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HomeMy WebLinkAbout071-400-05271-40-52 EDWARD GUINEY '534 Middlefork Rd, Oroville Permit#2310-89P,E(tem �`3 �� p power f um P P) � 71-40-52 Permit#2311-byp,E4&�ti1, NIH ELEC. � ) AS / o SUPPORT� STRUCTURE REQ. COMPACTION TEST REQ: Contr: Richard Van 71-40-52 Stavern MH Permit#2739- Issued 89MHI 113�/�y B06-2642 071-4007052 RESIDENTIAL SFD-Mobile Home RET 'EX MH, EX SITE, PERM F . D 534 MIDDLEFORK L1\F� J�� GUINEY, EDWARD P * AL d 66 071-400-052 PERMIT#97-99AG_,I GUINEY,'Edward & ATKINSON';Dk-e,KiFI 534 Middlefork``Ln., Orovilte`- i Ag Ex Perm- &-' & Equil 11 BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-754' AGRICULTURAL BUILDING EXEMPTION PERMIT 7 P RMIT NO. Agricultural building is defined as follows: Agricultural building is a structure desig d and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This st cture shall not be a place of human habitation or a place of employment where agricultural products are processe , treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. 071-400-052 ZONING U OWNER DALE AND KIP ATKINSON 2 PHONE NO .� OWNER'S ADDRESS 5*14 4 OROVILLE CA 95965 LOCATION OF BUILDING SAME USE OF BUILDING �- SIZE OF STRUCTURE , ' ' x = ,%av SO. FT. TYPE OF CONSTRU�CT�IO WOOD FRAME "` STEEL CONCRETE OTHER (Specify) TYj O� SIDII��' /` ROOF COVERING Os FLOO TYPE `Q d STIMA E COST OF CONSTRUCTION $ AG Buil Ings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: FRONT 50' SIDES 20' REAR 20' AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. ' AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation ' USGS Datum. 1 I declare under penalty of perjury that the building will be used as stated above and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the require ents affect at that time and. before occupancy. , / z P O �o-L�°- J6 Date rmit Fee - $60. Signature of Own The above descril FLOG PARC P.D ROOF G ISS Manager Building Division M By Date White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant SEP -03-97 WED 12:08 Mitchell Bld SuPPIv 9168460490 TO: FROM: REF: BUILDING MATERIALS 181404 [t AA Oro u,lle- 9 1 AI/ 2�(- i setback of 5 ft. from the N 5 flL rr, or r exc A 21t, cavo overhang. j• - t. 1worf'o.// -4 ,(qw-1Aen \S Mu'T b., f C4 u6lic klile.. 1 629 ��l NOTE in tfird •N k:o4cs 'acm ip 'dlliccl Codo. ft V du� Ilk Zt BU -ITE COUNTY BUILDING DEPARTMI loe AUROVED 9 -Jsf -0 00 7R 7- 6 7 zeld 06V09V89T6 Ai-d-dns Pia ite4o%!w so:zi aam 46-s�e-d3s SEP -03-97 WED 12:09 Mitchell Bid Supply 9168465495 A41TE COUNTY IMPARTMENT OF PUBLIC WORKS 7 Count Center Drive, OrovilZe. CA PHONE: 538=7l41 MOBILEHOME IN STALIATTON'SHEET T . Owner's Name! Z' 11) 2- Installer's Name: 3. Is the site currently under permit? Yes V I No (If yes, furnish permit number ° I (-`– ) OR Is the -site an existing sica? Yes No (If yes, furnish two 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? Yee 1Z No a (If no, clarify P. 03 5. What is the mobilehome electrical rating? --------------- . — ..,`.Amps 6. What is the mobilehome site service rating? ------------- Z v U Amps 7. What is the mobilehome site circuit breaker rating? ----- / O O Amps 8. Is there any other electric load to be served by the mobilehome .site service? ------------------------------ --� Yes Q • No (If yes, identify the load and size: t,_C� (Load) e o (Amps) 9. what is the mobilehome site.gas pipeor size? -------------- (in-) 10. What is the type of gas service? ------------------- Natural a LPG 11. .What is the gas pipe length from meter or tank to the -------------------------- mobilehome?--------------------------------------------- 12. 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.) BUTTE COUNTY BUILDING DEPARTMENT APPROVED SEP -03-97 WED 12:09 Mitchell Bid Suppiv 9168460490 P.04 Z10IIiLEFLOME SUPPORT DATA ,/ `lobileho(ge .Mfr, If other than single wide, _ *� �� � fureigh Setup Model No. ( l _ c p Year 4L' ) Box Length f- U ^(ft. ) Tagalong or EXpando Size ,��F•; R -----, ..... On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installatio, manual and structural setup sheets (if not on file with the County of Butte). FO_ OTINGS (check one)q l . Wood -pressure Created or foundation grade. 2. Other (spec - SUPPORTS (check one L_J t Ele- Concrete block. 2, Other (sper- ify) --- Pier Footing Sizes and Locations s1kG4¢-Wio, ' — -- � .Hein Beanie y ^ `- ".•• •— Rea iag or Triple •--- �_,-� �_�_—_ - ate , �Am _1 Piexe • Lin ! o 91te-Nfn....---^--•- _ paelog-Max- ---------.�. _ racR' Side of Opentnga From Enda-Moot.-....__ --------- .Line 1 Piece: . Lion 1 Piar•, (Oaaor Dearing Walk Only) Sl:e•Min_ spacing-tlex. 3paaing-Mau......... ....... from Enda-Max. ••---- Z froo ends-ttau.............. ��1a 7 Neof made: _ a - Sire -Nin.------------ -�•.z Off' > "=30•• Ineari�a (rtom Pzoor) .. p tv.- P .. Liae a Pima: , 31re•Min.----•------ 'k Yfoal enda-Max.---^--_ Lina i Roof ]&ads: X130 .. 30' a o•. _ K ' PL z Uoder Baa�ing Wal■ pe y Ss spades -Max ----...__^_---- From Enda-t(ax. SIce -Mln.-^--------- (pterion (Prom Frooc) f j AP # OWNER j PERMIT'# MH UT IL . CLEARANCE DATE INSPECTOR ELECTRIC GAS Support Compaction Struc. Test Re . Service Size Other Load Type Pipe Size Length YES NO YES NO 1110 .0'� ai �-� %l RECORDING REQUESTED BY: WHEN RECORDED MAIL TO: Butte County Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 Lill III III I Illi { {II i ili I i{II !I{! it ��t�6—��D65361 Recorded 1 AEC FEE 16.00 Official yyRecords i CoButteof I CONFORMED COPY 1.00 CANDACE J. GRUBBS I County Clerk-Recorderl I I DO 02:33PM 13 -Dec -2N6 I Page 1 of 4 NOTICE OF MANUFACTURED HOME (MOBILEHOME OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM THE ATTACHED DOCUMENT IS BEING RECORDED TO CORRECT AN ERROR IN THE THE INSTALLATION ADDRESS ON THE NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM, RECORDED ON 21-NOV-2006 UNDER SERIAL NUMBER 2006-0061221. THIS PAGE ADDED TO PROVIDE ADEQUATE SPACE FOR RECORDING INFORMATION. RECORDING REQUESTED BY: n AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. GUINEY, EDWARD P * ETAL BUTTE COUNTY BUILDING DIVISION REAL PROPERTY OWNER/LESSOR LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 534 MIDDLEFORK LN 7 COUNTY CENTER DRIVE MAILING ADDRESS MAILING ADDRESS OROVILLE BUTTE CA 95966 OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP CITY COUNTY STATE ZIP 534 MIDDLEFORK LN B06-2642 (530) 538-7541 INSTALLATION MAILING ADDRESS, IF DIFFERENT BUILDING PERMIT NO. TELEPHONE NUMBER OROVILLE' BUTTE CA 95966 C11/20/2006 CITY COUNTY STATE ZIP SI NATU F LOCAL AGENCY OFFICIAL 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 KAUFMAN/BROAD 1988 174 MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER KBCASNA/B88321364 60'X 268" PFS 159751/2 SERIAL NUMBER(S) LENGTH X WIDTH REAL PROPERTY LEGAL DESCRIPTION: SEE ATTACHED ASSESSOR'S PARCEL NUMBER: 071-400-052 INSIGNIA/LABEL NUMBER(S) HCD FORM 433(A) REV 8/91 WHITE —County Recorder CANARY — HCD PINK—Applicant GOLDENROD— Building Dept. EXHIBIT A PARCEL I: PARCEL 1, AS SHOWN ON THAT CERTAIN PARCEL MAP, FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON ]UNE 8,1984, IN BOOK 97 OF MAPS, AT PAGE 14. PARCEL 11: A RIGHT OF WAY FOR ROAD AND PUBLIC UTILITY PURPOSES, AS SHOWN ON THAT CERTAIN PARCEL MAP, FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON NOVEMBER 4,1977, IN BOOK 63 OF MAPS, AT PAGE 7. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. PARCEL III: A PERMANENT NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES, BEING A STRIP OF LAND 60 FEET IN WIDTH, SAID STRIP LYING 30 FEET ON EACH SIDE OF THE FOLLOWING DESCRIBED CENTERLINE: BEGINNING AT A POINT ON THE EAST LINE OF SECTION 20, TOWNSHIP 20 NORTH, RANGE 5'EAST, M.D.B. & M., FROM WHICH THE SOUTHEAST CORNER OF SAID SECTION 20 BEARS SOUTH 00 DEG. 52'46- EAST, 1,065.33 FEET, SAID POINT ALSO BEING THE POINT OF COMMENCEMENT AS DESCRIBED IN THAT CERTAIN DEED DATED APRIL 201 1965 AND RECORDED APRIL 22, 1965 IN BOOK 1369 OF OFFICIAL RECORDS, AT PAGE 546, RECORDS OF BUTTE COUNTY, CALIFORNIA; THENCE FROM SAID POINT OF BEGINNING, LEAVING SAID EAST LINE ALONG THE CENTERLINE AS DESCRIBED IN SAID DEED NORTH 75 DEG. 0840" WEST, 208.98 FEET; THENCE SOUTH 68 DEG. 01- 00- WEST, 203.53 FEET; THENCE SOUTH 53 DEG. 19' 30" WEST, 110.29 FEET; THENCE SOUTH 38 DEG. 27' 00" WEST 141.91 FEET; THENCE LEAVING SAID DEED CENTERLINE SOUTH 12 DEG. 2215- EAST, 215'EAST, 72.81 FEET; THENCE SOUTH 25 DEG. 09' 58" EAST 133.49 FEET; THENCE SOUTH 07 DEG. 00- 39- EAST,196.85 FEET; THENCE SOUTH 89 DEG. 03' 28' WEST, 239.11 FEET,' THENCE SOUTH 47 DEG. 17' 35" WEST, 270.64 FEET; THENCE SOUTH 12 DEG. 48'15- WEST, 325.19 FEET; THENCE NORTH 72 DEG. 53' 45" WEST 193.35 FEET; THENCE SOUTH 27 DEG. 44' 06" WEST, 173.71 FEET; THENCE SOUTH 05 DEG. 47'01- WEST, 164.14 FEET; THENCE SOUTH 85 DEG. 43' 55" WEST, 216.81 FEET; THENCE SOUTH 27 DEG. 02'45- WEST, 100.38 FEET; THENCE SOUTH 31 DEG. 03' 24' EAST, 270.18 FEET; THENCE SOUTH 06 DEG. 11' 15" EAST 123.26 FEET; THENCE SOUTH 62 DEG. 02' 03" WEST, 205.31 FEET; THENCE SOUTH 38 DEG. 55' 53" WEST, 150.35 FEET; THENCE SOUTH 13 DEG. 05' 16" EAST, 121.46 FEET; THENCE SOUTH 57 DEG. 50'40- EAST, 240.90 FEET; THENCE SOUTH 68 DEG. 21'16" EAST, 188.10 FEET; THENCE NORTH 84 DEG. 03' 10" EAST, 118.56 FEET; THENCE SOUTH 22 DEG. 38' 31" EAST,137.37 FEET; THENCE SOUTH 25 DEG. 44' 47" WEST, 388.61 FEET; THENCE SOUTH 45 DEG. 14'51- EAST, 145.03 FEET; THENCE SOUTH 71 DEG. 49'54' EAST, 128.47 FEET; THENCE NORTH 88 DEG. 15' 14" EAST,131.33 FEET,' THENCE SOUTH 44 DEG. 33'43- EAST, 133.40 FEET; THENCE SOUTH 49 DEG. 39'07- WEST, 260.43 FEET; THENCE SOUTH 88 DEG. 12' 44" WEST, 200.66 FEET; THENCE NORTH 73 DEG. 21' 32" WEST,142.00 FEET; THENCE NORTH 80 DEG. 06'43- WEST, 335.18 FEET TO A POINT FROM WHICH THE SOUTHEAST CORNER OF SAID SECTION 20 BEARS NORTH 39 DEG. 12' ABCs" EAST, 2,644.84 FEET; SAID POINT BEING THE END OF THE HEREIN DESCRIBED CENTERLINE. f EXCEPTING THEREFROM ANY PORTION OF SAID ROAD LYING WITHIN THOSE CERTAIN PARCELS OF LAND CONVEYED IN DEED FROM PEARL E. SIMMONS, A WIDOW, TO THE STATE OF CALIFORNIA, IN DEED DATED NOVEMBER 6, 1962 AND RECORDED MARCH 8, 1963 IN BOOK 1231 OF OFFICIAL RECORDS, AT PAGE 548, RECORDS OF BUTTE COUNTY CALIFORNIA. RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 Illllillliilfiililllllllllif Iffiil 21Qi06—�L►�tE. 1 �;c 1 M Recorded I REC FEE 13.00 Official Records I County of I WORKED COPY 1.00 Butte I CN+MM J. 6RUBBS I County Clerk-Recorderl I MZ 012:57PN 21 -Nov -2006 I Page 1 of 3 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. GUINEY, EDWARD P * ETAL BUTTE COUNTY BUILDING DIVISION REAL PROPERTY OWNERJLESSOR LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 534 MIDDLEFORK LN • 7 COUNTY CENTER DRIVE MAILING ADDRESS MAILING ADDRESS OROVILLE BUTTE CA 95966 OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP CITY COUNTY STATE ZIP 534 MIDDLEFORK LN B06-2642 (530) 538-7541 INSTALLATION MAILING ADDRESS, IF DIFFERENT BUILDING PERMIT NO. TELEPHONE NUMBER BERRY CREEK.BUTTIE CA 11/20/2006 CITY COUNTY STATE ZIP 34GNATURE OF LOCA NCY OFFICIAL 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 UIIY UUUNIY SlA1E LIP UNIT DESCRIPTION KAUFMAN/BROAD 1988 174 MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER KBCASNA/B88321364 60'X 268" PFS159751/2 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION: SEE ATTACHED ASSESSOR'S PARCEL NUMBER: 071-400-052 HCD FORM 433(A) REV 8/91 WHITE —County Recorder CANARY — HCD PINK—Applicant GOLDENROD— Building Dept. 3 MAP EXHIBIT A PARCEL I: PARCEL 1, AS SHOWN ON THAT CERTAIN PARCEL MAP, FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON TUNE 8,1984, IN BOOK 97 OF MAPS, AT PAGE 14. PARCEL II: A RIGHT OF WAY FOR ROAD AND PUBLIC UTILITY PURPOSES, AS SHOWN ON THAT CERTAIN PARCEL MAP, FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON NOVEMBER 4,1977, IN BOOK 63 OF MAPS, AT PAGE 7. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. PARCEL III: A PERMANENT NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES, BEING A STRIP OF LAND 60 FEET IN WIDTH, SAID STRIP LYING 30 FEET ON EACH SIDE OF THE FOLLOWING DESCRIBED CENTERLINE: BEGINNING AT A POINT ON THE EAST LINE OF SECTION 20, TOWNSHIP 20 NORTH, RANGE 5'EAST,- M.D.B. & M., FROM WHICH THE SOUTHEAST CORNER OF SAID SECTION 20 BEARS SOUTH 00 DEG. Sr 46" EAST, 1,065.33 FEET, SAID POINT ALSO BEING THE POINT OF COMMENCEMENT AS DESCRIBED IN THAT CERTAIN DEED DATED APRIL 20, 1965 AND RECORDED APRIL 22, 1965 IN:' BOOK 1369 OF OFFICIAL RECORDS, AT PAGE 546, RECORDS OF BUTTE COUNTY, CALIFORNIA; THENCE FROM SAID POINT OF BEGINNING, LEAVING SAID LAST LINE ALONG THE CENTERLINE AS DESCRIBED IN SAID DEED NORTH 75 DEG. 08' 40" WEST, 208.98 FEET; THENCE SOUTH 68 DEG. 01' 00" WEST, 203.53 FEET; THENCE SOUTH 53 DEG. 19'30- WEST, 110.29 FEET; THENCE SOUTH 38 DEG. 27' 00" WEST 141.91 FEET; THENCE LEAVING SAID DEED CENTERLINE SOUTH 12 DEG. 22' 1S" EAST, 72.81 FEET; THENCE SOUTH 25 DEG. 09' 58" EAST 133.49 FEET; THENCE SOUTH 07 DEG. 00- 38- EAST, 196.85 FEET; THENCE SOUTH 89 DEG. 03' 28" WEST, 239.11 FELT; THENCE SOUTH 47 DEG. 17' 35" WEST, 270.64 FEET; THENCE SOUTH 12 DEG. 48' 15" WEST, 325.19 FEET; THENCE NORTH 72 DEG. 53' 45" WEST 193.35 FEET; THENCE SOUTH 27 DEG. 44' 06' WEST,173.71 FEET; THENCE SOUTH 05 DEG. 47' 01" WEST, 164.14 FEET; THENCE SOUTH 85 DEG. 43' S5" WEST, 216.81 FEET; THENCE SOUTH 27 DEG. 02' 45" WEST, 100.38 FEET; THENCE SOUTH 31 DEG. 03' 24" EAST, 270.18 FEET; THENCE SOUTH 06 DEG. 11' 15" EAST 123.26 FEET; THENCE SOUTH 62 DEG. 02' 03" WEST, 205.31 FEET; THENCE SOUTH 38 DEG. 55'53" WEST,1SO.35 FEET; THENCE SOUTH 13 DEG. 05'160 EAST, 121.46 FEET; THENCE SOUTH 57 DEG. 50'40- EAST, 240.90 FEET; THENCE SOUTH 68 DEG. 21' 16" EAST, 188.10 FEET; THENCE NORTH 84 DEG. 03' 10" LAST, 118.56 FEET; THENCE SOUTH 22 DEG. 38' 31" EAST, 137.37 FEET; THENCE SOUTH 25 DEG. 44' 47" WEST, 388.61 FEET; THENCE SOUTH 45 DEG. 14' 51" EAST, 145.03 FEET; THENCE SOUTH 71 DEG. 49'54- EAST, 128.47 FEET; THENCE NORTH 88 DEG. 15' 14" EAST, 131.33 FEET; THENCE SOUTH 44 DEG. 33' 43" EAST, 133.40 FEET; THENCE SOUTH 49 DEG. 39'07- WEST, 260.43 FEET; THENCE SOUTH 88 DEG. 12' 44" WEST, 200.66 FEET; THENCE NORTH 73 DEG. 21' 32" WEST, 142.00 FEET; THENCE NORTH 80 DEG. 06' 43" WEST, 335.18 FEET TO A POINT FROM WHICH THE SOUTHEAST CORNER OF SAID SECTION 20 BEARS NORTH 39 DEG. 12' 06" EAST, 2,644.84 FEET; SAID POINT BEING THE END OF THE HEREIN DESCRIBED CENTERLINE. EXCEPTING THEREFROM ANY PORTION OF SAID ROAD LYING WITHIN THOSE CERTAIN PARCELS OF LAND CONVEYED IN DEED FROM PEARL E. SIMMONS, A WIDOW, TO THE STATE OF CALIFORNIA, IN DEED DATED NOVEMBER 6, 1962 AND RECORDED MARCH 8, 1963 IN BOOK 1231 OF OFFICIAL RECORDS, AT PAGE 548, RECORDS OF BUTTE COUNTY CALIFORNIA. FOUNDATION SYSTEM CERTIFICATE OF OCCUPANCY BUILDING PERMIT NUMBER: B06-2642 Address or location of unit: 534 MIDDLEFORK LN OROVILLE CA Legal Description of Real Property: 071-400-052 SEE ATTACHED (x) Mobilehome/Manufactured Home O 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: GUINEY, EDWARD P * ETAL Owner's address: 534 MIDDLEFORK LN OROVILLE CA 95966 INSIGNIA OR HUD NUMBER: PFS159751/2 SERIAL NUMBER OR V.I.N.: KBCASNA/B88321364 MANUFACTURER'S NAME: KAUFMAN/BROAD YEAR: 1988 OFFICIAL APPROVING INSTALLATION: DATE: 0 PHONE: (530) 538-7541 H.C.D. 513 2310-89 A 2311-89P,E(MH) PERMIT NO. PERMIT EXPIRES EDWARD GUINEY OWNER unknown CONTR. 71-40-52 ASSESSOR PARCEL 534 Middlefork Rd, Oroville LOCATION 4. Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) Signature = OK 0 = Not OK ' = Not Read�yable MOBILE HOMES MISCELLANEOUS _ Date MOWLE HOME UTILITIES (Plans) OK except #'s Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s . Zo ing Requirements-Setbacks-Easements 1. Zoning Requirements-Setbacks-Easements 2 oils; Special MH Support-Sketch 2. Footings; Soils-Size-Depth-Spacing-Connectors-Steel ewer; Location-Test-Fall-C/O-Concrete 3. Decks; Girders and/or Joists-Decking-Bracing-Stairs-Rails a er; Location-Test-Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing I ctricity; Location-Clearances-Grnd.-/ / Amp-Concrete Gas; Location-Test-WraR; / /"L"ft. / 'Nat. or /"L"ft./ 'LPG 5. Alum. Awn.; Columns-Connections-Splice-Decal-Enclosures 6. Carports; Windows-Doors ffo,diility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing-Veneer-Stucco-Mesh Card-131 Date T;;2—Ford-131 Date 10. Roof; Shthg-Roofing Card-131 D Card-81 Date 11. Ext.; Steps-Doors-Landings Date MOJMCEHOME INSTALLATION (Plans) OK except #'s ing Requirements-Setbacks-Easements Card-61 Date Card-131 Date F Ings; Size-Spacing-Marriage Line Card-131 Date Card-61 Date s; H Test-Demand-Valve-Connector ctricity; MH Test-Crossovers-Breakers-Clearances Date POOLS (Plans) OK except #'s eDOK, MH Test-Fall-Flex Connector 1. Setbacks-Easements er; MH Test-Regulator-Connector 2. Soils; Compaction-Structure Stability er and Sewer Connected-C/O to Grade-HD Approval 3. Pool Structure; Steel-Connections-Thickness- Dead Men -Lining s nd Electricity Tagged its; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 1 . Cert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries-Terminals-Listed 7. Elec.; Bonding; Metal w/5'-Circulating Equip.