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HomeMy WebLinkAbout078-310-014I '390-91~ l 77 / HAMMARSTROM, Jim. - ,, 1 3 Oro•Garden-`Ranch Rd Oroville- (MHU) CONTR: North Valley �Cont-;E.- -LEC? GAS OMPACTION 'TEST RE'- UPPORT, STRUCT iREQ 44�E HAMMARSTROM, Jim 2574.0ro•Garden Ranch Rd, Orovi Contr: Sharp. Electric. (elec for sewage pump) Permit#� 48-91MHI (installation/mh) 05-0084 Y COVENANT FIN CORP, RA 2574 ORO GARDEN NCH, . OROVILLE , Cont: SIERRA MHS US EX MH PERM FND 2 - I 1 1 RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A•FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. COVENANT FINANCIAL CORP. REAL PROPERTY OWNER/LESSOR PO BOX 490 MAILING ADDRESS KAYSVILLE UT 84037 CITY COUNTY _ STATE ZIP 2574 ORO GARDEN RANCH RD. INSTALLATION MAILING ADDRESS, IF DIFFERENT OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP 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 05-00 530 538-7541 BUILD G PERIvR� TELEPHONE NUMBER SI URE OF LOCAL AGENCY.OFFICIAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. KINGSTON 1979 MANUFACTURER'S NAME DATE OF MANUFACTURE UNKNOWN MODEL NAME/NUMBER GW 12CALKGR0632A/B 44'X 24' CAL174169/70 S ERIAL NUMBER(S) i LENGTH WIDTH \ INSIGNIA/LABEL NUMBER(S) UAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED 1 ASSESSOR'S PARCEL NUMBER 036-101-062 HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK -Applicant GOLDENROD- Building Dept. WHEN. RECORDED MAII. TO Name r Covenant Financial Corporat] Street Address I PO Box 490 state L Kaysville, UT 84037 Zip IIIIIBIIIIIIIIIfill IIIIIIIIIIIIII 0 0 2— 0 0 0 6 4 7 9 Recorded 1 REC FEE 10.00 Official. Records I PENALTY 6.00 County Of I BUTTE 1 CANDACE J. GRUBBS I Recorder I ROSEMARY DICKSON I Assistant 1 Vickie 01:06PM 20 -Feb -2002 I page 1 of 2 SPACE ABOVE THIS LINE FOR RECORDER'S USE R & T Code 11911 Jti Conveyance where theliens and considerations are equal or more than the value of the property and no further consideration is oiven. . . DOCUMENTARY TRANSFER TAX, $ 0- 0 _❑ COMPUTED ON FULL VALUE OF PROPERTY CONVEYED, OR COMPUTED ON FULL VALUE LESS LIENS 8 ENCUMBRANCES REMAINING PON _AT;4ME OF SALE Signature of declarant o agent determining lax - firm name APN 036-101-062-000. I Grant Deed I .THIS FORM FURNISHED BY PACIFIC LAND TITLE COMPANY FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Central California Realty Investors, a California limited partnership hereby GRANT. a.... to Covenant Financial Corporation, a California corporation the following described real property in the County of. Butte State of California: The East 105.0 feet of the North 264.0 feet of the East 230.0 feet of.Lot 3, in Block 23, as shown on that certain Map entitled, "MAP OF VILLA VERONA, BUTTE COUNTY,CALIFORNIAII, which Map was filed in the Office of the Recorder of t44t bounty of Butte, -State of California, on January 17, 1889. Dated:January 11, 1995 STATE OF CALIFORNIA, Richard E. Hammars�'om� COLT\'1`Y OF SA f 11ft %/(�G t A! 1 S5. -- - -- - - ---.. _..- -- 0n before me, the under- signed. a Notary Public in and for said County and State. per- sonally appeared Central California Realty Investors, a California limited partnershi by : known to me to be the person—whose name. subscribed to the within instrument and acknowledged that executed the same. ���1'fNl:�•5 n,�� liariLl aliil oT'ciat seal: ' tiiRnaturi• Notary Public. State of California nor Mail Tax Statement To: — Covenant Financial Corporation PO Box 490• Kaysvi•lle, -UT 84037 r ,t$4 r 44 y;. ;, -14 •g Y:f F.. �;. �"et^'. •`,]ig:1 y� i r. -1�cS }Y � i.• fv:���y, '� - ����.3,�•';� ����i��, �o�'-�9��µ4' ,�� � S��•.�.y��•y'�� k � �Y. 1 •� s1'+. S'�4t 3''y.,! iFky 5�. ;,y, e�+ �kr `#F 1 .> i ^S r1•t• �`K '^ ' - `� FO. NIDATIONS ;S EM .i T!!T1,54. bt��s„ £t ,SwTT����i pkr tb� '��t�:'$3"13c r41V xdL 3 4iei rn "D � r E�RTI;FxT ,e A�TEOO F-O ��CU1PANCY , t �� }- ��� 1 �i ii X}3. .H lH'$t r > i� ^� .. r .fir t•: # ., .: - s ts�§ iSr, bifl. o i'i }�,'t a wtt.,, �r� it��t'a}• C +' b d` ,�'C , n i2 , -i. �.a!�a�`;���.c:.v.� +� ^ss#Syk� ,� s: •tF��`'t�faf #fa _ h+s.K r 1 BUILDING PERMIT NUMBER: 05-0084 Address or location of unit: 2574 ORO GARDEN RANCH RD., OROVILLE, CA 95965 = t Legal Descriptiowof Real Property: AP#: 036-101-062 SEE ATTACHED ' (x) Mobilehome/Manufactured Home- Commercial: ome Commercial Coach Has been affixed'to the real property above'by installation on a foundation system .. pursuant to Health and Safety Code Section 18551. f• Owner's name: COVENANT FINANCIAL,' CORP. Owner's address: PO BOX 490, KAYSVILLE, UT 84037 INSIGNIA OR HUD NUMBER: CAL174169/70 . SERIAL NUMBER OR V.I.N.: GWI2CALKGR0632A/B w ' P r MANUFACTURER'S NAME: KINGSTON 1979 ' d OFFICIAL 'APPROVING INSTALLATION: ` DATE: y . PHONE: (530) 538-7541 H.C.D. 513C 1 J.. t� r ,t$4 r 44 y;. ;, -14 •g Y:f F.. �;. �"et^'. •`,]ig:1 y� i r. -1�cS }Y � i.• fv:���y, '� - ����.3,�•';� ����i��, �o�'-�9��µ4' ,�� � S��•.�.y��•y'�� k � �Y. 1 •� s1'+. S'�4t 3''y.,! iFky 5�. ;,y, e�+ �kr `#F 1 .> i ^S r1•t• �`K '^ ' - `� FO. NIDATIONS ;S EM .i T!!T1,54. bt��s„ £t ,SwTT����i pkr tb� '��t�:'$3"13c r41V xdL 3 4iei rn "D � r E�RTI;FxT ,e A�TEOO F-O ��CU1PANCY , t �� }- ��� 1 �i ii X}3. .H lH'$t r > i� ^� .. r .fir t•: # ., .: - s ts�§ iSr, bifl. o i'i }�,'t a wtt.,, �r� it��t'a}• C +' b d` ,�'C , n i2 , -i. �.a!�a�`;���.c:.v.� +� ^ss#Syk� ,� s: •tF��`'t�faf #fa _ h+s.K r 1 BUILDING PERMIT NUMBER: 05-0084 Address or location of unit: 2574 ORO GARDEN RANCH RD., OROVILLE, CA 95965 = t Legal Descriptiowof Real Property: AP#: 036-101-062 SEE ATTACHED ' (x) Mobilehome/Manufactured Home- Commercial: ome Commercial Coach Has been affixed'to the real property above'by installation on a foundation system .. pursuant to Health and Safety Code Section 18551. f• Owner's name: COVENANT FINANCIAL,' CORP. Owner's address: PO BOX 490, KAYSVILLE, UT 84037 INSIGNIA OR HUD NUMBER: CAL174169/70 . SERIAL NUMBER OR V.I.N.: GWI2CALKGR0632A/B w ' P r MANUFACTURER'S NAME: KINGSTON 1979 ' d OFFICIAL 'APPROVING INSTALLATION: ` DATE: y . PHONE: (530) 538-7541 H.C.D. 513C 1 J.. STATE OF CALIFORNIA - BUSINESS, TRANSPORTATION AND HOUSING AGENCY DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT Division of Codes and Standards Title Search Date Printed : 01/07/2005 Decal #: ABB6718 Manufacturer: KINGSTON Tradename: KINGSTON Model: 'ILT Manufactured Date: 00/00/1979 Registration Exp: 01/31/2005 First Sold On: 00/00/1980 Serial Number HUD Label / Insignia GW 12CALKGRO632A CAL174169 GW 12CALKGRO632B CAL174170 Record Conditions: PPF Exempt Registered Owner: ARNOLD SCHWARZENEGGER, Governor O�SING Iq •�' �. O ©w Z ?r 'M' al W 0 ti�TY DE��� Use Code: SFD Original Price Code: ACY Rating Year: 1980 Tax Type: 'ILT Last ILT Amount: $12.00 Date ILT Fee Paid: 02/23/2004 ILT Exemption: NONE Length Width 44' 12' 44' 12' COVENANT FINANCIAL CORPORATION PO BOX 490 KAYSVILLE, UT 84037 Last Title Date: 02/22/2002 Last Reg Card: 02/25/2004 Sale/Transfer Info: Price $.00 Transferred on 11/15/2001 Situs Address: 2574 ORO GARDEN RANCH RD OROVILLE, CA 95965 Situs County: BUTTE Legal Owner: HERTA WEINSTEIN PO BOX 2067 MANTECA, CA 95336 Lien Perfected On: 01/10/2002 14:56:44 Inactive Decal/DMV: DMV ST7812 Renewal Fees: $34.00 * * * END OF TITLE SEARCH NOTES RESIDENTIAL t PERMIT NO. _ _036-101-062 _ _ �__ COVENANT FIN CORP, 2574 ORO GARDEN RANCH, r OROVILLE ' S Cont: SIERRA MHS { f EX MH PERM FND ' 05-0084, 1 •i _ f IN stn I� -SPECIAL CONDITIONS # CHECKED BY- Y.SRA SRA' FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY ; USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER . 9 JJ , JOB FINALED (Date) v Signature 1 J=OK 0 = Not OK . = NotApplicable Not Ready MISCELLANEOUS MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 2. 1. Zoning Requirements -Setbacks -Easements Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 2. Soils; Special MH Support Sketch 5. 3. Sewer; Location -Test -Fall -C/O -Concrete Carports; Windows -Doors 4. Water; Location -Test -Easement Needed (Sketch) 8. 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Siding; Nailing -Veneer -Stucco -Mesh 6. Gas; Location -Test -Wrap;-/ P' L 'ft. / P Nat. or/ P' L "ft./ P LPG 11. 7. Well Clearance & Disconnect Braced Wall Panels 8. Utility 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 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 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 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Z `ng Requirements-Setbacks-Easeme is 3. Footings; Size -Spacing -Marriage Line •BI �ing s; est -Demand -Valve tricity; MH Test Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date k and B-1 Date Card B-1 Date Card B-1 Date Card B-1 CAL 11 Lt i GC1 1 -70 Date Card B-1 Date Card B-1 ,Date Card B-1 Date Card B-1 Date POOLS (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 7. 