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069-200-059
J 69'-7.o -Paul Wolford 424 Lodgeview r.,4lot 125, KR#3, Oroi Permit. 3 74-77PE,(ut' ,. MH LEC i GAS SUPOR STRUCTURE REQ. COMPACTION TEST REQ. Contr: Reliable Service, Cornin Permit ##4012- 7MHI g�6�jJ Issued ,contr:Holmes.VbTe Home Serv., Bangor" Permit #4857-77B(new deck & awnings/MH). 'via i 1 I�1 y Contr: Holmes MH Service 69-20-S`� Permit #7163-78B(1st. renewal) 069-200-059 NELSON, JOSSIE OS -1426 7[556 LODGEVIEW, OROVILLE ont: SIERRA MHSX MH PERM FND 1, ✓`o AS 0 ~ �4 RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 2005®0033875 Recorded 1 REC HE 10.00 Official Records I County of 1 CONFORMED COPY 1.CQ Butte i CMDACE J. BRiiBBS I County Clerk=Recorderl 1 I KH 012:08PM 14+—Jun—H@5! I Page !1 of 2 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. JOSSIE L. NELSON REAL PROPERTY OWNER/LESSOR 556 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 UNIT DESCRIPTION STATE ZIP 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 05-1426 530 538-7541 BUI IT N0. TELEP ONE NUMBER �✓1�ciJ � � SIGN URE AL AGENCY OFFICIAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. UNKNOWN 1977 1234CA MANUFACTURER'S NAME DATE OF MANUFACTURE - MODEL NAMENUMBER BGR771234U/X 62'X 24' CAL044809/10 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER 069-200-059 HCD FORM 433(A) REV. 8/91 WHITE - County Recorder CANARY - HCD PINK - Applicant GOLDENROD - Building Dept. RECORDING REQUESTED BY: Fidelity National Title of California Escrow No. 102959 -TR Title Order No. 00102959 When Recorded Mail Document and Tax Statement To: Ms. Jossie L. Nelson 556 Lodgeview Drive Oroville, CA 95966 IIIIIII 11111111111111111111111111 21ZIIKl2-0KbAs- 2Kb21 Recorded Official Records County Of BUTTE CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 09:00AM 14 -Aug -2002 REG FEE 7.00 TRX 101.75 Shauna Page 1 of ANN: Ub&-LUU-Uby GRANT DEED SPACE ABOVE THIS LINE FOR RECORDER'S USE �CC The undersigned grantors) declare(s) d - Documentary transfer tax is $;101.'15 [ X I computed on full value of property conveyed, or [ I computed on full value less value of liens or encumbrances remaining at time of sale, [ X I Unincorporated Area FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Heidi Anderson, Executor of the Estate of Paul Ray Wolford aka Paul R. Wolford hereby GRANT(S) to Jossie L. Nelson, An Unmarried Woman the following described real property in the unincorporated area County of Butte, State of California: Lot 125, as shown on that certain Map entitled, "Kelly Ridge Estates Unit No. 3", filed in the Office of the County Recorder of Butte County, California, on July 26, 1974, in Book 43, of Maps, at Page(s) 44, 45, 46, 47 and 48. DATED: August 12, 2002 STATE OF CALIF NIA COUNTY OF (,u,-Ik-e-- ON before me, �P�rri /personally appeared e I .t d) erse7 � personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her%their authorized capacity(ies), and that by his/her/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 and official seal. Signature Zz�'Z�- r:v' i By: Heidi Anderson, Executor TERRI A. Ms-nN Commission #1239620 N6taryPublic n- @utte.Coun , Calilolma o :uv. tomm.. xp.-0CT 24,.2008 . MAIL TAX STATEMENTS AS DIRECTED ABOVE FD -213 (Rev 7/96) GRANT DEED ' NAME:A&R- DATE: P#•DA i E: Y RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO.: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 14 -Jun -2005 2005-0033875 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. JOSSIE L. NELSON REAL PROPERTY OWNER/LESSOR 556 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 05-1426 530 538-7541 BUlYM&A&PAIT NO. TELE ONE NUMBER SIGN URE AL AGENCY OFFICIAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. UNKNOWN 1977 1234CA MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER B-GR771234U/X 62'X 24' CAL044809/10 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER 069-200-059 HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD- Building Dept. �1 RECORDING REQUESTED BY: Fidelity National Title of California Escrow No. 102959 -TR Title Order No. 00102959 When Recorded Mail Document and Tax Statement To: Ms. Jossie L. Nelson 556 Lodgeview Drive Oroville, CA 95966 IIIIIII 11111111Illi114l111111111 2Kd10c^—i040.e+2im21 Recorded Official Records County Of BUTTE CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 09:00AM 14 -Aug -2002 REC FEE 7.00 TAX 101.75 Shauna Page 1 of 1 . GRANT DEED ZW KL c ..DV V r 1 M..) uwC rvn nFt unucn Z, uac ie The undersigned grantor(s) declare(s) �+ Documentary transfer tax is $;1D(."75 ( X I computed on full value of property conveyed, or [ I computed on full value less value of liens or encumbrances remaining at time of sale, ( X I Unincorporated Area FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Heidi Anderson, Executor of the Estate of Paul Ray Wolford aka Paul R. Wolford hereby GRANT(S) to Jossie L. Nelson, An Unmarried Woman the following described real property in the unincorporated area County of Butte, State of California: Lot 125, as shown on that certain Map entitled, "Kelly Ridge Estates Unit No. 3", filed in the Office of the County Recorder of Butte County, California, on July 26, 1974, in Book 43, of Maps, at Page(s) 44, 45, 46, 47 and 48. DATED: August 12, 2002 STATE OF CALIF NIA COUNTY OF LtA-e- ON before me, `j`erri -A . sAi,lT(kii &personally appeared r5Te- t a 7q klPKSn k-- personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/herhheir authorized capacity(ies), and that by his/her/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 and official seal.. Signature i By: Heidi Anderson, Executor TERM A. RUSTIN Commission #1239620 CO' Ndtery: Public o 506 un . Galdorma Iyy:Comm.xp:OCT24,.2005 _ MAIL TAX STATEMENTS AS DIRECTED ABOVE FD -213 (Rev 7/96) GRANT DEED '� "" �'jr`a. 5 $ ." +rt l • sae °" F —r d{ i ',` "'� 'i x�t.x i ' F.