-Heater 8. Elec.;Grounding; Equip. w/5'-circulating Equip.-Pool Lghtg. Boxes-Enclosures-Panel boards- Ins. to Main in Conduit Card-13OZ,Date Card-B1 Date Ww Card-B Date Card-B1 Date 9. Health Department Approval 10. Plumb.; Cir. Test-Water Supply Test Card-131 Date Card-61 Date Card-131 Date Card-81 Date = VK - 0 = NotOK - =Not Applicable RESIDENTIAL (Single and Duplex) ' = Not Ready Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks; -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. Ties- Purl in -Roof Brac.-Truss-Shthng.-Ring. 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped 50. Garage Fire Protection Framing 7. Slab; Steel -Wrapped 51. Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 52. Ext. Doors -One T -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors 54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 55. Siding -Nailing Veneer 12. Electric; Underground 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 57. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 58. Shear Walls; Nailing -Bolts 15. Insulation 59. Insulation-Walls-Clg. 60. Infiltration-Walls-Wndws Card -61 Date Card -131 Date Card -B1 Date Card -B1 Date Card -131 Date Card -B1 Date Card -B1 Date Card -B1 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchors -Nail Protection 61. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 62. Smoke Detector 19. Shower Pan; Test,, First Floor -Tub Access 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting 85. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes -Labels Card -81 Date Card -131 Date 67. Stairs & Rails Card -B1 Date Card -B1 Date 68. Fireplace or Stove; Clearances -Hearth Date ELECTRICAL (Permit) OK except #'s 69. Elec. Outlets at Wood Panel; Int. & Ext. 22. Fixture & Transformer Clearance -Ins. Protection 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 23. Elec. Receptacles Spacing -Lights & Switches at Doors 71. Elec. Outlets & Receptacles at Kit. Counter 24. Size Boxes & No. of Conductors -Stapled 72. Garage Fire Door; Swing -Landing -Closer 25. Romex Installed Close to Edge of Studs & C.J. 73. A.C. Duct in Garage -Damper 26. Equip. Ground made up w/Mach. Fasteners -Bond Gas &Water 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor -Mach. Protection 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 75. Plb., Elec. & Mech. Equip. Listed for Location 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 76 Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or AI. Insulated Neutral Yes No 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 30. Service -Riser Conductors & Ground -Main Disconnect 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes O No; Planters ❑ Yes ❑ No 33. Smoke Detector 81. Stucco; Brown -Finish Card -B1 Date Card -B1 Date 82. A.C. Unit; Disconnect, Electrical, Plumbing Card -131 Date Card -131 Date 83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. Date MECHANICAL (Permit) OK except #'s 84. Water Well; Disconnect, Electrical, Plumbing 34. A.C. Ducts Insulation & Support 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 35. Vent Fan; Exhaust above insulation 86. Ventilation throughout House 36. Condensate Drain & Overflow; Size & Grade 87. Glass Protection 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 88. Corrections from Previous Inpections 38. Attic Access & Platform if Furnace in Attic 89. Gas Test -Meters Tagged; Gas -Electric 96. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Card -B1 Date Card -B1 Date 92. Roofing Certificate Card -81 Date Card -B1 Date Card -131 Date Card -B1 Date Date FRAMING (Plans) OK except #'s Card -131 Date Card -B1 Date 39. Sills, Proper Material & Anchors Card -B1 Date Card -131 Date 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Comments at Final: 41• Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Header & Beam -Size & Bearina (NOTE: An entry must be made each time vnu visit inh sitP% t COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE T A routine inspection indicates/that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector // / �� Date_ / U ;e; COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541; 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE =� MM% VNER / TPERMIT NI A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. r IN A Inspector. Date / 12221 T MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE ` DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 PERMIT N0. 5 r I Address or location of mobilehome .5 Etl'l✓C/— : Owner's name Owner's address 531 Insignia or hud numbers Manufacturer's name Serial number of.V.I.N. Year of manufacture (Official Approvin3j Installation IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTAtfCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 5138 White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE - DEP'ARTMENT OF PUBLIC WORKS MIT NO. 7 County Center Drive - Oroville, CalHornia 95965 - Telephone: 916/538-7541 r APPLICAtION AND PERMIT SS ASSOR PARCEL NU R /— —s ZO%1 BUILDING PERMIT OWNER^ ib f ' TELEPHONE SQ FT OCC. BUILDING VALUATION OW ER'S MAILING ADDRESS D!41 s - CONTRACTOR'S N E TELEPHONE CONTRACTOR'S MAILrNGADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO., Plan Checking Fee ,$ Energy Plan Checking Fee n $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS �r."s Permit fee $164-11,1 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 oza 1,WZLC—Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5,00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] MobilehomeNQ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home 0.00ea TYPE OF -WORK New ❑ Addition ❑ Remodel ❑ Utilities W Installation❑ Other ❑ Describe work: �I,901Z i Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10 00 Main service e00V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): " ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business/POWER and Professions Code and my license is in full force and effect. License No. Classification ❑ as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.y , New CONSTR.( AC 1 �z2sgft LTBI.OUT�ET NON.RESID .BRA CH CIRC ITS 2.50 ea APPARATUS &) (SINGLE OUTLET CIR, Ex. Occup(OUTLETS OR FIXTURES 20050! eAL030 FIXED APLNS. ee Ex. OCCUp. OUTLETS P(RESID )REA.1 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 9 Permit Fee WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor ` z MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also pgrpe to save, indemnify and keep harmless the County of Butte against all Ii�bilities, judgments cost, and expenses which may in any way accrue agai St d County in Ion ggence of the granting of this permit. %� Date Signature of Applicant — Owner i Contract ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct -IC ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ out TOTAL PERMIT FEE ocCUP, CONST.T7 SCHOOL cLooD PARCEL PD H 590 This permit is hereby issued under sions of the Butte County C de and/or work indicated above for Ich UBLIC Q�Q By /X) PERM EXPIRES Date- the applicable provi- resolutions to do fees have been paid. WORKS Da ; Receipt No. WHITE-O.P.W., TELLOW-ASSES OR. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY wr M�Gi�ir�71� 9ww.i...cs'.F+^r� r•r'-�-•rrcr�-�,.-,�1^^�ip3►tC•a+.;a»1n++.-^�'"'YF�.TRS:'_",�'v7:hv^Y�"°v,'4��#t'a1N +r4'a K,♦ • n.x tij�r� OF BUTTE - DEPARTMENT.O,F.,P,U15LIC WORKS - BUILDING DIVISION ' a 7 COUNTY CENTER DRIVE - OROVILL , (fAL^IP0,RNIA 95965 - TELEPHONE: 916/538-7541 PERMIT -APPLICATION DATA SHEET _7_TV,_., Permit No. VI -A— J/ OWNER ��LuL�� A., -No. 7 - L/C) O S7 Proposed Building Use r Building Inspector Date -f 4. At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED ( APPROVED 1. All items have been submitted . ................................... ,� Plot plans in duplicate ripplicate�, signed by preparer of plans........ 3. Complete plans in dup a11i; to riplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Energy Design Compliance and supporting documentation ......... 6. Statement of Intent for Non -Heated and AC Buildings .............. 7. Engineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation instructions....................................................... 9. Fees of $ .......................... 10. Chico Urban Area fees paid ........................................ \ 11, Park fees paid . ►�+� #�J District fees paid ................. 13 Sanitation approval from � 42ZC Health Department... 14. City of Chico plumbing..permit .......................... ` ............ 15. Plot plan and business license approval from City of (see City for other requirements) % 16. Planning approval for (A) Use: (B) Parking: ......... 17. Improvements may be required. 18. Driveway permit (construction approval required prior to occupancy) ... 19. Pre -Inspection for required ...... Pre-Inspec. request to Building Inspector (Date) 20. Contractor's license information (No., Name Style, Classification) ....... 21. Certificate of Workmans Compensation Insurance .................... `2-2_. Owner -Builder Verification (Given to owner 11, Mail to owner ❑) ......... 'f. Recorded copy of Agricultural Acknowledgment Statement ............ :&24. Letter of signs ure authgrization..................................... . -125. 1 Ke�rh r 26. When you issue the permit, process as follows: Mail Telephone and hold for pickup atrti The following data must be to owner. _ off ice. Mail to contractor. _Deliver w/inspector. checked above). Contractor, designer, owner, was advised of above required data by_phone---nail—counter by date Contractor, designer, owner, was advised of above required data by—phone —ma II—counter by date Plans checked by �S Date Z— Plans approved by CK5 Date Sets of plans on hold in File cabinet AP folder Copy—DPW TO Buildinv Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP#. s. Plan Approved for: Sewage Disposal Water Supply.G,le//. Hold final for: Water Supply Final clearance O.K. for: Water Supply Clearance for 3 bedroom mobi home. Other NOTE *** Sanitarian Date- Re,turA to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL" DEVELOPMENT y Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. - - - --- The property described herein is adjacent g9_028025 ; Rec Fee 7.00 to land or included within an area zoned ; Cash 7.00 for agricultural purposes, and residents Recorded of this property may be subject to incon- official Records veniences or discomfort.. arising from the County of use of agricultural chemicals, including, Butte ; but not limited to herbicides, pesticides, Candace J. Grubbs ; PAMY S"O" and fertilizers; and from the pursuit Recorder of agricultural operations including, 9 : 58am 27 -Jul -89 ; GF 2 but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate. in the County of Butte, State of California, described as follows: )aQ By" Date: July 27, 1989 $ROP, TY 0 � RS� �JJ � State of California) On this the 27 day of .7111y , 19 89 before me, SS. the undersigned Notary Public, personally appeared County of Butte ) Edward P. Guiney unmm�mnnntnnme�euneec�nn�nnunm� OFFICIAL SEAL : [J Personally known to me. QX Proved to me on the basis JOLLEVJ WHITSETTa of satisfactory evidence. NOTARY PI;DLIC - CALIFORNIA COUNTY OF DUii1 to be the person(s) whose name(s) is Comm. Exp. Feb. 2�, 1991 subscribed to the within instrument and acknowledged that _ • auuunuunmue�euunnnu�enm�uup�i��� executed the same for the purposes therein contained. IN WI'T'NESS WHEREOF, I hereunto set my hand and official seal. Present A.P. No. 71--040 0 Notary Public .+ "m -1112 -ACKNOWLEDGEMENT 'r► J , DESCRIPTIONS All that certain real property situate !n of California EXl{IBIT "�" described as follows the Count Parcel 1 y of Butte, State. Section I as shown on that Township 20 N certain Parcel Ma was filed In the office orth, Ran est, P being a Of f the Recorders f the M.D.B. 6 Portion of California,. on June '8, 1984 In a °f the Count M'' which map Book 97 of Ma y of Butte, State TOGETHER WITH a right Ps, at page 14. shown on that g °f way for road and Township 20 N certainngearcelPublic Utility the Nor Map bean y Purposes, at Recorder of the East, M.D.M. g a Portion of Section 21, 4, 1977 in County of Butte, State oP� filed in the office of described Book 63 of Parcel maps, California Parcel Map. P at page 7, as on November shown on the above ALSO TOGETHER Public utility WITH a permanent stripy purpotee, beingnon ofI anve easement lying 30 feet a strip of lend 60 for toed and centerlines °n each aide feet in width °f the followin °yid BEGINNING 9 described end Range,at a Point on the 0•from which East line of Section 20 South 52. the Southeast corner of said Township Of commencement6asEaet, 1,065.33 feet °f sold Section 20 and recorded described !n that raid point also beingheart 546, records of 22, 1965 in Book 1369 of also dated April20, point beginning,Butte County, California, Official Records, at 1965 "aid DeNoithn975eid East line along thecenterlinef as Page from said point of 00" West, 203.53 00-thence40"ent, 208.98 feet described !n thence South feetSouth 53 1 thence South 68. O1' centerline 38• 27� 00" lest 141.91 ,9-30- West 58" South 12• 22' feet 110.29 feet, East 133.49 feet East, 72.81 feet leaving said Deed thence South 89• tt thence South 07. 00' i hence South 25. 09' West, 270.64 feet 03 28« West, 239.11 feet 38 East, 196.85 feet, North 72• 53, t«thence South 12. 48. «t thence south 47. 17' 35" 173.71 45 Went 193.35 15 Weet, 325.19 feet • feet, thence south 05. 47,fee«t thence South 27. 44' 06"thence 85 43' 55" West 216.81 feet 01 West, 164, west, feet, thence South 31 03' South 27014 fe4SM thence South 15" t thence East 123.26 feet 24 Eaet, 270.18 feet 02 West, 100.38 thence South r thence South 62• t thence South 06• I1' East 38 55' S3" west 02' 03" West, 121.46 Eee16„thence South 5750.Sp,f40tt thence South 203�305fe16" South 68' 21' 118.56 feet East, 188.10 feet, thenceNorthfeet " t thence South 22 lOt thence 25 44' 47" West 38 31 East 137.37 03 East, 14' East feet; thence South �88'61�fS4et, thence South 45. 14' 51" thence South 33 feet East 47 feet East, 145.03 thence South 3149• 39, feet; South 844. 33, J hence North 88' 15' West, 200.66 feet ►►set, 260.43 feett thenceEaet, 133 40 feet, North gp• J thence North 73. 21. « South 88 Southoeet 06' 43" West, 335.18 32 West 12' 44" corner of feet to 142.00 feet, thence 2,644.84 foe06" East, s said Section 20 bears Point from which the centerline. i said point being the North end of thehereindescribed 12- EXCEPTING THEREFROM a ny certain parcels an Portion of said. road lying withinwidow, to the State ofnCalionve ed !n deed from Pearl E.those recorded March 8, 1963 in Book 1231iof Deed dated RNovembera6, 1962 Simmons, a records of Butte Count • 1962 and County California. page 548, me, 1ITNlSS ) w - COUNTY OF dUTTE,- DEPARTMENT OF PUBLIC WORKS 7 County Center Drive,- OrAille, &lifornia 95965 - Telephone: 916/538-7541 40APPLICATION AND PERMIT PERMIT NO. _I ASSESSOR PARCEL NUMBER - ZZ- ®— 52 ZONING BUILDING PERMIT OWNER TELEPHONE SQ, FT. OCC. , BUILDING VALUATAN „-'}.•i OWNER'S MAILING ADDRESS �!L/crr - jI /J�, LJ� T'C.T• C XST ma✓/ p',.��r_ G.L E 7 P H O N� 1G 8 CONTRACTOR'S MAILING ADDRESS 114-3,1 -/,— -�vt.s�-c.,�_ SSR F, Fireplace ,CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER,'S•MAI LING ADDRESS 'I°.g ' Filing Fee $ 10.00 Permit Fee $ .ARCHITECT.OR ENGINEER �•{TECT LICENSE No. Plan Checking Fee $ f O Energy Plan Checking Fee gy g AR: � OR ENGINEER'S MAILING ADDRESS 't• Penalty $ '(BUILDING ADDRESS fee Permit _ $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE �i SFO Duplex❑ Mobilehome❑ Other M','l SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ InstallationOther ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee io.00 i Main service 100 AMP ORSLESS 10.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under prd'visions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. e- License No. /�7 Classification ! Flas the owner, or my employees with wages as their sole compen- sation, will do the work.,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service EA. ADO'L 100 AMP 2.50 NEW CONST. // DWELLING OCCUPM , OR AODNS. \ ACC. BLDGS. / h2sgft NEW CONSTR. U TI -OUTLET 2.50 ea NON.RESID .BRA CH CIRC ITS POWER APPARATUS e SINGLE OUTLET CIR. ) E x. OCcup(OUTLETS OR FIXTURES 20050! sAL@30 FIXED Ex. Occup. OUT ETS P(RESID.)REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 9 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. EB, -'l shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the"above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X 1fa" s '-wt Date Signature of Applicant - Owner ❑ Contracto }2 Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 star' In height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP. CONST.TYPrJ SCHOOL FLOOD PARCEL PD NDS E This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC BY P IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date�a'4-7 f. -C.