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HomeMy WebLinkAbout072-530-008072-530-008 J9-2445 RAFFE11TY, MARVIN /.2JO.y9 39 EACLE VIS-I'A.DRIVF:• OROVoI.!..E CONTR: D & 1) 1101),ES MH ON PERM FN[)—NE\VSITE -530-008 9uzsmn/ RAFFE MAR\'1 (&()L ((%% 39 EAGLE OROV LE CON . & D HOMES N DECK ON MOBILE HO 072-530-008 03AG100 RAFFERTY, MARVIN 39 EAGLE VISTA, OROVILLE 7 AG. BLDG. (24' X 28') 1 - 5 4 i • E.H."USLONLY Plot Ran Attached Floor Ran Attached-- Sant to 6.0.0 TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance a 'Dio � Owner Location AP# Plan Approved for: Sewage Dispose Water Supply: Public Private Well Clearance for dwelling. Other Hold final for: Final clearance O.K. for: NOTE: nmental Health Specialist 8/96 rl -� Date 1 M• M � �III�s�A � � O c.) i FN4 APPROVED d p Butte County Environmental w m ll ��///Health --Y: / - / --- 0 --- TdT- Signature ZO 'd SZV9 n9 0£5 'ON XVJ d0 aIaM S�WOH (1ooM.I. aa1.Ud nn ; nn ani FF -R t - mn COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 072-530-008 ZONING MR BUILDING PERMIT OWNER MARVIN RAFFERTY TELEPHONE SO. FT. OCC. BUILDING VALUATION 1716 92,340 .OWNERS MAILING ADDRESS P.O. BOX 5032, OROVILLE CONTRACTOR'S NAME D & D HOMES, OROVILLE TELEPHONE2-3301 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDERS MAILING ADDRESS Total Valuation $ ARCHfTECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 304.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS EAGLE VISTA DRIVE, OROVILLE 01$ Energy Plan Checking Fee $ PERMIT FEE $ LOTN O SUBDNISIONSNAME PAR P — PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent .15.00 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: MH ON PERM FND — NEW SITE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 "OOVOR UES Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License ClassC4--? Lic. No. '7 'T OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 20� TO 46.00 CCU000A NEW coNsr. DWELLING occuP. OR ( 3.5¢F°. EW corsT. MuicTcou�r�ES. NON•REID. 97.50 POWER APPARATUS a SINGLE oun., CIR. OUTLET OR FDRURES Ex. Occup.�L 20 Q 1.00 @ _50 Ex. Occup. ourLEEDrs(RRM.DERa 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 20,00 Misc. Wiring 23.00 PERMIT FEE $ nn WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall fort with co P with qse provisions. / Qc Date �f7 al� 7 7 _ Signature of Ap 1i nt - ❑ Owner ❑ Contractor ❑ Agent An OSHA permi ' required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE HAz D FEE TOTAL FE cDF H nIn f/ This permit is hereby I ed under the of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON� app (cable provisions Resolutions to do work been paidV;97 a�te tDet ReceiptNo. 0 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT D SP4COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NC (Rev., 2/96)APPLICATION AND PERMIT ��"��{ "3ff"oRPARcd NU�HI6 —,,�c CY'/) ^ ^©® Z0100 BUILDING PERMIT OWNER Z6 A P4 / T[LZa►gN! SO_ FT OCC. BU1-1 IL IN TION owlotl MAlU1q AD °708-o eo go v ( L- 1--9F CONTRA=Frs, NAI! j) 4—n w Q t/ I L -L— IF— TI�MON^ �?:6 CONTRACT0111 MA&DO ADIDAM 4 COMTMJCTWN L IMER LENDEAI HARM ADORES! ARCHITECT OR EN LNM ARt?STFCT OR E00HEElL1 MAILING ADDRESS SUILDM ADORES! LOT NO. I SUEDLVlIONt NAYS USEOFSTRUCTURE SF O Duplex 0 Mobilehome O Other SPECIFY TYPE OF WORK New O Addition 0 Remodel `0 L%16 s 0 insislation O Other 0 Describe Work: Total Valuation Is Ffin Fee $ 20.00 Permit Fee $ Plan Checkin Fee $ _ Energy Plan Checking Fee $ S PERMIT FEE _ PLUMBING PERMIT I Fling Fee 10.00 Each Tr 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 _ Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer -1 15.00 '— Mobile Home Fs G W 020.00 PERMIT FEE _ ELECTRICAL PERMIT Flin Fee _ 2Q.00 Main Service e00v OR LESS 100A OR LESS 23.00 Main Service 2o0A To t000A 48.00 NEW CONST. OWELLM OcCuP, so OR ADONS. _ ( i ACC. BLOB. 3.5017' Ex. OCCuo. ( ovrLET OR Pwwcs i f I _p R t'0' i r em�Ho Service 23.00obe Facilities 20.00ist1 23.00 PERMIT FEE S , �d MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 PERMIT FEt ! Mobile Home Installation Fee E Energy Inspection Fee $ q 7w p Q Dcc CONST. TYPE TOTAL FEE $ NAZ. I D. It. I IMP I ROOD I COF I PARCEL NO I ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By —_ PERMIT EXPIRES ON Date i �.'^...".n.:+'�...'Y^il�,+�ji��y�'7a+�i,�"'t,.+r'�Y."".i'�rt.w�'.r.-�r4ea.rnwif�..,.�.. r�... ....^'i'4,.,`--.- , • . .. .. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION T COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL ER: D % - 5,3(n 0c)cS1- Proposed Building s. - Building Inspector: Date: D - c At time of permit applica '/nWwas advised the following data must be submitted prior to permit processing and/or issuance: Date Received By ❑ 1. All items have been submitted .------------------------------------------------------------------------------------- ❑2. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ 03. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑ 6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- 118. -------------------------------------------------------- ❑8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------ ❑ 1 F�of $ ------------------------------------ ------------------------------------------------ Impact fees as shown on the attached schedule. ----------------------------------------------------------------- California Department of Forestry plan approval/fees. --------------------------------------------------------- ❑ 13. Flood elevation certificate. ---------------------------------------------------------------------------------------- �d,14'-S-anitation and plot plan approval_ Health Department. ------------------------------------------- Ell 5. ------------------------------------------ ❑15. City of Chico plumbing permit. ❑ 1 . Plot plan and business license approval from the City of Biggs. ---------------------------------------------- Planning approval for (A) Use: D -e- (B) Parking: -------------------------- 18. Contact Land Development about Improvements, ❑ Drainage, VLegal Parcel. ----------------------- �croachment Permit for driveway (constructiodapproval prior to occupancy). ---------------------------- 020. Pre -inspection for required. Request to Building Inspector on ❑21. Contractor's license information. (Number, Name Style, Classification). ------------------------------------ ❑22. Workers' Compensation carrier and policy number. 