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069-220-002
orge F. Jarvis �'Ct. 2 a- 5 had 'lot 279, KI�#3, OroVille, KRI13 ' Oro�v ille Perm �1123-76P,E(Ukil.,NH) ILEC. E C. GAS 71 SUPPORT SNUCTURE REQ. -V 0 ,.Q COMPACTION RT REQ. oVO Permit #2616-76 2616-76X Issued— �-4 i contr:Duraluffi, Sa&'rame�t0t 6�- Permit #3651-76B(new deck t� awning & carport/M9 Permit #3907-76BE( w carport .9 storage bldg./MH) Hrzel Lane 25 Shad Ct., lot 279, KR#3, Oroville contr: John S. Coppedge, Oroville Permit #1100 9B,,E(new carport & storage-) 1307-1361 069-220-002 RESIDENTIAL SFD-Mobile Home RET EX MH ON PERM FND (17 201�-,,- 25 SHAD COURT STEPHENS,JASON . CDI C71C14 CN BUTTE COUNTY AREA DEPARTMENT OF DEVELOPMENT SERVICES INSPECTION CAMUST BE ON JOB SITE 2 RD 24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico) Office: (530) 538-7541 Fax: (530) 538-2140 Website: www.buttecounty.net/dds Permit No: B07-1361 Issued: 06/22/2007 Address: 25 SHAD COURT Area: OROVILLE Owner: STEPHENS, JASON APN: 069-220-002 Applicant: HAROLD BALAZ CONS!Map Page: Permit Type: SFD-Mobile Home RET Description: EX MH ON PERM FND (1770) Flood Zone: None SRA Area: Yes 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 ShearwallB.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 Finals Building Final 802 Electrical Final 803 Mechanical Final 809 Plumbing Final 813 Pool Final 802 Mobile Home Final 802 Ins ection Type I IVR I INSP I 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 , c Tiedown/Foundation System 611 r . Site Utilities/Trench Insp. 137 Gas Test Yard 404 Manometer Test 605 Continuity Test 602 Skirting/Steps/Landings 610 Coach Info Manufactures Name: 54k., < , Date of Manufactur . 1 - Model Name/Number: Serial Numbers: Length x Width: Insignia: Public Works Fina 538-7681 Fire Department/CDF 538-6837 ext 169 Env. Health Final 538-7281 Sewer District Final **PROJECT FINAL F801 .v -rrolect anal is a lLermicare of uccupancy for (Kesiaennai uniy) 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: 25 SHAD COURT Owner: Permit No: B07-1361 APN: 069-220-002 STEPHENS, JASON Issued Date: 06/22/2007 By KCG Permit type: RESIDENTIAL 25 SHAD CT Subtype: SFD-Mobile Home RET OROVILLE, CA 95966 Expiration Date: 06/21/2008 Description: EX MH ON PERM FND (1770) (530) 990-3787 Occupancy: Zoning: RTI Contractor Applicant: Square Footage: HAROLD BALAZ CONSTRUCTION HAROLD BALAZ CONSTRUC Building Garage Remdl/Addn P O BOX 347 P O BOX 347 PALERMO, CA 95968 PALERMO, CA 95968 (530)534-1190 (530)534-1190 Other Porch/Patio Total FEE INFORMATION DBF MH Plan Check $233.56 DBMSC Mobile Home Permit Fee. $350.34 Total Charged: $583.90 Fees Paid: $583.90 Balance Due: $0.00 Receipt No: B3617 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 HAROLD BALAZ CONSTRUCTI 548442 / A / 11/30/2008 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 (commencing with Section 7000) of Division 3. of the B iness and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full f and effect, of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the _ X basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil of not more than five hundred dollars 06/22/2007 penalty [$500]; Please check one of the following: Ct s Ignature 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 WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN 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.). ��� p/I 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: LIQ. J Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compansalion insurance carrier and policy number are; The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Carrier: State Fund Policy Number: 1785901 Exp. Date:06/01/2008 Contractor's License Law.). (This section need not be competed if the permit is or one dollars ($100) es—or s ) ❑ I AM EXEMPT under Section B. & 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 06/22/2007 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owners Signature Date provi X06/22/2007 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 Si Date RNING: FAILURE TO SECURE WOR RS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. 1 agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS $100,000 , IN ADDITION TO THE COST OF COMPENSATION, ( ) injury, including death, and property damage caused t is arising out of, a in any way connected with o,o 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 use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte FEES. County to enter the above men 'oned roperty for inspection purposes. I hereby certify that I am the P wneroramauthori t on the property owner's a alf. � 06/22/2007 CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for a e e G Print Date the performance of the work for which this permit is issued. (3097 civ. code) ❑ Owner ❑ Contractor OR; Agent for Owner Agent for Contractor FILE COPY Lenders Address City Stat eZip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION **PLEASE PRINT CLEARLY** CONTRACTOR OWNER Last Name City ust Nam Phone �� © Fax . _, Address Clas!45 City / v State Phone 00 -6707 � 8 7 Fax E-mail E-mail CONTRACTOR Name /% 0AJ---2 ONAAX Address 7 City State Zp rwr Phone �� © Fax . E-mail Uc. # y Clas!45 APPLICANT SIGNATURE X For office