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0 0 AP 24 g y Jantzen; n/s angor Park Rd. approx. 1 mi. W. of o -Bangor Hwy., Oroville Permit 761 77P,E (uta./MH) ELEC . a Q� GAS Vtj3 ` S SUPPO T RUC O COMPACTION TEST dtj1) 8-27-143 Contr: Beich Mobile omes, Chico Permit #156-78MHI Issued ,�` ,3��'/ap 28-27=143 Permit #6149-78B(ins all new deck) 28-27-143 P ilip & i�bin Moulder• NIS Bangor Par1�Rd. , app. 1 mi Z0 Bangor Hwy, Oroville `ACV Permit #4316-80B,E(new ca --room/MH) a -i, Ly - 28-27 143 Permit 4, 31Y 7-alB(new open i P decks/MH )` 028-400-015. 03-1273, MCCONNELL, JAMES ',4. SUNRISE HILL RD, BANGOR .,c6nt: SKYCREST ENTERPRISES noefl NEW MH PERM FND EX SITE � � �1: ,11 028-400-015 03-2126 MCCONNELL, LONNIE 4 SUNRISE HILL, BANGOR MH TO STORAGE 028-400-015 1 . '04-3078 MCCONNFiL1:: JAMES 4 SUNRISL'::-IIIl'L'RD, BANGOR" Cont: OWNER'l" MHj QNV GRT Tr S" C( R. jGE � �,. .� ^J •-mss � � .�D(D Building Permit Number: 03—/2-73 Owner Name: C-0 no 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 and of a quality prescribed for the specific use in the ornia (1997 U.B Cl 1998 f aI; f'gF i Plumbing e_ a_ ( 1994 6L. � 1004 r Mechanical Code (1997 11 M C and thp-1 QQSZ rni.Fnrn�e C1� I Code, 996 ,,. E C. ) '2c i ujr� 2000 UfKC, d- U_P6 q9 ,k Ik—:: C COMPLY WITH ITEMS CHECKED BELOW Your parcel lies within a designated 100 -year flood plain. Finish floor, electrical, EI 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: 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. Pagel of 2 R" Building Permit Number: 042-73 Owner Name: MParcel 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 structures and equipment including overhangs shall be clear of all easements. A setback of �36 feet from the side and �b 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. E 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 loo Olt I 174, 7- IOTEE::—All Mots viols. W6rVmPAttii(p 0 kccordance with kec"irlizGd. Gocd!6 i '7 'Z- 0 4 a quIC',lity prbseri6d' ;3-r the srx�lcll'oddo %4a M WRv.S '3 tr.- -A niform. Building, Plumbing VQ4FlJw'4'-!,2 goo - 4) (P 0 tr. 7- Ss� thb.9ftached "idenbia'l QgHstru o;o t" a -JA Reg'uir'embnj's. kI 0 -Pales iCTRICAL,)JECHANICAL, AND PLUMMM, t,RUCTION' NOT PLM CHECKED ;tk (P ;"t-! 0 OOMPLY Wrr-H �CURRENT EDMON NWO UMG AND v\ t... E? 7- V .\ -n 'C 'C<D 4D M U? Cj -TI 0 0 C)m — CDC on a CL co rn f 71 0 CDF FIRE SAFE REQUIREMENTS AP# PERMIT # NAME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made apart of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. 1272.00 Maintenance of Defensible Space. To ensure continued ,\ maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provide for by the land owner. Driveway Standards 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other app-rteaant structures which supple- ment the roadway bed or shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing sedans and fire apparatus weighing up to 40,000 pounds. [�} 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius [� 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of 50- 100 feet radius; 2 feet to those from 100-200 feet. 2. The length of vertical.curves in roadways exclusive I of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. 3 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. [` 1270.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 a£ .3--. 14 i' � S�- 40 -, 6 3- (2� 1 W -C AW5i-C AP # PERMIT # NAM [ 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. 1273.10 Turnaround. A turnaround shall be provided at all building sites on driveways over 300 feet in length and shall be within 50 feet of the building. 1273.11 Gates 1. Gate entrances shall be at least two feet wider than the roadway it serves. [� 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space. [ 1. All parcels 1 acre aid larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from ul] property lines and/or the center of the road. [ ] 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See Other Requirements below. 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction )r fi:ial inspection of a building permit. Page 2 of 3 AP # PERMIT # NAM o Other Requirements [ ] If Building setback is 15 to 30 Feet: - Class A or B roof - Enclosed eaves [ ] If Building Setback is Less Than 15 Feet Choose any 3 of the following: - Metal or no doors on side toward property line with insuffi- cient setback - Class A or B roof with enclosed eaves Interior automatic sprinkler system per NFPA 13D - Glass area not to exceed 0% of wall area toward property line with insufficient setback Siding from the following list: Stucco - 3 coat Hardi-Board or Plank Masonry Masonry veneer Metal Other Butte County Fire Department approved materials Date Signature Page 3 of 3 �reenbriar 2 44( Ferrer 800CT/5224 3BEDROOM -1 314BATHS - CATHEDRAL THRU-OUT (1,141 SQ.FT.) cr )OM M.H.I.-2 �r . . Manufacture Year 2003 Mobilehome Manufacturer:,- SKYLINE If other than single wide, famish Setup Model Number: GREENBRIER 800 CT --.-- - ...:Width:--24!.(#Y.).:Width:--24!.(#Y.) Lengdi:...5Z (ft.) Tagalong qrExpandoS*.(ft.) (ft-) ,' On all mobilehomes manufactured after October 7, 1973, furnishmanufacturees' installation manual and structural. setup sheets,. FOOTINGS: Woodprqss�Fp5e p , dor foundation grade[] Other: ETD SYSTEM ate SUPPORTS: -'Cdnere bl6ck'M- Provide Tie Down Specifications for all Mobile'homes: Pier Footings Sizes and Location SINGLE WIDE . MULTI -WIDE. Line I 11ne'1 line 2 U= 2 Iia 2 Main Beams Ione 2 ............................................................................................ UW I Uw 3 J .............. ................................ I ............................................ Lim 2 4 Main Beams Unc 2 ...................... ................................................ I Line 1 ............................................. UW 5 or Line 4 -iig 1, T�pi� - .... ...... Line I Line I Piers: Line I Openings: . .1 1 ' ':- Size-Iminimum! Ixf I size [24] x [24] Spacing Each side of openings with width over: Fromends-maximum: - 1 1 4' 0' Line 2 Piers: .Line 4.Piers: Size minimum: [241 x [241 Size f 1xf 1 Spacing 6- 01 Spacing maximum: From ends -maximum: I From eidi-maxunum: "nun: 2' Wl Line 3 Roof Loads: Size minimum: Location (from rear): Sim minimum: Location (from rear): 7 800 CT GREEN 0# STB FNDTN M.H.L-2 4 . Is the site currently under permit? 5 . Is the site an existing site: Yes [ J No [ X ] Permit No. Yes [ X ] No [ . ] (If yes, furnish two plot plans). 6 . What is the electrical rating of the mobilehome? 100 Amperes. 7 . What is the mobilehome site circuit breaker rating? 100 Amperes. 8 . What is the electrical rating of the mobilehome site? 200 Amperes. 9 . Is the main service remote from the mobilehome site? Yes [ ] No [X] If it is, what is the rating? Amperes. 10 . Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage, etc.)? Yes [ ] No [ X :If yes, please identify the load and size: a) The mobilehome site: Load - Amperes - b) The main service: Load - 11 . Type of gas service at mobilehome site: ' Amperes - Natural " [ ] Propane [ X ] None [ ] 12 . Size of gas pipe at the mobilehome site from the meter' or tank: 3/4 inches. 13 . What is the gas pipe length from the meter or tank to the mobilehome? 30 (ft� 14 . What is the mobilehome gas demand? BTU.* *(This information is not required if the pipe length is less than6. feet on natural gas or less than 50 feet on propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDEI PROCESS THIS PERMIT APPLICATION c0 ' d -lH101 M/F0'd 1 L 4 W WI) 1]H I 1 rl I I 1 f 1 z Q �i 6 N � g h id. ki 9 4 1 A P P v R 0 I I 3 LA - 01 I 5 � >� LAJ � Ni j u O--� x ►.6.1 L TO-,;HI.0 ISj W r 1 4 1-8 L.j W V N�raine�v�l�r��ln w A— V v�S �i 6 N g h id. ki 9 � 1 A P P v R 0 d �� I 5 � LAJ � Ni Z V M x 3N T-IA*AS/3.1.13NH3f 2S :2 T 2OW- TO-,;HI.0 L.j W V t7 � 0 O _.I N � � o 0.^' M K Ce i� b. i LLj Z 0 IZ a CL C Q W (� rTE OUNI �i CA C -DING DEPARI h id. ki 9 � 1 A P P v R 0 L.Les 9 �� I 5 � a . Q � yyaap� m Z V M x 3N T-IA*AS/3.1.13NH3f 2S :2 T 2OW- TO-,;HI.0 i VECTOR DYNAMICS FOUNDATION SYSTEM WIND ZONE 1 & 2 INSTALLATION INSTRUCTIONS For the State of California INDEX SECTION INTRODUCTION PIER HEIGHTS GENERAL INSTALLATION SET -Up INSTRUCTIONS METAL PIER & V DRIVE PARTS LIST CONCRETE INSTALLATION SCHEMATICS WIN D ZONE I - SINGLE WIND ZONE II PAGE NUMBER 3 4 5&5a 6 7, 7A, 7B&7C 8&9 SECTION - SINGLE V DRIVE - METAL PIER - DOUBLE SECTION - TRIPLE SECTION - SINGLE SECTION _ rlrll IDLD ri.T„_„ , - TRIPLE SECTION SOIL CLASSIFICATION 10 11 12 13 14 15 16 17 18 COMPONENT PARTS AVAILABLE UPON REQUEST Foundation System H E COUaN 1 . .MN,G DEAD E M AP ° "Vw-D Release Date 8/13/2001 Engineer Approval �• "j p E'x1° 0 185SI SUBJECT TO CO.- T� I\OTED APPROVAL DOES NOTAITrHORIZE OR APPROVE ANY OMISSIONS OR DEVIATION FROM REQUIREMENTS OF APPLICABLE STATE LAWS AND REGULATIJ,':S State of California DVaM=t of Housing and Cosh' Develepr ent DMFODES AND STANDARDS ate3y9 10Cp PA No. —C? ns Pian Approval Expires — D - p For Further Information T/E DOWN ENG/NEER/NG 5901 Wheaton Drive Atlanta, GA 30336 404-344-0000 FAX 404-349-0401 www.tiedownxom Tie Down Engineering, Inc. VECTOR DYNAMICS INSTALLATION INSTRUCTIONS Introduction These instructions describe the proper use of the Vector Dynamics Foundation System in Wind Zones 1 & 2. Additional installation instruction is available in VHS video, from manufactured housing distributors or from Tie Down Engineering, titled, Vector Dynamics Installation Video. The Vector Dynamics foundation system supports the home by anchoring the two longitudinal main rails. The system is approved in Wind Zone I & II & III areas of the Manufactured Home Construction and Safety Standards and Wind Standards; Final Rule 24CFR part 3280 for both single and multi sec- tion homes. Instructions for Class 5, Sub Soil Conditions, (Wind Zone I & II), are available through local distributors of Vector Dynamics or directly from Tie Down Engineering. General The Vector Dynamics Foundation System provides the support to resist lateral and over -turning movement of the home as required by the Federal Manufactured Home Construction and Safety Standards in Wind Zones I & II when the system is used as described in these instructions. See manufac- tures Home Installation Manual for other pier & anchoring requirements. The following characteristics apply to both single and multi section homes: • Main rail minimum spacing of 86 inches or greater. • Nominal 8 foot or less top plate height at side walls. • Main rail depth of 12 inches or less. • Maximum roof slope of 20 degrees (4.4 in. in 12 in.) • Maximum pier height under main rail of 56 inches (see page 3). WIND ZONE I • Maximum single section home width is 16 feet including eaves; maximum eave width of 12 inches on each longitudinal side of home. • Maximum double section home width is 36 feet including eaves; maximum eave width of 12 inches on each longitudinal side of home. • Maximum triple section home width is 48 feet including eaves; maximum eave width of 12 inches on each longitudinal side of home. WIND ZONE II • Maximum single section home width is 15 ft. including eaves, maximum eave width is 6" per side. • Maximum single section home width of 16 ft. including eaves must use two additional vertical ties/ anchorststabilizer plates (one per side) as listed in the charts on page 15. • Maximum double section home width including eaves 32 ft., maximum 12" eaves per side • Maximum triple section home width including eaves 48 ft., maximum 12" eaves per side The Vector Dynamics Foundation Systems may be used as a part of the vertical or gravity support system considering that each set of Vector Dynamic pad (s) has two (2) or three (3) square feet bearing area. Piers not used as part of the Vector system shall be located and constructed in accordance with the home installation instructions and/or state standards. To inquire about the use of the Vector Dynamics Foundation Systems with homes of four or more sections or on homes requiring pier heights greater than 56 inches which are not included in these instructions, contact Tie Down Engineering, Inc. at 800-241-1806. The Vector Dynamics Foundation Systems may be used on homes which require pier heights not to. exceed 56 inches under one or both main rail(s). See page 3. Note that a ground anchor is used at each Vector system location in Wind Zones II & III. The use of interlocked double stacks of concrete blocks may be required by the home manufacturer or the state. Check with the most recent regulations in California. The Vector Dynamics Foundation System has not been designed for use on exposure "D" homes. Exposure "D" homes are homes located within 1500 feet of the coastline. Additional vertical anchor ties that are unique to a home's design may be required by the home manufacturer. These locations include shear walls, mar- riage line ridge beam support posts, end frame ties and rim plates. The term end frame ties refers to the longitudinal ties that are attached to a home to resist wind load on the end walls. If longitudinal ties are required by the home installation instructions or other state standards, these longitudinal ties must be installed and connected to anchors that are independent of other ties and anchors. See separate instructions for the use of Vector Dynamics with Tie Down's Longitudinal Stabilization Device. The term rim plates refers to the factory brackets fastened onto the perimeter joist or specified as a location for vertical ties. c Page 2 California t/20011 56 i ma Maximum Pier Height(Wind Zones I & II only) Figure 7 The Vector Dynamics Foundation System may be used on homes which require pier heights not to exceed 56 inches under one or both main rail(s). Note that a ground anchor must be used at each side of a Vector system location in Wind Zone II, and where the pier heights exceed 24 inches on a single section home in Wind Zone I. Piers must be constructed in accordance with the manufacturer's installation instructions and/or state requirements. The use of interlocked double stacks of concrete blocks may be required by the home manufacturer or state. Check with the most recent regulations in your state. 