+�x7 5, c z 411 L v ✓ e + ,✓ a�.r +kh. 9Y4 i�-�.r. FOUN°D� TIONSYSTpp EMi r,*�; , 4 r S �.R` r :` �'� r J.ro iJ `^.t r� J*. ^ ti�,+rC'. rr .rc5' a t.,r....N� �.; -Kir r; i �{ "{K`'7 a� -'�. �•V `' 1. 'i . P� �F idr, H. Ah, s C.UANF CY.t� 10- CERT .� €'M'`"l redS9 r 5 s.P`S k `,�Cs'f'4 y 'F nrF.3Y.'.a; t BUILDING PERMIT NUMBER: 05-1426 Address or location of unit: 556 LODGEVIEW DR., OROVILLE CA 95966 Legal Description of Real Property: AP#: 069-200-059 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: JOSSIE L. NELSON Owner's address:. 556 LODGEVIEW DR., OROVILLE CA 95966 INSIGNIA OR HUD NUMBER: CAL044809/10 SERIAL NUMBER OR V.I.N.: BGR771234U/X MANUFACTURER'S NAME: UNKNOWN YEAR: 1977 OFFICIAL APPROVING INSTALLATION: DATE: v F Q� PHONE: (530) 538-7541 H.C.D. 513C STATE OF CALIFORNIA - BUSINESS, TRANSPORTATION AND HOUSING AGENCY ARNOLD SCHWARZENEGGER, Governor DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT x)sINc Division of Codes and Standards .j�D 3 w �Ga� �J"O' Title Search /T DE Date Printed : 05/27/2005 Decal #: I.AZ5135 Use Code: SFD Manufacturer: Original Price Code: AHQ Tradename: BUDGER Rating Year: 1977 Model: Tax Type: LPT Manufactured Date: 00/00/1977 Last ELT Amount: Registration Exp: Date ELT Fee Paid: First Sold On: 08/29/1977 ILT Exemption: NONE Serial Number HUD Label / Insignia Length Width BGR771234U CAL044809 62' 12' BGR771234X CAL044810 62' 12' Record Conditions: PPF Exempt Voluntary Conversion to LPT Registered Owner: JOSSIE L NELSON 556 LODGEVIEW DRIVE OROVILLE, CA 95966 Last Title Date: 11/07/2002 Last Reg Card: 11/07/2002 Sale/Transfer Info: Price $65,000.00 Transferred on 08/14/2002 Situs Address: 556 LODGEVIEW DR OROVILLE, CA 95966-3948 Situs County: BUTTE Legal Owner: WELLS FARGO HOME MORTGAGE,INC 2865 SUNRISE BLVD, SUITE 101 RANCHO CORDOVA, CA 95742 Lien Perfected On: 11/04/200213:53:18 Inactive Decal/DMV: DMV SA2282, DMV SA2283 * * * END OF TITLE SEARCH * * * NOTES t RESIDENTIAL PERMIT NO. 66 11 SPECS CONDITIONS SRA FLOOD CERTIFICATE REQ.' FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER CHECKED BY ,JOB FINALED (Date) '111"'71w3 -- Signature / J=OK ` 0= Not OK • Ready e =Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer, Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or/ r L °ftJ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water, MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMAN T END SYSTEM (ONLY) ing Requirements -Setbacks -Easements F Ings; Size -Spacing -Marriage Line 3eSlocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water, MH Test 7. Water and Sewer Connected 8. and Electricity Tagged / 1 e*License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 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 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 0 = Not OK = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -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. 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 AI Insulated Neutral O Yes 0 No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 83. Following InstldJDrive D Yes D No/Walks D Yes O No/Planters O Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 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 PERMIT NO. BPO51426 B. C. Building Permit 01-16-04 pg 1 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 06/06/2005 APN: 069-200-059-000 the Business and Professions Code, and my license is in full force and effect. License Class : License umber: 1170-W Site Address: 556 LODGEVIEW DR ORO Date: v6AL Contractor: Map Index: Description: ex mh, ex Site, prm fnd OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: NELSON JOSSIE L permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a 556 LODGEVIEW DR signed statement that he or she is licensed pursuant to the provisions of OROVILLE, CA 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 95966-3948 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 Applicant: SIERRA MOBILE SERVICE Code: The Contractors' State License Law does not apply to an BILL REID owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, 466 CIRCLE DRIVE provided that such improvements are not intended or offered for OROVILLE, CA 95966 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of 530-534-0599 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 pursuant to the Contractors' State License Law.). 