use only: ARCHITECT/ENGINEER Name Type Const Address / City Lot # State Zip Phone Fax E-mail Phone a State Ucense Number APPLICANT SIGNATURE X For office use only: APPLICANT NAME Name Type Const Address 0 / Page Lot # City reo` Date Approved: State I zip,, io Phone a �S® Fax 3� 330 E-mail ` APPLICANT SIGNATURE X For office use only: Zoning Flood Zone SRA I Yes I No Occ• Type Const Subdivision Name Map Book Page Lot # Planner Date Approved: i PERMIT NO. BP 07 -66 BIN # •9-ux r-vrx QUIDIYlI I IAL Kt_QUIKEMENTS L K:\FORMSIBUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 WORKER'S COMPENSATION Policy Number 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 Wor : S� 1-1 Q Sq. Footage 1 776 Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be 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 Received by: Receipt #: Date: Amount: Bldg SRA Sheriff SMIP Other Total REV 7-27-04 W CI M2 Foundation System Installation Instructions for California for Ground & Concrete Systems HUD Wind Zone 1, iv PSF Wind Load Seismic 4 By Tie Down Engineering 4f Part #59307 X12 Concrete System Qy01-�3Co l BUTTE COUNTY UILDIPfG DIVISION OVED :VF Engineer Approval State Approval Of AVz.VA xxTA=u'g.Q 0. I 09/15/05 THU nx!A1 r,"/Dr xrf% .,.,., m--. • t M2 Foundation System Installation Instructions for California for Ground & Concrete Systems HUD Wind Zone 1, iv PSF Wind Load Seismic 4 By Tie Down Engineering 4f Part #59307 X12 Concrete System Qy01-�3Co l BUTTE COUNTY UILDIPfG DIVISION OVED :VF Engineer Approval State Approval Of AVz.VA xxTA=u'g.Q 0. I 09/15/05 THU nx!A1 r,"/Dr xrf% .,.,., m--. Xi2 Fo un da tion System Installation Instructions for California . for Ground & Concrete Systems HUD Wind Zone 1, 15 PSF Wind toad Seismic 4 By Tie Down Engineering vadetedr 8129/2005 REQUIREMENTS • These plans and specifications meet the requirements of Title 25 Section 1336.3 Sub Section A and 97 UBC Seismic Requirements, CBC 2001 addition. • Maximum vertical projection at sidewall is 9'. Higher walls may be used when the design loads are adjusted accordingly and approved by HUD. • Main rail spacing must be 75.511- 99.5" • 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, and drh Plates. The longitudinal component of the X12 system replaces end frame ties. Check manufacturers set-up requirements. • Maximum pier height is 48" pier. Contact Tie Down If piers exceed these heights. HUD approval required. • Steel piers must be fastened to the I-beam with clamps provided with steel pier. • Systems must be placed as evenly as possible, no more than 10' from and of home. Additional systems may be needed for roof slopes greater than 20 degrees, (4.37" In 12" Pitch ) See page 7. Additional Requirements for Concrete Systems • Poured concrete must be 2,500 PSI minimum at 28 days. • Square concrete pads minimum Is 18" wide by 12" deep. Round concrete pads minimum is 18" wide by 14" deep. Strip footings minimum is 18" wide by 14' long by 6" deep. K2 components exceed HUD code 3280.306g "Anchoring equipment exposed to weathering shall have a resistance to weather deterioration at least equivalent to that provided by a coating of zinc on steel of not less than 0.30 ounces per square foot of surface coating...." Page 2 -Of 6 09/15/05 TSU 08:31 fTT/PT Nn e.,Qa. m ^^., 1. 2. 3, 4. 5. 6. 7. s. 9. 10 Installation of X12 Ground Systems - Identify the number of systems to be used on the home using the chart provided. Identify the location where the systems will be Installed. Clear all organic matter and debris from the pad site. Place U -bolts through holes in pan provided. Place pad, centered under beam with the lateral strut bracket towards the inside of the home. Press or drive part into ground until level and flush with prepared surface. Build pier according to State, Local or Home Manufacturers guidelines. (Figure 1) Attach the end of the smaller tube to the inside of pan using U -bolt & nuts provided Attach the flag end of the larger tube to the opposite I-beam using the "J" bolt over the top of the I-beam with the nut & washer provided. (Figure 2) Install a minimum of four.(#F12 x 1" tek screws) self -tapping screws into the holes provided in the lateral .strut so that the two tubes are connected together. (Figura f) 1-3140 Tube L $term struts 1-w" Tuba nw 4- #12x J" Tek 5cn►w U -Boit da mounting Figure 1 6rookt J-L3vit Nut & Washer Strut (flag and) I !-Beam Y/ Figure 2 Install frame bracket clamps to I-beam on in side of block/pier. Do not tighten nuts at this time. Attach longitudinal strut to U -bolt in pan using nuts provided. Insert strut In the frame bracket clamp, attach with nut and bolt. Do not -tighten at this time. Pull the frame bracket clamp with the fastened strut outward to remove any slack. Tighten all nuts and bolts on the struts and beam clamps. :Sp -k- Uzi, -I 09/15/05 THU 08:31 rTX/RX xn agARI M nnv Xi2 Ground Parts Detail X12 Ground System Includes: 5' Strut, pad & hardware Part Number 59306 LSD Hardware Kit Includes: 2 I-beam brackets & 2 U -bolts with all nuts and bolts. Part Number 59331 Struts for Longitudinal Systems Part Strut Pier Height No. Length Up To: 59330-30 30" 2 Blocks or 18" 59330-39 39" 3 Blocks or 24" 59330-44 44" 4 Blocks or 32" 59330-53 