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'i -w'- -,,�,,�� ',� . � � � I I I , , - t� I " . - , , 1`1'� . I I- '. ­ .;'� 'I, - � , - - , � � 1�, -, ,��,� �,�,*, ". " Z z, �� i, . "I I "�� , .i,r � � " ,�71,1, -, -, , I , , , ,,� �' 4. " ,,, , ': �,, w", _�,� , - "�t , , I � ,- 1� I ; . . I " ., -1 I " , ,� , t � I " 1, I I - . , -,­Z�_, " ­,�-,, ,! �' ­ �" ,-, i._ , , . - , - , . . , , ,i.T I �'. - , 'K , " '� . � �, _-� _�� ­ . , i�­ , , , � ,. � -1 " �T, .',� � ,,�, , ;_ , 7 I '. 1, , , .", ,, .l7F;,, , ,, - ,. - i - , _� , , , - � , ,� J; - - N', il" -, i, i.,._ � � , 1 �4' I � � ,", ; ,�. -,�'.,� �: ,�, ,;,;:, . 11 � , , ". _i�,,' -� .K�- z, -,: � , , , I , , -, , - ',4�;,T � , i . � _ , ,,� �,, � I , �; ":, �:�;. , :� 'T , � ". I �� � . _ , , , . � �, , , , , ", i", � - , I I li. � i r , � , ,,,, ­ � - . , ��'_'�,._ .,I .�,v , " " �,� T, � '. , - � ,r " , , , 41�, �4*,, �' ��,,Ti 7 �,, 'i - '. , , , ,� � " � �,, �� . ­ , , '., � ,- , ". 'i �� . 'I ,� ,, �, � 1. , I �� ­ I ,11 -,: �': , �, 1�; , " �rl - -'� ,�,, � � , t I I, , ", , ,��,, ik 1� ", " , , , , � . , � "" -, , _ _, ,i, �­, �:�,.�, .�'.,�,� �� g � , 'I0 ,; L , I ��,;�_,­ " � ; �-",� .4� , , " ,,, , , - ��`, 4�-I� " '. , , q BUTTE.COUNTY DEPARTMENT OYDEVELOPMENT SERVICES' BUILDING PERMIT 24 HOuR rNSPECTION #:(530) 538-7636,(OROVILLE) (530) 891 -2834-(CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds t N. Site Address: 1775LETA, LN_', -t O'wner:. Termii.NO:_ B07-2319 APN: 030-420�q][O, EHN,WALLACE at� /2 7, IssuedD` -1-1113 '00 -By GL9' Permit type: RESIDtN.TIAL LETA LN Subtype: SFD-'Mobile H6meRET'- _61k0VILLE, CA 95965 Ex0iTdti6n bate: 11/12/2008, Description: , MOBILE HOMERETRO FIT PERIM Occupancy: Zoning: AR Contractor Applicant- - Square Footage: SIERRA MOBIL&SERVICE & SUPPLY SIERRA MOBILE SERVICE Building Garage Rcmdl/Addn. 466 CIRCLE DRIVE - 466 CIRCLE DRIVE. OROVILLE, CA 95966 OROVILLE, CA 95066 Porch/Patio Total (5M) 534-0599 (530) 534-0599 -Other FEE iNTORMATION 7 -DBF MH Plan Check $233.5� D9MSC Mobile Home Permit Fee �$350.34 Total Charged: $583.90 Fees Paid: $5,83.90. Balance Due: $0.00 Receipt No: 1352�6 _LIC ENSED, CONTRACTOR'S DECLARATIOR, OWNER WILDER DECLARATION Contractor (Name) State Contractors License No. / Class / F-xpires -SIERRA - I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License MOBILE SERVICF-2 S 470386 C47 B / 3/31/2009 Law for the following reason (Sec. 7.031.5), Business and Professions Code: Any city or co6rity that' requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuanc, ' a, 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 License Law [Chapter 9 (commencing with Section 7000) I HEREBY AFFIRM UNDER PENAL OF PERJURY that I am licensed under provisions of Chapt . er 9 (commencing with Section 7 00) Divisiur�,� the Business and Professions Code, and my license -is in full force and effect.. a�ect f o Division 3 of the Business and Professions Codel 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 permi�fsubjects X 11/13/2 007, the applicant, to 6 civil penalty of not more than five hundred dollars Please check one of the following: - Contractors Signplilre Date 1, 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 WORKE-M, 6690tN8 ATION DECLARATION L__ OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractors 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 ownemployees, 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 w Ice work performan for which this permit is issued. year of completion, the owner-builder;Adll have the burden of proof that he or she did not build or improve for the purposa�ot sale.). L VE AND WILL MAINTAIN WORKER'S, INSURANCE, �1. �M17 1, As OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED�,'. I COMPENSATION as required by E CONTRACTORS TO CONSTRUCT, THE PROJECT (Sec. 7044, Business and Provessions C&de: � oo� f Ih.Wlcabor Code,,for the 06rformance_of the work for which this permit is issued.. ction 3700 of My Workers' Compensation in�uranoe�carrierand, policy number are; The Contractors License Law clows not apply to an owner of the property who builds or improves thereon,,and who contracts for the a contractor(s) licensed to.the projects with pursuant Statell'und, 004257 Contractors License Law cam�r 1� -policy 'Urn,F�64" Exp. Date.11/11/2008 (This section need not be completed if the permit is or one hundred dollars (�;i oo) orTess.F— I AM EXEMPT under Section B: & P.C. for this reason: El CERTIFY THAT IN THE Pq0'RMAN_CE OF THE WORK FOR WHICH THIS PERMIT IS�,-' X 11/13/2007 SSUED, I shall not .P,. person in any manner so as to