-, Receipt No: L �$ WHIT[-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD-AP►LI CANT �....,n,,�.. .i•T'�t""`"'4•�' «...s.�.r...-1�.-��- r. -.. -..R :.• ^'n" '��;...vri..-'c::Mrau �—y;nf,� •rs«. -a- —/y - a is COUNTY OF BUTTE - DEPART'iGE z�0*OFiPUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET . �. _. �•+ Permit No. OWNER V., -e V' ' A. P. No. �i" �/y-5 Proposed Building Use Building Inspector Date At time of permit application, I was advised the following data. must be submitted prior to permit processing and/or issuance: i DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed.by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Energy Design Compliance and supporting documentation ......... _ 6. Statement of Intent for Non -Heated and AC Buildings .............. ! �7 ngineered truss details acid layout in duplicate (required prior to plan check) ` l' obilehome installation data including manufacturer's installation ` Instructions 9. Fees of $ 10. Chico Urban Area fees paid ...:................................. . s11. Park fees paid..........................:�......................... 12. School District fees paid ................. — Sanitation approval from Health Department % L ' 14. City of Chico plumbing permit ....................................... ! 15. Plot plan and business license approval from, City of (see City for other requirements) 16. Planning approval for (A) Use: (B) Parking: ......... 17. Improvements may be. required. 18. Driveway permit (construction approval required prior to occupancy) .. . Pre-Inspec.request to 19. Pre -Inspection for required ...... Building inspector (Date) 20. Contractor's license information (No., Name Style, Classification) ....... 21. Certificate of Workmans Compensation Insurance .................... 22. Owner -Builder Verification (Given to owner Q, Mail to owner ❑) ........ 23. Recorded copy of Agricultural Acknowledgment '.Statement ............ 24. Letter of signature authorization ............... :..................... 25. 26. When you issue the per 't, pr cess as follows: Mail t Ow r. Mail to contractor. Telephone d h Id(or pickup at 7 - Sgffice. Deliver w/inspector. Other ApplicantDate _ Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submittedrio to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: ntr designer, owner, was advised of above required data by—phone --nail �ounter by) date Contractor, designer, owner, was advised of above required data by_phone_mail_cAunjtr by date Plans checked Sets of plans on hold in Copy—DPW Date Plans approved by File cabinet AP folder-. — Date 6 --J" m 1, r 1f COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO., 7 County Center Drive - Orovill-e, California 95965 - Telephone: 916/538-7541'j� j APPLICATION AND PERMIT' ASSESSOR PARCEL F- NUMBER 7/ . y .) -- ZONING BUILDING PERMIT OWNER r TELEPHONE S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADD SS /r 5 3 4 CONTRACTOR',NAME tt.a- 4 VZ, TELEPHONE F 7 -7 CONTRACTOR'S MAILING ADDRESS /`l_ 3 0 -?'32 �y _T Fireplace CONSTRUCTION LENDER NKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ OV Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit tee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other M 114 • SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer ,� 5.00 Mobile Home TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installationg Other ❑ Describe work: Permit Fee 5 Contractor ELECTRICAL PERMIT Filin Fee 10.00 ` Main service 100V DR LESS 10.00 600 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): Q I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force(, and effect. License No. ?1 u-7 9, Classification C ! ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.61; �z�Sgft New uc B CCONSTR.(A OUTLET NON.RESID BRANCH CIRCUITS- 2.50 ea POWER APPARATUS e SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 5A 030 FIXED APLNS Ex. Occup. OUTLETS P(RESID,)REA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. byirin 15.00 9 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ©/ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation penult Fee = Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X UGw� t Q Date Signature of Applicant — Owner ❑ Contractor © Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stori in height. Mobile Home Installation Fee S Energy Inspection Fee $ TOTAL PERMIT FEE $ Oc Cu P. CONST.TYPIIJ ISCIIOOLIFLOOD PARCEL PD NO SSUE I/ This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY �/ �--- Date PE1 1T EXPIRES Date yp Receipt No t �Q Y WHITE-D.P.W., YELLOW-ASSE350R. P NX -INSPECTOR, GOLDENROD -APPLICANT i=i COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. t 7 County Center Drive - Oroville, Cali,lornia 95_965 - Telephone: 916/538-7541.`/%_ J APPLICATION AND PERMIT / L� ASSESSOR PARCEL -NUMBER ZONI G BUILDING PERMIT OWNER ELyEPH�jON�E�.,/ SO. FT. OCC. BUILDING VALUATION 0 NER'S MAILING ADDRE'SS /4fdZ*ZAAJ4 C CONTRACTOR'S AM OAJ TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $. ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS �''/� ,✓�/�j - Permit fee $ PLUMBING PERMIT Filing Fee 10.00 - Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP { Water piping 5.00 ��-- Each qas water heater or vent 5.00 USE OF STRUCTURE . SF ❑ Duplex[] MobilehomeJ�' Other 4 SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home 10.00ea TYPE OF WORK F - New ❑ Addition ❑ RemodelD Utilities ❑ Installation[] Other Describe work:, J Fc? 1�:*[d2. r am &I, _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e00V OR LESS 100 AMP OR LESS 10.00 Main service E.A. ADD'L 100 AMP 2.50 CONTRACTORS, LICENSE LAW - F I declare under penalty of perjury (check.orie): -:y El am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. •_Classification � I as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) , I, as the owner, am exclusively contracting with licensed contract -d ors. (Sec. 7044) �,""W+g ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.SI 1/20sgft OR ADDNS. ACC. BLDGS. NEW CONSTFL MULTI -OUTLET 2.50 ea NON-RESID BRANCH CIRCUIT S IRC ITS POWER APPARATUS .&) SINGLE OUTLET CIR. Ex. OCCU OUTLETS OR FIXTURES eAL@3� P eAL9so FIXEDEl Ex. OCCUp. OUTLETS P(RESID )REA.) 2.00 Temporary service 110.00 Mobile Home Facilities 15.00 M 15.00 Permit Fee WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑The permit is for $100.00 (valuation) or less. El I_ have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of -Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. lahs of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee ' $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date ,� f Signature of Applicant — Owner ©ti. Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories 1n height."�/� Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP. CONST.TYPEJ SCHOOL FLOOD PARCEL P11 I ND I 15SUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC ,� BY f� ` � '�"-/�.---- PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been aid. P WORKS Date 7--/ I y� —7 Receipt No. � WHITE-O.P.W., YELLOW-ASSE33011. PINK -INSPECTOR. GOLDENROD -APPLICANT - COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS �T Np� 7 County Center Drive - Oroville„California 95965 - Telephone: 916/538-7541 v%J APPLICATIONAND PERMIT ASSESSOR PARCE NUMB �� ZONING BUILDING PERMIT = OWNER pELEPHONE - SQ. FT. OCC. BUILDING VALUAf ION O NER MAIL14 ADDRESS �Q CONTRACTOR'S NAM TELEPHONE ' CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee ,$ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee .$' Ener Plan Checking Fee 9Y g ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 S Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome Other GC��� SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S 1,G JW I 10-00ea TYPE OF WORK New ❑ Addition ❑ Remodel Utilities ❑ Installation❑ Other Describe work: �s^� �:7,02_ p!