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069-050-005
` Y 44, 1911717 5 69 os -s A vi- A. Christopherson I3 02 Hill Dr., lot 66, KRIM,0 oville s P rmit #4444-79P,E(util.., ) i LEC . _ 5 - 7 to SR-�RUCTURE REQ. - COMPACTION TEST REQ. -7-L,& 1• contr:-Holmes Mobile Home Serv., ro, j _Per6it #4468-79B,E(new covered ecks, `wings garag /MH 4 od o/ Con r: Bernie's MH Ser, Paradis Pe mit#559 - 79MHI Is ue d — / 3 069-050-005 05-1862 r TEMPLE, MICHAEL 3 OAK HILL DR, OROVILLE Cont: SIERRA MOBILE SERV i ._-EX M/H PERM-FND, 7�2� Gi s e i N. I til cri I_Lo - RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965. I COPY of Document Recorded' t 29 -Jul -2005 2005-0044421 Has not been compared with original BUTTE.000NTY 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. , MICHAEL L. TEMPLE BUTTE COUNTY BUILDING DIVISION ' REAL PROPERTY OWNER/LESSOR - „ LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY - - 3 OAKHILL DR. 7 COUNTY CENTER DRIVE MAILING ADDRESS .. MAILING ADDRESS - - OROVILLE BUTTE CA 95966 OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP CITY COUNTY STATE ZIP . 3 OAK HILL DR. 05-186 530 538-7541 INSTALLATION MAILING. ADDRESS, IF DIFFERENT SUILDIN ERMIT N0: TELEPHONE NUMBER ' OROVILLE BUTTE ' CA 95966'I /l `` CITY COUNTY STATE ZIP ' TURE OF LOCAL A CY OFFICIAL t DATE - SAME NONE UNIT OWNER (if also property owner, write "SAME") DEALER NAME (if not a dealer sale, write "NONE"), - SAME NONE MAILING ADDRESS - DEALER LICENSE NO. SAME CITY COUNTY, STATE ZIP UNIT DESCRIPTION r KAUFMAN/BROAD 1979 UNKNOWN. MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMEMUMBER ' SNA/BO12117 50'X 24' 162734/5 SERIAL NUMBER(S) LENGTH X WIDTH, INSIGNIA/LABEL NUMBER(S) . f " REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER 069-050-005 ` - SEE ATTACHED S E E F_ x h 16 ( T A' HCD FORM 433(A) REV. 8/91 " - Recorded I REC FEE 7.00 ' WHEN RECORDED, MAIL TO: Official Records' MICHAEL G. TEMPLE Countyy Of., I , 80 BEAVER- RD • CflNDACBUJTE6RUBB5 I ' OROVILLE, CA 95966 v 'Recorder 1 ROSEMARY DICKSON ,1 Assistant I Travis . 10:56AM 09-Apr-2004 I Page 1 of 1 MAIL TAX STATEMENTS TO: DOCUMENTARY TRANSFER TAX $ j MICHAEL G. TEMPLE Computed on the consideration or value of property conveyed; O,R 80 BEAVER RD _Computed on the consideration orvalue less liens orencunbranoesternaming OROVILLE, CA 95966 at time of sale. Signature of Declarant of Agent def6rinining tax - Firm Name. APN 069-050-005 GRANT DEED FOR A VALUABLE'CONSIDERATION, receipt of which is hereby ack owledged, MICHA.E]L. L. TEMPLE, an unmarried man, and MICHAEL G. TEMPLE, a married rnan,' as Joint Tenants, hereby GRANT to: . MICHAEL G. TEMPLE, a married man,'and his sister, DANA LYNN TEMPLE, an unmarried woman, as Joint . Tenants: - .: ♦. The real property in the Unincorporated Area, County of BUTTE. State of CALIFORNIA. described as: Description: Lot 66, as shown on that certain map entitled, "KELLY RIDGE ESTATES UNIT NO.' 2B," which map was recorded in the office of the County Recorder of the County of Butte, State of California, on November 19, 1973 in Book 43 of Maps, at page(s) 27, 28-, and 29: F Property address: 3 Oak Hill Drive Or• v'le CA 95966 `,This is b gift and grantor received nothing in ret'um, R&T 11911." MICHAEL L. TEMPLE MICHAEL G. TEMPLE/ STATE OF CALIFORNIA ,. COUNTY OF )BUTTE On Aril - 2004 before me,46ag- M; Wf llhL YVI a Notary Public, personally appeared: MICHAEL 1. , TEMPLE.and MI AEL G. TEMPLE I I personally known to me, or, [trproved to be on the alis of satisfactory evidence to be the person(s) whose names) ts/{���,lsubscribed t thin instrument and Acknowledged to me that he/sh y ecnted the same in heJsh ey uthorized ' capacity(ies), and at by his/he / eir gnature(s) on the instrument the person(s), or.the entity ehaif of which the persons, executed i the instrument { , WI F-S my hand and official seal. WHEATHER is iWI�LLIAM3 PUBUGC"ORNIA 'TiE COUNTYO(P. MARCH A 200e -+ r ' ' . I ;i:'V ,�i.:� x .•.� i %:`, c ..J q, iw "----- a �' .f t lfi ,',.J� �' r�.%, `i r 3.. r fir f9 �, 'as .r y4 3' r,7^ s, .••..::,. �` y �� •} '' r •. �, m w '�3 .,,a" •„n �.k � �~° {FOUNDATION S:YS,TEM' i i i ti Ki. ' r . , S -. >,� i E t �r � °,:. .'ii. '-. t f Y �� t 1 �''. „�[ lr• � ^"� ' _x . his � ,}; �. { . CERTIFICATE��.OF OCCUPANCY u 5 P # sz . n - .,;,. ,' � � `• � v �.;� +�», r , ,� n, �- i•k # .> +"a” * . � � F'4Y""b, U.11 :r :ti?" ., ' rrs v 'Y �. krt y.. ts' v t'a .: . tr - ��. BUILDING PERMIT NUMBER: 05-1862 Address or location of unit: 3 OAK HILL DR., OROVILLE CA 95966 Legal Description of Real Property: AP# 069-050-005 SEE ATTACHED (x) Mobilehome/Manufactured Home O Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: MICHAEL L. TEMPLE Owner's address: 3 OAK HILL DR., OROVILLE CA 95966 INSIGNIA OR HUD. NUMBER: 162734/5 SERIAL NUMBER OR V.I.N,: SNA/B012117 MANUFACTURER'S NAME: KAUFMAN/BROAD Y R: 1979 OFFICIAL APPROVING INSTALLATION: DATE: ' PHONE: (530) 538-7541 H.C.D. 513C STATE OF CALIFORNIA „0r BUSINESS, TRANSPORTA`IION'AND HOUSING AGENCY DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT a a DIVISION OF CODES AND STANDARDS REGISTRATION AND TITLING PROGRAM STATEMENT OF FACT'S ' This unit is a: .EaMobilehome 0 Commercial Coach El Floating.Home 0 Truck Camper " Decal (License) No.(s),. Trade Name Serial No.