023:<Owner-Builder Verification (Given to owner ❑, Mailed to owner ❑). �. ❑tter of signature authorization. ------------------------------------------ . 25. Recorded copy of Agricultural Acknowledgment Statement. ----------- 026. Letter of intent on building use. -------------------------------------------- ❑27. Manufactured Home utility clearance. ----------------------------------- -- --------------------------------- ❑28 �p' �ing vio�l�ati and/or expired permi------------------------ ------------------------------ 29. ---------------------- 29. 33 A, t Deed, H. Title, heck to H.C.D $--------------- ❑ 3 0. Other: ------- J (Date) Whenyou issue the permit, process as follows ❑ Mail to owner, ❑Mail to co tractor. L�Telepho=63tp 330 � and hold for pickup at d� office. ❑ Deliver with inspector. Applicant: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division -counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: /1 Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. _".�� ..._,,rti._..-•+*- r'1N^ �... .iw",; •... """` ..r..::!`t .."'`_'",:ci'D'-✓4--•... ..- Yr•`� � - '��. - .x_-.... ter+', r -...:ti. ' ..'•T Yw,,., .. t� .. BUTTE COUNTY SCHOOLS IMPACT FEE„CERTIFICATION FORM ”" pe (One form r Building) • School District • Li L ` A.P. Number® ` :�JU &-Jurisdiction: City Property Owner Building Department No. I County Property Location/Address — co L f7l ,I%S ) B C;.; 1<10/ /! 4.4-- /_— Subdivision Lot No. Residential Development Sq. Footage Ubo No of Living Modile Home Addition ( r up R) Units Installation Commercial/Industrial 0 New Addition Building Department Representative i (Floor Plans reviewed by School District Personnel) Sq. Footage, i (Including Exterior Roofed Areas) Date ,1 District Identification No. QS 1 ,School District certifies that ,( (App i t) (Street Address) 0 '(Phone Number) C-9 1 i 1. L has complied with the requirements of Resolution No. representing / I U square feet. School District Representative + i'. (State) s. 11 � — - 9 %4V -0l y payment of $ (JQ ,3O J 1 B 2926'L ` . , $ �FIJLL MITIGATION $ `t Date i Paid by Check # 4 Remarks:/u.! Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit youfrom challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is t• notified by the applicable Local Planning Agency that this project is being -reviewed under the California Environmental Quality Act (CEOA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls (2/971dmm .t� +t I rl Property Location/Address — co L f7l ,I%S ) B C;.; 1<10/ /! 4.4-- /_— Subdivision Lot No. Residential Development Sq. Footage Ubo No of Living Modile Home Addition ( r up R) Units Installation Commercial/Industrial 0 New Addition Building Department Representative i (Floor Plans reviewed by School District Personnel) Sq. Footage, i (Including Exterior Roofed Areas) Date ,1 District Identification No. QS 1 ,School District certifies that ,( (App i t) (Street Address) 0 '(Phone Number) C-9 1 i 1. L has complied with the requirements of Resolution No. representing / I U square feet. School District Representative + i'. (State) s. 11 � — - 9 %4V -0l y payment of $ (JQ ,3O J 1 B 2926'L ` . , $ �FIJLL MITIGATION $ `t Date i Paid by Check # 4 Remarks:/u.! Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit youfrom challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is t• notified by the applicable Local Planning Agency that this project is being -reviewed under the California Environmental Quality Act (CEOA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls (2/971dmm COUNTY OF BUTTE, DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE OWNER PROPOSED BUILDING USE 1. BUILDING PERMIT FEES -- Balance Due ................ $ -- Additional Fees Due ... ' ..... `� y $ 7; -- Additional Fees Due ...$ Revised Plan Checking Fee ....... $ . 2. SCHOOL DISTRICT FEES aid at District Office) 3. SHERIFF FEES (paid at Building Division) Residential ........ x $360.00 = $. Units Commercial (sq.ft.)... x $0.03 = $ Sq.Ft. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit) . x : _ $ #Units Amt. Commercial (sq.ft.) .. x =$ Sq. Ft. Amt. 5. RECREATION DISTRICT FEES (paid at District Office) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) _1_ 7. SRA FIRE INSPECTION'AND PLAN'C K $89.00 (paid at Building Division) b, ✓4 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER A. P. # 0 Z� " 0 DATE f O C? RECEIPT # DATE REC At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT DATE 20 Pursuant to Government Code Section 66020, you are hereby notified that items 2,3,4,5,6,8,9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 2/97) �J ...,- ''ice`, v.r^'r-.LiT,w.•.Y.r--.�n.T"'>L.�'t f`F-Fsf �. -1�. ... ' __ .. COUNT OFiBUTTE I .BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES i '41x1 Math Street • Chico, CA •,(530) 891-2751 p; 7;County Center Drive • Oroville, CA • (530)'538-7541 CORRECTION NOTICE OWNER PERMIT NO. .t A routine inspection indicates that the following violations of butte county Ordinances exist at the above address should be corrected. Please notice this office when correction of work is completed. It ou have any questions pertaining to this matter, or need additional explanation, please co ct this office immediately. L2A Su ( 244,6--L-- /4..n Z- TZ cr-ai-c" r REV 10/92 r w: 17 L 1 REV 10/92 Environmental Health Issues• Septic Permit Review: Well Permit Review: Land Development Review: Parcel Created by: ❑ Deeds Em. Permit clearance Agriculture Affidavit Required Designated Well Site Drainage Plan (Com/Ind/Multi) ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes Date of Creation: Legal Access Provided: ❑ No ❑ Yes. Deed Reference: Legal Access Required: ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation: ❑ No ❑ Yes Comments: Date of Recording: Lot: Block: Book: $ Page: Conditions That Must be Met Prior to Issuance of Permit: ❑ Verify Legal Parcel ❑ Verify Legal Access ❑ Provide Creation Deed ❑ Comply with condition no. of conditions of approval for the ❑ Obtain a Certificate of Compliance (See Planning Division for application). ❑ Construction across property lines is not permitted (See Land Development for a Merger Application/Lot Line Adjustment). ❑ Comply with Old Subdivision Lot Ordinance (Maps Recorded Prior to Book 17 of Maps Page 23). ❑ Construct road to ❑ Meet parcel size required by zone ❑ Meet current EHD requirements. ❑ Other. General Comments: CSC i -'!:> SE-T'(3-t--4C-)e- Z iati�-S a :::Z'lrbp>&- , Permit clearance JB APPROVED ❑ CONDITIONALLY APPROVED ❑ RESOLVE PROBLEMS PRIOR TO APPROVAL Permit #: Pate: � 0-21—�9 Genera/Information Owners Name: AP #: Same as Computer Information: ❑ No ❑ Yes Address: EO, ICox S03-2- C> -Vv/ t_L. G/1 IS9-.5 Provertylnformation 3� Cdq G L� VISTA -bP— Zone District: / " ► —' Date of Zoning Ordinance: 2- Cl — General Plan: Development Agreement: Use Permit: Variance: Parcel Is In: Land Conservation Agreement ® No ❑ Yes, check use Minimum Acreage: Nitrate Action Plan SNo ❑ Yes Violation Area M No ❑ Yes Specific Plan R No ❑ Yes ❑ Chico ❑ D2N Enterprise Zone 10 No ❑ Yes, check use Floodplain No 1 / P .�' ❑Yes Zone: Watershed Protection Zone No ❑ Yes Pr000sed Use: ❑ Agriculture Building ❑ Commercial ❑ Industrial iff Mobile Home ❑ 2nd Dwelling ❑ Multi -Family >2 units per parcel ❑ Other ❑ Cohasset Panel Number: ) Deo ❑ SFD ❑ Residential Accessory Proposed Use Complies With- 9 General Plan 0 Zoning Proposed Use Reauires• ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Accessory Building Use Commercial/Industrial/Multi-Family Uses: Parking: ❑ Parking Requirements are OK as Shown ❑ Other Landscaping: ❑ .Landscaping Requirements are OK as Shown ❑ Other Road and Drainage Improvements Required: ❑ No ❑ Yes Applicable Setbacks: Zoning Code Street & Hi hwa s Fire Prevention Subdivision Ma Front CD Side D 7 Side street —� Rear D 3 Q Height RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVI LE CA 95965 COPY of Document Recorded 21 -Dec -1999 1999-0052661 Has not been compared with original BUTTE COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. PAUL M. SANTONI AND DOLORES L. SANTONI REAL PROPERTY OWNER/LESSOR PO BOX 2748 MAILING ADDRESS OROVILLE, BUTTE, CA 95965-2748 CRY COUNTY STATE ZIP 39 EAGLE VISTA DRIVE INSTALLATION MAILING ADDRESS, IF DIFFERENT OROVILLE, BUTTE, CA 95966 CRY COUNTY STATE ZIP ' MARVIN RAFFERTY UNIT OWNER (ifalso property owner, write -SAME-) PO BOX 5032 MAILING ADDRESS OROVILLE, BUTTE, CA 95966 a" cod STATE w UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP 99-2445 (530)538-7541 BB DIT O. TELEPHONE NUMBER WM SIGNATURE OF LOCAL AGENCY WdrAr DATE NONE DEALER NAME (if not a dealer sale, write -NONE') DEALER LICENSE NO. FLEETWOOD 1999 5663B MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMEJNUMBER caf1a17a/b22880sk12 66'X 26' RAD122A17rL8 SERIAL. NUMBER(S) LENGTH X WIDTH INSIGNLVLABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. #072-530-008 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD - Building Dept. 01 r r, -BUILDING PERMIT NUMBER: 99-2445 Address or location of unit: 39 EAGLE VISTA ,DR., OROVILLE, CA 95966: r, Legal Description of Real Property: A.P. #072-530-008 • SEE ATTACHED • k . - " (x) Mobilehome/Manufactured Home +, O Commercial Coach .Has been affixed to the real property above by installation on a foundation system y ' pursuant to Health and Safety Code Section 18551. , Owner's name: MARVIN RAFFERTY t ' Owner's address: PO BOX 5032, OROVILLE, CA 95966-5032 INSIGNIA OR HUD NUMBER: RAD122417/8 = ' -SERIAL NUMBER OR V.I.N.• CAFLXI7A/B22880SK12 MANUFACTURER'S NAME: FLEETWOOD .YEAR: 1999 1 OFFICIAL APPROVING INSTALLATION: DATE: 12/20/99 PHONE: (530) 538-7541 - T H.C.D.513C , • 1 • ' • ♦ ` - LEGAL DESCRIPTION A.P. #072-530-008 All that certain real property situate in the County of Butte, State of California, described as follows: Lot 30, as shown on that certain map entitled, `SWEDES FLAT SUBDIVISION', which map was recorded in the Office of the Recorder of the County of Butte, State of California, on January 12, 1982, in Book 85 of Maps, at Page(s) 33 thru 42. f)xa VfiW,1HYi,, Mcrow Company I 42-0273661 Roc Fee I DOC Recorded I.Check Official Record• 1 ' ' County Butte Candace J. Grubbm.,1.; Recorder �'•G ly ` I1:00am 22 -Jun -92 1 MYTC iOrder No. Escrow No. 127099OS-3 /? W gA EconDED MAIL TO: PAUL and DOLORES SANTONI P. 0. BOX 2748 OROVILLE, CA 95965 5.00 33.00 39.00 HP 1 MAIL TAX STATEMENTS TO: DOCUMENTARY TRANSFER TAX $=M �, t;ornputea on M ooMlQtrra9en a vak,a d prapeny oonveyoa; 011 SAME AS ABOVE _ Corm ked on 1a OO WNOan of va)vo torr taro Of annrrfdrrrcea ramabh4 d ll'm d seta. 80ature of DeftrMlt a Apra dslseaft ha - Fbm Name GRANT DEED 072-63-0-"-a 'FOR A VALUABLE CONSIDERATION, receipt of which Is hereby acknowledged, KATHLY14E JOHN E. ELDRIDGE and MA-FRMM-ELDRIDGE ALSO KNOWN AS KATHLYNE L. ELDRIDGE. TRUSTEES OF THE ELDRIDGE FAMILY TRUST hereby GRANT(S) to PAUL M. SANTONI and DOLORES L SANTONI, husband and wife, as Joint Tenants the real property In the Unincorporated Area of the Counry of BUTTE as , State of CNlfomle. dr>lrafbod LOT 30, AS SHOWN ON THAT CERTAIN LtAP ENTITLED, "SWEDES FLAT SUBDIVISION", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JANUARY 12,1982; IN BOOK 65 OF MAPS, AT PAGE(S) 33 THOW 42. • Datod MAV 14 1 QQaF.LQKIMilm a TRUSTEE 1 STATE Of CALIFORNIA PLACERKATM COUNTY Of ) sTW U E On May 15• 1922 bobe KA111LYNE L. me, chp underalaned _ pofaonnity amfilad John E. Eldridge and Karhlvne L. Eldridar personally known to me (or proved to rrw an Uro baeb of satmladory evidence) to be the PoMmIA) whose rdmelU latero 54-6396 0111 Io " Athw lrouumeru and ackroowbdpod to ma Ihat 1ulshWOW asouvtod the s mo In hta%he Ahotr authorttod apac)tyQea)• and that by hWWAh* IWICIAL SEAL. srpnaturo(ol on Iho Inelfumant the oofaon(a) or the rrtlry Wen WAR Of Of BARRY wnta+ tno pofean(al eavN, YAuMvL uw byrmnwrp. WITNESS my hard and 6111061 boaL No wPme-warm SACRAMENTO Cdt1Ntt � ('gnrvn. Elrpireti bp1.21,1942 1 { Ute///'� v!