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066-420-019
66-42-19 Richrd Roesler 6742 I than Dr., lot 10, I.M., Magalia contr: JNhn Henry Const., Magalia < ermit #967i-,8215 ,E (ut it . ,MH) . " ELEC. 6-7-�"L� Zoso�l GAS6�7-87- SUPP� STRUCTURE�REQ. KA" COMPACTION TEST RE a -u ,b_-42'-19 Permit # 2471-82MHI Issued ont-r :-•Say -Area-Magalia. fo, 66-42"49"�,-- Permi 2528-82P(gas pip. fo.r 8 07-8 21 91V' conr:: Cal Gas,, Paradise �a� 66-42-19 Permit#2702-82B,E(new private_garage) F inaled 11/9/82 066-420-019 06-1857 SIMNING, MANLEY 6742 INDIAN DR, MAGALIA Cont: DOREMUS, GERALD MH PERM FND(EX) Final 0--R-Orb �a� �� � .,j (� i. �C �� � - -- - .� �_� _1 � RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 Recorded I Official Records I County of I Butte I CANM I GRUBBS I County Clerk-Recorderl I I 09:06AM 09 -Aug -2006 I IEC FEE 10.00 CONFORMED COPY 1.00 KL 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. MANLEY J. AND LOU ELLEN E. SIMNING REAL PROPERTY OWNEWLESSOR 6742 INDIAN DR. 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 MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 06-1857 530 538-7541 B L G PERMIT NO. TELEPHONE NUMBER Bl�; Idalm SIG14ATURE OF LOCAL A NCY OFFICIAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. 7239 COMMODORE HOMES 1982 24X602FD 460 MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER RH3729AM 60'X 24' 242360/1 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER 066-420-019 HCD FORM 433(A) REV. 8/91 WHITE- County Recorder CANARY - HCD PINK - Applicant GOLDENROD- Building Dept. pa LEGAL DESCRIPTION Order Number: 0402-2458107 Page Number: 5 Keai property in the unincorporated area of the County of Butte, State of California, described as follows: ' LOT 10, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "INDIAN MEADOWS SUBDIVISION UNIT NO. 1°, WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JULY 29, 1971, IN BOOK 38 OF MAPS, AT PAGE(S) 47 AND 48. EXCEPTING THEREFROM ALL MINERAL RIGHTS HEREBY RESERVED TO SIDNEY SHERMAN FOR THE TERM OF HIS NATURAL LIFE. UPON THE DEATH OF SAID SIDNEY SHERMAN, 33 1/3% OF . SAID MINERAL RIGHTS ARE RESERVED TO THE LAWFUL HEIRS OF SAID SIDNEY SHERMAN, AND 66 2/3% OF SAID MINERAL RIGHTS SHALL REVERT TO DONALD H. SHOOTER, ET UX. SURFACE RIGHTS FOR THE PURPOSE OF MINING SAID PROPERTY ARE NOT INCLUDED IN SAID RESERVATION OF MINERAL RIGHTS BY SAID SIDNEY SHERMAN, IT BEING THE EXPRESS INTENTION OF THE PARTIES THAT THE SURFACE OF SAID LAND AND THE ENJOYMENT THEREOF SHALL IN NO EVENT BE DISTURBED OR IMPAIRED BY ANY MINING OPERATIONS. SAID MINERAL RIGHTS BEING RESERVED IN THE GRANT DEED RECORDED NOVEMBER 8, 1954, IN BOOK 743, PAGE 68, OFFICIAL RECORDS. APN: 066-420-019-000 Mid Valley Title & Escrow Company *-P• _ _ .06-1857_ 066-420-019 SIMNING, MANLEY nnEAREA NOTES �. 6742 INDIAN DR, MAGAI:.IA ' «• •: .1 Cont: DOREMUS, GERALD 1 MH PERM FND(EX) RESIDENTIAL APW Permit No. Owner. Site Address: Contractor t 7 Type of Permit: t i i SPECIAL CONDITIONS CHECKED BY ❑ SRA ❑ FLOOD CERTIFICATE EQUIRED r O FIRE SPRINKLERS REQUIRED 1 o SPECIAL INSPECTION ITEMS 1 O yERFy / ❑ USE PERMIT CONDMC$NS ❑ SUBSTANDARD HOUSING LETTER ❑ ENCROACHMENT PERMIT ❑ REINSPECnON FEE PAID i Q ENV HLTH CLEARANCE El DATE JOB FINALED: • e SIGNATURE 1 +=OK 0 = Not OK MANUFACTURED HOMES I DATE PERMANENT FOUNDATION U SOFT -SET oningSetbacks-Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; FallIC10-Concrete 4 Wtr Loctn Test-EaseinentNeeded-Regulator 5 Elec Loctn-Clmcs-Gmd Amp -Concrete 6 Yard Gas; Loctn Test Wrap Nat ❑ or LP( -1 Inch Sz Ft Lngth 7 Blckng; SzSpacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-Clrncs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -C10 to Grade 12 Gas and Electricity Tagged 13 Tie Downs ❑ Foundation 14 Exits 15 Cert of Occupancy 16 HUD Labellinsignia Numbers Serial Numbers Ice MISCELLANEOUS IDECKS-C9VERS-CARP0RTS•GARAGES 1 ZoningSetbacks-Easements _ 2 Ftgs; SoilsSz4l)pthSpacing-CnnctrsSteel _ 3 Decks, Girders/Joists-Dcking-Brcing Stairs-Guard/Handrails _ 4 Wood Awn; Posts-Beams-Rftrs-GnnctrsShthg. Frmg-Brcng 5 Alum Awn; Columns-CnnctasSpiice4Decal-Enclsrs _ 6 Carports; Wndws-Doors _ 7 Electric _ 8 Fang-, Sills-AnchrsStuds4Utrs Trusses _ 9 Siding; Nailing VeneerStucco-Lath _ 10 Roof, Shthg-Rggfmg -1164 Steps-Doors-Landtigs _12 Braced Wall pnis Via. o� cis . _ 1 Setbacks -Easements _ T Soils; -Compaction-Structure Stability _ 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining _ 4 Elec RcptclstWng; Distance -GR _ 5 Elec Pool Lting; l5 volts-GFI _ 6 Elec.Eridi;rs; Conduit Entries-Terminalslisted _ 7 Elec Bonding; Metal w/5'-Crcltng Eqp-Htr _ 8 Elec Grndng; Eqp w1V Crdtng Eqp-Pool Ightg Boxgs-Encisrs-pnlboaidsansultn-to Main Conduit 9 Health Dept App&& 10 'Pimb; Cir Test Wtr Supply Test 11 Lt Niche , 12 Encisr. Fencing Alarms ! 13 Bonding, Diving board or Slide o'er d$ aT Drawing Q =Nat RESIDENTIAL (Single & Duplex) DATE JUNDERFLOOR 1 ZoningSetbacks-Easements-FloodSlope 2 Ftg Main; Soils-Elec Gmd Ftg Dpth 3 Ftg Garage; Soils-Steel-Elec Gmd Ftg Dpth 4 Ftg Porches/Decks; Soils -Steel Ftg Dpth 5 Stemwalis Main; Steel-Blockouts Wrapped 6 Stemwalls Garage; Steel-Blockouts Wrapped 6a Hold Downs and Special Anchrs 7 Slab, Steel Wrapped 8 Piers-Frpic Ftg-Steel 9 DWV; Faliftting Test -2 -way C10Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test 11 Wtr Pipe; Test-Anchrs-RgltrService Test 12 Elec Undrgmd 13 Plenums & Ducts; Cirnc-MaterialSupport-Insultn 14 GirdersSills-Anchr BoitsJoists Vnts-Cripples 15 Ace & Vntitn 16 Insulation DATE IrRAMING. 1T Sills Proper Materials & Anchrs 18 Walls Studs -Nailing Spacing & Braces -Plates -Sound 19 Bearing Walls over Girders:fir Nailing 20 Draft Stop In Walls (rat Ord. oq 21 Fire Stops; Furred CeilingsStairs-Chasers Tubs 22 Headers 8 BeainsSi &•Bearing - 23 Hangers-Posf:Caps-Anchrs-Cnncins 24 Ceiling Jolst Oft Tes-Purlii-Roof Brac TnusShthg 25 Frplc Ties or Type A Flue:F' Ic Throat Cimc 26 Attic A&;, Si &-Rfioi Pitctjtl-raft Stop4ns Baffles 27 Bdrm Wndws or Exiting Doors -Sill tit & Dimensions 28 Garage Fire Prtcri Framing -RC Channel 29 Prprty Line Firewall & Opng$ • . 