(s) SNA- a L117 I/We further agree to indemnify and save"harmless the Director of Housing and Community Development, State_ . of California, and subsequent purchasers of said unit, for�any loss they may suffer resulting from. registration of the above-described unit in California, or from issuance of a California certificate of title covering the same. UWe certify under penalty of perjury that the foregoing-is,true and correct.. Executed on zi �'� at (Date) (City) (Statc) . Signatures) Printed name(s) ._ STATE OF CALIFORNIA - BUSINESS, TRANSPORTATION AND HOUSING AGENCY ARNOLD SCHWARZENEGGER, Governor DEPARTMENT OF HOUSING AND. COMMUNITY' DEVELOPMENT vsuvc q Division of Codes and Standards' O all Uj ��. Title Search DE Date Printed : 07/11/2005 Decal #:AB9366 Use Code: SFD . Manufacturer: f:AUFMAN/BROAD OriginaLPrice Code: AFK Tradename: • rCANYON _CREST Rating Year:' Model: Tax Type: LPT Manufactured Date: 00/00/1979 Last ILT Amount: . Registration Exp:_ :, - Date ILT Fee Paid: First Sold On: 00%00/1979 ILT Exemption: NONE Serial Number _ .' HUD Label / Insignia Length Width SNA012117 162734.. 50' 12' SNB012117". ":. 162735. 50' IT, Record Conditions: Voluntary Conversion to LPT Registered 0wner:. MICHAEL G TEMPLE .' DANA LYNN TEMPLE (Joint Tenants .with Right of Survivorship) 80 BEAVER RD. ". OROVILLE, CA 95966 Last -Title Date,. ' 01/24/2005 Last Reg Card: 01/24/2005 Sale/Transfer Info: Price $.00 Transferred on 01/05/2005' Situs Address: '3 OAK HILL DR OROVILLE, CA .05966 Situs County: BUTTE Inactive Decal/DMV:' DMV SK9997.. * * * END OF TITLE SEARCH i NOTES .� RESIDENTIAL PERMIT NO. 069-050-60S 05-1862 TEMPLE, MICHAEL 3 OAK HILL DR, OROVILLE M Cont: SIERRA MOBILE SERV I"EX:M/1-1 PERM-FND^� . k a SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING,LETTER JOB FINALED (Date),, Signature��� OK = Not OK -Not Applic = NotReadyabie MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer, Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or/ P" L "ftJ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water, MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert 10. Exits; Insp.-Sketch 11. Cert of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zon' g Requirements -Setbacks -Easements aeoro-otirIgs; Size -Spacing -Marriage Line G,eGcking 4. Gas; MH Test -Demand -Valve 5_ Electricity; MH Test 6. Water, MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits cense Decals 11. Verify #'s with Office Date 'I - ZT- (jCard B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg- Frg- Bracing S. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance -GA 5. Elec.; Pool Lighting; 15 Vofts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7.-Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8..Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Gmd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 1B. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler, Test Date Cana B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI -AC. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or AI Insulated Neutral O Yes O No 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type AFlue-Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdnn. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. Date 34. Clothes Closet Light -Shower Light -Spa Light Date 35. Smoke Detector Date FINAL (Plans) OK except #'s Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type AFlue-Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdnn. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels Date Card B-1 Date Card B-1 Comments at Final: 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door, Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes 83. Following InstldJDrive 0 Yes O NQMalks O Yes 0 No/Planters O Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 95. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: BUTTE COUNTY. DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.netWd15 BPD5 j "O. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under Issued Date: 07/18/2005 APN: 069-050-005-000 provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and Site Address: 3 OAK HILL DR ORO effect. y�a��t License Class : License umber: /� a� � Map Index: Date: Contractor: _Z6 Description: EX MH ON PERM FND OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Owner: TEMPLE MICHAEL L " Business and Professions Code: Any -city or county which requires a DR permit to construct, alter, improve, demolish, or repair any structure, prior 3 OAK HILL to its issuance, also requires the applicant for such permit to file a OROVILLE, CA signed statement that he or she is licensed pursuant to the provisions of 95966 the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not Applicant: SIERRA MOBILE SERVICE intended or offered for sale (Sec. 7044, Business and Professions BILL REID Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does 466 CIRCLE DRIVE such work himself or herself or through his or her own employees, OROVILLE, CA 95966 provided that such improvements are not intended or offered for 530-534-0599 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden 'of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business Contractor: SIERRA MOBILE SERVICE and Professions Code. The Contractors' State License Law does BILL REID not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed 466 CIRCLE DRIVE pursuant to the Contractors' State License Law.). OROVILLE, CA 95966 ❑ I am Exempt under Article 3 of the Business and Professions Code 530-534-0599 Date: Owner: License #: 470386 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Architect: Labor Code, for the performance of the work for which this permit Engineer: is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: 0 Total Square Ft: 0 S.F. Carrier: Valuation: $0.00 "�S-7 Policy #:_ 7 Census Code: ❑ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California. and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. r7� Date: ' r Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and o hundred thousand dollars ($100,000), in addition to the cost of of / e n �� � I 1. -.`ice compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the This permit' hereby,issued and thgg.applicable provisions of the Butte County Code anrUpr RpsolutioYo do work jndicaI I ab 6e for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) `( WOW/Date: Name: BY PERMIT EXPIRES Address: ON: I [� ate ❑ 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. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. jJ Print Name: 4E (/Y Signature: Date: 0 Owner D' �Contractor 13 Agent for Owner ❑ Agent for Contractor EUTTE COUNTY, - DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREIVIENTS 2; J.-IOURINSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 591-2S34 OFFICE #: (530) 535-7541 A _FEE ANLL BE .REQUIRED AT ?`AMIE OF ,�. PPLICA7YO,'Y *PLEASE PRINT CLEARLY** CONTRACTOR I Name OWNER Last Name�� �kE / Address First Name /A Lc /It) 6— Address 3 0P4K N! 6. G- b Y. i v E ��pp City pP�D'Ji iwt.f -dale C%f l zip r Phone E-mail Fax CONTRACTOR I Name ARCHITECT/ENGINEER Address Address City C4 State u, Zip y�-jeb Phone Shy Fax E-mail Fay, Lic. Planner APPLICANT NAME ARCHITECT/ENGINEER Name Address Address City City State �,_ Slate Zip Phone Fax Fay, E-mail Planner State License Number APPLICANT NAME Zoning _ Address City yes State �,_ Zip Phone S 3 4% 0_5'_q, Fax E-mail Lot # APPLICANT SIGNATURE X'` For office use only: Zoning Property Address Flood Zone Cross Street SRA yes _No Occ. Type Const. Subdi=11ame Iviap Book Page Lot # Planner Dale Approved: vvr—K r -u SUBM11 TAL REQUIREMENTS PERMIT NO. BP65_M� BIN# LOCATION AP# ©So �s Property Address city Cross Street 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 of Work: Sq. Footage ❑ 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 required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person Nvho paid the fee. The request must be made prior to the expiration of the permit and no construction wort; has been done. Filing fees, plan chest; fees for work plan checked and other department costs are not refundable. Received by AAmount _._ Bldg SRA Receipt #:4Z Ll S-7 _— Sheriff 9 Date:'7'���aS—._..___ _Other C�L/ `' ` �0 Total ,. ; n �r,t:.�„rn . '%».. K F 4i.', '!'*. � ""--.... X.. r .-.:..� � i F :�,;.. rrr: . . tj x. . cP3, �.:.;.r ..s: •i " =Y... r. , . .,....4.'•'. f.: `3 ..r � _.,s..� COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET �^ OWNER: ASSESSOR PARCEL NUMBER Proposed Building Use: G Permit Technician: Date: / OS Items required in order to apply for a permit. All boxes MOT be checked OR marked NA in order to apply. ' 7 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxesl ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and AIC for Non -Residential Buildings. 8. Manufactured homes: (A) InstallatieFi-manml-irrcltTding mar alifieinfo-(t)-FfoorPlan-(l)-Tie-dewn•or fnd plans, all in duplicate. ❑ . 9. 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. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Letter of intent for non-residential buildings ❑ 12. Hazardous Material Form ❑ 13. Acknowledgement of building permit application without required clearances. ❑ 14. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) 0 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable "' ❑ 16. Fire Sprinklers............................................................................................ O 17. - Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 18. Soils Report and/or Engineered Foundation required ........................................... ❑/ 19. Erosion Control Plan Required ............................................. . -�1 20. Fees as shown on the attached Schedule of Fees Due Sh* . .........'.......... ... ❑ 21. City of Chico Plumbing permit........................................................................ ❑ 22. Site plan and business license approval from the City of Biggs .............................. ❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. ❑ 24. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: ............ ❑ 25. Contact Land Development about _ Improvements, _ Drainage ........................ ❑ 26. NPDES Form............................................................................................... ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 29. Worker's Compensation Carrier and Policy Number .......................................... ❑ 30. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 31. Letter of Signature authorization.................................................................... ❑ 32. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 33. Existing violations and/or expired permits......................................................... ❑ 34. Deed Restriction.......................................................................................... .. V 35..O -Legal description,V .H. Title, title search, registration or MCO ......................... ❑ 36. Other: ❑ 37. Other: When issued Telephone .'�_01S,7 I and hold for pickup. I have been informed of the above itergs and requirements for obtaining a building permit. Applicant: Date: I o 1. Index permit application for the above items numbered: Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: Date: 7 Z14,4^� Structural reviewed by: Date:7 I Structural approved by: Date: Note transfer by: Date: Yellow: Building Division • INTERIOR RIDGE SUPPORTS iiANOARD PIER AS SPECIFIED INSTALL MINUTE VAN EARTH AUGERS li t,VtK.AL NU'FCJ: `,a.0"" I (OR EQUiV.) ?9CO lbs CAPACITY AS SPECIFIED BY MANUFACTURER BY COACH MANUFACTURER WHEN EE TABLE. SPACE IST ROW R£FERENCE:CALIFORNU CODE OF REGULATIONS. TITLE 25 AND U.B.C. 1994 EDITION. OS -02-03 YW REQUIRED! i, I. DESIGN LOADS SHALL 9E CONSISTENT WITH LOCAL REQUIREMENTS WHERE INSTALLED. �4 I , • .f 2 FT FROM EN0,7HEN SPACE EVENLY. I O• --I I I I I I --O �' L9 ---I ) ~I�%pxT l ,� ,�\�� 2. FOOTINGS ARE TO BE SUPPORTED BY EITHER FIRM, UNSATURATED. UNDISTURBED SOIL OR ! tD-Ot-D3 YW I NJ _ i- "'I F -TU' I COMPACTED FILL. ASPHALT OR CONCRETE. FOOTINGS -ARE DESIGNED FOR 1000 PSF BEARING ( CAPACITY AND SHALL BE COMPATIBLZ WITH LOCAL SOIL CONDITIONS. ALL FOOTINGS SHALL 04-07-04 YW a< I , C� 4 I s I 4 $ BE FOUNDED IN ACCORDANCE WITH H.C.D. GUIDfJNES AND TITLE 25. I• m 1 • I FOa TRIPLE WIDE 4 1 PLACE SEISMIC PIERS 2 I' ID NN ROWS OFo g g I S{ ❑ • ❑ ❑ ❑ ❑. ❑ I ❑ ❑ _ 3. STRUCTURAL STEEL: WHEN 18 PIERS I a. SHALL CONFORM TO ASTM+OR Fp T 36 KSISMINIMUM. I CO ! !