HomeMy WebLinkAbout007-260-023I g BERRY777
577 Ito. ne, Chico
- ELEC /ob A "A
ContreAth s� vei Homes, Y.C.-
Permi 6N1HI (existing -site)
IQs � •..1 U � ��_
7-26-23 92-914.'BPEM
PAUL, Arliss
77 �Tro LN Chico �l 5vr
5 y, �;
new guest House '
B07-0843 007-260-023 ,.
.RESIDENTIAL SFD-Mobile Home RET . v.
:-.EX MH PERM FNDt�
577 TROY LN �Ml— ��'fr0'7
�`
ESTRADA, SALVADOR & MONICA
I
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C) E� rorJ
BUTTE COUNTY AREA
DEPARTMENT OF DEVELOPMENT SERVICES 4
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: B07-0843 Issued: 4/20/2007
Address: 577 TROY LN Area: CHICO
Owner: ESTRADA, SALVADOR JAPN: 007-260-023
Applicant: GERALD GLEN DOREMMap Page: 13 O -y '
Permit Type: SFD-Mobile Home RET �t�f
Description: EX MH PERM FND _511 - C7 -7' f j
Flood Zone: None SRA Area: No
SETBACKS
Front Setback: Side Setback:
Rear Setback: Other Setback:
Minimum Setback From Centerline of Street:
ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING
1
Inspection Type
IVR INSP DATE
Setbacks
132
Foundations / Footings
111
Pier/Column Footings
122
Grade Beams
114
Eufer Ground
216
Forms/Steel/Holdowns
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
Shearwall/B.W.P.-Interior
135
ShearwallB.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 Sprinkler 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
Inspection Type I
IVR 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 J C - 0-vo
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: (�
7
Length x Width:
i
Insignia:
Public Works Fina
538-7681
Fire Department/CDF
538-7111
Env. Health Final
538-7281
Sewer District Final
"PROJECT FINAL
801
-rru,ecL rHUH 15 a %_Cruucate ui occupancy lur krtrswenual vruy) /
PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE. IF WORK HAS COMMENCED, YOU MAY PAY FOR A I YEAR
RENEWAL 30 DAYS FRIOR TO EXPIRATION
Inspector Copy
L
.. COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES x
7 County Center Drive - Oroville, CA - (530) 538-7541
CORRECTION NOTICE
-4::�'7
OWNER
PERMIT
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please call for re -inspection when correction of
work is completed. If you have any questions pertaining to this matter, or need additional
explanation, please contact the Building Inspector as indicated below.
L,
Date —(–
REV 4/05
Inspector
Phone #
FOR RE -INSPECTION CALL: 538-7636 OR 891-2834
s;
t;
7!.
k
Date —(–
REV 4/05
Inspector
Phone #
FOR RE -INSPECTION CALL: 538-7636 OR 891-2834
s;
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
GERALD GLEN DOREMUS GERALD GLEN DOREMUS Building Garage Remdl/Addn
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
DBMSC Mobile Home
$219.96
$329.94
LICENSED CONTRACTOR'S DECLARATION
Contractor (Name) I State Contractors License No. / Class / Expires
GERALD GLEN DOREMUS 445103 / C47 / 8/31/2007
I HEREBY�NDER PENALTY OF PERJURY-th licensed under provisions of Chapter
(comm mg wi ection 7000) of Division 3 of the Business a Professions Code, and my license
risen f I force and a ct.
4/20/2007
Date
I / WORKERS' COMPENSATION DECLARATION I
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.
❑I HAVE 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: Policy Number: Exp. Date:
(This section need not be competed if the permit is oris or on�dreddodollars ($100) or less.)
2/1CERTIFY 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'
compo ion rovisions of Section 3700 of the Labor Code, I shall forthwith comply with those
X
4/20/2007
5ignatur Date
WARN I : FAIL E TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND S ALL SU ECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
HND ED THO SAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION,
DAMA ES 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
Total Charged: $549.90 Fees Paid: $549.!
Balance Due: $0.00 Receipt No: B27;
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 Contractors 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 Contractors 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.).
E1, 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:
Owner's Signature
4/20/2007
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 acknowledge that issuance of this permit does not authorize the
use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte
to enter the above mentioned property for inspection purposes. I hereby certify that I am the
prop owner or am author ed tc acWn the property owner's behalf.
/2-X7 0d.61/ S 4/20/2007
Owner I yCOntractor 0(�, r Agent for Owner Agent for Contractor
FILE COPY
PROJECT INFORMATION
Site Address:
577 TROY LN
Owner:
Permit No: B07-0843
APN:
007-260-023
ESTRADA, SALVADOR & MON
Permit type:
RESIDENTIAL
PO BOX 8814
Issued Date: 4/20/2007 By GLB
Subtype:
SFD-Mobile Home RET
CHICO, CA 95927
Expiration Date: 4/19/2008
Description:
EX MH PERM FND
Occupancy: Zoning: RT1
GERALD GLEN DOREMUS GERALD GLEN DOREMUS Building Garage Remdl/Addn
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
DBMSC Mobile Home
$219.96
$329.94
LICENSED CONTRACTOR'S DECLARATION
Contractor (Name) I State Contractors License No. / Class / Expires
GERALD GLEN DOREMUS 445103 / C47 / 8/31/2007
I HEREBY�NDER PENALTY OF PERJURY-th licensed under provisions of Chapter
(comm mg wi ection 7000) of Division 3 of the Business a Professions Code, and my license
risen f I force and a ct.
4/20/2007
Date
I / WORKERS' COMPENSATION DECLARATION I
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.
❑I HAVE 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: Policy Number: Exp. Date:
(This section need not be competed if the permit is oris or on�dreddodollars ($100) or less.)
2/1CERTIFY 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'
compo ion rovisions of Section 3700 of the Labor Code, I shall forthwith comply with those
X
4/20/2007
5ignatur Date
WARN I : FAIL E TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND S ALL SU ECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
HND ED THO SAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION,
DAMA ES 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
Total Charged: $549.90 Fees Paid: $549.!
Balance Due: $0.00 Receipt No: B27;
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 Contractors 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 Contractors 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.).
E1, 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:
Owner's Signature
4/20/2007
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 acknowledge that issuance of this permit does not authorize the
use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte
to enter the above mentioned property for inspection purposes. I hereby certify that I am the
prop owner or am author ed tc acWn the property owner's behalf.
/2-X7 0d.61/ S 4/20/2007
Owner I yCOntractor 0(�, r Agent for Owner Agent for Contractor
FILE COPY
it
51
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
Xi2 Ground System
Fro - b �q�>
BUTTE COUNTY
BUILDING DIVISION
APPROVED
ipl_ /——'
Xi2 Concrete System
Engineer Approval
State Approval
MANUFACTURED HOME/MOBILE HOMO
FOUNDATION SYSTEM
ABALTH AND SAFETY CODE, SECTION 18551
APPROVED
SWURCT TO CORRECTIONS NOTED
APPROVAL DOES NOT AUTHORIZE OR APPROVE ANY
QWSSIGNS OIL DEVIATION FROM REQUIREMENTS OF
APPLB:ABLB STATE LAWS AND REGULATIONS
Stift of Celifomis
Daps mew of How -4 ComMw* Dmbpmed
,- (W COQSS AND STANDARDS _
Page 1 of 8 0
LO
.......... ... ...... ......._ o
o
0
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. ®V �
* Xi2 components exceed HUD code 3280.306g "Anchoring equipment exposed to weathPing 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
Lo
TIE DOWN ENGINEERING - 5901 Wheaton Drive Atlanta GA., 30336
0
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
Installation of Xi2 Ground Systems
Identify the number of systems to be used on the home using the chart provided.
Identify the location where the systems will be installed.
Clear all organic matter and debris from the pad site.
Place U -bolts through holes in pan provided.
Place pad centered under beam with the lateral strut bracket towards the inside of the home.
Press or drive pan into ground until level and flush with prepared surface.
