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HomeMy WebLinkAbout066-250-014t 1. 1 W? �Mo 0 AP 66-2.5-14 ` EDWIN CARLSON Fi aAL 1- VO -75- 30 Lucas Court, lot 387, PPCC#4 ELEC . .� ------�3-�":_ contr: Phil Moore, Magalia Permit# 5113-74P,E(util., MH GAS SUPPORT STRUCTURE REQ. FiNAI. z -lo -7S AP 66-25-14 contr: Paradise Modular Concepts, Permit# 263- %HI (1/23/75) Issued oZ - -7s, AP 6-25-:14 - Eem it# 1501-75B(ca port covered deck l V 0 �f� �� �I ��] � L!7 . ,RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 2006-0045838 Recorded 1 Official Records I County of I Butte I CAI M J. GRUBBS I County Clerk—Recorderl I i 09:02 M 06—Sep-;?006 1 REC FEE 10.00 COWORMED COPY 1.00 MZ 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 flv 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. KEVIN WILSON REAL PROPERTY OWNER/LESSOR 13606 LUCAS CT. MAILING ADDRESS MAGALIA BUTTE CA 95954 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT SAME CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE UNKNOWN MAILING ADDRESS DATE OF MANUFACTURE OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 06-2089 530 538-7541 UIL ING PERMIT TELEPHONE NUMBER 'fflCNATLlItE OF LOCAL AGENCY bFFICIAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE MAILING ADDRESS DEALER LICENSE NO. SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION GOLDEN WEST 1975 UNKNOWN MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER S25065U/X 53'X 24'. 190417/8 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER 066-250-014 HCD FORM 433(A) REV. 8/91 WHITE. County Recorder CANARY - HCD PINK - Applicant GOLDENROD -Building Dept. f EXHIBIT "ONE" PARCEL A: Order No. 303666 Lot 387, as shown on that certain Map entitled, "Paradise Pines Country Club Estates Unit No. 4'.', filed in the Office of the County Recorder of Butte County, California, on October 27, 1971, in Book 38, of Maps, at Page(s) 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. PARCEL B: A non-exclusive easement over Lots A, B, C, D, E, F, G, H, I, J, K, L and M (the common areas) of 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. Assessor's Parcel No: 066-250-014 M C066-250-014 06-2089 ! WILSON, KEB=VIN 4 13606 LUCAS CT; MAGALIA - - NOTES Cont: JERRY DOREMUS MH PERM FND(EX) RESIDENTIAL ~ APN: Permit No - Owner. �. Site Address: Contractor. Type of Permit t i Z E i F • t SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED T SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUBSTANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE • � �� gu2fi p2i vE DATE JOB FMALED- v j ! SIGNATURE. i i } i SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED T SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUBSTANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE • � �� gu2fi p2i vE DATE JOB FMALED- v j ! SIGNATURE. i = OK ` a = Not OK MANU FA13TU-RED HOMES Ura i t LN:d �PERMANENT FOUNDATION L_J SOFT -SET 1 ZoningSetbacks-Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; Fall/C/O-Concrete / LoOo 4 Wtr, Loctn-Test-Easement Needed -Regulator 5 Elec Loctn-Clmcs-Gmd 'Amp -Concrete 6 Yard Gas; loctn Test Wrap Nat ❑ or LPQ Inch Sz Ft Lngth 7 Blckng; SzSpacing-Marriage Llne 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-Cimcs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connecte -C/O to Grade 12 Gas and Electrici gged �. 13 Tie Downs Foundation 14 Exits MISCELLANEOUS- DECKS'COVERWCARP0RTS -GARAGES 1 Zoning�Setbacks-Easements 2 Figs; Soils-Sz-0pthSpacing-CnnctrsSteel 3 Decks, Girders/Jotsts-0cldng-Brcing Stairs-GuardlHandralls 4 Wood Awn; Posts-Beams-Rftrs-CnnctrsShthg. Frmg-Brcng 5 Alum Awn; Columns-CnncinsSplice-Decal-Enclsrs 6 Carports; WndwsDoors 7 Electric 8 Frmg; Sills-AnchrsStuds-Rtirs Trusses 9 Siding; Nailing VengerStucco-lath 10 Roof; Shthg-Roofing 11 Ezt; Steps -Doors -landings 12 Braced Wali pnls 15 Cert of Occupancy 16 HUD Label/insignia Numbers Serial Numbers °ttom ° 4 P a 4 Drawing _ 1 Setbacks -Easements _ 2 Soils; Compaction -Structure Stability _ 3 Pool Structure; Steel-Cnnclns-Thickness Dead Men -lining _ 4 Elec Rcptds/Lting; D-rstance GFl _ 5 Elec Pool t ting; 15 volts-GFl 6 Elec.Enclsrs; Conduit Entries -Terminals -Listed _ 7 Elec Bonding; Metal w/.7•Crdtng Egp-Htr _ 8 Elec Grndng-, Eqp w/5' Crcltng Eqp-Pool lghtg Boxes-Encisrs-pniboardsansultn•to Main Conduit 9 