53" 5 Blocks or 40° 59330-65 65" 6 Blocks or 48" Ground Longitudinal Hardware lUt ' X1*2 Ground . Lonaltudlnal Strut & Hardware Kit Ground Longitudinal Strut X12 Stabilization Pier Placement for Ground or Concrete 30" Anchor wtvertical strap or frame tie w/stabilizer plate, Additiona) System for • within 10' of and of home • homes over, 80' X12 Pier Placement Single Section Home 0 -80' (76' Box) 2 X12 Systems (1) Over 80' (76' Box)3 X12 Systems NOTE: Double Section Home 0 -80' (76' Bax) 3 Xi2 Systems - (1) Over - 80' (76' Box) 4 X12 Systems Triple Section Home 0 -80' (76' Box) 4 X12 Systems (1) Over - 80' (76' Box) 5 X12 Systems Diagram represents single section up to 16' width, double section up to 31' width, and triple section homes up to 46.5' width. Single section homes have an "overturning momeryr in high winds, requiring two anchors per side. 2 X12 systems can be placed at either and of the home. Pape 4 of 8 5?N 121- IF 09/15/05 THU o8:51 (TZ/RX No 92863 2004 0 Triple Section Home 0 -80' (76' Box) 4 X12 Systems (1) Over - 80' (76' Box) 5 X12 Systems Diagram represents single section up to 16' width, double section up to 31' width, and triple section homes up to 46.5' width. Single section homes have an "overturning momeryr in high winds, requiring two anchors per side. 2 X12 systems can be placed at either and of the home. Pape 4 of 8 5?N 121- IF 09/15/05 THU o8:51 (TZ/RX No 92863 2004 1, 2. 3. 4. 5. 7. 8. 9. 10 11 Installation of X12 Concrete Systems Identify the number of systems to be used on the home using the chart provided. Identify the location where the systems will be installed. Build pier according to State, Local or Home Manufacturers guidelines. Drill two 3/8"x 3" deep holes In the concrete using holes In galvanized bracket as a guide. Attach bracket to concrete pad using 3/8"x3-1/2" wedge anchors provided. Place nut & washer on anchor, leave enough room for 1 to 2 threads showing on top of bolt. Using a hammer, tap the wedge bolts Into hole through bracket, leaving nut & washer flush with bracket. Using a 9/16" socket wrench, tighten wedge/anchor bolt, securing bracket to the concrete. Attach the end of the smaller tube to the bracket mounted on the pad, using the grade 5,1/2" x 2-1/2" bolt/nut provided. Attach the flag end of the larger tube to the opposite I-beam using the ".i" bolt over the top of the I-beam with the nut & washer provided. (Figur* i meas; page) Install a minimum of four (#12 x 1" tek screws) self -tapping screws into the holes provided in the lateral strut so that the two tubes are connected together (Figure 2 next page). Install frame bracket clamps on I-beam on the Inside of block/pier. Insert strut in frame bracket clamp and attach with nut & bolt. Attach opposite end to concrete bracket. Pull the frame bracket clamp with fastened strut outward to remove any slack. Tighten all nuts and bolts on system. 09/15/05 TSU o8:31 rTY/u4 vn onoo, ra,_ X12 Longitudinal Concrete Installations- ,,,f nstallations- of Home pop - 1 .1 �.� Chi; :.. _- IM:•'..�.�.-YI(i= ,4`.:,yt7;', LonE J -Bolt /Nut & Washar im Beam Clamp ,Z_,�Brackct Fleure f x12 Installation Placement Page 6 018 i Spk i7j. - IF 'Beam Z 09/15/05 TSU 08:31 [TX/Rx xn a9ga`I rh^^. 30" Anchor w/vertical strap • or frame tie w/stabilizer plate, within {0' of end of home Offset Placement Additional System for I-- homes over 8o' )(12 Pier Placement ulagrams represent examples of double and triple section offsets. Total size is determined by the length of unit plus offset. M System Requirements for Roof Pitches Higher than 20 degrees Page 7 of 8 ko m Gi 09/13/03 TSU 08:31 rT%/RX xn o9aal rh^^• X01 Installation Notes wH. :tru�rc 09/15/05 MT na•1i r,"w..,e - - - -- — 06/14/2007 07:55 FAX 5306730162 Dennis De Tomasi o 11+ [a 001 Cpo U.,�I,Q, Ca q.'s ,01/04/2005 15:55 FAX �no 3.7� ��A IVJ r,1e,� 1 x.10:42_ PIIZ 7 7' ;jk2/002 DEP RTMENT Qp. - �� e�c�ea.aa�s�O�.6MMUN11YpEy�OPMEHT �. .. WQ Dftd #: AAJU43 %ia iwww. Tradanaanm: GoZzw; Am, ffZvR Modck 4 G=MAW bate: o1/ogn976 '?jwstrsttom First Sold Q �• ��� 34.00, Q=11976 Tale Search Daft Pri Mod : 1 ZAS✓ M a Use Code- SM 0491U9 Price Code: AY1q RatwR Year. 1976 Tax Typc MT Last ILT A=ayft 34.00, Daft MT F" Paid; dvn7/, m ILT • NONE S A IT Number HUD Label / insignia Length B752 24632aWidth C7$2 246= 6s111 246=2w 121 17 MOBZLEHOME/MANUFACTURED HOME SECURITY AGREEMENT T0: V. Buryl Kramer DATE: 3anaury 11, 2005 I GRANT YOU A SECURITY INTEREST IN THE FOLLOWING MOBILEHOME/MANUFACTURED HOME: Year: 1976 Manufacturer: GOLDEN ONE Model: GOLDEN ONE Size; 6S"x32 DOH, HUD or HCD/Insignia No. 246328, 246329, 246350 Serial No. A752, $752, 0752 License/Decal No. AA32543 R ul-'rE COUNTY JUN 2 2 2007 DEVELOPMENT SERVICES 06/14/07 THU 06:38 (TI/R% NO 93531 X1001 ,06/13/2007 10:10 FAX 530 B99 9531 FIDELITY NATIONAL TITLE RECORDING REQUESTED BY Mid Valley Title & Escrow Company AND WHEN RECORDED MAIL TO: Jason Stephens 25 SHAD COURT OROVILLE, CA 95966 12002/008 Illli�llllllllilllilulllblvll� 200--�G30c^g98 Recorded I RFCFEE mea Official Records I TAX 104.59 county {ty of i PCOR-0R 20.80 CNOWE JT.. GRLH B i I er ROM RY D AIMON 1 Assistant I Jason 09:00AN 18 -Jan -EGOS I (rage I of 2 Above This Lira ler Reoor'ders Use onh A.P.N.: 069-1220-002 