Build pier according to State, Local or Home Manufacturers guidelines.(Fieure 1)
Attach the end of the smaller tube to the inside of pan using U -bolt & nuts provided
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)
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)
1-3/4" Tube
Lateral Struts
° 1-1/2" Tube
4-#12x1"
Tek Screws
Figure 1
rn� 0
f N°me
U -Bolt & mounting
Bracket
0
J -Bolt Nut & Washer
1 Ad
Strut
(flag end)
1 -Beam 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
`DOWN'
ENGINEERING '
m
0
LO
0
0
0
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"
o C)
LA
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
aam>15
Page 4 of 8
0
�. `D
0
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. (F►eur,e 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 clamp and attach with nut & bolt. Attach opposite end to concrete bracket.
10. Pull the frame bracket clamp with fastened strut outward to remove arur slack...,
11. Tighten all nuts and bolts on system.
SPf} «1—F �ti�Ia
Page 5 of 8
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
V 9 v 1
oa
Concrete Longitudinal
Hardware Kit
d of N°t'e
�n
Xi2 Installation Placement
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
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
®>. Y 45
Page 7 of 8
Hardware Breakdown
#59329-1 Hardware for 59306 Lateral System
1
84533Z
U -Bolt 1/2-13 x 2.63 x 2.19 thread
4
59272-2
1-3/4 zinc
4
10556
Tek Screw #12 x 1"
1
10631Z
J Bolt 1/2 x 5-1/2 grade 5 zinc
2
10640
Push Nut 1/2
1
12107
Flat Washer 1 x2" SS
1-
10646Y
Hex Nut 1/2-1.3 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 1-1/4
4 10801
Full Thread
10
10646Y
Hex Nut 1/2-13 grade 5 zinc
2
10801
Carriage Bolt 1/2-12 x 2-1/2
1 84533Z
U -Bolt 1/2-13 x 2.63 x 2.19 Thread
Grade 5
2
84533Z
U -Bolt 1/2-13 x 2.63 x 2.19 thread
2 10519
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
4 10801
full thread
5 10646Y
Hex Nut 1/2-13 Grade 5 zinc
1 10801
Carriage Bolt 1/2-12 x 2-1/2
2 10801
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
4 10801
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
1 59315-1
Full Thread zinc
12 10646Y
Hex Nut 1/2-13 Grade 5 zinc
4 10801
Carriage Bolt 1/2-13 x 2-1/2
4 10926
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
TIEh
`DOWNz-.
ENGINEERING
0
0
0
0
04/192007 11:07 JEFFRIES LYDON 4 8951774 NO.075 P005
APR -16-2007 07:09P FROM:PAYIESS SEPTIC (530) 995-1167 TO:8795514 P•,5 I
STATE OF CALWORNIA • DEPARTMENT F HOU NG A COMT Y DEWLOPKV
RE Decal No_ LAJ5111
�. manufartwed Home
Pram Name II Modd Dom 5bli,2005
Exp I
My�m,fxtunrlDAVarea 08I09H9B9
09SM F1.WM000 Fit M SANDALWOOD 4aM
Serial N�her tip Hp Number we4ot tmmtll WEdth SPSCC9 T
CAL391249 24.000 80' 14' D
CAFLsw2AGZ3170%l7 CA M1250 19,500 w t4'
r,ARSW2BG23170B917 i
al Fees
51
Addressee
SALVADOR ESTRADA
PO BOX 8814
CHICO, CA 95927
Roost®red Owner(s)
SALVADOR E$TRADA
MONICA ESTRADA
Joint Tenants with Right of Survivorship
PO BOX 8814
.CHICO, CA 95927
Situs Address
5T7 'TROY LN
CHICO, CA 95926-0315
V4PONTANT
TSL OWNERINp'ORUA7LON SHOWN ABOVE MAY
�IVT GAINS TSI DESCIt1lBED UNIT.. '
DEPARTMENT OF'HOUSING AND COMMUNITYDLYBI,OP
TgE CUgRENT TITLE STATUS OF THE UNIT MAY BE CONTMWD THROUGH THE DEPARTMENT
1
I.
a
V4PONTANT
TSL OWNERINp'ORUA7LON SHOWN ABOVE MAY
�IVT GAINS TSI DESCIt1lBED UNIT.. '
DEPARTMENT OF'HOUSING AND COMMUNITYDLYBI,OP
TgE CUgRENT TITLE STATUS OF THE UNIT MAY BE CONTMWD THROUGH THE DEPARTMENT
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
OFFICE #: (530) 538-7541 FAX #: (530) 538-2140
A FEE WILL BE REQUIRED AT TIME OF APPLICA TION \ 1
Website: www.buttecounty.net/dds \ 1
"PLEASE PRINT CLEARLY"
OWNER INFORMATION
Last Name
First NameS
Mailing Address
City I G
State �+�
Zip
Phone
Fax
E-mail
APPLICANT INFORMATION
CONTRACTOR
Name
/v c
Address
O_ X / -1--
City
a
State
Zip
-37922
Phone
`�
Fax
E-mail
Lic. # f
Y_57�03
Class
APPLICANT INFORMATION
ARCHITECT/ENGINEER
Name
City
Address
Zip
City
Fax
State
Zip
Phone
Scl FT- Living Garage
Fax
E-mail
State License Number
APPLICANT INFORMATION
Name
Address
City
State
Zip
Phone
Fax
E-mail
PERMIT
NO.
. 6� .
U
BIN #
PROJECT LOCATION
AP# d . 2 4O - az3
Property Address
City —
L
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:
CX a'
�YOI�G✓!
Flood Zone
SRA
I Yes No
Occ.
Type Const.
Scl FT- Living Garage
Open Cov
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
For office use only:
Zoning
Flood Zone
SRA
I Yes No
Occ.
Type Const.
04/19/2007 11:07 JEFFRIES LYDON 4 8951774 NO.075 P006
PPR -16-2007 07:09P FROM:PAYLESS SEPTIC (530) 695-1167 TD:8795614 P.6
Addressee
SALVADOR ESTRADA
PO BOX 8814
CHICO, CA 95927
I�
»
mow
ME
Registered ' 11
SALVAi�O Ri
MONICA
Joint Te with
PO BOX 4
CHICO. _ . 95927
Situs, oressg
577 "`I LN
CHIC& -A .95926-031
VNI
IMPORTANT
THE OWNER INFORMATION SHOWN ABOVE MAY NOT REFLECT ALL LIENS RECORDED WTM THE
DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT AGAINST THE DESCRIBED tMIT-
THE CURRENT 17TLE STATUS OF THE UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT.
DEPARTMENT OF HOUSING AND COMMUNM DEVELOPMENT
STATE OF CALIFORNIA -
C19RTIFXCATE OF TITLE
Manufactured Home
Decal No, LAJ9111
�� ManufecdlrerlDlName
- Trade Name Model
DOM OFS RY E�rp.Dare
o959a FLEETWOOD HAA INC
SANDALWOM 46Me
Oel0311986 pi/03H9ti8
Serial Nloeber
LabeUlnslgnia Number Weight Lerrgttl
Width SPC SCC Exempt Use TY"
r,AFL,sWZAt;z3,7�9,T
cat33tz4e 2a,000 so'
1a' oa SFo LPT
CAFLSW28Gz311706917
CAt 33tzso ,s.5o0 �'
ta'
Issued Total Ows Paid
1
Feb 11, 2005 $125,00
Addressee
SALVADOR ESTRADA
PO BOX 8814
CHICO, CA 95927
I�
»
mow
ME
Registered ' 11
SALVAi�O Ri
MONICA
Joint Te with
PO BOX 4
CHICO. _ . 95927
Situs, oressg
577 "`I LN
CHIC& -A .95926-031
VNI
IMPORTANT
THE OWNER INFORMATION SHOWN ABOVE MAY NOT REFLECT ALL LIENS RECORDED WTM THE
DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT AGAINST THE DESCRIBED tMIT-
THE CURRENT 17TLE STATUS OF THE UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT.
04/19/2007 11:07 JEFFRIES LYDON 4 8951774' NO.075 0002
CF:NNIRY21 FA006/01.4
10/25/06 14-54 FAX 530 894 7641 BTEC CUSTOMER SERVICE ,--�
��_ � `J �IIIIIIlI11�i111�111�iIID�� � ..