become subject to the Workers' Compensation laws of C f ia� a giree that if I should become subject to the workers' f C if compensation provisi/sXSe,��/`l�a������ir7OO.of the Labor Code, I shall forthwith Owners Signature Date provisions. X 11/13/2007 I 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 State laws relating to building Signature Pate WARNING: FAILURE TO SECURE WORKERS' C�MPENSATI . ON COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnity, 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 p rtyJLge caused by, arising out of, or inany way connected with r' ' the issuance of this permit: I h b� . c edge that issuance of this permit does not authorize the .DAMAGES AS PROVIDED FOR INSECTION 3706 OF,THE LABOR CODE, INTEREST AND a s use or occupancy of ny si ewai k. t t, or subsidewalk. I hereby authorize representatives of Butte ATTORNEYS FEES. f. abo County to enter the , v. , ntio pro for inspection purposes. I hereby cartify that I am the roperty owner or am Zh 1z 0 a a p behalf. p pro ZO T LU�CTTNff -_ I�N -A Wrty.rs 11/13/206' I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a constru.ction.lending,agency.for.I Name o Permittei [SIGN] Print Date the performance of the work fo.r which this permifis issued. (30971civ. cbde), Owner for Owner R' �E]Agent Agent for Contractor FILE COPY, Lenders Address city Stat Z' IP Xi2 Foundation System* Installation, Instructions. for California - for Ground & Concrete Systems,� 'HUD Wind Zone f. 15 PSF Wind Load Seismic- -4 By Tie Down Engineerin -7. D. -6>X .BUTTE COUNTY BUILDING DIVISION APPROVED TA01L .. ....... C3 60 CIV.1 F CW�` Engineer Approval, Xi2 Concrete System State Approval ILMFACTMED ROMEIMOSTLE ROMB FOUNDATION SYSTEM JMALTR AND SAFFTY CODE, SECTION 123511 APPROVED KqU= TO CORRECTIONS NOTED APMOVAL D= NOT AUTHORIZE OR APPROVE ANY ObUSSIONS OR DMATION FROM REQUIREMENTS OF AMXAKX STATE LAWS AND RBOULATIONS or AND SUNDARD8 2 NTI VATII tic $PAM "Psi -us— -7=,o 7A X12 Foundation System Installation Instructions for California Aww for Ground & Concrete Systems A 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 sectons, (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. * Xi2 components exceed HUD code 3280.306g "Anchoring equipment exposed to weathering shall have 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 ...... �D Page 2 of 8 TIE DOWN ENGINEERING o 5901 Wheaton Drive - Atlanta GA, 30336 L Installation of Xi2 Ground Systems, 1 Identfy the number of �ystems to be used on the home using the chart provided. '2. Identfy the, location where the systems will be installed. �3. -CI ' ear all organic matter and debris from the pad site. 4. Place U -bolts; through holes in pan provided -.- 6. Place pad centered under beamwith the'lateral strut bracket towards the inside�o'f thetome. Press.'or drive pan into ground unbi level and flush with prepared surface. - 7. Build pier according to State, Local or Home Manufacturers guidelines.(Fieure 1) - 8. Attach the end of the smallertube to the inside of pan using U-boft & nuts provided 9. Attach the flao'e'rid-of the larger tube-to,the. opposite I-beam using,the ."J.".bolt over -the top of the.1-team with the n4. & wa s1her 'provided, (Fiou're' 2) 10., Install a minimum of four (#12 x 1-7 tek screws) self -tapping screws into the holes provided in'the lateral strut so that the two tubes are connected together. (Figure 1) Nut-&'ftsher 1-314" Tube J -601t Lateral Struts strut . . .. .......... -(Ran end): 1-112n Tube 4-#12xl" Tek Same I-beam Figure 2 U-ftit mounvne Oracket Figure I 11. Install frame bracket clamps -to I-beam on in side of block/pier. Do not fighten -nuts at this time. 12. Attach longitudinal strut to U -bolt in pan using nuts provided. 13. Insert strutin the frame bracket: clamp,'attach with'nut and bolt..: Do. not tighten at this bme. 1A. Pull the frame bracket clamp with.the. fastened strut outward to remove any slack'. 15. Tighten all nuts and bob on the stf& and beam clamps. Page 3 of Ve Atlanta GA., 30 6 ) * FAX (404) 349-0401 DO . .. ... . . .... .... .. . .. ... .... . ... ... ... ENGINEERI Xi2 Ground Parts Detail XJi2 Ground Lateral Syslem Part Number 59306 Includes: 5' SM pad 0ardware kit (#59329-1 includes all rv& and bolts). Longitudinal Hardware Kit Part Number 59331 Includes: 2 I-beam bradkets & 2 U -bolts with all nuts and bolts. Lateral and Longiltudlinal Combination Part Number 59333 Includes: 5' Strut, Pad, Longitudinal Strut (#59329), Lateral and Longitudhal Hardware Kit with all nuts and boft. 