HomeMy WebLinkAbout028-400-037/Gayinley Bangor Park Rd., 1 ni.W.of 0.0-
or Hwy Bangor
Unnaor
Permit #309-80P,E(util.,MH�
ELEC. t1 -1-9n
GAS 1 -- /--eO /-IOC
3PPORT STRUCTURE REQ. 420
COMPACTION TEST REQ.
•+rr.�- *111k28-27-39
IContr: Mobile Home Center, O o
P,.ermit#1312-80 I
s�sued
L •
28-27-39
Permit #2046-80B(new covered porc / )
B07-2281 028-400-037 '
RESIDENTIAL SFD-Mobile Horne RET
MOBILE HOME ON PERM hFND RETR-.
6604BANGOR PARK RD ,
BAIRD'JOEY A, I I g,0'
-37
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v _:,.
0
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #:(530) 538-7541 FAX#: (530) 538-2140
WEBSITE: www.buttecounty.net\dds
PROJECT INFORMATION
Site Address: 660 BANGOR PARK RD
Owner:
Permit No: B07-2281
APN: 028-400-037
BAIRD
JOEY A,
Issued Date: 11/06/2007 By TMP
Permit type: RESIDENTIAL
P O BOX 142
Subtype: SFD-Mobile Home RET
BANGOR, CA 95914
Expiration Date: 11/05/2008
Description: MOBILE HOME ON PERM FND R1
Occupancy: Zoning: A5 0(
Contractor
Applicant:
Square Footage:
GERALD GLEN DOREMUS
GERALD
GLEN DOREMUS
Building Garage RemdUAddn
PO BOX 4121
PO BOX 4121
CHICO, CA 95927
CHICO, CA 95927
Other Porch/Patio Total
(530)895-1774
(530)895-1774
FEE INFORMATION
DBF MH Plan Check $233.56
DBMSC Mobile Home Permit Fee. $350.34
Total Charged: $583.90 Fees Paid: $583.90
Balance Due: $0.00 Receipt No: B5223
LICENSED CONTRACTOR'S DECLARATION
OWNER / BUILDER DECLARATION
Contractor (Name) State Contractors License No. / Class / Expires
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License
GERALD GLEN DOREMUS 445103 / C47 / 08/31/2007
Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that
requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance,
also requires the applicant for such permit to file a signed statement that he or she is licensed
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9
mmen g Section 7000) of Division 3 of the Business and Professions Code, and my license
pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000)
is i full r and ct.
of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects
11/06/2007
the applicant to a civil penalty of not more than five hundred dollars [$500];
Please check one of the following:
Co racto Signature Date
❑ I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE
COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR
WORKERS' COMPENSATION DECLARATION
.
OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License
Law does not apply to an owner of the property, who builds or improves thereon, and who does
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
the work himself or herself or through his or her own employees, provided that such improvements
❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR
are not intended or offered for sale. If, however, the building or improvement is sold within one
WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the
year of completion, the owner -builder will have the burden of proof that he or she did not build or
performance of the work for which this permit is issued.
improve for the purpose of sale.).
❑I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by
❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED
CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code:
Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
The Contractor's License Law dows not apply to an owner of the property who builds or improves
My Workers' Compensation insurance carrier and policy number are;
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the
Contractor's License Law.).
Cartier: Policy Number: Exp. Dale:
(This s coon need not be completed if the permit is for one undre otters ($100) or less.)
❑IAM EXEMPT under Section B. 8 P.C. for this reason:
CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS
ISSUED, I shall not employ any person in any manner so as to become subject to the Workers'
Compensation laws of California, and agree that if I should become subject to the workers'
X 11/06/2007
compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those
Owner's Signature Date
(ftwsiaas.
X 11/06/2007
I hereby certify that I have read this application and state that the above information is correct. I agree
to comply with all City and County ordinances, rules, regulations, and State laws relating to building
Signatu Date
WARN] G: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless
Butte County, its officers, agents and employees from any and all claims and liability for personal
AND ALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
injury, including death, and property damage caused by, arising out of, or in any way connected with
HUNDRED THOUSAND DOLLARS ($700,000), IN ADDITION TO THE COST OF COMPENSATION,
the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the
DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND
use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte
ATTORNEY'S FEES.
County to enter the above mentioned property for inspection purposes. I hereby certify that I am the
pro erty owner or am authorized to act on the property owner's behalf.
�.��vs 11/06/2007
CONSTRUCTION LENDING AGENCY
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for
the performance of the work for which this permit is issued. (3097 civ. code)
Name of Permittee [SIGN] Print Date
❑ Owner �ontractor OR. Agent for Owner Agent for Contractor
FILE COPY
Lender's Address City State Zip
BUTTE COUNTY PERT
DEPARTMENT OF DEVELOPMENT SERVICES NO.
BUILDING PERMIT APPLICATION.
OFFICE #: (530) 538-7541 FAX'#: (530) 538-2140 -967— 2?`�
A FEE WILL BE -REQUIRED AT TIME OF.APPLICATION
Website: w. 1w.buttecounty.netldds BIN #
**PLEASE PRINT CLEARLY**
APPLICANT INFORMATION
OWNER INFORMATION
Last Name2�
City
First Nam
o
Mailing Address
City
City
State
Stat Zip
Phone
LK
Fax
E-mail
_90)'L • ltYl
APPLICANT INFORMATION
CONTRACTOR
Name
City
Address
0
City
FState
State
ZiPC�-7z
Phone
LK
Fax.....
E-mail
_90)'L • ltYl
Jc, #Class
`fS
APPLICANT INFORMATION
ARCHITECT/ENGINEER
Name
City
Address
Zip
City
Fax
State
Zip
Phone
Fax
E-mail
State License Number
APPLICANT INFORMATION
Name'
Address
City
State
Zip
Phone
Fax
E-mail
i \ APPLICANT SIGNATURE
X
PROJECT LOCATION
A1* D.'�- e ori- 037
Property Address OQ
City
WORKER'S COMPENSATION .
