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Home My WebLink About065-370-02965-37-29 L. H. EasterlingZ57/,SDO#4,Ma 1/� 110 Pine Cone Wa �10 contr: Fisci Br s., Paradise Permit #2347-77P,E(util.,MH) ELEC ._/a 4e 77 .5 CAS / n Li -P-77 .O [ xf SUPPORT STRtJ( TURE REQ. j/) 0 COMPACTION TEST REQ. 0-0 65-37-29 ontr: Lon's MH Ser, N. Highland Permit #k5160-77MHI Issued //--/-7J o a DOo�D�% 65-37-29 _ contr: Sierra Mobile Serv., Para. Permit #968-79B(new deck & carport/ MH) 065-370-029 05-0017 ROSTRUN,CAROLYN 14804 PINE CONE WAY, MAGALIA Cont: CHICO MHS EX MH PERM FND EX SITE �—za—oS 1 `a 7S do Pw1 ] AO amp 2c, 0 1 ROCORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 1111991119�1919iIIIA91119I111018101 Recorded Official Records I REC FEE 10.00 I CONFORM County Of 1.00 I (530)538-7541 BUI D G PERMIT N0. CANDACEDJ GRUBBS j Recorder .SIG T RE OF LOCAL AG: Y O FICIAL ROSEMARY DICKSON j Assistant 09:03AN 21 -Jan -2005 I Cheryl I Page I of 2 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHONIE) 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. CAROLYN K. AND FREDERICK D. ROSTRUN REAL PROPERTY OWNER/LESSOR 715 SHALIMAR DR. MAILING ADDRESS BAKERSFIELD KENT CA 93306 CITY COUNTY STATE ZIP 14804 PINE CONE WAY_ INSTALLATION MAILING ADDRESS, IF DIFFERENT MAGALIA BUTTE CA 95954 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 OP OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE 'ZIP 05-0017 1 (530)538-7541 BUI D G PERMIT N0. T'ELEPH NE NUi\t :R CAL068684/5 //c:2 a .SIG T RE OF LOCAL AG: Y O FICIAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. CALYPSO 1977 UNKNOWN MANUFACT'URER'S NAME DATE OF MANUFACTURE `IODEL NAME/NUMBER A/B061843 _ 60'X 24' CAL068684/5 SERIAL NUMBER(S) LENGTH S WIDTFI INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER 065-370-029 HCD FORM 433(A) REV. 8/91 WHITE - County Recorder CANARY - HCD PINK -Applicant GOLDENROD- Building Dept. 0� GP RECORDING REQUESTED BY Mid Valley Title & Escrow Company AND WHEN RECORDED MAIL TO: Frederick D. Rostron and Carolyn K. Rostron \5 Shc.i-c�ct� 7�Y A.P.N.: 065-370-029-000 e Space Above This Line for Recorder's Use Only GRANT DEED The Undersigned Grantor(s) Declare(s): DOCUMENTARY TRANSFER TAX $112.75; CITY TRANSFER TAX $; SURVEY MONUMENT FEE $ File No.: 0402-1695562 (CH) X computed on the consideration or full value of property conveyed, OR computed on the consideration or full value less value of liens and/or encumbrances remaining at time of sale, X unincorporated area; [ ] City of Magalia, and FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, James G. Vesely and Susan N. Vesely, husband and wife hereby GRANTS to Frederick D. Rostron and Carolyn K. Rostron, husband and wife as joint tenants the following described property in the Unincorporated Area of,County of Butte, State of California: LOT 257, AS SHOWN ON THAT CERTAIN MAP ENTITLED, SIERRA DEL ORO ESTATES UNIT NO. 4", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON SEPTEMBER 29, 1969, IN BOOK 35 OF MAPS, AT PAGE(S) 48, 49, AND 50. EXCEPTING THEREFROM ALL OF THE VALUABLE MINERALS BENEATH THE SURFACE OF THE SAID LAND WITH THE RIGHT TO MINE AND EXTRACT SAID MINERALS, IT BEING AGREED AND UNDERSTOOD THAT IN ALL MINING OPERATIONS, THE SURFACE OF SAID LAND WILL BE PROTECTED AGAINST DAMAGE AND THAT ALL SUCH MINING SHALL BE CARRIED ON FROM TUNNELS, SHAFTS, OR DRIFTS HAVING THEIR ORIFICES OUTSIDE OF THE SURFACE AREA OF THE ABOVE DESCRIBED REALTY, ALL AS EXCEPTED AND RESERVED IN THE DEED FROM MAGALIA MINING COMPANY, A CORPORATION, TO E. D. STORTS, ET UX, RECORDED SEPTEMBER 4, 1947, IN BOOK 423, PAGE 385, OFFICIAL RECORDS. Dated: 12/13/2004 es G. Vesely Susan N. Vesely Mail Tax Statements To: SAME AS ABOVE r RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 2-1–Jan-20!015 20@55–'4'000aap09 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (1VIOBILEHOME) 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. CAROLYN K. AND FREDERICK. D. ROSTRUM -BUTTE COUNTY BUILDING DIVISION REAL PROPERTY OWNER/LESSOR MANUFACTURER'S NAME LOCAL AGENCY ISSUING PERNQT and CERTIFICATE OF OCCUPANCY 715 SHALIMAR DR. A/B061843 7 COUNTY CENTER -DRIVE - - MAILING ADDRESS"':=MAILING SERIAL NUMBER(S) ADDRESS - "' " BAKERSFIELD :'KENT CA 93306 = OROVILLE -BUTTE= := CA _: _ ' 959.65 _ `77. CITY COUNTY STATE ZIP- CITY COUNTY STATE ZIP �. 14804 PINE CONE WAY - 'OS -0017 (530) 538-7541,- " . __ _... INSTALLATION MAILING ADDRESS, IF DIFFERENT MAGALIA _."BUTTE _ - BUILD G PERMIT N�O, �, ) ., TELEPH NE NUM l X� CA 95954 / C /Z; __ .. CITY - COUNTY STATE ZIP �—IGR7AT E OF•LOGAL AGEffY OFFICIAL J. DATE ' . SAME NONE UNIT OWNER (if also property owner, write "SAME") DEALER NAME (if not a dealer sale, write "NONE") SAME NONE - MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION DEALER LICENSE NO. CALYPSO 1977 UNKNOWN MANUFACTURER'S NAME _ DATE OF MANUFACTURE MODEL NAME/NUMBER A/B061843 _ 60'X 24' CAL068684/5 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIAILABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER 065-370-029 HCD FORM 433(A) REV. 8/91 WHITE - County Recorder CANARY - HCD PINK - Applicant GOLDENROD - Building Dept. RECORDING REQUESTEDBY Mid Valley Title & Escrow Company AND WHEN RECORDED MAIL TO: Frederick D. Rostron and Carolyn K. Rostron cP11 �3 _r Space Above This Line for Recorder's Use Only A.P.N.: 065-370-029-000 File No.: 0402-1695562 (CH) GRANT" DEED The Undersigned Grantor(s) Declare(s): DOCUMENTARY TRANSFER TAX $112.75; CITY TRANSFER TAX $; SURVEY MONUMENT FEE $ X computed on the consideration or full value of property conveyed, OR computed on the consideration or full value less value of liens and/or encumbrances remaining at time of sale, X unincorporated area; [ ] City of Magalia, and FOR A VALUABLE CONSIDERATION, receipt of -which is hereby.acknowledged, James G. Vesely and Susan N. Vesely, husband and wife hereby GRANTS to Fredencic D^. Rostron and Carolyn 1 n -'R tron husband'and'wlf . asjoint tenants - the following described property In the:;Unlnco.rporated Area of: County of Butte, State. of California: LOT 257, AS SHOWN ON THAT -CERTAIN MAP ENTITLED, "SIERRA DEL ORO ESTATES UNIT NO. 4", WHICH MAP WAS RECORDED -IN -THE -OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, -ON SEPTEMBER 29, 1969, IN BOOK 3S OF MAPS, AT PAGE(S) 43, 49, AND 50. EXCEPTING THEREFROM ALL OF THE VALUABLE MINERALS BENEATH THE SURFACE OF THE SAID LAND WITH THE RIGHT TO MINE AND EXTRACT SAID MINERALS, IT BEING AGREED AND UNDERSTOOD THAT IN ALL MINING OPERATIONS, THE SURFACE OF SAID LAND WILL BE PROTECTED AGAINST DAMAGE AND THAT ALL SUCH MINING SHALL BE CARRIED ON FROM TUNNELS, SHAFTS, OR DRIFTS HAVING THEIR ORIFICES OUTSIDE OF THE SURFACE AREA OF THE ABOVE DESCRIBED REALTY, ALL AS EXCEPTED AND RESERVED IN THE DEED FROM MAGALIA MINING COMPANY, A CORPORATION, TO E. D. STORTS, ET UX, RECORDED SEPTEMBER 4, 1947, IN BOOK 423, PAGE 335, OFFICIAL RECORDS. Dated: 12/1312004 G. Vesely U O Susan N. Vesely Mail Tax Statements To: SAME AS ABOVE ru R—' 0 r W W 0 0 e 2 O (7 r- 'x -C�0 3 Y F o, P c) O y 0. m � cno� 0 o. m . Zn— z O ru R—' 0 r W W 0 ll 0 2 ` (7 0 'x -C�0 3 Y F o, P c) 0. m w cno� 0 m . Zn— O ll BUILDING PERMIT NUMBER: 