RECORDXNG REQUESTED Sy (Y
�
Mid Valley Title A ESCM COMM Y\`lC
AND WHEN RKCORDED MAIL TO;
sahrador Estrada and Monica Estrada
577 Troy Lane
Chico, CA 95926
A.P.N.: 007-260-023-M
Resardw .
I FEC FM 13.00
Official Records
1 TAX 143. k*
w`
C,AmmAm J. 60139
1
ROWRY II�St)N
1
Assistant
I Lisa
091aml'lbl 19 -Jan -2015
1 Page 1 of 3
AeMr01S un@ %r neCWdWS Use"
F1% No.: 0401.16M4 (DH)
GRANT -DEED
ft unde*md Grw*s) mam(s): ARY TWsF% TAX 403 416 U4AnsFM YAX $W,,
surra mmim arr "% $
X on ftmoerafflar rut VAX of pmp" =waved, OR
t ] ca % oed on the cons�w&n a m value less value of � and/ar e^w�br�"0� rem*" ! time or see.
x ] uNncnrpora00.d area/ I 1 �f► �,
FOR A VALUABLE CONSmERA1i0N, receipt of which IS hereby acknowledged, isela Romero, who acquired
t le as Uela Maldonado and Huber Romero, wife and husband
hereby GRANTS tD Salvador Estrada and MOnIG8 Estrada, husband and-wKe as Joint tenants
the folaMng desrribe>i Pr'opu y in the unInwrporaWd area of , Cou* of gulte, State of Caltfornia:
PARCEL. is
A PORTION OF LOT 7, AS SHOWN ON THAT CEttTAIN MAP ENTITLED. °HOBART
SUBOMMON OF ne DANIM 9XDWEti RANCHO-, WHICH MAP WAS FILED IN THE OFFICE
OF THE 1904, IN BOOKp4 OF MAPS, A 24, AND MORE PARTR OF TW COUM OF SUTFF, STATE OFICO YMDON EA 7,
EULARtSCRIBED
FOLLOWS`
Mag Taos 9&merO To: SAME AS ABOVE
04/19/2007 11:07 JEFFRIES LYDON 4 8951774
BTEC CL`STOKyR S2RVICE
10/25/06 14:55 FAX 530 894 7647
A -P -M : 007-260-023-000
Grant Deed - continued
NO. 075
CENVRY21 IA 007 / 014
File No.:8401-1683274
(DH)
Date: 01/1212005
COMMENCING AT THE MOST EASTERLY CORNER Of SAID LOT 7, SAID POINT BEING IN THE
CENTERLINE OF GODMAN AVENUE; THENCE NNORTHWEMf-Y ALONG THE NORTHEASTERLY
LIM OF SAID LOT 7 AND THE CENTERLINE OF SAID GODMAN AVENUE, A O TANCE OF
1Zp FEET To we MOST NORTHERLY CORNER OF THAT CERTAIN PARCEL OF LAND
DESCRIBED IN DEED FROM ROY 0. LEDFORD, ET UK, TO THOMAS A. GODLEY, ET UX, DAM
JANUARY 21f 1964 AND RECORDED JANUARY 31t 1964, IN BOOK 1294 OF OFFICIAL
RECORDS, AT PAGE 1071, RECORDS OF BUYTE COUNTY, CALIFORNIA; THENCE
SOUTHWESTERLY ALONG THE NORTHWESTERLY LINE OF SAID.GODLEY PARCEL A
DIVANCE OF 2S4A FEET TO THE MOST WESTERLY CORNER OF SAID GODLEY PARCEL AND
THE TRUE POINT OF BEGINNING FOR THE PARCEL OF LAND HEREIN DESMBM, THENCE
FROM SAID POINT OF BEGINNING, CONTINUING SOUTHWESTERLY AND PARALLEL WITH
THE SOUTHEASTERLY LINE OF SAID LOT 7 A DISTANCE OF 80A FEET; THENCE
SOUTHEASTERLY AND PARALLEL WITH THE SOUTHWESTERLY LINK: OF LOT 71 A DISTANCE
OF 176 FEET TO A POINT ON THE SOUTHEASTERLY LINE OF SA10 LOT 7; THENCE
NORTHEASTERLY ALONG THE SOUTHEASTERLY LONE OF LOT 7 A DISTANCE OP 89.0 FEET TO
THE MOST SOUTHERLY CORNER OF THAT CatTAIN PAKCEL OF LAND DESCRIBED IN DUO
FROM AUGUST L BECK, ET UX, 70 30"N D. RIC MDSON, AN UNMARRIED MAN, DATED
AUGUST 18, 1965 AND RECORDED AUGUST 25,19651 IN BOOK L"? Of OFFICIAL RECORDS,
AT PAGE 543, RECORDS OF BUTTE COUNTY, CWFORNIA; THENCE NORTHW W RLY ALONG
THE SOUTHWESTERLY LINE OF SMD RICHARDSON PARCEL A DISTANCE OF 108 FEET TO
THE SOUTHEASTERLY LINE OF AFOREMENTIONED GODLEY PARCIL,; THENCE
SODLEY PARCEL, A OLSTANCE
UTHWESTERLY
9�,0 FEET, MORE OR LESS, TO THE MOST SOUTHERLY CORNER F SAID GODLEY PARCEL;
TH9NCE NORTHWESTERLY ALONG THE SOUTKWWESTERLY LINE OF SAID GODLEY PARCEL, A
DISTANCE: OF GLO FEET TO THE POINT OF BEGINNING -
PARCEL. II%
A RIGHT OF WAY FOR ROAD PURPOSES OVER THE FOLLOWING bE9MBED PARCEL OF
LAND:
COMMENCING AT THE MOST EASTERLY CORNER OF LAT 7, AS SHOWN ON THAT CEEKTAIN
MAP ENTITLED,-HOBART SUBDXI/ISION OF THE DANIEL BIDWELL RANCHO", WHICH MAP
WAS FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BU1rTE, STATE OF
CALIFORN M ON NOVEMBER 711904, INN BOOK 4 OF MAPS, AT PAGE 24, SAID POINT BEING
IN THE CENTERLINE OF GODMAN AVENUE•, THENCE NORTHWESTERLY ALONG THE
NORTHEASTERLY LINE OF SAID LAT 7 AND'YHE CENTERLINE OF SAID GODMAN AVENUE, A
DISTANCE OF 176.0 FEET TO THE MOST NORTHERLY CORNER OF THAT CERTAIN PARCEL OF
LAND DESCRIBED IN DEED FROM ROY O. LEDFORD, ET U7, TO THOMAS A. GODLY, ET UX,
DATED JANUARY 21,1964 AND, RECORDED 7ANUARY 31,1964, IN BOOK 1294 OF OFFICIAL
RECORDS, AT PAGE 107, RECORDS OF BUTTE COUNTY, CALIFORNIA AND THE TRUE POINT
OF BEGINNING FOR THE PARCEL OF LAND HEREIN DESCRIBED; THENCE FROM SAID TRUE
POINT OF BEGINNING SOU'1HWESIERLY AND PARALLEL WITH THE SOUTHEASTERLY LINE
OF SAID LOT 7 A DWANCEE OF 33.4.0 FEET; THENCE NORTHWESTERLY AND PARALLEL. WM
THE SOUi?NWESTE RLY LINE OF LOT 7, A DISTANCE OF 60 FEET; THENCE NORTHEASTERLY
AND PARALLEL WITH THE SO"HMMERLY LINE OF SAID LOT 7, A DISTANCE OF 334.0
FEET, MORE OR LESS, TO THE NORTHEAST cRLY LINE OF LOT 7, BEING ALSO THE
CErMRLIPIE OF GODMAN AVENUE,' THUKZ SOUTHEASTERLY ALONG THE NORTHEASTERLY
LINE OF LOT 7 AND THE CENTERLINE OF GODMAN AVENUE A DISTANCE OF 60 FEET TO THE
POINT OF BEGINNING.
