Loading...
HomeMy WebLinkAbout069-210-069-^~ \FRj!on*ald J. Heinen \ '326 Lodgeview Dr., lot 287, KRIt.3, Orovil& �ELEC. O&Z cqca:A 42qTjGASSUPP RT STMJCTURE REQ.'COPACTION TEST REQ. ` ! 1 |Permit #4127-77MHI �Issued v1-1x-1-2z .4-me, Permit #537A-77B(new�qarport, awning &[ � |Contr: Foot�ills Landscape Const. �Permit #2880-78P(lawn sprinkler } / Permit 2981-78E��-- `(outside recep :�e �Ojl jjo�V /B07-0572 069-210-069RESIDENTIAL SFD-Mobile Home RET EX MH RETRO FIT PERMA FN� / | ' | / � ' RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 23 -Mar -2007 2007-0014463 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. CHRISTOFFERSEN, RICHARD & THELMA BUTTE COUNTY BUILDING DIVISION REAL PROPERTY OWNER/LESSOR LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 4.78 LODGEVIEW DR 7 COUNTY CENTER DRIVE MAILING ADDRESS MAILING ADDRESS OROVILLE BUTTE CA 95966 OROVILLE BUTTE CA 95965 ...CITY. ... ........COUNTY.. _ _ STATE__ . ZIP-_CITY._._..__._.._._._......COUNT_Y.___._._.... _STATE ...ZIP__,___...._ 478 LODGEVIEW DR B07-0572 (530) 538-7541 INSTALLATION MAILING ADDRESS, IF DIFFERENT BUILDING PERMIT NO. TELEPHONE NUMBER OROVILLE BUTTE CA 95966 -9t/3/23/2007 CITY COUNTY STATE ZIP SIGNATU&t OF L09L AGENCY OFFICl5kL DATE SAME NONE UNIT OWNER (if also property owner, write "SAME" DEALER NAME (if not a dealer, write "NONE") SAME NONE MAILING ADDRESS DEALER LICENSE NO. SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION MOUNTAIN VALLEY 1977 N/A MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMEINUMBER 2561/A/B 60' X 24' CAL05748/9 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION: ASSESSOR'S PARCEL NUMBER: 069-210-069 SEE ATTACHED HCD FORM 433(A) REV 8/91 WHITE —County Recorder CANARY — HCD PINK—Applicant GOLDENROD— Building Dept. FOUNDATION SYSTEM CERTIFICATE OF OCCUPANCY BUILDING PERMIT NUMBER: B07-0572 Address or location of unit: 478 LODGEVIEW DR OROVILLE CA 95966 Legal Description of Real Property: 069-210-069 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: CHRISTOFFERSEN, RICHARD & THELMA Owner's address: 478 LODGEVIEW DR OROVILLE CA 95966 INSIGNIA OR HUD NUMBER: CAL05748/9 SERIAL NUMBER OR V.I.N.: 2561/A/B MANUFACTURER'S NAME: MOUNTAIN VALLEY YEAR: 1977 OFFICIAL APPROVING INSTALLATION: 61 DATE: 3-23-2007 PHONE: (530) 538-7541 H.C.D. 513 BUTTE COUNTY AREA DEPARTMENT OF DEVELOPMENT SERVICES 2 INSPECTION CARD MUST BE ON JOB SITE 24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico) Office: (530) 538-7541 Fax: (530) 538-1.140 Website: www.buttecounty.netldds Permit No: B07-0572 Issued: 03/22/2007 Address: 478 LODGEVIEW DR Area: OROVILLE Owner: CHRISTOFFERSEN, RICAPN: 069-210-069 Applicant: ON THE LEVEL Map Page: Permit Type: SFD-Mobile Home RET Description: EX MH RETRO FIT PERM FND Flood Zone: None SRA Area: Yes SETBACKS Front Setback: Side Setback: Rear Setback: Other Setback: Minimum Setback From Centerline of Street: ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING Inspection Type IVR INSP DATE Setbacks 132 Foundations / Footings 111 Pier/Column Footings 122 Grade Beams 114 Eufer Ground 216 Forms/Steel/Holdowns 122 Do Not Pour Concrete Until Above are Signed Pre -Slab 124 Gas Test House 404 Gas Test Yard 404 Masonry Grout 120 Masonry Bond Beam 119 Underfloor Framing 149 Underfloor Ducts 319 Shear Transfer 136 Under Floor Plumbing 412 Under Slab Plumbing 411 Gas Piping 403 Do Not Install Floor Sheathing or Slab Until Above Signed Holdowns/Straps 122 Shearwall/B.W.P.-Interior 135 Shearwall/B.W.P.-Exterior 135 Roof Nail/Drag Trusses 129 Do Not Install Siding/Stucco or Roofing Until Above Signed Rough Framing 128 Rough Plumbing 406 Rough Mechanical 316 Rough Electrical 208 Gas Piping 403 Shower Pan/Tub Test 408 Fire Sprinkler Test 702 Fire Sprinkler Final 702 Building Final 802 Electrical Final 803 Mechanical Final 809 Plumbing Final 813 Pool Final 802 Mobile Home Final 802 9 Finals Inspection Type I IVR I INSP DATE Do Not Insulate Until Above Signed Wall Insulation 117 Ceiling Insulation 118 Do Not Cover Until Above Signed T -Bar Ceiling / RC 145 Stucco Lath 142 Stucco Scratch 143 Stucco Brown 144 Swimming Pools Setbacks 132 Pool Plumbing Test 504 Gas Test 404 Pre-Gunute 506 Pool ElecBonding/Light Nitch 502 Pool Fencing/Alarms/Barriers 503 Pre -Plaster 507 Manufactured Homes Setbacks 132 Blocking/Underpining 612 Tiedown/Foundation System 611 Site Utilities/Trench Insp. 137 Gas Test Yard 404 Manometer Test 605 Continuity Test 602 Skirting/Steps/Landings 610 Coach Info Manufactures Name: Date of Manufacture: Model Name/Number: Serial Numbers: Length x Width: Insignia: C A (_ O 7 0 Public Works Fina 538-7681 Fire Department/CDF 538-7111 Env. Health Final 538-7281 Sewer District Final **PROJECT FINAL 1 801 2 , 1 *Project Final is a Certificate of occupancy lor (Residential Only) PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE. IF WORK HAS COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION Inspector Copy )? BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 478 LODGEVIEW DR Owner: Permit NO: B07-0572 APN: 069-210-069 CHRISTOFFERSEN, RICHARD Issued Date: 03/22/2007 By GLB Permit type: RESIDENTIAL 478 LODGEVIEW DR Subtype: SFD-Mobile Home RET OROVILLE, CA 95966 Expiration Date: 03/21/2008 Description: EX MH RETRO FIT PERM FND Occupancy: Zoning: RTI Contractor Applicant: Square Footage: ON THE LEVEL ON THE LEVEL Building Garage Remdl/Addn 2982 ORA AVO TERRACE 2982 ORA AVO TERRACE VISTA, CA 92084 VISTA, CA 92084 Other Porch/Patio Total (760)415-1982 (760)415-1982 FEE INFORMATION DBF MH Plan Check $219.96 DBMSC Mobile Home $329.94 Total Charged: $549.90 Fees Paid: $549.90 Balance Due: $0.00 Receipt No: B2287 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License ON THE LEVEL 521400 / B C47 / 06/30/2008 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that 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 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 0) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's 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 ;W!R& basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects 03/22/2007 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractor' Signature Date ❑ 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 Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does ORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: HAVE AND WILL MAINTAIN the work himself or herself or through his or her own employees, provided that such improvements ❑I A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the State Fund 229-0007693 Exp. Date: 01/01/2008 Cartier: Policy Number: Contractor's License Law.). (This section nee not be competed if the permit is or one hundred dollars ($100) or ess. ❑ I AM EXEMPT under Section B. 8 P.C. for this reason: ❑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' X 03/22/2007 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date p &Sos 03/22/2007 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signature Date WARNING: F ILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHAL UBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE UND THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enter the above mentioned property for inspection purposes. I hereby certify that I am the roperty owner uthorized to act on t e property owner's behalf. 5 2/2007 CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for N e of Per ittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) ❑ Owner 0 Contractor OR; Agent for Owner DAgent for Contractor FILE COPY Lender's Address City State Zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Name6i 6h 06_M r*Z e First Namr - Coma_/ �I�i Mailing Address ",1�' ^� ✓/" -,14<6-UJ City. Oro //C..'t• /� State + Zipl?516 6 Phone Fax E-mail CONTRACTOR Name C�)Ih&J_P"e/ Address 2-9 DrQ /1 /o City State 1w. Zip qww ,/ `f Phone Fax _40 L 1� � E-mail b h- ►� �Zl/P� rMov- . Cpm Lic.# L Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name Y City V Address Zip City Fax State Zip Phone Fax E-mail State License Number APPLICANT INFORMATION Name Address City V State Zip I Phone �D y(i5� I fig?/ Fax E-mail on�Gt�/t:v�Ca7 CLC • C�.U� APPLICANT SIGNATURE PROJECT LOCATION API 0( _09 -ora Property Address t7 e,, -z City d rD t/i lleJ PERMIT NO. � •b BIN # WORKER'S COMPENSATION Policy Number aa.9 - o 3 - o�— 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 t'` Address DESCRIPTION OR SCOPE OF WORK: 76-�ro J1 a 24�-h,r, 1 0 rI 1�/ A+>` 4r 3 Scl FT- Living Open C D ❑ Structure Built without Permits (� n ❑ Proposed Change of Occupancy (Note previous use): as- a For office use only: Zoning Flood Zone SRA I Yes I No Occ. Type Const. pea r % "PT"'0/1 (� r �t 9N 34 91 r a C` w a4i �� u xA t 46 d ✓-1 ec,� 0�0- 01 e - b '�(9 -0M 13D-dVd S,2IOSS3SSV • 6� YY'� o�i� �� ► (�''a po`j f�, Ssaway. SniIS BUTTE COUNTY6 � � OS -9( ) 9NOHd �f� �Ay� �iF�N -BUILDING ®I�I���! APPROVE® Fluid ails j 2"x 2'-x 3/16"= STEEL ANGLE DETAIL "A" CHASSIS FRAME 1/4" GRIPPER PLATE (2) REQUIRED 1/4" GRIPPER BASE 1/2-13UNC—A307 x 4" BOLT WITH NUTS (4) REQUIRED 01 1/2" SCH 40 PIPE RISER WITH m 01/2" ADJUSTER HOLES AND 3/8" THICK TOP PLATE m 02" SCH 40 PIPE STAND WITH TWO 01/2" ADJUSTER HOLES ABESCO ABS PAD .#503 STEEL FRAME SEE DETAIL "A 3/8" CAD PLATED BOLT, NUT & WASHER COUNTER BORED FLUSH WITH BOTTOM AT 8" O.C. (8) REQUIRED 1/4" STAND BASE j— ASESCO ABS PAD #503 a-7.oS:''z 1311TTE COUNTY gUILDI,NG DIVISI APRO G cz-4- 1 36" MAX TO BOTTOM OF PAD 01/2% 3" C.R. LOCK PIN WITH 01/8" BRIDGE PIN J COACH "C" FRAME 2" CHANNEL 1 /4"x 1-1 /4" TEK . STS (2) REQUIRED 1/4" GRIPPER BASE 1/2" A307 BOLT (2) REQUIRED 3/8"x 6"x 6" STEEL PLATE 1/2" A307 BOLT (2) REQUIRED 09/16 HOLE (TYP)- STAND BASE TOP VIEW f TUF-1 PERMANENT FOUNDATION SYSTEM ABESCO• .: 5851 FLORIN -PERKINS ROAD SACRAMENTO, CA 95823 PH: (800) 382-8831 WAYNE T. FAX: (916) 383-5207 114" GRIPPER PLATE C -BEAM ATTACHMENT _,— COACH "J" FRAME — 1/4"xt-1/4" TEK STS (4) REQUIRED 1/4" GRIPPER BASE 1/2" A307 BOLT (4) REQUIRED J -BEAM ATTACHMENT 8" 112" DIA. HOLE (8) PLACES �— 30" - STEEL FRAME TOP VIEW STATE APPROVAL MANUFACTURED HOME/MOBILB HOME FOUNDATION SYSTEM HEALTH AND SAFETY CODE, SECTION 18551 APPROVED SUBJECT TO CORRECTIONS NOTED APPROVAL DOES NOT AUTHORIZE OR APPROVE ANY OMISSIONS Oft DEVIATION FROM REQUIREMENTS OF APPLICABLE STATE LAWS AND REGULATIONS State of California Department of Flousing and Community Development �( I ST ODES AND STANDARDS BY iU.Y —DATE gnature) SPANO. —Lim This Plan ApprovaJ,Ezpiros. h %� ._. POLVADO, PE -LISTING NO. F94249 SHEET 1 of 3 . : -. ... N GENERAL NOTES GUS GUARD TUF-1 1. DESIGN LOADS: LIVE LOAD - 30 LB. FLOOR LIVE LOAD - 40 PSF WIND LOAD - 80 MPH EXPOSURE "C" SEISMIC ZONE "4" * SNOW LOAD 100 PSF (SEE NOTE #15) 2. THIS FOUNDATION. SYSTEM IS DESIGNED TO BE CONSTRUCTED ON A FAIRLY LEVEL SITE WITH NO EXISTING SOIL PROBLEMS. 3. CHASSIS BEAM SUPPORTS SHALL BE LOCATED AND SIZED FOR THE LOADS AS SHOWN IN THE "MOBILE HOME INSTALLATION INSTRUCTIONS". 4. IN AREAS WHERE DIFFERENTIAL SETTLEMENT (D.S.) CAN OCCUR, 1kE-S•��."rL'c-B£-REA$dJ�STED-a4tHE-AI-DS-E�f�DS-1�� OR WHEN IT WILL ADVERSELY AFFECT MOBILE HOME UNIT. 5. CARRY ALL FOOTINGS DOWN TO FIRM, UNDISTURBED SOIL. FOOTINGS ARE DESIGNED FOR 1,000 PSF TOTAL LOAD SOIL PRESSURE, AND SHALL BE COMPATIBLE WITH LOCAL SOIL CONDITIONS. COMPACTED SAND MAY BE USED TO FILL LOCAL VOIDS UNDER PADS. 6. STRUCTURAL STEEL: FABRICATED ACCORDING TO AISC SPECIFICATION. WELD ACCORDING TO AWS SPECIFICATIONS, —ELECTRODES -370 PLATES=ASTM A36 BOLTS -SAE GR 5=ASTM A449=ASTM A3725. 7. THE GUS GUARD ASSEMBLIES SHOWN ON THIS PAGE SHALL BE LISTED AND LABELED BY BSK AND ASSOCIATES FOR THE FOLLOWING LOADS: ALLOWABLE LOADS: HORIZONTAL VERTICAL GUS GUARD TUF-1 2200# 6000# GUS GUARD MGP PAD 2200# 6000# GUS GUARD E -Z TIE PAD 2200# 6000# 8. DURING PRELIMINARY INSPECTION, THE ESTIMATOR SHALL ENSURE THAT MOBILE HOME .CHASSIS BEAMS ARE OF STANDARD SECTION. 9. EXISTING COACHES MAY BE RETROFITTED TO RESIST SEISMIC FORCES BY INSTALLING GUS GUARD TUF-1 UNITS AS SHOWN ON THIS PAGE OF TYPICAL FOUNDATION PLANS. 