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. i Wood Awn.; Posts- Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures { 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-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 POOLS (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 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 Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. i Enclosure; Fencing -Alarms 1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" 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 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 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 23. Fire Sprinkler; Test 72. Elec. Outlets at Wood Panel, Int. & Ext. Date 73. Card B-1 Date Card B-1 Date 74. Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Garage Fire Door; Swing -Landing -Closure 24. Fixture & Transformer Clearance -Ins. Protection A.C. Duct in Garage -Damper 25. Elec. Receptacles Spacing -Lights & Switches at Doors Wtr. Htr; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 26. Size Boxes & No. of Conductors Stapled Plb.; Elec. & Mech. Equip. Listed for Location 27. Romex Installed Close to Edge of Studs & C.J. Elec. Receptacles in Garage (F.FI.)-Romex Protection 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Insulation -Foam -Looked in Attic 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI Guard Rails & Deck Construction -Post Caps 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral ❑ Yes ❑ No Clearance Looked under Floor ❑ Yes 32. Service -Riser Conductors & Ground Main Disconnect Following Instld./Drive ❑ Yes ❑ No/Walks ❑ Yes ❑ No/Planters ❑ Yes ❑ No 33. Equip. Clearances Panels-Motors-Mech. Equip. Stucco Brown -Finish 34. Clothes Closet Light -Shower Light -Spa Light A.C. Unit Disconnect, Electrical -Plumbing 35. Smoke Detector Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 90. 36. A.C. Ducts Insulation & Support 91. 37. Vent Fan, Exhaust above insulation 92. 38. Condensate Drain & Overflow, Size & Grade 93. 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 94. 40. Attic Access & Platform if Furnace in Attic Date Address Posted Card B-1 Date Card B-1 Date Fire Sprinkler Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Date 41. Sills Proper Materials & Anchors Date 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound Comments at Final: 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. 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 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.FI.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes _ 83. Following Instld./Drive ❑ Yes ❑ No/Walks ❑ Yes ❑ No/Planters ❑ Yes ❑ No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler 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: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.neAdds LICENSED CONTRACTORS 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. V70-3 G / License3;1.9� �_License Number: �/Z)o bDate: Contractor. of �G (�l.� �%/6Z,It- �c OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish; or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's Slate License Law (Chapter 9. commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or Improves thereon, and who does such work himself or herself or through his or her own employees, provided that such Improvements are not intended or offered for sale. If however, the building or Improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Profdssions Code. The Contractors' Slate License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ '1 am Exempt under Article 3 of the Business and Professions Code Date: Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penally of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for wodcers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit Is Issued. My workers' compensation insurance carrierandpolicy number are: —7- Carrier:�D^h7^fJ Policy t!: 7 ,, / O 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 the 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 comply wi h those provisions. Date: OJT ­1177 Applicant: WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. PERMIT NO. BPO50084 Issued Date: 01/18/2005 APN: 036-101-062-000 Site Address: 2574 ORO GARDEN RANCH RD ORO Map Index: Description: EX MH PERM FNDN ((1056) Owner: COVENANT FINANCIAL CORP PO BOX 490 KAYSVILLE, LIT 84037-0490 Applicant: SIERRA MOBILE SERVICE BILL REID 466 CIRCLE DRIVE OROVILLE, CA 95966 530-534-0599 Contractor: SIERRA MOBILE SERVICE BILL REID 466 CIRCLE DRIVE OROVILLE, CA 95966 530-534-0599 License #: 470386 Architect: Engineer: Total Square Ft: Valuation: Census Code: 0 S. F. $0.00 R6r-:Jk �'10r/fir fJmnipelo 3a9 q4 CONSTRUCTION LENDING AGENCY This permit Is hereby issw 1 hereby affirm that there is a construction lending agency for the Relution to do work Inc m perforance of the work for which this permit Is issued (Sec 3097 Clv.) .'7 171�& applicable provisions of the Butte County P for which fees have been paid. PERMIT EXPIRES ON: / f rr . _ • IR Address: (trate)_ ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safely Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above Information Is correct, and that'I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge It Is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for Inspection purposes. , Print Name: 77-41Y Signature: C, Date: ❑ Owner ❑ Contractor ❑ Agent for Owner ❑SgQenl for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQ UIRED AT TIME OF APPLICATION **PLEASE PRINT CLEARLY** APPLICANT SIGNATURE X` For office use only: OWNER Last Name (l7vEnrHN� First Name FrN , CoiZp Address q f o City KA 611.1& 211,L Slate (/ % Zip Phone Phone Fax E-mail E-mail APPLICANT SIGNATURE X` For office use only: CONTRACTOR Name 2P Address y66 �_ a,,,;� City� 611.1& 211,L State u` Zip YSi E 6 Phone S�`/ oS9.9 Fax E-mail S`3 q 0SG L Lic. # y76596 Class 45 APPLICANT SIGNATURE X` For office use only: ARCHITECT/ENGINEER Name. 2P Address Address City 611.1& 211,L State Zip Phone State d Fax E-mail S`3 q 0SG L State License Number APPLICANT SIGNATURE X` For office use only: APPLICANT NAME Name 2P x� Address �6 611.1& 211,L City Subdivision Name State d Zip 95 66 Phone S`3 q 0SG L Date Approved: Fax E-mail APPLICANT SIGNATURE X` For office use only: Zoning Properly Address ;Z5 -7e/ 040 a:i R a E nr ley vt Flood Zone Cross Street SRA Yes - No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. BIN # LOCATION AP# Properly Address ;Z5 -7e/ 040 a:i R a E nr ley vt City A ✓-plc Cross Street SRA WORKER'S COMPENSATION Policy Number Yzs� Carrier c� If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permitissuance. LENDING AGENCY Name Address Description or Scope of Work: Sq. Footage d� ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can' only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. e y: Amount .9(,—Bldg SRA Receipt #: Sheriff SMIP Date: d� Other � Total t COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVI.CES-BUILDING. DL.V.I.SI.ON. 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 OWNER�/ PERMIT APPLICATION DATA SHEET 1l1l "' \ v1 C'/1' nASSESSOR PARCEL NUMBER V U V Proposed Building Use: a Counter Technician: / Date: Items required in order to apply for a permit. II boxes MUSS be checked OR marked NA in or eropply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. - 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form ❑ 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........ ❑ 20. Erosion Control Plan Required V 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 22. City of Chico Plumbing permit........................................................................ ❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. ❑ 24. Planning approval (A) Use: (B)Parking: (C) Parcel Check: ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... ❑ 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization......................................:............................. ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ '35. Existing violations and/or expired permits.......................................................... ❑ 36. Deed Restriction......................................................................................... ❑ 37. dN-Prant Deed .H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38.-0tfier: ❑ 39. Other: When issued Telephone and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: Date: 1. Index permit application for the above items numbered: Plan Check Letter 2. Additional items required ontractor esigner, owner, was advised of the above data by phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by:IT= 1 Date Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: r___1 Yellow: Building Division COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 SCHEDULE OF RECEIPT OF FEES ` OWNER '��G' , r � A.P. #6 ((P PROP OSED BUILDING USE DATE I 1 RECEIPT # DATE REC. 1. BUILDING PERMIT FEES /c/ Aq --- Balance Due ..................... $ f V --- Additional Fees Due........... $ --- Revised Plan Checking Fee.... $ 2. SCHOOL DISTRICT FEES (paid at School District Office) (form available after Plan Check) 3. SHERIFF FEES (paid at Building Division) Residential............ X $360.00 =$ Units Commercial (sq. ftg.)..... Sq.Ftg. 4. URBAN AREA FEES X $0.03 = $ (paid at Building Division) Residential (per unit)..... X = $ ff units Amt. Commercial (Sq. Ftg.).... X = $ Sq. Ftg. Amt. 