56 i ma: Unequal Pier Heights ( Wind Zones I & If ons rigure z 5 in. iax. Vector Dynamics may be used on homes with unequal pier heights of 56" or less under one or both main rails. The difference between the taller pier and the shorter pier cannot exceed 26". Note that a ground anchor must be used at each side of a Vector system installation in Wind Zone I and where either of the pier heights in that location exceeds 24 inches on a single section home in Wind Zone I. Only concrete blocks and pressure treated lumber compression members are permitted on unequal pier heights using the Vector system. Piers must be constructed in accordance with themanufacturer's installation instructions and/or state requirements. The use of interlocked double stacks of concrete blocks may be required by the home manufacturer or state. Check with the most recent regulations in your state. � Page 3 California /2001 GENERAL INSTALLATION INSTRUCTIONS SITE PREPARATION It is necessary that the home site be properly graded and sloped to prevent water and moisture from standing or flowing beneath the home. See manufacturer's home installation manual and state requirements for grading and other site preparation. FOOTINGS AND FROST LINES The Vector Dynamics Foundation System can be placed directly on top of the ground after clearing all loose vegetation. In areas where frost line/poured footers are required, the Vector system for concrete is used. See pages 8 & 9. FOUNDATION/FOOTING SPECIFICATIONS FOR VECTOR PADS Vector Pads must be used in place of conventional foundation pads for each Vector foundation system. Each (set of) Vector Pad(s) provides two or three square feet of pier bearing support. Vector Systems should be spaced as evenly as possible along the length of the home, with one Vector system within two feet of each end of the home. For pier locations in between the Vector Systems, use the foundation pads normally recommended by the home manufacturer and/or state requirements. Pier heights in excess of 24 inches or when unequal must follow instructions printed on page 3 of these instructions. Nominal 3-1/2 inch or 4 inch Schedule 40 PVC pipe or TDE steel compression strut (#59043) may be used only when the pier heights are similar on fairly level ground. Steel strut and PVC are not permitted when metal pier foundations are used. The adjustable galva- nized steel compression strut, #59043, is attached to each inside pad with a 1/2" X 2-1/2" grade 5 carriage bolt and can only be used with the swivel connector on strap. The grade 5 bolt attaches the swivel connector and the steel strut to the pad. When the swivel connector is used with a wooden or pipe compressive member, the vector diagonal connector should be part #59279 not #59276. After tightening the end grade 5 bolts, adjust- ment bolt is installed through the two square steel compression struts to lock them in place. Foundation pad size and pier spacing must be consistent with home manufacturers' instructions and/or state requirements. LUMBER/MOISTURE - TERMITE SHIELD To cut lumber (2 - 2x4's or 1 - 4x4 per Vector system) for the center compression section, when using con- crete blocks for piers, measure center to center frame (I-beam) distance and subtract 16". When using METAL PIER STANDS, measure center to center frame distance and add 16". 3-1/2" or 4" nominal schedule 40 PVC pipe meeting ASTM D1784 or Tie Down's steel compression strut (#59043) may be substituted for lumber as the center compression strut under certain conditions described above. Pipe adapter bracket, part #59281 must be used with PVC pipe simultaneously with the Inside Tie Brackets, part number 59276. The pipe adapter bracket is used on top of the pipe and under the Inside -Tie Bracket. In certain regions the optional Moisture Termite Shield may be required between the lumber and ground. ALL WOOD MUST BE PRESSURE TREATED, GROUND CONTACT RATED. Tip: Pre-cut your lumber and mark as to brand or model of homes you will be installing. If frame widths are the same, the pre-cut boards will also be the same length in each Vector set-up. STRAP TENSION All strapping must be tight upon assembly of the Vector system. Tests have been conducted with "hand tight- ened " strap in the Vector system to remove the need for specific tension specifications. Hand tight is defined as removing all slack.with minimum of movement available when pressing on the strap. While subsequent tight- ening of the straps is not required, straps should be checked after any strong wind conditions, just as conven- tional anchor tie down straps should also be checked, to insure the maximum performance of the foundation system. A minimum of two factory 1/4" spot welds must be used when straps are connected to the swivel con- nectors with welds. %-.001 Page 4 Califomia Set -Up Instructions for the Vector Dynamics Foundation System #59007 (Kit #59007 is interchangeable with Kit #59018) 2. SE i OLUI:KS (OR PIERS) UN VECTOR FOUNDATION PADS Center the foundation blocks over the Vector pads. Place the pre-cut 4x4, 2x4's (side by side), Schedule 40 PVC (w/PVC adapter plate, part #59281) or 1 adjustable TDE steel compression member, (part #59043) tightly between the blocks, with ends resting on the Vector pads, and centered on each U -bolt. 3. OUTSIDE TENSION BRACKETS Attach an Outside Tension Bracket to the U -bolts on the outside of the foundation blocks and Vector pads. Place one of the short 6"- 2x4's between the bracket and Vector pad. Adjust the short 2x4 so that it pushes against the foundation blocks, removing any space between the piers and center compression section. Tighten the 3/8" bolts. 2 square foot pad placement or (1) 3 square foot pad 4. INSIDE BRACKETS AND STRAPS Attach the Inside Tie Brackets to the U -bolts over the pre-cut boards or P ,,:.� Y1�1G�.� G strap ti,;,,, hook ,c each inside tie bracket. Tighten bracket. When using looped strap and a crimp seal, in place of the hook, place a 3" long section of strap, folded in half and inserted between the strap and inside tie bracket. Place other end of strap over the opposite (- beam and continue down to outside of the foundation blocks. Attach the strap to the Outside Tension brackets using the slotted bolt and nut provided. Wind strap a minimum of five times around the bolt. Continue tightening the slotted bolt until all slack has been removed and the strap is tight. 5. SET ANCHORS Refer to section home drawings for anchor installation information. Stabilizer plates are required for diagonal ties only. Preload anchor against stabilizer plate. Make certain all slack is removed and strap is tight. For single section homes in rocky soil conditions in Wind Zone 1 only (Soil Classifications 2 & 3 only), use minimum of 3 each V -Drive anchors per side. See drawing on page 6 for placement. Page 5 California 001 Set -Up Instructions for Vector System #59018 (Kit #59018 is interchangeable with Kit #59007) A4& O 4& f f Long U -Bolts C f 1. Set Vector Pads Clear all vegetation where pads will rest. Place a long U -bolt in pad as shown. Press or ham- - mef pad into the ground. 2. Set Block or piers on pads. Center foundation blocks or piers on pads. Place pre-cut center compression member between blocks, resting on pads, centers between U -bolts as shown. 3. Outside Tension Bracket Attach outside tension bracket as shown to out- side of pads. -4. Inside brackets & straps Attach the inside tie brackets to the U -bolts over the compression member. Attach a strap _ w/hook or swivel strap w/nut/washer & bolt (washers are required). Place other end of the strap over opposite I-beam & down to outside tension bracket. Cut strap 12 - 15 inches past bracket. Attach strap & slotted bolt in bracket. Tighten strap until tight with 4-5 wraps around bolt. Repeat with opposite strap. Page 5a California N12001 Vector Dynamics Metal Pii `:yarrilcs;, For metal piers, place the piers in the center of the Vector pads. Set the single 44 or two 2x4's through the piers, centered in the U -bolts, so that the board(s) overhangs the Vector pads on each side by about 2'. Outside Tension brackets attach the same. Inside tie brackets mount 'upside down' as shown in drawing. Metal piers using the Vector system can only be used on level ground installations. Conventional pier adjusters must be placed under beam with upturned edge directed towards the outside of the home. Pier capacity rating and spacing must be consistent with home manufacturers' installation instructions and/or state requirements. When using METAL PIER STANDS, cut lumber (2 - 2x4's or 1 - 44 per Vector system) for the center compression section, by measuring center to center frame distance and adding 16'. Optional Moisture Termite Shield may be required in certain regions. ALL WOOD MUST BE PRESSURE TREATED, GROUND CONTACT RATED. Adjustable steel strut (#59043) and PVC Schedule 40 pipe are not permitted to be substituted for lumber when using metal pier stands. V -Drive System Installation: for rocky soil conditions -: V Drive anchors are used only with Zone 1, single section homes. Soil Class 1,2,& 3. V -Drive anchors are used only in Wind Zone I, on single section homes in areas where rocky soil conditions do not allow a conventional helix style anchor to be installed. For solid rock, Soil Class 1, predrilling of holes for the V -drive rods is recommended. Vector Systems are set following the general set up instructions provided. With the V -Drive anchor, the short 2x4 boards used with the outside tension brackets are discarded. In place of the short 2x4's, a longer 2x4 is used as per the diagram above. This 2x4 board should extend from the base of the Vector pier set to 5 inches from the side wall of the home. Place the V -Drive head over the end of the longer board. Using a heavy hammer or electric hammer gun, drive the three V -Drive anchor rods through the V -Drive heads at an angle of approximately 45 degrees under the home. The rods must come to a complete stop on the V -Drive head. Attach a strap with hook, buckle or beam clamp to the frame and attach to the V -Drive head with a slotted bolt. Cut the strap end about ten inchesUQ the anchor head to allow at least five wraps around the slotted bolt. Continue tightening strap until all slack is out and strap is tight. -**k� Page 6 California S/2001 Vector Dyna ics Foundation Systems ,namics Component Parts List ° Y Vector System 2000 ® ® o0 0o Kit # 59018 ° Single piece pads with straps ® and slotted bolts �� •F9 WWW C O Part #'s included: 59310, 59288, 59135, 10925, 59279, 83044z, 59232 & 59732 Part #'s included: 59275, 59282, 59276, 83044z & 10999 Vector System Kit # 59007 1�" o � Concrete Vector System _ Kit # 59008 (for single stack blocks) ®O 0 ®O O Part #'s included: 59277, 59282, 10530, 83044z, 59279 & 59232 Part #'s included: 59273, 59282, 10530, 83044z, 59232 & 59279 Concrete Vector System Kit # 59006 (for double stack blocks) Page 7 California 8 2001 - Vector Dynamics Foundation Systems Component Parts List Vector 2000 3 Sq. Ft. Pad Part # 59271 1 required with 59026 Longitudinal System 2 required with 59024 Lateral System Part #'s included: 59281, 59288,10925, 59232 & 83044z O O ®o c ®o 0 Part #'s included: 59269, 59113, 59282 & 10999 Adjustable Steel Compression Strut P/N 59043- -- i.._ Or these products available at your local hardware store cess��e `tea`�l XAIP 1 ea, A A 01 I Zea•2X ROQ�CQ�Qe � q° SGrea�\e• Vector Lateral Hardware Kit Kit # 59024 (for use with 59271) V -Drive Anchor Kit Kit # 59287 (for use with Kit#59007 only) A. Schedule 40 PVC pipe: 3-1/2" or 4" nominal schedule 40 polyvinyl chloride pipe or conduit made from type 1, grade 1, with cell classification 12454 as defined in ASTM D1784. Compound dimensions and tolerances in accordance to the requirements of ASTM D1785D. Color can be gray or white. Outside diameter is 4 inches. B. Ground Contact Rated Wood: No. 2 yellow pine or equivalent, pressure treated to AWPACI-1990 mini- mum, stamped "Ground Contact Rated" on wood or on label attached to the wood when purchased. Page 7A 9 California %4/2001 Vector Dynamics Individual Component Parts Detail Vector Dynamics Single Block Pad Part # 59275 1 Sq. Ft. 12 gauge, used in pairs 16-3/16" X 9" x 2-9/16" Vector Dynamics 2000 Single Block Pad Part # 59310 2 Sq. Ft. 12 gauge 18.719" x 15.625" x 3" Vector Dynamics Single Stack Concrete Pad Part # 59277 12 gauge 17-1/4" x 11" x 5-5/16" Vector Dynamics Double Stack Concrete Pad Part # 59273 12 gauge 18.75"x 18.625" x 5.188" Vector 2000 3 Sq. Ft. Pad Part # 59271 - 12 gauge 22.5" x 19.418" x 3" ® Vector Dynamics Tension Link 0 ° Part # 59282 6.25" x 2.52" x 3" D D -- Vector 2000 Tension Link � D Part # 59288 - 2.125" x 2.375" x 2.06" Concrete Wedge Anchor Part # 10530 3/8" X 3-1/2n t Slotted Bolt Part # 59135 �n 3" x 5/8" Long U -Bolt w/Nuts & Washers Part # 83044Z 3/8" x 4" (16 Threads Per Inch) ® ® Short U -Bolt w/Nuts & Washers Part # 10999 3/8"x 3" (16 Threads Per Inch) a Protecto-Strap Carriage Bolt w/Nut & Washer a Part #59276 p Part # 10925 6.3" x 3.3" x 7/8" ® 112" X 2-112" Strap Protectors oa Protecto-Strap Part # 59232 Part # 59279 6.3" x 3.9" x 7/8" PVC Adaptor Part # 59281 ® Carriage Bolt w/Nut & Washer 7.25" x 4/56" x 1.42" Part # 10624 3/8"-16 x 4.5" P�rj ol V� � Lo �L-- - I Tie Down Marked & Certified G60 Galvanized Strapping Model Part # Length MS35 59150 35' MS37 59155 37' Tie Down Marked & MS42 59160 42' Certified G120 MS60 59165 60' Strap w/Swivel Connector MS600 59170 600' Part # Length 59732 12' p 59734 14' �• 59736 16' Frame Tie w/Hook ° _ _ 8 ft. P/N 59195 Earth Anchors 10 ft. P/N 59210 x 12 ft. P/N 59211 Longer Lengths Available 30" x 3/4" with 2-4" helix Black Paint: Part #59095 Galvanized: Part #59079 X_y: Earth Anchor Stabilizer V -Drive Headw��.�y 12" wide in �: Part #59269 ,yak. !TV, r Black Paint: Part #59292 `::. Galvanized: Part #59294 oe .o:m Drive Rods �. ® Part #59113 e Page 7C Californi F TIE DOWN INEERING Vector Dynamics System for Concrete Applications Instructions for Vector Kit #59008 (for single stack blocks) sector or Vector Kit #59006 (for single or double stack blocks) Page 1 of 2 These instructions are an addendum to the standard Vector Dynamics instructions. Read and follow all applicable instructions and guidelines in the Vector instructions and home installation manual. The Vector system for concrete pads applies to concrete footers, runners and slabs. Minimum size of concrete per Vector pier is 24" x 24" x 4"(for part #59006 or 59008) or 18" round X 12" deep (for part # 59008 only). The bottom of footers must be below the frost line or a minimum of 4" below finished grade whichever is greater. Concrete roust be a minimum of 2500 PSI and sufficiently cured and set to accommodate an anchor bolt to its' full load resistance. 1. Determine location of pier sets where the Vector systems will be located. 2. Place one Vector concrete pad (gals. metal) on the concrete where the pier will be located, centered under the I-beam of the home. Place the upturned edge towards the center of the home and directed to the opposite Vector pier. Do the same for the opposite Vector pier. 3. Measure the distance between the two Vector system pads at the base where the Vector pad meets the concrete. Cut two ground treated 2x4's this length and place between the piers as shown. 4. Place a long u -bolt under the 2x4's and through the'holes of the Vector pad as shown. 5. Place the concrete pier blocks on the Vector pad. Center the blocks under the frame. The upturned edge end of the Vector pads should be up against the inside of the pier blocks. 6. Build vector piers but do not wedge at this time. 7. Using a concrete drill bit, drill two 3/8" diameter holes on each side into the concrete using the holes in the Vector pad as a guide. Drill the holes 3 inches deep. 8. Place an outside tension bracket on the Vector pad as shown in Illustration one. Line up the holes in the bracket, Vector pad and concrete pad. Vector p for concret ad Wood Cap and wedge Outside Tension Bracket Wedge 4�-1 8/2001 Concrete footer Page 8 California Vector Dynamics System for Concrete Applications Instructions for Vector Kit #59008 (for single stack blocks) A ctor k or Vector Kit #59006 (for single or double stack blocks) Page 2 of 2 9. Put a washer and nut on one of the 3/8" x 3-3/4" wedge anchors provided. The nut should be screwed on enough to have 1 or 2 threads showing on the top of the bolt. Place the wedge end of the bolt into one of the holes, going through the outside tension bracket, metal Vector pad and into the concrete. 