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069-130-045
I •.� r -ter -- - - - - a4i;;624 45 Morris Terry /y7/3-45 1 Rosebud Ct., lot 3, KRIk1C, Orovile Permit 4 87-76 ,E(util. ,MH) 1 r iL ELEC.� S ,' GAS Dltf I SUPPOT STRUCTURE REQ. COMPACTION TEST REQ. ®� contr: Carneros Mobile Transport, Napa Permit #4581-76MHI„ J ' ((J Issued_JZ, ,347 ; contr: Holmes Mobil,.jt_Home-Serv., Bangor Permit ��5179-76ffi (new co -red ck & carport/NH) 4 contra Holmes Mobile Home ery Permit ��'�398-77B(new awni g &��cK3�/MN!) r6.- 469- 03 -45" contr: Jerry & Frank Landscaping, Gridle Permit #6208-78P,E(sprinkler system & isc gy, iring for y�ardi lights/MH) ' � 3-44 //Mo /v Contr : Acro Lume (� Permit#2173-84B,E(new cabana/MH) / 069-130-045 05-1349 TERRY-THOMPSON 1 ROSEBUD CT, OROVILLE' Cont: SIERRA MHS EX MH PERM FND Vie[ to 0 45 r Cfll� �I � M1 RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 2005-0032356 Recorded I REC FEE 10.00 Official Records I County of I CONFORMED COPY 1.00 Butte I CANW J. 6RllBBS I County Clerk-Recorderl 1 I NP 010o5M 07 -Jun -2005 I Page 1 of 2 III��IIII"I'I'I�I�"II'II"I'II'I 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. MILDRED EVA TERRY AND GLORIA LOUISE THOMPSON REAL PROPERTY OWNER/LESSOR 1 ROSEBUD CT. MAILINGADDRESS OROVILLE BUTTE CA 95966 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT SAME CITY COUNTY STATE ZIP SAME UNIT OWNER (iralso 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 05-1349 530 538-7541 BUILDI PERMIT NO. TELEPHONE NUMBER SI A URE OF LOCAL AGE OFFICIAL DATE NONE DEALER NAME (if not a dealer sale, write "NON E") NONE DEALER LICENSE NO. LANCER 1976 MANUFACTURER'S NAME DATE OF MANUFACTURE 164 MODELNAME/NUMBER A/B25016 60'X 24' 244863/4 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEI- NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER 069-130-045 HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD -Building Dept. IVA Recording "Requester By-, - — Grantor Order No. Escrow No. �III1111�1��I��lif��l�ll�l'I�1��� Loan No. �-4b 4baS242�7 WHEN RECORDED MAIL. TO: Recorded I AEC FEE 7.90 Official Records Mildred Eva Terry I COPIES 1.00 County Of I PENALTY 3.00 Gloria Louise Thompson 1 Rosebud Court CRNDACBUTTEGRU9BS J Recorder Oroville, CA .95965 ROSEMARY DICKSON I Assistant I Kathy 09:52AM 09 -Jul -2002 I Page 1 of 1 DOCUMENTARY TRANSFER TAX c ............................ SPACE ABOVE THIS LINE FOR RECORDER'S USE ..Computed on the consideration or value of property conveyed; OR ...... Computed on the consideration or value less hens or encumbrances remaining at time of safe.',Signature of Declarant or Agent cletermining t Name AP NO.: 069-130-045 GRANT DEED �S 'R ba1�i�e-►X-f' D FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Mildred Eva Terry, A Widow, as her sole and separate property yu hereby GRANT(S) to Mildred Eva Terry, A Widow and Gloria Louise Thompson, A Married Woman, as Her Sole and Separate Property, as Joint Tenants the real property In theMkV Unincorporated Area County of Butte , State of California, described as Lot 3, as shown on that certain map entitled, "Kelly Ridge Estates Unit 1C", which was filed in the office of the recorder of the County of Butte, State of California, December 20, 1973, in Book 43 of Maps, at Pages 30:.arid 31. 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 offinP of Dated June 28, 2002 } STATE OF CAUFORNI )ss. COUN F C ) On before me, 212M L4, personally appeared personally known to me (or proved to me on the basis of satisfactory evidence) to be the persons) whose name(s) Ware subscribed to the within Instrument and acknowledged to me that he/she/they executed the same In his/herAheir authorized capacity(ies), and that by his/her/their slgna• tures) on the Instrument the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS r/ny'NI and official seat. Slgnature MAIL. TAX STATEMENTS TO: ` "Z Mildred Eva Terry U *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 records. - .45. - (This area for official notarial sea]) JEAN A. MC CANLESS eornnmM. e11339870 c CAUfOA�rtrA v4 Butte County �+ My Comm. Expires fep.8.2 8 �+ 94) �`"}"iR':t�,�'�"^�"`y?(�y�""'�s,}"(�r,�"".�Y�;�'Fs" wr'f��'��#a`r'-�.�j�,'"y��`�-"�r��q"".��.�}�x'e�%���_;��.�,••�;��ya�� 'i�'r'�r; o. � A • � tit}'1. �,t�i�Y'�i 4-'�',1�'`S�<��{•�4y �iL�!jAL?`v ,�'� '� r+ t;yal :J�.;"i,;'�gllf'_il.'.� ff'"_z.+ •.4�`�{}/e'�F.�'. qy x - �:: � � ;p�3, t t �� � �i:.T 4�� i i_'S�T� ;;"t`'�" 's ''•.t,. �.,ti' t �`}- a FOU�NDATION- SYSTEM � } ���K ✓ 4�,. ,,tt �,.�+y� -�,,tt5 �+ �:+•` � s�+� 1 `.t+ i'� 4�, 3 i'£'�F�r {+e�'ri t.:w •� +� ..��'" �„� �,.�?�i5'J• 'x° n.• � �' `i r „�,... ,�+" ''x iii d 'E;,"x` hn+e� � �! s� .� � � ti. , to C# r �,}s x .T �,. ^'+' ° �, i.�i s':a� ii�K 3` + � 4"'' <'yy'�•« r�s'sttu!i9,,,��atd? "�`nt � r+� 'h ^.a4 S^ tiric^wr+•^�.ni. +M ,'[c r �.a- n' ,.Y � '.t e�a.x; ' ?* l.ir �C "' _ ;;r¢�'+y 4 y.�a �+, } '%'q;�`}Yq�� ,,•,�Tf li.=fit'\ � '�,r� � � t, %'"L'- !^ y�,+�'y'j} F f � �4r �� L� 'it•..tc'Y �x���x �' S2t."e�I .�k gr'ir'urS,+('#wwry'�`-�'�C ����-4:7q'P�u�L�"K'+?"��.�.p���i.�.r�!"i�'� �f.7'L��' �_ +1�*'�c�tti�'RT.�.' ,+ �. ",-� nn. �i '� �..�[ 3 �C n'e�w: i.'. rs'.'�.. �:xa ka � k' �7.�^� +itJ�;'�+wed«.7�t4�4"",kc'��SL�W'"•+c�t?+'t�is�x�. �. +`�'�'Y+sD46Y.ddi;�.' BUILDING PERMIT NUMBER: 05-1349 Address or location of unit: 1 ROSEBUD CT., OROVILLE CA 95966 Legal Description of Real Property: AP#: 069-130-045 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: MILDRED EVA TERRY AND GLORIA LOUISE THOMPSON Owner's address: 1 ROSEBUD CT., OROVILLE CA 95966 INSIGNIA OR HUD NUMBER: 244863/4 SERIAL NUMBER OR V.I.N.: A/B25016 MANUFACTURER'S NAME: LANCER YEAR: 1 OFFICIAL APPROVING INSTALLATION: DATE: �GZS PHONE: (530) 538-7541 H.C.D. 513C s RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 7 -Jun -2005 2005-0032356 Has not been compared with original BUTTE COUNTY COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date Of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. MILDRED EVA TERRY AND GLORIA LOUISE THOMPSON REAL PROPERTY OWNER/LESSOR 1 ROSEBUD CT. ' MAILING ADDRESS OROVILLE BUTTE CA .95966 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT ' SAME CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS SAME ' CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY - COUNTY STATE ZIP 05-1349 530 538-7541 BUILD PERMIT NO. / �1 TELEPHONE NUMBER / S � SI AYURE OF LOCAL AGENCY OFFICIAL DATE NONE • DEALER NAME (if not a dealer sale, write "NONE") NONE - DEALER LICENSE NO LANCER 1976 164 MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER A/B25016 60'X 24' 244863/4 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION 4RF.ATTAC14ED ASS ESSOR'S PARCEL NUMBER 069-130-045 HCD FORM 433(A) REV. 8/91 Recording Requested By: - Grantor Order No. ESCrOW No. Loan No. 2R (b2—Kb12�iZ3S24g7 WHEN RECORDED MAIL TO:Recorded I REC FEE 7.00 Official Records I COPIES 1.00 Mildred Eva Terry Count fOf I PENALTY 3.00 Gloria Louise Thompson CANDACE BUTTE J. GRUBBS I 1 Rosebud Court Recorder' ) Oroville, CA 95965 ROSEMARCKSON \ Assistantj Kathy 09:52AM 09 -Jul -2002 I Page 1 of 1 DOCUMENTARY TRANSFER TAX $ ............................ SPACE ABOVE THIS UNE FOR RECORDER'S USE ..}Computed on the consideration or value of property conveyed; OR ...... Computed on the consideration or vague less liens or encumbrances lgnature of Declarant or Agent determining t Neme remaining at time of safe. AP NO.:- 069-130-045 GRANT DEED_0-�t044- FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Mildred Eva Terry, A Widow, as her sole and separate property hereby GRANT(S) to Mildred Eva Terry, A Widow and Gloria Louise -Thompson, A Married Woman, as Her Sole and Separate Property, as Joint Tenants the real property In the P# M Unincorporated Area County of Butte , State of California, described as Lot 3, as shown on that certain map entitled, "Kelly Ridge Estates Unit 1C11, which was filed in the office of the recorder of the County of Butte, State of California, December 20, 1973, in Book 43 of Maps, at Pages 30%afid 31. 