�!r
personally appeared
JACK A. POSEY and EDITH N. POSEY,
personally known to me (or proved to me on the basis of
satisfactory evidence)
to be the persons whose names are`'--
;�
subscribed to the within
instrument and acknowledged to me that
�.
they executed the same in
their ahthorized capacity, and that by
their signatures on the
instrument the persons, or the entity
upon behalf of which the
persons acted, executed the instrument.
I WITNESS my hand
and official seal.
`�� �` ti'.'•
OFFICIAL SEAL
NGTARY PUBLIC�j
MLI H. TAAWM
'
NOTARY RMIC- CAUF(RIIIA
BUTTE COUNTY
E,YMSSEN
EXP. FEB. 11.1992
pp
.
3
' ^.• a�
i
2
All that certain real property situated 3n the County o Dutte,•State of
..Ca ' lifornia, described as follow,-: I.- 3 5 6 6 �!
: PAicEr, 1•
as shown on that certain map entitled, "PARADIUE'PINES COUNTRY
,:'CLUB LSTs^.TLS UNU P:O. 4", recorded in th. cftice of the Recorder of the County
.of Dutte, •State of Cn1 ifornia on ,October 277 1971, in Book 38 of Naps, .at•
pares 69, 70i 71,72 and 73•-
`E:;GEPTING THEREFROM all minerals, oil, gas, asphaltum and. other hydrocarbon
c,�bstances with provision that any and all. mining operations shall -be done'
from orifices outside the surface arca of -the land described herein and thaw
no.damagg shall be done to the surface of said land. '
PARC=EL_" 2_
A
non -exclusive -easement over Lots,A, B, C, D, E, F, G, H/ I, J,.K., L and:.'
N,•(thc-common areas) of said Paradise Pines Country Club Estates -Unit No. 4.
:....and the lots designated for common and recreational"areas as described. in .:
;;.the Declarations of Annexation for Units IV., VI, VIII, X�- XI. XII ••XIII, XIV,
,XV',and.Country Club Estates Units No. 1, 2;•3 and 4 as described In Parcel 3.
`:e .title: to ' the "real property described in Parcel 2 . shall be and is vested ,
the. hereinbelow referred to Association for the common use and enjoyment
owners:ol' lots in Paradise Pines County Club Estates Unit No. 4, and
'•in any other tracts heretofore and hereafter ann^:.xed,.as more fully'set out.
in -the said Declaration hereinafter referred to.
RARCr - :
t A membership appurtenant. to the lot'described as Parcel 1 hereof, in -.the
r ..`Paradise'Pines Property Owners Association, a non-profit corporation, the..
�. fee owner of the common arras.
SUBJECT TO:
1. Covenants, conditions, restrictions, reservations,.
rights, rights=of-way and easements now of record. -
This conveyance is made and accepted and said property is hereby granted upon.
..and subject to that certain Declaration of Covenants,.Conditions and Restric-
'.tions recorded on September 4, 1970, in Book 1632', page 578 of the Cfficial
;. Records of.said County, amended by an instriument recorded on October 16
1970, in Boon .1639,. pace 433 r.nd an instrument recorded on ;March 16 19hl
'•'.in Book 1663, page 348 of the: Official Records of said County and �he
:.-..-Declaration of Annexation for Paradise Pines Unit IV, recorded on October
16, 1970 in Book 1639 page 437 and the Declaration of'Annexation for
Paradise Pines Unit V�, recorded on October 16, 1970, in Book 16391 page 440•.'
and'the Declaration cf Annexation for Paradise Pines Unit VIII, recorded
on'November 4, 1970, in Book 1642, page 210 and t] -ie Declaration.of Annexation
:.for'•Paradise'Pines Unit X, recorded December 15 1970, in Book 1649 -page..
528 and Declaration of Annexation for Paradise Bines Uni-t'XI, recorded on '
Jnno 10, 1971, in Book 1680, page 206 and the Declaration of Annexation for
Paradise Pines Unit XIII, recorded June 28, 1971, in Book 1683, page 3991
the Declaration of Annexation for Paradise Pines Unit XII, recorded August
9 1971, in Dool: 1692,'page 306, the Declaration of Annexation for Paradise
Pincs•Unit :CIV, recorded August 9, 1971, in Book 1692, page 304 the Declaration
of Annexation for Paradise Pines Unit XV, recorded September 30, 1971, in.
Hook 1704, page 143, the Declaration of Annexation for Paradise Pines Country
Club Estates Unit No. 1, recorded November 18, 1971, in Book 1713, page 605,
the Declaration of Annexation for Paradise Pines Country Club Estates Unit No.
2, recorded November 18, 1971, in Dook 1713, page 607, the Declaration of
Annexation for Paradise Pines Country Club Estates Unit No. 37 recorded
November 1.8, 1971, in Book 1713, page 609, the Declaration of Annex-Ition for
Paradise Pines Country Club Estates Unit: No. 4, rccorrind November 18 1971,
in Book 1713, page 611, all recorded in the Official Records of the butte
County Recorder and the covenants, conditions, rights, restrictions, easements,
reservations, benefits and burden, therein contained, each and all of which
aro hereby expressly incorporated by roference as though sot -out herein in
full. END OF DOCUMENT
PERMIT NO. 4030-78B t
PERMIT EXPIRES;
OWNER J.A. POSEY
CONTR._'Mobilehome Specialist, Paradise
LOCATION (A.P. 66-23-61
35 Simonson Ct, lot 172, CC#4, Magalia
e
i
1
t
6
S
Temp. Power Pole
i
Called PG&E
Temp. Elec. Serv.
s Called PG&E
Temp. Gas Serv.
Called PG&E
ZN
ALED 7, � �O
6 (Date) /
(Signature)
Setback
Forms
Mai Bldg.
Footin
Is
Stemwal I
Slab
Piers I
Garage
Footings
Stemwa I I
Slab
Carport
Footin
SI
Patio
Footin
Masonry Wails
Reinf. Ste I
Bond Be
COUNTY OF BUTTE — DEPARTMENT OP PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING BUILDING (Cont'd)
Firewall
Soil JPIpIng
Paralfets
1s Floor
Restro Finish
2n Floor
Windows
3rd kioor
Siding
To out
Roof Sheathing
Water Pi n
Roofing
Sewer
Fdn. Vents
Fixtures
Garage Ven
Insulatiort,
Water Htr.
Heaters
Provor ph sically
ha caooedy
A liances
Footin
of ex.
—7 �/ a
FIREPLACE
PLUMBING
Gas Piping & Tes
Temp. Gas
Sanitation
Final
ELEOYIIICAL
Rough
Fixtures
Stucco
Final
Subpanels
Mesh
MECHANICAL
Grd. Fau Prot.
Scratch
Heating
Service
Brown
Cooling
Te Pole
Finish
Ducts
U der round
Interior Lat
Ventilation
ennanent
Door C19916
Final
anal
MOBILEHOMEUTILITIES ------------------
Elec_ Service
Elec. Pedestal
Water Piping
Sewer
Gas Piping
MEHOME INSTALLATION
Support
Elec. Continuity
Water Piping
Drainage
Gas Piping
DATE
REMARKS OR CORRECTIONS
(NOTE: An entry must be made on this form each time you visit the job site.)
COUNTY OF BUTTE = DEPAR-TMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
to
gnoture of2;�j
or Agent
Rec 'rpt No. 2�7
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
This permit is hereby issued underthe•applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR F PU LIC WORKS
BY 51eDate_%-/�
BUKing permit expires Date 7—,(7-7
BUILDING IF
Owner �� se
SQ. FT. OCC. BUILDING VALUATION
3 0
Mai l i ng Address j /yJ p e/ i ort/ e -
74 '
Telephone No.
Contractor — S.,
Mailing Address 06V Y54 e.,4oeAASL---
Fireplace
Total Valuation
Telephone No.