10. THE GUS GUARD TUF-1 SYSTEMS ARE SAFE FOR INSTALLATION IN FLOOD PLAIN AREAS WHERE DEPTH OF FLOODING DOES NOT EXCEED THE HEIGHT OF THREE FEET. 11. MULTIPLE UNIT INSTALLATION IS ACCEPTABLE PROVIDED THE NUMBER OF TUF-1 UNITS UNDER EACH UNIT IS THE SAME AS SHOWN REQUIRED PER EACH UNIT. 12. SINGLE -WIDE UNITS REQUIRE ADDITIONAL RESTRAINT. • (SEE SHEET #3) ' 13. ALL METAL COMPONENTS AND ATTACHMENTS ITEMS SHALL. 6E PROTECTIVE COATED. 14. WHEN CONCRETE SLAB IS IN EXISTANCE, PAD IS NOT REQUIRED. ANCHOR STAND TO CONCRETE SLAB WITH _TU F— 1 PERMANENT FOUR (4) 1/2% 3 1/2" EXPANSION ANCHORS, FOUNDATION SYSTEM 15. GUS GUARD TUF-1 FOUNDATION SYSTEM PROVIDES _ _ ALLOWABLE SNOW LOAD TO 100 PSF WHEN INSTALLED ABESCO WITH EXISTING STANDARDS REQUIRED BY COACH 5851 FLORIN - PERKINS ROAD MANUFACTURER OR REPLACE THEM ON A ONE TO SACRAMENTO, CA 95823 ONE BASIS. PH: (800) 382-8831 FAX: (916) 383-5207 16. FOUNDATION BLOCKS 16"x 16"x12" POURED IN PLACE AT GROUND LEVEL MAY BE USED AT INSTALLERS DISCRETION ALTERNATIVE TO PADS. SINGLE WIDE COACHES DOUBLE/MULTIPLE COACHES E= 2' MIN. / 8' MAX. E= 2' MIN. / 11' MAX. S= 6' MIN. /16' MAX. S= 6' MIN. / 22' MAX. VARIES 10'-70' (SEE TABLE ON SHEET #3) E S S SE RIDGE BEAM SUPPORT AS REQUIRED BY MANUFACTURER a F --j (TYPICAL) a D ❑ D D 8' NOM. 2' NOM. PADS IN ANY PAIR MAY BE STANDARD M.H. FOUNDATION ROTATED 90 DEGREES OR PIERS AS RECOMMENDED BY PVC SERIES OFFSET TO OTHER SIDE TO 'THE MANUFACTURER OR THE SUPPORT AVOID CLEARANCE PROBLEMS. ENGINEER. TYPICAL THROUGHOUT PAD (TYP) cya STATE APPROVA FOUNDATION SYSTEM HEALTH AND SAFTYCODE, SECTION 18551 APPROVED SUBJECT TO CORRECTIONS NOTED APPROVAL DOES NOT AUTHORIZE OR APPROVE ANY OMISSIONS OR DEVIATION FROM REQUIREMENTS OF APPLICABLE STATE LAWS AND REGULATIONS State of California Department of Housing and Community Development 0 OF 'CO�1DES AND STANDARDS EY t g,'ST DATE l� / (signature) SPA NO. LJ —�� This PIHn Approval Expires I WAYNE T. POLVADO, PE—LISTING NO. F94249 SHEET 2 of 3 1 CHASSIS FRAME 1/4" GRIPPER PLATE \ (2) REQUIRED 1/4" GRIPPER BASE 1/2-13UNC—A307 x 4' BOLT WITH NUTS (4) REQUIRED 01 1�2" SCH 40 PIPE RISER WITH 01/2 ADJUSTER HOLES AND 3/8" THICK TOP PLATE 02' SCH 40 PIPE STAND WITH TWO /1/2' ADJUSTER HOLES ABESCO ABS PAD %503 STEEL FRAME 36" MAX TO BOTTOM OF PAD /1/2"x 3 C.R.. LOCK PIN WITH /1/8' BRIDGE .� PIN LIGHT HEAVY—WEIGHT PLASTIC PAD INSTALLATION MULTI -AIDE UNITS LENGTH OF I HOME 1 24 WIDTH OF HOME 26 28 44 RODS C ARE/16' HOLES 1/2-x 3 1/2■ 1/2"x 8■ LONG a12 O 1/ 1/2" C`. HOES OFFSET 90' EXPANSION ANCHOR ANCHOR BOLT 12 18 3/8" CAD PLATED BOLT, NUT & WASHER (4) REQUIRED (4) REQUIRED 20 1 24 COUNTER BORED FLUSH WITH BOTTOM 5r, �;..•;,• ,,+Y AT 8" O.C. (8) REQUIRED CONCRETE PAD INSTALLATION 17._.:....... POURED IN PLACE 16x16x12 CONCRETE FOUNDATION INSTALLATION CHASSIS FRAME 1/4" GRIPPER PLATE \ (2) REQUIRED 1/4" GRIPPER BASE 1/2-13UNC—A307 x 4' BOLT WITH NUTS (4) REQUIRED 01 1�2" SCH 40 PIPE RISER WITH 01/2 ADJUSTER HOLES AND 3/8" THICK TOP PLATE 02' SCH 40 PIPE STAND WITH TWO /1/2' ADJUSTER HOLES ABESCO ABS PAD %503 STEEL FRAME 36" MAX TO BOTTOM OF PAD /1/2"x 3 C.R.. LOCK PIN WITH /1/8' BRIDGE .� PIN LIGHT HEAVY—WEIGHT PLASTIC PAD INSTALLATION MULTI -AIDE UNITS LENGTH OF I HOME 1 24 WIDTH OF HOME 26 28 44 UP TO 44' 1 d 1 8 1 a12 44'-1' fo 66'1 12 1 12 1 12 18 to Mal 20 1 20 1 20 1 24 SINGLE WIDE UMTS LENGTH OF I HOME 10 WIDTH OF HOME 12 14 16 UP TO 44' 8 1 8 1 6 1 6 44'-1" fa 66-1 8 1 8 1 8 1 8 lee, -t' fa sol 10 I 10 I 10 I 10 NUMBER OF TUF-1 REQUIRED NUMBER OF TUF-1 REQUIRED NOTE: SINGLE WIDE UNITS REQUIRE (4) E -Z TIE PADS. GUS GUARD TUF-1 PIERS ARE TO BE PLACED AT APPROXIMATELY EQUAL INTERVALS ALONG EACH FRAME RAIL. ��f�css'®��� STATE APPROVAL 114ANUFACTURED Hc?1 P1100111LI4 HC1Mi3 ®®� FOUNDATION SYSTEM > EAL'TH AND SAFETY COUfi, SLICTION 18331 APPROVRD Exp.J., v" OF cwv 37' TUF-1 PERMANENT FOUNDATION SYSTEM IStIn-IRCT TO CORRECTIONS NOTED APPROY-A1, flfl RK NOT AUTHORIZE OR APPROVE ANY OIAISS10NF OR I) VIATIM FPWIM RRQUIRF.MFNTS OF APPL,1C7A111M. iTAIT l A\N'8 AND:RFOULATIONS 81nie of ci,lilU,•nio bepartntanl et }inuuing mud COmmunity Development V10 OT' ('012S ANI) STANDAR S BY.__..__.DATB_U �l SPA NO. This PIHn Approval (NE._ T. _POLVADO,. _ PE—LISTING NO F94249 SHEET 3 of 3 I 12 Phil Mengell Liberty Reverse Mortgage Direct: (866) 373-7841 x 1976 Fax: (916) 636-0190 From: Krystal Lilly [mailto:klilly@artreverse.com] Sent: Monday, February 26, 2007 3:48 PM To: Phil Mengell Subject: RE: Christoffersen First name Lynn, right? (I have 2) ------ Original Message ----- From: Phil Mengell [maiIto:pmengel1@1ibertyreverse.com] Sent: Monday, February 26, 2007 3:48 PM To: Krystal Lilly Subject: Christoffersen Can you snag me a copy of the recorded GD ? My engineer is asking for one... =/ Phil Mengell Liberty Reverse Mortgage 3100 Zinfandel Drive, Suite 300 Rancho Cordova, CA 95670 Direct: (866) 373-7841 x1976 Fax: (866) 247-5757 E-mail: pmengell@libertyreverse.com This email and any files transmitted with it are confidential and intended solely for the use of the individual to whom they are addressed. If you have received this email in error, please notify the sender and the system manager at support@Iibertyreverse.com. Please note that any views or opinions presented in this email are solely those of the author and do not necessarily represent those of the company. The recipient should check this email and any attachments for the presence of viruses. Liberty Reverse Mortgage accepts no liability for any damage caused by any virus transmitted by this email. RECORDING REQUESTED BY: Fidelity National Title of.California Escrow No. 103088 -TR Title Order No. 00103088 When Recorded Mail Document and Tax Statement To: Mr. and Mrs. Richard Christoffersen 478 lodmdew Drive awille, Ca. 9.5%6 I111IIl11111111111111111111111111 �'GD10 010610341 RecordedI Official Records REC FEE 7.00 I TAX County E f BUTTE 136.95 CAMACE J. GRUBBS I Recorder ROSEMARY DIcxSM 1 Assistant 09:00AM 08 -Nov -2002 I Shauna N I page I of I AVIV: Uby-Z I U-U6y GRANT DEED SPACE ABOVE THIS LINE FOR RECORDER'S USE r The undersigned grantor(s) declare(s) Documentary transfer tax is $ /34,. 