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066-490-014
, 66-49-14 TOM GILLEY �•' /�GLf ����... - JVJ-lot at end of of Yahi Ct., lot 89 unit #4, Indian Meadows, Magalia contr: Charles Hancock, Paradise Permit #5548-75P,E`(,ut&1._ ,MH GAS /9 ''- 6 SUPPORT STRUCTURE REQ. � COMPACTION TEST^ REQ ^` + IsLLL� —�" -—T-66-49-14 CONTR :M C1ia&les Hancock, Paradise Permit #364-76B,E(new private gar - .age w/sun;.deck)�/v/7G r• 66-49-14 ONTR:Bernies MH Sery ce,Paradise ermit #667-76MHI�%G���%����' ssued ,,.�Fkat�;` 66-49-14 �ONTRs Charles Hancock, Paradise permit -#700 -76B -(new covered deck/, 66-'4907014-- 99-0036 , om �* -!•_CLQ. � M. 13655 Yalu , Ma aha i FContr: Owne 1V1It' ew fnd, retro, X66 ,. r N P, N CSI � til 1 � . � COUNTY -OF BUTTE Oroville, Califomia GENERAL CLAIM CLAIMANT: TOM GILLEY ADDRESS: 2121 QUAIL POINT CIRCLE CITY & STATE: MEDFORD, OR 97504 DATE OF CLAIM: 01/11/2000 IMPORTANT: SEE INSTRUCTIONS SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES ON REVERSE SIDE DATE DESCRIPTION OF CLAIM DESCRIBE FULLY TO AVOID DELA AMOUNT Owner decided not to build. AP #066-490-014, BP #99-0036, receipt #251299, dated 01/06/99, owner: Tom Gilley.) Total amount paid $439.25 Retain refund processing fee $ 25.00 Retain building permit filing fee $ 20.00 Retain plumbing permit filing fee $ 20.00 Retain electrical permit filing fee $ 20.00 Retain plan checking fee $ 23.00 Total amount to be retained $108.00 - TOTAL $ 331 25 I, the undersigned, declare under penalty of perjury that the services or articles claimed have rmed or delivered, Ztts claim is true and correct as stated. rk �2 Dated this �—day of •a. -v, 2000 , at •D k , Genf' /4�----- Si nature of Claim t I, the undersigned, hereby certify that, to the best of my knowledge, the services orarti specified above J�ave performed or delivered and that there is a Budget Appropriation I I or Specific Board Approval I I (Check one) for the same. , at W t1ittE , Calif. �'L� Dated this day of 4RU , 2000 nl /Department Head or Authorized Deputy Dept. Code 440-002 Exp. Code 4210500 PAYABLE FROM CONSTRUCTION PERMITS Dept. Code Exp. Code PAYABLE FROM Det Code ExD. Code PAYABLE FROM FUND FUND FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. f a January 11, 2000 Tom Gilley 2121 Quail Point Circle Medford, OR 97504 Dear Mr. Gilley: �iufte Count L A N D O F NATURAL. WEALTH A N D B E A U T Y BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530) 538-2140 RE: Request for refund (A.P. #066-490-014 & 066-500-001) Your request for a refund was received by our office. Please find attached a general claim form ready for signature. Please sign only where indicated and return to this office so that we may process your refund. Should you have any questions concerning this matter, please contact Alice Mefford of this office at (530)538-7541. Yours very truly, Michel C. Vieira Man ger, Building Inspection MC V: aam attachment 066 490-014 .. h RESIDENTIAL l iY; Tom' J9-0036 GIL . - .� a .1-305 Court,.Magalia ` Contr: Owner + IVIH exist:.New fnd~reticI 24X66:.�. PERMIT NO. PERMIT EXPIRES OWNER CONTR. ASSESSOR PARCEL l LOCATION t - CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) Signature CHECKED V... OK O - Not OK - `t Applicable y MOBILE HOMES Date MOBILE HOME WTILITIES Mans) OK tekomc- /'a 1. Zoning Regdrwn nt - Sedmeb - Easement 2. Soils; Spectral MH Surppkut Sketch 3. Sewer; Locaiort- MISCELLANEOUS 8. Gas; Location. -levo nW. / ILIL / /Nat. or/ /L'!t./ /LPG Date DECKS, COVERS, CARPORTS, GARAGES (Plana) OK �Pt /'a 7. Wed Clearance d Disconnect 2. Footings: SoilaSbrDel;MpaeinpZ;r ctorsSeael 8. Utility Clearance 3. Decks: Girders and/or tys.Rah 4. Wood Awn.: Post-Beame•Rftra,4;ornectora Shthg.-Rfg.-Bracing - S. Alum. Awn.; Cduum e. Carports; Wndows-Dopy Date Card B-1 Data Cana B-1 Oat Card B-1 Dale Card B-1 Date MOBILE HOME INSTALLATION dans) OK except #'s 11. Ext: Swps-Ooors{and'ngs 1. ZoningRegkiwner ► Sedwelks Easements 12. Braced Wali Panels 2. Footings; SbwSpering#Aarrispe Uro Date_ Card B-1 Dat S. Gas; MH Date Card B-1 Dab Card B-1 4. Electricity; MH TedCrossawww8makers0eafanciess. S. Grain; MH Tat vl+lmC rrecwr 8. Water; MH Test-Repkiabr-Cornecbr 7. Water and Sewer Connected= to Gmde•HD Appooei 8. Gas and Electricity T ww 9. Tie Downs-7ype4nstla ion Cert. 10. E)dts; Insp.Skelrh 11. Cert of Occupancy 12. Pennanert Foundation Onty: Uoense Decal Date Card B-1 Dab Card B-1 Date Card B-1 Date Card B•1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plana) OK �Pt /'a 1. Zig Re*kementsSetbadw-Easernent 2. Footings: SoilaSbrDel;MpaeinpZ;r ctorsSeael 3. Decks: Girders and/or tys.Rah 4. Wood Awn.: Post-Beame•Rftra,4;ornectora Shthg.-Rfg.-Bracing - S. Alum. Awn.; Cduum e. Carports; Wndows-Dopy 7. Electric a Fang.; Sils-Anchors.Studs4iftn-Tiusses 9. Sk&V: NaR g-lknwSaxco•Mesh 10. Root, Shthg-Roofing 11. Ext: Swps-Ooors{and'ngs 12. Braced Wali Panels Date_ Card B-1 Dat Card 8-1 Date Card B-1 Dab Card B-1 Date POOLS (Plans) OK macept /'a 1. Sebacks•Easement 2. Sok Compacdon-Struettre Stabity 3. Pool Structure; SbeFCamecdon♦Thiefkness Dead Men -lining 4. Elee.;Receptacles and LJgIft.OGStnce4M S. Elec.; Pod Lighting; 15 Vdis-GIR 8. Elec.; Encoaxes; CorduitEnblea-Tun*wls{bted - 7. Etc.: Bondrg: Metal w V-Ckcu k* g Equ %L-Habr 8. Elec.; Gmu x*U Eluip. wR Cnafating Equip.4 ad LBh1g. r>s. b Main in Conduit 9. Health Deper"entApproval 10. Ptkmb.: Ci TwPftter Supply Test 11. Light Niche Date Card B-1 Dab Card B-1 - Dab Card B-1 Dab Card B-1 Not OK RESIDENTIAL Not Applicable Not Ready .e UNDERFLOOR (PI-) OK axupt Ift 1. Zoning-Setbacks-Easmentr,-FbodSlope 2. Ftg.. Main; Sols-Elec. Gmd. / P Flo. Depth 3. Ftg. Garage; SolsSteel-E . Gmd/ r Fig. Depth 4. Ftp. Porches 3 Decks; SolsSteei-/ /'Ftg. Depth 5. Sterrrwans, Main; SW4"lockouts-Wrapped 6. Sternwans, Garage; Steel-BlockoutrWrapped 6a. Hold Dawns and Special Motors 7. Stab, Steel .pped e. P'rersfteplace mu.Steel 9. D.W.V.; Fan-Fitdng-Test-2 Way C)OSewer fest to. UF. Gas Pipe-, Size Anchors - Yard Gas Piping; S'ae Test 11. Water Pipe; 1myArtchors-Regulator.Service lest 12. Electric Underground 13. Plenums b Duets; Clearance-Matertai-Supporbtns. 14. Gird ills-AnchorBdt*%1o4tW-ts-Cdpples 15. Access 3 Ventilation 16. Insulation ate Card B-1 ate Card B-1 ate Card 8-1 ab Cart! B-1 ,;e PLUMBING rwm4 OK ecept Vs 17. Water Hit: Yen Air Baffle 1a. Water PipC Test 3 Anct"441" Ptobclim 19. D.W.V:Test Fdngs&Andlo 4WPtoledion 20. Shower Pan; Test, Fast Floor -Tub Access (Single & Duplex) 21. Text Tub 3 Shower. Second FiooFTub Access 22. Gas Pare; Sae S An ichm Date Card B-1 Dab Card B-1 Gate Card B-1 Dame Card B-1 ,ta ELECTRICAL Q%un ) OK woeept #'s 23. Foveae b TransfomerCtearanae-ftm Protection 24. Elec Receptacles SpackVAjghts li Switches at Doors 25. Size Boraces b No. of Conduction; Stapled 26. Romer called Close b Edge of Studs & C1 27. Egxcp. Groxatd made op uAkcih FastnersBad Gas d Water 28. 2 Appliance Cowes ih Kitchen 3 Conductor Sten GF1 29. Subfeed Wee Sae I Iga. Cu or Ai kC. Wire Size I I ga Cu or Al 30. Range Circ. I I ga Cu or AI Oven Cim I I sa Cu or A{ Insulated Neutral Q lies () No 31. Service -Riser Conductors b Grand -Main Distxnect 32- Equip. Clearances Pane"otots Meth. Epuip. 