Permit Fee
Building Address
Plan Checking Fee&/or Penalty
Permit Fee j 0 o
oC
S �'-
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00 s
Each Trap 1,5
Repair drainage or vent piping .50
A. P. No.
Zoning & Planning
Water piping 1.50
Each gas water heater or nt 1.50
Fees'
i
WC.
Fire Dept.
Fire Zone
Use Permit
Gas.piping system - 5 outlets 1.50
EQA
Parking
n
Plans
Parcel
Declaration
Parcel M 60' R/W
Improve nts
Each addition utlet .30
Building er 5.00
�
Bldg. Plans Reed
Parcel A rovol
Plas Approval
Lawn sprinkler system 2.00
NEW ❑ ADDITION UTILITIES ❑ OTHER ❑
permit Fee $ .
S 77 60 6,
ELECTRICAL No.1 @ FEE
PERMIT FILING FEE $3.00
Main service 600V OR LESS.
loo AMP LESS 5.0
Single Family Duplex Mobil Home
❑ p ❑ ❑ Others 1�
-L
Main service EA. ADDloo AMP Z21,50
A y-- 'A
1 .4C� rV .4"��L /r/ �•
17—.4C
Main service OVER 600V 25.00
100 AMP OR LESS
Main service EA. ADO'L 100 A 1.00
OR ADDNST ACCLBLDGOC P. 51 20sgft
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:
gF-C1,4 C T'S
NEW NON-RESIESI DD. MULTI- TL T
CONSCONTRACTORS
, � BRAtJ RCUITS 12.50eal
NEW CONSTR. /PO R APPARATUS &
NON.RESID. 1 LE OUTLET CIR,
Ex. Occuo(O LETS OR FIXTIIPES1 50@�5¢
�1
BALFIXED
ALNS
Ex. OCC 1OUT LETS P(RESID )REA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License �e_ fj�_ /
Classification
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑I have placed on file with the County of Butte a certificate of
Workme ' Compensation Insurance.
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
Ventilatio
Hood 2.00
Permit Fee $
$
1 certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
Land Development Fee
$
TOTAL PERMIT FEE
$ s o
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
to
gnoture of2;�j
or Agent
Rec 'rpt No. 2�7
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
This permit is hereby issued underthe•applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR F PU LIC WORKS
BY 51eDate_%-/�
BUKing permit expires Date 7—,(7-7
14PERMIT NO. 4078-78B
�PERMIT EXPIRES 7-�6/
O
WNER J.A. POSEY
ZONTR. owner
^;1LOCATION (A.P. 66-23-61
!!35 Simonson Ct, lot 172, CC#4, Magalia
1
.t
f
f
!t
t
f� Temp. Power Pole
Called PG&E
Temp. Elec. Serv.
Called PG&E
f Temp. Gas Serv. �. ?
Called PG&E
JOB y ,�
� FINALED w Z
(Date)
( (Sign ture)
pf
I
Setback
Forms
Main g.
Footin
Stemwa I I
Slab
Piers '
Garage
Footings
Stemwa I I
Slab
Footings
ary Walls
Int. Steel
COUNTY OF BUTTE — DEPARTMENT OF'PUBLIC WORKS
BUILDING INSPECTION RECORD
ING BUILDING (Cont'd) PLUMBING;
.- Firewall
Sit Piping
P ra ets
1st Floor
es oom Finish
2Xd Floor
Windo s
3r loor
Siding
To out
Roof Shea"toing
Water Pi n
Roofing
Sewer
Fdn. Vents
Fixtures
Garage Vents
Insulation
Water Htr.
Heaters
Prov, for ph scally
hand
Confor nce of ex.
structu a
A liances
Gas Pi In & Test
Temp. Gas
a�
Final �2�T- Q%�`i
Sanitation
FIREPLACE
Final—
Footing
EVtCTRICAl
=` Th 6t
Rough
'z Final :.
Fixtures
Stucco Final z
Sub anel
Mesh ME6WNICAL
Grd. F It Prot. -
Scratch Heatin •
Servl e
Brown' Cooling
T p. Pole
Finish �,y�' Ducts ,
rider round
Interior Lath,--''- Ventileti n
Permanent
Door ser I Finale
Final
MOBILEHOME UTILITIES ------------------ Elec- Service,`"-
Elec" Pedestal
Water Piping Sewer
Gas Piping
OBILEHOME INSTALLATION- - - - - - - - - - - - - - Support
Elec. Continuity
Water Piping Drainage
Gas Piping
DATE REMARKS OR CORRECTIONS
All
\•L J �
(NOTE: An entry must be made on this form each time you visit the job site.)
_COUNTY OF BUTTE—.,DE
P6RTMENT OF PUBLIC WORKS
47 County Center Drive — Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
authorLe representatives of the county or Butte to enter upon the
above mentioned property for inspection purposes.
X Date7— 77
Signature o Permitee or Age
eceipt No. _ 2 KS
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.
DIREC,TQ�F PUBLIC WORKS
Building permit expires Dafe %.'_l.,% .1
BUILDING
Owner S
SQ. FT. OCC. BUILDING V UATION
d
Mailing Address S G* 7
JT,elephone
�'� 9�
No.
Fireplace
Contractor
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee
$
, O
$
Building Address �(/� S �v
PLUMBING
No.
@
FEE
PERMIT FILING FEE $2.00
Each Trap 1.50
Repair drainage or vent pipi
1.50
Water piping 1.50
Each gas water hea r or vent 1.50
A. P. No. 6
Zoning &Planning
Gas piping sys 1 - 5 outlets
1.50
Each additi al outlet .30
Fw
W.
Fire Dept.
Fire Zone
Use Permit
Buildin ewer 5.00
EdA
Parking
Plans
I ParcelParcel
Declaration
Ma P
60' R/W
ImprovementsLaw
prinkler system 2.00
Bldg. PlonV Recd
Parcel Approval
Plans Approval
Permit Fee
$
$
NEW ❑ ADDITION UTILITIES ❑ OTHER ❑
ELECTRICAL
No.
@
FEE
PERMIT FILING FEE $3.00
Main service incl. 1 meter
Additional meters, each
1.00
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Sub -panel (12 or less) (more than l
Range, Cook -top or Oven 1.00
Z ZZAZ
7 Water Heater or Space He er
1.00
fight fixtures bal_ deo
eFG
Receps., switches Oix outlets -'u
b.
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:Water
Hood, Ex. Fan or .A. Furn. Motor
1.00
Evap. cooler,26r. lisp. or D.W. 1.00
Air condit" ner or heat pump
p p
Mobil/Home Facilities 5.00
Temp. Power Pole 5.00
License No. Classification
Misc. wiring
I am exempt from the Contractors License Laws of the State of California.
Permit Fee
$
$
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑ I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL
No.1
@
FEEPERMIT
FILING FEE $3.00
Heating
Cooling
Ventilati
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 FEE PERMIT
$ SOc
authorLe representatives of the county or Butte to enter upon the
above mentioned property for inspection purposes.
X Date7— 77
Signature o Permitee or Age
eceipt No. _ 2 KS
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.
DIREC,TQ�F PUBLIC WORKS
Building permit expires Dafe %.'_l.,% .1
a
x
4
3
174b -74E
POSEY JACK A.
35 Simonson Ct.
Magalia
.,CC 4 Lot 172 PP
�-. y
72
16/
x
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Dri= e - Oroville, California 95965
T el ho nc. 534-4541
APPLICATION AND PERMIT
-
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
Mailing Address t-, -
Telephone No.
Fireplace
Contractor
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee
$
$
Building Address
PLUMBING
No.