Health Dept Appivl _10 Plmb; Cir Test-Wtr Supply Test —I I Lt Niche , _12 Endsr, Fencing -Alarms 13 Bogdmg, Diving board or Slide or = Not OK RESIDENTIAL (Single & Duplex) DATE JUNDERFLOOR DATE IPLUMBING 1 Zoning -Setbacks -Easements -Flood -Slope 53 Wtr Htr, Vent-Acc-Cmbstn Air Baffle 2 Ftg Main; Soils Elec Gmd Ftg DPth 54 Wtr Pipe; Test & Anchr-Hail Prtctn 3 Ftg Garage; SoilsSteel-Flet Gmd " Ftg Dpth 55 DWV; Test Fittings & Anchr•Nail Prfctn 4 Ftg Porches/Decks; Soils -Steel Fig Dpth • 56 Shwr Pan; Test, Fust fir -Tub Ace 5 SWmwalls Main; Steel-Blockouts Wrapped 57 Test Tuti & Shwr, 2nd fir - Tub Ace 6 Stemwalis Garage; Steel-Blockouts-Wrapped 58 Gas Pipe; Sz & Anct rs 6a Hold Downs and Special Anchrs 59 Fire Sprinkler, Test 7 Slab, Steel Wrapped 60 Yard Gas Piping 8 Piers-Frplc Ftg-Steel 9 DWV; Fall -Felting -Test -2 -way C10SewerTest 10 UF, Gas Pipe; Sz AnchrsSz Test 11 Wtr Pipe; Test-Anchrs-RgltrService Test 12: Elec Undrgmd DATE M E C H A N7 C A L 13 Plenums & Ducts; ClmcaVlaterialSupport-lnsultn 61 AC Ducts Insulfn & Support 14 GirdersSilts-Anchr BoltsJoists Vnts-Cripples 62 Vent Fan, Exhaust abv Insulin 15 Ace & Vntitn 63 Condensate Drain & Ovrflw, Sz & Grade 16 Insulation 64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet 65 Attic Ace & Pltfrm if Furnace in attic • _ o'er' �� o+ s} DATE IrRAMING 17 Sills Proper Materials & Andws DATE F 1 N A L 18 V11alls studs-Nailitig Spacing & Braces-PlatesSound 66 Ext Steps -Door & SideLt Prtctn-Landings 19 Bearing Walls over G-rrdert;ll� flr Nailing 67 Smoke Detector 20 Draft Stop in Walls (rat proof) 68 Furnace Vnts-Cimc-Comb, Air-Cnnctr 21 Fre Stops; Fiirria CeitingsStairs-Chasers Tubs In Garage; abv-ftr-Ducts Meth Prtctn 22 Headers & BearhsSi &•Bearing' 69 Bedroom Exiting 23 Hangers-Past:Caps-Anchrs tnctrts 70 GFl & Bath Fxtrs &Tub Ace -Spa 24 Ceiling Joist Tes-Purl. ,k -Roof Brac TrussShthg 71 GFl Are Fault 25 Frple Ties o. Type A Flrie=Fr�le Throat Ctrnc 72 Elec Trim & Subpnl, Breaker Szs & Labels 26 Attic Au.; Sz Mai P itch -Draft Stop -Ins Baffles 73 Stairs, Guard/f iandraiis 27 Bdrm Wndws or Exiting Doors -SIH fit & Dimensions 74 Frp[c or Stove, Cimc-Hearth 28 Garage Fire Prtchi Framing -146: Channel 75 Elec Outlets at Wood Pnl, Int & Ext 29 Prprty Line Firewall & Opng!i . 30 Ext Doors One 3' -Check Gauge 3rd Story, 2 Exits 76 Ktchn, Fxtr & Appinc; Grnd4Ur-GapCooking Cimc 31 Stairs; WidUi-Hdrm-Rise-Run-I:and`mg-Fire Prtctn 77 Elec Outlets & Rcptcis at Ktchn Counter 78 Garage Fire Dobr, Swing-t-anding-Closure 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 79 AC Duct In Garage -Damper. 33 Siding -Naffing Veneer 80 Wtr Htr, Vnts•Cimc-Com Air Cnncbr-PRV; abv fir 34 Stucco Lath Weep Screed-Fndtn Vnts-Undrflr Ace Mech Prtetrr- LPG Appince Undr House 3" drain 35 Glazing Area -Glass PrtetnSkyL ts-Plastic . 81 Pimb; Elec & Mech Eqp Listed for Locin 36 Shear Walls; Nailing -Bolts 82 Elec Rcptcls in Garage (GF) Ramex Prtctn 37 Brace IntT-xt Wall pnls 83 Insultn-Foam-Looked in Attic 38 Insultn Walls -Ceilings 84 Guard Rails & Deck Cnstrdn-Post Caps 39 Infiltration-Walls-Wndws 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Cimc Dmge Planters 0 Yes Q No 87 Stucco Brown-Fntsh 88 AC Unit Dsennct, Elec-Pimb 89 Vnts abv Roof, PImb-Apptnc-Frplc-Cimc to Opngs DATE ELECTRICAL 90 Wtr Well, Dscnnct, Elec, Plmb 40 Fxtr & Tmsfrmr Clmc4ns Prtctn 91 Ext Elec Trim, GFl Rcptcldlndrgmd 41 Elec RcptcLs Spacing -Lis & Switches at Doors 92 Vntltn thru House 42 Sz Boxes & No Of Cndctrs Stapled 93 Glass Prtctn 43 Romex Installed Close to Edge of Studs & CJ 94 Corrections from previous Itispctrts 44 Eqp Gmd made up w/Mech Fstnrs 95 Gas Test -Meters Tagged, Gas-Elec 45 Grndng Electrode Bond Gas & Wtr 96 Wtr & Sewer Cnnctd-C1O to grade -HD Apprvl 46 2 Appinc Cires in Ktchn & Cndctr Sz GFl 97 Energy Cmpinc Cert -)bier Certs 47 Subfeed Wire Sz o, El cu orAL 98 Address Posted AL AC Wire Sz QCU or�Al- 99 Fre Sprinkler 48 Range Circ rA 0 CU or OvenMe rA Q CU or F-1 AL Insulated Neutral QYes QNo 40* o,4 49 Service -Riser Cndctrs & Gmd Main Dscnnct 50 Eqp Cimcs pnls-Motors-Meth Eqp 51 Clothes Closet UShwr Lt -Spa Lt 52 Smoke Detector a oe 0 1$e BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530),891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP062089 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under Issued Date: 