33. Clothes Closet LightShcwer Ught- p Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except +r's 35. A.C. Ducts Insulation b Support 36. Vent Fan, Exhaust abcve insuladcn 37. Condensate Drain 3 Overfcw, Size d Grade 38. Fur arce-Vent Access -Comb. Air -Return Air Vent I IS outlet 39. Attic Access 3 Plartorm if Furnace in Attic Date Card B-1 Date Card B-1 Date Card 3.1 Date Card B-1 Date FRAMING (Plans) OK except X's 40. Sits Proper Materials d Anchors 41. Walls Studs -Nailing Spacing d Braces -Plates -Sound 42. Bearing Walls over Girders d Floor NaTing 43. Draft Stop in Walls (rat prool) 44. Fre-6tops, Furred Ceilings -Stairs -Chasers -Tubs :45. Headers d Beams -Size b Searing Date, FRAMING (Continued) at. 46. Hangers -Post Caps-Arx ttors-Conrteetors 82. 47. Cling. Joi"ttr. Ties -131 roff Brae.-TrussShthp.-Rfrtp. a3. 48. Fireplace Ties or Type A Flue Freplace Throat clearance 84. 49. Attic Access; Size 3 Romex Protectkn-Oraft Step4ns. Baffles 115. 50. Bdrm. Windows of Exiting Doors -SB Hit & Dimensions 86. 51. Garage Fre Protection Framing 87. 52. Property Line Firewall b Openings 88. 53. Ext Doors4ne T -Check Garage 3rd Sooty. 2 Urs 89. 54. Stairs; Width-Headroom-Rise-Runa.andrt¢Fre Protection 90. S5. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 91. 56. Siding -Nailing Veneer 92. 57. St= Mesh-0rip Screed -Fd. Vents-Undertir. Access 93. 58. Glazing Area -Glass Protection-Skynihts-Plastic 59. Shear Walls: Nailing -Bolts 60. Brace Interior / Exterior Wall Panels Date 61. Insulation-;Halls-Cet"s Date 62. Infi1tration-Wa1S-WiirKkW2 Date Card B -I Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Oats FINAL (Plans) OK except !'a 63. Ext Steps -Door & Sidelight Protection- and'rgs 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air Coneeior In Garage-. Above Floor -Ducts -Meth. Protection 66. Bedroom Exiting 67. GFJ. b Bath Fixtures & Tub Access -Spa 68. Eiec. Trim & Subpanel, Breaker Sizes S Labels 69. Stairs S Rails 70. Fireplace or Stove. Clearance -Hearth 71. Elec. Outlets at Wood Partes, Int b Ext 72. Kit Fat b Appliance; Ground. -Air Gap- o ng Clearance 73. Elec. Outlets E Recepticales at Kit Counter 74. Garage Fire Door: Swing-i.andmgClosure 75. A.C. Duct in Garage-Oamper 76. Wtr. Htr; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor -Meth. Protection 77. Plb., Elec. b Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails 3 Deck Construction -Post Caps at. Fdn. VBents b Crawl Hole Door Drainage b Wood -Earth Clearance Looked under Floor n Yes 82. Following InstldXrive o Yes Q NolWalks Q Yes Q No/Planters 0 Yes Q No a3. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 115. Vents Above Roof, Plbg-Appliance-Freplaoe-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Vendladcn Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water b Sewer Connected-CiO to Grade -HD Approval 93. Energy Compliance Certificate-01her Certificates Date Card B -I Date Card B-1 Date Card 8.1 Date Card B-1 Date Card B -I Date Card B-1 Comments at Final: CLAIMANT'S NAME MAILING ADDRESS REFUND CLAIM APPLICATION Kh . 9/1[ew - ASSESSOR PARCEL #: RECEIPT NUMBER(S) Request a refund of fees paid on the above receipt number(s) for the following reasons: leo riG r.. r Please refund any applicable.fees in the following categories: (Check those. categories which you wish to have refunded.) ( ) Building Permit Fees ( ) Sheriff Fees ( ) SRA Fees (CDF Fire Planning) ( ) Urban Area Fees Disposition of Plans: ( ) Plans returned to me at counter ( ) Please mail plans to me at above address. ( ) Please dispose of plans. wT SIGNATURE " r. DATE PLEASE DATE AND SIGN THE ATTACHED COUNTY OF BUTTE GENERAL CLAIM FORM. DO NOT COMPLETE ANY OTHER INFORMATION ON THAT FORM. V FOR BUILDING DIVISION USE.- SE:Receipt ReceiptInformation: Number: Date: 1 Issued To: Amount: o Fees R tained:_ _ _- . Processing Fee:VA/ S,0 - Idg Filirig' Fee: $LC),. bg Filing Fee: $ ._ Elec Filing Fee: $ •' ` ., Mech Filing Fee: $ P/C Fee: $ (,/,nergy plan Check Fee: Inspection Fee: $ SRA Fee: $ &-.a Fio Total Amount Retained $ 0 ,0o 10%. / TOTAL REFUND DUE $ 1° 331.E i COUNTY OF BUTTE Oroville, California GENERAL CLAIM CLAIMANT: ADDRESS: CITY & STATE: DATE OF CLAIM: SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES IMPORTANT.- SEE INSTRUCTIONS ON REVERSE Sing -)ATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT TOTAL the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true :d correct as stated. ,ted this day of , 19_, at . Calif. Signature of Claimant the undersigned, hereby certify that to the best of my knowledge, the services or articles specified above have been performed or delivered and :at there is a Budget Appropriation ( ) or Specific Board Approval I i (Check one) for the same. ated this day of , 19_, at , Calif. Department Head or Authorized Deputy )opt. Code Exp. Code PAYABLE FROM FUND )ept. Code Exp. Code PAYABLE FROM FUND 'apt Code Exp. Code PAYABLE FROM FUN DO NOT WRITE BELOW THIS LINE • AUDITOR'S USE ONLY DEPT. & SUB. I PROD. I SUB. OBJ. I CLAIM NO. I INV. NO. I INV. DATE I ENCUMB. I GROSS AMT. INSTRUCTIONS TO CLAIMANTS All clairhs against the county must be itemized, giving dates and character of service rendered or work .. performed, quantities, 'description and unit prices of articles furnished or delivered.. Claims must be certified by the claimant and submitted to the Department head for approval.. _Upon_ approval the Department head will forward claim to County Auditor for payment procedure. Do not file with the County Auditor first. s Claims should be presented to officials for approval immediately upon completion of services requested or material ordered. Compliance with above will expedite payment of claim, failure to do so may delay payment considerably. V- Roc6rdin'g`4Reciuested by: ;Kenneth J. Brown Attorney i a t Law .6393 Skyway, Suite 2 Paradise, CA 95969 Whe , n Recorded, Mail to, and Mail Tax Statements to: ",M,argie�&.Torn Gilley, Trustees PO Boa 394 Paradise, CA . 95967-0039 9.7-00823 Recorded I Official Records -1 County of I Butte I Canda6e J. Grubbs I 1:29pm 5—Mar-97 I Rec Fee 9.00 Check 9.00 PUBL XX 2 The undersigned C-- A I Grantors) declare(s): arelist: A.P.N. Documentary Transfer tax is $ NONE* O computed on full value of property, or O computed on full value less value of liens and encumbrances remaining at time of sale -Ail IJ. GRANT DEED FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, THOMAS E. GILLEY AND MARGIE M. GILLEY, husband and wife as joint tenants hereby GRANT(S) to 'MARGIEM. GILLEY and THOMAS E. GILLEY, Trustees of THE MARGIE AND TOM GILLEY 1991 TRUST, ;for th& benefit of Margie M. Gilley and Thomas E. Gilley, and their issue under instrument dated March 3, 1997, property. community The rty in the unincorporated area of the County of Bui-tc, State of California, described as: SEE ATTACHED EXHIBIT "A" FOR LEGAL DESCRIPTION This conveyance is to a revocable trust created by the grantors and does not constitute a change of ownership and is not subject to reassessment pursuant to Revenue and Taxation Code § 62. This conveyance is to a trust (THE MARGIE AND TOjv. GILLEY 1997 TRUST, Margie M. Gilley and Th6mas E. Gilley, Trustees and Grantors which'is not pursuant to a sale and is exempt from documentary transfer tax. Dated: Signature of Grantor(s) Stat lord lifornib- Cou-nty of.S.W71--f MARGIE M-bILLEY t On b 9Z ef8r pe(s THOMAS E. GILLEY 'personilly,khown. to me to be the,person(s) whose subscribed 'ub' cribed to the within instrument and D. HOLD ---I ack6owledg;d to me that heishe they executed the same JERRILYN DRIDGE is'.WwAyert(heiriiaut'horized capacity(ies), and that by COMM. # 1042727 hiiqpie+/their signature(s) on the instrument the, Notary Public — Callfamid person(s) orAhe entity upon behalf of which the BUTTE COUNTY -person(s) acted executed the instrument. My Comm. Explre3 DEC 16,1998 WITNES my andnd official 1cla I a 0 Signat�.