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HomeMy WebLinkAbout028-400-048w�. -rl?e IWEBBER n'" 65656 Bangor Park Rd., .Angor ,n� Permit #40-88P,E(ele for well & future /'v lot development) 28-40-jIT Perms 3619-88P,E(util, MH) Qt 6e4ic GC� AS� � lb gar ' SUPPORT STRUCTITR REQ .� COMPACTION -TEST-REFr4l 28-40 Permit#37 --8MHI Iss B07-2304' 028-400-048 RESIDENTIAL SFD-Mobile Home RET EX Mf4 ON PERM FND 26 HUMMINGBIRD HILL RD WEBBER; SUZANNE L. e 17 RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 MIN 11111111111111111111111111111 ic�007�0►0+5338'9 Recorded I REC FEE 10.00 Official Records I County of I CONFORMED COPY 1.00 Butte' I CPAACE J. 6RUBBS I County Clerk-Recorderl I KL 10:25AH 15 -Nov -2007 I Page 1 of 2 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of' the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. SUZANNE L.WEBBER BUTTE COUNTY BUILDING DIVISION REAL PROPERTY OWNER/LESSOR LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY PO BOX 423 7 COUNTY CENTER DRIVE MAILING ADDRESS MAILING ADDRESS BANGOR BUTTE CA 95914 OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP CITY COUNTY STATE ZIP 26 HUMMINGBIRD HILL RD B07-2304 (530) 538-7541 INSTALLATION MAILING ADDRESS, IF DIFFERENT BUILDING PERMIT NO TELEPHONE NUMBER BANGOR BUTTE CA 95914 / d 1 ti/07 CITY COUNTY STATE ZIP SIGNATURE OF L AL AGENCY OFFICIAL• DA fE SAME NONE UNIT OWNER (if also property owner, write "SAME' DEALER NAME (if not a dealer, write "NONE") SAME NONE MAILING ADDRESS DEALER LICENSE NO SAME tw�•l��iu �•�Yr�� � Ary UNIT DESCRIPTION SKYLINE HOME INC. 1988 OKMG505 MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL•NAME/NUMBER 06700355AY/13Y 40'X 24' CAL358526/7 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNWLABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION: SEE ATTACHED ASSESSOR'S PARCEL NUMBER: 028-400-048 , .'I HCD FORM 433(A) REV 8191 WHITE—County Recorder CANARY—HCD PINK—Applicant GOLDENROD—Building Dept �L -1 AZ RECORDING REQUESTED BY Mid Valley—title & Escrow Company AND WHEN RECORDED MAIL TO: Suzanne L. Webber P.O. Box 423 Bangor, CA 95914 2006-0017603 Recorded I REC FEE 18.88 Official Aecards I County of I Bu e I MNDACE J. 6111M I County ClerHecorder 1 NR 89:811 M lkpr-288Fi I Page 1 of P nemmmLine 101MLIN1111111111 A.P.N.: 026-400-048-000 File No.: 0403-2330936 (MM) Psf-T I (111 GRANT DEED 17 The Undersigned Grantors) Deciare(s)., DOCUMENTARY TRANSFER TAX $0.00; aTYTRANSFERTAX;0.00; SURVEY MONUMENT FEE $ AV X computed an the consideration or full value of property conveyed, OR E computed on the consideration or fun value less value or (fens and/or encumbrances remaining at time of sale, X unincorporated area; ( I city of, and FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Suzanne L Webber, an unmarried woman who acquired title as Suzanne L. Webber hereby GRANTS to Suzanne L Webber, an unmarried woman the following described property In the Unincorporated Area , County of Butte, State of California: ALL THAT REAL PROPERTY SITUATED IN THE WEST ONE HALF OF THE SOUTHEAST ONE QUARTET OF SECTION 29, TOWNSHIP 18 NORTH, RANGE 5 EAST, MOM, BUTTE COUNTY. CALIFORNIA AND BEING MORE PARTICULARLY DESCRIBED AS FOLLOWS: f BEGINNING AT A POINT ON THE EAST LINE OF THE SAID WEST ONE HALF. OF THE SOUTHEAST ONE QUARTER OF SAID SECTION 29, FROM WHICH THE NORTHEAST CORNER OF THE SAID WEST ONE HALF OF THE SOUTHEAST ONE QUARTER BEARS NORTH 01 DEG. 23' 43" EAST, 916.11 FEET; THENCE SOUTHERLY ALONG THE SAID EAST LINE SOUTH 01 DEG. 23' 43" WEST, 675.79 FEET TO A POINT IN THE CENTERLINE OF BANGOR PARK ROAD, SAID POINT BEING ON A CURVE CONCAVE NORTHERLY THE RADIUS POINT OF WHICH BEARS NORTH 26 DEG: 10'24n WEST; THENCE WESTERLY ALONG SAID CENTERLINE AND CURVE HAVING A RADIUS OF 100 FEET, A CENTRAL ANGLE OF 23 DEG. 51' 52; THE ARC LENGTH OF WHICH IS 41.65 FEET; 'THENCE SOUTH 87 DEG. 41' 28" WEST, 196.46 FEET; THENCE ALONG A TANGENT CURVE CONCAVE, SOUTHEASTERLY HAVING A RADIUS OF 17S'FEET; A CENTRAL ANGLE OF 47 DEG. 18'20', THE ARC LENGTH OF WHICH IS 144.49 FEET; THENCE SOUTH 40 DEG. 23' 08" WEST, 151.01 FEET; THENCE ALONG A TANGENT CURVE CONCAVE NORTHWESTERLY HAVING A RADIUS OF 175 FEET; A CENTRAL ANGLE OF 46 DEG. 45' 45"1 THE ARC LENGTH OF WHICH IS 142.83 FEET; THENCE SOUTH 87 DEG. 08' 49 WEST, 39.78 FEET; THENCE ALONG A TANGENT CURVE CONCAVE SOUTHERLY HAVING A RADIUS OF 125 FEET; A CENTRAL ANGLE OF 21 DEG. 38' 49", THE ARC LENGTH OF WHICH IS 47.23 FEET; THENCE LEAVING SAID CENTERLINE NORTH 00 DEG. 25' 40" WEST, 585.81 FEET; THENCE NORTH 50 DEG. 13'00" EAST, 206.91 FEET TO A POINT FROM WHICH THE POINT OF BEGINNING BEARS NORTH 66 DEG. 57' 05" EAST, 578.40 FEET; THENCE NORTH 66 DEG. 57' 05" EAST, 578.40 FEET TO THE POINT OF BEGINNING. Dated: 04/04/2006 X L,-14 2. AU Z . WEBBER Man Tax Statements To: SAME AS ABOVE BUTTE COUNTY AREA DEPARTMENT OF DEVELOPMENT SERVICES 1 INSPECTION CARD MUST BE ON JOB SITE 24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico) Office: (530) 538-7541 Fax: (530) 538-2140 Website: www.buttecounty.net/dds Permit No: B07-2304 Issued: 11/09/2007 Setbacks Address: 26 HUMMINGBIRD Foundations / Footings 111 HILL RD Area: BANGOR Grade Beams Owner: WEBBER, SUZANNE L. $�� . 3 '' 'PPLY 216 Applicant: SIERRA MOBILE SERVICE & �/S U Do Not Pour Concrete Until Above are Signed Permit Type: SFD-Mobile Home RET APN: 028-400-048 l Description: EX MH ON PERM FND Gas Test Yard 404 Flood Zone: None SRA Area: Yes SETBACKS for Zonings. AG. SRA. PW Front: 0 Ultimate R/W from CL: Rear: SRA: Side: AG: Other: Total Setback from Centerline of Road:O+ I ALL PLAN REVISIONS MUST BE APPROVE,,`) BY THE COUNTY BEFORE PROCEEDING t Inspection Type IVR INSP DATE Setbacks 132 Foundations / Footings 111 Pier/Column Footings 122 Grade Beams 114 Eufer Ground 216 Forms/Stee UHoldowns 122 Do Not Pour Concrete Until Above are Signed Pre -Slab 124 Gas Test House 404 Gas Test Yard 404 Masonry Grout 120 Masonry Bond Beam 119 Underfloor Framing 149 Underfloor Ducts 319 Shear Transfer 136 Under Floor Plumbing 412 Under Slab Plumbing 411 Gas Piping 403 Do Not Install Floor Sheathing or Slab Until Above Signed Holdowns/Straps 122 ShearwalUB.W.P.-Interior 135 Shearwall/B.W.P.