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069-120-039
.. _ �r _-.�•<... . .. "'..,�:p"•"r" --- _- • - .� .,�-r.-+^ - .r.,r +ti{ati r�•... - {..'.••*�+n; 'tr - ra.r 4,.w ..y,..■�r•' vl"..+ - t r Dan L. Whitcomb ;291 • 474 Sil.Verleaf . , lot 101, KR##,Oro Permitk 708-77P,E ti1.,MH) ELEC . SUPPORT STRUCTURE REQ. ` e' ' .. COMPACTIAI TEST REQ. f.yG tb_ ��J JJ .• r is Cont: Carneros MH, Napa" Permit x##4371-77MHI Issued contr" : Holmes-Mabile Home Serv., Bangor Permit #5108-77 ;E(new deck, awning--& ' a garage/MH) 1 - 069-120-039 04-1325 WHITCOMB, DAN 474 SILVERLEAF DR, O x Cont: SIERRA MOBILE S EX MH PERM FND 0 01.2 CSI CnI; RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 IIII "I�I"III'I'II"III 2004-0030648 "II I'I I�I Recorded I REC FEE 10.00 Official Records I CONFORM 1.00 Couunt f I COPIES 2.00 BUTTE I CANDACE J. GRUBBS I Recorder I ROSEMARY DICKSON I Assistant I Kathy 11:51AM 24 -May -2004 I Page i of 2 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY -NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM ' Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real.property described with.certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. DAN L. WHITCOMB and MARGRET G. WHITCOMB REAL PROPERTY OWNER/LESSOR 474 SILVERLEAF DRIVE MAILING ADDRESS OROVILLE, BUTTE, CA 95966 CITY COUNTY STATE ZIP INSTALLATION MAILING ADDRESS, IF DIFFERENT CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME') SAME MAILING ADDRESS _ SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 17 COUNTY CENTER DRIVE . MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP BP04- 325 530 538-7541 BytrbIWERMIT NO. T LEPHONE NUMBER t 5/18/04 SIG ATURE OF LOCAL At%NC11 OFFICIAL f DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. UNKNOWN 1977 MTN HOME MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER 2568B 24X60 CAL063564/5 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER 069-120-039 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK -Applicant GOLDENROD- Building Dept. i;p a all that real property situate in the Unincorporated Area County of llutte State of California, described as follows: l.ot 101 , as shown on that certain map entitled, "KELLY RIDGE: ESTATES UNIT NO. I", which map was filed in the office of the Recorder of the County of Butte, State of California on October 30, 1970, in [.look 38 of Maps, at pages 5, 6, 7, 8, 9 and 10. This conveyance is made subject to all of the covenants, conditions, restrictions. terms and provisions contained in that certain amended.Declaration of -Restrictions (KELLY RIDGE ESTATES) filed in'the office of the Recorder of the County of Butte. State of California on May 3, 1972 in Book 1755 of Official Records, at page 65, and subject to all other easements, rights of way and restrictions of record. - NOTES RESIDENTIAL PERMIT NO. A SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER J=OK 0 = Not Olt . = NotReadyable 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-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ P' L 'ft. / P Nat. or / P' L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing Date 11. Card B-1 Date Card B-1 Date 12. Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except ft 1. Zoning Requirements -Setbacks -Easements Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line Card B-1 Date Card B-1 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 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date 11. Card B-1 Date Card B-1 Date 12. Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements Card B-1 Date Card B-1 3. ootings; Size -Spacing -Marriage Line Blocking Card B-1 Date Card B-1 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 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 C�,� �,3 5 6 e. ' MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except k's 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche t 12. Enclosure; Fencing -Alarms r 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 Hangers -Post Caps -Anchors -Connectors 1. Zoning -Setbacks -Easements -Flood -Slope 49. 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 52. 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth Property Line Firewall & Openings 5. Stemwalls, Main; Steel -Blockouts-Wrapped 55. 6. Stemwalls, Garage; Steel -Bloc kouts-Wrapped Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 6a. Hold Downs and Special Anchors 58. 7. Slab, Steel -Wrapped Glazing Area -Glass Protection -Skylights -Plastic 8. Piers -Fireplace Ftg.-Steel 61. 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 77. Wtr. Htr; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection Date 78. Card B-1 Date Card B-1 Date 79. Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Insulation -Foam -Looked in Attic 17. Water Htr.; Vent -Access -Combustion Air Baffle Guard Rails & Deck Construction -Post Caps 18. Water Pipe; Test & Anchor -Nail Protection Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 19. D.W.V.; Test Fittings & Anchor -Nail Protection Clearance Looked under Floor ❑ Yes 20. Shower Pan; Test, First Floor -Tub Access Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 21. Test Tub & Shower, Second Floor -Tub Access Stucco Brown -Finish 22. Gas Pipe; Sixe & Anchors A.C. Unit Disconnect, Electrical -Plumbing 23. Fire Sprinkler; Test Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 90. 24. Fixture & Transformer Clearance -Ins. Protection 91. 25. Elec. Receptacles Spacing -Lights & Switches at Doors 92. 26. Size Boxes & No. of Conductors Stapled 93. 27. Romex Installed Close to Edge of Studs & C.J. 94. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 95. 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 96. 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral O Yes 0 No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector 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 A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. 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 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 ❑ Yes _ 83. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 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 96. 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 M (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) FAMOFFICE M (530) 538-7541 FA(530)538-2140 WEBSITE: www.buttecounty.netWds PERMIT NO. BP041325 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 05/14/2004 APN: 069-120-039-000 the Business and Professions Code, and my license is in full force and effect. License Class : License Number: y%G3Y6 r Site Address: 474 SILVER LEAF DR ORO Date: �� d Contractor: Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: EX MH EX SITE(1440) Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner' WHITCOMB, DAN to its issuance, also requires the applicant for such permit to file a 474 SILVERLEAF signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section OROVILLE CA 7000) of Division 3 of the Business and Professions Code) or that he or 95966 she is exempt therefrom and the basis for the alleged exemption. Any 589-3699 violation of Section 7031.5 by any applicant for a permit subjects the (530) applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: WHITCOMB, DAN owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one 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.). O I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, Contractor:- SIERRA MOBILE SERVICE and who contracts for such projects with a contractor(s) licensed . BILL REID pursuant to the Contractors' State License Law.). 