05-0017 Address or location of unit: 14804 PINE CONE WY., MAGALIA, CA 95954 Legal Description of Real Property: AP#: 065-370-029 SEE ATTACHED (x) Mob ilehome/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: CAROLYN K. AND FREDERICK D. ROSTRUN Owner's address: 14804 PINE CONE WAY, MAGALIA, CA 95954 INSIGNIA OR HUD NUMBER: CAL068684/5 SERIAL NUMBER OR Y.I.N.: A/B061843 MANUFACTURER'S NAME: CALYPSO YEAR: 1977 R A,� OFFICIAL APPROVING INSTALLATION:, DATE:d-a (- PHONE: (530) 538-7541 H.C.D. 513C A.P.N.: 065-370-029-000 Grant Deed - continued File No.:0402-1695562 (CH) Date: 12/13/2004 STATE OF CALIFORNIA } } ss. COUNTY OF } On V before me, Vr qel ilss5g 1--,knc4412 personally appeared J ��e%� � . V� I u �Se l personally known to me (or proved to me on ffie 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 his/her/their signature(s) on the instrument the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. Nynawre� MELISML KNITTLE Commission 91347937 0 CP L(t ray rbc - Cadiorrda Orange County oa 3 — AM Comm. Isar 23, 2006 My Commission Expires: Notary Name-�I IA �Sa Limn (2 Notary Phone: 95-' f 9 3 -7,: v X 82 1 Notary Registration Number: 5 3 q % 9 5-7 County of Principal Place of Business: Or?'- COL, Page 2 of 2 STATE OF CALIFORNIA BUSINESS, TRANSPORTATION AND HOUSING AGENCY DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT DIVISION OF CODES AND STANDARDS REGISTRATION AND TITLING PROGRAM BILL OF SALE SECTION I. DESCRIPTION OF UNIT This unit is a (check one):❑ Truck ElManufactured❑Commercial Coach ❑ Floating Home Camper Manufactured Home/Mob The Decal (License) No.(s) of the unit is: LAP9782 The Trade Name of the unit is: CALYPSO The Serial No.(s) of the unit is: A061843 6061843 SECTION II. STATEMENT OF FACTS For the sum of Thirty Five Thousand dollars ($ 35,000.00 ) and/or other valuable consideration in the , the receipt of which is hereby acknowledged. I/we did sell, transfer and deliver amount of -0- to Frederick D. Rostron and Carolyn K. Rostron Buyer �\ day of 20� my/our right title and interest in and to the above on the - described unit. 7 SECTION III. SELLER'S CERTIFICATIONct I We certify under penalty of perjury under the laws of the State of California thatithe efollloo rotes and ng is true will and defend hcorre (1) I/we to le are the lawful owner(s) of the unit, and (2) I/we have the right to sell Irior to this date and (4) the unit is free of all liens and the unit against the claims and demands of any and all persons arising p encumbrances, except for the lienholder shown below*, whose lien presently exists and has not been paid. CA Executed on\� �S � A at Macialia State Date City Date Signature of Seller ]a raL s G. Date (-�--Ct —0q Signature of Seller ��.9'zo Susan N. Vesely SECTION IV. LIENHOLDER'S INFORMATION V NOTE: The :space below is NOT for liens created by the buyer in this transaction. *Lienholder Address HCD 475.1 (11/00) Street Address or P.O. Box City State Zip Code RECORDING -REQUESTED BY Mid Valley Title & Escrow Company AND WHEN RECORDED MAIL TO: Frederick D. Rostron and Carolyn K. Rostron Cj\ X13? rtitD VALLEY TITLE AND ESy('qW_NLP., A CORPORATIOKI ,FRTIFIED TRUE COPY_-- _ ..._...__ Space Above This Line for Recorder's Use Only A.P.N.: 065-370-029-000 File No.: 0402-1695562 (CH) GRANT DEED The Undersigned Grantor(s) Declare(s): DOCUMENTARY TRANSFER TAX $112.75; CITY TRANSFER TAX $; SURVEY MONUMENT FEE $ X computed on the consideration or full value of property conveyed, OR computed on the consideration or full value less value of liens and/or encumbrances remaining at time of sale, X unincorporated area; [ ] City of Magalia, and FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, James G. Vesely and Susan N. Vesely, husband and wife hereby GRANTS to Frederick D. Rostron and Carolyn K. Rostron, husband and wife as joint tenants the following described property in the Unincorporated Area of,County of Butte, State of California: LOT 257, AS SHOWN ON THAT CERTAIN MAP ENTITLED, SIERRA DEL ORO ESTATES UNIT NO. 4", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON SEPTEMBER 29, 1969, IN BOOK 35 OF MAPS, AT PAGE(S) 48, 49, AND 50. EXCEPTING THEREFROM ALL OF THE VALUABLE MINERALS BENEATH THE SURFACE OF THE SAID LAND WITH THE RIGHT TO MINE AND EXTRACT SAID MINERALS, IT BEING AGREED AND UNDERSTOOD THAT IN ALL MINING OPERATIONS, THE SURFACE OF SAID LAND WILL BE PROTECTED AGAINST DAMAGE AND THAT ALL SUCH MINING SHALL BE CARRIED ON FROM TUNNELS, SHAFTS, OR DRIFTS HAVING THEIR ORIFICES OUTSIDE OF THE SURFACE AREA OF THE ABOVE DESCRIBED REALTY, ALL AS EXCEPTED AND RESERVED IN THE DEED FROM MAGALIA MINING COMPANY, A CORPORATION, TO E. D. STORTS, ET UX, RECORDED SEPTEMBER 4, 1947, IN BOOK 423, PAGE 385, OFFICIAL RECORDS. Dated: 12/13/2004t J es G. V 'sely 'Lit_ Susafn N. Vesely Mail Tax Statements To: SAME AS ABOVE A.P.N.: 065-370-029-000 Grant Deed - continued File No.:0402-1695562 (CH) Date: 12/13/2004 STATE OF CALIFORNIA } }ss. COUNTY OF } On V 15 a o0 before me, 2�css 1, , nc` t� tl �( personally appeared personally known to me (or proved to me on Hie 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 his/her/their signature(s) on the instrument the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. Signa My Commission Expires: 3 -23—d (P MELISSA L KNITTLE Commission i 1347937 Notary Pub4c - CaWwria OrWW County Conn. Expirn Mer 23.2006 Notary Name: -LJ IC,. 4 'Se, U nc�� Notary Phone: Notary Registration Number: OLf -7 9 3 County of Principal Place of Business: Ora Cob", Page 2 of 2 STATE OF CALIFORNIA BUSINESS, TRANSPORTATIONCOMMUOUSING AGENCY NITY DEVELOPMENT DEPARTMENT OF HOUSING AND DIVISION OF CODES AND STANDARDS REGISTRATION AND TITLING PROGRAM BILL OF SALE SECTION I. DESCRIPTION OF UNIT This unit is a (check one): ilehome F-1Commercial Coach F]Floating Home ❑ Truck Camper E Manufactured Horne/Mob The Decal (License) No.(s) of the unit is: LAP9782 The Trade Name of the unit is: CALYPSO The Serial No.(s) of the unit is: A061843 8061843 SECTION II. STATEMENT OF FACTS dollars ($ 35,000.00 ) and/or other valuable consideration in the For the sum of Thirty Five Thousand amount of -0- , the receipt of which is hereby acknowledged. I/we did sell, transfer and deliver to Frederick D Rostron and Carolyn K. Rostron Buyer �� 'P( P'fh�eY 20� my/our right title and interest in and to the above - on the _day of described unit. SECTION III. SELLER'S CERTIFICATION. I/We certify under penalty of perjury under the laws of the State of California that the following is true and correct:.(1) I/we ( to are the lawful owner(s) of the unit, and (2) I/we have the right to sell it, and h s date andr 4) the unit slf free of ll l endefend thelsl and the unit against the e lienholder shown belowdemands of any and *, whose lien ersons Ing p prerior to t sently exists and has not been paid. encumbrances, exceptpt for th CA at Ma alia Executed on \� ��_�� city state Date Signature of Seller Signature of Seller James G. N. Vesely Date / z Date ( z — 0 q SECTION IV. LIENHOLDER'S INFORMATION v NOTE: The space below is NOT for liens created by the buyer in this transaction. *Lienholder Address HCD 475.1 (11/00) Street Address or P.O. Box City State Zip Code 0 c. PERMIT NO 065-370-029 05-0017 ROSTRLIN, CAROLYN 14804 PINE CONE WAY, MAGALIA Cont: CHICO MHS EX MH PERM PND EX SITE SPECIAL CONDITIONS CHECKED pY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER e4-r0� -1 � o�� JOB FINALED(D Signature J=OK 0 = Not OK . = NotReadyable DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s MOBILE HOMES 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-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or/ /" L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date 12. Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Card B-1 Date Card B-1 1. Zoning Requirements -Setbacks -Easements Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date 12. Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) Card B-1 Date Card B-1 1. Zoning Requirements -Setbacks -Easements Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel -Blockouts-Wrapped 6. Stemwalls, Garage; Steel -Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation Date 16. Insulation 47. Hangers -Post Caps -Anchors -Connectors Date Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. Card B-1 Date Card B-1 Date Fireplace Ties or Type A Flue -Fireplace Throat Clearance Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access Date 59. Card B-1 Date Card B-1 Date 60. Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Brace Interior/Exterior Wall Panels 24. Fixture & Transformer Clearance -Ins. Protection Insulation -Walls -Ceilings 25. Elec. Receptacles Spacing -Lights & Switches at Doors Infiltration -Walls -Windows 26. Size Boxes & No. of Conductors Stapled Card B-1 Date Card B-1 27. Romex Installed Close to Edge of Studs & C.J. Card B-1 Date Card B-1 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral Cl Yes ❑ No 32. Service -Riser Conductors & Ground Main Disconnect 33.' Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector 71. Fireplace or Stove, Clearance -Hearth Date 72. Card B-1 Date Card B-1 Date 73. Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Elec. Outlets & Receptacles at Kit. Counter 36. A.C. Ducts Insulation & Support Garage Fire Door; Swing -Landing -Closure 37. Vent Fan, Exhaust above insulation A.C. Duct in Garage -Damper 38. Condensate Drain & Overflow, Size & Grade Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet Plb.; Elec. & Mech. Equip. Listed for Location 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 82. 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 83. 43. Bearing Walls over Girders & Floor Nailing 84. 44. Draft Stop in Walls (rat proof) 85. 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 86. 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor U Yes _ 83. Following Instld./Drive ❑ Yes ❑ No/Walks U Yes U No/Planters O Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVIL'LE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.netldds LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is In full force and effect. v License Class : L tcensp„" Number: L yj 0 Date:,' QS Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of/perjury that I am exempt from the Contractors' Stale License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city.or county which requires a permit to construct, alter, improve, demolish; or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or Improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or Improvements are sold within one year of completion, the owner -builder will have the burden of proving Ihal he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the properly, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' Slate License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' Stale License Law.). ❑ '1 am Exempt under Article 3 of the Business and Professions Code Date: Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ . I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit Is Issued. My workers' compensation insurance carrier and policy number are: Carrier: Pofic _ O 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwithcomply with those provisi 2j. . Dale: Applica WARNING:�Fha.il,ur:.bto secure workers' compensation coverage Is unlawful, anljectan employer to criminal penalties and one hundred tttnd dollars ($100,000), in addition to the cost of compensalon, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit Is Issued (Sec 3097 Civ.) Address: PERMIT NO. BP050017 Issued Date: 01/19/2005 APN: 065-370-029-000 Site Address: 14804 PINE CONE WAY MAG Map Index: Description: EX SITE MH PERM FND 1440 SQ. FT. Owner: FREDERICK D AND CAROLYN K ROSTRON 715 SHALIMAR DR BAKERSFIELD, CA 93306 661-366-8272 Applicant: DOREMUS, GERALD GLEN P O BOX 4121 CHICO, CA 95927 530-895-1774 Contractor: DOREMUS, GERALD GLEN P O BOX 4121 CHICO, CA 95927 530-895-1774 . I License #: 445103 Architect: Engineer: Total Square 'Ft: 0 S. F. Valuation: $0.00 Census Code: This permit is (pece�by iss�ied under the applicable provisions of the Buue Cnunly Code a/nr\Uor Resolutions to w3r11 !(ndlcatedabove r which fees have been paid. V� By: \ / Date: 1 PERMIT EXPIRES ON:—) ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification In accordance with Section 19827.5 of California Health & Safely Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that 1 have read this application, that the above information is correct, and thaI I am lh owner or the duly authorized agent of the owner. I agree to comply with all county and stale laws relating to building construction. I acknowledge It Is unlawful to aller the su once o Biclal form or document of Butte County. I hereby authorize representatives of Butte County t enter upon the above mentioned property for Inspection rp es. Print Name: J �`� _ 'Signature: Date: CI Owner I/ Contractor ❑Agent for Owner CI Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICA TION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** OWNER Last Name 5 2v / First Name,A `f Address - 71 �1 sN f _44,1A D Citysk _e L State Zip Y' Phone(Fax - - X72 Zip rI5' Z 7 E-mail CONTRACTOR Name 1 4` Address x "11-2- 112City City/a� ( City State r14 Zip rI5' Z 7 Phone � , A 7 Phone Fax 5�9 v � E-mail E-mail / � Class APPLICANT NAME ARCHITECT'/ENGINEER Name City Address Zip City Fax State Zip Phone Book Fax E-mail Planner State License Number APPLICANT NAME Name Address City State Zip Phone Fax E-mail r . /—jAPPLICAN7' SIGNATURE X For office use only: Zoning Property, Address D _ lood Zone Cross Street / SRA I (jEs>1 No Occ. Type Const) Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT NO. /, n BP BIN # LOCATION AP# -3 70 - a 2 Property, Address D City Cross Street / WORKER'S COMPENSATION Policy Number 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 Name Address Description or Scope of Work: k5 -X 1* lr5;an/ .�Ir !