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 X12 Ground Longitudinal Strut & Hardware Kit Ground Longitudinal Strut A2 Stabilization Pier Placement for Ground or Concrete Single Section Home 0 -80' (76' Box) 4 A2 Systems &� Xj2 Pier Placement Double Section Home 0 -62' 3 Xi2 Systems* 63' - 80' 4 Xj2 Systems *2 Yj2 systems can be placed at either end of the home. Triple Section Home 0 -62' 4 A2 Systems 63' - 80' 5 Xj2 Systems Page 4 of 8 I / ' TIE DOWN ENGINEERING 144-0000 o FAX (404) 349-0401 DO ENGINEERI Xi2 Lateral Concrete Systems Pad #59W7 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. Nut & ftsher Figure I BeamClamp �*� Bracket Lon4 Xi2 Installation Placement i3eam Longitudinal Strut X12 Concrete j; I Concrete Longitudinal Hardware Kit; . 4 , 4,rne Page 6 of 8 TJ1 I 1E D N OWN I# G ENGINEERING Hardware Breakdown #59329-1 Hardware for 59306 Lateral System 1 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 thread Beam Clamp Base 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 1 x2" 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 Cardage Bolt 1/2-12 x 3 full thread Full Thread 10 10646Y Hex Nut 1/2-13 grade 5 zinc 2 10801 Carriage Bolt 1/2-12 x 2-1/2 U -Bolt 1/2-13 x 2.63 x 2.19 Thread 6 10646Y Grade 5 2 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 thread 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 Cardage Bolt 1/2-12 x 3 full thread 5 10646Y Hex Nut 1/2-13 Grade 5 zinc 1 10801 Cardage Bolt 1/2-12 x 2-1/2 4 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 1/2x-1 3 Grade 5 zinc 1 10826 Cardage Bolt 1/2-12 x 3 Beam Clamp Top Flange Grade 5 zinc #59027 Hardware Vit 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 Caniage Bolt 1/2-13 x 1-1/4 2 59272-2 Beam Clamp Top Flange Full Thread zinc 12 10646Y Hex Nut 1/2-13 Grade 5 zinc 4 10801 Carriage Bolt 1/2-13 x 2-1/2 Grade 5 zinc 6 10646Y Grade 5 zinc #59364 Hardware for 59332 Lateral and Longitudinal combination 1 59264 3 Way Concrete Bracket 2 10530 Wedge Anchor 3/8 x 3.50 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 Page 8 of 8 r I , TIE DOWN ENGINEERIYG %3TP, BUTTE COUNTY 0 N1 E fN �T 0 F �DFVELO 0 L -D E.., 'A,� r PIVIENT, SERVICES BUILDENG PERMIT �`,�PPLICATION 0 A -ND SUBMITTA-L REQUIRFIVIENTS 0 'UR 1NSPECTl0N!k'ORO\qLLE: (530) 538-7636 - CHIC -28 1 34 01 C 0: (_530) 891 OFFICE #1 (530) 538-7541 J`HI" YlVIX-L RF.0 LURED �4 1'21AYE. OF,�LPPLX,4 2'10�-V P _P_QT1'JF d7j V.A -0 T 0 IA'!, -ast Name 14 3me, IM 8,ddiess 1�75_ City zi Phone E-mail OF' CONT -R, CT Name- Xddress city Zip - Phone 5-_7 E-mail cia SS ARCHI Name Address City ip. Phone, E-mail 4PPI h-"_4r4T N,5M)-�� Name A[:1 C) .PioperlyAddres's. I � 1 A - city, Address Bid Lz F.Olicy'Number '_7 city if.hiring anyone other than -license contractors, a I certificate.of workei's -compensation -must be shown at the time otpermit issuance. LENDING AGENCY Hame Phone 7 Fax E-mail Date'. Other Total' A APPLJC�4bj,-F� ;-IGNA TURE X For office use o 1i I Y�l =Fl000 S 'RA Yes' Occ. j1j1pe Const. Subdivision Name ;,,,�,Iap Book - Pa ge Plahner OVER FOR SUBM1T—JF._,'._L REQUIREM,ENTS"e., BLN.# 7 LOCATION A[:1 C) .PioperlyAddres's. I � 1 A - city, Cross Street Bid WORKER'S COMPENSATION F.Olicy'Number '_7 Carrier if.hiring anyone other than -license contractors, a I certificate.of workei's -compensation -must be shown at the time otpermit issuance. LENDING AGENCY Hame Address Description oir Scope -of Work" .Sq. Footage LJ S�ucture Built without Permits El., Proposed Change of 00cupancy (Note previous use): NTIRATIONOF.ATPLICATIO ' N .kppli.cafi.ons for which a permut has riot been issued'will expire on year after the date. of application. In order to renew action on an aPplicaboia after expiration, -a new application, plans and fee YAII be r�fjuired. REQUEST FOR REFUNDS Refunds 'can only be made upon wfirten request by the person who paid the fee. The request must be Imade prior to th�c expiration of the permit and no construction work ha -s' been done. Filing fees, plan check fees for work plan checked and other de . partment costs are not refundable. Receiv �d by- Amount: ot 0 Bid SPA-' Receipt Sheriff 7 SMIP Date'. Other Total' A 1 71 ;.-1 2-51 R I C'� _�TF �E Of, INN x N % t I- u n t�, 1� le o1i v C ipariv c e e 4-b D '941 -0 IDAIA�:�:N P.ECC.R_C1.:_ NIAIL T6' 1-. 66c Is e of,f j- `:L R A411 C ecord- I Wa 1 l'a C e. :�,hn, C o u n t y', b f U 101:0vil-le, '�.,9S965 �,G�rubj- Ly e r, 'R am 25- u -94� I 'DICTIC ,,-Vc-' JHIS SPACE FC,1 AEC(�PD�R��: USE&'LY, 4'dra�nt NS' The ijn(Jer;i�nb or. ie C E f TRA FER. AS0,Essb!,i',_-,!1,�.c!"-,EL NO.: C 30�420-�Qilo, 'FAX IS:' County,,, -TITLEOPT Ef City, t. errir�U! _&,thL d ej n , ju ye�, -st'o property cot veye or ESCROW NC)�: 5 5 0 - P 6nterc. 