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HomeMy WebLinkAbout026-250-018COMPL,8JNT TO INSPECTOR BUILDING CODE VIOLATION LETTER 30 DAY 026 25 -b -,,O 18 BECE;RR ,L•; bEL'FO CONTR .. OWNE -20.1 SUNNYBR0OK MH UTIL .- Mgr ,19.1-,3727~ =� -OROV I LLE ELEC 0 (3-0 GAS 4/06 s/ COMPACTION TEST REQ SUPPORT STRUCT REQ 026-25-0-018 91-3728_ BECERRIL, AD 0 x.026-250-018 PERMIT#95-145AG BECERRIL, Adolfo A. 201 Sunnybrook Ln., Oroville Ag Exempt Perm�r-Srg Hg� �rcvr�� vzv CONTR: OW R 201 'SUNN ROOK LN, OROV I LLE}GLQ� r MHI 0-1-I G 6-25-0-018 0��$ ',CERRIL, MANUELA 3 SUNNYBROOK LN., PALERMO H UTILITIES AG (A) 026-25-0-018 O3' (1e=e9g9 BECERRIL, MANUELA 20$SUNNYBROOK LN., PALERMO MH UTILITIES AG (B) 026-25-0-018 0� 000980 BECERRIL, MANUELA 201 SUNNYBROOK LN. 60 X 11 AWNING 026-250-018 03-1 BECERRIL, MANUELA 205 SUNNYBROOK, OROVI MHI 026-250%01.8' f \/ 03-1672 205 SCNNYBROOK, OROVILLE h CR---- _.._...� ELECTRIC - JQQ 30 GAS LINE `' 2U L COMPACTION TEST REQS SUPPORT STRUCT REQ_&)o ELECTRIC x000- 3c)we l GAS LINE ao r COMPACTION TEST REQ o SUPPORT STRUCT REQ00 W '�' .,.�. w� � !' +t O r-'4 �_, i =� - COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PERMIT NO. (Rev.`12/96) APPLICATION AND PERMIT 03-16-71 ASSESSOR PARCEL NUMBER 1 ZONING A-5 BUILDING PERMIT OWNER ,,{{A� ��77++--�� L' lt' �' U!1,L TELEPHONE SQ. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS PO BOX 613 PALERKO, CA, 95968 CONTRACTOR'S ��N�77A��M77�EE � OWNM TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Flin Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 2 05 T _ Energy Plan Checking Fee $ $ PERMIT FEE $ 43 00 LOT NO. SUBDNISIONS _ PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome X3 Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: I`9IIl DPr03-1329 1 BR UNIT A Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G 1 @20.00 PERMIT FEE $ FL,OOD•X40990C ELECTRICAL PERMIT Fling Fee 20.00 Main Service 'oA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Llc. No. -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 19 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. "❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 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. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 200A TO 46.00 CCU000A NEW coNsr. owE .Occup. ( NRA SEr .50so 3 5QF° corgi . MuicTcou�n NON•RESID. 97.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex, OCCV OUTLET OR FIXTURES BA0 O 1:00 OWNER LNS Ex. Occup. oFuri REES,6.) a 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL .PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed If the permit is for work of a valuation of one hundred dollars ($100) or less.) 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. '' �— _ /7 X �l Date .5 ��y Signature Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ i0o. 00 Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HA . _ D. FEES P FLOOD X CDF PARC PD HD ISSUE This permit is issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON ate Receipt No. 4 3 00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK-INSHFUTOR GOLDENROD -APPLICANT ,r Y�?�a -rf i-a:�., •�,.�.... _ . .i „ •, x fii , a �:. � ;a;r > �...... r � . �.. ; ;rpyy �:•± 1 f., � .' R .. ii •1 ..,. �: �. .. _ •L � l• 1 �1 ���� �e. - �`'�ir;,`fT+e,�+'.�)•,—s•.'^•- . .r---�.Fit+�.��'r ,�•'�^�,�•:'�1l�.Sr �.. s. ti•:'�+' •Y �,.. . in. n. a a yi ��y;' i' ,x i .. _ �` _ �` _ � w ± COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ' 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75419 WMIT NO. (Rev: '2/96) APPLICATION AND PERMIT A ASSESSORPARCELNUMBEA S ZONING. A-5 BUILDINGPERMIT OWNER ` MAIVMU •TELEPHONE 534- SO. FT. OCC. BUILDING VALUATION . OWNER'S MAILING ADDRESS "I�.. PO BO 613 PALERMO h CONTRACTOR'S NAMETELEPHONE % OWNERS / ' CONTRACTORS MAIuNG ADDRESS .CONSTRUCTION LENDER p f ! Fireplace ILENDER'd MAILING ADDRESS t Total Valuation Is y CHITECT OR ENGINEER . . UCENSE N0. Filing Fee $ 20.00 Fee $ W ARCHITECT OR ENGINEERS MAILING ADDRESSPermit Plan Checking Fee $ BUILDINGADDRESS . 205 SUNNYBWOK IN, ORO MIR' Energy Plan Checking Fee $ $ r PERMIT FEE $ 43.00 LOT'NO. , IR SUBONISIOWS NAME ..e+e.t'�y _ ;PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑,,, Duplex ❑ Mobilehome,)p Other r SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00. TYPE OF WORK --i New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describes Work: MI BP#03-1329 1 BR UNIT A R _ s' """ . •' Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ F )0D:X •099M ELECTRICAL PERMIT Fling Fee 20.000 Main Service A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, jand my license is in''full force and effect.POWER UCenSe Class LIC. No. OWNER -BUILDER DECLARATION `I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: for I, as owner of the property, or my employees with wages as their sole compensation, 'will doe work, and the structure is not intended or offered for sale. ❑ 'i, as 6wner of the property, am.,exclusively contracting with licensed contractors to?onstruct the, project. "` Z] 1 am exempt under Sec. Business and Professions Code for this 14ason Main Service TO 46.00 WE1L200A NEW CONST. DWELLING OCCUP. SO CU00A .50SQ ADDNS. 3.5Q�.; - NOR EW CONST. MU�� a� NON-RESID. C @7.50 APPARATUs 8 SINGLE OUTLET CIR. OUTLET OR FIXTURES 20 @ 1.00 Ex. Occup. BAL. o .w FIXED PLNS. OR Ex. Occup. o,nL�rs APREBID• EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE $ WORKERS" COMPENSATION DECLARATION I here yaffirm. under penalty of perjury one of the following declarations: q 1 have and will maintain a certificate of consent to self -insure for workers' p compensation, as provided for by section 3700 of the Labor Code, for the nceof the work for which this permit -is issued. iperforma• ❑ ' 1. have an&will`'maintain workers' compensation insurance, as required by Section 3700 of the Lak'br Code, for the performance of work for which this permit is issued. My workers'. compensation insurance carrier and policy number are: Carrier_.. ( " PolicyFNumberl i (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ;'" 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 workers' "I � at:if I strould-L ecome subject to the compensation laws of California, and agree -! workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. �j /j� • �" 03 X C2k:4�'S/? /-s��: Date _v Signature App icant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations dver 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation ,° . PERMIT FEE $ Mobile Home Installation Fee $ 100.00 Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 143.00 HA �D:F.EES P tr FLOOD X 'CDF l,p—ARC ` t;04141) I ISSUE This permit is, se�ssued under the applicable provisions Of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By , Date PERMITik-EXPIRES ON ,' I I ' Date %/41 Receipt No.S 4Q WHITE-D.D.S.-B.D. CANARY-ASSESSO PINK -INSPECTOR GOLDENROD -APPLICANT ` fA• f \.'/96 2 (Rev. 2/96) Y 2 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION m 7 County Center Drive Oroville, California 95965 • Telephone (530) 538-7540 '; • � "?E MIT NO. APPLICATION AND PERMIT ♦b j6 i ASSESSOR PARCEL NUMBER J ��� ZONING A-5 BUILDING PERMIT ,OWNERTELEPHONE r , . r%TN11_LT.A 534-9967 SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS - PO BOX/613 PALERMO,, CA 95968 � `TELEPHONE CONTRACTOR'S NAME VW1�C.1\ ' f ' CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER t LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ 9123,06 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 205 SUNNYRRt' K OV j j Energy Plan Checking Fee y> $ PERMIT FEE $ 43.00 LOT NO. �R9 SUBDIVISIONS NAME W. PA1,FRM3' ACRFS -7 PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑, Duplex ❑ Mobilehome ,�Q Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: MI B}3-1329 1 BE UNIT A *r Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S y FifJ4DSX�0990C ELECTRICAL PERMIT Fling Fee 20.00 Main Service 20.A ORvOR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION ,1 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, Land my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the'followirig reason: ®'•' 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 offered for sale. ❑ I, as„owner of the property, am exclusively contracting with licensed contractors to,construct the project. I am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO ,000A 46.00 NEW CONST. DWELLING OCCUR OR ( BBLDS. 3 Saso. FT. cors. n&iuLACC. UTLET NON-RESIp, CIRCUITS@7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occu . OUTLET OR FrxruREs 20 @ 1.00 BAL @ .50 LNS Ex. Occup. our,EETSA ..,D,DERa 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirin 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION �I hereby affirm under penalty of perjury one of the following declarations: ❑irl have and will maintain a certificate of consent to self -insure for workers' ' - compensation, as piovided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier • i Policy Numberi N, (The above sections need not be completed if the permit is for work of a valuation of one hundreds dollars ($100) or less.) .Er 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 workers' compensation laws of California, and agree that f I should'become subject to the workers' compensation provisions of section~`3700 of the Labor Code, I shall forthwith comply with those provisions. ,/� ' / 9 /A /1 X C.rvc�f Tc���1 Date �~ ` / r C•� Signature `qf' Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60” deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ 100.00 Energy Inspection Fee $ occ corer. TYPE TOTAL FEE $ 143.00 HAZ. D: FEES I P —g' } FLOOD X,` CDF •pgpCE� pp HD ISSUE This permit is\heFeb)ssued under of the Butte CountyCode and/or indicated above for which fees have By , PERMIT EXPIRES ON 1 t the applicable provisions Resolutions to do work been paid. Date Date' b Receipt No. Z3 5c /9 /E143,M WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT w 6 026-250-018 03-1671 BECERRI.L, MANUELA 205 SUNNYB.R001 ; OR-OVILLE . MHI x 9 00 r• -..r +� COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION �® 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754,11%{ PERMIT NO. (Rev.`12/96) APPLICATION AND PERMIT 63- to,7lt ASSESSOR PARCEL NUMBER ZONING A-5 BUILDINGPERMIT OWNER TELEPHONE 7 SO. FT. OCC. BUILDING VALUATION - OWNER'S MAILING ADDRESS PO BOX 613 PALERMO CA. 95968 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER 3 .. .. .. - Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ AR2 0A ARCHITECT OR ENGINEERS MAILING ADDRESS -� Plan CheckingFee $ BUILDING ADDRESS ` 205 SUNNYBRM LN. OROV Energy Plan Checking Fee $ $ PERMIT FEE $ 43.00 LOT NO. .9 , SUBDIVISION'S NAME ,w. PAMMO ACRES 7-2 ,PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑. Duplex ❑ Mobilehome Other ` SPECIFY Each Trap 7.00 - Solar or heat um water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: MII BM3-•1329 1 BR UNIT A Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ FU)OD:X,0990C ELECTRICAL PERMIT Fling Fee 20.00 Main Service .OA OR LESS 23.00 T LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license,is in full force and effect. License Class l _ LIC. NO. +� OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors license Law for the following reason: 17 t 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 offered for sale. ❑ I, asfowner of the property, am exclusively contracting with licensed contractors to construct the project. _O I am exempt under Sec. Business and Professions Code for this reason Main Service 200A To L000A 46.00 NEW CONST. DWELLING OCCUP. OR 3 5050. Fr NEW9 oaf MT.ULACC. BBUDS. NON-RESID BRANCH CIRCUITS@7.50 POWER APPARATUS a SINGLE OUTLET CIR. EX. OCCU EAP FIXTURES BAL p': 0 Ex. Occup. ounFrs RESID.PLNS OEA O 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION jl'hereby affirm under penalty of perjury one of the following declarations: ❑�`I 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. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number, (The above sections need not be completed if the permit is for work of a valuation ` of one hundred dollars ($100) or less.) ,,O 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 workers' compensation laws of California, and agree that if I should become subject to the ` workers' compensation provisions of section'3700 of the Labor Code, I shall forthwith comply with those provisions. ` `- � .�'` f If • __3of '1 /� X C_ . _ tF-rd:/ c. r-c�r Jr IV Date . /+ _ Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures' over 3 stories in height. ` MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FES $ Mobile Home Installation Fee $ 100.00 Energy Inspection Fee $ GCC CONST. TYPE ,..TOTAL FEE $ 143.00 MAZ: r ;' D. FEES TMP FL.Op �D % COF PARC w PD ' f LSSUE This permit is\hereby`,Issued under the applicable provisions the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON Date Receipt No. 1; t, 19 5143.00 'I` WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUI ING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (53 ) 538-7541. PERMIT NC 6) APPLICATION AND PERMIT *3ME.S,SOR PARCELWL0 A 026 2S� - O1 °u ZO"RN �_S- BUILDINGPERMIT %LI41,1 v�� >c �2�}n , L TELEPHONE 3 - 19'6? SO. FT. OCC. BUILDING VALUATION 20.00 pijj MQUNO ADDRESS / 23.00 RACTDR.S NJLJAE v TELEPHONE NTRACTORS N.YUNO ADOMESS cONSTRUcftON LENDER ireplace F LENDER'S LWUNG ADDRESS tal Valuation S ARCHITECT OR ENGINEER UCE?6E NO. - Fee $ 20.00 rmit Feean ARCMTECT OR EHowEERS ►un.tNq ADDRESS Checking Fee S BUILDTNSADDRESS - L D6 • , 0^ L,j Energy Plan Checking Fee $ . . _ s W aGSr PA1.6Lvro yliC�-75� -S �2 0 ✓ r Ili- PERMIT FEE : 3 SUBDwsIONSNAME �•--� .^ PARCEL MAP Filing Fee 20.00 PLUMBING PERMIT 9 Each Trap 7.00 --' USEOFSTRUCTURE SF D Duplex O Mobilehomeg"Other sP' Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New 0 Addition DRemodel 0 Willies 0 Installation D Other O/ Describe Work: / %%1� i 03 —8 I-% 1,6 L% r Gasin tem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Firing Fee 20.00 Main Service 2oiul OR,uFESS: 23.0D : 'p ,��1 j X� O� (� /'�O (—%, (✓.7 L/(/ J (3 �s Main SerVlce 20M To IDWA 46.00 HELM UUMST. OOELLMrP. 3.5¢ OR AODNS. i ADC. BIDS. NON•RESID. CAM• MULTI -OUTLET @7.50 Ex. Occu OUTLET OR FKTURFS �r 10 .... B0.L O .w . a Occu . OUTLETS ESLD. EA 5.00 Temporary Service 23.00 Moble Home Facilities 20.00 Wsc. Wirino - 23.00 PERMIT FEE I S MECHANICAL PERMIT I Firing Fee 1 20.00 Hood 1 1 6.501 Ventilation PERMIT FEE S Moble Home Installation Fee S O Energy Inspection Fee S ode CONST. TYPE TOTAL FEE $ 3 . I . FE M ('LOOD COP cEt Po N SUE This permit is here Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid.. By PERMIT EXPIRES ON Date _- ��';�•i��iJ�"'���i'1r7daFdN#�til�S'l�ihKiL7[PSN+T'.�.'^'iVK►'� - � 031 4-21 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: ue t t Q 9.AC FAAl C.— ASSESSOR PARCEL NUMBER 07-1 Z �9 ~ O / Proposed Building Use: 10 %e /0 (L- !A (,./4449f✓ Counter Technician: Date: y �� Items required in order to apply for a permit. All boxes MUST be checked OP. marked NA in order to apply. ❑ L. Plot plans, 3 or 4 sets, signedAy 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. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The.permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................:.. ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... Hazardous Material Form............................................................................... 0 ,.13.", Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) �4. Fees as�shown o'n''the attached Schedule of Fees Due Sheet ....................................... ❑ 15. Statementbf Intent for Non -heated and A/C Buildings ............................................. _ �r-16. S ' ation and plot plan approval from the Environmental Health Department in o1:0 ✓ f _ ❑ 17. ity of Chico Plumbing permit......................................................................... _ ❑ California Department of Forestry plan approval ❑ paid. Sent by: ...................... _ 9. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: _ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... _ ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -inspection for required ................ _ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... _ ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. _ ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... _ ❑ 26. Letter of Signature authorization.....................................:.............................. _ ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... _ ❑ 28. Manufactured home utility clearance............................................................... _ ❑ 29. Existing violations and/or expired permits......................................................... _ ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: When issued Telephone — and hold for pickup. I have been informed of the above items and requireiiments for obtaining a building permit. � . / Applicant: , .. i�,erc_ /yL% Date: to 1. Index permit application for the above items numbered: 2. Additional items required Contractor, designer; owner, was advised cf the above data by Contractor, designer, owner, was advised of the above data by Plans reviewed by: Date: Structural reviewed by: Date: Note transfer by: Date: Plan Check Letter ❑ phoile, ❑ mail, `❑ ,counter, by Date: ❑ phone, 4 mail, . ❑ cou ern, by Date: —.Plans approved by: i Date: _Structural approved by: Date: Yellow: Building nivisinn . " E.H. SE ONLY Plot Men Atteehed FloOinon Att hod Sent to B.D. / e\1 TO: -- Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner L cation AP Plan Approved for: Sewage Disposals l Water Sup ly: Public Private Wel Clearance for dwelling. Other Hold final for: Final clearance O.K. or: NOTE: & ID Py e:;, 6/ Environmental Health Specialist 8/96 Date Ute/ r ,F} 03-1671 COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA.. 95965,,, TELEPHONE (530) 538-7541 i SCHEDULE OF FEES DUE OWNER %/d ^�` 1> �Z LL4 re- rt- xx t L, A.P. # ()2-`' Zf0 - a / B PROPOSED BJILDINGUSE DATE S -2- RECEIPT # DATE REC. 1. BUILDING PERMIT FEES Balance Due ....................... $ Additional Fees Due ................. $ Additional Fees Due ................. $ Revised Plan Checking Fee .............$ V2. SCHOOL DISTRICT FEES !iS —/(paid at District Office) (Available after Plan Check) 3. SHERIFF FEES (paid at Building Division) Residential ...................... x $360.00 = $ � Z1 Units Commercial (sq. ft.) ............:.. x $0.03 = $ Sq. ft. 4. URBAN AREA FEES (paid at Building Division) Residential ................... —x—=$ # Units Amt. Commercial (sq. ft.) ............ —X—=$ Sq. ft. Amt. 5. RECREATIONAL DISTRICT FEES (paid at District Office) (Available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) i 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT ,o,�,p�..� DATE ("2 7— Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). 'Original - Buiding Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6/00) • COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION NOTICE I Post this job card in a safe, conspicuous place. Do not remove until all required inspections are made and building is approved for occupancy. Plans must be available on the job site. A.P No. 026-250-018---03-1671--� Owner . BECERRIL, MANUELA _ Contractor _ 205 UNNYBROOK, OROVILLE MHI Permit No. PERMITTEEMUST'CALI FOR INSPECTIONS INSPECTION I DATE I INSPECTOR Piers Underground Conduit Pre-Gunite Underfloor Plumbing Underfloor Electrical Underfloor Mechanical Underfloor Framing Slab Rough Electrical Rough Mechanical Framing Shower Pan >Do insulation Fireplace Footings Fireplace Throat Stucco Lath Scratch and Brown Sewer Service Water Service Pool Final Plumbing Final Electrical Final Mechanical Final Building or M.H. Final DO NOT OCCUPY UNTIL ALL THE ABOVE IS SIGNED AND THE BUILDING OR MOBILE HOME IS APPROVED FOR OCCUPANCY Addrei3ses. Information ..:.< 24 .Hr ana .; Oroville - 7 County Center Drive 538-7541 538-7636 Chico - 411 Main Street 891-2751 891-2834 Revised 7/94 Building Permit Number: Owner Name: Residential Construction Requirements IMPORTANT This set of plans and specifications MUST be kept on the job site at all times and it is unlawful to make any changes or alterations on same without written permission from the Building Division, County of Butte. All materials and workmanship shall be in accordance with recognized good practices l� and of a quality prescribed for the specific use in the 1998 California Building Code go� (1997 U.B.C), 1998 California Plumbing Code (1997 U.P.C.), 1998 Califor a Mechanical Code (1997 U.M.C.) and the 1998 California Electrical Code (1996 N.E.C.) COMPLY WITH ITEMS CHECKED BELOW ❑ Your parcel lies within a designated 100 -year flood plain. Finish floor, electrical, H.V.A.C. equipment and services shall be a minimum of one foot above the elevation shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate will also be required - Note: We will normally accept, the fo116wing as compliance -with the flood elevation requirements: 1. Building is anchored to concrete stemwall system with conventional anchor bolts. 2. Building plate on top of stemwall to be one foot or more above the 100 -year flood elevation. (Plate height less than 24" above grade, or engineered design required). 3. Electrical, heating, ventilation, plumbing and air conditioning equipment and facilities located above the plate. 4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total net area of not less than 1 square inch for every square foot of enclosed area. 5. The bottom of the openings shall be no higher than I foot above grade. 6. The openings may be screened or covered with other devices that will permit automatic entry and exit of floodwater. Pagel of 2 r r Building Permit Number- Owner umberOwner Name: CG� F] Parcel lies within the State Responsibility Area (SRA). Comply with attached requirements. ❑ Fire sprinklers are required in this structure. ❑ The following parcel map requirements shall be met.- All et: All structuresan . equipment including overangs shall be clear of all easements. A setback of feet from the side and feet from the rear property lines and 2 feet (25 feet if Federal Aid Route) from the ge of the ri ht of a shall be clear o structures and equipment except for a 2 foot overhang. g' y of Expansive soil may be encountered on this site. This condition may require the foundation to be designed by a California registered engineer or.licensed architect. Page 2 of 2 r. �P g06 alw n��ft�� ti ? U110V A kv\e VIA E i bre. .r.��.��y�°yy�' .... 5 .....�.. .,... :..:. ..:>:;:..::.::.:.o �:.,;:::::........... ...::.: � .:�.:..::•:.;:...,::.;:..:::;:: �: �..: .. :,,..,..\.v..:.y.r. w::r::.•m�:::::.r::::::::::......nv.,�.,,...,.n...............n�::::::::::::.�:.:.::..::.::::::::::...........................n::::.:......::...::::::i 1. Owner's Name: 1)cle Z / 2. Assessor's Parcel Number: 0 2- ^ j-_ 0 - 12 3. Installer's Name: 4. Is the site currently under permit? YesO No[ ] Permit No. `) 5 - %12 /g 5. Is the site an existing site? Yes[ No[ ] (If yes, furnish two plot plans). 6: What is the electrical rating of the mobilehome?Amperes. 7. What is the mobilehome site circuit breaker rating? .5 d Amperes. 8. What is the electrical rating of the mobilehome site? . '�� Amperes. 9. Is the main service remote from the mobilehome site? Yesv] No[ ] If it is, what is the rating? .2, (9 © " Amperes. 10. Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage etc.)? Yes[ , J No[)o If yes, please identify the load and size: a) The mobile home site: Load- Amperes - b) The main service: Load- Amperes - 11. Type of gas service at mobilehome site: Natural[ J Propaneo None[ J 12. Size of gas pipe at the mobilehome site from the meter or tank: inches. r 13. What is the gas pipe length from the meter or tank to the mobilehome? j_.y 14. What is the mobilehome gas demand? *(This information is not required if the pipe length is less`;than, 6 feet on natural gas or less than 50 feet on propane). PROCESS THIS PERMIT APPLICATION VjW— -%% Q# V0 Ix 8.3 May 1995 Mobilehome Manufacturer: Zc� a-ItIs-d Al Manufacture Year: i If other than single wide, furnish Setup Model Number: <.5`n &714 JG Z67 2 - Width: (ft.) Length: (ft.) Tagalong or Expando Size (ft.) x (ft.) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. FOOTINGS: Wood pressure treated or foundation grade[ ] Other: SUPPORTS: Concrete block[/] Other- Provide ther Provide Tie Down Specifications for all Mobilehomes: Pier Footings Sizes and Location SIIVGLE WIDE MULTI -WIDE Line 1 1 Line 2 Line 2 ................................................................................................ Main Beams Line2............................................................................................. 2 Line 1 Line 3 Line 2 ................................................................................................ Main Beams ............................................................................................ Line2 Line 1 ............................................ ioe s Tag or Triple e 4 ine 1 Line 1 Piers: 30 Size minimum: r q- 1 x Spacing maximum: ` O` From ends -maximum: (` U ` Line 2 Piers: Size minimum: x '.;0 I. Spacing maximum: ` From ends -maximum. ` Line 3 Roof Loads: Size minimum Location (from front): Line 5 Roof Loads: Size minimum: Location (from front): Line 1 Openings Size minimum: x [ L Each side of openings with width over: ' 1-7* I � Line 4 Piers: Size minimum: x Spacing maximum: ` From ends -maximum ` OVER SAC INDUSTRIES SIE DOWNS ENGINEERED TIE DOWN SYSTEM GENERAL NOTES * WIND --- --'--. 