@ FEE
PERMIT FILING FEE $2.00
Each Trap 1.50
Repair drainage or vent piping
1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No.Gas
Zoning & Planning
piping system 1 - 5 outlets
1.50
Each additional outlet .30
Fees
W.C. I
Sanitation
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
Parcel Ma p
60' R/W
Improvements
p
Lawn sprinkler system 2.00
Bldg. Plans Recd
Parcel Approval
Plans Approval
Permit Fee
$
$
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER [:]ELECTRICAL
No.
@ FEE
PERMIT FILING FEE $3.00
Main service incl. 1 meter
Additional meters, each
1.00
Sub -panel (12 or less) (more than 12)
Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑
Range, Cook -top or Oven 1.00
Water Heater or Space Heater
1.00
Light fixtures i b IA 10
Receps., switches & fix outlets I5
balil
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:
Hood, Ex. Fan or F.A. Furn. Motor 1.00
Evap. cooler, gar. lisp. or D.W. 1.00
Air conditioner or heat pump
Water pump
Mobil Home Facilities 5.00
Temp. Power Pole 5.00
License No. Classification
Misc. wiring
❑ 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.
RTI 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 $
$
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
$
autnonze represeniatives or the Lounty or tsurte to enter upon the
above-mentioned property for inspection purposes.
x 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 been paid.
DIRECTOR OF PUBLIC WORKS
By
Building permit expires Date
Date
-Ilk COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroyi,lle, California 95965
Tel ephone: 534-4#41
APPLICATIAN.AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X Date s—/, --O/?
'
:ignature of Perrmitee or Agent
/i p t No. / ( / J
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 r which fees have been paid.
DIRECTOR 0 PUBLIC WORKS
Byate
Bu ding permit expires Date ............................................
BUILDING
Owner �e
Ja AIJ
S0. FT. OCC. BUILDING VALUATION
Mailing Address
/
Telephone No.
Fireplace
Contractor
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee
$
$
Building Address S' s C
PLUMBING
No.
@
FEE
PERMIT FILING FEE $2.00
_
C
Each Trap 1.50
Repair drainage or vent piping
1.50
Water piping 1.50
Each gas water heater or vent 1.50
'
A. P. No. —� 3—
�}
Zoning 8 Planning
Gas piping system 1 - 5 outlets
1.50
Each additional outlet .30
F s I
VIC-1Suitatir,n
I Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
Parcel Ma P
60' R/W
Improvements
P
Lawn sprinkler system 2.00
Bldg. Plans Recd I
Parcel Approval
Plans Approval
Permit Fee
$
$
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
ELECTRICAL
No.
@
FEE
PERMIT FILING FEE $3.00
CSC%
_
7yj 2 /!!57?,
Main service incl. 1 meter
S� 3 _
ie_Sub-panel
Additional meters, each
1.00
(12 or less) (more than 12)
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Range, Cook -top or Oven 1.00
Water Heater or Space Heater
1.00
Light fixtures bal_ d?o
R ps., switches & fix o tlets T
.i
()
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:
Hood, Ex. Fan or F.A. Furn. Motor
1.00
Evap. cooler, gar. disp. or D.W. 1.00
Air conditioner or heat pump
Water pump
Mobil Home Facilities 5.00
Temp. Power Pole 5.00
License No. Classification
Misc. wiring
I am exempt from the Contractors License Laws of the State of California.
Permit Fee
$
iC)
$
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
rkmen'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.1
@ I
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
$
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X Date s—/, --O/?
'
:ignature of Perrmitee or Agent
/i p t No. / ( / J
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 r which fees have been paid.
DIRECTOR 0 PUBLIC WORKS
Byate
Bu ding permit expires Date ............................................
PERMIT NO. 895-74B
P
E
M
MH UTIL.
PERMIT NO.
PERMIT EXPIRES
OWNER Jack A. Posey
CONTR. Mi Specialists, Paradise
LOCATION (A.P. 66-23-61 )
t
35 Simonson Ct., PPCC#4, Lt.172
4
b
1 I
r
Temp. Power Pole
Called PG&E
Temp. Elec. Serv.
Called PG&E
Temp. Gas Serv.
Called PG&E
i
JOB _ %
* t FINALED
(Date) /1 '
(Signature)
7
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
'
BUILDING INSPECTION RECORD
BUILDING
BUILDING (Cont'd)
PLUMBING
Setback—'���--
Firewall
Soil Piping
Forms
Parapets 1
1st Floor
�.
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
\
Stemwall
Siding
To out
Slab
Roof Sheathing
Water Piping,
Piers
; Roofing
Sewer
Garage
Fdn. Vents ~
Fixtures
/
Footings
Garage Vents
Water Htr.
i
Stemwall
Prov. for physically
Heaters
Slab
handicapped
Appliances
Carport
Conformance of ex.
Gas Piping & Test,
Footings
structur,
Temp. Gas
Slab
Final
Sanitation
Patio
' FIREPLACE
Final
Footings
Footing
ELECTRICAL
Masonry Walls
Throat �\
Rou h
Reinf. Steel
Final
Fixtures
Bond Beaw
FIRE SPRINKLERS /
Motors
Framing `% "
Test
Water Htr.
Stucco
Final
Subpanels
Mesh
MECHANICAL'
Grd. Fault Prot.
Scratch
Heating i
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Underground
Interior Lath
Ventilation
Permanent
Door Closer
Final
Final
DATE
REMARKS OR CORRECTIONS
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - OToville, California 95965
Telephone: 533-1230, Ext. 259
APPLICATION AND PERMIT
- __.__ •' _ " .— �" y — " "" p� . This permit is hereby issued under the applicable provisions of
above-mentioned property for inspection purposes. the Butte County -Code and/or resolutions to do work indicated
above for which fees have been paid.
X 3 -,2,2-- DIRECTOR OF UBLIC WORKS
Si/0—
of Permitee' gent
�%� BY Date
Receipt_ U �— 7�_
White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant
Building Permit Expires Date -7
BUILDING
Owner
SQ. T. OCC. BUILDING ALUATION
��� �U
Mailing Address `� J�✓/
Fireplace
Contractor �, ��
Total Valuation
Mailing Address �Q �; c
Permit Fee
Plan Checking Fee&/or Penalty
Permit Fee $
Building Address �� �+ise� ev v".;l
PLUMBING No.1 @ FEE
PERMIT FILING FEE $2.00
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping 1,50
Each gas water heater or vent 1.50
A. P. No. 3 -�
Zoning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .50
Fire Zone
Fire Dep
Sanitation
Planning
Building sewer 5.00
Plans
Fees
W.
R/W
Encroachment
Lawn sprinkler system 2.00
NEW ❑ ADDITION OTHER ❑
Permit Fee $
$
_
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service incl. 1 meter
Additional meters, each 1.00
USE OF STRUCTURE Single Familys Duplex ❑ Others ❑
Sub -panel (12 or less) (more thon 12)
Range, dryer or water heater 1.00
Ala ile homw e-
Oven, Cook -top or space heater 1.00
Light fixtures 91
but (d 10
Receps., switches & fix outlets EI*20
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: ,!
,,*xi �`��/��� �.���/I��/5��--
Hood, Ex. Fan or F.A. Furn. Motor 1.00
Evap, cooler, gar. disp. or D.W. 1.00
Air conditioner or heat pump
Water pump
Misc. wiring
License Not*_12 % l--/ Classification
❑ I am exempt from the Contractors License Laws of the State of California.
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 Workm s Compensation.
I ve placed on file with the County of Butte a certificate of
orkmen'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.1 @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
-
Ventilation
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
tate Fee for Str ng Motion $0.07/$1000 Evaluation
nsirumentn atioFQrogram
$
FEE PERMIT TOTAL
$
- __.__ •' _ " .— �" y — " "" p� . This permit is hereby issued under the applicable provisions of
above-mentioned property for inspection purposes. the Butte County -Code and/or resolutions to do work indicated
above for which fees have been paid.
X 3 -,2,2-- DIRECTOR OF UBLIC WORKS
Si/0—
of Permitee' gent
�%� BY Date
Receipt_ U �— 7�_
White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant
Building Permit Expires Date -7
G
:7
I .