'Go[ ns or et,,c npUted on th6Jbll'value!e'ss the va-lue-of lie- rema ning:t lereon at M,6� of, sale I - � 'I , ` -, , & ti, s is XEMPT_'fr6n4 �;f8rt bfollowingreaso',):��_L. E ESED" . OR h.; --- -- ----- f; -CONS!DERATION, rebeipt o which is h6ppby adkn6wledded,,t-;, FOR,ANALU"LLE e an 4&,'iii�j: �'Ca i- ina bieg�� D pcniion�o' Donna-Doming'o, huLsbzand and� W_1 f d Dil -band e�, her , eby f-:hn,,`-an, ttnhi�rried man Unincorpora a r trd arezi.of .'0i7ovill(­' pib'j'oerty sifti-Iiied in t 6 li tl� t 'C66rify�of "'It t -State of Califorhizi,, a as', �,.Map WaS that (�6rt�Liri�'maj� entitle :"Go en',:Iz d ld" Lot .21, a _,;,iown--on u or.ni a,, t I d d t fc�e- o ­the-Re'cordei�, the C o u n t u�� E It e 'r',�te o' r -a' I ugirs f 6 j f 18,-- 196" Mlipf Bo�),: -32, at pagep: 17 ind, 16.,,. r Dated 19 Donn6� ss C 0 U NTY 0,1`:--, u L Lc Z, TiegoOR.,'D % 'e� - ",B, 1,6 , ' ' I. On-- i r A94 MC j 40 Woodu,.l Nota'ry Publi6i personally-alpiJeare id Donn,'] Z, SIS- 0 CLI L i ij�j, t 0' 6&t�'& ba personally -noym o m�', �'(6r,�,proved A r6le Z) ij 6, se� satisfactory r:videnic'e) D, es �y ri�irne(s) �P_ r ed I I"n. inStrLJrnenVzihd'acl(n6wledg As/areIsubc; mLea,,toj e�vvit )i d"'h in his*�hibr/th6 to rneAt iat' i,",,,.,,'�,he/1hoy_exeCL'te 4 e,,, sam( r aulh6riz6d o n I ie�ir I islhjf,)�ntl (I pnrson(s)�,`bi, thb-dntty,upoh.-behalf�'of Oh"' lch lie,por�' )v N WITNE SS' rid-6tfic al se a I N U&I (A)UTY F Sigiibftirb, Ault M A I �,,.�,,A,X, 0:: T'A- 1) (M 1, ,,6ro­Y,j kin" tAI 't :11Y. 5 -3 1, r Ivrie" Do,--tjmejjt* r.') n L J.)Led. Title o ol STATE OF CALIFORNIA Number of Pages 'Date ofDocument – :11. — �. la�L Siizne�i(s) Other. t;ian-named helox ('011111Y of' N ill i�'' On J11 IV 1994 b,- fore ni& Bacbzaci A.- Wo6ch-mr-c-i �,crsonallyappc.ircd IAc!�,o I,.,:DoiAn,..'0 �Illd G-it-J.nz) L. L)6r,-i i n iZ c) 1ka UAina L. Doril:.11--) Rose per%onaliy knoWn. it.) tnu,.(or proved (o me oil the basis of'satisfactory evidence) to bc'iht--_--)ersor.(s) vl�icse ri�me(s) '.!;/are- subscribe'dt6 tile instrumvni and',ickhowledred to me that he/she/they execbted in h;Olief /their auth(---ized icity(ies),'and d,::t,;)V this/li�,�/their �igfiature(s) oil tile instniment the person(s), or �,c.entity U�-' on behalf of -hich tile person(s) ac'ted, :'�.-cuted thr i , ristrunlent.. WITNESS niy 16xi . j N'BAIA A V-i'0IIV-ljLP wmni. a PNT,11- '.ATKZYPU3Uc- TOO 0-�.rj Signature -nid C(iun;v,and State -tary Pu ic'in it'id j Cefrjm rj�g:L:� 2.1997 Nc I �ci I UD01 (Re�A/gzi)' Title or tv PC of Document Date of STAT E 0 F C A L I 10! A Number of Pages 5,xurrient Signt:r(s) 011ie than n; r airi,A helow Counly of' oil —bel'oreille '.�I�rsonally appeared 0 personally ino%�'n-to (or proval t - rn oil thc'basi,". bf,satisfacfory� evidence) tobe tile pcisbn(s) kvhw�e nameo:' is/are subscribed to the Wi0"ii ingtruny-ntand acknowledged to mc that lie/slie/they executed,the spine in hi.s./her/theiratilthorized capacity(ic�), ah"Wt'h��!'by tbisflit�rhheir signattirc� nLhl,lhc,'ets'n(s). 6r, ilic entity -tk;,on hehalfof'�Vhic4 (s).on (lie, instri.li, p .0 tlie,person(s) th� instrurn'ent. IVITNESS nly hancl �v�d official (Seal) Signature lll)liC ill,ra"d )iy,and State- Nolary.P. -oT said,coul UDOI (Rov. 4194) ^NT UME B.I.N. REQUEST FOR INSPECTION Location: 177-< ZETIq LAI, 00—er.. Contractor orTennant: Complaint: 44 ky. w/o lit BLDG. PLUMB/MECH ELECTRIC M.H.I./M.H.U. PRE - Form Rough Rough INSPECT N Frame/Undeffloor Stucco Lath Stucco Brown Fireplace Bond Beam Insulation 4 � Nailing s Corn;� Fina,l 11�� Date: - Top Out lGf!s PipingrFerst TA G /!%e'pi we P* �"ter 4?�Y'15 (ShowerPan rrections Fi7 rime: Temp. Service Service gd,�~QIP_� Ir "cuit Light Niche 7�- Corrections Final Corrections _fInal Housing Job Status Permit Renewal Verify Utilities 1 .44 Pe fL COM -7 A -7 -'1 - 1k ;OTH ,4E�R� Y"I �j /VOr i. I v6b f A) 1 RWY A.M. I PMV N� ffOR V's P.M. Z41-0-- i .' ; September 14, 1992 Donna Domingo, Etal 1775 Leta Lane Oroville, CA 95965 RE: Building Code Violation A.P. #: 030-42-0-010 1775 Leta Lane, Oroville Dear Ms. Domingo: This is a warning letter to notif y you that you are in violation of the Butte County Code at the above referenced location as follows: . Failure to obtain the required permits, inspections and approvals from this office and use permit from the Planning Department for an second living unit (mAilehome). Since permits and inspections are required for the above work, please contact this office within ten (10) days of the date of this letter, submit three (3) complete sets