•� :•�.�L�L.� Styrolwe -' END OF DOCUMENT STATE OF- CALIFORNIA �M� Bi ' .. • :--:iS, TRANSPORTA-JIION AND HOUSING AGENCY " 7--:i'A CfMENT OF HOUSING AND COMMUNITY DEVELOPMENT DMSION OF CODES AND STANDARDS z REGISTRATION AND TITLING PROGRAM STATE -NEW OF FACTS This unit is a: Z� Mobilchome [-1 Commercial Coach D Floating Home 0 Truck Camper Decal (License) No.(s) I Trade Name I/We, the undersigned, hereby state: Serial No.(s) TI•IE ABOVE DLSCRIBRD MOBILE HOME RIAS BEEN INSTALLED ON AN APPROVED PERMANENT•FOUNDATION SYSTEM AND IS PRESENTLY IN ESCROW WHICH WILL CLOSE WITHIN 45 DAYS. I/We further agree to indemnify and save harmless the Director of housing and Community Development, State of California, and subsequent purchasers of said unit, for any loss they may suffer resulting from registration of the above-described unit in California, or from issuance of a California certificate of title covering the same. We certify under penalty of perjury that the forcgoinp is true and correct. Executed on at (Date) (City) (Stat (s) A 1 Printed names) Address �� y City ��_ , State tICD 476.6 (REV 9/91) And when recorded mail to: Building Division 117 County Center Drive Orovilic, Ca. 95965 COPY of Document Recorded 10 -Nov -1999 1999-0047656 Has not been compared with original BUTTE COUNTY RECORDER AGRICULTURAL STATEMENT Or ACKNOWLEMCMTNT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code requires this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an arca zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from life use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has esLiblished agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from nornial, necessary firm operations. All that real property situate in the County of Butte, State of California, described as follows: so� Date: I Q PROPER OWNERS: Llnlla F• State of California ) County oft{Q On 1 1 before fire, personally appeared LLKAOL F- Dersonally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose nauic(s) is/arc subscribed to the within instr uncut and ackuua•Ied;;ed to fire that he/shchl►cy executed the same in his/her/their authorized capacity(ics), and that by his/her/their signaturc(s) on the instrruncnt, the persou(s) or the entity upon behalf of which the persmr(s) acted, executed the instrument. WITNES and anti official sc Signature Scal: U RACHEL COX M1 COMM #1143719 Cy NOTAw,, VUCL -. CALIFORNIA WoMbIrr.� 2001 .. ..RACHEL CO)( J v„COMM #1143719' NOT'AR'Y' CALIFORN;,�: BUTTE COUNTY C .' Comm.,l:xp.'June 27 2001 J6 " WHICH MAP - STATE OF LOT 30, AS SHOWN ON THAT CERTAIN I,RAP ENTITLED, "SWEDES FLAT SUBDIVISION" WAS RECORDED INE012, 982. N BOOK B5 OFFICE OF THE DER Or THE COUNV MAPS, AT AGE() 33 TH �Dg 2. CALIFORNIA, ON JANUARY, r RE�C�)RDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 iii IN 111111u 1111111111 1 999-0052661 iii 111111 Recorded 1 REC FEE .00 Official Records I CONFORM .00 County Of I BUTTE I CANDACE J. GRUBBS I Recorder I ROSEMARY DICKSON I Assistant I Myles 09:39AM 21 -Dec -1999 I Page 1 of 2 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH,` INSTALLATION ON A FOUNDATION SYSTEM p 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. PAUL M. SANTONI AND DOLORES L. SANTONI REAL PROPERTY OWNER/LESSOR PO BOX 2748 MAILING ADDRESS OROVILLE, BUTTE, CA 95965-2748 CITY COUNTY STATE ZIP 39 EAGLE VISTA DRIVE INSTALLATION MAILING ADDRESS, IF DIFFERENT OROVILLE, BUTTE, CA 95966 CITY COUNTY STATE ZIP MARVIN RAFFERTY UNIT OWNER (d also property owner, write "SAME") PO BOX 5032 MAILING ADDRESS OROVILLE, BUTTE, CA 95966 CRS COUNTY STARE ffi UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP 99-2445 (530)538-7541 BUILDING O. TELEPHONE NUMBER SIGNATURE OF LOCAL AGENCY OFICUr DATE NONE DEALER NAME (if not a dealer sale, W ite "NONE") DEALER LICENSE NO. FLEETWOOD 1999 5663B MANUFACTURER'S NAME DATE OF MANUFACTURE - MODEL NAME/NUMBER , caf1x17a/b22880sk12 66'X 26' RAM 991, 7/R SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER SEE ATTACHED A.P. #072-530-008 HCD FORM 433(A) REV. 8/91 WHITE - County Recorder CANARY - HCD PINK - Applicant GOLDENROD- Building Dept. LEGAL DESCRIPTION A.P. #072-530-008 All that certain real property situate in the County of Butte, State of California, described as follows: Lot 30, as shown on that certain map entitled, `SWEDES FLAT SUBDIVISION', which map was recorded in the Office of the Recorder of the County of Butte, State of California, on January 12, 1982, in Book 85 of Maps, at Page(s) 33 thru 42. 1 NOTES RESIDENTIAL r` " 072-530-008 ' 99-2445 ' RA_FFERTY VIN .PERMIT N0. ,� ,.MAR T 39 EAGLE VISTA DRIVE, OROVILL.; CONTR: D & D HOMES - MH ON PERM FND – NEW SITE vd I1—je— THE HCD FORM 433A.FOR"THIS MH -CANNOT •BE.RECORDED UNTIL',ONE OF THE FOLLOWING{ HAVE BEEN TURNED IN TO THE BLDG,DIV: , i (l) LICENSE PLATE(S) or' DECAL'(.THE INSPECTOR MUST'RETRIEVE) }' _$ '(2) STATEMENT OF FACTS(ONLY ON NEW MH' S )'-, •INSPECTOR�TO VERIFY SERIAL & LABEL #'S • t A 3 i SPECIAL CONDITIONS CHECKED BY —_ SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY ; USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER Y OFFICE COPY Address GAS Meter By ELECTRIC " JOB;FINALED (Dat` Sign .r i A 3 i SPECIAL CONDITIONS CHECKED BY —_ SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY ; USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER Y OFFICE COPY Address GAS Meter By ELECTRIC " JOB;FINALED (Dat` Sign ,/ = OK 0 = Not OK = Not Applicable KOBILE HOMES = Not Ready Date MOBILE UTILITIES (Plans) OK except #'s_ oning Requirements -Setbacks -Easements oils; Special MH Support Sketch e weLL.Lotation-Test-Fall-C/O-Concrete ater; Location -Test -Easement Needed (Sketch) lectricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. P Nat. or / /"L"tt./ /'LPG 7. Well Clearance 8 Disconnect 8. Utilitv Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Zoning Requirements -Setbacks -Easements Footings; Size -Spacing -Marriage Line a HTest-Demand-Valve-Connector t . Electricity; MH Test -Crossovers -Breakers -Clearances v.ain; MH Test -Fall -Flex Connector r 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricitv Taaaed e Downs -Type -Installation Cert. 1 xitst InsD.