04/19/2007 11:07 JEFFRIES LYDON 4 8951774 NO.075 P004
10/25/06 14:55 FAX 530 894. 1647 BTEC CUSTOMER SERVICE CPNVRY21 IM008/014
Grant Deed - continued File No.:0401-163274
A.P.N.: 007-260.023-000 (DH)
nabs: 01/12/2005
Dam: _011121M
Huber Romero
ZppS befot+e
Oil �,LS. limn*
me, '�
appearedRnMece-N CIS"A 'on -
personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose
name(s) Ware subscribed to the within instrument and admwledged to me that he/sheMmV e�mt+ed the same
in hlslher/their authorized capadbl(ies) and that his/her/tt+eir slgnatiu�e(s) on the in trurn ttt the person( ) or the
entity upon behalf of which the persons) acted, executed the instrument.
wITNESs my hand and offKW seal.
My commission EOres:..�
Notary Name:
Notary Registration Number:
This area f0r Oftiv
notarial seal
Notary Phone:
County of Principal Place of Business"_ -
414499M '
Wte" pubt� . CddO w
We C.o1�ty•Q 'W
4
COUNTY OF BUTTE -,DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Orouiltb,-California 95965 - Telephone: 916/538-7541 92-915
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
7-26-23
ZONING
RT 1
BUILDING PERMIT
OWNER
TELEPHONE
43-4074
SQ. FT. OCC. BUILDING VALUATION
480 M 8,640
OWNER'S AI MAISS LING ADDRESS
2983 SANDY DRIVE CHICO 95926
CONTRACTOR'S NAME
TELEPHONE
OWNER
CONTRACTOR'S MAILING ADDRESS
Fireplace
•`
CONSTRUCTION LENDERUN
N W
Total Valuation $ 8.640
LENDER'S MAILING ADDRESS
Filing Fee
$ 15.00
Permit Fee
$ 90.00
ARCHITECT OR ENGINEER
LICENSE NO.
Pian Checking Fee
$ 45.00
Ener Plan Checking Fee
Energy g
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$ 150.00
PLUMBING PERMIT
Filing Fee 15.00
Each Trap
2 5.00 10,00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
7.00
Each qas water heater or vent
7.00
USE OF STRUCTURE
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
SF ❑ Duplex❑ Mobilehome❑ Other SHOP
Mobile Home S I G I W
@ 15.00
SPECIFY
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Permit Fee
$ 47.00
Describe work: SHIP _
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 200AORLESS
18.50
Main service 200ATO1000AI
37.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (Check One):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
NEW CONST.(DWELLING OCCUP.&)
ACC. BLDGS. /
NEW CON5TR ULTI.OUTLET
NON•RESID BRANCH CIRCUITS)
(POWER APPARATUS 6
(SINGLE OUTLET CIR. )
Ex. Occup(OUTLETS OR FIXTURES
3.6asq.ft.
@ 5.00
20 @ 7i
as the owner, or my employees with wages as their sole compen-
FIXED APLNS.I,
Ex. OCCUp. OUTLETS PRESID IREA.)
I 3.00
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)
Temporary service
Mobile Home Facilities
Misc. Wiring
g
15.00
15.00
'15.00
❑ I am exempt under Sec. , Business and Professions Code
for this reason
Permit Fee
$ 31.80
—
WORKMEN'S COMPENSATION INSURANCE
Contractor
I declare under penalty of perjury (check one):
MECHANICAL PERMIT
Filing Fee 15.00
❑ The permit is for $100.00 (valuation) or less.
Heating
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
Cooling
® 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.
Hood
Ventilation
Permit Fee
Contractor
6.50
$
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
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.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ CONST TYPE TOTAL FEE $
HAz DFEES IMP FLOOD coF PARCEL PD HD IssuE
X 7 -�- �<t Date . Ja - 9Z
This permit is hereby issued under the applicable provi �
�(
Signature of Applicant — Owner lel Contractor ❑ Agent ❑
sions of the Butte County Code and/or resolutions to do
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
work indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
Receipt No. ]Q9839 75 On
WHITE-D.P. W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
By
PERMIT EXPIRES Date
Date
y �. -a .. .�; �'' � - i. F97i a .,�� is �[ t � .a..'',_ �
7
r __ �
:� A41j
_ �
qa _ Qi � �✓
,�--- � �
��
�����
�;
'!�
��
� ��
�'�.
��� �
�,�-
1 ����
'� �0 ��
I�
/CJiG��`
�I ����
.�� �A
Gi�
COUNTY OF BUTTE - DEPIAR NT"OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET
Permit No.
OWNER (, �lil7 �!! (/ C,� A. P. ^ Z C 23
Proposed Building Use'?1 f Building Inspector 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/tr,ipliicpt, signed Pfy preparer of plans ........
3. Complete plans in duplicgte%triplicate.�signed by preparer. of plans . .
4. Complete engineered plans ands, afcs, with wet signature on plans . .
5. Hazardous Material Form ... ........................................
6. Energy Design Compliance and supporting documentation .
% 7 —7, Statement of In.tenf'for Non Heated and AC Buildings ..............
,8. E6gineered truss�details'and day Gttjin+duplicate�(required prior to plan check)
4C0.
obilehome installation data including manufacturer's installation
structions .....�. ;
-80
�.................................. .
ees of $- ........................
hico Urban Area fees paid .......................................
Parkfees paid ....................................................
': � School District fees paid ..............
4�1 Sanitation approval from Health Department
City of Chico plumbing permit .....................................
16. Plot plan and business �I.4ense approval from City of
(see City fo9'ot�regi:firernent's)�--
' 17. Planning approval for'(A) Use: (B) Parking:
18. Improvements may be required. Contact Land Development Section DPW,-
19.
PW,-
19. Driveway permit (construction approval required prior to occupancy)
20. Pre -Inspection for required Pre-inspec. request to
Building Inspector (Date)
21. Contractor's license information (No., Name Style, Classifications ...
22. Certificate of Workmans Compensation Insurance ..................
23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .....
24. Recorded copy of Agricultural Acknowledgment Statement .........
Letter of si na ure authorization
popo
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver w/inspector.
Other
01
Applicant_//U rte Date .�
Copy of .Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent _Health Dept. Fire Dept. Other Date By.
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.— 9b0 'S ALL- Z?,c� -//),/ 9,u,Asr , ?AoL zr,,--
2. Additional items required:
Contractor, designer, <wnDwas advised of above required data by ✓phone__jnail_counter by.l� date
Contractor, designer, owner, was advised of above required data by—phone _mall—counter by date
Plans checked by
Sets of plans on hold in
Copy—DPW
Date Plans approved by
File cabinet AP folder
Date
COU`tTY OF BU7;"!: - Oeoarcmenc of °ub L is t;o rks
7 County Canter Drive, Oroville, CA 9,963 Phone: K6-538-75µ1
OWNER -BUILD ER VERIFICATION
attention Property Owner:
An 'owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return chis 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)
00
2. I (have/have not) '.y�,"e, signed an application for a building permit
for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construction:
Name
Address City
Phone Contractors License No.
4. I plan to provide portions of this work, but I have hired the following person
to coordinate, supervise, and provide the major work:
Name
Address Cicy
Phone Contractors License No.
S. I will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated:
Name Address Phone T;�pe of Work
Signed:
Property Owner �
Social Security Number r
Date 4y%��
DOTE: 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-
mitced to issue the permit.
COUNTY OF BUTTE —DEPARTMENT OF PUBLIC WORKS
• 7 County Center Drive - Oroville, California 95965 - Telephone: 91605587541
APPLICATION AND PERMIT
PERMIT NO.