08/29/2006 APN: 066-250-014-000 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.4 - License Class : License umber:ts O_3 Site Address: 13606 LUCAS CT MAG -Z 0 Map Index: Date: - • Contractor: Description: EX MH, EX SITE, PERM FND OWNER-BUILDE DEC ARATION I hereby affirm under penalty of perju that I am exempt from the Contractors' State License Law r th following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: WILSON KEVIN permit to construct, alter, improve, demolish, or repair any structure, prior 13606 LUCAS CT to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of MAGALIA, CA the Contractor's State License Law (Chapter 9 commencing with Section 95954-9523 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not Applicant: DOREMUS, GERALD GLEN intended or offered for sale (Sec. 7044, Business and Professions PP Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does P O BOX 4121 such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for CHICO, CA 95927-4121 sale. If however, the building or improvements are sold within one 530-895-1774 year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: DOREMUS, GERALD GLEN not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed P O BOX 4121 pursuant to the Contractors' State License Law.). CHICO, CA 95927-4121 ❑ 1 am Exempt under Article 3 of the Business and Professions Code 530-895-1774 Date: Owner: License #: 445103 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 . Architect: Code, for the performance of the work for which this permit is issued. Engineer: ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier.and policy number are: Carrier: Total Square Ft: 0 S. F. Valuation: $0.00 Policy #: - Census Code: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' '1 compensation provisions of Section 3700 of the Labor Code, I shall` forthwith comply with those provisions. \ Date: o16, 2l Applicant: WARNING: ailure to secure workers' compensation coverage is unlawful, an shall subject an employer to criminal penalties and one hundred t usand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY -- - This permit is hereby issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolutio to do work indicaI d ab ve for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) By: Date: --2q-OG Name: �( f PERMIT EXPIRES ON: V 29 - l 1 Address: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am th owner or the ly au horized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the sub ance of any o ficial form or document of Butte County. I hereby authorize represent bes of Butte County to enter upon the above mentioned property for inspection pu ', ses. Print Name: d� Signature: - 2 2 - 0)0, Date: ❑ Owner Contractor El Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 M2 Foundation System Installation Instructions for California for Ground & Concrete Systems HUD Wind Zone 1, 15 PSF Wind Load Seismic 4 By Tie Down Engineering ..._ __.._._._ _,_._... BUTTE COUNTY 13UILDING DIVISION Engineer Approval State Approval WANUFACTURED HOMUMOBILE HOME FOUNDATION SYSTEM HEALTH AND SAFETY CODE, SECTION 18531 APPROVED 01USA CT TO CORRECTIONS NOTED APPROVAL DOES NOT AUTHORIZE OR APPROVE ANY OMISSIONS OR DEVIATION FROM REQUIREMENTS OF APPLWAM STATE LAWS AND REGULATIONS State of Califon" OtHaning OPCC94S AND STANDARDS t i LE Page 1 of 8 X,r1or Xi2 Foundation System Installation Instructions for California r for Ground B Concrete Systems HUD Wind Zone 1, 15 PSF Wind Load Seismic 4 By Tie Down Engineering REQUIREMENTS • These plans.and specifications meet the requirements of Title 25 Section 1336.3 Sub Section A and 97 UBC Seismic Requirements, CBC 2001 addition. • Maximum vertical projection at sidewall is 9'. Higher walls may be used when the design loads are adjusted accordingly and approved by HUD.. • Main rail spacing must be 75.5" - 99.5" * Except single sections 95" minimum • Additional vertical anchor ties that are unique to a home's design may be required by the home manufacturer. These locations may include shear walls, marriage line ridge beam support posts, and rim plates. The longitudinal component of the Xi2 system replaces end frame ties. Check manufacturers set-up requirements. • Maximum pier height is 48" pier. *Except for single sections 36". • Steel piers must be fastened to the I-beam with clamps