-Sketch 5=- ert. of Occupancy 2. Permanent Foundation Only: License Decal Date / 11..../ � y%Card B-W__V /Date Card B-1 Datd kZ ' 'Card B-'1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements k 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.: Posts-Beams-Rftrs.-Connectors Shthg.-Frg-Bracing Q� . 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosure; 6. Carports; Windows -Doors 7. Electric { 8. Frmg.; Sills-Anchors-Studs-Rttrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date'. FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosure s-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 . ]r 6� a �. ✓ = OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (; Date Underfloor (Plans) OK except #'s Hangers -Post Caps -Anchors -Connectors 1. Zoning -Setbacks -Easements -Flood -Slope Cling. Joist-Rftr. Ties- Purlin-Rolf Brac.-Truss-Shting.-Ring. 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Fireplace Ties or Type A Flue -Fireplace Throat Clearance 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 4. Fig., Porches & Decks; Soils -Steel-/ /" Ftg. Depth Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 5. Stemwalls, Main; Steel-Blockouts-Wrapped a, 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Property Line Firewall & Openings 6a. Hold Downs and Special Anchors Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 7. Slab, Steel -Wrapped Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 8. Piers -Fireplace Ftg.-Steel Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Siding -Nailing Veneer 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 11. Water Pipe; Test -Anchors -Regulator -Service Test Glazing Area -Glass Protection -Skylights -Plastic 12. Electric Underground Shear Walls; Nailing -Bolts 13. Plenums & Ducts; Clearance -Material -Support -Ins. Brace Interior/Exterior Wall Panels 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Insulation -Walls -Ceilings 15. Access & Ventilation Infiltration -Walls -Windows 16. Insulation Date Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Ext. Steps -Door & Sidelight Protection -Landings 17. Water Htr.; Vent -Access -Combustion Air Baffle Smoke Detector 18. Water Pipe; Test & Anchor -Nail Protection Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection Bedroom Exiting 20. Shower Pan; Test, First Floor -Tub Access G.F.I. & Bath Fixtures & Tub Access -Spa 21. Test Tub & Shower, Second Floor -Tub Access Elec. Trim & Subpanel, Breaker Sizes & Labels 22. Gas Pipe; Sixe & Anchors Stairs & Rails 70. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Elec. Outlets & Receptacles at Kit. Counter 23. Fixture & Transformer Clearance -Ins. Protection Garage Fire Door; Swing -Landing -Closure 24. Elec. Receptacles Spacing -Lights & Switches at Doors A.C. Duct in Garage -Damper 25. Size Boxes & No. of Conductors Stapled Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 26. Romex Installed Close to Edge of Studs & C.J. Plb., Elec. & Mech. Equip. Listed for Location 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Elec. Receptacles in Garage (F.F.I.)-Romex Protection 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI Insulation -Foam -Looked in Attic 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI Guard Rails & Deck Construction -Post Caps 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral ❑ Yes O No Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 31. Service -Riser Conductors & Ground Main Disconnect Clearance Looked under Floor D Yes 32. Equip. Clearances Panels-Motors-Mech. Equip. Following Instld./Drive J Yes :) No/Walks :) Yes :1 No/Planters ] Yes ] No 33. Clothes Closet Light -Shower Light -Spa Light Stucco Brown -Finish 34. Smoke Detector A.C. Unit Disconnect, Electrical -Plumbing 85. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 87. MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Date FRAMING (Permit) OK except #'s Card B-1 Date Card B-1 40. Sits Proper Materials & Anchors Card B-1 Date Card B-1 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing jingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties- Purlin-Rolf Brac.-Truss-Shting.-Ring. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor D Yes 82. Following Instld./Drive J Yes :) No/Walks :) Yes :1 No/Planters ] Yes ] No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: O COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ` a 7 County Center Drive • Oroville, iralifo�ia 95965 • Telephone (530) 538-7541 PERMIT NO. �(Rev.12/96) " y APPLICATION AND PERMIT 49 ,92�27 ASSESS"CEnMQFR 008 ��AffND 20NING BUILDING PERMIT OWNER MARVIN LINDA RAFFERTY �' TELEP ONE SO, Fr. OCC. BUILDING V LUATION GWNERV-d �T}Fj Q,E1032 , OROVILLE Ilu 770— CONTRAff R�� �jh�1E]D� TELEPHONE CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Flin Fee $ 20.00 Permit Fee $ 21.00 ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Ch kin Fee $ 23.00 BUILDING ADDRESS 39 EAGLE VISTA DRIVE, OROVIL LE Energ Plan Checking Fee $ $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL P PLUL43ING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome 6 Other sPECIFr Each 7.00 Solar or heat pump water heater 23.00 a (ping 15.00 E c gas water heater or vent 15.00 TYPE OF WORK New ❑X Addition ❑ Remodel ❑ Utilities ❑ Installationuildin Describe Work: 0 Fro GqZpipingstem 1 - 5 outlets 15.00 sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service '.".A oA mss 23.00 LICENSED CONTRALTO C ATION I hereby affirm under penalty of perjury that I a ens and pro sions of Chapter 9 (commencing with Section 7000) of Division 3 o the sines rofessions Code, and my license I In force and effect. 