466 CIRCLE DRIVE ❑ 1 am Exempt under Article 3 of the Business and Professions Code OROVILLE, CA 95966 530-534-0599 Date: Owner: License M 470386 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 Architect: is issued. have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: ) Total Square Ft: 0 S. F. Policy #: z- Valuation: $0.00 ❑ I certify that in the performance of the work for which this permit is Census Code: issued, 1 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. S 0 tr Date: Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. g05835 -1 5 41.9 a 5/r o j64 CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Code anrvor I hereby affirm that there is a construction lending agency for the Resolutio s do work ind'cated a ove fo which fees have been paid. _ performance of the work for which this permit is issued (Sec 3097 Civ.) SO Name: By ate: / PERMIT EXPIRES ON: Address: ate ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am 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 B tte County to enter upon the above mentioned property for inspection purposes. Print Name: r I 0 Signature: Date: 0 Owner jr� ontractor ❑ Agent for Owner ❑ Agent for Contractor RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, . INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon -the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. DAN L. WHITCOMB and MARGRET G. WHITCOMB REAL PROPERTY OWNER/LESSOR 474 SILVERLEAF DRIVE MAILING ADDRESS OROVILLE, BUTTE, CA 95966 CITY COUNTY STATE ZIP INSTALLATION MAILING ADDRESS, IF DIFFERENT CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP BP04- 325 530 538-7541 B D ERMIT NO. T LEPHONE NUMBER 5/18/04 SIG ATURE OF LOCAL A ENC OFFICIAL I DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. UNKNOWN 1977 MTN HOME MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER 2568B 24x60 CAL063564/5 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER 069-120-039 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PrNK - Applicant GOLDENROD -Building Dept. BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES "BUILDING PERMIT APPLICATION - 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP o#-/51�;s DATE: .5 10U� Y APN: /^ G Q _ f d - C) 3 9 V ( ZONING: OWNER'S LAST NAME: OWNER'S FIRST NAME: N PHONE:. Sffq 3G 9. T STREET ADDRESS: 7c� 17 FAX: CITY, ZIP: r& V t �,� E-MAIL: SITE ADDRESS.: S CITY, ZIP: NEAREST CROSS STREET: TRACT/LOT it. APPLICANT NAME: S5 ,��� �ia�1�E SE�i�c PH6-5c/ 0,57 -7 9 STREET ADDRESS: y6�v C 1,eC �. E O r�r vE FAX: 7 0 � CITY, ZIP: e vr�c.(�� 9s�66 E-MAIL: CONTRACTOR NAME: 5 /E62,<A AC)elA-£ s,cXV/C l_ PHONE:S3 `, ©S;-/0 7 9 STREET ADDRESS: FAX: CITY, ZIP: do v 1,4 L f, �� gs�6 E-MAIL: LICENSE NUMBER: g� /NAME: LICENSE TYPE: ARCHITECT/ENGINEER? PHONE: STREET ADDRESS: FAX: CITY, ZIP: LICENSE NUMBER: EMAIL: DESCRIPTION OR'SCOPE OF WORK: /' leo Fir MSV/L� j�o�i F FUS � OBIT/6 A/ ❑ 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 fees will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. For office use only: /. Notes: 'asp Application Received by: Date: S Aj —6 Receipt number: l/O'-g sC? ( Amount Received: T/ -/q. Master application 311-04 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) C317. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ❑ 20. Erosion Control Plan Required........................................................................ ........ ❑ 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 2'2. City of Chico Plumbing permit ........................... :............................................. ❑ 23. California Department of Forestry plan approval Ci paid. Sent by: ............. ❑ 24. Planning approval (A) Use: (B)Parking: (C) Parcel Check: ❑ 25. Contact Land Development about _ Improvements, _ Drainage.......;; .. ................ ❑ 11 ,26. NPDES Form.............................................................................F.............. ❑ .... 27. Encroachment Permit for driveway from the Public Works Dept........... .............. 28. Pre -Inspection for rl>g in H, r), Vim required....... 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... El 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization .................................. ....:............................. ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ 35. Existing violations and/or expired permits,........................................................ ❑ 36. Deed Restriction.....................................................................................,..//.. ❑ 37.�Grant Deed,1%.H. Title/Statement of Facts, ❑ Letter from Legal Owner,L�ICheck to H.C.D. $ ❑ 38. Other: ❑ 39. Other: .��/ -_�).� - l°ra4r, . When issued Telephone and hold for pickup. I have beeninform d of the above items and requirements for obtaining a building permit. Applicant;'.,_.) Date: 1. Index permitrappiicatiAPlan Check Letter 2. AdPor, al items required 7 ' ntrdesigner, owner, was advised of the above data by phone, ❑ mail, ❑ counter, by � Dater C/ designer, owner, was advised of the above d ita by phone, ❑ mail, 01 counter, Date: Plans reviewed by: /1/�p,. -Date:, ' -0 Plans approved by: Date: Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET 1*j C b, OWNER: 1 / T M lul-)✓j ASSESSOR PARCEL NUMBER Proposed Building Use: rX 0:9f "n r Counter Technician: Date: 04 Iterequired in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. .� lms 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. . j ❑ 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 faxes! ❑ 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 A/C for Non -Residential Buildings. 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, fWie down 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. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form ^. ❑ 15. .Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) C317. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ❑ 20. Erosion Control Plan Required........................................................................ ........ ❑ 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 2'2. City of Chico Plumbing permit ........................... :............................................. ❑ 23. California Department of Forestry plan approval Ci paid. Sent by: ............. ❑ 24. Planning approval (A) Use: (B)Parking: (C) Parcel Check: ❑ 25. Contact Land Development about _ Improvements, _ Drainage.......;; .. ................ ❑ 11 ,26. NPDES Form.............................................................................F.............. ❑ .... 27. Encroachment Permit for driveway from the Public Works Dept........... .............. 28. Pre -Inspection for rl>g in H, r), Vim required....... 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... El 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization .................................. ....:............................. ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ 35. Existing violations and/or expired permits,........................................................ ❑ 36. Deed Restriction.....................................................................................,..//.. ❑ 37.�Grant Deed,1%.H. Title/Statement of Facts, ❑ Letter from Legal Owner,L�ICheck to H.C.D. $ ❑ 38. Other: ❑ 39. Other: .��/ -_�).� - l°ra4r, . When issued Telephone and hold for pickup. I have beeninform d of the above items and requirements for obtaining a building permit. Applicant;'.,_.) Date: 1. Index permitrappiicatiAPlan Check Letter 2. AdPor, al items required 7 ' ntrdesigner, owner, was advised of the above data by phone, ❑ mail, ❑ counter, by � Dater C/ designer, owner, was advised of the above d ita by phone, ❑ mail, 01 counter, Date: Plans reviewed by: /1/�p,. -Date:, ' -0 Plans approved by: Date: Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division 1 • COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Cente? Drive, Oroville, CA 95965 Phone (530)538-7541 Tax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: �(/ Jf(jm �/9T_ASSESSOR PARCEL NUMBER Proposed Building Use: [ X M f'}. .'m Counter Technician: 7e. Date: 15- Itemp required in order to apply for a permi . All boxes MUST be checked OR marked NA in order to apply. Vi 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 A/C for Non -Residential Buildings. 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, Wie down 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.. Site plan and business license approval from the City of Biggs. ❑ 12. Letter of intent for non-residential buildings. ❑ 13. Detached Accessory Building Form filled out by the owner. ❑ 14. Hazardous Material Form. ❑ 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers ❑ 1.8. Agricultural'Buffer clearance and site plan approval from the Ag Commissioner's office ❑ 19. Soils Report and/or Engineered Foundation required. ❑ 20. Erosion Control Plan Required. ❑ 21. Fees as shown on the attached Schedule of Fees Due Sheet. ❑ 22. City of Chico Plumbing permit. ❑ 23. California Department of Forestry plan approval ❑ paid. ❑ 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. (construction approval prior to occupancy). 