provided with steel pier. • Systems must be placed as evenly as possible, no more than 10' from end of home. • Designed for 7:12 roof slope. *Except single sections, (20° - 4.37 in. 12" pitch). Additional Requirements for Concrete Systems • Poured concrete must be 2,500 PSI minimum at 28 days. • Square concrete pads minimum is 18" wide by 12" deep. Round concrete pads minimum is 18" wide by 14" deep. Strip footings minimum is 18" wide by 14' long by 6" deep. * Xi2 components exceed HUD code 3280.306g "Anchoring equipment exposed to weat 9ring shall ha4a resistance to weather deterioration at least equivalent to that provided by a coatifng of zinc on steel of not less than 0.30 ounces per square foot of surface coating..::" Page 2of8 0 . LD ITIE DOWNENGINEERING Installation of Xi2 Ground Systems 1. Identify the number of systems to be used on the home using the chart provided. 2. Identify the location where the systems will be installed. 3. Clear all organic matter and debris from the pad site. 4. Place U -bolts through holes in pan provided. 5. Place pad centered under beam with the lateral strut bracket towards the inside of the home. 6. Press or drive pan into ground until level and flush with prepared surface. 7. Build pier according to State, Local or Home Manufacturers guidelines.(Fieure 1) 8. Attach the end of the smaller tube to the inside of pan using U -bolt & nuts provided 9. Attach the flag end of the larger tube to the opposite I-beam using the "J" bolt over the top of the I-beam with the nut & washer provided. (Figure 2) 10. Install a minimum of four (#12 x 1"tek screws) self -tapping screws into the holes provided in the lateral strut so that the two tubes are connected together. (Figure 1) 1-314" Tube J -Bolt Nut & Washer � I �� Lateral5truts Strut z (flag end) 1-1/2" Tube`s 4 #12 x 1" / Tek Screws I -Beam ` 1 Figure 2 U -Bolt & mounting Figure 1 Bracket_ end °f Nome Install frame bracket clamps to 1 -beam on in side of block/pier. Do not tighten nuts at this time. Attach longitudinal strut to U -bolt in pan using nuts provided. Insert strut in the frame bracket clamp, attach with nut and bolt. Do not tighten at this time. Pull the frame bracket clamp with the fastened strut outward to remove any slack. Tighten all nuts and bolts on the struts and beam clamps. BUTTE COUNTY BUILDING DIVISION APPROVE® tll6' DOWN;` ENGINEERING Xi2 Ground Parts Detail Xi2 Ground Lateral System Part Number 59306 Includes: 5' Strut, pad & hardware kit (#59329-1 includes all nuts and bolts). Longitudinal Hardware Kit Part Number 59331 Includes: 2 I-beam brackets & 2 U -bolts with all nuts and bolts. Lateral and Longitudinal Combination Part Number 59333 Includes: 5' Strut, Pad, Longitudinal Strut (#59329), Lateral and Longitudinal Hardware Kit with all nuts and bolts. Struts for Longitudinal Systems Part Strut Pier Height No. Length Up To: 59330-44 44" 4 Blocks or 32" 59330-65 65" 6 Blocks or 48" Ground Longitudinal Hardware Kit Xi2 Ground Longitudinal Strut & Hardware Kit Ground Longitudinal Strut Xi2 Stabilization Pier Placement for Ground or Concrete Xi2 Pier Placement Single Section Home Double Section Home 0 -80' (76' Box) 4 Xi2 Systems 0 -62' 3 Xi2 Systems' 63 - 80' 4 Xi2, Systems *2 Xi2 systems can be placed at either end of the h6me'� Triple Section Home 0 -62' 4 Xi2 Systems 63' - 80' 5 Xi2 Systems _ 15 Page 4 of 8 m 0 0 0 0 Installation of Xi2'.Concrete Systems r_ i . iaentity the number of systems to be used on me home using the chart provided. 2. Identify the location where the systems will be installed. 3. Build pier according to State, Local or Home Manufacturers guidelines, 4. Drill two 3/8"x 3" deep holes in the concrete using holes in galvanized bracket as a guide. Attach bracket to concrete pad using 3/8"x3-1/2" wedge anchors provided. Place nut & washer on anchor, leave enough room for 1 to 2 threads showing on top of bolt. Using a hammer, tap the wedge bolts into hole through bracket, leaving nut & washer flush with bracket. Using a 9/16" socket wrench, tighten wedge/anchor bolt, securing bracket to the concrete. 5. Attach the end of the smaller tube to the bracket mounted on the pad, using the grade 5,1/2" x 2-1/2" bolt/nut provided. 