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017-050-006
k VA )2Y HMITL 13337 Centerville rd, Chico . Permit#1759-85PE(replace fire damaged le ser /H facilities & sewer line < on existiniz.site)MH ELECOo /} 7J GAs_ PG is' 3/�� SUPPORT STRUCTURE REQ* COMPACTION TEST RE�_�_. Contr: Paci•fi_eyM ar Concepts�q Permit flp- 2 85MHI Is s �'j Contr: Gerald Doremus V Permit#2616-85B(deck & steps) -of �15 011- -006 01-2345 WILL ARy 'V:�- 1333 7 CENTER E, ; HI (� EX MH PERM 'FNDN 5, 0 ,n3 L. D. Howell jt -- Q —o0(P NIS Humbug -Rd., app.4.8 mi.past co bridge, Chico 0 Permit #3461-79P,E(util.,MH /� ELEC.-I- /003 GAS SUPP RT ST UCTURE 1Z9Q. O&V O I COMPACTION TEST REQ. /U lContr: Ben ` Alir•,e MH, Maga iia ' tpErmit #39 MH 1 � �� ' Issued ��11 i I I I 1 0�p Z�Q 7- 0 45-0r, -�1606 011-360-006 BP040622 WILLIAMS, GARY I W 13337 CENTERVILLE RD., ICO CONT: SCHUSTER HOMES NEW SF -REPLACES MH ` `g u mi �- TO: Building Department FROM; Environmental Health, i Chico Office SUBJECT:' !Sanitation Clearance awo� 9e�r�, 33 3 7 Owner Location AW,AP# Plan approved for: Sewage disposal Water Suppl/---'� Hold final for: Water supply Final clearance O.K. for: Water supply Clearance for bedroom 4 Mobile home House Other -' a; Note'** Sanitarian Date AFFIDAVIT OF COMPLIANCE WITH COUNTY ORDINA'N'CE 2277 (ADDITIONAL DWELLING IN SINGLE FAP• ILY RESIDE)TIAL ZONES) Applicant TO P– ti r�� S .� �L Date — 7 Zone AP 6 Bldg. Permit 9 do declare a that the dwelling (Building Permit F_at address - (present) /333 _7 C,,7 V ' 3 6K) is intended for the sole occupancy of one adult or two adult persons who.are 60 years of age or over, and the area of floor space of the dwelling unit does not exceed 610 square feet. I: also understand that violations of these provisions are subject to the penalties provided in Section 24-63.1 of the Butte County Code. S i g n e d Dated • - NOTES RESIDENTIAL__, '4/1 + : ; 011-360-006 BP040622 .r WILLIAMS, GARY { PERMIT 13337 CENTERVILLE RD., CHICO ' CONT: SCHUSTER HOMES i ' NEW SF -REPLACES MH t "74 AOOO- �Al CQ jtf� h ,y SPECIAL CONDITIONS " CHECKED I BY SRA `'�FLOOD,CERTIFICATE REQ. i, 'FIRE -SPRINKLERS REQ. of �-SPECIAL INSPECTION ITEMS M1 K _ 'VERIFY 4 o T USE PERMIT CONDITIONS Iw SUB -STANDARD HOUSING LETTER A f' X 'I Y OFFICE COPY Address .a GAS 2 ( l Dat I Meter By �4 r• �y. ELECTRIC r• Meter By Date H f AWE JOB FINALED (Date) ` 0 o -- Z. c y tl ' Signature J=QK 0 = Not OK . = Not Readyable 8. MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Siding; Nailing -Veneer -Stucco -Mesh 1. Zoning Requirements -Setbacks -Easements Roof; Shthg-Roofing 2. Soils; Special MH Support Sketch Ext.; Steps -Doors -Landings 3. Sewer; Location -Test -Fall -C/O -Concrete Braced Wall Panels 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Card B-1 - Date Card B-1 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or/ /" L "ft./ P LPG Card B-1 Date Card B-1 7. Well Clearance & Disconnect 8. Utility Clearance 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining Date 4. Card B-1 Date Card B-1 Date 5. Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Elec.; Enclosures; Conduit Entries -Terminals -Listed 1. Zoning Requirements -Setbacks -Easements Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 2. Footings; Size -Spacing -Marriage Line Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panel boards- Ins. to Main Conduit 3. Gas; MH Test -Demand -Valve -Connector Health Department Approval 4. Electricity; MH Test -Crossovers -Breakers -Clearances Plumb.; Cir. Test -Water Supply Test 5. Drain; MH Test -Fall -Flex Connector Light Niche 6. Water; MH Test -Regulator -Connector Enclosure; Fencing -Alarms 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged Card B-1 Date Card B-1 9. Tie Downs -Type -Installation Cert. Card B-1 Date Card B-1 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 - Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panel boards- Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 = OK = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date UND FLOOR (Plans) OK except #'s 3. 5. Zto -Setbacks-Easements-Flood Slope Ft , ain; Soils-Elec. Grnd.-/ /" Ftg. Depth , Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test " 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Card B-1 Date Card B-1 Imo Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMING (Permit) OK except #'s 1 aler Htr.; Vent -Access -Combustion Air Baffle 3X/.yent Fan, Exhaust above insulation 18 ter Pipe; Test & Anchor -Nail Protection 1 V; Test Fittings & Anchor -Nail Protection t^te Date t ( Shower Pan; Test, First Floor -Tub Access t 21. Test Tub & Shower, Second Floor -Tub Access FRAMING (Permit) OK except #'s 22. _Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test 43 Bearing Walls over Girders & Floor Nailing 44/Draft Stop in Walls (rat proof) Date Card B-1 Date Card B-1 Date ' Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s & Switches at Doors 2W Size Boxes & No. of Conductors Stapled 27. ,Roynex Installed Close to Edge of Studs & C.J. aV 7quip. Ground made up w/Mech Fasteners -Bond Gas & Water 2V/2 Appliance Circuits in Kitchen & Conductor Side GFI 3 Subfeed Wire Size/ /qa. Cu or AI-A.C. Wire Size/ /qa Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral O Yes Q No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector Date It l 1 Card B-1 Date -Card B-1 Date ' Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 31 /A.C. Ducts Insulation & Support 3X/.yent Fan, Exhaust above insulation 3y,./Condensate Drain & Overflow, Size & Grade • . M, Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date t ( Card B-1 Date Card 134 z. Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Sills Proper Materials & Anchors 42. VAlls Studs -Nailing Spacing & Braces -Plates -Sound 43 Bearing Walls over Girders & Floor Nailing 44/Draft Stop in Walls (rat proof) 45! Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs ' 46! Headers & Beams -Size & Bearing ., Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 4Y Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49/Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50 /jttic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51./Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52.Aarage Fire Protection Framing -RC Channel 5�+,,Property Line Firewall & Openings 54' Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 5 Stairs; Width -Headroom -Rise un -Landing -Fire Protection 5FlPlywood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing Veneer 58. Stucco Mesh -Drib Screed -Fd. Vents-Underflr. Access Interior/Exterior Wall 63. Infiltration- Walls-Wi dows Date,'h ,4 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 66,-Sxt. Steps -Door & Sidelight Protection -Landings . Smoke Detector Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection WBeSiroom Exiting 68� .F.I. & Bath Fixtures & Tub Access -Spa . Elec. Trim & Subpanel, Breaker Sizes & Labels ( Za Stairs & Rails 7J!Fireplace or Stove, Clearance -Hearth 7�! Elec. Outlets at Wood Panel, Int. & Ext. A2!Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 7-- �;glec. Outlets &Receptacles at Kit. Counter . _ 7 Garage Fire Door; Swing -Landing -Closure A.C. Duct in Garage -Damper tr. H :; Vents -Clearance -Comb. Air Connector-P.R.V. i arage; Above Floor-Mech. Protection Ib.; Elec. & Mech. Equip. Listed for Location cIt &a Elec. Receptacles in Garage (F.F.I.)-Romex Pro ection . Insulation -Foam -Looked in Attic 84. Guard Rails & Deck Construction -Post Caps .B2. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes && Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 84. Stucco Brown -Finish 8rVA.C. Unit Disconnect, Electrical -Plumbing V. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings WWater Well, Disconnect, Electrical, Plumbing > Exterior Elec. Trim, G.F.I. Receptacle -Underground .Ventilation Throughout House ',lass Protection W. Cog. -<-tions from Previous Inspections Test -Meters Tagged, Gas -Electric & Sewer Connected -C/O to Grade -HD Compliance Certificate -Other Certificates Address Posted '9F Fire Sprinkler Da<-jCf. Card B-1 Date Card B-1 Date/-� Card 13-1 Date Card B-1 Date "Card B-1 Date Card B-1 Comments at Final: WW ANWA Certificate nformance., Certificate 052736 ' THIS IS TO. CERTIFY that the glued laminated timber products identified with a collo:ve mark of Engineered Wood Systems (EWS) were manufactured in accordance with the applicai;iF standards and associated specifications indicated below: ANSI Standard A190,1-1992, For iWood Products -Structural Glued Laminated Timber NER-466 Glued Laminated Timber Combinations And "GAP" Computer Program For Determining Design Stresses A1TC 117-93 = Manufacturing - Standard Specifications For Structural Glued Laminated Timber Of Softwood Species IT IS HEREBY CERTIFIED that the APA. EWS trademarked structural -glued larninated tin;b6l members were produced in a manufacturing facility subject to regular audits in accordance with the Engineered Wood Systems.(EWS) Quality Assu.rance Program.. Routine audits include inspection of the manufacturing. process and evaluation of the in -plant QA.program with adequate sampling to verify conformanceto� industry. standards for lumber grade and giueline bond quality. / 3 7{l 60 v c� 5:% %�% z by Thomas G.1Nilliamscl; ��r ! Executive Vice Presid(:)t Aialaal�� ElvcWEE„ED »%ooD sYSTLmtSr., a reieaco (:orprnai�pn 01.Af?4 - T.KE EroG1NEEAEPWOOD ASSOGb4T;0h- 70175oum 191h Snew - P.O. aox li700 - 7scoma_ WA 984li-0700 TolePhoL r: (253) 566-8800 - Fe>• nJul bel. (253) 565.7245 . CertainTeed M � Builders Statement • • .#F InsulSafe 4 Fiber Glass Blowing Insulation Homeowner Name / lobsite Name J -33S 7 C"_e�'v; l Add s .7- Installer/Contractor (sign) Company Name Date Builder (sign) Company Name Date Inspected By (sign if required) Date R -VALUE BAGS PER 1000 SQ. FT. MAXIMUM SQ. FT. PER BAG MINIMUM WEIGHT- POUNDS PER SQ. FT. MINIMUM THICKNESS To obtain a Thermal Resistance (R) of: Bags per 1000 sq. ft. of net area: Contents of bag should not cover more than: (sq. ft) Weight per sq. fL of installed insulation should not be less than: abs.) Should not be less than: Cin.) 60 36.5 27 0.986 22 49 29.6 34 0.800 181/2 44 26.4 38 0.712 163/4 38 22.8 44 0.615 143/4 30 18.0 56 0.485 12 26 15.5 65 0.418 101/2 22 13.1 76 0.353 9 19 11.1 90 0.301 73/4 13 7.7 129 1 0.209 51/2 11 6.6 151 1 0.179 43/4 THERMAL PERFORMANCE—ATTIC BLOWING APPLICATION • In accordance with the chart above, you must install the minimum number of bags per 1,000 sq.*fL of net area for each R -Value listed. • The maximum net coverage must not exceed that specified for each R -Value. • The installed insulation must be at or above the specified minimum thickness for each R -Value. • Failure to install the required minimum weight per sq. ft of insulation at or above the minimum thickness will result in reduced R -Value. • This product should not be mixed with other blown insulations or the thermal claims will become invalid. DANGER: RECESSED LIGHT FIXTURES—TO PREVENT OVERHEATING, DO NOT INSULATE ON TOP OR WITHIN 3" OF SUCH DEVICES. DOES NOT APPLY TO TYPE IC LIGHT FIXTURES OR TO FLUORESCENT FIXTURES WITH THERMALLY PROTECTED BALLASTS. 30-24-233 Builders Statement A Saint-Gobain Company ©2002 CertainTeed Corporation 11/02 R -VALUE THICKNESS AREA (SQ. FT.) INSULSAFE 4(✓ BAGS USED BATTS/ROLLS (✓ CEILINGS 12, WALLS FLOORS THERMAL PERFORMANCE—ATTIC BLOWING APPLICATION • In accordance with the chart above, you must install the minimum number of bags per 1,000 sq.