28. Pre -Inspection for f X yam, a. --)am 07 required. ❑ 29.. Contractor's license information. (Nun ber, Name Style, Classification). ❑ 30. Worker's Compensation Carrier and Policy Number. ❑ 31. Owner -Builder Verification (_ Given to owner, _ Mailed to owner). ❑ 32. Letter of Signature authorization. ❑ 33. Recorded copy of Agricultural Acknowledgment Statement. ❑ 34. Manufactured home utility clearance. ❑ 35. Existing violations and/or expired permits. ❑ 36. De d Restriction. ❑ . 37. Grant Deed,Z%.H. Title/Statement of Facts, ❑ Letter from Legal Owner,�heck to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issued Telephone and hold for pickup. I have been inform of the above items and requirements for obtaining a building permit. Applicant: Date: EXPIRATION OF APPLICATION Applications for which a permit.has not been issued will expire one year after date of application. In order to renew action on an application after e.xpiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person -who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done., Filing fees, plan check fees for work plan checked and other department costs are not refundable. Original -Applicant T, RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 24 -May -2004 2004-0030648 Has not been compared with original BUTTE COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is. evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. DAN L. WHITCOMB and MARGRET G. WH TCOMB REAL PROPERTY OWNER/LESSOR 474 SILVERLEAF DRIVE MAILING ADDRESS OROVILLE, BUTTE, CA 95966 CITY COUNTY STATE ZIP INSTALLATION MAILING ADDRESS, IF DIFFERENT CITY COUNTY - STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP BP04- 325 530 538-7541 B ERMIT N0. LEPHONE NUMBER . . 5/18/04 SIG ATURE OF LOCAL A ENC OFFICIAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE".) NONE DEALER LICENS&NO UNKNOWN 1977 MTN HOME MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER 2568B 24X60 CAL063564/5 SERIAL NUMBER(S) LENGTH X WIDTH INSIGERS) NIAILABEL NUMB REAL PROPERTY LEGAL DESCRIPTION QTM A TT A rT-TPTI ASSESSOR'S PARCEL NUMBER 069-120-039 UPT1 FnAM AIV Al RF.V. R/91 P➢ all that real property situate in the Unincorporated Area County of Butte , State of California, described as follows: lot 101 , as shown on that certain map entitled, "KEI,LY RIDGE ESTATES UTN tin. 1". which map was filed in the office of the Recorder of the County of ButW, State of California on October :30. 1970, in Book 18 of ,laps, at pages 5, 6, 7. 8. 9 and 10. This conveyance is made subject to all of the covenants, conditions, restrictions, terms and provisions contained.in that certain amended Declaration of Restrictions (KELLY RIDGE ESTATES) filed in the office of the Recorder of the County of Butte, State of California on May 3, 1972 in Book 1755 of Official Records, at page 65, and subject to all other easements, rights of way and restrictions of record. BUILDING PERMIT NUMBER: 04-1325 Address or location of unit: 474 SILVERLEAF DRIVE OROVILLE, BUTTE, CA 95966 Legal Description of Real Property: SEE ATTACHED (x) Mobilehome/Manufactured Home () Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name:DAN L. WHITCOMB and MARGRET G. WHITCOMB Owner's address: 474 SILVERLEAF DRIVE, OROVILLE CA 95966 INSIGNIA OR HUD NUMBER: CAL063564/5 SERIAL NUMBER OR V.I.N.: 2568B/A MANUFACTURER'S NAME:UNKNOWN YEAR: 1977 OFFICIAL APPROVING INSTALLATION: DATE: May 24, 2004 PHONE: (530) 538-7541 H.C.D. 513C 05/07/2004 10:34 FIDELITY TITLE OROV I L.LE 4 534070-3 NO.424 002 STATE OF CALIFORNIA - SUBINE33, TRANSPORTATION AND HOUSING AGENCY ARNOLD SCHWARZENE03ER, COVSMOf DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENTSING.1,1b cada6 Stertasrds m Dletreon of and , Title Search Date Printed : 0510512004 Decal #: AB02985 Use Code: SFD Mawifacturer: MOAILEHOME Original Price Code: AFZ Tmdeaame: MTN SOME Rating Year: 1977 Model: Tax Type: ILT Manufactured Date: 00!0011977 Last ILT Amount: $21.00 Registration Exp: 09/30/2004 Date ILT Fee Paid: 09.16/2003 first Sold On: 09!22!1977 ILT Exemption: NONE Serial Number IUD Label / Insignia Length Width 256811 #,itiatM CA u 04,?1 4(-4 b0' 12, 2569A ug== c ptt, O 12' Record Conditions: PPF Exempt Registered Owner: DAN AiilTCOMB Trustee 474 SILVERLEAF DR OIRO'VILLE, C.k 95966 Lost Title Date: 023]4!1997 Lust Reg Card: 00A 8/2003 Sale!Transfer Info; Unknown Situs Address: 474 SILVER! EAF DR OROVILLE, CA 95966 Situs County: BUTTE, Inactive DecabVVV: DMV $08410, DMV SG8409 Title Searches: FIDELITY NATIONAL TITLE 455 ORO DAM BLVD SUITE A OROVILI.F., CA 95965 Title File No: 106223 "** END OF TITLE SEARCH "*� �t .N 4 � •r it 1 . 10:34 FIDELITY TITLE OROUILLE -� 534070E+ weoehglMa r,rouesTto n .Ng r.tN 0tW01kpaR ra,0 Ve If"- Dom L: iibiteemb 1761 34th Atanito ;y'� L0 RtAtieitoo, Callfocaio 8jf1EeCatm 1.04pS t e(c•;:; r(ber:trotr Rif", MOM00: JUL 11 1143 AN OTO taillsC7UNtT AtCOROtA� ru Title OmAtt No _ P4"_ Wo 1009 Address Uses asu..a. sem. e L ePACa • 90pt ►N1r a1Ng 109 k060aO[q19 uee ---..� �j taoeom,eurr tnnito, w 1.9.40 ............. =Ccnputat oil101 ,61191 of props,lp a+s►rsad,•6, 0 Oeapeud on tug sarw 14" IN`16 4644r1t. rYlir a1hIM rbo— al W v al / _J stmt 40M.m. 4,.�oi��rcic►.,a�, 001�. I .�a,•u.w.lww..l..Nnwnanly.0•aro.r. ,� TAY ?AD Corporvion brant eeb FOR VALUE RFCSIVFD. SOUTKERN CALLMRNLt FrjANCtAI. CORpOf.ATtaid ' GRANTS _ to V DAN L. i'" gal 0- MCOU. losbnsd grad sito as Jalat TeawA%s aA trot R� ProP«h' Jluato h+t,ho V . Ibalaeorparsted Arott �"M�' al DuUo slate of Csliforait, dncr%w a room: L4 101 , &A 'Nm oa ihst eauin map entiQeq, "KELLY RM CE 1SfA u LfRrr NO. 1", which map woe filed in the offtee of tho Hneealer of the Cow* of Bente. State of C41,1.6en t tA4r. 30. 1970, In Haat 9 of Maps, at papa S. 6. 7. 9. 0 And 90 'BLio oonra'anoe la gado subject to all of the eoeaAaato, eovoltloao, eootriotleu tactics wad p wrl>lon► conteloed .la that cortAla aftoded Doalarstiee of Woettietieeo ([illi RIDGE ESTATES) tiled 1a the office of 1169 Reogrdet of tie Coq%r of /bate, State of Col•iforble on kV 3, IM It 9061t 1T53 of QJflcial Records, a6 Pape 650 gal onbjact. to All otter O'soMstt, slgbto of 04f 04 rel trlotloe� of roaerd, IN 10 -mem A'IIEPZOF. uW aalp4dioo has *Aw6Ud there laoretaa b it, oRuwt Ulatlmlo dais adtho,txcd• We 19tb do of Jolt to t/ SOU -1 14 M.11PORh1A F I ASML CORPORATION o 11YCi TITL! CO�AItY 87ATS OF C-Mr1lmm cowry ON nVITA ) Ily On�gli•dl!— tot.iN PACT Ao K. Ca lh utast lulUertl nrJ, ' 4cfoto PM, ITS AT(O Iho tt1YRi p lwroanully nplluaruJ Ya. oletawa acid ws R. Ca r•1,��_hnrrt<n to e:e 10 ue the ee- Presirl4•ut and Ipo.618lotast FCc►ctwry of ttlo corporttlon lbat cuce,ltcQ the lllbin lnftrt4acn, ahU elan to be the persout Rho o-cooutod It on lmhnlf of loch corperatann, and ncNuoalr,tpo,! Io c,a Uha.t ouch eorperotlon rreoulod Iho o.me As eftorngy in fnct or Soulitcrh Callfornln Flnanctal Carporatlon Dncl oe►no,rledpod to 1.10 ItIR011cr oobtcrihou thl; honor of Southern C311(nrnt6 Ftalsncial Cara-ar_ 811011'1 foto no prtncip4l anU put to Co mfr Title Cr Zont'a nano as Ott tory q (act, Plolafy N, 1l0 � • NO. 424 D03 A� a'®w MOYAar 99A►Oa Iter► MUOnEO L 11RAYIt `/GAWl7 _ l:.L. Writ: cuuvrr Mr C.46114.. a.P.., Mr 13. tars 111 NII.NI,.,.I W1.111"11 a1aA,A�YIq! CM �R Building Permit Number: 0 �-13ZS Owner Name: ,Lk)k6 -FCO rK.b Residential Construction Requirements IMPORTANT This set of plans and specifications MUST be kept on the job site at all times and it is unlawful to make any changes or alterations on same without written permission from the Building Division, County of Butte. All materials and workmanship shall be in accordance with recognized good practices and of a quality prescribed for the specific use in the 2001 California Building Code (2001 U.B.C), 2000 California Plumbing Code ( 2000 U.P.C.), 2000 California Mechanical Code (2000 U.M.C.) and the 1999 California Electrical Code (1999 N.E.C.) COMPLY WITH ITEMS CHECKED BELOW Your parcel lies within a designated 100 -year flood plain. Finish floor, electrical, H.V.A.C. equipment and services shall be a minimum of one foot above the elevation shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate will also be required Note: We will normally accept the following as compliance with the flood elevation requirements: 1. Building is anchored to concrete stemwall system with conventional anchor bolts. 