File No.: 0401-1696040 (DH) GRANT ndDE7ZEEED �� �- The Undersigned Qa-fto s) Dedare(s); DOQIMENTARY TRANSFERTAX 5104..x1 QTY TRANSFER TAX $0.00, � SURVEY MONUMENT FEE; Ctalwof 0mlev. [ x ] computed on the corwkWatlon or fill value of prgmrty conveyed, OR aelp wawnent NOT [ computed an tn Um a kloratlon or full value less value of liens and/or amumtrmnaes remaining at tlmCode) See of sale, co �$� � R6T to me3n0 [ x ] w*=W-W area: ( 7 aty of, and add s ardoauner4 ( EXenrpt from tratoW tare Reason: FOR A VALUABLE CONSIDERATION, receipt of which Is hereby acknowledged, Larry D. Stephens and Dracel,R. Stephens, husband and wife hereby GRANT(s) to 3 Stephens, a single man the fbIlowing described property in the unincorporated area of , County of Butte, State of California: LOT 279, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "KELLY RIDGE ESTATES UNIT NO. S", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON 3ULY 26, 1974j. IN BOOK 43 OF MAPS, AT PAGE(S) 46, 47 ARID 48. Dated: --aLj2i12o05 IB UTTE COUN7-j( JUN 2 2 2007 Mal TaX StaOements To: SANE AS ABOVE DEVELOPMENT SERVICES DesC-IPt-ion: Butta,C1L Doouoonc-YAar.DVCZD 2005.2990 Page: 1 of 2 Ozder : axed Cement: 06/13/07 WED 09:06 [T%/R% NO 95471 0002 06/13/2007 10:11 FAX 530 899 9531 FIDELITY NATIONAL TITLE 1 A.P.N.: 039-220-002 SPATE OF U )SS COUNTY OF Grant Deed - continued 12003/006 File No.: 0401- 1696040 (DH) Date: 01/31/2005 On before me, �b 51ri /'vl 12 L personally appeared S , J k�-j personally known to me (or prov6d 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 capaclty(ies) and that 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. 7hlsarea firofi7cfaf notanfaf seal Signature My Commission Expires: Notary Name,—l6mck 22! 41, 4 � Notary Phone: 5 au - 3 - [ Q La, Notary Registration Number: County of Principal Piave of 6usiness:vMtrl— '-L TOB Mot M. RYMEL Cwnn6mlon of 1467649 Nam Rdit - Cad a"a MYCWTME'4*%MW4, 2008 Description: ButtO,GA DocUm&nt-year.DoctD 2005.2998 Pagro: 2 of 2 Osler: mad cry t; 06/13/07 WED 09:06 (T%/R% NO 93471 2003 06/13/2007 10:11 FAX 530 899 9531 FIDELITY NATIONAL TITLE Fidelity National Title Company 505 Wall Street Chico, Ca 95928 Phone (530) 343-3716 Fax (530) 3434410 Parcel Number: ' 0.69-220-002-000 Ownerl: s�rzpmxs,Jmam Owner2: Site Address: Site City/State: Mail Address: 25 ssAD CT Mail City/State: OROVILLB CA Legal Description: 25 saAD coDRT Property Characteristics Use Description: SFR-MoPBATY TAY BE Z4 Year Built: 1976 # Rooms: 2998 Bed / Bath: 2/2.0 # Stories: $39,000 # Units: 1 Square Feet: /Fxx/ Floor1: sTz3?mzX2,JASON Floor2: STEPS siS , LAARY D Additions: SOSTEA BAIILY TR Basement: NXD vAwzx T=TLB Lot Size: 8,712 Dimens: Doc * Construction. Previous Date: Qualty: Previous Amount: Shape: Garage Type`. cARA= Cool: CKWZ tAL # Fire Places: Poo1SF: Prepared By Fidelity National Title Company 95966 Phone: Pg-Grd: Census: Zoning: Flood Panel: Ownership: sGmz MY SaleJLoan Information Sale Date: 01/18/2005 Sale Amount: $95,000 F Document Number 2998 1 st Trust Deed: $95,000 +Addl: $39,000 Cost/Square Foot: Status: Loan Type:_ /Fxx/ Buyer: sTz3?mzX2,JASON Seiler: STEPS siS , LAARY D Lender. SOSTEA BAIILY TR Title Company: NXD vAwzx T=TLB Last Trans W/O $: Doc * Prior Sale Information Previous Date: 10/06/2004 Previous Amount: 12004/008 Assessment/Tax Information Assessed Value: $59,450 Land Value: 637,163 Improvement: $22,287 % Improvement: 376 Tax Amount: $593.16 Status: CUR Tax Rate Area: 091005 Exempt: Y Tax Year: 2006-2007 THE ABOVE INFORMATION IS SOURCED FROM PUBLIC DOCUMENTS AND IS NOT GUARANTEED Copyright (C) 1988 Aoxiom Corporation 06/12/07 WED 09:06 1T%/R1 NO 93471 1210041 a ,06/13/2007 10:11 FAX 530 899 9531 FIDELITY NATIONAL TITLE Fidelity National Title Company 505 wall Street Chico, Ca 95928 Phone (530) 343-3716 Fax (530) 343-4410 Parcel Number: '910-029-148-000 Owner,: STPBt?<=A,imam P Owner2: Site Address: 25 SRhD CT Site City/State: OROVILLE CA Mail Address: 25 SHAD CT Mail City/Stale: MOW= CA Legal Description: 25 sane CT / DachL# Property Characteristics Use Description: sex-PROPExTZ TAA m FM Year Built: # Rooms: Bed / Bath: # Stories: # Units: Square Feet: Floorl: Floor2: Additions: Basement: Lot Size: Dimens: Construction: Qualty: Shape: Garage Type: Cool: # Fire Places: PoolSF: Prepared By Fidelity National Title Company Phone: Pg-Grd: Census: Zoning: 95966 Flood Panel: Ownership: 95966 SalelLoan Information Sale Date: Sale Amount: Document Number: 1 at Trust Deed: +Add[: Cost/Square Foot: Loan Type: Buyer. Seller: Lender. Title Company: Last Trans W/O $: Doc #: Prior Sale Information Previous Date: Previous Amount: a 005/008 Assessment(Tax Information Assessed Value: $30,000 Land Value: $3 Improvement: 029,997 % Improvement: 99% Tax Amount: $317.04 Status: CUR Tax Rate Area: 091005 Exempt: Tax Year. 2006-2007 THE ABOVE INFORMATION IS SOURCED FROM PUBLIC DOCUMENTS AND IS NOT GUARANTEED Copyright (C) 1998 Acxiom Corporation 06/13/07 WED 09:06 [TX/RX NO 93471 121 005 FOUNDATION SYSTEM CERTIFICATE OF OCCUPANCY BUILDING PERMIT NUMBER: B07-1361 Address or location of unit: 25 SHAD COURT OROVILLE CA 95966 Legal Description of Real Property: 069-220-002 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: JASON STEPHENS Owner's address: 25 SHAD CT OROVILLE CA 95966 INSIGNIA OR HUD NUMBER: 246328/29/30 SERIAL NUMBER OR V.I.N.: A/B/C752 MANUFACTURER'S NAME: GOLDEN AGE YEAR: 1976 , OFFICIAL APPROVING INSTALLATION: DATE: "I 113 ) 0-7 PHONE: (530) 538-7541 H.C.D. 513 • 1' ``,� - 4. BUTTE COMMUNITY,BANK a C� f. 2227 MYERS ST. - 202/12`11 " `� 4'�` HAOLDL o BoCONSI,YRUCTIOf1J.; oRowV.E, cn asses s -t Palermo; CA 95968-0347'\,- 8 5968-0347 r �1�530) 5341190>(�30) 8 -6670i, - 28'c 4 Y PAY TO THE ORD Fi'QF i;°- $ a PQL�ARS 11'00 198 411' 1': 12 1 14 20 1:0 2000 19 7 2 711' 1 ' 7RRirAR`""ICJI'AP r.'IT�IR�emmn•rrrrrn.a..