*fL of net area for each R -Value listed. • The maximum net coverage must not exceed that specified for each R -Value. • The installed insulation must be at or above the specified minimum thickness for each R -Value. • Failure to install the required minimum weight per sq. ft of insulation at or above the minimum thickness will result in reduced R -Value. • This product should not be mixed with other blown insulations or the thermal claims will become invalid. DANGER: RECESSED LIGHT FIXTURES—TO PREVENT OVERHEATING, DO NOT INSULATE ON TOP OR WITHIN 3" OF SUCH DEVICES. DOES NOT APPLY TO TYPE IC LIGHT FIXTURES OR TO FLUORESCENT FIXTURES WITH THERMALLY PROTECTED BALLASTS. 30-24-233 Builders Statement A Saint-Gobain Company ©2002 CertainTeed Corporation 11/02 Manufacturer Insulation Fact SheetCertainTeedll This is CertainTeed Corporation I nsu Sae 4 Fiber Glass Blowing Insulation CertainTeed Corporation P.O. Box 860 Valley Forge, PA 19482 THERMAL PERFORMANCE—HORIZONTAL OPEN BLOW The following thermal performances are achieved at weights and coverages specified when insulation is installed with pneumatic equipment in a horizontal open blow application: R -VALUE BAGS PER 1000 SQ. FT. MAXIMUM SQ. FT. PER BAG MINIMUM WEIGHT- POUNDS PER SQ. FT. MINIMUM THICKNESS To obtain a Thermal Resistance (R) of: Bags per 1000 sq. ft. of net area: Contents of bag should not cover more than: (sq. ft.) Weight per sq. ft. of installed insulation should not be less than: (lbs.) Should not be less than: (in.) 60 36.5 27 0.986 22 49 29.6 34 0.800 18'2 44 26.4 38 0.712 163/4 38 22.8 44 0.615 143/4 30 18.0 56 0.485 12 26 15.5 65 0.418 10'/2 22 13.1 76 0.353 9 19 11.1 90 0.301 73/4 13 7.7 129 0.209 572 11 1 6.6 1 151 0.179 41/4 R -values are determined in accordance with ASTM C 687 and C 518. Complies with ASTM C 764 as Type 1 insulation. THERMAL PERFORMANCE—SIDEWALL RETROFIT APPLICATION When installed with pneumatic equipment in sidewalls, the following thermal performances are achieved at the thicknesses, weights and coverages specified. R -VALUE BAGS PER 1000 SQ. FT. MAXIMUM SQ. FT. PER BAG MINIMUM WEIGHT- POUNDS PER SQ. FT. MINIMUM THICKNESS To obtain a Thermal Resistance (R) of: Bags per 1000 sq. ft. of net area: Contents of bag should not cover more than: (sq: ft.) Weight per sq. ft. of installed insulation should not be less than: (Ibs.) Should not be less than: (in.) 29 35.8 28 0.967 71/4 22 27.2 37 0.733 5'2 16 19.8 51 0.533 4 15 17.9 56 0.484 3s/a 14 17.3 58 0.467 31/2 READ THIS BEFORE YOU BUY What you should know about R -Values. The chart shows the R -Value of this insulation. R means resistance to heat flow. The higher the R - Value, the greater the insulating power. Compare insulation R -Values before you buy. There are other factors to consider. The amount of insulation you need depends mainly on the climate you live in. Also, your fuel savings from insulation will depend upon the climate, the type and size of your house, the amount of insulation already in your house, and your fuel use patterns and family size. If you buy too much insulation, it will cost you more than what you'll save on fuel. To get the marked R -Value, it is essential that this insulation be installed properly. 0 0 lam= GREGORY A.' PEITZ ARCHITECT 383 RIO UNDO AVE., STE.100, CHICO, CA 95926. (530) 894-5719 i3,-� 7� &•/4/. 0 /V f 2 -e -e 3 7 6e , e,, i cf� t,-, 5 - - . - b 3 O� II Ao �h -e P XP a K S .zk �'�� � �✓ � s� 3 l � �s s"I�e ; U 6 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 PERMIT NO. BP040622 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date'' 05/27/2004 APN: 011-360-006-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 13337 CENTERVILLE RD CHI Date: Contractor. Map Index: Description: NSF (2988 SQ FT) GAR (792 SQ FT) DECK OWNER43UILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 (628) Business and Professions Code: Any city or county which 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 Owner: WILLIAMS GARY C & LISA K signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 13337 CENTERVILLE ROAD 7000) of Division 3 of the Business and Professions Code) or that he or CHICO, CA she is exempt therefrom and the basis for the alleged exemption. Any 95928 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).): O I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: WILLIAMS GARY C & LISA K such 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 improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). !.+ iE0 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed Contractor: SCHUSTER HOMES pursuant to the Contractors' State License Law.). SCHUSTER, STEPHEN ❑ I am Exempt under Article 3 of t e Business and essions Code 4011 SPYGLASS ROAD wY CHICO, CA 95973 Date: owner: 530-894-0894 WORKERS'COMFrENSATffiN DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #: 483969 ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as Architect: required by Section 3700 the Labor Code, for the performance of Engineer: the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier. Policy#: Total Square Ft: 2988 S.F. �.I Valuation: $194,220.00 certify that in the performance of the work for which this permit is Census Code: 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' compensation provisions of Section 3700 of the Labor Code, I shall forth/with comply with those provisions. Date: Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject a( employer to criminal penalties and one /1 hundred thousand dollars 00), n addition the cost of � J//2 L� provided 0 compensation, damages as provided for in Section 3706 of the Labor /(/J' ` / J j code, interest, and attorney's fees. 7'�/ 11-21.5'7) CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the This permit is hereby issued under the applicable provisions of the Butte County godA a Nor Resolutions to do wo c indicated above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) By: �O Name: ^^llDate: VJ Address: PERMIT EXPIRES ON: ate ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety ode, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction'of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or docu t of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: V Signature: �J �, Date: !