Policy Number
Carrier
If hiring anyone other than license contractors, a certificate of work_ er's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
DESCRIPTION OR SCOPE OF WORK:
Sq FT- Living Garage Open Cov
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
For office use only:
Zoning
Flood Zone
SRA
es
No
Occ.
Type Const.
I 2 Foundation-, System
linstallation lnstructi®ns .for. California
'f®r' Grund & Concrete Systems
1HUD' Wind Zone 1,
R15 IPSF Wind .Load Seismic. 4
ray Tie ®own Engineering `
:-=--®tffTE COUNTY -
I. NG DEPARTMENT
f ---R- 0- V E 0
Xi2 Ground System
X12 Concrete System
-:1fE
• � J N
f 1.. O
�F �kl`;.
Engineer:4Approval
Ifime Approval
MANUFACTURED R0MEJM0BMRIf0MII .
-FOUNDATION SYSTEM;`
IMALTO-AND SAFETY-cODfi %.Ot 70N 18531
'APPROVED
ImmmerTO CORREMONS.NO'lED
APPROVAL DOES NOT'AUTHORTL&.OR A.PPROVB ANY -
OA4JSSION3`OR DBVIATION FROM.RBQUIREMBNTB :OF..
APPUCAOLB STATE•LAWS-AND RSOULATlONS
State of coNfornts
D�4 .olAemfng and Comma W OnAupmed
�f �j� OF CO BS AND STAND)
7bbPI=Apptuvel . ..
"WIr€
9tlanta. GA, 30336: it ;
Xi2 Foundation System
Installation Instructions for California
for Ground & Concrete Systems
HUD Wind Zone 1, 15 PSF Wind Load Seismic 4
By Tie Down Engineering
REQUIREMENTS
• These plans and specifications meet the requirements of Title 25 Section 1336.3 Sub Section A and 97 UBC Seismic
Requirements, CBC 2001 addition.
• Maximum vertical projection at sidewall is 9'. Higher walls may be used when the design loads are
adjusted accordingly and approved by HUD.
• Main rail spacing must be 75.5" - 99.5" * Except single sections 95" minimum
• Additional vertical anchor ties that are unique to a home's design may be required by the home manufacturer. These
locations may include shear walls, marriage line ridge beam support posts, and rim plates. The longitudinal component
of the Xi2 system replaces end frame ties. Check manufacturers set-up requirements.
• Maximum pier height is 48" pier. *Except for single sections 36",
• Steel piers must be fastened to the I-beam with clamps provided with steel pier.
• Systems must be placed as evenly as possible, no more than 10' from end of home.
• Designed for 7;12 roof slope. *Except single sections, (20° - 4.37 in. 12" pitch).
Additional Requirements for Concrete Systems
• Poured concrete must be 2,500 PSI minimum at 28 days,
• Square concrete pads minimum is 18" wide by 12" deep. Round concrete pads minimum is 18" wide by
14" deep. Strip footings minimum is 18" wide by 14' long by 6" deep.
* Xi2 components exceed HUD code 3280.306g "Anchoring equipment exposed to weathering shall have a resistance to
weather deterioration at least equivalent to that provided by a coating of zinc on steel of not less than 0.30 ounces per
square foot of surface coating...."
Page 2 of 8
Installation of Xi2 Ground Systems
1. Identify the number of systems to be used on the home using the chart provided.
2. Identify the location where the systems will be installed.
3. Clear all organic. natter and debris from the pad site.
4. Place U -bolts through holes in pan provided.
5. Place pad centered under beam with the lateral strut bracket towards the inside of the home.
6. Press or drive pan into ground until level and flush with prepared surface.
7. Build pier according to State, Local or Home Manufacturers guidelines.(Figure 1)
8. Attach the end of the smaller tube to the inside of pan using U -bolt & nuts provided
9. Attach the flag end of the larger tube to the opposite I-beam using the "J" bolt over the top of the I-beam
with the nut & washer provided. (Figure 2)
10. Install a minimum of four (#12 x 1 " tek screws) self -tapping screws into the holes provided in the lateral strut so
that the two tubes are connected together. (Figure 1)
1-314" Tube
o;.
4-#12x1"
Tek Screws
Lateral Struts
1-112" Tube
U=Boit &mounting
Bracket
Figure 1
f
ti
°
N°me
I
J -Bolt
Nut & Washer
I g)
end)
'-1Gi11 Figure 2
11. Install frame bracket clamps to I-beam on in
side of block/pier. Do not tighten nuts at this time.
12. Attach longitudinal strut to U -bolt in pan using
nuts provided.
13. Insert strut in the frame bracket clamp, attach with nut
and bolt. Do not tighten at this time.
14. Pull the frame bracket clamp with the fastened
strut outward to remove any slack.
15. Tighten all nuts and bolts on the struts and beam clamps.
Page 3 of 8
ive. • Atlanta; GA, 3033601:
LO
7. • FAX'(404) 349-0401 •Ag�
Xi2 Ground Parts Detail
Xi2 Ground Lateral System
Part Number 59306
Includes: 5' Strut, pad & hardware kit
(#59329-1 includes all nuts and bolts).
Longitudinal Hardware Kit
Part Number 59331
Includes: 2 I-beam brackets &
2 U -bolts with all nuts and bolts.
Lateral and Longitudinal Combination
Part Number 59333
Includes: 5' Strut, Pad, Longitudinal Strut (#59329),
Lateral and Longitudinal Hardware
Kit with all nuts and bolts.