10. Using a hammer, tap the wedge bolt into the hole. Maximum height for expansion bolt above concrete is.2". 11. Repeat for the other hole in the outside tension bracket and the two holes on the other Vector system pier set. 12. Place an inside tie bracket over the u -bolt so that the lip of the bracket is between the Vector plate and concrete blocks. Place washers and nuts on each U -bolt. Do not tighten yet. 13. Attach a strap with hook or crimp seal to the inside tie bracket, with sufficient length to go over the opposite pier and down to the outside tension bracket, plus 12 inches for wrapping the slotted bolt. Repeat for the opposite side. 14. Tighten inside u -bolts at this time. 15. Use the outside tension brackets to remove any space between the outside tension brackets, concrete blocks and the inside edge of the Vector pad, by tapping the brackets with a hammer. 16. Wedge the pier set at this time. 17. Using a 9/16" socket wrench, tighten all of the wedge/anchor bolts, securing the outside tension bracket and Vector pad to the concrete. 18. Using a slotted bolt in the outside tension brackets, insert strap through slotted bolt with end of strap aligned with outside edge of bolt. Turn slotted bolt until straps are tight using at -least five turns on the slotted bolts. Illustration Two Vector pad -e. for concrete Inside - - Tie Bracket - F 01 Si li / Concrete Compression f ot% boards U -bolt Page 9 9 California 6/2001 0 o� 3 M' 00 N O O WIND ZDNE I - - 1 Vector Dynamics Systems RequiredV ' 1 \ for Single Section Homes _ - - ' - - - ' ' " " ' (Materials Required) - " t10(1 hOof m erns s\ a9tor�5�a��a� on r'anua1 EXamP\h Ws 9 r\SL \ P home ;n e to , ttWstrat�o sPac;n9 mU`- s a0d ♦ i ` ♦ ♦ ♦ \\\ F o�odatioo Pad J \ ♦ I ♦ ' I N must De consistent with home manufacturers' installation instructions and/or state requirements. Maximum allowable working drag load for the 30" with 4" helix anchor (59095),12" stabilizer plates (55292), Vector System with the steel compression strut is Soil Classifications: 2, 3, 4A, & 4B 3,150 pounds per K2 Engineering test report. WIND ZONE I Soil Bearing Capacity: 1,000 PSF minimum Anchors Required': (not to scale) 1-1/4" frame ties w/4725 lbs. min. breaking strength. �2 sq. ft. pad/ Home Length Vector Systems Required Anchors Required Per Side 0 to 72' 3 2 73 to 90 4 3 ' Anchor and stabilizer plate combination Each Vector Foundation System requires V One Vector Kit, 2 slotted bolts lif 2 ea. 1-1/4 in. ties, length will vary with pier height (4725 Ib. min. break), V 1 ea. 4 x 4 pressure treated wood compression member V or 2 ea. 2 x 4 pressure treated wood compression member ¥ or 1 ea. 3-1/2" or 4 nominal SCH 40 PVC Pipe compression member ¥ or 1 TOE adjustable steel strut W CD 0 WIND ZDNE I` Vector Dynamics Systems Required Sin le Section Homes I ` Difficult Soil Conditions i" ect�o� h s1sems 1 g�1de11nes- _ 1e Slot vec`oc maf\ua i- a pf '72 �a1 sPa omnska11a1to� I EXamP1e gen be 1° h 111ustcakko sPactn9 m� \ I F oundati pads ,i. Y � talky:.silt'. •: +.. _ - y N Q V -Drive anchors are used only in WIND ZONE I (not to scale) 2ft ma x. �YQ• Q c 9. - "� r 34 f•' NOTE: Vector Systems should be spaced as evenly as Is practicable along the length of the home. Pier spacing must be corisistent with home manufacturers' installation Instructions and/or state requirements. ! Maximum allowable working drag load for the Vector System with the steel compression strut Is 3,150 pounds per ! Soil Classifications: 2, 3, the K2 Engineering test report. i Soil Bearing Capacity: 1,000 PSF minimum Anchors Required': "V" Drive Anchor, Part Number 59269 1-1/4" frame ties w/4725 lbs. min. breaking strength. WA 1 Home Length m mb Vector Systems Anchors Required �...y Ve nncnvrs Each Vector Foundation System requires Required Per Side ' one Vector Kit, 2 •V' Drive Anchors, 4 slotted bolts 2 ea. 1.1/4 in. tie, length will vary with pier height (4725 Ib. min. break), 1 ea. 4 x 4 pressure treated wood compression member 0 to 72' 3 3 or 2 ea. 2 x 4 pressure treated wood compression member or 1 ea. 3-1/2" or 4" nominal SCH 40 PVC pipe compression member (center corn res -ion I 1 73' to 90' 4 4 i"}e or 1 TDE adjustable steel strut a er on y) ' "V" Drive Anchor, Part Number 59269 2 ea. 2x4 pressure treated wood for V• Drive Anchor connection. 2 sq. ft. pad Note: PVC pipe cannot be substituted for wood on the 'V- Drive Anchor connections. A N (D' N 0 Metal Pier Sets - ZONE 14 � J \ Vector Dynamics Systems Required I 1 for Single Section Homes Up to 72 ft._ (Materials Required) - : ; . - - ' " - - ' e�k%00 h s1semsal- - ft1 spacin9ck eot a1 anon sy'*a ho s 9e s� be to h°n' I 111usstak\o 3c\ng mu d a ' atlon Pa I \ Found J \ 1 ♦ ` I II _ '2 h. max ryP. ♦ I r i C' I ZONE + \2 sq. ft. pad/ 34'�GIyP. Soil Classifications: 2, 3, 4A, & 4B Soil Bearing Capacity: 1,000 PSF minimum Anchors Required: 3/4" x 30" with 4" helix anchor (59095) 12" stabilizer plates (55292), 4 ea. 1 1/4" frame ties Materials: Each Vector Foundation System requires one Vector Kit, 2 slotted bolts 2 ea. 1.1/4 x 12 ft. ties (4725 lb. min. break) 1 ea. 4 x 4 wood compression member or 2 ea. 2 x 4 wood compression member Home Length Vector Systems Required Anchors Required Per Side 0 to 72' 3 2 73' to 90' 4 3 PUlwlul drlu sraomzer piate commnation NOTE: Vector Systems should be spaced as evenly as is practicable along the length of the home. t TIE DOWN I NGIN[[RIN6 0 %V a ti 0 0 WIND ZDNE I ;a Vector Dynamics Systemsi Required _ _ ' - - - ub`e Se kl X01 sys a��a, guldei`nes for Double Section Homes _ _ ' ' - { a l2 {� d pac`nge°r sta\\,k\On _ I n (Materials Require'dl ~- EXa ,p e 0 5 gels be �o InoM 111ustr and Spacing pads ' 44h•m Maximum allowable working drag load for the Vector System with the steel compression strut Is 3,150 pounds per the K2 Engineering test report. \2 sq. ft. pad/ NOTE: Vector Systems should be spaced as evenly as - ais practicable along the length of the home. Pier spacing must be consistent with home manufacturers' installation Instructions and/or state requirernerrts. Soil Classifications: 2, 3, 4A, & 4B Soil Bearing Capacity: 1,000 PSF minimum Anchors Required: None (marriage wall anchors may be required by home manufacturer) Home Length Vector Systems Required 0 to 48' 2 48' to 71' 3 72' to 89' 4 Each Vector Foundation System requires • One Vector Kit, 2 slotted bolts 2 ea. 1-1/4 in. ties, length will vary with pier height (4725 Ib. min. break), 1 ea. 4 x 4 pressure treated wood compression member or 2 ea. 2 x 4 pressure treated wood compression member • or 1 ea. 3-1/2" or 4" nominal SCH 40 PVC pipe compression member or 1 TOE adjustable steel strut ,r 0 N tv 00 N O O 1 1 WIND ZONE' 1 Vector Dynamics Systems Re for Multi Section Homes (Materials Required) Soil Classifications: 2. 3. 4A, & 4B Soil Bearing Capacity: 1.000 PSF minimum juired - - _ op rQm SCems uldelines \ . i \ . clot sY Haat 9 � `,Om, �nslattatlon ma - _ _ ♦i \ . \ ' 2mPhoWs 9 ust oe to \ i \ ♦ _ _ " ' �tttust�and specin9 to — ` �ound'Vton pad s,:. ♦ \ : Home Length Vector Systems Required) Anchors Required Per Side Homes up to 48' 2 Vector Foundation Systems 0 Homes over 48' up to 52'r 3 Vector Foundation Systems 0 i i Homes over 52' up to 76' 4 Vector Foundation Systems 0 WIND ZONE 1 NOTE: Shear wall, ridge beam support posts & marriage wall straps $ anchors may be required by the home manufacturer. Vector systems should be spaced as evenly as is practicable along the length of the home. A two foot variance + or - Is allowable at each system.Pler spacing must be consistent with the home Installation manual. sq. ft. pa/ Maximum allowable working drag load for the Vector System with the steel compression strut is 3,150 pounds per the K2 Engineering test report. Materials: Each Vector foundation system requires One Vector Kit 2 ea. 1-1/4 in. ties (4725 Ib. min. break) 1 ea. 4 x 4 wood compression member or 2 ea. 2 x 4 wood compression member or 3-1/2" or 4" nominal SCH40 Pipe compression member or 1 TOE adjustable steel strut DOWN WIND ZONE II (Hurricane) Vector Dynamics Systems Required I \ ' I \ for Single Section Homes ' (Materials Required}- - -; :. -' " - - eck'\On �sy to guide\fines• ' - le Ofi a 7n �a1 SP 9tegeons a\totOn mono _ n to \a _ _ - E 'afnP \,OWs 9e S; be to °m I`\ Sand ' tion Pa ♦I` ♦ I F°unda s, • ' I V (n cn o I WIND ZONE II (not to scale) v 7 00 ?'r N O 0 2 sq. ft. pad � 'NOTE: For single section homes 2 t`• `"a" ryo 4. - ' ' " with eaves that exceed 6 inches - in Zone 2, two additional frame tie anchors with stabilizer plates `• " (one anchor and one plate per side) must be Installed in additon to the number of anchors listed in the chart below. Maximum allowable working drag load for the Vector System with the steel Soil Classifications: 2, 3,4A, & 4B compression strut Is 3,150 pounds per Soil Bearing Capacity: 1,000 PSF minimum the K2 Engineering test report. Anchors Required*: 30" with 4" helix anchor (59095), 1-1/4" vertical ties w/4725 lbs. min. breaking strength. Home Length Vector Systems Required Anchors Required Per Eaves 6" or less Eaves over 6" less than or equal to 12" 0to48' 4 4 5 49' to 60" 5 5 6 61' to 72' 6 6 7 73" to 84' 7 7 8 85' to 90' 8 8 9 Vector Systems should be spaced as evenly as Is practicable along the length of the home. Pier spacing must be consistent with home manufacturers' Instructions and/or state requirements. Each Vector Foundation System requ/res • One Vector Kit, 2 slotted bolls 2 ea. 1-1/4 in. lies, length will vary with pier height (4725 Ib. min. break). 1 ea. 4 x 4 pressure treated wood compression member or 2 ea. 2 x 4 pressure treated wood compression member or 1 ea. 3-1/2" or 4• nominal SCH 40 PVC pipe compression membe or 1 TDE adjustable steel Strut r WIND ZONE II _- Vector Dynamics Systems Required _ - e for Double Section Homes _ " " _ - - - use Se�vo��o o san a; gu�dek�nes•lc` (Materials Re uired) d° 2c1n9 t ta►1ac�on v cn cD Maximum allowable working drag load for the Vector System with the steel compression strut Is 3,150 pounds per the K2 Engineering test report. C7 v 0 tv 00 N 0 0 NOTE: Vector Systems should be spaced as evenly as is practicable along the length of the home. Pier spacing must be consistent with home manufacturers' Instructions and/or state requirements. Soil Classifications: Soil Bearing Capacity: Anchors Required': ', 3, 4A, & 4B .!.000 PSF minimum 30" with 4" helix anchor (59095), -1/4" vertical ties w/4725 lbs. min. breaking strength. Home Length Vector Syste,ns Required Anchors Required Per Side " 0 to 48' 4 4 49' to 60" 5 5 61' to 72' 6 6 73" to 84' 7 7 85' to 90' 8 8 Each Vector Foundation System requires • One Vector Kit, 2 slotted bolls • 2 ea. 1-1/4 in. tieslength will vary with pier height (4725 Ib, min. break). • 1 ea. 4 x 4 pressure treated wood compression member • or 2 ea. 2 x 4 pressure treated wood compression member or 1 ea. 3-1/2" or 4" nominal SCH 40 PVC pipe compression member or 1 TOE adjustable steel Strut . E �.W WIND ZONE 21 Vector Dynamics Systems Required 3 Section. Homes (Materials Required) QJMaximum allowable working drag load (C the Vector System with the steel compression strut is 3,150 pounds per v the K2 Engineering test report. A O v N O O ----I WIND ZONE Z I NOTE: Longitudinal stabliization Is required. Vector systems should be spaced as evenly as s practicable along the length of the home. Pler spacir a must be consistent with the home installation manual. oA\g mat gold f Jn9k%1 ctn0t °?tai 'on mono e _ I♦ pf s 9anatat iP home 'ns - , _ - " ♦ I ♦ ♦ `\ \ ♦ ` ` , , _ _ ' oUWstra^p sPa0m9 must ba ° r ♦ '. a ♦ I ♦. dation ods Foun♦ I ♦. I ~I ♦ I _ i;�\ _ '�� 211. ma�'gV♦ JI ` I ' I ♦ I ♦I sq. ft. pad Materials: 'Anchors Required Soil Bearing Capacity: 1,000 PSF minimum Home Length Vector Systems Required Anchors Required Per Side Homes up to 48' 4 Vector Foundation Systems 4 Homesover 49' 5 Vector Foundation Systems 5 up to 60' Homes over 61' 6 Vector Foundation Systems 6 up to 72' Homes over 73' 7 Vector Foundation Systems 7 up to 84' Homes over 85' 8 Vector Foundation Systems 8 up to 90' 3/4" x 30" anchor (59095) with vertical straps Each Vector foundation system requires One Vector Kit 2 ea. 1-1/4 in. lies (4725 Ib. min. break) 1 ea. 4 x 4 wood compression member or 2 ea. 2 x 4 wood compression member or 3-1/2" or 4" nominal SCH40 Pipe compression member or 1 TOE adjustable steel strut L . VECTOR DYNAMICS INSTALLATION DESIGN INSTRUCTIONS This Vector Dynamics Foundation system instruction is applicable only on homes set on soils classified as Class 4A 413, 3 and 2,as described in the table below. For separate instructions for sub -soil, Class 5- conditions (above 50 in. lbs.), contact Tie Down Engineering. SOIL CLASSIFICATIONS Soil Class ' Types of Soils Blow Count (ASTM Soil Test Probe (1) D1586) Torque Value (2) 1 Sound hard rock...... n; �1 NA NA Very"'cierise and/or 40 -up More than 550 in. lbs. cemented sands, coarse 2 gravel and cobbles, preloaded silts, clays, and corals --- -- _Medium -dense coarse --- � 24-39— --- - --- 350-549 in. lbs. 3 sands, ,sandy gravels, very stiff silts and clays 14-23 4A Loose to medium dense 275-349 in. lbs sands, firm to stiff clays 4B and silts, alluvian fill 0-14 175-275 in. lbs 5 Peat, organic silts, 175 in. lbs inundated silts, loose fine and lower sand, alluvium, loess, varied clays,. fill, fly ash. 1 - (1) The purpose of the soil test probe is to gage the strength of the soil below the surface and near;the anchor's -helical plate. The -strength -of-the-soil-is estimated -in -terms of its'- — resistance to penetration (flow) under load by means �of the -torque probe and is measured in inch lbs.. The test probe has a helix on it. The -overall lengthLof:the,helical section is 10.75 in.;: the ;rh *o -diameter _is 1.25 in.; the minor diameter is 0:81 in.; -the pitch is 1.75 in. The shaft sinus Ekof#.suitable;length!�foranch6r,depth. : - (2) A measure synonymous with moment of a force when distributed,aroundthe shaft of the test Probe Information about geographical areas of termite infestations which might require the optional termite and moisturet shield when a wood compression member isuse cial�o4—.ay,be found in the 1 d` may be obtained from the local building off�995redition of.the One and TW6,Family Dwelling Code ,Paa�Y�KMyb7e..liiG..,�i� I. '{y1GiFy'J�•t .p .. •s, .. -.k .. 9���'� California 8/2001 NOTES RESIDENTIAL 028-400-015 03-1273 ,PERMIT NO. MCCONNELL, JAMES 4 SUNRISE HILL RD, BANGOR Cont: SKYCREST ENTERPRISES NEW MH PERM FND EX SITE _ THE HCD FORM 433A FOR THIS MH CANNOT BE RECORDED UNTIL ONE OF THE FOLLOWING HAS LEEN TURNED IN TO THE BUILDING DIVISION: (1) LICENSE PLATE(S) OR DECAL (THE INSPECTOR MUST RETREIVE). '(2) STATEMENT OF FACTS (ONLY ON NEW MH' S). IivSPECTOR TO VERIFY SERIAL & LABEL #'S. SPECIAL CONDITIONS CHECKED ' BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. ✓ ESPECIAL INSPECTION ITEMS VERIFY i USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER t 55 t c, s� and y�,•� blat la -e- ueed AzOr sr� /` JOB FINALED ((D to 3 V -63 Signature J=OK 0 ='Not OK Not . = Not Readyable 6. MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Electric 1. Zoning Requirements -Setbacks -Easements 8. 2. Soils; Special MH Support Sketch + 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 12. 