-Exterior 135 Roof Nail/Drag Trusses 129 Do Not Install Siding/Stucco or Roofing Until Above Signed Rough Framing 128 Rough Plumbing 406 Rough Mechanical 316 Rough Electrical 208 Gas Piping 403 Shower Pan/Tub Test 408 =Fire Test 702 Fire Sprinkler Final 702 Building Final 802 Electrical Final 803 Mechanical Final 809 Plumbing Final 813 Pool Final 802 Mobile Home Final 802 Ins ection Type I NR I INSP DATE Do Not Insulate Until Above Signed Wall Insulation 117 Ceiling Insulation 118 Do Not Cover Until Above Signed T -Bar Ceiling / RC 145 Stucco Lath 142 Stucco Scratch 143 Stucco Brown 144 Swimming Pools Setbacks 132 Pool Plumbing Test 504' Gas Test 404 Pre-Gunute 506 Pool ElecBonding/Light Nitch 502 Pool Fencing/Alarms/Barriers 503 Pre -Plaster 507 Manufactured Homes Setbacks 132 Blocking/Underpining 612 Tiedown/Foundation System 611 Site Utilities/Trench Insp. 137 Gas Test Yard 404 Manometer Test 605 Continuity Test 602 Skirting/Steps/Landings 610 Coach Info Manufactures Name: Date of Manufacture: Model Name/Number: Serial Numbers: Length x Width: Insignia: C,4 ?, �M :, �7- 91 q"', � Finals - r Public Works Fina 538-7681 Fire Department/CDF 538-6837 ext 169 Env. Health Final 538-7281 Sewer District Final **PROJECT FINAL 1 801' 44 -rrolect Anal is a uertmcate of uccupancy for (Kesidentlal Unly) PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE. IF WORK HAS COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION Inspector Copy 7 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 SIERRA MOBILE SERVICE & SUPPLY 466 CIRCLE DRIVE OROVILLE, CA 95966 (530)534-0599 SIERRA MOBILE SERVICE & 466 CIRCLE DRIVE OROVILLE, CA 95966 (530) 534-0599 FEE INFORMATION DBF MH Plan Check $233.56 DBMSC Mobile Home Permit Fee. $350.34 LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires SIERRA MOBILE SERVICE & S 470386 / C47 B / 03/31/2009 I HEREBY AFFIRM UNDE,"ENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with SectioK x_00) of Division 3 of the Business and Professions Code, and my license is in full force and effbi: iJ X /(9-4// 11/09/2007 Contractor's S pnature Date WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. AVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; Carrier: State Fund Policy Number: 046-0004257 Exp. Date:01/01/2008 (This section need not be competed if the permitis or ons a 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 the Workers' Compensation laws lifornia, and agree that if I should become subject to the workers' compensation o pro" sof Section 3700 of the Labor Code, I shall forthwith comply with those provisions. , X 11/09/2007 Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. 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) Lender's Address City State Zip Building Garage Remdl/Addn Other Porch/Patio Total Total Charged: $583.90 Fees Paid: $583.90 Balance Due: $0.00 Receipt No: B5266 OWNER / BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License 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 pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500); Please check one of the following: ❑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 Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proof that he or she did not build or improve for the purpose of sale.). ❑I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). ❑ I AM EXEMPT under Section B. 8 P.C. for this reason: LX 11/09/2007 Owner's Signature Date 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 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 injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby a wledge that issuance of this permit does not authorize the use or occupancy of anysidewalk, s) , or subsidewalk. I hereby authorize representatives of Butte County to enter the above menlione rope for inspection purposes. I hereby certify that I am the property owner or am authorized t ct on a property ownefs behalf. 11/09/2007 Owner [3-Contr�! OR. Agent for Owner ❑Agent for Contractor FILE COPY PROJECT INFORMATION Site Address: 26 HUMMINGBIRD HILL RD Owner: Permit NO: B07-2304 APN: 028-400-048 WEBBER, SUZANNE L. Permit type: RESIDENTIAL PO BOX 423 Issued Date: 11/09/2007 By KCG Subtype: SFD-Mobile Home RET BANGOR, CA 95914 Expiration Date: 11/08/2008 Description: EX MH ON PERM FND Occupancy: Zoning: A-5 SIERRA MOBILE SERVICE & SUPPLY 466 CIRCLE DRIVE OROVILLE, CA 95966 (530)534-0599 SIERRA MOBILE SERVICE & 466 CIRCLE DRIVE OROVILLE, CA 95966 (530) 534-0599 FEE INFORMATION DBF MH Plan Check $233.56 DBMSC Mobile Home Permit Fee. $350.34 LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires SIERRA MOBILE SERVICE & S 470386 / C47 B / 03/31/2009 I HEREBY AFFIRM UNDE,"ENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with SectioK x_00) of Division 3 of the Business and Professions Code, and my license is in full force and effbi: iJ X /(9-4// 11/09/2007 Contractor's S pnature Date WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. AVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; Carrier: State Fund Policy Number: 046-0004257 Exp. Date:01/01/2008 (This section need not be competed if the permitis or ons a 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 the Workers' Compensation laws lifornia, and agree that if I should become subject to the workers' compensation o pro" sof Section 3700 of the Labor Code, I shall forthwith comply with those provisions. , X 11/09/2007 Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. 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) Lender's Address City State Zip Building Garage Remdl/Addn Other Porch/Patio Total Total Charged: $583.90 Fees Paid: $583.90 Balance Due: $0.00 Receipt No: B5266 OWNER / BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License 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 pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500); Please check one of the following: ❑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 Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proof that he or she did not build or improve for the purpose of sale.). ❑I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). ❑ I AM EXEMPT under Section B. 8 P.C. for this reason: LX 11/09/2007 Owner's Signature Date 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 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 injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby a wledge that issuance of this permit does not authorize the use or occupancy of anysidewalk, s) , or subsidewalk. I hereby authorize representatives of Butte County to enter the above menlione rope for inspection purposes. I hereby certify that I am the property owner or am authorized t ct on a property ownefs behalf. 