2. Building plate on top of stemwall to be one foot or more above the 100 -year flood elevation. (Plate height less than 24" above grade, or engineered design required). 3. Electrical, heating, ventilation, plumbing and air conditioning equipment and facilities located above the plate. 4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total net area of not less than 1 square inch for every square foot of enclosed area. 5. The bottom of the openings shall be no higher than 1 foot above grade. 6. The openings may be screened or covered with other devices that will permit automatic entry and exit of floodwater. Page 2of 2 Building Permit Number: Owner Name: sm Parcel lies within the State Responsibility Area (SRA). Comply with attached requirements. 0 Fire sprinklers are required in this structure. 11 The following parcel map requirements shall be met: All structures and equipment including overhangs shall be clear of all easements. A setback of feet from the side and feet from the rear property lines and 20 feet (25 feet if Federal Aid Route) from.the edge of the right of way shall be clear of structures and equipment except for a 2 foot overhang. Expansive soil may be encountered on this site. This condition may require the foundation to be designed by a California registered engineer or licensed architect. BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBI EHOME INSTALLATION SHEET 1. Owner's name: Dan L. Whitcomb Lot 101, Unit 1 2. Installer's name: Carneros Mobile Transport 3. Is the site currently under permit? Yes / X/ No (If yes, furnish permit number 2708-77P,E ) OR Is the site an existing site? Yes / / No /X / (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 / X/ No (If no, clarify 5. What is the mobilehome electrical rating? ----------------------- 200 Amps 6. What is the mobilehome site service rating? --------------------- 200 Amps 7. What is the mobilehome site circuit breaker rating? ------------- 200 Amps 8. Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------- Yes / / No /XX / (If yes, identify the load and size: (Load) -0 (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- -0- (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? -0- (ft.) 12, What is the mobilehome gas demand? ------------------------------ -0- (BTU) (Thisl- information not required if pipe length less than..6: ft...on. natural. gas._....... or less than. 50 ft. on LPG.) t3UTTE CU MOBILEHOME SUPPORT DATA Mobilehome Mfr. Mountain Valley Homes Setup Model No.2BDR RK year 1977 NET Width 24' (ft.) Length 60' (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). S ingle Center Support Footing Sizes (in.) 7 24 x 301 124 x 30 (in.) (in.) ^24 x 39 � f, fb.) in. (in.)(in.) 1� . FAY � l�) - 24x 301 L ._. 1 (in.) (in.) J c E: Footings (check or /X/ 1. Wood either pressure treated c a fdn. grade. fig 2. Concrete pad. 3. Other, specify i I i Supports (check or I $X/ 1. Concrete block 2. Concrete piers 3. Steel piers I / / 4. Other, specify I Typical Support �12 30 Footing Size iri.) (in.) i i 4. i Max. Pier 5 - 6 I Spacing (ft.) (-in:) Max. 1_ 0 Overhang (ft(in..) *If center piers are other than drawn above, draw in locations, spacing, and dimensions. -T-TE: COUNT : DFPA BUTTE COUNTY BUILDING DEPARTMENT APPROVED Vector Dynamics Foundation System INSTALLATION INSTRUCTIONS for the State of California Version 9/2/2003 SECTION INTRODUCTION GENERAL INSTALLATION PARTS LIST LONGITUDINAL DEVICES PIER HEIGHTS - SET -UP INSTRUCTIONS FOOTER SIZES INDEX PAGE NUMBER 2 3 4&5 6 7- 8 RELEASE DATE .9/2/03 9/2/03 9/2/03 9/2/03 9/2/03 . 9/2/03 WIND ZONE I - SINGLE 9 9/2/03 -`DOUBLE_ 10 - TRIPLE 11 9/2/03 . - HIGH PIER 12 9/2/03 WIND ZONE II - SINGLE 13 9/2/03 - DOUBLE 14 9/2/03 - TRIPLE 15 9/2/03 V -DRIVE & PIER SYSTEMS 16 9/2/03 SOIL CLASSIFICATION 17 9/2/03 CONCRETE INSTALLATION 18 & 19 9/2/03 COMPONENT PARTS AVAILABLE UPON REQUEST 'Approval MANUFACTURED HOME/MOBILE HOME FOUNDATION SYSTEM RMTA AND SAFETY CODE,.SECTION 18551 APPROVED SUBJECT TO CORRECTIONS"NOTED PROVAL DOES NOT AUTHORIZE OR APPROVE ANY JSSJONS OR DEVIATION FROM REQUIREMENTS OF APPLICABLE STATE LAWS AND REGULATIONS Stato of California Thi&Pi=A YHout/io��J®d Community Davol -i TII1V&N;DES AND STANDARDS (61gnowa) BUTS COON t y'AUIL ING DEPART,,4 Itr 031 t -- co Lq c; O N O 0) O Tie Down Engineering, Inc. VECTOR DYNAMICS INSTALLATION DESIGN INSTRUCTIONS Introduction These instructions describe the proper use of the lateral and longitudinal foundation system. You may also refer to the home manufacturer's installation manuals that include the Vector Dynamics system as an alternate foun- dation system. General The Vector Dynamics Foundation System provides the support to resist lateral, longitudinal and over -turning movement of the home as required by the Federal Manufactured Home Construction and Safety. Standards in a specified wind zone when the system is used as described in these instructions. Please verify state or local wind load requirements prior to installation of the home. The Vector Dynamics Foundation System resists lateral & longitudi.nal wind & seismc loads by anchoring the two longitudinal main rails. The system is approved to be used on single or multi section homes: Nominally 12 feet to 16' feet wide- (single section) with main rail spacing of 95 inches or greater on center; multi section main rail spacing of 75 inches or greater on center. Nominal 8 foot or less top plate height at sidewalls,with main rail depth of 12" or less. Maximum roof slope of 20 degrees (4.4" in 12" slope). Maximum eave width (roof overhang of sidewall) of 12" for Zone. I, 8" fo Zone 11 Maximum pier height under main rails -see page 7. The Vector Dynamics Foundation Systems may be used as a part of the vertical or gravity support system con- sidering that each Vector Dynamics pad has two (2) or (3) square feets.bearing area. To inquire about the use of the Vector Dynamics Foundation Systems with homes of four or more sections, other widths, or on homes requiring pier heights which are not included in these instructions, contact Tie Down Engineering, Inc. at 1=800-241-1806. The Vector Dynamics Foundation System has not been designed for use on exposure "D" homes within 1500 feet of the coastline. Additional vertical anchor ties that are unique to a home's design may be required by the home manufacturer. These locations may include shear walls, marriage line ridge beam support posts, end frame ties and rim plates. � c a Page 2 California GENERAL. INSTALLATION INSTRUCTIONS SITE PREPARATION It is necessary that the home site be properly graded and sloped to prevent water and moisture from standing or flowing beneath the home. FOOTINGS AND FROST LINES The Vector Dynamics Foundation System was designed to be placed directly on top of the ground (or poured concrete) after clearing all loose vegetation. In areas with frost heave, use Vector for Poured Concrete (see pages 20 & 21) to comply with local requirements for footer depth. FOUNDATION/FOOTING SPECIFICATIONS FOR VECTOR PADS Vector Pads are used in place of conventional foundation pads: One Vector pad provides two or three square feet of bearing support. Vector Systems should be spaced as symmetrically as possible along the length of the home. For pier locations in between the Vector Systems, use the normal foundation pads. LUMBER/MOISTURE -TERMITE SHIELD To cut PVC or lumber (2 - 2x4's,1 - 4x4 or 1 adjustable steel commpression member per Vector system) for the center compression section,when using concrete blocks for piers, measure center to center frame (I-beam) dis- tance and subtract 1.6". When using METAL PIER STANDS, measure. center to center frame distance and add 16". ALL WOOD MUST BE PRESSURE TREATED, GROUND CONTACT RATED. Tip: Pre-cut your lumber and mark as to brand or model of homes you will be installing. If frame widths are the same, the pre-cut boards will also be the same length in each Vector set-up. STRAP INSTALLATION All frame ties and diagonal straps must go from the anchor. to the top 'of the I -Beam. See illustration below. 