Struts for Longitudinal Systems
Part Strut Pier Height
No. Length Up To:
59330-44 44" 4 Blocks or 32"
59330-65 65" 6 Blocks or 48"
ti
0 0
Ground Longitudinal
Hardware Kit
Xi2 Ground
Longitudinal Strut
& Hardware Kit
Ground Longitudinal
Strut
Xi2 Stabilization Pier Placement for Ground or Concrete
Single Section Home
0 -80' (76' Box) 4 Xi2 Systems
Xi2 Pier Placement
Double Section Home
0 -62' 3 Xi2 Systems'
63' - 80' 4 Xi2 Systems
*2 Xi2 systems can be placed at either end of the home.
Triple Section Home
0 -62' 4 Xi2 Systems
63' - 80' S Xi2 Systems
Page 4 of 8
ri
tTIE
DOWN •
ENGINEERING •
Installation of A2 Concrete Systems
1. Identify the number of systems to be used on the home using the chart provided.
2. Identify the location where the systems will be installed.
3. Build pier according to State, Local or Home Manufacturers guidelines.
4. Drill two 3/8"x 3" deep holes in the concrete using holes in galvanized. bracket as a guide.
Attach bracket to concrete pad using 3/8"x3-1/2" wedge anchors provided. Place nut &
washer on anchor, leave enough room for 1 to 2 threads showing .on top of bolt. Using a
hammer, tap the wedge bolts into hole through bracket, leaving nut & washer flush with
bracket. Using a 9/16" socket wrench, tighten wedge/anchor bolt, securing bracket
to the concrete.
5. Attach the end of the smaller tube to the bracket mounted on the pad, using the
grade 5,1/2" x 2-1/2" bolt/nut provided.
6. Attach the flag end of the larger tube to the opposite I-beam using the "J" bolt over
the top of the'l-beam with the nut & washer provided. (Figure 1 next page)
7. Install a minimum of four (#12 x 1 " tek screws) self -tapping screws into the holes
provided in the lateral strut so that the two tubes are connected together
8. Install frame bracket clamps on I-beam on the inside of block/pier.
9. Insert strut in frame bracket clampi and attach with nut & bolt. Attach opposite end to concrete bracket.
10. Pull the frame bracket clamp with fastened strut outward to remove any slack.
11. Tighten all nuts and bolts on system.
Xi2 Lateral Concrete Systems
Part #59307
Includes: 5' Strut, Bracket, & Hardware Kit #59315-1
with all nuts and bolt.
Longitudinal Struts for
"Concrete Systems"
Part No. Length Pier Height
#59013 44" up to 4 Blocks
#59015 65" up to 6 Blocks
Longitudinal Hardware Kit
Part #59263
(Includes 2 sets per kit: I-beam bracket, nuts, bolts
and washers)
Lateral and Longitudinal Combination
Part #59332
Includes: 5' Strut, Longitudinal Strut (#59364),
Lateral and Longitudinal Hardware
Kit with all nuts and bolts.
Nut &Washer
Figure 1 Beam Clamp
Bracket
J -Bolt
Lone
-Beam
Longitudinal
Strut
Xi2 Concrete
Concrete Longitudinal
Hardware Kit
Xi2 Installation Placement
Page 6 of 8
TIE
'DOWN •
ENGINEERING •
r
Offset Placement
Diagrams represent examples of double and triple section offsets. Total size is determined by the length of
unit plus offset.
Xi2 Stabilization Pier Placement for Ground or Concrete
Xi2 Pier Placement
Single Section Home Double Section Home
0 -80' (76' Box) 4 Xi2 Systems 0 -62' 3 Xi2 Systems`
63' 80' 4 Xi2 Systems
*2 Xi2 systems can be placed at either end of the home.
Triple Section Home
0-62' 4 Xi2 Systems
63' - 80' S Xi2 Systems
Page 7 of 8
TANKS
M
O0
FNGINFFRING YN-1
a
Hcy 1�1_�-
Hardware Breakdown
#59329-1 Hardware for 59306 Lateral System
1 84533Z
U -Bolt 1/2-13 x 2.63 x 2.19 thread
Beam Clamp -Base
1-3/4 zinc
4 10556
Tek Screw #12 x 1 "
1 10631 Z
J Bolt 1/2 x 5-1/2 grade 5 zinc
2 10640
Push Nut 1/2
1 12107
Flat Washer 1 x2" SS
1 1064.6Y
Hex Nut 1/2-13 grade 5 zinc
2 10519
Hex Nut 1/2" w/ Serr flange
#59331 Longitudinal Hardware for 59306
2
59272-1
Beam Clamp -Base
4
59272-2
Beam Clamp Top Flange
8
10926
Carriage Bolt 1/2-12 x 1-1/4
Carriage Bolt 1/2-12 x 3
full thread
Full Thread
10
10646Y
Hex Nut 1/2-13 grade 5 zinc
2
10801
Carriage Bolt 1/2-12 x 2-1/2
U -Bolt 1/2-13 x 2.63 x 2.19 Thread
6 10646Y
Grade 5
2
84533Z
U -Bolt 1/2-13 x 2.63 x 2.19 thread
Hex Nut 1/2" w/Serr Flange
1-3/4 zinc
4
10640
Push Nut 1/2
4
10519
Hex Nut 1/2" w/ Serr flange
# 59329 Hardware for 59333 Lateral and
Longitudinal combination
1 59329-1
Hardware Kit
1 59272-1
Beam Clamp Base
2 59272-2
Beam Clamp Top Flange
4 10926
Carriage Bolt 1/2-12 x 1-1/4
Carriage Bolt 1/2-12 x 3
full thread
5 10646Y
Hex Nut 1/2-13 Grade 5 zinc
1 10801
Carriage Bolt 1/2-12 x 2-1/2
4
Grade 5 zinc
1 84533Z
U -Bolt 1/2-13 x 2.63 x 2.19 Thread
6 10646Y
1-3/4 zinc
2 10640
Push Nut 1/2
2 10519
Hex Nut 1/2" w/Serr Flange
#59315-1 Hardware for Lateral System
1 10631Z
J Bolt 1/2 x 5-1/2 Grade 5 zinc
1 12107
Flat Washer 1/2" SS
4 10556
Tek Screw #12 x 1 "
2 10646Y
Hex Nut 1/2x-13 Grade 5 zinc
1 10826
Carriage Bolt 1/2-12 x 3
Beam Clamp Top Flange
Grade 5 zinc
#59027 Hardware Kit for 59307 Lateral System
2 59264 3 Way Concrete Bracket
4 10530 Wedge Anchor 3/8 x 3.50
1 59315-1 Hardware Kit
#59263 Longitudinal Hardware for 59307
2
59272-1
Beam Clamp Base
4
59272-2
Beam Clamp Top Flange
8
10926
Carriage Bolt 1/2-13 x 1-1/4
2 59272-2
Beam Clamp Top Flange
Full Thread zinc
12
10646Y
Hex Nut 1/2-13 Grade 5 zinc
4
10801
Carriage Bolt 1/2-13 x 2-1/2
Grade 5 zinc
6 10646Y
Grade 5 zinc
#59364 Hardware for 59332 Lateral and
Longitudinal combination
1 59264
3 Way Concrete Bracket
2 10530
Wedge Anchor 3/8 x 3.50
1 59315-1
Lateral Hardware Kit
1 59272-1
Beam Clamp Base
2 59272-2
Beam Clamp Top Flange
4 10926
Carriage Bolt 1/2-13 x 1-1/4
Full Thread zinc
2 10801
Carriage Bolt 1/2-13 x 2-1/2
Grade 5 zinc
6 10646Y
Hex Nut 1/2-13 Grade 5 zinc
Page 8 of 8
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t/anta GA, 30336 1 %,&,, I/t
i' (404) 349-040, 1 DOWN M.