11/09/2007 Owner [3-Contr�! OR. Agent for Owner ❑Agent for Contractor FILE COPY CIA eAk� ij 1 bid, n;uo s,, Pe �F �'RofEuC�'7 POct)0 L q -Il Ll o 0FEe L211 10, rIL 1 10 o7.2�y d SATE COUNTY GA+ A6 -L z g , BUILDING DIVISION APPROVED Y. SU ANNe WELI BEC bRNo-m CA, g541�( pag x( 00 C> s'LJ e� S(:z S BUTTE COUNTY PERMIT DEPARTMENT OF DEVELOPMENT SERVICES NO BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 2-; HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 BP E07 , OFFICE #: (530) 538-7541 A _FE E W111 BE REQUIRED AT TIME OF APPLICA TION BIN # **PLEASE PRINT CLEARLY** O WAIT R Last Name Address X56 x3 city 13)� 0 Q op Phone E-mail f first Name . �/�l2 K iZvH D i �= ax APPLICANT NAME CONTRA" CTOR Name Address Address City City ,,� i State Zip Phone S-7`/ p.S9 I Fax I E-mail , Lic. # Y 76� b Class ,6 APPLICANT NAME ARCHITECT/ENGINEER Name Address Address City City I Slate State Zip Phone TFay 1 , Fax E-mail Page Slate License Number t APPLICANT NAME LOCATION Zoning Address =Flood City I Slate _No Phone S3 q OS-�q TFay 1 E-mail t,1ap Book APPLICANT SIGNATURE X For office use only: LOCATION Zoning J/ 00 o Y� =Flood SRA es _No Occ. I Type Const. I Subdivision Name WORKER'S COMPENSATION t,1ap Book Page Lot # Planner If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. Dale Approved: vvCF% Fum JUMV11 I i ,4t_ KtUUIKEMENTS Description or Scope of Work: rLt �w�1i �cti � r� vim, , voce l� l5'o-1__ Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): E)TIRATION 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 Ur1 Receipt #: 1dl Date: ` Amount Bldg SRA Sheriff SMIP Other Total LOCATION AP# ' 0�-8 J/ 00 o Y� Property Address City Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: rLt �w�1i �cti � r� vim, , voce l� l5'o-1__ Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): E)TIRATION 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 Ur1 Receipt #: 1dl Date: ` Amount Bldg SRA Sheriff SMIP Other Total 11 3 Xi2 Foundation System Installation Instructions for California for Ground & Concrete Systems HUD Wind Zone I 15 PSF Wind Load Seismic 4 By Tie Down Engineering Xi2 Ground System ,Uwi ?-�QA 6 COUNTY WILDING DIVISION. APPROVED 02$•y00'04$ II-Q•OZ Xi2 Concrete System Engineer Approval State Approval MANUFACTURED HOMEIMOBILS HOME FOUNDATION SYSTEM HEALTH AND SAFETY CODE, SECTION 18351 APPROVED SUBJ= TO CORRECTIONS NOTED APPROVAL DOES NOT AUTHORIZE OR APPROVE ANY OMISSIONS OR DEVIATION FROM REQUIREMENTS OF AMJCASLB STATE LAWS AND RSOULATIONS State oratir"Is ftwhad a(Pbaft•d of Ea Arm aANDA>eDs sir �a�i�....tu►Ts � SPA14M Tkib FIaA ffWM EXP11" ��e CoPy Page 1 of 8 0X12 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 0 0 TIE D• .30336, O O 2!-r- -67i4/o� N 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 matter 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 stmt so that the two tubes are connected together. (Figure 1) Figure 1 Fad o f Nome 1-3/4" Tube Lateral Struts j' 0 1-1/2" Tube 4-#12x1" Tek Screws U -Boit & mounting Bracket W J -001t G� Nut & Washer 111.) Strut (flag end) 1-13eam 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 arta GA, 30336 rlELO (404) 349-0401 DOWN .......... ............ .... ENGINEERING • 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 bradaets & 2 U -bolts with all nuts and bolts. Lateral and Longitude W 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" 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' 5 Xi2 Systems Page 4 of 8 FA TIE DOWN ENGINEERING - • Installation of Xi2 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 I-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 stmt 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 clamp 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. A, 30336 TIE 49-0401 DOWN _.__._.. __..__.__. ENGINEERING m a 0 0 0 Xi2 Lateral Concrete Systems T Part #59307 V2 Concrete Includes: 5' Strut, Bracket, & Hardware Kit #59315-1,a_ ,.a= System with all nuts and bolt. Y` Longitudinal Struts for s "Concrete Systems" Part No. Length Pier Height r' #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 4 e and washers) •r . M.,y� f a O � � ®i 0 . • M ,, adz Lateral and Longitudinal Combination „T� Part #59332 Longitudinal Includes: 5' Strut, Longitudinal Strut (#59364), Strut Concrete Longitudinal s Hardware Kit Lateral and Longitudinal Hardware Kit with all nuts and bolts. /Nut & ftsher Of Nome Figure 1 BeamClamp . fFnd Bracket J -Bolt - 3 MLY :a 3 I Lone Xi2 Installation Placement i f ti ,�k;`,. 0 Fes• -Seam �- f� Page 6 of 8 r Q O O O 7 • ,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 Single Section Home 0 -80' (76' Box) 4 Xi2 Systems L— Xi2 Pier Placement Double Section Home 0 -62' 3 Xi2 Systems' 63' - 80' 4 X12 Systems *2 Xi2 systems can be placed at either end of the home. i Double Section Home 0 -62' 3 Xi2 Systems' 63' - 80' 4 X12 Systems *2 Xi2 systems can be placed at either end of the home. Triple Section Home 0 -62' 4 Xi2 Systems 63' - 80' 5 Xi2 Systems Page 7 of 8 ... .. .... .. DOWN ENGINEERING I 4�0� � f Triple Section Home 0 -62' 4 Xi2 Systems 63' - 80' 5 Xi2 Systems Page 7 of 8 ... .. .... .. DOWN ENGINEERING I 4�0� 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 10646Y Hex Nut 1/2-13 grade 5 zinc 2 10519 Hex Nut 1/2" w/ Serr flange #59331 Longitudinal Hardware for 59306 2 59272-1 Beam Clamp Base 4 59272-2 Beam Clamp Top Flange 8 10926 Carriage Bolt 1/2-12 x 1-1/4 59272-2 Beam Clamp Top Flange Full Thread 10 10646Y Hex Nut 1/2-13 grade 5 zinc 2 10801 Carriage Bolt 1/2-12 x 2-1/2 10646Y = Hex Nut 1/2-13 Grade 5 zinc Grade 5 2 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 thread Grade 5 zinc 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 Hex Nut 1/2-13 Grade 5 zinc 4 full thread 5 10646Y = Hex Nut 1/2-13 Grade 5 zinc 1 10801 Carriage Bolt 1/2-12 x 2-1/2 Grade 5 zinc 1 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 Thread 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 1/20 3 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 3I8 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 TIE DOWN ENGINEERING f_pA P 60J &0 ppk ACrfvAL.. y I�Ti A,u,D :sRnc of /f' QE o'lei -- Ul,K 60' berm i� file . fIL e0? 2-v BUTTE COUNTY BUILDING DIVISION APPROVED -q.o-1 SU (.INE. W E0 6E4 (o5 -(o (3ht4 'PRteK A1>AD bRNo-m IR Cao, ©a g Liao OL(T , S 30l �'#�+itri�M...� .'��"':[inti,:�.�ss�,�;aai,S`L-�.C�`'�'�'tiJ.'t�A`1^'"'y^�°"`.b �"^�.r✓?r�v-�-.i.��:r..