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HomeMy WebLinkAbout069-190-017Clifford V. Rin S 46+Lodgeview Dr., lot �11 , KR#3, Oro. Permit A2497-78P,E(util MH) ELEC. 'r rK GAS SUPPORT STRUCTURE REQ. _ COMPACTION TEST REQ. contr: Carneros MH Trans, Napa Permit #3680-78Mf1I Issued ovknE to (5311 ? b contr: Acro-Lume, Oroville Permit #5327-78B(new awnings/MH) D 0) /7 ?erntr: Acro-Lume, Oroville mit #5588-78B(new decks/MH) 581 Lodgeview Drive, Contr: Mikeco Const, 69-17-17 RAO OroOprville 7/,//* Permit#1642-86B(new carport)MH 069-190-017 MILLER, MARC 1NA�E 581 LODGEVIE M, OROVI LE S CONT: SIERRA M/H PERM FND (EX) RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, . INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. MARC A. MILLER 7 COUNTY CENTER DRIVE REAL PROPERTY OWNER/LESSOR MAILING ADDRESS 581 LODGEVIEW DR. OROVILLE BUTTE CA MAILING ADDRESS CITY COUNTY STATE OROVILLE BUTTE CA 95966 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT DATE 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 05-2165 530 538-7541 BUILDING PE N •' TELEPHONE NUMBER SIGNAIURt OF LOCAL AGENCY OFFICIAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO MOUNTAIN VALLEY HM 1978 MOUNTAIN HM MANUFACTURER'S NAME - DATE OF MANUFACTURE MODEL NAMFJNUMBER 2736A 13 52 x 24 CALI 12715/6 SERIAL. NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER 069-190-017 SEE ATTACHED Order No. 00217391-001 EXHIBIT A ' THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS: ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS: LOT 113, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "KELLY RIDGE ESTATES UNIT NO. 3", WHICH MAP WAS FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, JULY 26,1974 IN BOOK 43 OF MAPS, AT PAGES 44, 45, 46, 47 AND 48. AP NO. 069-190-017 FOUNDATION SYSTEM CERTIFICATE OF OCCUPANCY BUILDING PERMITS NUMBER: 05-2165 Address or location of unit: 581 LODGEVIEW DR., OROVILLE CA 95966 Legal Description of Real Property: 069-190-017 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: MARC A. MILLER Owner's address: 581 LODGEVIEW DR., OROVILLE CA 95966 INSIGNIA OR HUD NUMBER: CAL112715/6 SERIAL NUMBER OR V.I.N.: 2736A/B MANUFACTURER'S NAME: MOUNTAIN VALLEY H YEAR: 1978 OFFICIAL APPROVING INSTALLATION: DATE: PHONE: (530) 538-7541 H.C.D. 513C 7 � tL F E , V A. r V ShC � 1 �•4�{ tlNIEC [7 f5c X1'1 � � U 41 � 4> K � t � Y }}� y � , � �: trx .,k dg f r ,~P }' ,' i µye t 7 .+7.x`-� t r r r, S,i i• g s o! f3s;� ofd'drs9 # S 4; } r t tlTcsV1' 4 1 r f, 7 f 3k ! 1 4¢ Q yl re h axt r FIOUNDWTION� SYSTEr1Vi adr n t �' ar Rjy' 7 i� ywt r 'en i rt C ]i 5 x.61 Y -E- "? r 4 x. .. $ - }FE -R £IFdICAT:EkOF�O �° CUPANCYG r , }e g w+ t ntKJ'tl3�:� " F naa A r4`! / itl eay' i•� } S�r`F� i tf'k 8 'y Sr. iiil a+t.-,"A'.yT' ,e-��.r._i�r.�i., 'y.-'tr :,?:i,.�r±}'«�P.i,;t.b.,:ani,•`r2,.k:s-rallt>tix'r1�}Mrhh�,.wr-�#��!=i�,�ST�`lii5.w' Yry ?e �r='^c 4+'{,+�.y`: BUILDING PERMITS NUMBER: 05-2165 Address or location of unit: 581 LODGEVIEW DR., OROVILLE CA 95966 Legal Description of Real Property: 069-190-017 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: MARC A. MILLER Owner's address: 581 LODGEVIEW DR., OROVILLE CA 95966 INSIGNIA OR HUD NUMBER: CAL112715/6 SERIAL NUMBER OR V.I.N.: 2736A/B MANUFACTURER'S NAME: MOUNTAIN VALLEY H YEAR: 1978 OFFICIAL APPROVING INSTALLATION: DATE: PHONE: (530) 538-7541 H.C.D. 513C 08/10/05 11:36 FAX BTEC OROVILLE usvoRTWMN AND HOUSING AGENCY STATE OF CAUFORMA - l3USINES6, TRP DEPARTMENT OF HOUSING Division of Cedes And Standards )MMUNITY DEVFLUYMM I Title Search Date Printed : 07/15/2004 16 003 ARNOLD SCHWAFtZENEGGER. oevemOr iNG qt:!!Zzn Decal #: ABF1957 Use Code: SFD Manufacturer: MOUNTAIN VALLEY HM Original Price Code: AFL Tradenatne: • MOUNTAIN HM Rating Year: 1978 Model: Tax Type: B -T Manufactured Date: 00/00/1978 Last iLT Amount: S23.c0 Date ILT Fee Paid: 06/50/2003 Registration Exp: 07/31/2004 R iLT Exemption: NONE First Sold On: 07/24/1978 Serial Number HUD Label / Insignia Length Width 2736A CAL112715 52' 12.' 2736E CAL112716 - 52' 12' Record Conditions: PPF Exempt Registered Owner: E WADE MCCA'RTHY JOAN L MCCARTHY,(3oint Tcnants with Right of Survivorship) 576 LODGEVIEW DR OROVILLE, CA 95965 Last Title Date: 08/08/2002 Last Reg Card: -07/01/2003— Sale/Transfer 0710112003— Sale/Transfer Info: Price $25,000.00 Transferred on 07/11/2002 Situs Address: 581 LODGEVIEW DR OROVILLE, CA 95966-3966 Situs County- BUTTE Legal Owner. CLIFFORD VIRGIL RING C/O RHONDA CHESSER 3101 EASY ST POLLOCK PINES, CA 95726 Lien Perfected Oa: 08/05/2002 14:11:34 Inactive Decal/DMV: DMV SL8542 Title Searches: BIDWELL'TITLE 1835 ROBINSON ST P O BOX 811 OROVILLE CA 95965 Title File No: 217391 -GW F,Ao Renewal >~ees:� A*. $45.00 �`�' END OF TITLE SEARCH *** 1 RECORDING REQUESTED BY Bidwell Title & Escrow Company 2tm104--QJtm50377r Order i ro. 00217391-001 SPACE 'S USE Parcel No. 069-190-017 GRANT DEED THIS FORM FURNISHED BY BIDWELL TITLE & ESCROW COMPANY A The Undersigned Grantor(s) Declare(s) Documentary Transfer Tax is $ 9. !P �I ❑ City/Town of ❑ computed on full value of interest or property conveyed, or O Unincorporated Area B full value less value of liens or encumbrances remaining at the time of sale ❑ Monument Fee of $10.00 FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, E. Wade McCarthy and Joan L. McCarthy, husband and wife hereby GRANT(s) to Marc A. Miller, an unmarried man the following real property in the ❑ City of Q Unincorporated Area County of Butte, State of California: SEE EXHIBIT A ATTACHED HERETO AND MADE A PART HEREOF E. Wade McCarthy Document Date: August 13, 2004 State of California County of Butte ISS. Jr.McCarthy On . g - -16 - Qq , before me, the undersigned, a Notary Public in and for said County and State, personally appeared E. Wade McCarthy and Joan L. McCarthy Pe (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) i0are subscribed to the within instrument and acknowledged to me that he'/,9lfe/they executed the same in h1s/hbr/their authorized capacity(ies), and that by hir/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand - ial seal. Signatur FOR NOTARY SEAL OR STAMP 0 coMM ,ELDER Q1ARY PtJBUC CAtlfdRNIA Q BUrrt COUtJIY Q COMM. EXP. fEa. 22, 2007 MAIL TAX STATEMENTS TO: Samo as Above 87ECIGRANr0EE0 Recorded I REC FEE 10.00 Official Records I TAX 9.35 AND WHEN RECORDED MAIL TO County Qf I TE I Nante Marc A. Miller CANCIAL'E J J. fiRLiB$S I suet Addres+ 58i Lodgeview Drive Recorder ROSEMARY DICKSON 1 I Oroville, CA 95966 Assistant I Mark City,smte 09.00AM 18 -Reg -2004 I Page 1 of 2 Zip Order i ro. 00217391-001 SPACE 'S USE Parcel No. 069-190-017 GRANT DEED THIS FORM FURNISHED BY BIDWELL TITLE & ESCROW COMPANY A The Undersigned Grantor(s) Declare(s) Documentary Transfer Tax is $ 9. !P �I ❑ City/Town of ❑ computed on full value of interest or property conveyed, or O Unincorporated Area B full value less value of liens or encumbrances remaining at the time of sale ❑ Monument Fee of $10.00 FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, E. Wade McCarthy and Joan L. McCarthy, husband and wife hereby GRANT(s) to Marc A. Miller, an unmarried man the following real property in the ❑ City of Q Unincorporated Area County of Butte, State of California: SEE EXHIBIT A ATTACHED HERETO AND MADE A PART HEREOF E. Wade McCarthy Document Date: August 13, 2004 State of California County of Butte ISS. Jr.McCarthy On . g - -16 - Qq , before me, the undersigned, a Notary Public in and for said County