17.4 PSF (70 MPH EXPOSURE V-) * WIND -------' ____-- 23.6 PSF (85 MPH EXPOSURE "C") * 35.35 PSF (100 MPH EXPOSURE "C") WIND -------------' *SEISMIC ZONE — — — — — — — — — — 4 MAXIMUM SOIL PRESSURE * SOIL BEARING --- 1000 psf NOTE; IS 1000 psf WITHOUT A SOIL REPORT. *EARTH AUGERS -- --- 3150#50# WORKING LOAD CAPACITY LOAD CAPAC TY * STABIL—X DRIVE ANCHORS-- 4750# MIN. TOTAL LOAD CAPACITY. 3150# WORKING LOAD CAPACITY *CONCRETE SLAB ANCHORS- 31TOTAL 50# WORKINGLOAD C PAC CAPACITY *TIE DOWN STRAPS — -- 31 I 50# WORKINGN. ALOAD CAPACITY L LOAD ITY TIE DOWN STRAPS MEETS FEDERAL SPECIFICATION 00—S -781H FOR TYPE 1, CLASS B GRADE 1 STRAPPING AND BE AT LEAST 1 1/4!' x .035 ZINC PLATED. 1. THE CHARTS OW THE REQUIRED HOME.UMBER OF TIE DOWNS ON THE SIDES AND ENDS OFTHE 2. COMBINATIONS OF THE DIFFERENT TYPES OF TIE DOWNS CAN BE USED. 3. FOR ALL TIE DOWN INSTALLATIONS, THE MANUFACTURED HOME CHASSIS MEMBERS ARE SHOWN AS"Y' BEAMS. (FOR ILLUSTRATION PURPOSE ONLY) CHASSIS BEAMS CAN ALSO BE "C" SHAPED OR RFC SHAPED. 4. SIDE TIE DOWNS ARE REQUIRED ,ALONG THE OUTSIDE CHASSIS BEAMS. END TIE DOWNS ARE REQUIRED AT EACH END OF EACH TRANSPORTABLE SECTION OF THE MANUFACTURED HOME. HIN 18" OF EITHER =OF CHASSIS BEAM 5. END TIE DOWNS CAN BE LOCATED WIT AXIS, AND BOLT—ON TOP CAN BE ATTACHED WITHIN 18" TO 60" FROM OF CHASSIS BEAM. 6. THE SIZES, TYPES, LENGTHS, ECT... OF MATERIALS SHOWN HEREON ARE MINIMUM. LARGER, LONGER, HEAVIER MATERIALS SUPPLIED BY SAC INDUSTRIES, INC. MAY BE USED AT THE SAME SPACING AND LOCATIONS SHOWN. 7. ALL PARTS OWN COATED STEM MEETS THE REQUIREMENTS OF INDUSTRIAL PRIMER. SECTION 336.3 SUB - 8. THIS TIE D SY SECTION (a). INDUSTRIES STATE APPROVAL APPROVED SUBJECT TO CORRECTIONS NOTED Approval does not authorize or approve any omission or deviation from requirements of applicable State laws and regulations. State of California Departm of Hous Community Development COU AND STANDARDS . Date �� 2 lona ure SPA NO E_ 725 — This Plan Approval Expires SAC INCORPORATED 1722 A BISHOP ROAD CHEHALIS, WA 96532 Ph: 74!•6 C I ' ENP. CA lC.� a PACIFIC `CONS ULTINGtENON 2150 BELL AVN. �U�ITEs SACRAMENTS PH: (918) BC8288' 1110MR-11awl, Dew ; ' CDC� 3D��'� �''xjD1✓ �2 SAC IND EARTH AUGER TIF DOWN ANCHORS ' r s • #6005 • #6006 #7000 #7002 �i#4002 CHASSIS ah x N1002 PIER OLT-ON TOP r #7002 / 7' STEEL STRAP ` 7000 7' STEEL W/HOLE TRAP W/BUCKLE �a L#6003 SPLIT - �• d 4a BOLT !C NUT 60 S A06 NO- �, •'i'.!,f: p:•'Y' ;iy. BILIZER #6001 #6000 PLATE ,600RTH 0 SERIES NOTE 4 1''r` �'� ': :r'4� �•i� AAUGER 'f'• . 9" (TYPICAL) a -1o' P -IC VERTICAL OR ANGULAR INSTALLATION'. -IS OPTIONAL AUGER TI —D _,.,j INSTA��.ATION INSTRUCTIONS .. f .' ' 1. CONTRACTORS WARNING CHECK FIRST FOR UNDERGROUND UTILITIES. . 2. INSTALL GROUND ANCHOR INTO GROUND LEAVING 12•-14. OF SHAFT EXPOSED. 3. PLACE STABILIZER PLATE NEXT TO SHAFT BETWEEN THE ANCHOR AND CHASSIS } BEAM, AND DRIVE INTO GROUND. 4. FINISH TURNING ANCHOR INTO THE GROUND APPLYING CONSTANT DOWNWARD y PRESSURE,. TO .MINIMIZE SOIL DISTURBANCE, UNTIL ANCHOR HEAD IS. FLUSH WITH ;y. STABILIZER PLATE. . 5. ATTACH STRAPS TO CHASSIS BEAM IN MANNER SHOWN. "•3 6. IF ANGLE•OF'SIDE STRAP IS GREATER THAN 60', STRAP CONNECTION CAN BE T MADE FROM ANCHOR' TO OPPOSITE CNA'9IS BEAM.,? 7. INSERT STRAP THROUGH SPLII;'gBO���LT%CUT (CESS STRAP AND TIGHTEN ` BOLT UNTIL STRAP IS SNUG. `�i ; END ilL DOWN SEE CHART CJfO TICzD,OWN ECaCHART" fT- ENO TIE DOWN of k '► �° ' �+ I1., SEE CHART - e , W' pp GG .. •}, ,� V V rvo \v SINGLE WIDE DOUBLE WIDE TRIPLE WIDE '"� SAC IND. STABIL-X DRIVE TIF DOWN ANCHORS #6013 x/6005 #7000 #7002 //4002 #7000 or #7002 7' STEEL STRAP YEOOS SPLIT OLT & NUT #8013 STABILE "X" DRIVE ANCHOR - GROUND LINE -1 DETAIL"A" CHASSIS 0002 PIER BOLT -ON TOP �.. #7002 7' STEELN7000 7' STEEL STRAP SSTRAP W/BUCKLE W/HOLE �aro00S SPLIT BOLT at NUT SEE DETAIL VERTICAL OR ANGULAR INSTALLATION IS OPTIONAL STABIL•—X DRIVE TIE DOW SFE DETAIL 'r INSTALLATION INSTRUCTIONS I. CONTRACTORc WARNING CHECK FIRST FOR UNDERGROUND UTILITIES. 2. DRIVE STABILIZER PLATE INTO GROUND 3, DRIVE CROSS RODS THROUGH HEAD TUBES INTO SOIL AS SHOWN. 4, ATTACH STRAPS TO CHASSIS BEAM IN MANNER SHOWN. 5. IF ANGLE OF SIDE STRAP IS GREATER THEN 60% STRAP CONNECTION CAN BE MADE FROM ANCHOR TO OPPOSITE CHASSIS BEAM. 6. INSERT STRAP THROUGH. SPLIT BOLT., CUT OFF EXCESS STRAP AND TIGHTEN BOLT UNTIL STRAP IS SNUG. 7. #6002 ANCHOR CAN BE USED WHERE HARD OR RGCKY SOIL OCCURS, IF THE GROUND SURFACE IS OTHER THAN ROCKY SOIL OR MINIMUM 2" ASPHALT, USE STABIL-X ANCHOR OR ENCASE ANCH X6002 SEE NOTE #7 AND NOTE /8 OR WITH 12 x1,2 x12 CUBE OF CONCRETE. S. WHEN #6002 ANCHOR IS USED FOR ANY REQUIRED, -ANCHOR -- (2) ANCHORS MUST BE USED AT THAT LOCATION,., ; I• r WIND= 70 MPH - 85 MPH - 100 MPH EXP, "C - SEISMIC ZONE 4 REQUIRED NUMBER OF COMBINED ANCHORS FOR EACH �l1ZE AND Eli OF MANUFACTUR,EDFiOME WIDTH WIND SPEED +SEISMIC No. OF SIDE TIE DOW I\� No1'i0F "END _,,V ' SINGLE 70 MPH I EXP. = 17.4 PSF + ( . ZONE 4 SQ' owl*%j 80 4 5� 11;is— 2, 'f f0 16 ' 85 100 MPH MPH X�' 13 6, P X •LONE 4 --- S -'- ¢ 7 '• f `2 0 _ ZONE 4 y... .•"f�. 7- y OUB II WIDE f 7 MPH ■ 17.4 PSF I 70NE a - t1:PI� _ _ 4 �> 2 0 32' 100 MP . ZONo a Z. 6' ......._ 4 ?IP—LE WIDE ! 70 _ MP : 4 PON ZONE4 4 __ 10__ . -...._12 .. - 4 0 • ONE Ti -�' --Tj� _ g _44' ZONE 4 1 8 12 14 _ 6 6 r #7000 SAC IND. `-00 0 #6005 #7002 o I• 1x002 PIER BOLT -ON TOP #7002 7' STEEL STRAP WITH HOLE #6005 SPLIT BOLT & NUT --lam CHASSIS -� l - w x. 7000' 7' STEEL STRAP�W/BUCKLE . r' #6004-,, #6003 #4002 #6003 #6004 � CONCRETE'.=�'• 1 f\ INSTALLATION INSTRUCTIONS 1. PLACE CONCRETE,ANCHOR INTO WET CONCRETE, AND ALLOW TO PROPERLY CURE. ; , i'•' •,. ,;�'��; 2. ALTERNATE CONNECTION'REOUIRES #5 REBAR PROPERLY EMBEDDED IN CONCRETE. wIST'Nr rnNc`RETE '- J6003 1. CONCRETE MUST BE A MINIMUM 3 1/2' THICK AND IN GOOD CONDITION. 'q. MINIMUM SLAB.,", AREA OF EACH ANCHOR IS 28 SQUARE FEET. e1.TFRNATE 3, DRILL PROPER<<SIZE HOLE IN SLAB, A MINIMUM OF 12" FROM ANY SIDE. �'ONNEGTtON 4, EXPANSION BOLT IS POUND PULL OUT,, 7,1601/2 WITH SHEAR.MINIMUM 2 3/4" EMBEDMENT AND.11 _ CH Sec rnuucCTION, 1. ATTACH STRAPS TO CHASSIS BEAM IN MANNER SHOWN. a e 2, IF ANGLE OF SIDE STRAP IS GREATER THAN 60', STRAP CONNECTION CAN BE MADE FROM ANCHOR TO OPPOSITE CHASSIS BEAM. 3, INSERT STRAP THROUGH SPLIT BOLT. CUT OFF EXCESS STRAP AND TIGHTEN ., BOLT UNTIL STRAP IS -SNUG. ` NOTE; EIOUTSIDE BEAMS. 510E-TIQUIREDATEACH END OF ECHTRANSPORTBLESECTION END TIE DOWNS ARE REf ,r. OF THE -MANUFACTURED HOME. ;V n, COMBINATION OF DIFFERENT TYPES OF TIE DOWNS CAN BE USED. _ ra ^.11 ` .., ,e 11 DRILL 9/16' HOLE AT MID HEIGHT OF BEAM AND INSTALL ® i i/2" A307 BOLT,,a i 4p a' ' M (TYPICAL) � � � •• � ae.y�, � � 11 \\ Y_'li �\ . Y 4 q W END VIEW 4N , Jp�� ' SIDE VIE z,. w �. {�!!.nTIE-44.1 C SiDE�VIEW� ZiOTE;END TIE DOWNS CAN BE SIDE=VIEW „1 ` �'n" RFA1►f CHVE# 'RPG BEAM GRASSES LOCATED WITHIN 18 OF EITHER SEE GENERAL NOTE #3 SIDE OF CHASSIS BEAM AXIS. SEE GENERAL NOl _ .:AS - �nrvTRer'rnRS GERTIFiCATION I CERTIFY- THAT I HAVE INSTALLED-UCT ONS.HEI TEM HAVE MADE NO MODIFIRCATION'SING STO THE PER THE INSTALLATION INSTR .'s , ANCHORING SYSTEM- OR TO THE BUILDING STRUCTURE. COMPANY. NAME: CONTRACTORS LIC.# -.. N COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • O 03 roville, California 95965 • Telephone (530) 538-7541 R IT NO. (Rev. 12/96) - APPLICATION ANb�PERMIT - P- ASSESSOR PARCEL NUMBER 026-250-018 ZONING -5 BU I LD I NG P ERM IT OWNER BECERRIL M0U-7- TELEPHONE 534-9967 SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS PO BOX 613 PALEIRMO.CA. 95968 CONTRACTOR'S �N�7AME�� OWN It TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDERS MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filen Fee $ 20.00 Permit Fee $ 23.90 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 205 S , Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome 3I Other SPECIFY Each Trap 7.00 - Solar or heat um water heater 23.00 Water piping 15.00 Each as water heater or vent . 1 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Ik Other ❑ Describe Work: REFER 32403-1330, 2 3R WIT 3 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 R UES "OOVMain Service 2o.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ I am exempt under Sec. Business and Professions Code for this reason Main Service zooA To ,000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BLDS. SO 3.5QFT, NOµRESID MULTI.OUTLET @7,50 POWER APPARATUS a SINGLE ovn� cIR. EX. Occup. OUTLET OR FD(TURES .00 SAL @ 1.50 FIXEDLNS Ex. Occup. oUr rs RFsID.°E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: 1' 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. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less) 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. Bf _ X�/r/vL W� Date � J —2 7- 03 Signature 6f Appficint - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ 100.00 Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 143.00 HA _ _ 0. FEES MP FLOOD X CDF PARCEL Po D ISSUE This permit i ereb Issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON I the applicable provisions Resolutions to do work been paid. Date Date Receipt No. 39 G. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Lim + , . All OUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENTSERVICES - BUILDING DIVt ION "7 County Center Drive Oroville, California 95965 Telephone (530) 53879416��-P RMIT N0. (Rem 6) .; APPLICATION AND PERMIT 03-/16 ' -ASSESSOR PARCEL"UMBER 026-250-018 ZONING A-5 BUILDING PERMIT OWNER BECERRIL MANUELA TELEPHONE 534-9967 SQ. FT. OCC. BUILDING VALUATION .OWNERS MAILING ADDRESS PO -BOX 613 PALERMO CA. 95968 CONTRACTORS NAME OW14M TELEPHONE CONTRACTOR'S MAIUNG ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 23.80 ARCHITECT OR ENGINEERS MAILING ADDRESS � r Plan Checking Fee $ BUILDINGADDRESS 205 SUNNYBR 0 Energy Plan Checking Fee $ $ rf PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00, USEOFSTRUCTURE SF ❑ .Duplex ❑ Mobilehome ]0 Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation qC Other ❑ Describe' Work: REFER BP#03-1330. 2 BR UNIT B Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 600VOR LESS Main Service A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Glass Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors license L aw"for the following reason: _ _ 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 offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service WELL TO 46. NEW CONST. DWELLING oCCUccu00 P. ADDNS. & ACC. 3.SQsFTso. NOR uBLDS. EW CONST. NON-RESID. @7.50 FVWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FDRUREs 20 @ 1'00 . BAL @ .50 Ex. Occup. Guru R� D.) E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 - PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: I 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. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X ��t/vi >�N _ Date yr_2-03 Signature Af AppPcant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ 100.00 Energy Inspection Fee $ Gcc CONST. TYPE TOTAL FEE $ 143:00 . HA — D. FEES P FLOOD X, CDF s PARCEL ...r PO :ISSUE ! This permit i ereb Issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXRIRES ON I the applicable provisions Resolutions to do work been paid. - Date (Da fe Receipt No. $143.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT .r '-w •t:I.�v--•^--•�.r�..,._��._r+�.-`,.�}[ _.-... ..•� .rs�'i''•"""'I•"a,r'�.... .....y�`�sn("' ...� �-`.,.w•-^ar"--r---•-^. .-^-•.,,�,�rt h =COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENTtSERVICES - 7 County Center Drive; • Oroville, California 95965 • Telephone (Revh1 96) APPLICATION AND-PERMITt, BUILDING DIVISION (530) 538=75'41 %/` �� PERMIT—/Z NO. AAS SESSOR PARCEL NUMBER 026-250-018 ZONING A-5 BUILDING PERMIT OWNER RECERRIL WNUELA TELEPHONE 534-9967 SQ. FT. OCC. BUILDING VALUATION - OWNERS MAILING ADDRESS PO -BOX 613 PALERMO CA. 95968E CONTRACTORS /�N�AAM�E�r� Vf(iCr..L\ TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 23.90 ARCHITECT OR ENGINEERS MAILING ADDRESS '� , Plan Checking Fee $ 1 BUILDING ADDRESS- 205 SUNNYBROCK LN OR '� Energy Plan Checking Fee $ r $ PERMIT FEE $ 43.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome 'JM Other SPECIFY Each Trap 7.00 - Solar or heat um water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Ell Other ❑ Describe Work: REFER BP#03-1330. 2 BE UNIT B Gas piping system t - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS1Gi W1 920.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service �AORLESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.P License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law'for the following reason: ,,O° I, as owner of the property, or my employees with wages as their sole compensation, f will do the work, and the structure is not intended or offered for sale. t,❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service To 46.00so CCU000A WEE200A NEW CONST. DWELLING OCCUP. OR ADDNS. s ACC. BLDS. 3 5aS0. . FT. NON-RESIUT. MULTH' CIRLUTCUITS @7,50 LET COWER APPARATUS & SINGLE 'r. C1 DR Ex. Occup. OUTLET OR FURES 20 BAL @ I.50 Ex. Occup. ..FIXED A o oEA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE _ WORKERS' COMPENSATION DECLARATION I�hereby affirm under penalty of perjury one of the following declarations: ISI 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. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 , Ventilation PERMIT FEE S Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) Cf 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 workers' rHA compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X 0//"^�� ,t t '-1 ,� _ e.,rfi'� Yfi� --Date �- 2 '7 _ Signature df Appll6ant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ 100.00 Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 143.00 , . — D. FEES MP FLOOD CDF PARCEL PD /i•HD � ISSUE , This permit i ereb /issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES'ON the applicable provisions Resolutions to do work been paid. Date 11% rt Date Receipt No. 31WT(- Z $143.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 026-250-018 03-1672 BECERRIL, MANUELA 205 SUNNYBROOK, OROVILLE MHI ' COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive Oroville, California 95965 •1 Telephone (530) 538" 7541 %L / �- PERMIT NO. (Revj2°9ti) APPLICATION AND PERMIT" ASSESSOR PARCEL NUMBER N t, ZONING A-5 BUILDING PERMIT OWNER BEMRIL MANUELA TELEPHONE 534-9967 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS PO -BOX 613 PALE 4110 CA. 9596C CONTRACTORS N�AAM�E�p OWNER TELEPHONE CONTRACTORS MAILING ADDRESS .• CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation Is ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 23.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ v BUILDING ADDRESS 205 SUNNYBROCK LN OROV Energy Plan Checking Fee $ 4 $ , PERMIT FEE $ 43.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome lJ Other SPECIFY Each Trap7.00 Solar or heat um water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Pi Other ❑ Describe Work: REM BM3-1330, 2 BE UNIT B Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service 2o0A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencingwith Section 7000 of Division 3 of the Business and Professions Code, ) and my license is in full force and effect.8 License Class Lic. No. i OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, /j will do the work, and the structure is not intended or offered for sale. `❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 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. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) f 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. J _ X �1. /�.• , i . �, Date ' Signature of Applicant - ❑ Owner ❑ Contractor 13 Agent a An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING ffUP. s0 OR ADDNS. ( & ACC. BLDS. 3.50FT. NEW CONST. MULTI.O NON-REBID.U.T.CU@7.50 PSINGLE OUTLET CR.OWER APPARATUS I 20 � , � Ex. OCCU ourLFT OR FIXTURES aAL @ .so Ex. Occup. oUTELE s . D.o� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ 100.00 Energy Inspection Fee $ occ CONST. TYPE . �. TOTAL FEE $ 143.00 HA t► D. FEES MP OD CDF PARCEL PID /HD ! ISSUE This permit is., ereby ssued under the applicable provisions Of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON I IDate Receipt No. 3 & VS4 7 X143.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY''OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION • -7 County Center Drive ° Oroville, California 95965 ° Telephon (530) 538-75 1 PERMIT NO A APPLICATION AND PERMIT �"' J As?2- SOR PARCEL NUMBER p2S�- Dl� 26 iO"� I -S BUILDING PERMIT f_C AA 1 C_ 52'1 TCLEPHONE 2 SQ. FT. OCC. BUILDING VALUATION ADD RACTOR.S NAME Olr!)ri TELEPHONE TORS MA4JN0 ADDRESS C NsTRUcTTON LENDER Fireplace LENDERS MauNc ADDRESS Total Valuation S ARCHrtECT OR ENOWEER UCENSE NO. —Filing Fee $ 2 0.0 0 Permit Fee S 23 — - ARCMTECT 'OR ENONEERS MA6JN0 ADDRESS Plan Checking Fee S BUILDING ADDRESS Z _0 C_Energy Ll L.J ' Plan Checking Fee S • PERMIT FEE _ LOT No. SUBDNISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7:00 --' USEOFSTRUCTURE SF ❑ Duplex ❑ Nlobilehomv< Other ePECLFr Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Add•16on ❑ Remodel ❑ Utilities C3Installation �Olher ❑ Describe Work- 8,0 1 f 0 3- 133 0 2 Uri, % � Gas piping systeirn� 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G 1 @20.00 PERMIT FEE S ELECTRICAL PERMIT I Firing Feel 20.00 Main Service po nR to 23.00 ' '''50E IR A �j O � D ° ��� t j Main Service 20" To R°ooA 46.00 S NEW (POT: DWELLAHM OCCUP. 3.5¢F°, OR ADONs, A ACC. BIDS. NON-RESRL " @7.5D _ s sNPOWER APPARATUS mF o clR Occup. OUTLET OR PMAUM .w . Ex. Occup.� APRESID.M.D� I 5.D0 Temporary Service 23.00 Moble Home Facilities 23.00 Mae. Wiring23.00 PERMIT FEE _ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood6.50 VentBation PERMIT FEL_ S Mobile Home installation Fee $ Energy Inspection Fee $ occ coral. TYPE TOTAL FEES 3 FEES MP FLOOD CDF ARCEL D ISSUE This permit is here y issued under the applicable provisions of the Butte County Code end/or Resolutions to do work indicated above for which fees have been paid. By Date _ PERMIT EXPIRES ON (Delo) COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVI 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: M11 t-) U "L- /J h C r 1 L- ASSESSOR PARCEL NUMBER Proposed Building Use: ' 7'H r IA -2 !!?� w- Counter Technician: Items required in order to.:apply for a permit. All boxes MUST be checked 02(_1 -- Zg"1--Z-1 - 0/P-3 Date:' - .5-- Z -,,1-O3 marked -NA in order to apply. __ , 1.. Plot plans, 3 or 4 sets, signed,ty the preparer of the plans. Complete plans, 3 orA sets, signed by the preparer of the plans. 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. Energy compliance desig te. 1` a. . Manufactured homes: ata sheets and installation instructions, ( Marriage line information, (C,) Floor Plan, (D) Tie down or foundation plans, all, i u licate. -- --�-- 7- i ❑ 7. Metal buildings: (A) Metal But ing Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views`in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will`be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................:.. ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... 3612 Hazardous Material Form.................................................................. Other _ -Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) 14. Fees as shown on the attached Schedule of Fees Due Sheet ...................... :................ ❑ 15. Statement of Intent for Non -heated and A%C Buildings .........................................:... '❑ 16.. Sanit tion and plot plan approval from the Environmental Health Department in i• 01T 17: of Chico Plumbing permit................................................................:......: ❑ California Department of Forestry plan approval ❑ paid. Sent by: ...................... i 9. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: ❑ ,20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... D'21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization..........................................................::•......... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement ............................::...... _ s— ❑ 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits......................................................... ; .❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: When issued Telephone 5'3q - VV 6 % and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: j /`y 'c�i�>/t/� `'+� Date: 1. Index permit application for the above items numbered: 2. Additional items required Contractor, designer, owner, was advised cf the above data by Contractor, designer, owner, was advised of the above data by Plans reviewed by: Date: Structural reviewed by: Date: Note transfer by: I Date: Plan Check Letter ❑ phone, h mail, ❑ counter, by Date: — ❑ phone, ❑ mail, ❑ counte by Date: 4 _Plans approved by: I Date: tyr7T _Structural approved by: Date: Wfinw• Rnildino N) icinn E.H. USE ONLY Plot Plan Attached Floor Plan A achad Sant to B.D. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance -�j ""-& c,c C=,�U5 26 -- 1 Owner Loca ion AP# Plan Approved for: Sewage Disposal Water Supply: Pu lic Private Well Clearance for dwelling. Other Hold final for: Final clearance O.K. for: NOTE: QA 2 Environmental Health Specialist Date 8/96 COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 �j SCHEDULE OF FEES DUE OWNER / -/IU� L,4 A.P. # o2 6 ZSo - O/ 6 PROPOSED BUILDING USE l 5 L.)J "01- 16 DATE RECEIPT # DATE REC. 1. BUILDING PERMIT FEES Balance Due ....................... $ Additional Fees Due ................. $ Additional Fees Due ................. $ / Revised Plan Checking Fee .............$ � 2. SCHOOL DISTRICT FEES U �S (paid at District Office) (Available after Plan Check) 3. SHERIFF FEES (paid at Building Division) ^�/ Residential ...................... r 'x $360.00 = $ J �' o s `� ys— Units Commercial (sq. ft.) ............... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES (paid at Building Division) Residential ................... —x—=$ # Units Amt. Commercial (sq. ft.) ............—x—=$ ' . Sq. ft. Amt. 5. RECREATIONAL DISTRICT FEES (paid at District Office) (Available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES ' $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT DATE Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Buiding Div, 2nd Copy - Applicant 3rd Copy - Owner * (Rev. 6/00) . . COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION NOTICE Post this job card in a safe, conspicuous place. Do not remove until all required inspections are made and building is approved for occupancy. Plans must be available on the job site. A.P. No. _ 026-250-018 - _03:1672_1 Owner _ _ BECERRIL, MANUELA ContractoMHI UNNYBROOK, OROVILLE Permit No.. Fix :os� PfAMITTEE MUST CALL FOR INSPECTIONS INSPECTION I DATE I INSPECTOR Piers Conduit Pre-Gunite Underfloor Plumbing Underfloor Electrical Underfloor Mechanical Underfloor Framing Slab Rough Electrical Rough Mechanical Framing Shower Pan 0'6 insulation D Fireplace Footings Fireplace Throat Stucco Lath Scratch and Brown Sewer Service Water Service Pool Final Plumbing Final Electrical Final Mechanical Final Buildina or M.H. Final DO NOT OCCUPY UNTIL ALL THE ABOVE IS SIGNED AND THE BUILDING OR MOBILE HOME IS APPROVED FOR OCCUPANCY Addresses lnformatUon. 2..............Hr Insp Oroville - 7 County Center Drive 538-7541 538-7636 Chico - 411 Main Street 891-2751 891-2834 Revised 7/94 Building Permit Number: Owner Name: 02C'.CeY� f L Residential Construction Requirements IMPORTANT This set of plans and specifications MUST be kept on the job site at all times and it is unlawful to make any changes or alterations on same without written permission from the Building Division, County of Butte. All materials and workmanship shall be in accordance with recognized good practices LN and of a quality prescribed for the specific use in the 1998 California Building Code 2� UImG (1997 U.B.C), 1998 California Plumbing Code ( 1997 U.P.C.), 1998 California l.lf�C� Mechanical Code (1997 U.M.C.) and the 1998 California Electrical Code (1996 N.E.C.) COMPLY WITH ITEMS CHECKED BELOW aYour parcel lies within a designated 100 -year flood plain. Finish floor, electrical, H.V.A.C. equipment and services shall be a minimum of one foot above the elevation shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate will also be required Note: We will normally accept the following as'compliance with the flood elevation requirements: 1. Building is anchored to concrete stemwall system with conventional anchor bolts. 2. Building plate on top of stemwall to be one foot or more above the 100 -year flood elevation. (Plate height.less than 24" above grade, or engineered design required). 3. Electrical, heating, ventilation, plumbing and air conditioning equipment and facilities located above the plate. 4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total net area of not less than 1 square inch for every square foot of enclosed area. 5. The bottom of the openings shall be no higher than 1 foot above grade. 6. The openings may be screened or covered with other devices that will permit automatic entry and exit of floodwater. Paget of 2 Building Permit Nu ler: 11-1,172— Owner Name: e C e ✓ Parcel lies within the State Responsibility Area (SRA). Comply with attached requirements. 