�� fd Owner ❑ Contractor ❑ Agent for Owner 0 Agent for Contractor w, 12 iUTTE`COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 Wi 1 114M�s ' PERMIT NO. BP DATE: APN: C�!( X066 ZONING: :6C OWN9WS LAST NAME: OWNER'S FIRST NAME: PHONE: -Offq STRE –7FAX; CITY, P: E-MAIL: SITE -ADDRESS: CITY, ZIP: NEAREST CROSS STREET: TRACT/LOT M APPLICANT NAME: I PHONE: STREET ADDRESS: FAX: CITY, ZIP: E-MAIL: CONTRACTOR NAME:PHONE: 0�aA, Zj� "45-Y� R9 C) �?q STREET ADDRESS: l \ l ` FAX; , f � 1 l—JI/ C•/J1 t CA)CITY, ZIP: / E-MAIL-. LICENSE NUMBER: �./)_ LICENSE TYPE: ARCHITECT/ENGINEER NAME: PHONE: STREET ADDRESS: FAX; CITY, ZIP: LICENSE NUMBER: E-MAIL: DESCRIPTION OR SCOPE OF WORK: C.6 -TO O%C-- )ELGrr-'&-,rtSt::- D5 v 40 ❑ Structure Built - hout permits ❑ Proposed Change of Occupancy (note previous use) EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. 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 workplan checked and other department costs are not refundable. For office use only: Notes: ` Application Received by: Date: Receipt number: -:�-19 9 5 � Amount Receive 13x4 ,'4V Master application 3-4-04 o� COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SE4VICE9�b D9;71k1SION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)5 8-214 PERMIT APPLICATION DATA SHEET �% t� 2(J U CSU �D / y l ` n J� I OWNER: 1 A `'\ yYl ` / ASSESSOR PARCEL NUMBEIR'TlL'�"�� Proposed Building Use: Iy .7!� Counter Technician: Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order o pply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance`design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form ......... ....-... 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. 'O . 16. Other ° Remaining items needect.I issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers.......`...........:.....,................................................................. 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by 19. Soils Report and/or Engineered Foundation required ........................................... 20. Erosion Control Plan Required..........................,............................................ 21. Fees as shown on the attached Schedule of Fees` Due Sheet .............................. 22. City of Chico Plumbing permit ................................ . `G 23. California Department of Forestry plan approval aid. Sent by. ...'T.... 3- 24. Planning approval (A) USeQ)< (B)Parking: (C) Parcel C rn 25. Contact Land Development about _ Improvements, _ Drainage ......................... 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization......................................:............................. { ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ 35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction......................................................................................... 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, Letter (om Legal Owner, ❑ Check to H.C.D. $ 38. Other:Misxg�d - Q ❑ 39. Other: �^ hen issued Telephone and hold for pickup. 1 have been informed f he ab " e items and r quirements for obtaining a building permit. Applicant: Date: 1.e -ll Index permit applicatio 6rte ove items numbered:Plan Check Let er 2. Additional items required Contractor, designer, owner, was advised of the above datJ by ❑ phone, ❑ mail, ❑ counter, by Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, Plans reviewed by: Date: Plans approved by: Structural reviewed by: Date: Structural approved by: Note transfer by: Date: Yellow: Building Division Date: Date: Date: Date: '.•.. —.` • E.N. USE Piot Pian Attached T rlaas Plan Attached Sarts 2a B.D. TO: Building artment F M: Environmen alth tl UBJ CT: Sanitation Cleara (0 e 6viner Location AP# Plan Approve f Sewage Disposal Water Su ply: Public Priya Wellx Clearpqce for Mweiling. Other �,./ i�., ,�4 �yjC, P �CC4tP �' � (in <� Hold final for: 8/96 v COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 SCHEDULE OF RECEIPT OF FEES OWNER 7W�EBUILDING USE ILDING PERMIT FEES --- Balance Due ..................... $ --- Additional Fees Due........ t2. Revised Plan Checking Fee.... $SCHOOL DISTRICT FEES y �( aid at School District Office) (form—available ble after Plan Check) SHERIFF FEES (paid at Building Division) Residential............ X $360.00 =$ U its Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. 4. URBAN AREA FEES A.P. # CJ 1 1 6 DATE BCEIPT6 I QATE REC. (paid at Building Division) Residential (per unit)..... X = $ # Units Amt. Commercial (Sq. Ftg.).... X = $ Sq. Ftg. Amt. n � 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK FEE $89.00 (paid at Building Division) 8. WATER TENDER FEES BATTALION # $200.00 (paid. at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Zone # Units Amt. Commercial (sq. ftg.) ......... X = $ Sq. Ftg. Amt. 10. OTHER At time of permit aT:t 'I w s advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed duc g process. APPLICANT DATE Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003) National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement [LESS THAN 1 ACREI w Project Title: By signing below, I, the project owner/owner's agent, certify that I am aware that'a construction project that disturbs 1 acre or more of land requires a Construction Storm Water Permit from the State Water Resources Control Board and that it is my responsibility to submit a Notice of Intent (N.O.I.), a Storm Water Pollution Prevention Plan (SWPPP), and a check for $700.00 made