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072-580-004
CQ q -580-0Gy Daniel W. Schmidt SW cor . of Dancing. d D ur +� View Dr., Off,Rebel ,Fo own Area Permit #1023- P E u , 1 GAS "SUPPORT STRUCTURE REQ , , COM P A xa __ i • CTION TEST - U ' 072-580`-004.. 01-0189.' }' BAMBULA, GLENN_ CANDY�c''1 L OROVIL w+ CONTR: SKYCREST ENTE SE _ u .'MH,ON PERM FND NEW SITE S F i z i T , y ''`-.illi...' ~ k . • .� �. N •' �� � 4 FICE.COPY��.� x Address— NOTES ,. "f• RESIDENTIAL" � ' Meter,By ELECTR w jMeter B' Date? Date - r 072-580-004' O1'=0189 BAMBULA, GLENN CANDY .& 3"t bomc-; N, DR.,'OROVILLE t7bNtR: SKYCREST ENTERPRISE MWON PERM FND NEW SITE - t - -' - - 7 711 THE HCD FORM 433A FOR THIS MH "CANNOT } BE,RECORDED UNTIL ONE;OF THE FOLLOWING HAVE BEEN TURNED IN TO THE'BLDG DIV: (1')1` LICENSE PLATE(S) or DECAL(THE r INSPECTOR,MUST RETRIEVE) , '(2) STATEMENT OF FACTS(ONLY ON NEW MH' S ).,,- ,• INSPECTOR TO & LABEL # S, , y yVERIFY•'SERIAL SPECIAL CONDITIONS CHECKED k BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY - 4 FICE.COPY��.� x Address— G AS Meter,By ELECTR w jMeter B' Date? Date ' f t _ JOB FINALED (Date) k Signature L• . ;� `L71 �,� t COUNTY OF BUTTE BUILDING DIVISION DRtPAATMENT OF DEVELOPMENT. SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 E CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the C above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, 4 please contact this office im T ediately. ZA -- o & s C.- L- 1 t I C: L -t," " 4 - -5 Date . REV 1 4 ' . COUNTY,;OF BUTTE Tr s " BUILDING DIVISION' DEPARTMENT OF DEVELOPMENT SERVICES '. 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CAS- (530)'538-7541 a CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and. should be corrected. Please notice this office when correction of work is completeb. If have to yo any questions pertaining this matter, or need additional explanation, y please conta is office immediately. �3Q 4 Date Card B-1 Date Card B-1 Date Ca B-1 Date Card B-1 Date MOB( OME INSTALLATION (Plans) OK except #'s Z Footings; Size -Spacing -Marriage Line MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector W r 6. Water;. MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 12. Permanent Foundation Only; License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J `) -7o�oZ7�rt% MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s e f V=OK Zoning Requirements -Setbacks -Easements 0 Not OK Footings; Soils -Size -Depth -Spacing -Connectors -Steel I = Not Applicable -MO BILE HOMES ` = Not Ready 4. L> I Date MOBIL'S HOME UTILITIES (Plans) OK except #'s Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 1. Zoning Requirements -Setbacks -Easements Carports; Windows -Doors 2. Soils; Special MH Support Sketch Electric S. Sewel;-Location-Test-Fall-C/O-Concrete Frmg.; Sills-Anchors-Studs-Rhrs-Trusses ate Location -Test -Easement Needed (Sketch) Siding; Nailing -Veneer -Stucco -Mesh ectricity; Location-Clearances-Grnd-/ /Amp -Concrete Roof; Shthg-Roofing 6. Gas; Location -Test -Wrap; / /" L'ft. Ext.; Steps -Doors -Landings / /'Nat. or 'Lb /"L"ft. ^ /,LPG Braced Wall Panels 7. Well Clearance '& Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Ca B-1 Date Card B-1 Date MOB( OME INSTALLATION (Plans) OK except #'s Z Footings; Size -Spacing -Marriage Line MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector W r 6. Water;. MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 12. Permanent Foundation Only; License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J `) -7o�oZ7�rt% MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rhrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rhrs-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- Enclosures- Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche i Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 I J = OK 0 = Not OK = Not Applicable Not Ready Date Underfloor (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Fig., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth RESIDENTIAL (Single & Duplex) Date 3. Fig., Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ P' Ftg. Depth 5. Stemwalls, Main; Steel- Blockouts-Wrapped 6. Stemwalls, Garage; Steel- Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation 60. Brace Interior/Exterior Wall Panels Date 61. Card B-1 Date Card B-1 Date 62. Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Date 17. Water Htr.; Vent -Access -Combustion Air Battle Date 18. Water Pipe; Test & Anchor -Nail Protection Date 19 D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 66. Bedroom Exiting Date 67. Card B-1 Date Card B-1 Date 68. Card B-1 Date Card B-1 Date 69. ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral O Yes ❑ No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Clearance Looked under Floor ❑ Yes Date 82. Card B-1 Date Card B-1 Date 83. Card B-1 Date Card B-1 Date 84. 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 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric Date 92. Card B-1 Date Card B-1 Date 93. Card B-1 Date Card B-1 Date 94. FRAMING (Permit) OK except #'s 40. Sills Proper Materials & Anchors Date 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound Date 42. Bearing Walls over Girders & Floor Nailing Date 43. Draft Stop in Walls (rat proof) Comments at Final: 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearinq Date FRAMING (Continued) 46. Hangers -Post Caps- Anchors -Cof neLlwos 47. Cling. Joist-Rftr. Ties-Purlin-Roff 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-Mech. 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. Etec. 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 ❑ Yes 82. Following Instld./Drive J Yes J No/Walks J Yes J No/Planters J Yes J 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: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - B WING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone ( 538-7541 PES. , NO. (Rev. 12/96). APPLICATION AND -PERMIT' ASSESSOR PARCEL NUMBER 072-580-004 ZONING BUILDING PERMIT OWNER TELEPHONE 383-8417 SO. FT. OCC. BUILDING VALUATION p 8 00 . OWNERS MAILING ADDRESS r. 239 C 3,107.00 CONTRACTOR'S NAME SKYCREST ENTERPRISE TELEPHONE 342-2694 CONTRACTORS MAILING ADDRESS 13468 HWY 99 EAST CHICO CA 95973 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ r,9 o55 -nn ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ 27 DANCING WIND DR OROVI= CA Energy Plan Checking Fee $ $ PERMIT FEE S96-1-75 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome/V Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 1 9_00 Each gas water heater or vent 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 15 QQ Mobile Home I S I G I W @20.00 PERMIT FEE $ 65.00 ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200AORLESS 23.00 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 Class LA I= Lic. No. IC y j 'L 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 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: bbThave 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 _`�k e— Policy Number Wl_% L (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 forthwith ply -with th se rovisions. `� X Date\IV �� " �t?fJ� Sign atuA o Appll ant - ner Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service �w TO � 46.00 NEW coNsr. DWELLING occuP. u ADONS. &ACC. 3.52F°; NOR EW CONS I. MULTI -OUTLET NON-RESID. 