PERMIT NO. 731-74B
F p
i
E
M
F
MH UTIL.
PERMIT NO.
PERMIT EXPIRES
-,OWNER Jack Posey
9
CONTR. C-,& M Elec., Magalia
LOCATION (A.P. � 66-23-61
t 35• Simonson Ct.,
PPCC#4, Lot 172
J Temp. Power Pole
J Called PG&E
Temp. Elec. Serv.
Called PG&E
Temp. Gas Serv.
Called PG&E
JOB
FINALED 4
(Date)
(Signa ure)
i
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING BUILDING (Cont'd) PLUMBING
Setback 1—'-2—) —7
Firewall
Soil Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
Stemwall
Siding
To out
Slab
Roof Sheathing
Water Piping
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footin s —
Garage Vents
Water Htr.
Stemwall
Slab
Prov. for physically
handicapped
Heaters
Appliances
Carport
Footings
Conformance of ex.
structure
Gas Piping & Test
Temp. Gas
Slab
Final ,�-
Sanitation
Patio
FIREPLACE
Final
Footings
Footing
ELECTRICAL
Masonry Walls
Throat
Rough
Reinf. Steel
Final
Fixtures
Bond Beam
FIRE SPRINKLERS
Motors
Framing
Test
Water Htr.
Stucco
Final
Subpanels
Mesh
MECHANICAL
Grd. Fault Prot.
Scratch
Heating
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Underground
Interior Lath
Ventilation
Permanent
Door Closer
Final
Final
DATE REMARKS OR CORRECTIONS
/ a
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive. — -Oroville, California 95965
Telephone: 534-4541 /
APPLICATION AND PERMIT
r
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X Date /a
Signature of Permitee or Agent
Receipt No. &:!�-o90 _
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.
DIRECTQR OF PUBLIC WORKS
BY Date
Building permit expires Date......, ......
BUILDING
Owner �OSe
SQ. FT. OCC. BUILDING VALUATION
352- J - AOS761 — --
Mailing Address
Telephone No.
Fireplace '
Contractor / _ 1
Total Valuation .S
Mailing Address, -ST ; "�"'
R,
Permit Fee
Plan Checking Fee &/or Penalty
i-/A-C7At-/4le
n �o.
Permit Fee $ O
$ OC
Building Address- 3-5"
PLUMBING No.1 @ I FEE
PERMIT FILING FEE $2.00
Each Trap 1.50
p
,PCC
Repair drainage or vent,piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No. j—�
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
F
San
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA Parking
Plans
Parcel
Declaration
Parcel Ma P
60' R/W
Improvements
P
Lawn sprinkler system 2.00
Bldg. Plans Recd Por
Plan pproval
Permit Fee $
$
NEW ADDITION ❑ UTILITIES ❑ OTHER ❑
'ELECTRICAL No.1 @ FEE
PERMIT FILING FEE $3.00
/L E—
Main service incl. 1 meter
Additional meters, each 1.00
Sub -panel (12 or less) (more than 12)
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Range, Cook -top or Oven 1.00
Water Heater or Space Heater 1.00
Light fixtures bal 2
Receps., switches & fix outlets Z 0125
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State California Business & Professions Code under the name
style
Hood, Ex. Fan or F.A. Furn. Motor 1.00
Evap, cooler, gar, lisp. or D.W. 1.00
Air conditioner or heat pump
Water pump
Mobil Home Facilities 5.00
Temp. Power Pole 5.00
License No. Classificatio `�
Misc. wiring
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
1-77
TOTAL PERMIT FEE
$
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X Date /a
Signature of Permitee or Agent
Receipt No. &:!�-o90 _
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.
DIRECTQR OF PUBLIC WORKS
BY Date
Building permit expires Date......, ......
• � �. ':.y. y.'. ' y' , i a .... Mf u.. ��:_', : s- 3 A� ti+;.:� ! +. 9'��'.. ,..�- .�1�,.`^"S:y� �`' ii�'�� w i.�`,'l �' _. • alp. �_ sir ��^.:'.. 4:`.-` _ e ....
Permit:
J. Posey
35 Simonson Court
Unit CC 4 Lot 172 PP
Magalia
(utilities for mobile home)
i
U
..1
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Driver Or.)ville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
auulUllcc Ict1IVJUIIIaIIVVJ UI llle IIUUllly UI OUIIU IU enter upon Ine
above-mentioned property for inspection purposes.
X 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 been paid.
DIRECTOR OF PUBLIC WORKS
By
Date
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Fireplace
Contractor
Total Valuation
Mailing Address
Permit Fee
PI an Checking Fee &/or Penalty
/ .
Telephone No.
Permit Fee
$
$
Building Address E ��
PLUMBING
No.1
@ FEE
PERMIT FILING FEE $2.00
Each Trap 1.50
Repair drainage or vent piping
1.50
Water piping 1.50 i
Each gas water heater or vent 1.50
A. P. No.
Zoning & Plannin
Gas piping system 1 - 5 outlets
1.50
Each additional outlet .30
Fees
W.C.
Sanitation
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
I Parcel
Declaration
Parcel Ma P
60' R/W
Im rovements
P
Lawn sprinkler system 2.00
Bldg. Plans Recd I
Parcel Approval
Plans Approval
Permit Fee
$
$
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑
ELECTRICAL
No.1
@ FEE
PERMIT FILING FEE $3.00
Main service incl. 1 meter
Additional meters, each
1.00
Single Family ❑ Duplex ❑ Mobil Home Er' Others ❑
Sub -panel (12 or less) (more than 12)
Range, Cook -top or Oven 1.00
Water Heater or Space Heater
1.00
Light fixtures 20 )25
ball '00
Receps., switches &fix outlets 2n125F_
biol E10
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:
Hood, Ex. Fan or F.A. Furn. Motor
1.00
Evap. cooler, gar. disp. or D.W. 1.00
Air conditioner or heat pump
Water pump
Mobil Home Facilities 5.00
Temp. Power Pole 5.00
License No. Classification ,
Misc. wiring
❑ 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.
1 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 $
$
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
$ ;
auulUllcc Ict1IVJUIIIaIIVVJ UI llle IIUUllly UI OUIIU IU enter upon Ine
above-mentioned property for inspection purposes.
X 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 been paid.
DIRECTOR OF PUBLIC WORKS
By
Date
COUNTY OF BUTTE` — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive.. Otoville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT i �1
�+U or ze-representatives of the uuullly ul Cfui[e io enter upon the
above-mentioned prop rty for ins
is ction purposes.
/ate
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 been paid.
DIREC R OF PUBLIC WORKS
BY Date
—Buildi permit expires Data
BUILDING
Owner �, �G>'��
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Fireplace
Contractor '
Total Valuation
Mailing Address��
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee
Building Address
PLUMBING
No.
@
FEE
PERMIT FILING FEE $2.00
a_ G / A Z 2 -
Each Trap 1.50
Repair drainage or vent piping
1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. o. r- ,/_
co
�Zon�
Gas piping system 1 - 5 outlets
1.50
Each additional outlet .30
F' s I
W.C.
/S i Iii Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parkin Parcel
Plans�'Declaration
Parcel Ma P
60' R/W
Im provements
Lawn sprinkler system 2.00
XIansT2ec'd
Parcel provol
Pla Approval
Permit Fee
$
$
NEWADDITION
❑ ❑ UTILITIES OTHER ❑
ELECTRICAL
No.
@
FEE
PERMIT FILING FEE $3.00
-
Main service incl. 1 meter
Additional meters, each
1.00
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Sub -panel (12 or less) (more than 12)
Range, Cook -top or Oven 1.00
Water Heater or Space Heater
1.00
Light fixturesbal_a10
Receps., switches & fix outlets"M
Hb.