payable to the State Water Resources Control Board to obtain such a permit if my project disturbs 1 acre or more of land. I, further, certify that this project will not disturb 1 acre or more of land. I am aware that submitting false and/or inaccurate information may result in revocation of grading angr oir perpp or other sanctions provided by law. • 1 Signed: Title: Date: % Y i BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) school District ch I -co UK) Building Department No. A:P. Number 011 3(C) - W6Jurisdiction: City County Property Owner W Property Location/Address 133 3�l ems' �" [2—d Subdivision Residential Development Q No of Living Mobile Home Units Installation 0 0 New Addition Building Department Dq - 0622' Lot No. ................. ......... .... ............................. :... ....... .......................... Sq. Footage Addition/ 'Supplemental to (Group R n Conversion Permit # ' L' m (' y 3 *(No foundation Inspection) ..................................................................................................... Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) District Identification No. 0 (��(� School District certifies that Sq. Footage (Including Exterior Roofed Areas) Date (Applicant) (Street Address) w, (Phone Number) 0,A) (City) has complied with the require ents of Resolution No. representing square feet. School District Representative (State) /� (Zip Code) ���• Dt� by payment of $ a 2926 $ FULL MRiGAT10N = Date Paid by Check # C Remarks: a 38.E Notice: You may protest the Imposttlon of the fess Identified above by submitting a written protest to the District. In compliance with Government Code Section 66020(a), wMdn 90 days from the date fan are paid. Failure to submit a timely written protest w10'prohlblt you from dvYlenphq the Imposltlon of the fess In any court action. N, subsequent to IMM School District Representative signing this Butte County Schools Impact Fes Certification Form, the School District Is OR 'by the applkabie Local Planning Agency that this project Is being reviewed under tit CafNomia Environmer" Queiity Act (CEQA). this project may be subject to additlonal school ties to fully mitlpate.ite impact on the school distrid'a schools. White (applicant), Yellow (building department), Pink (school district) fesform.xis (10/03)dmm kt• F J BUTTE COUNTY PARRS DEVELOPMENT FEE CERTIFICATION FORM CHICO AREA RECREATION AND PARR DISTRICT Assessor Parcel Number(s) 01 I "�, S ' s �� Property Owner W G Gl r Project Location/Address J� 1 `-r��`� 4 . Subdivision .Lot Number(s) Residential Development: (check one) New Development _Alteration/Addition _Mobil'ehome(s) _Non -Residential to Residential Total Number of Dwelling Units Comment: !� / C} 0 8 L�7•/ Building(15epartment Representative Date Yt9c9r�yt7t��ttxxyt�lryr,irvt,irx>tint,irYr�*Yr�YrYryrYcYrYt,it,iryr*x�MrvtYr,it�trwYr9r�ktlrYrYr�Yr*Yr.�t�t�,irYt*���YtYr*Yt**�*Ytyt �► Chico Area Recreation and).Park Distrlct(CARD) certifies that _6,ar x 6,/; 4; C2 (App icant Name) (Phone Number) .%/ [`tom (Street Address) �,. e"d `(City) (State) (Zip Code) has complied with'the requirements of Butte Co. Resolution No. 90-140 by payment for dwelling units @ $1,189 for total payment of $ F CARD Representative 1 1.0-1 '0 oq PAID BY CHECK NO. 0SU I REMARKS: BANK NO. CJ()-?jqCA PAID BY CASH 1.14A o%4 Date t RECEIPT NO. 05/12/04 #27,95 4a ?Ralf , -T ,, Distribution: White --Applicant Yellow;-Butte'Co. Bu�ilER4 Dept..$'11Ff.00 Pink --CARD A Goldenrod --City of ChicohBuilding Dept. park.fee (form revised 11/90) t :" .. r CDF FIRE SAFE REQUIREMENTS ll-360�Db D�062 - �ra-1 AP# PERMIT ## NAME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. [X] 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued availability, access and utilization of the defensible space provide for in these standards, annual maintenance must be provided for by the land owner. Driveway Standards [X] 1273.02 Surface. All driveway surfaces and structures (bridges, culverts and other appurtenant structures which supplement the roadway bed or shoulders) shall provide unobstructed access to conventional drive vehicles. Including sedans and fire apparatus weighing up to 40,000 pounds. [X] 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius IN 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional surface width of`ifeet shall be added to curves of 50-100 feet radius; 2 feet to those from 100- 200 feet. [X] 2. The length of vertical curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. [X] 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. [X] 1273.06 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. [X] 1273.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 of 3 P fit -3(90-o6 6L06Zz 111)1Lk-44XkSf C,47LY AP# PERMIT# NAME [X] 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. [X] 1273.10 Turnaround. A turnaround shall be provided at all building sites on driveways over 300 feet in length and shall be within 50 feet of the building. 