6. Attach the flag end of the larger tube to the opposite I-beam using the "J" bolt over the top of the I-beam with the nut & washer provided. (Figure 1 next page) 7. Install a minimum of four (#12 x 1" tek screws) self -tapping screws into the holes provided in the lateral strut so that the two tubes are connected together 8. Install frame bracket clamps on I-beam on the inside of block/pier. 9. Insert strut in frame bracket clamp and attach with nut &bolt. Attach opposite end to concrete bracket. 10. Pull the frame bracket clamp with fastened str a�d to remove a lack. 11. Tighten all nuts and bolts on system. av � t COUNTY ►'� DING DIVISION Page 5 of 8 Xi2 Lateral Concrete Systems Part#59307 Includes: 5' Strut, Bracket, & Hardware Kit #59315-1 with all nuts and bolt. Longitudinal Struts for "Concrete Systems" Part No. Length Pier Height #59013 44" up to 4 Blocks #59015 65" up to 6 Blocks Longitudinal Hardware Kit Part#59263 (Includes 2 sets per kit: I-beam bracket, nuts, bolts and washers) Lateral and Longitudinal Combination Part#59332 Includes: 5' Strut, Longitudinal Strut (#59364), Lateral and Longitudinal Hardware Kit with all nuts and bolts. Nut & Washer Figure 1 Beam Clamp Bracket J -Bolt Lone -Beam Longitudinal Strut d of N°me l;n Xi2 Installation Placement SOWN;;` VGINEERING • B , 8 �., ®®mom Concrete Longitudinal Hardware Kit d of N°me l;n Xi2 Installation Placement SOWN;;` VGINEERING • W,* .t j Offset' Placement Diagrams represent examples of double and triple section offsets. Total size is determined by the length of unit plus offset. Xi2 Stabilization Pier Placement for Ground or Concrete Single Section Home 0 -80' (76' Box) 4 Xi2 Systems Xi2 Pier Placement Double Section Home 0 -62' 3 Xi2 Systems* 63' - 80' 4 Xi2 Systems *2 Xi2 systems can be placed at either end of the home. Triple Section Home 0 -62' 4 Xi2 Systems 63' - 80' 5 Xi2 Systems ®> .' •.g• • TIES DOWN. ENGINEERING; • ,f Hardware Breakdown #59329-1 Hardware for 59306 Lateral System 1 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 thread #59331 Longitudinal Hardware for 59306 1-3/4 zinc 4 10556 Tek Screw #12 x 1 " 1 10631Z J Bolt 1/2 x 5-1/2 grade 5 zinc 2 10640 Push Nut 1/2 1 12107 Flat Washer 1x2" SS 1 10646Y Hex Nut 1/2-13 grade 5 zinc 2 10519 Hex Nut 1/2" w/ Serr flange #59331 Longitudinal Hardware for 59306 2 59272-1 Beam Clamp Base 4 59272-2 Beam Clamp Top Flange 8 10926 Carriage Bolt 1/2-12 x 1-1/4 Carriage Bolt 1/2-12 x 1-1/4 2 59272-2 Full Thread 10 10646Y Hex Nut 1/2-13 grade 5 zinc 2 10801 Carriage Bolt 1/2-12 x 2-1/2 1 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 Thread Grade 5 2 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 thread 2 10519 Hex Nut 1/2" w/Serr Flange 1-3/4 zinc 4 10640 Push Nut 1/2 4 10519 Hex Nut 1/2" w/ Serr flange # 59329 Hardware for 59333 Lateral and Longitudinal combination 1 59329-1 Hardware Kit 1 59272-1 Beam Clamp Base 2 59272-2 Beam Clamp Top Flange 4 10926 Carriage Bolt 1/2-12 x 1-1/4 2 59272-2 full thread 5 10646Y Hex Nut 1/2-13 Grade 5 zinc 1. 10801 Carriage Bolt 1/2-12 x 2-1/2 10801 Grade 5 zinc 1 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 Thread Grade 5 zinc 1-3/4 zinc 2 10640 Push Nut 1/2 2 10519 Hex Nut 1/2" w/Serr Flange #59315-1 Hardware for Lateral System 1 10631Z J Bolt 1/2 x 5-1/2 Grade 5 zinc 1 12107 Flat Washer 1/2" SS 4 10556 Tek Screw #12 x 1" 2 10646Y Hex Nut 1/2x-13 Grade 5 zinc 1 10826 Carriage Bolt 1/2-12 x 3 2 59272-2 Grade 5 zinc #59027 Hardware Kit for 59307 Lateral System 2 59264 3 Way Concrete Bracket 4 10530 Wedge Anchor 3/8 x 3.50 1 59315-1 Hardware Kit #59263 Longitudinal Hardware for 59307 2 59272-1 Beam Clamp Base 4 59272-2 Beam Clamp Top Flange 8 10926 Carriage Bolt 1/2-13 x 1-1/4 Beam Clamp Base 2 59272-2 Full Thread zinc 12 10646Y Hex Nut 1/2-13 Grade 5 zinc 4 10801 Carriage Bolt 1/2-13 x 2-1/2 Grade 5 zinc Grade 5 zinc #59364 Hardware for 59332 Lateral and Longitudinal combination 1 59264 3 Way Concrete Bracket 2 10530 Wedge Anchor 3/8 x 3.50 1 59315-1 Lateral Hardware Kit 1 59272-1 Beam Clamp Base 2 59272-2 Beam Clamp Top Flange 4 10926 Carriage Bolt 1/2-13 x 1-1/4 Full Thread zinc 2 10801 Carriage Bolt 1/2-13 x 2-1/2 Grade 5 zinc 6 10646Y Hex Nut 1/2-13 Grade 5 zinc omil>45 mph. Page 8 of 8 DOWN. ENGINEERING -4 m r` 0 Lo 0 0 0 t � �=� I!i! ii! lil � ii�f I Ali ��� �1 �I �� s i��► "'RECORDING REQUESTED BY: CD a — (6 o6 C-2 Z+ e-3- 49i Z3 Fidelity National Title Company of _ California i Recorded i RCt, }��F