466 CIRCLE DRIVE ❑ 1 am Exempt under Article 3 of the Business and Professions Code OROVILLE, CA 95966 530-534-0599 Date: Owner: License #: 470386 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued' 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: 7—u^� Total Square Ft: 0 S. F. Valuation: $0.00 Census Code: 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 ho a provisions. Date: Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. 1 9 U CONSTRUCTION LENDING AGENCY This permit is hereb X issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the the for this is issued 3097 Civ.) Resolutions to do rk indicated above. for which fees have been paid. - performance of work which permit (Sec G5 Name: By: Date: 6(0 Address: PERMIT EXPIRES Date ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health 8 Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. 7 Print Name: Signature: Date: ❑ Owner 15r-'C'ontractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 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: N'� J'� ' • V ASSESSOR PARCEL NUMBER c69 -2,y -)-0S% Proposed Building Use: C� H , �'"� $/%/ 'permit Technician: GG / Date: \ Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. �j 1 #Q 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. O 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. 0 4. Engineered truss details and layouts in duplicate. No faxesl ❑ 5. Letter from Engineer or Architect for truss design review. O 6. Energy compliance design and supporting documentation in duplicate. \ O 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. tJ 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 must be stamped and wet -signed by the engineer. O 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. 0 11. Letter of intent fog non-residential` buildirigs- ❑ 12. Hazardous Material Form 0 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 0 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 ........................................... ^� y9. Erosion Control Plan Required...................................................................�1.. 20. Fees as shown on the attached Schedule of Fees Due Sheet.........`��?.%..... 21. City of Chico Plumbing permit ............................................... ..................... 0 22. Site plan and business license approval from the City of Biggs .............................. ❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. O 24. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: ............ 0 25. Contact Land Development about _ Improvements, _ Drainage ........................ 0 26. NPDES Form.....................................................................:....................... 0 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 .......................................... 0 30. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... O 31. Letter of Signature authorization.................................................................... 0 32. Recorded copy of Agricultural Acknowledgment Statement.........' ........................ ❑ 33. Existing violations and/or expired permits......................................................... \ O 3k Deed Restriction... ................................................................................ ] /� 35. Legal description, M.H. Title, title search, registration or MCO ......................... ❑ 36. Other: ❑ 37. Other: When issued Telephone ��' 'GL /Z�%/� �3 493 and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. C s �� +�' � Applicant: Date: C/ 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 0 phone, ❑ mail, O counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, 0 mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by O phone, ❑ mail, O counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division All of these BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 1-10UR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQ M ED AT TIhIE OF APPLICATION **PLEASE PRINT CLEARLY** OVYhI_R CONTRACTOR Last NameFiisl Name AJ 40SS i C_ Address Address City ( 9ou t r E State I Zi P Phone Fax i Zip y5-jc:� E-mail 5-75' 0S9 9 APPLICANT SIGNATURE X For office use only: CONTRACTOR Name�- I Flood %one Address Address CityL i State citi Zip y5-jc:� Phone 5-75' 0S9 9 Fax E-mail S3 q OS -6 6, i ic. # y7�> �,� Class APPLICANT SIGNATURE X For office use only: ARCHITECTIENGINEER Name I Flood %one Address Address City Slate Zip Phone Fax E-mail I State License Number i APPLICANT SIGNATURE X For office use only: APPLI CANT NAME Name I Flood %one Cross Street Address Yes No City Subdivision Name Map Slate Page Phone S3 q OS -6 6, Date Approved: Fax E-mail APPLICANT SIGNATURE X For office use only: Zoning I Flood %one Cross Street SRA Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. BIN # LOCATION AN 06'1 ano o.s`j Property Address Ua- ✓lEi'J City dit'vu+x�E Cross Street WORKER'S COMPENSATION Policy Number Yzs � Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a perrrtit 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 Bldg SRA Receipt #: Sheriff SMIP Other ther Total } ®eco namics Foundation System INSTALLATIOuV INSTRUCTIONS for the State or California