1. Attach frame hook to top inboard location of "I" beam. (Frame hook must be attached to frame at points closest to floor support.). 2. Keeping in line with the hook, wrap galvanized strap completely around "I beam. 3. Pull strap past anchor head approximately ten inches before cutting to allow enough strap to give a minimum of five turns around the slotted anchor bolt. 4. Thread loose end through slotted bolt so that the strap is flush with the other side of the bolt. 5. Tighten slotted tensioning bolt a minimum of five full turns. Page 3 California 9/2/03. r Longitudinal Stabilizer Devices The use of LSD systems on a • single or multi. section home replaces longitudinal anchors, stabilizer plates and straps. The Longitudinal Stabilization Device (LSD) is vseci wA the Vector - Dynamics System to resist loads in the longitudinal direction (short dimension) of home. The number of LSD required is. shown on pages 10-13. LSD Combine Vector Dynamics T. � IG VIQYnGY `L VDD DypYO���J—rr•••.•_.• ... ...... v. ....v ..v... v. Exa m ple5 of Possible Placement:* Wind Zone (Contact TIE DOWN for placment in other Wind Zones) Triple Section Wind Zone I Single Section I I .I I I I I I I I I I I I I I I I I I I I I I ' Wind Zone Double Section 18 Ft. Max. 32 Ft. Max, Forgreater widths use triple section design. Page 6 j I 1 i Wind Zone l I I 1 I I I I I Tag 5ection I I I I I I I I I I I I I � 48 Ft. Max. California 9/2/03 I I 1 I I 1 � j I 1 i Wind Zone l I I 1 I I I I I Tag 5ection I I I I I I I I I I I I I � 48 Ft. Max. California 9/2/03 50 in max. Maximum Pier Height Vector Dynamics Foundation Systems may be used on single section homes in Wind Zone I which require pier heights (from surface of Vector pads to top of concrete or metal pier) not to exceed 50 inches under one or both main rail(s). Note that a ground anchor must be used at each Vector system location where the pier height exceeds 24 inches for single section homes. On multi -section homes in Wind Zone I, an anchor must be used at each Vector System location with pier heights above 46" with the following exception: double section homes that are 24' wide, in Wind Zoned., have a maximum pier height without anchors of 38". See page 12 for double section home high pier set instructions. 50 it max. Unequal Pier Heights Maximum Homes with unequal pier heights are limited to 50" maximum pier height. The difference bet een the taller pier and the shorter pier cannot exceed 26". i Page 7 California 9/2/03 t f 1. Set Vector. Pads 4. Inside brackets & straps ' Clear all vegetation where pads will rest. -Place'- Attach the inside tie brackets to the U -bolts over a long U -bolt in pad as shown. Press or ham- the compresion member. Attach a strap w/hook mer pad into the ground.. or swivel strap w/nut & bolt. ` Place other end of , the strap over opposite I-beam & down to out - 2. Set Block or piers on pads: ,side'tension bracket. Cut strap 12 - 15 inches, Center foundation blocks or piers on pads`. Place ' past bracket. Attach strap & slotted -bolt in - pre-cut center compression member between bracket. Tighten strap until tight -with 4-5 wraps blocks,, resting on pads, centers between'U-bolts around;bolt. Repeat with: opposite,strap. `. as shown. - - 3. Outside Tension Bracket Attach outside tension bracket as shown to out- side of pads. • _ • ' ` ' � - rte•,. • Page 8 Califor 9/2/03 ��YCi - it i;, JT�-•�1� / J =J J••Y`.�'::1:T'' J+ J 1 i /11 1ji `�'i\ _-► fs j1y�� t1 �' i 111 `.l. — J I IWM..J '^%ice + 3 �'� } 1J :}/ t =J - is e'er .pig✓ y'C 4..0 >, �. J. F'... �. � h�tJ\1k ,�, Ny 5 9 t f 1. Set Vector. Pads 4. Inside brackets & straps ' Clear all vegetation where pads will rest. -Place'- Attach the inside tie brackets to the U -bolts over a long U -bolt in pad as shown. Press or ham- the compresion member. Attach a strap w/hook mer pad into the ground.. or swivel strap w/nut & bolt. ` Place other end of , the strap over opposite I-beam & down to out - 2. Set Block or piers on pads: ,side'tension bracket. Cut strap 12 - 15 inches, Center foundation blocks or piers on pads`. Place ' past bracket. Attach strap & slotted -bolt in - pre-cut center compression member between bracket. Tighten strap until tight -with 4-5 wraps blocks,, resting on pads, centers between'U-bolts around;bolt. Repeat with: opposite,strap. `. as shown. - - 3. Outside Tension Bracket Attach outside tension bracket as shown to out- side of pads. • _ • ' ` ' � - rte•,. • Page 8 Califor 9/2/03 9. WIND ,Z .• c i . ONE I, SEISMIC ZONE 4 \ ,. • . Vector_ Dynamics Systems Required for" Double Section Homes (Materials Required) do y x - • 1 '"• T � + �'3,�"' � - \ - __ �.-•.a-\ .y, . r irY�•• ` ;' �, - moi, _ _ ,. CD • . ^ . r ♦ __ __ O w • 'ra, 1. t w — �1'Li�el � .SYS , NOTE: Vector Systems should be spaced as • , symmetrically as possible along the length of the' -� " - �z �O�-•� - home. Pier spacing must be consistent with home � manufacturers' instructions and/or state requirements. Soil Classifications: 2, 3, 4A, & 46 ' Soil Bearing Capacity, 1,000 PSF minimum sv . . Anchors Required*: None (*Marriage wall anchors may be required by home manufacturer) No anchors required. For Home Length Vector Systems' Anchors Required L.S.D: pier heights up to 46" forD = Required Per Side WIND ZONE I 28'-36' wide, 0 to 40' 2 Note: L.S.D.= 38"for 24' wide. , . i 41' to 66' 3 0 2 Longitudinal j StabilizationL ' See Pg 12 for high pier 0 ' 3 Device instructions. 67'. to 84' q 0 4 See Page 6. - ca 85' to 90' S 0 4• o� Each Vector System .requires one of the following:' ; 1--, 1-4x4 or 2-2x4's pressure treated wood - . compression member, r 'Schedule 40 PVC Pipe or 1. adjustable steel compression 2 sq. ft. pad (see parts . . list) . COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with of the California—,A4ministrative Code, Title 25, Chapter number for the following location: — k, the requirements 51 permit 0 w n e r Owner's Address Mobilehome Mfg .Ai,�I'V° Model -IL( = Year, Insignia N 0 Serial No. ru 5 It is h-erebiy certified for occupancy at the above described location and may be occupied. Director of-Publip Works Date By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED VECTOR DYNAMICS INSTALLATION DESIGN INSTRUCTIONS Vector Dynamic Foundation Systems may be used only on homes set on soils classified as Class 2, 3, 4A and 46 as described in the table below: SOIL CLASSIFICATIONS Soil Class Types of Soils Blow Count (ASTM Soil Test Probe (1) D2586) Torque Value (2) 1 Sound hard rock...... NA NA Very dense and/or 40 -up More than 550 lbs - in. cemented sands, coarse 2 gravel and cobbles, preloaded silts, clays, and corals Medium -dense coarse 24-39 350-549 lbs - in. 3 sands, sandy gravels, very stiff silts and clays 4A Loose to medium dense 14-23 275-349 lbs - in. sands, firm to stiff clays 4B and silts. alluvian fill 175-275 lbs - in Peat, organic silts, 0-44 175 lbs - in. 5 inundated silts, loose fine and lower ' sand, alluvium, loess, varied clays, fill, fly ash. (1) The purpose of the soil test probe is to gauge the strength of the soil below the surface and near the anchor's helical plate. The strength of the soil is estimated in terms of its resistance to penetration (flow) under load by means of the torque probe and is measured in Ib -in. The test probe has a helix on it. The overall length of the helical Section is 10.75 in.; the major diameter is 1.25 in.; the minor diameter is 0.81 in.; the pitch is 1.75 in. The shaft must be of suitable length for anchor depth. (2) A measure synonymous with moment of a force when distributed around the shaft of the test probe. Vector Foundation Pads Equivalent to Footer Pads* Footer Size: Footer Size:. 16x16 = 256 sq. in. -''' tr = 20x20 = 400 sq. in'. _ - or 16x18 = 288 sq. in. or 17x25=425 sq. in. - -_ EQUALS `"` = �_ EQUALS = - 2 -Vector Pads # 59275 `:": 1 -Vector Pad # 59271 - - 288 sq. in. or 432 sq. in. p 1 Vector Pad # 59130 Vector Pad(s) exceed the surface area required when used as the equivalent liste bone. 