�v_....... _ 'j r sir ;E • r> .. 1`PERMIT'NO. 3907-76B.E � PERMIT EXPIRES `,{ OWNER GEORGE JARVIS • I: CONTR. QWner 1 LOCATION (A.P. 34-74-2 25 Chad Ct,'iot'279, KE #3, Oroville h _ � 07 ej -Q? `r Temp. Power Pole Called PG&E Temp. Elea Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED (Date) (Signature) Stucco 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 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings StemwaI l Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handica ed Conformance of ex. — structure Appliances Gas Piping &Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat _ Rou h Relnf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE a`?� �j os2/C �l w REMARKS OR CORRECTIONS /+4b T enwAlz j pk-tw�,- wHeo p (NOTE: An entry must be made on this form each time you visit the job site.) PR COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS • 7 County Center Drive — Orovi Ile, California 95965�`y 76 Telephone: 534-4541 0/ APPLICATION AND PERMIT i �_�� ��--� BY Date -7—/S--- 7 Receipt No. -�� White-D.P.W. - Yelfow.Assessor - Pink -Inspector - Goldenrod -Applicant tlding permit expires Date -7-1 �'%% BUILDING Owner SQ. FT. OCC. BUILDING VALUATION I Mai I i ng Address Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address a PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 C Each gas water heater or vent 1.50 A. P. No. — 7 — Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F Serti•tztiott' FireDept. FireZone Use Permit Building sewer 5.00 EQA Parking P�lanss Parcel parcel Ma Declaration P 60' R/W ImprovementsLawn sprinkler system 2.00 Bldg. PIaiSRec'd Parcel Approval Plans Approval Permit Fee $ $ NEW JK ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3,00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Single Famil Duplex Mobil Home Others g Y ❑ P ❑ ❑ Main service OVER 600v 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 OR ADDNS. ( ACCL8LDGS. &) 20sgft O NEW CONSTR. MULTI -OUT ET NON.RESID. (BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS &) NON•RESID. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES)@tee BAL@1 Ex. Occu FIXED APPLNS. OR P'(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ 1 have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this 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 St a Laws relating to building construction, and hereby authori representatives of the County of Butte to enter upon the above- ntioned prop rty for inspection purposes. f_ X r �' v Date a SignatN e o Perris tee dr Agent TOTAL PERMIT FEE (� C 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 DIRECTOR OF PU LIC WORKS i �_�� ��--� BY Date -7—/S--- 7 Receipt No. -�� White-D.P.W. - Yelfow.Assessor - Pink -Inspector - Goldenrod -Applicant tlding permit expires Date -7-1 �'%% y BUTTE COUNTY.DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville,.CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: OWELL BATHE MOSILEHOMES 2. Installer's name: 2101 EAST CHARTER WAY STOCKTON, -CALIFQRNLA, 95206. 3. Is the site currently under permit? Yes hel o (If yes, furnish permit number ) 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? ----------------------- cj 00 Amps 6. What is the mobilehome site service rating? --------------------- Amps 7. What is the mobilehome,site circuit breaker rating? ------------- ao o Amps 8. Is there any other electric load to be served by the mobilehome siteservice? --------------------------------------------------- (If yes, identify the load and size: (Load) Yes / / No / / (Amps) 9. What is the mobilehome site gas pipe size? ----- --------------- (in.) 10. What is the type of gas service? ------------=--d1-114 -------- Natural / / LPG / 11. What is the gas pipe length from meter or tank to.the mobilehome? XI (ft.) 12. :What is the mobilehome gas demand? ------------------------------ /¢ (BTU) (This.information not required if pipe length less than 6 ft. on natural gas or less than'50•ft. on LPG.) MOBILEHOME SUPPORT DATA Mobilehome Mfr. t� - �c%l�'ry Setup Model No. Year 76 Width (ft.) Length . (ft:) Expando `Size .. / ft.x O 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). c� P1J Sin leFoot in s check . one 0 )T' /�1. Wood :either A` pressure treated or Cente Center Support fdn:;grade.:: Suppo Footing Sizes Locat'ons (in.) 2.:Concrete pad. 3..Other, specify Supports (check one) Concrete block tX.) 2. Concrete piers 4 ft)in:)-(in:) .... ... ......... . 3. Steel piers .. ........:M::......... . .... ........ .. / ' / 4 Other, specify ;j Typical Support in Footing Size .