+v+�-• Victor Webber Permit #40-88P,E f � • t �t OFFICE COPY Address's c,AS Date ELECTRIC` 7D6te� Meter 8y r J COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS VVV 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 ,r � + _; APPLICATION;AND PERMIT PERMIT NO ASSESSOR�1lrrllARCE^L NUMBER '- 11 , • - ZONING i `) BUILDING PERMIT OWNER o //11 l 411 /Y /, / i TELEPHONE SO. FT. OCC, BUILDING VALUATION OWNER'S MAILING, ADDRESS. ' r �/ /t 1 f I I • I I /t v L CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MA LING ADDRESS Fireplace CONSTRUCTION LENDER ♦ - .� , UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee .$ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS ��� / ` • Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 r Each qas water heater or vent 5.00 USE OF STRUCTURE SF❑ Duplex❑ Mobilehome❑ Other /•r r SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW I 10-00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: _ r Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F1 am licensed under provisions of Chapt. 9, Div. 3 of the BuslnesS and Professions Code and my license is in full force and effect. No. Classification ❑ 1, 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 or sale. (Sec. 7044) 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.ai) yz2sgft OR AODNS. ACC. BLDGS. NEW CONSTR MULTI—OUTLET 2.50 ea NON.RESID BRANCH CIRCUITS) /POWER APPARATUS eI 'SINGLE OUTLET CIR. Ex. OCCup OUTLETS OR FIXTURES sA iso License FIXED APPLNS. OR Ex. OCCUp- OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Feermit Fee $ c 1; Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. • Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must.forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation pernft 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 buildingconstruction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses'which may in any way accrue against said County in consequence of the granting of this permit., ppm X�•I' 'A-���'�--- Date (� �- i/ O ,, h Signature of Applicant — Owner❑ Contractor ❑ Agent ❑ permit is required For excavations over 5't1" deep and demolition or construct- An OSHA ) ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ occu P. I CONST.TYPEJ ISCHOOLIFL.00DIPARCELI PD I No I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which �DIRECTOp OF PUBLIC By—&L71(_•f- It _-- PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date ;✓ 1 Receipt No. () � � �/- WNITL-O.P.W.. YELLOW -ASSESSOR. PINK -IN SPECTOR. I GOLDENROD -APPLICANT �- COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville. California 95965 - Telephone: 916/538-7541 APPLICATION -AND PERMIT PERMIT NO ASSESSOR p,AIE^ BER ZON IN BUILDING PERMIT OWNER f TELEPHONE O_ !. SQ. FT. DCC. BUILDING VALUATION I IN A RE n �O�WNR'S RACTR'S NAME TELEPHONE CONTRACTOR'S MAILING ADD ES " Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS - Filing Fee $ 10,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty BUILDING ADDRESS 1 nom,( /,.�� Permit fee !$ $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 iP 1, Each qas water heater or vent 5.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 5.00 SF ❑ Duplex❑ Mobilehome❑ Other.;�dZZ Building sewer 5.00 SPECIFY Mobile Home S I G I W 0.00ea TYPE OF WORK New ❑ Addition ❑ Remodel [:1Utilities [IInstallat` n❑ Other [J Permit Fee $ Describe work: �N. CIA Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6101 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW NEW CONST. ( DWELLING OCCUP.N) yz¢sgft I declare under penalty of perjury (Check one): OR ADDNS. .ACC. BLDGS. NEW CONSTR MULTI -OUTLET 2,50 ea ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business NON.RESID .BRA CH CIRC ITS /POWER APPARATUS e and Professions Code and my license is in full force and effect. (SINGLE OUTLET CIR. License No. Y Classification EX. OCCUp OUTLETS OR FIXTURES 5AL030 El 1, as the owner, or my employees with wages as their sole compen- EX. OCCUp. FIXED P OUTLETS (RESID )REA.� 1 2.00 ation, will do the work,and the structure is not intended or offered Temporary service 10.00 Zor sale. (Sec. 7044) Mobile Home Facilities 15.00 I, as the owner, am exclusively contracting with licensed contract- Misc. Wiring15.00 ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Permit Fee $ 00 Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): MECHANICAL PERMIT Filing Fee 10.00 ❑ The permit is for $100.00 (valuation) or less. Heating ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate Consent to Self -Insure. �f' Cooling l�J shall not employ any person in any manner so as to become subject Hood 3.00 to the W. C. laws of California. Ventilation 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 permit Fee = provisions or this permit shall be deemed revoked. Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee $ is correct. I agree to comply to all County Ordinances and State Laws relating Energy Inspection Fee $ to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. TOTAL PERMIT FEE $ I also agree to save, indemnify and keep harmless the County of Butte against OCCUP. CONST.TYPE SCHOOL PLOOD PARCEL NO ISSu all liabilities, judgments, costs, and expenses which may in any way accrue J I I against said County in consequence of the granting of this permit. c / ,Q' �� , `"ry This permit is hereby issued under the applicable provi- X i.% Date y sions of the Butte County Code and/or resolutions to do Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ work )kMcated al�ove for which fees have been paid. An OSHA permit is required for excavations over 5'0" deep'and demolition or construct- CTOR OF PUBLIC WORKS ion of structures over 3 stories in height. Receipt No. ! BY ,r' / p Date 1A'i/ o WHIT[-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT PERMIT EXPIRES Date ���7t��`�`�+i��^r�r..r1r<y"FLrr:f.�,.�t..iS�i..'�'..���y('_.w�,��M�.%'�t.✓.ti.y.�:..�1�!'t,+""•.av�r,sti'vi.'t:'!YYr4'i''`7s'ti`P'�,� ... ,n'1 .� .. .'.i .r aT COUNTY OF BUTTE - DEPARTMENT -OP PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 0— PERMIT =PERMIT APPLICATION DATA SHEET Permit No. OWNER A.�/Pj No. a,�'-'7 Proposed Building Use Building Inspector. ACL/ Date/ 6 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or Issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate/triplicate, signed by preparer of plans. _ 3. Complete plans in duplicate/triplicate, signed by preparer of plans. 4..•.RComplete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. School District "Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval -from _ Health Dept. . . 