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'"* Dated June 28, _2002 } STATE OF CAUFORNI )ss. COON F On before me, personally appeared personally known to me (or proved to me on the basis of satisfactory evidence) to be the persons) whose name(s)16/are subscribed to tha within Instrument and acknowledged to me that helshe/they executed the same In his/her/their authorized capacity(ies), and that by hls/herAhefr signd- ture(s) on the Instrument the person(s) or the erriRy upon behalf of which the person(s) acted, executed the instrument. WITNESSTyllan and official seal. Signature�,�/ MAIL TAX STATEMENTS TO: " Mildred Eva Terry — _ ( , *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 othek.— Easements, rights of way and--.- restrictions nd- restrictions of records. - �5" (This area for ott'iclal notarial seal) JEAN Al. MC CANLESS Comm.1 (339870 /IAA NOTARY PUgUC.CAUFORNIA Y! Butte Counrr '� My Comm. Expires ft0.6, 2 8 "'� 4) NOTES RESIDENTIAL PERMIT NO. _ 069- 031 045 TERRY-THOMPSON OS -1349 ' 1 ROSEBUD CT, OROVILLE Cont: SIERRA MHS I EX MH PERM FND SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER G" 9 ; 9z�6 JOB FINALED (Date) Signature J=OK 0 = Not OK . = NotRea&Not jole 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/ /" LW P LPG 7. Well Clearance i£ Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Cana B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 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-Connectoe 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 Date 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s Date Cana B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zo ing Requirements -Setbacks -Easements go,< . F Pings; Size -Spacing -Marriage Line Blocking 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. /j 1 . License Decals 11. Verifv #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Cana 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 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 Cana 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 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 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK o = Not OK = Not Appriable = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Fig., Main; Soils-Elec. Gmd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Gmd.-/ /" 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 18. 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. Fre Sprinkler, Test Date Card 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 AI 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or AI Insulated Neutral O Yes O 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 FRAMING (Continued) Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. AC. 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- 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 -Meth. 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 O Yes O No/Walks O Yes O WPlanters O Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Pibg-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 E COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (630) 891-2834 (CHICO) OFFICE #: (530) 538-7541 i-:� E RIVI i- NO. BPO51349 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION 3 ' I hereby affirm under -penalty of perjury that I am licensed under Issued Date: 06/01/2005 APN: 069-130-045-000 provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. Site Address: 1 ROSEBUD CT ORQ License Class : _� License Number: Date: • 6"-- Contractor: Map Index: Description: MH PERM FND EX SITE OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the Contractors' Stale License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: TERRY MILDRED EVA" ETAL permit to construct, alter, Improve, demolish, or repair any structure, prior THOMPSON GLORIA LOUISE to its Issuance, also requires the applicant for .such permit to file a signed statement that he or she is licensed pursuant to the provisions of 1 ROSEBUD CT the Contractor's Stale License Law (Chapter 9 commencing with Section OROVILLE, CA 95966-3934 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 penally of not more than five hundred dollars (8500).): O I, as owner of the properly, 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 Applicant: SIERRA MOBILE SERVICE Code: The Contractors' Stale License Law does not apply to an BILL REID 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, provided that such improvements are not Intended or offered for OROVILLE CA 95966 sale. If however, the building or Improvements are sold within one (530) 534-0599 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 Contractor: SIERRA MOBILE SERVICE not apply to an owner of properly who builds or Improves thereon, BILL REID and who contracts for such projects with a contractor(s) licensed 466 CIRCLE DRIVE pursuant to the Contractors' Slate License Law.). OROVILLE, CA 95966 ❑ I am Exempt under Article 3 of the Business and Professions Code 530-534-0599 Dale: Owner: License #: 470386 WORKERS' COMPENSATION DECLARATION I hereby affirm under penally 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 is issued. Engineer: O 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is Issued. My workers' compensation Insurance carrier and -policy number are: Carrier: Total Square Ft: 0 S. F. Valuation: $0.00 `A 57,? Policy#: Census Code: ❑ 1 certify that In the performance of the work for which this permit is Issued. I shall not employ any person in any manner so as to become subject to 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 ( r/ forthwith comply/with t ose provisions. Date: Applicant: coverage Is `3iJ WARNING: Failure to secure workers' compensation l unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars (8100,000), in addition to the cost of , compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby ued under the applicab prov Ions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the of the work for which this permit is Issued (Sec 3097 Civ.) Resolutions to do ork tndlc ted'a` ve for w ch fe h��av��e been paid. �_ performance By. Dale: Name: PERMIT EXPIRES ON:_^� Address: Dafe O 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. O• Notification In accordance with Section 111827.5 of California Health & Safety Code Is not applicable to the scheduled construction of this project. O 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 slate 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 ..all '• representativesf Butte County to enter upon the above mentioned property for Inspection purposes. Z—el Print Name: C C Signature: Dale: O Owner 13--06ntractor ❑ Agent for Owner O Agent for Contractor PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE. IF WORK HAS COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION. Butte County Department of Development Services Inspection Card ou 24 HOUR INSPECTION#: (530) 538-7636 (OROVILLE) (530)891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX #: (530)538-2140 Visit our website at: www.buttecounty.nettdds ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING I Groundwork I I I nei s Grade Beams Eufer Ground Hold downs Stemwalls Do Not Pour Concrete Until Above Signed Slab - Slab -Garage Gas Test Yard Pipe Blocks CMU/Logs 1 ° Lift 2no Lift Floor/Slab Gas Do Not Install Floor 5neatning or ciao Until Above Signed Date Rough Mechanical Rough Electrical Rouqh Gas Straps Shower Pan Rough Sprinkler Do Not Insulate Until Above Siqned Insulation Wall Insulation Ceiling Insulation Do Not Cover Until Above Siqned Interior Shear Exterior Shear Braced Wall Wall Covering T -Bar Ceiling/RC Sheet Rock -15 layer Sheet Rock -2^d layer Separation/Location Framing/Openings Gas Test House Pipe Stucco Lath Scratch + Brown Finish Inspection Type Insp. Date Final Plumbing Final Mechanical Final Electrical Final Insulation Certificate Final Sprinkler Swimming Pool Setbacks Pool Steel/Pre-Gunite Electrical Bonding Enclosures & Alarms Plumbing Electrical Gas Test Light Nitch Other Agencies Insp. Date Public Works Sewer Spec Inspection Fire Department Underground Final Sprinkler Fire Final Temp Elect Auth Elect Authorization Gas Authorization Permit Finaled Date PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE. IF WORK HAS COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION. ":f ? _ -7 B. C. Insp. Card 02-17-04 pg 2 rev 1-19-05 Z O F- WOm ZW W �JWO_j OQ>0U) 7 Z0aWW0 WUj lix>'VQW U�- G.tjW� Z LLQ (D V O Q CL W maWm � 0 a < W toW = F- Za H CL U) XZ W U. LL Z Z Cr Q W W C r) JZQO y m O ; Q J _J ":f ? _ -7 B. C. Insp. Card 02-17-04 pg 2 rev 1-19-05 It BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BPO51349 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION _ s I hereby affirm under penalty of perjury that I am licensed under Issued Date: 06/01/2005 APN: 069-130-045-000 provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. 