and State, personally appeared E. Wade McCarthy and Joan L. McCarthy Pe (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) i0are subscribed to the within instrument and acknowledged to me that he'/,9lfe/they executed the same in h1s/hbr/their authorized capacity(ies), and that by hir/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand - ial seal. Signatur FOR NOTARY SEAL OR STAMP 0 coMM ,ELDER Q1ARY PtJBUC CAtlfdRNIA Q BUrrt COUtJIY Q COMM. EXP. fEa. 22, 2007 MAIL TAX STATEMENTS TO: Samo as Above 87ECIGRANr0EE0 NOTES RESIDENTIAL tPERMIT NO. 6yntLL_C(L S -c t N. C, 6Y1O�lL�t-}O`ME pc=12, �c�-�►-�i��I(U�l SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER CRS I I Z-1 1S JOB FINALED (Date) Signature ,;) J,-, ` J�� J=OK 0= Not OK . = Not Ry Dle . =Not Ready o 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/ /" L "ft1 P LPG 7. Well Clearance & Disconnect 8. Utility Clearance 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Cana 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-Gearances 5. Drain; MH Test -Fall -Flex Connector 6. Water, MH Test -Regulator -Connect& 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Cana B-1 Date Card 8-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) Line 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water, MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Cana B-1 t Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg- Frg- Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 1 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK D = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Gmd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Gmd.-/ /" Fig. 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 FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type AFlue-Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdnn. Windows or Exiting Doors -Sill Ht & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. I nfittration-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. Dud in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 83. Following InstldMrive O Yes 0 No/Walks O Yes O N&I'lanters 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: 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. Fire 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 Al Insulated Neutral D Yes 0 No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Merh. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type AFlue-Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdnn. Windows or Exiting Doors -Sill Ht & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. I nfittration-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. Dud in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 83. Following InstldMrive O Yes 0 No/Walks O Yes O N&I'lanters 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 COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is In full force and effect. License Class : License Nu er: Date: D/ 716 f Contractor: c OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any gity or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of the Business and Professions Code Date: Owner: 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 Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: (% 2:2 �,f� Policy #: (� 7 ❑ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with t os e revisions. Date: U b� Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. PERMIT NO. BP052165 Issued Date: 08/17/2005 APN: 069-190-017-000 Site Address: 581 LODGEVIEW DR ORO Map Index: Description: EX MH ON PERM FND, EX SITE (1248) Owner: MILLER, MARC A. 581 LODGEVIEW DR OROVILLE, CA 95966-3948 Applicant: SIERRA MOBILE SERVICE BILL REID 466 CIRCLE DRIVE OROVILLE, CA 95966 530-534-0599 Contractor: SIERRA MOBILE SERVICE BILL REID 466 CIRCLE DRIVE OROVILLE, CA 95966 530-534-0599 License #: 470386 Architect: Engineer: Total Square Ft: 0 S. F. Valuation: $0.00 Census Code: CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the ResoI do o do work indicated a ove for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) (1�Ai A Name: By PERMIT EXA4�] - Date: ( PIRES ON: � q -I /0r n Address: (Date) ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable*to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information Is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representativewe Butte County to enter upon the above mentioned property for inspection purposes. Print Name: [ 9 Signature: Date: /� 7 ❑ Owner Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 z_ o \�U NT/ BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-283;4 OFFICE #: (530) 538-7541 A FEE GYILL BE REQUIRED AT TIME OF APPLICATION 'PLEASE PRINT CLEARLY— OWNER Last Name JA I �_ L 1% f First Name M ,# Address set kn uG-E v/tw City Oft u t L l e— Stale CA Zip 9S96G Phone ( g 3 sZ Fax E-mail APPLICANT SIGNATURE X 116-/1 For office use only: CONTRACTOR Name City Address Address Address Occ. City, Zip State u, Zip YS f E Phone Shy pS9 9 Fax E-mail Lic.# Y765�.6 Class APPLICANT SIGNATURE X 116-/1 For office use only: ARCHITECT/ENGINEER Name City Address Address City Occ. Stale Zip ' Phone Slate d Fax E-mail r say �s-�q State License Number APPLICANT SIGNATURE X 116-/1 For office use only: APPLI CANT NAME Flood Zone City SRA Address No Occ. City . Cr Map Book Slate d Zip PhoneFax say �s-�q E-mail APPLICANT SIGNATURE X 116-/1 For office use only: Zoning Flood Zone City SRA Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT. NO. BP O aj(C 6 BIN # - LOCATION AP# 0,61 Property Address 5-01 /'ob6-r-V I F_ Li City Cross Street WORKER'S COMPENSATION Policy Number Carrier c� If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person 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: K 6 . Amount 919 .CIG Bldg SRA Receipt #: 3 CJI 13 Sheriff SMIP Date: g— 1 Z- OS Other 2 - Total COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISfbN� 52iICo5 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: M I PI Wt P C- ASSESSOR PARCEL NUM133EER � 0(0q_ 1Q0 _ 01'_7 Proposed Building Use: EX NI4 0 EX SPE On FON [Ol pe'rmitTechnician: 1. ,\!}• 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. ❑ 4. Engineered truss details and layouts in duplicate. No faxesl ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. 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 rc-view 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............................................................................................ .bl 17. - Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 18. Soils Report and/or Engineered Foundation required ........................................... ❑ 19. Erosion Control Plan Required........................................................................ �] 20. Fees as shown on the attached Schedule of Fees Due SheetV 39.9.,9. Aj ...tel. ❑ 21. City of Chico Plumbing permit........................................................................ ❑ 22. Site plan and business license approval from the City of Biggs .............................. ❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: ❑ 24. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: ............ heck:............ ❑ 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 ...........--�.r�......................................................:........ vasto 35.d%al description...... 