97.50 POWER APPARATUS 8 SINGLE OUTLET CIR. 20 .00 EX. Occup. OUTLET OR FMRES SAL O I.50 ED Ex. Occup. oursRM .D� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 43.00 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FET: $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ MAZ. p. FEES IMP X FLOOD X COF X PARCEL PD X X HD X ISSUE V/ This permit is hereby iss ed under the applicable provisions of the utte County C de and/or Resolutions to do work indi ate a or wh' fees have been paid. By pD a �/ PERMIT EXPIRES ON D 6TH ate Receipt No. 314540 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT - 7ECO2Z9ING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 COPY of Document Recorded 28 -Feb -2001 2001-0007939 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. GLEN & CANDACE BAMBULA BUTTE COUNTY BUILDING DIVISION REAL PROPERTY OWNER/LESSOR LOCAL AGENCY ISSUING PERMr um CERTIFICATE OF OCCUPANCY 8179 TOMMY CIRCLE 7 COUNTY CENTER DRIVE MAILING ADDRESS MAILING ADDRESS SACRAMENTO CA OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP CITY COUNTY STATE ZIP 27 DANCING WIND DRIVE 0 0189 530-538-7541 INSTALLATION MAILING ADDRESS, IF DIFFERENT U(L ILMITILBER& TELEPHONE NUMBER OROVILLE BUTTE CA 95966 ?IU6 CITY COUNTY STATE ZIP SIGNA OF LOCAL A NCY OFFICAL PATE SAME COUSIN GARY'S UNIT OWNER (Iralso property owner, write "SAME") DEALER NAME (lint a dealer sale, write "NONE") SAME 91265 MAILING ADDRESS DEALER LICENSE NUMBER SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION SKYLINE 9/11/99 A-90OCTB MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMEINUMBER 8D-70-0276-M-B/A 50 X 24 ULI 496923/ ULI 496924 SERIAL NUMBER (S) LENGTH X WIDTH INSIGNIAULABEL NUMBER (S) REAL PROPETY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER 072-580-004 SEE ATTACHED HCD FORM 433(A) REV.8/91 EXHIBIT "ONE" PARCEL ONE: Order No. 403300 Parcel 4, as shown on that certain Parcel Map, filed in the Office of the Recorder of the County of Butte, State of California, on July 28, 1981, in Book 83 of Maps, at Page(s) 65. PARCEL TWO: 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 801 40' 41" West, 2537.40 feet; thence along said right of way centerline North 41 46' 40" East, 102.09 feet; thence North 170 50' 20" West 278.60 feet thence North 540 39' 10" West 323.32 feet; thence North 830 25' 50" West 424.70 feet; thence North 43°30' West 163.89 feet; thence North 81 ° 40' 20" 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° 43' 40" for a distance f 109.97 feet; thence North 420 03' 20" East, 107.24 feet; thence North 320 57' East 466.82 feet; thence North 120 10' East 78.83 feet; thence North 530 15' 31" East 50.00 feet to a point in the centerline of Lumpkin County Road. PARCEL THREE: A non 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. B. & 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 890 40' 41 " West 2537.40 feet; thence along said right of way centerline North 40 46' 40" East 102.09 feet; thence North 17 ° 50' 20" West 278.60 feet; thence North 541 39' 10" West 323.32 feet to a point hereinafter designated as point "A", and the true point of beginning for the line described; thence South 00 49' 29" East 12.54 feet; thence South 390 49' 10" West 207.58 feet; thence South 600 35' 30" West 136.25 feet; thence South 85° 31' West 148.95 feet; thence South 51 ° 15' 30" West 138.71 feet; thence South 69° 50' 30" West, 110.95 feet; thence South 56° 18' 40" West 138.21 feet; thence South 33° 43' 40" West 130.04 feet to a point in the South line of said Northwest quarter of said Section 11; thence continue South 330 43' 40" West 76.64 feet; thence South 70 17' 30" West 160.01 feet to the end of said line. PARCEL FOUR: 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. B. & M., from which the East quarter corner of said Section 11 bears North 89 ° 40' 41 " East 3817.53 feet; thence from the point of beginning South 330 43' 40" West 125 feet, more or less, to the North-South centerline of the said Southwest quarter; thence Southerly along the said North-South centerline to a point 1) Order No. 403300 which lies 65.00 feet Southerly of the Southwest 1116 corner and the end of this description. Parcel Five: A non exclusive easement for road and public utility purposes over that portion of parcels 1, 2, and 3 lying with Dancing Wind Drive and Summer View Drive, as said parcels and roads are shown on that certain parcel map recorded in the Office of the Recorder of the County of Butte, State of California on July 28, 1981, in Book 83 of maps at page 65. Assessor's Parcel No: 072-580-004-000 3 BUILDING PERMIT NUMBER: 00-2955 , Address or location of unit: 27 DANCING WIND DRIVE Legal Description of Real Property: 072-580-004 SEE ATTACHED: , ( X) Mobilehome/Manufactured Home ( ) Commercial Coach ' Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: GLEN & CANDACE,BAMBULA Owner's address: 8179 TOMMY CIRCLE SACRAMENTO INSIGNIA OR HUD NUMBER: ULI 496923/ ULI 496924 SERIAL NUMBER OR V.I.N.: 8D-70-0276-M-B/A .. _ MANUFACTURER'S NAME: SKYLINE Y AR: 9/11/99 OFFICIAL APPROVING INSTALLATION: DATE: PHONE: (530) 538-7541 = ` H.C.D. 513C , �� COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION �0!