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HomeMy WebLinkAbout069-200-00269- 0-02 '4012-89B,P,E ALLEN, obert Contr. lakes Affordable Housing 1,03 Kokan e Dr, Oroville (MHU) 'i ELEC ZDO GAS LPU '-�-� COMPACTION TEST R' a► SUPPORT STRUCT REQ 4 '69-20->Bls 56-89B ALLHN, Contr:ffordable Housing 103 �oville 69-20-02 578-90B,E ALLEN, 'Robert CONTR: Ames R.L. Const. 103 Kokenee Dr, Oroville (GARAGE/DECK) / / e 9Q 69-20-02- -- 2378-91B ALLEN, Robert 103 Kokanee Dr, Oroville cont: Sierra Mobile p (awning/mh) 8 l l FRESIDENTIAL -2343 069-200-002 SFD-Mobile Home PFS BILE HOME PER FND EX SITE KOKANEE DR �!D • Q -O6 ALLEN, ROBERT J LIVING TRU _� �y � - � `I � This sot of plans and specifications MUST be `kept on the job at all times and it is unlawful to make any changes or alterations on same without written permission from the Department of Public Works, County of Butte. NOTE:= Ail Materials & Workmanship Shall Be in Accordance with Recognized Good Practices and. of a quality prescribed for the Specified use in the Uniform Building, Plumbing & Mechanical Codes and the National Electrical Code. SE T_: 8A CA< O - 07'/9'/9" R=597,00: L = 7S, 29' Kc, K4 n e e LOT 32 UNIT 3 -tvike ,waCk of 8 ft, fi M the prOPal'tv, lines and a setback ° the road s�be clear s or eg�� save over S��'l�NT centerlineof structure rnt except for a 2 ft- G/f/�i g s_ ��a S VIP ET=8.4Cff ET -23A 5—A -.E /"= 20' 4-a37g, t %..00 ' NO. ACCESS sT2/P 13UJ' E� - �!TY B U tPRTENT V �qpo &MT 411 -Al Ile `V* • ee t a R,,fsw�✓e'y� y.1pp O� r':b l Ile `V* • ee t a R,,fsw�✓e'y� y.1pp O� r':b A 4! g�.yc iul/ �7ch% 06— �:afx+onYs x"AYA,,..ormR, y sf ewps u'.i a', 4►I y R"Aa o ♦ �a ka NO _. Q- RoDEt_T AL1-E.J 'boit �2�}� @•qq��6. (L4./iMES 4-Wr- b .oy�t�A .. 45]44 �^!��. O¢o.yi�f•4e 6+ 969ib - - - - - . _._. 5�? 3wiFOES .. jA 9 RESIDENTIAL 69-20-02 1 ALLEN, Robert i Contr: Blakes'Affordable Housing 103 Kokanee Dr, Oroville (MHU) JOB FINALI Signature it OK O=Not OK Not = Not Readyable MOBILE HOMES Date MOLWE HOME UTILITIES Plans OK except #'s A. 4pffrng Requirements -Setbacks -Easements S ' ;;Special MH Support Sketch A'Isd-ler; Location -Test -Fall -C/O Concrete W.war; Location -Test -Easement Needed (Sketch) Electr' ity; Location-Clearences-Grnd-/ /Amp -Concrete 6 as; ation-Test-Wrap / P -1-1t. / Nat. o"L• It /Tf"LPG Utility Clearance Date Card B-1 ,22?2 Date Card B-1 Date Card. 8�1�91ate Card B-1 Date MOB HOME INSTALLATION Plans OK except #'s Zo ' 'Requirements -Setbacks Easements ovin6s; Size -Spacing -Marriage Line . Ga • H Test-Demand-Valve—Connector 4'—Ele city; MH Test -Crossovers -Breakers -Clearances rai"H Test -Fall -Flex Connector 7!Wate 4nd Sewer Connected -C/O to Grade -HD Approval 10.'—Cert. of Occupancy Date 1; = / Card B-1 Date _ _ Card B-1 Date Card B-1 Date Card B-1 , . V MISCELLANEOUS I 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 J Date POOLS (Plans) OK except #'s Il 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 -Pane Iboards- Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 1 i Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 1 ✓=OK O=Not OK - = Not Applicable ' = Not Ready � RESIDENTIAL (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. Ong. 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 -Bloc kouts-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 3' -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-Combust ion 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 B-1 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 0 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 0 Yes 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector 80. Following instld.; Drive 0 Yes 0 No; Walks 0 Yes 0 No; Planters 0 Yes 0 No 81. Stucco; Brown -Finish Date Card B-1 Date Card B-1 82. A.C. Unit; Disconnect, Electrical, Plumbing Date Card B-1 Date Card B-1 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings Date MECHANICAL (Permit) OK except #'s 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 B-1 Date Card B-1- 39. Sils, Proper Material & Anchors Date Card B-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 ,.rte • ,�. r`-• a-:. .-- - -, .... ... �:. _ .. _ _ ti.. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872.-6307 CORRECTION NOTICE OWNER (/-3 rcll;l — IT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector �111 Date -'--,r^,7""r-.7 �t",i--'�y7�'s�'""•�' �N r�iiJ't`:�wM"�;`'.'P'��'S"�'�'�'''•T` •",--'��,• '•�•s • I 1 PERVIT NO: 81-89 Lake Oroville Area Public Utility District ` 1960 Elgin street OROVILLE, CALIFORNIA 95966 533-2000 ; DISTRICT APPROVAL AND VERIFICATION OF INSPECTION BUILDING SEWERS M 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. • 2 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: November 28, 1989 Applicant: ROBERT J. ALLEN (Blake Affordable Homes) Applicant Address: Applicant Phone No.: 534-8336 1 Property Location (s): 103 Kokanee Drive, Oroville, CA 95966 Kelly Ridge Estates, Unit 3, Lot 32 A. P. No. (s): 69-20-02 Fees due: ALL FEES PAID Application for service approved: �- LAKE OROVILLE AREA PUBLIC UTILITY DISTRICT Inspection(s) made and successful test(s) observed: cil") Location: i .� Date: By: /Z, . /-;?_L /'11, t Lake Oroville Area Public Utility District release o close permit: Date: /— 2, - e� B � C, Y• MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF, BUTTE DEPARTMENT OF PUBLIC'WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 PERMIT NO, Address or location of mobilehome Owner's name Owner's address J Insignia or hud number Manufacturer's name - Serial number of V.I.N. Year of manufacture (Official Approving Installation) (Date) IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 513B White - Owner, Yellow - Installer, Pink - D.P.W. AP # 014NER PERMIT MH UTIL.CLEARANCE DATE INSPECTOR �7 ELECTRIC GAS Support Struc. Compaction Test eq. Service Size Other Load Type Pipe Size Length YES NO YES NO COUNTY OF BUTTE S15EP*TMENT OF PUBLIC WORKSPERMIT O. NO 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-754 J _ APPLIQATION AND PERMIT ASSESSO PARCEL NUMBER ZONING -r_ I BUILDING PERMIT OWNER, T LEPHONE ALL ,� 1 ,\/ SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE AFFo yu5- 3�f�336 CONTRACTOR'S MAILING ADDRESS /'EAV -(1! 6L� 1516 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ I ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ 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 NAMEu. PARCEL MAP . Water piping 5.00 Kt= {i i21 D6E ;E 3 y -4 Each qas water heater or vent 5.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 5.00 SF ❑ Duplex[] Mobilehomeg Other Building sewer 5.00 SPECIFY Mobile Home I S I G JW I 10.008 TYPE OF WORK New ❑ Addition ❑ Remfolde1 ❑ Utilities ❑ Installations( Other ❑ Permit Fee $ Describe work:_ 13/�-' _ 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 NEW CONST. DWELLING OCCUP.gI ACDNS. ,/z ¢sq ft I declare under penalty of perjury (check one): OR ACC. BLDGS. TLET NEW CONSTRESID, 2,50 ea ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business RANCH NON•R ESID BRANCH CIRC ITS CIRCUITS) /POWER APPARATUS e and Professions Code and y license is in full force and effect. (SINGLE OUTLET CIR. % Z A 1/� License No. 0 Classification C� EX, OCCUp�OUT LETS OR FIXTURES 20030C SALO 30 ❑ I, as the owner, or my employees with wages as their sole compen- Ex. Occup. OUTLETS ED AP(RESID.)REA.) - 2.00 sation, will do the work,and the structure is not intended or offered Temporary service 10.00 for sale. (Sec. 7044) ❑ I, the licensed Mobile Home Facilities 15.00 as owner, am exclusively contracting with contract- Misc. Wiring ors. (Sec. 7044) g 15.00 ❑ I am exempt under Sec. , Business and Professions Code for this reason Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): MECHANICAL PERMIT Filing Fee 10.00 ❑ The permit is for $100.00 (valuation) or less. Heating ❑ 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. Cooling g I shall not employ any person in any manner so as to become subject Hood 3.00 to the W. C. laws of California. Ventilation 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 Permit Fee ; provisions or this permit shall be deemed revoked. I Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee $ Op Energy Inspection Fee $ is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot occ CONST TYPE Butte to enter upon the above-mentioned property for inspection purposes. A TOTAL FEE $ 70 1 60 I also a ree to save, indemnify and keep harmless the County of Butte against HAz CUA PARK _ F D A P H Iss .�' all I i i ' s, judgments, costs, and penses which may in an way crue a inst sai County in c eq e e anting of this permi . .�" X iY This permit is hereby issued under the applicable provi- Date sions or the Butte County Code and/or resolutions to do Signature of Applicant — Wner❑ Contractor Agent work indicated above for which fees have been paid. An OSHA permit is require for excavations over 5 "deep and demolition or construct- WORKS ion of structures over 3 stories in height. elng7IC �J 6 Receipt No. '� �`� BY Date"���" WNI TE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT PERMIT EXPIRES Date_.. T V-91 COUNTY OF BUTTE - DEPARTMENt ' F PUBLIC WORKS - BUILDING DIVISLbN 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 ti �-- PERMIT APPLICATION DATA SHEET Permit No. OWNER A. P. No. Proposed Building Use Building Inspector. Date 1Z -0 _J At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, 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. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 2. Park fees paid 3. School District fees paid .............. x"14. Sanitation approval from 2e"_ 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 .................. 23. Owner -Builder Verification (Given to owner o, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ............. .. / .qa ... . 27. When you issue the permit, process as follows: Mail ,,t��o��o''wner. _ _ Telephone s������ and hold for pickup at jj_ office. Mail to contractor. _Deliver w/inspector. Copy of plans sent Health Dept., Fire Dept., _ Other Date The following data must be submitted prior to permit issuance: (Circle new item not c 7 1. Index permit for above items No. 2`—Additional items required: ( ii Contractor, designer, owner, was advised of above required data by—phone ---mail—counter by .date Contractor, designer, owner, was advised of above required data by—phone —ma ll—counter by date Plans checked by Date Plans approved by '��& Date � U Sets of plans on hold in . File cabinet AP folder Copy—DPW .I I j l! I _ �'`_` _. (. ( , I i y, I ; 1(1'l' ,lt HOUSE I5 DELIIV�,RED i f i i I I I. i I I !' j I I I I I 1/,•_G t a d pr pare N d.,>f> w_i.;th (;ti't earl .Cor ara. Le and access rivewa I�2'I. r!oa > ase. Slope pad forj drainage, toy i;okanee. Prepa e for 1181k2 " gaze e ! a 2/ Iu�s "all sl tiitie� inclining .rid 7 Lt' drivewayl Instal r ba'se on le!ct'ic, (,.PIG & 1�),i sewer, (LOPUD),' I I I jd.r.'iveway and garag� p� d� i atter --(IOWID) and propane according I ( 1 I (his Isei of plan ai- d p cif ca io s U5T !be f o-�o e.�--Eleect� i to be Ipliaced yin! I I , keptor t e joblat SII im s n it is nl w�ful�te joniuit to c nnec wi.t pedestal:. II i I I s I i make. any changes or al r do s n �sa a Iwi h- 3� In tel teinporcryl ramp; off Arroyo I ! ' I i I . ! �oi c elZv r of louse. ' ( ! I 1 j oiut wr ttep permis io i f , m t e rt ent f i ! Public Works, Cou i tv of Bu e ! s u -cable T.V.and to ephorie Pondu'it+ I ' ( 1. I i hodI Be 'h ' j l I j( • 1 rra�s o k amhi ! -- -� o- code' ( Trench. must. be sanded l I I NO�'E.; AN M. Ica i f ' AcTqpality rdan' a with RelCo ni d G o ra tires d I i h 'sepa at or els equip e by PG&E. F i• i M e I sulre elec rici�t can e',brou' ht of prescr or th a ifi d us$ i t I i y I t. I g I uniform B,uii ; ing, Pllu brig e h nic I desi aid to .g I r Ige (I ta11 p opane line=and the National' Electric I o e. pr ssurei b i j I j stiack of 5: Jr m, pehjY iet nd a ac o � ! I i 'cegteriin st all I _ ~ip strl�cture o e t xc t l _ for a 2 ft. ea e ve rhang." I i O 000 A I[YIM LA I i I +T; I I I I I{ Oryl - 1 i 1 I li'JlI I 1 f I { I ! f iI UN I I ! 13UILbiN OEPARTME1 I lily I 1� BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541. MOBILEHOME INSTALLATION SHEET 1. Owner's Name: 2. Installer's Name: 3. Is the site currently under permit? Yes' No (If yes, furnish permit number�p�'��%�) OR 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 fields and clear of all setbacks and easements? Yes IM No (If no, clarify 5. What is the mobilehome electrical rating? -------------- Amps 6. What is the mobilehome site service rating? ------------- �.. Amps 7. What is the.mobilehome site circuit breaker rating? ----- -Z 0� Amps 8. Is there any other electric load to be served by the n mobilehome site service? -------------------------------- Yes � No 14 (If yes, identify the load and size: (.Load) (Amps) 9. What is the mobilehome site gas pipe size? -------------= (in.) 10. What is the type of gas service? ------------------- Natural LPG 11. What is the gas pipe length from meter or tank to the �r mobilehome?--------------------------------------------- (ft.) * 12. What is the mobilehome gas demand? ---------------------- *(This information not required if pipe length less than 6 ft. on �.� natural gas or less than 50 ft. on LPG.) .'� 6 ILOY (BTU) MOBILEHOME SUPPORT DATA If other than single wide, Mobile home Mfr urnish Setup Model No. .Year,-Gyc Width(ft.) Box Length �(ft.) Tagalong or Expando Size ft. x ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one)® 1. Wood -pressure treated or foundation grade. 2. Other (specify) SUPPORTS (check one)N1. Concrete block.a 2. Other (specify) .Pier Footing Sizes and Locations , SINGLE -WIDE Beams � .Line 2` _ _ _ _ _ _ _ _. Main Beams -*--Line Tag or Triple Line 1 Piers: Size -Min. ------------ S pac i ng -Max. ---------- Spacing-Max. ------ „ From Ends -Max. ------- line 2 Piers: Size -Min .------------ a "x Spacing -Max.--------- From Ends -Max .------- '_ O Line 3 Roof Loads: Size -Min. ------------ 2n Line 1 Openings: Size -Min- ------------------ nx n Each Side of Openings With Width Over --------- Line 3 Piers: (Under Bearing Wall Only) Size -Min ------------------- ox u Spacing -Max.--------------- From Ends -Max .------------- �_ n M I „x „x „x I. I ,, „ Location (From,Front) I O '_ Line 4 Piers: fine 5 Piers:on (Under Bearing a e y Size -Min.- - ----- -- ,k Size -Min------------------- Spacing -Max.--------- Spacing -Max ---------------- '- From Ends -Max.------- �_ From Ends -Max.------------- Line 5 Roof Loads: Size -Min.------------ , _ x 'k 'k11"x " 'k "x "x "x " Location (From Front) s� Z ' D�►11 -5p_L t3' -d y� LWIF�{ 1xlj�. Pr+� l _ ) N, Ktj�Et1 I��� 0:4 Ndu.. g;fpK'r l-. rtIFL be Fist, "TL. c H *ori 13,44 . (21-d. "tti�� }� W1�Y tKq (7w 2000# 12"X24" 4000#-` 24p 6000# 36 GOLDEN WEST HOMES CARPET LAYOU' 2500 S. WALNUT•ALBANY.OREGON -' t 0 w DRAWING moDEL-�-- DATE RFVISED' DWG. NO. , 6r d 1 rIJ4S _ ) N, r[�I K' ' • f y� W1�Y DRAWING moDEL-�-- DATE RFVISED' DWG. NO. , 6r d 1 rIJ4S ISUPPOR PIERS 0 T Foot naD appm rooae F=T WT" -'L sm Pm set cAri-c" Towma SM owo9m-.-- we s -a or PwmLATm mAmm- eeQnc )00i 0, 60"X24- oft24-XV 607009#T36j"X24", 8000# 48"X24 I 20 0 12"X24" 4000 ........... 4. . E BEAM FJM- SUPPORT J 0,:E COLGOLDENWEST HOMES PIERS} 2500 S. WALNUT* ALlBANY.OREGON DRAWING MODE . L DATE ..REVISED DA'G- NO. y COUNTY OF BUTTE - EJP,ART"JIENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR P RCEL N. ER ff -� ` ' — �� Z I -, BUILDING PERMIT OWNER TELEPHONE S0. FT. OCC. BUILDING VALUATION OWNER'S MAI LI ADDRESS COI&CTOR'S NAME TELEPHONE LEPHONE -.0121C TRACTOR'S NTRACTOR'S MAI^LING ADDRESS 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 $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS DR-`! I Permit fee ! PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT O.SUBDIVISION NAME.,., S — PARCEL MAP [3 Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SFO Duplex[] Mobilehome� Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home F909 10.00e TYPE OF WORK New ❑ Addition ❑ Remodei ❑ Uti lities W Installation❑ Other ❑ Describe work: _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service BOOV 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): f I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code Jand -my license is in f I fore and effect. License No. �� / ' Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation,LNS 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.p OR ADONS. ( ACC. BLDGS. , /20sgft NEW CONSTR ULT' -OUTLET NON- BRANCH CIRC ITS 2,50 ea ( POWER APPARATUS &) SINGLE OUTLET CIR. Ex. Occup(ouTLETs OR FIXTURES eAL@30 FIXED Occup. Temporary service 10.00 Mobile Home Facilities 15.00 11 10 Misc. Iyirin 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 of Consent to Self -Insure. nI 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 Conlin g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all I 'es, judgments, costs, an expenses which may in a y way t ue El Inst sai County in c seq c o the granting of this permi ate Owner ❑ Contractor 2-1 Agent Signa a of ApplicanrK)ories An OSHA permit is rfor excavations over 5'0" deep and demolition or construct- ion of structures over i he ht. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL E HAZ CUA �^ PARK sc FL PA p� V Ho I e This permit is hereby issued under sions of the Butte County. Code and/or work indicated above for which IRE�RPUIBLIC BY PER IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date J �y �j Receipt No. 47 1 �S WHITE-D.P.W.. YELLOW -ASSESSOR, i K -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT-_O'p P'�1BLIC WORKS -BUILDINGIVI ON 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 _ - PERMIT APPLICATION DATA SHEET Permit No. OWNER On? A. . No. Proposed Building Use Building Inspector Date At tim of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, 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. Mobilehome installation data including manufacturer's installation instructions........................................................ 10. Fees of $ ........`................ 11. Chico Urban Area fees paid ................. .h1f................... 12. Park fees paid .............................. �1.................. 13. School District fees paid .............. 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 .