/ Sq. Footage l y yo ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application.. plans and fee will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Paglee 1, of 2 QV -lyb_/ - 2—:- Received =Received by:—If, Amount: ', `7 ��. his oldg Receipt #: 1�l `� �%� /S� Sheriff SMTP Other Date Y_ A `7 ��, � S .,al REV 7-27-04 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to mobile or modular homes.) ❑ 5. Statement of Intent for Non -heated and A/C -for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation ",ertificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and b iness license approval from the City of Biggs. ❑ 10. Letter of intent )r non-residential buildings. ❑ 11, Detached Acc sory Building Form filled out by the owner (if required). ❑ 12. Hazardous Malerlal Form (for Commercial Buildings only). ❑ 13. Sanitation and site plan approval from the Environmental Health Department. Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy)._ ❑ 6. Contractor's license information. (Number, Name Style, Classification),—,, -,,-6--)-37--0-02--9- s-37-o-02�- 05-0017 ❑ 7. Worker's Compensation Carrier and Policy Number. ROSTRUN, CAROLYN ❑ 8. Owner -Builder Verification (if required). 14804 PINE CONE WAY' MAGALIA ❑ 9. Letter of Signature authorization (if required). EX H PER 1\1xs "EX MH PERM FND El SITE ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's). If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING FORM S\BldgApplSubRgmts.doc Page 2 of 2 REV 7-27-04 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 f PERMIT APPLICATION DATA SHEETS OWNER: ��f11'� . ,vr',U/ /(J ASSESSOR PARCEL NUMBER Proposed Building Use: X %% r'.1 /�/'� �iI i/ Counter Technician:Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. :�O 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (Tie down or-fnd plans all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the en ineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form ❑ 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........ 20. Erosion Control Plan Required........................................................................ ........ 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. 22. City of Chico Plumbing permit........................................................................ ❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. ❑ 24. Planning approval (A) Use: (B)Parking: (C) Parcel Check: ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... ❑ 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for _ required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization.................................................................... ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ '35. Existing violations and/or expired permits......................................................... ❑ 36. Deed�estnction............ ........................... ..........................................I .... ... ❑ 37. errant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑dCheck to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issued Telephone 5Z 9 t7 and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Date: 1, Index permit'aPplicat of n for the above items numbered: Plan Check Letter 2. Additional items required tractor esigner, owner, was advised of the above data by R'phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter by Date: Plans reviewed by: Date: Plans approved by: Date Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 SCHEDULE OFvRECEIPT I OF FEES OWNER r i� ;� J 4 I� A. P. It PROPROSED BUILDING USE A14 /I P"'?(r4 DATE RECEIPT # DATE REC. 1. UILDING PERMIT FEES 1 --- Balance Due ..................... $ / �/. �`� L4 --- Additional Fees Due........... $ Revised Plan Checking Fee.... $ G's- 0-QG 17 2. SCHOOL DISTRICT FEES (paid at School District Office) (form available after Plan Check) _ 3. SHERIFF FEES (paid at Building Division) Residential............ X $360.00 =$ _ Units Commercial (sq. ftg.)..... X $0.03 = $ _ Sq.Ftg. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit)..... X = $ # Units Amt. Commercial (Sq. Ftg.).... X = $ Sq. Fig. Amt. 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK FEE $89.00 (paid at Building Division) 8. WATER TENDER FEES BATTALION # $200.00 (paid at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Zone # Units Amt. Commercial (sq. ftg.) ......... X = $ Sq. Fig. Amt. 10. OTHER At time of pernduri cation, I was advised the above fees are may be chanhlie plan checking process. to be paid prior to issuance of the permit. These fees DATE , Pursuant to Govemr}6nt Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003) Vector Dynamics Foundation System INSTALLATION INSTRUCTIONS for the State of California Version 9/2/2003 SECTION INTRODUCTION GENERAL INSTALLATION PARTS LIST LONGITUDINAL DEVICES PIER HEIGHTS SET-UP INSTRUCTIONS FOOTER SIZES WIND ZONE I WIND ZONE II INDEX PAGE NUMBER 2 3 4&5 6 7 8 RELEASE DATE 9/2/03 9/2/03 9/2/03 9/2/03 9/2/03,--- 9/2/03 SPA 'ilk - SINGLE 9 9/2/03 - DOUBLE 10 9/2/03 - TRIPLE 11 9/2/03 - HIGH PIER 12 9/2/03 - SINGLE 13 9/2/03 - DOUBLE 14 9/2/03 - TRIPLE 15 9/2/03 V -DRIVE & PIER SYSTEMS SOIL CLASSIFICATION CONCRETE INSTALLATION 16 9/2/03 17 9/2/03 18 & 19 9/2/03 COMPONENT PARTS AVAILABLE UPON REQUEST Approval UAlWACTt1REa V1OMWaana RWa FOUNDAMONSYSTM WALTH AM sAFM cans, SWnCH IMI APPPROVW t TO CORw=0N1I ANAL DOES NOT AWRIMM OR A"*M MM 0MUMONS OR DEVIATION FROM RMUSUMi?S 01 AM,I W ST'AU LAWS AND RE IMATTo14 COMAND8th a K=AY 2* No, 60245 CIVIL BUTTE CC)" NM I P p Raj v 00 L co 0 N O M O Tie Down Engineering, Inc. VECTOR DYNAMICS INSTALLATION DESIGN INSTRUCTIONS Introduction These instructions describe the proper use of the lateral and longitudinal foundation system. You may also refer to the home manufacturer's installation manuals that include the Vector Dynamics system as an alternate foun- dation system. General The Vector Dynamics Foundation System provides the support to resist lateral, longitudinal and over -turning movement of the home as required by the Federal Manufactured Home Construction and Safety Standards in a specified wind zone when the system is used as described in these instructions. Please verify state or local wind load requirements prior to installation of the home. The Vector Dynamics Foundation System resists lateral & longitudinal wind & seismc loads by anchoring the two longitudinal main rails. The system is approved to be used on single or multi section homes: Nominally 12 feet to 16' feet wide- (single section) with main rail spacing of 95 inches or greater on center; multi section main rail spacing of 75 inches or greater on center. Nominal 8 foot or less top plate height at sidewalls with main rail depth of 12" or less. Maximum roof slope of 20 degrees (4.4" in 12" slope). Maximum eave width (roof overhang of sidewall) of 12" for Zone I, 8" fo Zone II Maximum pier height under main rails -see page 7. The Vector Dynamics Foundation Systems may be used as a part of the vertical or gravity support system con- sidering that each Vector Dynamics pad has two (2) or (3) square feets bearing area. To inquire about the use of the Vector Dynamics Foundation Systems with homes of four or more sections, other widths, or on homes requiring pier heights which are not included in these instructions, contact Tie Down Engineering, Inc. at 1-800-241-1806. The Vector Dynamics Foundation System has not been designed for use on exposure "D" homes within 1500 feet of the coastline. Additional vertical anchor ties that are unique to a