(in.) (in.) Max. Pier. .. Spacing .. . . ft7.T3--n . (in.) (in.) j _ =eeihang krrV in. ^If center piers are other than drawn above, draw in locations, spacing, and dimensions. BUTTE COUNTY BUILDING DEPARTMENT APPROVED %v 1100-79B,E PERMIT NO. � a Q PERMIT EXPIRES Hazel Lane (OWNER John S. Coppedge, Oroville CONTR. t LOCATION (A.P. 34-74-2 � k 25 Shad Ct., lot 279,KR#3, Oroville 41 t c i Temp. Power Pole ! CalledfPG&E Temp.lec. Serv. , Ca41ed PG&E /Tem Gas Serv. lled PG&E _' OB FINALED 3 /45� (ASignat*ure) Setback Forms Main Bldg. Footings Stemwal I Slab Piers Garage Footings Stemwa I I Slab Carport Footings Slab Patio Footings Masonry Walls Reinf. Steel COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION;RECORD BUILDING BUILDING (Cont'd) PLUMBING =Xts�i 5L-4,0 A RWLUA� Firewall Parapets Restroom Finish Windows ag�, Siding Roof Sheathin Roofing Fdn. Vents 1 Garage Vents Insulation l Prov. for phsically handicaooed F FIREPLACE Soil Piping 1st Floor 2nd Floor 3rd Floor To out Water Piping Sewer Fixtures Water Htr. i Heaters / Appliances/ Gas Pipinj Test Temp. Gail Sanitation Final ELECT M Mesh x MECHANICAL Gird. Fault Pro/ Scratch Heating Service Brown Cooling Temp. le Finish Ducts 1 Und` r ound Interior Lath Ventilation Pe nent Door Closer ` Final Final MOBILEHOMC UTILITIES- ----------------- Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping M 1 EHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping P 9 o� DATE 3 1--2/ s 5140417- REMARKS OR CORRECTIONS 77AA -S W Af&o>✓;r- 0- t g ,nab sic, v -eO U e S Adz P- CCSB- 0 (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY; BUTTE — DEPARTMENT OF PUBLIC 7 County Center Drive — OroviIle, California 95965 Telephone: 534-4541 APPLICATIONAND PERMIT WORK. /DD authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. is Date e3.r/,7 I eN�noture of Permitee r gentReco. 29 White-D.P.W. — Yellow -Assessor — f ink -Inspector — Goldenrod -Applicant I. This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DI ECTO6 gE PUBLAC WORKS % B Building permit expires Date —,5,12 �V BUILDING Owner Cl, 4f,0:_ SQ. FT. OCC. BUILDING VALUATION d D Mailing Address /44 O Telephone No. Contractor P aE Mailing Address1ae� Fireplace Total Valuation Qro T�q oe N Z '5 Permit Fee Building Address S s Plan Checking Fee &/or PenaltyPermit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 p 4i,oZr0 Repair drainage or vent piping 1.50 A. P. NO. Z '�' � Zonin Plarfning Water piping 1.50 Each gas water heater or vent 1.50 F Fire Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 EQA Parking Parcel Plans Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 ��_�� Bldg./Plans Rec'd Parcel royal Plans proval Lawn sprinkler system 2.00 NEW E5 ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 ,p0 Main service 600V OR LESS 100 AMP OR LESS 5.00 �p Single Family ❑ Duplex ❑ Mobil Home ❑ Others,l�1 Main service EA. AOD•L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD•L 100 AMP 1.00 NEW CONST. ( OR ADDNS. AG6,. q. DGS.CCUP. Y\ 2¢Sgft t / CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name st I f• ±� NEN RESID, MU NCH CCL T NON-RESID BRANCH CIRCUITS/ 2.50ea NEW CONSTR. (POWER APPARATUS 9 NON-RESID. SINGLE OUTLET CIR. 251 Ex. OCCUD(OUTLETS OR FIXT11RES g L is EOFIXED APPLNS. OR Ex. CCU p• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. 76P 172 Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ ZP $ 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. jJl certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. is Date e3.r/,7 I eN�noture of Permitee r gentReco. 29 White-D.P.W. — Yellow -Assessor — f ink -Inspector — Goldenrod -Applicant I. This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DI ECTO6 gE PUBLAC WORKS % B Building permit expires Date —,5,12 �V • a' , RERMIT�NO. 3651-76B� PERMIT EXPIRES// OWNER George Jarviss CONTR. __ Duralum, Sacramento LOCATION (A.P. 34-74-2 25 Shad Ct.,lot 279, KR#3, Oroville i j - 5 f� Temp. Power Pole Called PG&E I Temp. Elec. erv. Called G&E Temp. s Serv. C ed PG&E NALED (Date) (S i g nbyrej COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback — 7 Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers — 7L/,' Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. StemwaI l Insulation Heaters Slab Carport Prov. for physically n emance of ex. C Confor Appliances Gas Piping & Test Footings structure Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS l (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY'OF BUTTE — DEPARTMENT PUBLIC WORKS i7 County Center Drive — _•OroviIle, California 95965 Telephone: 5.34-4541 APPLICATION AND PERMIT dutHorI4t3 Iep esentduves UT the County or butte to enter upon the above -men ' ed property for inspe tion purposes. X Date sig ature of Permitee or Agent Receipt No. 'liD9% 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 aid. DIRECTOR 0 UBLIC WORKS By Date 7— 1 s uilding permit expires Date '1.1 BUILDING Owner GEORGE JARV I S SQ. FT. OCC. BUILDING VALUATION ECKHAD Mailing Address 25 SHADCT., 60 AWNING 1.44-6 OROV I LLE Telephone No.L 0 CARPO AIR, 00 Fireplace Contractor DURALUM Total Valuation61 Mailing Address P.O. BOX 26124 Permit Feed • Plan Checking Fee&/or Penalty SACRAMENTO Tj'1Ph%iS��" Permit Fee $ Building Address KELLY RIDGE MH ' PARK PLUMBING No. @ FEE PERMIT FILING FEE $3.00 25 CHAD CT., Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. 