0 Fire sprinklers are required in this structure. ❑ The following parcel map requirements shall be met: All structures and equipment including overhangs shall be clear of all easements. A setback of feet from the side and feet from the rear property lines and 20 feet (25 feet if Federal Aid Route) from the edge of the right of way shall be clear of structures and equipment except for a 2 foot overhang. Expansive soil may be encountered on this site. This condition may require the foundation to be designed by a California registered engineer or licensed architect. Page 2 of 2 4 a 30b /. '9 E- 3 I BUTTE CC UNTY CIS ot..K^.: •.R\'. .. +[tt\Ka,"::Y••/•�.[Sl•'Y. 7'M'•[....\.^..0 '^^C..... ^.<^:«h.>.....:.... {...... . \ �K 1. Owner's Name:Aia�� Re < < /,'-// z 2. Assessor's Parcel Number: /, — 2 ,f—,,0 - 6 .- 3. Installer's Name: % zn L r� 4. Is the site currently.under permit? Yes[('] No[ ] Permit, No. � q 5. Is the site an existing site? Yeso No[ ] (If yes, fiunish two. plot plans). 15-0 6. What is the electrical rating of the mobilehome?. E. Amperes. 7. What is the mobilehome site circuit breaker rating?Amperes. 8. What is the electrical rating of the mobilehome site? / O D Amperes, 9. Is the main service remote from the mobilehome site? Yes[X] No[ ] If it is, what is the rating? 2o d Amperes. 10. Is there any other electric load to be served by the mobilehome site electric service (i.e. ell garage etc.)? Yes R1 No [A If yes, please identify the load and size: a) The mobile home site: Load- � 3 (2, 3 Amperes- Z b) The main service: Load- Amperes- U 11. Type of gas service at mobilehome site: Natural[ ] Propane(�j None[ ] 12. Size" of --gas pipe at the mobdehome ­7site from the meter or tank: _inches. 13. What is the gas pipe -length from the meter or tank to the mobilehome?_Z-.r_(ft.). 14. What is the mobilehome gas demand? B.T.U.* *(This information is not required if the pipe length is less than 6 feet on natural gas or less than 50 feet on propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION May 1995 8.5 Mobilehome Manufacturer: Manufacture Year: If other than single wide, furnish Setup Model Number: Width: (ft.) Length: (ft.) Tagalong or Expando Size (ft.) x (ft.) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. FOOTINGS: Wood pressure treated or foundation grade[ ] Other: SUPPORTS: Concrete block[ ] Other- Provide ther Provide Tie Down Specifications for all Mobilehomes: Pier Footings Sizes and Location sINCILE wmE MULTI-wME Line 1 I Line 2 Inas 2 ................................................................................................ Main Bean Line2............................................................................................. 2 Line I I.a 3 Line 2 ................................................................................................ Main Bears ............................................................................................ Line 2 Line I ............................................ ine 3 Tag or Triple c4 ine 1 Line 1 Piers: Size minimum: rI2.1 x o . Spacing maximum: 1 5' 91, From ends -maximum: i Line 2 Piers: Size minimum: x Spacing maximum: L 4` From ends -maximum. o ` Line 3 Roof Loads: Size minimum Location (from front): Line 5 Roof Loads: Size minimum: Location (from front): Line 1 Openings Size minimum: [ 2] x Each side of openings with width over: . ` Line 4 Piers: Size minimum: x Spacing maximum: ` From ends -maximum ` f OVER SAC INDUSTRIES TIE DOWNS ENGINEERED TIE DOWN BYBTEM (}ENERAt NOTES i r a ►� uu- * WIND ------"'-'--' 17.4 PSF (70 MPH EXPOSURE "C" *WIND -----"'--"'-- 25.6 PSF (85 MPH EXPOSURE "C") * WIND ------35.35 PSF (100 MPH EXPOSURE "C") *SEISMIC ZONE --- 1000 psi NOTE; MAXIMUM SOIL PRESSURE IS 1000 psf WITHOUT A SOIL REPORT. * SOIL BEARING * EARTH AUGERS ---- 4750# MIN. TOTAL -LOAD CAPACITY 3150# WORKING LOAD CAPACITY * STABIL-X DRIVE ANCHORS-- 3150# WORKINGALOADACAPACITY. CAPACITY *CONCRETE SLAB ANCHORS-- 3150# WORKINGALOADACAPACITY CAPACITY *TIE DOWN STRAPS - 3150# TOTAL WORKINGLOAD C PAC CAPS PACITY _ 1, CLASS B IE GRADE STRAPPING SAND BE AT LEASTTS FEDERAL SPECIFICATION4QQ,035 Z ZINC PLATED. 1. THE5 HFRTHE MANUFACTURED REQUIRED HOME.UMBER OF TIE DOWNS ON THE SIDES AND END 2. COMBINATIONS OF THE DIFFERENT TYPES OF TIE DOWNS CAN BE USED. 3. FOR ALL TIE DOWN INSTALLATIONS, THE MANUFACTURED HOME CHASSIS MEMBERS ARE SHOWN AST BEAMS. (FOR ILLUSTRATION PURPOSE ONLY) CHASSIS BEAMS CAN ALSO BE "C" SHAPED OR "RFC' SHAPED. iE CHASSIS 4. DOWNS FARE REQUIRED ATQDOWNS ARE UEACH ENDIRED # OF EA HTHE U TSIC TRANSPORTABLE BSECTION OF TIE THE D MANUFACTURED HOME. OF CHASSIS BEAM 5. END TIE DOWNS CAN BE LOCATED WITHIN IS" OF EITHER 112E AXIS, AND BOLT -ON TOP CAN BE ATTACHED WITHIN 18" TO 60" FROM DM OF CHASSIS BEAM. 6. THE SIZES, TYPES, LENGTHS, ECT. OF MATERIALS SHOWN HEREON ARE MINIMUM. LARGER, LONGER, HEAVIER MATERIALS SUPPLIED BY SAC INDUSTRIES, INC. MAY BE USED AT THE SAME SPACING AND LOCATIONS SHOWN. 7.AHI. PARTS WN SYSTEM MEETSTED WITH RUST RESISTANT THE REQUIREMENTS OF (AL SECT SECTION 336.3. 8. SUB - THIS TIE DO SECTION (a). INDUSTRTES SAC INCORPORATED (-__:��IT�ATEPPROVAL 1722 HOPROlD1Se 2 ph: U+748 - v _ APPROVED SUBJECT TO CORRECTIONS NOTED Approval does not authorize or approve any omission or deviation from requirements of applicable State laws and regulations. State of California Department of Hous' Community Development l COU AND STANDARDS . Date �� 2 dna e SPA Pio ......... This Plan Approval Expires 4-2 'F1``�"�' y r W O fes. oar PACIFI CONUI.TINC��NGtNE,E� 215 BELL AVE. SUITE 1 5 S SACRAMENTO;, C�A?�9S`83 PH: (916) 4- Oi V A'C'ID 14 �:. _SAC JND. EARTH AUGER TIE DOWN ANCHORS T . #6005 #6006 #7000 #7002 #4002 r CHASSIS . N4002 PIER OLT-ON TOP #7002 � �� . =: • � .'. � 7' STEEL- STRAPN7000 7' STEEL W/HOLE STRAP W/BUCKLE �d p8003 SPLIT 0 qa BOLT & NUT NOTE #6001 #6000 ,F NOTE 3 '` NOTE 4 �eooe •" ';y `�.4;j S ABILIZER PLATE f9m VERTICAL OR ANGULAR INSTALLATION . IS OPTIONAL iNUALLATION INSTRUCTIONS 1. CONTRACTORS WARNIN •' CHECK FIRST FOR UNDERGROUND UTILITIES. 2. INSTALL GROUND ANCHOR INTO GROUND LEAVING 12"-14. OF SHAFT EXPOSED. 3. PLACE STABILIZER PLATE NEXT TO SHAFT BETWEEN THE ANCHOR AND CHASSIS BEAM, -AND ,DRIVE INTO GROUND. i FINISH TURNING ANCHOR INTO THE GROUND APPLYING CONSTANT DOWNWARD s' PRESSURE TO MINIMIZE SOIL DISTURBANCE, UNTIL ANCHOR HEAD IS -FLUSH WITH . STABILIZER PLATE. 5.' ATTACH STRAPS TO CHASSIS BEAM IN MANNER SHOWN. 6. IF ANGLE OF SIDE,STRAP IS GREATER THAN 60', STRAP CONNECTION CAN BE , MADE•FROM ANCHOR TO OPPOSITE CHASSIS BEAM. 7. INSERT STRAP THROUGH SPLIT BOLT. CUT OFF EXCESS STRAP AND TIGHTEN BOLT UNTIL: STRAP. IS SNUG. TIC DOWN - CHART END ETIE CHART DOWN •' a END TI DOWN Q SEE CHART 3' 0 ' ~ iv 4 � VV V ,v� %% i SINGLE WIDE DOUBLE WIDE �, TRIPLE WIDE SAC I�1D STABIL X DRIVE TIE DOWN ANCHORS #6013 #6005 #7000 #7002 if 4002 17000 or #7002 7' STEEL STRAP 16003 SPLIT BOLT A NUT #6013 STABILE Y DRIVE ANCHOR - GROUND LINE DETAIL" " CHASSIS 70 85 100 LP H MPH 1�yya002 PIER 60LT-ON TOP —` + i r + + S0' mi - -_ q #7002 �i + 7' STEEL/7000 7' STEEL STRAP STRAP W/BUCKLE W/HOLE -A (6003 SPLIT \\\ •� BOLT r NUT TONE -t 7 _ _9... 4 S" 1�r^' _ 2 tZ 10 P M ' zorrE a Z... _ 6 ..... 4 4 RIPLE WIDE I 70 MP 11 4P ' _SEE DETAIL(A� VERTICAL OR ANGULAR INSTALLATION IS OPTIONAL STABIL—X DRIVIR ITE DOWN CFE DETAIL "A" INSTALIraTInN INSTRUCTIONc i. CONTRACTORR WARNING, CHECK FIRST FOR UNDERGROUND UTILITIES. 2. DRIVE STABILIZER PLATE INTO GROUND. 3. DRIVE CROSS RODS THROUGH HEAD TUBES INTO SOIL AS SHOWN. 4, ATTACH STRAPS TO CHASSIS BEAM IN MANNER SHOWN. S. IF ANGLE OF SIDE STRAP IS GREATER THEN 60', STRAP CONNECTION CAN BE MADE FROM ANCHOR TO OPPOSITE CHASSIS BEAM. 6. INSERT STRAP THROUGH SPLIT BOLT. CUT OFF EXCESS STRAP AND TIGHTEN x%6002 BOLT UNTIL STRAP IS SNUG. SEE NOTE #7 7• #6002 ANCHOR CAN BE USED WHERE HARD OR ROCKY SOIL OCCURS. IF THE AND NOTE #8 GROUND SURFACE IS OTHER THAN ROCKY SOIL OR MINIMUM 2" ASPHALT, USE STABIL-X ANCHOR OR ENCASE ANCHOR WITH 12'02"02" CUBE OF CONCRETE. 8. WHEN #6002 ANCHOR IS USED FOR ANY REQUIRED ANCHOR -- (2) ANCHORS MUST BE -USED AT THAT LOCATION.: YYIKQ= (70 MPH - 85 MPH `- 100 MPH EXP. "C" - SEISMIC ZONE 4� REQUIRED NUMBER OF COMBINED ANCHORS FOR EACH -- Ma AND ZM OF MAKUFACTURED;$D)i E, WIDTH WIND SPEED No. OF IU SEISMIC SIDE TIE, OI�V�NQ 1—'� Fs END �4 SINGLE (01D16' 70 85 100 LP H MPH I EXP. 17, i PSF X Z'2S ! ZONE a ' _ -Z�E4 S0' mi - -_ q �ZL_ MPH 1 (Z� OUB WIDE 7 MPH a 17.4 PSF I TONE -t 7 _ _9... 4 S" 1�r^' _ 2 '0 32' 10 P M ' zorrE a Z... _ 6 ..... 4 4 RIPLE WIDE I 70 MP 11 4P ZONE 4 ---A ON 4 -�- -._. 10-- .......12 -� '_� •-•• _ 4 0 44' • ZONE —S-"�' - 6 ZONE 4 1 8 112 14 _ 8 #7000 c+ . r• ` T AT T)' 8 #6005 #7002 �4002 PIER OLT—ON TOP #7002 . 7' STEESTRAP WITH HOLE ,�yy6005 SPLIT 9OLT & NUT --1�,00.o z , CHASSIS00 —� i p7000 7' STEEL STRAP W/BUCKLE r— #6004 �OR •y. #4002 .'#6003 #6004 _CONCRETE, TIE -DOWN r INSTALLATION INSTRUCTIONS NEW CONCRIETF LY8004 1, PLACE CONCRETE ANCHOR INTO WET CONCRETE,. AND ALLOW TO PROPERLY CURE. 5 REBAR PROPERLY EMBEDDED IN CONCRETE. 2, ALTERNATE CONNECTION REQUIRES # --..,� �nNroETE�— Y6003 i.. CONCRETE•MUST BE A MINIMUM 3 1/2" THICK AND IN. GOOD CONDITION. 2. _ MINIMUM SLAB AREA OF EACH ANCHOR IS 28 SQUARE FEET. ILL 3. DRPROPER SIZE HOLE' IN SLAB, A MINIMUM OF 12" FROM ANY SIDE. 4, XPA POUND PULL OUT7,160 " 112- WITH SH MINIMUM 2 3/4" EMBEDMENT AND 6 niAceic cONNEGTION J. ATTACH STRAPS TO CHASSIS BEAM IN MANNER SHOWN. 2, IF ANGLE.OF, SIDE -'STRAP IS GREATER THAN 60', STRAP CONNECTION CAN BE MADE FROM ANCHOR TO OPPOSITE CHASSIS BEAM. 3. INSERT STRAP.-THROUGH.SPLIT BOLT. CUT OFF EXCESS STRAP AND TIGHTEN BOLT* UNTIL STRAP IS SNUG. E; SIDE. ,TIE ;DOWNS ARE REQUIRED ALONG THE OUTSIDE CHASSIS BEAMS. OWNS ARE REQUIRED AT EACH END OF -EACH TRANSPORTABLE SECTION #6003 END TIE D OF THE MANUFACTURED., HOME. NOTE: A COMBINATION OF DIFFERENT TYPES OF TIE DOWNS .CAN BE USED. DRILL 9/16' HOLE AT MID HEIGHT OF BEAM AND INSTALL 1/27 A307 BOLT • 1 (TYPICAL) �dAPd� � SIDE VIEW END VIEW /SIDE END TTE DOWNSIDE VIEWS; END TIE DOWNS CAN BE VIEW ,FAM CHASSIS RFC' BEAM CH SIS LOCATED WITHIN 18 OF EITHER SEE GENERAL NOTE SEE GENERAL NOTE p3 SIDE OF CHASSIS BEAM AXIS. CONTRACTORS CERTIFICATION fpANCHORING ERTIFY THAT I HAVE INSTALLED THE SAC IND.;• INC. ANCHORING SYSTEM AS R THE STALLATION THE 'INSTRUCTIONS. NG STRUCTURE 0 MODIFICATIONS TO THE SYSTEM OR TO r CONTRACTORS LIC.# MPANY NAME: - Building Permit Number: Owner Name: Residential Construction Requirements IMPORTANT This set of plans and specifications MUST be kept on the jobsite at all times and it is unlawful to make any changes or alterations on same without written permission from the J U Building Division, County of Butte. All materials and workmanship shall be in accordance with recognized good practices and of a quality prescribed for the specific use in the 1998 California Building Code (1997 U.B.C), 1998 California Plumbing Code ( 1997 U.P.C.), 1998 California Mechanical Code (1997 U.M.C.) and the 1998 California Electrical Code (1996 N.E.C.) COMPLY WITH ITEMS CHECKED BELOW Your parcel lies within a designated 100 -year flood plain. Finish floor, electrical, El H.V.A.C. equipment and services shall be a minimum of one foot above the elevation shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate will also be required Note: -We will normally accept the following as*compIiance with the flood elevation requirements: I. Building is anchored to concrete stemwall system with conventional anchor bolts. 2. Building plate on top of stemwall to be one foot or more above the 100 -year flood elevation. (Plate height less than 24" above grade, or engineered design required). 3. Electrical, heating, ventilation, plumbing and air conditioning equipment and facilities located above the plate. 4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total net area of not less than 1 square inch for every square foot of enclosed area. 5. The bottom of the openings shall be no higher than 1 foot above grade. 6. The openings may be screened or covered with other devices that will permit automatic entry and exit of floodwater. Page 1 of 2 Building Permit Number: "/6 7Z Owner Name: �eCe r �i C—. ❑ Parcel lies within the State Responsibility Area (SRA). Comply with attached requirements. ❑ Fire sprinklers are required in this structure. ❑ The following parcel map requirements shall be met: All structures and equipment including overhangs shall be clear of all easements. A setback of feet from the side and feet from the rear property lines and 20 feet (25 feet if Federal Aid Route) from the edge of the right of way shall be clear of structures and equipment except for a 2 foot overhang. Expansive soil may be encountered on this site. This condition may require the foundation to be designed by a California registered engineer or licensed architect. Page 2 of 2 } V w � f o� V w " sz, � 9 sr 54, 0 ZP BUTTE BUILDING D N--- . ,, •<.,�cawx.avaa•••-:m, c ->.t �"`cr.^"'Y •7^:tn•• ••r:. ^'^:??�:;`;•:;• .... •\a �\ ,... ...v.... .� .t ::.� ...::. ,tw .4 Kv s3 ........... ........ .................... .. 1. Owner's Name: 4 42 > / ri, e c < A11-ri 2. Assessor's Parcel Number: 3. Installer's Name: r , /0 L r 4. Is the site currently, under permit? Yes[ ('] No[ ] Permit No. — E 9 5. Is the site an existing site? Yeso No[ ] (If yes, furnish two plot plans). 6. What is the electrical rating of the mobilehome?; � u��13Amperes. 7. What is the mobilehome site circuit breaker rating? i�) Amperes. 8. What is the electrical rating of the mobilehome site? / 0 D Amperes, '9. Is the main service remote from the mobilehome site? Yes[Xj No[ ] If it is, what is the rating? d Amperes. 10. Is there any other electric load to be served by the mobilehome site electric service (i.e. ell garage etc.)? Yes[XI No[A If yes, please identify the load and size: a) The mobile home site:� Load- 3 j ` Amperes - b) The main service: Load- Amperes - 11. Type of gas service at mobilehome site: Natural[ ]' Propane[Al None[ ] 12. Siz -- -= of -gas pipe at the mobilehome ,�� site from the meter or tank: inches. 13. What is the gas pipe length from the meter or tank to the +mobilehome?eft.). 14. What is the mobilehome gas demand? RT.U. *(This information is not required if the pipe length is less than16 feet on natural gas or less than 50 feet on propane).: THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION BUTTE COUNTY BUILDING DEPARTMENT 8.5 . AP P"R 1 IF `1,•:i May 1995 t Mobilehome Manufacturer: Manufacture Year: If other than single wide, furnish Setup Model Number: Width: (ft.) Length: (ft.) Tagalong orExpando Size (ft.) x (ft.) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. FOOTINGS: Wood pressure treated or foundation grade[ ] Other: SUPPORTS: Concrete block[ ] Other: Provide Tie Down Specifications for all Mobilehomes: •t Pier Footings Sizes and Location SINGLE WIDE MULTI -WIDE Line I I Line 2 Line 2 ................................................................................................ Main Beams Line 2 Line 1 Lme 3 Line 2 ................................................................................................ Main Beano Line 2 ................................................................................................ Line 1 ............................................ itic S Tag or Triple e4 Line 1 r . Line 1 Piers: Size minimum: r 12.1x r lb I Spacing maximum: 54 Q ` From ends-maximum.1 ` Line 2 Piers: Size minimum: l2 x 001. Spacing maximum: 4 (.,p ` From ends -maximum. ` Line 3 Roof Loads: Size minimum Location (from front): Line 5 Roof Loads: Size minimum'. - Location (from front):; Line 1 Openings Size minimum: [ Z] x Each side of openings with width over: Line 4 Piers: Size minimum: x Spacing maximum: ` From ends -maximum ` `7" 71 -13 OVER A 11' 23. a ' sf'.�.iorint� � �O F I%F .... a nAT%6. SAC INDUSTRIES TIE'DOWNS ENGINEERED TIE DOWN SYSTEM nsrtyER L NOTES * WIND --- --'- 17.4 PSF (70 MPH EXPOSURE "C" * WIND ----------- -=- 25.6 PSF (85 MPH EXPOSURE "C") * WIND --- ------35.35 PSF (I Do MPH EXPOSURE "C") * SEISMIC ZONE - - - - - - - - - - 4 MAXIMUM SOIL PRESSURE * SOIL BEARING - - - - - - - 1000 psf NQTE; IS 1000 psf WITHOUT A SOIL REPORT. *EARTH AUGERS -'-- 4750# MIN. 3150# WORKING ALOAD ACAPACITY ITY * STABIL-X DRIVE ANCHORS-- 4750# MIN. TOTAL LOAD CAPACITY. 3150# WORKING LOAD CAPACITY *CONCRETE SLAB ANCHORS- 31TOTAL 50# WORKINGLOAD C PAC CAPACITY *TIE DOWN STRAPS ------- 4750# MIN. TOTAL LOAD CAPACITY 3150# WORKING LOAD CAPACITY TIE DOWN STRAPS MEETS FEDERAL SPECIFICATION QQ-S-781H FOR TYPE 1, CLASS B GRADE 1 STRAPPING W DHEEREQUIREDLEAST NUMBER OF , PLATED. TIE DOWNS ON THE SIDES AND 1. THE CHARTS SHO ENDS OF THE MANUFACTURED HOME. 2. COMBINATIONS OF THE DIFFERENT TYPES OF TIE DOWNS CAN BE USED. 3. FOR ALL TIE DOWN INSTALLATIONS, THE MANUFACTURED HOME CHASSIS MEMBERS ARE SHOWN AS "T' BEAMS. (FOR ILLUSTRATION PURPOSE ONLY) CHASSIS BEAMS CAN ALSO BE "C" SHAPED OR "RFC' SHAPED. : CHASSIS TIE G THE 4. SIDE FARE REQUIRED RATA EACH END ALON OF EACH U TSIDE DNS DOWNS ARE TRANSPORTABLE BEAMS.END OF THE MANUFACTURED HOME. LOCATED WITHIN 18" OF EITHER OF CHASSIS BEAM 5. END TIE DOWNS CAN BE FROM N BE ATTACHED WITHIN 18" TO 60" FROM DMOF CHASSIS BEAM. AXIS, AND BOLT -ON TOP CA 6. THE SIZES, TYPES, LENGTHS, ECT. OF MATERIALS SHOWN HEREON ARE MINIMUM, LARGER, LONGER, HEAVIER MATERIALS SUPPLIED BY SAC INDUSTRIES, INC. MAY BE USED AT THE SAME SPACING AND LOCATIONS SHOWN. 7• ALL PARTS WN SYSTEM MEETS RTHE REQUIREMENTS UST RESISTANT INDUSTRIAL PRIMER. ARE COATED WITH OF SECTION 336 3SUB- 8. THIS TIE DO SECTION (a). INDUSTRIES SAC INCORPORATED STATE APPROVAL 1722 A BISHOP ROAD V. TEM MHALIS, WA 96532 Ph:;*74e•e - - APPROVED SUBJECT TO CORRECTIONS NOTED Approval does not authorize or approve any omission or deviation from requirements of applicable State laws and regulations. ' ' - State of California DepartmgaLlof HousCommunity Development COU AND STANDARDS . Date '2 igna we SPA NO E This Plan Approval Expires/_ -2 r 3 CA 1lq lC 0E- C-�E►.� PACIFIC CONSULT9NC NnhNEE� 2150 BELL AVE. SUITE, 1 9 ENT 54 — 802 8 11 PH: (918)) 10 "::3 �ae=000 SAC IND EARTH AUGER TIF n ` OWN ANCHORS. o #6005 • °:. #6006 #7000 #7002 P` 44002, R CHASSIS 0002 PIER i BOLT—OATOP- #7002 STRAP00 7' STEEL W/HOLEP W/BUCKLE p8005 SPLIT BOLT dt NUT #6001 8008 .:i': � •p:^•r' '� �••' S ABILIZER PLATE #6000 ' ? • ;.; ;�.:I . N6000 SERIES riEARTH AUGER (TYPICAL) c-Ic-1a t VERTICAL OR ANGULAR INSTALLATION IS OPTIONAL r AUGER TIE -DOWN .INSTAUATT0INSTRUCTIONS 9. •._ 1. CONTRACTORS • WARNING: CHECK FIRST FOR UNDERGROUND UTILITIES. 2. INSTALL"GROUND `ANCHOR INTO GROUND LEAVING 12•-14° OF SHAFT EXPOSED. ' 3. PLACE STABILIZER PLATE NEXT TO SHAFT BETWEEN THE ANCHORAND CHASSIS ,� s BEAM, AND -DRIVE INTO GROUND, r 4, FINISH TURNING ANCHOR INTO THE GROUND APPLYING CONSTANT DOWNWARD PRESSURE TO MINIMIZE SOIL DISTURBANCE, UNTIL ANCHOR HEAD IS FLUSH WITH STABILIZER; PLATE. 5. ATTACH STRAPS TO CHASSIS' BEAM IN MANNER SHOWN. '! " 6. IF ANGLE OF SIDE STRAP IS GREATER THAN 60', STRAP CONNECTION CAN BE y MADE FROM ANCHOR TO OPPOSITE CHASSIS BEAM. 7. INSERT STRAP -THROUGH SPLIT BOLT. CUT OFF EXCESS STRAP AND TIGHTEN BOLT UNTIL -STRAP IS SNUG. CND TIE DOWN END TIC DOWN SEE CHART EE CHART 1 ENO TIE DOWN rl+ L,. SEE CHART 3 ' W q ,,(( N i . > CCC y, _-., a''�•Ira IE] Q ; • - i.:� l SINGLE WIDE DOUBLE WIDE TRIPLE WIDE C3 SINGLE WIDE DOUBLE WIDE TRIPLE WIDE SAC IND. STABIL-X DRIVE TIE DOWN ANCHORS #6013 #6005 #7000 #7002 #4002 07000 or #7002 7' STEEL STRAP �' CHASSIS y1OLT ,OOT PIER i BN TOP y6005 SPLIT ' B#7002 OLT dt NUT � � '• i /E013 STABILE "X" 7' STEEL TRPBLSTP IA7- STEEL DRIVE ANCHOR W/HOLE GROUND LINE ,.,n.,+,�,•,.„d tp� /—'/6005 SPOT BOLT do NUT iL L"A AN 66' 80' EXP:C17,4 N 83 MPH 3400P S~ 6 Z SEE_ DETAIL_A"! VERTICAL OR ANGULAR INSTALLATION IS OPTIONAL STABIL•-X DRIVE TI DOWN SEE D— ETAIL "A" INSTALLATION INSTRUCTIONS 1. coNTRacTORc waRNINc� CHECK FIRST FOR UNDERGROUND UTILITIES. 2. DRIVE STABILIZER PLATE INTO GROUND. 3. DRIVE CROSS RODS THROUGH HEAD TUBES INTO SOIL AS SHOWN. 4, ATTACH STRAPS TO CHASSIS BEAM IN MANNER SHOWN. S. IF ANGLE OF SIDE STRAP IS GREATER THEN 60', STRAP CONNECTION CAN BE MADE FROM ANCHOR TO OPPOSITE CHASSIS BEAM. 6. INSERT STRAP THROUGH SPLIT BOLT. CUT OFF EXCESS STRAP AND TIGHTEN BOLT UNTIL STRAP IS SNUG. 7• #6002 ANCHOR CAN BE USED WHERE HARD OR ROCKY SOIL OCCURS. IF THE GROUND SURFACE IS OTHER THAN ROCKY SOIL OR MINIMUM 2" ASPHA STABIL-X ANCHOR OR ENCASE A NLT, USE CHOR WITH 12 x12 x12" CUBE OF CONCRETE. B. WHEN #6002 ANCHOR IS USED FOR ANY REQUIRED ANCHOR -- (2) ANCHORS MUST BE USED AT THAT LOCATION, 70 MPH - 85 MPH - 100 MPH EXP. "C" - SEISMIC ZONE 4 REQUIRED 'NUMBER'O�F COMBINED ANCH AND OF MANUFACI WIDTH I WIND SPEED SEISMIC N0. OF SIDE TIE,D�O,W ;,'ZINGLE WIDE ],=�70MPH 66' 80' EXP:C17,4 ZONE a 83 MPH 3400P S~ 6 Z M DE WIDE I ySc' 66' 80' ;F f ZONE a _ 4 i i.ONE S~ 6 Z _7ONE4 ZONE aUF ��,I ZONA a _ Z... 6 ZONE ..... _._ �---3012 F ON 4 ONE 4f—b---g' '-tea •.- ZMI ONE -4 j 8 12 14 x/6002 SEE NOTE #7 AND NOTE /8 w #,7000 #4002 0 #6005 #7002 O #6003 #6004 ,y 4002 PIER BOLT—ON TOP #7002 7' STEEL STRAP WITH HOLE — #6005 SPLIT BOLT do NUT --` Cil CHASSIS INSTALLATION INSTRUCTIONS_ „EW CO CEoCONCRETE ANCHOR INTO WET CONCRETE, AND ALLOW TO PROPERLY CURE. 1. . . ,2, ALTERNATE CONNECTION REQUIRES #5 REBAR PROPERLY EMBEDDED IN CONCRETE. I N.• ,•nurocTE ._ 116003 1, CONCRETE MUST18E. A MINIMUM 3 1/2" THICK AND IN GOOD CONDITION. 2, MINIMUM SLAB AREA•OF EACH ANCHOR IS 18 SQUARE FEET. 3, DRILL. PROPER SIZE HOLE IN SLAB, A MINIMUM OF 11" FROM ANY SIDE. 4, 8X1POUND PULL OUT, 7,13 1 /2"POUWITH SHEAR,MINIMUM 2 3/4" EMBEDMENT AND 80 NNEGTION , 1, ATTACH STRAPS T_0 CHASSIS BEAM IN MANNER SHOWN. STRAP IS GREATER THAN 60, STRAP CONNECTION CAN BE t • ti 1' gg70004' STEEL STRAR W/BUCKLE #6004,' #6003 . y.,,. • apt ..� ALMMU NATE rnNNEGTION z, 2, IF ANGLE OF SIDEA , MADE FROM.ANCHOR TO OPPOSITE CHASSIS BEAM. 3, INSERT STRAP •THROUGH' SPLIT BOLT. CUT OFF EXCESS STRAP AND TIGHTEN f BOLT UNTIL STRAP IS.,SNUG. F. �`• SIDE TIEi DOWNS ARE REQUIRED ALONG THE OUTSIDE CHASSIS BEAMS. ,i END TIE DOWNS ARE- REQUIRED, T EACH END OF EACH TRANSPORTABLE SECTION OF THE- MANUFACTURED. 'rte A COMBINATION OF DIFFERENT TYPES OF TIE DOWNS CAN BE USED. DRILL,9/16° HOLE AT MID HEIGHT 44 1 OF BEAM AND INSTALL / .. I/2" A307 BOLT / (TYPICAL) low / I / `/�/, p ♦ ®� SIDE VIEW END VIEW ` Cp / / �/ �� FND TIE �QWSI -•. SIDE VIEW NOTE; END TIE DOWNS CAN BE SIDE VIEW ,� ;LOCATED WITHIN 18" 'OF EITHER "C RFAM CHA�SLS ' SIDE OF CHASSIS BEAM - AXIS. - SEE GENERAL NOTE #3 s . SEE GENERAL NOTE #3 y r rOr� TO S •CERTIFt�ATION '•° l CERTIFY THAT I _HAS AVE INSTALLED THE"SAC .IND., INC. NO MODIFIRCATIONSSTOMTHE . I. PER. THE .INSTALLATION INSTRUCTIONS. I HAVE MA ANCHORING :SYSTEM OR TO THE BUILDING STRUCTURE. i COMPANY. NAME: CONTRACTORS` LIC.# Building Permit Number:' Owner Name: Residential Construction Requirements IMPORTANT This set of plans and specifications MAST be kept on the job site at all times and it is unlawful to make any changes or alterations on 'same without written permission from the Building Division, County,of Butte. All materials and workmanship shall be in accordance with recognized good practices and of a quality prescribed for the specific use in the 1998 California Building Code (1997 U.B.C), 1998 California Plumbing Code ( 1997 U.P.C.), 1998 California Mechanical Code (1997 U.M.C.) and the 1998 California Electrical Code (1996 N.E.C.) COMPLY WITH ITEMS CHECKED BELOW aYour parcel lies within a designated 100 -year flood plain. Finish floor, electrical, H.V.A.C. equipment and services shall be a minimum of one foot above the elevation shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate will also be required Note: We will normally accept the following as compliancewith the flood elevation requirements: 1. Building is anchored to concrete stemwall system with conventional anchor bolts. 2. Building plate on top of stemwall to be one foot or more above the 100 -year flood elevation. (Plate height less than 24" above grade, or engineered design required). I Electrical, heating, ventilation, plumbing and air conditioning equipment and facilities located above the plate. 4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total net area of not less than 1 square inch for every square foot of enclosed area. 5. The bottom of the openings shall be no higher than 1 foot above grade. 6. The openings may be screened or covered with other devices that will permit automatic entry and exit of floodwater. Page l of 2 } Building Permit Number:0J —1 `] J ' Owner Name: ❑ Parcel lies within- the State Responsibility Area (SRA). Comply with attached requirements. Fire sprinklers are required in this structure. ❑ The following parcel map requirements shall be met: Al structures and equipment including overhangs shall be clear of all easements. A setback of � feet from the side and feet from the rear property lines and 20 feet (25 feet if Federal Aid Route) from the edge of the right of way shall be clear of structures and equipment except for a 2 foot overhang. Expansive soil may be encountered on this site. This condition may require the foundation to be designed by a California registered engineer or licensed architect. Page 2 of 2 t2 , 0 a M a.r......,•cvr.n � .^:..m :.;or.-.:,r•-^�m"'f.•7.�xt,•r ^. r:. ....».;.o .. Z. �s k. >3 . •si �, / / 2. Assessor's Parcel Number: 0 ,_(� 3. Installer's Name: 4. Is the site currently under permit? Yes[] No[ ] Permit No.