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... �- 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone n5,-23Z6and hold for pickup at office. Deliver w/inspector. Other was -toy hog of ro Apant ,,Date Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone---jnail_couryter by .date Contractor, designer, owner, was advised of above required data by_phone_mail_,q.§otM/H.er by date Plans checked by Date Plans approved by Sets of plans on hold in . File cabinet AP folder Copy—DPW - M BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (One Form,per Building) A.P. Number0 -a-a-Off- Building Department No. School DistrictoA,ry-jy _(��i ity 0 County ®Jurisdiction Property Owner ")eA i� Project Location/Address 10,3 k1A,„,,2, Subdivision Lot Number Residential Development: Sq. Footage ),� # of Living MHI Addition (Group R) Units Commercial/Industrial: Sq. Footage - New Addition (Including Exterior Roofed Areas) Building Department Representative Date ******************************************************************* District Id No.. p403 School District certifies that J (Applican-) Name) (Phone Number) 10A I�4a",_ , (Street Address) (City) (State) (Zip Code) has complied with the requirements of Resolution No. 0o by the pa ent of $ cif representing N (� square feet. /1 4, S- - L chool Dis” 't Representative Date PAID BY CHECK NO. REMARKS i'6& BANK NO PAID BY CASH white -applicant, yellow -building department, pink -school district SCHOOL . FEE (5/88) r PERP IT NO: 81-89 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: November 28, 1989 Applicant: ROBERT J. ALLEN (Blake Affordable Homes) Applicant Address: Applicant Phone No.: 534-8336 Property Location (s): 103 Kokanee Drive, Oroville, CA 95966 Kelly Ridge Estates, Unit 3, Lot 32 A. P. No. (s): 69-20-02 Fees due: ALL FEES PAID Application for service approved: LAKE OROVILLE AREA PUBLIC UTILITY DISTRICT Inspection(s) made and successful test(s) observed: Location: 21 Date: Lake Oroville Area Public Utility District release to close permit: Date: By: Return to DPW pAW1pAREDWI ,RlCULTUIZAI.. STA'f1-:f-1GtJ'I�UP tNOTp0Cumr tdl,I:u— c:ISPUiNr FOR RESiDuTrIA1. IIENED)PR Mf ACCEPTED FOR AT 8;01 RECORDING Section 26-8.1 of the Butte County Code requires this acknowledgement NOV ' be recorded prior to issuance of a building permit. 2 9 1989 The property described herein is adjacent to land or included within an area zoned for agricultural. purposes, and residents of this property may be subject to inconveniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from -the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning,, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, .necessary farm,operations. All that real property situate in the County of. Butte, State of California, described as follows: 77 - =_ ! ir•` ORDER NO. BU -10931£3-3 , DESCRIPTION ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS: LOT 32, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "KELLY RIDGE ESTATES UNIT NO. 3", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JULY 26, 1974, IN BOOK 43 OF MAPS, AT PAGE(S) 44, 45, 46, 47 AND 48. Date: 1112- g ,y9 . EILEEN E. ALLEN PROPERTY OWNERS: State of Calif. ) on this the 28th day of November 198_, before SS. me, the undersigned Notary Public, personally appeared County of Butte ) ®one anaaago aamnoama.taaa■aas CYNTMA A. COLLIER i NOTARY PUBLIC -CALIFORNIA r a - Butte County ■ ■' My Commission Expires Oct. 30,1992 0 ■ ■ EILEEN E ALLEN ************************* ******************************************* L/ Personally known to me. Ad Proved to me on the basis of satisfactory evidence. to be the person( whose nameoW ;s subscribed to the within instrument and acknowledged that She executed the same for the purposes therein contained. IN WITNESS W1:1rRE.OF, I hereunto set my hand and official seal. Notary Public Present A.P.. No. 89-047170 ; R e c F e e Cash Recorded Official Records County of Butte ; Candace J. Grubbs Recorder 8:01am 29 -Nov -89 ; 5.00 5.00 PARTY SHOWN Return to DPW AGRICULTURAI., ST'A'1'11.11�N'1: OF ACKNUW11EDGEM1ENT FOR RE'SlllLNTJ.AL DEVE,1,0PMLN'T Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. VS I 1 The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort arising from the use of agricultural chemicals, in but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such 'inconvenience or disconform from normal, necessary farm,operations. All that real property situate in the County of. Butte, State of California, described as follows: - t l�• :,:1" �'r' ORDER NO. BU -109318-3 DESCRIPTION :ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF, BUTTE, :'STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS: .LOT 32, AS SHOWN ON WHAT CERTAIN MAP ENTITLED, "KELLY RIDGE ESTATES UNIT NO. 3", WHICH MAP WAS RECORDED IN THE OFFICE OF THE 'RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JULY 26, 1974, IN BOOK 43 OF.MAPS, AT PAGE(S) 44, 45, 46, 47 AND 48. Date: EILEEN E. ALLEN PROPERTY OWNERS: State of Calif. ) On this the 28th day of November 198_, before SS. me, the undersigned Notary Public, personally appeared. County of Butte ) EILEEN E ALLEN ************************* ******************************************* ®uoamenumIosINo®NININBan BONIN ® a Ll Personally known to me. Proved to me on the basis a CYNTHIA A. COLLIER of satisfactory evidence. NOTARY PUBLIC -CALIFORNIA � to be the person(K) whose hameW i s subscribed to t' My Commission eOct. 30,1992 0 the within instrument and acknowledged that She • executed the same for the purposes therein contained. ®ems���.�s����o�iA���■®sv� IN WITNESS WA6REOF, I hereunto set my hand and official seal. Present A; P. No. r Notary Public END OF DOCUMENT 0 RESIDENTIAL C - 69-20-02 578-90B,E ALLEN, Robert j C0I4TR: Ames R.L. Const. 103 Kokenee Dr, Oroville h(GARAGE/DECK) JOB FINALE Signature e l J=OK O=Not OK -=Not Applicable j� ' Not Ready MOBILE ■ OMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /'U'ft. / P'Nat. or/ P'L"ft./ /"LPG 7. 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. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B -i MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, Plans OK except #'s jetg2equirernents-Setbacks-Easements ootings of Size -Depth -Spacing -C nnecto Steel cks; Gfd ers and/or J" -Def: *ng -Bra ' g -Stairs -Rails 4. VVoo&*wn-Posts-Beams-Rftrs.-Coonectors Shthg -Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Car orts; Windows -Doors lectric 11 Z 8. F n rs-S s- -Trusses 9: *ding; Nailing-Veneer-sweco-Mesm- 10.sAeef,-STf1F g -Roofing 14, Ext.; Steps -Doors -Landings Date / Card B-1 Date Card B-1 Date - Card 13-1 Date / a and 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-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O=Not Applicable ' = Not Ready RESIDENTIAL (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- Bloc kouts-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 -Meeh. 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 B-1 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 D Yes ❑ No 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ 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 0 Yes 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector 80. Following instld.; Drive 0 Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish Date Card B-1 Date Card B-1 82. A.C. Unit; Disconnect, Electrical, Plumbing Date Card B-1 Date Card B-1 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 B-1 Date Card B-1 39. Sils, Proper Material & Anchors Date Card B-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, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE 5- O" 5J A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office L Date l�y Inspector � J 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 OWNER A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector Date J � COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville; Calif'oflI 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. — l ASSESSOR PARCEL NUMBER 69-20-02 ZONING RTI BUILDING PERMIT OWNER Robert Allen TELEPHONE 589-5611 SQ. FT. OCC. BUILDING VALUATION 480 M 6720 OWNER'S MAILING ADDRESS 103 Kokenee Dr, Oroville 95966 - 315 cov 3150 CONTRACTOR'S NAME L. R TELEPHONE 589-4655 120 o n 600 253 r 2530 o M�O NGtADDRE55 CONTRACTOR'S 5 Trail Ct, Oroville 95966 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 13000 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $98.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $49.25 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 103 Kokenee Dr Oroville Permit fee $ 1 PLUMBING PERMIT FilingFee 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 Garage/Deck SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: _ t!� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 100 AMP OR LESS 10.00 Main Service EA. ADD -L 100 AMP 2.50 CONTRACTORS LICENSE LAW 1 de cla under penalty of perjury (check one): I am licensed under provisions Of Chapt. 9, Div. 3 of the BUSIneSS (J$. and Profession Code and my license is in full force and effect. 9I/_ License No. S ` 1 `� ff Classification b F-1 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.h\ OR ADDNS. ACC. SLOGS. y2¢sgft 12,QQ NEW CONSTR. ULTI.OUTLET NON•RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(o OR FIXTURES 20050a BAL@30 IXEDTS Ex. Occup. OUTLETS PR RESI D.IE A.