%f�/j�_ i Permit Fee $ Contractor ELECTRICAL. PERMIT Filing Fee 10.00 Main service 100 AMP 00V OR ORSLESS 10.00 c7 00 Main service EA. ADD'L 100 AMP 2.50 Z $o CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. SLOGS. , /20scift NEW CONSTR.TI.OUTILET NON-RESID ..BRANCH CRC ITS 2.50 ea /POWER APPARATUS e (SINGLE OUTLET CIR. I EX. OCCU OUTLETS OR FIXTURES P 20@50CFIXED DAL@30 Ex. Occup. OUTLETS P(RESID.)LISIS REA.) 2.00 Temporary service 10.00 v Mobile Home Facilities 15.00 A4ec7-” *+r+9 AJR, 15.00 a _— :ZUS01C-� Permit Fee $' S -V WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shal I be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation penult Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, co ts, and expenses which may in any way accrue agai est bald Count ime nse uence of the granting of this permit. 1 Date '7--1?- �S9 Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ ocCUP.J CONST.TTPC SCHOOL I FLOOD PARCEL P ND 39UE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC d BY PER1111111if EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date �--J ��� Receipt No. �4l� WNITE-D.P. W., TlLLOW-ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT rte.. �!'�,�'R.,n.sy":vS3r'•.���'�.+J'/,L#�".i�1-L"+"`"�.-" y-): .. �.�•"`�"��r--•• - .. P..-...[:n�--._....•.y r,.,.-v,�c+.�'.ti'.,,-„g-.r- ........,..r--.. .a r� COUNTY OF BUTTE - DEPARTMET, OF. PUBLIC WORKS - BUILDING DIVISION N 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 ///^J(' PERMIT APPLICATION DATA SHEET Permit No. _ r OWNER A. P. o. 71-!�D 47 Proposed Building Use Building Inspector Date 72. f permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . ............ Plot plans in duplicate/triplicate, signed by preparer of plans' ...... . 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Energy Design Compliance and supporting documentation ......... 6. Statement of Intent for Non -Heated and AC Buildings .............. 7. Engineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation instructions................................ ..................... 9. Fees of $ ..:.:................... . 10. Chico Urban Area fees paid ................ ..................... . 11. Park fees paid ..............................':...................... 12. School District fees paid ................. 13. Sanitation approval from • t Health Department ... 14. City of Chico plumbing. permit ....................................... 15. Plot plan and business license approval from City of (see City for other requirements) 16. Planning approval for (A) Use: (B) Parking: 17. Improvements may be required. _ .. iveway permit (construction a r. Ire fired prior to occupancy) ... Pre-Inspec. request to 19. re -Inspection for required ...... Building ln$pecto.: (Date) . Contractor's license information (No., Name Style, Classification) ....... 21. Certificate of Workmans Compensation Insurance .................... 22. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ........ 23. Recorded copy of Agricultural Acknowledgment Statement ............ �24. Letter of signature authorization ...................................... 25. /O e rme­i�- 26. r Wh rP ou issue the permit, process as follows:Mail t9 wrier. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: d -t Contractor,. designer, owner, was advised of above required data by_phone---jnail—counter by date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Date Plans approved by Date Copy—DPW Sets of plans on hold in File cabinet AP folder COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT.NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEI,. NUMBER — — S -D ZONI G BUILDING PERMIT OWNER 04 TELEPHONE ?b_�� -,/ S0. FT. 0C BUILDIN VALUATIO OWNER'SMAILINJ,, ADDRESS �\ 1 CONTRACTOR'S NAM TELEPHONE I CONTRACTOR'S MAILING ADDRESSr- • Fireplace CONSTRUCTION LENDER UNKIJO WN Total Va(uati n ..LENDER'S MAILING ADDRESS F(l;ng Fee - $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee a ARCHITECT OR ENGINEER'S MAILING ADDRESS Enercy Plan Checking Fee $ Penalty $c BUILDING ADDRESS 3 � •- rJQ Permit tae $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5 a; S Each gas water heater or vent 5,00 USE OF STRUCTURE SF❑ Duplex[] Mobilehom� Other �ilE SPECIFY Gas piping system 1 - 5 outlets 5.00 Builoing sewer 5.00 Mobile Home I S I G JW 1 10-00 ea TYPE OF WORK Addition ❑ Remodel Utiliti New ❑ es ❑ Installation[] Other gL ��• Describe work: V,70t jLM4 Permit Fee $ ' Contractor ELECTRICAL PERMIT Filing Fee 10.00 `— Main service 1OOV 01 AMP ORSL o ESS 10.00 CONTRACTORS LICENSE LAW t I declare under penalty of perjury (check one): ,. ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ 1, as the owner, or my employees with wages as their stile compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service EA. ADD -L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.y � oR ADDNs. ACC, BLOGS. /20sgft WC DNS T R. '_OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea /POWER APPARATUS e1 -SINGLE OUTLET CIR. I Ex. OCCUP�OUTLETS OR FIXTURES 20 ® 30C BA1.030 CI FIXED APPLNS. OR 'F -X. Oc:CUp. OUTLETS (RESID.) EA.� 2.00 Temporary service 10.00 �? Mobile Home Facilities 15.00 `+'f*('+++9 ' , Nl 15.00 rJ T ! Permit Fee WORKMEN'S COMPENSATION INSURANCE. I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you becomesubject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3_C0 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. Date Signature of Applicant - Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee S. TOTAL PERMIT FEE $ L' OCCU P. COM 3T.TTP[ 9cNooL PLOOD PARCEL PD NO 39VE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. -ey 4By WNITE-O.P.W.. YELLOW-ASSC330R, PINK -INSPECTOR. GOLDENROD-AP►LI CANT BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES INSPECTION CARD 24 Hour Inspection Line: .:530) 538-7636 (Oroville) (530) 891-2834 (Chico) Office: (530) 538-7541 Fa}:: (530) 538-2140 Website: www.buttecounty.net/dds Permit No: B06-2642 Issued: 11/13/2006 Address: 534 MIDDLEFORK LN BERRY CREE: APN: 071-400-052 Permit Subtype: SFD-Mobile Home Owner: GUINEY, EDWARD P * ETAL Applicant: SIERRA MOBILE SERVICE & SUPPLY Description: EX MH, EX SITE, PERM FND MUST BE ON JOB SITE JOB SHALL BE READY PRIOR TO CALLING FOR INSPECTION. THE INSPECTION CARD AND \. APPROVED PLANS MUST BE AVAILABLE FOR EACH INSPECTION OR THE INSPECTION WILL NOT BE MADE AND A RE -INSPECTION FEE MAY BE ASSESSED. ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING Inspection Type IVR INSP DATE Set acs 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 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 Rough Framing 128 Rough Plumbing 406 Rough Mechanical 316 Rough Electrical 208 Gas Piping 403 Roof Nail 129 Shower Pan/Tub Test 408 Fire Sprinkler 702 Do Not Insulate Until Above Signed Wall Insulation 117 Ceiling Insulation 118 Do Not Cover Until Above Signed T -Bar Ceiling / RC 145 Gas Test 404 Stucco Lath 142 Stucco Scratch 143 Stucco Brown 144 Building Final 802 Electrical Final 803 Mechanical Final 809 Plumbing Final 813 Project Final 801 H IVR PERMITS BECOME NULL AND VOID I YEAR FROM THE DATE OF ISSUANCE. IF WORK HA 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: 534 MIDDLEFORK LN Owner: Permit No: B06-2642 APN: 071-400-052 GUINEY, EDWARD P * ETAL Issued Date: 11/13/2006 By KCG Permit type: RESIDENTIAL 534 MIDDLEFORK LN Subtype: SFD-Mobile Home RET OROVILLE, CA 95966 Expiration Date: 11/13/2007 Description: EX MH, EX SITE, PERM FND Occupancy: Zoning: U 00 Contractor Applicant: Square Footage: SIERRA MOBILE SERVICE & SUPPLY SIERRA MOBILE SERVICE & Building Garage RemdUAddn 466 CIRCLE DRIVE 466 CIRCLE DRIVE OROVILLE, CA 95966 OROVILLE, CA 95966 Other Porch/Patio Total (530)534-0599 (530)534-0599 FEE INFORMATION Mobile Home $329.94 Mobile Home Plan Check $219.96 Total Charged: $549.90 Fees Paid: $549.90 Balance Due: $0.00 Receipt No: B836 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 SIERRA MOBILE SERVICE & S 470386 / C47 B / 03/31/2007 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 Business 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 force and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the X11/13/2006 basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500); Please check one of the following: Contractor's 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 WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: HAVE AND WILL the work himself or herself or through his or her own employees, provided that such improvements ❑I 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.). 