92-914
ASSESSOR PARCEL. NUMBER
7-260-023
ZONING
RT 1
BUILDING PERMIT
OWNER
ARLISS PAUL
TELEPHONE
343-4074
SQ. FT. OCC. BUILDING VALUATION
496 R 2-5-,2-96
OWNER'S MAILING ADDRESS
2983 SANDY DRIVE CHICO
24 C 312
CONTRACTOR'S NAMEV
OWNER
T LEPHONE
200 M 3,600
CONTRACTOR'S MAILING ADDRESS I
Fireplace
CONSTRUCTION LENDER VUNKNOWN
Total Valuation $ 29,208
Filing Fee
$ 15.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 242.50
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 121.25
Energy Plan Checking Fee
$ 20.00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
577 TROY LANE CHICO 95926
Permit fee
$ 398.75
PLUMBING PERMIT
Filing Fee 15.00
Each Trap
5.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
7.00 7.00
Each qas water heater or vent
7-001 7.nn
USE OF STRUCTURE
Gas piping system 1 - 5 outlets
5.00
SF [3 Duplex E] Mobilehome❑ Other
Building sewer
15.00 1
Mobile Home S I G I W
@ 15.00
SPECIFY
TYPE OF WORK
New[Y Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑
Permit Fee
$ 49-00
Describe work: GUEST HOUSE AND GARAGE
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 600VORLESS
200A OR LESS
18.50
Main service 200A TO 1000AI
37.50
CONTRACTORS LICENSE LAW
1 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
NEW CONST. ( DWELLING OCCUP.&\
OR ACDNS. ACC. BLDGS. 1
NEW RES,., RANCHUTLET
NON BRANCH CIRCUITS
POWER APPARATUS Q
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
3.64sq.ft.
24-35-
@ 5.00
20 760
[� I, as the owner, or my employees with wages as their sole compen-
Ex. Occup. OUTLETS (PRESID )FIXED APLNS.REA.1
I 3.00
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ 1, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
Temporary service
Mobile Home Facilities
Misc. Wiring
g
15.00
15.00
15.00
❑ I am exempt under Sec. , Business and Professions Code
for this reason
Permit Fee
$ 39.
-
WORKMEN'S COMPENSATION INSURANCE
Contractor
I declare under penalty of perjury (check one):
MECHANICAL PERMIT
Filing Fee 15.00
❑ The permit is for $100.00 (valuation) or less.
Heating
9.00
❑ 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.
HTR
Cooling
g
I shall not employ any person in any manner so as to become subject
Hood
6.50
to the W. C. laws of California.
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. I
Ventilation
Permit Fee
Contractor
$ 24.00
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 saaiidd County in consequence of the granting of this permit.
Mobile Horne Installation Fee S
Energy Inspection Fee $ 40.00
occ CONST TYPE
TOTAL FEE $ 551.10
HAz I DFEES I IMPFLOOD cDF PARCEL I PD I HD ISSUE
X !¢t i p � Date ��Q - �Z
c
This permit is hereby issued under the applicable provi-
Signature of Applicant - Owner §? Contractor ❑ Agent ❑
sions of the Butte County Code and/or resolutions to do
An OSHA
ion of structures tover 3gstoriesoinehe excavations over S'0" deep and demolition or construct-
work indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
Receipt No. 109539 201.25
By
PERMIT EXPIRES Date
Date
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
t
COUNTY OF BUTTE - DEPI R-IIJIIE14T OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTE gR1VE`f OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET
Permit No.
OWNER`� sS
. P. o.
Proposed Building Used/ 60:97lt��
Building Inspector Date
It
At time of permit application, I was a vishe fo i 4 data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED APPROVED
1. All items have been submit e.6- b.... ............ .
2. Plot plans in duplicate/tri icde, signed by preparer of plans ........
3. Complete plans in duplic,4te/triplicate, signed by preparer. of plans . .
4. Complete engineered plans and calcs, with wet signature on plans ..
5. Hazardous Material Form ..........................................
6. Energy Design Compliance and supporting documentation .........
7. Statement of Intent for Non -Heated and AC Buildings ..............
8. Engineered truss details and layout in duplicate (required prior to plan check)
9. Mobilehome installation data including manufacturer's installation
instructions.. /..................................
10. Fees of $l , •2 ........................
rD Chico Urban Area fees paid .......................................
2. rkfees paid .............................................
School District fees paid ..............
.1 Sanitation approval from ��(_ Health Department
15. City of Chico plumbing permit .....................................
16. Plot plan and business license approval from City of
(see City for other requirements)
17. Planning approval for (A) Use: (B) Parking: ......
18. Improvements may be required. Contact Land Development Section DPW
19. Driveway permit (construction approval required prior to occupancy)
20. Pre -Inspection for required Pre-inspec. request to
Building Inspector (Date)
21. Contractor's license information (No., Name Style, Classifications ...
22. Certificate of Workmans Compensation Insurance ..................
23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .....
24. Recorded copy of Agricultural Acknowledgment Statement .........
b. Letter of signature authorization
26.'- OF O F D LU)VN.i ........................ .
27.
Whe ou sue theer it rocess s follows: Mail w er. Mail to contractor.
ephone a and hold for pickup at office. Deliver w/inspector.
Other
Applicant .Date •3 3 Z
Copy of Haz-Mat form sent Health Dept. Fire Dept. __Air Pollution Date
Copyofplanssent Health Dept. Fire Dept. Other Date By
The following data must be submitted prior to permit issuance:Circle new item not checked abo e).
1. Index permit for above items No. /v �� , �3 , �`� �C `f�"
2. Additional items required:
Contractor, designer, owner, was advised of above required data by_phone---Jnail—counter by .date
Contractor, designer, owner, was advised of above required data by—phone —mai l—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
¢ Deoarcmenc or
Public
Works
7 Councy
Ce'ncer
Drive, Oroville,
CA
95963
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 (y !�s or no)
2. I (have/have not) &ay-ei signed an aocli.cacion for a building permit
for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construction:
Name
Address
Phone Contractors License No.
City
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 contacted (hired) the following
persons to provide the work indicated:
Name Address Phone Type of Work.
S ig ned :
+Prooerty Owner 0, oaz
{Social Security Number
.Data
DOTE: This Owner -Builder Verification is sent to you as
19832 of the California Health and Safety Code.
This verification must be completed and returned
mitred to issue the permit.
11
required by Sections 19831 and
to our office before we are per-
no.
�yy�N
rdefx�
/Ir
h,� �(,Ssz—
f
J
P
I
i
I
'
i
i
f
0
PERMIT NO. 1621 -86E -(NH
PERMIT EXPIRES
OWNER STEVEN BERRY
CONTR. Grage Ele
ASSESSOR PARCEL 7-26-23
LOCATION 577 Troy Lane, Chico
OFFICE COPY
Address I
GAS'�--��..,�
Meter Byeo� Dated
' , ELECTRIC
Meter By Date)
• r
Temp. Power Pole_
Called PG&E _
Temp. Elec. Service
Called PG&E_
Temp. Gas Sei
Called PG
JOB FINALE[
Signature
1. 1•, T. ,
L: r' c 1
MOBILEHOME INSTALLATION ACCEPTANCE
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE
OROVILLE, CALIFORNIA — 534-4541
PERMIT N0.
Address or location of mobilehome Vii?
Owner's name
Owner's address
Insignia or hud number l $111 J
Manufacturer's name_ F L r is !
ISerial number of V.I:N. 1:,7 Year of manufacture
(Official Approving installation) '
- (Date)
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.
513B White - Owner, Yellow - Installer, Pink - D.P.W.
J
0-1JAV, i �J",L
- •1w,)nv
COUNTY OF BUTTE
,DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 5344541..,_ •,
Skyway and Elliott Road, Paradise —Phone: 872-2961, Ext. 57
CORRECTION NOTICE
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.
PSA % 7 lam. Qc.61411`c3h
woo/ �/ K-�J
InspectorDate J
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196_Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57
CORRECTION NOTICE
VAIGO o�or,.
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.
G C'����
�uShtwGztA n e' -&r r-7
Su�O. G7JCen \/r� �"iC.3CIC 04i5 NJ
lJ�StcieGteN4.e�
�/ � l_. vJf trr� l�Cr � �C-�✓v�c.0 2ti $C i�..+w-�c�.
VJ ON �Y Ct? G
13-e
Inspector
. 1
Inspector �i>� Date
11
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS `
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
&(-r-) /�?-i - �
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 OAJ Ices f `6/ o-�--
Inspector Date—2/2 A-6
COUNTY OF BUTTE
` DEPARTMENT OF PUBLIC WORKS'
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
PERMIT N0.
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
matte , or need additional explanation, please contact this office immediately.