-7 County Center Drive • Oroville. California 95965 • Telephone (530) 538-7541PERMIT NO. APPLICATION AND PERMIT 41—. D��-- p —00 DD"N0 BUILDING PERMIT ��[CawMMVaoDDn° O kTml fOie SO. FT. OCC. BUILDING VALUATION M MME 1 ✓ r: Ta9PHONE 3 - co►rtRACTDR MAaua A0000 Co NsTRNCTION LENDIE t UFMMS MA%#4 ADORESS Fireplace Total Valuation = ARCHrtECT OR EHOt►EET+ ucENce No. Filina Fee+� E 20.00 ENNMA ARCHITECT OR OEMV LJNO ADOREsa °ULOM ADDRESS , v� r^ I Permit Fee "1' e�6/ 6 d75 S Q Plan Checking FeeAl Energy Plan Checking Fee i C da i PERMIT FEE _ " F LOT No. •UaONB10NE NA►E ►ARCEL MAY PLUMBING PERMIT Filing Feel 20.00 USEOFSTRUCTURE SF O Duplex O Mobilehomex. Other spec" Edch Trap 7.00 Solar or hent pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition O • Remodel ❑ UEGtles 0 Installation jj}} ❑ Other ❑ ��/j--2 Describe Work: dz�—&adz 2y�. Gas piping system 1 - 5 outlets 15.00 - Buildin sewer 15.00 �— Mobile Home I S I G I W (§720.00 PERMIT FEE i e ELECTRICAL PERMIT Filing Fee 20.00 Main Service = 2s 23.00 ° a • ' 67 7 "L ✓ G_ /� t *PERMIT FEE PAID ✓ � ° ! SRA 'L SHERIFF`3 fp��t (f D OTHER. AMOUNT RECEIVED $ `0 L 7J *RECEIPT NUMBER _T3���`��° * TO BE PUT INTO COMPUTER Main Service 206A TO IOOOA 46.00 CO43. cl* OCCVP. SO oa ADDNs. a Ace. erns. 3.54FT: MULTI-OWLET ET NONRESID. BRANCH CIRCUIT2 @7.50 POWER APPARATUS a SNOLE OUTLET C0. EX. Occup. ovTltT OR ruTtx+Es eAto p I.Oo FOLED APPLNS. OR Ex. Occup. OUTUTs Esso. Ew 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE t MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 PERMIT FEI: t Mobile Home Installation Fee S Energy Inspection Fee i OCC CONTAL FEE $ ` au. D COY � ro 6SUE �!6, This permit Is hereby Issued under the ble provisions of the Butte County Code and/or Resolutions to do work Indicated above for which fees have been paid. By Date PERMIT EXPIRES ON r. �� -Ak +'a',aw��'{ ' '1 Y' ti ,�*4�✓r1w •^'�^���`�i'-�',.Y''Ir ,COUNTY,OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538,Zf41. 6� PERMIT APPLICATION DATA SHEET OWNER: IyInV ae- /7 ASSESSOR PARCEL NUMBER: Proposed Building Use: �/-/ 4A) Building Inspector: L Date: At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: vem) �0,/74�r Date Received By ❑ 1. All iiems have been submitted-------------------------------------------------------------------------------------- 1��� a, V �''�. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ L/U3/ Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- S tA124' 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! ------------------ r ❑ 6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Form. ----------------- I------------------------------------------------------------------------ #121(1 an actured Home data and installation instructions including Tie Down Specifications .------------------ sof 7/, �� ---------------------------------------------------------------------------- pact fees as shown on the attached schedule.------------------------------------------------------------- California Department of Forestry plan approval/fees. --- ----�� --- ------ . F elevation certificate. ---------------------------------------------------------------------------------------- - anitation and plot plan approval Health Department. ------------------------------------------- ❑ 15. C' of Chico plumbing permit. ----------------------------------------------------------------------------------- 1 . Plot plan and business license approval from the City of Biggs. ---------------------------------------------- 7 Planning approval for (A) Use: (B) Parking: -------------------------- r 8. Contact Land Development about Improvements, C3Drainage, Legal Parcel. -------------==-------- 19. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- ❑20. Pre -inspection for required Request to Building Inspector on (Date) 112 1. Contractor's license information. (Number, Name Style, Classification). ------------------------------------ 022. Workers' Compensation carrier and policy number. ----------------------------------------------------------- 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------- 024. ------------------------------------ ❑24. Letter of signature authorization.---------------------------------------------------- ---- - --------------- ❑ 25. Recorded copy of Agricultural Acknowledgment Statement. ------------------ ---------------------------- ❑26. Letter of intent on building use.-----------------------------------� ----------------------------------- E127. Manufactured Home utility clearance. ----------- -------- - �---- ----- --------------------------- 028.1 Existingpio tions and/or e pired peri ❑29.1YJ433 A, Grant Deed, and/or Titl�l Check to H.C.D $ 0/OI--------------- E130. Other: ------- When you issue the permii�tt,y, process as follows 11 Mail to owner, ❑M contractor. Telephone 3f�� and hold for pickup at office. ❑ De 'ver with inspector. Applicata ( ate: Copy of Haz-Mat form sent ❑Health Department, ❑Fire Department, Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ th Date: 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, 13 Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, 13Building 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, ❑ BuildingnivisieA counter, by Date: Plans reviewed by: Date: Plans approved by: i V Date: 2 • (D0— Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance iH. USE ONLY Plot PlanOAt`aoh/'�--r Roar PIA-4ittachrd Sant to B.D. o -t OH Owner Location AP# Plan Approved for: Sewage Disposal '**< Water Supply: Public Private Well K Clearance fo QAwelling. Other Hold -final for: Final clearance O.K. for: (VOTE: Environmental Health Specialist V Date 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/ )6yi�'Cy/s� A.P. # PR P SED BUILDING USE �� /% �/ �-� dt.�� DATE � � RECEIPT # DATE REC. 1. BUILDING PERMIT FEES --Balance Due ........................................................ $ --Additional Fees Due ............................................ $ --Additional Fees Due ............................................ $ --Revised Plan Checking Fee ........................•........ $ 2. SCHOOL DISTRICT FEES (paid 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 Residential ............................ x =$ # Units Amt. Commercial (Sq. ft.) ............. x = $ Sq. ft. Amt. 5. RECREATION DISTRICT FEES 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK CJ $89.00 (paid at Building Division) —JL 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER 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. C APPLICAN DATE Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 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. 6/00) i Oil d L e'' ncv `'•? BUTTE. COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) ' 00 School District ���"ir I r Loer Building Department No. A.P. Number ,�� JO(/"yY/� Jurisdiction: CityCounty Property Owner Property Location/Address Subdivision Lot No. ............................................................................................ Residential DevelopmentSq. Footage �Q No of Living MobWile Home Addition/ Supplemental to (Group R) Units Installation Conversion Permit # *(No foundation inspection): €................................................................................................................... Commercial/Industrial Sq. Footage New Addition (Including Exterior f Roofed Areas) wilding Department Representative. ., Date II-loor Plans reviewed by School District Personnel) District Identification No. School District certifies that / n (Applicant) (Street Addfesss' (Phone Number) j'� a" � (City) has complied with the requirements of Resolution No. representing g (O square feet. School District Representative (�,((SS�tate) (Zip Code) 9,9 by payment of $ JrAB 2926 $ FULL MITIGATION $ Date Paid by Check # Remarks: �/,j, �( F�i[) 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 660201a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from 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 notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), 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) feeformAs (10/98)dmm 0 Recorded at the Request of nth" "Illey TWO & Escrow Company Order No. 9 =.42187 3 n Escrow No. 130166-3 DHLoan No. WHEN RECORDED MAIL TO: 92-042.18 71 Roc Fee 11.00 GLEN AND CANDACE BAMBULA 8179 TOMMY CIRCLE SACRAMENTO, CA 95828 MAIL TAX STATEMENTS TO: SAME AS ABOVE APO 072-280-106 1 DOC 25.85 Recorded 1 Check 36.83 Official Reoorde 1 County of 1 Butte I Candace J. Grubbs I Recorder I 8t00ael 22 -Sep -92 I MVTC MP 3 DOCUMENTARY TRANSFER TAX MM Computed an to mulderdon a insure of popergr conveyed; on compAed on M conal., ", or velw Ms Mne or arcolatdrarloee roma ling at Ikne of ave. Tha trnrlarvttAnAd nranfnr rladaraa Signature of Declarant or Agent dole M Ing Inc - Fhn Pane GRANT DEED. FOR A VALUABLE WNSIDERATION, recelpt of which Is hereby acknowledged, HENRY T. RUNGE, JR. and CYNTHIA A. RUNGE, husband and wife hereby GRANTS) to GLEN BAMBULA and CANDACE J. BAMBULA, husband and wife, as Joint Tenants the real property In the unlnaorporatod area of the County of BUTTE as SEE ATTACHED LEGAL DESCRIPTION Dated gAptAmhnr 1A 1999 1 STATE OF CALIFORNA )as COUNTY OF BUtte ) O11 Septen*mr 21, 1992 petro 1110•. Daniel F. Hunt porswWly appeared Henri T. Runge, Jr. personally known to me (or proved to me on the bub of satisfactory ovtdonco) to be the person(&) whose name(&) Was sub&oribed to time wlthln Instrument and acknowledged to me that hohhalthey exoculed the "me In hWherMNr authorized capaclty(les), and that by WmAhelt agnature(s) on the Inlrum penan(s) entity whloh the person(&) act ex od the Ins VIATNESS my hand and me 1 seal. Signature . Mede of Cdfornla, deeabed •- -see - J 00, ■�o�aaoaa�aa�a��aa����s��■ DANIEL F. HUNT a NOTARY PUSLIC•CALIPOnMA e j ,hNe County e • My Ct mmisson Expns Ont 1, 1994 • • a ■�aaaaaaaaoaa�aeeessasaae� , 92-42 18 7 ORDER NO. BU -130155-3 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' 41" 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' 20" WEST 278.60 FEET; THENCE NORTH 54 DEG. 39' 10" WEST 323.32 FEET TO A POINT HEREINAFTER DESIGNATED AS POINT "A", AND THE TRUE POINT OF CONTINUED . DESCRIPTION ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS FOLLOWS: PARCEL I: PARCEL 4, AS SHOWN ON THAT CERTAIN -PARCEL MAP RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JULY 28, 1981, IN BOOK 63 OF MAPS, AT PAGE(S) 65. PARCEL II: 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 '80 DEG. 40' 41" WEST, 2537.40 FEET) THENCE ALONG SAID RIGHT OF WAY CENTERLINE NORTH 4 DEG. 46' 40" EAST, 102.09 FEET; THENCE NORTH 17 DEG. 501 20" WEST 278.60 FEET; , THENCE NORTH 54 DEG. 391 10" WEST 323.32 FEET; THENCE NORTH 83 DEG. 25' 50" WEST 424.70 FEET; THENCE NORTH 43 DEG. 30' WEST 163.89 FEET; THENCE NORTH 81 DEG. 400 20" WEST 265.56 FEET TO A j� 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. f-71 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 IIZI A NON-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.B. & M., LYING 30 FEET ON EACH BIDE 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' 41" 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' 20" WEST 278.60 FEET; THENCE NORTH 54 DEG. 39' 10" WEST 323.32 FEET TO A POINT HEREINAFTER DESIGNATED AS POINT "A", AND THE TRUE POINT OF CONTINUED . 92-42181 3 ORDER NO. BU -130155-3 PARCEL III• CONTINUED BEGINNING FOR THE LINE BEING DESCRIBED? THENCE SOUTH 0 DEG. 491 29" EAST 12.54 FEET? THENCE SOUTH 39 DEG. 491 10" WEST 207.58 FEET? THENCE SOUTH 60 DEG. 351 301 WEST 136.25 FEET? THENCE SOUTH 85 DEG. 310 WEST 148.95 FEET? THENCE SOUTH 51 DEG. 151 30" WEST 138.71 FEET? THENCE SOUTH 69 DEG. 501 30" WEST, 110.95 FEET? THENCE SOUTH 56 DEG. 181 40" WEST 138.21 FEET? THENCE SOUTH 33 DEG. 43' 40' 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' 40" WEST 76.64 FEET? THENCE SOUTH 7 DEG. 171 30" WEST 160.01 FEET TO THE END AF SAID LINE. 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.B. A M., FROM WHICH THE SAST QUARTER CORNER OF SAID SECTION it BEARS NORTH 89 DEG. 40.' 41" EAST 3817.53 FEET? THENCE FROM THE POINT OF BEGINNING SOUTH 33 DEG. 434 40" WEST 125 FEET, MORE OR LESS, TO THE NORTH -SOUTH CENTERLINE OF THE SAID SOUTHWEST QUARTER? THENCE SOUTHERLY ALONG THE SAID NORTH -SOUTH CENTERLINE TO A POINT WHICH LIES 65.00 FEET SOUTHERLY OF THE SOUTHWEST 1/16 CORNER AND THE END OF THIS ��. DESCRIPTION. A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES OVER THAT PORTION OF PARCELS 1, 2 AND 3 LYING WITHIN DANCING WIND DRIVE AND SUMMER VIEW DRIVE, AS SAID PARCELS AND ROADS ARE SHOWN ON THAT CERTAIN PARCEL MAP RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JULY 28, 1981, IN BOOK 83 OF MAPS, AT PAGE(S) 65. END OF DOCUMENT RECORDING REO.UESTED.BY: -.; AND WHEN RECORDED MAIL TO: MAIT114 STREET ADDRESS CITY, STATE and ZIP SPACE ABOVE THIS UNE 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. etA1 -k % Z1,%rzl t `pi REAL PROPERTY OWNER/LESSOR MAILING ADDRESS S �e.`� O• S06- c u CITY COUNTY STATE ZIP w�1►^E� vi'tow �01r. INSTALLATION MAILING ADDRESS, IF DIFFERENT CITY COUNTY STATE ZIP UNIT OWNER (If alw property owner, unite "SAME') MAILING ADDRESS CITY COUNTY STATE ZIP UNIT DESCRIPTION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY MAILING ADDRESS CITY COUNTY STATE ZIP BUILDING PERMIT NO. TELEPHONE NUMBER SIGNATURE OF LOCAL AGENCY OFFICIAL DATE C-0%A,`.T,-j C 14. DEALER NAME (If not o dealer sale, write 'NONE'] DEALER LICENSE NO. `t 111 q`�. 