9v I X 1 computed on full value of property conveyed, or I I computed on full value less value -of liens or encumbrances remaining at time of sale, [ I Unincorporated Area City of Oroville FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Charles R. Codey and Doris F. Codey, husband and wife hereby GRANT(S) to Richard Christoffersen and Thelma Christoffersen, husband and wife as Joint Tenants the following described real property in the City of Oroville County of Butte, State of California: Lot 287, 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: October 18, 2002 STATE OF CALIFORNIA COUNTY OF��� ON OC-%o(SO+L 11, 20'01. before me, V-o4.1e personally appeared �'�rtit.Es 0-• �oo�.i n•..o �atws F. coo:•I 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 eal. Signature ROBERT L KORTE Commission •1387894 Notary Public-Calftmia Butte county My Comm. Exp. AUM 04.2008 b. MAIL TAX STATEMENTS AS DIRECTED ABOVE FD -213 (Rev 7/96) GRANT DEED Housing and Community Development 03/04/2007 09:23 AM Housing and Community Development g Title Search and Escrow Opening, " Unit Search Results Unit Search Account Information TTransaction Log Logout Help User Information ONTHELEVEL ON THE LEVEL 2982 ORA AVO TERRACE VISTA, CA 92084 ATTENTION: The information provided .on this page does not reflect the complete ownership, title and registration status of the unit. A Title Search must be processed to obtain the complete information. Decal LBE6151 Serial No [HUD/Insignia] 2561A [CAL05748]2561B [CAL057491 Date of Manufacture 00/00/77 Manufacturer MOUNTAIN VALLEY Trade MOUNTAIN VALLEY Model Unit Location 478 LODGEV IEW DR OROVILLE, CA 95966 Registered Owners THELMA K CHRISTOFFERSEN REVOCABLE TRUST Process informal Title Process Formal Title Process Escrow Opening Title Search and Escrow Opening — Unit Search Results Housing and Community Development — Sun Mar 04 09:10:09 PST 2007 Return to the HCD Home Page or Submit Housing Comments via the HCD Comments Form or Send Web Technical Comments to: webmaster@hcd.ca.gov .x" https://ssw2.hcd.ca.gov/publictitie/ControllerServiet?action=UnitSearchAction Page 1 of 1 PERMIT NO. 5373-77R" PERMIT EXPIRES ®�® OWNER -Ron Heinen CONTR. Holmes Mobile Home Serv., Bangor LOCATION (A.P. 34-73-69 326 Lodgeview Dr., lot 287, KR#3', Oroville Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED (Da ) (Signature) o Bond Beam / \ COUNTY OF BUTTE — DEPARTMENT OFe PU9IC WORKSIF ' BUILDING INSPECTION RECORD Motors BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Z Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwall X Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for phslcally handica ed / Conformance of ex. structure Appliances Gas PI In & Tes Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings �`� �% Footing ELECTRICAL Bond Beam / \ FIRE SPRINKLERS Motors Fr ming 2— Test Water Htr.1 Stucco Final Sub anelsl Mesh -"MECHANICAL Grd. Faut Prot. Scratch Heating Service Brown Cooling Temp Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping BI E IME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity \ Water Piping Drainage Gas Piping DATE � Z,5-3/7_2 REMARKS OR CORRECTIONS to Fe (A"M (NOTE: An entry must be made on this form each time you visit the job site.) +, COUNTY OF. BUTTZ` - : DEPARTMENT OF PUBLIC WORKS 7 CdUlity Center Drive �;-: 0r%ville, California 95965 e, -Telephone: 534-4541 APPLICATION AND PERMIT aauuwiic ict/IW0VIIt0LIVUS UI IIIC UUUIIIy UI Butte to enter upon the above- IntionedLropertyafor purposes. Date AD —� igna .re of Permit'ee/or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF WNLIC WORKS BY Date% B ilding permit expires Date . BUILDING te .00 - Owner N SQ. FT. OCC. BUILDING VALUATION Mailing Address ` Telephone No. Fireplace Contractor Total Valuation Mai I i ng Address RG 1 Permit Fee Plan Checking Fee &/or Penalty Telephone o. Permit Fee $ 3(6. co $ff 6 C Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 b b ) w D l2 • Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 �0 a'UA) IT -#-.3 Each gas water heater or vent 1.50 �`/ _� �. A. P. No. Y c� Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F k< ani I n I Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking P rcel PlansDeclaration Parcel Ma 60' R/W Im rov ents P Lawn sprinkler system 2.00 Bldg. PI Rec'd Parcel A roval PI s Approval Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 OV Main service 100 AMP OR5.00 Main service EA. ADD'L too AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service OVER 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 _ NEW CONST. J DWELLING OCCUP. & OR ADDNS. ACC. SLOGS. ) 2�Sq ft NEW CONSTR. MULTI -OUTLET NON -RES ID. ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS & NON -RE SID. 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 qf_:/ ' Ff CsLm m b � I (_ E- �- s (�(CrC Ex. Occup(OUTLETS OR FIXTURES)@L�6 BAL@1 FIXED APP LNS. OR Ex. Occup.(OUTLETs (RESID.) EA) 2.00 Temporary service 10.00 - Mobile Home Facilities 15.00 /+ License No.121 3') Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. Iermit is issued certify that in the performance of the work for which this P employ y I shall not em an person in any manner so as to become subject Io bject to the Workmen's Compensation Laws of California. 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 MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling ' Ventilation Hood 1 1 2.00 Permit Fee $ $ TOTAL PERMIT FEE X�447�,, $SEL 6Z aauuwiic ict/IW0VIIt0LIVUS UI IIIC UUUIIIy UI Butte to enter upon the above- IntionedLropertyafor purposes. Date AD —� igna .re of Permit'ee/or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF WNLIC WORKS BY Date% B ilding permit expires Date LOT 287 UNIT 3 N.IN - N anship Shat) Be in MOUNTAN VALL, _'/ NOTE:--A1i M}herRes e � P nc ices and _ �\ 24. �c 6 4' Accordance wi etc 6 4 - of a quality lar i ed for the pec atlr`C�oanc Uni u� ding, Plumbing & Machan�c =78 t National Electrical Code. = zC. o o' z � w " 3 60 � DN N: O v1 The Bldg. Setback shat be 5 ft. from the sae property line and 0 ii. from the centerline of.the road, pe itting a moxi- oum of a 2 ft. save overha g but entirely n 2=255.00' .set bt �ns and specificutivns UST ba -O IoL \sept on the job ail times and T is unla a1 to b •� -0 Zke any change or alterations on same 'thout t� 0 _ �_� tten .perm4son om the Department of bNt oaks. County of B Ac ` SES =8fr c~s< O o - 30, !