home's design may be required by the home manufacturer. These locations may include shear walls, marriage line ridge beam support posts, end frame ties and rim plates. Page 2 California 9/2/03 GENERAL INSTALLATION INSTRUCTIONS SITE PREPARATION It is necessary that the home site be properly graded and sloped to prevent water and moisture from standing or flowing beneath the home. FOOTINGS AND FROST LINES The Vector Dynamics Foundation System was designed to be placed directly on top of the ground (or poured concrete) after clearing all loose vegetation. In areas with frost heave, use Vector for Poured Concrete (see pages 20 & 21) to comply with local requirements for footer depth. FOUNDATION/FOOTING SPECIFICATIONS FOR VECTOR PADS Vector Pads are used in place of conventional foundation pads. One Vector pad provides two or three square feet of bearing support. Vector Systems should be spaced as symmetrically as possible along the length of the home. For pier locations in between the Vector Systems, use the normal foundation pads. LUMBER/MOISTURE - TERMITE SHIELD To cut PVC or lumber (2 - 2x4's,1 - 4x4 or 1 adjustable steel commpression member per Vector system) for the center compression section,when using concrete blocks for piers, measure center to center frame (I-beam) dis- tance and subtract 16". When using METAL PIER STANDS, measure center to center frame distance and add 16". ALL WOOD MUST BE PRESSURE TREATED, GROUND CONTACT RATED . Tip: Pre-cut your lumber and mark as to brand or model of homes you will be installing. If frame widths are the same, the pre-cut boards will also be the same length in each Vector set-up. STRAP INSTALLATION All frame ties and diagonal straps must go from the anchor to the top of the I -Beam. See illustration below. 1. Attach frame hook to top inboard location of "I" beam. (Frame hook must be attached to frame at points closest to floor support.) 2. Keeping in line with the hook, wrap galvanized strap completely around "I" beam. 3. Pull strap past anchor head approximately ten inches before cutting to allow enough strap to give a minimum of five turns around the slotted anchor bolt. 4. Thread loose end through slotted bolt so that the strap is flush with the other side of the bolt. 5. Tighten slotted tensioning bolt a minimum of five full turns. Page 3 California' 9/2/03 Vector Dynamics Foundation systems Lateral Component Parts List Vector System Lateral Stabilization Block Pads #59018 - 2 sq. ft. single/double block pads with hardware, swivel straps and slotted bolts Vector System Lateral Stabilization for Concrete # 59036 - Single (only) block pads with hardware, swivel straps and slotted bolts. # 59049 - Double block pads with hardware, swivel straps and slotted bolts. Vector System Lateral Stabilization For Difficult/Rocky Soils # 59287 - V -Drive System Must be used with: # 59018 - Vector for single/double block pads 3 Sq. Ft. Pad Vector System # 59271 - Vector 3 sq. ft. pad (2 required) # 59024 -Vector Lateral Hardware Kit, includes PVC adapter. Strap/Swivel Strap Connectors & slotted bolts not included. Page 4 California 9/2/03 Vector Dynamics Foundation Systems Longitudinal Component Parts List Page 5 Longitudinal Stabilization Hardware Kit # 10733 - (for use with 59018 Vector System, single stack block sets only. Longitudinal struts not included) Longitudinal Stabilization Hardware Kit for Concrete # 59023 - Includes 2 beam clamps, tension brackets, nuts and bolts. (for use with #59036 & 59049, longitudinal struts not included) 3 Sq. Ft. Pad Vector Longitudinal System # 59026 - Includes 2 beam clamps, 2 tension brackets, nuts & bolts. (for use with #59271, longitudinal struts not included) Struts for Longitudinal Systems Part No. Length Pier Height # 59016 30" up to 2 Blocks # 59012 39" up to 3 Blocks # 59013 44" up to 4 Blocks # 59014 53" up to 5 Blocks # 59015 65" up to 6 Blocks PVC Adapter Bracket # 59281 - For use with Schd 40 PVC Center Compression Strut # 48612 - Single Section, 62"- 108" # 48613 - Double Section, 34"- 60" (includes short u -bolts, nuts, washers and 6 self taping screws) California 9/2/03 C Longitudinal Stabilizer Devices The use of LSD systems on a single or multi section home replaces longitudinal anchors; stabilizer plates and straps. The Longitudinal Stabilization Device (LSD) is used with the Vector Dynamics System to resist loads in the longitudinal direction (short dimension) of home. The number of LSD required is shown on pages 10-13. LSD 1. Longitudinal Foundation Pad 2. Beam Clamp (2 per system) 3. Longitudinal Strut (2 per system) 4. Tie Bracket (2 per system) Combine Vector Dynamics & LSD Note: Two struts =1 L.S.D. system. Can be used on one pad or slipt on opposite ends of the home. Examples of Po55ible Placement: (Contact TIE DOWN for placment in other Wind Zones) Wind Zone I Single Section I I I I I I I I I I I I I I I I I I I I I I I I 00 Wind Zone I Double Section 18 Ft. Max. 32 Ft. Max. Forgreater widths use triple section design. Page 6 Wind Zone I Triple Section Wind Zone I Tag Section 48 Ft. Max. California — f ' 9/2/03 50 in max. Maximum Pier Height Vector Dynamics Foundation Systems may be used on single section homes in Wind Zone I which require pier heights (from surface of Vector pads to top of concrete or metal pier) not to exceed 50 inches under one or both main rail(s). Note that a ground anchor must be used at each Vector system location where the pier height exceeds 24 inches for single section homes. On multi -section homes in Wind Zone I, an anchor must be used at each Vector System location with pier heights above 46" with the following exception: double section homes that are 24' wide, in Wind Zone I, have a maximum pier height without anchors of 38". See page 12 for double section home high pier set instructions. 50 in max. Unequal Pier Heights maximum Homes with unequal pier heights are limited to 50" maximum pier height. The difference between the taller pier and the shorter pier cannot exceed 26". Page 7 California" 9/2/03 Set -Up Instructions for Vector System #59018 Long U -Bolts 1. Set Vector Pads Clear all vegatation where pads will rest. Place a long U -bolt in pad as shown. Press or ham- mer pad into the ground. 2. Set Block or piers on pads. Center foundation blocks or piers on pads. Place pre-cut center compression member between blocks, resting on pads, centers between U -bolts as shown. 3. Outside Tension Bracket Attach outside tension bracket as shown to out- side of pads. Page 8 4. Inside brackets & straps Attach the inside tie brackets to the U -bolts over the compresion member. Attach a strap w/hook or swivel strap w/nut & bolt. Place other end of the strap over opposite I-beam & down to out- side tension bracket. Cut strap 12 - 15 inches past bracket. Attach strap & slotted bolt in bracket. Tighten strap until tight with 4-5 wraps around bolt. Repeat with opposite strap. 