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
Hood, Ex. Fan or F.A. Furn. Motor
1.00
Evap. cooler, gar. lisp. or D.W. 1.00
Air conditioner or heat pump
Water pump
Mobil Home Facilities 5.00
S00
Temp. Power Pole 5.00
License No.Misc.
Classification
wiring
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee
$
/ 6,
$
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.
2have 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
MECHANICAL
No.
@
FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
TOTAL PERMIT FEE
G St
�+U or ze-representatives of the uuullly ul Cfui[e io enter upon the
above-mentioned prop rty for ins
is ction purposes.
/ate
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 been paid.
DIREC R OF PUBLIC WORKS
BY Date
—Buildi permit expires Data
V
J ,NOTES RESIDENTIAL
066-230-061 01-0518
POSEY, JACK?
16361 SIMONSON CT. MAGALIA
CONT: CHICO MOBIL HOME
�EX MH ON PERM FND EX SITE
j
+ THE HCD FORM 433A FOR THIS MH CANNOT
BE RECORDED UNTIL ONE OF THE FOLLOWING
j HAVE BEEN TURNED IN TO THE BLDG DIV:
f ! (1) LICENSE PLATE(S) or DECAL(THE
' INSPECTOR MUST RETRIEVE)
' (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
.3=
JOB FINALED (Date)
Signature e_4�6/1��
r
SPECIAL CONDITIONS
CHECKED
BY
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
.3=
JOB FINALED (Date)
Signature e_4�6/1��
✓ = OK
0 = Not OK
- = Not Applicable
* = Not Ready
MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
Zoning Requirements -Setbacks -Easements
1.
Zoning Requirements -Setbacks -Easements
3.
2.
Soils; Special MH Support Sketch
Electricity; MH Test -Crossovers -Breakers -Clearances
3.
Sewer; Location -Test -Fall -C/O -Concrete
6.
4.
Water; Location -Test -Easement Needed (Sketch)
Water and Sewer Connected -C/O to Grade -HD Approval
5.
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
'
6.
Gas; Location -Test -Wrap;-/ /" L'ft.
/ P Nat. or/ /"L"ft./ PLPG
7. Well Clearance & Disconnect
8. Utility Clearance
Date Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date MOBILE HOME INSTALLATION (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
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 Cent.
10.
Exits; Insp.-Sketch
11.
Cert. of Occupancy
12.
Permanent Foundation Only; License Decal
9.
Siding; Nailing -Veneer -Stucco -Mesh
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
FINAL (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- Panelboards-Ins. to Main in Conduit
9.
Health Department Approval
10.
Plumb.; Cir. Test -Water Supply Test
11.
Light Niche
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
Date
RESIDENTIAL (S
Date
Hangers -Post Caps -Anchors -Connectors
Underfloor (Plans) OK except #'s
Cling. Joist-Rftr. Ties-Purlin-Rolf Brac.-Truss-Shting. -Rfng.
1.
Zoning -Setbacks -Easements -Flood -Slope
49.
2.
Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
3.
Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P Ftg. Depth
52.
4.
Ftg., Porches & Decks; Soils -Steel-/ P' Ftg. Depth
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
5.
Stemwalls, Main; Steel -Blackouts -Wrapped
55.
6.
Stemwalls, Garage; Steel- BlockouIs-Wrapped
Siding -Nailing Veneer
6a.
Hold Downs and Special Anchors
58.
7.
Slab, Steel -Wrapped
Shear Walls; Nailing -Bolts
8.
Piers -Fireplace Ftg.-Steel
61.
9.
D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
Infiltration -Walls -Windows
10.
UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test
Date
11.
Water Pipe; Test -Anchors -Regulator -Service Test
Card B-1 Date Card B-1
12.
Electric Underground
63.
13.
Plenums & Ducts; Clearance -Material -Support -Ins.
Smoke Detector
14.
Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
15.
Access & Ventilation
16.
Insulation
83.
Stucco Brown -Finish
Date
84.
Card B-1 Date Card B-1
Date
85.
Card B-1 Date Card B-1
Date
86.
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
93.
Energy Compliance Certificate -Other Certificates
Date
94.
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
Date
23.
Fixture & Transformer Clearance -Ins. Protection
Date
24.
Elec. Receptacles Spacing -Lights & Switches at Doors
Comments at Final:
25.
Size Boxes & No. of Conductors Stapled
26.
Romex Installed Close to Edge of Studs & C.J.
27.
Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
28.
2 Appliance Circuits in Kitchen & Conductor Size GFI
29.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al
30.
Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At
Insulated Neutral ❑ Yes ❑ No
31.
Service -Riser Conductors & Ground Main Disconnect
32.
Equip. Clearances Panels-Motors-Mech. Equip.
33.
Clothes Closet Light -Shower Light -Spa Light
34.
Smoke Detector
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
35.
A.C. Ducts Insulation & Support
36.
Vent Fan, Exhaust above insulation
37.
Condensate Drain & Overflow, Size & Grade
38.
Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet
39.
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
40.
Sills Proper Materials & Anchors
41.
Walls Studs -Nailing Spacing & Braces -Plates -Sound
42.
Bearing Walls over Girders & Floor Nailing
43.
Draft Stop in Walls (rat proof)
44.
Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
45.
Headers & Beams -Size & Bearing
jingle & Duplex)
Date
FRAMING (Continued)
46.
Hangers -Post Caps -Anchors -Connectors
47.
Cling. Joist-Rftr. Ties-Purlin-Rolf Brac.-Truss-Shting. -Rfng.
48.
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
49.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
50.
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
51.
Garage Fire Protection Framing
52.
Property Line Firewall & Openings
53.
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
54.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
55.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
56.
Siding -Nailing Veneer
57.
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
58.
Glazing Area -Glass Protection -Skylights -Plastic
59.
Shear Walls; Nailing -Bolts
60.
Brace Interior/Exterior Wall Panels
61.
Insulation -Walls -Ceilings
62.
Infiltration -Walls -Windows
77.
Plb., Elec. & Mech. Equip. Listed for Location
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
63.
Ext. Steps -Door & Sidelight Protection -Landings
64.
Smoke Detector
65.
Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
66.
Bedroom Exiting
67.
G.F.I. & Bath Fixtures & Tub Access -Spa
68.
Elec. Trim & Subpanel, Breaker Sizes & Labels
69.
Stairs & Rails
70.
Fireplace or Stove, Clearance -Hearth
71.
Elec. Outlets at Wood Panel, Int. & Ext.
72.
Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance
73.
Elec. Outlets & Receptacles at Kit. Counter
74.
Garage Fire Door; Swing -Landing -Closure
75.
A.C. Duct in Garage -Damper
76.
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
77.
Plb., Elec. & Mech. Equip. Listed for Location
78.
Elec. Receptacles in Garage (F.F.I.)-Romex Protection
79.
Insulation -Foam -Looked in Attic
80.
Guard Rails & Deck Construction -Post Caps
81.
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor O Yes
82.
Following Instld./Drive J Yes J No/Walks J Yes J No/Planters J Yes J No
83.
Stucco Brown -Finish
84.
A.C. Unit Disconnect, Electrical -Plumbing
85.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
86.
Water Well, Disconnect, Electrical, Plumbing
87.
Exterior Elec. Trim, G.F.I. Receptacle -Underground
88.
Ventilation Throughout House
89.
Glass Protection
90.
Corrections from Previous Inspections
91.
Gas Test -Meters Tagged, Gas -Electric
92.
Water & Sewer Connected -C/O to Grade -HD Approval
93.
Energy Compliance Certificate -Other Certificates
94.
Address Posted
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.DE/ELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754 PER IT NO.