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BUTTE CCU
BUILDING DEPARTMENT
APPROVED mo�
si �e Rory 14R2r6wdroe
m ob, Le, I 0h
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OCT -30-2007 22:33 MID VALLEY TITLE & ESCROW. P.01
�:. oroer NO.'91-43742
Escrow No. f; -
Loan Na •�-a►ssnR t stop roe 7..00.
;
WMEN RECOADEDMAIL TO: R000rdod. 1 CAeo1E
ottleLei Records 1
Joey A. ft -rd county of 1
;P.O. Bots -9 6 1. 1
Bangor. CAA 9591 � C411141246 1. 8rlriDs 1.
ftsoord�s 1
:. '.. ayozoil ifi-Got-ll ! : Jy
s MAILTAXBlAsRMEffT:TP. OOCUYLNTAl1yT11AfftifRllTAtli. Qit..Ofl 4}. 1 j
Joey A. Burd — Como~*" itis com"fation a yawl a aoomimor�.
' 1�6. Bots; lag — Coop~onMesonsw4ml ,+a. iluti. t+a,saencwnenncM i
Baftgoir, CA'95014 mwnnos' saw. Co der do `.1. s ttlan
$10.00
;�� watx� w OKia.am o/ Apart dMNmwlwp tas — ttlttl Mtr1N .
AP# 28-27-3T and'39 GUi O A1M•DEED
FOR A VALUABLE CONSIDERATION, meipt of which is hemby ackno+urtedpaQ
THOW V. BAIRD {
t does hereby f1EMISE. RELEASE AND f0REVEfI OUItmAim to `
JOEY:A. BAIRD, Oka -JOE A. FINLEY,
the real pmpeAy In the City of
County of Butte , State of Caldomis, described as i
SEE ATTACHED LEGAL DESCRIPTION
E HIBIT "A"
October 11, 1991
STATE Of CALItOANIAI
COUNTypr ' Butte
on, October. 11, 1991
bNo.e Itte• Ins Irtldsrlpi+ed. a NOUfy Public In and fo ssa Slats.
os/somovsom, lhomas M. Baird
0�-�
Thomas N. Baird
WITNESS my nand and On c si seal
ITIns ars for offietsl notsrtsl seaq
• 11LTAxSTATEMENTSASDIRECTEt3A60VE "S (Rev 12.191
,a.
;r
GEEK L1L SEAL
oatsonanr Itnown to me lo. aced to me on uv bas's of wtisloctory
' . : EVA SIM
e.,eencel to be the oenontel whose tlarnslsl near weacntled to
� ` I101ART rultX •rxtifstfa{.
tn�.nRnl -
'naeryment and aeanowl edWd 10 n,s Mat hershe:Ihey
sunt eoa y
of cm". Ewes 01m.30. awl
e.ecutod the wme
WITNESS my nand and On c si seal
ITIns ars for offietsl notsrtsl seaq
• 11LTAxSTATEMENTSASDIRECTEt3A60VE "S (Rev 12.191
,a.
;r
OCT -30-2007 22:34 MID VALLEY TITLE & ESCROW P.02
91-i'31+►2
m
All that.portion of the Kest half of the west -half of the Southeast
quarter 46f section 29„ Tolmship It forth, Range •S East, M.D.B.. i M.,
lying Northerly of the Bangor Park County Road, as the sane existed
January 1, 1137.
ZliG TAERmom TU FOLLOW= PE==ED PARCEL or L ums
All 'that! real property situated in the Nest one half of the west -one
half of Section 29; township 18 North•, Range S Last, M.D.M., Butte -
County, California• And being more particularly described as follovss _
BEC2lpING at the northeast corner .of the said Nest one half of the West
one half thence Southerly along t�s 8ast line of the said Nest one
half of the West one half South O1 07' 03• Ness, 2052.63 feet to the
centeriine of Raiigorark Road; thence worth 00 25'.40• West, S81.81 ;
feet] thence South 411 27. 490 West, 103.5a. feet] thence South 78
16! 46" Nest, 44.,67. fsetr thence .Worth 01 27. 19' Last, 1352.12
feet to the forth line of the said Nest ons habf of the West one half
thence Easterly along said north fine north 89 181 07" East, 118.44
feet to the Point of "Beginning.