'Title, ti le search registration or MCO ......................... ❑ 36. Other: ❑ 37. Other: When issued Telephone S >,-( y S 9 q and hold for pickup. I have been informed oft a above items and. requirements for obtaining a building permit. Applicant: Date: 1. Index permit application for the above items numbered: Plan Check Lette nal items required Contract ir, designer, owner, was advised of the above data by phone, ❑ mail, ❑ counter, by Date: actor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, bv Date: Plans reviewed by: Date: ns approved by: Date: Structural reviewed by: Dale Z&I tructural approved by: Date: Note transfer by: Date: Yellow: Building Division VectorDilynamics Foundation System INSTALLATION INSTRUCTIONS for the State �1 California Version 9/212Cizi3 INDEX Approval PAGE RELEASE SECTION NUMBER DATE MANUFACTURED HOME/MOBILE HOME FOUNDATION SYSTEM HEALTH AND SAFETY CODE, SECTION 18551 INTRODUCTION 2 9/2/03 APPROVED GENERAL INSTALLATION3 9/2/03 SUBJECT TO CORRECTIONS NOTED PARTS LIST 4 & 5 9/2/O3 ROYAL DOES NOT AUTHORIZE OR APPROVE ANY MISSIONS OR DEVIATION FROM REQUIREMENTS OF LONGITUDINAL DEVICES 6 9/2/03 APPLICABLE STATE LAWS AND REGULATIONS Sto of Californill PIER HEIGHTS 7 9/2/03 'Dbeat f-Hou610 aud Commumty DOMQpnww SET-UP INSTRUCTIONS 8 9/2/03 B N OD ES ANDSTANDARDS 6PA O. FOOTER SIZES ThiaP Approvaj E piret WIND ZONE I - SINGLE 9 9/2/03 l PXki1nr -7-0.7 � %DOUBLE~_ 10 9/2/031 -.TRIPLE 11 9/2/03 - HIGH PIER 12 9/2/03 WIND ZONE II - SINGLE 13 9/2/03 ?.� - DOUBLE 14 9/2/03 �oQRpFESS/0/�9C M. - TRIPLE 15 9/2/03 No.6 245 21 P. V -DRIVE & PIER SYSTEMS 16 9/2/03s�gTFOcivil_ SOIL CLASSIFICATION 17 9/2/03 CONCRETE INSTALLATION 18 &.19 9/2/03 ' i3il M CSN " AUIL.DtNG DEPART WIP COMPONENT PARTS AVAILABLE UPON REQUEST r 4 P P R 0 V 03 00 Lq M CD CV (D (3) C) Tie Down Engineering, Inc. VECTOR DYNAMICS INSTALLATION DESIGN INSTRUCTIONS Introduction These instructions describe the proper use of the lateral and longitudinal foundation system. You may also refer to the home manufacturer's installation manuals that include the Vector Dynamics system as an alternate foun- dation system. General The Vector Dynamics Foundation System provides the support to resist lateral, longitudinal and over -turning movement of the home as required by the Federal Manufactured Home Construction and Safety Standards in a specified wind zone when the system is used as described in these instructions. Please verify state or local wind load requirements prior to installation of the home, The Vector Dynamics Foundation System resists lateral & 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 feet to 16' feet wide- (single section) with main rail spacing of 95 inches or greater on center, multi section main rail spacing of 75 inches or greater on center. Nominal 8 foot or less top plate height at sidewalls with main rail depth of 12" or less. Maximum roof slope of 20 degrees (4.4" in 12" slope). Maximum eave width (roof overhang of sidewall) of 12" for Zone I, 8" fo Zone 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 th.e use of the Vector Dynamics Foundation Systems with homes of four or more sections, other widths, or on homes requiring pier heights which are not included in these instructions, contact Tie Down Engineering, Inc. at 1-800-241-1806. The Vector Dynamics Foundation System has not been designed for use on exposure "D" homes within 1500 feet of the coastline. Additional vertical anchor ties that are unique to a home's design may be required by the home manufacturer. These locations may include shear walls, marriage line ridge beam support posts, end frame ties and rim plates. `� Page 2 California 9/2/0 N t GENERAL INSTALLATION INSTRUCTIONS SITE PREPARATION It is necessary that the home site be properly graded and sloped to prevent water and moisture from standing or flowing beneath the home. FOOTINGS AND FROST LINES The Vector Dynamics Foundation System was designed to be placed directly on top of the ground (or poured concrete) after clearing all loose vegetation. In areas with frost heave, use Vector for Poured Concrete (see pages 20 & 2,1) to comply with local requirements for footer depth. FOUNDATION/FOOTING SPECIFICATIONS FOR VECTOR PADS Vector Pads are used in place of conventional foundation pads. One Vector pad provides two or three square feet of bearing support. Vector Systems should be spaced as symmetrically as possible along the length of the home. For pier locations in between the Vector Systems, use the normal foundation pads. LUMBER/MOISTURE -TERMITE SHIELD To cut PVC or lumber (2.- 2x4's,1 - 4x4 or 1 adjustable steel commpression member per Vector system) for the center compression section,when using concrete blocks for piers, measure center to center frame (I-beam) dis- tance and subtract 16". When using METAL PIER STANDS, measure center to center frame distance and add 16". ALL WOOD MUST BE PRESSURE TREATED, GROUND CONTACT RATED . Tip: Pre-cut your lumber and mark as to brand or model of homes you will be installing. If frame widths are the same, the pre-cut boards will also be the same length in each Vector set-up. STRAP INSTALLATION All frame ties and diagonal straps must go from the anchor to the top of the I -Beam. See illustration below. 1. Attach frame hook to top inboard location of "I" beam. (Frame hook must be attached to frame at points closest to floor support.) 2. Keeping in line with the hook, wrap galvanized strap completely around "I" beam. 3. Pull strap past anchor head approximately ten inches before cutting to allow enough strap to give a minimum of five turns around the slotted anchor bolt. 4. Thread loose end through slotted bolt so that the strap is flush with the other side of the bolt. 5. Tighten slotted tensioning bolt a minimum of five full turns. Page 3 California 9/2/03 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 1 0-1 3. Combine Vector Dynamics �� + a..4..:.:. & LSD 02--/ 3 r_.. ........... 1 1. Longitudinal Foundation Pad 2. Beam Clamp (2 per system) N 3. Longitudinal Strut (2 per system) Ci 4. Tie Bracket (2 per system) or Exart1ple5 Of Po55ible Placement: (contact TIE DOWN for placment in other Wind Zones) Wind Zone Single Section I 0o I 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 Double Section 32 Ft. Max. Forgreater widths use triple Section design. Page 6 Wind Zone I Triple Section Wind Zone I Tag Section ut: 48 Ft. Max. California 9/2/03 50 in max. Maximum Pier Height Vector Dynamics Foundation Systems may be used on single section homes in Wind Zone I which require pier heights (from surface'of Vector pads to top of concrete or metal pier) not to exceed 50 inches under one or both main rail(s). Note that a ground anchor must be used at each Vector system location where the pier height exceeds 24 inches for single section homes. On multi -section homes in Wind Zone I, an anchor must be used at each Vector System location with pier heights above 46" with the following exception: double section homes that are 24' wide, in Wind Zone I, have a maximum pier height without anchors of 38". See page 12 for double section home high pier set instructions. 