3 / 2-ZoningGas 8 Planning piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W.C. SarrrtattOn Fire Dep t. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel M P 60' R/W lmr p ove nts Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel Approval Plans Approval Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Single Family Duplex ❑ Mobil Home Others ❑ Sub -panel 02 or less) (more than 12) Range, Cook -top or Oven 1.00 Gfe w 1 C Water Heater or Space Heater 1.00 Light fixtures X20 25 al 010 Receps., switches & fix outlets 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: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No DYO Classification Misc. wiring ❑ 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. toI 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.1 @ FEE PERMIT FILING FEE 1$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE is e2 e6c dutHorI4t3 Iep esentduves UT the County or butte to enter upon the above -men ' ed property for inspe tion purposes. X Date sig ature of Permitee or Agent Receipt No. 'liD9% 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 aid. DIRECTOR 0 UBLIC WORKS By Date 7— 1 s uilding permit expires Date '1.1 4 util.,MH .1123-Z P,E `PERMIT NO. PERMIT EXPIRES _ c,� / 7/7 OWNER George F. Jarvis CONTR. owner LOCATION (A.P. 34-74-2 25 Shad Ct., lot 279, KR#3,:0rovil1e �F y Temp. Power Pole Called PG&E Temp. Elec. Serv.-4ZL Called PG&E Temp. Gas Serv. Called PG& JOB FIN D4-;, 7 (bate) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback L 3 `7 e Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Sidin ' To out Slab Roof Sheathing Water Piping - Piers Roofing Sewer - 1 - Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Pip ng & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footino Masonry Walls Reinf. Steel Bond Beam Framing Stucco Mesh Scratch Brown Finish Interior Lath Door Closer DATE E Final MECHANICAL Heating Cooling Ducts Ventilation Final REMARKS OR CORRECTIONS_ ELECTRICAL 'z 7 - -7/'- Fixtures 7%Fixtures Motors' Water Htr. Subpanels Grd. Fault Prot. Service Temp. Pole Under round Permanent Final (NOTE: An entry must be made on this form each time you visit the job site.) 4: COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE r. OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the Califo pia Administrative Code, Title 25, Chapter 51 under permit number) ���= 747 for the following location: - Owner Owner Mobilehome Mfg. jl7j Model _ 7 �_L Year 7� Insignia No. Z4L_3 2-f3 Serial No. 7 5-2- 14J9 It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date^ ^ 2— 74� By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED MOBILEHOME INSTALLATION INSPECTION CHECK LIST L Is the mobilehome located with required separation from lot lines and buildings and generally conform to -plot plan? Yes v two 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes�/1Go 3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes 4. Is the mobilehome level? (Sec. 5088) Yes �No+ 5. I.f more tt an a single unit., are crossover connections properly installed? (Sec. 5088) Yes 4—No 6. Water A. Is f *-ble connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes No B: Test - Does water piping withstand working pressure or.50 lbs, air test? Yes No C. Backflow - 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 k" per foot slope and is it properly supported? Yesy�Io C. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe? Yes No D. If coach is not State of .California approved, does station have required trap and.vent? Yes No ,fl A/ 8. Gas Piping and Gas Vents A. ConnectorIs mobilehome connected to the gas supply with an appr ed 3/4" minimum mobilehome con ctor not more than 6 ft. long? Note: All pip' is to be at least as large as the mobhome gas line inlet without reductions o", r than t she mobilehome connector. Yes B. Test OK as per followingocedure? Yes_ No 1. Open all appliance conne or valves. 2. Shut off appliance burner a�ndlot va es. 3. Air test with manometer to 10"-14" er column, or test cdith slope gauge (minimum 6oz.-maximum 8 oz.) calibrated . tenth ound increments. Test for 10 min. without drop. 4. Connect gas meter to mob' ehome with connecto\turnon gas, test connections with soapy water.C. Are•all appliance ven s properly installed? Yes -7 9. Electrical A. Is service large enough to provide adequate amperage. to mobilehome (must equal rating of mobilehome with a minimum of 100 amp) and other facileties on lot, i.e., water pumps, garage, cabana, etc.? Yes Bio B. Is there proper clearances around panels? YesyNo C. Is power supply cord or feeder assembly properly fused? Yes No D. Is continuity test satisfactory as per the following procedure? Yes_vl410 1. De -energize electrical wiring system, Iof the mobilehome at the pedestal. 2. Make sure that the ,power supply cord,or feeder assembly conductors, including neutral conductor, have been disconnected, 3. Switch all breakers and switches in the mobilehome to the "on" position. i 4. Connect one lead of a test.instrument to the mobilehome grounding conductor and apply thie other lead to each m.obiletiome supply conductor, including neutral. 