Version 9/2/20,3 INDEX PAGE RELEASE SECTION NUMBER DATE INTRODUCTION 2 9/2/03 GENERAL INSTALLATION 3 9/2/03 PARTS LIST 4 & 5 9/2/03 LONGITUDINAL DEVICES 6 9/2/03 PIER HEIGHTS - 7 9/2/03 SET-UP INSTRUCTIONS 8 9/2/03 FOOTER SIZES WIND ZONE I - SINGLE 9 9/2/03 j7b'GUBy LSE 10*, _;, . _9/2/03't - TRIPLE 11 9/2/03 - HIGH PIER 12 9/2/03 WIND ZONE II - SINGLE 13 9/2/03 - DOUBLE 14 9/2/03 -,TRIPLE 15 9/2/03 V -DRIVE & PIER SYSTEMS 16 9/2/03 SOIL CLASSIFICATION 17 9/2/03 CONCRETE INSTALLATION 18 & 19 9/2/03 COMPONENT PARTS AVAILABLE UPON REQUEST Approval MANUFACTURED HOME/MOBILE HOME FOUNDATION SYSTEM HEALTH AND SAFETY CODE, SECTION 15551 APPROVED SUBJECT TO CORRECTIONS NOTED PROVAL DOES NOT AUTHORIZE OR APPROVE ANY IlSSIONS OR DEVIATION FROM REQUIREMENTS OF APPLICABLE STATE LAWS AND REGULATIONS =to of California "ent f'Houuss'in//_,and Community D"op=md N 9JI/,kES AND STANDARDS SPA - 1 -EI r This P an Approval Expires KME C N r lk P P R 0 V 00 LQ M O (V O O O Tie Down Engineering, Inc. VECTOR DYNAMICS INSTALLATION DESIGN INSTRUCTIONS Introduction These instructions describe the proper use of the.lateral and longitudinal foundation system. You may also refer to the home manufactUrer's installation manuals that include the Vector Dynamics system as an alternate foun- dation system. General The Vector Dynamics Foundation System provides the support to resist lateral, longitudinal and over -turning movement of the homy: as required by the Federal Manufactured Home Construction and Safety Standards in a specified wind zone !,lfhen 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 feel 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 vwIdth (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 requiring pier heights which are not included in these instructions, contact Tie Down Engineering, Inc. at 1-i;00-241-1806. 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 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 hoiil,;. 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 cornpi.; with local requirements for footer depth. FOUNDATION/FOOTING SPECIFICATIONS FOR VECTOR PADS Vector Pads are used in Mace of conventional foundation pads. One Vector pad provides two or three square feet of bearing support. Vector Systerns 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". I/Vhen 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 boardsi mill 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 sysierns on a single or multi section home replaces longitudinal anchors, stabilizer plates and sir aps. 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' RA— L4) I. Longitudinal FourOation Pad 2. Beam Clamp (2 per : y5tem) 3. Longitudinal Strur. (2 per System) 4. Tie Bracket (2 per z5yatem) Combine Vector Dynamics & LSD Note: Two struts = 1 L.S.D, system. Can be used on one pad or 5lipt on opposite ends of the home. Examples of Possible placement: (Contact TIE DOWN for plaCment in other Wind Zones) Wind Zone I Single Section I 0 I I I I I I I I I I I I 1 I I I I 1 1 I I I O 18 Ft. Max. Wind Zone I Double Section I 1 on o I I I I I I I I I I I I I I I I I I I I I I 1 I I I I I I I I I I I I � I I , U o0 , 32 Ft. Max. For greater widths use triple Section design. Page 6 Wind Zone I Triple Section Ea I , I , I ' I I , Wind Zone I I I , Tag Section I , 48 Ft. Max. t California 9/2/03 :.t 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 Maximum The difference between the taller pier California �� g; Set -Up Instructions for Vector System �L 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. c Califor 9/2/03 WIND=ZONE I;-SE.ISMIC-ZONE-4 = Vector Dynamics Systems Required for Double Section Homes (Materials Required) _ - - h ' -- _- -- --�oubi Section - j V. �� e - 'ani=� 1�2E� :_ ,_ ,. w _.'• � tri _ C7 a� 0 lel NOTE: Vector Systems should be spaced as symmetrically as possible along the length of home. Pier spacing must be consistent with I manufacturersinstructions 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 Soil Classifications: Soil Bearing Capacity Anchors Required': 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' 5 0 4 Each Vector System requires one of the following: r ---11-4x4 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. s• • 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 below: SOIL CLASSIFICATIONS Soil Class Types of Soils Blow CountASTM ( Soil Test Probe (1) 1 Sound hard rock...... D2586) Torque Value (2)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 sands, firm to stiff clays 275-349 lbs - in. 4B and silts, alluvian fill 175-275 lbs - in Peat, organic silts, 0-44 175 lbs - in. 5 inundated silts, loose fine and lower sand, alluvium, loess, varied clays, fill, fly ash. (1) The purpose of the soil test probe is to gauge the strength of the soil below the surface and near the anchor's helical plate. The strength of the soil is estimated in terms of its resistance to penetration (flow) under load by means of the torque probe and is measured in Ib -in. The test probe has a helix on it. The overall length of the helical Section is 10.75 in.; the major diameter is 1.25 in.; the minor diameter is 0.81 in.; the pitch is 1.75 in. The shaft must be of suitable length for anchor depth. (2) A measure synonymous with moment of a force when distributed around the shaft of the test probe. Vector Foundation Pads Equivalent to Footer Pads* Footer Size: Footer Size: 16x16 = 256 sq. in.777777777 _ -- - - - or 16x18 = 288 sq. - _ - _ 20x20 - 400 sq, in. ,- = in. or 17x25=425 sq." in. EQUALS EQUALS - 2 -Vector Pads # 59275 -_" - _ - 288 sq.. in, or - 1 -Vector Pad # 59271 - -_ 1 Vector Pad # 59130 432 sq. in. Vector Pad(s) exceed the surface area reiluired when used as the equivalent listeabove. 