30 Ext Doors One 3' -Check Garage 3rd Story, 2 Exits 31 Stairs; Width-Hdrm4Rise-Run4_anding-Fre Prtcbt 32 Plywd on Roof Ovrhng-Attic Vnts-Rfir dutrgrs 33 Sid -mg -Nailing Veneer 34 Stucco Lath Weep Screed-Fndtn Vnts-Undrflr Ace 35 Glazing Are PrtctnSkyLts-Plastic . 36 Shear Walls; Nailing -Bolts 37 Brace Int/Ext Wall pnls 38 Insults Walls -Ceilings 39 Infiltration -Walls Wndws ,r+ DATE JELECTRICAL 40 Fxtr & Tmsfrmr Cimc4ns Prtctn 41 Elec Rcptets Spacing-t-ts & Switches at Doors 42 Sz Boxes & No Of Cndctrs Stapled 43 Romex Installed Close to Edge of Studs & CJ 44 Eqp Gmd made up w/Mech Fstnrs 45 Gmdng Electrode Bond Gas & Wtr 46 2 Appinc Cires in Ktchn & Cndctr Sz GFl 47 Subfeed Wire Sz ya 0 c or DAL AC Wire Sz qa ❑ CU or ❑ AL 48 Range Ckc Qa ❑ cU or ❑ AL Oven Circ go ❑ CU or El AL Insulated Neutral ❑ Yes ❑ No 49 Service -Riser Cndctrs & Gmd Main Dscnnct 50 Eqp Cimcs pnts-Motors-Meth Eqp 51 Clothes Closet LI-Shwr Lt -Spa Lt 52 Smoke Detector UAM iPLUMBING 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 54 Wtr Pipe; Test & Anchr-Nail Prtctn 55 DWV; Test Fittings & Anchr Nail Prfctn 56 Shwr Pan; Test, Fust fir -Tub Ace 57 Test Tub & Shwr, 2nd fir - Tub Ace 58 Gas Pipe; Sz & Anchrs 59 Fre Sprinkler; Test 60 Yard Gas Piping o+ 0s 40 0�s DATE MECHANICAL 61 AC Ducts Insultn & Support �— 62 Vent Fan, Exhaust abv Insultn 63 Condensate Drain & Ovrflw, Sz & Grad 64 Furnace -Vent Acc-Comb Air Rtrn/Vent 65 Attic Are & Pitfrin if Furnace In attic DATE IFINAL 66 Ext Steps -Door & SideLt Prictn-Landin 67 Smoke Detector 68 Furnace Vnts-Clmc Comb, Air-Cnnctr In Garage; abv-flr-Duds-Meth Prtctn 69 Bedroom Exiting 70 GFl A Bath Fxtrs & Tub AccSpa 71 GFl Are Fault 72 Eiec Trim & Subpni, Breaker Szs & Labels 73 Stairs, GuardlHandrails 74 Frplc or Stove, Cunt -Hearth 75 Elec Outlets at Wood Pnl, Int & Ext 76 Ktchn, Fxtr & Appinc; Gmd-Air-Gap-Cooking Cline 77 Elec Outlets & Rcptcis at Kfchn Counter 78 Garage Fire Dobr, Swing-Landing-Ciosure 79 AC Duct in Garage -Damper. 80 Wtr Htr Vnts-Clmc-Com Air Cnnctr-PRV; abv fir Mech Prtctn; LPG Appince Undr House 3' drain 81 Plmb; Elec & Mech Eqp Listed for Loch 82 Elec Rcptcls in Garage (GF) Romex Prtctn 83 Insultn-Foam-Looked in Attic 84 Guard Rails & Deck Cnstrcin-Post Caps 85 Fndn Vnts & Crawl Hole Door Dmge & Wood -Earth 86 Clmc Dmge Planters ❑ Yes ❑ No 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Pimb 89 Vnis abv Roof, PImb.Appinc-Frplc-Clmc to Opngs 90 Wtr Well, Dscnnct, Elec, Plmb 91 Ext Elec Trim, GFl RcptcWndrgmd 92 Vntitn thru House 93 Glass Prtctn 94 Corrections from previous Irtspctns 95 Gas Test -Meters Tagged, Gas-Elec 96 Wtr & Sewer Cnnctd-C/O to grade -HD ApprVl 97 Energy Cmpinc Cert -Other Certs 98 Address Posted 99 Fire Sprinkler 1 a o RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 9 -Aug -2006 2006-0040849 Has not been compared with 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. MANLEY J. AND LOU ELLEN E. SIlvINING REAL PROPERTY OWNERILESSOR 6742 INDIAN DR. 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 MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 06-1857 530 538-7541 B G PERMIT N0. TELEPHONE NUMBER SIG14ATURE OF LOCAL A NCY OFFICIAL. DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. 7239 COMMODORE HOMES 1982 24X602FD 460 MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME NUMBER RH3729A/B 60'X 24' 242360/1 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER 066-420-019 SEE ATTACHED HCD FORM 433(A) REV. 8/91 un"r - r-- o"..... r a u urn nnrtr . __,.._ _. ...., ..r........ - .. - r =1 LEGAL DESCRIPTION Order Number. 0402-2458107 Page Number: 5 Real property in the unincorporated area of the County of Butte, State of California, described as follows: LOT 10, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "INDIAN MEADOWS SUBDMSION UNIT NO. 1", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JULY 29, 1971, IN BOOK 38 OF MAPS, AT PAGE(S) 47 AND 48. EXCEPTING THEREFROM ALL MINERAL RIGHTS HEREBY RESERVED TO SIDNEY SHERMAN FOR THE TERM OF HIS NATURAL LIFE. UPON THE DEATH OF SAID SIDNEY SHERMAN, 33 1/3% OF . SAID MINERAL RIGHTS ARE RESERVED TO THE LAWFUL HEIRS OF SAID SIDNEY SHERMAN, AND 66 2/3% OF SAID MINERAL RIGHTS SHALL REVERT TO DONALD H. SHOOTER, ET UX. SURFACE RIGHTS FOR THE PURPOSE OF MINING SAID PROPERTY ARE NOT INCLUDED IN SAID RESERVATION OF MINERAL RIGHTS BY SAID SIDNEY SHERMAN, IT BEING THE EXPRESS INTENTION OF THE PARTIES THAT THE SURFACE OF SAID LAND AND THE ENJOYMENT THEREOF SHALL IN NO EVENT BE DISTURBED OR IMPAIRED BY ANY MINING OPERATIONS. SAID MINERAL RIGHTS BEING RESERVED IN THE GRANT DEED RECORDED NOVEMBER 8, 1954, IN BOOK 743, PAGE 68, OFFICIAL RECORDS. APN: 066-420-019-000 Mid Valley Tide & Escrow Company FOUNDATION SYSTEM CERTIFICATE OF OCCUPANCY BUILDING PERMITS NUMBER: 06-1857 Address or location of unit: 6742 INDIAN DR., MAGALIA CA 95954 Legal Description of Real Property: 066-420-019 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: MANLEY J. AND LOU ELLEN E. SIMNING Owner's,address: 6742 INDIAN DR., MAGALIA CA 95954 s. INSIGNIA OR HUD NUMBER: 242360/1 SERIAL NUMBER OR V.I.N.: RH3729A/B MANUFACTURER'S NAME: 7239 COMMODORE HOMES SYSTEM YEAR: 1982 OFFICIAL APPROVING INSTALLATION: DATE: b (�. -O PHONE: (530) 538-7541 H.C.D. 513C STATE OF CALIFORNIA - BUSINESS, TRANSPORTATION AND HOUSING AGENCY ARNOLD SCHWARZENEGGER, Gover. DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT vSING q Division of Codes and Standards z ��Q •` �13oil OC��M 3Title Search 0 1 DEQ Date .Printed : 08/02/2006 Decal #: LAB4177 Use Code: SFD Manufacturer: 7239 COMMODORE HOMES SYSTEI Original Price Code: AJD Tradename: BAYSHORE Rating Year: Model: 24X602FD 460 Tax Type: LPT Manufactured Date: 08/02/1982 Last ILT Amount: Registration Exp: Date ILT Fee Paid: First Sold On: 09/01/1982 ILT Exemption: NONE Serial Number RH3729A RF13729B Registered Owner: HUD Label / Insigni 242360 242361 ,Length Width 60' 12' 60' 12' MANLEY J SIMNING LOU ELLEN E SIMNING (Joint Tenants with Right of Survivorship) 6742 INDIAN DR MAGALIA, CA 959.54 Last Title Date: 10/20/1998 Last Reg Card: 10/20/1998 Sale/Transfer Info: Price $55,000.00 Transferred on 12/31/1997 Situs Address: 6742 INDIAN DR MAGALIA, CA 95954-9744 Situs County: BUTTE Legal Owner: BANKAMERICA HOUSING SERVICES 1560 W FOUNTAINHEAD PARK 100 TEMPE, AZ 85282 Lien Perfected On: 01/05/1998 19:47:11 Open Escrow: MID VALLEY TITLE/ESCROW CO 7084 SKYWAY PARADISE, CA 95969-3954 Escrow File No: 2458107VG Pending Buyer: GARY NELSON Dealer Name: None Reported Escrow. Opened On: 08/02/2006 Expires on: 11/30/2006 * * * END OF TITLE SEARCH * * * BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 Ia :[.4- i I 11191! � BP061857 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 provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 08/02/2006 APN: 066-420-019-000 the Business and Professions Code, and my license is in full force and effect. �! LcenseClass :C / erase umber: /.51 Site Address: 6742 INDIAN DR MAG Date:'Z- Contractor. Map Index: Description: EX MH EX SITE PERM FNDN (1440) OWNER -BUILDER ECLARATION I hereby affirm under penalty of erjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: SIMNING MANLEY J & LOU ELLEN E to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 6742 INDIAN DR 7000) of Division 3 of the Business and Professions Code) or that he or MAGALIA, CA she is exempt therefrom and the basis for the alleged exemption. Any 95954 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: DOREMUS, GERALD GLEN such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one P 0 BOX 4121 year of completion, the owner -builder will have the burden of CHICO,.CA 95927-4121 proving that he or she did not build or improve for the purpose of sale.). 530-895-1774 ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed Contractor: DOREMUS, GERALD GLEN pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of the Business and Professions Code P 0 BOX 4121 CHICO, CA 95927-4121 Date: owner: 530-895-1774 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #: 445103 ❑ 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 Architect: required by Section 3700 the Labor Code, for the performance of Engineer: the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Policy#: Total Square Ft: 0 S. F. I certify that in the performance of the work for which this permit is Valuation: $0.00 issued, I shall not employ any person in any manner so as to Census Code: become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: WARNING: Fa' re to secure workers' compensation coverage is unlawful, and s II subject an employer to criminal penalties and one hundred thous nd dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor fees. code, interest, and attorney's = CONSTRUCTION LENDING AGENCY — -This permit -is h reby i, ed under the applicable provisions of the Butte County Code and/or Resolutions to o indicated ab ve for which fees have been paid.e I hereby affirm that there is a construction lending agency for the (� performance of the work for which this permit is issued (Sec 3097 Civ.) By. Dat Name: PERMIT EXPIRES ON: Address: Date ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ 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. . authorized agent of the owner. I agree to comply with I hereby certify that I have read this application, that the above information is correct, and that I am theqofan all county and state laws relating to building construction. I acknowledge it is unlawful to alter the subsal,form or document of Butte County. I hereby authorize represeMativ s of Butte County t/oQ,��te/rjJupoon the abovee mentioned property for inspection p /✓" ""G v/ Signature: Print Name: Z --v Date: ❑ Owner Contractor ❑ Agent for Owner ❑ Agent for Contractor tf. 1. oun❑mg rennn v 1- 10-v4 Ny 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" II OWNER INFORMATION Last Names, I irst Name Address ® w City Stat state., Zip Phone Fax Fax E-mail Lic. II CONTRACTOR Name L Address j b L -t ( .Z City / CTG Stat Zip 7 Phone 7 L� Fax E-mail Planner Lic. II APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Book Fax E-mail Planner State License Number APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X For We ush only: Zonin Property Address C, I Flood Zone CrossStreet SRA, Yes INo Occ. Type Const. ' Subdivision Name Map Book I Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. o4 I K BP BIN # PROJECT LOCATI ON AP# 0 _ ! Z C) - C -2l / 2 Property Address C, Cit k, CrossStreet WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope f Work: Sq FT- Living. Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Receiv Amount: Bldg SRA Receipt #: Sheriff �(j O SMIP 9/ /` Other Date: U � Total K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 REV 8-12-05 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ .4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and AIC for Non -Residential Buildings. ❑ 6. Manufactured homes: (A), Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Building Permit Application Without Required Clearances Form ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530) 538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon -written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05 Xi2 Foundation System Installation Instructions for California for Ground & ' Concrete Systems HUD Wind Zone 1, 15 PSF Wind Load Seismic 4 By Tie Down Engineering Xi2 Concrete System Engineer Approval State Approval MANUFACTURED