11. Planning approval for (A) Use: (B) Parking: . 12. Certificate of Workmen's Compensation Insurance. . . . . . 13—Contractor's License Information (no., name style, classif.) _14. Owner -Builder Verification (Given to owner❑, Mail to ownerE]) ; _ - _.__..._15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. .. • • • . . . . . . . Pre - Inspec. request to (Date) 17. Pre -Inspection for--,-.-- _. _. _ Required. Building Inspector 18, Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit, — j/20. Plot plan approvvall�fro City of - 22. f_22. _ -- When 9 I ue tt� e// �Permit, process as follows: Mail to owner; Mail to contractor - v u�e none�CiiG / and hold for pickup 0" office, Deliver w/inspector. Other '" Applicant��,�te Copy of plans sent Health Dept.; Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. —� 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone---nail_counter by date — Contractor, designer, owner, was advised c? above required data by_phone_mail'_counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy–DPW COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR aAF�P.,E^ BER L—,C/lly9 ZONING BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S 1I N�G A RE$SS� 7 29e CON RACTQR'S NAME (_ � G TELEPHONE CONTRACTOR'S MAILING ADD ES Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee Energy Plan Checking Fee A$. $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING AooaEss 65,Apgj,A 'n ' L Permit tee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 6%6 v Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[:]Mobilehome❑ Other-��`��" SPECIFY Gas piping system 1 - 5 outlets Gas 5.00 Building sewer 5.00 Mobile Home S I G I W O.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[--] Other ❑ Describe work: Permit Fee $ /z a Contractor ELECTRICAL PERMIT Filing Fee 10.00 v Main service e00V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ 1, as the owner, or my employees with wages as their sole compen- ation, will do the work,and the structure is not intended or offered or sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code� for this reason NEW CONST. DWELLING OCCUP.EI\/z¢sgft OR AODNS. ACC. SLOGS. / NEW CONSTR MULTI -OUTLET 12.50 ea NON.RE5I0 BRA CH CIRC ITS /POWER APPARATUS e) `SINGLE OUTLET CIR, 20050 Ex. Occup(OUTLETS OR FIXTURES 120 ALO 30t Ex. Occup. OUTLETS FIXED P(RESID )REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 tl Poermit Fee $ _il-s . C Contractor 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 Consent to Self -Insure. �f' l�J 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 Filing Fee 10.00 Heating Cooling Hood 3.00 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. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. / p� % /� % G "-�%G X `".4,C�7-sem✓ �� 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 over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ L, OCCUP, CONST.TYP[ ISCIIOOLIFLOODIPAPCELI PD ND I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC BY the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. 0 MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE - D!EPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE,^CALIFORNIA — 534-4541 f PERMIT NO. _q 9' 2 tom- `K k Address or location of mobilehome Owner's name Vic! n r TOwner's address S"+3•v n ,o Q V 1 Insignia or hud number 1�4 U f1 o L Q � (!2 T — T Manufacturer's name Serial number off V_..I.N. ����I (� 03 /1yYear of manufacture 7. (Official Approving Installation) (Date) t IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ? ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE- MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 5138 White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538=7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE W4 pr :37" OWNER T NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector Date_ `� �J COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541. 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE OWNER 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. Inspector Date_ 3, ' COUNTY OF BUTTE DEPARTMENT OFEPU1a0'C'WORKS t 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538=7541 747 Elliott Road, Paradise— Phone: 872-6307 _ CORRECTION,NOTICE,= 0 R � PERM1` 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 's matter, or need additional explanation, please contact this office immediately. r I✓ i ROOM WMAL, e_ s i i Inspector Date _ tt PERMIT NO. -f $- P, E(MH) PERMIT EXPIRES OWNER VICTOR WEBBER l CONTR. Owner ASSESSOR PARCEL 28-40—X S t LOCATION 656 Bangor PArk Rd, Bangor v V i 1 ,4 r• 4' y f } Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E r Temp. Gas Service Called PG&E JOB FINALED (Date) Signature = OK G= Not OK NotReaable dyMOBILE HOMES Date MOWLE HOME UTILITIES Plans OK except #'s kf Hing Requirements -Setbacks -Easements So' ; Special MH Support -Sketch Sewer; Location -129= II -C/0 -Concrete .r- ater; Locati -T - sement Needed (Sketch) Electricity; Location-Clearances-Grnd.:ZEH¢pmp-Concrete as; Location -Test -Wrap: / �L"ft. / /"Nat. or/f !Y'L"ft./ .-1" LPG 7. Utility Clearanc Card -B1 Dat - Card -131 Date Card -131 Date and -B1 Date Date 0 LEHOME INSTALLATION Plans OK except #'s ing Reg uire ants -Setbacks -Easements oting- pacing -Marriage Line s; MH s -Demand-Valve-Connector VT_Pectricity; MH Test -Crossovers -Breakers -Clearances Drain; MH Test -Fall -Flex Connector W 'ter; MH - e ulator-Connector ater anQ Se onnected-C/O to Grade -HD Approval Gas and Ele ' Tagged xits; Insp.-Sketch 0. Cert. of Occupancy Card -131 eJp Date3,_)/,Card-B1 Date Card -131 (NDat S_,Card-B1 Date MISCELLANEOUS #'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.-Connec.- Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Card -131 Date Card -131 Date Card -131 Date Card -131 Date 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, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panel boards- Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -131 Date Card -131 Date Card -131 Date Card -131 Date =OK o = NotRESIDENTIAL (Single and Duplex) - =Not Applicable ` _ Not Ready Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks; -Easements, Flood Slope --�-F , 45. Hangers, Post Caps Anchors-Connectgrs r . �' ,,yi;:2.;,F.tg.,;Main SQtIs�Steel EIeC Grnd -/ Ftg� Qepth- -- - - 46: CM6g Joist Rftr Ti s Purr flo B c truss SHthng.-Rfng:- �-- .-I 47-Fireplgge,Ties or�Type A=Flue-Fire (ace 7hroaf= learance- -"' _ ,e-$DcE d -4 Ftg.