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CL) CO) CL c c o � o CL) 0 1O a y CO) V EE CD c c rn y y • a c COO M cv , o' i N '= a as cv ui E C> o E R z co E L � 1 O U { > L CD 0) a) L O N U C;) c - CY Z x � m E- mE oZS LL (n Q a_ M LO 4- o x � O et N T c) 3 O a a) aS U =3 _ a) V5 .E cr (Z i Uma U) U) Q i co CL o- N cz Cz CL cS N N T y V- cz Q N CC• m N O O E n tm c: C O a) 3 E O y O w Q U t U N m0 .Q c 3 O -0 U) N i N cz cr N " O i N CLN CL N � > x o V CV >o70� t d (1) V x L cc 5 W r Cn Page 15 California 9/2/03 N N N 0 N J C N C") co C7 L_ N L CO r- CO Oa t V c a N cz cz Ni c c c c O O O O CV CV co CY) + + + + Co LO z c d m (D bo t-- t-- co d O O O O i) ZV iA 2 O dt r- 00 i co CL o- N cz Cz CL cS N N T y V- cz Q N CC• m N O O E n tm c: C O a) 3 E O y O w Q U t U N m0 .Q c 3 O -0 U) N i N cz cr N " O i N CLN CL N � > x o V CV >o70� t d (1) V x L cc 5 W r Cn Page 15 California 9/2/03 Vector Dynamics Metal Pier & V -Di METAL PIER FOUNDATIONS For metal piers, place the piers in the center of the Vector pads. Set the single 4x4 or two 2x4's through the piers, centered in the U - bolts. Outside. Tension brackets attach the same, Inside tie brackets mount "upside down" as shown in drawing. Metal piers using the Vector System can only be used on level ground sets. Conventional pier adjusters must be placed under beam with upturned edge directed towards the outside of the home. Pier spacing must be consistent with home manufacturers' installation instructions and/or state requirements. To cut lumber (2 - 2x4's or 1 - 4x4 per, or 1 adjustable steel commpression member, part #59043 Vector system) for the center com- pression section, when using METAL PIER STANDS, measure center to center frame distance and add 16". Optional Moisture Termite Shield may be required in certain regions. ALL WOOD MUST BE PRESSURE TREATED, GROUND CONTACT RATED. Tip: Pre-cut your lumber and mark as to brand or model of homes you will be installing. If frame widths are the same, the pre-cut boards will also be the same length in each Vector set-up. V -Drive System for rocky soil conditions V -Drive anchors are used only in single section homes. V -Drive anchors are used only in Zone I, single section homes in areas where rocky soil conditions do not allow helix style anchors to be installed. Vector Systems are set following the general set up instructions provided. With the V -Drive anchor, the short 2x4 boards used with the outside tension brackets are discarded. In place of the short 2x4's, a longer 2x4 is used as per the diagram above. This 2x4 board should extend from the base of the Vector pier set to 5 inches from the side wall of the home. Place the V -Drive head over the end of the longer board. Using a heavy hammer or electric hammer gun, drive the three V -Drive anchor rods through the V -Drive heads at an angle of approximately 45 degrees under the home. The rods must come to a complete stop on the V -Drive head. Attach a strap with hook or buckle to the frame and attach to the V -Drive head with a slotted bolt. Cut the strap end about 12 to 15 inches past the anchor head to allow at least four or five wraps around the slotted bolt. Continue tightening strap until all slack is out and strap is tight. Page 16 California -.y:� 2/03 VECTOR DYNAMICS INSTALLATION DESIGN INSTRUCTIONS - Vector Dynamic Foundation Systems may be used only on homes set on soils classified as Class 2, 3, 4A and 4B as described in the table below: SOIL CLASSIFICATIONS Soil Class Types of Soils Blow Count (ASTM Soil Test Probe (1) D2586) Torque Value (2) 1 Sound hard rock...... NA NA Very dense and/or 40 -up More than 550 lbs - in. cemented sands, coarse 2 gravel and cobbles, preloaded silts, clays, and corals Medium -dense coarse 24-39 350-549 lbs - in. 3 sands, sandy gravels, very stiff silts and clays 4A Loose to medium dense 14-23 275-349 lbs - in. sands, firm to stiff clays 4B and silts, alluvian fill 175-275 lbs - in Peat, organic silts, 0-44 175 lbs - in. 5 inundated silts, loose fine and lower sand, alluvium, loess, varied clays, fill, fly ash. (1) The purpose of the soil test probe is to gauge the strength of the soil below the surface and near the anchor's helical plate. The strength of the soil is estimated in terms of its resistance to penetration (flow) under load by means of the torque probe and is measured in Ib -in. The test probe has a helix on it. The overall length of the helical Section is 10.75 in.; the major diameter is 1.25 in.; the minor diameter is 0.81 in.; the pitch is 1.75 in. The shaft must be of suitable length for anchor depth. (2) A measure synonymous with moment of a force when distributed around the shaft of the test probe. Vector Foundation Pads Equivalent to Footer Pads* Footer Size: 16x16 = 256 sq. in. or 16x18 = 288 sq. in. Footer Size: 20x20 = 400 sq. in. or 17x25=425 sq. in. EQUALS _ ' EQUALS 2 -Vector Pads # 59275 %` 1 -Vector Pad # 59271 288 sq. in. or 1 1 432 sq. in. 1 Vector Pad # 59130 Vector Pad(s) exceed the surface area required when used as the equivalent listed above. *Foundations in soil with a bearing capacity of less than 1,000 PSF must be designed by a Registered Professional Engineerfamiliarwith site conditons s, Page 17 California 9/2/03 Vector Dynamics System for Concrete Applications Instructions These instructions are an addendum to the standard Vector Dynamics instructions. Read and follow all applicable instructions and guidelines in the Vector instructions and home installation manual. The Vector system for concrete pads applies to concrete footers, runners and slabs. Minimum size of concrete per Vector pier is 24"x24" x 4" or 18" round (min) x 10" deep. The bottom of footers must be below the frost line or a minimum of 4" below finished grade whichever is greater. Concrete must be sufficiently cured and set to accommodate an anchor bolt to its' full load resistance. 1. Determine location of pier sets where the Vector systems will be located. 2. Place one Vector concrete pad (galv. metal) on the concrete where the pier will be located, centered under the I-beam of the home. Place the upturned edge towards the center of the home and directed to the opposite Vector pier. Do the same for the opposite Vector pier. 3. Measure the distance between the two Vector system pads at the base where the Vector pad meets the concrete. Cut two ground treated 2x4's or Schedule 40 PVC pipe, or 1 adjustable steel commpression member, part #59043 this length and place between the piers as shown. 4. Place a long u -bolt under the 2x4's and through the holes of the Vector pad as shown. 5. Place the concrete pier blocks on the Vector pad. Center the blocks under the frame. The upturned edge end of the Vector pads should be up against the inside of the pier blocks. 6. Build vector piers but do not wedge at this time. 7. Using a concrete drill bit, drill two holes on each side into the concrete using the holes in the Vector pad as a guide. Drill the 3/8" diameter holes 3 inches deep. . 8. Place an outside tension bracket on the Vector pad as shown in Illustration one. Line up the holes in the bracket, Vector pad and concrete pad. Illustration One of a Single Section Set -Up Vector pa for concret( footer Page 18 California Wood Cap and wedge Outside Tension Bracket Wedge Bolt r 9/2/03 Vector Dynamics System for Concrete Applications Instructions 9. Put a washer and nut on one of the 3/8" x 3-3/4" wedge anchors. The nut should be screwed on enough to have 1 or 2 threads showing on the top of the bolt. Place the wedge end of the bolt into one of the holes, going through the outside tension bracket, metal Vector pad and into the concrete. 