�') 5. Is the site an existing site? Yes[\A No[ ] (If yes, furnish two plot plans). 6: What is the electrical rating of the mobilehome? �Amperes. 7. What is the mobilehome site circuit breaker rating? 5 d Amperes. 8. What is the electrical rating of the mobilehome site 7 . �� Amperes. 9. Is the main service remote from the mobilehome site? Yes] No[ ] If it is, what is the rating? t9 © Amperes. 10. Is there anyother electric load to be served by the mobilehome site electric service (i.e. well, garage etc.)? Yes[ , J NoMM If yes, please identify the load and size: a) The mobile home site: /`` — Load- Amperes- r b) The main service: Load- Amperes - 11. Type of gas service at mobilehome site: Natural[ ] . Propane None[ ] 12. - Size off gas pipe at the mobilehome -site from the meter or tank': inches. f 13. What is the gas pipe length from the meter or tank to the mobilehome?j_,5L(ft.). 14. What is the mobilehome gas demand? U. *(This information is not required. if the pipe length is less)than, 6 feet on natural gas or less than 50 feet on propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION May 1995 BUTTE COUNTY BUILDING DEPARTMENT P 8.5 Mobilehome Manufa6wrer: o, -Ids -o qZ Manufacture Year: 9 (a ;7— If other than single wide, ftirnish. Setup Model Number: Width: (ft.) Length: (ft.) Tagalong or Expando Size (ft.) On all mobilehomes manufactured after October 7, 1973, finmish manufacturer's installation manual and structural setup sheets. FOOTINGS: - Wood pressure treated or foundation grade[ ] Other: SUPPORTS: Concrete blocky] Other: Provide Tie Down Specifications for all Mobflehomes: Pier Footings Sizes and Location SINGLE WIDE MULTI -WIDE Line I I L�tne 72Z:�! Limll ................................................................................................. Main Beam ........................................................................................ ....... Line 2 2 Line I Line 3 ................................................................................... . ........... VUne 2 Main Beans Line ine 2 Lin I ............................................i he 5 n Tag or Triple e 4 ............................................ in Line 1 Piers: 30 Size minimum: r 11- 1 x Dk 1 Spacing maximum: From ends -maximum -1 t Line 2 Piers: Size minimum: [04 x30 Spacing maximum: From ends -maximum. P1 Line 3 Roof Loads: Size minimum Location (from front)--, Line 5'Robf Loads: Size minimum., 'Locition (fr6m frorft):.,: Line I Openings Size minimum: x Each side of openings with width over: L Line 4 Piers: Size minimum: Spacing maximum: From ends-mff'%t.� P I n V1, ell, \V. - Ax ;Alkla OVER SAC INDUSTRIES TIE DOWNS ENGINEERED TIE DOWN SYSTEM nE1� Lux u_.,' * WIND ------------- 17.4 PSF (70 MPH EXPOSURE "C") * WIND -------"'----- 25,6 PSF (85 MPH EXPOSURE "C') 35,35 PSF (I Do MPH EXPOSURE * WIND -------------" *SEISMIC ZONE -------- 1000 psi H= MAXIMUM SOIL PRESSURE * SOIL BEARING ---------- IS 1000 psf WITHOUT A SOIL REPORT. *EARTH AUGERS --------- 31500 TOTAL -LOAD WORKINGLOADCAPAC CAPACITY * STABIL—X DRIVE ANCHORS-- 47500 MIN. TOTAL LOAD CAPACITY. � 31500 WORKING LOAD CAPACITY *CONCRETE SLAB ANCHORS-- 31500 TOTAL WORKINGLOADACAPAC CAPACITY *TIE DOWN STRAPS — —' 31500 TOTAL A WORKINGLOADCAPAC CAPS PACITY CLASS B. IE DOWN STRASTRAPPINGEEANDFGEE AT LEASTRAL SPECIFICATION QQ,035 ZINC F PLATED.1 1. THE CHARTSSHOW OW THCTUREDIRED UMBER OF TIE DOWNS ON THE SIDES AND ENDS OF 2. COMBINATIONS OF THE DIFFERENT TYPES OF TIE DOWNS CAN BE USED. 3. FOR ALL TIE DOWN INSTALLATIONS, THE MANUFACTURED HOME CHASSIS MEMBERS ARE SHOWN AS "I BEAMS. (FOR ILLUSTRATION PURPOSE ONLY) CHASSIS BEAMS CAN ALSO BE "C' SHAPED OR "RFC" SHAPED. 4. SIDE DOWEAMS. END TIE NSEADOWNS ARERE REQUIREDRATUEACH END OF EACH EQIRED ALONG THE UTRANSPORTABLE TSIDE CHASSIS BSECTION OF Dow MANUFACTURED HOME. OF CHASSIS BEAN 5. END TIE DOWNS CAN BE LOCATED WITHIN 18" OF EITHER = OLT-ON TOP CAN BE AXIS, AND BATTACHED WITHIN 18' TO 60 FROM.1a OF CHASSIS BEAM 6 LENGTHS ECT. O. MATERIALS SHOWN HEREON ARE MINIMUM . THE SIZES, TYPES,LARGER, LONGER, HEAVIER MATERIALS SUPPLIED BY SAC INDUSTRIES, INC.INC• MA BE USED AT THE SAME SPACING AND LOCATIONS SHOWN. 7. ALL PARTS ARE SYATED WITH RUST RESISTANT STEM MEETS THE REQUIREMENTSUOF (SECT SEAL CTION 336.3 PRIMER. THIS TIE GOWNS , SECTION INDUgTRrE9 SAC avcoxrolu'rxo (�::�S�TAT�EAP PROVAL CHE�IS,HWAR9aAD2 muftile TEM : ph: )gaas•e - - - WPPROVED� , SUBJECT TO'CORRECTIONS NOTED , rove omission or deviation from requirements of aroval does not authorize or pplicable State laws and regulations. state"of California Departm of Hous' Community Development COU AND STANDARDS Date �� 2 ane ure ' SPA NO. ETS This Plan Approval Expires ✓�2 O i c; Qr. I -CA 1 PACIFIC) C01 2150 BELI SACRA EN PH'. (916) a Exp. !ti�x TIE DOWN ANCHORS #6005 • #6006 #7000 #7002 #4002 000 CHASSIS PIER 10140T%N TOP f7002 7' STEEL 'TRAP 7000 70 STEEL .0 W/H04E ITRAP W/BUCKLE 10 06 6003 Spur -d IOLT & NUT TE SI9 90061LIZER PLATE #6001 #6000 PACROSERIES TH AUGER NOTE (TYPICAL) VERTICAL OR ANGULAR INSTALLATION IS OPTIONAL AUGER TIE -DOWN INSTALLATION 1. CONTRACTORS WARNING: CHECK FIRST FOR UNDERGROUND UTILITIES. 2. INSTALL GROUND ANCHOR INTO GROUND LEAVING 12'-14' OF SHAFT EXPOSED. 3- PLACE STABILIZER PLATE NEXT TO SHAFT BETWEEN THE ANCHOR AND CHASSIS BEAM.' AND DRIVE INTO GROUND. 4- FINISH TURNING ANCHOR INTO THE GROUND. APPLYING CONSTANT DOWNWARD PRESSURE TO MINIMIZE SOIL DISTURBANCE, UNTIL ANCHOR HEAD IS 'FLUSH WITH STABILIZER PLATE. 5. ATTACH STRAPS TO CHASSIS BEAM IN MANNER SHOWN. 6- IF ANGLE OF 'SIDE STRAP IS GREATER THAN 60', STRAP CONNECTION CAN BE MADE FROM ANCHOR TO OPPOSITE CHASSIS BEAM. 7. INSERT STRAP THROUGH SPLIT BOLT. CUT OFF EXCESS STRAP AND TIGHTEN BOLT UNTIL. STRAP IS SNUG. END Tit DOWN SEE CHART END TIC DOWN EE HART END TIE DOWN SEE .CHART -A av t VIP % V V SINGLE...WIDE - V V, DOUBLE WIDE TRIPLE WIDE E . SAC IND, STABIL—X DRIVE TIE DOWN ANCHORS #6013 #6005 #7000 #7002 x%4002 #7000,or #7002 CHASSIS 7' STEEL STRAP r' 1 04002 PIER i LT -ON TOP 5005 SPLIT 00 OLT & NUT #7002 7' STEEL #7000 7' STEEL NDRI 6013 E ANCHORx WS/HO ERAP STRAP W/BUCKLE GROUND LINE ;{i'"'t;�•'I d '496 16003 SPLIT • :�:, o OLT NUT {,h.'ti:'`' ;�'.,;')' :�i:. •y': ."•; � . t. .. .•t •...'.•:. •' '. i'f'.1' �'r.•, �` '' 1� .'(T]�. r�+i' r ��\. i:\ ..ai•�l'i ni hl� {�1'' . �i f:, �: �'i9r',� ;dV„�:i . fni` :'1''Kai'• r •p':1�•e:'•'t. r;M1` .V ti. i wt` .J{ •.I+i' . , Y!.•�•:.'. i V; Vt,l :.. '.•,f : . ,; •: "•''' �:.Y : •, :l. ' >'rn: •�% I '�^°:.�''�b .r. ilii• . i'% 'f 1:'i .T.•,1. DETAIL„ „ •, .`';a -gyp' r.a-Io ' SEE DETAILIA1 VERTICAL OR ANGULAR INSTALLATION IS OPTIONAL STABIL•-X DRTVF. TI T1nwW SEE D— ETAIL.'A" INSTALLATION INSTRUCTIONS I. CONTRACTORS—WARNING! CHECK FIRST FOR UNDERGROUND UTILITIES. 2. DRIVE STABILIZER PLATE INTO GROUND. 3. DRIVE CROSS RODS THROUGH HEAD TUBES INTO SOIL AS SHOWN. 4. ATTACH STRAPS TO CHASSIS BEAM IN MANNER SHOWN. 5.' IF ANGLE OF SIDE STRAP IS GREATER THEN 60'; STRAP CONNECTION CAN BE MADE FROM ANCHOR TO OPPOSITE CHASSIS BEAM. 6. INSERT STRAP THROUGH SPLIT BOLT. CUT OFF EXCESS STRAP AND TIGHTEN BOLT' UNTIL STRAP IS SNUG. 7. #6002 ANCHOR CAN BE USED WHERE HARD OR ROCKY SOIL OCCURS. IF THE GROUND SURFACE IS OTHER THAN ROCKY SOIL OR MINIMUM 2" ASPHALT, USE STABIL-X ANCHOR OR ENCAS E ANCHOR WITH 12 x12 x12" CUBE OF CONCRETE. 8. WHEN #6002 ANCHOR IS USED FOR ANY REQUIRED ANCHOR -- (2) ANCHORS MUST BE USED AT THAT LOCATION. 4//# 6002 SEE NOTE #7 AND NOTE /8 .lYM= 70 MPH - 85 MPH - 100 MPH EXP. "C" - SEISMIC ZONE 4 REQUIRED NUMBER OF COMBINED ANCHORS FOR EACH = AND OF MANUFACTURED HOME WIDTH : WIND SPEED SEISMICLWOFSID�E R LEGTEIS OF TIE DOWNS' SINGLE 70 MPH f.XP. ::17.4 ZONE a ' - 80' 4 ' WIDE TO 16' --- IF 100 MPH XP. =13 ".P I ..i.ONE 4 LONE 4 __--'- --._ S ...._..-5 .. 2 ..... Z ... 12, X13 !� S 6 )VNTY OU9LE I WIDE f 7 MPH s 17.4 PSF I _ 7.ONE a_ 7 _ _4... 10 ' S i2� 4r 4 j' 7.. — norK A 0 32' 100 P R�Y�411�, i - :..Z.. _.. `U V d114u>.e°e. � �i �L WI RIFLE WIDE' I _ 70 MP i .4P ZONP 4 -.$— ON 4 10 4 —_3 —g�...6'~1t "ED 0 44 • ONE 1 ZONE 4 8 12 14 6 _ 6 , 4✓. #7000 • #4002 0 #6005 #7002 es . d #600.3 #6004 ,y4002 PIER BOLT -ON TOP #7002 7' STEEL STRAP WITH HOLE 9N6005 SPLIT \ BOLT & NUT --\_...- ` .... INSTALLATION INSTRUCTI0M t, PLACE CONCRETE ANCHOR INTO WET CONCRETE, AND ALLOW TO PROPERLY CURE. 2, ALTERNATE CONNECTION REQUIRES #5 REBAR PROPERLY EMBEDDED IN CONCRETE. - 'i-iiN^ ^nuroETE�- YBQQ3 1, CONCRETE MUST BE A MINIMUM 3 1/2" THICK AND IN GOOD CONDITION. 2, MINIMUM SLAB AREA OF EACH ANCHOR IS 28 SQUARE FEET. .• LAB A MINIMUM OF 12" FROM ANY SIDE. #6003 •Fbll 1 � r� ,f Vii: �" •�•G^,'f,,: i.;i: • '��.:.�' Vit,. <''�11LTEB�I`IATE, 'I 3, ' DRILL PROPER SIZE HOLE INS Ia 4, EXPANSION BOLT IS 5/8" x 3 1l2" WITH MINIMUM 2 3/4" EMBEDMENT ANQ�, FP ."" 6,180 POUND PULL OUT, 7,160 OUNO SHEAR. 1. ATTACH STRAPS TO CHASSIS BEAM IN MANNER SHOWN. ,LE SIDE'tSTRAP IS GREATER THAN 60', STRAP CONNECTI CA � `$ ..•E IF AN SIS BEAM. 2 OPPOSITE CHAS „� MADE FROM ANCHOR"TO 0TIG TEN 3, INSERT STRAP. -THROUGH SPLIT BOLT. ,CUT OFF EXCESS STRAPA�D,. BOLT UNTIL` STRAP IS SNUG. SIDE TIE,DOWNS ARE REQUIRED ALONG THE OUTSIDE CHAS51 BE�AM:S. •� •e _ r ARE'REQUIRED AT EACH END Of EACH TRANSPORTAB&QvilCTION END. TIE DOWNS, OF THE MANUFACTURED .HOME. �'"'= • ' JL='A COMBINATION OF DIFFERENT TYPES OF TIE DOWNS CANE USED°:_ o a or. �r ' 41 N SIDE VIEW' -B PAM CHASSIS NOTE #3 DRILL 9/18" HOLE AT MID HEIGHT OF BEAM AND INSTALL ' J/27 A307 BOLT p (TYPICAL) 4 � SIDE VIEW "RFC' BEAM CHASSIS SEE GENERAL NOTE 03 / \ ;i/ \� SIDE VIEW 'END; VIEW s FND TIE DOWN N_= END TIE DOWNS CAN BE LOCATED WITHIN' 18" OF EITHER SIDE OF CHASSIS'BEAM :AXIS.' . SEE GENERAL v FANCHORING- CON rgAc roRS CERTIEMATLQIY TEM AS Y`THAT I ING jSYS HAVE INSTALLED THE SAC IND• INNO MODIFRCATIONS TO THE E; INSTALLATION.. INSTRUCTIONS• I HAVE MAD SYSTEM OR TO THE BUILDING" STRUCTURE. .N�* COMPANY NAME:' CONTRACTORS LIC.# , i 4r .f C110 U r. "i c.'•. w'3 4 its , j CHASSIS 0 so 00 i � ' ' l . . 's 17000 7' STEEL STRAP W/BUCKLE ' #60014 ' ` .... INSTALLATION INSTRUCTI0M t, PLACE CONCRETE ANCHOR INTO WET CONCRETE, AND ALLOW TO PROPERLY CURE. 2, ALTERNATE CONNECTION REQUIRES #5 REBAR PROPERLY EMBEDDED IN CONCRETE. - 'i-iiN^ ^nuroETE�- YBQQ3 1, CONCRETE MUST BE A MINIMUM 3 1/2" THICK AND IN GOOD CONDITION. 2, MINIMUM SLAB AREA OF EACH ANCHOR IS 28 SQUARE FEET. .• LAB A MINIMUM OF 12" FROM ANY SIDE. #6003 •Fbll 1 � r� ,f Vii: �" •�•G^,'f,,: i.;i: • '��.:.�' Vit,. <''�11LTEB�I`IATE, 'I 3, ' DRILL PROPER SIZE HOLE INS Ia 4, EXPANSION BOLT IS 5/8" x 3 1l2" WITH MINIMUM 2 3/4" EMBEDMENT ANQ�, FP ."" 6,180 POUND PULL OUT, 7,160 OUNO SHEAR. 1. ATTACH STRAPS TO CHASSIS BEAM IN MANNER SHOWN. ,LE SIDE'tSTRAP IS GREATER THAN 60', STRAP CONNECTI CA � `$ ..•E IF AN SIS BEAM. 2 OPPOSITE CHAS „� MADE FROM ANCHOR"TO 0TIG TEN 3, INSERT STRAP. -THROUGH SPLIT BOLT. ,CUT OFF EXCESS STRAPA�D,. BOLT UNTIL` STRAP IS SNUG. SIDE TIE,DOWNS ARE REQUIRED ALONG THE OUTSIDE CHAS51 BE�AM:S. •� •e _ r ARE'REQUIRED AT EACH END Of EACH TRANSPORTAB&QvilCTION END. TIE DOWNS, OF THE MANUFACTURED .HOME. �'"'= • ' JL='A COMBINATION OF DIFFERENT TYPES OF TIE DOWNS CANE USED°:_ o a or. �r ' 41 N SIDE VIEW' -B PAM CHASSIS NOTE #3 DRILL 9/18" HOLE AT MID HEIGHT OF BEAM AND INSTALL ' J/27 A307 BOLT p (TYPICAL) 4 � SIDE VIEW "RFC' BEAM CHASSIS SEE GENERAL NOTE 03 / \ ;i/ \� SIDE VIEW 'END; VIEW s FND TIE DOWN N_= END TIE DOWNS CAN BE LOCATED WITHIN' 18" OF EITHER SIDE OF CHASSIS'BEAM :AXIS.' . SEE GENERAL v FANCHORING- CON rgAc roRS CERTIEMATLQIY TEM AS Y`THAT I ING jSYS HAVE INSTALLED THE SAC IND• INNO MODIFRCATIONS TO THE E; INSTALLATION.. INSTRUCTIONS• I HAVE MAD SYSTEM OR TO THE BUILDING" STRUCTURE. .N�* COMPANY NAME:' CONTRACTORS LIC.# , i 4r A.P. 6 ldll- OWNER ��C C& Z / L PERMIT # h 3 - 3T-47 MH UTIL. CLEARANCE DATEGI/So; INSPECTOR. ELECTRIC GAS SUPPORT STRUCTURE COMPACTION TEST REQ. SERVICE SIZE OTHER LOAD TYPE PIPE SIZE L LENGTH YES NO. YES NO 36 do ' �0'�SING 'qtia° STATE OF CALIFORNIA • 'I DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT 3 •gym:: DIVISION OF CODES AND STANDARDS 3 y k,� ACTNITY REPORTAREA OFFICES _ Northern Area Date f<� Z -L- 9 Z Report by C.4� n! t°.s 1800 Third Street /� aa C Sacramento, CA 95814 To: Name /� K o L h.9 [3e G t 22i P.O. Box 1407 Sacramento, CA Address &O/L r4" 95812-1407 �^ C Tel. (916) 445-0135 E:]Activity Site (if other than above) Southern Area 2038 Iowa Avenue Bldg. B, Suite 102 Riverside, CA Owner of other than above) 92507-2435 Tel. (714) 782-4420 Address /PURPOSE OF REPORT: (Checked ( 4 as appropriate) OINSPEC ION RECORD ONLY ❑ INFOR r FORMATION: This report provides notice iv_is on 13 or the_California Code .o Regulations., es of the regulations may be obtained from the State r , „ ,� w•°� � a i � P.O. Box 1015, North Highlands, CA 95660.1015. est for further inspection filed with the Area Office The request for inspection shall be accompanied 23 6 7 R;. 02f03//, 92 above for work to correct item(s) # e this report has been issued in error or is factually incorrect, please contact the Area Supervisor at the Area Office indicated above. INSPECTED UNIT IDENTIFICATION: CPT # FAC. ID# ASSIGNMENT # LABOR DATA: DR 10 3-3 DATE PCA/ACT CODE (yam 22t7- AREA . -J CO 0 -17e_ LOC TR MILES _ TIME: INSP/ACT /10 0 TR /' 0 INSPECDON DATA: TIME REPORT ONLY ❑ INITIAL INSPECTION C< REINSPECTION # HOME/UNIT / # FLOORS / VKXAT10N DATA: TOTAL MP TENANT S F E M P G/ONP_ MH ALTERATION TYPE. AC ❑ ACC ❑ ROOF ❑ FP ❑ O ❑ THIRD -PARTY MONITORING: OAA Q HO ❑ IP ❑ DL ❑ IS ❑ DAA #PLANS *COMPLY MP INSPECTION DATA BLG/FIX _ MH LOT RV LOT _ AS EH INSPECTION DATA ❑ ACTIVE ❑ INACTIVE MAX CAP P CAP SFO DORM D MH/RV O FEE ACCOUNTING: %%N o."9 NI 3- /r DOL# I Al --r919 —'o S' USED DUE I ATTACHED INSPECTION INSIGNIA J �—/OTHER Type of Unit ! Box Size ' Overall Size RT Decal No. —jv 2 L ATTACHED FEE I.D. Manufacturer, Year and Model / Y Z Wr C HUD LABEL or HCD Insignia No. Serial No. or V. I. N. !-7 3 INSPECTION RESULTS OR INFORMATION: .ac o J -/ /%--� r.SL b D.AC Api D 6. le fie, e .,s Z- �. `.�JJ �'s �✓i ,moo L l � , j t/i a �� 5 i s -vs �i i�0 �/ o -•J •���� t- -���l L� c�G,� s . s,�, '� ,�,T>�-st•'L y �Li7BTl /Y CJ© tri RECEIVED BY ��.e'iC.1/�/yl�—_TITLF DEPARTMENTAL USE ONLY: Action: Close File ❑ Reinspection Required `R ❑F Progress Inspection Required ❑ Enforcement Action Needed ",g❑ Other SEND COPIES TO: ❑ Recipient ❑ Owner ❑ SAA ❑ OL ❑ Other SUPERVISOR REVIEW /J DATCOPIES SENT BY DATE HCD-61 (Rev6/90) 89 55324 PAGE 1 of vtu6FSuI O li3'IIK�i,L 9NIdW�iJ etubtsul vtubcsut O p vzu6laul N- o D li3'IIY'dl 13AV'dl /3WOH d010W vjubtsuT El o vtubtsut S314OFtOO 7KI32-_"AWOJ /S3W0Ha1IR0W -----------------------=-------------------------------------------------7------------ ' •az};;o slyl 13a1uoz asaald Ia1u6}su1 jo suo113ni1suI a$441 QuIPJva3J suo}lsanb Aue 2Aa4 noA ;I •azeld u} Almil; alu6lsul 441 ssaud pus 91u6lsul 341 ua Sullzaq 4AllzalOJd a4l aAowa4 •IRA io 111P Aue aAowaJ o1 a3e;uns a41 duIuaal3 AI4.anoJo41 .Aq pail;;a aq of s1 2tu61su1 a41 4314m of aze;ins 341 ajadald 'la law sa 4zns saoe;ins joIial%a ia43o joI £ •alsid lelaw 041 ;o jauJo3 (lzaa 1a (l) auo 'SmaJ33 aA11p Jo slaAIJ (7) ino; ;o wnwlulw a asn •aleld islaw a4l ;o ut8Jam „Z/1 01 47/I a41 u} snau33 aAlJp Jo siaA}u pu114 Ja411a 4 1 1 A 11un a41 01 A13uauawiad azald lalOLD 04Z 4zs1•lY elu6lsul a4 ua41 Ja8Js1 »Z/1 01 »7/I Al aIawlxo.idde (wnulwnla I 344 to lslaw hays $a 4zns) al a id Ialaim usa13 s o1 01u61su1 a4l %I; ;Q 'poam sa 4zns saza;.ins 46no1 ino1 •Z (saldweY3 aaS) •autl`�aol; ayl 4Aoge say3u} (9) ILs u941 seal lou 'poop M aus a41 01 luazafpe Alalelpawm} Ilam lo}lalxa ayl is -10 scull Joos;• a4l aAoge Sa4zul (9) xis u94Z seal iou 'Ilam -101.1 xa �aa�—ayl ;o—rau�0�-1-;a1 �zro-l—ay3—}o laujoz 1.;al jamol a41 J041 la is pail ;is Alalnzas aq o1 pajInbai s} 9tu61Sul a41.' •uollszol 1zaJJoz 441 m043 3313ou s}yl ;o wolloq a41 uo saldwss lsJaAas •s1u0lsul mau 341 aze.ld of a1ZI40A lauol3eauoau/4zsob lsi3�am�roz/awayal}gam 441 uo uollazal jadoid a41 lzalas ; SMOIlZrialsml .'pail;;s Aliadoldal to pa5swep aq 9lu6}sul a41 pina41 slu6}sul luevezejdai Jo; 30Js4* lsuolllpps us s1 a1a41 •11un ayl 01 pail;;s Aliadoid sl slu6}sul 341 ain•{ss pus s1u6lsul a4l 6u16smsP P}oAs of (lIn;alsz suo}lonulsu} as241 mollo) sssald •s}u61su1 a4l uo UA043 21 jagwnu lsljas a41 4z14m jo;.(s)1jun 041 uo pail ;it aq a1 sludisul luamljsdap mau a41 It P+4zslly 9£ff-S!7 (91,6) ' 9NISnON a37ln1�YinNYM • Sa%vanvls anv s3aO3 J0 MOISIA14 1N3Md013A3a 111MnMM03 anv iNIsnON !0 1N3Mlbvd30 DEC 31 ' 91 '1 1:-2.3 /VEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT DIVISION OF'CODES AND STANDARDS Manufactured Housing Section 1800 THIRD STRUT P.0 BOX 31 SACRAMENTO, CA 95842-0031 (916) 445-3338 FAX (916) 327-4712 PAGE .Erb 1 reg! 13 i r each ijoul, 01. The total fett, &1& i,; Inspection Fee: $ 66.00 Insignia Fee: $ 48.00 Less Fee Submitted: TOTAL FEE DUE: $ '97.00 For your convenience, an application form ffCD 415 is enclosed. Please -retui,: c0aipleted application ' - * o. *e, - to. the 4ppropria te Area Office with Total.,.Xee_Pue,l1.s-ted abV identified below: Department of Housing & 6.'om0unity Develop'rzf-­4 iw 1407, "c'-:--ramento C4 9.5812- 1407 (916) 445-0135, 11,1"'a Ave.nUt,, Suite 201, .-""dg, 11 782 -4420'. "WE: t1n.,its mar, uf act Or aftel, September 19V-1 , and before JLIle 15, re Tuirn :s structuaA l ce_m14._,�i i' -a , ;. ; 4 on Certifivd, If you nAV6 ant 3335. i L:C 1 (9 1G V < to 0` Ur G G DIVISION OF CODES AND STA A, p„wnmc, - . O ©„� ; u w _ IABOR DATA q, 3 DATE L L 7 iGtioa ACTI RY REPORT AREA OFFICES DR ID Northern Area 7 AREA �F> ' UE� pCA/ACT CODE �%� -�— 00 /� / 16Third Street TR MILES Date % .ZI-- 9 •Z Report by Sacramento, CA 195814. CO �_ Loc — / P.O. Box 1407TIME: INSP/ACT _TR p( lcA — C 2 2 C Sacramento, CA To: Name 95812.1407 INSPECTION DATA _address_,. 'iL� Su�9N 0/L Southern 445-0135 rea 135 � TIME REPORT ONLY /���� 5 l�0 �� 9 REINSPECTION ;Activity Site (If other than above) ❑ 20iB Iowa Avenue ❑ INRIAL INSP ION •F3 Bldg. B, Suite, 102 n FLOOFIS �;•'' 1 Riverside, CA.. At HOMEIUNtT Y. '92507=2435 VIOLATION DATA: { '� Tel. (714) 792-4420 TOTAL MP TENANT Owner (If.other than above) •. .. _. •., _ E M 1 P Address s — F — . i MH ALTEPA- ION TYPE *!# ROOF Fp r❑ 0 �. f0 date) ❑-AC—C- AC❑ ....- Checked (4) as aPP . P ,f- I PURPOSE -OF REPORT: _ ( :: ,,. n,IRo PaFrrr`raoiJnon+i;G: axa r N.SPECTiON f3ECORD,ONLY OAA 'Q HO .❑ IP ❑ OC IS 'µ uPLANS Y;; ❑, INFORMATION ONLY '� �— xrt DAA . Ir '` "`,•,. .at a- "`".... Ort rOVIdeS.rTOtICe•nur-w -.. -TlOt4 DA _ INFORMATION-1J;hrST I P MPI TA ❑:�, NOTIEE OF;r1/IOLATION AND [{ELATED. M.H LOT _ R`/ LOT _ As Code, Division 13 or the Calrfomla be obta ned9 from the State BLG/Flx _ s ,pf violations,of thggCalifornia-Health and Safety ') T, 18:25 Pail 1 Chapter Sections indicated. Copies of the regulations may EK INSPECTION DATA _ ❑_INACTIVE . of.CaUfornia; Office of:'Procurement,-P._ublications Section, P.O. Box 1015, North Highlands, CA 95660-1015._❑-AcnvE The request for inspection shall be accompanied MAX CAP _ P cAP Or Violatidns indicated shall be corrected and a written rbquest for further inspection tiled with the Area Office Mr+/Rv o indicated.,above on or before . SFO DORM bylmtnlmutn fe�ew of'$, �AccouNnNG: S913- 7TH COL+ /� .S'9! 9 - o P A peri'' be obtained from the Area Office id ent�ed above for work'to correct item(s) •# ATTACHED mit -sh ff you believe this report has been issued in error or is'factually incorract, 'pleasewcontact the Area Supervisor USED DUE ' INS ECTION ,P •�; okea Office indicated above. at the s...._ x _ . .INSIGNIA G / INSPECTED UNIT IDENTIFICATION: OTHER Overall Size FIT Decal No. �v t6l ATTACHED FEE I.D. Type of Unit Box Size ' ./ q t Manufacturer, Year and Model / 1 4; 7 9r Serial No. or.V. I. N. / HUD LABEL or HCO Insignia No. INSPECTION'RESULTS OR-INFORMA710N eiLi A. /..�4Are � 72 rr TITLE RECEIVED BY X. .-Close File L -'t .Rein pec DEPARTMENTAL USE ONLY: Action: , ❑" Other ' Enforcement Action Needed ' :SAA Recl ie. SEND COPIES TO: 0 P - - -� SUPERVISOR REVIEW HCD-ei (Rev;6/90)' IG_ Required- ❑ Progress Inspection Required ❑ Other 7- COPIES SENT BY�� DATE PAGE 1 of l YS .1 f r, h $-AOWJIQ o�stNc J TATE OF Cq�' r DEPARTME F H¢USII�fG� AND;COMMULITYDEVELOP G 'Al �t 1 i .�lflJ,is W ;DI fiSl0. OF,.CODES AND'BTANDARDS aL ASSIGNMENT #' ` LABOR DATA :. ��° 7- -ACTIVITY REPORT �. t oATE 1- 3 • - D !r OR 10 3 3 4 +' Northern Area . Date / - 3 - 9 j- Report by .. R Al f AJ f JI. i; ` 1800 Third Street PCA/ACT CODE F!" I1� AREA Sacramento, CA 95814 CO D LOC TR MILES To: Name Adel FA 15e [ IT z Ai• $N P.O. Box 1407 ; p _ �• ��a cramenio, CA TIME: INSP/ACT TR ` Address ./3 13 /�.4 le 4 5 s `SGb'95 'a.812•i41ii INSPECTION DATA ! �+ftt6) ❑ TIME REPORT ONLY Activity Slte,(If'other than a6o .. r' Southern Area 2038 Iowa. Avenue [_[J INITIAL INSPECTION ❑ REINSPECTION Bldg. B, Suite 102 r Rlversida,,CA # HOME/UNIT _�. x FLOORS Owner (If other than above) 92507-2435 VIOLATION DATA " Tel. [714) 782.4420 {. r�r t dress TOTAL MP TENANT "r!'> S F E M P G/O NP *' — — — — — — MH ALTERATION TYPE: SPUR JOSE OF. REPORT: (Checked (,/) as appropriate) Ac ❑ 'ACC ❑ ROOF ❑ FP'11'0 11 �INSP4EC710N RECORD ONLY THIRD -PARTY MONlTORNG: 4• OAA Q ' HO E1' fP [IOL ❑ IS ❑ . ' ❑ `INFORMATION ONLY .:DAA OPLANS - #COMPLY l , NOTICE OF VIOLATION AND RELATED INFORMATION:_: This'reportprovides notice , of vio�fatlons of the Calrfornla F{ealth=and Safety Code, -Division 13 or ttie California Code pf Re3,galations; —� MP Irs�ECT>oN °^TA — Title 25 Pait i Chapter 3 ,,*Sections indicated -Copies of the regulations maybe ob tainea;frOm the State • "BLG/FDG - MH L0T1 RV LOT'_ AS of Calforni`'dv'Office'of Procurement, Publications Section, P.O; Box 1015, North Highlands, CA 95660-1015.1. EH -INSPECTION DATA, r .' a�1,4 •• ACTIVEINACTIVE�iindicate dihalp'be corrected and a written rbquest for. further inspection filed with the Area Office ove'Ioncor before 7-- 3-9 1-- The request for iris e'ction shall beaccompanied' anied' q P P MAX CAP P. CAP OCC ' by'mmimurh fee,of`$ I'y &0 K, SFD DORM ' MH/RV O . A permd shall'!ie obtained fromthe Area Office identified above for work to correct item(s) .# FEF ACCOUNTING: ' colo �//� S,513 ".You Believe this report has been issued in error or is factually incorrect; please contact the Area Supervisor USED DUE I ATTACHED ane Area Office indicated. above: -INSPECTION / INSPECTED: UNIT IDENTIFICATION: INSIGNIA ' C . OTHER Type of Unit Ifi Box Size Overall Size r T,Decal7Jo. �� ? F �" - ' � ATTACHED FEE I.D. Manufacturer, Year and Model HUD LABEL or MCD Insignia No. Serial No. or V. L N. �% 7 5 4 INSPECTION RESULTS OR INFORMATION: �C�//�Gi�/ wJ .S �T-C i+7 !• SLi // �/ . ?X -a.-;�r%,/VL G�G.-TL.c�_._ - /� J, - FY L 4& RECEIVED BY T TITLE DEPARTMENTAL USE ON Y: Action: ' Close F,ile.;, Reinspection Required ❑.--Progress. Inspection. Required ❑ Action ❑ Enforcement Needed Otho - SEND -COPIES TO: , ❑ -Recipient ❑ 0wner,, ...d; ❑ SAA ❑ ,:A.L ❑ Other - SUPERVISOR REVIEW- - - --- - DATES ' ' COPIES SENT BY DATE HCD-61 (Rev:�6/90) 89 55324 � PAGE 1 of - �� Z N4, ID Area '�D COMMUNI -Y :DEVELOPMENT 'A DEPARTMENT OR Gjl HOUSING 1J. -0 *-.PIV!SION- OF.CODES,-,AND STANDARDS TA I .Southern Area 16-TIVITIES, REPORT ONTINVATION C -MOP Date'-_L__3-9_LIns'fe dby p cte Page of .Address l'eq e' A e, I IL F ILIA— 3;-, 12- STATE LOF CALIFORNIA y; P;O. Box 3 �.f10 7 DEPARTMENT OF HOUSING' -AND COMMUNITY DEVELOPMENT Sacramento, CA 9SiRK DIVISION OF CODES AND STANDARDS MANUFACTURED HOUSING `SECTION -�-6007 Folsom Blvd. DEPARTMENT USE: `. Cora Sacramento, CA 95819 y- ' - � • - '. FEE C. 3.- 1350 "O" Street DA C. SUBMIT THIS FORM WITH APPLICABLE FETA 'TO THE >° - Room 202, a �' : O NEAREST MANUFACTURED HOUSING : SECTION Fresno, CA 93721 C/( OFFICE . TO INITIATE ANY OF F THE % FOLLOWING ACTIONS. (PLEASE REFER TO THE 'BACK OF' THIS . f : -_ 28 Civic .Center Plaza RT TO f L FORM FOR INSTRUCTIONS) ' ❑Room 639 ` APPLICATION` FOR _ALTERAT ADDITION, i SonicAna, CA 92701 RT 8Y V MANUFACTURED HOMES (MOBILEHOMES) OWNER1,1cG" ��d� E a ` MANUFACTURED HOME (MOBILEHOME) ❑ ' ' Address a .:az ars w'X' r k a r,•. " City t fr. r. s� `� ` COMPONENT' STRUCTURES ? ; ; ` ..r,. .. y Q ❑ RECREATIONAL VEHICLES City County` 'Telephone.f" Zip ❑ REQUEST FOR„REPLA,CEMENT-'INSIGNIA/LABEL•. ❑ COMMERCIAL COACHES (Occupancy Group —) Home Phone No. Zip W CALIFORNIA INSIGNIA- NUMBERS) ' ti1FG LICENSE NON cgs =MAKE%N10DEl'` ` OR WUD LABEL`NO:(S). OR ❑,•';FACTORY=BUILT ;+HOUSING Business Phone No:.: - x C FACTORY -BUILT HOUSING - Location Aaaress tie d 0 .COMPONENT, SYSTEMS -, ... . _ if Different ' � IS TO: ❑ "OBTAIN INSIGNIA..,.. A REPRESENTATIVE OF THE DEPAI - ALTERATION- ADDITION -CONVERSION: necessary. Where structural alterations or adc to this form Prowde the make and model of, INDICATE THE TOTAL` *COST OF THE'WC DESCRIPTION CLEAR kNOTICEtOF ,VIOIATIONS.,� ,J-: ❑ _DETERIAINE COMPLIANCE- OF .ALTERATIONS, ETC. mow., .„• . MENT WILL` CONTACT '.YOU TO CONFIRM THE DATE. OF INSPECTION. sc 'be the proposed;vrork m'.detdil.inahe.spdce p .ovidedrin Item•Num4r. 5.; Use additionylrpcges if - ions are proposed complete plans, speaficahons details, and calculations are required to: be attached y; apphgrKe to be installed End protide comple4e electrical calculations for any`electncal altero4ions or K"-TO""BE"`PERFORNiED'�'S '" "" "�` "' `'• X Jr, .. REPLACEMENT CALIFORNIA INSIGNIA OR HUD'LABEL: VWE.HEREBY MAKE APPLICATION FOR REPLACEMENT OF A LOST INSIGNIA OR LABEL FOR"THE•UNIT INDICATED IN ITEM -NO.' 2 -ABOVE. I/WE° CERTIFY THAT 'THERE'HAVE-BEEN NO ALTERATIONS; AbDIT/ONS, ,.