76j�1 Site Address: 1 ROSEBUD CT ORQ License Class : License Number: Y _ Date: Contractor: Map Index: Description: MH PERM FND EX SITE 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 Business and Professions Code: Any city or county which requires a Owner: TERRY MILDRED EVA* ETAL permit to construct, alter, improve, demolish, or repair any structure, prior THOMPSON GLORIA LOUISE to its Issuance, also requires the applicant for .such permit to file a signed statement that he or she is licensed pursuant to the provisions of 1 ROSEBUD CT the Contractor's State License Law (Chapter 9 commencing with Section OROVILLE, CA 95966-3934 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 penally of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and -the, structure is not Intended or offered for sale (Sec. 7044, Business and Professions Applicant: SIERRA MOBILE SERVICE Code: The Contractors' Stale License Law does not apply to an BILL REID 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, provided that such improvements are not intended or offered for OROVILLE CA 95966 sale. If however, the building or improvements are sold within one (530) 534-0599 year of completion, the owner -builder will have the burden of proving that he or she did not build or Improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors. to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: SIERRA MOBILE SERVICE not apply to an owner of property who builds or Improves thereon, BILL REID and who contracts for such projects with a contractor(s) licensed 466 CIRCLE DRIVE pursuant to the Contractors' State License Law.). OROVILLE, CA 95966530-534-0599 ❑ I am Exempt under Article 3 of the Business and Professions Code Date: Owner: License #: 470386 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ I 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 is issued. Engineer: ❑ 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: Carrier: 2 ? Total Square Ft: 0 S.F. � �7 Valuation: $0.00 Policy #: Census Code: ❑ I certify that In the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, %V 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 pose provisions. Date: (/ -5--Ll ✓ �j 2 g Applicant: �/ l 79 I 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. CONSTRUCTION LENDING AGENCY This permit is hereby ued under the al licab rov' ions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolutions to do ork Indic e a ve for w ch reps have been paid. performance of the work for which this permit Is Issued (Sec 3097 Civ.) ^� JC By: Date Name: _ PERMIT EXPIRES ON: Address: Date O 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 18827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. O 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 ...all representatives Butte County to enter upon the above mentioned property for Inspection purposes. Print Name: 6 Signature: Date: =0 Owner a --Contractor ❑ Agent for Owner 0 Agent for Contractor �IITr BUTTE COUNTY o DEPARTMENT OF DEVELOPMENT SERVICES O BUILDING PERMIT APPLICATION ° AND SUBMITTAL REQUIREIAIENTS C 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 '0 N Sy A FEE 61I1L BE REQ LURED AT TIME OF APPLICATION **PLEASE PRINT CLEARLY** 0 WNE R -- ist Name_. First Name - ddress 40 ity Wdress hone i Fax I .-mail APPLICANT SIGNATURE X For office use only: Zoning CONTRACTOR lame- City (,Ic � t .. (_ � Wdress Address ;ity L v.,ez-`, Stale Zip 'hone 5-7V 95-17? Fax mail S3 q OS, - Lic. # y765 y,� Class 3 APPLICANT SIGNATURE X For office use only: Zoning ARCHITECT/ENGINEER dame City (,Ic � t .. (_ � \ddress Address amity L v.,ez-`, State Zip Phone State Z Fax E-mail S3 q OS, - I State License Number APPLICANT SIGNATURE X For office use only: Zoning APPLICANT NAME Name City (,Ic � t .. (_ � '7 Address 7 � � L v.,ez-`, City Book State Z Fzip Phone S3 q OS, - E -mail APPLICANT SIGNATURE X For office use only: Zoning AP# n - G:cI r Flood Zone City (,Ic � t .. (_ � SRA e No Occ. Type Const. Subdivision Name l0ap Book Page Lot # Planner Daie Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT o 5_ %1349 BP BIN # LOCATION AP# n - G:cI r Property Address %�G S � r� ,. t7 (gyp � ; � •I- City (,Ic � t .. (_ � Cross Street WORKER'S COMPENSATION Policy Number y), -S 7 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).- EX?IR.ATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by Amount q(e'v Bldg SRA Receipt #::'486&a4 Sheriff C, / C116 SMIP Datc5-4;B 79 Other Total 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: Grp►r r ��� ASSESSOR PARCEL NUMBER Proposed Building Use: X u� �� �/�/ Permit Technician Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. ! 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. D 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) Installation manual, including marriage line info, (C) Floor Plan, (Tie down ffn_d laps^a. I 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.) ❑ 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable ❑ 16. Fire Sprinklers............................................................................................ _ ❑ 17. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 18. Soils Report and/or Engineered Foundation required ........................................... D 19. Erosion Control Plan Required........................................................................ ®"' 20. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 21. City of Chico Plumbing permit........................................................................ 1122. 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.......................................................................................... D 35. legal description, Q�M.H. Title, title search; registration or MCO ......................... D 36. Other: ❑ 37. Other: When issued Telephone // " w q!2 and hold for pickup. I have been informed of the�above items and requirements for obtaining a building permit. Applicant: X -el Date: 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, D counter, by Date: Contractor, designer, owner, was advised of the above ata by D phone, ❑ mail, ❑ counter, b Date: Plans reviewed by: Date: Plans approved by: Date: ,- Structural reviewed by: Date: structural approved by: Date:_ Note transfer by:Date: Yellow: Building Division 05-/- 9 COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 PHONE -(530)538-7541, FAX (530)538-2140 SCHEDULE OF RECEIPT OF FEES. n Website: www.buttecounty.net/dds OWNER A.P.# PROPROSED BUILDING USE DATE RECEIPT # DATE REC. 1. BUILDING PERMIT FEES --- Balance Due ..................... $ --- FEMA Flood elevation review ... $ --- Additional plan checking Fee.... $ 2. SCHOOL DISTRICT FEES (paid at School District Office) (form available after Plan Check) 3. SHERIFF FEES (paid at Building Division) Residential............ X $360.00 =$ VIIIIJ Commercial (sq. ftg.)..... X $0.03 = $_ Sq.Ftg. 4. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 5. RESIDENTIAL DEVELOPMENT IMPACT FEES COUNTY WIDE (per dwelling) $ CHICO URBAN AREA (per dwelling) $ EL MEDIO FIRE DISTRICT (per dwelling) $ NORTH CHICO SPECIFIC PLAN (per. dwelling) Zoning 6. SRA FIRE INSPECTION AND PLAN CHECK FEE $204.98 (paid at Building Division) 7. WATER TENDER FEES BATTALION # $200.00 (paid at Building Division) 8. SMIP 9. OTHER 10. OTHER 11. OTHER S At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the n checking process. APPLICANT- X_e�' �� 5 Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 3/05) Vector ,,. '`namics Foundation ,stem INSTALLATION INSTRUCTIONS for the State &J California Version 9/2/2003 INDEX Approval PAGE RELEASE SECTION NUMBER DATE MANUFACTURED HOMEIMOBILE HOME FOUNDATION SYSTEM HEALTH AND SAFETY CODE, SECTION 18551 INTRODUCTION 2 9/2/03 APPROVED GENERAL INSTALLATION 3 9/2/03 SUBJECT TO CORRECTIONS NOTED PARTS LIST 4 & 5 9/2/03 ROYAL DOES NOT AUTHORIZE OR APPROVE ANY MISSIONS OR DEVIATION FROM REQUIREMENTS OF LONGITUDINAL DEVICES 6 9/2/03 APPLICABLE STATE LAWS AND REGULATIONS State of California PIER HEIGHTS 7 9/2/03 enc Y8o a and Community Devaltryiaamt SET-UP INSTRUCTIONS 8 9/2/03 N DES AND STANDARDS , B DATE SPA FOOTER SIZES Ma Pan Approval Expires -- _ WIND ZONE I - SINGLE 9 9/2/03 ?