�go6..E SET BACK " OUTTP- COU Ty BUILDING DEP ENI !-APPR0 ED COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS I 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 _ CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California dministrative Code, Title 25, Chapter 5, under permit number W-27' for the following location: . 3, ;? 1,., i obc,c,EU/r i�c/ � a%.O v / /_ 11 Owner 60AIA4, I. > .) . 14E14/2Z­ /� Owner's Address 514mE� Mobilehome Mfg.IW7H Uf l- I � ModelayXW 2iWY" ear 7? Insignia NoCA L oV o c/ k Serial No. .)f(o It is hereby certified four occupancy at the above described location and may be occupied. Directtonof Publliii Work Date f �� By/tl�. THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED PERMIT N0. 3323-77P ,E PERMIT EXPIRES / OWNER Ronald J. Heinen " CONTR. owner j LOCATION (A.P.- 34-73-69 326 Lodgeview Dr., lot 287, KRYf3, Oroville Temp. Power Pole Called PG&E Temp. ElecfServ. Call�'d PG&E Temp Gas Serv. /FOINALlled PG&E ED (Date) s (Signature) L COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING " FI wall SII Pipin Par ets t Floor g. N Restr om Finish 2 Floor s - Windo 3rd loor all Sidinq To out Slab Roof She hina Water PI n Piers Roofing Sewer Garage Fdn. Vents Fixtures Footin s Garage Vents Water Htr. Stemwa I I Insulation Heaters Slab Carport Footings A Prov. for phsic Ily handica ed Conformance of e structure Appliances Gas Piping & Tes Temp. as Slab Final Sanitation Patio FIR PLACE Final Footin s Footing LECTR AL Masonry Wa s Throat Rou h Reinf. S el Final Fixtures Bond Vam FIRE SPRINKL RS Motors Framind Test Water Ht Stucco Final Sub an s MECHANICAL Grd. ault Prot. h Hea Sery ce tFinlah Co Ing emp. Pole D cts rider round Lath entllation Permanent oor Closer Final Final MOBILEHOME UTILITIES ------------------ Elec- Service Elec. Pedestal Water Piping % c;)-/ Sewer Gas Piping B1 E OM9 INSTALLATI N - - - - - - - - - - - - - - Support = / Elec. Continuity ` Water Piping — _ 7 Drainage :� > _ Gas Piping DATE 7� REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) 'MOBTIXI'L021113 DiSTAL-LAT"I' 4 INSPECTION CHECK LIST 1. Is the niobilehom� located 1,71.01 quired separation from lot lines and buildings and generally conform to plot plan? YCS No ?. Does the inob-il.ehome have require -d clearances above ground? (Sec.5085) Yes 3. Are footin,:;s and supports properly sized, spaced, and braced as p approved plans? (Note possible varication at spring shackles.) (Sec. 5082 & 5083) Yes_ol _ No 4. Is -the mobilehome level.? (Sec. 5088) Yes e, No 5. If mor nan a single unit, are crossover connections properly installed? (Sec. 5088) Yes 2/ No 5: Water A. Is fle�s� le connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes LNo B. Test - Does water piping withstand working pressure or 50 lbs, air test? Yes 4__No �f /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_ No B. Does it have minimum z," per foot slope and is it properly supported? Yes 4- No. C. Are any leaks detected in drainage system after running 3-lons of water through each fixture including washing machine standpipe? Yes No ./Its coach is not State of California approved, does station have required trap and vent?. No 8. Gas Piping and Gas Vents A. Connec _ - Is mobilehome connected to t gas supply with an approved 3/4" minimum mobi%ho e connector not more than 6 f . long? Note: All piping is to be at least as large as e mobilehome gas line iril without reductions other than the mobilehome connector. Yes No B. Test OK as per llowing procedu e? Yes_ No 1. Open all appl nce connect r valves. 2. Shut off appliance r er'and pilot valves,. 3. Air test with mano eter t 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 o .) calibrat in tenth pound increments. Test for'10 min. without drop. 4. Connect gas meter to mobilehome with nnector, turn. on gas, test connections with soapy wat C. Are all app/iance vents properly installed? Ye's\\ No 9. Electrical A. Is service large en.otiglt to provide adequate amperage to 'mobilcliome. (must equal rating of mobilehome whit a -.Antrum of 1 amp) anal other facilities on lot, i.e., water pumps, ,arat,e, caoana, utc. Yes_ No_ B. Is there. roper. clearances around panels? Yes � No 1. proper C. Is power supply cord or feeder assembly properly fused? Yesv <o D. Is continuity test satisfactory as per the following procedure? Yes_ No ,l�f)e-energize electrical wiring systetit of the mobilehome at the pedestal. . Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. <3. Swi.t_ch all breakers and switches in ,the mobilehome to the "on" position. . 'Connect one load of a test instrument to the mobilehome grounding conductor and DDL3' lite Gtu.e a.esSu %O eaCtl Ttivui.LCttGitttt supply conductor, 1111 iiGlTtg Yie�lirat. 