5. All non-current., carrying metal part's of the mobilehome (aluminum siding, gas line, water line),• including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon 'completion of the above procedure, the power supply cord or feeder. assembly conductors. shall be connected to the site service equipment. A further continuity test`ahall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may approved for energizing. 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA I/ p Manufacturer and/or Namestyle S h/S Length 60 _ Width Vehicle Serial No.7-S 2- /3 - i �" Z "C 7YZ State identification No. .7 Q 4,3 2,A es Additional.Informati.on or Comments: 0 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC 7 County Center Drive — Orovi Ile, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT MIXT M2 X6/6 7� X ate Signature of P r it o A n Receipt No. All, 4 6 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIREC OR OF PUBLIC WORKS BY Date—S (� Brig permit expires Date/ /�_ BUILDIN Owner '��' —' SQ. FT. OCC. BUILDING VALUATION MailingAddress CT Tel eph one Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee Building Address @ PLUMBING No. @ FEE PERMIT FILING FEE $3.00 ! — Each Trap 1.50 E Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. �' Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fee • W. C� •Fire Dept. Fire Zone Use Permit Building sewer 5.00 arkinEQA PPlan s Declaration Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 Bldg. PI s Recd Parcel Approval Plans Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 r_V(/i/[ /%/�3 �� Main service i°°o AMOR P OR o LESS 5.00 ZZZ Main service EA. ADD'L 100 AMP 2.5'50 Single Family ❑ Duplex ❑ Mobil Home [0" Others ❑ Main service OVER 600V 00 AMP OR LESS 25.00 Main service EA. ADD•L 100 AMP 1.00 NEW CONST.DWELLING OCCUP. & OR ADDNS. ( ACC. BLDGS. ) 20sgft NEW CONSTR. MULTI -OUTLET NON-RESID. BRANCH CIRCUITS)+.50eal NEW CONSTR. (POWER APPARATUS) NON -RES ID. 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) BAL@; 09 Ex. Occup.("' OUTLETS PRESID,)REA) 2:00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 a ' am exempt from the Contractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provision's' -of -Section 3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. Vr-JI ave placed on file with the County of Butte a certificate of rkmen's Compensation Insurance. certify that in the performance of the work for which this prmit 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 authorize representatives the County of Butte to enter upon the above-mentioned nrnnerty fnr incncr•H nn n�imnc oc 29 TOTAL PERMIT FEE is�� bo This permit is hereby issued under the applicable provisions of X ate Signature of P r it o A n Receipt No. All, 4 6 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIREC OR OF PUBLIC WORKS BY Date—S (� Brig permit expires Date/ /�_ �~ COUNTY OF BUTTE DEO)ARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 11,)2-76 Telephone: 534.4541 APPLICATION AND PERMIT t3y Date -1-1 / - i I— Receipt No. f ��� �� _ White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant BUI ding permit expires Date _ s 7-77. BUILDING Owner SQ. FT. OCC. BUILDING VALUATION 0 Mailing fddressU e 0-A.2- T ephone No Fireplace Contractor Total Valuation Mai I i ng Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE J$3.00 / Each Trap 1.50 .. Repair drainage or vent piping50 Water piping Each gas water heater or vent 1.50 A. P. Nosy J� ,� �on� f n n Gas piping system 1 - 5 outlets 1.50 Each additional outlet 3 F _ f<W W �5 on Fire Dept. Fire Zone Use Permit Building sewer EQA I Parking Plan Parcel Declaration Parcel Ma 60' R/W P Im r p ove nts Lawn sprinkler system 2.00 Bldg. Pans Rec'd p Parc pproval I Pians Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 (� Main service inc 1 e er 1.00 Sub -panel (12 or less) (more than 12) - Single Family ❑ Duplex ❑ Mobil Home Others ❑ Range, Cook -top or Oven 1.00 7� %Q lam%' WAf�L tL�S Water Heater or Space Heater 201.00 Light fixtures b %110 Receps„ switches & fix outlets 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: Hood, Ex. Fan or F. A. Furn. Motor 1.00 Evap.cooler, gar. disp.orD.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities Temp. Power Pole 5.00 License No. Classification Misc. wiring am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ Zi 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. EIcertify 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 1 2.00 Permit Fee �r $ $ 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 inspection purposes. X Date—�'�' $ignotur f er it, or Agent 4 J TOTAL PERMIT FEE $ WTT 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. DDIIRR,ECCTTORR LIC WORKS t3y Date -1-1 / - i I— Receipt No. f ��� �� _ White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant BUI ding permit expires Date _ s 7-77. s�aAG� G4� PoR 5 9UTTE COUNTY BUILDING DIVISION I APPROVED 0(dq -220-0�Q � ............. q�0 v�q �y9 PROVIDE FOR ALL Assessor's Parcel Number. Q ©� — � 9 ® `- Scale: 1" _ /�a ,, ; FOR OFFICE USE ONLY ADJACENT PARCELS " At�`Aaiat/r+9� , f; i o Zoning: SIZE Owner Name S General Plan Desig: ZONING: LA S7707?GEN PN: Address /Phone No.Size, Acres USES* — Site Location _ 4.00"