50 in max. Unequal Pier Heights 4aximum Homes with unequal pier heights are limited to 50" maximum pier height. The difference be the taller pier L and the shorter pier cannot exceed 26". Page 7 California 9/2/03 Set -Up Instructions for Vector System #59018 Long U -Bolts 1. Set Vector Pads 4. Inside brackets & straps Clear all vegatation where pads will rest. Place Attach the inside tie brackets to the. U -bolts over a long U -bolt in pad as shown. Press or ham- the compresion member. Attach a strap w/hook mer pad into the ground. or swivel strap w/nut & bolt. Place other end of the strap over opposite I-beam & down to out - 2. Set Block or piers on pads. side tension bracket. Cut strap 12 - 15 inches Center foundation blocks or piers on pads. Place past bracket. Attach strap & slotted bolt in pre-cut center compression member between bracket. Tighten strap until tight with 4-5 wraps blocks, resting on pads, centers between U -bolts around bolt. Repeat with opposite strap. as shown. 3. Outside Tension Bracket Attach outside tension bracket as shown to out- side of pads. 4EC; Page 8 Califor 9/2/03 O w co N lal WIND ZONE I, SEISMIC ZONE 4 Vector Dynamics Systems Required for Double Section Homes (Materials Required) \ Septi -'- -72, doub�e \ - _ I, J• 1 ...v is A. NOTE: Vector Systems should be spaced as symmetrically as possible along the length of home. Pier spacing must be consistent with I manufacturers' instructions and/or state requirements. No anchors 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 2 sq, ft. pad Soil Classifications: 2, 3, 4A, & 4B Soil Bearing Capacity: 1,000 PSF minimum Anchors Required': None ("`Marriage wall anchors may be required by home manufacturer) Home Length Vector Systems Required Anchors Required Per Side L.S.D. 0to40' 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: 1-4x4 or 2-2x4's pressure treated wood compression member, Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list) Note: L.S.D.= Longitudinal Stabilization Device See Page 6. L - ViECTOR 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 below' SOIL CLASSIFICATIONS Soil Class Types of Soils Blow Count (ASTM Soil Test Probe (1) D2586) Torque Value (2) 1 Sound hard rock...... NA NA Very dense and/or 40 -up More than 550 lbs - in, cemented sands, coarse 2 gravel and cobbles, preloaded silts, clays, and corals Medium -dense coarse 24-39 350-549 lbs - in. 3 sands, sandy gravels, very stiff silts and clays 4A Loose to medium dense 14-23 275-349 lbs - in. sands, firm to stiff clays 46 and silts, alluvian fill 175-275 lbs - in Peat, organic .silts, 0-44 175 lbs - in. 5 inundated silts, loose fine and lower sand, alluvium, loess, varied clays, fill, fly ash. (1) The purpose of the soil test probe is to gauge the strength of the soil below the surface and near the anchor's helical plate. The strength of the soil is estimated in terms of its resistance to penetration (flow) under load by means of the torque probe and is measured in Ib -in. The test probe has a helix on it. The overall length of the helical Section is 10.75 in.; the major diameter is 1.25 in.; the minor diameter is 0.81 in.; the pitch is 1.75 in. The shaft must be of suitable length for anchor depth. (2) A measure synonymous with moment of a force when distributed around the shaft of the test probe. Vector Foundation Pads Equivalent to Footer Pads* Footer Size: Footer Size: 16x16 = 256 sq. in. ;- - -; - 20x20 = 400 sq. in. or 16x18 = 288 sq. in. -; or 17x25=425 sq. in. - - - EQUALS -- - EQUALS - = 2 -Vector Pads # 59275 --" _ 1 -Vector Pad # 59271 - -_ 288 sq.. in. or 432 sq. in. 1 Vector Pad # 59130 Vector Pad(s) exceed the surface area required when used as the equivalZeabove. 'Foundations in soil with a bearing capacity of less than 1,000 PSF must be designed by a Registered Professional Enith site condilons Page 17 California 03 V. ? - e PERMIT NO. 5327-78-B . f PERMIT EXPIRES OWNER Clifford Ring fCONTR. Acro-Lume, Oroville }' LOCATION (A.P. 34-71-17 461 Lodgeview Dr.,, Lot 113, KR#3, • Orovi lle t Tempi Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB b FINALED j (Da f It ,> (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WOKS Heinf. steel BUILDING INSPECTION RECORD ' r BUILDING BUILDING (Cont'd) PLUMBING Setback / 3 ,2 Firewall Soil Piping Forms Parapets A 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor StemwalI Sidin To out Slab Roof Sheathing Water Pi in Piers Roofing Sewer Garage v Fdn. Vents Fixtures Footings A Stemwa I I Garage Vents Insulation Water Htr. r' Heaters Slab Carport Footings Prov. for ph sically handicaped Conformance of ex. structure Appliances Gas Piping & T st Temp. Gas Slab Final Sanitation , Patio / 'fFIR6PI_#t6E Final Footings /O Footing , z ELECT" Nasonry Walls Throat % X Rnunh Heinf. steel Final Fixtures Bond Beam FIRE SPRINK&ERS Motors =ramlng Test Water Htr. stucco Final Subpanels Mesh MECHA ICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. P le Finish Ducts Unde round Interior Lath Ventilation Pe ` anent Door Closer Final ! ' Fin I MOBILEHOME ILITIES Elec. Service Elec. Pedestal Water Piping zSewer Gas Piping - MOB16EMOME 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.) 1: -� COUNTY OF BUTTE — 6EPAR,-TMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 % Telephone: K:4-4541 APPLICATION AND PERMIT BUILDING Owner ��� ��.tG SQ. FT. OCC. BUILDING VALUATION Mailing Address ? Telephone No. Contractor /Z� r- ,y r Fireplace Mailing Address Y����_hor ' Total Valuation V% 2B v 1 C (- Telephone No. Permit Fee Building Address %% Plan Checking Fee&/or Penalty ,/rte 02 U �Lw ^ r Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 OT 113 2 3 Repair drainage or vent piping 1.50 A. P. No. 8 4 - ? — %'7 Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F4 1 W/d Fire Dept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plan Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. P ons Rec'd Parcel A royal Plans pProval Lawn sprinkler system 2.00 NEW ADDITION UTILITIES ❑ OTHER ❑ Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 100 AMP OR00V OR SLES S 5.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD•L 100 AMP 2.50 /X �` /z/ '/6/ CC"" �F zf Main service OVER eoov 25.00 100 AMP OR LESS Main service EA. ADD•L 100 AMP 1.00 NEW OR ADDNST % ACCLBLDGS.LING CCup- S) 20sq ft 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 st le of: Y 44,20 — AIV M C NEW RESID,CONSTBRANCHMULTI.OCIRCUITS) NON.RE51 D, (BRANCH CIRCUITS) 2.50ea NEW CONSTR (POWER APPARATUS .& NON.RESID. ,SINGLE OUTLET IR. C Ex. Occuo(OUTLETS OR FIXTI IRES g L I Ex. OCCU FIXED APPLNS, OR p•�OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 ,, License No._�QI 71`// 9-C/7 Classification �o 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 Wor n's Compensation. . have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. lecertify that in the performance of the work for which this permit is issued 1 shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation [Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for 'ns X Date S gnaturc of -P tee or Agent Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provis fOO the Butte County Code and/or resolutions to do work in Ica d above for which fees have been paid. DIRECTOMFBLIC WORKS Date_! -)If %F Budding permit expires Date fir'— 04 5588-78B PERMIT NO. �• PERMIT EXPIRES OWNER Clifford Ring CONTR. Acro-Lume, Oroville LOCATION (A.P. 34-71-17 ) 461 Lodgeview Dr.,, Oroville Temp. Power Pole Called PG&E Temp. Elec. Serv. /Called PG&E Temp. Gas Serv. JCalled PG&E OB J FINALED (Dat (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS -BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms %U `? Parapets 1st Floor Main Bldb. Restroom Fin*IsR 2nd Floor Footings Windows ' 3rd Floor StemwalI Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa I I Garage Vents x Insulation Water Htr. Heaters Slab Carport Footings Prov. for physicall handicapped I Conforms ce of ex. structureTem Appliances Gas Piping &Test . Gas Slab Final �• Sanitation Patio/1 IREPLAC Final Footing 1'0 1 7 Footing f ELECTIRICAL Reinf. Steel I Final L"', -*.