� ' DOUBLE w 10. 9/2/03 - TRIPLE 11 9/2/03 - HIGH PIER 12 9/2/03 WIND ZONE II -'SINGLE 13 9/2/03 f@F S IV - DOUBLE 14��sq`�� -,TRIPLE 15 9/2/03 No. 69245 V -DRIVE:& PIER SYSTEMS .16 9/2/03 ST�TFOFIVI CA��FO\P SOIL CLASSIFICATION 17 9/2/03 � ,— CONCRETE INSTALLATION 18 & 19 ,'9/2/03 aUTTE COU�� AUtLDNC- DEPARTldii� COMPONENT PARTS AVAILABLE UPON REQUEST P P R 0 V- 1110 - co LQ co 0 N O M O t fT 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 f=oundation 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 vlflien 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 & longitudinal 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 fret to 16' feet wide- (single section) with main rail spacing of 95 inches or greater on center; multi section rnain 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 5Iope of 20 degrees (4.4" in 12" slope). Maximum eave width (roof overhang of sidewall) of 12" for Zone I, 8" fo Zone II 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 reiluiring pier heights which are not included in these instructions, contact Tie Down Engineering, Inc. at 1-0800-241-1806. 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. Page 2 California 9/2/0 J K GENERAL INSTALLATION INSTRUCTIONS SITE PREPARATION It is necessary that the Dome site be properly graded and sloped to prevent water and moisture from standing or flowing beneath the horrie. FOOTINGS AND FROST LINES The Vector Dynamics FOLMdation System was designed to be placed directly on top of the ground (or poured concrete) after clearing ill 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 I)lice 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 co!icrete blocks for piers, measure center to center frame (I-beam) dis- tance and subtract 16". I11/hen 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 ! vill 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 4 , 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 used with 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` =Y 1. Longitudinal Foundation Pad 2. Beam Clamp (2 per =y5tem) 3. Longitudinal Strut (2 per 5y5tem) 4. Tie Bracket (2 per 5yetem) Combine Vector Dynamics & LSD Note: Two struts = 1 L.S.D, system. Can be used on one pad or slipt on opposite ends of the home. Examples of Po55ible Placement: (Contact TIE DOWN for placment in other Wind Zones) Wind Zone I Single Section I o I I I I I I I I I I I I I I I I I I I I I I 00 18 Ft. Max. Wind Zone I Pouble Section 32 Ft. Max. For greater widths use triple 5ectio.n design. Page 6 Wind Zone I Triple Section ( Wind Zone I Tag Section 48 Ft. Max. California <=L - 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 Zone I, 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 Homes with unequal pier heights are limited to 50" maximum pier height and the shorter pier cannot exceed 26". Page 7 The difference between the taller pier i California — g : Set -Up Instructions for Vector System #59018 Long U -Bolts 1. Set Vector Pads Clear all vegatation where pads will rest. Place a long U -bolt in pad as shown. Press or ham- mer pad into the ground. 2. Set Block or piers on pads. Center foundation blocks or piers on pads. Place pre-cut center compression member between blocks, resting on pads, centers between U -bolts as shown. 3. Outside Tension Bracket Attach, outside tension bracket as shown to out- side of pads. Page 8 4. Inside brackets & straps Attach the inside tie brackets to the U -bolts over the compresion member. Attach a strap w/hook or swivel strap w/nut & bolt. Place other end of the strap over opposite I-beam & down to out- side tension bracket. Cut strap 12 - 15 inches past bracket. Attach strap & slotted bolt in bracket. Tighten strap until tight with 4-5 wraps around bolt. Repeat with opposite strap. Califor 9/2/03 0 W l�1 WIND ZONE I, SEISMIC ZONE 4 Vector Dynamics Systems Required for Double Section Homes (Materials Required) _ _ - -' " _ _ _ - - "" "h ' double Section O1 - , n, .r Jn.. NOTE: Vector Systems should be spaced as symmetrically as possible along the length of home. Pier spacing must be consistent with manufacturersinstructions and/or state requirements. Noanchors required. For pier heights up to 46" for 28'-36' wide, 38" for 24' wide. See Pg 12 for high pier instructions. WIND ZONE I Soil Classifications: Soil Bearing Capacity Anchors Reauired': 2, 3, 4A, & 4B 1,000 PSF minimum None ("Marriage wall anchors may be required by home manufacturer) Home Length Vector Systems Required Anchors Required Per Side L.S.D. 0 to 40' 2 0 2 41' to 66' 3 0 3 67' to 84' 4 0 4 85' to 90' S 0 4 Each Vector System requires one of the following: -�-- r=1 -4x4 or 2-2x4's pressure treated wood compression member, Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list) 2 sq. ft. pad Note: L.S.D.= Longitudinal Stabilization Device See Page 6. t 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 4B as described in the table belov�,: 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 devise and/or 40 -up More than 550 lbs - in. cemented sands, coarse 2 gravel and cobbles, preloaded silts, clays, and corals IVledium-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, alll.lvium, 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. 20x20 = 400 sq. in. - or 16x18 = 288 sq. in. - or 1 - _ 7x25=425 sq. in. - ~_ EQUALS EQUALS ---- - - 2 -Vector Pads # 59275 288 sq.. in, or 1 -Vector Pad # 59271 432 sq. in. 1 Vector Pad # 59130 Vector Pad(s) exceed the surface area required when used as the equivalefiste`bove. 'Foundations in soil with a bearing capacity of less than 1,000 PSF must be designed by a Registered Professional Enth site conditonsPage 17 California 03 STATE OF CALIFORNIA - BUSINESS, TRANSPORTATION AND HOUSING AGENCY ARNOLD SCHWARZENEGGER, Governor DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT USING 9'1a Division of Codes and Standards .jo • u • 0 , �, Z Title Search Y DE Date Printed : 05/18/2005 Decal #: AAZ5319 Use Code: SFD Manufacturer: LANCER Original Price Code: AEN Tradename: ROYAL MONARK Rating Year: 1976 Model: 164 Tax Type: ILT Manufactured Date:. Last ILT Amount: $19.00 Registration Exp: 09/30/2005 Date ILT Fee Paid: 08/20/2004 First Sold On: 10/15/1976 ILT Exemption: NONE Serial Number HUD Label / Lisignia A25016 244863 B25016 244864 Record Conditions: PPF Exempt Registered Owner: Length Width 60' 12' 60' 12' MILDRED EVA TERRY GLORIA LOUISE THOMPSON (Joint Tenants with Right of Survivorship) 1 ROSEBUD COURT OROVILLE, CA 95966 Last Title Date: 08/26/2002 Last Reg Card: 08/24/2004 Sale/Transfer Info: Price $.00 Transferred on 06/28/2002 Situs Address: 1 ROSEBUD COURT OROVILLE, CA 95966 Situs County: BUTTE Inactive Decal/DMV: DMV MW6521, DMV MW6520 *** END OF TITLE SEARCH *** 'Y Aef qa- PERMIT NO. 4187-76P,E PERMIT EXPIRES 4 OWNER Morris L. Terry CONTR. owner LOCATION (A.D. 34-62-45 1 Rosebud Ct., lot 3, KRIM , Oroville, Temp. Power ole C/FINALED lld P &E erv. &E rv. &E i7� 74 te) (Signal re) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback C. Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor StemwalI Siding To out Slab Roof Sheathing Water Piping --p Piers Roofing Sewer = Garage Fdn. Vents Fixtures Footings Stemwal I Garage Vents Insulation Water Htr. Heaters Slab Carport Footin s Prov. for physically handica ed Conformance of ex. structure Appliances Gas PI In &Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Relnf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framina Test Water Htr. Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground e-5"- Interior Lath Ventilation Permanent Door Closer Final Final 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 OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements - of the Cis Administrative Code, Title 25, Chapter 51 under permit number -'R97 -74-. for the fo}lowing location: / l2�sc,�iy�� 0' �rov� 11 tr Owner MO, -0-1'5 1 Owner's Address /D 0r6 2- Mobilehome Mfg. ���% Gr Model Year/ C" F Insignia No,Z�i�Lt, '� 3 iFGQ Serial No./A' /3 h d U It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date �� _ 7 By C 7-1 THIS CERTIFICATE IS VOID WHEN MOBILEHOME 1 ,RELOCATED �{�}'„ ...;,frk-,�t;l�"�iK°""RNr'A--R-a�*�-a-•-•,--�•w}�,r.,,��ewar,y�,��,.�,��c.���'an ��.>...x�*.� �•''"L`h� } COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Uroville, California 95965- 4 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X �.�; Date r Ff! Signature/of Permi tee or Agent ' Receipt No. ! White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF UBLIC WORKS BY � � _ Date-?—/(. • Building permit expires Date % BUILDING Owner ft, ; 7"',SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor ,� - =' ,lye y_, r - ,.•: Total Valuation Mailing Address ,, �� -s :.� r-- Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address- PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. ,: - r Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees L/ W.C. ✓ xJ mtatiot) FireDept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 81'dy: Plans Recd Parcel Ap oval ' Plale pproval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER O f ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 !1"+•.."-�, i .'�, _ it s:. i .:'• _ 'r} L� �' 6y Fr 600V OR LESS Main service 100 AMP OR LESS 5.00 Main service EA. ADD•L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home ><� Others ❑ Main service R 600V 1100EAMP OR LESS 25.00 Main service EA. ADD•L 100 AMP 1.00 NEW CONST. DWELING OR ADDNS. ( ACCLBLDGS.OCCUP. &) 20sgft NEW CONSTSL 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: •yr : - ,i:.,..,...'=::- •:•_ ;�!~ ,G^. Ex. Occup(OUTLETS OR FIXTURES) BAL@109 Ex. Occup. (OUTLETSP(RESID )REA) 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. ❑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 $ $ 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 4% -�•" = li-= �h..'J .: :" ; ;-. TOTAL PERMIT FEE authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X �.�; Date r Ff! Signature/of Permi tee or Agent ' Receipt No. ! White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF UBLIC WORKS BY � � _ Date-?—/(. • Building permit expires Date % - T - MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1'o Is the mobilehome located with required separation from lot lines and buildings and generally conform to plot plan? Yes No 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes P___No 3. Are footings and supports properly sized, spaced, and braced asper approved plans? (Note f possible variation at spring shackles.) (Sec. 5082 & 5083) Yes - No 4. Is the mob-ilehome level? (Sec. ' 5088) Yes P-_"No� 5. I.f more han a single unit, are crossover connections properly installed? (Sec. 5088) Yes o 6.. Water A. Is flex�ble connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes c, --No B: Test - Does water piping withstand working pressure or.50 lbs, air test? Yes 'No C. Backflow - If coach is not State of California approved, does station have backflow device and pressure -relief valve? Yes_ No p �� 17. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes No— B.. oB. 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- allons of water through each fixture including washing machine standpipe? Yes No D. If 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 approved 3/4" minimum mob ' ehome connector not more than 6 ft. long? Note: piping is to be at least as -- large s the mobilehome gas line inlet without red u ions other than the mobilehome connecto Yes No B. Test OK as per lowing procedure? Yes No 1. Open all applia e connector valv 2. Shut off appliance burn pilot valves. 3. Air test with mano er to 10"- water column, or test with slope -gauge (minimum 6oz.-maximum 8 .) calibrated in th pound increments. Test for 10 min. without drop. 4. Conne gas meter to mobilehome with connecto turn on gas, -test connections with s y water. C. Are all appliance vents properly installed? Yes No -7 G �. 41 9. Electrical � A. Is service large enough to provide adequate amperage. to mobilehome (must equal rating of mobilehome with a minimum of O amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes l/ No B. Is there proper clearances around panels? Yes o C. Is power supply cord or feeder assembly properly fused? Yes D. Is continuity test satisfactory as per the following procedure? Yes _✓No_ 1. De -energize electrical wiring system of the mobilehome at the pedestal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test. instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neuLral. 5. All non-current., carrying metal parts of the mobilehome (aluminum siding, gas line, water line),` including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder.assembly conductors. shall be connected -to the'site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health *Department for water and sanitation? 11. If everything okay, sign off card and tag services. ManuLEHOME DATA y � Manufacturer and/or Namest 1 Length ��_ Width Vehicle Serial No. j3 6 O t6 State Identification No. Additional.Informati.on or Comments: 9 M COUNTY OF BUTTE `0'EP4RTMENT OF PUBLIC WORKS 7 County Center Drive — Uroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT u —IJI 110 VVQ U, II,C I'UUnIy UI DUttV 1U enter UPUn ln6 above-mentioned property for inspection purposes. X Date n re Perm'Jeee o t Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF VOBLIC WORKS By Datez 7p eilding permit expires Date d��6- BUILDING OwnerO /2"2 /S SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor C �N,E�4S MaT�/L� %�/`lilii���ia al Valuation Mai I i ng Address 1,f47,0 Permit Fee Plan Checking Fee &/or Penalty Telephone No.70 1 Permit Fee Building Address /7�SE,8Ul7 COGt/ T PLUMBING No. @ FEE PERMIT FILING FEE J$3.00 p Z / L L E Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 r U J•J 1�! ' 1 to—/ ,3 Each gas water heater or vent 1.50 A. P. No. 6 Z — �{S' Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W.C. d FireDept. FireZone Use Permit Building sewer 5.00 EQA Parking Parcel Declaration parcel Ma P 60' R/W Improve is P Lawn sprinkler system 2.00 ���Plans 6fd9. Flans Recd Parcel Aporoval Pla Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER RI ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 P% 76 Main service 100V OR LESS 100 AMP OR LESS 5•00 Main service EA. ADD•L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home ® Others ❑ Main service OVERAMP oR LESS 25.00 Main service/ ADD•L foo AMP 1.00 OEA. OR ADDNS.NEW CONST_ \ ACCLBLDGOCCUP. &\ 22sgft I NEW CONSTR. MULTI -OUTLET NON.RESID. BRANCH CIRCUITS)2.50ea NEW CONSTR. (POWER APPARATUS &) NON -RES,D. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of:Ex. GA/ZN�2G�.s' A-%0.3/LE 77ZAiJ-R,o/ZT Ex. Occup(OUTLETS OR FIXTURES)@L�' BAL�1 Occup. FIXED APPLNS. OR P• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No.24y,1X—;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. 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 Off, H,0 Al, /A_r` 16G4 i/ 04 �O — TOTAL PERMIT FEE $ �0 u —IJI 110 VVQ U, II,C I'UUnIy UI DUttV 1U enter UPUn ln6 above-mentioned property for inspection purposes. X Date n re Perm'Jeee o t Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF VOBLIC WORKS By Datez 7p eilding permit expires Date d��6- COUNTY OF BUTTE — . DEPARTMENT OF PUBLIC WORKS 7 County Center Drive = 'Uroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. �7 X A / / l `� Date Signature of Permitee or Agent Receipt No. 4 11 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provis✓ons of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF/'�iJBLIC WORKS By — Date��� (ding permit expires Date72 BUILDING OwnerDale Safff� Z. '—! / SQ. FT. OCC. BUILDING VALUATION Mailing Address p O,Z, oe dGY Alvo evrt �e 1e • ©Zo b '�' YTU Tele hone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address„ S 6 PLUMBING No. @ FEE PERMIT FILING FEE $3.00 G>� cvcn U 1/1 It a Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1-50 Each gas water heater or vent 1.50 A. P. No. '— G Z ^-� `Zan g P a "Gas piping system 1 - 5 outlets 1.50 Each additional outlet 30 F es .C. S 0" n Fire Dept. FirreZone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration P el Nla p 60' R/W Improvements p ovements Lawn sprinkler system 2.00 Qom• —Bldg. Plans Rec'd Parcel Approval P I a4o<pproval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES o --OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE J$3.00 _eD Main service 1000 AMP ORV OR LESS5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 goo so FT MIN%41 M NEW OR ADDNST ( ACCLBLDGS.LING CCUP. &\ 2¢sq ft / NEW CONSTR. MULTI.OUT LET NON .RESID. BRANCH CIRCUITS) 2.50ea Cc F611 Oil MOBILES /( NONNEW.RESI0 R. (SINGLE OUTLETPOWER TUS 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: y Ex. OCcup(OUTLETS OR FIXTURES) BAL t91 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 Cal ifomia. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. �7 X A / / l `� Date Signature of Permitee or Agent Receipt No. 4 11 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provis✓ons of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF/'�iJBLIC WORKS By — Date��� (ding permit expires Date72 MOBILEHOME SUPPORT DATA Mobilehome Mfr. Setup Model No. Year -76 Width. ? (ft.) Length loo /VE'7--(ft.) Expando' Size ft.x ft. (Draw support details below) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation pa ual,�( structural setup sheets (if not on .file with the County of Butte). r i VAJ!( O++ - Sin le ► _ Footings- (check. one) 1. Wood either pressure treated or enter Center Support fdn. grade. upport ocations Footing Sizes (in.) 2. Concrete pati. +� = �� 3. Other,: specify t.)min•) lln.)�in•) '": Supports (check one) in. in.) . ;.f center piers are other than drawn'above, Iraw in locations, spacing, and dimensions. 1. Concrete bh`ock - i 2. Concrete piers 3. Steel piers 4. Other, specify Typicai Footing Size in.)(in.) r — Max. Pier Spacing in. v Max. Overhang �I�ILDING DEPAR`Tl��l'�� QPR®NED. BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville; CA. PHONE: 534-4541 MOBIZEHOME INSTALLATION SHEET 1. Owner's name: /►�1 D /�/Z/ S 7'�'%Z� `� 2. Installer's name: 7- 3. 3. Is the site currently under permit? Yes / / No (If yes, furnish permit number 7- 76 ) OR Is the site an existing site? Yes / / No (If yes, furnish two (2) plot plans.) 4. Will.,the mobilehome.be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and...easements? Yes />< / No / / . ( If no, clarify 5. What is-the-mobilehome electrical.. rating? ----------------------- Z C7 o Amps 6. What is the mobilehome site service rating? --------------------- 2 00 -Amps 7. What is the mobilehome site circuit breaker rating? ------------- z O O Amps 8. Is there any other electric load to be served -by the mobilehome site service? -------------------•--- -------------------------• 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? (ft.) 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.) _ •�3 a• - NOTE:—All Materials & Workrrianshi"`� AShall''$e''in`• tcordance with Recognized'' Good Practices.` and c of a quality prescribed -for the Specified use in the Uniform Building, Plumb' Machanical CQdes and the National Electric ode, set of Plans s MUST be e e j*ilI/ L 'and 'it is ur�le make any changes or alterations on same w l oZ written Aeuni�9rfefrW*F'bepartment %f Publi, Works; JP&unWdffG>Su,ftQ': 11 0 - The . Setback.: C l� :4rdc#f--jx1 , the side property li eQ W-ft'4r� the centerline of t road, permitting d maximum of o ft, @Qve overhang, It I 7r All ut lity connections all be locate . within 4 ft. outside he rear third ection of the 'mo i e home on th left (road) side of mobile hom e i_7 �. �_ i • X4;3.9 W permit will 60 r installation of the LOT 3 UNIT 1C /+!/D 7 -2.00__Al--,71=71 OtiT aired for fhe? obilehome. :Ae _G— 73.03' -- BUTTE COUNTY7— BUILDING DEPARTMENT osi�� . ooEo 7- 8-7,� Izv� APPROVED '� A G r ■ ■ A James Glander Department of Public Works 7 County Center Drive Oroville, California 95965 ENGINEERING CONSULTANTS 2060 PARK AVENUE OROVILLE, CALIFORNIA 95965 PHONE (916) 533-6457 Re: 76551 July 30, 1976 Dear Jim: Compaction test results are enclosed for mobile home site preparation at Kelly Ridge Estates for: Terry KRE Unit 1C Lot 3 Representative tests indicate that the 90% relative compaction requirement has been satisfied. A location map is attached. AGB/cap Enclosures DR. LLOYD M. COOK Ems!. D. JOE E. COOK M. E. Very truly yours, COOK ASSOCIATES Alan G. Brown Civil Engineer DAN J. COOK C. E. t Client Terry COOK -A-ISSOCIATES Project KRE Unit 1C Lot 3 ENGINEERING CONSULTANTS Nuclear In -Place Job No.76551 2060 PARK AVENUE OROVILLE Moisture Density Test Kimbrell , CALIFORNIA 95965 Operator (91 6) 533 TEST NUMBER 1 2 3 4 5 6 7 8 9 10 TEST DATE 7-29-76 7-729 1st .lif t 2nd lif t TEST W Side N Cor. LOCATION of pad FINAL MODE a DEPTH 811 DT 811. DT MOISTURE COUNT 1237 899 MOISTURE .COUNT RATIO -8-84 .643 MOISTURE - 12.0/ 6.0/ PCF 23.0 15.50 DENSITY COUNT 218 243 DENSITY COUNT RATIO .801 .893 WET DENSITY PCF 139-.5 -135.0 DRY DENSITY 127.5/ 127.0/ PCF 116.5 120.0 % * MOISTURE 9.2/ 6.2/ 20 13.0 OPTIMUM DRY DENSITY PCF 135.0 135.0 OPTIMUM MOISTURE 10 .10 % RELATIVE 94/Spdy 94/Spdy COMPACTION 88 89 DAILY STANDARD COUNT COMMENT: DATE MOISTURE DENSITY 7-29 1398 272 1. LOT 3 t�A % UN1.T 1 �C ii -2 = 480.00' • i J 2.00:A�IP o NNI off. h � co Q / Oo SL- .T-BA Cl< . /-9¢,0.54'.9•- = 20- o- a' - 27' _?= 250 004 Coe-Ile T t ; ..r: m PERMIT NO. 5179-76B PERMIT EXPIRES 7.4/�// OWNER Morris L. -Terry CONTR. Holmes Mobile Home arvice, Oroville LOCATION (A.P. 34-62-45 1 Rose} ud Ct. , lot 3, KRlt1C, . Oroville Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED_ /A (Uaate) (Signa re COUNTY OF BUTTE — D"EPARTMENT OF` PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING . Setback 10 Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor StemwaII Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures. Footings StemwaI I Garage Vents Insulation Water Htr. [Heaters Slab Carport Footings /> Prov. forphysically handica ed Conformance of ex. structure Appliances Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings 0 Footing ELECTRICAL Masonry Walls Throat Rough Relnf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts . Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — 'DEPAATMENT OF PUBLIC WORKS ` 7 County Center Dfive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT 5,(79-71p authorize representatives of the County of Butte to enter upon the above -m tioned property for inspection purposes. x Date 7 Si ature of Permitee or Agent Receipt No. /-< 2-107 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 PUBLIC WORKS By �/'%���a�—c Date F=f4- 74 Bui fng permit expires Date F=`6 '" ? 7 BUILDING Owner 2� L SQ. FT. OCC. BUILDING VALUATION d Mailing Address Telephone No. Fireplace Contractor 7 Total Valuation Q Mailing Address Permit Fee !1d Plan Checking Fee &/or Penalty elvp n No Permit Fee $ Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00 ®V1 PO$6LAd ilf-77 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 U/vl Ze �3 Each gas water heater or vent 1.50 -�' A. P. No. — Z .-� Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W.C. lwucalFire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration P rce Ma 60' R/W P Im r p ov ments Lawn sprinkler system 2.00 �—F::� Bldg. Plans Recd Parcel Approval Pla Approval Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 100 AMP OR001 OR LESS5.00 Main service EA. ADD'L too AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service OVER 6 00V25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 Q/JA / X V/L-gZ 0ECICL NEW CONST. DWELLING OCCUP. & A ) 2¢syft OR OCONRESIST .DNS. NEW MULTI-OUTLETNON 2.50ea (POWERCAPPARATUIS f CAA O� l /t �C/ /- -et &) NEW-CONSOTR. 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 o ^_ Ex. Occup(OUTLETS OR FIXTURES)50 @25¢ 104 x. ccup ( FIXED APPLNS, OR EO OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 �y License No..39I 3 %/ Classification 12 -'Ie 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. Rl certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above -m tioned property for inspection purposes. x Date 7 Si ature of Permitee or Agent Receipt No. /-< 2-107 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 PUBLIC WORKS By �/'%���a�—c Date F=f4- 74 Bui fng permit expires Date F=`6 '" ? 