5. ion -current, carrying metal parts of the mobilehome (aluminum siding, gas line, -water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. U on 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:;t shall then be made between the grounding electrode and the chassis of the vi.obilehome.. UDOn satisfactory completion of the electrical tests, the lot or site service equipment- may be approved for energizing. job card signed by health Department for water and sanitation? , everything okay, sign off card and t.ay services. ;c MOBTLEiIOME DATA Manufacturer and/or Namestyle X%/Al y - (JG��✓�„d�� Length l9 Width � Vehicle Serial No. Ots(l State Identif.icati..on No. C41- 05-70<,4-41L � S � 4&1, itional Inform- ar_ian or Comments: COUNTY OF BUTTE' - DEPARTMENT OF PUBLIC WORKS '-County Center Drive — Uroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT ou UIUIILC ICIJICSematIVC5 UI lne Gauniy OT Butte to enter upon the above-mentioned property for inspection purposes. Date Sig a e of Permite Age t Receipt No. l�jZ10' 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 OWPLIC WORKS%By 4 +.Date o aV� ~` 7 B permit expires Date O �� �a —7 BUILDING Owner Ronald J. Heinen SQ. FT. OCC. BUILDING VALUATION Mailing Address 20115 Thornlake Avenue Cerritos CA. 90701 Telephone No. 213 860-3248 Fireplace Contractor Carneros Mobile Transport Total Valuation Mailing Address 1290 E1 Capitan Permit Fee Plan Checking Fee&/or Penalty Napa, CA. 94558 Tel hone No. 707 M-2411 Permit Fee $ Building Address 326 Lodgeview Drive PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Oroville, CA. 95965 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Lot 287, Unit 3 —Kelly Ridge Each gas water heater or vent 1.50 A. P. No. 4-73-69 Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fee W .C. Fire Dept. FireZone Use Permit Building sewer 5.00 EQA IParking Plans Parcel Declarat' Parcel Ma P 60' R/W Improvements— Lawn sprinkler system 2.00 Bldg. Plans Rec'd Parcel A val Plans proval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 INSTALLATION Main service 600°o V OR AMP LESSOR 5.00 Main service EA. ADO'L too AMP 2.50 SinSingle Family Duplex Mobil Home 9 y ❑ P ❑ ❑X Others ❑ Main service OVER 600V too AMP OR LESS 25.00 Main service EA. ADD'L too AMP 1.00 NEW CONST. OR ADDNS. ( ACCLBLDGS.NG CCUP. &) 2¢sgft NEW CONSTR. MULTI -OUTLET NON-RESID. BRANCH CIRCUITS) 2.50ea NEW CONSTFt. (POWER APPARATUS &) NON-RESID. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Carneros Mobile Transport Ex. Occup(OUTLETS OR FIXTURES)@@26C BAL@1 Ex. OCCU FIXED APPLNS. OR P•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. 259158 Classification C-61 Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ® I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 -Mobile Home to TOTAL PERMIT FEE $ 30.00 ou UIUIILC ICIJICSematIVC5 UI lne Gauniy OT Butte to enter upon the above-mentioned property for inspection purposes. Date Sig a e of Permite Age t Receipt No. l�jZ10' 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 OWPLIC WORKS%By 4 +.Date o aV� ~` 7 B permit expires Date O �� �a —7 .41 C00- 'ASSOCIATES ENGINEERING � CONSULTANTS 2060 PARK AYEH-UE " OROVILLE. CALIFORNIA. 95965 - PHONE (816) 533.6457 August. 12, 1977 James Glander Department of Public Works 7 County Center Drive Oroville, Cal.ifornia.95965 Re: 77551 Dear Jim: Compaction .test results are enclosed for mobile home site preparation at Kelly Ridge Estates for: Heinen KRE Unit 3 Lot 287 3y-73- 69 Ott KRE Unit 3 Lot 31 Representative tests indicate that the 90% relative compaction requirement has been satisfied. A location map is attached. Very truly yours, COOK ASSOCIATES Lew Hiatt Civil Engineer LH:nj Enclosures Client Heinen COO SSOCIATES Project Unit 3-Lot 287 ENGINEERING CONSULTANTS IVUCIear Irl-Place Job No. 77551 2060 PARK AVENUE Moisture Density Test Operator D. Kimbrell OROVILLE , CALIFORNIA 95965 ( 916 533 -6457 TEST NUMBER I 2 3 4 5 6 7 8 9 10 TEST DATE 7/19/77-7-fl-9-T7-7-8-T9-7-77 8 10 77 2nd Lift st Lif 2nd Lif 1st Lift TEST ' Fill l' Fill 2' Fill 1'' Fit LOCATION 3. End 5. End S. End S. End Fail Fail Retest Retest., MODE a DEPTH 8" D.T. 8" D.T. 8" D.T. 8" D.T. MOISTURE COUNT 1052 1105 1016 1058 MOISTURE .750 COUNT RATIO .754 .792 .717 MOISTURE 14.4/ 14.4/ 14.3/ 14.0/ PCF 19.0 20.0 18.0 18.0 DENSITY COUNT 322 341 244 257 DENSITY COUNT RATIO 1.215 1.286 .920 .966 WET DENSITY PCF 121.5 119.0 133.50 132.5 DRY DENSITY 107.1/ 104.6/ 119.20 119.0/ PCF 102.5 99.0 115. 11 4.5 13.4/ 13.8/ 12.0/ 12.4/ % MOISTURE 18.5 20.0 15.5 15.7 OPTIMUM DRY DENSITY PCF 132 132 132 132 % OPTIMUM 10 10 10 10 MOISTURE % RELATIVE 81/ 7.9/ 90/ 90/ COMPACTION 78 75 88 87 DAILY STANDARD COUNT COMMENT: DATE MOISTURE DENSITY 7/19 1394 265 8 9 1416 265 8/10 1410 266 LOT 237 UNIT 3 H=1N-N MOUNTPON 24' ,, b 4-' - 2= 255. 00' N � 0 30 SET 0� cK ScA.LE i"= --o' MOBILEHOME SUPPORT,DATA Mobilehome Mfr. Mountain Valley Setup Model No. 24x64 2BDR RKyear 1977 NET Width 24 (ft.) Length- -.60, (ft.) Expando.Size ft.x ft. (Draw support details below) - On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with_the County of Butte). Sin le Footings (check one; 1. Wood•either -- pressure treated or Center Center Support fdn. grade. Support. Footing Sizes Locations (in.) 2. Concrete pad. 24 x 30 3: Other, specify (f F-.,) I i • Supports (check one; Concrete block 2. Concrete piers (! 301 f a� (�.I I in x in , , ( •) ( •) 3. Steel piers - - Other, specify - - . - - - TypicalSupport S rt 30j Footing Size .30 �in.)�iri.) - t (f�.) in^24x . (in.)(in.) _ + j 5 -6 Max. Pier •II _ � 24 30 � -�. • �� - � Spacing 7 (ft.) (iri. •�• in. (in.)< 24xR30I (in.) (in.)' - - Max. . 0 Overhang *If center piers are other than drawn above, BUTTE COUNTY draw in locations, spacing, and dimensions. BUILDING.-DE?ARTR"'NT APPROVED- 1. Owner's name: 2. Installer's name: BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET Ronald J. Heinen Carneros Mobile Transpor Lot 287; Unit 3 3. Is the site currently3under. permit?_ Yes /x / No Amps 6. ( If yes, furnish .permit number Amps 7. What is the mobilehome site circuit' breaker rating? ------------- ) OR Is the site an existing site? s Yes / / No /X / (If yes, furnish two (2) plot --plans.) - - (If yes, identify the load and size:-•. (Load) 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. What'is the gas pipe length.from meter or tank to the mobilehome? (If no, clarify 12. What is the mobilehome gas demand? ------------------------------ -0- ) --5. What.is the mobilehome electrical rating? ----------------------- 200 Amps 6. What is the mobilehome site service rating? --------------------- 200 Amps 7. What is the mobilehome site circuit' breaker rating? ------------- 200 Amps 8. Is there any other electric load to be'served by the mobilehome site service? -------------------------------------------=------- Yes / / ;No /X / (If yes, identify the load and size:-•. (Load) -0- (Amps) 9. What is the mobilehome site gas pipe,size?