'A -Q o MANUFA URER S NAME DAVE OF MANUFACTURE MODEL NAME/NUMBER _ a-30-a11ku SERIAL NUMBER(S) LENGTH X WIDTH e� Qa INSIGNIA/LABEL NUM8ER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER 5 c e VAl-, v.cV\\ C'n 1 •3 HCD FORM 433(A) Rev. 8/91 WHITE—County Recorder CANARY—HCD PINK—Applicant GOLDENROD—Building Dept. MANUFACTURED HOME (MOBILEHOMOR COMMERCIAL'COACiH INSTALLATION ON "A FOUNDATION SYSTEM HCD FORM 433(A) 8/91 The original and three (3) copies of this form are to be completed with all available information at the time a building permit is issued for the installation of a manufactured home (mobilehome) or a commercial coach on a foundation system pursuant to Section 18551 of the Health and Safety Code. After the installation has been completed, and on the same day the certificate of occupancy has been issued, the local building department shall record this form (completed in full) with the local county recorder. Upon recordation, the local building department shall transmit a completed copy of this form (green copy), a copy of the certificate of occupancy, fees collected in'the amount of $11 per transportable section, and (if unit currently titled as personal property) allajiplicable titles, certificates, license plates or decals to: Department of Housing and Community Deyelopment $ f. Division of Codes and Standards Manufactured Housing Section Post Office Box 31 A ,x t a • Sacramento, CA 95801 (916) .445-3338 Users who may have questions or need additional inforrrlati.on, instructional material's or Rporting, forms, regarding foundation system installation req .uirements or reporting procedures, should contact the Manufactured Housing Section at the address or telephone number shown a6ov;rw.•. •,.' , ;. , _•�, , • ' HCD ' 433(B) 4/86 THIS FORM MUST BE COMPLETED BY THE OWNER OF A MANUFACTURED HOME MOBILEHOME 'OR COMMERCIAL COACH AND FCRWARDED TO THE COUNTY ASSESSOR UPON COMPLETION OF THE INSTALLATION OF THE UNIT ON A FOUNDA- TION SYSTEM PURSUANT TO SECTION 18551 HEALTH AND SAFETY CODE. ORIGINAL PURCHASE PRICE FOR: s 1. The baric Unil S d{ [ y 1-26 SINN- Type of Exterior Wall Co"rings _ .. -' :. Optioiw) Equipment d Upgrod« s (� (MetalWood. "C-) A 9 -0 v._00M Type of Root Co.irsq (T ! QVl, Subtotal (Metol. Wood. Composition. rtc.) �! �l � `" ©� `SI(� I "^-r { ^ �-� <. cces n« AccessorySfrutTsr« S - 11 •: '9=--� Heating Types Forced Air ❑ Fbor or Wall •. Other (Specify) $ Air Conditioning: Cl YES J9.jN0 Tons `` Deliwry S Iratailo6on j (�j % Ty Etioporaris Coolers ❑ YES ,K{'NO built-in Cooktops C3YES )9NO TOTAL SALES PRICE S � � buill4n Ores:: ❑ YES ;9N0 buiH4n Dishwashers 251YES ❑ NO DOES THE BASIC PRICE INCLUDE: built-in Wet Bari ❑ YES J9NO The Towbars) ❑ YES NO 1?1NO Refrigerators YES ❑ NO Tires d Wheels ❑ YES Wheeihubs d ❑ )zNO Roo( Overhang (Eares)s Cl YES E!kNO irscha: Axles YES Furniture Included: ❑ YES S�NO Value S LIST NUMBER OF ROOMS:, Carports ❑ YES (LENGTH NO X WIC X _ p Awningx C3 YES NO X _ bedrooms Diving Room I Parchs ❑ YES % NO X _ baths ' Family Room Garoget ❑ YES (? NO X _ Storage Sheds ❑ YES NO X _ Utirtty Room Skirtings g C) YES � NO lIN FE. U,ing Room Ottwr Rooms he sales price as shown does not include any amount for any in-place location. -he Assessor's Parcel Number of the installation site is O 22 .58 600 A dress CSS•_,` t.p acI, -- S30 q 4 y .sr.. telephone apt0 F DEPARTMENT OF HOUSINGFANDLC014 UNITY DEVELOPMENT l� DIVISION OF CODES AND STANDARDS REGISTRATION AND TITLING SECTION STATEMENT OF'FACTS i -s unit is.'.a:[_t9-Mobilehome [—] Commercial Coach E] Floating Home E]Truck Camper cal (License) No.(s) Trade Name Serial No.(s) 0-0 3 t\ We, the undersigned, hereby state that the unit described above: `�►4c-ec,� b -j A ��rrhgNFMi �c�L��q 'fiant further agrees to indemnify and save harmless the Director of Housing and Community velopment, State of California, and subsequent purchasers of said unit, for any loss they y suffer resulting from registration of the above-described unit in California, or from .suance of a California certificate of title covering the same. 'We certify under penalty of perjury that the foregoing is true and correct. (ecuted on 30wk.. b: -1100 k at C-t-lat c. v - 04 a (City) (State) )ignature of each affiant Printed name of each affiant d d r e s s ity State CO 416.6 (Rev 11/86) . �! AND;&EN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95%5 IIIIIIIIIIIIIIililllllllllllllllll 200 1 —000 1 658 Recorded Official Records County Of BUTTE CANDACE J. GRUBBS. Recorder ROSEMARY DICKSON Assistant 09:06AM 16 -Jan -2001 REC FEE 13.00 CONFORM .00 Maureen 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: Lk Date � PROPERTY OWNERS: State of California ) County of On before me, Z- personally appeared e!;:LC71/ /YI/ JLJ4 V- OAA,72> L/ �7lr�/'c/� personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal Signature Seal: A.P. # 02,2 -.SRO— 00,c,/ .. •. M. SUSAN GLATZ COMM. # 1280664 m NOTARY PUBUC-MFORNU Q i COUNTY OF BUTTE Comm. Expires Oct. 16, 2004 m a • a 8 92-42 18 7 ORDER NO. BU -130155-3 CONTINUED DESCRIPTION ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS FOLLOWS: PARCEL It PARCEL 4, AS SHOWN .ON THAT CERTAIN -PARCEL MAP RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JULY 28, 1981, IN BOOK 83 OF MAPS, AT PAGE(S) 65. PARCEL II• 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 it FROM WHICH POINT THE WEST ONE-QUARTER CORNER • OF SAID SECTION BEARS SOUTH 80 DEG. 40' 41" 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' 20" WEST 278.60 FEET; THENCE NORTH 54 DEG. 39' 10" WEST 323.32 FEET; THENCE NORTH 83 DEG. 25' 50" WEST 424.70 FEET; THENCE NORTH 43 DEG. 30' WEST 163.89 FEET; THENCE NORTH 81 DEG. -40t 20" 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. r-71 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. I' PARCEL IILL h A NON-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.B. & M., LYING 30 FEET ON EACH SIDE OF THE FOLLOWING DESCRIBED CENTERLINEt 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' 41" 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' 20" WEST 278.60 FEET; THENCE NORTH 54 DEG. 39' 10" WEST 323.32 FEET TO A POINT HEREINAFTER DESIGNATED AS POINT "A", AND THE TRUE POINT OF CONTINUED 92-42187 ORDER NO. BU -130155-3 PARCEL III• CONTINUED BEGINNING FOR THE LINE BEING DESCRIBED: THENCE SOUTH 0 DEG. 491 29" EAST 12.54 FEET: THENCE SOUTH 39 DEG. 49' 10" WEST 207.58 FEET: THENCE SOUTH 60 DEG. 351 301 WEST 136.25 FEET: THENCE SOUTH 85 DEG. 310 WEST 148.95 FEET: THENCE SOUTH 51 DEG. 151 30" WEST 138.71 FEET: THENCE SOUTH 69 DEG. 501 30" WEST, 110.95 FEET: THENCE SOUTH 56 DEG. 180 40" WEST 138.21 FEET: THENCE SOUTH 33 DEG. 43' 40' 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' 40" WEST 76.64 FEET: THENCE SOUTH 7 DEG. 17' 30" WEST 160.01 FEET TO THE END OF SAID LINE. 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.B. & M., FROM WHICH THE SAST 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. 