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $22.00 Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): The permit is for $100.00 (valuation) or less. have placed on file with the County of Butte Building Department 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 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 Law's 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 again said C unty in consequen4of granting of this permitX ate Signature of Applicant — Owner❑ractor Agent ❑ t An OSHA permit is required for excavations over 5'0" deep and emolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ /Kit}/ CONSTyvP�, / TOTAL FEE $ HAz � cuA -.-_ PARK SCHL f D PAR PD HD Issue Thls permit is nereby issued under sions of the Butte County Code and/or work indicated abo a tog which fees I OR PU By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS � _347-C70 Date `7 J —�� 7 Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -IN SP C OR. GOLDENROD- PL ICANT COUNTY OF BUTTE - DEPARTMEl`�,T.j,OF�,�"-UB%JC WORKS - BUILDING DIVISION \\ 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORN17� 95965 -TELEPHONE: 916\/538-7541 . PERMIT APPLICATION DATA SHEET OWNER Proposed Building Use Permit No. A. P. No. Building Inspector 4W Date - At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: r,. 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. Mobilehome installation data including manufacturer's installation instructions. �....................... 10. Fees of $........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid ....... '....... 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) �1 Contractor's license information (No., Name Style, Classifications ... . Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner 0, Mail to owner 0) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone—Gift �SS and hold for pickup at H2O office. Deliver w/inspector. Other Applicant Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issu 1. Index permit for above items No. 2. Additional items required: Date (CirQl_: COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovill6, Callfdrnia 95965 - Telephone: 916/538.-75:1 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUM ER ZONING BUILDING PERMIT OWNER G� 1 TELEPHONE SQ. FT. OCC. BUILDING VALUATION :331 OWNER'S MAILING AD 5� � ` CO TRACT L TELEPHONE + ��7)1 iCC(J IJ�fLi I R ACTOR'S MA1 GAODFiE_7 S"� Fireplace CONSTRUCTION LENDER UINKNOWN Total Valuation is 139 UM� Filing Fee t $ 1 .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 LOTNO. 3 O SUBDIVISION NAME PARCEL MAP — Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE �/ SF ❑ Duplex❑ Mobilehome❑ OtherE�UR�"'"� IC K " ' SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W O.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 ORLESS 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 OCCUP.&) OR AOONS. ACC. BLOGS. +/z¢sgft NEW CONSTR. ULTI.OUTLET 'ITS NON•RESID BRANCH CIRCU' 2,50 ea POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup( OR FIXTURES 300 ° 520@"`v 3o FIXED APP LHS. OR Ex. Occup. OUTLETS iRESIO.) EA.) 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. ❑ 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 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 consequence of the granting of this permit. X Date Signature of Applicant — Owner [I Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy inspection Fee $ occ CONST TYPE TOTAL FEE $ HAz CUA PARK scHL FLD PAR D HD ISSUE Th;s permit is hereby issued under ine applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees, have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date s' Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -1 SPECTOR. GOLDENROD -APPLICANT ,' CY I RESIDENTIAL 69-20-02 2378-91B ALLEN, Robert 103 Kokanee Dr, Oroville cont: Sierra Mobile (awning/mh) JOB FINALE Signature J=OK O=Not OK Not = Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements MISCELLANEOUS Date DECKS VERS, CARPORTS, GARAGES, (Plans)OK except #'s o 'ng Requirements -Setbacks -Easements ootings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing um. Awn.; Col s -Conn ons -S -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-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /" t_ ft./ /"LPG 7. Well Clearance & Disconnect 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. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS VERS, CARPORTS, GARAGES, (Plans)OK except #'s o 'ng Requirements -Setbacks -Easements ootings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing um. Awn.; Col s -Conn ons -S -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-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O=Not OK = Not Applicable Not Ready RESIDENTIAL (: ' = Date UNDERFLOOR (Plans) OK except tf'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 -Bloc kouts-Wra pped 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 -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except p's 16. Water Htr.: Vent -Access -Combustion Air -Baffle ---------------- ------- ------------------------------ 17. Water Pipe: Test & Anchor -Nail Protection --------- ------------------------------------- - -- 18. D.W.V.; Test -Fittings & Anchor -Nail Protection -------- ---- - ---------------- - - -19. Shower Pan: Test. First Floor -Tub Access ---- -- 20. Test Tub & Shower, Second Floor -Tub Access ------------------------------------------------ 21. Gas Pipe: Size & Anchors Date Card B-1 Date Card B-1 -------------------------------------------------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ft's 22. Fixture & Transformer Clearance - Ins. Protection ----------- ---------------------------------------------------------- 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled --------- ----------------------------------------- ----------------------- 25. Romex Installed Close to Edge of Studs & C.J. --------------------------------------- ----------------------- Equip. ----------------- Equip. Ground made up w!Mech.Fastners-Bond -Gas-&- Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI ------------------------------------------------------- 28. Subfeed Wire Size i ga. Cu or AI-A.C. Wire Size ! ! ga. Cu or Al --------------------------- ------9--------------------------9 ------------------- 29. Range Circ. / a. Cu or AI -Oven Circ. / / a. Cu or Al. Insulated Neutral 0- Yes ❑ No - ------------------------------------------------ 30. Service -Riser Conductors & Ground -Main Disconnect --------------------------------------- - 31. Equip Clearances Panels -Motors -Meth. Equip. 32. Clothes Closet Light -Shower Light -Spa Light --------- ------------------------------------------------------------------ 33 Smoke Detector ------------------------------------------------------------------------------- ------------------------------ ------------------------------------------------- Date Card B-1 Date Card B-1 -------------- ------------------------------------------------------------------ Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except n's 34.--A.-C.- Ducts Insulation & Support 35 Vent Fan: Exhaust above insulation --------------------------------------------------------------- 36. Condensate Drain & Overflow: Size & Grade -------------------- ------- ------- 37. --- -37 Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet --- - ----- ---------------------------------------------------------- - - 38 Attic Access & Platform if Furnance in Attic ------------- --------------------------- ------------------------------------- Date Card B-1 Date Card B-1 --------------- -- ----- ----- -------------- ----- -- --------------- ---------------- Date ------------ Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except ft's 39 Sils. Proper Material & Anchors ----------------------------------- ---------------------------------------- 40 Walls Studs -Nailing. Spacing & Bracing -Plates -Sound ------ ------------------- ------------------------------- ----------------------- 41 Bearing Walls over Girders & Floor Nailing -- - - - - - - ------------------------------ - ---------------- 42. Draft Stop in Walls (rat proof) 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Ingle & Duplex) Date " FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties -Pu rlin-roof Brac-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 42. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits _ 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers ------------------ ---- 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access _ 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls: Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows -------------- --------------------------- Date Card B-1 Date Card B-1 ---- --------------------------- -- Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except ff's 61. Ext. Steps -Door & Sidelight Protection -Landings ---------------------- 62. Smoke Detector -------------- ---------------- 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meth. Protection ------------------------------ - 64. Bedroom_ Exiting 65. G F.I & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels ---------------- 67. Stairs & Rails -------------------------- ----- ------ -- 68. Fireplace or Stove: Clearances -Hearth -------------- - 69. Elec. Outlets at Wood Panel: Int. & Ext. ------ -------------------------------- 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance ----------------------- _71._-Elec. ----------- - 71. --Elec. Outlets & Receptacles at Kit. Counter -------------------------------------- --- 72. Garage Fire Door: Swing -Landing -Closer ------------------------------------ - 73. A.C. Duct in Garage -Damper -- ----- - - ------------------------------ -- 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Fioor-Meth. Protection ------------------- 75. Plb.. Elec. & Mech._Equip. Listed for Location ---------------------- 76. Elec. Receptacles in Garage; (G.F.1.)