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK FEE $89.00 (paid at Building Division) 8. WATER TENDER FEES BATTALION # $200.00 (paid at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Zone # Units Amt. Commercial (sq. ftg.) ......... X = $ Sq. Ftg. Amt. 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan checking proc,*ss. APPLICANT DATE < < 1 5 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 Division Yellow -Applicant Pink -Owner (rev. 2/2003) Vector Dynamics Foundation system INSTALLATION INSTRUCTIONS for the State of California Version 9/2/2003 INDEX PAGE SECTION NUMBER RELEASE Approval DATE MANUFACTURED HOME/MOBILE HOME FOUNDATION SYSTEM HEALTH AND SAFETY CODE, SECTION 18551 APPROVED INTRODUCTION 2 9/2/03 GENERAL INSTALLATION 3 9/2/03 PARTS LIST 4 & 5 9/2/03 LONGITUDINAL DEVICES 6 9/2/03 PIER HEIGHTS 7 9/2/03 SET-UP INSTRUCTIONS 8 9/2/03 FOOTER SIZES WIND ZONE I - SINGLE 9 9/2/03 - DOUBLE 10 972/03 - TRIPLE 11 9/2/03 -HIGH PIER 12 9/2/03 WIND ZONE II - SINGLE 13 9/2/03 - DOUBLE 14 9/2/03 - TRIPLE 15 9/2/03 V -DRIVE & PIER SYSTEMS SOIL CLASSIFICATION CONCRETE INSTALLATION 16 9/2/03 17 9/2/03 18 & 19 9/2/03 COMPONENT PARTS AVAILABLE UPON REQUEST SUBJECT TO CORRECTIONS NOTED PROVAL DOES NOT AUTHORIZE OR APPROVE ANY ISSIONS OR DEVIATION FROM REQUIREMENTS OF APPLICABLE STATE LAWS AND REGULATIONS Stato of California '"ent YHousia and Community DevotopwAM N DES AND STANDARDS I Oigaauuo) SPA This P an Approval Expires l 9 P�c;t5.�'M BUTTE :O RUILDING ! `I ", b-1 rl- 00 L C0 C) lV O (A C) „.j Tie Down Engineering, Inc. VECTOR DYNAMICS INSTALLATION DESIGN INSTRUCTIONS Introduction These instructions describe the proper use of the lateral and longitudinal foundation system. You may also refer to the home manufacturer's installation manuals that include the Vector Dynamics system as an alternate foun- dation system. General The Vector Dynamics Foundation System provides the support to resist lateral, longitudinal and over -turning movement of the home as required by the Federal Manufactured Home Construction and Safety Standards in a specified wind zone when the system is used as described in these instructions. Please verify state or local wind load requirements prior to installation of the home. The Vector Dynamics Foundation System resists lateral & longitudinal wind & seismc loads by anchoring the two longitudinal main rails. The system is approved to be used on single or multi section homes: Nominally 12 feet to 16' feet wide- (single section) with main rail spacing of 95 inches or greater on center; multi section main rail spacing of 75 inches or greater on center. Nominal 8 foot or less top plate height at sidewalls with main rail depth of 12” or less. Maximum roof slope of 20 degrees (4.4" in 12" slope). Maximum eave width (roof overhang of sidewall) of 12" for Zone I, 8" fo Zone II Maximum pier height under main rails -see page 7. The Vector Dynamics Foundation Systems may be used as a part of the vertical or gravity support system con- sidering that each Vector Dynamics pad has two (2) or (3) square feets bearing area. To inquire about the use of the Vector Dynamics Foundation Systems with homes of four or more sections, other widths, or on homes requiring pier heights which are not included in these instructions, contact Tie Down Engineering, Inc. at 1-800-241-1806. The Vector Dynamics Foundation System has not been designed for use on exposure "D" homes within 1500 feet of the coastline. Additional vertical anchor ties that are unique to a home's design may be required by the home manufacturer. These locations may include shear walls, marriage line ridge beam support posts, end frame ties and rim plates. Page 2 California 9/2/0 GENERAL INSTALLATION INSTRUCTIONS SITE PREPARATION It is necessary that the home site be properly graded and sloped to prevent water and moisture from standing or flowing beneath the home. FOOTINGS AND FROST LINES The Vector Dynamics Foundation System was designed to be placed directly on top of the ground (or poured concrete) after clearing all loose vegetation. In areas with frost heave, Use Vector for Poured Concrete (see pages 20 & 2,1) to comply with local requirements for footer depth. FOUNDATION/FOOTING SPECIFICATIONS FOR VECTOR PADS Vector Pads are used in place of conventional foundation pads. One Vector pad provides two or three square feet of bearing support. Vector Systems should be spaced as symmetrically as possible along the length of the home. For pier locations in between the Vector Systems, use the normal foundation pads. LUMBER/MOISTURE-TERMITI= SHIELD To cut PVC or lumber (2 - 2x4's,1 - 44 or 1 adjustable steel commpression member per Vector system) for the center compression section,when using concrete blocks for piers, measure center to center frame (I-beam) dis- tance and subtract 16". When using METAL PIER STANDS, measure center to center frame distance and add 16". ALL WOOD MUST BE PRESSURE TREATED, GROUND CONTACT RATED . Tip: Pre-cut your lumber and mark as to brand or model of homes you will be installing. If frame widths are the same, the pre-cut boards will also be the same length in each Vector set-up. STRAP INSTALLATION All frame ties and diagonal straps must go from the anchor to the top of the I -Beam. See illustration below. 1. Attach frame hook to top inboard location of "I" beam. (Frame hook must be attached to frame at points closest to floor support.) 2. Keeping in line with the hook, wrap galvanized strap completely around "I" beam. 3. Pull strap past anchor head approximately ten inches before cutting to allow enough strap to give a minimum of five turns around the slotted anchor bolt. 4. Thread loose end through slotted bolt so that the strap is flush with the other side of the bolt. 5. Tighten slotted tensioning bolt a minimum of five full turns. Page 3 California 9/2/03 CF Longitudinal Stabilizer Devices The use of LSD systems on a single or multi section home replaces longitudinal anchors, stabilizer plates and straps. The Longitudinal Stabilization Device (LSD) is used with the Vector Dynamics System to resist loads in the longitudinal direction (short dimension) of home. The number of LSD required is shown on pages 10-13. 1. Longitudinal Foundation Pad 2. Beam Clamp (2 per system) 3. Longitudinal Strut (2 per system) 4. Tie Bracket (2 per system) Nc Ca Op Examples of Possible Placement: (Contact TIE DOWN for placment in other Wind Zones) Wind Zone I Single Section I 00 I I I I I I I I I I I I I I I I I I .I I 00 Wind Zone I Double Section 18 Ft. Max. 32 Ft. Max. Forgreater widths use triple section design. Page 6 Combine Vector Dynamics LSD Wind Zone I Triple Section I 1 I I I I I I I I I I I 1 I I I I Wind Zone Tag Section PI.I.-I 48 Ft. Max. California \ 9/2/03 1 , I 1 T 1 I 1 I I i i 1 � I � , � I � I 1 I I I I I I I I I I I 1 I I I I Wind Zone Tag Section PI.I.-I 48 Ft. Max. California \ 9/2/03 ••'wl t ♦ . 50 in max. Maximum Pier Height I Vector Dynamics Foundation Systems may be used on single section homes in Wind Zone I which require pier heights (from surface of Vector pads to top of concrete or metal pier) not to exceed 50 inches under one or both main rail(s). Note that a ground anchor must be used at each Vector system location where the pier height exceeds 24 inches for single section homes. On multi -section homes in Wind Zone I, an anchor must be used at each Vector System location with pier heights above 46" with the following exception: double section homes that are 24' wide, in Wind Zone I, have a maximum pier height without anchors of 38". See page 12 for double section home high pier set instructions. 50 in max. Unequal Pier Heights 4aximum Homes with unequal pier heights are limited to 50" maximum pier height. The difference between the taller pier and the shorter pier cannot exceed 26". Page 7 California 9/2/03 Set -.Up Instructions •for ' Vector System #59018 1 ' 1 ?. Set Vector Pads 4.' inside brackets & straps - Clear all vegetation'where pads will rest. Place Attach the inside tie brackets to the U -bolts over a long U -bolt in pad as shown. Press or ham - the compresion member. Attach a strap w/hook mer pad into,the ground. or swivel strap w/nut & bolt. Place other end of the strap over opposite 1 -beam & down to out - 2. Set Block or piers on pads. side tension bracket. Cut strap 12 - 15 inches Center foundation blocks or piers on pads. Place past bracket. Attach strap & slotted bolt in N , pre-cut center compression member between bracket. Tighten strap until tight with 4-5 wraps blocks, resting on pads, centers between.. U -bolts around bolt. Repeat with opposite strap. as shown. , ! 3. Outside Tension` Bracket r Attach outside .tension bracket as shown to out- . side of pads. - _ \ %� C;,4 Page 8 Cal or 9/2/03 i A 1 ?. Set Vector Pads 4.' inside brackets & straps - Clear all vegetation'where pads will rest. Place Attach the inside tie brackets to the U -bolts over a long U -bolt in pad as shown. Press or ham - the compresion member. Attach a strap w/hook mer pad into,the ground. or swivel strap w/nut & bolt. Place other end of the strap over opposite 1 -beam & down to out - 2. Set Block or piers on pads. side tension bracket. Cut strap 12 - 15 inches Center foundation blocks or piers on pads. Place past bracket. Attach strap & slotted bolt in N , pre-cut center compression member between bracket. Tighten strap until tight with 4-5 wraps blocks, resting on pads, centers between.. U -bolts around bolt. Repeat with opposite strap. as shown. , ! 