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. My Workers' Compansation 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: 046-0004257 Exp. Date:01/01/2007 Contractor's License Law.). (This section need not be completed a the permit is or one hun re dollars ($100) or less. ❑ 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 11/13/2006 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owners Signature Date provisions. X 11/13/2006 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: FAILURE 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 Coun ffi ty, 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 by, arising out of, or in any way connected with DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the property owner or am authorized to act on the property owners behalf. 11/13/2006 CONSTRUCTION LENDING AGENCY 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Permittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) Owner ❑ Contractor OR. DAgent for Owner DAgent for Contractor INSPECTOR COPY Lenders Address City State zip 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: 534 MIDDLEFORK LN Owner: Permit NO: B06-2642 APN: 071-400-052 GUINEY, EDWARD P * ETAL Issued Date: 11/13/2006 By KCG Permit type: RESIDENTIAL 534 MIDDLEFORK LN Subtype: SFD-Mobile Home RET OROVILLE, CA 95966 Expiration Date: 11/13/2007 Description: EX MH, EX SITE, PERM FND Occupancy: Zoning: U 00 Contractor Applicant: Square Footage: SIERRA MOBILE SERVICE & SUPPLY SIERRA MOBILE SERVICE & Building Garage Remdl/Addn 466 CIRCLE DRIVE 466 CIRCLE DRIVE OROVILLE, CA 95966 OROVILLE, CA 95966 Other Porch/Patio Total (530)534-0599 (530)534-0599 FEE INFORMATION - Mobile Home $329.94 Mobile Home Plan Check $219.96 Total Charged: $549.90 Fees Paid: $549.90 Balance Due: $0.00 Receipt No: B836 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 SIERRA MOBILE SERVICE & S 470386 / C47 B / 03/31/2007 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 700�'sion'the Business and Professions Code, and my license pursuant to the provisions of the Contractors License Law [Chapter 9 (commencing with Section 7000) is in full forcea effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 11/13/2006 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractors 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 WORKERS' COMPENSATION DECLARATION 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 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.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by 1, 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 Contractors 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 Carrier: State Fund policy Number:046-0004257 Exp. Dale:01/01/2007 Contractors License Law.). (This section need not be completed if the permit is or onrd ed dollars ($100) or less. ❑ 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 11/13/2006 compensation provisions of Section 3700 of the Labor Code, 1 shall forthwith comply with those Owner's Signature Date g provisions P X �� t �" 11/13/2006 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: FAILURE 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 SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and property damage caused by, arising out of, or in any way connected with HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, 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 use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above menti d property for inspection purposes. I hereby certify that I am the property own or am aKlhoriz VC o the property owner alf, , aiti(, r -4u 11/13/2006 CONSTRUCTION LENDING AGENCY 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Permittee [SIGNj 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 Lender's Address City State Zip Xi2 Foundation System Installation Instructions for California for Ground & Concrete Systems HUD Wind Zone 1, 15 PSF Wind Load Seismic 4 Ey Tie Down Engineering :�U FTE COUNTY ''BUILDING DIVISION APPROVED OVED 071 -0 -CO - w(.1 _ Xi2 Concrete System Engineer Approval State Approval MANUFACTURED HOMEIMOBILE HOME FOUNDATION SYSTEid ASALTHAND SAFETY CODE, SECTION 1$551 APPROVED SUBIECT TO CORRECTIONS NOTED APPROVAL DOES NOT AUTHORIZE OR APPROVE ANY OMISSIONS OR DEVIATION FROM REQUIREMENTS OF AFFLICABLB STATE LAWS ANQ REGULATIONS Stam of Catifomia Dgwkftft Qfmd Community DrMopmed ,-,W1010 OF CODES AND STANDARDS Filt Page 1 of 8 Xi2 Foundation System Installation Instructions for California for Ground & Concrete, Systems HUD Wind Zone 1, 15 PSF Wind Load Seismic 4 By Tie Down Engineering 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 75.5" - 99.5" * Except single sections 95" minimum • 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 rim plates. The longitudinal component of the Xi2 system replaces end frame ties. Check manufacturers set-up requirements. ` • Maximum pier height is 48" pier. *Except for single sections 36". • 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 end of home. • Designed for 7:12 roof slope. *Except single sections, (20° - 4.37 in. 12" pitch). 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. ®> * Xi2 components exceed HUD code 3280.306g "Anchoring equipment exposed to wea he ing shall ha4a L{ 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 8 lm" 0 0 Li 0 0 0 Installation of Xi2 Ground Systems 1. Identify the number of systems to be used on the.home using the chart provided. 2. Identify the location where the systems will be installed. 3. Clear all organic matter and debris from the pad site. 4. Place U -bolts through holes in pan provided. 5. Place pad centered under beam with the lateral strut bracket towards the inside of the home. 6. Press or drive pan into ground until level and flush with prepared surface. 7. Build pier according to State, Local or Home Manufacturers guidelines.(Figure 1) 8. Attach the end of the smaller tube to the inside of pan using U -bolt & nuts provided 9. 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) 10. 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 1) 1-3/4" Tube 0 4-#12x1" Tek 5crews Figure 1 Fn d �f N®r1 e J -Bolt Nut & Washer 19) Lateral Struts Strut (flag end) - - 1-13eam Figure 2 A) U -Bolt & mounting Bracket 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. � *7_7> It Y- 2.. FD01 ENGINEERING a' C LD 0 0 O Xi2' GroundParts Detail Xi2 Ground Lateral System Part Number 59306 Includes: 5' Strut, pad & hardware kit (#59329-1 includes all nuts and bolts). Longitudinal Hardware Kit Part Number 59331 Includes: 2 I-beam brackets & 2 U -bolts with all nuts and bolts. Lateral and Longitudinal Combination Part Number 59333 Includes: 5' Strut, Pad, Longitudinal Strut (#59329), Lateral and Longitudinal Hardware Kit with all nuts and bolts. Struts for Longitudinal Systems Part Strut Pier Height No. Length Up To: 59330-44 44" 4 Blocks or 32" 59330-65 65" 6 Blocks or 48" Ground Longitudinal Hardware Kit Xi2 Ground Longitudinal Strut & Hardware Kit Ground Longitudinal Strut Xi2 Stabilization Pier Placement for Ground or Concrete Single Section Home 0 -80' (76' Box) 4 Xi2 Systems L—. Xi2 Pier Placement Double Section Home 0 -62' 3 Xi2 Systems* 63' - 80' 4 Xi2 Systems *2 Xi2 systems can be placed at either end of the home. Triple Section Home 0 -62' 4 Xi2 Systems 63' - 80' 5 Xi2 Systems Page 4 of 8 Installation of Xi2 Concrete Systems 1. Identify the number of systems to be used on the home using the chart provided. 2. Jdentify the location where the systems will be installed. 3. Build pier according to State, Local or Home Manufacturers guidelines. 4. 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, �l< tighten wedge/anchor bolt, securing bracket to the concrete. �z h 5. Attach the end of the smaller tube to the bracket mounted on the pad, using the 1 =k ms grade 5,1/2" x 2-1/2" bolt/nut provided. } 6. Attach the flag end of the larger tube to the opposite I-beam using the "J" bolt over l ns• the top of the I-beam with the nut &washer provided. (Figure 1 next page) 7. 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 8. :Install frame bracket clamps on I-beam on the inside of block/pier. 9. Insert strut in frame bracket clamp and attach with nut & bolt. Attach opposite en. ete brack t. 10. Pull the frame bracket clamp with fastened strut outward to remove any slac i 11. Tighten all nuts and bolts on system.