-Romex Protection 7`. Insulation -Foam -Looked in Attic ❑ Yes _ --------- __ 78. Guard Rails & Deck Construction -Post Caps ------------------------------ 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instid.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No ------------- -- 81 Stucco: Brown -Finish ------------------------------------- -- 82. A.C. Unit: Disconnect. Electrical, Plumbing ------------------------------------------ ---- 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing - ------------------------------- --- - 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground -- -- -- -- - -- -- ---------------------------------------- 86. Ventilation Throughout House --------------------------------------------- 87. Glass Protection - --- --------------------------------------- 88. -----------------------------------88. Corrections from Previous Inspections ------ ------------------------------ ----------- 89. Gas Test -Meters Tagged; d; Gas -Electric ------ - ------------------------- ------ ----------- 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates ------------------ --------- --------- ---- -- --- Date Card -B-1 Date Card B-1 Date Card B-1 Date Card B-1 ------------------------_B- ---------------- -- Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. 2378-91 ASSESSOR PARCEL NUMBE 20-02 6 %-2io - D 2 ZONING , . RT1 BUILDING PERMIT OWNER //oS lf ert Allen . -• l s_Al 589-5611 TELEPHONE SO. FT. OCC. BUILDING VALUATION 162 C 9,106 OWNER'S MAILING ADDRESS 103 Kokanee Dr Oroville 95966 CONTRACTOR'S NAME TELEPHONE Sierra Mobile Service & Supply 877-6570 CONTRACTOR'S MAILING ADDRESS 8965 Skyway, Paradise 95969 ! Fireplace CONSTRUCTION LENDER UNKNOWN LENDER'S MAILING ADDRESS Total Valuation $ 2.106 Filing Fee Permit Fee $ 10,00 $ 38.50 ARCHITECT OR ENGINEER LICENSE NO. ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee Energy Plan Checking Fee Penalty $ 19.25 $ $ BUILDING ADDRESS 103 Kokanee Dr, Oroville Permit fee $ 67.75 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 XLH Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00 ea TYPE OF WORK New ❑ Addition ®X Remodel ❑ Utilities ❑ Installation[] Other ❑ Describework:__Npw nwning Ax18 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service BOOV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare rider 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. C003 9650 /C3 ❑ 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- ontract- ors. ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.N OR ACDNS. ACC. BLDGS. yzQsgft NE w CONSTR ULT' -OUTLET NON•RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) (SINGLE OUTLET C'R. Ex. Occup(OUTLETS OR FIXTURES eA 0 0 Ex. OCCUp. OUTLETS P(RESID )REA.� 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Iyirin g 15.00 :E— I Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. 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. 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 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 i�n�co�a quence of the granting of this permit. X (,�101��-- ti� f<=�' Date � Signature of Applicant — Owner ❑ contractor ®Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct. ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ ccc CONST TYPE TOTAL FEE$ 67.75 HAZ. CUA PARK SCHL FL cDF PAR PD I HD. ISSU –his permit is hereby issued unser the applicable provi- sions of the Butte County. Code and/or resolutions to do )rk indicated above for which fees have been paid. DIRECT F PUBLIC WORKS By Date�77 -x t % Qs/ PER EXPIRES Date !' Z 1 T Z— Receipt No. 96723 67.75 WHITE-D.P.W.• YELLOW-ASSCISOR. PINK -INSPECTOR. GOLDENROD -APPLICANT 0 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent ---lealth 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 ---mail—counter by .date Contractor, designer, owner, was advised of above required data by—phone —ma il—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965- TELEPHONE: 916/538-754111 / V PERMIT APJPLICA�TION DATA SHEET Permit No. OWNE'RP. No. _6,V —2 00 �-0oz- Proposed Building Use AVIV iAl Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, 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. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid .............. PO D 14. Sanitation approval from -ZQA - 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 .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Applicant � —.Date--? Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent ---lealth 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 ---mail—counter by .date Contractor, designer, owner, was advised of above required data by—phone —ma il—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW 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 /j ZONING BUILDING PERMIT OWNER ���,� � ✓'" TELEPHONE g —S6// SO. FT. I OCC.1 VALUATION OWNER'S MAILINr. ADDRESS ._ !o3 KoeA,-J ----f Ar 0eo Ce -,3, -75U � yBUILDING L / V I CONTRAC:,Y'S NAME TELEPHONE CONTRACTOS MAILING ADDRESS p77,- 57O 8 �S SA //✓/� #gl+Dl C,4qS7co 9 O Fireplace CONSTRUCTIO,INlLENDER �6AV � UNKNOWN Total Valuati on Z LENDER'S MAILING ADDRESS Filing Fee g $ 10.00 Permit Fee $ 6 ARCHITECT OR ENGINEER r� suce poriomi cAf)LLMR 2- LICE`N ND. t3c� Plan Checking Fee $ 1 Z ARCHITECT OR ENGINEER'S MAILING AOORESS Ener Plan Checking Fee Energy g $ Penalty $ ,/ BUILDING ADDRESS 163 okli/Ve-e Al^ 04Du;(le cq. V Permit fee $ I?s966 PLUMBING PERMIT FilingFee I 10.00 Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 55,00 Each pas water heater or vent 5,00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehomeha Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S 1 G 1 W 10.00 ea TYPE OF WORK New C] Addition Remodel[] Utilities[] Installation❑ Other❑ Describe work: __Lc�Lt/ / /�' 9 X l Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑VON.,.7_SI 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 Main service EA. AOD'L too AMP 2.50 DWELLING OCCUP.(f NEW CONST.OR ADONS. l // ACC. SLOGS. 2.2csoft NEW CONSTR. ' U1-7I.OUTL_T CH CIRCD BRAN"ITS 12.50eaI (POWER APPARATUS .&) ISINGLE OUTLET CIR. ( EX. OCCUp(OUTL_TS OR FIXTURES z00_0t� IeAL_ :om Ex. Occup. OUTLETS PIRESID 1REA.� I 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. IlYirin 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 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 Filing Fee 10.00 Heating Cooling g Hood 300 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant - Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- .on of Structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee S OCC I CONST TYPE TOTAL FEE $ uA ,rAHx . iCNL , FLD coF PQ :r, ,o..,,;u_ This permit is hereby issued unser sions or 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 �eceipt No. -16717� — /.'75- T[LLOW-A!S[330R. PINA- 3PI-CTa R, ,;0LD[1P00-A0PL1CAMr BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES INSPECTION CARD 24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico) Office: (530) 538-7541 Fax: (530) 538-2140 Website: www.buttecounty.net/dds Permit No: B06-2343 Issued: 10/02/2006 Address: 103 KOKANEE DR OROVILLE APN: 069-200-002 Permit Subtype: SFD-Mobile Home Owner: ALLEN, ROBERT J LIVING TRU Applicant: SIERRA MOBILE SERVICE I CN G.. 7� Description: MOBILE HOME PERM FND EX SITE MUST BE ON JOB SITE JOB SHALL BE READY PRIOR TO CALLING FOR INSPECTION. THE INSPECTION CARD AND APPROVED PLANS MUST BE AVAILABLE FOR EACH INSPECTION OR THE INSPECTION WILL NOT BE MADE AND A RE -INSPECTION FEE MAY BE ASSESSED. ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING Inspection Type IVR INSP DATE Setbacks 132 Foundations / Footings 111 Pier/Column Footings 122 Grade Beams 114 Eufer Ground 216 Forms/Steel/Holdowns 122 Do Not Pour Concrete Until Above are Signed Pre -Slab 124 Gas Test 404 Masonry Grout 120 Masonry Bond Beam 119 Underfloor Framing 149 Underfloor Ducts 319 Shear Transfer 136 Under Floor Plumbing 412 Under Slab Plumbing 411 Gas Piping 403 Do Not Install Floor Sheathing or Slab Until Above Signed Rough Framing 128 Rough Plumbing 406 Rough Mechanical 316 Rough Electrical 208 Gas Piping 403 Roof Nail 129 Shower Pan/Tub Test 408 Fire Sprinkler 702 Do Not Insulate Until Above Signed Wall Insulation 117 Ceiling Insulation 118 Do Not Cover Until Above Signed T -Bar Ceiling / RC 145 Gas Test 404 Stucco Lath 142 Stucco Scratch 143 Stucco Brown 144 Building Final 802 0 . Electrical Final 803 Mechanical Final 809 Plumbing Final 813 Project Final 801 PERMITS BECOME NULL AND VOID 1 YEAR COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION Inspector Copy BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 103 KOKANEE DR Owner: permit No: B06-2343 APN: 069-200-002 ALLEN, ROBERT 3 LIVING TR Issued Date: 10/02/2006 By TMP Permit type: RESIDENTIAL 103 KOKANEE DR Subtype: SFD-Mobile Home PFS OROVILLE, CA 95966 Expiration Date: 10/02/2007 Description: MOBILE HOME PERM FND EX SI7 Occupancy: R-3 Zoning: RT1 Contractor Applicant: Square Footage: SIERRA MOBILE SERVICE SIERRA MOBILE SERVICE Building Garage Remdl/Addn 466 CIRCLE DR 466 CIRCLE DR OROVILLE, CA 95966 OROVILLE, CA 95966 Other Porch/Patio Total (530) 534-0599 (530) 534-0599 FEE INFORMATION Mobile Home $329.94 Mobile Home Plan Check $219.96 Total Charged: $549.90 Fees Paid: $549.90 Balance Due: $0.00 Receipt No: B354 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors Li se No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License SIERRA MOBILE SERVICE 470386 / / Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full force and effect of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 10/02/2006 the applicant to a civil penally of not more than five hundred dollars ($500); Please check one of the following: Contractor's Signature Date ❑ I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK AND THE STRUCTURE IS NOT INTENDED OR WORKERS' COMPENSATION DECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). /J DI HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the C'���..�� /] �% '7 Contractor's License Law.). Carrier: 5'QiC.f• F�/Policy Number. ( Exp. Date: (This section need not be completed if the permit is for one hundred dollars ($100) or less. ❑ I AM EXEMPT under Section B. & P.C. for this reason: I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' X 10/02/2006 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date provisions. X 10/02/2006 1 hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and Slate laws relating to building Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, injury, including death, and property damage caused by, arising out of, or in any way connected with DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above men ioned property for inspection purposes. I hereby certify that I am the property owner or am authori d to act on the propeA owner's behalf. CONSTRUCTION LENDING AGENCY E 10/02/2006 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Permittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) ❑ Owner Contractor OR Agent for Owner DAgent for Contractor FILE COPY Lender's Address City State Zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION 24 HOUR INSPECTION#: OROVILLE: (30) 538-7636 CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 9 FEE WILL BE REQ UIRED AT TIME OF APPLIC.4 TION **PLEASE PRINT CLEARLY** OWNER Last Name first Ne, e /���eN a6Ffc7 Address 163 Kc, ie A City Stale C7 � p Ur 1. � t= (N zip Phone Fax E-mail APPLICANT NAME Name �c.2Q Address y( City State C", r_4 zp Phone Fax 531 pS-6� E-mail APPLICANT SIGNATURE X ZZoning ffice use only: Flood Zone SRA Yes - No Type Const. vision Name Map Book Page Lot # Planner Date Approved: OVER FOR SIIBMITTAI RFnI ttr��nn��t� PERMIT NO. )f, -2.S BIN # LOCATION AP# vo 002-- Property 0LProperty Address ity �:��C CJ.Co 1114 4 e Cross Street WORKER'S COMPENSATION Policy Number yZs 7 Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY rAddress Description or Scope of Work: C�.�-�— .uy�► tree-G-� Nc�....� 5q. Footage ❑ Structure Built without Permits El 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 r uired. 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 cbccked and other department costs are not refundable. Received by. Amount Bldg g SRA Receipt #: Sheriff SMTP Date -1 �l/- �"y /• ` y Other CONTRACTOR Name Address y66 �� �� ty ;Phone State a Zip 9Sf c E Shy pS9 9 Fax E-mail Lic. # Class ARCHITECT/ENGINEER Name Address City State E Phone Fax _j_ E-mail State License Number APPLICANT NAME Name �c.2Q Address y( City State C", r_4 zp Phone Fax 531 pS-6� E-mail APPLICANT SIGNATURE X ZZoning ffice use only: Flood Zone SRA Yes - No Type Const. vision Name Map Book Page Lot # Planner Date Approved: OVER FOR SIIBMITTAI RFnI ttr��nn��t� PERMIT NO. )f, -2.S BIN # LOCATION AP# vo 002-- Property 0LProperty Address ity �:��C CJ.Co 1114 4 e Cross Street WORKER'S COMPENSATION Policy Number yZs 7 Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY rAddress Description or Scope of Work: C�.�-�— .uy�► tree-G-� Nc�....� 5q. Footage ❑ Structure Built without Permits El 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 r uired. 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 cbccked and other department costs are not refundable. Received by. Amount Bldg g SRA Receipt #: Sheriff SMTP Date -1 �l/- �"y /• ` y Other Xi2 Foundation System Installation Instructions for California for Ground & Concrete Systems HUD Wind Zone 1, 15 PSF Wind Load Seismic 4 By Tie Down Engineering Xi2 Concrete System Engineer Approval State Approval MANUPACTURED HOMEIMOBILE HOME FOUNDATION SYSTEM REALTH AND SAFETY CODE, SECTION ISSSi APPROVED KM= TO CORRECTIONS NOTED A"ROVAL DOES NOT AUTHORIZE OR APPROVE ANY MISSIONS OR DEVIATION FROM REQUIREMENTS OF APPLICABLE RTATE LAWS AND REGULATIONS &see Of California Dwaeemast Gf Ronal aad c annuaity Dem OF CODES AND STANDARDS DATZ IV AM 11wAPpruwsIE3wbw1- -� BUTTE COUNTS 00-2.3*3 BUILDING DIVISION j:�,(.� � APPRGVr-D age 1 of 8 0 Ive e Atlanta GA., 30336;1" o Xi2 Foundation System Installation Instructions for California _. for Ground B Concrete Systems HUD Wind Zone 1, 15 PSF Wind Load Seismic 4 By Tie Down Engineering REQUIREMENTS • These plans and specifications meet the requirements of Title 25 Section 1336.3 Sub Section A and 97 UBC Seismic Requirements, CBC 2001 addition. • Maximum vertical projection at sidewall is 9'. Higher walls may be used when the design loads are adjusted accordingly and approved by HUD. • Main rail spacing must be 75.5" - 99.5" * Except single sections 95" minimum • Additional vertical anchor ties that are unique to a home's design may be required by the home manufacturer. These locations may include shear walls, marriage line ridge beam support posts, and rim plates. The longitudinal component of the Xi2 system replaces end frame ties. Check manufacturers set-up requirements. • Maximum pier height is 48" pier. *Except for single sections 36". Steel piers must be fastened to the I-beam with clamps provided with steel pier. • Systems must be placed as evenly as possible, no more than 10' from end of home. • Designed for 7:12 roof slope. *Except single sections, (20° - 4.37 in. 12" pitch). Additional Requirements for Concrete Systems • Poured concrete must be 2,500 PSI minimum at 28 days. • Square concrete pads minimum is 18" wide by 12" deep. Round concrete pads minimum is 18" wide by 14" deep. Strip footings minimum is 18" wide by 14' long by 6" deep. — >. G ff 1- r 6 * Xi2 components exceed HUD code 3280.306g "Anchoring equipment exposed to weath�ri g shall hav��a� resistance to weather deterioration at least equivalent to that provided by a coating of zinc on steel of not less than 0.30 ounces per square foot of surface coating...." Page 2 of 8 P 0 uE DOWPl EMGIMEERIMG 5901 Wheaton Drive Atlanta GA. 303367ba 0 Installation of Xi2 Ground Systems 1. Identify the number of systems to be used on the home using the chart provided. 2. Identify the location where the systems will be installed. 3. Clear all organic matter and debris from the pad site. 4. Place U -bolts through holes in pan provided. 5. Place pad centered under beam with the lateral strut bracket towards the inside of the home. 6. Press or drive pan into ground until level and flush with prepared surface. 7. Build pier according to State, Local or Home Manufacturers guidelines.(Figure 1) 8. Attach the end of the smaller tube to the inside of pan using U -bolt & nuts provided 9. Attach the flag end of the larger tube to the opposite I-beam using the "J" bolt over the top of the I-beam with the nut & washer provided. (Figure 2) 10. Install a minimum of four (#12 x 1" tek screws) self -tapping screws into the holes provided in the lateral strut so that the two tubes are connected together. (Figure 1) 1-3/4" Tube Figure 1 �n d �f Nome Lateral Struts 1-1/2" Tube U -Bolt & mounting Bracket J -Bolt Nut & Washer Strut (flag end) 1 -Beam Figure 2 Aj 11. Install frame bracket clamps to I-beam on in . side of block/pier. Do not tighten nuts at this time. 12. Attach longitudinal strut to U -bolt in pan using .nuts provided. 13. Insert strut in the frame bracket clamp, attach with nut and. bolt. Do not tighten at this time. 14. Pull the frame bracket clamp with the fastened strut outward to. remove any slack. 15. Tighten all nuts and bolts on the struts and beam clamps. TIE- DOWiV ENGINEERING 4-#12x1" Tek Screws Figure 1 �n d �f Nome Lateral Struts 1-1/2" Tube U -Bolt & mounting Bracket J -Bolt Nut & Washer Strut (flag end) 1 -Beam Figure 2 Aj 11. Install frame bracket clamps to I-beam on in . side of block/pier. Do not tighten nuts at this time. 12. Attach longitudinal strut to U -bolt in pan using .nuts provided. 