'Foundations in soil with a bearing capacity of less than 1,000 PSF must be designed by a Registered Professional En in r far with site conditons Pa17 <� 9e California 9/2/03 r`'PERMIT NO. 4747=77P E PERMIT EXPIRES 'OWNER Paul Wolford CONTR. owner LOCATION (A.P. 34-72-59 424 Lodgeview Dr., lot 125, KRIB , Oroville Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED v' (p e) (Signature tl /T N Garage Footings Stemwa I I Slab Carport Footings Slab Patio Footinas COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) ewall Soli Plpin Park!)ets 1 AF Ioor Rest om Finish 2nd Xloor Siding Roof Shea in Roofing Fdn. Vents Garage Vents Insulation Prov. for phsical handicapped Conformance of ex. IRE ACE Footing Throat Final FIRE SPRINKLEI Test Final MECHANICAL Hea Finish I D cts I erior Lath entilation oor Closer VFInal MOBILEHOME UTILITIES ------------------ Elec- Service jA'.� Water Piping '7 __7 Sewer MOSILEUOD4E INSTALLATION - - - - - - - - - - • - - Support , Water Piping Drainage DATE— -� 01 S,F,VQ- 7V 6X-0 REMARKS OR CORRECTIONS_ 31LOa.1 14to (;A-5 3rd FIT,%r W Sewer Fixtures Water Htr. Heaters Appliances Gas Piping & Temp. Gas Sanitation Final Fixtures Motors Water Htr Sub an s Grd. F ult Pr, Servile T mo. Pole oder rouni Permanent inal Elec. Pedestal Gas Piping Elec. Continuity, Gas Piping PLUMBING LECTRICA a Cif PPO4 q— 0o4 P /;--S' (NOTE: An entry must be made on this form each time you visit the job site.) ��� � 1 �i��� � � '� f ��� �(° � 9. Electrical A. Is .service large enoiigl. to p10� ide :adequate amperage to mobilcliome. (must equal rating oC nuot,i_leiiome with a ::;in.iu:um of amp) anal other facilities on lot, i.e., water pumps, .arat,e, dabana, ctu.7 YesNo _e carances around panels? Yes ✓ No 1�. is then . ,aio�,_r. cl p _ C. Is power supply cord or feeder assembly properly fused? Yes_ No_ D., �I `onnnuity test satisfactory as per the following procedure.? Yes_v. Na__ '�1. De -energize electrical wiring; system of the mobilehome at the pedestal.. `2. Alake 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. onnect one 1cad of.: a test instrument to the mobilehome grounding conductor and ' l conductor, including neuLrai. apply Lije otor Lead to eacia wo I'leliouie Supp y ��All nor. -current, carrying metal parts of the mobilehome (aluminum siding, gas line, writer line), including fixtures and appliances, shall be tested for continuity frocr. such equipment and the grounding conductor. pon completion of. the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity te.;+_ shall then be made between the grounding electrode and the chassis of the mobilehome. Upon sat-ILsfactory completion of the electrical tests, the lot or si-te service equipment may be approved for energizing. fob card si-ne-6 by Health Departmeat for water and sanitation? everything okay, sign off card and to services. 'MOBTLE11O:^E DATA Manufacturer and/or Namestyle engthWidtb Vehicle Serial No. State Identification No. ' t P&I,Ltional Information or Comments: © S� T L c� �! 8 'M0B'Il,1ai0M-E' I14S'1ALLA' ION INSPECTION CHECK LIST 1. Is the. mobilehome loc;�itedw',I equired separation from lot lines and buildings and generally conform to plot plan? Ycs No 2, Doe;; the mobilehome have requireA clearances above ground? Sec.5085 Yes �No b ( ) 3. Are foot.in--;s and'supports properly sized, spaced, and braced as pe approved plans? (Note possible varication at spring shackles.)'(Sec. 5 & 5083) Yes No 4. Is the mobilehome level.? (Sec. 5088) Yc�s_ No_ 5. If more an a single unit, are crossover connections properly installed? (Sec. 5088)• Yes o 5, Water A. Is flexile connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes c / B. Test - Does water pipingwithstand working pressure or 50 1 v g p bs, air test. Yes No ow - If coach is not State of California approved, does station have backflow device tn=pressure-relief valve? Yes_ No 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each �end?�Ye �o B. Does it have minimum per foot slope and is it properly supported? Yes ` No PP C. Are any leaks detected in drainage system after running 3-ga ns of water through each fixture including washing machine standpipe? Yes No ch is not State of California approved, does station have required trap and vent? OY s No, 8. Gas Piping and Gas Vents A. C nector - Is mobilehome conneXedhe gas supply with an approved 3/4" minimum mobs ehome connector not more tlong? Note: All piping is to be at least as large the mobilehome gas linithout reductions other than the mobilehome connecto Yes No B. 