of plans, apply for the required. permits, and pay the appropriate fees. All work must stop until these permits are issued and you are authorized by our field inspector to proceed. This field authorization cannot be made until the existing work is inspected and approved. Please be aware that Butte County has entered into a Code Enforcement Program that seeks voluntary compliance with the Butte County Code but provides an effective means of enforcement if such compliance is not obtained. If voluntary compliance is not obtained, enforcement will be pursued through the issuance of citations, fines, and the recording of a Notice of Violation. Your cooperation in resolving this matter d be appreciated. Should �.d b e, you hayp--awyy questions eeneerni"—Ihi"tter, ease contact Rod Taylor. ;r-Vgv--id Purvis of this office. Y Yo rs v ours v ry truly, T� C. (Z,&J&L-O "L WO La-7wo" David Purvis Supervisor, Building Inspection cc: Assessor Building Inspector, Oroville t r riiv G-T—f E C U –N T- Y �Fcr Action 1, 2, i) Pwbllc Workis Dopt. (For Inform9tion ej DI reCtOF Dep. Dir, Sec. Rd. & Br. Mtce, Shop & Yards Bldg. Insp, Admin. Design Engr. Bridge Engr. Constr. Engr. Surveys Mapping Transp. Land Dev. Drng. /S.I. Sob. & Pc I. Maps Permits Addr. Ui Lanej��hmaj�,�/T .-AM:Lil3 84-77P,l(' ,C Ic. ' p T P RT TRU CTURE Q U� EPACTION TEST RE - - - - - - - - - - -- EWTCHISON -.Leta ----------- Ln - orov'illie ..wils,on'mi4 Lt -#6170- . 7 7M''l V� -OF BUTTE,��"�,.,,, -COUNTY MORKS DEPARTMENT -70F PUBLIC2, , v -d 'hicb, CA4,- �'(91,6),� 4-`2;� �..1469 Humboldt Rba -, C 7'Cbunty Cbnt6r-Drive,':6rwifieI- t -k-,:(91 6Y-5 7' -747 BI iott Rbacl,:paradis�,' 6A_-.'(b1i),87Z�630 'CORREC I -VOTIC; T ON (?%ZNER. A routine iris pe ction'in clicates tl�itihi�following violations of guitj��'qolu-nt -wtfi,�.abova address and should'be do4recte ' d. Please notify thi ' a ' '6ffi64i_,,,Wh� :If you��a�e an q - u6 S*ti6ns p is completed, y eriaWiAg i�-this pliaie contact�this Mfic4i irnrnecliaitely;�­` R -P-2-A, X -J! _71 -1141- L5 p JJA-�- /01: 0 �pu F, -MZ A 0_ Z .. tt 07KV/I� nspe,&O, D.- I I J^ L A N D 0 F NATURAL WEALTH A N D B E A U T Y DEPARTMENT OF PUBLIC WORKS WILLIAM (Bill) CHEFF, Director 7 COUNTY CENTER DRIVE t OROVILLE, CALIFORNIA 95965 Telephone: (916) 538-7541 RONALD D. McELROY Deputy Director COUNTY OF BUTTE DEPARTMENT OF.PU LIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. 534-4541 CERTIFICATE OF OCCUPANCY This mobi ' lehome has been installed in a c cordance with the =ement.s of the California Administrative Code, Title 25, Chapter 5, permit number /7/747- 77 for the following location: Owner— Owner's Address -"a, Mobilehome Mfg. Model Year Al Ins ign ia No. /�� /-�w -1r17 el Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date 7 By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED COUNTY OF BUTTE DEPARTMENT- OF PUBLIC WORKS BUILDING INSPECTION RECORD. -BUILDING BUILDING (Cont'd) PLUMBING' Se ck F 4 piping kewall S For N . . Pdjpets t,Floor Mal Bldo., Restkom Finish 2n loor F ti in s Windo 3rd Noor Stem all S Siding Topout Slab Abing 1phig Roof Shea Water P Piers Roofing Sewer Garage Fdn. . Vents Fixtures Footings Garage Vents Water Htr. Stemwa I I Insulation Heaters Slab Prov. for p sical Appliances handicap V .. \ Carport Conformance of ex. Gas Piping & Test' Footings V struct,ure V Temp. Gas y Slab Final Sanitation Patio F,(REFkACE Final A Footinas Footing VECTRIdkI_ Masonry Walls Throat Rough Fixtures Reinf. Steel Final N Bond Beam/ AIRE SPRINKLE& Motors Framing Test Water Htr. Stucco Final Subpanel/ Mesh MECHANICAL Grd. Fd1t Prot. Scra h HeatW6 Serviat /Bn CooJ(ng TAP. Pole - is F Ish D tilts nderground I I rior L rior Lath ntilation /Permanent oor C I oser 00�lnal Final MOBILIEHOME UTIJ_1TI5 2�'Elec_ Service It I ec _. Pedesta I Water Piping /771; ?517 7 Sewer d Gas Piping Support Elec. Continuity Water Piping Drainage J' 4,-- Gas Piping 7 DA REMARKS OR -CORRECTIONS 11,71;�7 7. (NOTE: An entry'must be made on this form each time you visit the job site.) 2. 3. 4. 5. 6. MOBILEHOME INSTALLATION INSPECTION CHECK LIST Is the mobilehome located' h required'separation. from -lot lines -and buildings and generally conform to plot plan? Yesr_ No Does the mobilehome have,required clearances above -ground? '(Sec.5085) Ye No SX Are footings and support,s properly sized, spaced, and braced as ner approved plans? (Note .Possible variation at .. spring shackles.) (Sec.. 5082'& 5083).Ye No Is the mobilehome level? (Sec. 5088) Ye No SX - If rNthan a sin le unit, are' -crossover connections properly installed? (Sec. 5088) 9 Yes 0 .Water A. Is I ible connector of adequate size and properly installed'(1/2" ID min.)