yet,. ice+`.) Escrow No. 303666 -WC Lf 11rS ii i?C=C-dc i C; : ti of - Title Order No. 00303666 BUTTE When Recorded Mail Document }} '_i"11i_flty �_ J. 6:\I:BPIS R,=ord er: i and Tax Statement To: R 0 3 E n I R D-1 s. -;F 0 } Mr. Kevin Wilson"�"•' 13606 Lucas Court�'iRSn _ I Dag? ar Magalia, CA 95954 APN: 0156-2-50-014 SPACE ABOVE THIS LINE FOR RECORDER'S USE GRANT DEED The undersigned grantors) declares) Documentary transfer tax is $77.00 C [.X 1 computed..on full value_.of property conveyed, or [ ] computed on full value less value of liens or encumbrances remaining at time of sale, [ ] Unincorporated Area, City of Unincorporated FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Brandice Moore, An Unmarried Woman hereby GRANT(S) to Kevin Wilson, An Unmarried Man the following described real property in the City of Unincorporated County of Butte, State of California: SEE EXHIBIT ONE ATTACHED HERETO AND MADE A PART HEREOF DATED: May 10; 2002 STATE- OF CALIFORNIA r COUNTY OF Butte _ p ON —May 10. 2002 before me, Brandice Moore A. �Burcham.notary personally appeared Brandice Moore personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. Witness i Signature T p`p40u OF,"F A. BURCHAM r A Comm. #1281413 �R ® NOTARY PUBLIC CALIFORNIA 0 (J �' BUTTE COUNTY —+ My Commission Expim Oct. 22, 2004 MAIL TAX STATEMENTS AS DIRECTED ABOVE FD -213 (Rev 7/96) GRANT DEED - Order No. 303666 EXHIBIT "ONE" PARCEL A: Lot 387, as shown on that certain Map entitled, "Paradise Pines Country Club Estates Unit No. 4", filed in the Office of the County Recorder of Butte County, California, on October 27, 1971, in Book.38, of Maps, at Page(s) 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.' PARCEL B: A non-exclusive easement over Lots A, B, C, D, E, F, G, H, I, J, K, L and M (the common areas) of 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. Assessor's Parcel No: 066-250-014 STATE OF CALIFORNIA - DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT " REGISTRATION CARD Manufactured Home Decal No: LAS7119 Manufacturer ID/Name GOLDEN WEST Trade Name VILLA WEST Model DOM 00/00/1975 DFS 01/24/1975 RY Exp. Date Serial Number L.abeUlnsignia Number Weight Length Width SPC SCC Exempt I Use Type S25065U 190417. 53' 12' 04 SFD LPT ! S25065X 190418 53' 12' Issued Total Fees Paid I Jun 05, 2002 $132.00 Addressee KEVIN WILSON 13606 LUCAS COURT MAGALIA, CA 95954 Registered Owner(s) KEVIN WILSON 13606 LUCAS COURT MAGALIA, CA 95954 Situs Address 13606 LUCAS CT MAGALIA, CA 95954 Legal Owner(s) JUDITH PURINGTON MOORE REVOCABLE TRUST 446 SYLVIA WAY SAN RAFAEL, CA 94903 Lien Perfected On: 05/24/02 14:58:57 i .c1N/n IMPORTANT THE OWNER INFORMATION SHOWN ABOVE MAY NOT REFLECT ALL LIENS RECORDED WITH THE DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT AGAINST THE DESCRIBED UNIT. THE CURRENT TITLE STATUS OF THE UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT. RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPT of Document Recorded 6 -Sep -2l 2@@6-@"5&-* }las fot been compared witb original BUTTE COUNTY 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. KEVIN WILSON REAL PROPERTY OWNERILESSOR 13606 LUCAS CT. MAILING ADDRESS MAGALIA BUTTE CA 95954 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT SAME CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE UNKNOWN. MAILING ADDRESS DATE OF MANUFACTURE OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 06-2089 530 538-7541 ING P;EEU�T TELEPHONE NUMBER .. 714AAn OCAL AGENCY bFFiciAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE" DEALER LICENSE NO. GOLDEN WEST 1975 UNKNOWN. MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMFJNUMBER S25065U/X 53'X 24' 190417/8 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA(LABEL NUMBER(S) REAL PROPERTY LEGAL_ DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER 066-250-014 HCD FORM 433(A) REV. 8/91 EXHIBIT "ONE" PARCEL A: Order No. 303666 Lot 387, as shown on that certain Map entitled, "Paradise Pines Country Club Estates Unit No. 4", filed in -the Office of the County Recorder of Butte County, California, on October 27, 197 1, in Book 38, of Maps, at Page(s) 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. PARCEL B: A non-exclusive easement over Lots A, B, C, D, E, F, G, H, I, J, K, L and M (the common areas) of 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. Assessor's Parcel No: 066-250-014 BUILDING PERMITS NUMBER: 06-2089 Address or location'of unit: 13606 LUCAS CT. MAGALIA CA 95954 Legal Description of Real Property: 066-250-014 SEE ATTACHED (x) Mobilehome/Manufactured Home () Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: KEVIN WILSON Owner's address: 13606 LUCAS CT. MAGALIA CA 95954 INSIGNIA OR HUD NUMBER: 190417/8 SERIAL NUMBER OR V.I.N.: 525065U/X MANUFACTURER'S NAME: GOLDEN WEST YEAR: 1975 OFFICIAL APPROVING INSTALLATION: DATE: q -6—O& PHONE: (530) 538-7541 H.C.D. 513C I Mh?