-,?,qrc/,,; (gQepth & xPt y.... Size ,tctionDraftqp-Ins: Baffles 5. Stemwalls, Main; Steel-Blockouts, Wrappedri2 _- - 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 50. Garage Fire Protection Framing 7. Slab; Steel -Wrapped 51. Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 52, Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10, Gas Pipe; Size -Anchors 54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 55. Siding -Nailing Veneer 12. Electric; Underground 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 57. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 58. Shear Walls; Nailing -Bolts 15. Insulation 59, Insulation-Walls-Clg. 60. Infiltration -Wal Is-Wndws Card -B1 Date Card -B1 Date Card -81 Date Card -B1 Date Card -81 Date Card -81 Date Card -B1 Date Card -131 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air�Baffle Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchors -Nail Protection 61. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 62. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 63. Furnace; Vents -Clearance -Comb. Air -Connector- s In Garage; Above Floor-Ducts-Mech. Protection 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes -Labels ` Card -81 Date Card -81 Date 67. Stairs & Rails _ Card -81 Date Card -B1 Date 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. Date ELECTRICAL (Permit) OK except. #'s 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 22. Fixture & Transformer Clearance -Ins. Protection 71. Elec. Outlets & Receptacles at Kit. Counter 23. Elec. Receptacles Spacing -Lights & Switches at Doors 72. Garage Fire Door; Swing -Landing -Closer 24. Size Boxes & No. of Conductors -Stapled 73. A.C. Duct in Garage -Damper 25. Romex Installed Close to Edge of Studs & C.J. 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 75. Plb., Elec. & Mech. Equip. Listed for Location 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 77. Insulation -Foam -Looked in Attic ❑ Yes 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 78. Guard Rails & Deck Construction -Post Caps 30. Service -Riser Conductors & Ground -Main Disconnect 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 31. Equip. Clearances Panels-Motors-Mech. Equip. 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑ No 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector 81. Stucco; Brown -Finish Card -81 Date Card -81 Date 82. A.C. Unit; Disconnect, Electrical, Plumbing Card -131 Date Card -B1 Date 83. Vents Above Roof; PIbg.-Appliance-Firep I. -Clearance to Openings. Date MECHANICAL (Permit) OK except #'s 84. Water Well; Disconnect, Electrical, Plumbing 34. A.C. Ducts Insulation & Support 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 35. Vent Fan; Exhaust above insulation 86. Ventilation throughout House 36. Condensate Drain & Overflow; Size & Grade 87. Glass Protection 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 88. Corrections from Previous Inpections 38. Attic Access & Platform if Furnace in Attic 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 9i, Energy Compliance Certificate -Other Certificates Card -81 Date Card -B1 Date 92. Roofing Certificate Card -Bt Date Card -131 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Date FRAMING (Plans) OK except #'s Card -131 Date Card -81 Date 39. Sills, Proper Material & Anchors Comments at Final: 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Header & Beam -Size & Bearing (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville. California 95965•- Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT N ASS O JPAgC L_NU R ZONI G BUILDING PERMI OWNED T LE- ON SO. FT. OCC. BUILDING VALUATION OWN R'S AILING D RES / CO Or NAME TELEPHONIE CO RACTOR'S MAILING ADDRESS Fireplace CONSTR CTION LENDER UNKNOWN Total Valuation is LENDERLENCERIS MAILING ADDRESS Filina Fee $ 1As Permit Fee $ ARC TECT OR ENGINEER LICENSE No. Plan Checking Fee $ AS, lot ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 naor Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PAR L MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 5.00 SF❑ Duplex❑ MobilehomeF7 Other Building sewer 5.00 SPECIFY Mobile Home S G W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Rf model q Utili I s Installation[]Other ❑ Permit Fee $ Describe work: IoI o I (� �L'i / i T 1 i��1 Contractor t 14) ELECTRICAL PERMIT Filing Fee 10.00 Main service eODV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW NEW CONST. DWELLING OCCUP.a` ADDNS. / , 20sq ft I declare under penalty of perjury (check one): OR ACC. SLOGS. NEW CONST R U TI.OUTLET 2.50 ea ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business NO N.RESID .BRA CH CIRCUITS APPARATUS al and Professions Code and my license is in full force and effect. (POWER SINGLE OUTLET CIR. / License No. Classification Ex. Occup�OUTLETS OR FIXTURES .200300 ewL030 [i /I. aS the owner, or my employees with wages aS their sole compen- FIXED APPLNS. OR Ex. DCCUp. OUTLETS (RESI D.) EA.) 2.00 sation, will do the work,and the structure is not intended or offered Temporary service 10.00 for sale. (Sec. 7044) ❑ licensed Mobile Home Facilities 15.00 owner, am exclusively contracting with contract- 1, a (Sete 7044) Misc. Wiring 15.00 ❑ I am exempt under Sec. Business and Professions Code -] . for this reason Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): MECHANICAL PERMIT Filing Fee 10.00 ❑ The permit is for $100.00 (valuation) or less. Heating ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate Consent to Self -Insure. Cooling g shall not employ any person in any manner so as to become subject Hood 3.00 to the W. C. laws of California. Ventilation 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 permit Fee $ provisions or this permit shall be deemed revoked. Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee $ is correct. 