--' "IJ (This area for official notarial seal) GRP.NT DEED page I of 2 i EXP*.i'.Yc31T "All Legal D; scription 3 Loas sho``wno n that certain Map entitled-IND1,='_Y. MEADOWS SUBDIVISION UNIT NO. TWO which j Vlap� vv�§�filed-in.the oP ice.of the Recorder of the Cca my of Butte, -State of California December 17,• 1971, in - ' `• Book 38 of Maps, at pages 78 and 79. EXCEP•TING,THBREFROM an undivided 33 1/3°,o. interest in all minerals as recorded in Deed recorded in Book 743;• page 68 Official Records of Butte County. `laid Reservation did not include right of entry for << mirnng.purp'oses. 4 Pa �y ,. - ..r 4 'f .. - .:..,�. ':"!`•iw..I :tr :,SG:.`: -..� _:.�,i,.-r.��.. aw-«... . .. _ `+ (� `•1 "ZV4't~.SERVING THEREFROM"an'undivided 66 21T -Yo interest in all minerals b'elow a depth of 200 feet. Sub;ect to: Covenants Conditions and Restriction.--, as contained in Declaration of Restrictions executed b Butte Investment Company, Recorded January 5, i9'72, in Book 1726 of Official Records at page 549. SA'tct to. Covenants; conditions, restrictions, re;>::rvations, rights, rights of way, and easements of record. ' a r r l t GRANT DEED "ag-2of2 . C f/ C ' a r r l t GRANT DEED "ag-2of2 STATE OF':CAL_ IFORKIA -. DEP8 TW,...v,, OF, HOUSING AND..COMMUNI,TY DEVELOPMENT. REGISTRATION RENEWAL `"tLLING NOTICE DEcne,.ND..P1B906S MANUFACTURER NAME/ZD TRADE NAME MODEL DOM DOT DFS SPC EXPIRATION 14� (Na•NE) y 6UDGR. I�r(NONE): 00/00/76 (NONE) 403/02/76 ; ACS' s 03/31/97 f I I �RY'i,76'- SERIAL NUMBER! LABEL/INSIGNIA NVT,B%:R WEIGHT LENGTH WIDTH ISSUED SCC 'EXEMPT = USE TYP< J� S6947U 999999 999999 04/03/96 04 �------ 3" RF, J 4. `Sr ILT �:6, PENT: ' R. 'MB_9065 O1• S6947U RI - ------ 033197 ACS 76 w PEN2 >, GILLEY THOMAS EVERETT, ' %—' OR MARGIE MATTIE'. �/ ._'� L, �� P 0 TRF DRAWER X39 �r M PARADISE CA 95967 ` J '�R 11 DUPT ll T 35 ,!' f DUPR i_... .. if SBS.: — LOCATION ADDRESS::1365.5 YAHI ..CT ': 50 :..::.::.. 1. ` : rt;` � ' � -,�.rtiti,F., � l:� I;I:!I` : n +.�!:;! .II� I !. 1 ;!::• ;i `:i';.i11 . I`�' L� I.i.I�' ! :, 959 RREG MAG LOCATION CQUNTY ,BUTTE jif . 04 !;:, L ,�s•y r,,,;... �.=7�,. `an -, :. I .i 1 I ,•1I,IL.!si�y' -.1_ ry '.�' r , . ''i'.-! i_,: !ICjltr' a' �� ... - 1 - �..; I ... !� t •., .!.,ii!i.. RE, !r! �!! f' tj •!I.{! R. r ! I ,!!1. 4 .::, ' {I I!! • PLT,:' 4 li' i ° !! j r jAll :! SIT (: Ttil REGTSTAIflN REI�E4JAL{FEE.FOR. i'HE',,.UNIT DESCRIBEb. IS' $ AND �7UST BE PAID ON .OR..BEFORE 03/3 7 !: fill. UTP RT i n :•_ >1 ...i .P - •-. ^(.• •.F dj: ,�..r .. w. rEEc:iiGi!i .'ij. fill' .........., ....'`'..,ry!E'! 2 . '!� f� .03/31y97 THE TOTAL FEE AND::: �'2�EN9 LT -bUE IS S 6 06' !r! ASF - AT ! AU0 ;MUST ,EE PAID ON"<'QR' EFCl....E �' 'I : tifit .y�_..al:,= �•d i r' :it!,n.,.: 1'! v`,5.. n � ! H!!IR ' „ r ! '1 --If A r 3 4r`FRy�UI/28/9,7`,THE /fir. 1' ,i i y,L•z e 51=� -:i) 3,'IjO�,i'14 L�FE�)AND ,P f i;IATYr;..5•;:v.+' p 1D6'.`DD: >N ISI. T07AL:�y.. i' N. t _..._..v,._ f .. ,. 1-d:%+:r .:•5 [ •+ A 1. q... ".... - ! fliij: rT�!r::�,,:::, . '� 1• .. ' ►�' SHE iB'ANf:`•R.ETI) NS!, Y.fl Ri C _ (!"r EE51 tfit t R^ : -1-'!r HECK YC111 MA,�NA11'tTQ ''PP`r `AApITIONA 'F I �r� • ^ `uaCT. ATIO a�A SE H �. sNd td���A oVEIS'PL 1T1S � L '! LgCATED' DIFFER'S FROMr.TH�,` ,! ` 4 r� R :INT 7W !Ij Of�R AL"iG 2E5"r !BE. I3° ' i :F (�L4 CT OCAT 0 '�' r e its E1 Dft.*TE t i!!•:,.;. CITY... n._:.r.....-. 2 f� IF.. YflQR MAILING kDI�RESS +SHOWN A A 4 HE ATOP dF y7til$ FORM, HAS`,CHANGEDr . PLEASE f .. CROSS I1UT THE.: INCORRECT ADDRESS ,�,VD WRITE IN THE CbdtRECT ONE +il a-—..-3,»�. 'F�.rY y �•!"• �alc= ,ir!!:.!.i err•s�•a,..:.r� mom+-.+• { ! 1� .. ' ! _ N �' a F r ! _r �' �.wy4!+�.s,r._ � �!•ti.t,:.x'u:rr,.tai+..c:.-.�.••::� ter .. %iAiL T13t;S NGiICE WIIH ArGl�l�1j EYlUK1iLK ifl ''' H(,D RENEWA f', 0.4`BOX ,.1979 SACRAME�V U, 'CA 95812.1 79" FCl r.�lLLI 1G` I�IQU.Rr1ES :C"AL.L� 180D Y952 -8356,.r 1 ryF. ii' 11 F _ly:. '• tiff al it r. i .:�e I !! ,+ !. In JF it if is . •:::{:.. ...r.::{.. ,:: .Ii 1t , t GiLLEY`THOPiAS EVERETT £'iR.'MAIRCIE MATTIE DRAWER 39 PARADISE CA •95967 DECAL -NO. SERIAL H0. 1 MB9065 S6947U 4398 RECORDING,REO.UESTED BY: AND WHEN RECORDED MAIL TO: .NAME STREET ADDRESS CITY, STATE and ZIP ? ' SPACE ABOVE THIS UNE FOR RECORDER USE 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"�tointy 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. _A REAL PROPERTY OWNER/LESSOR U LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY t �co�;� `/al)/ cf- MAILING ADDRESS MAILING ADDRESS 'CITY 3 (� COUNTY STATE ZIP CITY COUNTY STATE ZIP 1I \L / INSTALD=N MAILING ADDRESS, IF DIFFERENT BUILDING PERMIT NO. TELEPHONE NUMBER CITY COUNTY STATE ZIP SIGNATURE OF LOCAL AGENCY OFFICIAL DATE cQ A-6 UNIT OWNER (If olw property owner, wife "SAME'l DEALER NAME (II not a dealer sole, write "NONE'l MAILING ADDRESS DEALER LICENSE NO. CITY COUNTY STATE ZIP UNIT DESCRIPTION � y Iq')�___ - MANUFACTUR S NAME DATEIOF MANUFA TURE MODEL NAME/NUMBER 6q Ll iJ , 6)9 n om SERIAL NUMBER(S) LENGTH X WIDT®�INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER X101 0 ^ -E7 � (� Ll o%SENT Ofy�Gs`, HCD FORM 433(A) Rev. 8/91 v✓ , s :14-1; �W ?VIA, TV nEV`c��� WHITE—County Recorder CANARY—HCO PINK—Applicant GOLDENROD—Building Dept. r COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT �D 3Z, ASSESSOR PARCEL NUMBER .,,-�._ 056--490-014 2g �NI�N�G KPHONE phi P BUILDING PERMIT OWNER . GILL Y, TDM TELEPHONE .877-_7245 SQ, F r. OCC. BUILDING VALUATION 1594 x54 95536 OWNERS MAILING ADDRESS P.O. B071. DT4P. 39, PARADISE, CA 95967 CONTRACTOR'S NAME T 1 TELEPHONE CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation Is ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee 576.50 $ 288.25 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 13655 Y COUPT• '-iAGALIA Energy Plan Checking Fee $ $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Feel 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 1 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: :,; 'JXIST ;TE?i i011;dnAThi? PETRO FIT. STATE 24 X 66 Gas piping system t - 5 outlets 15.00 1S on Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service oo.A oa LEss 23.00 23,00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service PDA TO 1000A 46.00NEW CONST. DWELLING OCCUP. s° OR NS. ( a 3.5¢Fr: GNEW UTI -O VTLE REBIDRANCHCIRCUITS @7,50 POWER APPARATUS a SINGLE OUTLET CIR.20 @ , 00 Ex. Occu OUTLET OR FDcruREs BAL @ ,50 Ex. Occup. ouTLEF°Ts Rile.°& 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of sec . n 3700 of the Labor Code, I shall fort w" tho�rov.sio s. X _ Date 12 — /4t J�-� \44no6re of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ P11 ° Es P �O PR's lo Ppl� This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated abov r which fees have been paid. By Dat PERMIT EXPIRES ON ?.Gt27 Date Receipt No. WHITE-D.D.S.- CA A Y -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE DEPARTMENT OF DE1XLAPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLF,,,CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: �� 01 A I ASSESSOR PARCEL NUMBER: (� �p �p �' q b - D S Proposed Building Use: ' Building Inspector: Date: J -(e - GG At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: Date Received By 'items have been submitted -------------------------------------------------------------------------------------- 0 o p , 3/4 sets, signed by the preparer of plans.