>• I Fixtures 1 FIRE SPR RLERS mesn MECHAWCAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Under round Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME U ILITIES Elec. Service Elec. Pedestal Water Piping J Sewer Gas Piping MOBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping - Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTIr1ENT OF PUBLIC WORKS . ,�. 7 bounty Center Drive — Oroville, California 95965 Tel ephor►;: 534-4541 APPLICATION AND PERMIT au(nurize representatives of the County of butte to enter upon the above-mentioned propert for inspection purposes. X Date C�4/w Inature of Per i e or Ag—en Receipt No. / v�,/ 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. DIRECTORS PUBLIC WORKS BY - Date Iding permit expires Date BUILDING Owner f-GiZ i.tl FT. OCC. BUILDING VA UATION Mailing Address Telephone No. tFirepla7ce Contractor Z- �� ,— GL Lo Mai lin Address /,, __ 9 9�!�t' / �'r tr Ic - Total Valuation 6LJiC Telephone No. Cay/�' . Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee ®_-/,�1�/ CLu �/� , PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EOA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. Pla c d Parcel A46461al PI s Approval Lawn sprinkler system 2.00 NEW ADDITION UTILITIES ❑ OTHER ❑ Permit Fee $ $ e -UC —6 K 97 -EQEjK_ ELECTRICAL No.1 @ FEE PERMIT FILING FEE J$3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family EJ Duplex Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 100 AMPORLESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST ACCLBLDGS,LING CCUP. 7i\ 20sq ft / CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of CZf mia Business & Professions Code under the name style of: ' Y NEW CONSTR MULT I.OUTLET NON•R ESI D, BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS 8 NON.RESID. SINGLE OUTLET CIR. Ex. Occup{OUTLETS OR FIXTURES g L I� � Ex. OCCU / FIXED APPLNS. OR p.\OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 r�^^ License No. `���5��Classification �e Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE i am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ill 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 iNol @ FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ au(nurize representatives of the County of butte to enter upon the above-mentioned propert for inspection purposes. X Date C�4/w Inature of Per i e or Ag—en Receipt No. / v�,/ 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. DIRECTORS PUBLIC WORKS BY - Date Iding permit expires Date 2497-78P,E .,PERMIT NO. g PERMIT EXPIRES Clifford V. Ring OWNER CONTR. owner LOCATION (A.P. 34-71-17 461 Lodgeview Dr., lot 113, KR#3, Oroville r j r Temp. Power Pole Called PG&E Temp. Elea. Serv. �6`? Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED ` (Dat Q (Signature) v V- nish COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION' RECORD derround BUILDING A BUILDING (Cont'd) PLUMBING tback Arewall Soh Piping Fo s Pa6pets 1 Floor Ma'Np Bldg. Res om Finish 2n loor F tins Windo 3rd Noor Stehall all Sidin To out Slab \ Roof Shea in Water P!Ag Piers N Roofing X Sewer Garage Fdn. Vents X Fixtures Footings Stemwa I I X Garage Vents Insulation X Water Htr. Heaters Slab Carport Footings Prov. for ph sical handica ed Conformance of ex. X structure Appliances j Gas Pi in &Test Temp. Gas Slab Final Sanitation Patio F E ACE Final Footin s Footing ECTR AL Masonry Walls Throat Rough Reinf. Steal X Final Fixtures Bond Be X kIRE SPRINKILEAS Motors Framinq Test Water Htr. Stucco X Final Subpanel Mesh MECHANICAL " Grd. Failt Prot. Scr ch Heatiri Servic B wn Cootthq T p. Pole nish Du s derround I erior Lath V ntilation Nermanent .or Closer anal final MOBILEHOME UTILITIES ------------------ Elec_ Service fL66) _ Elec. Pedestal 7 moot X1.6% oq ..4�_ Water PipingSewer Gas Piping DSL E MEINSTAILLATION --------------Support Elec. Continuity — Water Piping Drainage 6-7 Gas Piping O k&. DATE REMARKS OR CORRECTIONS G_Zz-7Yo(0 j'�'orid4 �rlccnarv7 a� 6��c. C-?,�✓�G�t, Afb s ce P C -0 44e -P yq-� Win- �3 3 �o cpm R 1Q (NOTE: An entry must be made on this form each time you visit the job site.) 11 9. Electrical " A. Is service large enough to provide adequate amperage -to mobilehome (must equal rating of mobilehome with a minimum of 1510 amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes.. No / B. Is there proper clearances around panels? Yest_rlKo_ I C. Is power supply cord,or feeder assembly properly fused? Ye _ No_ D. I continuity test satisfactory as per the following procedure? Yes_vl_o De -energize electrical wiring system of the mobilehome at the pedestal. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 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 neutral. ,5.1All 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. &.e- upon completion of the above pr9cedure, 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 bf the d ectrical tests, the lot or site service equipment may be approved for energizing. ,A.* card signed by Health Department for water and sanitation? 1 �'Ifeverything okay, sign off card and tag services. MOBILEHOME DATA Manufacturer and/or Namestyle Pqr� (% Length Width Vehicle Serial No. S a%c7 State Identification No. 2 7Z / 214 Additional Information or Comments: J MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located w t equired 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) YesL—No 3. Are footings and supports properly sized, spaced,'and braced asper/ approved plans? (Note possible variation at spring shackles.) (Sec. 5 82 & 5083) Yes_ No_ 4. Is the mobilehome level? (Sec. 5088) Yes_ No 5. If more an a single unit, are crossover connections properly installed? (Sec. 5088) Yes No_ 6. Water A. Is f' lexibke connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes_ No B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes ✓No ackflow - If,coach is not State of California approved, does station have backflow device and pressure -relief valve? Yes_ No 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end?/Yes— —'leo B. Does it have minimum " per foot slope and is it properly supported? Yes No C. Are any leaks detected in drainage system after running 3 llons of water through each fixture including washing machine standpipe? Yes_ No coach is not State of California approved, does station have required trap and vent? Yes No 8. Gas Piping and Gas ents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome con ector not more than 6 ft. to g? Note: All piping is to be at least as large as the mo 'lehome gas line inlet wi out reductions other than the mobilehome connector. Yes No B. Test OK as per followin rocedure? s_ No 1. Open all appliance contwctor valybs. 2. Shut off appliance burner an&4ilot valves. 