'rest OK as pe following ocedure? Yes_ No 1. Open all app ance c nnector valves, 2. Shut off applia' burner and pilot valves:,' 3. Air test wit manomet r to 10"-14" water column, or test with slope gauge (minimum hoz.-maxim- 8 oz.) ca.' rated in tenth pound increments. Test for 10 min. without drop. 4. Cor._nec]/ gas meter to mobilehorn with connector, turn. on gas, test connections with soapy water. C. Are aly appliance vents properly installed Yes_ No 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 =ements of the California Administrative Code, Title 25, Chapter 5, permit number for the following location: Owr!er Owner's Address Mobilehome Mfg. Mode I Year Insignia No. Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works j Date By THIS CERTIFICATE IS VOID WHEN MOBILEHOME'IS:RELOCATED • GOUNTY'OF=BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 7 Tele phone: '534-4541 / APPLICATION AND PERMIT auuwiize representatives UI the County of Butte to enter upon the above-mentioned property for inspection purposes. X -- Date Signature o rr iteeeJor Agent Receipt No. 11® % 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 R OF P BLIC WORKS E BY11'24L-Date wg-permit expires Date ---V, 7i BUILDING Owner SO. FT. OCC. BUILDING VALUATION Mai I i ng Address J6,39 rVJ el phone N RrI Fireplace Contractor Total Valuation Mailing Address ?d1 �AO x TO Permit Fee Plan Checking Fee &/or Penalty Teleph ne Permit Fee $ Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00 rz-Ai Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 Gas piping system 1 - 5 outlets 1.50 A. P. No. a —� Zoning & Planning Each additional outlet .30 FQ Saryiletlon Fire Dept. Fire Zone Use Permit Building sewer 5.00 EOA Parking Plans Parcel Declaration parcel Ma P 60' R/W ImprovementsLawn sprinkler system 2.00 s ec Parc royal Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 100 AMP OR1 OR LESS5.00 _r7flMain service EA. ADD -L too AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Q --'Others ❑ Main service 1100EAMP oR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. OR ADDNS. ( ACCLBLDGS.LING CCUP. &) 22sgft NEW CONSTR. MULTI -OUTLET NON•RESID. BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS &) NON -R ESID. (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: 11� C= 22PA -V I C= � Ex. Occup(OUTLETS OR FIXTURES)BAL�@1 Ex. Occu FIXED APP LNS. OR P•(OUTLETS (RESID.) EA) 2•�O Temporary service 10.00 Mobile Home Facilities 15.00 License No. a 1� Classification -2 -/ ! / Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of Califomia. 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. >_21<have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ertlfy 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. 1 certify that I have read this application and state that the abovef information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby MECHANICAL No.1 @ I FEEPERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ TOTAL PERMIT FEE s 30 1 pq auuwiize representatives UI the County of Butte to enter upon the above-mentioned property for inspection purposes. X -- Date Signature o rr iteeeJor Agent Receipt No. 11® % 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 R OF P BLIC WORKS E BY11'24L-Date wg-permit expires Date ---V, 7i MOBILEHOME SUPPORT DATA Mobilehome Mfr. lj Setup Model No. Year Width (ft.) Length .. 672,... (ft.) ' . Expando Size ft.x ft. (Draw support details below) . On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not.on .file with .the County of Butte). Center Support Footing Sizes (in.) (in.)(in.) I n W,,) r n. ( 3n. ) xo (in.) UA-) -- S7*1e Footings (check. one) i Til. Wood.. either . pressure treated or fdn. grade. *If center piers are other than drawn above, draw in locations, spacing, and dimensions. 2. Concrete pad. 3. Other,: specify Supports (check one) / 1. Concrete block 2. Concrete piers 3. Steel piers 4. Other, specify Typical Support l!� x-�� 1 Footing Size (in.) MSpacingr i . ^.. Max. Overhang --- . eurrE couNrY BUILDING DEPARTMENT APPROVED BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: 2. Installer's name: 1\C�` I �'Ip`Jo© cS p rJ�C�. 3. Is the site currently under permit? Yes. ( If yes, furnish permit number 3q- 4 — %`7 ) 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? ----------------------- 19— (5k) Amps 6. What is the mobilehome site service rating? --------------------- 7. What is the mobilehome site circuit breaker rating? ------------- 8. Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------- (If yes, identify the load and size: (Load) Yes / / No TZ—_r7 (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='infor-mation not required if pipe length less than 6 ft. on natural gas , ,,: or less'than'50 ft. on LPG.