�! `A-' I • I 1471 • I i•I ! REQU1RE0 Puce ( (� (� I I� ' !� b. SHALL BE FABRICATED ACCORDING TO 0 A P SPECIFICATIONS. �-I ! e"1 1�r LxJ T '4t LfJ IN ao•s aF e. I I c. SHALL BE WELDED ACCORDISG TO AWS SPECIFICATIONS: Itr;IC gall_ Itrl": "!IRC' OtTllw Gla:' I:f�w Y]llEc Itrlw wlllE'' ! ISrlw CiaEl cc. KC ,O.cx x.I.s ca c" 9_11 •wcN lC.xs I eE.YI: I cvAc" EMs fi ELECTRODES: AST 1-a ¢ i c V V- V ( V � / V )'�'c" V I / V j ii. PLATES: ASTM A36 _ x N ED Q a (-) i 5 1 ❑Q C -1a '00• C t I I ❑ i I i!i.BOLTS: STANDARD ASTM A307 ••m I I I II I ' iv.THREADED ROD: COLD DRAWN LOW CARBON WELDABLE '� i I''• u I I I I u d. ALL METAL COMPONENTS INCLUDING NAILS & SCREWS ETC. ARE TO BE e u �"1 I < < PROTECTIVE COATED. ED �',''�'��p I '-+-' ! . I'+'' � I `-'-' • '" I 'l I t I N 4. THE C.P. SEISMIC PIER SHALL BE LISTED AND LIBELED BY CERTIFIED TESTING AND ! ,tetcn a v I I •� I I I I. I I I I I 1 ! d I I l 01 CONSULTING SERVICES (CTC) FOR THE FOLLOWING LOADS: ' 1•-1 § I I m CD m E"'j I `r I Q � �' a. LATERAL :: URGE PIER: 1907 LBS. ULT. LOAD URGE PIER: 2423 LBS ULT. LOAp, r� z I 'T L�.J '•� _ b. VERTICAL 16000 LBS ULTIMATE LOAD �•'Jt�• �ii..•i�E Y� 1 aI ®1 ®1 I QI ®I ii' I If •( Q CTED5. THIS FOUNDATION SYSR£M IS FOR PLACING MANUFACTURED BUILDINGS CONSTRU iWITH LONGITUDINAL ORCROS$ JOISTS. .tq m S,7! ® B.THIS FOUNDATION SYSTEM PUN IS DESIGNED TOBONS TRUCTED ON A FAIRLY LEVEL 31-BPROBLEMS. SEE TITLE 25 SECTION 134(b) SITE WITH NO EXISTING SOIL I Q !I 7. STANDARD PIER & FOOTING SPACING PER COACH MANUFACTURER'S INSTALLATION ' �--•l d v i °' I • 1 1 ❑ I • i I ) ❑ I ) I u MANUAL. WITHOUT MANUAL. SPACING OF STANDARD PIERS TO BE DETERMINED BY STATEI a 1 - ❑ I rn MOBILE HOMES PARK ACT. z J 4 4 4'4 4 4 Q� EPIC IY I m FOUNDATION PAD NOTES: I j 4 I I I '�I I I I. FOUR FOUNDATION PADS ARE AVAILABLE FOR USE WITH THIS SYSTEM. THE c Z • • Q ❑} •0 u I TJ a FOR DOUB[Z WIDE I] a • a of I - t. j a I ftls-nyep, v..Y (P^OSF. ONF. OF PfR er)!rR P%rS FOR TPF,IR COACH. C3 I I I I I ) I PUCE SEISMIC PIEP I ! SEISMIC PIER I 2. FDTN PADS SHALL BE PLACED ON FIRM, LEVEL UNDISTURBED SOIL (SEE GEN. NOTE 2) aj -I na"' 0e I FOUNDATION �-1 vl I - •/ PER TANIPI I i , '� I / PER TABLt 3. CONCRETE FOUNDAT(OY PADS �t Q a I SI LCJ F� LLJ I I -+-I ,rty-,I ❑ rrtt,, I I I A. 3000 PSI AT 28 DAYS AS TESTED AND MANUF. BY STARUTE WEIGHT CONCRETE. f1l F 1 Q f'Il fTl IJ Iii (T) j I I • i '. I ! I I ❑ "� ❑- - '� B. PREFERRED PAD ORIENTATION WHERE EVEP. POSSIBLE IS THAT THE IANC OIMENSI0,7 O a L�T..JJ IBJ I -j -J I-� I L{-: I� I `T •t" j -� OF THE PAD BE PERPENDICULAR TO THE COACH BEAM (AS SHOWN -ON THE PLAN), w Cz m I I • Q o I o C. WHERE FIELD CONDITIONS REQUIRE .PAD ROTATION, NO MORE THAN HALF OF THE ! � • CST 4 4 4 - 0E-�i OUTLINE I� C� 1� ill - OUTUN:� 4 PADS IN A TRAVERSE LINE CAN BE ROTATED $0 THAT THE LONG DIMENSION -' - COACH OF MaelLi vo--; ,-9I I' OF THE PADS ARE PARALLEL TO THE COACH B_ -AM. • 30'. 36',•4', 48' 20. 24', 26'. 29'. OR 32'COACT l0'.1�2T,l•t',OR l6' Stele: I' 4. 1E-5URETREATED FOUNDATION 'AD F+-4 in PLAN PLAN ! _PLAIN 10' A. 3/4 INCH A.P.A. 40/24 EXTERIOR P.S.I.-83 CC. PLUGGED, NER-QA397,PRP-X08., I �] Stele: t' 10' Scale: I' 10' = TRIPLE WIDE MOBILE COACH .DOUBLE WIDE MOBILE COACH Sli'CLE WIDE MOBILE COACH 5. •TTACHM=Nr To ECIttfYC CL CONCRETE SI AB THE C.P. SEISMIC PIER MAY BE ATTACHED TO ,A9 EXISTING COMPETENT CONCRETE SUB OR �s • SEISHIC.ZONE 3 • -3 & 4 3 & 4 -� L - - , CONCRETE FOOTING ACCORDING TO THE FOLLOWING CRITERIA: ROOF LAVE LOAD (PSF) 60 40 40 �" L ATTACH ,'WITH TWO ''/e" DIAM. ITW RAMSET/ REDHEAD TRUBULT'WEDOE ANCHORS 1U "NO LOAO(MPH.EXP) 708 7OB.7OC&8OB •80C SEISMIC ZONE 3 & 4 1 3 & 4 3 & 4 J 3 & 4 2. MINIMUM EMBEDMENT COACH SIZE P Dv r OF r OF P a r OF P F 3. MINIMUM CONCRETE THICKNESS 3'/.- _ snsmc Ot_ SErsMIc TIE- Sr SMIC TIE- WIND LOAD(MPH.EXP) 708 f 80B 70C 80C 4' MINIMUM EDGE DISTANCE - 2' -WIDTH . LENGTH ROOF PITCH PIERS DOWNS PIERS DOWNS PIERS 00WNs ` MAX. SNOW LOAD 40 1 -.40 40 OF 40 i I .ln ' UP To 48 Fr 2'saz a' o a o 9 + a COACH SIZE NOTES: COACH SIZE.A OF 7 OF' A OF .{ OF y OF P OF UP TO 76 FT 2'Aa2 12 0 12• 0 12 a l SEISMIC TIE-. SEISMIC TIE-' S65MIc TIE- SEIS.YIC TIDE 1. UNLESS APPROVED BY ROCK SOLID ENGINE°_RING. INC.. THE ROOF PITCH SHOULD NOT j I ! 20' WIDTH LENGTH PIERS DOWNS PIERS DOWNS P ERS ( DOWNS PIERS I DOWNS EXCEED: � _ UP TO 46 il' 4:12 B o a 4 1 B a i I • I' UP TO 76 PT 4:12 K"', - 0 12 4 12 B 782 -lp',l2' 60' 6 - 0 f. 8 4 6 6 6 12 A. SINGLE WIDES: 3:12 OR 4:12 AS SHOWN IN TABLEET �' ROOF S. 20 FEET WIDES: 2'V2 OR 4:12 AS SHOWN LY TABLE I/\I c 2+'.28'29' UP TO 48 FT 4:121 -0 B o 8 4 ' PITCH 14 ,l8 78"[ 8 I 0. 8 4 8 8 8 l4 C. ALL OTHER DOUBLE WIDES: 482 mac' • 72' UP TO 43 iT a:t2 0 B 0 l2 4 n -4d' 4 4 4 1 4 4 ! 8 4 8 D. TRIPLE WIDES: 4:12 cn 2. FOR ANY COACH SIZE OTHER THAN AS SHOWN ON THIS PLAN OR REFERENCED ABOVE. f/) A I 24'.28' UP To 88 FT 4t2 0 12, 0 12 4 _ 4:12 10' & 12' 60' 6 I 4 1. 8 4 8 I 8 8 12 - LAYOUT SHALL BE REVIEWED AND APPROVED BY ROCK SOLID ENGINEERING, INC. ! 28'.72' UP TO 78 :T 4:12 0 19 0 IB 4 ROOFPITCH 78 H ! •I i 8 4 8 B B I 14 IN REQUIREMENTS: ! 