? (Sec. .5566) YesrNo Test Does water piping withstand -working pressure or 50 lbs. air test? Yes No C. Bacj&�-� , ­=sK3=a �e �Alifornia,.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 per foot slope andis 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? Y6s ' NO 4- D. If coach L; iot S.Late-Qf Zi;i iaa pproved, does station have required trap and vent? Yes, ­ 8. Gas Piping and Gas Vents A. Connector - Is mobilehome.connected to the gas�supply with an approv * ed 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 i Alet without� , reductions -other than t hemobilehome'. connector. Ye s & No 7 B. Test OK as per following procedure? YesX. 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 connec - tions with soapy water. C. Are all appliance vents properly installe'd? Y No 9. Electrical A Is-,'Orvice large enough to provide adequate'ampera:ge to rdobilehome (must equal rating' -of mAilehome with a miriimum,1,'6fJOO amp) and other facilities on lot, Le.� water pumps ga-ragq:,,,, cabrana, etc..? .,,Yes No Is -there proper clea'rances.around panels? Ye No S C. Is power supply.cord,or feeder assembly -properly' -fused?, Yes No D. 'Is 'continuity,.-t,6st satisfactory as.per the.following procedur 9 Ye No 1. De-!energizd,� the tal. electrical wiring sys of the mobil'ehome alt p ks, 2.:.,Make-':sure that the power,supply cord or4eeder assembly conductors,*including neutral conductor, have been disconnected. all 3. Switch .;breakers and switches in the mobilehome to the' on position. 4. Cofifiect 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,,no,n-current, carrying metalparts of the mobilehome (aluminum siding, gas line, water line),, including fixtures and appliances, shall be tested for continuity from such-e'quipment 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 te'st shall then be made between the rounding electrode and the chassis of the 9 mobilehorn6.- Upon satisfactory completion of th'eelectrical,tests, the lot or site service.equipment may be approved for energizing. TO.. Is job card signed by Health-Department;for water and sanitation? If'everyth.ing-:okay., sign offt.card and tag services. MOBILEHOME DATA 'Manufacturer and/or Namestyle Length. Width Vehicle..Serial NO. ga� State Identification No. Additional'Infoimation or Comments: -.7 BUILDING Owner -F T. OC, BUILDING VALUATION SQ. C Mai I In Ad&e� g s &&ti 01� ZT- o 0 t L�is lone No. X& 9 t "Fi'repl�dce C6nfrac Total valuation, Mai I i ng Address _'Plan Permit Fee" Checking Fee&/orPenalty '[Telepho'n6 No. Permi t: Fee ding Address rx -Buil e 1. . PLUMBING: 1 No'. @ FEE PERMIT FILINGFEE $3.00 .�7 e, tno--� -ro Each trap 1.50 ArAibage-or'vent p iping Repai r .1.50 Water pipin 9 -4.5 7 Zoning Vedfkarld'n� _OAV Each, gas water. heater or vent 1.50 `6 �A. P. N0.2 C/ Z_ z as p p ng sys em ou e s Each additional 'outlet '_ .30 F6 44- W__e, ", -1 Sca� FireDept. Fi re Zone -Use Pem-iit Building sewer I.DQ- - / 0 '7 E6X 'J'Pa iking '-:Plans P kcej [ Dec aration Parcel map 60 R/W Improvemenfs .. . I Lawn sprinkler -system 2.00 1131d9tPP��.R'ec'd- /Utiarcel A Val PP7, n - s. I *Provo -Fee Permi t $23 Z37 ­NEW'.[3-_. ADDITION. UTILITIES W,-.-O'THER E] ELECTRICAL No. @ �FEE PERMI t FILING* FEE $3.00- 3. . Main'service 6011V OR LESS 5.Q9 10*0 AMP OR LESS' Main service EA, A , DO'L 100 AMP 2.50 OVER 600V Mai n. sery I ce '100 AMP OR LESS .25.00 - Si n gl e'F am i I y El Duolbx Mobi I H6me OthersE] : ' - I . Main's�e�rvlce E A: XDD'L 100 AMP 1.00 NEW CONST. I DWELLING O,CCup--&). 21isq ff OR ADCN.S; ACC.BLDGS ..% NEW CONS.T.E_ (MULTI-OUTLErT NON-RESID. BRANCH CIRCUITS).. 2.50ea NEW,CONSTFL_ (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 style of: 50 @ Z5� Ex. Occup(OUT-LETS OR -FIXTURES) BAL@101 Ex., O-CC6p. ( FIXED APP.LNS. OR 2�00 OUTL ETS (RESID E A) Temporary service 16.00 % M66i I e Ho re Facilities 15.00 License No. 06ssificatibn' Misc. Wiring 6.25 l..arn exempit.from the Contractors License Laws of the State of California. Permit Fe" T_?T_ MECHANICAL No. FEE WORKMEN'S. COMPENSATION INSURANCE I am aware of the provi sions�qf. Section 3700.of Ahe California Labor Code Which requires every employer to'be i'-nsu�red',ag'.ainst.l,iabi.lity' for W6rkmen's Compensation. Chave placed on.*file with.the Co6nity of butte a' certificate oV Workmen's Compensation insurance. pilcertify that in the performance:.of the work for'which this. ermif-i.s issued I shall not employ any person in any manner so as to become subject: to,the'Workmen"s'dompensati on--. Laws -of California. PERMIT.FILING.FEE $3.00'. Heati I rig Coolinig Ven tilation - 'Hood 2.00 Permit Fee l.certify that I ha\ie*read this application and state that the above information is'.correc.t'. 