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS r 7 County Center Dxive — Uroville, California 95965-7 7 ' Telephone: 534-4541 APPLICATION AND PERMIT / el BUILDING Owner Paul Wolford SQ. FT. OCC. BUILDING VALUATION Mailing Address 1639 Humphrey Drive Concord CA. 94519 Telephone No. 415 682-5087 Fireplace Contractor (Owner) Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee Building Address 424 Lod eview Drive PLUMBING No.1 @ FEEPERMIT FILING FEE $3.00 Oroville, CA. 95965 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Lot 125, Unit 3 —Kelly Ri^9 VerificationX91 Each gas water heater or vent 1.50 A. P. No. 34-72-59 ani - Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W. . r#yt6D Fire Dept. Fire Zone Use Permit Building sewer 5.00 <O_trp EQA Parking Plans Parcel Declaration parcel Ma P O' R/W Im pro ements Lawn sprinkler system 2.00 Bldg. Plans Recd Lr Par Approv I ns Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3.0-0 Main service 100 AMP ORV OR LESS5.00 Main service EA. ADD'L too AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home EJ" Others ❑ Main service 1100EAMP OR LESS 25.00 Main service EA. ADD'L too AMP 1.00 6�/�/� W . FT. MINIMUM NEW CONS. DWELING OR ADDNST ( ACCL BLDGS.CCUP. &) 2¢sgft NEW CONSTR. MULTI -OUTLET NON.RESID. ( BRANCH CIRCUITS) 2.50ea FOR MOBILES NEW CONSTR. POWER APPARATUS & NON.RESI 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 t style Of: Y Ex. Occup(OUTLETS OR FIXTURES) 2@51109 FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 j. License No. Classification Misc. Wiring 6.25 El dTrt'Zxempt from the Contractors License Laws of the State of California. Permit Fee $ — 3� WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. 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 MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ If TOTAL PERMIT FEE $ 7& autHOrlLe represen"d lllve5 or the County or Butte to enter upon the above-mentioned property for inspection purposes. 0/ X e gnaturffe of ermitee o gent 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 PUBLIC WORKS B;rpermit expires Date :f ; . -_ ---All N-er'A.-,_r'Wft ra �R/ )0l t-'.4: n S h u �:ccorrjnnce with R��^�^�'ea Goad Practices and. of a quality prescribed -for Ae Snecifidd use, in the Unifoom Building, Plumbing & Machanical Codes and thi National. Electrical Code. 15,E -7"-15A 6 LOT 125 UNIT 3 W0 L F_ 0. Q . __3UDG-R - 24` X (o6' o LD G— V�� • �— • - fhia• !41 of' planta .M — e all MUST the Make an horse and it ig unlewfal lb y cliangea or alterations onpors, w�}, +'ka, Coum, ssoin fiout 'om the De my of Butte, partment of I'ublk w X,2 ,o J ne . S — a fhe sidee"104'" 6e 5 ft. from Q a FQ fhe centerli property o°�'��• *art 0 6 011' a Maximum Of a �, � 0. Nto 9' N J T -LSA CK T F.P'0NT C 6 - d���,77 All utility ,connections shall be located'within -4 ft. outside the -mar third section of the rnobile homeon the left (road) side of the rnobila home. 0 P, -U.: E-.4 SE-/►�lEN 7 ' . _ _ F' BUTTE COUNTY BUILDING DEPARTMENT APPROVED M031L� !�►7D=P x•28-770t7.i�. —_?�� z-7 -7S, coo TES 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 CALIFORNIA P. F. NEVADA P. E, OREGON P. V. Re: 77551 August 4, 1977 Dear Jim: Compaction test results are enclosed for mobile home site -preparation at Kelly Ridge Estates for: Clark KRE Unit 3 Lot 238 - /6 Wolford KRE Unit 3 Lot 125 5V-- 7 -_X — S y Representative tests indicate that the 90% relative compaction requirement has been satisfied. A location map is attached. V r tr 1 RMc/cap Enclosures DR. LLOYD M. COOK ED, D. e y u y yours , COOK ASSOCIATES Ron McElroy Civil Engineer JOE E. COOK M. E. DAN J. COOK C. E. Client Wolford C®® ! SSCCIATESProjectICItE Unit 3 Lot 125 ENGINEERING CONSULTANTS NUClear In- Place Job No. 77551 2060 PARK AVENUE Moisture ®ensi¢ � Test Kimbrell OROVILLE , CALIFORNIA 95965 Operator ( 91 6) 533 — 6457 TEST NUMBER 1 2 3 4 5 6 7 8 9 10 TEST DATE 7-19-77 is tLif TEST 1' Fill LOCATION FINAL MODE 8 DEPTH 811 DT MOISTURE COUNT 847 MOISTURE COUNT RATIO .607 MOISTURE PCF /14.50 DENSITY COUNT 232 DENSITY COUNT RATIO .875 WET DENSITY PCF 136 DRY DENSITY /121.50 PCF % MOISTURE /11.9 OPTIMUM DRY DENSITY PCF 132 % OPTIMUM 10 MOISTURE % RELATIVE /92 COMPACTION DAILY STANDARD COUNT COMMENT: DATE MOISTURE DENSITY 7-19 1394 265 Mil UTM. CLUM - DATE 9:� AP NO. ELEC. GAS Support up Struc. y S Compaction Test Req. YES �O 9:� SCT-�1-,` C LOT 125 UNIT 3 \v o L r i SUDG-R N OS�41'i�y-E- v� y d�c:nl 2NFY Oo pn� Out pM N0- NCO 0 PERMIT NO. 4857-77B ', R ' PERMIT EXPIRES r" OWNER Paul Wo.lford z l s CONTR. Holmes Mobile Home Serv., Bangbri• LOCATION (A.P. 34-72-59 424 Lodgeview Dr., lot 125, KR#3, OrovilIe I ;e ti M } F r' Temp. Power Pole Called PG&E Temp. ElecIrserv. Called PG&E a TempGas Serv. CCalled PG&E VBALED '— O (Dat y. (Signature) COUNTY OF BUTTE —'DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish V 2nd Floor Footings i Windows t 3rd Floor Stemwall Siding To out 1 Slab Roof Sheathing Water—Piping Piers + 'Roofing Sewer Garage Fdn. Vents Fixtures Footin s Garage Vents Water Htr. Stemwa l l Insulation V Heaters Slab Carport ( Footings j Prov. for physically `• handica ed Conformance of ex. structure Appliances Gas Piping & T st Tem . Gas r Slab Final Sanitation Patio FIREPLACE Final Footings,-/� Footing //, ELECTRICAL Masonry Walls Throat _ Rou h Reinf. Steel Final IV Fixtures Bond Beam FIRE SPRIVkLERS Motors Framin – Test Water Htr. 1 Stucco Final Subpanels Mesh MEC ICAL Grd. Fault Pro Scratch Heating Service Brown Cooling Temp. yo Finish Ducts Under r nd Interior Lath Ventilation Penn ant Door