13. Insert strut in the frame bracket clamp, attach with nut and. bolt. Do not tighten at this time. 14. Pull the frame bracket clamp with the fastened strut outward to. remove any slack. 15. Tighten all nuts and bolts on the struts and beam clamps. TIE- DOWiV ENGINEERING Xi2 Ground Parts Detail Xi2 Ground Lateral System Part Number 59306 Includes: 5' Strut, pad & hardware kit (#59329-1 includes all nuts and bolts). Longitudinal Hardware Kit Part Number 59331 Includes: 2 I-beam brackets & 2 U -bolts with all nuts and bolts Lateral and longitudinal Combination Part Number 59333 Includes: 5'.Strut, Pad, Longitudinal Strut (#59329), Lateral and Longitudinal Hardware Kit with all nuts and bolts. Struts for Longitudinal Systems Part Strut Pier Height No. Length Up To: 59330-44 44" 4 Blocks or 32" 59330-65 65" 6 Blocks or 48" Ground Longitudinal Hardware Kit Xi2 Ground Longitudinal Strut. & Hardware Kit Ground Longitudinal Strut Xi2 Stabilization Pier Placement for Ground or Concrete Single Section Home 0 -80' (76' Box) 4 Xi2 Systems Xi2 Pier Placement Double Section Home 0 -62' 3 Xi2 Systems* 63' - 80' 4 Xi2 Systems *2 Xi2 systems can be placed at either end of the home. Triple Section Home 0 -62' 4 Xi2 Systems 63' - 80' 5 Xi2 Systems XZM> I(" S 1(�2. L('I/v� Page 4 of 8 ......... . � ; �•� i o LO 0 0 0 Installation of Xi2 Concrete Systems 1. Identify the number of systems to be used on the home using the chart provided. 2. Identify the location where the systems will be installed. ; 3. Build pier according to State, Local or Home Manufacturers guidelines. 4. Drill two 3/8"x 3" deep holes in the concrete using holes in galvanized bracket as. a guide. Attach bracket to concrete pad using 3/8"x3-1/2" wedge anchors provided. Place nut & washer on anchor, leave enough room for 1 to 2 threads showing on top of bolt. Using a hammer, tap the wedge bolts into hole through . bracket, leaving nut & washer flush with bracket. Using a 9/16" socket wrench, arr tighten wedge/anchor bolt, securing bracket to the.concrete. 5. Attach the end of the smaller tube to the bracket mounted on the pad, using the: grade 5,1/2 x 2-1/2 bolt/nut provided. 6. Attach the flag end of the larger tube to the opposite I-beam using the "J" bolt over the top of the I-beam with the nut & washer provided. (Figure f next page) 7. Install a minimum of four (#12 x 1" tek screws) self -tapping screws into the holes provided in the lateral strut so that the two tubes are connected together 8. Install frame bracket clamps on I-beam on the inside of block/pier. 9. Insert strut in frame bracket clamp and attach with nut & bolt. Attach opposite en >ete brac t. 10. Pull the frame bracket clamp with fastened strut outward to remove any slac 11. Tighten all nuts and bolts on system. !j_ 2 c r Page 5 of 8 TIE DOWN ENGINEERING 0 0 LO 0 0 O Xi2 Lateral Concrete Systems Part #59307 Includes: 5' Strut, Bracket, & Hardware Kit #59315-1 with all nuts and .bolt. Longitudinal Struts for "Concrete Systems" Part No. Length Pier Height #59013 44" up to 4 Blocks #59015 65" up to 6 Blocks Longitudinal Hardware Kit Part. #59263 (Includes 2 sets per kit: I-beam bracket, nuts, bolts and washers.) Lateral and Longitudinal Combination Part#59332 Includes: 5' Strut, Longitudinal Strut (#59364), Lateral and Longitudinal Hardware Kit with all nuts and bolts. Lone Xi2 Installation Placement Beam Longitudinal Strut Xi2 Concrete Oystem end f o Hole Page 6 of 8 m 0 L6 0 o o - 'Concrete Longitudinal. Hardware Kit Page 6 of 8 m 0 L6 0 o o - Offset Placement Diagrams represent examples of double and triple section offsets. Total size is determined by the length of unit plus offset. Xi2 Stabilization Pier Placement for Ground or Concrete Xi2 Pier Placement Single Section Home Double Section Home 0 -80' (76' Box) 4 Xi2 Systems 0 -62' 3 Xi2 Systems* 63' - 80' 4 Xi2 Systems *2 Xi2 systems can be placed at either end of the home. Triple Section Home 0 -62' 4 Xi2 Systems 63' - 80' 5 Xi2 Systems Ili{ -2. Ltlr/vy. Page 7 of 8 m Ianta GA. 3033 0 0 1'(4 r I I o { Hardware Breakdown #59329-1 Hardware for 59306 Lateral System 1 . 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 thread 4 59272-2 1-3/4 zinc 4 10556 Tek Screw #12 x 1" 1 10631Z J Bolt 1/2 x 5-1/2 grade 5 zinc 2 10640 Push Nut 1/2 1 12107 Flat Washer 1x2" SS 1 10646Y Hex Nut 1/2-13 grade 5 zinc 2 10519 Hex Nut 1/2" w/ Serr flange #59331 Longitudinal Hardware for 59306 2 59272-1 Beam Clamp Base 4 59272-2 Beam Clamp Top Flange 8 10926 . Carriage Bolt 1/2-12 x 1-1/4 Carriage Bolt 1/2-12 x 1-1/4 4 10801 Full Thread 10 10646Y Hex Nut 1/2-13 grade 5 zinc 2 10.801 Carriage Bolt 1/2-12 x 2-1/2 1 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 Thread Grade 5 2 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 thread 2 10519 Hex Nut 1/2" w/Serr Flange . 1-3/4 zinc 4 10640 Push Nut 1/2 4 10519 Hex Nut 1/2" w/ Serr flange # 59329 Hardware for.59333 Lateral and Longitudinal combination 1 59329-1 Hardware Kit 1 59272-1 Beam Clamp Base 2 59272-2 Beam Clamp Top Flange 4 10926 Carriage Bolt 1/2-12 x 1-1/4 4 10801 full thread 5. 10646Y Hex Nut 1/2-13 Grade 5 zinc 1 10801 Carriage Bolt 1/2-12 x 2-1/2 2 10801 Grade 5 zinc 1 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 Thread 6 10646Y 1-3/4 zinc 2 10640 Push Nut 1/2 2 10519 Hex Nut 1/2" w/Serr Flange . #59315-1 Hardware for Lateral System 1 10631 Z J Bolt 1/2 x 5-1/2 Grade 5 zinc 1 12107 Flat Washer 1/2" SS 4 10556 Tek Screw #12 x 1" 2 10646Y Hex Nut 1/203 Grade 5 zinc 1 10826 Carriage Bolt 1/2-12 x 3 4 10801 Grade 5 zinc #59027 Hardware Kit for 59307 Lateral System 2 59264 3 Way Concrete Bracket 4 10530 Wedge Anchor 3/8 x 3.50 1 59315-1 Hardware Kit #59263 Longitudinal Hardware for 59307 2 59272-1 Beam Clamp Base 4 59272-2 Beam Clamp Top Flange 8 10926 Carriage Bolt 1/2-13 x 1-1/4 1 59315-1 Full Thread zinc 12 10646Y Hex Nut 1/2-13 Grade 5 zinc 4 10801 Carriage Bolt 1/2-13 x 2-1/2 4 ' 10926 Grade 5 zinc #59364 Hardware for 59332 Lateral and Longitudinal combination 1 59264 3 Way Concrete Bracket 2 10530 Wedge Anchor 3/8 x3.50 1 59315-1 Lateral Hardware Kit 1 59272-1 Beam Clamp Base 2 59272-2 Beam Clamp Top Flange 4 ' 10926 Carriage Bolt 1/2-13 x 1-1/4 - Full Thread zinc 2 10801 Carriage Bolt 1/2-13 x 2-1/2 Grade 5 zinc 6 10646Y Hex .Nut 1/2-13 Grade 5 zinc r &`-7 s fly -'-2. Page 8 of 8 r�E DOWN - ENGINEERING ;f 0 0 0 0 RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 10 -Oct -2006 2006-0053249 Has not been compared with original BUTTE COUNTY COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents•to all persons thereafter dealing with the real property. ROBERT J. ALLEN LIVING TRUST REAL PROPERTY OWNER/LESSOR 103 KOKANEE DR. MAILING ADDRESS OROVILLE BUTTE CA 95966 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT SAME CITY COUNTY STATE ZIP. SAME UNIT OWNER (if alsd 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 06-2343 530 538-7541 G PRMIT NO TELEP ON NUMBER �&,/a t,—SIGNATURE OF LOCAL OFFICIAL DATE ' rENcy NONE - DEALER NAME (if not a dealer sale, write "NONE') NONE DEALER LICENSE NO GOLDEN WEST HOMES 1990 CC567R4 MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMENUMBER' GW6CALCC8091 A/B 56'X 28' RAD526413/4 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER 069-200-002 HCD FOR433(A) EV. 8/91 .FOUNDATION ,:SYSTEM CERTIFICATE* OF, OCCUPANCY BUILDING PERMITS NUMBER: 06-2343 Address or location of unit: 103 KOKANEE DR. OROVILLE CA 95966 Legal Description of Real Property: 069-200-002 SEE ATTACHED (x) Mobilehome/Manufactured Home () Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: ROBERT J. ALLEN LIVING TRUST Owner's address: 103 KOKANEE DR. OROVILLE CA 95966 INSIGNIA OR HUD NUMBER: RAD526413/4 SERIAL NUMBER OR V.I.N.: 8V70-0203-VA/B MANUFACTURER'S NAME: GOLDEN WEST HOMES YEAR: 1990 OFFICIAL APPROVING INSTALLATION: DATE: PHONE: (530) 538-7541 H.C.D. 513C STATE OF CALIFORNIA - BUSINESS, TRANSPORTATION AND HOUSING AGENCY ARNOLD SCHWARZENEGGER, Governor DEPARTMENT`OF HOiJSING AND COMMUNITY DEVELOPMENT ,)SING Division of Codes and Standards •Z` Om© '�' Z 3 r� of w Title Search 3G���0Q� '�, Date Printed : 09/28/2006 Dev Decal #: LAN6441 Manufacturer: 09248 GOLDEN WEST HM Tradename: GOLDEN WEST Model: CC567R4 Manufactured Date: 01/09/1990 Registration Exp: First Sold On: 02/09/1990 Serial Number GW6CALCC8091A GW6CALCC8091B Record Conditions Registered Owner: HUD Label / Insignia RAD526413 RAD526414 PPF Exempt Use Code: SFD Original Price Code: ANS Rating Year: Tax Type: LPT Last ELT Amount: Date ELT Fee Paid: ILT Exemption: NONE Length Width 56' 14' 56' 14' ROBERT J ALLEN LIVING TRUST 103 KOKANEE DRIVE OROVILLE, CA 95966 Last Title Date: 08/14/2003 Last Reg Card: 08/14/2003 Sale/Transfer Info: Price $.00 Transferred on 07/30/2003 Situs Address: 103 KOKANEE DR OROVILLE, CA 95966 Situs County: BUTTE *** END OF TITLE SEARCH *** Dated: -70 , 2003 �' OBERT J. ALLEN ACKNOWLEDGMENT State of California ) ss County of Butte ) On , 2003, before me, the undersigned, a Notary Public in and for said State, personally appeared ROBERT J. ALLEN, personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature on the instrument the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. Signature RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE I OROVILLE CA 