1 agree to comply to all County Ordinances and State Laws relating Energy Inspection Fee $ to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. TOTAL PERMIT FEE I also agree to save, indemnify and keep harmless the County of Butte against OCCUP. COHST.TTLTR;J PD NoJ 139 E all liabilities, judgments, costs, and expenses which may in any way accrue I against said County in consequence of the granting of this permit. —' X 'lCl�--- Date l % — This permit is hereby issued under the applicable provi- �r�Y 4�- sions of the Butte County Code and/or resolutions to do Signature of Applicant — Owner ga" Contractor ❑ Agent ❑ work indicated above for which fees have been paid. An OSHA permit is required for excavations over 5'0" deep and demolition or construct- D C PUBLIC WORKS ion of structures over 3 stories in height. / Receipt No. BY D to WHITE-D.P.W., TELLOW-ASSE330R, PINK -INSPECTOR. GOLDENROD -APPLICANT PERMIT EXPIRES Date t y • s _" COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION " 7 COUNTY CENTER DRIVE - OI,�OVILLEtCALIFORNIA 95965 - TELEPHONE: 916/538-7541 • PERMIT APPLICATION DATA SHEET r /l� Permit No. OWNER C to In o. f , Proposed Building Use— Building Inspector—W Date At time of permit application, I was advised the following data must be submitted prior to permit processing and:/or issuance: DATE RECEIVED APPROVED All items.have been submitte�'—� �. Plot plans in duplicatriplicate, igned by � preparer of plans. 3. Complete Plans in du iiira3e/ti licate, signed by preparer of plans. 4. Complete engineered plans and calcs, with Wet signature on plans. 5. Plans 'th Energy Design Compliance Statement. . . . . . 6. School District "Fees Paid." Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . , , , �Letter of signature authorizati -ft. . . . . . . . . Sanitation approval from V I - Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) _15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . Pre-Inspec. request t (Date) 7. Pre -Inspection for Required. Building Inspector 8. corded copy of Agricultural Acknowledgment Statement. 1 riveway Permit. 20. Plot plan approval from city of 21. Engineered trusses Jn duplicate (required prior to plan check). 22. W�you issue the perm t, 7,fo ess as follows: Mail to ner, Mail to contractor. Telephone— 19 and hold for pickup atfice, Deliver w/inspectfjY. "R Other AppIicant���� f1�,-{i44D`ate / I - 12/— Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to 1. Index permit for above items No. 2. Additional items required: it issyar, Ircle n w item not checked above). Contractor, designer, owner, was advised of above required data by_phone___jnaiI_✓ counter by date Contractor, designer, owner, was advised of above required data by—phone—mail— ter date Plans checked by Date Plans approved by° IDate r Sets of plans on hold in File cabinet AP folder Copy—DPW TO Buildincr Department FROM: , Environmental Health SUBJECT: Sanitation Clearance Clearance for bedroom mobile home. Other NOTE * * * YV Sanitarian l aDate Owner ULocation AP# Plan Approved for: Sewage Disposal _ C)IN Water Supply Hold final for: Water Supply Final clearance O.K. for: Water Supply Clearance for bedroom mobile home. Other NOTE * * * YV Sanitarian l aDate COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. �. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not)signed an app ication for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security Number . Date It— L4— NOTE: 4-- NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. Return Ito DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT Sect i.on '2t_-Tr1 of. the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to incon- veniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has establ .i shed agr i c u I Lural zones which have as a priority use for productive agricultural. purposes, and ry siclew ,; within sa i.d zones and on adjacent property should be prepared to accept such i nc �mvc u i c n� c or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of Califor.n.ia, desuribe(I ;is follows: �O� c- 4J'P Date: November 21, 1988 PROPERTY OWNERS: State of California) On this the 21st day of November 19 88 before nie, ) SS. the undersigned Notary Public, personally appeared County of Butte ) -------VICTOR E. WEBBER----------------------------------- ---- ------- -------------------------------------------------- ------ ANGELAD. MASTELO1TaC�I �1��`I��1�����/i�l�>S�Y�/ltd// X[] Proved to me on the basis NOTARY PUBLIC -CALIFORNIA ■ of satisfactory evidence. u Butte County to be the person f A l/whose nameVVY/ is NyCommission Expires Sept. 7,t990 subscribed to the within instrument and acknowledged that he _ o■■■■■■■■■■■■■■■■■■■■■■■■dlecuted the same for the purposes therein contained. IN WI'I'NI?tib WHEREOF, I hereunto set my hand and official seal.. Present A.P. No. �- Notary Public D. NASTEI0►M r —1 86-039566 88-039586 5Q,6,-0-3-9-566 pg-039566 R e c 7.00 F e e 7.00 Cash Recorded ' ` official Records County of Butte Candace 3. Grubbs \Rb G Recorder i 11:21am 21-Nov-88 DESCRIPTION: All that certain real property situate.'in the County of Buttes, State of California, described as follows*. PARCEL I -A: All that portion of the East half of I the West half.'Of-the South- east quarter of Section 29, Township*18 North, Range.5 East, M.D.B. & M., lying Northerly of the Bangor Park County Road, as the same existed January 1, 195.7.-_ PARCEL I -B: • k , { ' z, All that real property situated in the West one half of the West one half of Section 29, Township 18 North, Range 5 East, M.D.M., Butte County, California, and being more particularly ,described as follows: BEGINNING at the Northeast corner of the said West one half of the West one half, thence Southerly along the East line of the said West one half of the West one half South 01 deg. 07' 03" West, 1852.63 feet to the centerline of Bangor Park Road; thence North 00 deg. 25' 40" West, 585.81 feet; thence South 41 deg. 27' 49" West, 103.50 feet; thence South 78 deg. 16' 46" West, 44.67 feet; thence North 01 deg. 27' 19" East, 1352.12 feet to the North line of the said West one half of the West one half; thence Easterly along said North line North 89 deg.. 181, . 07." East, 118.44 feet to the point of beginning.,,*,. r. a AP #—Q OWNER N... W "\ e r PERMIT # 1-1� (a 19 - 8 9' MH UT IL. CLEARANCE DATE �L — INSPECTOR ELECTRIC GAS Support Struc. Compaction Test Re . vice :eLoad Other Type Pipe Size Len*jzth YES NO YESI NO A- Gar COdNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PFERMIT O. ASSESS R PAR, NU sjt Zo"' G ^' BUILDING PERMIT Ow E I- © r THS SQ. FT. OCC. BUILDING VALU TION OW R',gILIN ©RESS s r g�rJJ /w(/ CON CTOR'S AME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CON UCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 1000 LENDER'S MAILING ADDRESS Permit Fee $ ARCM T CT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRE s .