1273.11 Gates [X.] 1.Gate entrances shall be at least two feet wider than the roadway it serves. IN 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. [X] 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space [ 1. All parcels 1 acre and larger shall provide a minimum 30 foot setback for buildings and accessory buildings from all property lines and/or the center of the road. [ ] 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See other requirements on page 3. ] 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction or final inspection of a building permit. Page 2 of 3 a//,-3�60 � o( �, AP# ,I z2-- PERMIT # Other Requirements [ ] If Building Setback is 15 to 30 Feet: . . - Class A or B roof and Enclosed Eaves Al"I'04Ms NAME [ ] If Building Setback is Less Than 15 Feet- Class A or B Roof with Enclosed Eaves and: Choose any 2 of the following: - Metal or no doors on the side toward property line with insufficient setback - Interior automatic fire sprinkler system per NFPA 13D - Glass area not to exceed 10 % of wall area toward property line with insufficient setback - Siding from the following list: Stucco — 3 coat Hardi- Board or Plank Masonry Masonry veneer Metal Other Butte County Fire Department approved materials Date Signature Page 3of3 NOTES RESIDENTIAL PERMIT NO. 0___ -360-006 01-2345 LLIAMS, GARY J 13337 CENTERVILLE, CHICO EX MH PERM FNDN ?. THE HCD FORM 433A FOR THIS MH CANNOT BE 1 RECORDED UNTIL ONE OF THE FOLLOWING HAS BEEN TURNED IN TO THE BUILDING DIVISION: I (1) LICENSE PLATE(S) OR DECAL (THE J._ INSPECTOR MUST RETREIVE). ' (2) STATEMENT OF FACTS (ONLY ON ,NEW MH'S). INSPECTOR TO VERIFY SERIAL & LABEL #'S. SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY ]� USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER 'Dep Nof - , Na' per.—% -F + f i 5� -!-00 kpr �;jv j jp+5F7vaJ f r/o-. n S a - sOf Te��nNn� tr�r Co -dr try ��� JOB FINALED (Date) �4✓ Signature J = OK 0 = mt OKt - = Not Applicable MOBILEMOIVIES •.= Not Ready Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete + 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / /"L"ft./ /'LPG 7. Well Clearance 8 Disconnect 8. Utility Clearance 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses Date 9. Card B-1 Date Card B-1 Date 10. Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Ext.; Steps -Doors -Landings 1. Zoning Requirements -Setbacks -Easements Braced Wall Panels 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector Card B-1 Date Card B-1 4. Electricity; MH Test -Crossovers -Breakers -Clearances Card B-1 Date Card B-1 5. Drain; MH Test -Fall -Flex Connector FINAL (Plans) OK except #'s 6. Water; MH Test -Regulator -Connector Setbacks -Easements 7. Water and Sewer Connected -C/O to Grade -HD Approval Soils; Compaction -Structure Stability 8. Gas and Electricity Tagged Pool Structure; Steel -Connections -Thickness Dead Men -Lining 9. Tie Downs -Type -Installation Cert. Elec.; Receptacles and Lighting, Distance-GFI 10. Exits; Insp.-Sketch Elec.; Pool Lighting; 15 Volts-GFI 11. Cert. of Occupancy Elec.; Enclosures; Conduit Entries -Terminals -Listed 12. Permanent Foundation Only; License Decal Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Plumb.; Cir. Test -Water Supply Test 11. MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails + 4. Wood Awn.; Posts- Beams- Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures -Pan elboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 4 Date Card B-1 Date Card B-1 V= OK 0 = Not OK - = Not Applicable =Not Ready RESIDENTIAL (: Date FRAMING (Continued) Underfloor (Plans) OK except #'s 46. 1. Zoning -Setbacks -Easements -Flood -Slope 47. 2. Ftg., Main; Soils-Elec. Grnd.-/ r Ftg. Depth 48. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ r Ftg. Depth 49. 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 50. 5. Stemwalls, Main; Steel-Blockouts-Wrapped 51. 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 52. 6a. Hold Downs and Special Anchors 53. 7. Slab, Steel -Wrapped 54. 8. Piers -Fireplace Ftg.-Steel 55. 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 56. 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 57. 11. Water Pipe; Test -Anchors -Regulator -Service Test 58. 12. Electric Underground 59. 13. Plenums & Ducts; Clearance -Material -Support -Ins. 60. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 61. 15. Access & Ventilation 62. 16. Insulation Date Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s PLUMBING (Permit) OK except #'s 63. 17. Water Htr.; Vent -Access -Combustion Air Baffle 64. 18. Water Pipe; Test & Anchor -Nail Protection 65. 19. D.W.V.; Test Fittings & Anchor -Nail Protection 66. 20. Shower Pan; Test, First Floor -Tub Access 67. 21. Test Tub & Shower, Second Floor -Tub Access 68. 22. Gas Pipe; Sixe & Anchors 69. Stairs & Rails Date Fireplace or Stove, Clearance -Hearth Card B-1 Date Card B-1 Date Elec. Outlets at Wood Panel, Int. & Ext. Card B-1 Date Card B-1 Date Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance ELECTRICAL (Permit) OK except #'s 73. 23. Fixture & Transformer Clearance -Ins. Protection 74. 24. Elec. Receptacles Spacing -Lights & Switches at Doors 75. 25. Size Boxes & No. of Conductors Stapled 76. 26. Romex Installed Close to Edge of Studs & C.J. 77. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 78. 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 79. 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al 80. 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral ❑ Yes O No 81. 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 82. 33. Clothes Closet Light -Shower Light -Spa Light 83. 34. Smoke Detector 84. A.C. Unit Disconnect, Electrical -Plumbing Date Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings Card B-1 Date Card B-1 Date Water Well, Disconnect, Electrical, Plumbing Card B-1 Date Card B-1 Date Exterior Elec. Trim, G.F.I. Receptacle -Underground MECHANICAL (Permit) OK except #'s 88. 35. A.C. Ducts Insulation & Support 89. 36. Vent Fan, Exhaust above insulation 90. 37. Condensate Drain & Overflow, Size & Grade 91. 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 92. 39. Attic Access & Platform if Furnace in Attic 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 FRAMING (Permit) OK except #'s Card B-1 Date Card B-1 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing t i jingle & Duplex) . Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rttr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. I nfi Itration- Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Ramex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 82. Following Instld./Drive ❑ Yes J No/Walks :j Yes Q No/Planters Yes J No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: /Zt- 71v ' COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 47 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96.) APPLICATION AND PERMIT 01-2345 ASSESSOR PARCEL NUMBER 011-360-006 ZONING BUILDING PERMIT OWNER D GARY WII)LLIAMS TELEPHONE 894-5041 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 13337 CENTERVILLE RD, CHICO CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee 473.00/2 $ 236.50 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDING ADDRESS R CHICO 13337 CENTERVILLEPERMIT Energy Plan Checking Fee $ FEE $ 279.50 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome EX Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each gas water heater or vent 15.001 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other )I Describe Work: EX MH PERM FNDN Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 15.00 Mobile Home Is G W g20.0o PERMIT FEE $ 65.00 ELECTRICAL PERMIT Fling Fee 20.00 Main Service zo.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in II force and effect. License Class Lic. No., . , -BUILDER DELL RPION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: Id I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation lirof one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation rovisions of section 3700 of the Labor Code, I shall forthwith comply wit tLY#e provisions. �J! X _ Date / Si ature of pplicant - wrier ❑ Contractor ❑ Agent AnOSHApi rmit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 46.00 NEW CONST. DWELLING CC OUP. SO OR ADDNS. ( a ACC. BUDS. 3.5¢FT. TpµgESID BRANCMULTI.OUTLET @7,50 POWER APPARATUS 8 SINGIE OUTLET CIR. EX. OCCU TTU20 OUTLET OR FDREs aAL O I .so OWNER Ex. Occup.. ouiLEtDrs AaID°E. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 344.50 HAZ. D. FEES IMP FLOOD __ CDF pggCEL PD HD ISSU This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. B Date d a� -� a - Y a/te� PERMIT EXPIRES ON �o"' 0 I pate) Receipt No. WHITE-D.D.S.-B.D. ANAR -ASSES OR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PEqMIi, NO. (Rev. 12/96) ' APPLICATION AND PERMIT U*_'`�'-� ASSESS0.I PARCEL NUMBER rzDNINGrQ g I,� BUILDINGPERMIT OWNER ,. I G• �-% HON 5 SO. FT. OCC. BUILDING VALUATIO _ _ OWNER'S MAIU B rU CONTRACTOR'SNAME e r - TELEPHONE CONTRACTOR'S MAR! ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Fee $ 20.00 —Filing o. Permit Fee $ ARCHITECT OR ENGINEERS MAOJNo ADDRESS Plan CheckingFee $ BUILDING ADDRESS ' 3 `� 3 ``J Energy Plan Checking Fee S S PERMIT FEE S LOT No. SUBDNISpNSNAME �� _ PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Dupiex ❑ Mobilehome Other SPT Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 rjo TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Q Otber ❑ ' Describe Wo E � Q � � t�-� �L (\0k O ti ✓A Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 S' W 20.00 Mobile Home S G (0 PERMIT FEE $ ........ • I I �{- % eece> yy -33 I (,,-7,?— C � • 6. ' i B n I. n S•_;;AZ- %a all on _PERMIT NT ELECTRICAL PERMIT Filing Fee 20.00 Main Service 2�o..AA OR lss 23.00 Main Service 200A TO 1000A 46.00 NEW CONST. DWEl11NG OCCUP. ,3.5¢Sa OR ADDNS. ( 8 ACC. BLDS. FT. NEW ONS . MULTI.OUTLET NON•RESID. @7.50 POWER APPARATUS 8 SINGLE OUREi CIR. OUTLET OR FORURES 20 O 1:so Ex. Occup. ourLEEDrs AEsID.U4SoEa 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heatin Cooling Hood 6.50 Ventilation PERMIT FEP S Mobile Home Installation Fee S Energy Inspection Fee $ TYPETO AL FEE $ EOCCCONST. D. _ES I FLOOD -CDF � P EL � ND S This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date EXPIRES ON Defe ;yyi+- .O:'- yip Vf F: &.�.r� ..y -r:e._ 3f I'.*r:.••,aY'q+F IF'iH.'i. •Z��iN✓ l`�5 ��=SFl. ?- r - y , I i COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PE"IT APPLICATION DATA SHEET OWNER: C_-,--art i.a r^ ASSESSOR PARCEL NUMBER: 1(- 3 O -00 Proposed Building Use/ Building Inspector: Date: !27 , 1 ef'A 0 1 At time of permit application, I was advised the following data mus4 be submitted prior to permit processing and/or issuance: Date Received By ❑ 1. All iiems have been submitted.------------------------------------------------------------------------------------- \X. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ 03. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ 116. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ �. Manufactured Home data and installation instructions including Tie Down Specifications ------------------- El 10. Fees of $L q:50 --7 ------------------------------------- 1111. Impact fees as shown on I a attached sched e. ----------------------------------------------------------------- ❑ 12. California Department of Forestry plan approval/fees- --------------------------------------------------------- 1113. -------------------------------------------------------- ❑13. Flood elevation certificate. ---------------------------------------------------------------------------------------- ❑ 14. Sanitation and plot plan approval Health Department. ------------------------------------------- ❑ 15. City of Chico plumbing permit.----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ❑ 17. Planning approval for (A) Use: C> (B) Parking: _ ❑ 18. 2cro, ct Land Development about ❑ Improvements, ElDrainagPl .egal Parcel. ❑ chment Permit for driveway (construction approval prior to occupancy). --- for required Request to Building Inspector on s license information. (Number, Name Style, Classification). orkers' Compensation carrier and policy number. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). 