3. Air test with manometer to 1 "-14 water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibr ed in to h pound increments. Test for 10 min, without drop. 4. Connect gas meter to mobLlehome with connect'bIr turn on gas, test connections with soapy water. T C. Are all appliance vents pi/operly installed? Yes_ No MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located w t equired 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) YesL—No 3. Are footings and supports properly sized, spaced,'and braced asper/ approved plans? (Note possible variation at spring shackles.) (Sec. 5 82 & 5083) Yes_ No_ 4. Is the mobilehome level? (Sec. 5088) Yes_ No 5. If more an a single unit, are crossover connections properly installed? (Sec. 5088) Yes No_ 6. Water A. Is f' lexibke connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes_ No B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes ✓No ackflow - If,coach is not State of California approved, does station have backflow device and pressure -relief valve? Yes_ No 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end?/Yes— —'leo B. Does it have minimum " per foot slope and is it properly supported? Yes No C. Are any leaks detected in drainage system after running 3 llons of water through each fixture including washing machine standpipe? Yes_ No coach is not State of California approved, does station have required trap and vent? Yes No 8. Gas Piping and Gas ents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome con ector not more than 6 ft. to g? Note: All piping is to be at least as large as the mo 'lehome gas line inlet wi out reductions other than the mobilehome connector. Yes No B. Test OK as per followin rocedure? s_ No 1. Open all appliance contwctor valybs. 2. Shut off appliance burner an&4ilot valves. 3. Air test with manometer to 1 "-14 water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibr ed in to h pound increments. Test for 10 min, without drop. 4. Connect gas meter to mobLlehome with connect'bIr turn on gas, test connections with soapy water. T C. Are all appliance vents pi/operly installed? Yes_ No _ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone:.534-4541 APPLICATION AND PERMIT autHOrlGe represenlauves or the County of Butte to enter upon the above-mentioned property for inspection purposes. X 1eAAAQ X Date 9 Signatur Permit�eeor Agent Receipt No. / rj) OY 7 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF ABLIC WORKS By` w Date permit expires Date BUILDING OwnerClifford V. Ring SQ. FT. OCC. BUILDING VALUATION Mailing Address 900-56 Henderson Avenue Sunnyvale, CA. 94086 T4ftan2 $-45 Fireplace Contractor (Owner) Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee is Building Address 461 Lod eview Drive PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Oroville, California 95965 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 � Lot 113, Unit 3 — Kelp" d�flcefion Only Each gas water heater or vent 1.50 A. P. No.2_r 34 - 71 - 17 • — Zoni & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Building sewer 5.00 p,QO Fj�s 1WC. S"�oonj FireDept. Fi a—Zone ermit EQA Parking Plans Parcel Declaration arcel M P 60' R/W Im r p ove is Lawn sprinkler system 2.00 Bldg. P s Recd Parce proval Plans kppravaI Permit Fee $ OZ) NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 ,0 Main service 100 AMP OR11V OR LESS5.00 Main service EA. ADD'L too AMP 2.50, Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD•L too AMP 1.00 ' . FT. MINIMUM NEW OR ADDNST ( DWELLINGLING OCCUP. &) 2¢Sgft NEW CONSTR. ( MULTI.OUTLET NON-RESID. l BRANCH CIRCUITS) 2.50ea - EOE MOBILES NEW CONSTR. (POWER APPARATUS&J 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. Occup(OUTLETS OR FIXTURES)@25a 104 Ex. Occu FIXED APP LNS. OR P• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 CC 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. 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 er it 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 5. co TOTAL PERM T FEE is autHOrlGe represenlauves or the County of Butte to enter upon the above-mentioned property for inspection purposes. X 1eAAAQ X Date 9 Signatur Permit�eeor Agent Receipt No. / rj) OY 7 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF ABLIC WORKS By` w Date permit expires Date I If CO,LJNTY OF BUTTE — DEPARTMENT OF -PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 /, %)O 12f Telepbone:•534-4541 /// v APPLICATION AND PERMIT 114W) aUUIUFIIU representanves or the County of Butte to enter upon tree above-mentioned property for inspection purposes. X 4 Date 5 n)te*be itee or�A tReceipt NoWhite-D.P.Wllow-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. ^ / d QIRE4�%TA OF PUBLIC WORKS A _ BUILDING Owner Clifford V. Ring SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor Carneros Mobile Transport Mailing Address 1290 E1 Capitan Fireplace Total Valuation NapaCA. 94558 Telephone No. 707 Permit Fee Building Address 461 Lod eview Drive Plan Checking Fee&/or Penalty Permit Fee Oroville California 95965 PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Lot 113, Unit 3 — Kelly Ridge Estates Repair drainage or vent piping 1.50 A. P. No. 34 — 71 — 17 Zoning 8 Planning Water piping 1.50 Each gas water heater or vent 1.50 M-dsTw<Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration I Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 �� � Bldg. fps Rec'.d Parcel royal Plan pprovol Lawn sprinkler system 2.00 NEW ❑ ADDITION [:]UTILITIES ❑ OTHER ❑ Permit Fee $ $ INSTALLATION --A;D r ELECTRICAL No. @ FEE 1$3.00 PERMIT FILING FEE Main service 600V OR LESS 10o AMP OR LESS 5.00 Sin Single Famil ❑ Duplex ❑ Mobil Home ® Others g y ❑ Main service EA. ADD100 AMP 2.50 Main service OVER 600v 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST DWELING OR ADDNS. ACC,-BLDGS.CCUP. Y) 20sq ft 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 st le of: y Cnrneros Mobile e Transport NEW CONSTRESID. RANCH CIRCUITS) ID, BRANCH CIRCUITS) 2.50ea NEW NEW CONST R. (POWER APPARATUS 8 CO NON RES D. SINGLE OUTLET CIR. Ex. Occup{OUTLETS OR FIXTURESg �� Ex. Occu FIXED APPLNS. OR p•�OUTLETS (RESID.I EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. 259158Misc. Classification C-61 Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ®1 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 El permit is issued 1 shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL Nol @ 1 FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and StateLaws relating to building construction, and hereby30.0( Mbl, Home 'sn 30.0( TOTAL PERMIT F•EE fi�$ aUUIUFIIU representanves or the County of Butte to enter upon tree above-mentioned property for inspection purposes. X 4 Date 5 n)te*be itee or�A tReceipt NoWhite-D.P.Wllow-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. ^ / d QIRE4�%TA OF PUBLIC WORKS A _ BUTTE COU\rfy DEPARTTIENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET (If no, clarify 5. Owner's name: Clifford V. Ring Lot 11.3 Unit 3 — 1. 2. Installer's name: Carneros Mobile Transport 200 Amps 3. Is the site currently under permit? Yes /X / No 8. (If yes, furnish permit number' _ ) OR _ service? -------------------------------------------------- Is the site an existing site? Yes / / No /X / (If yes, identify the load and size: (Load) (If yes, furnish two (2) plot plans.) 9. What 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes /X / No 11. (If no, clarify 5. What is the mobilehome electrical rating? ----------------------- 200 Amps 6. What is the mobilehome site service rating? -----------------``-- 200 Amps 7. What is the mobilehome site circuit breaker rating? ------------- 200 Amps 8. Is there any other electric load to be served by the mobilehome site _ service? -------------------------------------------------- Yes / / ' / X / 1\0 (If yes, identify the load and size: (Load) -0- Am s (Amp ) 9. What is the mobilehome site -gas pipe size? ---------------------- _0- (in.) 10. What is the type of gas service? ----------------------------- Natural / / LPG 11. What is the gas pipe length from meter or tank to the mobilehome? -0- (ft.) 12. what is the mobilehome gas demand? ------------------------------ -0 (BTU) (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) 1- f MOR IL1110T- l;-S1lT)PORT DATA If othe :,-,than single wide, Mobilehome Mfr. 11OLintain Valley Homes_ furnish Setup Model No.