ROME/MOBILE }TOME FOUNDATION SYSTEM RMTN AND SAFETY CODE, SECTION 18551 APPROVED 8UWBCT TO CORRECTIONS NOTED APPROVAL DOES NOT AUTBORTM OR APPROVE ANY DMISSIONS OR DEVIATION FROM REQUIREMENTS OF APPLICABLE STATE LAWS AND REGULATIONS State Of California Dwarka t "anins ad C=Mwft BUTTE COUNTY BUILDING DIVISION APPROVED AND STANDARDS Page 1 of 8 Xi2 Foundation System Installation Instructions for California l for Ground & Concrete Systems HUD Wind Zone 1, 15 PSF Wind Load Seismic 4 By Tie Down Engineering REQUIREMENTS • These plans and specifications meet the requirements of Title 25 Section 1336.3 Sub Section A and 97 UBC Seismic Requirements, CBC 2001 addition. • Maximum vertical projection at sidewall is 9'. Higher walls may be used when the design loads are adjusted accordingly and approved by HUD. • Main rail spacing must be 75.5" - 99.5" * Except single sections 95" minimum • Additional vertical anchor ties that are unique to a home's design may be required by the home manufacturer. These locations may include shear walls, marriage line ridge beam support posts, and rim plates. The longitudinal component of the Xi2 system replaces end frame ties. Check manufacturers set-up requirements. • Maximum pier height is 48" pier. *Except for single sections 36". • Steel piers must be fastened to the I-beam with clamps provided with steel pier. • Systems must be placed as evenly as possible, no more than 10' from end of home. • Designed for 7:12 roof slope. *Except single sections, (200 - 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. ®VjL Xi2 components exceed HUD code 3280.306g "Anchoring equipment exposed to weat Crng shall hav"Pa� resistance to weather deterioration at least equivalent to that provided by a coating of zinc on steel of not less than 0.30 ounces per square foot of surface coating...." Page 2 of 8 0 LD o TIE DOWN ENGINEERING 5901 Wheaton Drive Atlanta GA., 30336o I � 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.(Figure 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) 1-3/4" Tube Lateral Struts 1-1/2" Tube 4-#12x1" Tek Screws U -Bolt & mounting Figure 1 Bracket �-" J -Bolt Nut & Washer Cs 1 -Beam Figure 2 end) Install frame bracket clamps to I-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. ®>. i Y 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 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 Y1 16 Page 4 of 8 Installation of Xi2 Concrete 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. 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 strut outward to remove a�Y. lack., 11. Tighten all nuts and bolts on system..)>, 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 "HT"`_ ........ Lone Xi2 Installation Placement Beam Longitudinal Strut Concrete Longitudinal Hardware Kit Of Home end Page 6 of 8 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 MV0-1" Pff 16.5 Page 7 of 8 I' Hardware Breakdown #59329-1 Hardware for 59306 Lateral System 1 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 thread Beam Clamp Base 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 4 10801 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 4 10801 full thread 5 10646Y Hex Nut 1/2-13 Grade 5 zinc 1 10801 Carriage Bolt 1/2-12 x 2-1/2 2 10801 Grade 5 zinc 1 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 Thread 6 10646Y 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 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 1 59315-1 Full Thread zinc 12 10646Y Hex Nut 1/2-13 Grade 5 zinc 4 10801 Carriage Bolt 1/2-13 x 2-1/2 4 10926 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 ®* ��15�P4 «i-� ,tji.16 Page 8 of 8 r�Etr DOWN;' ENGINEERING 0 0 0 0 0 AUG -01-2006 21:40 COLDWELL BANKER PONDEROSA P.02 u GRANT DEED FOR A VALUABLE CONSWERATM, reeeipt Of W NO la haMby WWW&'0004 MMLEY SIMNING AND LOU ELLEN SIMNING, husband and wife hereby GRANT(S) W LOU -ELLEN L SIMNING and MANLEY.J. SIMNING, wde and husband, as joint tenatna ttta rear Pqmny in the cly of TOWN OF PARADISE Cou* of BUTTE state of Cdbrnla. deccrbW as "THIS CONVEYANCE CONFIRMS A CMXG& OF NAME, AND THE CRARTOR AND SEE ATTACHED LEGAL DESCRIPTION GRANTEE ARE THE ;SAKE PARTY, R a T 11911" Datert�;�L.i'y2 y 997 - I STATE OF CN IFOAMA n uo-tn OF-. >q vL'4'� C�Q'it' I l rc w�q MANLEY SIMNING an Or EDEN SIMNING _J+"bhIR�mt Vrww to no an th0 Ee51e of srlyTaCOry vAclwo) to bo tM Vw6wh) wtww nam s) Wwe iWur'bd 10 bm wunhkWA mems "aaknmiefted tom0Mgt NNW" omaeed.. is_ .. the fm in tkftwlaretr @Aoiled pltliotYUesl, tuts out M w eALiPAitiA_ft71Gc Kr1ANtJ v On the IMtMeM Nle p�ONS) or Neeam ni0rt�orm+olt t�9I'�f ed t)w 4utntmren6 g ' •'�• .'i:� t: •5 �'�, � ..?.: !•A� •ror.�u1 � tpm babe" 01 ow pom mh ��y/: +� r n +��a :�•�'hir ., Y1RT)i rmY 1 i /. 15. Jlj L ••.. L ira,. 3-2 19. Slgnelur . m O F�eeord:61 d AW, Vdlty..1!'jd� d. F�dipw'Gowt►pa� �1 A g-7_04.9 •i•5t;3t • Rec dee £s>:iow :1B8t15�A, . •_: ` :' "' t TFIF 2. 00 00 ;: /t44kN: M4 TO: Recorded 1 ' Cjick:. 10: • - pf•i,ieia1'keoorde 1 ' LOU -ELL N :1=: $fMiJING AND ' . County of 1 MNNI•k'�l'J. Sll1ANE1f • Butte Candace J- Grubbe '1 674P•INDUW D Recardar' L 9:00am 30=Dbc-97 I ttVTC YS Z MIOL'I'AX 9TATEl4CNTS'TO: DOCUMENTARY TIOMFER TAX icOmm is como<bd bn M oaKldeiiuon er,vWo d paper oamorea oa SAME AS AEONS canputea ai M otnudaidm w vitue.bea i m a wnffrbrwme renwhtg w ume a ew . ,_.'Xbg IinelAcQiGlej (Omer• dedarm sly of oarar w Aga t dMouUMM ax - Fumlieni GRANT DEED FOR A VALUABLE CONSWERATM, reeeipt Of W NO la haMby WWW&'0004 MMLEY SIMNING AND LOU ELLEN SIMNING, husband and wife hereby GRANT(S) W LOU -ELLEN L SIMNING and MANLEY.J. SIMNING, wde and husband, as joint tenatna ttta rear Pqmny in the cly of TOWN OF PARADISE Cou* of BUTTE state of Cdbrnla. deccrbW as "THIS CONVEYANCE CONFIRMS A CMXG& OF NAME, AND THE CRARTOR AND SEE ATTACHED LEGAL DESCRIPTION GRANTEE ARE THE ;SAKE PARTY, R a T 11911" Datert�;�L.i'y2 y 997 - I STATE OF CN IFOAMA n uo-tn OF-. >q vL'4'� C�Q'it' I l rc w�q MANLEY SIMNING an Or EDEN SIMNING _J+"bhIR�mt Vrww to no an th0 Ee51e of srlyTaCOry vAclwo) to bo tM Vw6wh) wtww nam s) Wwe iWur'bd 10 bm wunhkWA mems "aaknmiefted tom0Mgt NNW" omaeed.. is_ .. the fm in tkftwlaretr @Aoiled pltliotYUesl, tuts out M w eALiPAitiA_ft71Gc Kr1ANtJ v On the IMtMeM Nle p�ONS) or Neeam ni0rt�orm+olt t�9I'�f ed t)w 4utntmren6 g ' •'�• .'i:� t: •5 �'�, � ..?.: !