434 40" WEST 125 FEET, MORE OR LESS, TO THE NORTH -SOUTH CENTERLINE OF THE SAID SOUTHWEST QUARTER: THENCE SOUTHERLY ALONG THE SAID OUTHERLYNOF�TE SOUTHWEST CENTERLINE16 CORNER ANDCTO A POINT T THE 5 .00 FEET END OF THIS DESCRIPTION. PARCEL• V A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES OVER THAT PORTION OF PARCELS 1, 2 AND 3 LYING WITHIN DANCING WIND DRIVE AND SUMMER VIEW DRIVE, AS SAID PARCELS AND ROADS ARE SHOWN ON THAT CERTAIN PARCEL MAP RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JULY 28, 1981, IN BOOK 83 OF MAPS, AT PAGE(S) 65. END OF DOCUMENT ❑ APPROVED ®CONDMONALLY APPROVED t : :. r . ❑ RESOLVE PROBLEMS PRIOR TIO APPROVAL PERMIT CLEARANCE Permit _0l Date: 2- 5 0 1 Genera/Inforn�adon - AP#: Owners Name: & LC,,J N CIM -b2 Parcel Acreage: 'S 1 V 7 A e Owners Address: -% -T'oM C d Building Site Address: Provertrinformae�on `2-77 -�� (2,(/\) 6, W l '�J 2, r Permit Type: ❑ Agriculture Building ❑ Commercial ❑ Industrial ER Mobile Home ❑ SFD ❑ ResldentW ACCOSSory 2nd Dwelling ❑ Multi•FamOy >2 units per parcel ❑ Septic ❑ Well ❑ Other Zone District: U Date of toning Ordinance: General Plan: A Development Agreement: Jse Permit: Variance: Parcel Is In: Land Conservation Agreement ® No ❑ Yes, check use Minimum Acreage: Nitrate Action Plan 12 No ❑ Yes Violation Area ® No ❑ Yes Specific Plan ® No ❑ Yes ❑ Chico ❑ D2N ❑ Cohasset Enterprise Zone ® No ❑ Yes, check use Floodplain No ❑ Yes Zone:� Panel Number. D 2 �j Watershed Protection Zone ® No ❑ Yes rocosed Use Complies With: "M General Plan ® Zoning ocosed Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Accessory Bulling Use _ommercial/Industrial/Multi-Family Uses: Parking: ❑ Parking Requirements are OK as Shown ❑ Other Landscaping: ❑ Landscaping Requirements are OK as Shown J Other Road and Orairage Improvements Required: ❑ No ❑ Yes acclicable Setbacks: Zcr.iin Code Street & Hi hwa s Fre Prevention Subdivision M ap Front Side ./ SiCe street Rear O Necrt Septic Permit Review. Well Permit Review: Land Development Review; Permit C/earance Agriculture Aftldavft Required Designated Well Site Drainage wan (CorVtn4/Mulu) Date of Creation: Deed Referencce: Parcel Frontage on Pubttdy Maintained Road: Complies with County Standards ffor Deed Cm3don: Carrrtents: ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes Legal Access Provided: ❑ No ❑ Yes Legal Access Required: ❑ No ❑ Yes ❑ No . ❑ Yes, Road Name: ' ❑ No ❑ Yes .a Map Date of Recording: Lot: Block:Book �� _ . Page: onditions That Mus be Met Prior to Issuance -of Permit: ❑ Verify Legal Parcel ❑ Verify Legal Access , ❑ Provide Creation Deed ❑ CompiY with condi-Cert 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 Applkation/Lot_llne Adjustment). ❑ amply with Old Subdivision Lot Ordinance (Maps ❑ Construct road to ❑ Other ir.eral Comments ed Prior k 17 of Maps Page 23). ❑ Meet parcel size required by zone ❑ Meet z_ eounf* af OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: Daniel W. Schmidt ADDRESS: 357 Table Mtn. Blvd, #4 CITY & STATE: Oroville, CA 95965 IMPORTANT: DATE OF CLAIM: May 25, 1982 SEE INSTRUCTIONS ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT 5/25/82 Not going to install utilities for mobilehome. (MH utility permit #1023-82P,E-Receipt #61590 -dated 82 -AP 72-26-106)i Total Fees Paid -------------- $89.50 etai.n plan check fee -------- Balance ---------------------- $79.50 Plumbing permit fee paid --------------- $40.00 Retain ---------------------- Amount of refund ---------------------------------- $30.00 I Electrical permit fee paid ------------- $39.50 Retain tiling fee--------------------- - Amount of refund due------------------------------ 29.50 I' TOTAL REFUND DUE ---------------------------------- $59.50 $59 50 TOTAL : $5c, 50 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered nd that this claim' is true and correct as stated. Dated this ........ day of , 19M at. Calif.L.Q••� .. ........�� Signature of Claimant I. the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de- livered and that there is a Budget Appropriation E] or Specific Board Approvals (Check one) for the same. Dated this ,........,L.th............... day of ...May................. 19 8.,2,, at .Oroville....... Calif..................................................................................... • Department Head or Authorized Deputy Dept. Exp. Code............................................ Code ................................................PAYABLE FROM............................................................................................ FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY VENDOR CODE DEPT. & SUB. PROD• SUB. OBJ. CLAIM NO. INVOICE NO. INVOICE DATE DISC. GROSS AMOUNT ENCUMB. SUB -DIST. COUNTY OF BUT- D PARTMENT OF PUBLIC WORKSPERMIT NO. 7 County Center Drive - Oroville, California 95965.- Telephone 916/534-4541 /D �% APPLICATION AND PERMIT X C/ ASSESSO PARCEL NUMBFR 2—Z — O& ZONING — BUILDING PERMIT OWNER &I115L_ A) • TC14"/ l57- T LEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 3.S %A6L�-1Ti(� CON f�TO,R �5 jJ AME TELEPHONE CONTRA,/-C1/T,AOOR/jS`S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEE LICENSE NO. Plan Checking Fee .$ ,( v Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ S (nf NCADDRESS ,� PLUMBING PERMIT Filing Fee 10.00 tel/ Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping 90 LOT N SUBDIVISION NAMEPARCEL MAP 3, Each qas water heater or vent 55.00 Gas piping system 1 - 5.outlets r 10 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome Other SPECIFY Building sewer r(Xi Lawn. sprinkler system 5.00 TYPE OF WORK/ ❑ Addition [IRemodel ❑ Utilities P- . Installation❑ Other ❑ work: Permit Fee $ 190New ;ZfzDescribe Contractor ELECTRICAL PERMIT Filing Fee 10..y0�0 Main service 1 S 00 AMP OR LESS / •V� Main Service EA. ADD'L 100 AMP Z -s 2.550NEW CO NST. J OR ADD N.S. ACC LLDGS.DWELIN CC UP, 011 / 20 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ElNON.RESID. 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 Xfor sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044)41to I am exempt under Sec. , Business and Professions Code for this reason NNEW CONST(MULIOUTL ON.RESID R BRANCH CIRCTITS 2.50 ea NEWCONSTR. 1 POWER APPARATUS e% SINGLE OUTLET CIR. . ExOccup OUTLETS OR FIXTURES a �@ IXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 dj) Misc. Wiring 7.50 7V Permit Fee $ 3 Contractor 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 (l of Consent to Self -Insure. LX( jam' 1 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. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling 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. 1 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 d ounty in co eq nc of the granti I of this per it. X _ ��K�,!%%il /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 $ TOTAL PERMIT FEE r�a Occup. GROUP TYPE OF CONST, PARC PD HDIJ ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. v WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT _• - ^ w'��-�''r' -' ..'