1�agree to comply to,al I. County Ordinances.. and -.Siate-',L'aws relating, to building construction, -and hereby - -TOTAL PERMIT FEE autnorize representatives of ine uounty 9T Liuiie to enter.upon -Ine aboye7rrientibnbd, property for i h s'pe I ction purposes. This permit* i's hereby issued under the apoli6able.provisions of the Bu ' tte County Code and/or- resolutions,tb do work indicated above for wh i ch..f ees ha.ve been pai d. DIRECTOR OF.PUBLIC-WORKS Signatu re �of erm I itee or Age nt' V Date -7 Receipt No. 9Y 7 White:b.P.W. Yellow -Assessor --Pink -In sp e�tor GoldeinrodAppli cant' eid'inding permit expires Date TV All t; V -Yoe TIAN no 1W -Y AmV no, NOV Xy�. on pay OKI Sun �j w V AW; VQ z 't: nis sef of- plarst and ct, +.*.o% - q S, MIM ;S unkrwfd fe ml+-Pnf"�"s an It-" Withal* Depaoment Of PdAG of WOP6. cow*y &ft* -7 41 A. Workma S Be -hi Acc�rde WKh kec�qniled G of a rad, 4 and f, Presc '064W US in #6 quail ribed for. fhe Spect Uftifo�l' N Kring, Phanbing & Me chanical the Nafi lon4;1 E6cfr;ccd C,9&. AD: Vw* located Withi 14 ft. auWde Aq rew twr4 secfiaO , of.. the molmle ' home on Ae left (r)ad). s;de of the Molile home, ED A Pennff.wfil bs're;uired for f6 Wfalafkn of the mobilehome. he Bldg. Setback Ad be -fr ft, "t, the i A I ide property line and 60 zentedine of the road, permitting a mcnd- onum a a 2 ff - save overWlfq but entire-ly out of aH easements.. -6 BUTTE COUNTY BUILDING DEPARTMENT APPROVED ou i?c, r;tl A E' lemlinlitic. cq q!G Loaq? Low tuc, P,j tw,. 4P.D C4,110, rG I IT HOC ruppivc , lot �Oz 2b�ec' (%000, D 1 2u Viol caltu4A Ot Snow t,6v ipr- cit. fOL4 qu Cru 14e ol �.%Il ipla RQ+ Ot bpasa aOj f , 'VORKS- NTY OF'bJQTTE__ DEPARTMENTOF PUBL rit� 7(CciuntyCe ve'­ -.Or6virle, Cali-fornia 95961'5i'��""_ 53�-j'�5:' % 7` ­13T.RMIT APPLICATION, AND', W BUILDING Owner 6 k ts '-�`Sd':F:r Ob ��'B'Ijl LDING VALUAtION C. A a Ad 'i I i rig dre s,s Fireplace C _�ntr': t P'. 01�4� ""Cut, 4- otal- �,V a I,u a on 7 '-T'o ta l_�'V ;Nhai 14i r -9, K r e t P t F .,erm[4 _pe- j, Ian Ch Rlah.Che,c i ng Fee & or Perialti'. lf;;N, V t T:d 6 �h o'n "e, -ee.- �.oermit,F B6 aing Address ,C PLUIMINd N0.1 6 FEE "PER MIT-FIL!NtiFEE� s,:�.bb' ach .1 50 E 'rap R d- epaur! rainagp orvent'pip�ihg -1.80 Vdter,�Oipi rid., ..50t. Each-ps water heater or'vent PiNo. Z.ohing & anning- ystefti'-1,,� das ; 5 ojtIet1s 1.50 piping �,Each.additlo'nal: outlet' .30 Fire be�pt, I re,,Zo '6 n Ws" Permit e -building.sew6irk, '5. 00- -EQA ,IPdrking 1. PI - Parcel Declaration. Parcel' p, -.41 mpro­j1!?!.1 La e 2.66 wn sprinkler- §yst m. R.rce -N EVU ADDI T t -S 0 T HE R R�_,_ E] 1 OK []�, I:T-1� ELECTRIbAL;," No. FEE �-Tt'ROIT FfLING 'FEE,. $3.00 V E. Z 600V OR LESS' 5. Main sery 00 '�-1100' AMP OR,L CAI' eAA Main service.. -�EA. AOD',L !,0P':AMP 2.50 -.V- ; . I., OYER 600V 100 AMP 0 S.- 5.00, R LES 2 up ex _Mo6 e Single Family IP-' bihersEl EA.� 1.0 Main sery ge _A.DD-L.100 AMFr", 61 'NEW. CONST. I-OWE,LLING Occup OR ADDNS. A'ACC. BL_1DG J�Osqwtt S� NE W CON S UT U ET - NUNeH�bl OF, R ( M.� U LA TN C' .0 1 C I R,C U IT NEW CONST,R. f POWER APPARATUS, N 0 N R E S I D. SINGLE OUTLET CIR. .4 -­C0NTRACT0R&,LICENSE.-LAW l', arn.'lic'ensed-under the:prbvision��-,o f�­.Chapter-'9 Div.' 3: of the* �­C �d ..State.of dajifornia B�iiiies7s' Pro essions a: e 0 6_updei�-.the n m . sty I e.bf: I A Fx c L, E,T S �O R -F I X T U R E�i ='.'.O cuko­­"'. BAL @ 101 Ex. PUTLETS (RESID.) Q,,6p.,(11.ED APRLNS. 'J.": 2'bo REf A) Temporary ser'vic'e* .10:60. �.::_Mo j me ci ities. .00 �ZZ e,No. I' sif Licens I'C as ication Misc. Wi.ring', 6.'25- Ell am exen-Ot-frorn th6 Contraci6rs Cicdhs'�-La.wsof, the State of Cal:ifo - rnia:�, Permit,F'�e $ 7 1 7 VORKIVIE�N"S�, 'b`0'MPEI4SA T`10N, INSURANCE I am aware o f the provi sir ons:of Se6tion . 3700 of -the Cal if6rn*ia'Labor,,*. emp, oy Code which requires,:every' I 'eir to*.be*Jnsure&again§t lidbil:ity for.Workmen's Como6ri§htion.. aVe, placed on�,fjrle-,Mth the,Cbupty of-Butt6-a,certificate o f Workmen, s-'Co'mpensation- Insur6n6e,. . ". ; . ail,)n thepe ' ffor r Efl-cb,rtify ',th mance of, the �wdrk'-fo which this z;p`ermj t is - issued- I shal I' not employ any person i nw. any ma nrier so .,qs� to. bec-om e.`s��j E�! t - ' 'o. the.workrn6n's Compensati on Laws, of. C 1,,i.'f or no a,,. 'MECHANICAL,,'- No.'- 6 FEE� PERMIT FILJNG,'FEE'­' $3.00.. Heating. oo ing. a ion-,,.,, Venti I t, -7— -,Hood' 2-.,60 Permit.Fee r" I., certify that V-hav6`re�d' this. appljdatiowand':state that the,ab6e information is'-cor-rect.''i, agree to,comply.