�` (� Permit tee $ � PLUMBING PERMIT Filing Fee 10.00 Iq Each Trap 2.00 k54414%0 r Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME IVARCEL MAP Water piping 5.00 Each gas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] MobilehomeOther SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W0.00ea TYPE OF WORK New ❑ Addition ❑ odel f ) liti s (Inst 11 io Other ❑ Describe work: I_/�7 '� S 7_7 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service BOOV OR LESS 100 AMP OR LESS 10.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.61 , NEW A ULTII-OUTLET h2sgft CONSTR. NON.RESID .BRA CH CIRC ITS 2.50 ea POWER APPARATUS tr (SINGLE OUTLET CIR. Ex.00Cup(OUTLETSOR FIXTURES 2ALOt DL030 FIXED❑LINIS Ex. QCCUp. OUTLETS P(RES(D )REA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. fZ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: if after making this statement,should you becomesubject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 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 in consequeeJncceee of the granting of this permit. oe_.�._��"'— Date /`f� p; Signature of Applicant - Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE OCCUP. CON9T.TYPC JSC1IOOLJ FLoo PARCEL PD NDS uE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PE T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date �f 3- �� Receipt No. WNITE-O.P.W.. YELLOW-ASSC39OR, PINK -IN 9P LCTOR, GOLDENROD -APPLICANT • xrro�`:i'+° t,,,v .,5 ..' f tv.;_..', x ;"� J"' .. "tr ^�'''�i' .� r w� ..:-�+.-,,=^�.. �.;.-"W"i� r i� -:!'^F:+-v-_ t':..,e.: ,.-4. ' X77" 4 y .. -? �+ , r -r. _ r r , COUNTY OF BUTTE - DEPARTMENT OF PU90C WORKS - BUILDING DIVISION F 7 COUNTY CENTER DRIVE - OROVI�-LE, CALWORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET i Permit No. ' OWNER � A. P. No. n0 J Proposed Building Use/�� Building Inspectof 6 Date At time of permit application, I was advised the following data must be submitted prior to permit processing and:/or issuance: DATE RECEIVED APPROVED 1, All items.have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate. /triplicate, signed by preparer of plans. . 3. Complete plans in duplicate./triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. School District "Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ , , , , , , , 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. . . 11. Planning approval for (A) Use: (B) Parking: . 12. -Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner0, Mail to ownerE]) _15. Improvements may be required. . . , . , , , . , , . \. Mobi lehome Installation Data. — � �— Pre-Inspec. request to�� (Date) Pre -Inspection for Required. Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval from city of 21. Engineered trusses'in duplicate (required prior to plan check). 22. F When you issue the permit, process as follows: ail to owner, Mail to contractor. Telephone and hold for pickup at office, Deliver w/inspector. Other Applicant ate Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submittedfor to permit issuance: (Circle new 0 Index permit for above items No. // 2. Additional items required: n Contractor, designer, owner, was advised of above required data by_phone--inail—counter by Contractor, designe , own , was advised of above required data—by"—phone —mai I —counter btF Plans checked Sets of plans on hold in Copy—DPW Date Plans approved File cabinet AP folder date date Date above). 1. Owner's Name: 2. Installer's Name: BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541 MOBILEHOME INSTALLATION SHEET /tom !>1 ' 3. Is the site currently under permit? Yes No (If yes, furnish permit number Is the site an existing site? Yes 9 No OR 1 (I£ yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes ® No (If no, clarify G 5. What is the mobilehome electrical rating? --------------- lZW Amps 6. What is the mobilehome site service rating? ------------- ©C-3 Amps 7. What is the mobilehome site circuit breaker rating? ----- d Amps 8. Is there any other electric load to be served by the 'K No mobilehome site service? -------------------------------- Yes (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? -------------- in.) 3 (in.) Natural n LPG 10. What is the type of gas service? - - - - - - ------------- �} 11. What is the gas pipe length from meter or tank to the mobilehome?=-------------------------------------------- (ft.) 12. What is the mobilehome gas demand? ---------------------- tie�'�U) *(This information not required if pipe length less tha�)6k.1t. on natural gas or less than 50 ft. on LPG.) MOBILEROME SUPPORT DATA � If other than single wide, Mobilehome Mfr. 7 / C furnish Setup Model No. Year Width �g (ft.) Box Length__�_(ft.) Tagalong or Expando Size ft. x ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one)1.�Wood�-pres�streated or foundation grade. ❑ 2. Other (specify) SUPPORTS (check one)1. Concrete block.El2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE Line 1 Line 1 U' _ — — — _, _ — _ Main Beams ,� Line 2 Line 23 Line ne 2 "x "x 11"x Main Beams -----.___--- — • Line 2 Tag or Triple Line 1 Piers: Size-Min.------------ Spacing-Max - ----------- Spacing-Mux. --------- Fri m L'nds-Max.------- Line 2 Piers: Size -Min. ------------ 12 "x.3ii „ SpacJng -Max. --------- f �_ From bands -Max. ------- ' " I_ine-_1 W)of toads: 2Ofx 156 EtiO Size -Min .------------ Uw ation (From FronL) r Line 1 Line 1 Openings: Size -Min. ------------------ Each Side of Openings With Width Over --------- Line 3 Piers: (Under Bearing Wall Only) Size -Min. ------------------ "x ' Spicing -Max ---------------- From --------------From Ends -Max -------------- 4 Gli 1*02 .#Ae Advts .-. vae) � Line 4 Plers: Line 5 Piers: (Under Bearing Walls Only) Sizt--Min.------------ o Size -Min .----------------- k "x Spa. Jog -Max.--------- „ Spacing -Max,--------------- From Ends -Max. - From Ends -Max .------------- - Line 5 Hoof Loads: Size -Mil. -------------- LoCaLion ize-MLi.------------ LoCaLion (From Front) 09,OA" 9„ I,31thhoWl„ „ , /„x3d„ „x „ "x "x 11"x Zit'- ? 2V -1D yd' - Line 4 Plers: Line 5 Piers: (Under Bearing Walls Only) Sizt--Min.------------ o Size -Min .----------------- k "x Spa. Jog -Max.--------- „ Spacing -Max,--------------- From Ends -Max. - From Ends -Max .------------- - Line 5 Hoof Loads: Size -Mil. -------------- LoCaLion ize-MLi.------------ LoCaLion (From Front) "x "x "x 11"x ,, •$T IOIb��Zbl � �� , 1 • I . 1_ • 3�le 1\n10 5 NOTES: $EE CONST. S►EC'S.{SNT. 21 FOR REFERENCE DETAILS DIVISIONS O 89' ►; 1�-IF «1-C - 111 3.. a X ► 113 .3 E1 YkP+� 1'O�►Ei. (►YJ-1�-12 O2(YX>- Y "iL �� 4lfr'IM Af f'• (jCi7 K-q(d� t! D 33! SS3 131 328 $91 DRN. y,s, IND ZONE •z CK'D. 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