10. Using a hammer, tap the wedge bolt into the hole. Maximum height for expansion bolt above concrete is 2". 11. Repeat for the other hole in the outside tension bracket and the two holes on the other Vector system pier set. 12. Place an inside tie bracket over the u -bolt so that the lip of the bracket is between the Vector plate and concrete blocks. Place washers and nuts on each U -bolt. Do not tighten yet. 13. Attach a strap with hook or crimp seal to the inside tie bracket, with sufficient length to go over the opposite pier and down to the outside tension bracket, plus 12 inches for wrapping the slotted bolt. Repeat for the opposite side. 14. Tighten inside a -bolts at this time. 15. Use the outside tension brackets to remove any space between the outside tension brackets, concrete blocks and the inside edge of the Vector pad, by tapping the brackets with a hammer. Wedge the pier set at this time. 16. Using a 9/16" socket wrench, tighten all of the wedge/anchor bolts, securing the outside tension bracket and Vector pad to the concrete. 17. Using a slotted bolt in the outside tension brackets, insert strap through slotted bolt with end of strap aligned with outside edge of bolt. Turn slotted bolt until straps are tight using at least five turns on the slotted bolts. Illustration T Inside Tie Bracket Compressh boards of PVC Pipe U -bolt Page 19 California , Vector pad for concrete Concrete footer <Mrl 9/2/03 PERMIT NO. 2347-77P,E At - PERMIT EXPIRES OWNER L. H. Easterling .CONTR. Fisci Bros., Paadise LOCATION (A.P. 65-37-29 ) 110 Pine Cone Way, lot 257, SDOA , Magalia Temp. Power Pole 1 Called PG&E Temp. Elec. Serv. D 1 r Called PG&E Y%— l d -7 Utf! _ A, Temp. Gas Serv. i Called PG&E I I JOB ? FINALED (Date) j (Signature) f i I i 4 COUNTY OF BUTU,--- '+ DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. 534-4541 CERTIFICATE This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 51 under permit number 72 for the following location: Owner Owner's Address / 6 0 Mobilehome Mfg. Jj� 1'` Model Year Insignia No. Serial No. It -is hereby certified for .occupancy at the above described location and may be occupied. f� 1h • DirectorPublie Works ^_ Date THIS CERTIFICATE IS VOID WHEN,MOBILEHOME IS RELOCATED Bond Bea FIRE SPRINKLEFaJ Motors Framing Test Water Htr. Stucco Final Subpanel Mesh MECHANICAL Grd. F It Prot. Scra h HeatiAg Servi 9f N B n Coo)(ng TAP. Pole nish D is nder round erior Lath Ventilation Permanent oor Closer final anal MOBILEHOME UTILITIES - - - - - - - -rJ - - - - - - Elec. Service 266P 7 -3-b'77. Elec. Pedestal Water Piping (� �% �i u Sewer 79L Gas Piping M961LEHOME INSTAL�LyATIgN - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATA2 REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD } BUILDING A BUILDING (Cont'd) PLUMBING Se ck ewall Ski Piping FoA0 Pahpets 1 t Floor Mal Bldg- Rest om Finish 2n Floor Fo tins Windo 3rd Noor Stem all Sidinq To out Slab eaNbing Water Pi i Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings StemwaI I Garage Vents Insulation Water Htr. Heaters Slab Carport Po Footings Prov. for physical handicapped Conformance of ex. V structure V Appliances Gas Piping & Test Temp. Gas Slab A Final Sanitation Patio REP ACE Final Footings Footing E ECTRIC L Masonry Walls Throat Rou h Reinf. Steel Final Fixtures Bond Bea FIRE SPRINKLEFaJ Motors Framing Test Water Htr. Stucco Final Subpanel Mesh MECHANICAL Grd. F It Prot. Scra h HeatiAg Servi 9f N B n Coo)(ng TAP. Pole nish D is nder round erior Lath Ventilation Permanent oor Closer final anal MOBILEHOME UTILITIES - - - - - - - -rJ - - - - - - Elec. Service 266P 7 -3-b'77. Elec. Pedestal Water Piping (� �% �i u Sewer 79L Gas Piping M961LEHOME INSTAL�LyATIgN - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATA2 REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located with: required separation from lot lines and buildings and generally conform to plot plan? Yes C,"�No- 2. Does the mobilehome have,required clearances above ground? (Sec.5085) Yes L-"-No- 3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes-Le�-lNo 4. Is the mobilehome level? (Sec. 5088) Yes !/No - 5. If more „than a single unit, are crossover connections properly installed? (Sec. 5088) Yes 4 ---No 6. Water A. Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes '--�No B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes %/ No— C. Backflow - If coach is not State of California approved, does station have backflow device! and pressure -relief valve? Yes— No 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes No B. Does it have minimum 4" per foot slope and is it properly supported? Yes No C. Are any leaks detected in drainage system after running 3=gallons of water through each fixture including washing machine standpipe? Yes— No—� D. If coach is not State of California approved, does station have required trap and vent? Yes No 8.. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as large as the mobilehome gas line inlet without reductions other than the mobilehome connector. Yes— No B. Test OK as per following procedure? Yes— No 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without drop. 4. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes !No 9. Electrical A. Is service large enough to provide adequate amperage to mobilehome (must equal rating of mobilehome with a minimum of 100 amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes 1/No_ ' B. Is there proper clearances around panels? Yes ✓ No_ C. Is power supply cord,or feeder assembly properly fused? Yes ci No_ D. Is continuity test satisfactory as per the following procedure? Yes_C-'No_ 1. De -energize electrical wiring system of the mobilehome at the pedestal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment.and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA Manufacturer and/or Namestyle Length Width / �r Vehicle Serial No. State Identification No. Additional Information or Comments: COUNTY -OF -BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — 0,rovIIIe, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT auth size repr en s o t e y of Butte to enter upon the abovpe-mentio d ert or n ion purposes. pat 12�zzlz Signature of P, itee or Agent Receipt No. Q�`� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have beenpaid. DIRECTOR OFI PUBLIC WORKS By to 9 B ding permit expires Date //=/ —J4? BUILDING Owner. �- t �'• j� k? l�t(� - Mailing Address ktk )r / SQ. FT. OCC. BUILDING VALUATION c-) J Telephone No. Fireplace Contractor �0y C, Ott 19z_ Total Valuation Mailing Address-? \� �OS�iL.i, -•A 1>- Permit Fee Ian Checking Fee&/or Penalty Telepho a No rI-. Ztk Permit Fee Building Address 1� `�� PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. "— Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fire Dept. Fire Zone Use Pen -nit Building sewer 5.00 EQA arking Plans Parcel Declaration Parcel Ma p 60' R/W Im rovements p Lawn sprinkler system 2.00 Bldg. Pj ns Recd I Parcel oval s Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 g,Y 1 . --7 -7 /— Main service 100 AMOR L P ORSLESS 5:00 Main service EA. ADD'L 100 AMP 2.50 Main service OVER s O 25.00 100 AMP OR LESS Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 1.00 NEW CONST. WELING OR ADONS. ( DACCLBLOGOCCUP. &) 20sgft NEW CONSTR. MULTI -OUTLET NON -RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS .&) NON-RESID. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name St le of: y� �1� �T j)°X1, `V q C_L' Ex. Occup(OUTLETS OR FIXTURES)� BAL@ 1 Ex. Occup. ( FIXED APPLNS. OR \ 2 00 OUTLETS (RESID.) EA) Temporary service 10.00 Mobile Home Facilities 15.00 C.(•Misc. License No. �� V`1I Classification �� ~( Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑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 Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above informati is orrect. I agree to comply to all County Ordinances and State La s reL4i�c� buil¢ ngXconstruction, and hereby 1 TOTAL PERMIT FEE $ o auth size repr en s o t e y of Butte to enter upon the abovpe-mentio d ert or n ion purposes. pat 12�zzlz Signature of P, itee or Agent Receipt No. Q�`� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have beenpaid. DIRECTOR OFI PUBLIC WORKS By to 9 B ding permit expires Date //=/ —J4? ' COUNTY OF -BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive_ Utroville, California 95965 Telephone: 534-4541 7 APPLICATION AND PERMIT YV7 4% authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. Date n Signature//of Permitee or Agent Receipt No.— White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOUBLIC WORKS By L _ Date Blell�uilding permit expires Date G` 1 ! BUILDING Owner f� SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor cif Total Valuation Mailing Address e' Permit Fee Plan Checking Fee &/or Penalty leph ne No. Permit Fee Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00 p Each' Trap 1.50 Repair drainage or vent piping 1.50 Water piping Mr, O e Zoning Verificati n Only Each gas water heater or vent 1.50 A. P. No. �j(��%e' fZTo�. � � Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F s Sa on FireDept . Fire Zone i Use Permit Building sewer •-f�e6B EQA I Parking Parcel Declaration cel Ma p 60' R/W Improvements p Lawn sprinkler system 2.00 ``Plans �'la s Recd Parcel Approval + Plans proval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service eoov OR LESS 5.00 S` ) 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 Main service OVER e O 25.00 100 AMP OR LESS Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 1.00 ry �•(� 50V SQ• FT. MINIMUM NEW LIN OCCUP. &� CONST ( WELG2¢sgft OR ADDNS NNEW CONSTmULTIIET ON -RESIT R. /BRANCOO CIRCUITS) 12.50ea R MOBILES NEWNON_ CONSTR ( // POWER SINGLE OUTLETTCIR.&� CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of fornia Business & Professions Code under the name .style Ex. OCCU OUTLETS OR FIXTURES 50 @25¢ P( 104 FIXED APP LNS, OR Ex. OccuP•�OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 �` Q ,,00ff� License Nq� Classification/J" I Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. y I have placed on file with the County of Butte a certificate of 1 Workmen's Compensation Insurance. ❑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 Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 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 relatinq to buildinq construction, and hereby t Q� TOTAL PE MIT FEE $ G authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. Date n Signature//of Permitee or Agent Receipt No.— White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOUBLIC WORKS By L _ Date Blell�uilding permit expires Date G` 1 ! IL 5.68-79B PERMIT NO. PERMIT EXPIRES OWNER L . H. Easterling CONTR. Sierra MnhileSar Paradise LOCATION (A.P. 65-37-29 ) 110 Pine Cone Way, lot 257, SDO#4, Magalia i i i I Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp Gas Serv. Called PG&E /JOEB FINALED 7` (Date) f (Signatur) 1 k I W Stucco COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD Subpanels BUILDING J BUILDI G (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor StemwalI Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings StemwaI I Garage Vents, Insulation Water Htr. Heaters Slab Carport Foot in s Prov. for physica y handicapped Conformance of ex. structure Appliances Gas Piping &Test Temp. Gas Slab Final Sanitation Patio FIREP ACE Final Footings I Footing ECTRICAL Masonry Walls Throat Rou h Reinf. Steel I Final I Fixtures W Stucco Final Subpanels Mesh M CHANICAL Gird. Fault Orot. Scratch Heating Service Brown Cooling Temp. Oole Finish Ducts Under ound Interior Lath Ventilation Perm4fnent Door Closer Final Final MOBILEHOME UTILITIES ---- ------------- Elec_ Service Elec. edestal Water Piping Sewer Gas Pi ting BI EH ME INSTALLAT ON - - - - - - - - - - - - - - Support i Elec. Pontinuity Water Piping Drainage Gas,Piping DATE REMARKS OR C RECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Qroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the abov%/sentioned property for inspection purposes. X Date r / Sign a of Permitee or Agent Receipt X 1 19�( it b (.11 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OE PUBLIC WORKS By Date '7 Building permit expires Date —3 --Yo BUILDING V Owner SO. FT. OCC. BUILDING VALUATION Mailing AddressL lephone No. A r Contractor Mailing Address �' j� Fireplace Total Valuation f2 Lcy e ephone No. Permit Fee c� O Building Plan Checking Fee&/or Penalty Permit Fee ..O:v !!!l NNNN PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. — 197AZoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 s We S Alfon Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EOA Parking arcel Plans Declaration � ParcellMa 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. PI s Recd Parcel Approval Plans Approvgf� Lawn sprinkler system 2.00 NEW E9" ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600v 25,00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST.V DWELLING OCCUP. & OR ADDNS. ACC. BLDGS. ) 20sgft CONTRALTO S LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code uh r the name style of: �" NEW.CONSTR MULTI.OUT LET NON•R ESI D, BRANCH CIRCUITS) 2.50ea NEW CONSTR. /POWER APPARATUS &), NON.RESID. (SINGLE OUTLET CIR. Ex. Occup{OUTLETS OR FIXTIrRES) B L@10 Ex. Occup. OUTLETS P(RESID )REA) 2.00 service Temporary 10.00 Mobile Home Facilities 15.00 License Ifo r Classification '� Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. CJhave placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑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 Workmen's Compensation Laws of California. 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 PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood. 2.00 Permit Fee $ Land Development Fee $ $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the abov%/sentioned property for inspection purposes. X Date r / Sign a of Permitee or Agent Receipt X 1 19�( it b (.11 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OE PUBLIC WORKS By Date '7 Building permit expires Date —3 --Yo /vov1 soda N�yo7% �'� oL27 00 >C I F'� -11 / 511 C-4