_,---------------------- -0- (in.) 10. What is the type of gas service? ----------------------------- Natural / / LPG 11. What'is the gas pipe length.from meter or tank to the mobilehome? -0- (ft.) 12. What is the mobilehome gas demand? ------------------------------ -0- (BTU) (This nformatioii'not required if pipe length less than,,6 ft. on natural gas ' 'or l;_,.ss::than 50eft . ~ on LPG.) , COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 /� Telephone: 534-4541 _ _5 = —7 7 APPLICATION AND PERMIT Q �1 BUILDING Owner Ronald J. Heinen SQ. FT. OCC. BUILDING VALUATION Mailing Address 20115 Thornlake Avenue Cerritos, California 90701 Telephone No. 2 IT 1860-3248 Fireplace Contractor (Owner) Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address 326 Lodgeview PLUMBING No.1 @ I FEE PERMIT FILING FEE $3.00 �,ap Oroville California 95965 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 n ificefion Only Kell Ridge — Lot 287,Un�Vet Each gas water heater or vent 1.50 A. P. No. 34-73-69 k>7-- Zc Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fes W.C. nFireDept. FireZone Use Pennit EQA Parking Parcel Parcel Ma 60' R/W Im rovements Plans Declara ' P P Building sewer 5.00 d Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel provaI Plan ppraval Permit Fee $ mo $ NEW ❑ ADDITION ❑ UTILITIES Or OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Zoo Main service 100 AMP OROR LE LESS5.00 010 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home211" Others ❑ Main service 10 0 AMP OR LESS VER 600V 25.00 Main service EA. ADD'L 100 AMP 1.00 BOO SLING Q. FT: MINIMUM OR ADDNSNEW T ( DWELLINGS. OCCUP. &) 2�Sgft NEW CONSTR (MULTI -OUTLET, BRANCH CIRCUTS) 2.5Oea NON -REST D. EUR BILES NEW CONSTR. POWER APPARATUS &) NON•RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES)50 @25C BAL@1 FIXED Ex. OCCU FIXED APPLNS. OR (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 AD Lice n a No. Classification Misc. Wiring 6.25 am exempt from the Contractors License Laws of the State of California. Permit Fee $ StD O WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No.1 @ FEEPERMIT FILING FEE J$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 .Ldp TOTAL PERMIT FEE 5�,SKZ �.,r,..,,�, n�.uvw v� u,c v.vuiiiy vi ou uc tv CIIICI uFJun 111E above-mentioned property for inspection purposes. Date Signature of Permiteeee or Agent Receipt No. 16,2�2 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 0 P ELIC WORKS By Date -7 7,7 Buildkng permit expires Date 7'-1 Z —7p i hit set of plan's MUST kept on. the job at A times and it is unlawful to ma!,e any chi.-inges or alterations on same with wriftcn pormlssion from the Departm -6 Pi)6- lic Works, County of Butte., T Accordti Uniform he -Nat y�It 01 --- :1A A LOT 287 UNIT 3 MOUNTA'N VAI- L 4! -All MaliericAls &Y-iork-mans ip Shall Be in nce with Recognized Good Practices and kty prescribed for the Specified use in the l3u\Qdirxg, Plumbing & Mechanical Codes and Drial Electrical Code" _ � j 14 '0_9 J"I 0 -7/ 0 -0 > 0 The Setback shall be 5 ft'orn the side pro erfy line and So ft. f r m the 'r centerline f the road, permitting a axi- va mum of a eave overhang but e irelly out of all e semenfs -* 0 P 40 0 C� a 0 \A 0 0 20 00 0 J0 .0 4 ", E 1 0 4; o BUTTE COUNTY BUILDING DEPARTMEt�A,,.,.,, APPROVED lei—a . 4f -PIZ,: lei lr s Yr/J - '' COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive Oroville, California 95965 ' Telephone: 534-4541 - APPLICATION AND PERMIT < < - BUILDING Owner It, rSQ. FT. OCC. BUILDING VALUATION Mailing Address�nnvirr.L Telephone No. Contractor ) d 1121. t r N C. Mailing Address /7/)/) :dAt14fR P iw; Telephone No. Building Address .3.2(, 1--o, �k�L�.c J► A. P. No. L, -7 7 Zoning & Planning Fees W C Sanitation= Fire Dept. Fire Zone Use Permit .i- EQA Parking Parcel Parcel Ma 60' R/W Im Plans Declaration P provements -Bldg�Plans.Rec'd Parcel A royal Plans Approval NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Q Single Family ❑ Duplex ❑ Mobil Home 0 Others ❑ 4 Fireplace Total Valuation Permit Fee Plan Checking Fee &/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system Permit Fee ELECTRICAL PERMIT FILING FEE Main service 600v OR LESS 100 AMP OR LESS Main service EA. ADD'L 100 AMP Main service OVER eoov 100 AMP OR LESS Main service EA. ADD'L 100 AMP $3.00 1.50 1.50 1.50 1.50 1.50 .30 5.00 2.00 $3.00 5.00 2.50 25.00 1.00 FEE -400 CONTRACTORS LICENSE LAW NEW CONSTR MULTI.OUTLET NON-RESID BRANCH CIRCUITS) 2.50ea NEW CONSTR. /POWER APPARATUS 8 I am licensed under the provisions of Chapter 9, Div. 3, of the NON-RESID. %SINGLE OUTLET CIR. State of California Business & Professions Code under the name Ex. OCCUD(OUTLETs OR FIXTIIRES FIXED ALNS.style of: Ex. Occup.(OUTETSP(RESID.)REA) 2.00 (/ 4 t /Z V L fl t N C . Temporary service 10.00 Mobile Home Facilities 15.00 r- - - Misc. Wiring -6.25 License No.-V�1'-h :� Classification ("W1 N ❑ I am exempt from the Contractors License Laws of the State of Cal ifomia. Permit Fee $ $^ WORKMEN'S COMPENSATION INSURANCE MECHANICAL No @ FEE PERMIT FILING FEE $3.00 1 am aware of the provisions of Section3700 of the California Labor IHeatina Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned, property "for riinspection ®purposes. .[//v v I' "A Date �J�h.�4 Signature of�P,ermitee or Agent - Receipt No. (/ / 7-7 9 C, White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Cooling Ventilation Hood 1 1 2.00 Permit Fee $ $ Land Development Fee $ TOTAL PERMIT FEE $ 770 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 OFPUBLICWORKS By ��r� Date i ' /' Building permit expires Date of COUNTY OF BUTTE — DEPARTMENT OF PUBLIC S� 7 County Center Drive 0-rovi'Se, California 95965 Y Telephone: 534-4541 APPLICATION AND PERMIT above -Mentioned representatives for inspection purposes. to enter upon the 1 X Date Signature ofermiteeeeor Agent 7 Receipt No. / ! 