STATE OF CALIFORNIA - BUSINESS, TRANSPORTATION AND HOUSING AGENCY ARNOLD SCHWARZENEGGER, Gover
DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT OVSING
Division of Codes and Standards �`Z' ,5O�
0Otl� w Z
3
J5 III
Title Search G"►' u��0
Date Printed : 10/31/2007 DEQ
Decal #: LAS6191
Manufacturer:
Tradename: LCS
Model:
Manufactured Date: 00/00/1980
Registration Exp:
First Sold On: 00/00/1980
Serial Number
CAA6088336
CAB6088336
CAC6088336
Record Conditions:
Registered Owner:
HUD Label / Insigni
CAL 179889
CAL 179890
CAL 179891
PPF Exempt
Use Code: SFD
Original Price Code: ANC
Rating Year:
Tax Type: LPT
Last ILT Amount:
Date ILT Fee Paid:
ILT Exemption: NONE
Length Width
60' 12'
60' 12'
36' 10'
THOMAS W BAIRD
JOEY A BAIRD (Joint Tenants with Right of Survivorship)
660 BANGOR PARK RD
BANGOR, CA 95914
Last Title Date: 04/09/1992
Last Reg Card: 04/09/1992
Sale/Transfer Info: Unknown
Situs Address:
Legal Owner:
660 BANGOR PARK RD
BANGOR, CA 95914
Situs County: BUTTE
BANK OF AMERICA
10089 WILLOW CREEK
SAN DIEGO, CA 92131
Last Title Date: 04/09/1992
Lien Perfected On: 03/20/1992 08:24:00
Inactive Decal/DMV:
DMV SU4671
* * * END OF TITLE SEARCH
•+ i
.PERMIT NO.
309-80P,E
PERMIT EXPIRES
OWNER Gary Finley
CONTR. owner
f
LOCATION (A.P. 2,$-97-36 )
N/S Bangor Park Rd., 14 roi.W.of Oro Bangor
Hwy, Bangor
,t
a.
i
T,
• -Z
ti
4
, J
Temp. Power P V.e
Called PGkE zi
Tqpqr Elec/serv. r)
Called"PG&E f W
/JOB
s Serv. Q
)' d PG&E
11
FINALED U
(Signature)
i
Se ck
Form
-Main I
Foo
Stem%
Slab
Piers
Slab
Carport
Footi
Slab
Patio
Footi
isonry W
Reinf. E
o wn
nish
I erior Lath
oor Closer
MOBILEHOME L
Water Piping
OB16EMOME II
Water Piping ,
DATE
COUNTY -OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING BUILDING (Cont'd) PLUMBING
rewaII So Piping
ets 1 Floor
AReskom
Finish 2n Floor
Siding
Roof ShelkhIng
Roofing
Fdn. Vents
Garage Vents
Insulation
Prov. for ph sica
handicaDD.
Conformance of ex.
Footin
Throat
CE
IRE SPRINKLE
3rd hloor
To out
Water PI
Sewer
Fixtures
Water Htr.
Heaters
Appliances
Gas Piping &
Temp. Gas
Sanitation
Final
L
Final Sub anel
MECHANICAL Gird. Failt Prot.'
Heatinif Servl
Cool g T p. Pole
Du s oder round
Vti
latlon Permanent
anal inal
- - - - - - - - - - - - - - - - - Elec. Service Elec . Pedestal
Sewer — Gas Piping IS
NV. ------------Support 7787 Elec. Continuity
Drainage c`/-�D Gas Piping /— t7
REMARKS OR CORRECTIONS
_ -g- eD
�..
t
(NOTE: An entry must be made on this form each time you visit the job site.)
.9. Electrical
A. Is service large enough to provide adequate amperage -to mobile1iomd'(must equal ratin; of
mobilehome with a minimum of rl'60 amp) and other facilities on lot, i.e., water pumps,
garage, cabana, etc.? Yes_No_
B. Is they proper er clearances around panels? Yeses No_
p
C. Is power supply cord or feeder assembly properly fused? Yes_ No
D. 'Is continuity test satisfactory as per the following procedure? Yeslz o
1. De -energize electrical wiring system of the mobilehome at the pedestal.
2. Make sure that the power supply cord or feeder assembly conductors, including neutral
conductor, have been disconnected.
3. Switch all breakers and switches in the mobilehome to the "on" position.
4.. Connect one lead of a test instrument to the mobilehome grounding conductor and
apply the other lead to each mobilehome supply conductor, including neutral.
5. All -non-current, carrying metal parts of the mobilehome (aluminum siding, gas line,
water line), including fixtures and appliances, shall be tested for continuity from
such equipment and the grounding conductor.
6. Upon completion of the above procedure, the power supply cord or feeder assembly
conductors shall be connected to the site service equipment. A further continuity
test shall then be made between the grounding electrode and the chassis of the
mobilehome. Upon satisfactory completion of 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
Manufacturer. and/or Namestyle
Length 4y4 Width 24 -
Vehicle Serial No.�
State Identification No. ( '�17VO;'
Additional Information or Comments:
.t
MOBILEHOME INSTALLATION INSPECTION CHECK LIST
1. Is the mobilehome located wityrequired 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) Yes— No
3. Are footings and supports properly sized, spaced, and braced as pe approved plans? (Note
possible variation at spring shackles.) (SecN. 5082 & 5083) Yes No
Is the mobilehome level? (Sec. 5088) YesV o
4. —
5. If more than a single unit, are crossover connections properly installed? (Sec. 5088)
Yes No
6. Water
A. Is fle ble 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? YeV/No—
C. Backflow.[ t £ch is not State of California approved, does station have backflow device
and pre r( e ief valve? Yes— No
7. Wastes and Drains
A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes— No
B. Does it have minimum 4" per foot slope and is it properly supported? Yeg/ No
C. Are any leaks detected in drainage system after running 3- allons of water through each
fixture including washing machine standpipe? Yes— No
If coach is,(iy� j azn of Californiaapproved, does station have required trap and vent?