(Rev.12/96) - APPLICATION AND -PERMIT
ASSESSOR PARCEL NUMBER
066-230-061
ZONING
1
BUILDING PERMIT
OWNER
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
. OWNERS iZ UNG ADDRESS
6W STMONSON 121- MAGALIA, CA 95954
— 1440 77,760.00
CONTRACTOR'S NAME
TELEPHONE
CONTRACTORS MAILING ADDRESS
P0 Tkoy /Al JCHICO, CA 95927
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Flirt Fee $
20.00
Permit Fee $
270-95
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
6361 SIMONSON C1. MAGALTA, CA 95954
Energy Plan Checking Fee $
$
PERMIT FEE $
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome IR 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 ❑
Describe Work: EX MH ON PERM FNT) ON FX STTF:
Gas piping stem 1 - 5 outlets
15.00
Building sewer
15.00
_C520.00-
Mobile Home IS I G1 W
20.00PERMIT
PERMITFEE t
35.00
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service OR.S:
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 full force and effect.
License Class - �► Lic. No. .5� �� .�
OWNER -BUILDER DE�RATION
I 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
37.00 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
Main Service 400► To 1000A 46.00
NEW CONST. DWELLING OCCUP, SO
OR ADDNS. ( a ACC. SMS. 3.50Fr;
' IC, CUTLET 97.50
1NpPFg6ID SL
POWER APPARATUS
6 SINGLE OUTLET CIR.
Ex. OCCU . OUTLET ORFIXTUREs g� O'.50
Ex. Occup. ouT>Fis ES16°PR
A.w 5.00
Temporary Service 23.00
Mobile Home Facilities
20.00
Misc. Wiring 23.00
PERMIT FEE S
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FES $
Policy Number
he above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
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'
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
o ith comply with those provisions.
X Date 3 _ /, S
Signa icant - ❑ Owner Contractor ❑ Agent
An O HA permit is required for excavations over 5'0" deep and demolition or construction
of str ctures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $ 348.25
,
D :EES IMP
X
I FLOOD
I COF
PARCEL
X
I PD
I HD
ISSUE
This permit is hereby Issued under the applicable provisions
of theBqe County Code and/or Resolutions to do work
Indic ed b v r whi fes have been paid.
By Date -401 f
PERMIT EXPIRES ON
Deta
ReceiptNo. Z348.25
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OAF BUTTE 4 DEPARTMENT (F�; ELOPMENT SERVICES -BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (530) 538-7541
,'k.• ..:n -•rig '..
PERMIT APPLICATION DATA SHEET
OWNER: (18 &J< ASSESSOR PARCEL 466-
Proposed
66 -
Pro osed Building : TF ��.1BuildingInspector Date: —
)5 r 1
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
Date Received By
❑ 1. All items have been submitted --------------------------------------------------------------------------------------
dll�plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------
03. Complete plans, 3/4 sets, signed by the preparer of plans. -----------------------------------------------------
OT&ngineefed plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. --------
❑ 5: Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------
❑ 6. Energy Design Compliance and supporting documentation. ----------------------------------------------------
❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ---------------------------------------------------------
08. Hazardous Material Form. --------- -------------------------------------- =------------------------------------------
❑9. Manufactured Home data and installation instructions including Tie Down Specifications.
❑ 10. Fees of $ ------------------------------------------
❑ 11. Impact fees as shown on the attached schedule. ---------------------
1112.
--------------------
❑12. California Department of Forestry plan approval/fees---------------
Ell 3
-------------
❑13 . Flood elevation certificate. ---------------------------------------------
❑ 14. Sanitation and plot plan approval Health Department.
❑ 15. City of Cbico plumbing permit. ---------------------------------------
❑ 16. Plot plan and business license approval from the City of Biggs. ---
❑ 17. Planning approval for (A) Use: (B) Parking:
❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. -----------------------
01x9. Encroachment Permit for driveway (construction approval prior to=cy)- - -- --- ------
20. Pre -inspection for EX mabi IY, fiGi'1lt°, required. Ri g o at )
❑21. Contractor's license information. (Number, Name Style, Classification). ------ ----------------------
022. Workers' Compensation carrier and policy number. -----------------------------------------------------------
023. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - --------------------------------------
024. Letter of signature authorization. ---------------------------------------------------------------------------------
❑25. Recorded copy of Agricultural Acknowledgment Statement. --------------------------------------------------
026. Letter of intent on building use. -----------------------------------------------------------------------------------
❑ 27. Manufactured Home utility clearance.---------------------------------------------------------------------------
028. Existing viol tions and/or,,exxpired permiApCheck
---------------------------------------------------------------------
Z9. ❑433 A, e ant Deed, dif.H. Title, to H.C.D $ 6i . 00 .---------------
030.
--------------
❑30. Other:
en you issue the permit, process as follows ❑ Mail to owner, []Mail to contractor.
Trelephone ?4.5- 0 r7'1 and hold for pickup at Q ' 1 eO --, office. ❑ Deliver with i
Applicantt- Date: 3 �% - 62
Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air o i ution Date: By:
Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By:
1. Index permit application for the above items numbered: ❑ Plan Check List
2. Additional items required:
Contractor, designer, owner, was advised of the above required data by ❑ phone;' ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building 'vision counter, by Date:
Plans reviewed by: Date: Plans approved by: Date: 3
Sets of plans on hold in ❑ Plan Cabinet, iiA.P. folder. Note transfer by: Date:
Yellow Copy - Department of Development Services, Building Division
el
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive a Orovilleb California 95965 • Telephone (530) 538-7541 PE No.
Rev. 12J96) l APPLICATION AND PERMIT—__�/-��'/ -
'BUILDING PER
&man "� �5O
SO. FT. OCC. BUILDING VALUATION
02
72
�ooiess
-------------
oo�naw�+ar uroor
uo+oors walla aooeas
Fire lace
Total Valuation =
eta OR 04091111 ucta:e No•
Filina Fee S 20.00
a a oIoNmrs waa+a aooaaaPermit
Fee S 2
Plan Checking Fee S vo
Energy Plan Checking Fee S
.
S
PERMIT FEE S 2S
sueoNenwse �� w�
PLUMBING PERMIT Filing Fee 20.00
USEOFSTRUCTURE
Each Trap -7. 00
Solar or heat pump water heater 23.00
SF O Duplex O Mobilehome M"Other
Water piping 15.00 00
s�cn TYPE OF WORK
� �
Each as water heater or vent 15.00
I In
Gas tem 1 - 5 outlet 15.00
New O Addition O Remodel Oj UtifUtilitiesO hslalatbn O Other O
Buildin sewer 15.00
Describe Work:/ m / 4 lip n�(M'y) �
Mobile Home S G W @20.00
r-) Lai -k, Sl
PERMIT FEE S
ELECTRICAL PERMIT Filing Fee 20.00
Main Service o0a in: 23.00
Main Service tom► To iooa► 46.00
—W—co—far owEltiao Occup. sa
ow ADONS.a �cc. 3.59,.
wWADID, �inn•ovruT Q7.50
vowo� A"AMYus
as ounxr as
oa nrnao '0 • '•oo
Ex. Occup. ouniT.
ew b
Ex. Occup. ovnE°s oto a L 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
sc- Wi i — "TZ 23.00
-0 l
— -PER IT_FEE S
*PERMIT FEE PAID S
MECHANICAL PERMIT Filing Fee 20.00
Heating
SRA
Cooling
SHERIFF
Hood e.50
Ventilation
OTHER $
PERMIT FEE S
Mobile Home Installation Fee $
�Y
Energy Inspection Fee S
22 --
`'C a
occ
oo►sT. TTrc TOT L FEE $ 4
RECEIVED �J
�z o. hers rr• no eor Pro Ho aur
R=0AMOUNT
This permit Is hereby Fsaued under the applicable provisions
Of the Butte County Code and/or Resolutions to do work
*RECEIPT NUMBER s� ��/�'(� Q
Indicated above for which fees have been paid.