•A� •ror.�u1 � tpm babe" 01 ow pom mh ��y/: +� r n +��a :�•�'hir ., Y1RT)i rmY 1 i /. 15. Jlj L ••.. L ira,. 3-2 19. Slgnelur . m O Ott 12 i 1', 27 2B �E „PEWIT NO. _ PERMIT EXPIRES 9�i OWNER Richard Roesler CONTR. Owner ASSESSOR PARCEL "66'42-19 LOCATION 6742 Indian Dr, Magalia y •t t' 1, 4 .g 1+ r i Temp. Power Pole t Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service W a Called PG&E JOB FINALED (Date) /c, f Signature J=OK- 0 0 = Not OK - = Not Applicable MOBILEHOMES = Not Ready MISCELLANEOUS. Date MOBILEHOME UTILITIES (Plans) OK except q's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch _ 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Card -BI Date _ Date Card -BI Date POOLS (Plans) OK except H's 1, Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4, Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghig. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date J = OK 0 = Not OK - = Not Applicable RESIDENTIAL (Single and Duplex) * = Not Ready Date UND OOR Plans OK exbe t#'s Date FRAfdINrelContinued) 1. oning requirements -Setbacks -Easements 48.,, r rty Line Firewall & Openings _ 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 4 xt. Doors -One 3' -Check Garage -3rd story, 2 exits 3. g., Garage; Soils -Steel- / " Ftg. Depthars; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Fig. Depth 51� 1pjoed on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab ding -Nailing -Veneer OPftemwalls, Garage; Steel-Blockouts-Wrapped-S. 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 8. D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test 54. 55. lazing Area -Glass Protection -Skylights -Plastic hear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10 "r Pipe; Test -Anchors -Regulator -Service Test lectric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI aterd-BI Date Card -BI Date Card -BI Date 41 Card -BI Date Card -BI Date Card -BI Date Card BI Date Date FINAL ns) OK except #'s Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except q'so 14. Water Ht.; Vent- ccess-Combustion Air 56. xt. Steps -Door & Sidelight Protection -Landings e Uetector - sClearance-Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 15. Water Pipe; Tet & Anchors -Nail Protection 16. D.W.V.; t ttngs & Anchors -Nail Protection 59rBedroom-fttting 17. Shower Pan; est, First Floor -Tub Access . & Bath Fixtures & Tub Access 18. Test Tub VShVer, 2nd Floor -Tub Access 61 Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors s --64.-O"Elec. 697-Fi-p-place or Stove; Clearances-Hearth Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date ixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Date Card -BI Date ELECTRICAL Permit except N's 6 . ec. Outlets & Receptacles at Kit. Counter ge ire Door; Swing -Landing -Closer 6 . . Duct in Garage -Damper 2 i &Transformer er Clearance -ins. Protection 6fd WI Htr_.:,.v,nts-Clearance-Comb. Air-Connector-P.R.V.- In rage; Above Floor -Meth. Protection 21. cure . Receptacles Spacing -Lights &Switches a- Doors 70. Ib., lec. & Mech. Equip. Listed for Location 2 S Boxes & No. of Conductors -Stapled 71, Wc. Receptacles in Garage; (G.F.I.)-Romex Protec. ��Rqpi<lnstalled Close to Edge of Studs & C.J. 72, ion- oam-Looked in Attic E] Yes 4 -Equi ade up w/Mech. Fasteners -Bond Gas &Water Guard Rails & Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen & Conductor Size 74._Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes _ 26. Subfeed Wire Size / a. r AI-A.C. Wire Size / / ga. Cu or Al Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, llqsulated Neutral ❑Yes ❑No 75, 76EtvccU-9rown-Finish 4 Following instld.: Drive ❑ Yes No; Walks ❑ Yes No; Planters ❑Yes _WNo 28. Se 'ce-Riser Conductors & Ground -Main Disconnect 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77�t; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet ens Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 30. Clothes NSet Light -Shower Light 7 e Disconnect, Electrical, Plumbing 80. -Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date r Card -BI Date 8?--VBrnra-Tion throughout House Card B Date Card -BI Date Glass Protection Date MECHANICAL (Permit) OK except q's 31. A.C. Ducts; Insulation & Support 8 _ ions from Previous Inspections 84. est -Meters Tagged; Gas -Electric 85. er & Sewer Connected -C/O to Grade -HD Approval 32. Vent Fan; Exhaust bove Insulation 86. gy Compliance Certificate -Other Certificates p _ 33. Condensate rain Overflow; Size & Grade 34. Furnace -Vent, cess -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & atform if Furnace in Attic Card -BI Card -BI ate Card -B Date _.Date rd -BI Date --- Card -BI -_Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMIN ns) OK except q's Comments at Final: 36. K Proper Material & Anchors 37. alts; Studs -Nailing, Spacing & Bracing -Plates -Sound _ 3 Wa r Girders & Floor Nailing 39. _nng rat Stop in Walls (rat proof) _ ops; Furred Ceilings -Stairs -Chases -Tub 41. eader & Beam -Size & Bearing _ 4 �A4. -aagers-Trost Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Ring. t_lre T V ies or Type A Flue -Fireplace Throat _ ,451,.