Closer Final r Final MOBILEHOME UTILITIES Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping =E ME INSTALLAIIQN - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE / 7 a REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) J COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS ` 7 County Center Drive - Oroville, California 95965 Tel(--Ohorie: 634-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Date ignature of Peerrrmiteeeor A en Receipt No. �!, �y P 7 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Buttemy Code and/or resolutions to do work indicated above f wh' h fees hav been paid. CT U LIC WORKS By Date / Building permit expires Date q 26/71 BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor Mailing AddressFireplace Total Valuation �� Telepho e .. Permit Fie Building Addre s PI an Checking Fee&/or en ty Permit Fee G PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 o Z,6:- /� � r Repair drainage or vent piping 1.50 A. P. No. -7a-- Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 / FEes S ire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 BId!V-A6m-v� Parcel A proyal Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 600V OR LE Main service SS 10o AMP LEss 5.00 Single Family Du lex Mobil Home Others ❑ P ❑ � ❑ -L Main service E4. ADD100 AMP 2.50 •Main + service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 OR ADDNST ACCLBLDGS.CCUP. S) 20sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State ofC lifornia Business & Professions Code nder the name $t leWof,Ex. nQ�' NEW CONSTR BRANCH CIRCUITS) NON.RESID (MULTI BRANCH CIRCUITS 2,5Oea NEW CONSTR. (POWER APPARATUS e NON.RESID. SINGLE OUTLET CIR, Ex. OCCuD{OUTLETS OR FIXTIIPES BAL 2100 QCCU FIXED APPLNSOR P• OUTLETS (RESI,D.) EA% 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. 1 37 / 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 WINrkmen's Compensation. have placed on file with the County of Butte a certificate of orkmen'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 $ $ 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 inspection purposes. Date ignature of Peerrrmiteeeor A en Receipt No. �!, �y P 7 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Buttemy Code and/or resolutions to do work indicated above f wh' h fees hav been paid. CT U LIC WORKS By Date / Building permit expires Date q 26/71 T; & I Y COUNTY OF08UTTt _ DEPARTMENT OF PUBLIC WORKS v 7 County Center Drive — Oroville, California 95965 Tel &phone: *534-4541 APPLICATION AND PERMIT J7 n authorize representatives of the county of Butte to enter upon the above-mentioned property for inspection purposes. X �xDate 9 4 �� ignature of Permitee or Age �1 Receipt No. J,or`�% White-D.P.W. – Yellc s c Ako% – P nk-InkO— oldenrod-Applicant This permit is hereb I d u de pp��I-cable provision the Butte County Co�� so fv 91EI�`'�io work i dic d� above for which fees have been d. ." DIRECTOR OF PU LIC WORKS 77 By Date Gi L6 Binding permit expires Date i -z6 - 7 S, BUILDING Owne7:JSZ2 j) t SQ. FT. OCC. BUILDING VALUATION Mailing A ress Telephone No. 1 i rept ace Contractor �^ () Lz HOW 6 SYR j Total Valuation t Mailing Address Permit Fee Plan Checking Fee &/or Penalty1 p} Ve TeleTne N Permit Fee $ - Building Address O L�� - PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 (...8 r / IT A&3 Each gas water heater or vent 1.50 ... A. P. N .Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W. an) ati I Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA I Parking Plans Parcel Declara' n Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel proval Plans Approval Permit Fee $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service io00V OR L o AMP ORLESS5.00 Main service EA. ADD'L too AMP 2.50 OVER 600V Main service 100 AMP OR LESS 125.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 1.00 NEW CONS. DWELING OR ADDNST ( ACCL BLDGS.CCUP, &) 20sq ft NEW' NON.RESID R. ( BRANCH CIRCUITS) 2.50ea Cbz. �>N e5 Q NEW CONSTPOWER APPARATUS &) NON- R. 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 Sty f: 1 O 0Y& � f 7 1©� 1 /� C1 OAA L Ex. Occup(OUTLETS OR FIXTURES) BAL� • OUTLETS IRESID.) EA09 Ex. Occup ( FIXED APPLNS. OR ) 2.00 Temporary service 10.00 ZVR11 i e.r Mobile Home Facilities 15.00 License No. ?1 Z 1'Z�_ 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. 0 1 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 I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ , authorize representatives of the county of Butte to enter upon the above-mentioned property for inspection purposes. X �xDate 9 4 �� ignature of Permitee or Age �1 Receipt No. J,or`�% White-D.P.W. – Yellc s c Ako% – P nk-InkO— oldenrod-Applicant This permit is hereb I d u de pp��I-cable provision the Butte County Co�� so fv 91EI�`'�io work i dic d� above for which fees have been d. ." DIRECTOR OF PU LIC WORKS 77 By Date Gi L6 Binding permit expires Date i -z6 - 7 S, �.r� cou�v � s �tttDuvG DEPARrM-, 0 O 0- - N �- M N 4 rn T a n 6N o � � � 0 L 3 Q c 6's n � T O m f ID C O^ "' 7e A i `Q o rn v rn 1% m n :/j p �.r� cou�v � s �tttDuvG DEPARrM-, 0 O O M 4 rn T a 6N �.r� cou�v � s �tttDuvG DEPARrM-,