* TO BE PVT INTO COMPUTER
By
Date
PERMIT EXPIRES ON -
ti
I
�O3(0l SiMOIV.SOAI GT
Aspt1 A GA 9s�sy �
06,� - U -0-
V3 -
-0-V3- !os"O
c't,
PRE INSPECTION REPORT
OWNER:Z-� Pn G E
LOCATION: j) J� f®'V071-
CONTRACTOR:
PRE-INSPETION FOR: `
DATE TO INSPECTOR:.S
Building Description:
Commercial/Usage:
Residential/# of Units:
Currently Occupied_
Abandoned/Vacant
DATE:
A.P. #
ZONING:
�b
PERMIT HISTORY:( ) NONE (djAS FOLLOWS:
BUILDING INSPECTOR'S REPORT
Electric:
Yes No Electric currently On Off
Condition of Electric
\, Gas:
Natural Propane None Currently On Off_
Obvious Problems:
Sanitation:
Plumbing Working
Well Working Potable Water
Obvious SewageProblems
Comments:
ACTION RECOMMENDED: ISSUE: HOLD FOR
Inspector:
Date
Sketch buildings on reverse and indicate location on property.
I
J
RECORDING REQUESTED BY:
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE CA 95965
COPY of Document Recorded
27 -Kar -2001 2001-0011943
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.
JACK A. POSEY AND EDITH N. POSEY
REAL PROPERTY OWNERILESSOR
6361 SIMONSON COURT
MAILING ADDRESS
MAGALIA, BUTTE, CA 95954
CITY COUNTY STATE ZIP
SAME
INSTALLATION MAILING ADDRESS, IF DIFFERENT
CITY COUNTY STATE ZIP
SAME
UNIT OWNER (ifalso property owner. write "SAME")
MAILING ADDRESS
COMM, STATE ZIP
UNIT DESCRIPTION
BUTTE COUNTY BUILDING DIVISION
LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY
7 COUNTY CENTER DRIVE
MAILING ADDRESS
OROVILLE, BUTTE, CA 95965
CITY COUNTY STATE
ZIP
01-0518
(530)538-7541
BUIL M PERMIT N0. TELEPHONE NUMBER
NO 19-0
03/23/2001
NA RE OF LOCAL AGENPI FICI DATE
NONE
DEALER NAME (if not a dealer sale, write 'NONE")
DEALER LICENSE NO.
UNKNOWN 1974 WESTERN
MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER
S398U/X 60'X 24' 148143/4
SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S)
REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. # 066-230-061
SEE ATTACHED
HCD FORM 433(A) REV. 8/91
WHITE - Counry Recorder CANARY - HCD PINK -Applicant GOLDENROD- Building Dept.
o
BUILDING PERMIT NUMBER: 01-0518
Address or location of unit: 6361 SIMONSON COURT, MAGALIA; CA 95954
Legal Description of Real Property: A.P. 066-230-061
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: JACK & EDITH POSEY
Owner's, address: 6361 SIMONSON COURT, MAGALIA, CA 95954
INSIGNIA OR HUD NUMBER: 148143/4
SERIAL NUMBER OR V.I.N.: S398U/X
MANUFACTURER'S NAME: UNKNOWN YEAR: 1974
OFFICIAL APPROVING INSTALLATION
S,�L.
DATE: 03/23/01
PHONE: (530) 538-7541
LEGAL DESCRIPTION
A.P. #066-230-961
All that certain real property situate in the County of Butte, State of California, described as follows:
Lot 173, as shown on that certain Map entitled, "PARADISE PINES COUNTRY CLUB
ESTATES, UNIT NO. 4", recorded in the Office of the Recorder of the County of Butte, State of
California, on October 27, 1971, in Book 38 of Maps, at pages 69, 70, 71, 72, and 73.
Excepting all minerals, as excepted of record.
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STATE OF CALIFORNIA - DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT
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MANUFACTURES NAME/ID
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01/31/97
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SERIAL NUMBER
NUMBER
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Q_1�$ljEO96 $ _C
EXEMPT 3yl
S398U
148���t/INSIGNIA
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EDITH NADINE POSEY TRUSTEES
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148144
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000720
000144
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HAGALIA
CA 95954-0000
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CA 95954-0000' Vii, �; `� 4
THIS.IS.THE RECiSTRATION CARD FOR THE UNIT DESCRIBED AD M
$81.00
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A
JACK ARNOLD POSEY/
D
EDITH NADINE POSEY
TRUSTEES
D
6361 SIMONSON CT
R
MAGALIA CA 95954-0000
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JACK ARNOLD POSEY!
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EDITH NADINE POSEY TRUSTEES
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6361 SIMONSON CT
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MAGALIA
CA 95954-0000' Vii, �; `� 4
THIS.IS.THE RECiSTRATION CARD FOR THE UNIT DESCRIBED AD M
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�-,IF YOU DO NOT AYE A RENEWAL NOTICE WITHIN
rlb,QDAYSYiPR�Iyg}i,j THE EXPIRATION OI�TE,CONTACT H.C.D. FOR RENEWAL
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THE OWNER INFORMATION SHOWN ABOVE MAY OT TREFLECT ALL LIENS RECORDEDOWITH THE
DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT AGAINST THE DESCRIBED UNIT.
i THE CURRENT TITLE STATUS OF THE UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT. 0300767
•1Vutt•It:v or
OROVILLE TIME COMPANY. ` 85-34457
. 1-851030 RECORDED IN OFFICIAL RECORD§
OF BUTTE COUNTY. CALIFORNIA
AT THE REQUEST OF
AND WHEN RECORDED MAIL TO
ORCYVILL.E wu CIM
(- 1985 OCT 28 AN II= 17
Nama Mr. & Mrs. Jack A. Posey
ELEANOR M. BECKER
Street 6361 Simonson Court
Address CLERK—RECORDER FEE
c:tr a LMagalia, CA 95954
State
-j 85-344.57
VE I IN
FULL RECONVEYANCE
OROVILLE TITLE COMPANY, a corporation, as
Trustee in 'the deed of trust executed by Jack A. Posey and Edith N. Posey
dated September 8, 1973 and recorded October 12, 1973
in
Volume 1868 of Official, Records at page 631
records of the
County of Butte State of California, pursuant to the written request of the beneficiary,
does hereby GRANT and RECONVEY unto the PARTIES ENTITLED THERETO,
without warranty, all the estate and interest derived to it, by or through said Deed of Trust, in the lands therein
described.
IN WITNESS WHEREOF, said Trustee has executed these presents by its officers thereunto duly authorized,
this 25th day of October 19 85
OROVILLE TITLE C ANY, a Corporafion
Trustee
`\
By ...... ...... ......._...
Ray Marti """"""""""
Nice President
— - BY ....... _.......�._._......._.._. -- - -
STATE OF CALIFORNIA Assistant Secretary
.... County of Butteu.
On ............................................................. ............................................. 19...85...:, before inc, the undersigned, a Notary Public,
in and for said ........ Counly and State, personally appeared :......RaYMartin
.................
.....................................................
known to nic to be the........Vice..2r:esident............... of the corporation that executed the within instrument, as
trustee, and knount to sne to be the person who executed said instrument on behalf of the corporation therein nam-
ed, and acknow1cdged to that such corporation executed the same as such Trustee. WITNESS my hand and
official seal,
■■■ names
■■�■■
■Agm ELMA S. GEDDIS ■
■ NOTARY PUBLIC -CALIFORNIA ■
■ Butte County ■
■
MY Commission Expires Feb. 10, 1888
His ens let efflaw eetmiel .01
(Seal)
Signature ... .. _.._ _ .._.