6. Gas; Location -Test -Wrap;-/ P' L 'ft. / P Nat. or/ P' L "ft./ P LPG 7. Well Clearance & Disconnect Date 8. Utility Clearance Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s Date Setbacks -Easements Card B-1 Date Card B-1 Date Soils; Compaction -Structure Stability Card B-1 Date Card B-1 Date MOBIL ,F -HOME INSTALLATION (Plans) OK except #'s 4. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 6. 4. 5. 6. 7. as; MH Test -Demand -Valve -Connector ctricity; MH Test -Crossovers- Drain; MH Test -Fall -Flex Connector Water; MH Test -Regulator -Connector Water and Sewer Connected -C/O to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Gas and Electricity Tagged Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures-Panelboards-Ins. to Main Conduit 9. Tie Downs -Type -Installation Cert. Health Department Approval 10. Exits; Insp.-Sketch Plumb.; Cir. Test -Water Supply Test 11. Cert. of Occupancy Light Niche 12. Enclosure; Fencing -Alarms t Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERM ENT END SYSTEM (ONLY) 1 onin equirements-Setbacks-Easements _ 2. ings; Size -Spacing -Marriage Line 3. Blocking A_ -,G_ ; MjH Test -Demand -Valve I city; MH Test er, MH Test !!L . Watzzd Sewer Connected W. License Decals 11. Verify #'s with Office Date J Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 7(_6 YZI t �V�l C, -r-( GdAp MISCELLANEOUS Date DEC VERS, CARPORTS, GARAGES (Plans) OK except #'s IMIA Requirements -Setbacks -Easements otings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses + 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed I 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures-Panelboards-Ins. to Main Conduit I 9. Health Department Approval + 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms t Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = NotOK = Not Applicable Applicable . = Not Ready RESIDENTIAL Date UNDERFLOOR (Plans) OK except #'s Date 1. Zoning -Setbacks -Easements -Flood -Slope. Date 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/0 -Sewer Test Date 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test Date 11. Water Pipe; Test -Anchors -Regulator -Service Test Date 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation Date 16. Insulation (Single & Duplex) 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe &Anchors 23. Fire Sprinkler; Test' 57. Siding -Nailing Veneer Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled Date 27. Romex Installed Close to Edge of Studs & C.J. Date 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Date -29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral 0 Yes O No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector 70. Stairs & Rails Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties- Purl in -Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel; Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes _ 83. Following Instld./Drive 0 Yes 0 NoM/alks 0 Yes 0 No/Planters 0 Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing - 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House-, , 90. Glass Protection 91. Corrections from Previous Inspections. - 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected-Ci0 to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted ' 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date ti Card B-1 Date Card B-1 Date Card B-1 Comments at Final: 06/04/2003 06:16 5303429174 CHICO BLDG SYSTEMS PAGE 02 •STATEOF.CALIFOAIYA -;.i _ � BUSINESS,TRANSPORTATIONA({p1(0�61N0AOENCV..� .. .,'.• UMBER;• ... .. . — DEPARTMENT OF HOLISM ANG COMMLN)T 666 tL6bMEN� ' __•. :: _._ -- ._: _ ..:.,.-: •'OIVISIONOFCODES'IUW STANDARDS' -:1'• • - H.fi 8.9 3 6;1'..;: •-'P*J•� I�� ��Y..',��e:`;T;Sii1�N?ti10S7�iMANUFACTUAEDNOUSMlOPROGRAM .... .•• .. lry ;- . '''' ff MANUFACTURER CERTIFICATE-•OF•ORIGIN ;-----•. • - VtJ�I ❑ CHECK IF THIS 13 A DUPLICATE MCO.ENTER ORIGINAL MCO N0. II :,, C.411�AERCIAL COACH; OCCUPANCY GROUP . 'MANUFACTURER NAME: BOOTH BEND ROAD, P.O. BOR 388, ,QQFflINNV HOMETTE CORPORATION NAME OF DEALER OR TRANSFEREE (OWNERSHIP TRANSFE SKYCREST ENTERPRISES DEALER OR TRANSFEREE ADDRESS: ,_-L3„468 HWY 99 TEXTRON $INANCYAL CORP'' 012 EXENIA AVENUE SOUTH STE 300 SECTION MANUFACTURER SERIAL NUMBER 97128— OVUI:T CALIF. DEALER NUMBER OR TRANSFEREE DESIGNATION: MCD INSIONiA OR HUD LABEL NUMBER TRANSPORTER NAME: D" 6•R•:TRANSPORT.. . TRANSPORTER AOURESS: ' P.O. BOR 179 DURHAM be�a c' DESTINATION FOR UNIT DESCRIBED ABOVE: LONNIE MCCONNELL #4 SUNRISE HILL ROAD BANGOR NAME b C 1 a -My LOW& p."0y OIPo' '. rnQx Ye 77 q ,;Paw . _ ..... 1 Ne •Bove Noy We We and mnd. CA LENGTH x,973-9479 95901 1030 WIEIONT E»baaNlNln MAY 1 2 ate)) �' YAMHILL OREGON ( . (Count') (tele) • 31cNATUq€ OF AvtH RAZED BRUCE PAGE, •. GENERAL MANAGER ORWMAL (PINK) . FORWARD TO THE I V CREDITOR. UNLESS THERE IS NONE. THEN FORWARD TO THE PURCHASER (DEALER DR TRANSFEREE). •• COPY I (WHITE) FORWARD TO THE DEPARTMENT AT P.O. BOA {323, RACRAMEM CA 956)2•{023."THIN FIVE (6) PAYS OF RELEASE. COPY 2 (YELLOW) OELNER TO THE TRANSPORTER TO ACCOMPANY THE UNIT TO RS DESTINATION. COPY 3 (OOLOENROO) TO BE RETAINED BY THE MANUFACTURER. NCO 493.0 -Side 1 . (7/97) 04/29/03 08:45 FAX 590 877 3443 . ext tlaptelm la Walt w nuaai>n JIM" llecmell 4 Sunrise Hill Rd. Bangor, Ca IS914 I'M Y174nv a" Y rJamea Ikcoaoell 109211ity.99 C% Live Oak, CA 95953 r.. L J awe t4taa as r. - 90-0410S X002 1 90-004405 Rat: Poo 5,00 DOC 37.41 Recorded I Total 62.40 offlntal Renard■ County of I BU1TE COU14 Y TITLE G0. Candace J.. Grubbs i Reoordor 1 0 00ao 2-feb•90 I Co I �- GRANT DEW voitammr Thr voM iged sm"O dt<lamr. 000ttnrnlvr uaaeto W b S 17.60 1 x 1 CeaytnN oa tre .nae of p,apetay aoe,ed, u I 1 CommW of 11a WU ,as value of beth and tmvw(matu rew was 1t We of ufo I ► Uatrtwrporeel an ( 1 Cut of _ Th Ptrod ►ra 26'60-15 FOR A VALUABLE CONSIDERATION, teodpt of ui itb is Iertby at'Iawk4td. MIY D. M U ER and ROBIN B. MDUlD1R, kzband and vile hrreby GRANTMto JAIBS ttOX�M and UME ILCOR L, husbatd and wife , AS MINT TENANTS the foOorlao denAtd real Iwperty in the County of Butte . Sten of Coliforoll Parcel 1, as shown on that certain Parcel Map of a portion of the Rest half of the lest half of Section 28, Township 13 North, tie 5 Eaat, H.D.B. Q H,, which Parcel Map vas filed in the affice of the Recorder of the County of Butte, $tote of California, Septernber 30, 1975 in Book 53 of Parcel Maps, at page 55. Op,N. Jenuery 15, 1990 x /_fr�i�p �Y, '�Ot�ei�{ rmlip V. flouLder r �►�. F �% ). f`frldl L.` XROWE. ►HmIder STATE OF CALIF01)4A Cobnirol Dutte On skit _ _29 ._ , dw of Jmm y 19R_ ,boar tau W unlmipKd. 6 Nolm p0hr in ud lot .1.0 Cow) and Sore pelsouh) Append.AM rnhln L. Itmilrl.r pe.wtdA tno,a t. tw r« Yro.cd tome m+tbt btwt of �un6.w, n idemel,e !w dr ottAa 9 _. _... _.,_ ahott alae � aroma _ M nUd a Ibr .ata m„rumtm And 4: too -Wirt) the _ fry__ mtevwd d* time. 84181/861/ •-41N1t141ae/a WITNESu n) band til al&vl .hal ! 0.0 � ►lfeY IQ14E1 i i. 1 a!•aw4 _ •--ma�yy'-. _ �:itp) P,tN-rtC,rtlM u,.l t.noll ,d btm Eggs felt aassa61ua of � ltWltt) ktA Description: Butte,CA Document- Year. Doc/D 1990.4405 Page: 1 of 1 G'! Order. wem Comment. 1 Butte County Department of Development Services www.buftecounty.net/dds 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538.7785 Facsimile October 21, 2004 Skycrest Enterprises 13468 Hwy 99 Chico CA 95973 RE: HCD 433A (mobile home on a permanent foundation) James and Lonnie McConnell, 4 Sunrise Hill Rd, Bangor Ap# 028-400-015 Dear Skycrest Enterprises; The County of Butte, Department of Development Services, Building Division, is returning your check, payable to HCD due to incomplete permit process. Due to the incomplete information on your permit we are unable to finalize the 433A (mobile home on a permanent foundation) process. You will need to come in to our office, at the address above, and talk to one of our Permit Application Assistants, who will assist you in determining what you will need to finish the 433A permit process. The recorded 433A, check, and supporting documentation must be mailed to the State of California, Housing and Community Development, Manufactured Housing Department before the mobile home can be removed from state license rolls and the Butte County Assessor treating the mobile as real property. If you have any questions regarding this process, please call (530) 538-7541, and ask for a Plan Application Assistant. Thank you, Gwyn Benedict Office Assistant II cc: James and Lonnie McConnell, PO Box 232, Bangor CA 95914 COUSIN GARY'S HOMES i 1.3468-HMt/Y 99 9 0 0 > . Chico, CA 95973 HCD :i� 91265 • Contractor's License 812930 PHONE (530) 343-8494 FAX (530) 343-8496 NOTICE: THIS FORM IS COPYRIGHTED AND REPRODUCTION OF ALL OR PART IS STRICTLY FORBIDDEN. MANUFACTURED HOME PURCHASE ORDER AND FEDERAL DISCLOSURE STATE E T DURCHASER' yj / !� n _ PHONE: a►YC.,'/7 �IT.r. C"t� �� STATE ZIP C SALESPERSON ►HONe •v`!Nlt • .Subject to the terms an4fconditions stated on both sides of this agreement Seller agrees to sell and Purchaser agrees to purchase the following MFD./MBL. Home: -KE DEL B. ROOMS APPROX. (NOT INCL. EW SITUS LW eARIEAVES(.1' ADDR�r V t'L {� d G I , Z W?7 C3 USE[ % �%( SERIAL NUMBER APPROX. MUD OR HCD NO. OT. OF MFG. City L.r ZIP STK f DEDATE Q/�1 / O ZCD3County, / v THE COST OF THE MFD./MBL, HOME EXCLUDES THE LISTED PRICES FOR THESE ITEMS. SO. Fr. LIVING AREA f, S D TOW BAR. WHEEL'S. '�$ EAVHEEL HUBS. TIRES. Sj 0 EAAXLES ) I ` MFD. HOME PRICE DATE MFD ORD. ESCROW OPEN STKN/OTHER - USED HOME SALES TAX. IF ANY. (1 ST SOLD PRIOR TO 711180) $ ITEMIZED ACCESSORIES AND THEIR COSTS: (SEE ADDENDUMS) SEE BELOW -CIRCLED-_ADDENDUM-ATTACHED. HERETO: A _ PRICE SUBJECT -10- SITE .APPROVAL. THIS PURCHASE--ORDER..SUBJECT _• TO MANAGEMENT.-APPRQVAL_X_ . DESCRIPTION OF • • - MODEL SIZE^ SERIAL NO IUD NO. j ' YEAR ..•".(-,/ y ACCOUNT NO 'DDRtSS/PHONE E ',1,ANUFACTURER STATES THAT INSULATION HA; %LLED IN THIS' HOME AS FOLLOWS: (NEW ONLY) / TOTAL ACCESSORIES (OUTSIDE HOME) TOTAL MFG. HOME & ACCESSORIES SALES TAX (ITEMS NOT INTEGRAL TO HOME) FOUNDATION SYSTEM / TIE DOWNS DELIVERY SET UP HCD FEES INSURANCE PREMIUM (ONLY IF SOLD BY DEALER) ESCROW FEES SCHOOL FEES OTHER / PRE PAID TAXES DOC. FEE (NOT A GOVERNMENTAL CHARGE) 1. TOTAL CASH PRICE TYPE THICKNESS 'R' FACTOR ALLOWANCE ON TRADE-IN $ /V!¢ LESS BAL. DUE ABOVE $ "••)Or (/ S NET ALLOWANCE $ <TERIOR WALLS ,/ PAID HEREWITH $ 14 70R CASH BEFORE DEL.$ NARNING—Unless a charge is included in this Agreement for DESIGNATED DEPOSIT $� =':hhc Liability or Property Damage Insurance, Payment for such (INC. IN DN. PMT) -overage is not provided by this agreement. 12. LESS BUYERS DOWN PAYMrNT $ 1 0 -7 7 S 0- S S �ttiL S USC_ S lit C_ S S I v r $ S IGCLVLGJ 1 S Iti $ $ _ 'If the dealer is also licensed as a real estate broker, the sale 3. UNPAID BAL- ON CASH SALES PRICE $ of a manufactured home or mobilehome being installed on a 4. FINANCE CHARGE S foundation system pursuant" to Section 18551 may be 5. ANNUAL PERCENTAGE RATE -cluded in the purchase document for the underlying real 6. TOTAL PAYMENT AMOUNT (3+4) S _----- -- property, provided that the requirements of HSC SEC. Z• UNPAID BALANCE DUE PRIOR TO DEL. S '8035.3 are met." 8. TOTAL DEFERRED PAYMENT PRICE (2+6) S PAYABLE AS FOLLOWS: THE DEALER CERTIFIES THAT THE - INSTALLATION CONTRACTOR IS: �rnE s Hompi, UC. p g 1 993Q- 3CSINESS ADDRESS In the event the manufactured home cannot be delivered -and/or" Inspection comolelel : i.TY Chirn CA ZIP ;973within the agreed delivery time due to nonperformance by the buyer, buver agrees Ir one of the following at the option of seller, either (t) to pay Sn Contractor is required by law to be licensed and regulated by the charges per day until a manufactured home installation acceptance or 3 ml�e Contractors State License Board, P.O. Box 26000 Sacramento, CA 95827. occupancy is obtained in addition to all other consideration owing or (2) pas the sun of $ N/A in lieu of total consideration (A) DO NOT SIGN THE PURCHASE AGREEMENT BEFORE YOU READ IT OR IF IT CONTAINS ANY BLANK SPACES TO BE FILLED IN. (B) YOU ARE ENTITLED TO A COMPLETELY FILLED-IN COPY OF THAT AGREEMENT AND, IF PURCHASING A MANUFACTURED/MOBILE HOME COVERED BY A WARRANTY, A COPY OF THE WARRANTY. Complaints concerning the purchase shall be referred to the dealer and, if the complaint is not resolved. may br, —'erred to the Department of Housing and Community Development, Division of Codes and Standards, Occupational Licensing, Post Office 31, Sacramento, California 95812-0031 (telephone (800) 952-5275). A failure to disclose pursuant to this section shall not be the basis recission of a conditional sale contract. `ie Manufactured Home that I am purchasing w' be used as a residence. I further certify that I understand that if subject Manufactured , me is used f any purpose oth r than ence I may be liable, to the State Board of Equalization, for the tax measured by the aTount exclude rsua rtific ;RCHA R DATE 97 2 /RECEIPT OF A FILLED-IN COPY OF THIS AGREEMENT IS HEREBY ACKNOWLEDGED BY PURCHASER hi (brier .c c,Ihiart to r—lit A --.I an.i I,,, Im STATE OF CALIFORNIA BUSINESS, TRANSPORTATION AND HOUSING AGENCY ';i'• DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT _ DIVISION OF CODES AND STANDARDS ' REGISTRATION AND TITLING PROGRAM STATEMENT OF FACTS This unit is a: 0 Mobilehome 0 Commercial Coach 0 Floating Home El Truck Camper Decal (License) No.(s) Trade Name Serial No.(s) I/We, the undersigned, hereby state: I/We further agree to indemnify and save harmless the Director of Housing and Community Development, State of California, and subsequent purchasers of said unit, for any loss they may suffer resulting from registration of the above-described unit in California, or from issuance of a California certificate of title covering the same. I/We certify under penalty of perjury that the foregoing is true and correct. Executed on at ( ate) (City) (State) Signature(s) Printed name(s) City�� a 0 , State urn d76 ( (RF.V 9/91) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 034TH (Rev. 12/96) APPLICATION AND PERMIT (� ASSESSOR PARCEL NUMBER 028-400-015 ZONING A-5 BUILDINGPERMIT OWNER MCCONNEL JAMES & LONNIE TELEPHONE 679-3282 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS P.O. BOX 232 BANGOR CA. 95914 72 cov 936.000 CONTRACTOR'S NAME SI:YCREST INTERPRISES TELEPHONE 342-2694 CONTRACTORS MAILING ADDRESS 13468 H14Y 99 E. CHICO CA. 95973 CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ 59 094.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee 459.59/2 $ 229.75 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDINGADDRESS 4 SUNRISE HILL RD. BANGOR CA. Energy Plan Checking Fee $ $ PERMIT FEE $ 272.75 LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 15,00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Ublities ❑ Installation ❑ Other ❑ Describe Work: NE iJ I°u PQM FID EX SITE Gas piping sy2tem 1 - 5 outlets 15.00 15.00 Building sewer 15.00 15.00 Mobile Home I S I G W @20.00 PERMIT FEE S FLOOD•X. 1025D SRA_ ELECTRICAL PERMIT Fling Fee 20.00 Main Service zo*A 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.