-�.:yao`�+{`.:8'�.'��Cjr �::s:-.i►-.y;�' -��.F•"��=wi'Mi^Sa€,..;:�(�•'Yar.+���d J .i,.KJ..-..r .�,,,t-"�. !""':."r..;J��:r 3:�,;�;.:.. COUNTY OF BUTTE - DEPAR'I''Mii AT OF RUBLIC WORKS - BUILDING DIVISION • ' 7 COUNTY CENTER DRIVE - OROV,�,L.I.E; 'ALIFORNIA 9.5965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET 9 ,' j Permit No. OWNER �AAJIC-C, IN SSG/ -I" l D%`' A., P. No. �Z^� �O�o Proposed Building Use �� ��� ` 4VL—" Permit Fee Based U/pDo Complete Contract Price D Valuation Other (Explain) Building Inspector Date 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. . . . . . . . . . . . 2. Plot plans in duplicate/triplicate. . . . . . . . . 3. Complete plans in duplicate./triplicate. . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ - - . - - - - - Letter of signature authorization. Sanitation approval from A& Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner 0, Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . r. ,Pre-Inspec. request to Pre -Inspection for +Required- Building Innssp�e�tor (Date) 6]618 Other i_C-56VebC� 1�-��NOl.JL &�iJ r When ,ou"'ssue the permit, process as follows- Mail to owner. Mail to contractor. Telephone 533-06 and o� pickup at office. Deliver w/inspector. Other Applicant d&gL)ek4,-(,U�X-ate r O Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at ti�oa plication, circle item-) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, wne was advised of above requir ,. By Plans checked Plans approvedy Other Copy—DPW Telephone -Mail, Other Date U A S L\ (11 e , pages c `1 REVON-920 By V BUTTE CO. F,RE DEP CALIF. [�Ef'`1'. ©� u°OREST9 ❑ approved as su"3,vid approved mt,-.Cb conditions p�r attQch3 s" gat. kip I SiGnaturu Date C4 1Q/ J1 U p Z f { s � ALL STRUCTURES AND EQUIPMENT INCLUDING f' ); 1- i'1 Z OVERHANGS SHALL BE CLEAR OF ALL EASEMENTS. A SET SAICK Or- _ FT. 77,C"'] Ta F_ SC®E AND 0� < ,a "P7 "TY LINES ADCC CE-KYERLINE SHALL BE O S a -c CLEAR ar' S�'ijtSlya� UF',�v ��u�® E�iUIO�MEN T EYCEp`r ffE � FOR A 2 FT- SAVE OVERHANG. ,' C � CDF FIRE SAFE REQUIREMENTS `7 & %— O i�7 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. 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 provide for by the land owner. Driveway Standards 1273.02 Surface. All driveway surfaces and structures (bridges, I_ 1273.07 culverts and other appurteaant 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 I 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. [�3 1273.05 Turnouts. Shall be a minimum.of 10 feet wide and 30 feet long with a 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., CW C> /'-D/S-/g SAW euCA- (� AP # PERMIT # NAME (�] 1273.10 Turnouts. Driveways exceeding 150 feet in length, but I 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. [) 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$ 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. [YJ 1. All parcels l acre and larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from ul] property lines and/or the center of the toad. ( ] 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,bz completed prior to,completion of road construction )r fi:ial inspection of a building permit. Page 2 of 3 AP # PERMIT # N Other Requirements [ ] 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 1.0% 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 DateSignature Page 3 of 3 ##6 Cousin Gary's Circle .'.'TAHOE" 2 Bedroom/2. Borth, 962 Sq. Ft. Special Features & Ogg: Tape & Textured Sheetrock Walls, 4:12 Roof with Architectural Shingles; 10' Flush Dormer, Upgraded Carpet/Pad, Perimeter Heat, Deluxe Master Bath, . Upgraded Tubs/Showers, Enlarged Windows in Living Room, Mini -Blinds,, Double Redwood Covered Porch. Model Shown -with optional "Tahoe Edition' Log Siding. z c� OPTION KITCHEN Cousin Gary's Exclusive Tahoe ITE.Aft0fion- Log Cabin Siding as displayed here, or ShakerTown Cedar Siding, are options available on any of our homes! "Architectural" Composition Roofing and Custom Covered Deck complete this special package. Price Estimates for Tahoe Edition. Options available on request Your Building Consultant will be glad to provide details. Plan A900B no M.H.I.-2 ............................................................ ............................................................ MOBUXI-TOMES.-U. P-P0R--.T-.:.*DAT'--A ..... I ............. ......... Mobilehome Manufacturer:. '--z V-1:111 Manufacture Year If other than single wide, 16m'ish'Setup ModelNumberi.: Width: 1-1-\ (ft.) Length: !q 0 ft.) Tagalong or Expando Size (ft.) x On all mobilehomes manufactured after October 7, 1'973, furnish manufacturer's installation manual and structural. setup sheets... FOOTINGS: Wood pressure treated or foundation grade [ LrOther: SUPPORTS: Cori6iete "b1'6'ck ' [�Oithier. Provide Tie Down Specifications for all Mo'bilehomes: Pier Footings Sizes and Location SINGLE WIDE, MULTI -WIDE Line I Line I Line 2 Line 2 ..................................... Line 2 Main Beams Line 2 ... ........ Line I Line ] Piers: Size minimum: Spacing maximum: From ends -maximum: Line I Openings: Size minimum: Each side of openings with width over: 12j X [a� 9 Line 2 Piers: Lihe 4 Piers: Size minimum: 11LJ X 1-W Size minimum: I I X r 1 , I ._ '. maximum: Spacing maximum: :0 A Spacing maximum: From ends -maximum: - 011 From ends -maximum: Line 3 Roof Loads: Size minimum: -A Location (from -front) - Line 5 Roof Loads: Size minimum: Location (from fro;4): OVER n. T MH.I. -2 ..................................................................... ................................................................... MOB O E .INSTAL. -LA ION.:DA.TAr 5 . Is the site an existing site: Yes [ &-I— No [ ] (If yes, furnish two plot plans). 6 . What is the electrical rating of the mobilehome? 7 . What is the mobilehome site circuit breaker rating? 8 . What is the electrical rating of the mobilehome site? \ 0 O Amperes. l O 0Amperes. 0-100 Amperes. 9 . Is the main service remote from the mobilehome site? Yes [ LJ'No [ ] If it is, what is the rating? u Amperes. 10 . Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage, etc.)? Yes [ 64"' No [ ] If yes, please identify the load and size: a) The mobilehome site: W e- V, '�— (' Load - Amperes - b) The main service: Load - Amperes - I 1 . Type of gas service at mobilehome site: Natural [ ] Propane [ L]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? J o 14. What is the mobilehome gas demand? BTU.