-' OR MODIFICATIONS TO THE UNIT `WHICH`,WOULD. -AFFECT COMPLIANCE WITH CALIFORNIA OR' FEDERAL LAW'OR THE RULES AND REGULATIONS OF `THE 'DEPARIMENTr(MereAlterations or modiiicationshbve been made; Items 3 and 4 must be completed.) SIGNATURE _ _.. , DATE ,OF APPLICATION f� _ _/�.._ .-• -. -- Applicant's Signaturo ---,�{, -- - -- DEPARTMENT: USE .ONLY . -- _ pal APPROVED • EICONDITIONS- ❑ DISAPPROVED' --� 0� it Supervisor's SignaturoU Date ° ❑ 1% ' * TXM REQUESTED, INSPECTION .} •x`tt 4_ N APPLICANT -,{;f r - - +-.%y h Y,•�i v... •i. a APPLICATION` FOR _ALTERAT ADDITION, i Address •: .xf. V OR CONVERSION - ❑ APPLICATION FOR .ALTERNATE APPROVAL f City t fr. r. s� `� ` , ..r,. .. y, REQUEST FOR TECHNICAL SERVICES, C1. <s:: 'Telephone.f" Zip ❑ REQUEST FOR„REPLA,CEMENT-'INSIGNIA/LABEL•. �r.Con Lic:JsNo:-- µ^ Y• - Class �,•,_ ',':.�}' UNIT SERIAL -YEAROF' DECAL OR MANUFACTURERS NAME CALIFORNIA INSIGNIA- NUMBERS) ' ti1FG LICENSE NON cgs =MAKE%N10DEl'` ` OR WUD LABEL`NO:(S). OR �c}79G %JG� l��.c.-r�n,r�.r =i G1..-Ec�t - c ; �,.I., ;d t. "THE PURPOSE OF THE INSPECTIION ' Note: Allow a minimum of ten (10) days for scheduling. AN INSPECTION IS REQUESTED FOR THE!'cOIIOWING DATE � ' IS TO: ❑ "OBTAIN INSIGNIA..,.. A REPRESENTATIVE OF THE DEPAI - ALTERATION- ADDITION -CONVERSION: necessary. Where structural alterations or adc to this form Prowde the make and model of, INDICATE THE TOTAL` *COST OF THE'WC DESCRIPTION CLEAR kNOTICEtOF ,VIOIATIONS.,� ,J-: ❑ _DETERIAINE COMPLIANCE- OF .ALTERATIONS, ETC. mow., .„• . MENT WILL` CONTACT '.YOU TO CONFIRM THE DATE. OF INSPECTION. sc 'be the proposed;vrork m'.detdil.inahe.spdce p .ovidedrin Item•Num4r. 5.; Use additionylrpcges if - ions are proposed complete plans, speaficahons details, and calculations are required to: be attached y; apphgrKe to be installed End protide comple4e electrical calculations for any`electncal altero4ions or K"-TO""BE"`PERFORNiED'�'S '" "" "�` "' `'• X Jr, .. REPLACEMENT CALIFORNIA INSIGNIA OR HUD'LABEL: VWE.HEREBY MAKE APPLICATION FOR REPLACEMENT OF A LOST INSIGNIA OR LABEL FOR"THE•UNIT INDICATED IN ITEM -NO.' 2 -ABOVE. I/WE° CERTIFY THAT 'THERE'HAVE-BEEN NO ALTERATIONS; AbDIT/ONS, ,.-' OR MODIFICATIONS TO THE UNIT `WHICH`,WOULD. -AFFECT COMPLIANCE WITH CALIFORNIA OR' FEDERAL LAW'OR THE RULES AND REGULATIONS OF `THE 'DEPARIMENTr(MereAlterations or modiiicationshbve been made; Items 3 and 4 must be completed.) SIGNATURE _ _.. , DATE ,OF APPLICATION f� _ _/�.._ .-• -. -- Applicant's Signaturo ---,�{, -- - -- DEPARTMENT: USE .ONLY . -- _ pal APPROVED • EICONDITIONS- ❑ DISAPPROVED' --� 0� it Supervisor's SignaturoU Date DEPAR+�r�r STATE Of CALIFORNIAi.' TMENT `CSF HOUSING AND COMMUNITY4DEVELOSacramento, CA PMENT P.O. Box DEPARTMENT USE'-ONLY- ,� �! . a 95812•. DIVIS16N OF CODES AND STANDARDS PMANUFACTURED HOUSING SECTION j ^� ::" 6007 Folsom BIG. t s% ❑ dSacromento,,CA 95819 FEE REC'D. 3/ 1350 "DATE Street ! 7 SUBMIT. THIS FORM., WITH, APPLICABLE FEES 'TO :THE Roo^r`202 NEAREST MANUFACTURED HOUSING SECTION Fresno, CA 93721 AA NO. OFFICE TO 'INITIATE ANY OF THE FOLLOWING /` 'ACTIONS. (PLEASE REFER TO THE BACK OF. THIS 28 Civic Center'Plaza RT T Z• FORM FOR INSTRUCTIONS) Room 639 Sonia. Ano, CA 92 701 RT BY MANUFACTURED HOMES (MOBILEHOMES) OWNER >.: .. ❑ MANUFACTURED yHOME (MOBILEHOME) COMPONENT STRUCTURES Address k ❑ RECREATIONAL VEHICLES City p County m W ❑ COMMERCIAL COACHES (Occupancy Group _) Home Phone No. sip tf. Q ❑ FACTORY-BUILT HOUSING Business Phone No. :...�_..-.:_ t.�..:.__.NG, Phone p � FACTORY-BUILT HOUSING +• Location Aaaresc - l-J COMPONENT:�SYSTEMS if Different 'tEOUESTED INSAECTION (,APPLICANT.`p��ri� !� APPLICATION FOR ALTERATION, ADDITION, Address _ ✓ b U ❑ OR CONVERSION ❑ 'APPLICATION FORCit . ALTERNATE APPROVAL � L ' :`Cy'f` ;; �,• - y REQUEST FOR TECHNICAL SERVICES Telephone r �i .-�L��=, Zip REQUEST FOR REPLACEMENT INSIGNIA/LAAEI % Con Iii No?• Class, UNIT SERIAL "YEAR OF*',,..y ) I' : DECAL ORMANUFACTURER'S NAME CALIFORNIA INSIGNIA s NUMBER(Sy)s a MFG LICENSE NO is 1 f MAKE/MODEL", OR HUD LABEL NO.(S)'.. Note: Allow o minimum of ten (10) d_oys for'scheduling. - AN INSPECTION IS REQUESTED FOR THE FOLLOWING DATE THE ;PURPOSE OF THE INSPECTION t . .�. IS TO: 2 OBTAIN INSIGNIA ❑ CLEAR NOTICE OF VIOLATIONS ❑ DETER/RINE COMPLIANCE OF ALTERATIONS, ETC. -- A REPRESENTATIVE OF THE DEPARTMENT WILL CONTACT YOU TO CONFIRM THE ,DATE Of INSPECTION. r .ALTERATION; .-ADDITION,:. CONVERSION: Describe the proposed wi6ekm'detdil ut the"space provided 'in'- Number 5. Use additional pages if necessary. Where structural alterations or additions are proposed, complete plans, specifications, details, and calculations are required to be attached to this form. Provide the make and model of any appliance to be installed and provide complete electrical calculations for any electrical alterations or additions. INDICATE THE TOTAL COST OF THE WORK TO BE PERFORMED 3 DESCRIPTION r y RE, PLACEti1ENT CALIFORNIA INSIGNIA( OR HUD LABEL • VWE HEREBY MAKE A•PPLICAT(ON FOR REPLACEMENT.I ,Of q" LOST INSIGNIA r ' "" OR LABEL FOR THE UNITrIND.ICATED, !N`ITEM N.,O ?ABOVE I%WE `CERTIFY THAT THERE HAVE. BEEN' ',LVO'ALTERA'TI6NS`,ADDITlOh15 4 v OR ;MODIFICATIONS TO..THE iUNIT�W,HICH WOULD AFFECT COMPNANCE WITH CALIfORNix OR:FEL)ERAL LANN..OR THE.RU(ES' a REGULATIONS Of LATHE DEPARTiiIENT, (Where alterafro'nsZor modtl cvho`ns'have been made Items 3 and 4 must be completed: ' a `r v <, : A ND SIGNA•TUR . :r DATE Of APPLICATIO._DEPARTMENT-USE ONLY— N t/ -�–^ APPROVED ❑ CONDITIONS' ❑ DISAPPROVED- 1A, p'pl¢onYs Srgnar6re Supervisor's Signature Dale G D REGISTRATION EXPIRES TYPE -LICENSE. NUMBER MAILER DEG 31 8d 40. JG269'2 VALIDATED C - REGISTRATION -CARD A MAKE N0. VEH.ID. 15OMTLa9796 RICftb KR F YEAR MODEL SHOWN IS BA ED ON MANUFACTURER AND DEAL162 R REPRESENTAT-ON 0 BODY TYPE MODEL ICYLS. DATE FIRST SOLD CLASS #YR. r.MODEL -VEM MP' R CcHmp _o -L' :/,0.0/62 IAN IY 42T N USE TAX`.-,-� s UNLADEN DATE ISSUED OR PARK BAIL AX WCf WEIGHToh, TAB NUMBER' TOTAL FEES -A 0I/28/60 also I I $i53 c> 04 "r. . 0400 3 G PARKER �"'FY'D J ' �� � A� An T 2446 M51 L e\�ISST M1E„tE- rWV. ..�� WF yRF D QR Dtf� El`C`+9596s ; ` LF T $ g PEN o Rf Lra 1 r °} i 'i E 03G E� 3 N` A oa L p ems« .mss« W os L 'aT+�er.�Err�... N RTut D E E R T ToT R s READ REVERSE SIDE - IMPORTANT INSTRUCTIONS 1 6-2-8-7-5-15- o v � D REGISTRATION EXPIRES TYPE -LICENSE. NUMBER MAILER DEG 31 8d 40. JG269'2 VALIDATED C - REGISTRATION -CARD A MAKE N0. VEH.ID. 15OMTLa9796 RICftb KR F YEAR MODEL SHOWN IS BA ED ON MANUFACTURER AND DEAL162 R REPRESENTAT-ON 0 BODY TYPE MODEL ICYLS. DATE FIRST SOLD CLASS #YR. r.MODEL -VEM MP' R CcHmp _o -L' :/,0.0/62 IAN IY 42T N USE TAX`.-,-� s UNLADEN DATE ISSUED OR PARK BAIL AX WCf WEIGHToh, TAB NUMBER' TOTAL FEES -A 0I/28/60 also I I $i53 c> 04 "r. . 0400 3 G PARKER �"'FY'D J ' �� � A� An T 2446 M51 L e\�ISST M1E„tE- rWV. ..�� WF yRF D QR Dtf� El`C`+9596s ; ` LF T $ g PEN o Rf Lra 1 r °} i 'i E 03G E� 3 N` A oa L p ems« .mss« W os L 'aT+�er.�Err�... N RTut D E E R T ToT R s READ REVERSE SIDE - IMPORTANT INSTRUCTIONS 1 6-2-8-7-5-15- APP"0\/:::� Butte County Environmental Health Date Signature •/l/ 7 APPROVED Butte County Environmentei .i Health'~ D�t/e C'l/lJ ------- Sigri61vre` -----. M Jll��Ll �/,. ce a APP OVER Butte Count, Environmental H Dat Signature no I da l� APPROVED Butte County Environmental Health Datel A.P.# %ZG-L-TZ`C�l OWNER 9,&7Gdn/z1 PERMIT # MH UTIL.,C NC DAT Z 3 INSPECTOR ELECTRIC GAS SUPPORT COMPACTION SERVICE OTHER PIPE STRUCTURE TEST REQ. SIZE LOAD TYPE SIZE LENGTH YES NO YES NO ,263 36 O..8. - OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit' will be issued until this verification is received. 1. I personally plan to provide the major labor and materials, for construction of the proposed property improvement: YES d NO ❑ 2. I HAVE 0, HAVE NOT 11 signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4.. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER: SOCIAL SECURITY NUMBER: DATE: /i -3 i NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER OWNER BUILDER INFORMATION Dear Property Owner: O.. - An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to puf their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the Stats and Federal Governments as an employer and you are subject to several obligations .including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions: ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance, ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under. limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. rely, A Mic el C. Vi ira, C.B.O. M ger, Building Inspection NOTE. This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 03- 1329 7 County Center Drive *Oroville, California 95965 Y Telephone (530) 538-75 O. (Rev. 12/96) APPLICATION AND PERMIT ASIESSGj��JJr2CEL211!E6_0l8 LLLL ��JJ �� ZONING BUILDING PERMIT OWNER MANUFLA TELEPHONE 534 9967 SO. FT. OCC. BUILDING VALUATION OWNER11rIrG T6758613 , PALERMO CA 95968 CONTRACr6Qf ff TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 23.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 203 SUNNYBROOK LANE, PALERMO Energy Plan Checking Fee $ $ PERMIT FEE $ - LOT NO. SUBDIVISIONS NAME PARCEL MAP ' PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome lX Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utililies ❑XInstallation ❑ Other ❑ Describe Work: _ ME UTILITIES AG ( A) Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home MW @20.00 60 '00 PERMIT FEE S 80.00 ELECTRICAL PERMIT Fling Fee 20.00 Main Service zoOA OR LESS 23.00 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class LIC. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR cADBBLDS. o S. ( 3.50 so EW MulACC. NON-RESID. @7.50 POWEPUS 8 SINGLER AOurLETPARATCIR. EX. Occup. OUTLET OR FDRUREs00 BAL O I.50 Ex. Occup. oFuTLFrs RES D °EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 2-0 nn Misc. Wiring 23.00 PERMIT FEE S 41-00 WORKERS' COMPENSATION DECLARATION 1 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. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed 0 the permit is for work of a valuation of one hundred dollars ($100) or less.) 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. ` ,q X Date -` (/ Signature,6f Ap lican - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in he i ht. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 166.00 HAZ. D. FEES IM .� FLOOD CDF PARCEL �/ H ISsu This permit is hereby issued under the applicable provisions of th Butte Co my Code and/or Resolutions to do work in 'ca ve or which fees have been paid. 5 7 3 ate Q PERMIT EXPIRES ON S 7 d - ReceiptNo. 294420 — WHITE-D.D.S.-B.D. CANARY -AS S O PINK -INSPECTOR GOLDENROD -APPLICANT COUNVY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 2/96) APPLICATION AND PERMIT :sDR.Aacaruet)tA � 2ONMO BUILDING PERMIT - 14 1 Tom, P'1741-1'7SO. FT. OCC. BUILDING VALUATION olsNo Aa r 'gAC'TOR'f NAME ►wUNO ADORE -111 yffEV OR ENOINEIA .VXCT OR ENOWIDI7 MAJUNG ADDRESS NO. I sue0ivislo s NAME N USEOFSTRUCTURE ❑ Duplex ❑ Mobilehome ❑ Other SpECiV TYPE OF WORK rn. ❑ Addition ❑ Remodel 0 Utilities ua/hstaEntion (3 )scribe Work: r LICEME NO. Fireplace PERMIT FEE t `— ELECTRICAL PERMIT Total Valuation = Mein Service �ooA o�R LLE. 23.00 i Flin Fee $ 46.00 20.00 Permit Fee L OR ADDNS. A ACC. AIDS. Plan Checking Fee b .e u.:Tr°I�m�Er� @7.50 Energy Plan Checking Fee i S PERMIT FEE _ PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 Solar or hent pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00, Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S I G I W @20.00 Q Ex. Occup. OUTLET OR n-AESFIXE PERMIT FEE t `— ELECTRICAL PERMIT Filing Fee 20.00 Mein Service �ooA o�R LLE. 23.00 i Main Service 20" TO I000A 46.00 NEW CONST. D LRAM occuv. 9.SCso. OR ADDNS. A ACC. AIDS. NOKRESIO. i .e u.:Tr°I�m�Er� @7.50 Ex. Occup. OUTLET OR n-AESFIXE ^Ppua. OA Ex. Occup. OlErs ES10.) EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 a Misc. Wirino 23.00 PERMIT FEE _ MECHANICAL PERMIT Fling Fee. 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt ! Mobile Home Installation Fee i Energy Inspection Fee L D" 11T. 11 ITOJXL FEE $ NAL 1 D.FTES fLDOD COf V C 00 ND 657E This permit Is hereby issued under the appr"bie provisions of the Butte County Code and/or Resolutions to do work Indicated above for which tees have been paid. PERMIT EXPIRES ON AGRICULTURAL STATEMENT OF'ACKNOWLEDGMENT Instructions for recording Agricultural Statement of Acknowledgment: . A. Insert the legal description of the property in the space provided'on the attached form. rw4 The legal description is the narrative description of the property - Lwhich will be on your t , • ' deed. If you don't have access to the deed, the Recorders Office can provide this: in- formation. The description may be handwritten or„ ( p y typed iri•the space provided or . . r attached on a separate sheet if more'space is required.) ' 2. Property owners must sign in the presence of a Notary, Public and have the form notarized. Make a copy of the form and then take the original•and'copy to the Recorder's Office at 25,County Center Drive, Oroville (the Administration Centeribuilding)'t The Recorder,will record both the original and copy. They Will keep the original and return the copy to you. Just bring the copy back to the Building Division at=7 Coi nty'Center Drive. RECORDER'S FEES: $7.00 - 1st Page •., " ` t ':w' 4"g $3.00 - Each Additional Page RECORDER'S OFFICE HOURS: 9:00 a.m: - 5:00 p,m. MONDAY -'FRIDAY 9:00 a.m. - 4:00 p.m:'for Recording b .y, "�.��'.nr-M'.�i..`"�j•lwl.'�c`..,...„+Ns#"'�,�i^.k'�`,ir�'^lh"k7.Il'�.�•�'r )d1:'�.F,; st:G ^t'�r�.,i�l"i ��j'4.wTti�q�O.:c��C �,� `Tk"k..SrT��Y .. .. Y'��'��'N ,y: �stA^�`eN�1�',. ia, •.�.•'ZC{.�jrA"`�� _ '{�. 1 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 All PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARC ---© a Proposed Building Use: Building Inspector:3ap Date: S At time of permit application, was advised t e following data must be su miffed prior to pe recessing and/or issuance: Date Received By ❑ 1. All iiems have been submitted -------------------------------------------------------------------------------------- 02. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ ❑3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- ❑4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑ 6. Energy Design Compliance and supporting documentation.----------------------------------------------------- 0 -------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑9. Manufactured Home data and installation instructions including Tie Down Specifications ------------ 10. Fees of $ ------------------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule.----------------------------------------------------------------. ❑ 12. California Department of Forestry plan approval/fees. --------------------------------------------------------- ❑ 1� . Flood elevation certificate. ------------------ -------------------------------------------------------------------- 4. Sanitation and plot plan approval Health Department. ------------------------------------------- ❑ 15. City of Chico plumbing permit. ----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: --------------- ___________ ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- 1120. Pre -inspection for required Request to Building Inspector on 112 1. Contractor's license information. (Number, Name Style, Classification). ------------------------------------ ❑ 22. Workers' Compensation carrier and policy number. ----------------------------------------------------------- 023. Owner-Budder ----------------------------------------------------------❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------- ❑24. Letter of signature authorization. -------------------------------------------------------------------------------- ❑ 25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- E126. ------------------------------------------------- ❑26. Letter of intent on building use. ------------------- Manufactured Home utility clearance. -------------------------------------]&-- 043 -- - - -----____-- .68. Existing violations and/or expired permits. - - ]&-- --------------------- ❑433 A ❑Grant Deed, 11 M.H. Title, eck to H.C.D $ . --------------- Other:------- Wh •you issue the p t, ro ss folloMM Mail to owner, ❑MMai to contractor. `Telephone S and hold for pickup at V office. ❑ Deliver with inspector. (Date) fiJ6 Applicant.&6Vifjlj / i—/.1—� Date: 5— 5- U U Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, o Air Pollution Date:' By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: D By: 1. Index permit application for the above items numbered: %� ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by o phone, ❑ mail, o Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by o phone, o mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, o mail, o Building D' 'sion counter, by Date: Plans reviewed by: Date: Plans approved by: Date7 QJ Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and . return this information at your earliest opportunity .to avoid unnecessary delay in processing and issuing your building permit. No' building permit will be issued until this verification is received. -- 1. I personally plan to provide the major la or and materials for construction of the proposed prop improvement : YES[ NO[ ]. 2. I HAVE[ HAVE NOT[ - ] signed an application" for i bad' ng pernut for the proposed work.,_ ­ wing , .. 3. I have contracted with the .following person (firm) �'to provide the proposed construction: NAME: ADDRESS: CITY: , . PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide' portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CTTY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: r,,� i _ , r PROPERTY OWNER: SOCIAL SECURITY NUMBER: DATE. = c'� C). NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. May 1995 2.26 Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as.the builder of .' property improvements specified. For your protection,_ you should be aware that as "owner-builder" you are the responsible party of iecord'.e on such a permit Building permits are not requiredkto.be signed by property owners unless they are k- `Wally performing their own work."If youi`woik is!being performed by someone other thanyourself, you may protect yourself from possible liability if that•person applies for the proper permit in his or her name. Contractors are required by law to;be licensed and bonded by the State of California and to have`a business license from the city­ or county. They are also required by law to put their license number on all. permits_ for which they apply. If you plan to do your' own work, with the exception of various trades that you plan to subcontract,",YOU- should be aware of the following infoimation'for your benefit and protection: 0 ' } If you employ or otherwise engage -any,'persons other than your immediate family, and the work (including:: ` materials and other costs) is $300 or more `'for the entire project, and such persons are; not licensed as contractors or subcontractors, then you may be an employer. 0 "If you *are an employer, you must register with the State and Federal Governments as an employer and you.are subject to several obligations �including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contnbations.:., ' 0 There , maybe financial risks for, you if you do not carry out these obligations,'and these risks are: especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract *ihe Internal Revenue Service (and, if you wish, the°,U.S.'Small Business Administration). For more specific information about your a obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial C Accidents. .-If the � structure is intended for sale; property owners who . are not licensed contractors :are . allowed. to - perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions: ` A frequent practice of-unlicensed persons professing to be contractors is to secure an "ownerbuildee, building permit, erroneously implying `that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally.. Information about licensed contractors may be obtained by contracting the Contractors State License - Board in your community or at 1020 N Street; Sacramento, CA. 95814. a Please complete the "Owner Builder-Verification" on the reverse side of this form so that we can confirm that you are aware of these matters: The building permit will not be issued until the verification is returned. ; Sincerely, �'• Michael.C. Vieira, C.B.O. Manager, Building Inspection f S a tl NOTE: This &veer -Builder Information is required by Section 19830 of the California Health and Safety Code.• s: U Mav 1995 2.27 AGRICULTURAL AFFIDAVIT EMPLOYER/EMPLOYEE RECEIVED EL Please read the following carefully before signing: MAY 15 1000 BUTTE COUNTY Section 24-305.020 Agriculture Employer/ Employee PLANNING DIVISION (Applicable only in zones A-5, A-10, A-15, A-20, A-40 and A-160) An individual who verified, by personal affidavit and by affidavit of his employer, that he is, or will be, employed at least thirty-two (32) hours per week for at least sixteen (16) weeks per year, or that his primary source of annual income is, or is anticipated to be, derived from any of the following described occupations: 0(a)The preparation, care and treatment of farm land, pipelines or ditches, including leveling for agriculture purposes, plowing, discing and fertilizing the soil; (b) The sowing and planting of any agricultural or horticultural commodity; (c) The care of any agricultural or horticultural commodity. As used in this subdivision, "care" includes, but is not limited to, cultivation; irrigation, weed control, thinning, heating, pruning or tieing, fumigating, spraying and dusting; (d) The harvesting of any agricultural or horticultural commodity including, but not limited to, picking, cutting, threshing, field packing and placing in field containers or in the vehicle in which the commodity will be hauled on the farm or to the place of first processing; (e)' The assembly and storage of any agricultural or horticultural commodity including but not limited to, loading, roadsiding, banking, stacking, binning and piling; (f) The raising, feeding and management of livestock, fur -bearing animals, bees, fish, frogs and other aquatic animals, including but not limited to, herding, housing, hatching, milking, shearing, handling eggs and extracting honey; ( The operation, conservation, improvement or maintenance of such farm and its tools and equipment. This affidavit is valid only for the named employee. Any change of employee requires a new affidavit to be filed. Employer tax records may berequestedas proof of employment status. Signed: Dated: AGRICULTURAL AFFIDAVIT EMPLOYEE ' Employee/4 Phone Employee's Address (Present) _ Q J ' Name of Property Owner Property Owner's Address Owner's Assessor's Parcel Number 0 Parcel Size j,U Ac. do declare, subject to the penalty of n c perjury, that I am the employee of address (present) at4tbq( hUU P SOU/ ; g and that I will be employee under Section 24-305.020 CG_� �� �� for at least thirty-two (32) hours per (a) to (g) week for at least sixteen (16) weeks per year on AP# Signed: �('��� C-- Dated: Environmental Health Approval. SjA Permit Description and Number Dateld p r . j ^Oji Planning Approval: Date �5 p Zone - ,5- Dwelling on AP# A ��WLI%i�W`%� Crop/Commodity Produced s� A 'i AGRICULTURAL AFFIDAVIT EMPLOYEE ' Employee/4 Phone Employee's Address (Present) _ Q J ' Name of Property Owner Property Owner's Address Owner's Assessor's Parcel Number 0 Parcel Size j,U Ac. do declare, subject to the penalty of n c perjury, that I am the employee of address (present) at4tbq( hUU P SOU/ ; g and that I will be employee under Section 24-305.020 CG_� �� �� for at least thirty-two (32) hours per (a) to (g) week for at least sixteen (16) weeks per year on AP# Signed: �('��� C-- Dated: Environmental Health Approval. SjA Permit Description and Number Dateld p r . j ^Oji Planning Approval: Date �5 p Zone - ,5- Dwelling on AP# A ��WLI%i�W`%� Crop/Commodity Produced s� AGRICULTURAL AFFIDAVIT EMPLOYER Employer Employer's Address Name of Property Owner Property Owner's Address 1141 Phone 5 3 T 'Iq P U Owner's Assessor's Parcel Number Parcel Size Ac. n i _ A I perjury, that I am the employer of address (present) do declare, subject to the penalty of LZ An Ir MAe- /a le,. 