1� License Class t 1. Lic. No. t ( OWNER -BUILDER DE ARATION I hereby affirm under penalty of perjury that I a pt frLNS om ntractors License Law for the following reason: ❑ 1, as owner of the property, or my employ es wi w eir sole compensation, will do the work, and the structure is of inten e o o red for sale. ❑ I, as owner of the property, am ex fusively cont ting ith licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWEWNG OCCUP. OR ADDNs. ( 6 Acc..S. SO 3.5,so NOES DT. MULTI.OUTLET @7,50 PoWL APPARATUS a SINGLE AP= CIR. EX. OCCU OUTLET OR FORURES 1 00 BAL@ .500 Ex. Occup. ouTLFIXEEDTSA R61D.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE $ WORKERS' C PENSATION DECLARATION I hereby affirm under penalty of erjury one of the following declarations: ❑ 1 have and will mainta' a certificate of consent to self -insure for workers' compensation, as pr Ided for by section 3700 of the Labor Code, for the performance of the rk for which this permit is issued. ❑ 1 have and will main in workers' compensation insurance, as required by Section 3700 of the Labor de, for the performance of work for which this permit is issued. My workers' cc pensation insurance carrier and policy number are: Carrier Policy Num er (The abov sections need not be completed if the permit is for work of a valuation of one h dred dollars ($100) or less.) ❑ 1 certify at in the performance of the work for which this permit is issued, I shall not ploy any person in any manner so as to become subject to workers' co ensation laws of California, and agree that f I should become subject to the w ers' co nsatio rovisions of section 3700 of the Labor Code, I shall fo with c Iy i tho a provisions. I .— (_ r' X :XJ < Date/ !� s ' 7 7_ Signature of App1' ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE i TO AL FE HA � D. FEES IM 1 O CDF PAR PD HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON applicable provisions Resolutions to do work been paid. Date Date Receipt No. 281130 I WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OE DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: 4"ASSESSOR PARCEL ER: 0-7;1 Proposed Building U'se. Q Building Inspector: Dater At time of permit application, I was advised the following data must be submitted prior to permit 111. All iiems have been submitted ---------------------------------------------------------------------- El 2. Plot plans, 3/4 sets, signed by the preparer of plans. -------------------------------------------- 03. ------------------------------------------- ❑3. Complete plans, 3/4 sets, signed by the preparer of plans. ---------------------------------=--- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review)/faxes❑6. Energy Design Compliance and supporting do cumentation. ---------------------❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------❑ 8. Hazardous Material Form.-----------------------------------------t----------------- ❑9. Manufactured Home data and installation instructions including'Tie Down ❑ 10. Fees of $ .. -------------------------- ❑ 11. Impact fees as shown on the attached schedule. ---- El 12. California Department of Forestry plan approval/fee W. Flood elevation certificate. ----------------------------- . Sanitation and plot plan approval OfWt e ❑ 15. City of Chico plumbing permit. -------------- -- --- ❑ 16. Plot plan and business license approval t oma Cit ❑ 17. Planning approval for (A) Use: ❑ 18. Contact Land Development about Ell 9. Encroachment Permit for drivewa 020. Pre -inspection for ❑21. Contractor's license information. i Parking: ------------ -------- ❑ Drainage, ❑ Legal Parcel. --------------------- uion approval prior to occupancy). --------------------- / required Request to Building Inspector on Name �ty e� Classification). -------------------------- ,--- ❑22. Workers' Compensation carrier a:Zo %0,1cyer(& number// ❑23. Owner -Builder Verification (Giv ISI ❑ 24. Letter of signature at Cl 2 5. Recorded copy of AI ❑26. Letter of intent on bu 1127. Manufactured Home 028. Existing violations 1129. 0433 A, ❑Gran/Di E130. Other: use. ------- clearance. to owner ❑). Statement. expired permits. -------------------- ❑ M.H. Title, ❑ Check to H.C.D $ you ispe ermit process as follows ❑ Mail to owner, ❑Mail to ontracto \ r. phone O and hold for pickup at � 1 office. ❑ eli wito inspector. and/or issuance: Received By _ (Date) is -Ir-�S Copy ofP'az-Mat form sent ❑ Health Department, ❑ Fire D ent, ❑ Air Pollution By: Copy plans sent ❑ Health Department, ❑ Fire Dep t, ❑ er: D By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Buildingivision counter, by Date: Plans reviewed by: Date: Plans approved by: Date: /oZ Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development'Services, Building Division BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (530) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO. Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. ZONING OWNER I& T -e- PHO N - J�G3 6J OWNER'S ADDRESS LOCATION OF BUILDING Ile- USE OF BUILDING / e C ✓� SIZE OF STRUCTURE //_, `�SO. X Jae,= FT. TYPE OF CONSTRUCTION: WOOD FRAME STEEL CONCRETE OTHER (Specify) TYPE OF SIDING. ` ROOF COV RING FLOOR PiTE ESTIM ED COST OF CONSTRUCTION AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: nLi ® FRONT SIDES REAR 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. I declare under penalty of perjury that the building will be used as stated about, 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 requirements in effect at that time and before occupancy. Date v w Signature of Own Permit Fee - $60.0(0 G/ The above described AG Building is exemp6 ffom uilding permit. Receipt No. r� �/ I �' (QD ARC P. ROOF Man ger Building Division try By Date / 3 White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 o�-rygl 210 Q114-01036756 Recorded Official Records County