Yes No �1((//
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 mob/Nc
me gas line inlet without reductions other than the mobilehome
connector. Yes
B. Test OK as per following procedure? Yes <No
1. Open all appliance connector.valves.
2. Shut off appliance burner and pilot valves.
3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum
6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without
drop.
4. Connect gas meter to mobilehome with connector, turn on gas, test connections with
soapy eater.
C. Are all appliance vents properly installed? Yes— No-
-
I
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Or'oville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
�9-
BUILDfNG
Owner � ��� O 1i�
SQ. FT. OCC. BUILDING VALUATI N
Mailing Address O l o
13A-A)61>e
Telephone No.
Contractor QCOA)&7e-
Mailing Address
Fireplace
Total Valuation
Telephone No.
Permit Fee
1 Building AddressXJ S 9 bare,, A44Q, 4. % .4i•
Plan Checking Fee &/or Penalty
permit Fee
w0 O/lb— g Gq2.
PLUMBING
No.1 @
FEE
PERMIT FILING FEE
$3.00
o0
Each Trap
1.50
�7Q
Repair drainage or vent piping
1.50
A. P. No.a,
�j -7i7- 3
Zoning & Planning
Water piping
1.50
Each gas water heater or vent 1.50
Fe
Sa n
I Fire Dept.
Fire Zone
Use Permit .
Gas piping system 1 - 5 outlets
1.50
10,610
EQA
Parking Parcel
Plans Declaration
Parcel Map
60' R/W
Improvements
Each additional outlet
.30
Building sewer 5.00
,0 OQ
Bldg. Plans Recd
Parcel royal
Plan Approval
Lawn sprinkler system
2.00
NEW ❑ ADDITION ❑ UTILITIES 19 OTHER ❑
Permit Fee $
%3— $
ELECTRICAL
No. @
FEE
PERMIT FILING FEE
$3.00
r�U
Main service 600V OR LESS
100 AMP OR LESS
5.00
5,00
Single Family ❑ Duplex ❑ Mobil Home JK Others ❑
Main service EA. ADO'L 100 AMP
2.50
Main service OVER 600V
100 AMP OR LESS
25.00
Main service// EA. ADD'L 100 AMP 1.00
NEW OR ADDNST % ACC•BLDGS,LING 0 CCUP. 4� 20Sgft
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
le of:
style
MULTI
NEW CONSTR BRANCH TLET
CIRCUITS:
NON.RESID `BRANCH CIRCUITS)
2.50ea
NEW CONSTR. POWER APPARATUS &
NON-RESID. SINGLE OUTLET CIR.
Ex. OCCUP(OUTLETS OR FIXTIIRESI B L@;
Ex. OCCU FIXED APPLNS. OR
p• OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities
15.00
l%
License No. Classification
Misc. Wiring
6.25
441er<i
X00
1 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 Workmen's Compensation.
❑I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
MECHANICAL
No. @
-
FEEPERMIT
FILING FEE $3.00
Heating
Cooling
IN cert) y t at In the per ormance of the work for which this Ventilation
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of Hood 2.00
California. Permit Fee $ $
I certify ve r
info, ion is co?rect
a State Laws rel
uthorize repres tati
above-mentione prop(
this application and state that the above
agre to comply to all County Ordinances
g A building construction, and hereby
f the County of Butte to enter upon the
for inspec n purposes.
Date' -
0Signature-tft,Peerm-N4 or Agent
Receipt No. 0 L/6/,
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
Land Development Fee $ .25—
TOTAL
25vTOTAL PERMIT FEE I$Tiq ligo
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 PUBLIC WORKS
BY Date L Z'A Q C�
;e/11ding permit expires Date l— —�
10_ COUNTY OF BUTTE - DE-PARTMENT OF PUBLIC WORKS
r7 Coun€y Center Drive — , Orobille, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned propeR fo inspection purposes. r
Date
Signatur, of Permitee or Agent L
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
abovolr which fees have been paid.
/ IF AIREQTGR OF PUBLIC WORKS
Date
u
Building permit expires Dae '�
. BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Contractor
Mailing Address AAR 23
Fireplace
Total Valuation
Tphone No.
G�
Permit Fee
Building Address �,
Plan Checking Fee&/or Penalty
Permit Fee
r'
r _r / 04l�6 W ��
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00
Each TraD 1.50
B4A1 0 2
Repair drainage or vent piping 1.50
A. P. No. _
oning & Planning
Water piping 1.50
Each gas water heater or vent 1.50
FIII Yes
Fire Dept.
Fire Zone
Use Permit
Gas piping system 1 -5 outlets 1.50
EQA
Parking
Plans
Parcel
Declaration
Parcel Map
60' R/W
Improvements
Each additional outlet .30
Building sewer 5.00
Bldg. Plans a
Parcel A a Plans royal
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER [R
Permit Fee $
$
joy,,� �>I� ` d �-'�b
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service 10000 AMP OV OR RSLESS 5.00
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Main service EA. ADD•L 100 AMP 2.50
Main service OVER eoov 25.00
100 AMP OR LESS
Main service EA. ADD•L 100 AMP 1.00
NEW CONS. DWELING
OR ADDNST ( ACCLBLDGSCCUP- Y) 20sgft
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:
"1
NEW CONSTR BRANCH CIRCUITS)
NON•RESI T � BRANCH CIRCUITS) 2.50ea
NEW CONSTR. POWER APPARATUS B
NON.RESID. SINGLE OUTLET CIR.