-: ljY_. -2. t i �r��'`}✓ Page 5 of 8 T/E'F DOWN ENGINEERING; m 0 0 O 0 Xi2 Lateral Concrete Systems Part#59307 Includes: 5' Strut, Bracket, & Hardware Kit #59315-1 with all nuts and bolt. Longitudinal Struts for "Concrete Systems" Part No. Length Pier Height #59013 44" up to 4 Blocks #59015 65" up to 6 Blocks Longitudinal Hardware Kit Part#59263 (Includes 2 sets per kit: I-beam .bracket,, nuts, bolts and washers) Lateral and Longitudinal Combination Part #59332 Includes: 5' Strut, Longitudinal Strut (#59364), Lateral and Longitudinal Hardware Kit with all nuts and bolts. Nut & Washer Figure 1 Beam Clamp J-Bolt���Oracket Lateral oa a_ Lateral Xi2 Installation Placement *0 Longitudinal Strut Concrete Longitudinal Hardware Kit End ° U--L-Ri/ f: T S W(-2. (-- z.. Page 6 of 8 jDOWNh ENGINEERING Longitudinal Strut Concrete Longitudinal Hardware Kit End ° U--L-Ri/ f: T S W(-2. (-- z.. Page 6 of 8 jDOWNh ENGINEERING 0 Offset Placement Diagrams represent examples of double and triple section. offsets. Total size is determined by the length of unit plus offset. Xi2 Stabilization Pier Placement for Ground or Concrete Xi2 Pier Placement Single Section Home Double Section Home 0 -80' (76' Box) 4 Xi2 Systems 0 -62' 3 Xi2 Systems* 63' - 80' 4 Xi2 Systems *2 Xi2 systems can be placed at either end of the home. Triple Section Home 0 -62' 4 Xi2 Systems 63' - 80' - 5 Xi2 Systems . �•�S 1/`x-2. Lit/t`1' Page 7 of 8 m 0 l l Z) 349-040 Li a 0 Hardware Breakdown #59329-1 Hardware for 59306 Lateral System 1 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 thread 4 59272-2 1-3/4 zinc 41 10556 Tek Screw #12 x 1" 1 10631Z J Bolt 1/2 x 5-1/2 grade 5 zinc 2 10640 Push Nut 1/2 1 -12107 Flat Washer 1 x2" SS 1 - 10646Y Hex.Nut 1/2-13 grade 5 zinc 2 10519 Hex Nut 1/2" w/ Serr flange #59331 Longitudinal Hardware for 59306 2. 59272-1 Beam Clamp Base 4 59272-2 Beam Clamp Top Flange 8 10926 Carriage Bolt 1/2-12 x 1-1/4 59272-1 Beam Clamp Base Full Thread 10 10646Y Hex Nut 1/2-13'grade 5 zinc 2 10801 • Carriage Bolt 1/2-12 x 2-1/2 full thread Grade 5 2 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 thread 10801 • Carriage Bolt 1/2-12 x 2-1/2 1-3/4 zinc 4 10640 Push Nut 1/2 4 10519 Hex Nut 1/2" w/ Serr flange #59315-1 Hardware for Lateral System 1 10631Z . , # 59329 Hardware for 59333 Lateral and Longitudinal combination 1 59329-1 Hardware Kit 1 59272-1 Beam Clamp Base 2 59272-2 Beam Clamp Top Flange 4 10926. Carriage Bolt 1/2-12 x 1-1/4 Carriage Bolt 1/2-13 x 2-1/2 full thread 5 10646Y Hex Nut 1/2-13 Grade 5 zinc 1 10801 • Carriage Bolt 1/2-12 x 2-1/2 Grade 5 zinc 1 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 Thread 1-3/4 zinc 2 10640 Push Nut 1/2 2 10519 Hex Nut 1/2" w/Serr Flange #59315-1 Hardware for Lateral System 1 10631Z J Bolt 1/2 x 5-1/2 Grade 5 zinc 1 12107• Flat Washer 1/2" SS 4 10556 Tek Screw #12 x 1 " 2 10646Y Hex Nut 1/2x-13 Grade 5 zinc 1 10826 Carriage Bolt 1/2-12 x 3 2 59272-2 Grade 5 zinc #59027 Hardware Kit for 59307 Lateral System 2 59264 3 Way Concrete Bracket 4 10530 Wedge Anchor 3/8 x 3.50 1 59315-1 Hardware Kit #59263 Longitudinal Hardware for 59307 2 59272-1 Beam Clamp Base 4 59272-2 Beam Clamp Top Flange 8 10926 Carriage Bolt 1/2-13 x 1-1/4 Beam Clamp Base 2 59272-2 Full Thread zinc 12 10646Y Hex Nut 1/2-13 Grade 5 zinc 4 10801 Carriage Bolt 1/2-13 x 2-1/2 Grade 5 zinc Grade 5 zinc #59364 Hardware for 59332 Lateral and Longitudinal combination 1 59264 3 Way Concrete Bracket 2 10530. Wedge Anchor 3/8 x 3.50 1 59315-1 Lateral Hardware Kit 1 59272-1 Beam Clamp Base 2 59272-2 Beam Clamp Top Flange 4 10926 Carriage Bolt 1/2-13 x 1-1/4 Full Thread zinc 2 10801 Carriage Bolt 1/2-13 x 2-1/2 Grade 5 zinc 6 10646Y Hex Nut 1/2-13 Grade 5 zinc _ > E` :� ` 11 I{-- z_ Page 8 of 8 r `DOWN ENGINEERING 0 L6 0 0 0 11/07/2006 11:34 MID UALLEY TITLE OROVILLE 4 5340709 NO.190 D01 STATE OF CALIFORl4IA. 8Ua1NESS, TttAk5PORTATiDN APIC NOL18aICi AGENCY _ ARN41.0 6C�FfWARXPNEGGeR, Goyer DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT ONG Divlelan of Cafes and Standards • � w 3 4� Tule Search � of �ti�o Uate Printed : 08/08/2006 Decal #: LAN6059 Manufacturer: 09578 KAUFMAWSROAD RM SYST Tradename: HAYWOOD 11 Model: 174 Manufactured Date: 01/25/1988 Registratiou Exp: First Sold On: 08/31/1989 Use Code: SPD Original Price Code ALF Racing Year: Tax Type: LPT Last ILT Amount: Date ILT Fee Paid: ILT Exemption: NONE Serial Number IIUD Label I Insigni Length Width KBCASNI188321364 PFS139751 60' 13'44 KIBCASNAR9321364 PFS159752 60' 1314" Record Conditions: ppF Exempt ` • An application for title or registration change is pending wit!f the department. For inrormation regarding this application., please call 1-800.952.8356 and request to speak with a customer representative. Registered Owner: EDWARD IP GUTNEY BE'rN R GU NEY (Tenants in Common Or) 532 MIDDI-r-FORK LN OROVILLE, CA 95965 Lost Title !late: 07/01!1992 Last Reg Card: 07/01/1992 Saterr msfer Info: Price $40,495.00 Transferred on 08/31/1989 Situs Address: 532 MIDDLE FORK LN OROVILLE, CA 95965 Situs County: BUTTE Legal Owner: { BANK Of AMEWCA - CONSUMER LOAt4 CENTER PO 130x 2190. RANCWQ CORDOVA. CA 95741-2190 Lien Perfected On: 06105/1992 16.39:00 Open Escrow: MID VALLEY TITLE PO 6X 1068 . 2295 FEATHER RIVER SL OROVILLE, CA 95965 Escrow File No: 2478509 Pending Bayer: DEBORAH K. NORRIS WAYNL' V. ffUNTER Dealer lame: None Reported Escrow Ope,ted On: 08/08/1006 Expires on: 17JO612006 BUTTE COUNTY N. uv 13 2006 v ELOPMENT SERVICES 90-2267/1211 3827 EXPLANATION AMOUNT 19755 SIERRA MOBILE SERVICE SIERRA FOUNDATION LIC NO 470386 Ht68 466 CIRCLE DR 530-534-0599 OROVILLE, CA 95966 PAY AMOUNT /00 Do RS ----LJ , d OF DATE TO THE ORDER OF GROSS INC. TAX I SOC. SEC. ST. TAX MEDICARE TAX CHECK NUMBER 71OFOM t4 DESCRIPTION US BANK AUTHORIZED SIGNATURE 00L9?5Sill 1: L 2 L L 2 26 ?61: L5340LL.0392Sill C RECORDING REQUESTED BY Mid Valley Tide & Escrow Company AND WHEN RECORDED (MAIL TO: Edward P. Guiney 534 Middlefork Oroviile, Ca. 95966 A.P.N.: 071-400-052-000 2005-0077928 Recorded I REC FEE 19.03 Official yRecords I CountButte f I GIRD L 6111M I County Clerk-Recorderl I I III 69:00 P7-9er-M I Page f of 5 lllllll lllllllf!lIIII Illll�lll I!I Above TMe urte for Rewrdees use ordy AFFIDAVIT - DEATH OF JOINT TENANT (BY SURVIVING SPOUSE) California Probate Code Section 5602 State of California ) County of Butte ) File No.: 0403-2190288 (CB) j Edward P. Gulney ("Declarant°) Is of legal age, being first and duly sworn, deposes and states under penalty of perjury under the laws of the State of California that: 1. Betty R. Guiney ("Decedent") is the person referenced In the attached certified copy of the Certificate of Death who died on 11/01/97 at Oroville, California (city and state of death). 2. Declarant was legally married to Decedent as of the date of death referenced in the attached Certificate of Death and Is the surviving spouse of Decedent In accordance with California Probate Code Section 78. 3. 'Declarant and Decedent are the same persons as Edward P. Gulney who are named as the grantees ("Grantees") in that certain Grant Deed dated October 13, 1995, executed by Betty R. Gulney and Edward P. Gulney and Carolyn 1. AUdnson and Dale A. AtJonson, In favor of Grantees vesting title as joint tenants and which document was recorded as Instrument No. 1995-38855 In Book N/A, Page N/A, of Official Records of Butte County, State of Callfomia, covering the following described real property situated In the County of Butte, State of Califomia (the "Real Property"): Attached hereto as Exhibit A. Dated: December 19. 2005 DECLARANT: v E ward P. Guiney SUITE COUNTY NUV 13 2006 DEVELOPMENT SERVICES ' State of California County of SUBSCRIBED AND SWORN TO (or affirmed) before me the undersigned, a Notary Public in and for said County and S tie, this IDU day of 20Q� , by personally known to me or proved to me on the basis of satisfact:4 evidence to be the person(s) who appeared before me. WITNESS my hand and official seal. TOSHA M. RYMEI Commiston 0 1/87649 _ Notary Public - Cofiftao Signatu My Con Notary Notary Butte County My Caron. E)tes May 4 2008 ZaJa Thls area lbr oAldal no&&l seal Notary Phone:,Z 53 3"CD In County of Principal Place of Business: i I r) �- M > Lu ®®cr � ��-- LU V la CA r) �- M > Lu ®®cr � ��-- LU