• full O e and effect. �/ License Class Lic. No. gfa %3 OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law 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. ❑ 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 zooA To ,000A 46.00 NEW CONST. DW ING OCCUP. OR ADDNS. ( 8 ACC. S. SO 3.5¢FT. T. L,oµpESID. MULT.1 CRR UT 97.50 POWER APPARATUS 'POWER OUTLET CIR. Ex. OCCU OUTLET OR FDRURES 20 @ , DD BAL @ .50 Ex. Occup. ..REFS D OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PRE, _ INSPEMON PERMIT FEE $ 43.00 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' c s on insurance care r and policy number are: Carrier e G/ Policy Number (The above sections need not be competed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers'HAZ. 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 th a provisions. Date Si of Applicant - ❑ Owpigr OYContractor ❑ AgenIr ffO A permit is required for excavations over 5'0" deep and demolition or construction ructures over 3 stories in hg t. MECHANICAL PERMIT Fling Fee 1 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE T L FEE $ 380.75 __ D. FEESMP FLOOD ! ' CDF PAR/ PARCEL /PD HQ SSUE This perm ishereby issued under the applicable provisions of the B tte County Code and/or Resolutions to do work indicate above for which fees have been paid. By to �3 PERMIT EXPIRES ON 7,;?, 6110 Dete i • Receipt No. _ 3 719 W WHITE-D.D.S.-B.C(. CANARY- ESSOR PINK-PECTOR GOLDENROD -APPLICANT II ,.' COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 Cotinty Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: A SESSORrPARCELNUM �/� Proposed Building Us MH Counter Technician: Date: 4 6—T6 3 Items required in order to apply for a permit. All boxes MUST be checkedR marked NA in order to apply. Vlot plans, 3 or 4 sets, signed,ty the preparer of the plans. 2. Complete plans, 3 or 4 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 layou't's in duplicate. No faxes! ❑ 5. Energy compliaAdein supporting documentation in duplic a,� /❑ 6. Manufactured hto sheets and installation instructions, B Airiage line information, oor Plan, (D) Tie down`or foundation planicate.❑7. Metal buildingsuilding Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate(D) Floor plans All of these must be stamped and wet-si ng ed by the en ineer. 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 ..................................... ❑ 12. Hazardous Material Form............................................................................... _ ❑ 13. 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 ....................................... k 5. Statement of Intent for Non -heated and A/C Buildings ........................................ ;73*. Sanitation and plot plan approval from the Environmental Health De a ent in S Z.03 . City of Chico Plumbing permit ......................................... California Department of Forestry plan approval paid. Sent. by: ..................... ❑ 19. Planning approval for (A) Use: ®K (B)Parking: (C) Parcel Check: 5 —94-07-1 ❑ 20. Contact Land Development about ❑ Improvements, Drinage ............................... Encroachment P Wriv wa om the is o e . (construction approval prior to occupancy). Pre -Inspection fo 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..................J ...................................... . ❑ 29. i ting violati nd/or expired permits...........�,�/.... d C/ ❑ 30. Gr�lnt viola I Title/Statement of Facts, �'tt�r from Legal Owner, heck to H.C.D. $ ❑ 31. Other: When issued Telephone — and hold for pickup. I have been informed of the above its and requirements for obtaining a building permit. Applicant: Date: 1. Index permit application for the above items numbered: 2. Additional items required Contractor, designer, owner, was advised cf the above data by ❑ phone, ❑ mail, counter, by Date: _ Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, counter, �by Date: Plans reviewed by: Date: Plans approved b Y �� Date: Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Buildine Division Plan Check Letter D 3' /273 TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance \ , r �'n E.}i USE ONLY \�\ Fict !'filen Anschad . Roos Plan Attasl, ied �' Sent to B.D. l� CL ilil A q 1z) -et / Owner Location AP# Plan Approved for:. Sewage Disposa Water Sup ly: Public Private Well Clearance for dwelling. OtherL- 1 J Hold final for: Final cl NOTE: Environmental Health Specialist Date 8/96 OWNER COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 n SCHEDULE OF RECEIPT OF FEES PROPROSED BUILDING 1. BUILDING PERMIT FEES --- Balance Due ..................... $ --- Additional Fees Due........... --- Revised Plan Checking Fee.... 2. SC ISTRICT FEES (paid at cho is 'ct Office)�fo A 3. SHERIFF ES (paid at Build Residential........... . Units Commercial (sq. ftg.)..... 4. URBAN AREA FEE Residential (per unit)..... A.P. # ZW'616 DATE — eYi RECEIPT # DATE REC. $360.00 =$ X $0.03 = $ S X # Units Amt. (paid at Building Division) mi Commercial (Sq. Ftg.).... X = $ Sq. Fig. Amt. 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) n ,h/6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) $89.00 (paid at Building Division) 8. WATER TENDER FEES BATTALION # $200.00 (paid at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Zone # Units Amt. Commercial (sq. ftg.) ......... X = $ Sq. Fig. Amt. 10. OTHER 6 At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan checking pro ss. APPLICANT DATE Pursuant to Gove ent Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003) r 401 .r� School District A.P. Number Property Owner Property Locatic Subdivision ii^M M •BUTTE. COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM f'One form per Building) Ju ri iction: City An ./ Residential Development' E. No of Living Mobile 'Home Units Installation IN Building Department No. Lot No. % ft ............................................................................................................... € Sq. Footage Addition/ *Supplemental to (Group R) Conversion Permit # i *(No foundation inspection): Sq. Footage New dition /Uildingepartment Representative '^ (Floor Plans reviewed boaf District Identification No. 0301.47 V /71� Umx—District certifies the Address) (Including Exterior Roofed Areas) Date District Personnel) (City)` (� (State) /) has complied with the requirements of Resolution No. representing ' / square feet. AB 2926 FULL MITI ATION (Applicant) (Phone Number) _9571 i 2' C d 1 n o el r by payment of �$ School District Representative I4 lJ Paid by Check '# Remarks: kk 651/¢--o-3 7 " Date " Notice: You may protest the imposition of.the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit �. you from challenging the imposition of the fees in any court action. T� If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is { notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQAI, this project may be subject to additional school fees to fully mitigate its impact on the school districts schools. White (applicant), Yellow (building department), Pink (school district) feeform.x(s (10/98)dmm COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BU it 7 County Center Drive • Oroville, CMliforni$ 95965 • Telephone (53 . , APPLICATION AND PERMIT D romme BUILDING PERMIT SS SOR PARCELINMBFA I ZD� SO. FT.. OCC. SUI DINC,,YA TION D b !/ � TEtFPHONE O /' NAME NTSIACTORS NI�1�DD TRVGTION LENDER F►roERs wuuNc AODREss Fireplace Total Valuation S (� oROPU ECT OR ENGINEER UCENSE NO. Firing Fee $ 2 0.0 0 Permit Fee S ARC ffECT OR ENONEERS MAILING ADDRESS -' Plan CheckingFee S 9ULDMG ADDRESS Energy Plan Checking Fee S S _ . PERMIT FEE �� S3, SS PARCEL MAP PLUMBING PERMIT Jing Fee 20.00 Lor No. sueDlvslDNs NAME 6 � 9 Each Trap 7.00 USEOFSTRUCTURE Solar or heat um water heater 23.00 SF ❑ Duplex ❑ Mobilshoms ❑ Other Water piping 15.00 (1j SPMF` Each as water heater or vent 15. DD TYPE OF WORK Gas in stem 1 - 5 outlets 15.00 s New ❑ Add" O odel ❑ tJ6r16es ❑ In Dation Other ❑ Building sewer 15.00 —� Mobile Home S G W 920.00 Describe Work: ' PERMIT FEE _ ELECTRICAL PERMIT Fling Fee 20.00 Main Service = oa LIEss 23.00 Main Service 200A TO 1000A 46.DD XJ l Q 25� o"F"R A CONST:r(D i A° LN°x DaLns` 3sacso S �� .ESM. MULTI -OWLET @7,50 POWER APPA419- Hood : SUIGLE OUT .00 Ex. Occup. ovi1.ET OR F.50 . Ex. Occup.vrLETS Epp�OD Temporary Service00 7�U Moble Home Facilities.00 � I Wiring.00 S� PE MECHANICAL PERee 20.00 S�vtr Heating O � Hooling d Hood � � 6.50 Oman Ventilation ZTFE i Mobile Home Installae�Energy Inspection F��� o c coNsr. nPE NtiZ.CEL ND ' 65 UE J ��O This permit is he y issued under the applicable provisions �� e' of the Butte County Code and/or Resolutions to do work 14, indicated above for which fess have been paid. w� By Date PERMIT EXPIRES ON Pale IL NG DIVISION 7 538-7541 0: 5:p 55 I BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.netWds PERMIT NO. BP043078 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date:' 10/21/2004 APN: 028-400-015-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 4 SUNRISE HILL RD BAN Date: Contractor. Map Index: Description: convert mh to storage OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: MCCONNELL JAMES 8r LONNIE permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of P O BOX 232 the Contractor's State License Law (Chapter 9 commencing with Section BANGOR, CA 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any 95914 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): �I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: MCCONNELL JAMES 8r LONNIE pP owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for P O BOX 232 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of BANGOR, CA proving that he or she did not build or improve for the purpose of 95914 sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). . Contractor: ❑ lam Exempt under ArticI4 3 of the Business and Prof si ns Code Date: PQ�� r0er: IMZA WORKERO CO PENSATION DECLARATION I hereby affirm under pe al of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for License #: workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as Architect: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Engineer: insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. Policy #: RcyI certify that in the performance of the work for which this permit is Valuation: $0.00 issued, I shall not employ any person in any manner so as to Census Code: become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ' [/ wJ O 7� Date: Applicant: WARNING: FVilure secure workers' compensation coverage is unlawful, and sct an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County CodR ?nrvor I hereby affirm that there is a construction lending agency for the Resolu ' n to do work indicated a for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Name: B/ D te: PERMIT EXPIRES ON: �� S Address: Date Cl I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. O Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. Agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substafpe of any official form or document of Butt u y. I hereby authorize representatives Butte to enter upon the above mentioned property for inspection pu _ �County go�fl Print Name: Signa re: Date: ° 6 ❑ Owner ❑ Contractor Agent for Owner ❑ Agent for Contractor M 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: YESQ NO[ ). 2. I HAV 9 HAVE NOT[ ]signed an application for a building permit for the proposed work. - r 3. 1 have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CTTY: 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 DATE: 10 - iii - 2W /%- NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. May 1995 This verification must be completed and returned to our office before we are permitted to issue the permit. 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 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 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 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 including state and federal income tax withholding, federal social security taxes, 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 insurance. 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. u A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" 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. C. Vieirfa, C.B.O. Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the ,California Health and Safety Code. May 1995 2.27 BUTTE COUNTY 0 DEPARTMENT OF DEVELOPMENT SERVICES 0 BUILDING PERMIT APPLICATION 0 AND SUBMITTAL REQUIREMENTS 0 24 HOUR INSPECTIONM OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834 0 OFFICE #: (530) 538-7541 A FEE WILL BE REO UIRED AT TIME OF APPLICATION "PLEASE PRINT CLEARLY" OWNER CONTRACTOR Last Name ,�n,12A rus Name Address Address 10 c 0, K L City City Q,, r State ZR?A, qfq Phone �-Z� �c� Fayblq, 72' E-mails VB(' &% APPLI CANT NAME CONTRACTOR Name- ameAddress City Address Fzip City Fax State Zip Phone Map Book Fax E-mail Planner Uc. # Class APPLI CANT NAME ARCHITECT/ENGINEER Name City Address Fzip City Fax State Zip Phone Map Book Fax E-mail Planner State License Number APPLI CANT NAME Name (7w Address City State Fzip Phone Fax E-mail '11, APPUCANT SIGNATURE FA Irl'u'007171FEWS For office use only: Zoning Pronarty AddresUV Flood Zone Cross Street VA9_ SRA I Yes No Occ. Type Const Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. $P,06/707 BIN # LOCATION AP# Pronarty AddresUV Cross Street VA9_ WORKER'S COMPENSATION Policy Number Carrier if hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable Received by: Amount 9 Bldg SRA Receipt # Sheriff SMIP Date:Other P12; 6 y - q6/ Total SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BEACCEPTED. ALL PLANS MUST BE LEGIBLEAND IN INK ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paperl ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper.►) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxesl ❑ 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to mobile or modular homes.) ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fid plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site 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 (if required). 12. Hazardous Material Form (for Commercial Buildings only). 13. Sanitation and site plan approval from the Environmental Health Department. Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). 3 2. Impact Fees. :1 3. California Department of Forestry plan approval (if required). 7 4. NPDES Form. 7 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). 3 6. Contractor's license information. (Number, Name Style, Classification). 7 7. Worker's Compensation Carrier and Policy Number. 7 8. Owner -Builder Verification (f required). 3 9. Letter of Signature authorization (if required). 10. Recorded copy of Agricultural Acknowledgment Statement. 