3. Outside Tension` Bracket r Attach outside .tension bracket as shown to out- . side of pads. - _ \ %� C;,4 Page 8 Cal or 9/2/03 i 1 ?. Set Vector Pads 4.' inside brackets & straps - Clear all vegetation'where pads will rest. Place Attach the inside tie brackets to the U -bolts over a long U -bolt in pad as shown. Press or ham - the compresion member. Attach a strap w/hook mer pad into,the ground. or swivel strap w/nut & bolt. Place other end of the strap over opposite 1 -beam & down to out - 2. Set Block or piers on pads. side tension bracket. Cut strap 12 - 15 inches Center foundation blocks or piers on pads. Place past bracket. Attach strap & slotted bolt in N , pre-cut center compression member between bracket. Tighten strap until tight with 4-5 wraps blocks, resting on pads, centers between.. U -bolts around bolt. Repeat with opposite strap. as shown. , ! 3. Outside Tension` Bracket r Attach outside .tension bracket as shown to out- . side of pads. - _ \ %� C;,4 Page 8 Cal or 9/2/03 WIND ZONE If SEISMIC'ZONE 4 L - ` Vector Dynamics Systems Required for'. -Double Section Homes (Materials Required) _ _ - - - - . - - - - _ _ _ - ,- • ,On + _ ` 6o�b`e se u 01 a ' 1 `. I� _ _ - -. •rte 1 I . r _ = !C /az•"r"F�yE.r•a' ,,; �'� . \ :• \ � -.ray � -�i�A' �� - '> - {, .,s ia"rti \ I .35.2}. � s I � - .`-*-*-�•�,. .'L'.�r z T`y- w�'�,,,.�i � k ♦ 1 - w ! ` ...�..� ?�'.�' \� I, *2'; tom• Aa , �' .-_•. & 'Z �''�� ""� \ O • NOTE: Vector Systems should be spaced as eCi`QI" symmetrically as possible along the length of the home. Pier spacing must be consistent with home narhics manufacturers' instructions and/or state requirements. r w Soil Classifications: 2, 3, 4A, &4B oSoil Bearing Capacity: .1,000 PSF minimum Anchors Required': None ('Marriage wall anchors may be required by home manufacturer) No anchors required.'For' pier,heights up to 46" for WIND ZONE 28'-36' wide, 38" for 24' wide. 3 ' See Pg 12 for high pier , ` instructions. cfl Home Length Vector. System's ' Required Anchors Required - Per Side L.S.D. . 0 to 40' 2 0 2 -41' to 66' `, 3" 0 3 67' to 84' 4 0 4 - 85' to 90' 'S 0 4 .Note; L.S.D.=' Longitudinal Stabilization - Device See Page 6. NJ - _ Each Vector System requires one of the following: { . 1-4x4 or 2-2x4's pressure treated wood Lcompression member, _ Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list) - - 2 sq. ft` -'pad r L - VECTOR DYNAMICS INSTALLATION DESIGN INSTRUCTIONS Vector Dynamic Foundation Systems may be used only on homes set on soils classified as Class 2, 3, 4A and 4B as described in the table below: SOIL CLASSIFICATIONS Soil Class Types of Soils Blow Count (ASTM Soil Test Probe (1) D2586) Torque Value (2) 1 Sound hard rock...... NA NA Very dense and/or 40 -up More than 550 lbs - in. cemented sands, coarse 2 gravel and cobbles, preloaded silts, clays, and corals Medium -dense coarse 24-39 350-549 lbs - in. 3 sands, sandy gravels, very stiff silts and clays 4A Loose to medium dense 14-23 275-349 lbs - in. sands, firm to stiff clays 46 and silts, alluvian fill 175-275 lbs - in Peat, organic silts, 0-44 175 lbs - in. 5 inundated silts, loose fine and lower sand, alluvium, loess, varied clays, fill, fly ash. (1) The purpose of the soil test probe is to gauge the strength of the soil below the surface and near the anchor's helical plate. The strength of the soil is estimated in terms of its resistance to penetration (flow) under load by means of the torque probe and is measured in Ib -in. The test probe has a helix on it. The overall length of the helical Section is 10.75 in.; the major diameter is 1.25 in.; the minor diameter is 0.81 in.; the pitch is 1.75 in. The shaft must be of suitable length for anchor depth. (2) A measure synonymous with moment of a force when distributed around the shaft of the test probe. Vector Foundation Pads Equivalent to Footer Pads* Footer Size: Footer Size: _ 16x16 = 256 sq. in. -- - - - 20x20 = 400 sq. in. or 16x18 = 288 sq. in. or 17x25=425 sq. in. - -- - EQUALS = EQUALS = = 2 -Vector Pads # 59275 - - 1 -Vector Pad # 59271 - 288 sq.. in. or 432 sq. in. 1 Vector Pad # 59130 Vector Pad(s) exceed the surface area required when used as the equivalZeove. "Foundations in soil with a bearing capacity of less than 1,000 PSF must be designed by a Registered Professional Enh site conditons 4 C Page 17 California 3 JOB FINALE Signature ,4 f d=OK O = Not OK -=Not Applicable Not Ready MOBILE HOMES ' = Date MOBILE HOME UTILITIES (Plans) OK except #'s el. Zon' equirements-Setbacks-Easements oils- pecial MH Support Sketch e r; Location -Test -Fall -C/O Concrete ater✓Location-Test-Easement Needed (Sketch) 5!Ele iricity; Location-Clearences-Grnd-/ /Amp -Concrete Xy --Gas; Lo ion -Test -Wrap: / /"L"ft. / JPWat. or/ /" L"ft.&"LPG tility Clearance i Date Z - Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBIL ME INSTALLATION Plans OK except #'s . Zoni Requirements -Setbacks Easements ooti "Size -Spacing -Marriage Line as; Test-Demand-Valve—Connector ectrici y; MH Test -Crossovers -Breakers -Clearances m; M t -Fall -Flex Connector ater, H Test -Regulator -Connector atewer nnected-C/O to Grade -HD Approval i s an ricity Tagged A i p. -Sketch 18"tert. of Occupancy 1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 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; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (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, Distances-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-PaneIboards- Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.: Cir. Test -Water SUDDIV Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓=OK O = Not OK = Not fteadyat)le = Not R,P,adRESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel -Blockouts-Wrapped 50. Garage Fire Protection Framing 6a. Hold Downs and Special Anchors 51. Property Line Firewall & Openings 7. Slab; Steel -Wrapped 52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits 8. Piers -Fireplace Ftg.-Steel 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 10. Gas Pipe; Size -Anchors 55. Siding -Nailing Veneer 11. Water Pipe; Test -Anchor -Regulator -Service Test 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 12. Electric; Underground 57. Glazing Area -Glass Protection -Skylights -Plastic 13. Pienums & Ducts; Clearance -Material -Support -Ins. 58. Shear Walls; Nailing -Bolts 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 59. Insulation -Walls -Ceilings 15. Insulation 60. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Date Card B-1 Date Card B-1 16. Water Htr.; Vent -Access -Combustion Air -Baffle Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchor -Nail Protection 61. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 62. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa Date Card B71 Date Card B-1 66. Elec. Trim & Subpanel; Breaker Sizes & Labels Date Card B-1 Date Card B-1 67. Stairs & Rails Date ELECTRICAL (Permit) OK except #'s 68. Fireplace or Stove; Clearances -Hearth 22. Fixture & Transformer Clearance -Ins. Protection 69. Elec. Outlets at Wood Panel; Int. & Ext. 23. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 24. Size Boxes & No. of Conductors -Stapled 71. Elec. Outlets & Receptacles at Kit. Counter 25. Romex Installed Close to Edge of Studs & C.J. 72. Garage Fire Door; Swing -Landing -Closer 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 73. A.C. Duct in Garage -Damper 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 75. Plb., Elec. & Mech. Equip. Listed for Location 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral 0 Yes ❑ No 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic 0 Yes 30. Service -Riser Conductors & Ground -Main Disconnect 78. Guard Rails & Deck Construction -Post Caps 31. Equip. Clearances Panels-Motors-Mech. Equip. 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector 80. Following instld.; Drive C1 Yes O No; Walks 11 Yes ❑ No; Planters 1:1 Yes ❑ No Date Card B-1 Date Card B-1 81. Stucco; Brown -Finish Date Card B-1 Date Card B-1 82. A.C. Unit; Disconnect, Electrical, Plumbing Date MECHANICAL (Permit) OK except #'s 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 34. A.C. Ducts Insulation & Support 84. Water Well; Disconnect, Electrical, Plumbing 35. Vent Fan; Exhaust above insulation 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground _ 36. Condensate Drain & Overflow; Size & Grade 86. Ventilation Throughout House 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 87. Glass Protection 38. Attic Access & Platform if Furnance in Attic 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval Date Card B-1 Date Card B-1 91. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s Date Card 8-1 Date Card B-1 39. Sils, Proper Material & Anchors Date Card 8-1 Date Card B-1 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Date Card B-1 ' Date Card B-1 --- 41. Bearing Walls over Girders & Floor Nailing Comments at final: 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing each time you visit job site) (NOTE: An entry must be made COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE PERMIT A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. v Date J ~ r �j Inspector _ MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 '39) PERMIT NO. 49 Address or location of mobilehome Owner's name 41 A 'Lle2 94 4 7 = jC 7- & ea X -J., )I A -Z, Owner's address 5t-- IL/(-- - !- I -lb a — Insignia or hud number OA4 1'7e� 00 nt4/ J-7 411 /�!j: Manufacturer's name DEEM &4�14f 5-r ?4&7" 4-5 Serial rju ber of (<�De l2o 3Z `4�year of manufacture (Officia-I Approvfffg Installation) (Date) IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCF-PTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. . I I 513B White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovilld, California 95965 - Telephone: 916/538-7541 .1 ' ' APPLICATION AND PERMIT PER N0. ASSESSOR PARCEL NUMBER 36-101-062 ZONING AR BUILDING PERMIT OWNER Jim Hammarkrom Central CA Realty) 20 TELEPHONE 823-6027 ,SQA FT. OCC, BUILDING VALUATION OWNER'S MAILING ADDRESS 14822 Pueblo Dr., Manteca 95336 CONTRACTOR'5NAME Richard L. Van, StavernMH Service872-6198 TELEPHONE I CONTRACTOR'S MAILING ADDRESS 1430 Carroll Ln., Paradise 95969 Fireplace CONSTRUCTION LENDER Nonp UNKNOWN Total Valuation is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER None LICENSE NO. Plan Checking Fee $ 15.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS ville Permit fee $ 25.00 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping * 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeffX Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installationa Other ❑ Describe work: ppro MUTT J3QQ_03 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification. ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING CCCUP.Ik OR ADDNS. ACG. BLDGS. / '/zQsgft NEWCONSTR TI -OUTLET NON .RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS tr (SINGLE OUTLET CIR. Ex. Occup(ouT LETS OR FIXTURES 2SOS AL .200000 FIXED PR Ex. Occup. OUTLETS IRESID,)EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 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 of Consent to Self -Insure. 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 FiIingFee 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 said County in co eque of he granting of this per m't. X Date Z �? Signature of App Icant — Owner Contractor E]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 $ 45.00 Energy Inspection Fee $ occ CONST TYPE - TOTAL F E$ 70.00 HAz. �' cuA -� PARK SC7L FL CDF _ PAR PD ) HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated ab a for which fees have been paid. D E OR ELIC WORKS 2 O Bt PERMIT EXPIRES ata Receipt No. 83517—$70.00 WHITE-D.P.W.. YELLOW -ASS E330R, PINK -INSPECTOR. GOLDENROD -APPLICANT 7 to MIN 71_.. COUNTY OF BUTTE - DEPARTMEPOBLIC WORKS - BUILDING DIVISION �» 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 / r PERMIT APPLICATION DATA SHEET Permit No. -~ OWNER —J/ oma-, Ccs c " V A. P. No. ?K' -/D/ — 6a Proposed Building Use Building Inspector = ,Date ,tC I/ u,m E -,4t;tir?epear A a , Iicatigry,I,�w�s�t;ivise�QLthejf9�c�v�g 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, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs .with wet signature.on plans .. 5. Hazardous Material Form ............ ?............................. ' 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC'Buildings ........... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. � A l 0. Mobilehome installation data including manufacturer's installation instructi ons. 2 - a7- Fees of J t 11. Chico Urban Area fees paid ....................................... 12. iK 13. Park fees paid Mfy Ue:- School District fees paid .............. —,2 7 / 4 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of, (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. l 23. Owner-;B,uilde„r Verification (Given tq�owvie'r ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of i ature t orization ..... ... 27. r When you issue the permit, process as follows: Mail towner. Mail to contractor. ©/`-" Telephone - nd hold for pickup at office. Deliver w/inspector. Other Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date 'f Copy of plans sent ___Health Dept. Fire Dept. Other ,.Date By. The following data must be submitted prior to permit issuance:, (Circle new item not checked above). 1. Index permit forrabove items No. 2. Additional items required: Con:tracto��r��d�esf er, owner,, iw.as advised of aboverequired data gby_phone_-nail—counter by date Co racto'i^5es ner, ow dw%as advised of aboveo equi?el data by_phone_mall_counter by date y 1/ Plans checked by j +u Date -1--d-0 Plans approved by(&W ' Date Sets of plans on hold in File cabinet AP folder Copy -DPW .-,�""ya`r�'��?�y".b'�X+!'?�:tl'1�'�"7a�"��n�`s'�n'M,�""�3'°�;�i����9r';:7?'++=+0�'+�,+'�t�+'Fat"y+ct�`Tm#;�;'�'�``�fi�y.+4"'r•�`rs�+^^..x�'Y'�t�+�*+.��r.M-•?fi,aC'r��a3 r / r BUTTE COUNTY SCHOOLS DEVELOPMENT'FEE CERTIFICATION FORM VVV (One Form per Building) A.'P. Number . Building Department No. ' School - District Qj T -,y` ity County �„ Jurisdiction Property Owner—//,y ,-IAlf T,`A- i 1. t-�+b F - Project Locati Subdivision ' Lot Number Residential_ Devolopment-: . • ;� El Sq. Footage—I of Living MHI 'Addition - (Group R) -T Units ate, Commercial/Industri'a'l - '- ',Sq' 'Footage ' New.. Addition:(Including Exterior. Roofed Areas) / Building epar ent_Representative , r `Date (Floor Plans reviewed by.School District`Personnel) District Id No. 102,93 School District certifies that (Applicant Name) (Phone Number) (Street Address) (City) (.State) (Zip Code) • has . complied with .the requirements of Resolution, No . by the payment of $ S� representing /-3 �IV square feet. GLte-u tet_ �—a School Dis rict Re resentative Date A PAID BY CHECK NO. BANK NO I� "�Y'/a a- PAID BY CASH ' L white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) • r COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER •. D l — b% z4 ZONING k , BUILDING PERMIT OWNER E EPH NE xv�?aI-l�oa� SO. FT. OCC. BUILDING VALUATION OWN R'S 1,11AIIIN. AODR E$5 P -f b/ to > /-- C�4 �1 S33 ONTRACTOR'5 NAME .. Off G A P-0 1. V a st vel JV % d F/-�l.�, TELEPHONE 89x /S IF CONTRACTOR'S MAILING�ESS n 3 0 s C�o� �-. f irf ( Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 1000 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $-� Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 5 ^1 D C d)- 120 Permit fee $ PLUMBING PERMIT Filing Fee 10.00 - Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome91 Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 0.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other ❑ Describe work: Z1>Grr= P'�.yu 3��— Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORESLS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): �l am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. s C- j�7 License No. I`� 7 Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCUP.tr OR AODNS. ` ACC. BLDGS. 2 ,/z¢sgft NEW CONSTR ULTI.OUTLET "'0...ESID BRANCH CIRCUITS) 2,50 ea POWER APPARATUS tr SINGLE OUTLET CIR. / Ex. Occup( OR FIXTURES 20@SOC eALQ30C FIXED Ex. Occup. OUT LETS ( R RESID )EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate f Consent to Self -Insure. l� ' shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor ' MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte againstPARK all liabilities, judgments, costs, and expenses which may in any way accrue again��s��t��ss�a��iid County co equence of the granting of this permit. %� - ""'•""- -" a((�� Date ,1-` Z 7 p Signature of Applicant — Owner ❑ Contractor [J�Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- n f structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOjTAjLjFEE $ HAz CUA FLD PAR PD Ho IssuE This permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date rRlecoeiptrNo.f� 3 527' � 00 HITE-D.P.W.. TELLOW-ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT BUTTE COUNTY DEPARTMENT OF -PUBLIC WORKS 7 County Center Drive, Orov.ille, CA PHONE: 538=7541• MOBILEHOME INSTALLATION SHEET, 1. 2. 3. Owner's Name: M,4 fill A2aL Installer's Name: Ctc.• Is the site currently under permit? d /'l `T 5. Yes F] No mobilehome electrical rating? --------------- U 6 (If yes, furnish permit number 6. ) OR is the mobilehome-site Is the site.an existing site?Yes �. No (If yes, furnish two plot plans.) 4. Will the mobilehome be located'at least 5 ft. away from septic tank and leach ----- 0 a fields and clear of all setbacks and easements?:,- Yes. -No load to be served by the (If no, clarify '.. 