Of BUTTE CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 10:56AM 17 -Jun -2004 REC FEE 13.00 CONFORM 1.00 Travis Page 1 of 3 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property.may be subject to inconveniences or -discomfort from.the.use of agricultural -chemicals,. including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: 15 C -E A-i-rA-C-4ED D&SC_21 P 7-/ 00 Date - - Oaf PROPERTY OWN RS: cervi t Gco Da-v�J, SteLck 7 State of California ) County of before me, personally appeared h?42-L�� -�npyitl�,r� rG1� 2� personally known to me (or proved to me on the basis c f satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESSmy h d and official s al. Signature ea l: GWEN l WILLIAMS A.P. 4 o?a-- 5 So - 008 ,. Comm. 41310094 N NOTARY PUBLIC • CALIFORNIA +' Cantu COW Caue T ,�`'CotnMEttplta.A .16.100A MRR-14-2004 22:41 I'll L VHLLL T I 1 I Lr-: a, Cat.lww • - ORDER NO. BU -176513-3 DESCRIPTION THE LAND REFERRED TO IN THIS REPORT IS SITUATED IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, AND IS DESCRIBED AS FOLLOWS: FARCEL : ' THE EAST HALF OF THE SOUTH HALF OF THE SOUTHWEST QUARTER OF SECTION 11, TOWNSHIP 19 NORTH, RANGE 5 EAST, M.D.B. & M. PARCEL 11: A NON—EXCLUSIVE RIGHT OF WAY 60 FEET IN WIDTH, OVER A PORTION OF THE NORTHWEST QUARTER OF SECTION 11, TOWNSHIP 19 NORTH,. RANGE 5 EAST, M.D.B. & M., LYING 30 FEET ON EACH SIDE OF -THE FOLLOWING DESCRIBED CENTERLINE: BEGINNING AT A POINT IN THE SOUTH LINE OF SAID NORTHWEST QUARTER OF SAID SECTION 11, FROM WHICH POINT THE WEST ONE—QUARTER CORNER OF SAID SECTION BEARS SOUTH 89 DEG. 40' 4111 WEST 2537,40 FEET; THENCE ALONG SAID RIGHT OF WAY CENTERLINE NORTH 4 DEG. 46' 40" EAST 102:09 FEET; THENCE NORTH 17 DEG. 50' 2011 WEST 278.60 FEET; THENCE -NORTH 54 DEG, 39' 10" WEST 323.32 FEET; THENCE NORTH 63 DEG. 25' 50" WEST 424.70 FEET; THENCE NORTH 43 DEG. 30' WEST 163.89 FEET; THENCE NORTH 81 DEG. 40' 2011 WEST 265..56 FEET TO A TANGENT CURVE CONCAVE TO THE EAST HAVING A RADIUS OF 50 FEET; THENCE ALONG SAID CURVE, THROUGH A CENTRAL ANGLE OF 123 DEG.,. 43' 40". FOR A DISTANCE OF 109.97 FEET; THENCE NORTH 42 DEG. 03' 20"EAST 107.24 FEET; THENCE NORTH 32 DEG. 57' EAST 466.82 FEET THENCE NORTH 12 DEG. 10' EAST 78.83 FEET; THENCE NORTH 53 DEG. 15' 31" EAST 50.00' FEET TO A POINT IN THE CENTERLINE OF LUMPKIN COUNTY ROAD. PARCEL IIIc ANON—EXCLUSIVE RIGHT OF WAY 60 .FEET .IN WIDTH FOR ROAD AND UTILITY PURPOSES OVER A -PORTION OF THE NORTHWEST QUARTER AND A*PORTION 'OF THE SOUTHWEST QUARTER OF SECTION 11, TOWNSHIP 19 NORTH, RANGE' 5 EAST, M.D.H. & M., LYING 30 FEET ON EACH SIDE OF THE FOLLOWING DESCRIBED CENTERLINE: COMMENCING AT A POINT IN THE SOUTH LINE OF SAID NORTHWEST QUARTER OF SAID SECTION 11, FROM WHICH POINT THE WEST ONE QUARTER CORNER OF SAID SECTION BEARS SOUTH 89 DEG. 40' 4111 WEST 2537.40 FEET; THENCE ALONG SAID RIGHT OF WAY CENTERLINE, NORTH 4 DEG. 46' 40" EAST 102.09 FEET; THENCE NORTH 17 DEG, 50' 2011 WEST 278.60 FEET; THENCE NORTH 54 DEG. 39' 10" WEST 323.32 FEET TO A POINT HEREINAFTER DESIGNATED AS POINT "A11, AND THE TRUE POINT OF BEGINNING FOR THE LINE BEING DESCRIBED; THENCE SOUTH 0 DEG. 49' 29" EAST 12.54 FEET; THENCE SOUTH 39 DEG, 49' 10" WEST 207.58 FEET; THENCE SOUTH 60 DEG. 35' 3011 WEST 136.25 FEET; THENCE SOUTH 85 DEG. 31' WEST 148.95 CONTINUED Received Time Mar -15, 10:44AM MHK-14—eee4 LL- 41 I'I lU VnLLC I I a I l.a'7a ORDER NO. BU -176513-3 PARCEL.III: CONTINUED FEET; THENCE SOUTH 51 DEG. 15' 30" WEST 138.71 FEET.; THENCE.'SOUTH 69 DEG. 50' 3011 WEST, 110.95 FEET; THENCE SOUTH 56 DEG 18' 4011 WEST 138.21 FEET; THENCE SOUTH'33 DEG. 43' 401' WEST 130.04 FEET TO A POINT. IN THE SOUTH LINE OF SAID NORTHWEST QUARTER OF SAID SECTION 11; THENCE CONTINUE SOUTH 33 DEG. 43' 4011 WEST 76,64 FEET; THENCE SOUTH 7 DEG. 17' 30" WEST 160.01 FEET TO THE END -OF SAID LINE. PARCEL IV: A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES'ON AND OVER A STRIP OF LAND 60 FEET IN WIDTH LYING 30 FEET ON EACH SIDE OF THE FOLLOWING.DESCRIBED CENTERLINE: BEGINNING AT A POINT ON THE EAST -WEST CENTERLINE OF SECTION 11, TOWNSHIP 19 NORTH, RANGE. 5 EAST; M.D.R. & M . FROM. WHICH THE EAST QUARTER CORNER OF. SAID SECTION 11 BEARS NORTH 89 DEG. 40' 41" EAST 3817.53 FEET.; THENCE FROM THE POINT OF BEGINNING -SOUTH 33 DEG. 43' 4011 WEST 125FEET, MORE OR LESS, TO THE NORTH -SOUTH CENTERLINE OF THE SAID SOUTHWEST QUARTER; THENCE SOUTHERLY ALONG.THE SAID NORTH - SOUTH CENTERLINE TOA POINT WHICH LIES 65.00 FEET SOUTHERLY OF THE SOUTHWEST 1/16 CORNER AND THE END OF THIS DESCRIPTION. Received Time Mar -15. 10:44AM . l- -r- 9(/ La� �E7 460. Al� /Let- F'o Sty/ 5-©0�z, t,EV-,'LWED BY BUTTE CO. FIRE DEPT. CALIF. DEPT. of JitFORESTRY E ] approved as subn-cd approvcd with conditions; por, attache sheet. Date ALL STRUCTURES AND EQUIPMENT INCLUDIN3 OVERHANGS SHALL BE CLEARI OF -ALL EASEMENTS. A SET BACK Or - FT. rrm -L Ti-lE SIDE AND 3 D FT. FRO�-,-, THE REAR PROPE19"TY Ll?JE 9 ' EG A�l _,Z_ FT. 4FRO'Ll. T.HF RCL' -.D CE�,,,TERILI'F 1:-� SHALL. BE CLEAR Or- STnIJC 7h;7v'=-G AN'D EQU`,'3r..l!ZNT EKE FOR A 2 FT. EAVE OVERHIANt! [) K BUTTE COON I t . ,����' RUILDING DEPARTME1, A P rp,,,Rv/p V F CDF FIRE SAFE REQUIREMENTS �-7 Z AP# PERMIT # NAME Under authority of PRC 4290, the following checked items are required by the Butte County.Fire Department and are made a part of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building -Department for compliance. [ J 1272.00 Maintenance of Defensible Space. To ensure continued \\ maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided for in these standards, annual maintenance- must-be aintenancemust be provide for by the land owner. Driveway Standards ['] 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other apparteaant structures which supple- ment the roadway bed or shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing -sedans and fire apparatus weighing up to 40,000. pounds. 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius } 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of 50- 100 'feet. radius; 2 feet to those from 100-200 feet. 2. The length of vertical curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. 