1 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's). F you have questions or would like additional information regarding this process, contact a Permit kpplication Assistant at (530)538.7541. EXPIRATION OF APPLICATION .pplications for which a permit has not been issued will expire one year after date of application. In order to renew action n an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS efunds can only be made upon written request by the person who paid the fee. The request must be made within two ;ars from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits sued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan Teck fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION FORMSSUILDING F0RMS'B1d9ADp1SubRamts.doc p2„e I .f o NOTES CCECMCF}-l. S-rlL(_ TO AODITIOA( - 8!tT_l STILL. CoNnJC-r_TE� 2v SCPTi C - pwmefe- , tN i Lt (�0 Ty I)FFI C6 To- 3PC-4K W rrl¢ SdM&0Al& i� i}Bq,L'f Ices -M CI Rf4rH cr 1+01- tcAl S , I b3-1ZT3 03 -Zl 2(Q SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY i USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER � 57 (� — cart- p(co 6m,,� Dic- ter _ JOB FINALED (Date) ' L� Signature �J RESIDENTIAL e . ' } PERMIT NO. _ 028-400-015 T - - �- 04-3078 MCCONNEI.LL, JAMES 4 SIJNRISF; HILI_ RD; BANGOR f Cont. OWNER STH CONVERT TO STORAGE CCECMCF}-l. S-rlL(_ TO AODITIOA( - 8!tT_l STILL. CoNnJC-r_TE� 2v SCPTi C - pwmefe- , tN i Lt (�0 Ty I)FFI C6 To- 3PC-4K W rrl¢ SdM&0Al& i� i}Bq,L'f Ices -M CI Rf4rH cr 1+01- tcAl S , I b3-1ZT3 03 -Zl 2(Q SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY i USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER � 57 (� — cart- p(co 6m,,� Dic- ter _ JOB FINALED (Date) ' L� Signature �J J=OK 0 = Not OK . = NotReadyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or/ P' L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector POOLS (Plans) OK except #'s 4. Electricity; MH Test -Crossovers -Breakers -Clearances Setbacks -Easements 5. Drain; MH Test -Fall -Flex Connector Soils; Compaction -Structure Stability 6. Water; MH Test -Regulator -Connector Pool Structure; Steel -Connections -Thickness Dead Men -Lining 7. Water and Sewer Connected -C/O to Grade -HD Approval Elec.; Receptacles and Lighting, Distance-GFI 8. Gas and Electricity Tagged Elec.; Pool Lighting; 15 Volts-GFI 9. Tie Downs -Type -Installation Cert. Elec.; Enclosures; Conduit Entries -Terminals -Listed 10. Exits; Insp.-Sketch Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 11. Cert. of Occupancy Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK - = Not Applicable s = Not Ready s ' .-ft RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel -Blockouts-Wrapped 6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date FRAMING (Continued) Card B-1 Date Card B-1 Date Hangers -Post Caps -Anchors -Connectors Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 52. 20. Shower Pan; Test, First Floor -Tub Access 53. Property Line Firewall & Openings 21. Test Tub & Shower, Second Floor -Tub Access Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 22. Gas Pipe; Sixe & Anchors Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 23, Fire Sprinkler; Test Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 60. 24. Fixture & Transformer Clearance -Ins. Protection 61. 25. Elec. Receptacles Spacing -Lights & Switches at Doors 62. 26. Size Boxes & No. of Conductors Stapled 63. I nfiltration-Wal ls-Windows 27. Romex Installed Close to Edge of Studs & C.J. Card B-1 Date Card B-1 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Card B-1 Date Card B-1 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral ❑ Yes ❑ No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector 70. Stairs & Rails Date 71. Card B-1 Date Card B-1 Date 72. Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 36. A.C. Ducts Insulation & Support Elec. Outlets & Receptacles at Kit. Counter 37. Vent Fan, Exhaust above insulation Garage Fire Door; Swing -Landing -Closure 38. Condensate Drain & Overflow, Size & Grade A.C. Duct in Garage -Damper 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 40. Attic Access & Platform if Furnace in Attic Date 79. Card B-1 Date Card B-1 Date 80. Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Guard Rails & Deck Construction -Post Caps 41. Sills Proper Materials & Anchors Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound Clearance Looked under Floor ❑ Yes 43. Bearing Walls over Girders & Floor Nailing Following Instld./Drive ❑ Yes ❑ No/Walks ❑ Yes ❑ No/Planters ❑ Yes ❑ No 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Prosection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. I nfiltration-Wal ls-Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F:=1.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes _ 83. Following Instld./Drive ❑ Yes ❑ No/Walks ❑ Yes ❑ No/Planters ❑ Yes ❑ No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrica'-Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT cr, DF.V!=LOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 63- r Z'C4 w ASSESSOR PARCEL NUMBER 02 -400-015 ZONING BUILDING PERMIT OWNER KC'.1' . ,[., LOTiT . TELEPHONE 6,79-9282 SQ. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS P.O. ROX 232 RANGN. CA WMA CONTRACTORS NAME 1� TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 15 00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 4 SUNRISE I.t. n. RA C R H Energy Plan Checking Fee $ $ PERMIT FEE $ 35,00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY 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 ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: MOIRTTF Pf)MV Tn C'M1[ZAr Tr Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service p 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.d 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: 0> 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 ADDNS. ( & ACC. BLDS. SO 3.50 FT. NOµRESID. T. MULTI -OUTLET 97,50 PSINGLE OIfTLET CIR.OWER APPARATUS Ex. Occup. OUTLET OR FD(TUREs 20 @ 1.00 g20 @ ,� Ex. Occup. oFuT tDrs RD.LINSo� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ 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 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. X�� ! �J_�- _ O� j B r(/l�(, Date _ Signature of Applicant - El Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavatio s over 60" deep and demolition or construction of structures over 3 stories in heig , I. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HAZ. ""° D. FEES IMP FLOOD CDF PARCEL PD HD sUE This permit is hereby issued under the applicable provisions o` the Butte;County Code and/or Resolutions to do work ind cated a uv.,"e for which fees have been paid. By Date (fj PERMIT EXPIRES ON I!� (Date) Receipt No. i Y���r� ✓-� J WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT i 1 L 028-400-015,x; ~t 03-2126 MCCONNEL'L, LONNIE .; +!: F..Y...... 3 4 SUNRISE HILL, BANGOR MH TO STORAGE t PROPOSAL NUMBER THREE: f.' e ..�;..Yg J f1:. ]4 r..t iiJti l'• � •_� y - ^`"'`-�=ar^^•--aw ,....�-.,..�.+. ._._._. :R�Y ) t 4 hY; a 5 B P �•�. cc L ' MSm.-a Authorize the present modification with the additional change .of disman- tling the plumbing to the bathroom. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDIN DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 5 -7541 0. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 7� -400-019 ZONING BUILDING PERMIT OWNER MCCOMIN-FUL. Tama TELEPHONE SO. FT. OCC. BUILDING VALUATION _67-9-2282 OWNERS MAILING ADDRESS ?19 Z TIANGW CA 915914 CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 19.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS / T � EANGMnergy Plan Checking Fee $ $ PERMIT FEE $ 35.00 IDT NO. SUBDNSIONS NAME PARCEL MAP PLUMBING PERMIT Filing 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 as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: fM. TIE WMg To STMA-CE Gas piping system t - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W I @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 R LESS Main Service zo.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.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: tk 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. Q 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 46.00NEW CONST. DWELLING OCCUR OR ADDNS. & ACC. BLDS. s0 3.5¢FT: Nx)µC.11NST. MULTI -OUTLET @7,50 OWER APPARATUS 8 SINGLE OUTLET CI R. EX. OCCU OUTLET OR FIXTURES ;0050 B� @' 50 OR Ex. Occup. oL nFTs AES D.) EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 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. L C-� �V~ O� X ► /_ Date Sig ature of Applicant - 11 Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavation over 60" deep and demolition or construction of structures over 3 stories in heig t. 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 $ HAZ. D. FEES IMP FLOOD CDF PARCEL pp HD IS This permit is hereby issued under the o the Butte unty Code and/or in ated a v fo whi h fees have By PERMIT EXPIRES ON applicable provisions Resolutions to do work been paid. ate / Date Receipt No. 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 - Telephone (530) 538-7541 nn .�E ryr (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCELNUMBER / ZONING BUILDING PERMIT owNE E NE SO. FT. OCC. BUILDING VALUATION owrG s COM 'S TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Film Fee $ 20.00 Permit Fee -• $• 1,! ARCHITECT OR ENGINEERS MAILING ArIISS Plan Checking Fee $ BUILDINGADDRESS Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDN610NS NAME CEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY 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 ❑ PpmodUtilifies/0 Installs' �03 Describe Work:Mobile Gas piping system 1 - 5 outlets 15.00 Buildin sewer 15.00 Home I S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 O*OVORLE Main Service 20OA OR LESS 23.00 u— ��� �• m Romp �E �— !�� Vivo�� `� X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0° deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCSO UR OR ADDNS. a ACC. BLOS. 3.50FT. NEW CONS . MULTI.OUTLET NON•RESID. -97.50 POWER APPARATUS 3 SMGLE OIITLtT AL OUTLET OR FD(TURES 20 O 1.00 Ex. Occup.BAL @ .so Ex. Occup. DuTL�°rs RtsID O.R.INS 5.00 Service 23.00 —Temporary Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Coolin Hood 6.50 Ventilation PERMIT FES $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYP TOTAL FEE $ f12 EES IMP1. FLOOD CDF PARCEL PO HD ISSUE This permit is hereby 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 08I0 Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT O.B.- I 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. 0I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES A NO ❑ 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: PHONE: CITY: 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: PHONE: CITY: 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: PERTYOWNER: 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.B.-1 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 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 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 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 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. +Micel /w Vi ira, C.B.O,uilding Inspection NOTE. This Owner Builder Information is required by Section 19830 of the California Health and Safety Code. �YBGi1%7/7GtY 2yl� Qbenes 800CT/5224 3BEDROOM -1 3/4BATHS - CATHEDRAL THRU-OUT (1,141 SQ.FT.) Qzc-x- w 002 E a. c ccm 2 National Pollutant Discharge Elimination System (NPDES) Phase II & SWPPP Non -Certification for Project # for Butte County Storm Water Permit Compliance By signing below, I, the project architect/engineer of record, indicate that I am aware that a construction project that disturbs more than 1 acre of land requires a Construction Storm Water Permit from the State Water Resources Control Board. I, additionally, understand that it is the project owner's/owner's agent's responsibility to submit a Notice of Intent (N.O.I.), a Storm Water Pollution Prevention Plan (SWPPP) and a fee of $700.00 to the State Water Resources Control Board to obtain such a permit. I, further, certify that this project will not disturb more than 1 acre of land. I have also reviewed the Best Management Practices Handbooks, California Storm Water Quality Task Force, Sacramento, CA. I certify that appropriate BMPs will be implemented to effectively minimize the negative impacts of this project's construction activities on storm water quality. I acknowledge that it is my obligation to make the project owner and contractor aware that the selected BWs must be installed, monitored, and maintained to ensure their effectiveness. If; at any time, site conditions and/or observations by a County official warrant reevaluation and revisions of the chosen BMPs, the appropriate changes will be made without unnecessary delay. I am aware that failure to properly implement and maintain the BMPs necessary to prevent the discharge of pollutants from this project during construction could result in significant penalties and/or delays. Signed: aoo,_� Title: Date: By signing below, I, the project owner/owner's agent, certify that I am aware that a construction project that disturbs more than 1 acre of land requires a Construction Storm Water Permit from the State Water Resources Control Board and that it is my responsibility to submit a Notice of Intent (N.O.I.), a Storm Water Pollution Prevention Plan (SWPPP) and a check for $700.00 made payable to the State Water Resources Control Board to obtain such a permit, if my project disturbs more than 1 acre of land. I, further, certify that this project will not disturb more than 1 acre of land. This document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified individuals properly gathered and evaluated the information submitted. Based on my inquiry of the person or persons directly responsible for gathering the information, I certify, to the best of my knowledge and belief, that the information submitted is true, accurate, and complete. Signed: Title: Date: NPDES & SWPPP Non -Compliance Certification Draft Butte County Stoimwater Plan L OWNER V LOCATION: PRE -INSPECTION REPORT DATE: 5- A.P.#-() ZONING: pRE-INSPETION FOR: 1L. -V J L.,T I 1 O v DATE TO INSPECTOR: PERMIT HISTORY:( ) NONE ( S FOLLOWS• BUILDING INSPECTOR'S REPORT Bolding Description: Commercia1/[Jsage: ResidentiaUg of Units: Currently Occupied Abandoned/Vacant Electric: Yes a No Electric currently On Off Gas: Condition Natural Prop, aneNone Currentlyon Off Obvious Problems: Sanitation: Plumbing Working / WcU Working Potable Water Obvious SewageProbletns Comments: ACTION RECOMMENDED: HOLD FOR Date , 7 Sketch buildings on reverse and indicate location on proper, `COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ' 7 County Center Drive • Oroville, California 95965 • Telephone (530) 536-7541n PML�y 19 G APPLICATION AND PERMIT v.t2y96) zomNv BUILDING PERMIT SSESSOR PARCEl1WYBER � D l WMER .�J SQ. FT. OCC. By DIN,3C,,�/A TION / RNNER 7 7 � TELEPHONE a �- �NT NAME 909 bMrRACTORt NQ/l�pD (JY :DNST;:WCnDN LENDER Fireplace gGais M1M-4 ADDRESS Total Valuation S (� ucENSENO. wa+�rECT OR ENr7NEER Ficin Fee b 20.00 _ Permit Fee L — %R0WrEcT OR ENOwEERS MAR M ADDRESS Plan Checking Fee S 9URDRIC ADDRESS Energy Plan Checking Fee S . j PERMIT FEE `. PAnCEL. MAP LOT N.D. SUBDN6DNS -W-AF- FilingPERMIT Cling Fee 20.DD Each Trap 7.00 USEOFSTRUCTURE Solar or heat pump water heater 1 23.00 Water piping +�j –► 15.00ehome SF ❑ Duplex ❑ Mobl❑ Other SF r Each gas water heater or vent 15.00 TYPE OF WORK Gas in tem t - 5 outlets 15.00>r— New ❑ Add" ❑ odel ❑ Uf ii6es ❑ In tion Other ❑ Building sewer 1 S.OD -� Moble Home IS G W @20.00 Describe Work: PERMIT FEE t ELECTRICAL PERMIT Firing Fee 20.00 BOW Main Service WD oa LLEssss 23.OD Main Service MCA TO 1000A 46.OD Nzvr COW7; OWEIINO Dome. OR ADDNS. t ACC. P0 pg. 3.S¢SD MLnTH !T!E 1 I @7.5D OUTLET OR FIXTURES Temporary Service 23.00 Moble Home Facilities 20.OD r,v, _ W",.r n 23.00 1-- k PE MIT FEE I S MECHANICAL PERMIT I Fling Fee 20.00 6.50 Ventilation PERMIT FEE S Moble Home installation Fee S Energy Inspection Fee S ae CONST. TYPE ITOTALFEE4 . I D. FEES fNIP D 1)F PARCEL PD 6SUE 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 PERMIT EXPIRES ON Date -- • - -� -©� I AP y Jantzen 1.4a1 n/s angor Pa Rd. approx. 