S
Inspector__ Az/� Date _�p/ /-
r
J=OK
0 = Not OK
= Not Applicable
= Not Ready
MOBILEHOMES L` ' MISCELLANEOUS n
Date -MO LEHOME UTILITIES (P ns) OK except #'s
Date
DECKS, COVERS, CARPORTS, ETC. -(Plans) OK'ezcept'#'s-' - -
Zoning Requirements -Setbacks -Easements
1. Zoning Requirements -Setbacks -Easements
SoiIs;,Special MH Support -Sketch
2. Footings; Size -Depth -Spacing -Connectors,
Sewer; Location7Test7Fall-C/0-Concrete
3. -Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
Water; Location -Test -Easement Needed.(Sketch)
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rig.-Bracing
Electrici.ty;•Location-Clearances-Grnd.-/ Amp -Concrete
_
5. Alum. Awn.; Columns-Connections-SplicerDecal-Enclosures
V,Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat.or/ /"L"it./ /"LPG
6. Carports; Windows -Doors ' 4
IL/Utility Clearance71-
7. Elea "
Card -BI
S Date % (o Card -BI Date
Card -BI
Date Card -BI . Date
Card -BI
Pee Card -BI ' Date
Card -BI
Date , Card -BI Date
Date
IVIO!,YCEHOME INSTALLATION (Plans) OK except #'s
Date
POOLS (Plans) OK except #'s
. Zoning Requirements -Setbacks -Easements
1 . Setbacks -Easements
Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
M es Demand -Valve -Connector
3. Pool Structure; Steel-Connections-Th ickness-Dead.Men-Lining _
lectr(city; MH Test -Crossovers -Breakers -Clearances
4. Elec.; Receptacles and Lighting; Distances-GFI
5 r 'n; MH Tes a Flex Connector
5.• Elea; -Pool Lighting; 15•volts-GFI - — --- --
MH Test- Regulator-Cronnec or
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
Water and Sewer Connected- to Grade -HD Approval
7, Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater.
6. Gas and Electricity Tagged
B. Elea; Ground ing;.Equip. w/5' -Circulating Equip. -Pool L•ghtg.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit r
9. Health Department Approval - °,'
9. Exits; Insp.-Sketcli
10. Cert. of Occupancy
10. Plumb; Cir. Test -Water Supply Test
Card B-1
Date `(V .Card -BI Date
Card -BI
Date Card -Bl Date
Card B-1
Date Card -BI Date
Card -BI
Date-- Card -131 -Date -- ---- --
J =+OK . , i .s
0 = Not OK
Not Applicable
Not Ready RESIDENTIAL (Single and Duplex)
�
Date
UNDERFLOOR Plans OK except N's
Date
FRAMING (Continued)
1.
Zoning requirements -Setbacks -Easements
48.
Property Line Firewall & Openings
2.
Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
49.
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
_
3.
Ftg., Garage; Soils -Steel- f /" Ftg. Depth
50.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
4.
Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
51.
_
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
5.
Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
52.
_
Siding -Nailing -Veneer
6.
Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
7
Piers -Fireplace Ftg.-Steel
D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
54.
_
Glazing Area -Glass Protection -Skylights -Plastic
55.
Shear Walls; Nailing -Bolts
9.
Gas Pipe; Size -Anchors
10.
Water Pipe: Test -Anchors -Regulator -Service Test
11.
12.
Electric: Underground
Plenums & Ducts; Clearance -Material -Support -Ins.
-_
Ea -rd -6I
Card -BI
Date
13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples,
-
Date _ Card -BI Date
Date Card -BI Date
PLUMBING (Permit) OK except N's
Card -BI
Card -BI
Card -BI
Date
Date Card -BI Date
Date Card -BI Date
Date Card -BI Date
FINAL (Plans) OK except N's
56. Ext. Steps -Door & Sidelight Protection -Landings
57. Smoke Detector
Card -BI
Card -BI
14.
15.
16.
17.
18.
19.
Water Ht.: Vent -Access -Combustion Air
Water Pipe: Test & Anchors -Nail Protection
D.W.V.: Test-Fttngs & Anchors -Nail Protection
Shower Pan: Test, First Floor -Tub Access
Test Tub & Shower, 2nd Floor -Tub Access
Gas Pipe: Size &_Anchors
Date _Card -BI Date
Date Card -BI Date
58.
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
59.
Bedroom'Exiting
60.
G.F.I. & Bath Fixtures & Tub Access
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
62.
Stairs & Rails
63.
Fireplace or Stove; Clearances -Hearth
64.
Elec. Outlets at Wood Panel; Int. & Ext.
65.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
66.
Elec. Outlets & Receptacles at Kit. Counter
Date
ELECTRICAL Permit OK except q's
67.
Garage Fire Door; Swing -Landing -Closer
68.
A.C. Duct in Garage -Damper
Gard B -I
Card B-1
20.
27.
22.
23.
24.
25.
26.
27.
28.
29.
30.
Fixture & Transformer Clearance -Ins. Protection
Elec. Receptacles Spacing -Lights &Switches at Doors
Size Boxes & No. of Conductors -Stapled
Romex Installed Close to Edge of Studs & C.J.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
2 Appliance Circuits in Kitchen & Conductor Size
Subfeed Wire Size / / ga. Cu_or A[-A.C. Wire Size / / ga. Cu or At
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or AI,
Insulated Neutral Yes - No _ - _
Service -Riser Conductors & Ground -Mai nDisconnect_ _
Equip. Clearances: Panels-Motors-Mech_ Equip. -_
Clothes Closet. Light -Shower Light
Date Card BI Date
Date Card -BI Date
69.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
70.
Plb., Elec. & Mech. Equip. Listed for Location
71.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
72.
Insulation -Foam -Looked in Attic Yes
73.
Guard Rails & Deck Construction -Post Caps
74.
Fdn. Vents & Crawl !-tole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
75.
Following instld.: Drive C] Yes ❑ No; Walks E] Yes ❑ No;
Planters Oyes ❑No
76.
Stucco; Brown -Finish
77,
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
78.
Vents Above Roof; Plb A liance-Fire I Clearance to 0 n s.
79.
Water Well; Disconnect, Electrical, Plumbing
80.
Exterior Elec. Trim; G.F.I. Receptacle -Underground
81.
82.
Ventilation throughout House
Glass Protection
Date
MECHANICAL (Perrr•it) OK except 4's
83.
_
Corrections from Previous Inspections
84.
Gas -est-Meters Tagged; Gas -Electric
Card -BI
Card -B1
31.
32.
33.
34.
35.
A.C. Ducts. Insulation & Support - - - _
Vent Fan: Exhaust above Insulation-
Condensate Drain & Overflow: Size _& Grade
Furnace -Vent: Access -Comb. Air -Return Air _ Vent- 115V Outlet—
Attic Access & Platform if Furnace in Attic
Date Card -BI Date _
Date Card -BI Date
85.
Water & Sewer Connected -C/O to Grade -HD Approval
gg,
Energy Compliance Certificate -Other Certificates
---
----
- -
-
Card -BI
Date Card -BI Date
Card -BI
D to Card -BI Date
Card -BI
Date Card -BI Date
Date
FRAMING(Plans) OK except p's
Com tents at Final:
36.
37.
38.
39.
40.
41
42.
43.
44.
45.
46.
47.
Sills; Proper Material & Anchors
Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound
Bearing Walls over Girders & Floor Nailing
Draft Stop in Walls (rat proof)
Fire Stops:Furred Ceilings-Stairs_Chases-Tub_
Header & B -jam -Size & Bearing
Hangers -Post Caps -Anchors -Connectors
Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng.
Fireplace Ties or Type A Flue -Fireplace Throat
Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
Garage Fire Protection Framing
_
-
(NOTE: An entry must be made each time you visit jobsite)
,I COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
r �1 7 County Center Drive - Orovil le, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT N0.
ASSESSOR PARCEL NUMBER
0-7 _ _ ';1,3
ZO N
(
BUILDING PERMIT
OWNER AA
S l0 r
TELEPHONE
<15= Ubf
,SQ. FT. OCC, BUILDING VALUATION
OWNER'S MAILING ADDRESS
L�
CONTRACTOR'S NAME / ELL EEPHHOON\E
g` UH
CONTRACTOR'S ILING ADORE S
`a s ,r
Fireplace
CONSTRUCTION LEND
UNKNOWN
Total Valuation $
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT R ENGINEER
0^A..,
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
a
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome& Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S G W
0.00ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Uti lities 91 Installation ❑ Other ❑
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service GOOV 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):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BUSIne$S
and Professions Code and my license is in full force and effect.