------------------------------------------------------------ let ----------------- -- ----------------------------------- Complete plans, 3/4 sets, signed by the preparer of plans. ----- --- ---------------------------------------- Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ 116. Energy Design Compliance and supporting documentation. ---------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------- ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------ ❑9. Manufactured Home data and installation instructions including Tie Down Specifications. ❑ 10. Fees of $------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. ------- 012. California Department'of Forestry plan approval/fees. ❑ 13. Flood elevation certificate. --------------------------------------------- ❑ 14. Sanitation and plot plan approval .Health Department. ❑ 15 : ity of Chico plumbing permit.----------------------------------------------------------- ❑ Plot plan and business license approval frgr�thye Ciof Biggs. -.--I------------------- Planning approval for (A) Use: W a- llr✓� 1(B) Parking: 1Jo^le e- 8. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ❑ 1.9. Encroachment Permit for driveway (construction approval prior to occupancy). ---. ❑20. Pre -inspection for required. Request to Building Inspector on - ❑21. Contractor's license information. (Number, Name Style, Classification). ------------------------------------- IP22. Workers' Compensation carrier and policynumber.----------------------------------------------------------- ❑23. • v�ner-Builder Verification (Given to owner 11, Mailed to owner 0) - -------------------------------------- 'j. tom`'• Letter of signature authorization. -------------------------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- 026, Letter of intent on building use. ----------------------------------------------------------------------------------- ❑ 27. Manufactured Home utility clearance. ----------------------- - -------------------------------------------- ❑ st' g-violafi ns'and/or exp' ermits. --- -= ------------------------------------------------ 433 A, Grant Deed, M.H. Title, LT Check to H.C.D $ 1 11. 0 0 � 0_411 A- --------------- ❑ 3 0. Other: ------- _ (Date) XWhen you issue the permit, process as follows ❑ Mail to owner, ❑ ail to contractor. ❑Telephone and hold for pickup at Cd-� office. ❑ Deliver with inspector. `/•Applicant: ate: Co — Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ ' Pollu ' Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Dep a t, Other: Date: By: 1. Index permit application for the above items numbered. ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required yp one, ❑mail, ❑Building Division counter, b Dater Contractor, designer, owner, w advised of the above required data by ❑ phone, ❑ mail, ❑ BuilVgDi *cion counter, by Date: Contractor, designer, owner, as advised of the above required data by ❑ phone, ❑ mail, ❑ Builsion counter, byDate: Contractor, designer, owner, as advised of the above❑ phone, ❑ mail, ❑ Builsion counter, by D Plans reviewed by: Date: -77 Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. der. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75t!/� Da ?MIT NO. (Rev. 12/96) Wa - qqo- p/� APPLICATION AND PERMIT yy s6 ASSESSOR PARCEL NUMBER J ZONING BUILDING PERMIT OWNER_7—O (V^ I TELIP E 7 ^. SO. FT. OCC. BUILDING VALUATION OWNER'S IUl(OAigESS 2 t V [� /y7 �5 CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Fifina Fee 5 20.00 Permit Fee $ A Sb = Z $ Z 8• Z'S ARCHITECT OR ENGINEEA S MAILING ADDRESS Plan Checking Fee $ , OD SUILDINGADDRESS„��� • ^ I (`/-i1� Energy Plan Checking Fee $ $ PERMIT FEE 5 3 LOT NO. SUBDIVISION'SHAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex O Mobilehome j4 Other SPEC`Y Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 51,00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel O Utilities O Installation O Other O Describe Work: S-+ ' K14J_) r • a Gas piping system 1 - 5 outlets 15.00 16,001 Building sewer 15.00 p b Mobile Home I S I G I W Q20.00 PERMIT FEE t rj G ELECTRICAL PERMIT Fling Fee 20.00 Main Service �°.OR . Liss 23.00 ZJ,00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: O 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit Is Issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit Is for work of a valuation of one hundred dollars ($100) or less.) O 1 certify that In the performance of the work for which this permit Is Issued, I shall not employ any person In any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - O Owner O Contractor O Agent An OSHA permit is required for excavations over 5'0” deep and demolition or construction of structures over 3 stories In height. Main Service 200A To LOOOA 46.00 NEW CONST. DWELLNG OCCUP. s0 OR AODN3. a ACC. eLnS. 3.5¢FT: N ON�ROESID ' MULTI -OUTLET CUT ITS @7.50 POwF3L AP TUS a swGLE OurLEr CIR. Ex. Occup. OUTLET OR MURES 20 ® 1'00 BAL a .ao Ex. Occup. OMD Es D � 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ , (� MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee 5 Occ CONST TYPE �� TOTAL FEE s93 , ,,,,i. D FEES IMP FL000 CDF PARCEL Po HD ISSUE This permit is hereby Issued under of the Butte County Code and/or Indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date ro rReceipt No. HITE-D.D.S.-S.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD•APPLICANT t COUi ITY OF BUTTE - DEPARYRAENT�aF DOVELORMENT SERVICES - BUILDING DIVISION 7 Couinfy Center Drive Oroville, Ca-lifor;iia 95965 • Telephone (530) 538-7541 PERMIT NO, APPLICATION AND PERMIT ' AssEs�oRPdack L6 ZOI NO BUILDINGPERMIT , PIP w rvi-S-! I� s F.'ONTRACMIrS _ NAME Y!! r. �•IrCNE ^CON;RACTORs wvatuniGnooaess _C cONSTAUCW'ION LENDER ... , 11 /1 ", LENDER'S MAILING ADDRESS 04MECT OR ENGINEER- ..+ .. UC EIQE NO. 9 T 7+ ARCHrrL•CT OR ENO;NEFA'S MAILING ADDRESS » [.80LONGADDRESS- .I a U. r •. its .�.. • .. ', . y LOTND. • SUBDNISIONS NAME + PARCI!_ MAP A. 1, , , USEOFSTRUCTURE 4� `- { BU's tek 9 M6]bllehome ❑ Other 'hu=•k' .5., - , - SPECIFY .. ' { i TYPE OF WORK r ' Nhw�Ov AdclritHT' ❑. Remodel [3Uiilitios t1}'' Installation ❑ Other L) r / n ,d De 'ctribe' Work: S- (� (1i l�R lLOrhP `+(Ot.1V.CQ4aA s >��+ f f r �t'. Ali ^a,,• � r-. __ , j ,.,+ t LICENSED CONTRACTOR'S DECLARATION 1 hereby of irm under penalty of perjury that I am licensed under provisico, of Chapter t 9 (r;ojnmorcing,with Section 7000) of Division 3 of -the Business and Professions Code, and `rny"OFbMso'Is in"full'force and effect Llc�ensaiCla §' " Lic. No. *x. OWNER -BUILDER DECLARATION I tt 1'hereby� aftirrn under penalty of perjury that 1 am exempt from the Contractors License La\v for the following reason: 3;e[, as owner of the property, or my employees with wages as their sole cornpensation, ., will do the work, and the structure is not intended or offered for seia. l .a 1, as owner of the property, am exclusively contracting with licensed contractors f to construct the project. -3 t am: exempt under Sec. t! Business and Professions Code for this r 'ran ea t a"' WORKERS' COMPENSATION DECLARATION 'it I herebyTafErm tthder penalty of perjury one of the following declarations:, 17 have and will .maintain" a` certificate of ,consent to self-ina,ina fo: workers' h " "cornpensation, as provided for by section 3700 of the Labar Cc. (4 for the performance of the work for which this permit Is issued. `0 I have and will maintain workers' compensation insurance, as re iwred by Section 