1273.05 Turnarounds. If required, will have a.minimum turning radius,of 40 feet from the center of the road. 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with minimum 25 foot taper on each end. 1270.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 of .3 AP # PERMIT # NAME [� 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. [X] 1273.10 Turnaround. A turnaround shall be provided at all building sites on driveways over 300 feet in length and shall be within 50 feet of the building. 1273.11 Gates 1. Gate entrances shall be at least two feet wider than the roadway it serves. [�] 2. The gates must be located at least 30 feet from the ' roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. [ ] 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space. �] 1. All parcels 1 acre and larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from 411 property lines and/or the center of the road. [ ] 2. For parcels less than 1 acre, local jurisdiction shall provide for the same'practical effect. See Other Requirements below. 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction :,r f.ial inspection of a building permit. Page 2 of 3 e,7 tjGCF�/Lri� AP # PERMIT # NAME other Requirements j ] if Building Setback is 15 to 30 Feet: Class A or B roof Enclosed eaves [ ] If Building. Setback is Less Than 15 Feet Choose any 3 of the following: - Metal or no doors on .side toward property line with-insuffi'- cient setback - Class A or B roof with enclosed eaves Interior automatic sprinkler system per NFPA 13D - Glass area not to exceed 110% of wall area toward property line with insufficient setback - Siding from the following list: Stucco - 3 coat Hardi-Board or Plank Masonry Masonry veneer Metal Other Butte County Fire Department approved materials ai� 1.. Owner's Name: 2. Assessor's Parcel Number: (D7A 5 0 •E�� 3. Installer's Name- 4. ame 4. Is the site currently under permit? Yes[ ] No[ 14/permit No. _ Y 5. Is the site an existing site? Yes[ ] No", (if yes, furnish two plot plans). 6.. What is the electrical rating of the. mobilehome? I b es Amperes. ' 7. What is the mobilehome site circuit breaker rating? r`'o 6 Amperes. 8. What is the electrical rating of the mobilehome site? MC) Amperes. 9. Is the main service remote from the mobilehome site? Yes No[ ] If it is, what is the rating? 9 g%> Amperes. 10. Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage etc.)? Yes[ ] No[ ] If.yes, please identify the load and size: a) The mobile home site: Load- Amperes - b) The main service: Load- Amperes - 11. Type of gas service at mobilehome site: Natural[ ] Propane['`] None[ ] 12. Size of gas pipe at the mobilehome site from the meter or tank: inches. 13. What is the gas pipe length from the meter or tank to the mobilehome? 26 (ft.). . 14. What is the mobilehome gas demand? B.T.U.* . *(This information is not required if the pipe length is less than 6 feet on natural gas or less than 50 feet on propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION May 1995 8,LUTE,, I A * sX 8.5 U J�_1 iv— o C M.H.L— 2 Mobilehome Manufacturer:' - aManufacture Year: 1 If other than single wide, furnish Setup Model Number: ; ... G 3 8 Width:`W (ft.) Length: (ft.) Tagalong or Expando Size (ft.) x (ft.) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup.sheets.: t FOOTINGS: Wood pressure treated or foundation grade[ ] Other: SUPPORTS: Concrete block[ ] Other: Provide Tie Down Specifications for all Mobilehomes: Pier Footings Sizes and Location SINGLE WIDE MULTI --WIDE Line 1 Line 1 - Line 2 Line 2..................................................................... .................... ..:.............................. Again Beams.......................I.............. 62 Lino 2 Line 3 o I Line 2 ............................................................................................. Main Beams Line 2 ......................................................................................1.. Line 1 " Line 1 Piers: Size minimum: r ix Spacing maximum: ` From ends -maximum: ` Line 2 Piers: Size minimum: [ 3q ] x [ x,+ Spacing maximum: o ` From ends -maximum] d ` Line 3 Roof Loads: 30 Size minimum Location (from front): Line 5 Roof Loads: Size minimum: Location (from front): Line 1 Openings Size minimum: [ i -z ] x [.2-q]. Each side of openings with width over: © ` Line 4 Piers: Size minimum: ] [ Spacing maximum: ` From ends -maximum: A` a #u36 r130 a Yid rQx3o ��3n �yX3a r � _ ear 1, wig M cc it1 I - �s � `----- 1' � - 1 _ `c - rr - � itC Z Ems. .{ nt Th; ='F felt rio- 1 �'4LlT7:T" ! � c tri ' ► �_ 1�sL4FiD 1 .► -c M3.6 -a1:7. �•� 1 _! s ► ► \CD .( LIV1h1ET .ROOM. " s} f gRCft r►GC �� E�RODf'ri AUN MOLL. TO�Q i � => *4 F� r 12c- MAX RY �- ©© z , Sm t o �'�' Fs. o Ee � Q 21 —4• �� w 9 rs..a B CD /_� ! t0'Z�� �V / QL�� -r cr' 1=•`�.« .y Q IT-�v�j 9700 3 A 17--1 t? 3 CD ]iii✓ bC bLItC f1 r 'J Z y -.` R�=CC. 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LQ42N BY7WPAAf1=fDOORTOWM NCTTO9 4. 8 P=aT POt 8VKU WIV9 COiA� 10 MTPOR 80'DMU NI=C0A0= PRECAST C O N C R E T E & 1sf:srxww►ir• s=r►tlotl■csMmtiaoAau>< FOUNDATION PAD 4. «=Owampxuw&m am.==Fmmmalotl ucwnaDo�.a�l+lo m s' C SCALE, 1' = 1.�' S. r* ANY au On= THAN AA MUM @/ TM PLAN OM1 ARM TNa Plat AND PAD iAYotJt >a R><V»M►aD AND sPPlloti�D RY D0MA1 D iwt T6lIW AI< AaocxATst , 3/4' PLYWOOD SHEETS BtACtNO ON 0 BaAIAf OR i PACO SCREWED TOUTHER WITH 1. TiRA PLAN Aala Int C0AQ0i M>Iii 1 MC3t AND 13 IIit3l 1 30'x32'x3/4• 12 •A x I In, ►BNS BSAlfB. PLYWOOD `. 1 ANY IDXHBL41d2N TTOICAKiQlV>j MRS MAN&O=(� &#01POOPtW AND ISP 0IAati W PRq CANINOR'sIO = W PRT 6. E1; ►oQ It�Hew^wA. Mo,,, '� AN � l 1 - I PIER D SEISMIC � s t �►OUMDATLWN PAD r >rcitt� 1�i1 �i" �+ pP�l) r \ A. ra0v10 LpY.I ' 1 32'x3/4' x r r r 18' 30° PLYWOOD BiAHRCf GOOML71o1i Nt�'R yr ' r r r 'Mlrw xl 4s hM Aj RH�Ir *do t EYP C0 11...:.:. 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