* *(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 PERAUT APPLICATION . .................................... XF -\J� 7 717 TLLM "I DEPI D M?,fta '*"Arc J):� BYO $3 EDev ING ING u 4w MAR 2 220M (9 Ion co o CA 4 AEC XF -\J� 7 717 TLLM "I DEPI D M?,fta '*"Arc J):� BYO $3 EDev ING ING u 4w MAR 2 220M (9 Ion 36- 6" W 2B•7-1 8- S. 8- 3/8" PLATE I 1 21M to s•0 W FFOtI Flr GRIPPER BASE T! 0cow 1 1 I 3T FLAT[ I `Lr FAP 7— H012 TRGRIPPER ATE . R 0 0 x 4" bolts 0 Typ of 4 rx"3A L TYP. OF 2 GRIPPER BASE GRIPPER PLATE I I TOP VIEW - MGP - PAD i ♦ i ♦ TUF-! 11a�' ST2r.woL cis {.� rG Fo+.oao nasi ro CoLmam sa l wrr®awrt�1 (TV.cra o� 1-1/2" SCH. 40 PIPE W GRADE S PIN OR EQUAL I I r— WITH 3 OR MORE 1 • • • LOCK WfI}I Y,' LOCKING U ADJUSTER HOLES NUT OR PIN 1 • 2" SCH 40 PIPE • W/2 ADJUSTER HOLES SIDE VIEW - MGP - PAD tI 2" SCH 40 PIPE I WELDED TO 1/4" 1 / BASE PLATE. + / 21 X 21 X 3/16- 3/16• x 2• BRACE r BAR W/ MIN 3/16' / ANGLE IRO X 3/4'F rT WELD. 28- LONG TYP C 4 t —AL DESIGN LISTED AND TESTED BY: BSK ASS WAYNE T. POL•VADO, PE - LISTING NO.iF 1/, PSATI 2W X P CAM RAM PR7t DOtA (. U I '-- P/11• I 24- "oft TTP. M END VIEW - MGP - PAD iP UNDF•RLAYMENT GRADE PLYWD. P & S CCA PRESSURE TREATED I5" X 6" ANCHOR BOLTS TYP OF 4 C �T 9 ME POUNDMON SYSTEM IFJ---PACIFIC CONSULTING ENGINEERS - APPROVED am 2150 SeN Avenue #145 PA:0166!4-0028 SUSJBCT 71D CORRE(-?IONS Sacrarnentor CA. 08838 Fax: 916664-6029 NOM APPROVAL DOCS NOT AURpRiZE OR A,.M VR ANY o = ma OR DrAMON FROM Reaml� TUF-1 PERMANENT' a APnXAa ��u�'MD x""°'° sum.rC+6r.rd. aD;, Dc wmw of Haxios Fad Cam idly Devkp m FOUNDATION SYSTEM DIVISPN OF CODES AND STANDARDS ' ABESCO -GUS GUARD COMPANY wo•ar.) D' P.O.BOX 128 VAN , 40 _6.4r— CATHEYS VALLEY, CA. 95306 209-966-5540, FAX 209-966-5549 21bPea AppeoglE,p1n11�!/ - I L,t GENERAL NOTES GUS GUARD TUFyI 1. DESIGN LOADS: LIVE LOAD - 30LB. FLOOR LIVE LOAD - 40 PSQ WIND LOAD - 80 MPH EXPOSURE -C- SEISMIC CSEISMIC ZONE -4- . SNOW LOAD 100 PSF 2.. THIS FOUNDATION SYSTEM 1S DESIGNED TO BE CONSTRUCTED ON A FAIRLY LEVEL SITE W2TH NO EXISTING SOIL PROBLEMS. 3. CHASSIS BEAM SUPPORT SHALL BE LOCATED AND SIZED FOR THE LOADS AS SHOWN IN THE MOBILE HOME INSTALLATION INSTRUCTION. 4. IN AREAS WHERE DIFFERENTIAL SETTLEMENT (D.S.) CAN OCCUR MANUFACTURED. HOME SHALL. BE READJUSTED WHEN D.S. EXCEEDS 1/.1' OR WHEN R WILL BE ADVERSELY AFFECT MANUFACTURED HOME UNIT. 3. CARRY ALL FOOTINGS DOWN TO FIRM UNDISTURBED SOIL. FOOTINGS ARE DESIGNED FOR l OIX1 PSF TOTAL LOAD SOIL PRESSURE AND SHALL BE COMPATIBLE WITH LOCAL SOEL CONDITIONS. COMPACTED SAND MAY BE USED TO FILL LOCAL VOIDS UNDER PADS. 6. STRUCTURAL STEEL FABRICATE ACCORDING TO ASIC SPECIFICATIONS. WELD ACCORDING TO AWS SPECIFICATIONS. ELECTRODES. 370 PLATE _ASTM A36 BOLTS.. SAE GR c -ASTM Aug - ASTM A3723. 7. THE GUS GUARD ASSEMBLIES SHOWN BELOW SHALL BE LISTED AND LABEED BY BSK AND ASSOCIATES FOR THE FOLLOWING LOADS: ALLOWABLE LOADS HORIZONTAL VERTICAL GUS GUARD TUF-1 22000. 60000 GUS GUARD MGP PAD 22000 60000 GUS GUARD E -Z TIE PAD 22000 60000 e. DURING PRELIMINARY INSPECTION. THE ESTIMATOR SHALL, ENSURE THAT MOBILE HOME CHASSIS BEAMS ARE OF STANDARD SECTION. 9. EXISTING COACHES MAY BE RETROFITTED TO RESIST SEISMIC FORCES BY INSTALLING GUS GUARD TUF-I UNITS AS SHOWN ON THIS PAGE OF TYPICAL FOUNDATION PLANS. 10. THE GUS GUARD TUF-1 SYSTEMS ARE SAFE FOR INSTALLATION IN FLOOD PLAIN AREAS WHERE DEPTH OF FLOODING DOES NOT EXCEED THE HEIGHT OF THREE REE FE T. 11. MULTIPLE UNIT INSTALLATION IS ACCEPTABLE PROVIDED THE NUMBER OF TLF.I UNITS UNDER EACH UNTT IS THE SAME AS SHOWN REQUIRED PER EACH UNTT. 12. SINGLE -WIDE UNITS REQUIRE ADDITIONAL RESTRAIdT. - (SEE SHEET #3) 13. ALL. METAL COMPONENTS AND ATTACHMENTS ITEMS SHALL BE PROTECTIVE COATED. 14. FOR MGP PADS USE 1 1/8 EXTERIOR PLYWOOD WITH WOLMANIZED TREATMENT TO 0.40 MAX PCF RETENTION WITH DRYING AFTER TREATMENT. r 15. LIGHT HEAVYWEIGHT PLASTIC AND STEEL PADS MAY BE USED IN PLACE OF WOLMANIZED PADS. 16. E .Z TE DOWN USED ON SINGLE -WIDE, ROUND STAKES (3N X 141 MAY BE USED TN PLACE OF THE 1-X 1B" FLAT BAR WHEN SOIL 1S EXT RE IELY HARD OR IN ROCK. HOLES MAY BE 3 PRE.DRIL ED WHEN NECESSARY. L��Ertl g 17. GUS GUARD TUF-I FOUNDATION SYSTEM PROVIDES ALLOWABLE SNOW LOAD TO 100 PSI— WHEN INSTALLED WITH EXISTING S-ANDARDS REQUIRED BY COACH MANUFACTURER OR REPLACE T---14 ON A ONE TO ONE. BASIS. 18• FOUNDATION BLOCKS 16' x 16' x 12' PSD IN PLACE AT GROUND LEVEL MAYBE USED. L AT INSTALLERS DISC'REMON. AS ALTERNATIVE TO PADS. SEE TAM 0A/2mltTS '' S t 1 .i � U❑❑L'i�_ F?:DG= 3=AN .SUPPMT AS RE.2"D By NANU=ACTU4RZ - TYP. JNDATION SYSTEM CODE, SEC ION ILS! OVED Ltc,nONS NOTED FROM t¢pummum 0 dllomin9 d C-axdty m-clopmm tIV�Lti'IOF CODES AND STANDARDS CSO �d tup.nnt ANa 942 YFL.Appw.lp,Pce, /S o3 try Y ❑Il. ❑El ' 7918 Z ExP. 10 ED Li / Imo'=i.:a>S:'f• / 2, �Hf ` . MGP OR PVC SIERIFS PADS IN ANY PAIR MAY STANDARD MH FOUNDATION PARS SUPPORT PAD BE ROATED 90 DEGREES AS RECOWENDED BY THE MANUFACTURER TYp. OR OFFSET TO OTH ERSIDE OR THE ENGINEER TYPICAL T MOUGHOLrC TO AVOID CLEARANCE PROBLEMS. TUF-1 PERMANENT FOUNDATION SYSTElm SINGLE WIDE UNITS DOUBLE WIDE UNITS E=2'MIN /8'MAX E=2'/11' S- 8' MI W 18 MAX S= 6'/ 22' SHETE 2 OF 3 ABESCO -GUS GUARD COMPANY P.O.BOX 123 CATBEYS VALLEY, CA. 95306 209-966.5540, FAX 209-966-SS49 1 0 riBACKFILL W/ A.C. I IT�IL717 IE.2IS. ASPHALT SET Wrm CONCRETE PAD TFONSET MORTAR, W MAX THICKNESS, f - 0.6 CONCRETE SET WITH CONCRETE PAD + W RED HEAD OR EQUAL :2'FROM CORNER TOTAL r�ms� I - CONCRETE SET WITH MGP PAD SINGLE WIDE UNITS REQUIRE GUS GUARD E -Z TIE PADS Me fior &mrd 711E-1 Piers are to be plated a1 appravwtglr ejLul inlefraIS aloM aad /fame roq STN(3.F-WMEANCHORAGE 5 INSTAL _ E - Z TIE DOWN SYSTDA i'_i 35X and Dc5iGN MOBIT.E710..ME ToUND;�DN HEALTH AND S:"L1yC06E;SECf1ON;IjSS1 APPROV� SUBJECT1b CORRECTIONS Hb�itD A"OVALDMSSTATE ON FROMN07AV}Ipp@�,�pp�"o 6wNY '. O��alOra oR '�uom�S APPUGAaLt sure LAWS AND'In;v Swe Ofcdf". Det of HauiSj wd C,mffij ,y D&, y D1VIS1 OF CODES AMD\STANDAkW J D„e ✓rL3 an SPA NO. 'Ito P1n Apro.d 7918 K` /1 OFIC� TUF-1 PERMANENT FOUNDATION SYSTEM ABESCO - GUS GUARD COMPANY P.O.BOX 129 , CATSEYS VALLEY, CA. 98306 209-966-S540, FAX 209-966-5549 SHEET 3 OF 3 MULIT. WID NGTH DTH 24 26 28 40: PTO 8 8 8 4 "- 66 12 12 12 12 VER 66' 16 1- 16 16 I INGLE WIDE UNITS GTH DTH 10 12 14 19 T' 44' 6 e B 8 4'-1 66' e 8 8 e VER 88' 1 10 10 10 10 SINGLE WIDE UNITS REQUIRE GUS GUARD E -Z TIE PADS Me fior &mrd 711E-1 Piers are to be plated a1 appravwtglr ejLul inlefraIS aloM aad /fame roq STN(3.F-WMEANCHORAGE 5 INSTAL _ E - Z TIE DOWN SYSTDA i'_i 35X and Dc5iGN MOBIT.E710..ME ToUND;�DN HEALTH AND S:"L1yC06E;SECf1ON;IjSS1 APPROV� SUBJECT1b CORRECTIONS Hb�itD A"OVALDMSSTATE ON FROMN07AV}Ipp@�,�pp�"o 6wNY '. O��alOra oR '�uom�S APPUGAaLt sure LAWS AND'In;v Swe Ofcdf". Det of HauiSj wd C,mffij ,y D&, y D1VIS1 OF CODES AMD\STANDAkW J D„e ✓rL3 an SPA NO. 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