*Util PERMIT NO. 7 5113-74P,E P 3 - E'. M ;MH UTIL. 11PERMIT NO. PERMIT EXPIRES ,OWNER Edwin Carlson )CONTR. Phil Moore, Magalia LOCATION (A.P 66-25-14 j.,,30 Lucas Court, lot 387,-..PPCC#4, Magalla Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED - (Date) (Sign re) Setback Forms Main Bldg. Footings Stemwa I I Slab Piers Garage Footings Stemwal I Slab Carport Footings Slab ' Patio Footings Masonry Walls Reinf. Steel Bond Beam Framing Stucco Mesh Scratch Brown Finish Interior Lath Door Closer DATE COUNTY OF BUTTE — DEPARTMENT QF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Firewall Soil Piping Parapets 1st Floor I Restroom Finish 2nd Floor Windows 3rd Floor Siding To out Roof Sheathing Water Piping Roofing Sewer Fdn. Vents Fixture Garage Vents Prov. for physically handicapped Water Htr. Heaters Appliances Conformance of ex. structure Gas Pi ing & Test Temp. Gas Final Sanitation , FIREPLACE Final �- Footing ELECTRICAL Throat Rough Final Fixtures FIRE SPRINKLERS Motors Test Water Htr. Final Subpanels MECHANICAL Grd. Fault Prot. Heating Service Cooling Temp. Pole Ducts Underground Ventilation Penna ent Final Final REMARKS OR CORRECTIONS ' 1 . ,r COUNTY OF BUTTE DEPARTMENT OF PUBLIC W 7 County Center Drive Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT Signature of Permitee or ent BY Date _� of Receipt No. -7'3r7 / White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Building permit expires Date ........................................... BUILDING Owner S SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor I Valuation Mai I i ng Address Ltd Permit Fee Plan Checking Fee &/or Penalty T lehone No. �I Svc Permit Fee $ $ Building Address La PLUMBING No. @ FEE PERMIT FILING FEE'$�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. 6 6 Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F FireDept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans Parcel I Declaration Parcel Ma P 60' R/W Im rove ents P Lawn sprinkler system 2.00 Bldg. Plans`�c'd Parce 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 V1 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 bal X10 Receps., switches & fix outlets 1h. 010 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: L� or.,C c, 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 C (o 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. f I have placed on file with the County of Butte a certificate of l� Workmen's Compensation Insurance. I to an certify that in the performance of the work for which this ermit is issued I shall not em p employ y person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation 42.00 Hood 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 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. s, X Date _ or� 7 O �O, O TOTAL PERMIT FEE $3� U This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF P BLIC WORKS Signature of Permitee or ent BY Date _� of Receipt No. -7'3r7 / White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Building permit expires Date ........................................... �� _ r .. i Y � �,. s-rp��o� �► u. avQu� � Z�Q A -i1 �� 1v�� C �� �� z �O�A. a► �� � � J A.� ��- ����' i —�..._s x � _ .� �� .., • � � �� � � p•�r `.vim . • �� .�`C� � j;. _ _ � � s\� �� COUNTY OF BUTTE —• DEPARTMENT OF PUBLIC K 7 County Center Drive — Orovi Ile, California 95965 / Telephone: 534-4541 APPLICATION AND PERMIT ODUIU11Le IeP e5e[JtatIVe5 UI Ine Cuuniy of Butie to enter upon the abov-mentio ed property for inspection purposes. 