7 a F I yYlU�2 2� 5 l��C j� l�os'�BU� C Pitt /ADCC Er s 0 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC 7 County Center Dri,46 —-Vroville, 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 "\ 2t , 14ai�k/� Date Ik- 7Y v Signature of �Peermitee or Agent Receipt No. "► '1 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. DIRECT/OR OF PUBLIC WORKS or B i Date/ L✓ Building permit expires Date �� BUILDING Owneru• %, a SO. FT. OCC. BUILDING VALUATION Mai I i ng Address Telephone No. Contractor '/ Mailing Address ' ' G Fireplace Total Valuation y%tjY �f Telephone No. y --:W 951 Permit Fee Building Address r' tie ` Plan Checking Fee&/or Penalty Permit Fee vC'14 ,C PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 �,pQ Each TraD 1.50 L Repair drainage or vent piping 1.50 A. P. No. _Zkon ing&+Planning Water piping 1.50 Each gas water heater or vent 1.50 Fe -e 1 ani-tati-on Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EOA a-rking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements p ovements Each additional outlet .30 Building sewer 5.00 89TIV"Pfth-S-Ree:d+ Parcel Approval Plans Approval Lawn sprinkler system 2.00 r. U 0 NEW Q ADDITION ❑ UTILITIES ❑ OTHER- ❑ Permit Fee $ f UD $ r ELECTRICAL No. @ FEE �.ry44 PERMIT FILING FEE $3.00 Main service 8000V OR LE 0 AMP ORLESS5.00 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. ACCLBL GS.LING CCUP, 4\ 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 (BRANCH CIR T NON.RESID `BRANCH CIRCUITS 2.50ea NEW CONSTR. POWER APPARATUS 8 NON-RESID, SINGLE OUTLET CIR, Ex. Occup (OUTLETS OR FIXTIiRES g L 1� 01 FIXED APLNS. Ex. OCCup. ( OUT ETS P(RESID )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 1 ti ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ `�• : 7 $ 9 j 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. ©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. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ /y 9 I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ ��� '21and authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X "\ 2t , 14ai�k/� Date Ik- 7Y v Signature of �Peermitee or Agent Receipt No. "► '1 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. DIRECT/OR OF PUBLIC WORKS or B i Date/ L✓ Building permit expires Date �� COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORK,' 7 County Center Drive C;� Orville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. .,/ < Xrx Date In ^ Ik - 7Y Signature of Permitee or Agent Receipt No. 3 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DI C A OF PUBLIC WORKS B DateG Building permit expires Date /© l BUILDING Owner 2!ze� SQ. FT. OCC. BUILDING VALUAT ON r %_� Mailing Address Telephone No. Contractor Mailing Ad ss 6O Fireplace Total Valuation Telephone No.� Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 7,00 Each TraD 1.50 Repair drainage or vent piping 1.50 A. P. No -,-'I'-[ � ,Q-�- fonitg &'Planning Water piping 1.50 Each gas water heater or vent 1.50 F Fire Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 EQA irking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements p ovements Each additional outlet .30 Building sewer 5.00 Parcel A royal Plans Approval Lawn sprinkler system 2.00 e00 NEW ®ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ 'F00 is ii OC ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 . v 0 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family ❑ Duplex Eff 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 OR ADDNST ( ACCLBLDGS.LING CCUP. 4\ 22sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State alifornia Business & Professions Code under the name style of: MULTI TLET NEW CONSTR BRANCH CIRCUITS) NON-RESID (BRANCH CIRCUITS/ 2.50ea NEWCONSTR. POWER APPARATUS 6 NON -RESID. (SINGLE OUTLET CIR, EX. OCCUD(OUTLETS OR FIXTIIRES BAL@1 Ex. Occup. ( OUT ETS P(RESID )FIXED APLNS.READ 2.00 Temporary service 10.00 6 Mobile Home Facilities 15.00 License No. {�e`S'- Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ �S 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. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. El 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 $ $ / a� 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 Land Development Fee $ TOTAL PERMIT FEE $ 01� authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. .,/ < Xrx Date In ^ Ik - 7Y Signature of Permitee or Agent Receipt No. 3 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DI C A OF PUBLIC WORKS B DateG Building permit expires Date /© l P'tRMIT NO. 4398-77B PERMIT EXPIRES OWNER Morris Terry CONTR. Holmes Mobile Home Serv., Bangor LOCATION (A.P. 34-62-45 1 Rosebud Ct., lot 3, KR#lC, Oroville Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED Heinf. steel COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTIdN REdORD S BUILDING BUILDING (Cont'd) PLUMBING Setback /O a7 Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. - Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers0 - 7 Roofing A:qZ Sewer Garage Fdn. Vents Fixtures Footin s StemwaII Garage Vents r Insulation Water Hir. Heaters Slab Carport p Footingsstructure Prov, for ph sically handicaped Conformance of ex. A lianc s Gas Pi In & T st Temp/Gas Slab Final v Sand ation Patio IREPLACE Final FOOtinas Footina E EC TRI(`AI Heinf. steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing to Test Water Htr. Stucco Final / Sub aneIs Mesh MECHANICAL Grd. Fault Pro . Scratch Heatino Service Brown V Cooling Temp. Pole Finish Ducts Underground Interior LathVentilation Permanent Door Closer Final / Final MOBILEHOME UTILITIES ----------------- Elec. Service Elec. Pedestal i Water Piping Sewer Gas Piping M0016EHOME 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.) V C'aUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive Oroville, California 95965 >/ � Telephone: 534-4541 f,77 77 G(� `/ 7 APPLICATION AND PERMIT X i Date Signature of Permitteefe or Agent Receipt No. O �T kite-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant ByDate �f Tom - B tiding permit expires Date BUILDING Owner ' ' SQ. FT. OCC. BUILDING VALUATION l D -J"6 4b, 0 Mailing Address o a C4 &ASW Eck A qo 0 Telephone No. Fireplace ContractorLw ff Total Valuation r f) 0 Mai I Ing Address Permit Fee Plan Checking Fee &/or Penalty me^rr iV T 15pin ��I js Permit Fee Building AddQs PLUMBING No.1 @ I FEE PERMIT FILING FEE $3.00 fi 1— \ t Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 LoU N t 1 e, Each gas water heater or vent 1.50 A. P. No.— Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F . s ,,yy L� V A An I Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Improvements p Lawn sprinkler system 2.00 Parcel pproval Plans pravaI Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 5,00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 Main service OVER s O 25.00 100 AMP OR LESS Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L too AMP 1.00 1 L tv NEW CONST. DWELING OR ADDNS. ( ACCLBLDGS.CCUP. &) 20sgft 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 styl f: 1 r �_ � t L �(5 MJr- S':E f C Ex. Occup(OUTLETS OR FIXTURES) Bq@, rloog FIXED APP LNS. OR Ex. Occup.(OUTLETS (RESID•) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 ^ n � License No.Sa 1'-371 Classification Misc. Wiring 6.25 ❑ 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. ®I have placed on'file with the County of Butte a certificate of Workmen's Compensation Insurance. F1I 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 J$3.00 Heating Cooling Ventilation Hood 1 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 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. NAA r I 1 TOTAL PERMIT FEE $ 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 PUBLIC WORKS X i Date Signature of Permitteefe or Agent Receipt No. O �T kite-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant ByDate �f Tom - B tiding permit expires Date q,5 LOT 3 ..� .,� ' This set plans and specifications MUST be kep a job at all times and it is unlawful to mo y changes or alterations on some without ritten permission from the Department of Public. Works, County of Butte. A :. 