Notary Public in and for said State
Order No 84404-173
Recorded at the request of
OROVILLE TITLE COMPANY
Return to
Paradise Dines Mobile -Homes
Pas
.O. Box W"§-, tiaradise,
California 95969
04IB OPPib of OrUis2 f,4ade t is 8th. day of March _ 1974
loetuteen JACK A. POSEY and EDITH N. POSRY
whose address is 35 Simonson Court, Maesalia, Ca. 95954
herein called TRUSTOR. and OROVILLE TITLE COMPANY, a corporation, herein called TRUSTEE, and
PARADISE PINES MOBILE HOME ESTATES, INC., a Calif. coi.p. BENEFICIARY
NitnPOOPth: That Trustor irrevocably GRANTS,TRANSFERS AND ASSIGNS TOTRUSTEE IN TRUST, WITH POW-
ER OF SALE, that property located in the County of Butte, State of California, described as:
Lot 173, as shown on that certain Map entitled." PARADISE PINES COUNTRY CLUB ESTATES,
UNIT N0. 40, recorded in the office of the Recorder of the County of Butte, State of
California, on October 27,1971, in Book 36 of Maps, at pages 69,70,71,72 and 73.
Excepting all minerals, as excepted of record.
HUD-OISLR NOTICE: YOU HAVE THE OPTION TO VOID THIS CONTRACT OR AGREEMENT IF YOU DID
NOT RECEIVE A PROPERTY REPORT PREPARED PURSUANT TO THE RULES AND•REGULATIONS OF THE
U.S. DEPARTMENT OF HOUSING AND.URBAN DEVELOPMENT, IN ADVANCE OF, OR AT THE TIME OF
YOUR SIGNING THE CONTRACT OR AGREEMENT; AND YOU HAVE THE RIGHT TO REVOKE THE CONTRACT
OR AGREEMENT WITHIN FORTY—EIGHT(48) HOURS AFTER SIGNING THE CONTRACT OR AGREEMENT IF
YOU DID NOT RECIEVE THE PROPERTY REPORT AT LEAST FORTY—EIGHT(48) HOURS BEFORE SIGNING
THE CONTRACT OR AGREEMENT. _
TOGETHER WITH the rents. 6sue% and pro its thereof, SUBJECT HOWEVER, to the right, power and authority given to and conferred upoq BCM
ficiary by Paragraph 5 of Part B of the Provisions incorporated herein by reference to called and apply such rents, issues and profits For the.Purpore of
Securing p5r"Rf tlie!&btedness evidenced by a promissory note, of even date herewith. executed by Trustor in the stun of
Dollars ($ ) and additional sums and interest thereon which may hereafter be honed to the Trustor or his suecessrus or assigns by the Bene-
ficiary. and the performance of each agreement herein contained. Additional loans hereafter made and interest thereon shall be secured by this Dad of
Trust only if made to the Trustor while he is the owner of record of his present interest in said property. at to his successors or assigns while they are the
owners of record thereof, and %hull he evidenced by a promissory note reciting that it is second by this Deed of Trust.
Trustor agrees to pay to Beneficiary as trustee (under the terms of this trust as hereinafter muted) in addition to the monthly payments of principal and
interest payable under the terms of said note, nn the first day of each month until said ante is fully paid, the following same: (a) An installment of the spe-
dal assessments levied or to he Levied by the taxing governments[ agency (pursuant to this Improvement Bond Act of 1911 std; or 1913 std the Munici-
pal Bond Aa of 191)) agaimt the premises covered by this Deed of Trust: Trustor agras to deliver promptly to Beneficiary all bills and notices of said
ftless it shall be equal. respectively, to onNwelfth 0/ 120) of the special aeassstnents nsa due plus any amounts ricer assssseoerts
advanced by Beneficiary on behalf of 'rrtwor in any Preceding years. Beneficiary and its soaarors and assigns shall deposit such mammy payments
into a coo-tmerest bearing trust account, and shall hold such payments and account as • trustee for the purpose of paying mid special assessment% as
the
same become due iprincipal and interest) and before delinquent. (b) The aggregate of the amounts payable pursuant to subparagraph (a) anti thole
payable on the rote secured hereby, shall be paid in a singe payment each month• to be applied to the following items in the order gated: (i) taxes
(dClinquem) and special asltssments; (ii) interest on the note secured hereby: (di) amortization of the principal of said note. Any deficiency, in the amount
Of any such aggregate monthly payment shall, unless made good prior to the due data of the next such payment. constitute an event of ddaua under
this teed of Trust.
If the total of the payments made under subparagraph tee) preceding %hall exceed the amount of dsyments actually made by Beneficiary as trustee (or
such amessmems, such exms may be released. applied on any indebtedness secured hereby or be credited by Bcmficiuy as trustee on subsequent pay
menu to be made by Trustor for such item+. If. hnwever. such monthly payments than tort be smffieient to pay such items when the same shall become
due and payable. then Trustor shall pay to Henefeiary a% trustee any amount necessary to make up the deficiency within thirty I30) days after written
notice from the Beneficiary stating the amount of the deficiency, which notice may be given by mail. If at any tine Trustor shall tender to Beneficiary. in
secoidahce with the provision% hereof. full Payment of the enure irdebtednen secured hereby, Beneficiary as trustee shall, in computing the amomat of
indebtedness, credit to the account of Trustor any credit bola= remaining under the provisions of subparagraph (a) preceding. If there shall be a on.
fault under any of the provisirmt of this Deed of Trust and thereafter a .ale of the premises in accordance with the provisions hereof, or if the Beneficiary
acquires the property otherwise after default. Heneficiary, as trustee shall apply, at the time of the commencement of such proceedings, or at the tune the
property is otherwise acquired, the amount then remaining to credit of Trustor under subparagraph (a) preceding as a credit on the interest accrued and
unpaid and the balance to the principal then remaining unpaid on said note.
By the execution and delivery of thea teed of Truer and the Note secured hereby, the Trustor agrees that the Provisions of Pen A and the provisions of
Pan H of the Iced of Trust recorded August IN. 1938. in nook 953. of Butte County Official Records at pugs 2W shall be and they ars hereby incor•
Iterated herein and made an imegral part hereof for all purposes as though set forth herein at Length.
Request 6 hereby made that a copy of any Notice of Default and a copy or any Notice of Sale bereunder be sanded. pursuant to the provisions of Section
2924h of the Civil Cock of California, to the Trustor at his address hereinabove to forth.
STATE OF CALIFORNIA t a
__.. _..... County of .111tU1... ......... ...
»....f
on..._._..D *rah...a,.1.974........._......_.................. _...........
before +rte, ...... Jack ... E.••••Stelle••••, o Notary Public
iw r cid n and S ate, personally appeared
_ f...Z�.�......�....i8.�5...'lc.. An .............................._.............._._
....................... ................. ................
_
known to use to be the person.Al whose noose I1...Ar.14. swb-
irribed to the tuithio instrument, and acknowledge to me
that ........t.he.jG...eserrtled the sane.
My Comnli&40n cspr2•z�........_,*Vj ......... _...........
�ack A. 'Posey
��
X res_#0.
i JACK E WEI
,.v NOIARY PtJre.tt: • CAL
•' t•" • J1II It C. r:t It ITY
.0
PRE-
INSPECTION REPORT
OWNER: j
OCATION: S
CONTRACTOR:
PRE-INSPETION FOR:
DATE TO INSPECTOR: 1<
Building Description:
Commercial/Usage:
Residential/# of Units:
Currently Occupied
AbandonedNacant
Electric:
Yes No
Condition of Electric
o � JA
PERMIT HISTORY:( ) NONE
vv
DATE:_
A.P. #
ZONING:
V0 -
(KAS FOLLOWS:
BUILDING INSPECTOR'S REPORT
0
Electric currently On Off
Gas:
Natural Propane r None !
Currently On Off
Obvious Problems:
Sanitation: #ir
Plumbing Working,
Well Working Potable Water
Obvious SewageProblems i
Comments:
ACTION RECOMMENDED: ISSUE: l HOLD FOR
Inspector: .00,,," " y
Date
Sketch buildings on reverse and indicate location-
on property.
E o'► i # ROscI
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