Ex. OCCUD{OUTLETS OR FIXTIIRES 5BA@,m �
Ex. Occup. ( FIXED APPLNS. OR
OUTLETS (RESID•) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
�/-
License No,6y/Q6 J Classification Z
Misc. Wiring 6.25
I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
MECHANICAL 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 Wor s Compensation.
have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
PERMIT FILING FEE
Heating
E2@00
Cooling
Ventilation
Hood
Permit Fee 06:$
$ O ��
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
$ (j Oa
authorize representatives of the County of Butte to enter upon the
above-mentioned propeR fo inspection purposes. r
Date
Signatur, of Permitee or Agent L
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
abovolr which fees have been paid.
/ IF AIREQTGR OF PUBLIC WORKS
Date
u
Building permit expires Dae '�
v BUTTE COUNTY. DEPARTMENT OF PUBLIC
WORKS
7 County Center Drive, Oroyi,lle;,
•CA.
PHONE:: 534-4541,
MOBILEHOME INSTALLATION SHEET
1.
Owners name:.
2.
Installer's name:3.
Is Is the site currently under permit? Yes T -2 --No
/ /
•
(If -yes, furnish permit number
) OR'
-.
LYes
Is the site an existing site? - / / No
/ y-
(If yes, furnish two (2) plot plans:)
4.
Will the mobilehome be located at least,5 ft. away from
septic tank
and leach
fields and
clear of -all setbacks and easements? Yes
•(If no-,- clarify
_
)
5.
What is the mobilehome electrical rating? -----------------------
/4*p
Amps
�
6.
What is the mobilehome site service rating? ---------------------
Amps
7..
What is the mobilehome site circuit breaker rating? ---------------
�� °
_Amps
8..
Is there any other electric load to be served by the mobilehome
siteservice? -------------------- ------------------------------
—�
Yes / "/
No / /
(If yes, identify the load and size:
(Load)
JD
(Amps)
9.
What is the mobilehome site gas pipe size? ----------------------
,J
3�r (.in—.)
10.
What is: the type of gas service? -----------------------------
Natural
/ /
LPG /A;
11.
What is the gas pipe length from meter or tank to the mobilehome?
(ft.)
12.
What is the mobilehome gas demand? -------=----------------------
(BTU)
(This information not required if pipe length less
than 6 ft.
on natural
gas,
or less than.50 ft, on LPG.)
MOBILEHOME SUPPORT DATA
If th th sin le wide
// o er an g , �d O/
Mobilehome Mfr. furnish Setup Model No. 0 Year �a
Width .2 y (ft.) Box Length ,,4/ (ft.) Tagalong or Expando Size /U ft. xv-,/—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 o46Z&
mobilehome unless otherwise spec' 'Ings�
Foocheck one)
(
3 Single 1. Wood either.
�J C� pressure treated or
._ ,. foundation grade.
(ft. (in:) (in.) (in.) �)'� EJ -12, eAOther (specify)
Center support Center support
loc tions* footing sizes Supports (check one)
(in.)
�/� a�/ . � �Y• Concrete block.
2. Other (specify)
(ft -)(in.) (in.) (in.)
3 , !r—Tagalong or Expando,'
a1%show support details.
( t.)(in.) (in.) (in.)
-- Typical Support
(in.) (in.) Footing Size
(ft. (in.) (in.) (in.) Max. Pier Spacing
Max. Overhang
(in.)((in.) t.) (in.)
BUTTE COLJM 11
RADING DEPARTMENT
*If centerpiers are other than drawn above, APPV E D
draw in -locations, spacing, and dimensions.
NOTE -,All Materials & Workmans
Accordance with Recognized Good
of a quality prescribed for the Spec
Uniform Building, Plumbing & Macho
tha National Electrical Code,
fi
This set of plans and speci cations MUST be
t. kept on the iob at all time a d it is unlawful to
make any changes or alter ti ns on some without
written permission from t partment of Public
Works, County of Butte Z
1
A setback of 5 ft. frorn7 e
pr-operty, lines and ack
of 50ft. from the r
cer.,terline shall b�c r of
structures or equipm nt except
for a 2 'ft. eave oar ang.
Shall Be in
3ctices and
use in the
Codes and
PC-� TepAS . LI OC
v
Al
Utility connections
.shall be 4t.
4 ft. of the mobileho er �9"
directly behi within the rear QS
half of t roadside (left) of the ---v
mo ome.-INIMUM(o011e,L I
FOR. MO
Gj_ ,
Pte'
kTew—
A permit will be*required for the o'-wLu� ; a9O- o
installation of the mobilehome. UTTE COUNTY
ILDING DEPARTMENT
t` Sop
_. A uytg�V ED
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
®RRECTI®19 9 TILE
B ILDING OR PROPERTY ADDR S
A routine Inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
i COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE
I
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 f ��'/_") for the following location: AJ/5
fj/1AJG/ •«' .`��:r,r
A? D• l %!l ml/, Avi,f Yl. i ice, Life Y .
Owner G � l Y f- /kJL!E� I.,%AA , zf
Owner's Address Po. 6UX lt�)4 b,4A//,6Z (?W
Mobilehome Mfg. / S Model ��� Year /q Q
Insignia No. e�/i�k89, /��/�91i /��Serial No.
It is hereby certified for occupancy at the above described location and
may be occupied.
Date
Direct/. of Public Works
13YI
THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED
White -Owner, Yellow - Installer, Pink - D.P.W.
r
F-- MIT NO. 2046=80B
V PERMIT EXPIRES
OWNER Gary Finley
CONTR. fpm nwnPr
28-27-39
LOCATION (A.P. )
NIS BangorPark Rd., 14 mi.W.of Oro Bangor
Hwy, Bangor
Temp. Power Pole
Called PG&E
Temp. Elec. Serv.
Called G&E
Temp. G� Gas Serv.
C Tled PG&E
BV
FINALED
(Date)
(Signature)
I
.IWGGV
r •
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION REOORD
Sub anels
BUILDING
BUILDING (Cont'd)
PLUM
Setback
S %tea
Firewall
Soil Piping
Forms
Temp. Pole
Parapets
1st Floor
Main Bldg.