2 = 480. o o' _ . L UNl T 1 C T�22Y - 20 YAG. /+%Dn/.9jZCH ,¢t"E N -X5 595 �4 N �4 A' r See lWasfer an on dile TOY IRUIR� plans. 0 \I I o ��; 0 AQS_ v, E a sEi�—rte V7_ -- Z 1. `Y y OA 27' y3 sP- 77 ,iii,( 2= zso: ao' The Bldg. Setback shall 64 4. from the -G-- 73: z3 __BUTTE COUNTY side property line and 5i 1t. from the E?ARTME� "* p BUILDING D centerline of the road, permitting a maxi- mum of a 2 ft. save overhan but enure � - _ A n 0out of all easements. Ct7 NOB/L" � AOl�,�IJ 7-/8.7� P1vG --2✓G B-i7-7�_ CL 27' y3 sP- 77 ,iii,( 2= zso: ao' The Bldg. Setback shall 64 4. from the -G-- 73: z3 __BUTTE COUNTY side property line and 5i 1t. from the E?ARTME� "* p BUILDING D centerline of the road, permitting a maxi- mum of a 2 ft. save overhan but enure � - _ A n 0out of all easements. Ct7 NOB/L" � AOl�,�IJ 7-/8.7� P1vG --2✓G B-i7-7�_ C ij PERMIT NO. 2173-84B,E PERMIT EXPIRES OWNER M. TERRY CONTR.. Acro Lume, Oroville P ASSESSOR PARCEL 6.9-13-45 ;i LOCATION 1 Rosebud C,t, Oroville J � 1 „L l Temp. Power Pole Called PG&E Temp. Elec. S Called PI Temp. Gas'Se Cal led PG JOB FINALEI Signature = OK = Not OK = Not Applicable MOBILEHOMES = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requirements -Setbacks -.Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; LocatiorrTest-Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except it's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4, Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/0 to Grade -HD Approval 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater S. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date = OK = Not OK = Not Applicable RESIDENTIAL (4.ingla�and Duplex) = Not Ready _ Date UNDERFLOOR Plans OK exce t#'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48.P-coperty_Liae Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / ./'/Ptg. Depth 49-.-M.-Doors-One 3' -Check Garage -3rd story, 2 exits , 3.Ftg., Garage; Soils -Steel- / /" Ftg. De6th SO: -Stairs; WI-dth-Headroom-Rise-Run-Landing-Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51e -Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel -B lockouts -W apped-Slab 5 .--Siding-Nailing-Veneer 6. Stemwalls, Garage; Steel -Bloc uts-Wrapped-Slab 53 sStucco_Mesh=Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ft .-Stee 5,4. G.laz•ing Area -Glass Protection -Skylights -Plastic 55.-. ear Walls; Nailing -Bolts 8. O.W.V.: Fall -Fittings- est -2 way C/O -Sewer Test 9. Gas Pipe; Size -An ors 10. Water Pipe; Tes Anchors -Regulator -Service Test 11. Electric; Unodirground 12. Plenums Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Qard-B) f9 Date oJ' - • Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FIN Plans) OK except k's 5 Ext. Steps_�oor-&-Stdelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 5 o e Detector 58. Furnace;aVents-Clearance-Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 15. Water Pipe; Test & An rs-Nail Protection 16. D.W.V.; Test-Fttn s & Anchors -Nail Protection 59. -Be- roo Exiting_ 17. Shower Pan' est, First Floor -Tub Access 60._G..F . - th""Fixfures & Tub Access 18. Test Tub '-& Shower, 2nd Floor -Tub Access 61: I . Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62.' --Stairs Lfaai re ace or Stove; Clearances -Hearth 64. ec. Outlets -at -Wood -Panel; Int. & Ext. Card -BI Date Card -BI Date it. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date VS-. ec. Outlets & Receptacles at Kit. Counter Date ELEC AL rmit OK except #'a age Fire Door; Swing -Landing -Closer ��Z D-D� uct in Gara enper lao-F & TraPensformer Clearance -Ins. Protection 69. Wtr - ce-Comb. Air-Connector-P.R.V.- In arage; Above Floor-Mech. Protection 2 C. ptacles Spacing -Lights &Switches at Doors ize B No. of Conductors -Stapled 70 Ib., Elec. & Mech. Equip. Listed for Location omex ed Close to Edge of Studs & C.J. ec. Rete tacles in Gara p g (G.F.I.)-Romex Protec. uip. Ground made up w/Mech. Fasteners -Bond Gas & Water in Kitchen &Conductor Size 7 • _ ation-Foam-Looked in Attic ❑ Yes 7 eck Construction -Post Caps 74 Fdn Vents&S ra i N��� d�+-m _lT m .Wood -Earth Clearance '.,Looked under Floor El Yes / 75• Following instld.: Driv es E] No; Walks es E] No; Planters ❑Yes No 2 ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI 27. Range Circ or AI -Oven Circ. / / ga. Cu or Al, � ed Neutral ❑Yes ❑No 28. is - rs &Ground -Main Disconnect 29.-•B es; -Pane Is -Motors -Mech. Equip. 76. St rowM--Finish ,-A.e;-tlni ; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30.se ,g -Shower Light 78. Ab®ve-Roof-PIbg.-Appliance-FIrepl.-Clearance to Opngs. 79._y te FI-&isconnect, Electrical, Plumbing B- ate Card -BI Date 80. terior Elec. Trim; G.F.I. Receptacle -Underground 8 . i a ion t oughout House g s rotection Card B -I Date Date Card -BI Date MECHANICAL (Permit) OK except N's 83. orrections from Previous Inspections g est -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85.-WatEtt&-`Sewei Connected -C/O to Grade -HD Approval 32. Vent Fan; Exhaust above Insulation 33. Condensat ain & Overflow; Size & Grade 86. C_om_pliance Certificate -Other Certificates 34. Furnas -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. AMR Access & Platform if Furnace in Attic � Card -BI Card -BI ! Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FRAMING Plans OK except q's Card -BI Date Card -BI Date Comments at Final: ti6.`Sills; Pamper Material & Anchors $]_.-Wafls; S uds-Nailing, Spacing & Bracing -Plates -Sound 3 ---Bearing Walls over Girders & Floor Nailing 39,_Dra I-Stop'fn-Walls (rat proof) 40-F'ire=Sto-9; FLrred Ceilings -Stairs -Chases -Tub V,, f l ader &-Beam-Size & Bearing 4g,ilTangers_Post Caps -Anchors -Connectors 4$ �Ging. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Sht nq.-Rfnq. 44.-FtreptaCe-`Pfesor Type A Flue -Fireplace Throat 45.. cc ss; Size & Romex Protection -Draft Stop -Ins. Baffles J. m. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. arage Fire Protection Framing (NOTE:Anentrymust be made each time youvisit jobsite) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICRIONAND PERMIT PERMIT NO. 3 ASSESSOR PARCEL NUMBER ZONING (6 q— I _ BUILDING PERMIT OWNER ,i►i •' TELEPHONE Ai' le -/ - -5- $O, FT. OCC. BUILDING VALUA I 7 ~� OWNER'S MAJ NG ADDRESS me .. i �'III eo U%GG CONT ACTO NAMETELEPHONE Gi' _— "v7 M -1 CONTRACTOR'S MAILING ADDRESS A/ _)) 4 111,16 /Z0 LloIt. C- Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $00 �x'U ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 1 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 62 BUILDING RESS N � PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobi lehome [y Other SPECIFY Building sewer 5.00 Mobile Home S W G 10.00 e TYPE OF WORK New X] Add itj [:1Remodel❑ Utilities❑ Installation[:]Ither❑ escribework�M(9t1/G 9V1,Jti/ f r CiF,��C�SiIn/� yA //�� �j //,J 4 44L O X -g e o a 9!& )l ' Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 6001 OR LESS Main service 100 AMP OR LESS 10.00 Main service ADD'L 100 AMP 2.50 //EA. NEW CONST. DWELING OR ADDNS. l ACCLBLDGS.CCUP.&) 21�20sgf< &I U CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and m license is in full forc/Q and effect. License No.;l —f y �'— (mss / �/ �"�/ / Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR. U TI.OUTLET 2.50 ea NON.RESID BRANCH CIRC ITS. NEW CONSTSL I POWER APPARATUS &' NON-RESID. %SINGLE OUTLET CIR. 20es0e OR FIXTURES 6AL030Q Ex. OCCUP. FIXED A Ex. OCCUp. OUTLETS P(RESID.)LNS REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. FVII have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shal I be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue again s y in consequence of the granting of this permit. X Date — - Signature of A licant - owner ❑ Contractor Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE L/ OCCUP. GROUP I TYPE OF CONST.PARCEL PD ND' ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC OR PF P LIC By- PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date W Receipt No. WNITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 1 a i I S ti I J 905E aup o�3r Cou�T 13 c 6V 1 1 ~ A U I LD i NIG D PARTI M ��R ` i 75 r m r, ►T ds o �' it C 7- 0 p o Q6 c �' � r o z J 905E aup o�3r Cou�T 13 c 6V 1 1 ~ A U I LD i NIG D PARTI M ��R ` i