'Foundations in soilwith a bearing capacity of less than 1,000 PSF must be designed by a Registered Professional En in tar with site condilons Page 17 California 9/2/03 PERMIT N0. .2708-77P,E ; a PERMIT EXrIAES. he 17,gl OWNER Dan L. Whitcomb CONTR. owner LOCATION (A.P. 34-63-39 1 474,Siluerleaf Dr., lot 101, KR#l, Oroville r. • I y Temp. Power Pole Called PG&E Temp. Elea Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB p C FINALED (Date (Signature) p I COUNTY OF BUTTE.— DEPARTMENT OF PU13LIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Seltack FltewaII S Piping For Parvets At Floor Mal Bldg. Rest om Finish 2n Floor Fo ins Windo 3rd oor Stem all Sidin To�ter Slab Roof Shea in WaI IPiers Roofing Se Garage Fdn. Vents Fixtures Footin s Garage Vents Water Htr. Stemwa I I Insulation Heaters Slab Carport Footings V Prov. for ph sical handica ed Conformance of ex. structure V Appliances Gas Piping &Test Temp. Gas Slab A Final Sanitation Patio REP ACE Final Footin s Footing ECTRIC L Masonry Walls Throat Rough Relnf. Steel Final Fixtures Bond Bea FIRE SPRINKLEA Motors Framing Test Water Htr. Stucco Final Subpanel/ Mesh I MECHANICAL Grd. F It Prot. Scra h HeatIA9 Servi B n Co ng T mp. Pole F Ish X nJ is nderereund Inprior Lath entllation Permanent oor Closer VFInal Final — ------ -- ---- - MOBILEHOME UTILITIES ------------------ Elec_ Service o�Z�%!� -�-%2 ikA4—_E1ec. Pedestal 0 Water Piping -7 Sewer Gas Piping A E OME INSTA LATI N - - - - - - - - - - - - - - Support Elec. Continuity Water Piping k_ ��� ^7^� Drainage _ o"/ %7 Gas Piping DATE �� �� 77 REMARKS OR CORRECTIONS �5Z;L� 7-D 0/-0 oPD C A 146 64.5 a s-ca� CDOn P (NOTE: An entry must be made on this form each time you visit the job site.) Vii" i•iOBTiX140.11.11 INSTALLATJON INSPECTION' CHECV LIST 1. Is the. mobilehome locatc,dwi.l.h equired' separation from lot lines and buildings and generally conform to plot plan? Yes No 2. noes the m tbil.ehome have required' clearances above ground? (Sec. 5085) Yes'—No 3. Are footin,s and supports properly sized, spaced, and braced as perms proved plans? (Note possible variation at spring shackles.) (Sec, 82 & 5083) Yes e ---9o- 4. --- o4. Is the mobilehome level.? (Sec. 5088) Yes— No 5. If more nan a single unit, are crossover connections properly installed? (Sec. 5088) Yes No 5. 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 1 ckflow - If coach is not State of California approved, does station have backflow device and pressure -relief valve? Yes_ No 7. Wastes and Drains A. Is connection made with Schedule 40 DIdV and have flex connectors at each �end? Ye No— B. Does it have minimum per foot slope and is it properly supported? Yes No C. Are any leaks detected in drainage system after running 3- ons of water through each fixture including washing machine standpipe? Yes— No • I.f 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 e gas supply with an approved 3/4" minimum mobilehome con ector not more than 6 t. long? Note:. All piping is to be at least as large as the mo ilehome gas line '�et without reductions other than the mobilehome connector. Yes No B. Test OK as per fo owing proce ure? Yes_ No 1. Open all appli ce con or valves. 2. Shut off applianc% bu 3. Air test with man om 6oz.-maximum 8 oz: c drop. and pilot, "valves..,. to 10"-14" water column, or test with slope gauge (minimum brated in tenth pound increments. Test for 10 min, without 4. Connect: gas mct�om r to mobile e with connector, turn. on gas, test connections with soapy water. / C. Are all appliancd vents properly i.nsbal ed? Yes_ No 9. Electrical A Is service large enollglt to provide :adequ;ite amperage to mobi'lellome (must equal rating of Mobilehome iaitli a ::;irt.ux:um of 10 amp) and other facilities on lot, i.e., water pumps, ,arap,e, cabana, etc.? Yesy�No_ 11. Is ther,-� proper cicarances around panels? Yes_ No -__- C. Is power supply cord or feeder assembly properly fused? Yes 4— ,� D. I.ontinuity test satisfactory as per the following procedure? YeS,,, o _ De -energize electrical wiring system of - the mobilehome at the pedestal. Make_ sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. --n Switch all breakers and switches in the mobilehome to the "on" position. /� Connect: one lead. of a tryst instr.«ment to the mobilehome grounding conductor' and apply tine Giu.0-Y i.Cau to each TIIUUl.LCLLUIILt3 Siippiy CGnuLiCtor, i_ncluutug iieuLral. 5�All nor. -current, carrying metal. parts of the mobilehome (aluminum siding, gas line, rater line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. -15� Upon completion of: tiie above procedure, the power supply cord, or feeder assembly conductors shall be connected to the site service equipment. A further continuity shall then be made between the grounding electrode and the chassis of the 111obilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. f� ! b card signed by Health Departmeat for water and sanitation? everything okay, sign off card and t.a; servic'es. 'MOBTLE"10 ^E DATA Manufacturer and/or Namest:yle Length �! Width Vehicle Serial No. State Identification No. .dei ;. t ional Infor-mat: i on or Comments: GOUNY OF BUTTE — DEPARTMENT OF PUBLIC WORKS Y Ca3un.ty Center Drive — Uroville, California 95965 Tel ephone: .534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date ff/2 3 k7 of P e r m i t e h o n Receipt No. White-D.P.W. — ellow-Assessor — ink -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/0_F`IPUBLIC WORKS By Datei?-ZJ - 7 wilding permit expires Date if % BUILDING Owner Dan L. Whitcomb SO. FT. OCC.1 BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor Carneros Mobile Transport Total Valuation Mailing Address 1290 E1 Capitan Permit Fee Plan Checking Fee&/or Penalty Napa, CA, 4558 Telephone No. 252-2411 Permit Fee $ Building Address 474 Silverleaf Drive PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Oroville California 95965 Each Trap 1.50 Repair drainage or vent piping 1,50 Water piping 1.50 Lot 101 Unit 1 — Ke11V Ride Each gas water heater or vent 1.50 A. P. No. 34-63-39 Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F FireDept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration parcel Ma P 60' R/W Improvements Lawn sprinkler system 2.00 Bldg. Plans d Parcel royal ��P PlanYlt proval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 INSTALLATION � ,1 -70,? -7 Main service ioo AMP ORLESS5.00 Main service EA. ADD'L too AMP 2.50 Main service R 600V 1100EAMP OR LESS 25.00 Single Family ❑ Duplex ❑ Mobil Home ® Others ❑ Main service EA. ADD•L too AMP 1.00 NEW CONST DWELING OR A.D.S. ( ACCLBLDGS.CCUP. &\ 22Sgft 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 & Professions Code under the name style of: Carneros Mobile Transport Ex. Occup(OUTLETS OR FIXTURES) 50 BAL� FIXED APPLNS, OR Ex. Occup.(OUTLETS (RESID,) EA) 2.00 Temporary service 10.00 Mobile Home Facilities •15.00 License No. 259158Classification C-61 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. 1-1 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 Mobile Home Installation TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date ff/2 3 k7 of P e r m i t e h o n Receipt No. White-D.P.W. — ellow-Assessor — ink -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/0_F`IPUBLIC WORKS By Datei?-ZJ - 7 wilding permit expires Date if % MOBILEHOME SUPPORT DATA Mobilehome Mfr. Mountain Valley Homes Setup Model No.2BDR RK year 1977 NET Width 24' (ft.) Length 60' (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). m Sin le e. Footings (check on( /X/ 1. Wood either J, ! pressure treated of Center Center Support a i fdn. grade. Support Footing Sizes j Locations (in.) ' 2, Concrete pad. 24 x 301 ± 3. Other, specify Fn.� I i l _ Supports (check ons a 1. Concrete block _...g 124 x 30; ! / / 2..Concrete piers c; ft) (int (in.) (in.) 3. Steel piers i 4. Other, specify Typical Support 12 x 30Footing Size !} ! 24 x 30 (in.)(in.) i i .. - y, E� i... .. -• 5 - 6 Max. Pier - -- Spacing fi ^24X 301 is .(in.)