3700 of the Labor Code, for the performance of work for which th's perinit is issued. { M1%iy workers' compensation insurance carrier and policy number are: Carrier t(: ; PoCcy Number, _-- ( a'" -i6 sections n ;;oeed not be completed if the permit is for w:>:k of a valuation of one hundred doilars ($100) or less.) h ", a4 :I certify that in the performance of the %fork for which this permit N 'sued, I shall 4notietnptoy, any person In any manner so as to become subjec. to workers' ,E coM,Ilensation laws of California, and agree that if I should become subject to the 1 workers' compensation provisions of sqction 3700 of the Labor Code, I shall torth'w ' ly with those pr visi0 _Date Z —/`; -_ ' vgna,ure of Applicant - ❑ Owner ❑ Contractor ❑ Agent Ai, OSHApermit is required for excavations over 60" deap and demolition :r,.onstruction of structures over 3 stories in height. ;- SO. FT. I OCC. I IBUILDING VALUATION Fireplace PERMIT PERMIT FEE S Total Valuation $ Fling Fee 20.00 Main Service Filin Fee $ 20.00 Permit Fee $ NEW CONST. OR ADDNS. Plan Checking Fee $ NtW CONSY� NON-RESID. Energy Plan Checking Fee $ POWER APPARATUS, Q SINGLE OUTLET CIR, $ Ex. Occup. PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent '15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 13.00 Mobile Home I S I G I W —020.0- x]20.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ MECHANICAL PERMIT- :Fling Fee 20.00 Heating Coolingt S T Hood 6.51) Ventilation PERMIT FEE 1 $, Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ . HAZ. I D. FEES I IMP I FLOOD I CDF PARCEL I PD I HD ISSUE This permit Is hereby Issued Inder the applicable provisions of the Butte County Code and/or Resolutions to do work Indicated above for which fees have'been paid. By Date _ RecelptNo. _ _ _ I PAID) PERMIT EXPIRES ON i l.r CC} I ?INK -INSPECTOR GOLDENROD• APPLICANT PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service z'�o°ovA oa mss 23.00 Main Service 200A To I000A 46.00 • NEW CONST. OR ADDNS. DWELLING OCCUR 8—ACC, S. SO 3.5QFT: NtW CONSY� NON-RESID. MULTLOUTLET Q7.50 POWER APPARATUS, Q SINGLE OUTLET CIR, " Ex. Occup. OUTLET OR FIXTURES ( ) 20 '9 Lao BA!_ 0 .50 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ MECHANICAL PERMIT- :Fling Fee 20.00 Heating Coolingt S T Hood 6.51) Ventilation PERMIT FEE 1 $, Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ . HAZ. I D. FEES I IMP I FLOOD I CDF PARCEL I PD I HD ISSUE This permit Is hereby Issued Inder the applicable provisions of the Butte County Code and/or Resolutions to do work Indicated above for which fees have'been paid. By Date _ RecelptNo. _ _ _ I PAID) PERMIT EXPIRES ON i l.r CC} I ?INK -INSPECTOR GOLDENROD• APPLICANT b' • e7 364-76B ,�E PERMIT NO. _.. P E w. t M ;MH UTIL. PERMIT NO.y PERMIT EXPIRES 77 OWNER Tom Gilley "CONTR. Charles Hancock, Paradise 1 +LOCATION (A.P. 66-49-14 ) ?NW lot at end of Yahi Ct., lot 89, Unit##4,, Indian Meadows, Magalia i •f3 • �1 Temp. Power Pole Called PG&E y Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E / JOB 2/�//74 / FINALEDJ (Date (Sign ture) Y COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS ' BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback / Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garacie Vents Water Htr. Stemwall Prov. for physically Heaters Slab handicapped Appliances Carport Conformance of ex. Gas Piping & Test Footings structure Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rou h Reinf. Steel Final Fixtures Bond Beov FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS l a zq't Ge Xy 112d�, ��� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Tel epNone:,539-4541 APPLICATION AND PERMIT ' BUILDING Owner -76 y„I `�� SQ. FT. OCC. BUILDING VALUATION 80 ao, Mailing Address%go toee C', (o,0 7 Telephone No. Fireplace Contractor C11— 4{el—e,S, Ivei0file—, Total Valuation 0 Mailing Address ©02 Sf; W�4� . Permit Fee Plan Checking Fee &/or Penal ty torso',7 Telep o Y-ne S% , Permit Fee $ .2- ZBuilding BuildingAddress PLUMBING No.1 @ I FEE PERMIT FILING FEE 1$3.00 ty Each Trap 1.50 Repair drainage or vent piping 1.50 �,,/►� dJ 4�4 V1 t400(s /)/4 /4�-�� Water piping 1.50 Each gas water heater or vent 1.50 O //'— '7 7 A. P. NoL to7' Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F s W Fire Dept. Fire Zone Use Pennit Building sewer 5.00 EQA Parkin Plans Declaration rBldg. Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 ons Rec'd Parcel royal Plans proval Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD•L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home ❑ OthersEl OVER service IEAMP CR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 ' U 47-&� : ' 4,24, Er w 1 ��'���. NEW CONST. DWELLING OCOR GS P. & �2Ri Sq ft � ACC. ) NEW CDONMUBTID TL T N ON.RESI UST. (LUBRANCH CIRCUITS) 2.50ed NEW CONSTR. (POWER APPARATUS &) NON.RESID. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of Califor 'a Business & Profes ' n ode under th name style of: Ex. Occup(OUTLETS OR FIXTURES) 9?5? BAL e'1 Ex. Occup. FIXED APP LNS. OR P• (FIXED TS (RESID.) EA) 2:00 Temporary service 10.00 Mobile Home Facilities 15.00 ��. License No. Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ /.91 le-10- oaMECHANICAL WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. 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 MECHANICALNo.1 @ FEE PERMIT FILING FEE 1$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspect' n purposes. Aw / 11� D) ^&P/ X Date ignature offPP�ermitee or gent Receipt No. /1-2,3/3 , White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR 007`iV`UBLIC WORKS BYs Date 1- L1' 7 i /Hd2ing permit expires Date PERMIT NO. 700-76B „ PERMIT EXPIRES. OWNER Tom Gilley CONTR. Charles Hancock Paradise LOCATION (A.P. 66-49-14 ) a NW lot Qa end of Yahi Ct.,lot 89, Unit##4 Indian Meadows, Magalia V Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB G 7� FINALED / (Dat ; (Signature) Setback Forms Main Bldg. Footings Stemwa I I Slab Piers Garage Footings Stemwa I 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 OF PUBLIC WORKS BUILDING INSPECT1,0N RE,,CORD 111-DINC. BUILDING (_Cont d) PLUMBINu i Firewall Soil Piping - Parapets 1st Floor Restroom Finish 2nd Floor 'Windows 3rd Floor Siding To' out Roof Sheathing Water Piping Roofing Sewer Fdn. Vents Fixtures Garage Vents Water Htr. Prov. for physically handicapped Heaters Appliances Conformance of ex. structure Gas Piping & Test Temp. Gas Final Sanitation FIREPLACE Final Footing ELECTRICAL Throat Rou h Final Fixtures FIRE SPRINKLERS Motors Test Water Htr. Final Subpanels MECHANICAL Grd. Fault Prot. Heating Service Cooling Temp. Pole Ducts Underground Ventilation Permanent Final Final REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE ..-- DEPARi�MENT OF PUBLIC WORKS 7 County Center Drive - Uroville, California 95965 700 ^^yTelephone: 534-4541 0 / 4/l APPLICPTION -AND PERMIT out"OrZG ICFIICs CIIIatives UI Ule bounty of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signature of PPeermite o Agent Receipt No. l T,2-379- 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. ,DIRECT08 OF PUBLIC WORKS BY-f��-=Date �� �4G Building permit expires Date BUILDlit Owner �_ c."-� SO. FT. OCC. BUILDING VALUATION ' .3 X00 Mailing Address Telephone No. Fireplace Contractor A Q, Le,S , 4c4 vi Ccr— K Total Valuation O 0 — Mai l Ing Address ' FJ a, O S Permit Fee — Plan Checking Fee &/or Penalty l2� Ws E, Telephone No. ?79-995-'i, Permit Fee $ L — Building Address Al i-) Ll PLUMBING No.1 @ I FEE PERMIT FILING FEE $3.00 / VA f4 I - • G -D - F2 (,f /7- Each Trap 1.50 �'/► �/-�v1 %iJ�QID�wS•L! Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. (a (p- _ Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F W-� Fire Dept. Fire Zone Use Permit Building sewer 5,00 EOA Parking Plans Declaration I Parcel Map 60' R/W I Improvements Lawn sprinkler system 2.00 Bldg. P Recd Parcel Approval Plans Approval Permit Fee $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 tOUEe A !L • Main service 1600V OR 00 AMP ORLESS5.00 Main service EA. ADD•L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service 1100ER 600V AMP OR LESS 25.00 Main service EA. ADD'L too AMP 1•.00 NEW CONST. DWELLING CCUP. & OR A.D.S. ( ACC. BLDGS. ) 2¢Sq ft NEW CONSTR. MULTI.OUTLET NON.RESID. BRANCH CIRCUITS)2.50ea NEW CONSTR. (POWER APPARATUS & NON.RESID. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Profess' ns Code and the name style of: Ex. Occup(OUTLETS OR FIXTURES) BAL @2r'1 Oa Ex. Occu FIXED APPLNS. OR p'(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE out"OrZG ICFIICs CIIIatives UI Ule bounty of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signature of PPeermite o Agent Receipt No. l T,2-379- 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. ,DIRECT08 OF PUBLIC WORKS BY-f��-=Date �� �4G Building permit expires Date ' PERMIT NO. 5548-75P,E r P E s• f M jWH UTIL.- •- PERMIT NO. T PERMIT EXPIRES OWNER TORI Gilley coNTR. Charles Hancock, Paradise T "LOCATION (A.P. 66-49-14 -;rNW lot at ' end of Yahi Ct. , lot 89, unit#k4, J4ndian Meadow, Magalia • 'tv ' T 1 �r r 'JS �+. Temp. Power Pole Called PG&E a Temp. Elec. Serv. Called PG&E �° w Temp. Gas Serv. y Called PG&E l' JOB 't1 FINALED 2K,'O (Dat ti (Sign re) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING-(Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Sidinq To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage - Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test Temp. Gas Slab Final Sanitation Patio I FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rou h Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch HeatingService Brown Cooling Temp. Fole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS �l -bs s ' ,e. 9. Electrical A. Is service large enough to provide adequate -amperage to mobilehome (must equal rating of mobilehome with d minimum of 1 -amp) and other facilities on lot, i:e., water ump , garage, cabana, etc.? Yes Noppi��t��ra.� BOG B. Is them proper clearances around panels? Yes No C. Is power supply cord or feeder assembly properly fused? Yes "r- No_ D. Is continuity test satisfactory as per the following procedure? Yes_ N 1. De -energize electrical wiring system of the mobilehome at the pedestal. 2. Make sure that the power supply.cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test. instrument to the mobilehome grounding conductor and apply the, other lead to each ro.obilehome supply conductor, including neutral. 5. All non-current.,, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be ,tested for continuity from such equipment and.the grounding conductor. 6. Upon completion_' of the above procedure, the power supply cord or feeder. assembly conductors. shall'be connected to the, site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of th°e electrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign -off card and tag services. MOBILEHOME DATA Manufacturer and/or Namestyle�--iii Length Width Vehicle Serial No. State Identification No. Additional.Information or Comments: MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located with required separation from lot lines and buildings and generally conform to plot plan? Yes ,aa- No 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes�o 3. Are footings and supports properly sized, spaced, and braced as p approved plans? (Note possible variation at spring shackles.) (Sec., 5082 & 5083) Yes ✓ No 4. Is the mobilehome level?. (Sec. 5088) Yes_ No+ 5. If more an a single unit, are crossover connections properly installed? (Sec. 5088) Yes — No 6. Water A. Is fle>!&le connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes No B. Test - Does water piping withstand working pressure or 50 lbs, air test? Yes - No C. Ba,�icflow - If coach is not State of ane pressure -relief valve? Yes No does station have backflow device 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes No B. Does it have minimum '" per foot slope and is it properly supported? Yes C. Are any leaks detected in drainage system after running ons of water through each fixture including washing machine standpipe? Yes No D. If o a ifornia approved, does station have required trap and vent? Yes No 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as large as the mobile a gas line inlet without reductions other than the mobilehome connector. Yes No e/ B. Test OK as per followingprocedure? " p Yes_ No 1. Open all appliance connector valves.- 2.. alves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14"water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without drop. 4. Connect gas meter to mobilehome with connector, turn On gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes�//No COUNTY OF BUTTEAAve- R�T4VINT OF PUBLIC WORKS . _ 7 County CenterOrpville, OF 95965 Telephone: 534-4541. 4 z APPLICATION AN'0 PERMIT - BUILDIN OwnerZ 0 PVN SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor may/(, 3 • �qP7 (20 @ale.. Total valuation Mailing Address 7C 2, Z) S /L� CA.J 04- - Permit Fee Plan Checking Fee &/or Penalty /g /2 is e, Telephone No. 6 Permit Fee. Building Address e A T h PLUMBING No. @ FEE PERMIT FILING FEE $3.00 nn A,14 l.T 1,U %- br. (4.1) i%'''�. _ Each Trap 1.50 1 �- tw.ts Repair drainage or vent piping 1.50 Water piping Each gas water heater or vent 1.50 LLll A. P. No. (p �p 9 - T • % - Zorling & Planning Gas piping system 1 - 5 outlets / O Each additional outlet .30 F a i o r FireDept. FireZone Uen it ilding sewer EQA Parking Parcel Plans Declaration Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 Bldg.1m0 ec'd Parcel pproval Plans val Permit Fee $ ,$ NEW ADDITION UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3 - Main service incl -1 meter 3 Additional meters, each 1.00 Sub -panel (12 or less) (morethanl2) - Single Family E Duplex ❑ Mobil Home [2 Others ❑ Range, Cook -top or Oven 1.00, r.Water Heater or Space Heater 1.00 Light fixturesb (d2 6 10 A Receps„ switches & fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of Calif nia Business &. Prof tions Code and the name style of: ' ,� Hood, Ex. Fan or F.A. Furn. Motor 1.00 , Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 6790ts� Temp. Power Pole 5.00 • License No. V' Classification-0Miso.wiring E] I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. E] I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance., 2�certify that in the performance of the work for which this permit .is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is,correct. I agree to comply to all County Ordinances and State Laws relating to building construction,, and hereby TOTAL" PERMIT FEE $ autnonce representatives or the t,ounty or tjutte to enter upon the This permit is hereby issued under the applicable provisions of above-mentioned property for inspection purposes. the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS L Date Signature of Permitee or Agent By�¢e<x3-- Date Receipt No. /3707-4. 