9 70'.78' UP TO BO FT 4a2 0 IB 0 16 4 so'8 48 i 8 6 l214' & I6 1' THE DESIGN OF THIS SYSTEM IS BASED ON STANDARD MANUFACTURED HOMES AS42'.48' - I78' 9 I O 8 4 B t0 8 l6 BUILT BY THE MANUFACTURER. SITE BUILT ADDITIONS SUCH AS GARAGES ANDUP TO 79 iT 112 0 16 0 -16 4' ' " - - FIND c2ACH SIZE. THEY ROOF PITCH. FDLLow Row acaciS To DESIGN LOAD. READ IND ROGF.PITCH. FOLLOW ROw ACkOS$ TO COACH SITE THEN ACR )$S TO DESIGN LOAD. READ BUILT ROOFS HAVE NOT BEEN INCLUDED IN THI$ DESIGN. I (/) . - - IAL NUMBER OF IE OWNS REQUIRED. SEE OTAL NUMBER OF C.P. SEISMIC PIERS & TOTAL NUf18£R OF TI£Oi wNS REQUIRED. SEE PUN ! I �"' .TOTAL NUMB. OF C.P. SEISMIC PIERS & TO ABOVE FOR PLACEMENT OF PIERS & TIEDO'ANS. AUGER. TIEDOWNS SHALL BE LISTED. AUGEfl PIAN ABOVE EOR PLACEMENT OF PIERS Y TIEDOW`IS. AUGER TIEDOWNS SHALL BE 2. ALL OIMEN$IONS INCLUDED ON THIS PUN. INCLUDING COACH SIZE. ROOF HEIGHT AND CD C/] uSTEO & Lvi7AL[ATtoN INSTRUCTIONS SHALL 9E ON SftE AT TIME OF 1;lSPECT[ON. INSTALLATION INSTRI;CTIOV' SHAD 9' ON SITE AT TIME OF 1`I i v. PIER HEIGHT, SHOULD BE FIELD VERIFIED RY THE LOCAL BUILDING OFFICIAL ANY I , • I FOR 13 C.P. SEISMIC PI -ERS. PUCE IN 7 ROWS OF e. - _:�,^!'^C;; _;__ ..::3:.= EZ ,;.i:.. ,:Z:Ai Ei.: SI,3:..:iii T11 inE i•.::u::i:.yna Ail ci.'i iufi. -j COI Z E 12 IN OVERSIZED 5/3..7. \� OR CHtPpwG AND/OR I`�� �q•�T - 3. THE BUILDING PAD SHOULD LI INSPECTED AC TO ENSURE THAT PROPER DRAINAGE f d � I I [OzrR 3REANAGE \� I - PATTERNS HAVE BEEN ESTABLISHED IN ACCORDANCE WITH TITLE 25 &MANUFACTURER. ! r Z E' FLanGED PLaSi[C I a: ICHOR O i1 1 - 1YAtAC7V\ED NC.YP.AIORIIE RUr.Ifi i� J I I �nT.Tnj co A.xDtA O I [ , ,--r- )-,_ � 1111'--)5 .. _ --\ �'�I ��. - ;c. -c-:. .,.a•Io::O l O '-�.) � - 3 J' �: �• l _ -� ..n ?Ea A n•♦n..t i'� .?' :_Dx .: rAOv2 ANY �OTaCT. �,; 1f' �\ ` • 'G�D P..1 ,E'\ /3 ) ^r'A�' RISER'S \\ PLa,,,,C aNCHCR 'INSEPr T x T PAA:E ! I , - lid. 2 - l/3' A 1' SOLES n .L.Cna .,.. ,ND AecuurlDMa Z j d" =•� Lrj I C!_ �9cL I. • I: •I FiE_O DRILL HOLES t V. r., -I. v c i 7.5 'WASHER I fluT CP (ICN DF swC�r��S� Iq T�r�-' L(� _ 1.1 I') M A OVc C 4'1[4 SELF 1AP SCREWS I COACT E 4x4-4<4 WWF In FOR iH 'N !;4 2' IIA 1\I, I 0R J IE" ®A+sD pAm•� p I z PRECAST C.P. PRO PAD PRECAST PAD T tN ,- R r.HE l0 N PIPE ''�I-�-1II� i BY .� ZU • - 70'x72'<7/4• IP IN FCR EHE IS IN PP 7/B' aDLTS 7' x J' 2'a W,F'� : C! PLYV00D 14 IN FDR THE 18 IN PIPE 1/4•'..2'x4' /�pl4ic Ywr� ETON WEN I] 1 / - lao ANGLE 7• .IDESPA,.A _ 2 HOLES FOR tU3E MUSr EXTEND d • (1 Fr -LSU tOROUE FOR AS NEEDED 7' MIN IN TO [LAMP __7/1'0' PL - TE FCR J-3EA,Y if,•�tiF74I'� V 2 !/r c.a. i NI 1\E.VLSI =.lirJ �4.`o HCLES FOR ' I 345E HEIGHT .CL AHP 4 - 3/8'� !8'x24'.7/4• 12^<2-1/2' C 3. nJ 7/e• rHR! ACED R00 3OLrS PI ESHIE RWAOE L, t SIO. nlAssu A,PFORT OAT t� D4 -2B -D3 m 7 N[N WALL PIER PTRINSTALLAiTON MA.NULL ' PLYVGOD ILS INCH REGULAR 7/16' PL+tE LEGS I C fa.5 INCH EXTRA LARGE EYP OF SCALE: AS S40WN CDNPIECTEp V[TH EIGHT , SrE"L L•SEan 5/g•xl-v2' SOLI 02 ,I 1 O�AW�:.YMAA/ _ I PLAS riC INSERh /8•x2-:/2. 3CLT .). S":n p:E2 ang I l -1/2'x.120' NAILSI - - I� WI TH HAI.DENED WASHER �OUNCe LIEN Pa'\ LA (--' p + OR BsBxl-!/2' PH'JS a, 0, 4' • 1/4' P! ATE �7 nDP[ WIy zs ll' ill • SIAPL MIM 0R �36- NA% 4 I J�3 3: W03002B SEISMIC PIER Not to state' TYPICAL BEAM R°c£ LOT PEa INSTALLATION MANUAL SF'ICET' Q -PAD PLYWOOD PAD1 FOUNDATION PADS` C.P. SEISMIC PiERXt-PATENT CONNECTION ELEVATION Not to Scale u07 TO SCALE cIJCC Tf ' 4444-79P,E t; ` 0, ERMIT.NO:° i` PERMIT EXPIRES Alvin;A. Chffst6pherson ,OWNER R.CONTR. owner - { 34-69-15 `'LOCATION (A.P. ) i 3 Oak Hill Dr'., lot 66, KR#2B, Oroville y Temp. Power Pole Called PG&E rTemp. Elec. Serv. - /Called PG&E emp. Gas Serv. Called PG&E • JOB FINALED (Date - (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING A BUILDING'(Cont'd) PLUMBING etback rewall T Soil aping In Bldg. otin s St wall Slab Piers irate_ Footings Stemwal I Slab Carport Footings Slab Palippets 1st loor Res oom Finish 2nd Aloor Roof She thin Roofing Fdn. Vents Garage Vents Insulation Prov. for physica handicaooed Conformance of ex. Patio Footings Footin Masonry Walls Throat Reinf. Steel Final Bond Beam Framing Test Stucco Final ICAL 3rd FIV To out Water Pi in Sewer Fixtures Water Htr. Heaters Appliances Gas Piping & Temp. Gas Sanitation Final Rough Fixtures Motors Water Htr. Sub ane Gird. F It Pn Servi TAO. Pole ECTRICAL In rior Lath V tilation eneanent or Closer Mina[ anal MOBILEHOME UTILITIES Elec. Service Elec. Pedestal Water Piping - 2 Sewer - Gas Piping - per_ BI E OME INSTALLATI N - - - - - - - - - - - - Support Elec. Continuity 7 Water Piping . ��" �—" Drainage Gas Piping — DATEREMARKS OR CORRECTIONS 1 J I ' . 1 0 (NOTE: An entry must be made on this form each time you visit the job site..) T MOBZLEHOME .INSTALLATION` .'INS-PECTION, CHECK LIST. 1. Is the mobilehome located with equired separation from lot'liries and buildings and generally conform to plot plan? Yes No 2. Does the mobilehome have,,required clearances above -.ground? (S.ec.508.5) Yes 1,� No 3. Are footings and supports properly sized -,'spaced, and braced as pe approved'plans? (Note possible variation at spring shackles.)' (Sec. 5082 & .5083)'Yes_ No 4. -'Is the mobilehome level? (Sec: 5088) Yes_ No ., - 5. If mor than a single unit, are crossover connections properly installed? (Sec. 5088) Yes— No 6. Water A. Is fleble 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?f Yes g� Backflow If coach is not State of -California -approved, does station have backflow device t_ and pressure -relief valve? Yes— .No-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 4',' per foot slope and is it properly'supported? Yes41-No C. Are any leaks detected in drainage system after running 3- llons of water through each fixture including washing machine standpipe? Yes No xIf coach is not State of California 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 connect of more than 6 ft. 1 g? Note: All -piping is to be at least as large as the mobilehome as line in w' hout reductions.othe'r,than the mobilehome connector. Yes No B. Test OK as per following, procedu ? es— No—�+ 1. Open all appliance connector va s. 2. Shut off appliance burner anVpilot va-1wes. 3. Air test with manometer to 10"-14" water col or test with slope gauge (minimum. 