(in.) Max. ! �...1 _....:- 0 Overhang i *If center piers are other than drawn above, BUTTE COUNTY draw in locations, spacing, and dimensions, BUILDING DE?ARTMENT APPROVED. BUTTE . COUNTY. DEPARTMENT. OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. M PHONE: 534-4541 MOBII.EHOME INSTALLATION SHEET 1. Owner's name: Dan L. Whitcomb 200 Amps 6. Lot 101, Unit 1 is the mobilehome site service rating? --------------------- 200 Amps 7. What 2. Installer's name: Carneros Mobile Transport Is there any other electric load to be served by the mobilehome site service? ---------------------------------------------------- Yes / / No�--&X/ 3. Is the site currently under permit? Yes / X/-. No What is the mobilehome site gas pipe size? ---------------------- (If yes, furnish permit number 2708-77P,,E What ) OR / / LPG 11. Is the site -an existing site? Yes / / -No /X / -- What (If yes, furnish two (2) plot plans.) (BTU) #' ' ° (` Thai°V s infortmation not required• if pipe length less than_6:_.f.t._...on...naturaL.g4s._... 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 / X/ No (If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- 200 Amps 6. What is the mobilehome site service rating? --------------------- 200 Amps 7. What is the mobilehome site circuit breaker rating? ---- --------- 200 Amps 8. Is there any other electric load to be served by the mobilehome site service? ---------------------------------------------------- Yes / / No�--&X/ (If"yes-; identify the_load and size: (Load). -0-. (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- -0- (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?•"' -0- (ft.) 12. What is the mobilehome gas demand? ------------------------------ -0- (BTU) #' ' ° (` Thai°V s infortmation not required• if pipe length less than_6:_.f.t._...on...naturaL.g4s._... ,. or i Less ;than o SO yft., on LPG.') COUNTY OF 43UTTE DEPARTMENT OF PUBLIC 7 County Center Drive — Uroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT WORKS authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X 2�� to 'S--cam—Z9 !z j' Signature doff Permitee or Agent Receipt No. �/ (1 Z& 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. RECTOR 0 PUBLIC WORKS By ate �7, B ilding permit expires Date E'—Go -7'? BUILDING Owner Dan L. Whitcomb Lot 101, Unit 1 SQ. FT. OCC. BUILDING VALUATION Mailing Address 476 — 34 th Avenue San Francisco CA. 94121 Telephone No. 4155 —7793 Fireplace Contractor IQ 4" Total Valuation Mailing Address egg Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee $ Building Address 474 Silverleaf &$lit Drive PLUMBING No.1 @ FEE PERMIT FILING FEE J$3.00 %3,060 Oroville California 95965 Each Trap, 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 /0,,00 Zoning Verification Only Each gas water heater or vent 1.50 A. P.Gas 34-63-39 i`�ZO piping system 1 - 5 outlets 1.50 Each additional outlet .30 F s S (on Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration IY6 arcel Ma P 60' R/W Im r p ovements Lawn sprinkler system 2.00 Af Plans Recd P Approval Pla pproval Permit Fee $ -20",v $_ NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 .3,010 Main service 1000 AMP OR ORSLESS 5.00 f" Main service EA. ADD'L too AMP 2.50 d Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service OVER 600V100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 `' bW SQ FT, MINIM4 T NEW CONS. DWELING OCCUP. &\ 22.Sgft OR ADONST ( ACCLBLDGS. l NEW CONSTR MULTI-OUTLETEOR NON.RESID. ( BRANCH CIRCUITS) 2.50ea Musts 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 & Professions Code under the name le of: style Ex. Occup(OUTLETS OR FIXTURES) 50 BAL 21 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 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 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 42,00 Hood Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby i LA0 d ✓ZGs�c v?S°Z7 TOTAL PERMIT FEE $ .3 1P C authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X 2�� to 'S--cam—Z9 !z j' Signature doff Permitee or Agent Receipt No. �/ (1 Z& 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. RECTOR 0 PUBLIC WORKS By ate �7, B ilding permit expires Date E'—Go -7'? V COUNTY OF BUTTE Department of Public Works 7 County Center Drive Oroville---=-534-4541 ELECTRICAL INFORMATION FOR DE -RATING MOBILEHOMES Owner O o, \6 �T C_OW�C3 Location Mobilehome Installation Permit No. 4-37 1--7-7 FILL IN INFORMATION ,FOR ITEMS 1 THRU 10 Watts 1. Width ZLA x Box Length (a0. x 3 2. 2 Kitchen Appliance Circuits = 3,000 3. 1 Laundry Circuit ........ 4. Ovens...... ................. = 14, UC 5. Cook Stove • Top (o�- ............... • to, y S-Oo w Lzu�7 ,. • 6.` Hot Water Heater , ......:...l.�y { �..... = LA SOQ tZ.S� ��II�S) 5.9 wC+*eaCn s� }zrl-� t tF a t 11 7. Dishwasher & Disposal .......... ..... _ 8. Clothes Dryer ...?......���Z3��. ... .... _ i 9. Other (specify, i.e., motors, exhaust fans, etc.) r Sub=total - Watts ... First 10,000 watts @ 100% _ .10 000 - , . .. Remaining (M watts @ 40%.............. ..... _ ? S7q. 10. Air Conditioner 3-t•3 )CZ -30) watts @100%.. = ) - l -Z-/ 2�0) Largest Demand = i'7 Central Heat System 85.'�p, (a -zee- watts @ 65%.. = TOTAL DEMAND WATTS REQUIRED ............ "Demand Watts Required" 230 ....... .... _ 3U S De -rate Mobilehome to .......:..... .6i:M .... CAMPS CC'�IJN'�:Y BUILDING DEPARTMENT APPROVED -"-I, �9,04rs 4 Q� foR C O O K ASSOCIATES �-'� ENGINEERING CONSULTANTS 2060 PARK AVENUE OROVILLE. CALIFORNIA 95965 PHONE (916) _ 599-6457 "I! CALIFORNIA P. F. NEVADA P, E, OREGON P'. F. .,August 5, 1977, James Glander Department of Public Works 7 County Center Drive Oroville, California 95965 Re: 77551 Dear Jim: Compaction test results are enclosed for mobile home site preparation at Kelly Ridge Estates for: c Whitcomb KRE. Unit 1 Lot 101 Representative tests indicate that the 90% relative compaction requirement has been satisfied. A location map is attached. Very truly yours, COOK ASSOCIATES Ron McElroy Civil Engineer RMc/cap Enclosures DR., LLOYD M. COOK ED, D. JOE E: COOK M. E. - DAN J. COOK C. E. Client Whitcomb COOK Project KRE Unit 1 Lot 101 ENGINEERING CONSULTANTS Nuclear In -Place Job No. 77551 2060 PARK AVENUE Mite Density Test osury Operator Kimbrell OROVILLE CALIFORNIA 95965 , ( 91 6) 533 - 6457 TEST NUMBER 1 2 3 4 5 6 7 8 9 10 TEST DATE 6-14-77 8-5 stLift ls.tLif-t TEST L8'Fill L 8' Fill LOCATION N. End FAIL FINAL MODE DEPTH 8" DT 8" DT ,MOISTURE COUNT 957 1138 MOISTURE COUNT RATIO .685 .824 MOISTURE 11.60 15. PCF 16.75 21 DENSITY COUNT 280 234 DENSITY COUNT RATIO 1.052 .883 WET DENSITY - PCF 127.5 135.5 DRY DENSITY 116.0/ 119.9/ PCF 110.75 114.5 % MOISTURE 10.0/ 13.0/ 15.10 18.3 OPTIMUM DRY DENSITY PCF 132.5 132.5 % OPTIMUM MOISTURE 10 10 % RELATIVE COMPACTION 87 /83 90 /86 DAILY STANDARD COUNT COMMENT; DATE MOISTURE DENSITY 6-14 1397 266 8-5 1381 265 - " LOT' 101 UNIT 1 ,J � �' � \VNITCONIC3 NI0uNTAIN V1_\'. - 24' L4' _ =S.L.L J.— VE. _ O EL EC. �` TEL , CNN, a5"Fl�t/E2 CONN. 1.f/�1TEfZ___C0I • f , _I-v_B6'30'oo E . 7 Do'' I-1 V CONN. Al r • �• 10 i5'f O , Q 1A .1 d Zoo AMP P=D=STALC9 200 AMp I o -:NO.ZE— T/T/L/7- L0C.J7710N57 A?E. MOBkL- ADDED 5.25.77 *D.D. alp �g yO9�000 O 1d�0: J PRE -INSPECTION REPORT OWNER: LI Yl l � r(AM t L)DATE: / / LOCATION: _ �I � 17z/l 3, ILS e! 111.4 (r, UI_I /P, A.P. # 14. CONTRACTOR: - - !ri �riM!�7e��r lT_ J ZONING: REASON FOR PRE -INSPECTION% - Pe (M -itch <C1C S, 4 P DATE TO INSPECTOR:,S".I /_0 PERMIT HISTORY ( ) NONE ( 4'S1 E ATTACHED BUILDING INSPECTOR'S REPORT Building Description: Commercial/Usage: _ Residential # of Units: Currently Occupied ( ) Yes ( ) No Abandoned/Vacant: Electric: Gas: Electric Currently ( ) On ( ) Off Condition of Electric Currently ( ) On ( ) Off Condition Sanitation: Plumbing.Worl ing ( ) Yes ( ) No Obvious Sewage Problems ( ) Yes ( ) No Mobile home # of Units: ACTION RECOMMENDED: ISSUE (jjYes ( ) No Hold for permits or verify: Inspector ,3—/ 7 Date: // /Dy CKFTCH RTM,DTNUS ON REVERSE AND INDICATE LOCATION ON PROPERTY: R BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP o#-r5�s DATE: -511010 el Y APN: V `^ G Q _ ( � ,., O C) 3 I 1 ZONING: + _ '' OWNER'S LAST NAME: 1zCVl-6 OWNER'S FIRST NAME: P14 A) PHONE: STREETADDRESS: q 7cY FAX CITY, ZIP: O ,e" V C E-MAIL' SITE ADDRESS.: S h AAL CITY, ZIP: NEAREST CROSS STREET: TRACT/LOT #: --- — — APPLICANT NAME: s' / ,��� �I ad1� E SE�'v� c� PHONE. S3 Y os9 STREET ADDRESS:FAX Y6r'o 4if 'dAel E S3`/ ®70 CITY, ZIP: ®vr��F (161 9566 E-MAIL: CONTRACTOR NAME: 51E6et<A A6151&£ SESvi c E PHONE:5S3 d6 y 7 STREET ADDRESS: C'�E t9gl Ax S3 y 070 9 CITY, ZIP: �,Qovr�LE l'�4 95966 E-MAIL LICENSE NUMBER: y';70 3 ec LICENSE TYPE ARCHITECT/ENGINEER?? NAME: PHONE STREET ADDRESS: FAX CITY, ZIP: LICENSE NUMBER: E-MAIL: DESCRIPTION OR SCOPE OF WORK: eo Ft 7- Aperltc