1 mi. W. of o -Bangor Hwy., Oroville Y Permit 761 77P,E (uta./MH) ELEC . GAS 3 ` SUPPO T RU p COMPACTION TES AJ -D 8-27-143 Contr: Beich Mobile omes, Chico Permit #156-/78MEiI Issued 28-27-143 Perit #6149 -7 8D(in shall new deck) gLtrvXt/1, 28-27-14eaj%YLy P ili in Moulder NIS Bangor Pa d., app.l Bangor Hwy, Orovil Permit Yk4316-80B,E(new c room/MH) 28-27-143 Permit17-81B(new open decks/MH; oza-tiro ' � 1 I PERMIT N0. 5761-77 P,E PERMIT EXPIRES .OWNER Gary Jantzen .CONTR. owner LOCATION (A.P. 28-27-143 ) n/s Bangor Park Rd. app. 1 mi. W. of Oro- Bangor Hwy., Bangor Temp. Power Pole Called PG&E Temp. Elec. Serv. E `' Called PG&E Temp. Gas Serv. ; Called R,(Ei JOB FINALED (Date) (Sig ature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION PECOBD BUILDING BUILDING (Cont'd) PLUMBING Se ack rewall Al Piping Forks Pa a ets tvt Floor Ma Bldg. ReAroom Finish 2n Floor F tins Wind ws 3rd)Floor Ste all Sidina To out Slab N Roof Sh athing Water PI n Piers Roofing Sewer Garage Fdn. Ven Fixtures Footin s StemwaI I Garage Ven\s Insulation N Water Htr. Heaters Slab Carport Footings Prov. for ph s cally n icor ed C Confforof structure Appliances Gas Piping& Tes Temp. Gas Slab Final N Sanitation Patio NFhaEPLACE Final Footings Footing ELECT CAL Masonry Walls Throat Rough Relnf. Steel Final Fixtures Bond Beam FIRE SPRINK ERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Gird. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES -------•--------- Elec. Service Elec. Pedestal Water Piping Sewer Gas Pipingy E E IN A LA 1 N - - - - - - - - - Support Water Piping CI��J 7 Drainage Elec. Continuity Gas Piping 40 40W DATE REMARKS OR CORRECT ONS 717 oil 6 .44 G y oA u n rd& (NOTE: An entry must be made on this form each time you visit the job site.) MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome locatedw' h required separation from lot lines and buildings and generally conform to plot plan? Yes No 2. Does the mobilehome have.required clearances above ground? (Sec.5085) Yes4 No . 3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) YesXi No 4. Is the mobilehome level? (Sec.',5088) YesYa No 5. If more than a single unit, are crossover connections properly installed? (Sec. 5088) Yes i No 6. Water A. Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes No B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes No C. Backflow If coa o i orn approved, does station have backflow device and pressure -relief valve? Yes_ No 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes -\L No B. Does it have minimum k" per foot slope and is it properly supported? Ye& No C. Are any leaks detected in drainage system after runnin3-gallons of water through each fixture including washing machine standpipe? Yes_ No D. If h����"Yr,.^_vPd,, does station have required trap and vent? Yes No 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with. an approved 3/4" minimum mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as large as the mobilehome gas line inlet without reductions other than the mobilehome 71 connector. Yes ; No B. Test OK as,per following procedure? Yes V/ No 1. Open all appliance connector valves 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz..) calibrated in tenth pound increments. Test for 10 min. without drop. 4. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes No 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of theelectrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA/®2' Manufacturer and/or Namestyle��d�/ Length Width, Vehicle Serial No. State Identification No. Additional Information or Comments: 9. Electrical A. Is service large enough to provide adequate amperage -to mobilehome (must equal rating of mobilehome with a minimum of 100 amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes No_ B. Is there proper clearances around panels? YesXNo C. Is power supply cord ,or feeder assembly properly fused? Yes No_ D. No Is continuity test satisfactory as per the following procedure? YesKetal. 1. De -energize electrical wiring system of the mobilehome at the p 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of theelectrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA/®2' Manufacturer and/or Namestyle��d�/ Length Width, Vehicle Serial No. State Identification No. Additional Information or Comments: COUNTY OF BUTTE DEPARTMENT, OF PUBLIC WORKS 7 COUNTY CENTER DRIVE ' OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number or the following location; Owner Owner's Address Mobilehome Mfg. Model Year Insignia No. Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED • COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive —r Oroville, California 95965 TeFephone: 534-4541 APPLICATION AND PERMIT 761-77 Date Signatu�ree of Pft tee or A e t Receipt No. ) _ y 7 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant ine butte county uoae anoior resolutions to do work indicated above for which fees have been paid. DIRECTOR 0 UBLIC WORKS By Date -//l7-7,7 wilding permit expires Date Y BUILDING Y y OwnerSQ. FT. OCC. BUILDING VALUATION Mailing Address , Telephone No. Or 9 I '_ Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address PLUMBING No. @ FEEPERMIT FILING FEE $3.00 Q l Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Zaglpg yi1rific tion OnIJ Each gas water heater or vent 1.50 A. P. No. — r a Gas piping system 1 - 5 outlets 1.5U Each additional outlet .30 Fe W. . Sarktiatlon Fire Dept. FiireZone Use Permit Building sewer 5.00 EQA Parking Plans Parcel l�rcel Ma Declaration p 60' R/W Improvements provements Lawn sprinkler system 2.00 Bldg. PI s Recd Z"F4rcel Approval Plans Approval Permit Fee $ 2-2100 NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 100 AMP OR01V OR LESS5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex Mobil Home Others ❑ � ❑ Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 . MINIMUM_ NEW CONST. DWELLING OCCUP. & OR ADDNS. ACC. BLDGS. ) 2¢sgft NEW CONSTR. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS) 2.50ea FOR MOBILES NEW CONSTR. POWER APPARATUS & NON-RESID• (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: r�l% Ex. Occup(OUTLETS OR FIXTURES)BA@LL12r-'2 Ex. Occup.FIXED APPLS. OR (NOUTLETS (RESID•) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 IS,00 License No. Classification Misc. Wiring 6.25 RrI am exempt from the Contractors License Laws of the State of California. Permit Fee $ 10 4. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability ,or Workmen's Compensation. Elhave placed on file with the County of Butte a certificate of 'Workmen's Compensation Insurance. RI certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the ahnvP-m Pntinn Pri nrnnorty f- ;+; d TOTAL PERMIT F E This permit is hereby issued under the applicable provisions of Date Signatu�ree of Pft tee or A e t Receipt No. ) _ y 7 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant ine butte county uoae anoior resolutions to do work indicated above for which fees have been paid. DIRECTOR 0 UBLIC WORKS By Date -//l7-7,7 wilding permit expires Date Y NOTE!—All Materic-;Is & Workmanship Shall Be in Accorda'r,--e w'•i".i Recognized Good Practices and of a ru .l .ty prescr;�,*J for the Specified use in the Uniform Bui;jdin,g, Plurnbing & Mechanical Codes and I EI ct 'cal Cade the Natrona e r� r {OT g o } ,>>�11 be re4uired e• A P { }he mobilehom ins}IIa}ion r h `�.;�, t.l �.t � (15'•-.-++f►K E f.?�fk%� H,:sltlij. r, Sept icIsysternI to� be as per Butte County Health Dept. Re. quirements. The Wt3. Set'occk shall be 5 ft. from the sir -'e p o�::cr y line and 50 ft. from the centv:, a.e of the road, permitting a maxi- mum of a 2 ft, ecve overhang but entirely out of all easements. ij !Jt utility connections shall Se I Iccc• e�,! within 4 ft. outside the rear it:*rd sec-ioq of the mobile home on the left (road) side of the mobile home. Q l Chis set of plans and specifications MUST k r kep+ 0" 'a iob at all times and 4 is unlawf:•' ma";ec3ny cl. !r9"^s or alterations on same wifl;os. wri,Hcn perr i;sio,,) from the Department of .i ►�. lic Works. County of Butte. zt 5-76/–>7 BUTTE COUNTY .BUILDING DEPARTMENI APPROVED r COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Uroville, California 95965 Tel-ephone:534-4541 APPLICATION AND PERMIT ..uuwi i upluaviltauves UI the bounty OI Butte to enter upon the above-mentioned operty for inspection purposes. X I Signature of Permitee orAg�nt Receipt No. a:? pA White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR, 0 PU LIC WORKS � -110 Iding permit expires Date ,v _ 3 —71 BUILDING Owner 4ky N t /�E/� SQ. FT. OCC. BUILDING VALUATION Mailing Address ` ,Gl 0,-V,5,0 fZ Telephone No. Fireplace Contractor t �,Q oWlr Total Valuation Mailing Address ,� 40 4CSl4,Av qQE Permit Fee Plan Checking Fee&/or Penalty ,,� �� A/ 4 T� �,=�o.�,l , Permit Fee $ /I/ S 4 Building Address v tK ,pl PLUMBING No.. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 ✓� Repair drainage or vent piping 1.50 Water piping 1.50 .. Each gas water heater or vent 1.50 se�� -7 , A. P. No. — & /— % 4/Gas Zoning &Planning piping system 1 - 5 outlets 1.50 Each additional outlet .30 F W. Saa� Fire Dept. Fire Zone I Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Map:60' R/W Improvements P Lawn sprinkler system 2.00 Bldg. PI ns Rec'd Parcel royal Plo AppEV I Permit Fee $ $ NEW ADDITION ❑ ❑ UTILITIES ❑ OTHER• PUB P Q 1, ELECTRICAL No. @ FEE PERMhT, ILING FEE J$3.00 r Main service 6001 OR LESS 100 AMP OR LESS 5.00 Main service EA. ADO'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service OVER 1100 AMP oR LESS 25.00 Main service EA. ADD•L 100 AMP 1.00 ,OR A.D.S.NEW CONST- ACCLBLDGSWELING CCUP. &) 22sgft ( / NEW CONSTR- MULTI -OUTLET NON•RESID. ( BRANCH CIRCUITS) 2.50ea NEW CON5TPOWER APPARATU NON- R. RESID. (SINGLE OUTLET CIS &R. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: / . f�0 01m !'� � Ex. Occup(OUTLETS OR FIXTURES) BAL�1 Ex. OCCU FIXED APPLNS. OR • (OUTLETS (RESID,) EA) 2.00 —Temporaryservice 10.00 Mobile Home Facilities 15.00 �i License No. 4 /P A49 Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workme mpensation. 17-1,40Vave placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I Io an certify that in the performance of the work for which this ermit is issued I shall not em P employ y person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby .k FEE PERMIT TOTAL $ a ..uuwi i upluaviltauves UI the bounty OI Butte to enter upon the above-mentioned operty for inspection purposes. X I Signature of Permitee orAg�nt Receipt No. a:? pA White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR, 0 PU LIC WORKS � -110 Iding permit expires Date ,v _ 3 —71 " tau k n i " tau k i n " tau k r` MOBILEHOME SUPPORT DATA , �If other than single wide / /x�j Mobilehome Mfr. �-L✓D ®� furnish Setup Model No. ��' Year / Width (ft.) Box Length(ft.) `Tagalong or Expando Size t. x ft. (SHOW SUPPORT DETAILS BELOW) . On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from.front_ of mobilehome unless otherwise specified. L)t �-ilS S 2KE �� 1�2� Footings (check one) ( ft. (i (in:) (in.) CenCenter support lfooting sizes (in.) . I (ft.)(in. (in.) (in.) r (in.) (in.) a Woo `either pressure treated or foundation grade. S.w 2. Other ( specify) a Supports (check one) D_1-.-ncrete block. 21 Other (specify) Tagalong or Expando, show support details. *if Tenter piers are other than drawn above, / draw ii -locations, spacing, and dimensions. / � x� -- Typical Support (in.) (in.) 'Footing Size 50 0 x (ft.)( n.) (in.) (in.) 5 !� dot -- Max. Pier Spacing g x x 0 10� a 0 -- Max. Overhang (ft.) n.) (in.) (in.) BUTTE COUNTY BUILDING DEPARTMENI, ~� APPROVED *if Tenter piers are other than drawn above, / draw ii -locations, spacing, and dimensions. 1. Owner's name: 2. Installer's name: v ♦tF BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET .0,4 tc,v .� n�i� t N 10 Jr� 3. Is the site currently under permit? Yes /tom No (If yes, furnish permit number -9�7 6 % ) yes, identify the load and size: (Load) 1 3/0 (Amps) Is the site an existing site? Yes / / No (If yes, furnish two (2) plot plans.) OR 69 y3 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes No (If no, clarify ) a 5. What is the mobilehome electrical rating? ----------------------- APs 6. What is the mobilehome site service rating? --------------------- 0 0 Amps 1l,, Ams 7. What is the mobilehome site circuit breaker rating? ------------- /00 P 8. Is there any other electric load to be served by the mobilehome t (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) site service? ----------------------=---------------------------- Yes / / No /L4-7 (If yes, identify the load and size: (Load) 1 3/0 (Amps) 9. What is the mobilehome sitef:gas pipe ---------------------- size? / (in.) 10. What is the type of gas service? ----------------------------- Na't�jurral�/ / LPG / 11. What is the gas pipe length from meter br tank to the mobilehome? O ,'h 0,& (ft.) 12. What is the mobilehome gas demand? ------------------------------ (BTU) t (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) t _ �oERMIT NO. 1317 -BIB PERMIT EXPIRES 16(ZA � OWNER Philip & Robin Moulder CONTR owner ASSESSOR PARCEL XXX RM$B 28-27-143 LOCATION N/S Bangor Park Rd.,app.l mi.W.of Oro Bangor Hwy, Bangor Temp. Power Pole_ Called PG&E _ Temp. Elec. Service Called PG&E_ Temp. Gas Service _ Called PG&E/— JOB FI Signature OK Not OK Not Applicable MOBILEHOMES MISCELLANEOUS Not Ready Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 41-Z—oning Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch o Ings; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/0—Concrete ecks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch)64�^^ Awn.; Posts—Beams—Rftrs.—Connec.—Shing.—Rfg.—Bracing 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete 4aan.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Locatiort—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 66 c;�windows—Doors 7. Utility Clearance _L_E"m+ Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements Date POOLS (Plans) OK except b's 1, Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 3. Pool Structure: Steel—Connections—Thickness—Dead Men—Lining 4. Electricity; MH Test—Crossovers—Breakers—Clearances 4. Elec.; Receptacles and Lighting; Distances—GFI 5. Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6. Water; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. Water and Sewer Connected—C/O to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enc losures— Pane lboards—Ins. to Main in Conduit 9. Exits; Insp.—Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date = OK = Not OK = Not Applicable = Not Ready RESIDENTIAL (Sing'le and Duplex) Date UNDERFLOOR Plans OK exce tit's Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. 55. Glazing Area -Glass Protect ion -Sky Iighls-Plast ic Shear Walls; Nailing -Bolts 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except N's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels _ 19. Gas Pipe; Size & Anchors 62. 