611,1res and that I will be employer under Section 24-305.020 �da� for at least thirty-two (32) hours per (a) to (g) week for at least sixteen (16) weeks per year on AP# /P o—.r,2 �� — /a 0 Signed: Dated: ***************************************************************(************************ Environmental Health Approval: T I L ki 0 toQ Permit Description and Number J Datelssued By Planning Approval: Date S / 0(�Zone — Dwelling on AP# 26 Crop/Commodity Produced AGRICULTURAL AFFIDAVIT EMPLOYEE Employee Ka 0,,0y� v Phone Employee's Address (Present) Name of Property Owner J%'1,E)1_t�) &/nd Property Owner's Address _ O A-1.2�is Owner's Assessor's Parcel Number /P Parcel Size m26 Ac. �,"T,. do declare, subject to the penalty of perjury;that lamthe employee of �1d���L'�:�„ �. address (present)Z� e �',a� and that I will be employee under Section 24-305.020.for at least thirty-two (32) hours per (a) to (g) week for at least sixteen (16) weeks per year on AP# n Envir l/ omental Health Approval: Permit Description and Number Date lwo:i S Planning Approval: , Date -S—// G /00 2 Zone — Dwelling on AP# Crop/Commodity Produced l COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 1 .7 County Center Drive o Oroville, California 95965 • Telephone (530) 538-7541 PAM (Rev. 12/96) APPLICATION AND PERMIT a9! ASSES6y6RCnUhr 018 ZONING BUILDING PERMIT 11E�IANUELA BECERRIL TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNEFP 16I1NtffRT13 , PALERMO CA 95968 CONTRbCT�f tIrE KKMAIUNG TELEPHONE CONT RAC11T11ffO1WS ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee ��rr $ x-a(J( Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDING ADDRESS .9, HNNYBROOK LANE, Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome CY Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Q Installation ❑ Other ❑ Describe Work: MOBILE HOME UTILITES AG (B) Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home Ky I &1920.00 PERMIT FEE 8000S ELECTRICAL PERMIT Fling Fee 20.00 600VOR LE Main Service 2o0A OR LESS 23.00 23.013 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class LIC. No. OWNER -BUILDER DECLARATION hereby affirm under penalty of perjury that 1 am exempt from the Contractors License ,w or the following reason: La I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. & ACC. BLOB. SO 3.50FT. Npµpa,pT' MULTI -OUTLET @7,50 POWER APPARATUS 8 SINGLE OUTLET CIR. EX. Occup. OUTLET OR FIXTURES BAL Q I. 0 FIXEDI Ex. Occup. O.' (RR=.D� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 U-00 Misc. Wirina 23.00 PERMIT FEE $ 63.00 WORKERS' COMPENSATION DECLARATION 1 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. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the bor Code, I shall forthwith comply with those provisions. X• Date — y V Signature of pplica t - Owner ❑ Contractor ❑ Agen An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 166.0 HAZ. D. FEES IMP ^' FLOO CDF PAR PO HD ISSu This permit is hereby is ued under of the a County de and/or ch fees have indin%; By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. -7 D to S 7 _1a �% Date Receipt No. 294420 WHITE-D.D.S.-B.D. CANARY -ASSESS- PI -INSPECTOR GOLDENROD -APPLICANT COUNTY % BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION Q 3--% 3 36 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 2/96) APPLICATION AND PERMIT SsoaPARCEL "+•50©o-& -�,S©_, O "Ne � BUILDING PERMIT _A TCL�aNc SO. FT. OCC. BUILDING VALUATION pt7 NooREit •gACrOR'! NAME CLDNONE ;TRUCMN IENULN 707... .. ADDRESS irrEcT OR PONIES r CT OR E4MEEA9 .M - ADORESS _N+o ADORESS NO. I SUSONSIONS NAME USEOFSTRUCTURE O Duplex ❑ Mobilehome Other SPECIFY TYPE OF WORK O Addition O RemodelY LM!Z3 s Kinstallation P Other O _ ,scribe Work: U Fireplace PERMIT FEE _ 119 U. -U Total Valuation = Filing Feel 20.00 Main Service Filing Fee S '2e 00 Permit Fee L NEW CONST. OR ADONS. Plan Checking Fee $ 67 Energy Plan Checking Fee E ' l POWEA 4N6LE APPAO dM 0. S Ex. Occup. PERMIT FEE _ EX. OCCU PLUMBING PERMIT 5.00 Filing Fee 20.00 Each Trap Mobile Home Facilities 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home Q20.00 (� PERMIT FEE I t LV MECHANICAL PERMIT I Fling Fee -1 20.00 6.50 PERMIT FEL $ Mobile Home Installation Fee = Energy Inspection Fee S occ CONST. TYPE TOT L FEES' I NAz 0. ""I's 6 RAO ► D 60P P C Po NO SSUE 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. By Date • PERMIT EXPIRES ON PERMIT FEE _ 119 U. -U ELECTRICAL PERMIT Filing Feel 20.00 Main Service sow OR uss io.OR E 23.00 .9.3- Main Service 200A TO roOOA 46.00 NEW CONST. OR ADONS. DWELINO OCCUP. & Ad:. aws. 3.5¢so. NON-AESID. MW coum T. MULTI-0VTLET �i0 7.50 ' l POWEA 4N6LE APPAO dM 0. Ex. Occup. OUTLET OR iDCT11RES 20 9AL ®r.00 .50 EX. OCCU F=D APPLNS. OR OvnFrS ESID.) EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 On, PERMIT FEE I t LV MECHANICAL PERMIT I Fling Fee -1 20.00 6.50 PERMIT FEL $ Mobile Home Installation Fee = Energy Inspection Fee S occ CONST. TYPE TOT L FEES' I NAz 0. ""I's 6 RAO ► D 60P P C Po NO SSUE 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. By Date • PERMIT EXPIRES ON AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT Instructions for recording Agricultural Statement of Acknowledgment: 1. Insertthe legal description of the property in the space provided on the attached form. -.The legal description is the narrative description of the property --which will be on your deed. If you don't have access to the deed, the Recorders. Office can provide this in- formation. (The description may be handwritten or typed in the space provided or attached on a separate sheet if more space is required.) 2. Property owners must sign in the presence of a NotaryPublic and have the form notarized. 3. Make a copy of the form and then take the original and copy to -the Recorder's Office of 25 County Center Drive, Oroville (the Administration Center building). The Recorder will record both the original and copy. They will keep the original and return the copy to you. Just bring the copy back to the Building Division at 7 County Center.Drive. RECORDER'S FEES:,, $7.00 - 1st Page S $3.00 - Each Additional Page RECORDER'S OFFICE HOURS: 9:00 a.m. - 5:00 p.m. MONDAY - FRIDAY 9:00 a.m. - 4:00 p.m. for Recording 7i�.h-.+`'}!j.7;P•t�,it+q.axi"k'}+'in1'it•il'c COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARC ER: ntq (O O Proposed Building Use: Building Inspector: Date: IF --N 15101) At time of permit application, I as advised"164' following data must be submitted prior to permit easing and/or issuance: Date Received By El 1. All items have been submitted ----------------------------------------------------------------------- --------------- ❑2. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ ❑3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑ 6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------ ❑ 10. Fees of $------------------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. ----------------------------------------------------------------- ❑ 12. California Department of Forestry plan approval/fees. ----------------------------------------- --------------- El 13 Flood elevation certificate. ---------------------------------------------------------------------------------------- WSanitation and plot plan approval Health Department. ------------------------------------------- ❑ 15. City of Chico plumbing permit. ----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: -------------------------- 1118. ------------------------- ❑18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- 020. Pre -inspection for required. Request to Building Inspector on ❑21. Contractor's license information. (Number, Name Style, Classification). ------------------------------------ ❑22. Workers' Compensation carrier and policy number. ----------------------------------------------------------- ❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner EI) - -------------------------------------- ❑24. Letter of signature authorization.-------------------------------------------------------------------------------- ❑ 25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- _ ❑26. tter of intent on building use.----------------------------------------------------------------------------------- _ ❑ 7 Manufactured Home utility clearance.--------------------------------------------j-------------------------- _ Existing violations and/or expired permits.---� 1�---- -lisp--------- ❑2fW E1433 A, ❑Grant Deed ❑ M.H. Title, ❑ eck to H.C.D $ .--------------- 30.Other:-- --------- _ 7Whh you issue the permit ces a follows ail to owner, ❑Mail to contractor. dTelephone�J, 't / and hold for pickup at office. ❑ Deliver with inspector. (Date) Applicant: r ate:.)"S — y Copy of Haz-Mat form'sent ❑ Health Department, ❑ Fire Department, ❑ Air Polluti n By: Copy of plans sent ❑ Health Department, ❑ Fire Department er: By: 1. Index permit application for the above -items -numbered: / ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, b mail, ❑ Building Di is* ion counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. Attention Property Owner: An""owner-builder" building permit has been applied for in your name and bearing your signature. Please complete . and. return . this information at your earliest opportunity' to avoid unnecessary delay in processing and issuing your building permit. No building permit *ill . be issued until this verification is received. 1. I. personally plan to provide the major labor and materials for construction of the proposed propertyimprovement : YES] NO[ : ]. = 2. I HAVEfy] HAVE NOT[ ]signed an application for -a building permit for the _ proposed work. 3. I have contracted with the -following person (firm). to ., provide -the" proposed construction: NAME: ADDRESS:' CITY: PHONE: CONTRACTOR'S LICENSE NO. • 4. I plan to provide portions of this work, but I have hired_ the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: O PROPERTY OWNER: SOCL-kL SECURITY NUMBER: DATE: S NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. May 1995 2.26 Dear Property Owner: i . An application for a building permit has been submitted in your name listing yourself as_ the builder of . . property improvements specified. For your protection, you should be aware,that as "owner -builder" you are the responsible party of record on such a pe mit Building permits aie-not required to be signed.by property owners unless they are personally performing their own work. If your work'is being performed by someone other than yourself, you may. protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and -bonded by the State of California and to have a business license from the city or county:•They,are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with_ the exception of various, trades that you plan to sabcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any ;persons other than your immediate family, and the work ' (including materials and other costs) is $300 or - more for the entire project, and such persons are not licensed' as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer.and. you. are subject to°several obligations inclading state and federal income tax withholding, federal social security fazes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. .. 0 There may be financial risks for"you if you do not carry out these obligations;^and• these risks are:especially serious with respect to'worker's compensation,ins rance. 0 For more specific information about your obligations under Federal Law,' contract the Internal Revenue Service (and, if you wish; the U. S:- Small, Business Administration). For more specific information about your obligations under 'State Law, contact 'the Department of Benefit Payments and the Division of. Industrial Accidents. } If the structure is.intended for sale, property owners who are not licensed contractors are.allowed to ,perform their work personally or through their own employees, without a licensed contractor or subcontractor;.only under limited conditions. - A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuildee, building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are. not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or;at 1020 N Street, Sacramento, CA. 95814. Please complete the 'Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters.'The building permit will not be issued until the verification is returned. Sincerely, Michael C. Vieira, C.B.O. Manager, Building Inspection NOTE: This 0,.N-ner-Builder Information is required by Section 19830 of the California Health and Safety Code. .' Mav 1995 2.27 16160 �� I�,ECEIV�'D AGRICULTURtF DAVIT MAY 16 2000 EMPLOYER/EMPLOYEE EIV. Please rea, ffieTTE COUNTI� T MAY 15 20,00i�p 01flb carefully before signing: BUTTE COUNTY Section 24-305.020 Agriculture Employer/ Employee P.L:.,N\iING Lh'ILION (Applicable only in zones A-5, A-10, A-15, A-20, A-40 and A-160) An individual who verified, by personal affidavit and by affidavit of his employer, that he is, or will be, employed at least thirty-two (32) hours per week for at least sixteen (16) weeks per year, or that his primary source of annual income is, or is anticipated to be, derived from any of the following described occupations: (a) The preparation, care and treatment of farm land, pipelines or ditches, including leveling for agriculture purposes, plowing, discing and fertilizing the soil; (b) The sowing and planting of any agricultural or horticultural commodity; (c The care of any agricultural or horticultural commodity. As used in this subdivision, "care" includes, but is not limited to, cultivation; irrigation, weed control, thinning, heating, pruning or tieing, fumigating, spraying and dusting; (d) The harvesting of any agricultural or horticultural commodity including, but not limited to, picking, cutting, threshing, field packing and placing in field containers or in the vehicle in which the commodity will be hauled on the farm or to,the place of first processing; (e) The assembly and storage of any agricultural or horticultural commodity including but not limited to, loading, roadsiding, banking, stacking, binning and piling; (f) The raising, feeding and management of livestock, fur -bearing animals, bees, fish, frogs and other aquatic animals, including but not limited to, herding, housing, hatching, milking, shearing, handling eggs and extracting honey; (g)-� The operation, conservation, improvement or maintenance of such farm and its tools and equipment. This affidavit is valid only for the named employee. Any change of employee requires a new affidavit to be filed. Employer tax records may be requested as proof of employment status. Signed: Dated: t� = /� _0P AGRICULTURAL AFFIDAVIT EMPLOYEE Employee /� %�'f2l &caaall V ( fyG-4Z6S Phone 53q- Q4 Employee's Address (Present) 7 (j / n�e&-M e&n� , . Name of Property Owner 41,)/Z ?-n aJna 13g-cee"a Property Owner's Address Owner's Assessor's Parcel Number Parcel Size Ac. do declare, sub1ect to the penalty of l / r perjury, that I am the employee of address (present) .2-0and that I will be employee under Section 24-305.020 CC{� [.c=� Q for at least thirty-two (32) hours per (a) to (g) week for at least sixteen (16) weeks per year on AP# Signed: V Dated: *************************************************************************************** Environmental Health Approval. Permit Description and Number Date lid � r 1 -00 Planning Approval: Date O ZoneA- �5_ Dwelling on AP# -2/ Crop/Commodity Produced 026 -iso.-o/8 S� AGRICULTURAL AFFIDAVIT EMPLOYER Employer Employer's Address Name of Property Owner Property Owner's Address Phone 534 —qqG 4 Owner's Assessor's Parcel Number A? Parcel Size v2 e Ac. 1, AJ 6) Zri2 ;,� .Q c:�c,� , do declare, subject to the penalty of perjury, that I am the employer of�M address (present) :2Q . �Od l� L,,;;0:1 p and that I will be employer under Section 24-305.020 L/4) for at least thirty-two (32) hours per (a) to (g) week for at least sixteen (16) weeks per year on AP# 2 Signed: Dated: Environmental Health Approval: r / ►A 1 DW t LLJ NCS Permit Description and Number ,TopLLI G OZ/G -)1 S,,,nhAA&nn � 1 Datelssued if r �) ByrQaQ Planning Approval: Date .S /, D Zone - Dwelling on AP# Crop/Commodity Produced AGRICULTURAL AFFIDAVIT EMPLOYEE c Employee C, Phone Employee's Address (Present) Name of Property Owner r) / j 4zn d. Property Owner's Address 5'urs Owner's Assessor's Parcel Number Parcel Size v26 Ac. I do declare, subject to the penalty of perjury, that I am the employee of�p /PV address (present) nN�YdII� r,��7 and that I will be employee under Section 24-305.020�a)C��C�7C�) for at least thirty-two (32) hours per (a) to (g) week for at least sixteen (16) weeks per year on AP# fol) Signed: Dated: S - 45- do *************************************************************************************** Environmental Health Approval: Permit Description and Number Datel WJ S -l6 X01) Planning Approval: Date // 6 Zone A- Dwelling on AP# 2 Crop/Commodity Produced W AT%c,�I`d AwviNG 11�c(Caaa JUN 1 2001 OR W�/,fie A.hP JUN 1 2001 OR W�/,fie A.hP COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE V OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this Office immediately. REV 10/92 COUNTY OF BUTTE ? ,� BUILDING DIVISION ,5 DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 • 7 County Center Drive • Oroville, CA • (530)'538-7541 CORRECTION NOTICE' OWNER PERMIT NO. - A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. / REV 10/92 Butte County Department ofDevelopment Services ADMINISTRATION * BUILDING * GIS * PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538.7541 Telephone (530) 538.2140 Facsimile April 16, 2003 Adolfo A. and Manuela N. Becerril PO Box 613 Palermo, CA. 95968 RE: Building Code Violation Location: 201 Sunnybrook Ln., Palermo, CA. AP # 026-250-018 Dear Adolfo A. and Manuela N. Becerril: Pursuant to Butte County Code (BCC) Section 41-2, you are in violation of the Butte County Code, at the above - referenced location. As of this date, the following violations exist: Failure to obtain the required permits, inspections and approvals from this office for the installation of a mobile home and installation of utilities and occupancy prior to final inspection. (a) Section 28A-1/1018 Permits Required for any Plumbing or Electric (b) Section 28A-1/1048 Inspections Required for any Plumbing or Electric (c) Section 28A-1/1034 Permits Required for Mobile home Installation (d) Section 28A-1/1326 Inspection Required for Mobile home Installation The above violations(s) shall be corrected or abated by you by submitting three (3) complete sets of plans, applying for the required permits,-and'paying the appropriate fees, including penalties_. After permit issuance and field authorization to proceed, the work must be completed and approved by this office within the permit specified time. It is the County's goal to obtain voluntary compliance with the Butte County Code. However, you should be advised that Butte County has an active Code Enforcement Program which provides an effective means of enforcement if voluntary compliance is not obtained. Enforcement may be pursued through the issuance of citations, fines and the recording of a Notice of Violation including a description of the action necessary to abate the violation. You have thirty 30 days to voluntarily comply with the above directions or to present an acceptable plan for abatement or corrective actions to be taken by you. Should you have any questions concerning this matter, please contact Scott Rutherford or Michael Vieira in this office at the address or telephone number listed above. Adolfo A. and Manuela N. Becerril April 16, 2003 Page 2 Sincerely, t2!v Chief Building Inspector SR: kj cc: Assessor's Office 1 Assessor Asmt # Fee # 026-250.018-000 Name EECERRIL ADO F0 A & MANUELA N i Status �CTIVE �� Status Date r - Addrt IF 0 BOX 613 - Tax 000 NORMAL OWNERSHIP TRA 092-000 Adds= I FALERM0 CA 95968 j Situs 201 SUNNYBROOK LN PALERMO _ Addr3l Base Dt� Addr ILand _22,430 Timber Preserve Structure 4,189, T r+ AgPres Fixtures 0 Comments 2625001800 CONVERTED 09!08!88 r' Et Growing , Creati-g Doc# 196881.507680 Date Notes 2.6,619, Bonds Total L&I Current Doc# _ _ Date 03/24/20031 Fix. RFMulti Situs Killing Doc# _ Date�F�-- FIag1 MH PP 0 Asim Desc 201 S_ UNHYBROOK LN 1� SuplCnt FIag2 PP Q Zoning A5 Dwells 910 MH Exempt Asmt PP Pen Net Acres/Sq Ft rg- JNIC 026 RIC#F Tax PP Pen Appeal Pending TIR Dt j� Split Pending R1C Stat= PiY WTAX IT EXP 0 ATT S _ _ _� APR, PCL jj raj ter ►� 1 ; Find I �I mil 2002 sa, 07 j25 j2001 3:27:21 PM - LIVING IN MH AND USING ONE MH FOR STG W/O PERMITS 026-.25- 018 BECERRIL, ELFO CONTR: OWNE 201 SUNNYBROOK MH UTIL ELEC /00 Cion GAS L. f'G COMPACTION TEST REQ_ SUPPORT STRUCT REQ 026-25-0-018 BECERRIL, AD 0 NTR OW R 91-3727 , OROVILLE 91-3728 CO 201 SUNN ROOK LN, OROVILLE MHI 25-0-018 00-0978 ;ERRIL, MANUELA SUNNYBROOK LN., PALERMO UTILITIES AG (A) 026-25-0-018 00-0979 BECERRIL, MANUELA 203 SUNNYBROOK LN., PALERMO MH UTILITIES AG (B) 026-250-018 PERMIT#95-145AG BECERRIL, Adolfo A. 201 Sunnybrook Ln., Oroville AgExempt erm;r-Stv Hay j4 Cc e 03 • jar .M �. .. 1.1 � yf 17 U } 0 � I • I- I 305 305 1 1 ) 1 2 -- r 11 R N al o I 29 4w 11 ' N SO2 Ac w 58 1 35 34 2 46 1 a 2 ` O I at 5.99Ac1 I 6.42Ac 55 _ _1 _ O'' O 4 2 I 5.OlAc 47 „ 380 A 3 56 to Io----—I-------J h a 57Oi r. O �o 59 — fE 1 N 5.46 At 5.79 A /LL__ 00 337AC — 5.49A�B v �• O PM 129- 96 PM `V 75-13 l — • . aAl X99 4 C % 4 _ 24L .52CL — 3 o* / P, 8.4Ac ! 3 z 60 „' ' E .(� 11 5 Ac l ►, S 3.37AC 335.75 P/A/ 71- 64 l 659!7 660 �4 635 SS.OIAc 5.01 Ac „ 5.01 Ac M G� t �� t 4E IP/Af 41 330.039 33Q01 63894 - 2 '-------- �� '• IT I.1 I 12 I 3z1.3 • O I t is 17 a I 781 c• J , 2 1 1 1 124 T 610 635 _ 1 1' ' -- — — — --- `�'� 1 —Tj Additional comments from Inspector: 2- M �. 1'11 .. r -•:�. .-t r,..tq!^vy�.l .,a y<�'�O f i. • IN MH AND USING ONE STG • PERMITS • ^.t .:t Qt) t,.COMPACTION• ivy I # 1 C< r^4" .aN"tr .t''Tzt�'� s� �.<•' •f M� r �'' .�.'(.j:,,. S' cry: 1. 1 ` f L` � � a `�' 1 � i, r ,�• �• �'•'•=ate •i •�#s� T<i.�' h^ ~ �• �s t 0 -25-0 018 91-3728 26 201 SUNN ROOK LN, OROVILLE "026-25-0-01800-0978 BECEItRIL MANUELA , .. * J i r n Fi , ILITIES AG (A) n mv �r a� M•$ _ .: �,r ^ � -,� `� � it .. t . , '• 026-25-0-018 00-0979 S { -.�I4 r '': }t F i., y' 1•. < y '+ .• ,�� °� J� '-Cs h, -s •.°T fS r L r }cri v ST •a E �". i a •UTILITIES AG (B) • • • MANUELA • . yjr f Vp ,y. 1 �' \ r `. y r - 7 + { C r+'• 'Gr alt -n �. �n`,�t x Ii ����r'• •r FF a .. < �, q�'q AS�I �� s.� A `"� .C�'r a F,; . • r #' `T K.�IF ri,[ryy ��Y� yR��,¢� 1'4 �;.:,:�.�'+.,-'><h.��.f�G�`�#' "��i'l..f i.w y�'' ��'y .[, ir''� ,-� y^t; -• � f! rj . `• r/ e•. 1. * ,r - � t�} ` :TS � �` '�• � _4t�.s :a � ., Rr 7� � j :rJ ,ff LERMO 026-25-0-018 00-0980 x t t . .*^. .,�• r.� _ +,at y s 1N"+' n ,• • MAN ..q < - it<• t'q X ti •'..,> k=s! r-� 0 i • • PALERMOi;w,� }•Itt`K h ;11' �''• '-� n +, 1, y, :c. 'ek } x' "�; t�•. �� t t .. 3ry•,�tt 4K.-'L.ty •, e.. 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F ,��.• T-< �Pl. ..-_. _a _ .._ •t^' s.... f :�tr"'�. f'�_' '1•.. �." *� ,_ -. ,�.ti�.^.i AO'TE: ee ;fie joacin e e ment! p -ages 0 0 u NC :c QAC BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (916) 538-754' AGRICULTURAL BUILDING EXEMPTION PERMIT / Agricultural building is defined as follows: Agricultural building is a structure designed andnstructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structures II not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSES PS PARCE�NO� a ` ZONING OWNER W ©4--ce�� PHONE NO. � 3)1- 996 OWNE 'S ADDRE O nn ro©T1 �v; 9 LOCATION OF UILDING (O . u n ro 4�- vt ®ou� Ile, USE OF BUILDINGS --'-to SIZE OF STRUCTURE V r ' X SQ. FT. TYPE OF CONSTRUCTION: WOOD FRAME STEEL_ CONCRETE OTHER (Specify) TYPE OF SIDING M� ROOF C R I G FLOOR E ESTIMATEDrCOS T�OF�E,ONSTRUCTION $ f (`l AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows- - FRONT > , /11162�`' SIDES �a `� REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation USGS Datum. I declare under penalty of perjury that the building will be used as stated above and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date _% = Signature of Owner azz6=& Permit Fee - $60.00 The above described AG Building is exempt from a building permit. Receipt No. �U�F I 0181- FLP6 I PARC PjD/J ROOF G ISSUE Manager Building Division By—/G9�' Date White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant �x'�`'Tg}FrlRl�j,'�'y�►�^:,..� ��•'+;'�Tt'3"�i+vwr�'�.•'�����.�h�' I+ r ^rt OUN,TYOF-BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER.DRIVE `OROVILLE,CALIFORNIA95965-TELEPHONE (916)538-7541r PERMIT APPLICATION DATA SHEET j Qty Com! OWNER /'� A. P. a:' /S� Proposed Building Use. All a Building Inspector ' Date At timeof p rfnit application, I was advised the Yollowing data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans. ......................... . 3: Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................. 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ ............................. I............... 11. Impact fees as shown on attached schedule. ...................... . 12. California Department of Forestry plan approval/fees. 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ............................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ........ . 17. Planning approval for (A) Use: (B) Parking: "..... . 18. Contact Land Development about (A) Improvements (B) Drainage. ........... 19. Driveway permit (construction approval required prior to occupancy). ..'. Pre -Inspection n:quest- 20. Pre -inspection forrequired. .. to Building Inspedor (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. .22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner ........... 24. Recorded copy of Agricultural Acknowledgement Statement. .................. 25. Letter of signature authorization. ........ ............................... 26. Copy,of.recorded deed ofiparcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building.'use. 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access. ....................... :................. . 30. Documentation of 50% subdivision dveloped or'(A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31 Existing violations/expired permits . ...................................... 32. Plan check list . ............................ . 33. 