95965 2006-0053249 Recorded 1 Official Records I County of I But I CAIO)ACE I SRUBBS I County Clerk—Recorderl I 012:50PM 10 -Oct -28B6 I REC FEE 10.00 COWORMEO COPY 1.00 ABS Page 1 of 2 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM 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. ROBERT J. ALLEN LIVING TRUST REAL PROPERTY OWNERILESSOR 103 KOKANEE DR. MAILING ADDRESS OROVILLE BUTTE CA 95966 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT SAME 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 06-2343 530 538-7541 BUILDING 1'.F,(tMIT NO TELLEP ON NUMBER /v GNATURE OFLOCALMENCI I DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. GOLDEN WEST HOMES 1990 CC567R4 MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMUMUMBER GW6CALCC8091A/B 56'X 28' RAD526413/4 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER 069-200-002 HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK -Applicant GOLDENROD -Building Dept. Z WHEN RECORDED RETURN TO: NEIL A. HARRIS & ASSOCIATES An Eider Law Practice 1530 Humboldt Road, Suite 1 Chico, California 95928 MAIL TAX STATEMENTS TO: Robert J. Allen 103 Kokanee Drive Oroville, CA 95966 2GD 0051354 Recorded 1 REC FEE M W Official yyRecords I CoBUttTTEQf I CANDACE J. GRUBBS I ROSEMARYrder DICKSON l Assistant I Shauna 09:MM 04 -Aug -2083 I Page 1 of 2 APN: 069-20-0-002-0 SPACE ABOVE THIS LINE FOR RECORDER'S USE GRANT DEED The undersigned grantor(s) declare(s): CONVEYANCE AUTO OR DISTRIBUTION Documentary transfer tax is $ NONE FROM A REVOCABLE LIVING TRUST () Computed on full value of property conveyed, or lR&T 119301 () Computed on full value less value of liens & encumbrances remaining at time of sale. () Unincorporated area () City of , and FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, hereby, GRANT(s) to, ROBERT J. ALLEN, a married man, as his sole and separate property ROBERT J. ALLEN, Trustee of THE ROBERT J. ALLEN LIVING TRUST, dated 3-4 1 2003 All right, title and interest in and to all that certain real property located in the unincorporated area of the County of Butte, State of California and is more accurately described as follows: Lot 32, as shown on that certain -Map entitled, "Kelly Ridge Estates Unit No. 3", which Map was recorded in the office of the Recorder of the County of Butte, State of California, on July 26, 1974, in Book 43 Maps, as Page(s) 44, 45, 46, 47 and 48. BUTT COUNTY BUILDING DIVISIOr APPROVE® � C> o c � o a - O a rn r o m BUTT COUNTY BUILDING DIVISIOr APPROVE® ate' . � I .71.iM1910t 4141 •9{114 OuT`d106 � ' . n- ... - - , . ... , . t. _ t ., �., ,,-� , .. ' • 141• ,. �t ... _• . ,, I poll mill III y - t �� R•.tr ! R. N• 1Mitlt post .NM If• t. i. ..:., .: f' r • 1 . • �, 1 1 1 ••.Irr F f. � 77 ea. R 1• W"tcnw 4141 D.C. ...�a or �►' R.. 1`l. - ,)' Irl. : _ 1 JL ' f.r f.! s u ens t. ItCof r D.C. • . - ^ r tnv[rwAl rA"tL 7 JSP w . 1`'.f . r• `i 9 -• Ir! •�� � �' • ^ . •' •t. NYK �• MOYLt •.4111•' ALIM1. »91•tll• � •. . - i • 9• . KCOOMIW ►LAI_. Poll • . • . fill' rrP� Do-.T - •. •r• _ we 1•r. So. FI. "I 11 : 1 r r e • f, CMNORtt ( LOS IANO I IC loot -+1 [1`r -STANDARD STRUCTURAL PANELCOMING. "t' ` � nRr K •lfe . } � . ... Mr(a,nw1•P P•M to IFF. IPIf+eNw• R . Y/ lot. rfa, rt. K nl"M r►, °< mea •1»."Vor"e lits to IFF. Pw� 18•STRUCTURAL PANEL l,a.NY.1 ,Do. M3N) nitl, N1` CO. !"Noll taNM"Ltt HI-SIX STRUCTURAL PANEL t-.,. 3n, _ h-- «. �oea-Nss1) _ . s •rr•Rea•►+rN 1`•I/aatL41P «•ara.ww (fteo"ol tf 3006-14W 1e CHANNEL CONNECTCR IN11041ttl Dol« r. 1nf V. - 110111 wNI"IL SRNlt No, K AI1R[Mo'O I"Mftir 0"1 tool RHO/o• (•LLt•114IR• 700►M 711 - • : d•1•►It w"efr.- yww�l[•ee n. 111P"t♦O ) ttlOf M AIMI mt i - •-ore•. ✓wc rmWe~ I t^emt. 6002-Ty f •1"wlA IWf•NnNt:t. MININcs ►.Nal 413 10M11EC1[m 10 A totem Mil PRO 011"Clik(� Y D. t. = Iroeo MIIDt• or IM noenfNon[ uRtt. frRutrveAt t'R/1tl tIAMG. I .. �, , -• RUNT Nt volt A""0/M Na«GtR lMtLL - _ .ID 1M t+ ( • •1• k FOR flMlllrtf Cllr Foo-trip) IJ. � .. -'• : i-Rlr f"1♦ DR In•.DCK I• YDI s1` RI iNtMa YI IN Mt 1• +..OR M 0.l. R1 tpuet Ns N•ef 19 41,41 t/1a -R• F~----') [M-N .eef ♦.a l([ .MITER BEAM ' IM, .. 1`.•r_ -J :•` little rot Ir M ♦ A. (,. OVI RNANt IN IMI. tlNf[. ' (\ M not lerltl•1.[ • t vNRnetc/ tUr ./ (KIItL 60Y-T6) nOa1tI1YrM rnm{ ■ P. Kf lttff \ f• b.r10! 1 IY nMilfN Ir t►litl Illi IR a ^Q.=11Paltl u0! cCw4R ►wM1 T { � -Inol IMIR41 MMCF• - ,' 4141 y li• DR a. C. 1. OIL 10 liff"I_-AM l f e►tR o MRK • ' 6141x1• YOoO OCP[w ' •.41r,m rn. 1`••1-I• T s,, Irl' • • 1• Int t•. - /.• .. : ►tun 1n• � Ir- t■t ♦• o.c. • f■oYl [0 CM[M •t-irlt'RI -In• _ •D. m'1• 1`r► - .. . /•lrMlr[ ['fYRI. .. �r.tn• . 9011. tv"o 1RRKr :,� �^'� Nmnte t101 Lt •1 " •. :... �/ .( - - _ ;. 1`.t •/Y1 t•. 'go It, 2111 3 . �• - m1".. 11wr 111 INSIR( _ �• } s- re• M • C. I / , A M Aar Q. m• INCA - 4141 I , II► 9 • , tltRurvoliR ►AMI •" MAMOM"11 tN!.TRTFtR xlrY/n r mot I _L I K• Ir to, a.t.� [lERL1YE11RAR[ fE R,NIf oVtP".w 0 _ ICN! f , • ,/t A"eM1p Rnter R. F•A ..I 4141-, <' Ir : 17R )/9• PNill1►/ .. E- '-'� ;ALL FORMED HANGER f 1MtR tel 1[[ pFN M"RI !fl• /.J' fx•""■M It' :., .,41 tNt s•. • •+ • - 1`.1/r M r 11A. ( /1Mill S" oil, DRutINc rtlN"Moe♦ !! M 1rlJ[c 1 of rMr !NMR al. LntM. 41015,9Vt 11113 ROp. I[a"Mt (KIM •0 t.MV )•� t ♦ c►0url0 utl1 7 "some (• fin" t; f 1' t7f2 l (ALUM. t-trfYK . •ID r. - )i tKl IaI 1/IY f • KDr130 Ial[t rr►. ROLL FOWED HEADER �• n1N. 11� Kl ►Bert Olf t • no 9• •.r. / ltWt Illi. 1. - . . i�aw,C.R• t:... rlNc 1•leil , ��..: •. _ EXTRUDED �9 , SPLICE , c � ..t - � f aft let ,J•ALT COL 131 COttCRCTf,�OfIf1ECTKRi :_ Q:�Rr .. ,J • , Sf LICE DE TaW x .. '-•�'. _ Ntl rNR,. tIM K11�[D. EXTRUDED HEADER • • = Co K,tRtlll,[ troRv •COAs1Nt. note 0111Rnr11YL INC. t-A!'t Aft f ,.. U1 • ■ :. ri - .v N -6 . f.6t•TI/1'A,MItlL MKIIOR :,. - -` 1. M•of •.. ' _ -hall hRNta �9'.111 T. rr � 9A.. F r tM"as NIr1 _.,,� "'m n•.,.._.. *%. lat(1 MttC9 110 to 4 N Ahem I« tor/ Z.1. 1113 -;, -, �� �-. ,.R.J,C3y .- sen Iwtfr tRNe eRRv[t. eRwtL.. DwM. ULly � .. ln• 410.1 tll ll0ta KMitlG ROLL FORMED 11EADER 8 • 1.41.8. /N«O. Cl Rllr IRMO. /fur CRAIrtt. af•[t DRAV1`1.� - Ar aNnf t'►L:IL DUG! 1K1111 •tl tot IRM 1NML K I CLOY. Mtl0• CLOT. lust CLM MtD L♦MtV tlti. .411`1• a. PLACID Al 1tLI"I1K -.. I/a• R 1 •. M■, ►ttlff 1. [Mul«t "Oft: ALTEf"Ill [PORT COMING -to tot VANtef"al t M Rllttl• co•M•tOVtK A lent[ MNOVtD tl.eClPS-1`l R,le ' NM YtMO to •[- ■ 4141 {0110 YOOD "Alne♦ 413 IR IntNe �,Kf •--PNIM1Le K[OR+11Y1 tKIR• D f t 1 E..�--..-1Y/ IIIK-NLN" rMi«C Y1��)((r��T(t�' •��J ^f1C1 ••f f . M11 K USED YI IN NOT MRCNR • ••O. (, :P/l ltp (IORr POYO[R COATING N t nito. slRrc INRK N-TERNATE CVLUMN TYlt■M It. ovoty nip 11"CIFICR110" la. 112138 rNNtl DECMATK FACIA f _. 4 t Irt•At vrav, ceeuNO,:•E .r r- 1-170 q ... ,Fr �. _)/♦' tOlTt OR t-614 Site 1rr. + s -\ i nOrNw.O.M wttifaq rYROM O■ tf�lCq■FI 4141 FOR •C•.NEADER ` t■nntl[mNn[ NMR i? t/e•rr Le•a/:rn-r � -;- •anpR 810 tarso► w•c .r.a« • , tIt lop& -1/4' fOlTf 1' I t ::-. N \►41►i-1► AS UK .. A►►ROYtD t t ►, "all.. sttnr1(R • •P .- . tWOct b Co■meno a ColunNs "DoI"HOME .. - Df 1`tIAIMC t[AT . fA I ;. .., -- . _, ,_ - ti.Nftlt «/oMiIL( 11/Y ■y. 1`-Ri/••_fVt.VLJ CE-_... MANGER- -. : - F-+_-+ '•-r[ca•.w.• .cam- I Non[ : ' �t f• RLUn 1111. Mite 11[Rn - HEADER tEAn- COL. ATtmc« -'�- r It •t• . SAFETY STAKE r,r••r•IN�A C-N.,so t.�. TO BOTTOM OF !-1/4• DOLT11 THROUGH Kt. RIM, ►RLL ►Aa13 rot 0:• CR,vw:; 1`0 >• . DOOtI IIIA fINNRp ' .. w� p[:1 ■o•_■'IC 0• Rat, $•D■r :OAT :•y1` ` ' '.ATTER f[AR - NOTES ►LAC[ COLUMN Flt SHOWN Y/!-1/4• tOLTt� T BOTTOM KrAu •f- •u1NtlItK M a[ta eti'Pucrv■ g; M [NO OF N[RDER !ERM F FLANGE ___"""•••"`••.••''"'��� r„ - n1` I1 RtA [MIR! W; , ,.N •- , - r. ..• rYt NVtt �' •:. Sr. ,.r.. .: PLAN FWATERED CORNER "'1 ' 4141 N C[ cMtN(a. .Y- .. .. SPA IJf1 OETAIL A �' lltttR !EAR K"r1 �k __ BOTTOM FLANGE tots M 4141[• snt r tfc« slot. ry lble Mos �o F6 mtNOtR tNDYM TAIcl* KIRIt M' ` � •• co••Nt ctoo-ttlotlsren �'� � �- M[ olit 1`F. nn. PLAN FOR COR►€R BEAM tN•"Mfl G(M.-1 tl411it1 • ,7 1-Vr 44 N1�•t stoott. . i. : AIINIIM"n 9[f TCN PLO KIR/INun [ON%Ikuctlo1 -)/1/• IOLTt f •.•lr CNN1W OF ALIe11Nun A►tOcoA,loN. Ifrr EDITION •" `t-1/4' fOl Tt EKl$TIMC MOS ILE NOTA[ r1.AteA "[Anct P. 11 9oln -SOLID KCOe11110 • l ( It OR. m.4. tnf ..` _ !/1• 11 ♦• R .•r-. (s O »t�f I{ l ` 1n'L "MYc"AC Its Ott tlOweLE$Otl Sell KRR -� FOR C 11EAOfR i / rola. 1 t t1l.NMNE■ _ f.D• a• :: 1"K /RtlfrRt .aN /8/1`0. rD01, .C,,,-WRDtR 0[TAIL SIMILAR � 66TTON ILR11C[ 144"C" •. L - � t - t-I/r tot. "LIS Co.)+ }� �.f S. Stitt ►It eft to NAVE a I-10? I. Aitnw-1`t ` �OI�LITIfTIA1LNR• R EAR 1 t i'ii[r t-v • + Me Wc,v f1A.[ " s/t[t Dar) rp K As1R 1.3.1 _IK�Tpb�E Ct RTI.' CO*m t , �r ! S Dol if .�}] = DO t•1/a' 41KF fen ♦. roNcaftf arR(MCIN to DArf.1 RTO •N tarp . - CORNDT TOH 00 1 ALUM 0 t1[«la 1 ./. 4 ►-ILLI►) a[o M M LN. "IN: lit-I/tlf- Vt. 0O "al ERC/ILO 1... ` k %4,Ef0 ♦ : Z 1 OI INIMt � KV MIIt INC Aw[NOH -, _. LNt, 0111ER Its tKt C[rNtlt, . l . A .t nrE t t.tf• S. rA• �2t� itlflt. 1•m. 41. D•. :. � �{O ..`l.1`•-�+I 1taN coN•.: s .nwfa to 413 uA1Msu. cee. rKMto V[,TAII •�' • - •11.1 MI'IA1 cNRMUI - ON eN.YNN1tl41 NLun_ wet (• K 1`•e•-N ` MITER CORNER SPLICE _�.. J tL� E G4LlMf1 LOAN. t.. Cult« t000tl leY(to" , lD tarso rt. 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