5. What is the mobilehome electrical rating? --------------- U 6 Amps 6. What is the mobilehome-site service rating? ------- -= ---- L Amps 7, What is the mobilehome site circuit breaker rating? ----- 0 a Amps 8. Is there any other electric load to be served by the '.. mobilehome site service? --------- ----------------------- Yes No (If yes, identify the load.and size: (Load) — (Amps) i. 9. What is the mobilehome site gas pipe size? -------------- �f'� (in.) 10. What is the type of gas service? ------ ------------- Natural LPG 11. What is the gas pipe length from meter or tank to the mobilehome? --------------------------------------------- l (ft.) * 12. What is the mobilehome gas demand? ---------------------- (BTU) *(This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.`) MOBILEHOME SUPPORT DATA 5e -pre U 19 If other than single wide, y Mobilehome Mfr. - furnish Setup Model No. f'/0 Year Width �`f' s� (ft.) Box Length (ft.) Tagalong or Expando Size------ ft. x t. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one) n 1. Wood -pressure treated or foundation grade. 2. Other (specify) SUPPORTS (check one) Concrete block. 2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE Line 1 Line 2 Main Beams Line 2 � l.inv 3 - _._ _ � — — — — — — — — _ _ •i Line 2 —Main Beams _ e i.inp 2 Line 1 .-.-.Line Tag or Tri Line 1 ' Line 1 Piers - - - Line 1 Openings: Size -Min. ----------_- ,'x „ Size -Min. ------------------ Spacing-Max - -----------------Spacing-Max. ---------, . • - - - Each Side of Openings From Ends -Max"------- , n With Width Over --------- Line 2 Piers: Line 3 Piers (Under Bearing Wall Only) ' Size -Min .-----------_ , Size-Min------------------- Spacing-Max ---------- ------------------Spacing-Max"--------- „ Q�_ C� (J Spacing -Max. From Ends -Maxx-------- From Ends -Max,------------- .. Line 3 Roof Loads: 24�TX2 .�T A - CL AIT Z Size -Mi ------------- -� J IUR BE�}2/1J6 ��/�ITXS - o x „ 2 5�• 3 �„x-Z f" „x k k ,k Line 4 Pie: ra Location (From Front) Line 4 Pie: ra Size -Min.------------ 'k Spacing -Max. - - - - ----- From Ends -Max.------- Line 5 Roof Loads: Size -Min. ------------ Location (From Front) Line 5 Piers: (Under Bearing Walls only Size -Min ------------------- Spacing-Max - ------------------Spacing-Max- -- k „ From Ends -Max -------------- 6" tOV WILDING, ®EPARTMEN) mH '`54-611 '4► ' V F D Yew 2 Z8-9 I F(c T Se�baCk aoD MKp :eAc'k D cod1 11���ol�v �•�i�Lt`3"�•t i Si:iai'J�� - " sv of *W &ad SI 0vW6c %" MUST In sept cm the job at all tlpwm And It k unlawful to ,ake any ch.aas or alteratlons on same without wn"en peonlsson from -the Departnnew of FiL*& I Worms. C WWV 61 Buft. b� e 0 d <° ego P ,t 4 � eO► 1 tow�'' BEAR H-tyll LA EW M 41 T. CQUNVTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS 7ZCounty Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. /13 ASSESSOR PARCEL NUMBER 36-101-62, ZO ING 1 BUILDING PERMIT OWNER . Jim Hammarstrom Cent. CA Realt Inv. TELE HONE 589-1625 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 14822 Pueblo Dr., Manteca CA 95336 CONTRACTOR'S NAME NorthV lleV tra t' a533-9416 TELEPHONE CONTRACTOR'S MAI ING ADDRESS 127.5 Oro Dam West Oroville CA 95965 Fireplace CONSTRUCTION LENDER None UNKNOWN I Total Valuation is Filing Fee $ 10,00 LENDER's MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER None LICENSE NO. Plan Checking Fee $ 15.00 Energy Plan Checking Fee A. $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Oro Garden Ranch Rd. Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome X❑{ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home Is G W O.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilitiesn Install tion. Other ❑ Describe work: mobilhome utilities ,a!�L� _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 8001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD -L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury check one): P Y P I Y ( ) ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason NEW CONST.DWELLING oCCUP. oR ACDNS. (ACC, BLDGS. 1 2/ztlsgft NEW CONSTRMULTI-OUTLET CIRCUITS) NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. ) Ex. OCCUp(OUTLETS OR FIXTURES 20@got AL@30 BAL FIXED Ex. Occup. OUTLETS P(RESI0 ORA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 i=5 QQ Misc. Wiring 15.00 Permit Fee $ 37.50 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 of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 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. I also agree to save, indemnify and keep harmless the County Of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequen a of the granting of this permit. G X Date �-°= .. I i Signature of Ap — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- n of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ CONSTA7 TOTAL FEE $ 9/50, HAZUA PARKL �fl_ PA PD HD I $U This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO"F PUBLIC By PERd EXPIRES Date the applicable provi- resolutions to do fees, have been paid. WORKS Date —7' 7- � �3 � LReceiptNo. 83806—$92.50 MITE-O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT f w COUNTY OF BUTTE -DEPARTMENT CSF PUBLIC WORKS - BUILDING DIVISION 11 j, !' •y - 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER �/� ��1�'lQ�✓S'i�Ji?>�i �L L� 1 A. P. No. 3 - / O /-- Proposed Building Use Building Inspector e -31Z9. Date 2-- 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. 2•. All items have been submitt Plot plans in duplicate/ (plicate igned by preparer of plans........3. Complete Complete plans in duplicate riplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation xe 10. instructions Fees of $ 4 Y O....... ........................ 2-- --11. 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... ,13. 14. hotto�ll g1 t fees paid .............. Sanitation approval from (rrTC�' Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. 610.19. Improvements may be required. Contact Land Development Section DPW Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... __22. Certificate of Workmans Compensation Insurance .................. 23. r Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... ' 25. Letter of signature authorization ..... _ ......................... . 26. i 27. When you issue the permit, process psfollows: Mail to pwrier. Mail to contractor. krtd TeIgp$)o.Qp hold for pickup at'office. Deliver w/inspector. Other CLc,�, J- t 7416—F7 Applicant Date 213A % Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By. The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone--nail—counter by ..date ' Contractor, designer, owner, was advised of above required data by_phone—mal l—counter by date te Plans checked by Date Plans approved by c� 5— Date 2 Sets of plans on hold in File cabinet AP folder Copy—DPW I I TO: Building Department FROM: Encroachment Permi'� Section RE: Dri�eway Clearance , Zl� e (/(0 2- efdil,111,P owner locatiori AP # Driveway permit has been issued for the above property. '0101lig 4 si;�ature'140d date A COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER D- 3 ZONING BUILDING PERMIT OWNER • ►�t+�ars ��¢� ��l Tij. TELEPHONE Aq-)&as S0. FT. OCC. BUILDING VALUATION Iy aAa`ING-la Los br PA eA- 8533 CONTRACTOR'S NAME Nl o rA-1., ori TELEPHONE S 3- '? Nl G CONTRACTOR'S MAILING ADDRESS I,n� (a-1 S a kS �L)1 Ll a5Q (p,$ Fireplace CONSTRUCTION LEND R r G UNKNOWN Total Valuation Is LENDER'S MAILING DDRESS in A Filing Fee $�'a'�" Permit Fee $ ARCHITECT OR ENG I EER LICENSE NO. Plan Checking Fee $ S Q O Ener Plan Checking Fee 9Y g ARCHITECT OR EN IN ER'S MAILING ADDRESS Penalty $ BUILDING ADDRE S O&A— S%J e OW O d Permit fee ; PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home 0.006 '$O ' GO TYPE OF WORK New ❑ Addition ❑ Rem//__od''ell�❑ Utilities Installation El Other ❑ Describe work: /�Db, (�' oxu— a - �/ �p�.f Permit Fee $ pp Contractor ELECTRICAL PERMIT Filing -Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 /p, Qa Main Service EA. ADD•L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ) ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license Is In full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.6I OR ACDNS. (ACC. BLDGS. 2 ,/z¢sgft NEW CONSTR ULT' -OUTLET NO N.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e SINGLE OUTLET SIR. Ex. Occup(OUTLETS OR FIXTURES e.2LO Lo300 A FIXED APPLNS. Ex. Occup. OUTLETS IIRESID )REA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 'Dd Misc. lyirin g 15.00 Permit Fee $-5 S7 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 94� I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee ; Contractor I certify that 1 have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said Co ' co 6nce of the granting of this permit. � X a'!� �/ Date Signature pplicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories i�n height.n Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ MAZ I CUA I PARK I scHL Fro I PAR Po Ho ISSUE Th;s permit is hereby issued -under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. W3 ©bsi— T o2. 