34 Wherlyou issue the° permit,►process as follows: Mail to owner. Mail to contractor. Telephone and hold for pi kup at office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: .f Contractor, designer, owner, was advised of above required data by _phone _mail Counter by,- Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date MYM. Plans checked by Date Plans°,approved%by.is.,---," pM,, Date . Sets of plans on hold in File cabinet AP folder t Copy - Department of Public Works r. RESIDENTIAL _. 026-25-0-018 91-3727 I BECERRIL, ADELFO ` CONTR: OWNER 201 SUNNYBROOK LN,•OROVILLE MH UTIL 37��' ,l all � ,I , r 2-2 t • 1' n O FICE COPY Address i GAS ' Meter By D_a ELECTR Meter By r ' "Date'��' 1 JOB FINALE D Date) Signature r J=OK O = Not OK =Not Applicable Not Ready MOBILE HOMES ' = Date NRIME HOME UTILITIES (Plans) OK except #'s 1. Z2aipg Requirements -Setbacks -Easements Special MH Support Sketch ewer; Location -Test -Fall -C/O Concrete 4ater; Location -Test -Easement Needed (Sketch) 5 lec icity; Location-Clearences-Grnd-/ /Amp -Concrete s; Locatio est-Wrap _;,W P11t. / /" lai-or/� L"ft.//"LPG ell Clearance & Disconnect %e'!'8. Utility Clearance Date Card B-1 Date . Card B-1 Date --� Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements Footings; Size -Spacing -Marriage Line,,,_-_ G.,s; MH Test-Demand-Valve—Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances Drain; MH Test -Fall -Flex Connector - ?' 6. Water; MH Test -Regulator -Connector Water and Sewer Connected -C/O to Grade -HD Approval _a..Gas and Electricity Tagged . Exits; Insp.-Sketch 10. Cert. of Occupancy Dat and B-1 Date Card B-1 DatJ Card B-1 Date Card B-1 R a \ r` f 01. MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- RItrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B -1 - Date Card B-1 Date Card B-1-,_ Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness r Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.: Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes-Enclosures- Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O=Not OK =Not able RESIDENTIAL (; '=•(Jot Ready 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 -Anchor -Regulator -Service Test 12. Electric; Underground - 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except #'s 16. Water Htr.: Vent -Access -Combustion Air -Baffle ------------------- ------------------------------ 17. Water Pipe: Test & Anchor -Nail Protection -------------------- --------------------------------- 18. D.W.V.: Test -Fittings & Anchor -Nail Protection -------- --------------- ----- --------- 19. Shower Pan. Test. First Floor -Tub Access 20 Test Tub & Shower, Second Floor -Tub Access --- ------- --------------------------------------- ------ - 21. Gas Pipe: Size & Anchors --------------------------------------------------------------------------- Date Card B-1 Date Card B-1 ---------------------------------------- -- ------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection ------------------- ----------------------------------------- --- ----- ---- 23. Elec. Receptacles Spacing -Lights & Switches at Doors ----- --------------------------------------------------------- 24. Size Boxes & No. of Conductors-Stapled ------------------------------------------------------------------------------ ---- 25. Romex Installed Close to Edge of Studs & C.J. ----------------------------------------------------------------------------- 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water ----------- - - -------------------------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI ---------------------'------------------------- 28. Subfeed Wire Size r / ga. Cu or AI-A.C. Wire Size ! ga. Cu or AI - --------------------- ----------------------------- 29. Range Circ. / r ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral 0 Yes 0 No ------------------------------------------------------------------ 30. Service -Riser Conductors & Ground -Main Disconnect --------- ------------------------------------- - - 31. Equip_Clearances -Panels-Motors-Mech. Equip. --------------------------------------- ------- 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector ----------------------------------------------------------------------------- --- Date Card B-1 Date Card B-1 ------------------------------------------------------------------------ Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support ---------------------------------------------------------------- -- - --- - -- -- 35. Vent Fan: Exhaust above insulation --------------------------------------------------------------- 36. Condensate Drain & Overflow; Size & Grade - -- -------------------------------- --- - - - --- . _ --- - - - - 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ---- ------------------------------ -------------- - -- - 38'Attic Access & Platform if Furnance in Attic --------------------------------------------------------------------------------- ------------------------------------------- -------------------------------------- Date Card -B-1 Date Card -B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 39. Sils. Proper Material & Anchors - -- -- ........................................................ - ........ 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound ------------- ----- --------------------------------------------------------- -- 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) .----------------------------------------------------- 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub -------------- 44. -------------44. Headers & Beam -Size & Bearing >ingle & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions --------------------- 50. Garage Fire Protection Framing 1 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits t 53. _Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic . 58. Shear Walls: Nailing -Bolts 59. Insulation -Walls -Ceilings ------- ---- ------------- 60. Infiltration -Walls -Windows -------------- ------------------------------------ Date _ Card B-1 _ _ Date _ Card B-1 --------------- Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 61. -.Ext. Steps -Door & Sidelight Protection -Landings ------------------------ --- - 62. Smoke Detector --------------------- 63. ------------------63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor-Ducts-Mech. Protection 64. Bedroom Exiting 65. G.F.I.& Bath Fixtures & Tub Access -Spa ----------- - 66. Elec. Trim & Subpanel. Breaker Sizes & Labels - --------------- 67. Stairs & Rails ----------- ------ -- ------------ -- 68. Fireplace or Stove: Clearances -Hearth --------------------------------- 69. Elec. Outlets at Wood Panel: Int. & Ext. - ..---.._----------------------------------- 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door: Swing -Landing -Closer --------------------------------- -------------- ------------------------------ --- - 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. -----------------In Garage: Above Floor-Mech. Protection 75. Plb. Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection 7;. Insulation -Foam -Looked in Attic 0 Yes ------------- -------------------------------- 78. -.Guard Rails & Deck Construction -Post Caps --------------------------- 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor Yes ------ -------------------------------- --------- 80. ---------------------------------------80. Following instld.: Drive 0 Yes 0 No: Walks 0 Yes ID No; Planters 0 Yes 0 No ------------------------------------------ 81. .---------------------------------81. Stucco: Brown -Finish -------------------------- 82. A.C. Unit: Disconnect. Electrical, Plumbing - -------------------------- -- 83. Vents Above Roof, Plb9 _ APP fiance -Fire p lace. -Clearance to Openings _ 84. Water Well; Disconnect, Electrical, Plumbing --------------------------------------- - 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground ---- ----- ---_ - --------------- ----- ---- 86. Ventilation Throughout House - --------------------------- 87. Glass Protection - - ----------------------------- ------ -------------- 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged: Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval - --- -- ---------------------------- 91. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: �� -sig`—^+'r-,:-=z:r:��;,�'_;r',:.t ,.I—w.... _=��+•s.K':^...;�..la�+�t4"ir'y„�`''�';�'y''`:.'sSrTr3+gr•`�i%�:. COUNTY bF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 �` •- _ 7 County Center Drive, Or6ville — Phone: 538-7541 747 Elliott Road, Paradise - Phone: 872-6307 CORRECTION NOTICE OWNn PERMIT Nc A routine inspection indicates tfi t the following violations of County Ordinance F exist at the above address andshould be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. ti .j ;N 4 Date Inspector _ COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances'exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, S; Date Insp REV 11/9 t MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 PERMIT N0. / I - Address or location of mobilehto,.me g Owner's name A ^F Owner's address Insignia or hud number 1:4)1111 lP 11—D U I j Manufacturer's name Lc>C, / faf�% Serial num a of V.I.N. .Year of rnantifqptoira s(O icia pproving nstallotion) (Date) IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATI01 +t, ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THi MOBILEHOME IS INSTALLED ON 'A FOUNDATION SYSTEM. 5]3B White Owner.; Yellow -In taller, Pink •DPW .t... -.....;_aa.. sta.,mow.._, .,._... - •v.. - :�t,-Y.s ^PA'-�-.i<.-#'t.:::". 7'._.%x-,.....�__ n - ' COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 C-ORRECTION NOTICE C ' OWN ER Ern /2 ( L-- — 5 2 PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction. of work is completed. If you have any question pertaining to this matter, or need additional "explanation, please contact this office immediately. Date inspectorKL-7.4 I COUNTYfOF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 Codrty Center Drive - Oroviller Callfprnia 95965 - Telephone: 916/538-7541 v APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 026-250-018 ZONING A 5 BUILDING PERMIT OWNER ADELFO BECERRIL TELEPHONE 534-5318 SO. FT. OCC. BUILDING VNILLIAT19N OWNER'S MAILING ADDRESS P.O. BOX 613 PALERMO 95968 CONTRACTOR'SNAME SAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER BANK OF AMERICA UNKNOWN Total Valuation $ Fee Filing F $ 15.00 ' LENDER'S MAILING ADDRESS OROVILLE Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 20.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 01 25SUNNY BROOK LANE Permit tee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome[� Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[ Other ❑ Describe work: MH I MIN 500 SQ FT S, f[VkH1 e— a Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200A TO 1000A) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their Sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST./ DWELLING OCCUP.&� OR ACDNS. 1 ACC. BLDGS. 3.64sq.ft. NEW NO N.RES'D CONSTR. BRANCH CIRCUITS @ 5.00 POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 9 76 FIXED APPLNS. OR EX. OCCUp. OUTLETS (RESID.) EA.T I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. byirin 9 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. AI shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue-1DFEES against sad County in consequence of the granting of this permit. �j X t Date 'I (� 5igneture of/Applicant — Owner Contractor E] Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ 70.00 Ener -Inspection Fee $ gY occ CONST TYPE TOTAL E 10 .00 IMP % COF PARC P H I E This permit is hereby issued under the sions of the Butte Co my Code and/or fees OR C work indicate ab a for �PUB BY PER IT EXPIRES V Date applicable provi- resolutions to do have been paid. WORKS _–Date�%� Receipt No. 101355 105.00 WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT fy^�!T _•sR." ,•r�wt.'R '�iR .;���`:�'�:.` >- ' ..y�SFs �,`:4t'``i�.'ii,�r„[` ��3!['7.�r�.JCL�..�"w.r f.'✓. •,. a . !} { 44 COUNTY OF BUTTE - DEPARTMENIT:017-PUBLIC WORKS - BUILDING DIVISION ;. C. - , 7 COUNTY CENTER, .Dk91VE - OROVILLE, CALIFORNIA 95965 -TELEPHONE: 916/538-7541 � PERMIT APyPLICATION DATA SHEET o0 Permit No. OWNER A. P. No. Proposed Building Use All Building Inspector A Date 1/0— %f"-0/% At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . ........................ .... . . , 2. Plot plans in duplicate/triplicate, signed by preparer of plans......... 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material 'Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... truss details and layout in duplicate (required prior to plan check) &Engineered Mobilehome install -data-Lai facturer's installation instructions .....�4 y M y �2 10. Fees of $ 11. Chico Urban Area fees paid ....................................... 12. C Park fees paid ................................................... - School District fees paid .............. Sanitation approval fromD 1"_ 26;A� dHealth Department L 2 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... Ali 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. 21. Pre -Inspection for required . Pre-Inspec. request to Building Inspector (Date). Contractor's license information (No., Name Style, Classifications 22.' Certificate of Workmans Compensation Insurance .................. % 23. Owner -Builder Verification (Given to owner o, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement, ......... 25. Letter of signature authorization I 11W When you issue the permit, process as follows: Mail to owner. Mail to contractor. ` _ Z Telephone 53C/-531 and hold for pickup at 66430 office. Deliver w./inspector. Other Applicant (•L�.�,_,_ Date Copy of Haz-Mat form sent Health Dept. Fire Dept. __Air Pollution Date Copy of plans sent _Health Dept. Fire Dept. _ Pther_,_ Date By The following data must be submitted prior t, permit issua ce• cle nc•he ).move 1, Index permit for above items No..,;a lei,-li Ae,e 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone---nail—counter by ..date t Contractor, designer, owner, was advised of above required data by_phone—mail coup er by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW TO Building Department FROM: Environmental Health SUBJECT:'. Sanitation Clearance O e. C -e Vr Q1 d 0?—aJ1— Owner Locat on AP# ,Plan Approved for: Sewage Disposal 'Water Supply Hold final for: Water Supply. Final -clearance O.K..for: Water Supply Clearance for ta bedroom mobile home. Other NOTE *** Sanitar i ate COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916-`538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 02 (o d 50-0/� ZONIN //% s BUILDING PERMIT OWNER n I�`�O ��C ���lG t4pl / TELEPHONE —5318 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING AODR SS Iry bX �! /-t (Q-1-1 o 9 55 Cc6J � CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONST UCT10y LEND �, ,v /C Q P /4/45-11 C UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS b R d L) Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Zp, pJ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS o201SG, NN �fOo�C IN L Permit. fee $ �S��O PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex[] MobilehomeC�_ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S FG FW 1 15.00 TYPE OF WORK �rI New❑ Addition ❑ Remodel❑ Utilities❑ InstallationOther ❑ Describe work:% =F /;II/V 50 o SQ �� _ - Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS SS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): El am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason IPermit Main service 200A TO IOOOA, 37.50 NEW CONST, DWELLING OCCUP.&) OR ADDNS. ACC. BLDGS. / 3 .54 sq.ft. NEW CONSTR. -.tULTI.OUTLET NON-P.ES'.0. BRANCH CIRCUITS) @ 5.00 (POWER APPARATUS &) 1 SINGLE OUTLET CIR. Ex. OCCUD�OUTLETS OR FIXTURES I 20 75d RA FIXED APPLNS. OP Ex. Occup. OUTLETS IRESIO., EA.) i 3.001 Temporary service 15.00 Mobile Home Facilities j 15.00 Misc. Wiring 9 I 15.00 Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you becomesubject to the W. C. provisions of the Labor Code, you must forthwith comply with such Provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling g Hood 1 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owners Contractor ❑ Agent ❑ An OSHA over 5'U" deep and demolition or construct- ion of structurestover r3gstories in height. Mobile Home Installation Fee $ U kAJ Energy Inspection Fee $ occ I CONST TYPE /7 I I TOTAL FEE $ V I HAz OFEES IMP I FLOOD CDF PARCEI. I PO I HO I ISSUE This permit is hereby issued under the ions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC DIRECTOR By _ PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. l01 L355 --� O S 6� WHITE-O.P.W., •ELLOW•ASSE$SOR, PINK -INSPECTOR, GOLD ENROO-APPLICANT .' COUNTX OF BOTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 .' OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. s Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) —�//� signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. ,I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name _ Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner Social Security Numbdi Date z (", -- t/ NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. TO Building Department FROM: Environmental Health ; SUBJECT: Sanitation Clearance �O[A rVYVXj �i�rge-k AP # Owner Location Plan Approved for: Hold final for: Sewaqe Disposal ZY, 'Rater SupPlY UM Water Supply ^anal clearance O.R. for: Water Supply Clearance for 'Q, bedroom mobile home. other — NOTE *** Date San{ arian r -i O /OS IA 'OYL-All Kiwm?i-il-i & Woctn�rnan-ship Sb9t4 Be 1. Gond 'tactic es ens' quAINY pm---cTibed for th--�'Sp. ccified use in tfi%s Uniform BvifWnig, Plu ' mbing (10A Meeh RiC81 CCq,-44E'-'t ww Ow 11113 1& of oWms and MUST be. 4pt on 6g," ion at OU fun -'4's Ond ;f is unlawful fe M44 nYnv 4miryas en- _fir -Ms O'n slime w4how ission -fi-c-ra AeDeparfn-sent of p" Works, fy of BUH6. ft. from wv, arty lines and a se*, -,r of -50ft- ffum t6 read k. centerline shall be cfdar of 'ructur'D.s or equipment except )OC SQ. FT. MINIMUM FOR MOBILES �• *� a�� � � �/ V � Fl �V � e�►"+inw3'e9�y�H�nrw+.:aryy�,�,��r�sy5"F9.--.:.; ;.v. -..,-w BUTTE COUNTY SCHOOL,; DEVELOPMENT FEE CERTIFICATION FORM (One Form per -Building) A.P. Number2(,-)_;t(�- ���j ` Building Department No: '.4.. School District (_44"p N( ,City F__J County Jurisdiction Property Owner GQ r r Project Location/Address p Subdivision Lot Number Residential Development:w,. '�.Sq. Footage I SV O # of Living H Addition (Group R) Units •Commercial/Industrial,: 0 Sq. Footage . < New Addition (Including Exterior Roofed Areas) l B ilding dpart t Representative Date .-' ','(Floor Plans reviewed by School District Personnel) I DistrictN Id No. Q20441- 0 Ille o4lo Ukh5_1f School District certifies that 1,� r (Applicant Name) (Phone'Number) A J Street' Address) (City) (State) (Zip Code) has complied with the requirements of Resolution No. by they payment of $ 00 representing, square feet. 0 School District Representative Date PAID BY CHECK NO. . REMARKS:' BANK NO PAID BY CASH white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) r . r tir` i _. � ,�;; r �. This set of plans and specifications MUST be kept on the job at all times and it is unlawul tc make any changes or alterations on same;vit�>= perm from the Departent o out written p Public Works, County of Butte. 1' Q OTE:-AII Materials & Worm 'P Practices i�� ccordance with Recognized Good f a quality prescribed for the Specified use in he . , niform Building, Plumbing & Mechanical Codes and' H9,National Electrical Code. Location of structures & equipment shall be as sh & clear of all easements. APPROVED Butte County onmental Healt'�i Siq -----= re %. IL •'Mt 4 MOBILEHOME SUPPORT DATA If other -than single wide, _ 92-. Mo2ilehome Mfr. �� �furnish Setup Model No. �pC� - �� Year Width -2l9 (ft.) Box Length 60 (ft.) Tagalong or Expando Size ft, x ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one)�1. Wood -pressure treated or foundation grade . 2. Other (specify) SUPPORTS (check one), 1. Concrete block. a 2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE Main Beams Main Beams — — — — — — — —. — —-Line Y Tag or Triple -- -- — -- — •� t—i—� 4 Line 1 MULTI -WIDE 1 S'� OF gPTTE C,O LDING DS z O�N�,OGo 01992 p4R Line 1 Piers: Line 1 Openings: Size -Min. ------------ Size -Min. ------------------ Spacing-Max - ---------------- -Spacing-Max. --------- , „ Each Side of Openings From Ends -Max. ------- With Width Over --------- n Line 2 Piers: Size -Min .------------ „x „ Spacing -Max.--------- From Ends -Max .------- Line 3 Roof Loads: Size -Min. ------------ Location (From Front) Line 3 Piers: (Under Bearing Wall Only) Size -Min------------------- , 1. k Spacing -Max .--------------- From Ends -Max.------------- ZQ ,.x 39 „ rZ 'k �+E'' yt34 , „x „x k 2 'Ix ' Line 4 Piers: Line 5 Piers: (Under Bearing Walls Only Size -Min------------- ,k Size -Min.------------------ Spacing -Max.--------- , ., Spacing -Max .--------------- From Ends -Max.------- ,_ „ From Ends -Max.------------- '- Line 5 Roof Loads- Size -Min -------------„x k 1.„x � ” w. (A1 1 x ,,�. „x _ � Location (From Front) 1_ _ 1.1_ o _ _ ��_ ,,.��_y .e I BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541 MOBILEHOME INSTALLATION SHEET 1. Owner's Name: d7 / L l >,- ��/?leLI. ZZ i�iU E: -I -Id 117 Gi-= 2. Installer's Name: t 3. .-1 the site currently under permit? Yes I No Tl (If yes, furnish permit. number ) OR Is the .site an existing site? Yes' b� No (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes No (If no, clarify 0 5.' Tvhat is the mobilehome electrical rating? --------------- - Amps 6.' What is the mobilehome site service rating? ------------- /® V Amps 7. What is the mobilehome site circuit breaker rating? ----- / r Amps ., j, r. •• �� ij 1' 8. Is there any other electric load to be served by the `t,r'" _,`' ')"'t IR `r mobilehome site service? ----------------------- ---- ----- Yes t,,. No (If yes, identify the load and size: (Load) (Amps) 7�0'� 9. What is the mobilehome site as pipe P ?- g e size. ----- -------- o` (in.) 10. What is the type of as service. ?-------------- ---- Natural � LPG YP g .- 11.. What is the gas pipe length from meter or tank to the r mobilehome? --------------------------------------------- .� (ft.) * 12,. 'What is the mobilehome gas demand? ---------------------- (BTU) *(This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) 1 e c D[IUBLE WIDE PIERING VVORKSHEET S� A PSF•ROOF LOAD PLANT#__1_1__� MODEL: SEE PERIMETER PIERING SEE NOTE REQUIREMENTS TABLE SEE MATING LINE PIERING TABLE < -0 �—FnONT OF _SEE PERIMETER UNIT ...-.-PIERING REQUIREMENTS TABLE NOTE: SEE PIERING PLAN DnAWING IN INSTALLATION MANUAL FOR REQUIREMENTS OF MAIN RAIL SUPPORT CAPACITY AND FOOTING SIZE. MATING LINE PIERING TABLE' RIDGE BEAM INITIAL POST 1ST INTERIOR 2ND INTERIOR 3RD INTERIOR 4TH INTERIOR 5TH INTERIOR REAR WALL POST LOCATIONS AT FRONT POST POST POST POST POST POST PIER LOAD CAPACITY IN LBS. 3 3 3 n J Zi Q. b y O 9 q Sy Q O •, /' Z `1 IvlRdlr✓lUM FOOTING SIZE t' �'7 X ? Z l , 2�{ x3� 2-4 %Z% Pisa �"a cr+1 a- O � �/ Int -9 � rr 30-► ► Ir W?-� / �� p'a NOTE: Footing sizes based on 1000PSF soil bearing value. If soil conditions differ see the piering plan drawing or the Horne Technical Installation Manual for method of calculation. PERIMETER PIERING REQUIREMENTS TABLE PIERS REQUIRED DOORSIDE WALL' ROADSIDE WALL' JAIVIB STUDS A•i DOOR OPENINGS I / J_Oli MASONFIY FACEDl� FIREPLACES IN OVERHANG OF FLOOR ' PORCH POSTS AT RE- CESSED S/WALL WHEN POSTS EXCEED 42" HEAVY APPLIANCES TT®UNTY IN OVERHANG . RANG OF RUILONG,DEPARTMENT 'DIMENSIONS ARE FROM FRONT OF.UNIT. X•5.129 1180 J AP OWNERR�/r�L PERMIT'# , 3 -7 M UTIL.CLEARANCE DATE Q. 101 INSPECTOR. ELECTRIC GAS Support Struc. Compaction Test Re . Service Size Other Load Type I.Size Pipe Length YESI NO YESI NO AP # /� �'" ^ OWNER AILS; �-• 1 ' Re L L PERMIT DZ -7 MH UT IL. CLEARANCE DATE INSPECTOR ELECTRIC GAS Support Struc. Compaction Test -Req. Service Size Other Load Type Pipe Size Length YES NO YES NO y Y Pe r WL a n e 4� I,�ect S u �� be� c) y- ;10, c . N AP fir`61-967;Q 014NER PERMIT 41 IS -1 UT IL. INSPECTC ELECTRIC GAS Support Struc. Compaction Test eq. Service Size Other Load Type Pipe Size Length YESI NO YES NO Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAI; DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. The property described herein is adjacent I / to . land or included within an area zoned 91-047525 1 Rec Fee 5.00 for agricultural purposes, and residents I Cash 5.00 of this property may be subject to incon- Recorded 1 veniences or discomfort arising from the Official Records use of agricultural chemicals, including, County of 1 but not limited to herbicides, pesticides, Butte and fertilizers; and from the pursuit Candace J. Grubbs of agricultural operations including, I Recorder but not limited to cultivation, plowing, 11:38am 14 -Nov -91 I XX 1 spraying, pruning, and harvesting which ' occasionally generate dust, smoke, noise, and. odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real .property:."situate in the County of Butte, State of California, described as follows: _ cz.CCOrd��q /o Tia / Cer a �l i4�O `7Q/ /� / ff o f' fj�es/ � ler rn6 aC res n eQ f' J /I was �orr� ick, " �,u17 /chi /p,�Q � 1 ce oCor���" o r�ie �e � _ // S 7e__Cif C� /i Fvr ��� l Date: PROPERTY OWNERS: State of A/i) On this the day of Vytleww &,? , .19 V/ before me, the SS. undersigned Notary Public, personally appeared County of 940 %0 ) go" VA ""mae"N®lfriEefAplfApagoweaa® (RICHARD FEUERSTEIN a� Personally known to me . Proved to me on the basis NOTARY PUBLIC -CALIFORNIA of satisfactory evidence. �3 Butte County nto be the person(s) whose name(s) A'?e ® s MY Commission Expires Feb. 16, 1993:subscribed to the within instrument and acknowledged that Mi 000 OR000®mo®N!NOD130090Mexecuted the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Present A.P. rotary Public. END OF DOCUMENT Iii �. • •.. I t: COUNTY OF BUTTE - DEPAR OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION ANp PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ZONING 026-250-018 A 5 BUILDING PERMIT OWNER ADELFO BECERR� L TELEPHONE 534-5318 So. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS P.O. BOX 613 PALERMO 95968 CONTRACTOR'S NAME TELEPHONE SAME CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER BANK OF AMERICA UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15.00 OROVILLE Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 20.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING A201ESSUNNY Permit tee $ 20.00 L BOOOK LANE PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT N SUBDIVISION NA PARCEL MAP ��v ��J Water piping 7.00 Each qas water heater or vent 7.00 f f%eLA*o %— �_ USE OF STRUCTURE Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 SF ❑ Duplex[] Mobilehome[X Other Mobile Home @ 15.00 45.00 SPECIFY TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities [l Installation❑ Other ❑ Permit Fee $ 60.00 Describe work: MH ii Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 18.50 Main service 200ATO1000A, 37.50 CONTRACTORS LICENSE LAW NEW CONST. ( DWELLING OCCUPM 3.64sq.ft. I declare under penalty of perjury (Check One): OR ADDNS. ACC. BLDGS. I NEW CONSTR. MULTI -OUTLET @ 5.00 ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business NON.RESID BRANCH CIRC ITS POWER APPARATUS & and Professions Code and my license is in full force and effect. (SINGLE OUTLET CIR. License No. Classification Ex. Occup(OUTLETS OR FIXTURES 20 76 I, as the owner, or my employees with wages as their sole compen- FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA.) I 3.00 (R sation, will do the work,and the structure is not intended or offered Temporary service 15.00 for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- Mobile Home Facilities 15.00 15.00 ors. (Sec. 7044) Misc. Wiring 15.001 ❑ I am exempt under Sec. , Business and Professions Code for this reason Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): MECHANICAL PERMIT Filing Fee 1 15.00 ❑ The permit is for $100.00 (valuation) or less. Heating ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate Consent to Self -Insure. Cooling g I shall not employ any person in any manner so as to become subject Hood 6.50 to the W. -C. laws of California. Ventilation Not�of ceoApplicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such permit Fee $ provisions or this permit shall be deemed revoked. Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee S is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Energy Inspection Fee $ Butte to enter upon the above-mentioned property for inspection purposes. occ CONST TYPE I also agree to save, indemnify and keep harmless the County of Butte against T L FEE $ 128. 0 all liabilities, judgments, costs, and expenses which may in any way accrue HAz DFEES P FLOOD CDF PARC PO HD ISSUE against said County in c nsequence of the granting of this permit. r - I X Date o-" This permit is here ssued under the applicable provi- Signature of Applicant — Owner P Contractor ❑ Agent ❑ sions of the Butte County Code and/or resolutions to do An OSHA permit is required for excavations over 5'0" deep and demolition or construct. Work indicateoab a for hich fees have been paid. ion of structures over 3 stories in height. QR 0 PUB) C WORKS By Date �cl Receipt No. PERMIT EXPIRES ate Gf—Z,y._� Z WMITE-D.P.W., E LOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT -Y'�y.Yl�.'iT y`i'Y'{v .'c•+",rt•i•••-H",.yry�� :4Y�," )ib � N,.t.'it. ,I.. •yyy '4.7P i'ri�'H('r .7W. i` ,d'Wf^T'.QY.\'''.^l7r+T 7""•;'«CY1^".,�.�.,. .T M COUNTY OF BUTTE - DEPARTMENT OF - PUBLIC WORKS - BUILDING DIVISION DR + 7 COUNTY gNTER IVE - OROVILLE, C1�L' 167(W A 95965 KLEPHON,E- 916/538-7541 r PERMIT APl'LICATION;DATA SHEET OWNER Permit No. Qa'� ��(r �>�G �✓�� (+ P. No. Proposed Building Use —���� iJ Bui (ding Inspector—e-- ' At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: // 1. .QgtG 2. DATE RECEIVED APPROVED All items have been submitte Plot plans in duplicat Ipr signed by preparer of plans........ 3. Complete plans in dupIcate/triplicate, signed bylpreparer. of plans . . ' 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... M 7. Statement of Intent for Non -Heated and AC Buildings .............. t : 8. Engineered truss details and layout in duplicate (required prior to plan check) ' 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10 Fees of $ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... i 13. School District fees paid .............. Sanitation approval from Q&u• M Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) t 17. Planning approval for (A) Use: (B) Parking: ...... ' TT 18. Improvements may be required. Contact Land Development Section DPW -'C 19. Driveway permit (construction approval required prior to occupancy) <o %LcY 20. -Building Pre -Inspection for required...Pre-Inspec. request to ^• Inspector (Date) 21. Contractor's license information (No., Name Style, Classification) ... F 22. Certificate of Workmans Compensation Insurance .................. z' 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) . • ai/ 1 24. Recorded copy of Agricultural Acknowledgment Statement ......... /l' /�/� 25. Letter of signature authorization ................................... 26. ' 27. '. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone 53/gand hold for CJ2u✓ pickup at office. Deliver w/inspector. Other Applicant,Date �� �167 i r Copy of Haz-Mat form sent Health Dept. Fire Dept. air Pollution Date ` Copy of plans sent Health Dept. Fire Q,ept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by=phone--nail—counter by ..date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by M Date Ill-uhl Plans approved by 'll (20 9) Date 6W Sets of plans on hold in File cabinet " AP folder Copy—DPW �C���O e'� ���/���%� /,0 6�wit�/ C��� TO: Building Department FROM: Encroachment Permit Section RE: Driveway Clearance 491 5,,d owner location AP # Driveway permit 4"e- Al -e "ai/ si ature has been issued for the above property. /v-18-21 date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovillet California 95965 - Telephone: 916,538-7541 ' APPLICATIGN A'ND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 2, 7 ,26 — 2,50 _6/8 Z NTNG -5 BUILDING PERMIT OWNER �D C. TELEPHONE -�3o 53 / SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS OAo 4tenm6 S 9� CONTRACTOR'S NA TELEPHONE - CONTRACTOR'S MAILING ADDRESS CONST CTIO7 LEND R "� UNKNOWN A/v�f C t Fireplace Total Valuation $ LENDER'S MAILING ADDRESS 0 (&Dul (-LO' Filing g Fee $ ..}5-U Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee y/ UI SV/vA/ 6 IV PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ .Mobilehomea— Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 1 15.00 Mobile Home 110(GJ01 @ 15.00 _00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities TL Installation❑ Other ❑ Describe work: AlA/— U 1 Permit Fee $ a,Q Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 8.50 6 T37.501 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑NON-P.ESI'O. I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License ;Jo. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 20GATO 1000Ai NEW CONST. ( DWELLING OCCUP.&\ OR ADONS. ACC. BLDGS. / 3.64 sq.ft. NEW CONSTR. '• ULTI.OUT LET BRANCH CIRC ITS @ 5•00 POWER APPARATUS &) (SINGLE OUTLET CIR.. Ex. Occup( OUTLETS OR FIXTURES RAO 75a FIXED EX. Occup. OUTLETS (REST O.)PEA.; j 3.001 Temporary service 1 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee 3 -SO WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooiin g Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner❑ Contractor ❑ Agent ❑ An OSHAwork permit is required for excavations over 5'0" deep and demolition or construet- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE f i i TOTAL FEE $ HAz DFEES IMP I FLOOD CDF I PARCEL PD I HO I ISSUE This permit is hereby issued under the sions of the Butte County Code and/or indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. l U If WNITC•D. P. W., TCLLOW-A59C990R, PINK -INSPECTOR. GOLOENROD•APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA. 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. y Please complete and return this information at your earliest -opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. - 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have `not) signed an application for a building permit for t proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. ,I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name _ Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Securit Number Date %1 NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per-� witted to issue the permit. . ���.x,.�_;�.._'.�.r—.+orF'.�{i+�-,..,..°Of?'."fi✓is+`7e'� �.�, i.'a"�"wm-�[=rrw,+'sd';i"lre��v_ BUTTE COUNTY SCHOOLS DEVELOPMEN't FEE CERTIFICATION FORM (One Form per Building) A.P. Number "! 7 Building Department No. School District ' City n County � Jurisdiction Property Owner Project Location/Address Subdivision Lot Number _ Residential Development: U L—J Sq. Footage # of �� Living MHI Addition (Group R) Units Commercial/Industrial:, New Sq. Footage Addition (Including Exterior Roofed Areas) Da (Floor Plans reviewed by School District•Personnel) 4 District Id No. 467 r''".. School (Applicant Name) /& //a uu� 4b., e" (Street Address) '14 (City) State DistTIct ,certk ies-that (Phone Number) Zip Co has complied with the requirements of Resolution No. by the payment of $ representing square feet. �o c�' Gl.O- / School `bistrict Representative -:� Date r ti PAID BY CHECK NO.' BANK NO L PAID BY CASH REMARKS :6 4.� :;,/ al. d _e-� �del ,1-4-, white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) NOTES RESIDENTIAL Q;-0-018 T D 8 3_I. PERMIT NO.,BECERRIL, MANUELA NIVY_ 201 SUBRO0 LN., PALERMO 60 X I 1 AWNING 11 SPECIAL CONDITIONS 11 CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER - JOB FINALED (D -Signature = OK 0 = Not OK - = Not Applicable MOBILE HOMES . = Not Ready. 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 - MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 4. Water; Location -Test -Easement Needed (Sketch) 2. 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / /"L"ft./ /'LPG 1. Setbacks -Easements 7. Well Clearance & Disconnect Carports; Windows -Doors Electric Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 8. Utility Clearance 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date 9. Health Department Approval Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 11. Light Niche 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line Card B-1 Date Card B-1 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 12. Permanent Foundation Only; License Decal 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 Aw ; Posts-Beams-Rftrs.-Connectors S -Frg-Bracing 1. Setbacks -Easements Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. 7. 8. Carports; Windows -Doors Electric 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 FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 V = OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (: Date Hangers -Post Caps -Anchors -Connectors v Underfloor (Plans) OK except #'s Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rfng. 1. Zoning -Setbacks -Easements -Flood -Slope 49. 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Fig. Depth Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 52. 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 5. Stemwalls, Main; Steel-Blockouts-Wrapped 55. 6. Stemwalls, Garage; Steel- Blockouts-Wrapped Siding -Nailing Veneer 6a. Hold Downs and Special Anchors 58. 7. Slab, Steel -Wrapped Shear Walls; Nailing -Bolts 8. Piers -Fireplace Ftg.-Steel 61. 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test I nfiltratio n -Walls -Windows 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Guard Rails & Deck Construction -Post Caps 11. Water Pipe; Test -Anchors -Regulator -Service Test Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 12. Electric Underground Clearance Looked under Floor Q Yes 13. Plenums & Ducts; Clearance -Material -Support -Ins. Following Instld./Drive Q Yes 0 No/Walks Q Yes 0 No/Planters ❑ Yes ❑ No 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Stucco Brown -Finish 15. Access & Ventilation A.C. Unit Disconnect, Electrical -Plumbing 16. Insulation Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Glass Protection 17. Water Htr.; Vent -Access -Combustion Air Baffle Corrections from Previous Inspections 18. Water Pipe; Test & Anchor -Nail Protection Gas Test -Meters Tagged, Gas -Electric 19. D.W.V.; Test Fittings & Anchor -Nail Protection Water & Sewer Connected -C/O to Grade -HD Approval 20. Shower Pan; Test, First Floor -Tub Access Energy Compliance Certificate -Other Certificates 21. Test Tub & Shower, Second Floor -Tub Access Address Posted 22. Gas Pipe; Sixe & Anchors Date Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Comments at Final: 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 30. Range Circle / / ga Cu or Al -Oven Circ. / / ga Cu or At Insulated Neutral O Yes Q No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Tingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors v 47. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. I nfiltratio n -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - Fireplace or Stove, Clearance -Hearth In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor -Mach. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor Q Yes 82. Following Instld./Drive Q Yes 0 No/Walks Q Yes 0 No/Planters ❑ Yes ❑ No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION' 3I 7 County Center Drive • Oroville, California `95965 • Telephone (530) 538-7541 T (Rev.12/96) APPLICATION AND PERMIT AS?ES�D�i D L LIMB 018 TMMOWNER L L (� ZONING BUILDING PERMIT MANUELA BECERRIL TELEPHONE SQ. FT. OCC. BUILDING VALUATION 0 C 8,580 . OWNERS MAILING ADDRESS P 0 BOX 613, PALERMO CA 95968 CONTRACTORS NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDERS MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 108.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 70.20 BUILDING ADDRESS 201 SUNNYBROOK LANE, PALERMO Energy Plan Checking Fee $ $ PERMIT FEE $ 198.20 LOT NO. SUBDN510NS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE AWNING SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK NewX00 Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 60_X 11 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200A OR IESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.PSING License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. `J ( 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00NEW CONST. DWELLING OCCUP. OR ADONs. ( & ACC. BLDS. sO 3.5QFT. ,p" NgOF�,oT sI1MU1LCT. 1 0TLET11 @7,50 OWER APPARATUCIR.S & LE OUTLET OUTLET OR FIXTURES Ex. Occup.SAL 20 O 1.00 @ .50 Ex. Occup. DFlx„T,EF°,sA PPM.) OREA5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 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. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ( 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X ��� � Date �" �� L Signafuie of XpplFcarft - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" dee and demolition or construction of structures over 3 stories in heigh MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 198.20 HA2. D. FEES IM -- FIA�D v cOj p0 ✓ H 5SU This permit is hereby issued under the applicable provisions of the Butte County ode and/or Resolutions to do work inclicajell above for ich fees have been paid. S -7) Q3 By D to PERMIT EXPIRES ON S % I If fate Receipt No. 294420 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ,?'" {•�. rK' "•r"R'�1."-`='�'„^�. 'r J•'•.,r•_.A ...a!i,..t�'+.ro tnw .iii• ,Yna -.� r 'i•'" . err'+. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION • 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 5 PERMIT APPLICATION DATA SHEET OWNER: t ASSESSOR PARWsu��ttead ER: Proposed Building Use: Building Inspector:Date: i At time of permit application, I was ad ed t6 following data must prior to permit ro essing and/or issuance: . Date Received By ❑ 1. All items have been .submitted .------------------------------------------------------------------------------------- ❑2. Plot plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------------- ❑ 3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 0 4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑ 6. Energy Design Compliance and supporting documentation. -------------------- ------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑9. Manufactured Home data and installation instructions including Tie Down Specifications ------------------- 0 10. Fees of $ ------------------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. ----------------------------------------------------------------- ❑ 12. California Department of Forestry plan approval/fees.--------------------------------------------------------- f65CpFlood elevation certificate. ------------------- ----------------------- tation and plot lan approval fl ealth Department. Cityof Chico plumbing permit. --------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: -------------- ---- El 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------- ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). --------------------- ❑20. Pre -inspection for required. Request to Building Inspector on ❑21. Contractor's license information. (Number, Name Style, Classification). ----------------------------- 022. Workers' Compensation carrier and policy number.----------------------------------------------------- ❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------- El 24. Letter of signature authorization. -------------------------------------------------------------------------------- ❑ 25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- ❑26. Letter of intent on building use. ----------------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance. -------------------------------------------------------------------1-------- ❑28. Existing violations and/or expired permits--------------------------------------------------------------'`-= =--- =s = o r (Date) 029. 0433 A, ❑'Grant Deed, ❑ M.H. Title, ❑ Check to H.C�..D $ .--------------- O.Other: i ��Gf � f� , C 6% �6k'7 ------- _,�• en you issue the permit, p e asfollows ❑ Mail to owner, ❑Ma' t contractor. Telephone • 3 ( — [ and hold for pickup atO office. ❑Deliver with inspector. Applicant: Date: Q 0f/� Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Dep t ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, e . Date: By: If 1. Index permit application for the above items numbered: D ❑Plan Check List 2. Additional items required: , Contractor, designer, owner, was advised of the above required data by ❑ phoney; ,o mail, ❑Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑-.mail, ❑ Building Division counter, by Date: .•: Contractor, designer, owner, was advised of the above required data by 13 phone, o mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by 13 phone, o mail, ❑ Building D ion counter, by Date: Plans reviewed by: Date: Plans approvdd by: C>c! 1=3k Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. ' Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. - 4 i E.H. US Y �* Plot Plan Attached Floor Plan Attached ' Sant to B.D. / ba TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance T 11 zace V V ti �- —256 0 Owner �Loca on AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for . dwelling. Other h.y Hold final for: R Final clearance O.K. for: NOTE: Environment Health Specialist 8/96 /004 1 Date r Len4 65Pmin Length./oOPminlO Kk/ ► Enc/esedJt7�i2 3� i L.en9hS=3.29.n.� Cfec/areal) Deo+t / - _--- o I� C L/,Mex. *j Fasela L. PLAN Provide for gnu day;/s fascia drains e� rir3oPcc toca/A. 5 . Fascia 2 -/fid ca/. or 30 col Instal/ co/. Vert EL EV. See Tab D. ZA.sua a eq Sits Fasc 0.6r 4 B per cot. Pitch- fi4 per foot Deck u ei ht Max T ? co% 9,-9 max--- ca 11-O max. l U- eng, ..6 m%,+•Enc%sed V"k R%9 /,50 Lengfhe/.eoPmin (4�pen I r J '1 ITyP) YP ; U Beam llySQU4RE CCY.uMN D' Fascia -=004-H36 Alun. PLANFf�xoEfa� hsuo I droinaye� I kibfon Splice l Install co% Vert. EL EV. SEC T. _�S tt C_T Je.fx d'Aa Ser A.JOo 4 JL36..A/.u/ri..._.... _ B:Steel,Gcade�J15.TM i1446�__._. DECK 2 3004 -H36 A/um. CK ,i-- .�I.. Ori,de CA5TM-A446 MinYP.40.w 3004-H36 Alum. In5 0 �xisf. 2.50 Foeeia op/iie "o' •,vocaoc wns , o6de%S ..M oma L member ' -11011D r�irs•x/� Slotted ho/es. / 38 7S Q¢ FAscia GUTTER N P/-7Ga.L/801 °!0I OD 6063-T6 Alum. i • '.I • I J34 /0 Goge. PC AN ,n Iso r E� /aGKA/._._.._ I an a\ V• g1 09 1 Date:. OG M ° oe ..TAB DETAIL 6 P NO.....ffe0_, O ^ 6063-TCA/um.' Wide 'hir elPn APPrcval .E.DiO,.11l/=. GENERAL /VOTES N/Ko//cd (aiwed .bow9er I \ �jc m 0 2.34' o SECT. r \ k,^96 Rod h n /• Desl9/ loads: L/t /0,OA psf• SEC T. A, "`,,..yyy ve SECTA, rPLAN o 5 WiZ.d A rainy Amoy 6e s'creenedswiMQD J • QD :75 ffi 2.yp open mesh /njecr screen/n-y ar w; t4 ' 11% Ld C •+---I readily. removob/e rronslucent or _II' I1 tronspoienr {lex7ble p/ostia screening ENO TR/M J of not more than 20 m.%s. hic*ness. �Oeck-F-ZAP'`�*�T 6063-TSA/um. COLUMN 1NS£RT 2' 3. Eoeh o_,,ln strueftre DECK TO ENO TR/M BONN. LEV 606/-T6 Alum. hove ortoched thereto in a visible /?coria" an approved identiflcorion . - - - - - I 3*MER tiixJ�ia. i $ O COL. INSEf1T ( N ins�niq. •'' ' A' rTAU..'' 4! He/ix-96a.C•/sa` A Aluminum des, n ondStresses T� ;• B P.L_P4X TALL HOLE cTbT2)� GradeA Steel ASTM A446 mm-.r'�/-) Sun. Assoc. /966 �� tl85.1s@9'c O.cc1 F44b,ol� r -A ,� l�ortrl-ouT..FiolJ: � _ _4`LZe..,�/. N ore according 7b AT TJi [$)SSHIop < SECT. Fi i� •1'_ ._ f ✓ r -- ` m bu./d'ng pr do l4A 0 ir of safet for d BSNSC+t,'c •Dvx i+3 5. Fascia JIWLs.CB) b'i g• n �' •i"i-es�H off,_ 6.4c• L667' [SONS TR L/C T/ON /VOTES ..I1-• ylajTE .FIDLE 1". 91 Pea C.L. I /S L Corry o// {ooti 9s down tb {iia/ 1.,.,�Ne,c r°v.none..) � blaFil Rfr'a�ldc+rOR` AWN/NG ANCHOR SECT. D, -.-Plate E Ne/ix:gSTM_ COLUMN SHOE .A,5Gq.._.S,._Z5A,i'T Q o G S �45�ti_ O h disturbed SO;/ Nox• de J%yn so yq�mgar + Co�.Swo¢ 1 _-'. i"tI WOK WLT 4rrm uo�4.iv6T.:O.PnoN_.. .._1:(040 Sjia„y.S=4B.ksi�TS= 84Ari. I i 6063-T6 Alum. Pressure = SOO ss f. �4 �¢ eY N F' is L'-.ArieAor :sho/%be -cooYeo �Sy)5- 2. Concrete SAW/ have a srrenyM Pei CoLLfNU : :I l.2%>"Laub) EMDEOF 1i1 IN4 PNCNfJR . j• ,� :SE G7: YI $ECT. C7,==r4SSJ=Ine_elec.fr'o:ip(olin9, PLAN 2000pil.6esdoys 3. A// /Yomin.9 shot/ be o/✓,»lnunr I�Co�• 6' 7 o ' P -:from QS fo /•O m,% th/c:PilesS 7.5• .75 unless otherwise shown. Stee/ports I I �'�-{ "'ua�c'I�T OPTION. 75• I I It Sb CO% /� 0 Co/ 41 Shol/ be yalvonlzed or Po/nfedw,'f•5 4• I Co% lnserf / 27s• a 3.75 r` Steel primer and erioma/ {finish. I % 0 SEC r. E, 4B F 'h ,p - _ - _0 4. Stewl fasteners sho/i be stb: /essl.I alum/nVA7 or cadmium paled• I+ p+ f�B S• SMS- sheer meta/ screws. SMS fo anel Ve e - '00 o• r' I- h+r ''�-- f1 1+ iA o ELEV /� �S0' GampO !re metolfoiregorane w washers. ,�`' D e I .6 "F.see4_Sa Enc%sures Shot/not be oftochrol "SETPILS oT sr+OUN, rrr F n;•D a:,e �,� F CC ,7, shoe 2 SEE SE ;T A� a0. .D� . i Column shoe2 COLUMN SHOE Z /v/EMBER ca/urnns• *to r jith oil m llo embed,. I/f'KW1Abolt wR4'embed P/-234r?"eleGO,-' .. i Z" ASTM A96seee/ AWNING ANCHOR /VOTES lori2 sTT. MTl_ scaEu with o/low. pullout with allow. pullout i "ASTM A36 Steel. Aw,7A . Anchor 6063 76 Alum. .41icFER-PR00FINB valve. /S4�onchoras vo/ve .307anchor S MATERIAL,._- • / 3"B SMS mono fo�crured by A bes c Oe D is fp-lb. Inc. - _ _ wlfh A0 x/4 Saye washer N I - 2-Neorside 2. Alive anchor may be used in Ire =wlrX-2 I/ 41.GOL- d ROLLED FORMED HANGER - e fol/ow -_JKL2H_9 9�COL:' Z.Colymet/ /2 Grays.._._ i ln�Soi/types: ! S // S 0. 51M ON 'Dc 40 �` I ,4SL4._A3.6 Sreel. 3004 -H36 Alum. Yl strlft-45SN Irak NMLs_ __:CONN-�.OL. .TO "'CONC..3 L,9B I I -Toto/ or s d y ,. , r� _- - 2 b. Sand silty sondgravel a, 9 c/oyty sand, silty W.1 ! i I I F'•T-PF 4><+ Hoop FoSr ' r _---- --_-- Fescia '/ice ,grovel, anal c/a_yy grove. (STEEL F0.5T_ALT.E" -Mj..._ -- - - - 6, I r I C. C/o sand . e/o / si/t c% ,and sli � SWETY. JTii E SHPI l kiE Pl. /2x/2 x /2 Go. r member ma [G y'' y s s 11. I I I I ' y Naysy si/r. '-- HOT DIPPED._GpLVANIEED / ASTM A36Slee/ I i L�tAany,LUv/f SECT. X, • Dp17UN':op'sECC W aR'[:CEGTROpLRiEO �iFrc. ----- =- ------- MID SAFETY STAKE ' SCHEOVLE _ - COAW--CoL. ro AWNING. ANCHOR Urn' L" 2c -' AeFis.err 42 FASCIA SPL/CE GET }.` AWN/NG -/VO OVERHANG -- -- ° w; 4 I • .caieat T IE MODEL PRO -A :.MAX: h N I /.•S . No. P. OVERHANG PAN "' _ _'F76.-__ .Iso L e+oI /Ydfei bye A EF=O•. �dw-wlth A9 -!d 9-O" /LO" B,-//• _ 2-4Pca ms Stab, y - - - - - TT 0MPOILEHOMFAwNlNG-/O L. Y A=O3o/e ,(ls nc.inlumPr uc- Awning y� N /• / /• - - - - - - - - }g fd 0 8269 Alpine Ave. r I Anchor . . I • cr• nenw CA 95826 (916)-452-7021 IF-N5,4F.5. - - , A/2 -/O /eL0• / -O" =//• AWN/NG.ExTRu0E0 p.895 EV .. ...IA..71 77i761� • 5 E • NIFIC WNSURING ENGINEERS i -BEAM. Ice 5f'FAsciA'SPLICE G& -r _ ' 4. e77e]B �.'. ;io-ss. °n D,-AW/N4 A MODEL PRO,- -Ofi`3_ COL:_- - No.Farr P i' SPr9N L: -.SA7N L fir'' ' A8-10 8-0' 11'4 q%4.. A9-/0 9-O• Wq" �y All -/o //cO' B 2w e,2; o*A°r