63. Stairs & Rails Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Date Card -BI Date ELECTRICAL Permit OK except q's 66. Elec. Outlets & Receptacles at Kit. Counter 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. &Mech. Equip. Listed for Lccation 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic ❑Y'es73. Guard Rails & Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen &Conductor Size 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral CYes [I No 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except q's 83. _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85. Water & Sewer Connected -C/O to Grade -HD Approval _ 32. Vent Fan; Exhaust above Insulation 86, Energy Compliance Certificate -Other Ce-tificates _ _33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic - Card -BI Date Card -BI Date Card -BI ____Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FRAMING Plans OK except q's 36. Sills; Proper Material & Anchors Card -BI Date Card -BI Date Comments at Final: 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub .41. 42. 43. 44. -Header & Beam -Size & Bearing __ ' Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties- Purlin-Roof Brac.-Truss-Shthng.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions _ 47. Garage Fire Protection Framing (NOTE: Anentrymust be made each time youvisit jobsite) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKSPERMIT NO y7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 � APPLICATION AICD PERMIT ASSESSOR PARCEL NUMBER ZON NG BUILDING PERMIT OW R Idea_TELEPHONE r SQ. FT. OCC. BUILDING VALUATION v NER'S-MAN-ING ADDRESS% CONTRACT 'S NAME ••,,`` KQ— TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNowry Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS ' Permit Fee $ 6'D ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADRESS I PLUMBING PERMIT Filing Fee 10.00 Y- Each Trap 2.00 Repair drainage or vent piping 5.00 D r Water piping LOT NO. SUBDIVISION NAME] PARCE AP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome2-'Other SPECIFY Building sewer Lawn sprinkler system 5.00 - / TYPE OF WORK New ❑ Addition R! Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: d gi1^ �—�,YS Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 800V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST.DWELLING OCCUP.IN OR ADDNS. ( ACC. BLDGS. 20 sq fit CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F -1I 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) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR. OU LET 2,50 ea NON.R ESID BRANCH CIRC ITS NEW CONSTR POWER APPARATUS &) NON.RESID. (SINGLE OUTLET CIR. 500250 Ex. Occup o Ts oR FIXTURES BAL�1 FIXED Ex. Occup.(ouT ETSP(RESID.)REA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee S Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. alsoagreeindemnify liabilities,j judgments, coss,and epenes which mayiany way of Butte against harmless lnn' against said County inconsequence of the granting of this permit. %X� / �/ _ � Date / o "k/ Signature of Applicant — Owner ❑ Contractor ❑ Agen'A An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ _ ac'C'UP GROUP TYPE V IF CON9T. N JPARCELJL!� HD/ V I�al This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT F PUBLIC By PE T EXPIRES Date ___ the applicable to do resolutions to do fees have been paid. WORKS Date e"i r Zz �� S Receipt No. p /9 WHITE-O.P.W-. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT 6149-78B tj OERWW NO. PERMIT EXPIRES OWNER Gary Jantzen i ;CONTR.- owner LOCATION (A.P. 28-27-143 NIS Bangor Park Rd., app.1 mi.W.of Oro -Bangor Hwy, Bangor Temp. P wer Pole P C Va, /,dwPG&E Tem Elec. Serv. ailed PG&E Tmp. Gas Serv. Called PG&E JOB FINALED___11h/ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD UILDING BUILDING (Cont'd) PLUMBING Setback Coe Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwal I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for phsically handica ed Conformance of ex. structure Appliances Gas PipingTest Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Threat RnnM FIRE SPRINK mesn MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath I Ventilation I Permanent It. Door Closer I Final Final MOBILEHOME UTILITIES ------------------ Elec_ Service Elec. Pedestal Water Piping Sewer, Gas Piping MOBILEH ,ME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORK 7 County Center Drive a Oroville, California 95965 Tel epi'iorie: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date 16 Signature of Pe a or A e Receipt No. White-D.P.W. – Yellow -Assessor – Pink -Inspector – Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF UB IC WORKS BY Date%JEf' ui Iding permit expires Date BUILDING Ownert NZZ� SO. FT. OCC. BUILDING VALUATION Mailing Address 0__X�Im (X Tele�j ej 1 a > 17 Contract C Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Feerp S— bG /k[CO. 671fa 136;aR Wtv v PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. Z ning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F s S o Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EOA Parking ParcelEach Plans Declaration Parcel Ma 60' R/W Improvem s additional outlet .30 Building sewer 5.00 Bldg. Plans Recf—T Parcel A royal Plans Approval Lawn sprinkler system 2.00 NEW ADDITI ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ J$ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5•QO Single Family ❑ Duplex ❑ Mobil Home Others Main service EA. ADD'L 100 AMP 2.50 /AJs � G� {L Main service OVER O 25.00 100 AMPP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST. OR ADDNS. ( ACCLBLDGS.LING CCUP. 4'\ rZPSgft / CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW CONSTR MULTIHCII-OUTLET NON-RESID ( BRANCH TS)i 2.50ea NEW CONSTR. POWER APPARATUS 8 NON-RESID. (SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTURES 5 250 L , Ex. Occup.(FIXED OUTLETS P(RESID)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification 1-1 Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ S 0� 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 Land Development Fee $ TOTAL PERMIT FEE $ d(1 J� authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date 16 Signature of Pe a or A e Receipt No. White-D.P.W. – Yellow -Assessor – Pink -Inspector – Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF UB IC WORKS BY Date%JEf' ui Iding permit expires Date PERMIT NO. 4316-80B,E. PERMIT EXPIRES OWNER Philip & Robin Moulder CONTR.,Owner. ASSESSOR PARCEL 28-27-143 LOCATION NIS Bangor Park Rd., app.l mi. W/of Oro Bangor Hwy, Oroville i 5 I 6 1 Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E L" Temp. Gas Service C h Cal led PG&E 0 JOB FINALED - ate) r'. I` Signature t i J = OK 0 = Not OK - = Not Applicable RESIDENTIAL (Single and Duplex) SIE = Not Ready Date U -ERFLOOR Plans OK except #'S /p VI' Date FRAMING (Continued) 1. oning requirements -Setbacks -Easements in irewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. ; of s -Steel- /" Ftg. Depth 1 :50 Staicc;:Width-Headroom-Rise-Run-Landing-Fire Protection 5. ks; Soils -Steel- / /" Ftg. Depth ain; Stee -Blockouts-Wrapped-Slabg-Veneer age; tee l-Blockouts-Wrapped-Slab on Roof Overhang -Attic Vents -Rafter Outriggers 4 -Drip Screed-Fdn. Vents-Underflr. Access 7. - ireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic way C/O -Sewer Test ing-Bolts go - 10. , ipe; est- nc ors -Regulator -Service Test S+ 11 ric; n ergro ucts; earance-Material-Support-Ins. - }--,b� W d) K. BEtWVO S?b (/CL 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date - Card BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FIN (Plans) OK except N's Card -BI Date Card -BI Date Date UMBING (Permit) OK except q's Ext. Steps -Door & Sidelight Protection -Landings Smoke Detector 58._Eurnace; Vents -Clearance -Comb. Air-- onnector- In Garage; Above Floor -Ducts -Meth. Protection 14. Water Ht.; Vent -Access -Combustion Air _ 5. Water Pipe; Test & Anchors -Nail Protection 6. D.W.V.; Test-Fttngs & Anchors -Nail Protection -SQ.-Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access -69-G •I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access EI c. Trim & Subpanel; Breaker Sizes -Labels 62-'ql2+rs & Rails 19. Gas Pipe; Size & Anchors Fi eplace or Stove; Clearances -Hearth Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Flet. Outlets & Receptacles at Kit. Counter Date EJECTRICAL Permit OK except q's +67 --Garage Fire Door; Swing -Landing -Closer •68.--A.C. Duct in Garage -Damper 69--Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor -Meeh. Protection 2_Q. Fixture & Transformer Clearance -Ins. Protection 21, Elec. Receptacles Spacing -Lights &Switches at Doors �- M- Plb., Elec. & Mech. Equip. Listed for Location 2. Size Boxes & No. of Conductors -Stapled c7YElec. Receptacles in Garage; (G. F.I.)-Romex Protec. � 2 Romex Installed Close to Edge of Studs & C.J. ®� Igo iation- Foam- Looked in Attic E] Yes 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water Gum Rails &Deck Construction -Post Caps �--25--2-BTe-eMance Circuits in Kitchen & Conductor Size 7 dn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes < u ee ire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral ❑Yes El No 74�Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ Na; Planters ❑Yes ❑No 41 ervice-Riser Conductors & Ground -Main Disconnect 4.6 -Stucco; Brown -Finish es; Panels-Motors-Mech. Equip. ?;� A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet Card B -I CVDDate Card B -I Light -Shower Light 9=S- and -BI Date Date 9 Card -81 Date 441- Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. i3/Pjgter Well; Disconnect, Electrical, Plumbing terior Elec. Trim; G.F.I. Receptacle -Underground Ventilation throughout House I ss Protection Date MECHANICAL (Perrr,it) OK except N's _ 31. A.C. Ducts: Insulation & Support 32, Vent Fan; Exhaust above Insulation 33. Condensate_ Drain & Overflow; Size & Grade _ Corrections from Previous Inspections 14v -Gas Test -Meters Tagged; Gas -Electric ter & Sewer Connected -C/O to Grade -HD Approval . Energy Compliance Certificate -Other Certificates 34. 35. Card -BI Card -BI Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet Attic Access & Platform if Furnace in Attic Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI OF Date Card -BI Date Card -BI Date Date /FRAMING (Plans) OK except N's 'tT Comments at Final: Sills; Proper Material &_Anchors_ _ Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound 38 Bearing Walls over Girders & Floor Nailing_ _ k39. Draft Stop in Wails (rat proof) -grt�3Tbps; Furred Ceilings -Stairs -Chases -Tub _ 41. L yyy✓✓43. 44. -4+.- eader & Beam -Size & Bearing angers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat s Acce s: Size &_Romex Protection -Draft Stop -Ins. Baffles Bdmr.- 7 ntnr5ws or Exiting Doors -Sill Hat. & Dimensions age re Protection Framing - (NOTE: An entry must be made each time you visit job site) J = OK 0 = Not OK ~ — = Not Applicable MOBILEHOMES MISCELLANEOUS * = Not Ready Date MOBILEHOME UTILITIES (Plans)'OK ekept #'s 1, Zoning Requirements—Setbacks�Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1• Zoning Requirements—Setbacks—Easements 2. Soils; Special MH Support Sketch 2. Footings; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fa4l-C/0—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Railsi 4. Water; Location—Test—Easement Needed (Sketch) 4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing 5. Electricity; Location—Clearances-Grnd.—/ / Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Location-Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows—Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements Date POOLS (Plans) OK except #'s 1. Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 4. Electricity; MH Test—Crossovers—Breakers—Clearances 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. Elec.; Receptacles and Lighting; Distances—GFI 5. Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6. Water; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. Water and Sewer Connected—C/0 to Grade—HD Approval 7, Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9. Exits; Insp.—Sketch 10, Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date M1 RFC TTIFNT TAT. ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS INSTALLED "?2 OR CU %��RGY i�/1./� CONS AT k .LVL;dL �LULLJ v BU ILD ING PERMIT NO. el Z& -,P"U HAVE BEEN REGUI,AT IONS A P. NO . A THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or write N/A if not applicable) INSULATION: Slab Edge Fdn. Walls Floors Walls_ Ceiling/Roof 21 Ducts —,. Circulating Pipes APPROVED HEATER APPROVED WTR.HTR. GLAZING: Single Glazed 141leo Special (Insulated) T CERT. & LABELED WDS. & SLIDING DRS. WEATHERSTRIPPED DRS.O BACK DAMPERED FANS INTERMITTENT IGNITION DEVICES •- CERT. APPLIANCES �— I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED. Insulation Applicator Name Signature of (please print) Insulation Applicator State Contractors License No. General Contractor/Owner Name (please print) Signature of r �� General Contractor/Owne go 4 Date State Contractors License No. THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. COUNTY OF BUTTE — DEPART.WENT OF PUBLIC WORKS PERMIT N?/;,'?;I/-)7 Codnty Center Drive - Orovillg, C,alijdrni,� 95965 - Telephone 916/534-4541 ,0 APPLICATION AND PERMIT JC11JA f,, ASS E,SSO,R PARCEL NUMBER 2 3 ZOr�N I-fi BUILDIN ER /0e00 owN R '/ APLI P f RO &A ACIOLD ER TEL HONE % 252 S0. FT. OCC. BUILDING VALUATION a 00 W R0 MAIL G ADDRESS SAA1Dde C4 / � ?/_ CbNTRACTOR'S NAMEf TELEPHONE CONTRACTOR S (LING ADDRESS CONSTRUCTION LENDER UNKNO Fireplace .O ' Total Valuation I $ 7 0 - 00 LENDER'S MAILING ADDRESS Permit Fee $ 100 ARCHITECT OR ENGINEER . LICENSE NO. Plan Checking Fee $ t0c Penalty $ ARCHITECTOR ENGINEER'S MAILING ADDRESS Permit fee $ . Q� BUI DING A DRE S /4,°K P -D• rqPp /t7 ` PLUMBING PERMIT Filing Fee 3.00 o 154 /V -,0 � I Each Trap 2.00 Repair drainage or vent piping 2.00 D-r/V�L Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTj1RE�n�� SF ❑ Duplex❑ Mobilehome❑ Other �L''1! ��((�� YY--fi SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New Addition❑1 nRemodel Utilities Installation❑ Other❑ Describe work: 1�/`t/LJ/L P -00M _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 000 Main service 1000 AMP ORV OR LESS5.00 Main service EA. AOD'L too AMP 2.50 NEW OR ADDNST (DACCLBLDGSLINGO. 2¢sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ElI 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 RES'D, ULTI.OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS NEW CONSTR POWER APPARATUS & NON-RESID, (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 50@� BAL@10Q FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): F] The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 3.00 Heating Cooling Hood 2.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County ' o u�ence_ of the granting of this permit. X���� Date � Signature of Applicant — Owner❑ Contractor ❑ Agent � An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures ove 3 stories in height. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE $ / O UP. GROUP _ '3 TYPE 01- 11117, PARC PD HII ✓/ ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which BLIC BY Zzw PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Dat�� ��� Receipt No. 1 v ✓� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70 7 County Center Drive, Oroville — Phone 534-4541 Skyway and Elliott Road, Paradise — Phone 877-3435 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS 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 ontact t is office imm diately. Inspector Date— f •' � � t