3%O7--4' White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant _'� permit expires Date 2 6, J COUNTY OF BUTTE — 13.1 MENT OF PUBLIC WORKS 7 County Center Drivel — Woville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT au u onze iep esentw ves UI the Guunty o1 Butte to enter upon the above-mentioned property for inspection purposes. X Date�— Signature of ermij a or ent Receipt No. 2— 1;7_331 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 Ot'PJBLIC WORKS BY DateZ — _4F'' 7 ilding permit expires Date BUILDING VX #zI Owner 1 SQ. FT. OCC. BUILDING VALUATION Mai I ing Address Telephone No. Fireplace Contractor �.-�?f!/✓�2t-��P f Total Valuation Mailing Address Permit Fee Plan Checking Fee &/orPenalty Telephone No. O Permit Fee Building AddressPLUMBING 1� - No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 /ate y— . �. Water piping 1.50 Each gas water heater or vent 1.50 A. P. No.- �1 Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F s ire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking P/laanns� Parcel Declaration Parcel Ma p 60' R/W Im proveme is Lawn sprinkler system 2.00 Bldg. PI nn Recd Parcel provol Plans proval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 r ✓�'i •"7 Main service 60',vAMP LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2,50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service 1100EAMP oR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. f DWELLING OCpiC UP. OR ADDNS, ACC. BLOGS. ) 20s ft NEWCONSTR. MULTI -OUTLET NON -RESID. BRANCH CIRCUITS) 2.50ea NEW CONST, (POWER APPARATUS &) R NON RES,D. SINGLE OUTLET CIR, CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions de under the name S I / - Ex. Occup(OUTLETS OR FIXTURES) ��` BAL�1 EX. OCCU FIXED APPLNS, OR p• OUTLETS (RESID,) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. 275 SU Classification L_ Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. 14 I have placed on file with the County of Butte a certificate of 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. @ J FEEPERMIT 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 e TOTAL PERMIT FEE au u onze iep esentw ves UI the Guunty o1 Butte to enter upon the above-mentioned property for inspection purposes. X Date�— Signature of ermij a or ent Receipt No. 2— 1;7_331 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 Ot'PJBLIC WORKS BY DateZ — _4F'' 7 ilding permit expires Date 1. Owner's name: 2. Installer's na BUTTE COUNTY DEPARTMENT OF'PUBLIC WORKS 7 County Center Drive, Oroville,.CA. PHONE.: 534-4541 MOBILEHOME INSTALLATION SHEET 3. Is the site currently under permit? Yes /A-/ 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 fields and clear of all setbacks and easements? Yes / No ( If no, clarify ) 5. What is the mobilehome-electrical rating? ----------------------- '1-1100 Amps 6. What is the mobilehome site service rating? .------------ ------ Amps 7. What is the mobilehome site circuit breaker rating? ------------- /DO Amps 8. Is there any other electric load to be served by the mobilehome siteservice? --------------------------------------------------- Yes / / No (If yes, identify the load and size:. (Load),�� (Amps) 9. What is the mobilehome site gas pipe size?---------------------� (in.) 10. What is the type of gas service?'----------------------------- Natural T—/ LPG 11. What is the gas pipe length from meter or tank to the mobilehome? '70 7 (ft.) 12. :What is the mobilehome gas demand? ------------------------------ 120 a mo (BTU) (This',information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) MOBILEHOME 5U kTWU DNIA Mobilehome Mfr. Setup Model No. /j�//�o i� Year %tS Width 'z-tt (ft.) Length 3_ (ft.) --Expando Size ft.x - ft. (Draw support details below) . On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets .(if. not .on .file with the County of Butte) . Sin le Footings-(check.one} I 1. Wood either . pressure treated or -fdn. ` rade. Center Center Support � ....- � � � � � g • Support Footing Sizes Locations (in.) /�„ 2:.Concrete pad. 3. Other,* -specify in.kin.) --_ — — — — _ Supports check on) (e 1. Concrete block 7 0^30 2. Concrete piers T—/ 3. Steel piers T:..... ... .. 1 / / Other, spe 'C1 f ' :1 4• ...... „ 1 -� ® Typical Support Footing Size l !l 1 - -- — — - - — %� G.)— /' Max. Pier...... _ Spacing (in.) (in.) _ _ _ Max. ® n. Overhang *If center piers are other than drawn above, draw in locations, spacing, and dimensions. BUTTE COUNTY BUILDING DEPARTMENT APPROVED y. -7 y Gonne-tions shall be -' { lot ated within 4,ft-outside .the rear'' rthird `section. of the mobile xo`n the left (road) sde'of o e home" Ile 4. permit,wr ' ' _.,..,-4 +r►sall�fii°me. on-oF tke.,ks w "'+ rho Setpad `shah be Sttt:' fill... 4 the side prop y4 tine'`c 50'ft. fror fi, a cqt terlihe of the road, permitting v maximum of a '2 ft eave oyerheng:• 'Septic system a' ( , to be , (� County' �H'--- P as eer, ' ± e De .' quirnt. Re - I _ . nts... t——- ___ ,:r .. .. . ,� \- T ' i I r.¢r i i i . I 1 / .1.:. s +'r1 til •!r / i-•' S- 1 h i , s { Ir , Pt / , 1 ! 1 t t t i /.. ` r S+ b..... � 4- Q� /i Ste' '�C YM{.. aa+ytf�•y,*Ii "a i ( - I I 5 1 H ( I y > .i I '. ., q.' , .•� / ='r_, _.,,��,.u!".�.WrI aired fot'1�• � r .1 1 ' � -� f% -` r° 1 ;' a'`Ct�1 �'"'~ perm►t. Will �a tl,- mobdetiom �, , ; ;. 1 ild , , —.,�._ , 'I ' , , , ,.."I'.I t t tI I '... ,I u L j `t " I ,, , ,� i . 1 i t i1 ' I } •t'`'. ,'� .\ �L ! jra. �, s r 1 LI t. 1; J t w f ,I ,it '4 1r/ t`�„",t_ 1. 1 t I �• ,`t v If V. ^ s ! I 1. "1 V r `.�� .. ,/y/� a/Ya "1/ _ . i.. . t t, i,l • a �4 t 1 t is t W! F^ . 4' �� , d , Z' ,/ Y, , f 4 h t 41 , /I(/ 5 fits I. ,. bl f, . '.fl :i I. tf f,..t. t ,j i r airlr 1 tJ , t , i y ( i,�,1I� y ,: t'tol of is t ,r i !p' i '� f} .J�"" s ,_/ I s,,. sir , i, ,. ,z. I ,w A '• ! , I 'i f .. I L. ., I ,ii r ,51 t . y rr. t�,� In. �{ 1. �,� Th^ Pr�'It . �So' r l Ile. . rsr�ii4%�vi j 'i O. y . . e,,. • I r I' 1.� h i+' fnL'lt, Oji 1, ` ti tt (/��] ,- v'p ,r". I I,t,' �,(,u'(;i a„ t" , 1.a , 1. , ,t` iSY 1 ��/�) <.^rte. 1 r" ,' Y , e , ,ptr s i '+' i 4 ,F 7 , 4 1: { f4 r ,+,ri,'I I . s 4r f:l, e .t r 1 ".. 4 1 r �'It 1 7t}'ty ) if'• `+ r ' l.. t < A•6 1. I- I � , U). , . . I . I - �'tN(3�� 4 Pw,M . 1 D� ti , ,1 n I.. 1 2 t `�. ,;, ,1 .,.r ,' t ��Yf , t. �t ',;'0-.iI 1 I 1 r t I L' t .t 4 ! 7 M. 0, {J'y /l� A /YM r T- _ 1 k r r tl nI n, { M— l dj i ,r t ^ + Jae r, ,'. l' i �; t,4., I x 1 's, ,, I . , i i 0, ,, ., I + ,1 t g.. If�r 1,." ' ri y �,; } r'�.'' ,,t 1 d +'t t t , "k Ir ',z :, .: r r1 Ye , . "lr..- _1s f 1.NCOCK 1,y. , ;t, . I ti ; ., I BUILDER ... - ,f , r T' .f,, . t, I' t ILIUM #,� r 126951 BL .' 969 , r ': r 5 `'; CALIF 9 s ;: �, 020 SKYWAY PARADI$E� :.142Q ; 1. , y{`' }} �, 7 NOME 87T 4 . `' . � . OFF. 817-4957 , , . i4 ' r aC� pmIc rifts • roUMoAPAON O cmuvl or NoDtu Catch LrJ CtJ CrJ � � WIND C� � CiJ CiJ _. ...»._J.IAN..r .... �p r SINULF; µ'111F )WIETRE' C kil 0- Aonrrtttta um I I lodme Moo" I I• 1- }- I ll. I Ll. CJ [J I LJ I N I I Up "_N CONFICURATt3N 911011" IS TIIE MIMMUM b PRIi WRED PAD(IOWNTAIION WiTIT RM 1`001W Ii 711AT 1FIM UOPIO PWENItOM OF Tit6 PAD R1 PER UPPRt HONC MANUFACTURER'S NUMBER OF PADS REQUIRED. 1Q TH9 CIOAg1 LRAM IM ITIOa►N CIM TNR rUWi ' ILJI I • CONYIGURATTON 9110NN 19 THE MINIMUM air .1isi��' L;PuJ NUMBER OF PADS REgU1RED.TMEP I 1 j rJ i w 1 I 1 � [iJ I 1 CiJ . _. .._ .. .. • Q'_. a a' _ . Lia LTJ LTJ LTJ C�� l~ DOUBLE 111_p_E TYPICAL _ I nn. n.. na. nn no- ,. --COACH I DEAN 3' k 3' PLAir c , - 3/I' MAX TUBE V11641 21LTS R' SNORT 11►IE 11' LUNG TUBE !1�• SID PIPE CrJ C� 1 , - X I S 11011EN AH 3/16' PLATE l ..l _t0 180 CLAMP s��a►�iYaou�1� ' RIPRRRNC'it CALWORNIA 00011 Of 1101.1IATiCK TtT1.R 3! AND UJ C, t!N 1.01110!1. 