5-6 WHITE-O.P.W.. YELLOW-ASSE330R. PINK -INSPECTOR. GOLDENROD -APPLICANT PERMIT NO: 1.7-A1 Lake Oroville Area Public Utility District 1960 Elgin Street OROVILLE, CALIFORNIA 95966 533-2000 DISTRICT APPROVAL AND VERIFICATION OF INSPECTION BUILDING SEWERS This verification form must be submitted to the -Butte County. Department of Public Works Building Department prior to issuance of a building or occupancy permit, whichever is applicable. Prior to final approval by Butte County of a Building or an Occupancy Permit, a copy of this verification form, signed off by Lake Oroville Area Public Utility District, must be submitted to Butte County. Date: February 12, 1991 Applicant: JIM HAMMARSTROM Applicant Address: 14822 Pueblo Drive, Manteca, CA 95336 209-823-6027 Applicant Phone No.: - Property Location (s): Oro Garden Ranch Road, Oroville, CA 95866 Villa Verona A. P. No. (s): 36-10-1-62 Fees to be determined after site location determined Fees due: of tank, faciliftes by OwneitDisftictn Application for service approved: LAKE OROVILLE AREA PUBLIC UTILITY DISTRICT Inspection(s) made and successful test(s) observed: Location: M Date: Lake Oroville Area Public Utility District release to close permit: Date: By: COUNTY -OF BUTTE - Department of Public.Works 7 County Center Drive, Oroville, CA 95965 Phone: 916=538-7541. OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied .for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuingyour building permit. No building..permit . will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction o.f the proposed propertyq improvement (yes or no) p 2.. I (have/have not) signed an application for a building permit. for.the proposed work. 3. I have contracted with the following person (firm) to provide the proposed .construction.:, Name \6T Address 2�7 S is antis City Phone qLf t" Contractors License No. 4. I• plan to provide portions of this work, but I.have hired the following person to coordinate, supervise, and provide the major work: Name Address `. City Phone Contractors License No. 5.. I will.provide some of the.work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone ' Type of Work. : Signed: '1 Property Owner. , rC.UW MA -I'3 +C0 rives Social Security Number (� .Date 2 ^ C3 ..NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety.Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit: Return to DPW AGRICULTURAL .STATFIIENT OF AC0014LEDGEMENT FOR RESIDENTIAL DEVELOPMENT Sectign 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. The property described herein is 'adjacent. 91-005580 Rec Fee 5.00 to land or included within an area zoned Check 5.00 for agricultural purposes, and residentsRecorded ; of this property may be subject to incon- Official Records ; veniences or discomfort arising from the ;;µ, County of use of agricultural chemicals, including, Butte ; but not 'limited to herbicides, pesticides, Candace J. Grubbs t and fertilizers; and from the pursuit Recorder , of agricultural operations including, 10:07am 13 -Feb -91 XX 1 but not limited to cultivation, plowing, spraying, pruning, and harvesting which j occasionally generate dust, smoke, noise, and, odor.,' Butte County has established agricul- tural zones which have as a priority use for :productive agricultural purposes, and residents wibiin 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: The East 105.0 feet of the North 264.0 feet of the East 230.0 feet of Lot 3 in Block 23, as shown.on that certain map entitled, "MAP. OF VILLA VERONA, BUTTE COUNTY, CALIFORNIA" which map was filed in the office of the Recorder of the.Cobnty of Butte, State of California, January 17, 1889. Date: February 12, 1991 State of ) —)... SS . On.this the day of undersionPrl Nnr53r.. PROPERTY OWNERS: Central California Realty Investors, By: James Harrmars trom 19 before me, the STATE OF CALIFORNIA ) (Acknowledgement) County of Q— ) ` On this day of ' 64PAILUL201 In the year .19 9� , before md, -- tA_&,4 J. 110,5 /14 L(__ --� o Notary Public in and for the said Cou ly a d Stale, residing (herein, duty commissioned and sworn, personally >��• appeared _�/(f S / /`'1A f�5 DAJ 0 v :01� -h �' personally known to me (or proved to me on Ihe basis"of satisfactory evidence) to be the per'son(s): Z (❑ INDIVIDUAL) WF,'ose name is subscribed to (his instrument, and acknowledged 4t (hal he (she or they) executed it. o ��� b (E] CORPORATION) Who executed the within instrument as president and { •• + secretary, on behalf of the corporation therein named, and ' ~ acknowledged to me that such corporation executed the within Instrument pursuant to its articles and by-laws and a resolution of [h K� PARTNERSHIP) Ils. Boar of Directors. That'executed the within Instrument on behalf of the part- nership, and acknowledged to me that the partnership executed It. IN.WITNESS-WHEREOF, I have -hereuntoscl my hard-an$-,flixed-my cfficlal-seal,-1,..>and,lor=said;Counly.-and-S',:.,Ie;- --_ Ihe ay and year 1 ab fs:+�mQ¢-l�l��cs��caeaesrmalar:���� ola�e�� ry Public in a for said Counly and Stale of California:] My commission a pires: 3 0 91 10MyCornrnfsG TARA J. W08H/!LLNOTARYPUBLIC-CALIFORNIA FD 1 g F/Butte Countyion Expires March 8,1991 Ed&!C]QI r2VPr.' fJ R'ECURDINGIREQUESTED RY Butte County Title Company MAIL TAX STATEMENT TO Same as below WIZEN RECORDED MAIL TO 1 Name / CCal f �Caltral � ] fClCTllc1 Realby hwestors Street, P.O. Box 2067 ' Address Manteca, California 95336 City& Stale L_ ORDER NO. • ' ESCROW NO. BUTTE COUNTY RECORDER SERIAL NO. 9l- CVJ_V�1/ RECORDED AT THE REQUEST OF BUTTE COUNTY TITLE COMPANY DATE RECORDED: d - l 3 - W TIME: F' D U SPACE ABOVE RECORDER'S USE ONLY GRANT DEED (INDIVIDUAL The undersigned grantor(s) declare(s): Documentary transfer tax is $ 12.10 2.10 (XX ) Computed on full value of property conveyed, or ( ) Computed on full value less value of liens and encumbrances remaining at lime of sale. (XX ) Unincorporated Ita ( City of = Tax Parcel No. V36-10-1- -0 FOR A, VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, SUSAN F. BEAVER, a single woman hereby GRANT(S)to CENTRAL CALIFORNIA REALTY INVESTORS, a California Limited Partnership. the following described real property in the County of Butte , State of California: The East 105.0 feet of the North 264.0 feet of the East 230.0 feet of Lot 3, in Block 23, as shown on that certaixi Map entitled, "MAP OF VILLA VERONA BUTTE COUNTY, CALIFORNIA", which Map was filed in the office of the Recorder of the County of Butte,, State of California, January 17, 1889. t rra� P,.rowlPh r�rtifv S>,'ss 4o ba a hija Jzid cormet copy Ci 010 OrlK&Iah buttt� why Bite CA Dated February 6, 1991 X _ - ;-Susan F. Beaver i t � STATE OF CALIFORNIA l Counly of But t e 1 S.S. On this 12th day of February 19 91 before me, the undersigned, a Notary Public in and for said County and'State, personally appeared Susan F. Beaver personally known to me (or proved to me on the basis of satisfactory evidence)tdo be the person whose name I S subscribed to the within instrument and acknowledged that she executed the same. . �,. ............... ......................: ■ OFFICIAL SEAL WITNESS my hand and official seal. 34. BONNIE L. HOUSER ■ a ', •l o NOTARY PUBLIC—CALIFORNIA PRINCIPAL OFFICE IN BUTTE COUNTY- My Commission Expires July 23, 1991 _ _ _ _ Notaryi Public in and for said o my and State. Bonne a L. F-buse r """"' """"" """ ""' (Notary Seal) FD -13B (Rev. 9/88) MAIL TAX STATEMENT AS DIRECTED ABOVE APS` PERMIT MH UT IL. CLEARANCE DATE INSPECTOR ELECTRIC GAS Support Struc. Compaction Test eq. Service Other Pipe YES NO YESI NO Size Load. Type Size Length Al OVIA— t i 0 JV 0 R.,A a'-*! doi: hei-ret dl ;,that real County of ;;The -"Eai I Y i` . ,3� nA .4, ii HEN RECORDED MAIL TO: j; . lt� . . . . . ELEANOR 'BECK usan 'Beaver." WBECK """(=-RECORDER FE ,love eaver and Marilyn D. Beaver, ;husband-,i�idyife :_675-Vigstaff Road .7 'convoy CA -95969 Pafddise, ilve, grant and �SF. Beaverf; '::, a - single a women S A t:t v, roperty. In the 22 P#•036-10-1-013-0 ­� (Porrtion) SPAC'N A!10Vi *8 11' �THIS LINE FOR 'a" pages 1AIL;TAX STATEMENTS TO:: same i: 88,`: above TAX ....... Coffouted on the waskloration 6rvaluff'of property conveyed; OR bUTTE,=UNTYj­CAL1F0RNIAll , which Map was-filed-in.the-Office Computed an the --nolderst'an or value Was Ilene or encurnbrarwas .e6o:irder.'.',of .., the County of Butte,".State of California, *-January 17,,' J. -'r,j tfr Beaver -1, signature at P"Larant or ASMS determining tax firm N&mr77 0 R.,A a'-*! doi: hei-ret dl ;,that real County of ;;The -"Eai I Y i` . ,3� nA Dated STATE OF CALIFORNIA COU Q1 before me, the undo P ne allott P bficInandor;IdStateper- sonal'yappeared 111 R. A. Beaver Marilyn D. Beaver peracrialty known to me ( LOANNEGALLWOS &4Aae) to be the person(s) whose name($) Ware subscribed to the oW NOTARY KOLOCAUOkW 8 - within Instrument and acknowledged to me that ho Ahey executed 11MOM00 a otat,gols,"- the name. • my WITNIESSmyh n flIc goal. Sign (This area for 0"Icial notarial seal) 11088 (6/82) MAIL AX STATEMENTS AS DIRECTED ABOVE _EW OF DOCUM MT. % I .4, G I F= D E E® j; ATIONof thean4, affection which the arii,� the grantee ,love eaver and Marilyn D. Beaver, ;husband-,i�idyife 'convoy ilve, grant and �SF. Beaverf; '::, a - single a women S A t:t roperty. In the 22 Butte' :State of CallforhW, described av;­7 ;10%0feet- of the .North 264.0 feetof the, ta'st, 230," 0, feet, of lot . Ock.:,23�­ ::as .a hown o n"that certain' Map' ezititled "-:HMAP - OFNILIA bUTTE,=UNTYj­CAL1F0RNIAll , which Map was-filed-in.the-Office .e6o:irder.'