� 2BDR, CKU Year 1.978 NET Width 24' (ft.) Box Length 52' (ft.) Tagalong or Expando Size --- ft. x --- ft. (S11OW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of. - mobilehome unless otherwise specified. Footings (check one) Single . [Mood either A A pressure treated _ foundation grade. Cpm � x3v - (ft.)(in.) (in.) (in.) 2. Other (specify) Center support Center support Supports (check onr.) locations* footing sizes (in.) 1: Concrete block. t__J 2. Other (specify) (in.) (in.) <- —Tagalong or Expando, O show support details. (ft.)(in.) (in.) (in® X30 -- Typical Support (in.) (in.) Footing Size � L (in.) (in,) Max. Pier Spacing Max. Overhang (ft. V in.) (in.) (in.) (ft.)(in.) , BUTTE COUNTY BUILDING DFPARTMF-Nl 4PPROVE10 *if center piers are other than drawn above, draw in locations, spacing, and dimensions.�- NOTE:—All, !/c lericls & Workmansy. ip Shall Be in Accor, arcs Recocn-ed rnnd Pr,,ctices and of a qurlit�� h= �c-t!,�d for rhe Snecifiec'T` use in the 'Uniform Buil:linq, PjurnSing & Machanical Codes and the Nat Sna�Eleeptdcal-FT�_e - _ S -i= a R --V-- k R_ \,l 0 0 TO This set of plans and specifications MUST be kept on the job at all times and it is unlawful to make any changes or alterations on same without writtrn p�rmisson from the Department of Public - Works, County of Butte. The 9W. Sefbac4 shall be 5 ft. from the J +', p -c cr- lino and 50 ft. from the 9 ,�... ....c f the rood, permitfing 'a maxi- 4 A; / u 2 ff. eavo overhang but entirely .0 out of all easements. ,0/ s- Scn'tNc system and location -DIgNaki- i to be as PPer � +.;'t.a, �:cunty Health Dept. Re- / quirements. X .�� All utility connection, shall be located within 4 ft. outside the rear ti�iru sec -Hon of the -nobile home on the left (rod ide of the mobile home. _ '41*00 2y 97-76P LOT 113 UNIT 3 - -R-1 N G tit O U tJ'rA 1_N \./Ly. 24'xS/..' '-� Z p'0 20, \ "BUTTE COUNTY SUjLDING DEPARTMENT APPROVE® MOc3�L= ADD -D 4-4-780 D,D. _? vG Z- / - 7S, T 1642-86B PERMIT NO. / PERMIT Qa- EXPIRES OWNER CLIFFORD RING CONTR. Mi.keco Const, Paradise ASSESSOR PARCEL 69-19-17 LOCATION 581 Lodgeview Drive, Oroville j I i Temp. Power Pole_ Called PG&E _ Temp. Elec. Service Called PG&E_ } Temp. Gas Sei Called PG I JOB FINALE[ Signature r . I O)c , Not OK = Not Applicable MOBILEHOMES Not Ready MISCELLANEOUS Da:e MOBILEHOME UTILITIES (Plans) OK except a's Date DECK OVERS, CARPORTS, ETC. (Plans) OK except H's 1. Zoning Requirements—Setbacks—EasementsZoni 2. Soils; Special MH Support—Sketch 3. Sewer; Location-Test—Fall-C/0—Concreteor equirements—Setbacks—Easements _ ootings; Size—Depth—Spacing—Connectors oists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) o 'Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete _ awn:; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance orts; Windows—Doors _ Card -BI Date Card -BI Date Card -BI Date _Card -BI Date Card -BI Date Card -BI Date C 1 1=.2et t% and -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except H's 1. Zoning Requirements—Setbacks—Easements Date r POOLS (Plans) OK except q's 1, Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 4. Electricity; MH Test—Crossovers—Breakers—Clearances 5. Drain; MH Test—Fall—Flex Connector 6. Water; MH Test—Regulator—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4, Elec.; Receptacles and Lighting; Distances—GFI 5. Elec.; Pool Lighting; 15 volts—GFI 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. Water and Sewer Connected—C/0 to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged B. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test 9. Exits; Insp.—Sketch 10. Cert. of Occupancy Card B -I Date Card -BI Date Card BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date J = OK 0 = Not OK - = Not Applicable * = Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR Plans OK except#'s Date FRAMING (Continued) Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings _ __7. 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /'' Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits _ 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. 5. Ftg., Porches & Decks; Soils -Steel- / /"-Ftg. Depth Stemwalls, Main; Steel -Blockouts-Wrapped-Slab 51. 52. _ - Plywood on Roof Overhang -Attic Vents -Rafter Outriggers _ Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. _ Glazing Area -Glass Protection -Skylights -Plastic _ 8._ D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test- 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe: Test -Anchors -Regulator -Service Test 11. 12. Electric; Underground Plenums & Ducts; Clearance -Material -Support -Ins. _13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples t Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except #'s 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Card -BI Card -BI Date Card -BI Date PLUMBING (Permit) OK except p's 14. Water Ht.; Vent- Access -Combust ion Air 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.: Test-Fttngs & Anchors -Nail Protection 17. Shower Pan: Test, First Floor -Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 19. Gas Pipe: Size & Anchors - - Date Card -BI Date Date Card -BI Date 57. Smoke Detector 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 59. Bedroom Exiting 60. G.F.I. & Bath Fixtures & Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except k's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper Card B -I Card B -I 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. Fixture & Transformer Clearance -Ins. Protection Elec. Receptacles Spacing -Lights &Switches at Doors Size Boxes & No. of Conductors -Stapled Romex Installed Close to Edge of Studs & C.J. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 2 Appliance Circuits in Kitchen & Conductor Size Subfeed Wire Size / / ga. Cu_or AI-A.C. Wire Size / / ga. Cu or At Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or AI, Insulated Neutral Yes 11No __ _ Service -Riser Conductors & Ground -Main Disconnect_ _ Equip. Clearances: Panels-Motors-Mech. Equip. Clothes Closet Light -Shower Light Date Card -BI _ Date _ Date Card -BI Date 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 70. Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 72. 73. 74. Insulation -Foam -Looked in Attic ❑Yes Guard Rails &Deck Construction -Post Caps Fdn. Vents & Crawl !-Tole Door -Drainage & Wood -Earth Clearance Looked under Floor E3 Yes 75. Following instld.: Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No; Planters ❑Yes 0 N 76. Stucco; Brown -Finish 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House 82. Glass Protection Date MECHANICAL (Permit) OK except N's 83. _ Corrections from Previous Inspections 84. _ Gas Test -Meters Tagged; Gas -Electric Card -BI Card -61 31. 32. 33. 34. 35. A.C. Ducts. Insulation & Support _ _ - Vent Fan: Exhaust above Insulation _ Condensate Drain & Overflow: Size _& Grade Furnace -Vent: Access -Comb. Air -Return Air_ Vent- _115_V outlet Attic Access & Platform if Furnace in Attic Date Card -BI Date _ Date Card -BI Date 85. Water & Sewer Connected -C/0 to Grade -HD Approval 86, Energy Compliance Certificate -Other Certificates - -� Card -BI Date Card -BI Date Card -BI '3 ie Card -BI Date _ Card -BI C.tle Card -BI Date Date FRAMING(Plans) OK except q's Com: lents at Final: 36. 