6oz,-maximum 8 oz.) cali ated in tenth pound in ements. Test for 10 min. without drop. 4. Connect gas meter to obilehome with connector, turn on gas, est connections with soapy water. , C. Are all appliance ven' s properly installed? Yes No 9. Electrical A. Is service large enough to provide adequate amperage -to mobilehome (must equal ra=ring of mobilehome with a minimum of 100'amp) and other facilities on lot; i.e., water pumps, garage, cabana, etc.? Yes B. Is there proper clearances around panels? Yes / C. Is power supply cord or feeder assembly properly fused? Yes --- o D. Is ontinuity test satisfactory as per the following procedure? Yes —1-N-0De-energize electrical wiring,system of the mobilehome at the pedestal. 4�Make sure that the power supply cord or feeder assembly conductors,including neutral conductor, have been disconnected. 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 mobilehome supply conductor, including neutral. 5. All non-current, carrying metal parts of the-mobilehome (aluminum siding, gas line, -� w'ater 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 the electrical tests, the lot or site service equipment may be approved for energizing. 1�, s job card signed'by Health Department for water and sanitation? everything okay, sign off card and tag services. MOBILEHOME DATA " Manufacturer and/or Namestylef Length 'Width Width Vehicle Serial No. State Identification No. C-AIZ, /4 -D -739e A 16.1 Additional Information or Comments: COUNTY OF BUTTE u DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number for the following location: Owner 411,11A1 0 Owner's Address 5401/F - Mobilehome Mfg. /_fi�flI At Y 4-22,0A Model _1.3-Y/2 P�Year Insignia No U/ Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Directo./,f Public Works ,. _Cs Date �—/� 7� By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. ` COUNTY -OF BUTTE — DE' )OTMENT OF PUBLIC WORKS 7 --h, nt., flrivn — MW 9. (:alifnrnia63 � 91 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property r ' s action purposes. Date Signatu er or Agent Receipt No. ZA 737, 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 al;nwhich fees have been paid. DiRECTiOWOF PUBLIC WORKS -7L 3 Date 3 Building permit expires Date _� 13 — FV BUILDING Owner ALW A/ 9915 70PNE,250AJ SQ. FT. OCC. BUILDING V LUATION Mailing Address Telephone No. Contractor 1 E,2it/I E /VI. . V 1&& e, //S&C Mailing Address (oS;O p/4-pf AlE 1—,4 /� Fireplace Total Valuation _ f 5 9,5-q& k / /_080 Permit Fee Building Address 3 014kI LL D� Plan ng Fee&/or Penalty Permit t Fee PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No.(% ,)-T Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F" Wte.f S&M40tfefl I FireDept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plan Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. Plans Recd L Parcel A roval P pproval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Q' Permit Fee $ $ 1W#1 FD%2 v%IL PEa" ' 444*7'1 ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service V OR LE 10000 AMP ORSLESS 5.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD•L 100 AMP 2.50 Main service OVER 25.00 100 AMPP OR LESS O Main service/ EA. ADD'L 100 AMP 1.00 NEW CONST.OR ADDNS. C ACCLBLOGS.DWELINGCCUP. 4\ 20sgft l CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Co nder the name style of • 40W 4 NEW CONSTR. (MULTI -OUTLET NON-RESID BRANCH CIRCUITS 2.50ea NEW CONSTR. (POWER APPARATUS 8 NON-RESID. SINGLE OUTLET CIR. Ex. Occuo(OUTLETS OR FIXTIIRES g L@; FIXED APLINS Ex. OCCup.(OUTLETSP(RESID)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. -5 49' Classification 01 Misc. Wiring 6.25 1 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ 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. (� IN1 have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation LJ2.00 Hood Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee All/ $ t::7j � TOTAL PERMIT FEE $ 30 a-0 authorize representatives of the County of Butte to enter upon the above-mentioned property r ' s action purposes. Date Signatu er or Agent Receipt No. ZA 737, 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 al;nwhich fees have been paid. DiRECTiOWOF PUBLIC WORKS -7L 3 Date 3 Building permit expires Date _� 13 — FV MOBILEHOME SUPPORT DATA If other than'single wide, Mobilehome Mfr. furnish Setup, Model,. No. .SZ_ZZ317-Ave Year / Width 2 `� (ft.) Box Length or'Expando Size_ft. xft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973;, furnish manufacturer's installation manual and structural setup'sheets ('if'not'on_flewith.the County of Butte). All center supports measured from fr.ont.of mobilehome unless otherwise specified. •b ' '� Footings (check one). °'� . ,Single 0 u `� . ... 1. Wood either A. `J. pressure treated or G foundation grade., (ft.)(in:) (in.) (in.) El 2. Other (specify) Center support Center support locations* footing sizes Supports (check one) l: Concrete block. E 2: -Other (specify) (in.) (in.) *----Tagalong or Expando,' show support details. (ft.)(in.) (in.) (in.) x� -- Typical Support r (in.). in.) Footing Size (ft".)'(in.) _ (in.) (in..) -- Max.. Pier Spacing -- Max. Overhang X_ (ft.) .(in.) (in.) (in.) P -1f(f *'If center piers are other than drawn above, draw in lnratinna- anarino _n"A A;..,o.,�;.;.,� 1. Owner's name: 2. Installer's na �~ BUTTE tOUNTY bEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET v 3. Is the site currently under permit? Yes / / No (If yes, furnish permit number �f ��� ���) tiOR'�+;•- Is the site an existing site? Yes /X/ No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from 11 septic tank and leach fields and clear of all setbacks and easements? Yes No ( If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- Amps 6. What is the mobilehome site service rating? --------------------- Z diD Amps 7. What is the mobilehome site circuit breaker rating? ---------i=-= ` Zan 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 / LPG 11. What is the gas pipe length from meter or tank to the mobilehome? 