FUvA1O,4r16A/ ❑ 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 fees will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. For office use only: Notes: Application Received by: Date: Receipt number: �//D S -g �g Ga Amount Received: S<j/Gj, GlQ 5sv2- Master aaolication 34-04 Dan L. Whitcomb I;0'(W. 11) 474 SilVerleaf lot 101, KR#1,0ro, Permit 708-77P,E�til.,MH) ELEC. 9 CAS S SUP ORT STRUCTURE REQ. — COMPACTBAi TEST REQ. Cont: Carneros MH, Nap Permit ##4371-77MHI Issued contr: Holm -es Mobile Home Serv., Bangor Permit #5108-77� ,E(new deck, awni�n & garage/MH) (, -- / -j-, / a. /ei4,1 U t - y i .108-77B,E PERMIT.NO. 1 PERMIT EXPIRES 11 OWNER; Dan Dan Whitcomb 'CONTRI. Holmes Mobile Home Serv., Bangor LOCATION (A.P. '34-63-39- 474 34-63-39-474 Silverleaf Dr., lot 101, KR#l, 0roville f:• Y Te Power Pole p• /Called PG&E Temp. Elec. Serv. �; l( Called PG&E emp. Gas Serv. Called PG&E ;t JFO v BINALED t" Q (Date i (Signature) c a • r c a I COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING (Cont'd) Firewall Parapets Restroom Finish Windows / p Siding Roof Sheathing Roofing Fdn. Vents Garage Vents Insulation Prov. for phsically handicappedy Conformance of ex. structure Final F LACE Soil.Piping 1st Floor 2nd Floor 3rd Floor Topout Water Pipim Sewer Fixtures Water Htr. Heaters Appliances Gas Piping Temp. Gas Sanitation Final PLUMBING ECT Relnf. Steel I Final / \ I Fixtures / mean MECHANICkL Gird. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts V Underground Interior Lath Ventilation Permanent Door Closer Final i Final "-Z MOBILEHOME UTILI IES - - - - - - - - - - - - - - - - - - Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping =E ME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS �ftV4---4z��-� -7, l�iNAL- FO (NOTE: An entry must be made on this form each time you visit the job site.) BUILDING Setback Forms Main Bldg. Footings StemwaI I Slab Piers Garage Footings Stemwall/D Slab Carport Footings Slab Patio Footinas BUILDING (Cont'd) Firewall Parapets Restroom Finish Windows / p Siding Roof Sheathing Roofing Fdn. Vents Garage Vents Insulation Prov. for phsically handicappedy Conformance of ex. structure Final F LACE Soil.Piping 1st Floor 2nd Floor 3rd Floor Topout Water Pipim Sewer Fixtures Water Htr. Heaters Appliances Gas Piping Temp. Gas Sanitation Final PLUMBING ECT Relnf. Steel I Final / \ I Fixtures / mean MECHANICkL Gird. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts V Underground Interior Lath Ventilation Permanent Door Closer Final i Final "-Z MOBILEHOME UTILI IES - - - - - - - - - - - - - - - - - - Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping =E ME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS �ftV4---4z��-� -7, l�iNAL- FO (NOTE: An entry must be made on this form each time you visit the job site.) COUNTYr_OF'. BUTTE Department of Public Works. 7 County Center Drive Oroville----•-534-4541 ELECTRICAL INFORMATION FOR.DE-RATING MOBILEHOMES Omer L) Pt VI) ISL) V\ VT C_OW 1. Location ��y S�LUt2L�=At-- �`cti�y�`.l✓E C�LEt�� 2�®Gt'� Mobilehome Installation Permit No. FILL IN INFORMATION FOR ITEMS 1 THRU 10 Watts 1, Width Z� x Box Length (DC x 3 = Ll,3ZC) 2. 2 Kitchen Appliance Circuits ................. 3,000 3. 1 Laundry Circuit = 1,500 4. Ovens .. 5.- Cook Stove Top . ........ _ y saw �; Lzu.7 ti sow - 6. Hot Water Heater.......... tz��• �•�:. 7. Dishwasher & Disposal ...... = Z- `ti Via' o 8. Clothes Dryer ............ ........... 9. Other (specify, i,e., motors, exhaust fans, etc.) Sub -total - Watts ..... First 10,000•watts @ 100% ...................... = 10,000 Remaining - watts @ 40% .... .:. _ 10. Air Conditioner 31%3 z-30)'watts @loo%.. _ ��r'-- = ) � Z/ / Z" Largest Demand = Central Heat System e,5.+�N watts @ 65%.. TOTAL DEMAND WATTS REQUIRED ..:.....:.... "Demand Watts Required" - 230 .... _ mps 1 De -rate Mobilehome to ........... AMPS. E3UTTECOUNTY � - BUILDING.DEPARTMEN1 APPROVED a COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS t 7 County Center Drive ,— OrQviIIe, California 95965 77 Telephone: 534-4541 APPLICATION AND PERMIT autnonze representatives or the county OT tsutte to enter upon the above-mentioned property for inspection purposes. XD Q� S=Date gnoture of Permitee or Agent IReceipt No. F L � I White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF U LIC WORKS By Date /0—a 77 BuilMng permit expires Date ��� �r BUILDING Owner ' "1"G� SQ. FT. OCC.. BUILDING VALUATION Mailing Address LO L t rt Telephone No. Fireplace Contractor m Total Valuation 3 0 Mailing Address d Permit Fee Plan Checking Fee &/or Penalty Tele on No. w �0 Permit Fee $ Cie Building Address B�+ PLUMBING No. @ FEE PERMIT FILING FEE $3.00 F q Each Trap 1.50 ° T Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 M / _ c� A. P. No lG J Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F -s W. . an)t on Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans/1Declaration Parcel par a P 60' R/W Im r Improvements Lawn sprinkler system 2.00 Bldg. Plans Recd Por Approvalans Approval Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER F] ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 100 AMP OR00V OR LESS5.00 Main service EA. ADD'L too AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home V1 Others El OVER Main service 00 AMP OR LESS 25.00 Main service EA. ADD'L too AMP 1.00 , , g6� IV tt W t NEW CONST. OCCUP. & OR ADONS. GS. 2C4 qft NEW CONSTR. MULTI.OUTLET NON.RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONSTSL POWER APPARATUS &) NON.RESID. (SINGLE OUTLET CIR. CONT ACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California..Business & Professions Code under the name st le of: (� t� �n('� caL F.J �CJt C,01� �ti 0 i Ex. Occup(OUTLETS OR FIXTURES)9@5C FIXED ABAL�1 Ex. Occup. (OUT LETSP(RESID,)LNS REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 *3a1 ��� 1 �� �r License No. Classification 1 Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ 1 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. [--JI 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 $ autnonze representatives or the county OT tsutte to enter upon the above-mentioned property for inspection purposes. XD Q� S=Date gnoture of Permitee or Agent IReceipt No. F L � I White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF U LIC WORKS By Date /0—a 77 BuilMng permit expires Date ��� �r 3q--63 -3 LOT 101 UNIT 1 N6Gi e� WHITCOMB � t NI O U N -r• A I N V 0% 24'y, &4' L � � � t � � S-z L_. .✓._E_lz - L. ESI F U ?_/. V.E. d! fy J - - - �okj 0 -� NOTE:--All Mn+P,ials&l�:r� Be in loff`� Accordance with Recognized Good Practices and ro' /� A of a quality prescribed for the Specified use in the Uniform Building, Plumbing,& Mechanical Codes and k the National Electrical Code, • a5'wt/E/Z .CONN t . This set of plans an cf . f., , - _ 7T!,ins � e 1 'kept on the job at all tim ka' it is unlawful to make any changes or alter o on same without written permission from t4 n,01 artment of Public Works, County of Butte. 77.25,,l CAI' -w j S' ETB/-1 CK. K. o I , o /acs O k�; a d J .a - j'' 4 v 200 nN►P I 0 P=D=STAL O C9 200 AMP rr) t3 R= AK=R v . 0 I ® -hp Setback shall be 5 ft. fr�prr *"- property line and 50 ft. frdrri he ,enferlirve of the road, permitting m i� i I mum�of a 2 ft. eave overhang but nti el* i I _ out of all easements. h 30, Oo E-.. 7s, 00' BUTTE COUNTY BUILDING DEPARTMENT -=wO.T.E- � APPROVED . 0 x-. /V.O.7-. 7-n SCi9 L.E.. 5 MOBS L=- ADD-D 5.25-7-7\,op.D. aZ_r< 4 - 14 - 73. 51LU CO, kE A p - db C) I -kiD 639 9 NOTE: Sw-n,- the aftached -c-oloarl -n ELECTRICAL, MECHANICAL, AND P -UM9111w C*NSTRUCTIOt,l ( NOT PLAN C�- ECKED SHALL COMPLY WITH CURRENT JEDITION OF NEC, UMC AND UPC. NEC, 00, s m BUTTECOUN P t RUILDING DEPARTME,�'- A p p R () v I o! oo NOTE: Sw-n,- the aftached -c-oloarl -n ELECTRICAL, MECHANICAL, AND P -UM9111w C*NSTRUCTIOt,l ( NOT PLAN C�- ECKED SHALL COMPLY WITH CURRENT JEDITION OF NEC, UMC AND UPC. NEC, 00, s m BUTTECOUN P t RUILDING DEPARTME,�'- A p p R () v oo NOTE: Sw-n,- the aftached -c-oloarl -n ELECTRICAL, MECHANICAL, AND P -UM9111w C*NSTRUCTIOt,l ( NOT PLAN C�- ECKED SHALL COMPLY WITH CURRENT JEDITION OF NEC, UMC AND UPC. NEC, 00, s m BUTTECOUN P t RUILDING DEPARTME,�'- A p p R () v ya .�V77�3�715 N 1' i bas - ' b�� a1c.1 b9Q ZQ jV3^i �+'3n�IS ht.�� ovl