37. 38. 39. 40. 41 42. 43. 44. 45. 46. 47. Sills. Proper Material & Anchors Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) Fire Stops; Furred Ceilings -St irs-Chases-Tub Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Rfnp. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access. Size & Romex Protection -_Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing ' (NOTE Anentrymust be made each time youvisit jobsite) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATnN AND PERMIT i PERMIT NO. ASSESSOR PARCEL NUMBER _ Y ZONI G �— BUILDING PERMIjU\/ OWNER F -0 C C'S TELEPHONE SQ.FT. OCC. BUILDING DATION AIGS OWNERING A DRESS i ©�© CONTC/TOR'S^^N�AME �g J RW NS TEL/%E P/7HO/JN/E' /'///o CONTR CTO 'S MAILING ADDRESS l'Ed �4� SE'— a N C•`�✓ Fireplace CON TRUCTION ENDER UNKNOWN Total Valuation $ �— Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ZZ`LS Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING DDRESS Penalty $ BUILDING ADDRESS p � . Permit fee $ , / PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 1 20.00 LOT/NO. SUBDIVISION NAME 3 PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE CAC� SF ❑ Duplex❑ Mobilehome❑ they SPECrFv Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00 ea TYPE OF WORK New Addition❑ Remodel❑ Utilities [:1 Installation❑ Other 1-1 Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS I 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): �l am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License Noy, :-Yoe, Q .� 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 CONST. DWELLING OCCUP.dI ACC.-BLD-GS. New CONST , h¢sgft MULTI-OUTLET R.( ODUTLET NON.RESID BRANCH CRC ITS 2.50 ea /POWER APPAIRATUS e\ (SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTUR zAL@30 .20@030 Ex. Occup. OUTLETS FIXED P(RESIO.)LNS REA 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring ; 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ^❑ �The permit is for $100.00 (valuation) or less. l� have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling j 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 against said County ,pnsseequence of the granting of this permit. / Date � --/7—�Y— Mobile Home installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ , OCCUP. CONST.TYPE FLoo PARCEL PD ND S9UE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOA OF PUBLIC WORKS By Date/ ���� y PER EXPIRES Date �, Signature of Applicant — Owner ElContractorL�Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over in height. +�3rstories Receipt No. J 7SC.� g:LL' WHITE-D.P.W.. YELLOW -ASSESSOR. PI -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF OPUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE �RNIA 95965 - TELEPHONE: 916/534-4541 ;;- #. -W PERMIT APPLICATION DATA SHEET Permit No. r A. P. No. 19-19`/7 OWNER '- -^ Proposed Building Use 0.2 • 0, Permit Fee Based Upon: Complete Contract Price PW Valuation Appl icantJ' . �jri '{�' `/ Date Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of appl'cation, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail By Plans checked by Date Plans approved by Date Other: Copy—DPW Date Other Other ( xpl in �-/7 Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate/triplicate. . . . . . . . . . . 3. Complete plans in duplicate/triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid" Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . Letter of signature authorizat Sanitation approva rom ealth Dept. 11, Planning approval for (A) Use: (B) Parking: Certificate of Workmen's Compensation Insurance. . . . . .-2 D 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . 16. Mobi lehome Installation Data. . . . . . . . .. . 17. Pre -Inspection for Required. Pre-Inspec. request to Inspector (Dote)Building nrl cv%18. Recordbur;(Acknowle Acknowledgmenttaterent . 1 onstruct naPprova�required prior o occuP nY 19. Other When you issue the permit, process as follows: Mail to owner. Telephone and hold for pickup at office. Deliver w/inspector. Other Appl icantJ' . �jri '{�' `/ Date Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of appl'cation, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail By Plans checked by Date Plans approved by Date Other: Copy—DPW Date Other r` Y1.-......RF..c .......DATESUBJECT .---.-.._FFRGESTL71IiG7 __..:....._. SHECTNO....._AI.......... 0F.._.e.✓........ ik GffKD. BY ..................... OATE._.._................. ...... CP..lR. O T-.. .... ........................ _._....:........._..._._........_........_.......,: r�►...........o..�vv....Ew.:....S.�R.�--}- dR J.auk.......... c 1._..._...-........-:.._.....-..........-... 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WT -- (Q)(21)(e) 4o s '/4 0.14 W .14 - W = 4-o cca, �� X3/4>(I ��o,�, (.14> X40 �0 � = 2qo # AL (ALL 011ZF_(-T'/cP­%) U,) iia �.ST_ Ce- 0.1 1,S (9Ro.S, Attr—A') V7 .� (o:1)0 (o) 0 IS'S Qz CO, PT90L% 554"- (TOTNL> 446* (TOT'AL') ......... DATE.(O.'A'..$(O SI-113JCCT ........... ............ . . ..2'........_........_. SHEET NO .......:1F. 0. ios.No... CH K 0. f -I Y... ....... . ........ DATE ...... .... :"** .......... .........................V.................._...-................_.........._._._..... ........... C -11F ........ .... 4 . ................... . ........ . . .... .................. .. .............................. .......... ...... ..... .... ....... ... ......... ... ......... COL. F"r,> (c�,� �� COL 14.0 4/ G A C- tA (500 (z � _ 040)(a' ) = \ mc) , -#-- GA. STEEL TugE CoL. m -C) c6a) Ay,iAL (� _ 3 � Ii x z- L I col Cb��aw- �� = 5 .3s a<SJ:) Co ?A f6) 0 V --r-> '. Fa Flo 5.3 5 P L L JAI A A 9,q (,o OK '57CCL 70P. -,S Coc. T --T C-> Lcc) Lo, � FC=' = [oc:>C> CAD C> 421 �C�TN - �uN cor�sz2�A tI1�ED> 'Pick. ALLOW, LAT P2E%-5 =- QOD 11 5�(o q Moo .. DEPTw- RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 2005-0050294 Recorded 1 REC FEE 10.00 Official Records i County of 1 CONFORidED COPY 1.00 Butte I CARAM J. GRUBBS 1 County Clerk-Recorderl I I LV 011:2M 24 -Aug -2085 I Page 1 of 2 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, 2 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. MARC A. MILLER REAL PROPERTY OWNER/LESSOR 581 LODGEVIEW DR. 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 05-2165 530 538-7541 BUILDING PE N0. TELEPHONE NUMBERIle Q, -SIGN OF LOCAL AGENCY OFFICIAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. MOUNTAIN VALLEY HM 1978 MOUNTAIN HM MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER 2736A/B 52 x 24 CAL112715/6 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER 069-190-017 HCD FORM 433(A) REV. 8/91 WHITE - County Recorder CANARY - HCD PINK - Applicant GOLDENROD - Building Dept. Order No. 00217391-001 EXHIBIT A THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS: ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS: LOT 113, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "KELLY RIDGE ESTATES UNIT NO. 311, WHICH MAP WAS FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, JULY 26,1974 IN BOOK 43 OF MAPS, AT PAGES 44, 45, 46, 47 AND 48. AP NO. 069-190-017 gyp► ,hz �1�3Q ,or X91 ,8 I wool r -1 .a �a�oa ��,i atitoo,r� �"LS ,hX 9 � QaNS °1 _„) : S (10 obi 640 r,v,P-9-9a^7 1005 -A-A%W d 7Ia`d