12. What is the mobilehome gas demand? ------------------------------ (BTU) (This information not required'if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) COUNTY OF BUTTE — D`EPARtMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 r , Tblephone: 534-4541 �/ 9 ,APPLICATION A ION AND PERMIT authorize representatives of the county of t3utte to enter upon the above-mentioned property for inspection purposes. Xate o Signature of Permit.e or Age t 7 Receipt No.' ; S 7 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 06,PUBLIC WORKS BY Date 7-2--(-::: 7 9 Building permit expires Date _ 7— ZJ —,?Z) BUILDING Owner Alvin A. Christopherson SQ. FT. OCC. BUILDING VALUAT ON Mailing Address 500 Michigan Blvd. West Sacramento, CA Telephone o. 916-371-5765 Contractor OWNER Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address 3 Oak Hill Drive Plan Checking Fee&/or Penalty Permit Fee Oroville, CA 95965 PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Lot 66, Unit 2B — KELLY RIDGE ESTATES Repair drainage or vent piping 1.50 A. P. No. 34 — 69 — 5Lfoling 8 anning Water piping 1.50 Each gas water heater or vent 1.50 s11 S i n I Fire Dept. FireZone Use rmit Gas piping system 1 -5 outlets 1.50 EQA Parking Plans ParcelEach Declaration Parcel M 60' R/W Improvements additional outlet .30 Building sewer 5.00 10,00 Bldg.ns Recd I Porc roval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES, OTHER ❑ permit Fee A. OC) •$ ot ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3.00 Main service 800V OR LESS f� 100 AMP OR LESS 5.00 J• Single Family ❑ Duplex ❑ Mobil Home 2q Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 25.00 100 AMPP OR LESS O Main service EA. ADD'L 100 AMP 1,00 OR ADDNSNEW //% CONST ACCLBLDGS,LING CCUP. 91 22sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW CONSTR. MULTI -OUTLET NON.RESID % BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS 8 NON.RESID. SINGLE OUTLET CIR. Ex. Occuo(OUTLETS OR FIXTIIRES 5BAL0@ @ 100 FIXED APPLNS, OR Ex. Occup. (OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 S00 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. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ ;700 TOTAL PERMIT FEE $ authorize representatives of the county of t3utte to enter upon the above-mentioned property for inspection purposes. Xate o Signature of Permit.e or Age t 7 Receipt No.' ; S 7 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 06,PUBLIC WORKS BY Date 7-2--(-::: 7 9 Building permit expires Date _ 7— ZJ —,?Z) This -sef 'of ^plans and'spec:ifications MUST be M ' kept on the job at -611 times and it is unlawful to ma4e any changes or alterations on some without written permission from the Depaortment of Public Works, County of Butte. eS_E_T- LOT GG UNIT 213 C/-�/�/STOf�.�/El'SD N • --2 '— 5.�'NET._ the Cvse in ands . oyesv}he oy PV'a, j +':' permi wi b quired for the n' � stallat on f e mobilehome. ti a .sem/ - o All utility connections shall located within 4 ft, outside the rew $�third section of the mobile home it �.�- on the left (road) side of th bo. The 4%. Setback shall be 5 ft. from the hOM@, - y property roline and 50 ft. from the sE.T-:s,4 crr 1`UTTE COUNTY centli rne of the road, permitting a maxi- BUILDING DEPARTMENT' mum of a 2 ft. eave overhang but entirely. out of all easements. APPROVED /f O /--1)E4 A70zF14 c 7t. /5-79_ rZvG 0 the Cvse in ands . oyesv}he oy PV'a, j +':' permi wi b quired for the n' � stallat on f e mobilehome. ti a .sem/ - o All utility connections shall located within 4 ft, outside the rew $�third section of the mobile home it �.�- on the left (road) side of th bo. The 4%. Setback shall be 5 ft. from the hOM@, - y property roline and 50 ft. from the sE.T-:s,4 crr 1`UTTE COUNTY centli rne of the road, permitting a maxi- BUILDING DEPARTMENT' mum of a 2 ft. eave overhang but entirely. out of all easements. APPROVED /f O /--1)E4 A70zF14 c 7t. /5-79_ rZvG ry a .` 'PE°RMIT NO. 4468-79B,E t .f PERMIT EXPIRES 7,-4 v ' Alvin Christopherson OWNER t, -Holmes Mobile Home Serv. Oroville CON T R. -LOCATION (A.P. 34-69-5 - f 3 Oak Hill Dr . , • lot 66, KR#2B, 'Oroville r �l i a • - �, +i `4 <,, - .t rem � , nl f l Temp.'Power Pole Called PG&E. 'T mp. Elec. Serv. ' Called PG&E jjemp. Gas Serv. Called PG&E OB FINALED % ✓� �% �% (Dat . (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTIOW RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback 0 Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows A 3rd Floor StemwaII Siding To out Slab Roof Sheathing Water Piping Piers / Roofing Sewer Garage Fdn. Vents Fixtures Footings StemwaII Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for ph sically handica ed Conformance of ex. structure Appliances Gas Piping & Test/ Temp. Gas Slab Final " Sanitation Patio FIREPLACE Final Footings Footing / ELECTRICA F Bond rraming I Test Water Htr. Stucco Final Suboanels Mesh N MECH NICAL Grd. Fault Prot. Scratch ! Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Penman Door Closer Final Final MOBILEHOME UTILITIES- Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping Mg0l6EHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping , DATE REMARKS OR CORRECTIONS (NOTE: An entry.must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 COunty�Center Drive - Orovi Ile, California 95965 A` Teleppone: 5�4-4541 APPLICATION AND PERMIT DateM�i4 Signature of Permitee or Agent/n1 /� 7� (A V B Date Receipt No. �- 7 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Building permit expires Date _�"X_�'( 10A BUILDING OwneraLV,y` �1-�Q1ST�P — SQ. FT. OCC. B ILDING VALUATION L1440 U_ Mailing Address 5-(QC)«-bltfd\WQ��vp r S Ing d _(50 I Telephone No. g(, (/ Contractor �p�y�sb�1LG �f"JWl S(� Mailing Address 31y « k 1`H Fireplace Total Valuation e -q (`OVkLA-e c � l 6g Telephone No. S3K-$SO, Permit Fee Building Address t,, O A 2 Plan Checking Fee&/or Penalty Permit Fee 3 PLUMBING No.1 @ FEE OULt,i. PERMIT FILING FEE' $3.00 Each Trap 1.50 Repair drainage or vent piping 1,50 A. P. No.. Zoning & Planning Water piping 1.50 Each gas water heater or vent 1,50 F s W.C. serrioiY Fire Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 EGA Parking Pia Parcel Declaration Parcel Map 60' R/W Improvement Each additional outlet .30 Building sewer 5.00 Bldg. P V Recd Parcel A al Plan pproval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ y2�&, :t LA c), 2C)�2Z (-_Av.R IV— ELECTRICAL No. @ FEE \b`X2'ytAWrntv�� S�1t33�WC,L�v�6Z �w►��w(� PERMIT FILING FEE $3.00 S,OV Main service 100 AMP ORLESS5.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER s 25.00 100 AMP O OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNS. ( ACC, 10SCCUP. 51 2�sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the, State of California Business & Professions Code under the name 1\ stylnkW� Vv`CJ�~1, �ptM�G S�QV\C`G NEW CONSTR MULTI.OUTLET NON.RESID BRANCH CIRCUITS/ 2.50ea NEWCONSTR.(POWER APPARATUS B NON .RESID, SINGLE OUTLET CIR. Ex. Occup{OUTLETS OR FIXTIiRES g @2j FIXED APPLNS. OR Ex. Occup. (OUTLETS (RESID,) EA) 2.00 Temporary Service 10.00 Mobile Home Facilities 15.00 t License No. 3Z -`' Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ �/ Q - MECHANICAL No. @ 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. XI have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. 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 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspecti n purposes. Land Development Fee $ TOTAL PERMIT FEE $ C This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above which fees have been paid. r)iA=rTralb/ne DII01 It uinolce DateM�i4 Signature of Permitee or Agent/n1 /� 7� (A V B Date Receipt No. �- 7 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Building permit expires Date _�"X_�'( 10A .� 2@05®oo44421 RECORDING REQUESTED B Recorded I REC FEE 1®.{ , Official Records I Count of I CONI:Onmrn COPY 1 60 Butte 1 CMAM I 6RUBBS County Clerk-Recorderl AND WHEN RECORDED MAIL TO: • I `IB 0.10: 12M 29 -Jul -M I Page 1 of,2 ' BUTTE COUNTY BUILDING DIVISION IIII"III"I'I'I�III'III'III�II"I 7 COUNTY CENTER DRIVE OROVILLE CA 95965 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at -the request of•the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty -below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. MICHAEL L. TEMPLE BUTTE COUNTY BUILDING DIVISION REAL PROPERTY OWNER/LESSOR LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 3 OAKHILL DR. 7 COUNTY CENTER DRIVE MAILING ADDRESS - - MAILING ADDRESS OROVILLE BUTTE CA 95966 OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP - CITY COUNTY STATE ZIP 0 3 OAK HILL DR. 05-186 530 538-7541 INSTALLATION MAILING ADDRESS, IF DIFFERENT - BUILDIN ERMIT NO. TELEPHONE NUMBER OROVILLE BUTTE - CA 95966- , CITY COUNTY STATE ZIP - - i TI RE OF LOCAL A CY OFFICIAL DATE SAME NONE UNIT OWNER (if also property owner, write "SAME") + DEALER NAME (if not a dealer sale, write "NONE") SAME NONE MAILING ADDRESS - DEALER LICENSE NO. SAME , CITY - COUNTY STATE ZIP UNIT DESCRIPTION KAUFMANBROAD 1979 UNKNOWN MANUFACTURER'S NAME .DATE OF MANUFACTURE MODEL NAME/NUMBER SNA/B012117 50'X 24' 162734/5 SERIAL NUMBER(S) - LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER 069-050_005 SEE ATTACHED S E E t --,K t+ r 0 I T A' r HCD_FORM 433(A) REV. 8/91 ` WHITE - County Recorder CANARY - NCD PINK - Applicant GOLDENROD - Building Dept. ' i z f WHEN RECORDED, MAIL TO: MICHAEL G. TEMPLE + 80 BEAVER RD OROVILLE, CA 95966 ' 210 Q1 A+ tb2� 2tb 1 ' Recorded I REC FEE 7.00 Official Records I Countyy Of CANDACEUJTEGRIIBBS Recorder ROSEMARY DICKSON [ Assistant I,Travis 10:56AM 09 -Apr -2004 1 Page 1 of i MAIL TAX STATEMENTS TO: DOCUMENTARY TRANSFER TAX $ MICHAEL G. TEMPLE -� . Computed on the consideration or value of property conveyed; OR 80 BEAVER RD Computed on the consideration orvalue less liens orencumbranoesremaining OROVILLE, CA 95966 at time of sale. Signature of Declarant or Agent def6rtnining tax - Firm Name APN 069-050-005. GRANT DEED FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,. MICHAEL L. TEMPLE, an unmarried man, and MICHAEL G. TEMPLE, a married man, as Joint Tenants, hereby GRANT to: ' MICHAEL G. TEMPLE, a married man,and his sister, DANA LYNN TEMPLE, an unmarried woman, as Joint Tenants. The real property in the Unincorporated Area, County of BUTTE, State of CALIFORNIA. described as:` Description: Lot 66, as shown on that'eertain map entitled, "KELLY RIDGE ESTATES UNIT NO. 213," which map was recorded in the office of the County Recorder of the County of Butte, State of California, on November 19, 1973 in Book 43 of Maps, at page(s) 27, 28, and 29. Property address: 3 Oak Hill Drive' O v' le �CAAn9�5966"This is b gaffagrantor received nothing in return, R&T 11911." ?4-r G MICHAEL L. TEMPLE MICHAEL G. TEMPLE STATE OF CALIFORNIA COUNTY OF BUTTE On q Aril •2004 beforeme,/7EF46'%1. il,/ ��/ld-✓V(S , a Notary Public, personally appeared: MICHAEL L. TEMPLE.and MAEL G. TEMPLE [ 1 personally known to me, or, [troved to be on the basis of satisfactory evidence to be the persons) whose name(s) is/ subscribed t thin instrument and acknowledged to me that he/she^y �Xecuted the same in helsh ey 'uthorized capacity(ies), and at by his)he / reit 'gnature(s) on the instrument the person(s), or the entity ehalf of which the persons executed the instrument. , WI E S my hand and official seal. WH 7HERWILLIAM3 OO M, tr t4TWt RY PUBLGCALIFORNIA BUTTE COUNTY 0 M. EXP. MARCH Z, 2006 -� r F1 -. ��30 q