-m;e-„� ss; Size & Romex Protection -Draft Stop -Ins. Baffles _ _. rm. Windows or Exiting Doors -Sill Hgt. & Dimensions -4 ge Fire Protection Framing (NOTE: An entry must be made each time youvisit jobsite) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 959@5 - Telephone 916/534-4541 APPLICATION AND PERMIT ; l� ASSESSOR PARCE NU BER �'— ZONING BUILD /G PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION 00� OWNER'S/MAILING ADDRESS � �R � � CONTRACTOR'S A TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER I UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRES Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ `L'2 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 72 ,S BUILDING ADDRESS I PLUMBING PERMIT Filing Fee 10.00 �- Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas wa eater 99 vent 5.00 Gas pipin sy ets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehomep Other SPECIFY Building sew r Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition [:1Remodel ❑ Utilities ❑ Installation ❑ Other LX Describe work:_pgrz:�_ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2;50 NEW CONST. DWELLING OCC Nft OR ADDNS. ACC. BLDGS B® 2ASq (� CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ElI am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR LOUT ET 2.50 ea NON-RESID BRANCH CIRC ITS NEW CONSTF;L POWER APPARATUS 81 NON-RESID, %SINGLE OUTLET CIR. 50 @ 25a Ex. OCCUp OUTLETS OR FIXTURES gpL ni FIXED APP LHS. OR Ex. Occup.(OUTLETS (RESID,) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in co sequence of the granting of this p mit. X S%'� _1. Date �� .� Signature of Applicant — Owner Contractor ❑ Agent An OSHA permit is required for excav tions over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OUP occur, GROUP /JJJJ"Vs�JJ TYPE F �ONjT. N/ PARyEI POi V ND 15 ii This permit is hereby issued under I s of the Butte County Code and/or work indicated above for which DIRECTOR OF BLIC B y PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS l Da �/ r/� Receipt No. % WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT i PERMIT NO. r' 807-82P,E PERMIT EXPIRES - OWNER Richard PMV Roesler ' CONTR. John Henry Const., Magalia ASSESSOR PARCEL 66-42=19 LOCATION 6742 Indian Dr., lot 10, I.M.,Maga. i t`4 1 {ti t r /� Temp. Power Pole Called PG&E 4.'Elec. Service t Called PG&E Sj, 25 ^ �2• t Temp as S 2 Called PG&EZ JOB FIRALEDf (Date) Signature 1� J = OK 0'= Not OK — = Not Applicable MOBILEHOMES = Not Ready 1 MISCELLANEOUS Date MOB( E M TILITIES (Plans) OK except N's Date DECKS, COVERS, CARPORTS, ETC. (Plans) G,. ;-.(cept i ng Requirements—Setbacks—Easements 1. Zoning Requirements—Setbacks—Easements Special MH Support—Sketch I 2. Footings; Size—Depth—Spacing—Connectors 3. er; Location—Test—Fall-C/0—Concrete _ 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4 ater; Location—Test—Easement Needed (Sketch 4. Wood Awn.; Posts— Beams— Rftrs.—Connec.—Shthg.—Rfg. -Bracing 5. ctricity; Location—Clearances— d.—/ Am —Concr 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enc.us.res . Test—Wrap:/ /"L"ft./ /"Nat. or L"ft./ "LPG 6. Carports; Windows—Doors tiIity Clearance 7. Elec. Card -BI Date ?O 7 -Card -BI Ilk Date Card -BI Date Card -BI Date Card -BI Date rd -BI Date Card -BI _ Date Card -BI Date Date M BI OME INSTALLATION (Plans) OK except ft's Date _ POOLS (Plans) OK except N's .,;pm)tg Requirements—Setbacks—Easements 1, Setbacks—Easements 2. Fo ings; Size—Spacing—Marriage Line I 2. Soils; Compaction—Structure Stability Gas; s —Demand—Valve—Connector 4 ectricity; MH Test—Crossovers—Breakers—Clearances 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining _ 4. Elec.; Receptacles and Lighting; Distances—GFI 540 rain H Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6. ate ' MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed ater and Sewer Connecte —C/0 to Grade—HD Approval 1 7, Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. G&rmrd- ecft6TyTagged ! 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9, s; Insp.—Sketch 10 . of Occupancy I 9. Health Department Approval ,1 10. Plumb; Cir. Test—Water Supply Test Card B Date'u " 2 and -B1 Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date 1 = OK = Not OK = Not Applicable RESIDENTIAL -Single and Duplex) = Not Ready I . „ Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Contidued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings ' 2. Fig., Main;'Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits ` 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab - 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test" 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric;. Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except H's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 57. Smoke Detector 58. Furnace; Vents -Clearance -Comb. Air -Connector- , In Garage; Above Floor-Ducts-Mech. Protection _ _ 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except p's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. 22. Elec. Receptacles Spacing -Lights &Switches at Doors Size Boxes & No. of Conductors -Stapled 70. Plb., Elec. &Mech. Equip. Listed for Location 71. 72• Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. Insulation -Foam -Looked in Attic E] Yes 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 73. Guard Rails & Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen &Conductor Size 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes El No 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters []Yes ❑No 28. 29. Service -Riser Conductors & Ground -Main Disconnect Equip. Clearances; Panels-Motors-Mech. Equip. 76. 77, Stucco; Brown -Finish A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. Ventilation throughout House Card B -I Date Card BI Date 82. Glass Protection Date MECHANICAL (Pertrit) OK except N's 83. _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85. Water & Sewer Connected -C/O to Grade -HD Approval _ 32. Vent Fan; Exhaust above Insulation 86, Energy Compliance Certificate -Other Certificates _ _33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic - --- Card -BI Date Card -BI Date Card -BI -_ Date --_ Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FRAMING Plans) OK except q's 36. Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound _ 38. Bearing Walls over Girders & Floor Nailing_ 39. Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. 42. 43. 44. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rft_r. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat _ 45. Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles _ 46. _Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: Anentrymust be made each time youvisit jobsite) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 93965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. A(I%/-?i .� ASSESSOR P RCEL NUMBER _. L Z 15 ZONING BUII,,dING PERMIT OWNER A6 e TELEPHONE SO. FT. OC BUILDING VALUATION OWNER'S MAILING AD REBS CON ACTOR'S NAMEG` T LE PHONE Q ' QVC CONTRAC OR S MAILING ADDRESS ' P 0 dex Q, T Fireplace CONSTRUCT ON LENDER UN�CNO_WN y Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ — ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ ZS BUILDING ADPRESS 7 �PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex[] Mobilehomq.W Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ InstallationV Other ❑ Describe work: U�1 �, �f✓ / Permit Fee $ Contractor ELECTRICAL PERMIT Fi'lingFee 10.00 Main service BOOV OR LESS600 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. (DWELLING OCCUP.y) OR ADDNS. ACC. BLOGS. 20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and m license is in full force and effect. j/ / y ` "- License No.Ld`(�— Classification (e or ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR I.OUTLET 2,50 ea NON -REBID BRANCH CIRCUITS) NEW CONSTR POWER APPARATUS 11 NON.RESID. SINGLE OUTLET CIR. Ex 50@25a . Occup(OUTLETS OR FIXTURES BAL@1 FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shal I be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 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 Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against .all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. �. X �' Date Sign re of Applicant — Owner ❑ Contractor U Agent F1 An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ 1 TOTAL PERMIT FEE $�Q OCCUP. GROUP I TYPE OF CONST. I PARCEL PD NO ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which —.4 DIR OR 9F ELIC By PERMIT EXPI[RES Date the applicable provi- resolutions to do fees have been paid. WORKS Date •� ript No. 613�7V E-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7_County Center Drive, Oroyille, CA. �. PHONE: 534-4541 y MOBILEHOME INSTALLATION SHEET r, Nner's name: 4,4"fal Mees lek 2. Installer's name:p��gt>'�1���cs 3. Is the site currently under permit? Yep 7 No (If yes, furnish permit number ) OR Is the site an existing site? Yes / / No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach f ields and clear of all setbacks and easements? Yes /fir/ No ( If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- l &i v Amps �fl 6. What is the mobilehome site service rating? ---------------------— Amps 7. What is the mobilehome site circuit breaker rating? -------------- ----------- 1&e9 Amps 8. Is there any other electric load to be served by the mobilehome siteservice? --------------------------------------------------- (If yes, identify the load and size: (Load) Yes /I No S) Q. What is the mobilehome site gas pipe size? ------------------- -- � (in.) 10, What is the type of gas service? ---------------------------- 11. What is the gas pipe length from meter or tank to the Natural / / LPG- 12. PG 12. What is the mobilehome gas demand? �---------------------- -rs'g_-0 (ft (This information required if pipe length less than 6 ft." on natural gas or less than t. on LPG.)/71� % J- -k-`6P BUTTE COUNTY ✓ p2 uiV� BUILDING DEPARTMENT APPROVED (BTU) MOBILEHOME SUPPORT DATA If other than single wid a.2 Mobilehome Mfr. �oi" furnish Setup Model No. -� ?e Year Width �2(ft.) Box Length © (ft.) Tagalong or Expando Size ft. x ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October.7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of mobilehome unless otherwise specified. (ft.)(in;) Center support locations* -j' o (ft.)(in.) (ft.);(in.) 5' o (ft.) (in.) (in.) (in-.) Center support footing sizes (in.) (in.) (in.) (in.) (in.) Single A *If center piers are other than drawn above, draw in -lneatinns. snacinLy. and dimensions. Footings (check one) Et 1. Wood either pressure treated or foundation grade. El 2. Other. (specify) Supporta (check one) 1. Concrete block. E].2. Other, (specify) tagalong or Expando,' show support details. t Al 14k, Typical Support (in.) (in.). Footing Size �� -- Max. Pier Spacing -- Max. Overhang (ft.)(in.) „ COUNTY OF BUTTEDEPARTMENT OF PUBLIC WORKS PERMIT NO. ' 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 2-1 ZO G BUILDY6 PERMIT OWNER Richard Roesler TELEPHONE T LE H NE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME John HenryConstruction1873-0668 TELEPHONE CONTRACTOR'S MAILI G ADDRESS P.O. Box 509,Maga11:a,__Ca,_95954 Fireplace CONSTRUCTION LENDER UNKNOWN NONE I Total Valuation $ Filing Fee $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ 10,600 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ /40.00 BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 741a ,L nl O/A/v 7�R/ UG Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping p,AU /0 Loo LOT NO. 10Tndian SUBDIVISION NAME PARCEL MAP Meadows-- Each gas water heater or vent 5,00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex[] Mobilehome[R Other SPECIFY Building sewer /0.00 10.0 Lawn sprinkler system 5.00 TYPE OF WORK New U Addition [:1 Remodel ❑ Utilities Installation ❑ Other E] Describe work: _Site Preparation for mobile home Permit Fee $ 30 vo Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS �e 0'00 Main service EA. ADD'L 100 AMP 2.50 -Cs;z NEW CONST. (DWELLING OCCUP.5) OR ADDNS. ACC. BLDGS. 