2 t 1�� Dat X e / Signature'of Permitee or Agent 41 Receipt No. 1766 57 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 indic9ted above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY Date/'y-2-C—_ '7Y uiiding permit expires Date ...............lz-.z.4.:..7�J BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address Telephone No. Fireplace Contractor P1411 1226og'" Total Valuation Mailing AddressPermit Fee Plan Checking Fee &/or Penalty ele ho=e N&A LIA� Permit Fee Building AddressPLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 P P, cc 4,00e Each Trap 1.50 167— Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. .� _ Zoni g I g Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F W Q FireDept. FireZone se Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel M P 60' R/W ImprovementsLawn sprinkler system 2.00 Bldg. Plans Recd Parcel Approval Plans Approval Permit Fee NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE 1 $3.00 00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than l2) Single Family ❑ Duplex ❑ Mobil Home ® Others ❑ Range, Cook -top or Oven 1.00 -- G —Water Heater or Space Heater Light fixtures 1.00 20baldio Receps., switches & fix outlets CONTRACTORS LICENSE LAW I am licens der the provisions of Chapter 9, Div. 3, of the State of liforni sin s & Professions Code under the name style of: ) �90 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 Nom / / Classification Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ G 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. x��ve 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 ODUIU11Le IeP e5e[JtatIVe5 UI Ine Cuuniy of Butie to enter upon the abov-mentio ed property for inspection purposes. 2 t 1�� Dat X e / Signature'of Permitee or Agent 41 Receipt No. 1766 57 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 indic9ted above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY Date/'y-2-C—_ '7Y uiiding permit expires Date ...............lz-.z.4.:..7�J i I 04 �a :PERMIT NO. 1501-75B P E r M 1 MH UTIL. PERMIT NO. PERMIT EXPIRES � - } OWNER Edwin Carlson CONTR. .LOCATION (A.P. 66-25-14 ) 30 Lucas Ct., lot 387, PPCC#4, Magalia Temp. Power Pole Called PG&E _ Temp. Elec. Ser .. Called P E _ Temp. Ga erv. _ Call d PG&E /NALED (Date) (Signatur COUNTY OF BUTTE — DEPAR-11MENT,OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floo. Footings Windows 3rd Floor Stemwall SidiAg To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn., Vents [ Fixtures Footings Garage Vents ` Water Htr. StemwaII Slab Prov. for physically ! handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FOREPLACE Final Footings Footing ELECT-•ICAL Masonry Walls Throat Rough % Reinf. Steel Final /� Fixtures Bond Beam FIRE S INKLERS/ Motors Framing Test / Water Htr. Stucco Final X Subpanels 1 Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Under round Interior Lath Ventilation Permanent Door Closer Final Final DATE i REMARKS OR CORRECTIONS I COUNTY OF BUTTE.,,DEPARTMENT OF PUBLI KS 7 County Center Drive = OroviIIe, California 95965 Telephone: 534-4941 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above -m tioned property for inspection purposes. J- �F—,7J Signature of cPeermitee 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/RUBLIC WORKS P.MiM/ %--F' Date Building permit expires Dater_- L BU LDING Owner SQ. FT. OCC. BUILDING VALUATION , __? '1 f - (0 O Mailing Address 3e> /6O co ^� o4 Telephone No. Fireplace Contractor Total Valuation z C) Mailing Address Permit Fee Plan Checking Fee &/or Penalty • Telephone No. Permit Fee $ Building Address C Gv�- PLUMBING No. @ FEE PERMIT FILING FEE $2.00 Each Trap 1.50 GG77 2 J Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. �p�p – �� Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fe W . &i Fire Dept. .Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 Bldg. PIa�Rec'd Parcel pproval PI pproval 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 0 Others -0 Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures bal25 L10 Receps., switches & fix outlets �2t�T((� .� 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. FanorF.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. 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 totheWorkmen'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 TOTAL PERMIT FEE $ i authorize representatives of the County of Butte to enter upon the above -m tioned property for inspection purposes. J- �F—,7J Signature of cPeermitee 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/RUBLIC WORKS P.MiM/ %--F' Date Building permit expires Dater_- L ry( F -I