Interior Lath
Restroom Finish
2nd Floor
Footings
Final
Windows
3rd Floor
StemwaII
Water Piping
Siding
To out
Slab
- - - - - - - - - - - - - - Support
Roof Sheathing
Water Piping
Piers
Gas Piping
Roofing
Sewer
Garage
Fdn. Vents
Fixtures iNN
Footings,
Garage Vents
Water Htr.
Stemwa I I
Insulation
Heaters
Slab
Carport
Footings
Prov. for ph sically
handicaped
Conformance of ex.
structure
Appliances
Gas Piping &Test
Temp. as
Slab
Final
Sanitation
Patio
FIREPLACE
Final
Footings
Footing
ELECT CAL
Masonry Walls
Throat
Rou h
Reinf. Steel
Final
Fixtures
Bond Beam
FIRE SP I LERS
Motors
Framina - --;
— ) M /moi
Tact
w.to. ut.
.IWGGV
v Anal
Sub anels
Mesh
MECHA CAL
Gird. Fault Prot.
Scratch 7
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 Piping
MOBILEHOME INSTALLATION
- - - - - - - - - - - - - - Support
Elec. Continuity
Water Piping
Drainage
Gas Piping
DATE
r]I� REMARKS OR CORRECTIONS
"4-R-
W-QtdM.�.41y1-
(NOTE: An entry must be made on this form each time you visit the job site.)
COUNTY OF BUTTE' — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
• Telephone: 534-4541 �O
APPLICAtION AND PERMIT
Owner (�
Mailing Address �.
07?IV
Contractor 0WA&9 --15t
Mailing Address
Buildinq Address
A. P. No. /
F A<Sa I n Fire Dept. Fire Zone
EQA I Parking I Parcel parcel Ma 60' R/W
Plans Declaration p
Bldg. Pla Recd I Parcel A rovol✓
NEW M ADDITION ❑ UTILITIES ❑
Telephone No.
W,00
AA
_ BUILDING
SQ. FT. I OCC. BUILDING VAL TION
&C—> I COO. �. 160
Single Family ❑ Duplex ❑ Mobil Home 0 Others ❑
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:
ermlt Fee
ELECTRICAL
Fireplace
Total Valuation
Telephone No.
Permit Fee
Main service
PI an Checki ng Fee &/or Penalty
Permit Fee
ow/ h
PLUMBING
EA. ADD•L 100 AMP
PERMIT FILING FEE
Each Trap
n
� o
Repair drainage or vent piping
oning & Planning
Water piping
Each gas water heater or vent
Use Permit
Gas piping system 1 - 5 outlets
Improvements
Each additional outlet
Building sewer
Plans Approva
Lawn sprinkler system ; r
OTHER ❑
P
Single Family ❑ Duplex ❑ Mobil Home 0 Others ❑
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:
ermlt Fee
ELECTRICAL
PERMIT FILING
FEE
Main service
600V OR LESS
100 AMP OR LESS
Main service
EA. ADD'L 100 AMP
Main service
OVER 600V
100 AMP OR LESS
Main service
EA. ADD•L 100 AMP
NEW CONST. I
OR ADDNS. %
DWELLING OCCUP. 5
ACC. BLDGS.
NEW CONSTR.
Nn N.RFSID_
(MULTI -OUTLET
BRANCH CIRCUITS
Ex. OCCUO(OUTLETS OR FIXTIIRE
EX. Occup ( FIXED APPLNS. OR
OUTLETS (RESID.) EF
Temporary service
Mobile Home Facilities
Misc. Wiring
License No. Classification
IK;Pl am exempt from the Contractors License Laws of the State of California. Permit Fee
WORKMEN'S COMPENSATION INSURANCE MECHANICAL
PERMIT FILING FEE
I am aware of the provisions of Section3700 of the California Labor Heating
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 Cooling
Workmen's Compensation Insurance.
IOC
FEE
$3.00
1.50
1.50
1.50
1.50
1-.50
.30
5.00
2.00
is _
FEE
$3.00
5.00
2.50
25.00
1.00
2.00
10.00
15.00
6.25
@ 1 FEE
$3.00
IN!�
I certify that In the performance of the work for which this Ventilation / i'
permit is issued I shall not employ any person in any manner t
so as to become subject to the Workmen's Compensation Laws of I Hood 1 2.00
California. Permit Fee $ $
I certify that I have read this application and state that the above
information is correct. I agree to comply tq, all County Ordinances
and State Laws relating to bu' Iding construction, and hereby
authorize representatives of the ounty of Butte to enter upon the
ab e -mention operty for i ection purposes. j
- 7/-? /I.-Od
Date
Sig ture of Permiteee-7O2e�or Agent e '
Re No. �
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod-ApplicantC/
Land Development Fee $
TOTAL PERMIT FtE $
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 UBLIC WORKS
BY Date
Building permit expires Date
et of lans and specificrations MUST be
This s p
and it is unlawful to
kept on the job at all tim+ions o same without
rc
mace any changes or alto
written permission from the Department of Public.
Works, County of Butte.
X S�
i
NOTE:—AII Materials & Workmanship She'll ®@ - tfv
Accordani:e with Recognised Coed PI'Vatinn§ mid
of a gutility prescribe4 fear she Snecif d
Uniform eu idinq, Plumbing & Mcvehani.al Coodo @R
the Nc&onai Electrical Code.
N'# -'d -a7-3y
6AR�-/ "Joe- Fov i_EY
POLL -
Ir f
CoAf(.i % setback of 5 ft. from the
H roperty lines and a setback
of 50ft. from the road
centerline shall be clear of
structures or equipment except
for a 2 ft. eave overhang.. .
surre cou►vrr
BUILDING DEPARTMENT
APPROV0
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