735- 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 d. DIRECTOR,0 PU LIC WORKS BY %-1-7 Date (� Bui ing permit expires Date �/— 7 BUILDING Owner j SQ. FT. OCC. BUILDING VALUATION Mailing Address 326 L O 6-1Z- VI (ii7 Telephone No. Contractor WAIIIUL AIL Mailing Address 17 o &AtIff_R Riva,2 4 yo Fireplace Total Valuation Telephone No. Permit Fee Building Address 3 Z (p �p i12Zt3 Plan Checking Fee &/or Penalty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. " Cp 1 Zoning8 Planning Water piping 1.50 Each gas water heater or vent 1.50 Fire Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 EQA Parking Parcel plans Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 'OIdg--F:aa R �'d Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ IF ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3 02 Single Famil ❑ Duplex ❑ Mobil Home � Others 9 Y ❑ Main service 600V OR LESS ' 100 AMP LESS 5.00 -L Main service EA. ADD'L 100 AMP 2.50 , Main service OVEReoov 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST OR ADONS. ACCLLING BLDGS.CCUP. 'I) 22sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Cil /Q I l� f R Cy/�iO f ilo�f IAJCi iV C a NEW COS,.,NSTI-T NO W14 -RE ( ULTBRANCH CIROUTL CU" S) 2.50ea NEW CONSTR. POWER APPARATUS 8 NON.RESID. SINGLE OUTLET CIR, Ex. OCCUD(OUTLETS OR FIXTURES �@� BAL@1 Ex. QCCU FIXED APPLNS, OR P•(OUTLETS (RESID,) EA) 2•0� /lo Temporary service 10.00 Mobile Home Facilities 15.00 �+ License No. Classification C-40 Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ O� 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. Mj I have placed on file with the County of Butte a certificate of �+ Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE �r PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that 1 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 ��< $ J above -Mentioned representatives for inspection purposes. to enter upon the 1 X Date Signature ofermiteeeeor Agent 7 Receipt No. / ! 735- 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 d. DIRECTOR,0 PU LIC WORKS BY %-1-7 Date (� Bui ing permit expires Date �/— 7 l lid lV� t Q s:.JOA1 Omne JO 'ld2Q Mo J 0 f t J 0 0 "ZIV COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 r APPLICATION -AND PERMIT .*� _ '- , I : , BUILDING Owner ) �`i "� :"'� � +© ,y, h f9 �� • • - SO. FT. OCC. BUILDING VALUATION Mai I ing Address No. Contractor Fne�tL. I' S ! =Wl Awn ( n� ,I t_ i (In Mailing Address I ZrV 14111-4 1P A 4 p Fireplace Total Valuation Telephone No. Permit Fee Building Address _ („ �{ eco til plA t Plan Checking Fee&/or Penalty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 l�11 Ut a Repair drainage or vent piping 1.50 3 / _ 73 _ / A. P. No. `'/ (p Zoning 8. Planning Water piping 1.50 Each gas water heater or vent 1.50 Fees W. C. 1 Sanitation Fire 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 Bldg..RIons.Rec'd__P Parcel Approval Plans Approval Lawn sprinkler system 2.00 ✓ ,(�( NEW ®� ADDITION ❑ UTILITIES ❑ OTHER -[E]' Permit Fee $ s. OF $ 77t ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 6o0v OR LESS MSS 5.00 100 AMP OR LE Single Family ❑ Duplex ❑ Mobil Home ❑' Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER s O 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELLING .1: 'up. B OR ADDNS. ACC. BLDGS. 2¢Sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: - - i +�• ` NEW CONSTR MULTI.OCIRCUITS) NON.RESID BRANCH RCUITS/ 2.50ea NEW CONSTR. POWER APPARATUS d NON.R ESI D. SINGLE OUTLET CIR. EX. OCcuo(OUTLETS OR FIXTIIRES BAL 1 @ 00 FIXED APPLNS. OR Ex. OCCup.(OUTLETS (RESID.) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 `- License No. Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ MECHANICAL No @ FEE WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. aI certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ _� authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X �� r "Q_, Date Signature of Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF OF PUBLIC WORKS F� By \ .�(Y/ylA/ Date�}.�7�i —Building -permit expires Date COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — -OroviIle, California 95965 Telephone: 534-4541 APPLICATIONUD 'ERMIT authorize representatives of the County of butte to enter upon the above-mentioned property for inspection purposes. c X Date s�z5 X70 Signatur of Permiteee or g Receipt No. 172 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. OF PUBLIC WORKS By Date OwNdIM"ermit expires Date BUILDING Owner el SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor Ian 4 Mailing AddressFireplace Total Valuation 0 nu`t ep o—ne ion ` Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 V� Repair drainage or vent piping 1.50 ._ 3 A / A. P. N 1® Zoning 8 Planning Water piping 1.50 Each gas water heater or vent 1.50 F s W. C. Sarite4Fea► Fire Dept. Fire Zone Use Permit Gas piping -system 1 - 5 outlets 1.50 EQA Parking Plans ParcelEach Declaration Parcel Map 60' R/W Improvements additional outlet .30 Building sewer 5.00 Parcel Approval Plans Approval Lawn sprinkler system 2.00 ZOO NEW ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $; $ knw W cSu—cle"ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600v OR LESS 100 AMP OR LE5.00 SS Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 25.00 100 AMPP OR LESS O Main service EA. ADD'L 100 AMP 1,00 NEW OR ADDNST ( ACCLBLDGS.LING CCUP. Y) 2¢sq 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 style of�:�1 _n Ufa-.1�L� NEW CONST, MULTI.OUTL T NON-RESID (BRANCH CIRCUITS) 2.50ea a_D U .WC WCNST, (POWER APPARATUS 6 N ST, NON-RESID. SINGLE OUTLET CIR, Ex. OccuD{OUTLETS OR FIXTIIRES BAL@1 FIXED APPLNS. OR Ex. Occup. (OUTLETS (RESID,) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. � � Classification ` z 7 Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL N04 @ I 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. c X Date s�z5 X70 Signatur of Permiteee or g Receipt No. 172 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. OF PUBLIC WORKS By Date OwNdIM"ermit expires Date