License No. Classification
F] 1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.ad ( 2�,20sq ft
OR ADONS. ACC. BLDGS.
NEW CONSTR MULTI -OUTLET 2,50 ea
NON.RESID BRANCH CIRC ITS
POWER APPARATUS e
(SINGLE OUTLET CIR.
Ex. Occup( OR FIXTURES 200600
eAL030
FIXED APLNS
Ex. OCCup. OUTLETS PR
RESID )EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00 /$: Oct
n g
Misc. Wiring 15.00
Permit Fee $ , a
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
FiIingFee 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
agai aid County in consequence of the granting of this permit.
Zidn Date
Signature of Applicant — 0.4r NZ Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construct•DIR
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $ b�
occuP.
I cONST.TYPc
I
IFLOOIIIPARCrLI
PD
HD
ssuE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
0 PUBLIC
r
BY
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
ate fb
Receipt No�O y % y7 y
WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT
-&e urn to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT
FOR RESIDENTIAL DEVELOPMENT
Section 26-8.1 of the Butte County Code requires this acknowledgement
be recorded prior to issuance of a building permit. 86-19317
1;1 CGiID;_D M CFI' li,!.'',L F:ECG,'M
HT1' iE C0UNTY.(:AL1FO:?N!A
The property described herein is adjacent to land or included MUM III F!`1 I� 15
within an area zoned for agricultural purposes,.and residents of this
property may be subject to inconveniences or discomfort arising from
the use of agricultural chemicals, including, but not limited to herbicides(�rr x
and fertilizers; and from the pursuit of agricultural operations including,C�ii �c5' � �ItedEE _
to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust,
smoke, noise; and odor. Butte County has established agricultural zones which have as a
priority use for'productive agricultural purposes, and residents within said zones and on
adjacent property should be prepared to accept such inconvenience or disconform from normal,
necessary farm operations.
All that real property situate in the County of Butte, State of California,.described
as follows:
Date: June 18, 1986
State of California
lounty of
Butte
PRTY OWNERS:
On this the 18th day of June 19 86 , before
SS. me, the undersigned Notary Public, personally appeared
1
Steven R. Berrry and Sonia J. Berry
Personally known to me. /X)� Proved to me on the basis
of satisfactory evidence.
to be the person(s) whose name(s) are subscribed to
the within instrument and acknowledged that, they
executed the same for the purposes therein contained.
IN WITNESS WHEREOF, I hereunto set my hand and -official seal.
Present A.P. No. `IJU-� _026-02_3
Z•V-023
N tary Public
KATHY J. ALLAN
NOTARY PUBLIC -CALIFORNIA
Butte County
My Commission Expires Dec 5'1986
s Order No. 2-. :0
SCHEDULE C .
The land referred to herein is described as follows:
All that certain real property situate in the County of Butte, State of
California, described as follows:
PARCEL 1:
A portion of Lot.7, as shown on that certain map entitled, "Hobart
Subdivision of the Daniel Bidwell Rancho", which map was filed in the
office of the Recorder of the County of Butte, State of Calfornia, on
November 7, 1904 in Book 4 of Maps, at page 24, and more particularly
described as follows:
COMMENCING at the most Easterly corner of said Lot 7, said point being
in the centerline of Godman,Avenue; thence Northwesterly along the
Northeasterly line of said Lot 7 and the centerline of said Godman
Avenue a distance of 176.0 feet 'Co the most Northerly corner of that'
certain parcel of land described in deed from Roy 0. Ledford, et ux, to.
Thomas A. Godley, et ux, dated January 21, 1964 and recorded January 31,.
1964 in Book 1294 of Official Records, at page 107, records of Butte
County, California; thence Southwesterly along the Northwesterly line of
said Godley parcel, a distance of 254.0 feet to the most Westerly corner
of said Godley parcel and the true point of beginning for the parcel of
land herein described; thence from said point of beginning, continuing
Southwesterly and parallel with the Southeasterly line -of said Lot 7, a
distance of 80.0 feet; thence Southeasterly and parallel wi.th.th.e South--
westerly line of Lot 7, a distance of 176 feet to a point on the Southeasterly
line -of said Lot.7;-thence Northeasterly along the SoutheastL-rly line of Lot 7
distance of 89.0 feet to the most Southerly corner of that certain parcel
of land described in Deed from August R. Becker, et ux to John D.
Richardson, an unmarried man, dated August 18, 1965 and recorded August
25, 1965 in Book 1387 of Official Records, at page 543, records of Butte
County, California; thence Northwesterly along the Southwesterly line of
said Richardson parcel a distance of 108 feet to the -Southeasterly line
of aforementioned Godley parcel; thence Southwesterly along the South-
easterly line of said Godley parcel, a distance of 9.0 feet.more or less,
to the most Southerly corner of said Godley parcel; thence Northwesterly
along the Southwesterly line of said Godley parcel, a distance of 68.0
feet to the point of beginning.
PARCEL 2:
A right of way for road purposes over the following described parcel of
land:
COMMENCING at the most Easterly corner of Lot 7,.as shown on that
certain map entitled, "Hobart Subdivision of the Daniel Bidwell Rancho",
which map was filed in the office of the Recorder of the County of Butte,
State of California, on November 7, 1904 in Book -4 of Maps, at page 24,
said point bbina in the centerline of Godman Avenue; thence Northwesterly
along the Northeasterly line of said Lot 7 and the centerline of said
Godman Avenue, a distance of 176.0 feet to the Most Northerly corner of
that certain parcel of land described in deed from Roy 0. Ledford, et ux,
to Thomas A. Godley, et ux , dated January 21, 1964 and recorded January
31, 1964 in Book 1294 of Official Records, at page 107, records of Butte
County, California, and the true point of beginning for the parcel of land
herein described; thence from said point of beginning Southwesterly and
parallel with the'Southeasterly line of said Lot 7, a distance of 334.0
feet; -thence Northwesterly and parallel with the Southwesterly line of
Lot 7, a distance of 60 feet; thence Northeasterly and parallel with the
Order No. .:.-122730
PARCEL 2: continued
Southeasterly line of said Lot 7, a distance of 334.0 feet,more or less.
to the Northeasterly line of Lot 7, being also the centerline of Godman
Avenue; thence'Southeasterly along the Northeasterly line of Lot.7 and the
centerline of Godman Avenue a distance of 60 feet to the point of beginning.
0
AP #
OWNER _.....
PERMiT
E DATE
MH UTIL.CLEARANC
. , - e Ate-
INSPECTOR'��
ELECTRIC GAS Support Compaction
iervice Other Pipe Struc. Test Re .
iize Load Type Size Length YES NO YES NO
1 06a 2 04. V V
. `1
low, 1. -6
I
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COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541
PERMIT APPLICATION DATA SHEET �-
Permit No.—
OWNER
o. OWNER A. P. No.
Proposed Building Use
Permit Fee Based Upon: Complete Contract Price DPW Valuation
Other (Explain)
Building Inspector ! 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 submitted. . . . . . . .
Plot _-0plans i uplicat /triplicate. . . . . . . . . . .%%
3. Complete plans In duplicate/triplicate. . . . . . . . .
4. Complete engineered plans and calcs. . . . . . . . . .
Plans with Energy Design Compliance Statement. . . . . .
SD "Fees Paid'' Stamp on Floor Plan . . . . . . .
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . . . .
eV -9 Letter of signature authorizat'on.
anitation approval froma Dept. 6 JK
11. Planning approval for (A) Use: (B) Parking: . i��
12. Certificate of Workmen's Compensation Insurance. . . . . .
13. Contractor's License Information (no., name style, classi.f.)
14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ )
w.
15. Improvements may be required. . . . . . . . . . . . '
16. Mobilehome Installation Data. . . . . . . . . .
17 Pre -Inspection for Required- BuildingPre-Insp
request to
/` p q Building Inspector
Awtaterient 6��`�p18. Record�e6
19. Other APERMI onstructoon approval required prior o occupancy)ancy
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver w/inspector.