.',of .., the County of Butte,".State of California, *-January 17,,' J. Dated STATE OF CALIFORNIA COU Q1 before me, the undo P ne allott P bficInandor;IdStateper- sonal'yappeared 111 R. A. Beaver Marilyn D. Beaver peracrialty known to me ( LOANNEGALLWOS &4Aae) to be the person(s) whose name($) Ware subscribed to the oW NOTARY KOLOCAUOkW 8 - within Instrument and acknowledged to me that ho Ahey executed 11MOM00 a otat,gols,"- the name. • my WITNIESSmyh n flIc goal. Sign (This area for 0"Icial notarial seal) 11088 (6/82) MAIL AX STATEMENTS AS DIRECTED ABOVE _EW OF DOCUM MT. % I COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center, -Drive, Oroville, CA 95965 PHONE: 916-538-7541 DATE February 19, 1991 Jim Hammarstrom c/o ?forth Valley Contracting RE: application #390-91 (MHU) '1275 Oro Dam West Oroville, CA 95965 A,P. # 36-101-62 With reference to the above subject: / / Attached is: Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced OTHER / / We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans.in including plot plans. Plot plans in Structural details in Complete plans and calcs in by,registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section (DPW). sets of plans in accordance with the changes marked in red. Sanitation approval from Butte .County Health Department at: 196 Memorial Way, Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for Completed Owner -Builder Verification form. Recorded copy of deed showing parcel legally created (original deed of creation) - Recorded ) -Recorded copy of agricultural acknowledgement statement. /�. OTHER It appears this parcel was created without benefit of a parcel map. Should you have any que§tions concerning the above, please contact Jim Glander of this office. Yours very truly, JFG/aj William Cheff Director of Public Works J.F. Glander Chief Building Inspector e 7. •+y^ ^�+�• _ x -. ti .t x.;�yrrs H. r ..tl r� .... r ..mt r,•'+�iri+w 9 fi+ f�';ur- �:y ��i:,�, y+ i at ♦"'4in 36-101-62 4437 HAMMARSTROM, Jim - 2574 Oro Garden Ranch Rd, Oroville Contr : Sharp Electric (elec for sewage pump) o F f OFFICE COPY Addre O ed GAS le Meter g ELECTRIC ' Meter By ; Ay y t - r COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Clilifocniay95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSE550��JF1-6ylUMBER ZONIN GAR BUILDING PERMIT OWNER Jim Hammerstrom T 9ATM5 SO. FT. OCC. BUILDING VALUATION OWNER'46ILN e��.OSDr. Manteca, CA 95336 CONTR CTOR'S N ME Sharp �:3ect. TELEPHONE CONTRACTOO R'S MA'CI LIIJ G�A�DDRESS Oroville 95965 P 111�N•• 1133 o Vl Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,V Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDIryG D ESS l5i�N; Garden Ranch Rd. Oroville Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 r Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP L Water piping 5.00 Each gas .water heater or vent 5.00 USE OF STRUCTURE ' SF ❑ Duplex❑ Mobilehome❑ Other elect service SPECIFY Gas piping, system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G 1W I10.006 TYPE OF WORK New❑ Addition❑ Remodel❑ Utilities❑ Installation 11 'Other❑ Describe work: elect. service/circut for sewage _ lift pump (L.O.A.P.U.D) Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): kr I am licensed under provisions of Chapt. 9, Div. 3 .Of the Business and Professions Code a my license is in full folce and effect. License No. Classification ��-'/0 ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.(DWELLING OCCUP.tr OR ADONS. ACC. BLDGS. , 2/2¢sgft NEWCONSTR. ULTI.OUTLET NON .RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS tr (SINGLE OUTLET CIR. ) . Ex. Occup OUTLETS OR FIXTURES BAL0630 Ex. Occup. our LEPR IRESID IEA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �Virin 9 15.00 min charge 25.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. IG I have placed on file with the County of Butte Building Department �U a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you becomesubject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. 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 4 6ilities., Jud ts, costs, and expenses which may in any way accrue against N4id,C ty in consequence of the granting of this permit. X Date Z - / 9, `J Signature of Applicant — Owner ❑ Contractor'Ej Agent ❑ An OSHA permit is ,required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ --i CONST TYPE TOTAL FEE $ 25.00 HA2 CUA PARK scHL FLD PAR PD HD IssuE Th;s permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated ab �e for which fees have been paid. DIRE . 0 'OF PUBLIC WORKS / By �-'�;' Date f/ to PE MIT EXPIRES Date Receipt No.83R2R-25.� WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 1 7 County Center Drive - Oroville_Califofrtia 95965 - Telephone: 916/538-7541 tAZ _('\ APPLICATION AND PERMIT Tr -12! _ � ASSESSOR PARCEL NUMBER 3,PA E 62 ZONING AR BUILDING PERMIT OWNER ,Tim Hammerstrom TEL H W'1955 SQ. FT. OCC. BUILDING VALUATION OWNER'SMAILING ADDRESS 14822 Pueblo Dr. Manteca, CA 95336 CONTRACTOR'S NAME Sharp Elect. TELEPHONE CONTRACTOR'S MAILING ADDRESS P.O. Box 1390 Oroville 95965 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee Energy Plan Checking Fee A$. $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 2574 Oro Garden Ranch Rd. Oroville Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other elect service SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New F-1 Addition El Remodel❑ Utilities❑ Installation[] Other❑ Describe work: elect. service/circut for sewage _ lift pump (L.O.A.P.U.D) Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6101 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): 1 am licensed under provisions Of Chapt. 9, Div. 3 of the Business and Professions Code an. my license is in full force and effect. License No. Classification -�� ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.& A NEW , q ft 2/z2sea CONST ULT" OUTLET NO N.R ESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES z0@e0a eAL@30 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA,) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �Virin 9 15.00 min charge 25.00 3.00 Permit Fee $ 25.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. �Jkp I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also a save, indemnify and keep harmless the County of Butte against all flit' jud ts, costs, and expenses which may in any way accrue against id.�r, ty in consequence of the granting of this permit. X Date Z - / g� �%/ Signature of App icanr — Owner ❑ Contractor �j Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height./ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 25.00 HAz cuA PARK SCHL FLD PAR PD HD ISSUE Th;s permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated ab for which fees have been paid. ADE O PUBLIC WORKS By ate / P MIT EXPIRE Date Receipt No. 83828 25.99 WHITE-O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPAR`TMENT OF PUBLIC WORKS 7 County Center Drive - Orovillei,California 95965 - Telephone: 916,'538-7541 APPLICATION AND PERMIT. PERMIT NO. ASSESSOR PARCELNUMBER ZON BUILDING PERMIT OWNER L -2 M TE �IPH0NE S& - S0. FT. OCC. BUILDING VALUATION OWNER'S M • LI A DRESS ///���'µ^ ( / Y c7s� . Ad ka CO ACTOR'S NA TELEPHONE CO TRACTOR S MAILING ADDR S (�( Fireplace CO S UCTION LENDER UN OWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan.Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping . 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome❑ Other ��F'��V�` SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.006 TYPE OF WORK New ❑ Addition//❑'' Remodel ❑ Utilities ❑ /I�n-s_tallation❑ Other ® Describe work: 62 C Z -{�L zce: /� %L�- CJS ` �L Gz ��v,4 GC ���-� Lamp � Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 L 0,A ^U Q T Main service 6101 OR LESS 100 AMP OR LESS 10.00 — Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penaltyof ) perjury (Check One: ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEWC ONST. DWELLING OCCUP.ai oR ADDNS. ( ACC. BLOGS. , 2/2¢sgft NEW CONSTR ULTI.OUTLET NO N.RESID BRANCH CIRCUITS) 2.50 ea .(POWER APPARATUS e� SINGLE OUTLET CIR. / - Ex. Occup(ouTLETs OR FIXTURES 20050C FIXED PR Ex. Occup. OUTLETS IRESID )EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 , Wiring �Virin 15.00 --� Permit Fee Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): F] The permit is for S100.00 (valuation) or less. ❑ I. have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permlt Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date 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 heig t. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST TYPE TOTAL FEE HAZ I CUA PARK scHL FLD PAR PD H ISSUE This permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to to have been paid. WORKS Date Receipt No. WHITE-O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT J....�., m, 3► FORT- 2- C', fAIVO IPA � ORS GAROEN �IRN CN i C(,UEN NNr F1N0 CORE neo 6ARfiFN RAN�Ii IZD 00,OU,Lk ► eA 0.3G 1CI 7-5 j2& -&A.,; /rz C0V4ffR wow-�- RUIMING i 4 r, P l'S;_ 43