-tci.all County. Ordinances'- ,:0."and -State',, 'i . ,an. hereby . -PERMIT PE T L E 't��6; � represe ove-men oned x of .,Receipt,N Yell 11LQL1VV !�,L)Ullty U1 OUPLLV. tU,.U11LU1. UYU11 Al jhis�4permit`is hereby i ssued- under. the appli'dable proy - 1§ion . s of property'for inspepti�p pu.rpqseg� the Butie.-Codrity e and/or��r'esolutio`n­s to do work -indicated. Lod abo �6'.for.which fe66,have been paid.: vi -D.I.REW-WR' OF' PUBLIC MDAKS 77_7 rm I ee.,o� gent 7. ;B B I.T udle T V ow�As'sessor­ i-n'�' I C.tbr Go I den ro j�'pp I i c an i. p6rinit �ei x" p i nspe , - , , . . , � % . 1- j - .�._ , .. .� 11 . . - . '. " � ­ , , , " " . , ,..,., ,".. , -_'. !, - * , - 1. , I . , . , . _ � - I I . I _. ". -,.-. , , _L _, ;.,;. I... . "� , - - - : ,,- 2-, � - I :. , " I � - , ., ., . , , � - , � . . -�- -- - �:. _ , , I , ., .1. �­., .. I., ... I - - . �. -:� .. � - . . I �_ .� , - I A, �, � , * � " 1�1 1 � , , ; ,'.', , " - ­�. . , "' ­ ` * � �, �;:. � � . ; - - . - , . I . ., �,;, , , 1. , . 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I ; 11 I , . '. _ . . . ­ ., _. . _ I . , . - , " , :, . , . , - : I . . ­ i . � � , � .. . � _ . . � .. . . , ,. , . , ., . - � I — . , , , I I MOBILEHOME SUPPORT DATA-, f ot her thdW sin� wide Year/-q� 7 7 Mobilehome Mfr._ furnish Setup Model No. 04W Width (ft.) Bo/Le__n'gth1.6__6-_ �(:ft­.�)_ �-T' �,galon'g or Expando Size ft.. x ft— (SHOW SUPPORT DETAILS BELOW) 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). All center supports measured from front of mobilehome.unless otherwise specified. Foot ings (check:one) Single er Wood eith pressure treated or -jog foundation grade. (ft.)(in.) (in.) (in.)- El Z., Other (specify) Center support Center support locations* footing sizes 'Supports (check (in.) Concrete block. 2. Other (specify) (ft.)(in.) (in.) (in.) Tagalong or Expando, show support details. ;:.(,f t.) (In.) (in.) (in.) /ZL)( So Typical Support (in. (in.) Footing S iie (ft.')(in.') (in.) (in.). Max. Pier Spacing (ft.) (1n.) igix_ 5a x Max. Overhang (ft.) (in.) (in in.. I (ft.) (in.). BUTTE COUNTY BUILDING DEPARTMENT APPROVED, *If center piers are other -than drawn above, draw in --locations, spacing, and -dimensions. 1. Owner's'name: 2. Installer's na BUTTE.COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Orov'ille, CA* PHONE: 534-4541 MOBILEHOME INSTALLATI ON SHEET 3. Is the site currently under permit? Yes Le±-- No_ (If yes, furnish permit number OR Is the site,an existing site? Yes No (If yes,.furnish two,(2) 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 No (If no, clarify. A Z::3 ZZ:. 5.. What is. the mobilehome electrical rating? ---------- ------------ e,7 Amps 6. What is the mobilehome site service rating? ------------- - Amps 7. What is the mobilehome site circuit breaker rating? ------------- Amps 8. Is there any other electric load -to be served by the mobilehome site service? ----------------- -------------------- ------------- Yes No -L*L (If I yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site.gas.plipe size? ----------------------- —(in.) 10. What is the type of gas service? ----------------------------- Natural jAz:L� LPG 11. What is the gas pipe length from meter or tank t o,.the mobilehome? —(ft.) 12. What is the mobilehome gas demand?.- --------------------------- --- (BTU) .(This information not required if pipe length less than 6 ft. on natuia-1 gas or 1'ess than 50 ft. on LPG.) .THERMALITP .-IRRI.GATI'ON DISTRICT .41-0 GR'AND �AVENUE'. OROVIL ' LE, CALIFORNIA 95965, w TELEi-H.ONE 533-0740 CSA 26 SEWER SERVICE A70POCATION, AND CONNECTIGNPER If % Service Address: Own&'s,Narne:--�_�-,,,��. Date': A r Acct. N' o dd ess* I Lj A.P. No:: Ph one: No. Units: Applicant�Agen t: Agents Proo Addr6ss:', ee's: Phone:.'" $ Application Arrearage ireliminary R ev i eW B y:��_ Date: CSA'26 Remarks. SC -0 R Y\ 1st mb.'S.C., 0 t h e ns Total F-ee Collected By Date: Field Fle�iew By: Date: Remarks - V MQNTHL.\� SERVICE �CHARG,ES W,I.LL COMMENCE AUTOMATICALLY UPON: El approval of cofti'leted bu i ldirig'se'wer -(early coiZ-ction). p. 30 days after.da'teab' 6ve, or (in clate of D.P.W. approval of co . m'leted buil ding sewer, which ever come's p J-ifst -("existing construction", Rrior to, Mar. 5,,1974). 80.,days.afte r*d ate above, or on date of D:P.W.. approval of completed building sewb�/'Whi6h-e_ver comes f,i.rst ("new construction", after Mar...5, 1974)_ - DIST,RIBUTION: WHITE-TJOI Y�L�O�W!,-APP,LICANT,'Pl�iK-'D'PW, GOLDENROD. -DPW to TID