Other
Applicant Date
Copy of plans sent Health Dept., Fire Dept., Other Date
During the plan checking process, the following data must be submitted prior to permit issuance.
(For required items not checked above t ti of licati , , circle item.)
1. Index permit for above Items No.
2. Additional items required:
r`
K
(Contractor, Designer Owner) was advised of above required data by Telephone —Mail --Ie- �_ther
By �� Date to —/ R6
Plans checked by Date
Plans approved by Date
Other:
Copy—DPW
TO: Building Department
FROM: Environmental }health, Chico
SUBJECT;, Sanitation Clearance
S� ar a P vv -9 7 TYIn•, 1—
Owner LOcatian L —2,7 ` 23
TP —0
Plan approved for: sewage disposal
water supply
Hold final for:
,Final clearance O.K. for:
•t,
Clearance for } _bedroom mobile home: Other
NotetO"
water supply
water supply
Sanitarian
Date
CUSDs
CERTIFICATION OF CMIPLIANCE MR
M TIE O01Kff OgDINkN[:E 2463
yhe Ch- Unified School District certifies that
-� 3 Ys—szG l
�. �? T. o A-Mit Agpincant) V (• hone)
czaplied with the ??63
$.ep nds ig &7%e CO 3 ) the
on ss5ess9r parcel — > inn of a
gaayaaent of fees of �.-.-
school Impact. Mitsgaticn Ags .
Date CI'ilI
55"' "Ye
�1G b✓ S�e� l3ei�y
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CIS prjo?W
COUNTY OF"BUTTE
Department of Public Works
7 County Center Drive
Oroville ----- 534-4541
ELECTRICAL INFORMATION FOR DE -RATING MOBILEHOMES '
Location
Mobilehome Installation Permit No.
FILL IN INFORMATION FOR ITEMS 1 THRU 10
Watts
1. Width 9 x Box Length x 3 = ,10
2. 2 Kitchen Appliance Circuits = 3,000
3. 1 Laundry Circuit = 1,500
4. Ovens.........................................
5. Cook Stove Top
6. Hot Water Heater ..............................
7: Dishwasher & Disposal = / n�
8. Clothes Dryer ....... ....... _��W or 1�At�lp�
.9. Other (specify, i.e., motors, exhaust fans,
etc.) 02 . /�C� G(%�it$
Sub -total - Watts .....�o
.First 10,000 watts @ 100% ................................ = 10,0000/
Remaining 140watts @ 40% .......................
10. Air Conditioner watts @100%.. _ )
Largest Demand
Central Heat System watts @ 65%.. _
TOTAL DEMAND WATTS REQUIRED .............
"Demand Watts Required" - –290'....... .... ......... .. = AMPS
De -rate Mobilehome to ................ ................... 56, AMPS
This set of plans and specifications MUST be _
kept on the job at all times and it is unlawful tc
make any changes or. alterations. on same without i
written permisson from the Department of Public
Works, County of Butte. C -Al ma"We
---- t 500 SQ. FT. MINIMUM!
40, FOR MOBILES
L x �
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P -d,� -�3
.,
A setback of 5 ft, from the
property lines and a setback
Of 50ft. from the road
# centerline shall be clear of
structures or equipment except
for a 2 ft. eave overhang,
'4jsgq-cq&
BUTTE COUNTY
BUILDING DEPARTMENT
APPROVED
y
NOTE:—All Materials` & Workmansi
Shall Be to
?-
Accordance with Recognized Good
of a quality prescribed for the Spec
ractices and
ed use in the
Uniform Building, Plumbing & Mecharli
I Codes and
the National Electrical Code.
7b
It
Utility connections shall be within i
4 ft. of the mobiiehome, either
directly behind or within the rear
half of the
mobile -home,
L x �
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P -d,� -�3
.,
A setback of 5 ft, from the
property lines and a setback
Of 50ft. from the road
# centerline shall be clear of
structures or equipment except
for a 2 ft. eave overhang,
'4jsgq-cq&
BUTTE COUNTY
BUILDING DEPARTMENT
APPROVED
y
COUNTY OF BUTTE - DEP.fkRTMEiNT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PE4NOA
J
ASSESSOR P CEL N MBI -R
dj
ZONIN I
BUILDING PERMIT VZ
OWNER
r
TEL PHONE
SO. FT. OCC. BUILDING VALUATION
OWNER'S MATLING ADDRESS
CONTRACTOR'S NAME
"S
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
d71 �O
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
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF ❑ Duplex[] Mobilehomeg Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
10.00 ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installationg Other ❑
Describe work: 4-tAY) /Y%Ul _
`t
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):
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 t�—�/
El 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
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contra
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.ea
OR ADDNS. ACC. BLDGS. , /Z0sq ft
NNEW ON.RESID R BRANCH MULTI-OUTLET
2.50 ea
POWER APPARATUS a
-SINGLE OUTLET CIR.
EX. OCCUp�OUTLETS OR FIXTURES 200501
DAL030
FIXED APPLNS.
EX. Occup. OUTLETS (RESID )REA.7 2.00
Temporary service 10.00
Mobile Home Facilities 15.00ct-
Misc. Ilyirin 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.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
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„ d 4agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enteiiup
lon,the above-mentioned property for inspection purposes.
I also agree to sa�e,iindemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X ��,� ��� r`
Date e Li�y,
Signature of Applicant — Owner ❑ Contractor -g Agent ❑
An OSHA permit is required for excavations ove S'O' I d
ep and dem o or construct-
ion of structures over 3 stories in height. 14 :Z41
Receipt No. /,
WHITE -D. r. W., YELLOW-A38E330 R, PINK-IN9PEc GOLDENROD-APPLI T
Mo Home Installation Fee $
Inspection Fee $
TOTAL PERMIT FEE $ ` o
•
Occup,
CONST.TYPE
FLo00
ARCEL
PD
ND Is uE
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
DIRECTOR OF BLIC WORKS
BY Date
PERMIT EXPIRES Date
I
n
.
MOB ILEHOME SUPPORT DATA
If other than single wide
Mobilehome Mfr. ���� furnish Setup Model No. Year
Width (ft.) Box Length ��3 :(ft.) Tagalong or Expando Size ft. x ft.
(SHOW SUPPORT DETAILS BELOW)
On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation
manual and structural setup sheets (if not on file with the County of Butte).
All center supports measured from front of
mobilehome unless otherwise specified.
_ Footings (check one)
Single U 1. Wood either
-A
Pressure treated or
foundation grade.
x�
(ft.)(in:) (in.) .(in.)
2. Other (specify)
Center support Center support
locations* footing sizes Supports (check one)
(in.)
EK" Concrete block.
x E] 2. Other (specify)
(ft.)(in.) (in.) (in.)
Tagalong or Expando,
show support details.
(ft.)(in.) (in.) (in.)
x/,Z ,G - Typical Support
s4 ��,� 36 (in.) (in.) Footing Size
3 x
(ft.)(in.) (in.) (in.)lj -- Max. Pier Spacing
(ft.)(in.)
361'
Max. Overhang
(ft.) (in.) (in.) (in.)
(ft.)(in.)
*If center piers are other than drawn above,
draw in—locations, spacing, and dimensions.
1. Owner's name:
2. Installer's na
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA.
PHONE: 534-4541
MOB ILEHOME INSTALLATION SHEET
G
3. Is the site currently under permit? Yes / / No /y
(If yes, furnish permit number ) OR
Is the -site an existing site? Yes / / No
(If yes, furnish two (2) plot plans.)
4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and
clear of all setbacks and easements? Yes /• / No
(If no, clarify )
5. What is the mobilehome electrical rating? -----------------------
6. What is the mobilehome site service rating? ---------------------
7. What is the mobilehome site circuit breaker rating? -------------
8. Is there any other electric load to be served by the mobilehome
! 6)to Amps
Amps
site service? --------------------------------------------------- Yes No
(If yes, identify the load and size: al (i I l (Load) -7,C,> (Amps)
9. What is the mobilehome site.gas pipe size? ----------------------y (in.)
10. What is the type of gas service? ----------------------------- Natural LPG
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.)
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BUTTE COUNTY
BUMNG -DIVISION
APPROVE®
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