1. IDUM LOAM: VRRTICAL. L1VTL LOAD LATRRAL GTYR LOAD 111J0m ,boor LAN....._.. WIND o t t o S r. a t e t" ...._�3 .. _. ...»._J.IAN..r .... �p r SINULF; µ'111F )WIETRE' C kil 0- Scala• �" M l0' scale! 1' -r to' i POt111W17 M?AIMMAIL0nAM(1N1*yF1.UMUliIIJV: brM. FDIC:B9Jx� POR THAN TRIPLE WIDE UNITS, SUBMIT Ilk M, i 4 l I i p I L #J iN-P[AX�I�S 1 [YtOUE •'' 3. TtT6 briKM I011ItI 1HNl, B11 CjCtI1JT7111iT WiTL1 rOOr t1V1t 1AA111'IV1tiD lRMtll ANA 11lC LAIR A _ 7//' TIVEADEDts/s, 16' PLATE LEGS >ori'A��o�PM�MA1IWTI L1O=MW i=AMCtl10l 3ALA1lRA Ira"n IMt111) pop Tyti 1 _ V�01� �"`V 1!'KIII D. THIS rourraA•iloc+ a axitDORIIb'ro ooNmnm A tRwA>xRlir rouNVATx�It. 4 ALL POVfARE TOM 1gJt "ITI0 VY MKUNLATI MAIM UM?4rTUl11Rv WITRtVlr 101. MMVM M t► S/16' PLATE P111MI►D POR 1000 ?111 TOTAL L� 101E /# == ANDWALL N QOWATUEJ WIT11 LOCAL W 1 1 1/4' DOLT CON DITION& - VITH HARDENED VASHER C�-1 ' :� !. 111t11G'it1M1.IITP.F,.: J PIER a 111411. C(XlrVRU TO ATTU A30 P 3i KQ U NDMI. I I N SEISMICC _ Not t O Scale b. IIIIAi 1r QE rAo1UCATRU ACC( "CW TO AM IMCIMAINM11,. rC.P. SEISMIC PiER#1 PATENT PENDINGa iH"IIXWnD?ZA000W aT0AMIMCIT10A"Qft • t ' L Livc1Rom ' Iib 11. PLJ1T[,1i AIM 410 t i NOrE� PL AMC1NH19OLTI.- AlIM A."1 N. BcM.i'1! MI OV-Af'T11 M1t-Ad EM iV!! Ie0 IN-PWIDS IS EOt1IVALENT TO 1s r T -POUNDS K TiiaR-AO m RTW "M V 119AWN LnW CAk9M W1C 4,1312 L M.L tIMLCOWTMWIV R#CLUUD M NAM A OCULI RTC AU TO LIR PROTI 11YR MAW A. 7ITE MM ALAI) It". 1"I Rl1P"T ARIP%4J"t 411AJ I. All COA"I) WIT It 111P.RAlAN WV J 1491!111 -ten 0 L� l l 1 J 2 - 3/A' r V ADI. T S ArPROVBO IVIVAIEiNT ANO IIIAIL P1 U/110 AND L.AA><1.RD RY CI*IWM MEW AND COWSM70 FIELD DRII_I. 11111 -IS IF&VK= MM FOR TH1t POtLOWTV10 LOADL I1f 1111N Ur a. I.A11 M. I1'M 1M N4X jJ t 1 4 - 010 TEX STS r- COACH CAH I► V911FICAI_ I""MMAX OR J t l 1 'R TIIII POVNI)Al10N ISr0R MAiCiNO W)AMAC1VRLW MAtD(NOl CM9i1 MID Wini L�/)N tVPD" oo 1 / A ' 2' r 1 • 3' x J. CRA,/ loth! R L!J Lf ANGLE 3' VIDE PLATE L 71110 PrliJtJi*AT1UN h AN N I117TiOT1LJ1 TO IF, Cx`NTiRr 1CTTDON A PAiRI•Y (.9Y1L REE W11111 NO /.XIITRKI ROC rmic r 1m I I ►1tOp[.RM� tP IRTTLRMRNT OOC11R10t1>{ Tt0 r0(n loll. /XR N(i<TR I. a! rou►rpAPA _ I. IN AR1►AI WIQ.21 INTT12wilA1. IttTTlitt+IRirT (OJ) CAN (ltactiR, MANtQActllRTn 11(tE1 DIIAIL D t , BOLTS SEISMIC "MI)J ►RTBA WHEN DI. 9)OCUM 9W, CM NHRI iT NAL AJ1YIMUT Arr1QT TM LAR Or TIC PIER MANUFACTIIRID IJOUIL J 10. TAW IY/TEI►113 ADAPTANj TO iTANDARD iK1UO11 MA"MY KJOCK MU or ov/uNe It � l c1 COACH I1. FORROMUVi►IAAMOrVPTOi0rAP,711tNPIAMDAINVIiV11NNI/AYIIIMIDWilli1N11tW111RorO.1 1IMMIC IPM10110" AM Iii% M.W. IMEV1t1R. 2041' IOAM iUMfU 111PN 30 PF MAY rRQ1111V11111 IR TYPICAL BEAM i Or ADURIDNALitANUARD rADANQ MM llWMT1 AS "M TW MAiRW4CTl W'1 QIiTALL AIS M MANUAL 81NCU; WIDE TYPICAL . SEISNit PIER MO rommtim PAD E-l-EVoJ'IUN NUT TU SCALE f• 4. 3/1 Wit AT.A 4"4 RXTRRIOM ►.1 L s3 CG PUfiORQ NEA • QA 301, W-101. 36. 1/ 2' . sir wslailkits 1 sew n Ax4Tp j 1. Mi1XIMUM Liss OT RNOL2 Wn)2 00ACH N rm. a►c►a► t►►strt , c •��'- 3.5_' L MAXIMM I.AWTIt or DOUBT B W= CORM - 70 MT. 401-Ir4 vvr i. LM" AMQVFD RY 711.01' A ARIM, PIM1 TO IIILIQS 11E1ONT NOT TO SX UJ)- a I rUT POR PMt2 WIAM CO/V31PR R 10 "Et FOR 70' 1)"V 1 W" COlpl" PRECAST CONCRETE 1 relrr w2 K.,P. &n DOW" W= 00ACHB1 F U N D A TION 1 A D 4' IM IRM W1h2OOMtM PUU� DW iAMII HMWt PAnUM AS Roo" ON THE MR" WDUR 16101311,11 COACIL SCALE, V = 1.5' FOR ANY CO;AC11 ItZE 0111PJ MAN M RMWN ON TH11 "AN" P.RFB>'PNc9DD AIIOVR,11111 PIER AND PAD LAYOUT IJVU1, 89 R1IVIEWEU AND AFT OM BY DONALD IL 7MMP is A#$OCLA711. HIM • , W 3/4' PI. r VOOD SHEETS 1. /PACMO Il/OWN ON 111110 PIAN ARE POLI COACHJlt W11H 10 MGI AND 17 MGI BEAMI Olt 1 MCH PACO sCREVED TOGETHER VLTH COPAWAIRD81UUl/ 12 •e x 1 1/2' rHVs ' PLY VOtlO >G ANY dilll.R 1 TilCii 11RAM M HfYf 1V CAN► RVER N(`1'E i11AN f.O/Rllt ON tAGI f.?!D (l1 tliliT AND IPACM OF MAIM PIZU CAN,IRT 94MID 111,11 FIXT. H(A r s r na 1/2• x 2 lib• c.e. • r , r'a►>y►��rn,�► at►a. •Ie.I►ttN A�10 14.m coot r~tc„vr, , LSUTTE. COW f 1 -' •, ,**% 1 18 r32 x3/� r x r IB 30 BUILDING DEPARTM / ,1,►�o N 1► PLYWOOD fuuet:► to oowItTTors aottsl r r r r wet orAr+rl� a nn ('"� ("rC� , Qive "� -7 'vial M 1�.A [) P'' 0 V C(� 1}U C711R/A� ' `r 0"N"""" •al C�rr►wxllr DaMrr� � �' t ' V 1r. D 32' AND ITANDAM�_ , �.. • 0�q�. Al TFRNATIVE PLYWdOD 3 1mnsro"s ai(- aa. 09roaro 1 CCINNE�TI❑NS As Shown LAN....._.. 1LT o t t o S r. a t e 1. 71IR P"IDATM PAD i11OWN ('ti TMT PLAN 11 A PRSCAIT CONCKM P"PATION PAR 7111 PLYWOOL NI ...._�3 .. _. ...»._J.IAN..r .... Ft"DATN PAD MAY 119UIIIID AMAL7t1>illll7lt OUIBLE; WIDE MUIJILE CUAC'F1 SINULF; µ'111F )WIETRE' C kil Scala• �" M l0' scale! 1' -r to' i POt111W17 M?AIMMAIL0nAM(1N1*yF1.UMUliIIJV: brM. FDIC:B9Jx� POR THAN TRIPLE WIDE UNITS, SUBMIT STANDARD rIFn h FOOTING SPACING it xy ra ovT.nit rrw c►„errra µ pt s c 0 Alf WA ll. I .MORE PER V011111IIONE HAINUFACTURER'; 8' a 1000 "I AT 31 DAY M IRS 1190 AND MAKWACTURID BY iTAIUJII WVQHT OONCR>T11. LAYQVT TO THARP h ASSOC. FOR APPROVAL. INSTAU AT10N MANUAL. STANDARD PIER k FOQTINC SPAC1140 CONFICURATt3N 911011" IS TIIE MIMMUM b PRIi WRED PAD(IOWNTAIION WiTIT RM 1`001W Ii 711AT 1FIM UOPIO PWENItOM OF Tit6 PAD R1 PER UPPRt HONC MANUFACTURER'S NUMBER OF PADS REQUIRED. 1Q TH9 CIOAg1 LRAM IM ITIOa►N CIM TNR rUWi ' INSTAL, ATION MANUAL CONYIGURATTON 9110NN 19 THE MINIMUM air .1isi��' a WItirm mu) C(1Nttimi/ REg191111 PAA itormirm, w) I/oll6 THAN IWl N Tim PNM M o NUMBER OF PADS REgU1RED.TMEP NJAR t JNR CAN 1119 ROTATLl1 90 MT M LOW D94144NpN Or I= FMD ASS PARALL&L it . _. .._ .. .. • Q'_. a a' _ . TEIX i00�M.1 1t1A11. I _. _. SEISNit PIER MO rommtim PAD E-l-EVoJ'IUN NUT TU SCALE f• 4. 3/1 Wit AT.A 4"4 RXTRRIOM ►.1 L s3 CG PUfiORQ NEA • QA 301, W-101. 36. 1/ 2' . sir wslailkits 1 sew n Ax4Tp j 1. Mi1XIMUM Liss OT RNOL2 Wn)2 00ACH N rm. a►c►a► t►►strt , c •��'- 3.5_' L MAXIMM I.AWTIt or DOUBT B W= CORM - 70 MT. 401-Ir4 vvr i. LM" AMQVFD RY 711.01' A ARIM, PIM1 TO IIILIQS 11E1ONT NOT TO SX UJ)- a I rUT POR PMt2 WIAM CO/V31PR R 10 "Et FOR 70' 1)"V 1 W" COlpl" PRECAST CONCRETE 1 relrr w2 K.,P. &n DOW" W= 00ACHB1 F U N D A TION 1 A D 4' IM IRM W1h2OOMtM PUU� DW iAMII HMWt PAnUM AS Roo" ON THE MR" WDUR 16101311,11 COACIL SCALE, V = 1.5' FOR ANY CO;AC11 ItZE 0111PJ MAN M RMWN ON TH11 "AN" P.RFB>'PNc9DD AIIOVR,11111 PIER AND PAD LAYOUT IJVU1, 89 R1IVIEWEU AND AFT OM BY DONALD IL 7MMP is A#$OCLA711. HIM • , W 3/4' PI. r VOOD SHEETS 1. /PACMO Il/OWN ON 111110 PIAN ARE POLI COACHJlt W11H 10 MGI AND 17 MGI BEAMI Olt 1 MCH PACO sCREVED TOGETHER VLTH COPAWAIRD81UUl/ 12 •e x 1 1/2' rHVs ' PLY VOtlO >G ANY dilll.R 1 TilCii 11RAM M HfYf 1V CAN► RVER N(`1'E i11AN f.O/Rllt ON tAGI f.?!D (l1 tliliT AND IPACM OF MAIM PIZU CAN,IRT 94MID 111,11 FIXT. H(A r s r na 1/2• x 2 lib• c.e. • r , r'a►>y►��rn,�► at►a. •Ie.I►ttN A�10 14.m coot r~tc„vr, , LSUTTE. COW f 1 -' •, ,**% 1 18 r32 x3/� r x r IB 30 BUILDING DEPARTM / ,1,►�o N 1► PLYWOOD fuuet:► to oowItTTors aottsl r r r r wet orAr+rl� a nn ('"� ("rC� , Qive "� -7 'vial M 1�.A [) P'' 0 V C(� 1}U C711R/A� ' `r 0"N"""" •al C�rr►wxllr DaMrr� � �' t ' V 1r. D 32' AND ITANDAM�_ , �.. • 0�q�. Al TFRNATIVE PLYWdOD 3 1mnsro"s ai(- aa. 09roaro 1 •civie As Shown Drewov 1LT Jot► �-36 vm FOUNDATION PAD SIA SCALE, 1"=1.5' ''M �At wrval est, O ZE Z' -dc RICNEwAt�OF � 9TA7IC 5UBK1rFALS AH 30 -SR of 1 Il w"* . - t ,