22 sq fit CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ®I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code nand my license is in full force and effect. License No. X346992 Classification A ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NNEW O CONSTR.(MULTI U BRANCH CIRC ITS) Ts 2.50 ea NEw CONSTR POWER APPARATUS &) NON.RESID. SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES s �@1 250 FIXED APPLNS. OR EX. OCCup.�OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 eo Misc. Wiring 7.50 Permit Fee $ ` -7 Contractor MECHANICAL PERMIT FiIirig Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shal I be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liapiliities, jud ents, costs, and expenses which may in any way accrue aga49 said Co my n consegQnce of the granting of this permit. �j X L -Ci Date f p� Signature of Applicant - Owner ❑ Contractor Agent ❑ An OSHA permit is required for excavations over 5'0” deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST, I P PD HD Iseu This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT F PUBLIC By PE E PIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date�]�� Z— Receipt No. &17& S WNITE-D.P.W., YELLOW -A SESSOR, PINK-INsPECTOR, GOLDENROD -APPLICANT 'Richard & Alma Roesler John Henry Construction., 7 '5450 Monterey Rd Space #1 P.O.Box 504 , ' ,'San Josey CA 95111 MaRaliaCA 95954 (916) 873-0668 Lot 10 Indian Meadows S.D. AP// 66,42-19 Au �Y ,y •y' • 3 r. 9. Utlllty connections sh, I within ! , 4 ft. of the mobile1hpir i+her } `` 0 SQ. FT. MlMUM directly behind or viii} , he rear i ; ' FOR MOBIL S half of the. roadside (. f the f mobilehome. v4►/�_ l ill be required for the permittof ' ' W �sta!lation the mo6ilc come. m;.• �, � • y i i " .. this sot ef'plans and paC-f Sty i1, M1 ISTr, kept on the job at all fires i,, d i' i; U'llawful +o A _etback of 5 ft. from the ' make any changes or alte ra?•��.ns ; same withou" Public operty lines and a setback" - written permission from the �. , ment of of 50ft. from the Woad Works, County of Butte. •�� centerline shah be clear of structures or equiprnent excepi Fir ft. eav^ overhang. , • ij NAME TE (� NOTE:—AI) Materials & Workmanship Shall Be in BUILDING DEPARTMEN Accordance with Recognized Good Practices and x of a quality prescribed for the Specified use in the E APPROVED Uniform Building, Plumbing & Machanica: Codes and � ► fhe National Electrical Code. �/ Return to DPW •' ' ' AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT , ' r fi,j�,IT'T - �,�ALlF. FOR RESIDENTIAL DEVELOPMENT �'�� C, Section 26-8.1of the Butte County Code requires this acknowledgement 10 5 AIT � el be recorded prior to issuance of a building permit. e� The property described herein is adjacent to land or included �K�9Ra within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort arising 92-8796 from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occa- sionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accent such incci7venience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: �--- i O t06(0 Cot? Date: State ofCGG County oc� PROP9W OWNERS: On this the 136 day of k_A 191L�/L. SS. before me, the undersigned Nota4 Public,ersonall appeared Q p y GLENDA L. EPPLE NOTARY PUBLIC •CAL1 ORNiA �,. SANTA CLARA COUNTY k My commission expires July 16, 1409 known to me to be the person(s) whose name(s) subscribed to the within instrument and acknowledged thatI 4e;y. executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. END OF DCCUMP Notary Publit 0 M --A M1 311- G-3 M 7 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS / 11 fPERMIT N�� 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-415 Q APPLICATIOtAND PERMIT 12as ASSESSOR PARCEL NUMBER ZONING ILDING PERMIT OWNER TELEPHONE SO. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACT SNA ^ TELEPHONE CONTR A,4W7 OR'S ]LING DDRESS rL5 & Fireplace CONSTRUCTION LE DER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS r PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. - SUBDIVISION NAM w ' PARCEL MAP Eachqas water heater or vent 5.00 Gas piping system 1 - 5 outlets .1 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome lyOther SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ emodel ❑ Utilities ❑ Installation❑ Other 1% Describe work:43-16-4 0 Z Permit Fee $ Zc�, Contractor ELECTRIICA L PERMIT FilingFee 10.00 610V LESS Main service 100 AMP OR LESS 5.00 Main service EA_ ADO'L 100 AMP 2:50 NEW CONST. ( DWELLING OCCUP.@1 OR ADDNS. ACC. BLDGS. 20 Sq ft - CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): 1 am licensed under provisions of Chapt.9, Div. 3 of the Business and Professions Code and my license is in full rce and effect. License No. � / I (ice Classification � ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am ex usively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason NEW CONSTR I-Ou LET 2,50 ea NON-RESID BRANCH CIRC ITS NEW CONSTFL I POWER APPARATUS &) NON•RESID. %SINGLE OUTLET CI_R. soL Ex. OCCUp OUTLETS OR FIXTURES BAL@1 Ex. OCCU UTLFIXETS (REAPPLNS. OR P•(OUT LETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIirig Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabiliti s, 'Udgments, costs, and expenses which may in any way accrue again u ty in quence of the granting of this permit. ¢,-�^f+' X Date u tU of Applicant — Owner F1OwnerAgent ❑ An OSHA permit is required for excavations over 5' deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ ®� TOTAL PERMIT FEE $�— OCCUP. GROUP TYPE OF CONST. PARCEL PD No ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which IRE O PUBLIC By PE IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Z Receipt No. 6::> WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT �t 19 wooln/ o 0 lwAI5,q /,A