1124.Letter of signature authorization. ------------------------------ 5 tecorded copy of Agricultural Acknowledgment Statement. ❑26. Letter of intent on building use. -------------------------------- El 27. Manufactured Home utility clearance. Q SIO 1 ^1 (Date) 028. Ex'stin d/ -------------------- _ ❑29. ❑4 ant D RT.H. Till , C1 Check to H.C.D $ 22 030. Other. `------- _ When you issue the permit urocess as follows ❑ Mail to owner, ❑M it to contractor. Telephone �� CJ oY 1 and hold for pickup at � (.IC 0 office.. ❑ Delivoth inspector. Applicant: ate: Copy of Haz-Mat form sent ❑Health Department, 13 Fire Departme>3t{❑ Poll n Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ 2e : Date: By: 1. Index permit application for the above items numbered: ❑Plan Check List 2. Additional items Soer.,* ; Contractor, design as advised of the above required data by one, ❑ mail, ❑ Building Division counter, by KA Date: / p Contractor, designeras advised of the above required data by ❑ phone, ❑ mail, o Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, o Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, o mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, o A.P. folder. Note transfer by: Date: VPI( r—, - r1PT9TF11 f C-;. 0-1A.*__ Tl:..:..:,... PM 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 dela; in processing and issuing your building permit. No building permit will be issued until this verification is received. L" I personally plan to provide the major labor and materials for construction of the proposed pwperty . vement : YES NO 13 2. I HAVE ® HAVE NOT 13 signed an application for a building permit for the proposed work. 1 I have contracted with the foil ir}gpetson, (Sant) t(Xpmvigq.the..proposed constructxon: . Nd, AME: z2'f Y ADDRESS: PHONE: _� r `� �y�. 'CONTRACTOR'S LICENSiE NO. 4. I plan to provide portions of this work, but I have hired. the following person to coordinate, supervise, and provide the major work:. NAME: ADDRESS: CITY: - PHONE: CONTRACTOR'S LICENSE NO. S. I will provide some of the work'but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER: SOCIAL SECUR ITY NUMBER DATE: le— 0 NOTE: This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned io our office before we are permitted to Issue the permit e fA OWNER BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your time listing yourself as the builder of property improveamm specified - For your protection, you should be aware that as "owner-buildee, you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they app`7'-� t If yod pied to as tit own'wol*, with the owepdon of various trades that you plan to subcontra4 you shouts be aware of the following information for your benefit and protection: `Y ♦ Ifyou employ or otherwise engage any persons other than your immediate family, and the work (Incluefing materials and other costs) is 5300 or more for the entire.prgject, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer,. you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security. taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal. Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can conium that you are aware of these matters. The building permit will not be issued until the verification is returned. rely, Mic el C. Vi ira, C.B.O. Ma ger, Building Inspection NOTE. This Owner -Builder Information Is required by Section 19810 of the California Health and Safety Coda OVER OWNER: J��Arql *t c�t,yt S LOCATION:1 -J 4 -3 e Z4! C O CONTRACTOR: (17) 1-10 /y-e� EZEP. PaRT DATE: 9— "2, 6�, —o A.P. ZONING: PRE-INSPETION FOR: DATE TO INSPECTOR: 7 vZ % PERMIT HISTORY:( ) NONE FOLLOWS: BUILDING INSIPECfOR'S REPORT Building Description: BT(V ", � I Residential/# of Units: Currently Occupied Abandoned/Vacant Electric: Yes // No Electric currently On Off Condition of Electric Gas: Natural Propane_ None Currently On Off Obvious Problems: Sanitation: Plumbing Working J Well Working Potable Water ✓/ Obvious SewageProblems Comments: ACTION RECOMMENDED: ISSUE: HOLD FOR Inspector: V Date Sketch buildings on reverse and indicate location on property. Ila a/o 2 d?�3_ fi e e, ;,e -,e Y eon y ® F 5 f .Fo- " t6-.-fl-&I" e o -'?r /DO l V erg ,� yr D(4 �Ie�NS�?GG�'te� �.++s.+=�—i:R•Kr' ..r'r`w""��...R„ ,. - .. + �'."�—'„� •.. ,,e• •.. a. /�Ar' _ n.-,.. .•._ - _ _-, _ "{ °G'r.. _ �. _.+�_r-��l � _. _' � �.. .♦ - ..yam w.y�p..rs � .- .-.re-.-�-. - - . �- -06 HL) 1 7 Centerville rd, Chico' Perm 1759-85P,E(replace fire damaged ,.as, le ser H facilities & sewer line S� on existinte)MH ELEC D D ✓ '�' �N•� �`�z j o -I .{ GAS a l SUPPORT STRUCTURE RE I° i COMPACTION TEST REn RAJ p 4 Contr: � Pacif aoncep s Permitdkl -85MHI - Iss 7 Contr; Gerald Doremus U ; Permit#2616-85B(deck & steps) ;: 011-360-006 01-2345 WILLIAMS, GARY - 13337 CENTERVILLE, CHICO o ; EX MH PERM FNDN NJ IL FRO STAGE TEMP INT ACCTG DEPT FAX N0. : BBB BG7 8243 Jan. 24 2002 09:41AM P1 California•.•rya•._'-- • Qustniaa, State of Tramponatlon and Housing Agency O l •-•— I S 7 .? : > j' iepertroent.of Housing and Community Development Divlslon of Codes and Standards �✓ f (0 /'r l/^ l ' '�,'� _t /'1C ��yS�t G '� Alternate APPLICATION. FOR: ., Approval 0 TBCiinical Services D Rcpfecemenf fnSignie'0'COdFng Inspection 0 Alteration/COnversionElAppr6val to Remanufacture' (SEE REVERSE SIDE OF FORM FOR INSTRUCTIONS AND ADDITIONAL INFORMATION) ' r ;CONTRAC:TO.R/OWNER pUILDER.DECLARATIONS', ,...r: SECTION 1 -UNIT INFORMATION '... •+ - .,...:.: :.. : DEPARTMENT USE ONLY ' •^..•.:.r: ,`Rpt,• �,l� �M'/�r'r!!r• .. ,...::,;;.Nocyeouil8d:!or:'Syeefai:Pll/Roso.Co(nRie!Clal.;Coecnesot., ;•:•' .: Recfganonal,VeAlc/cs.; ;:. ,,, ,. ..' .: .; eervlcea lof.iheroppwir,g:unitlek�••i ' OC'NO: •�� q'"` ;;•:i.:; •::,• :`' :`:.:+':iiia.,:.' �....:.:,'::':. '.: ? 1 -LICENSEb`,,COiit fAGYORSiDECLARATION'' _I/We•ece;requcstinq Check ADDtoDriateaoxl�:' . I:ficreO,V afflrm•iindcr pentilty.pa'perjury the1 I:jm,llcensed unaef•, •. Chapter 9 (Coi^mencing, waft Sectioh''7000) of Division 3. anutectured Ftorne'/Ivtulti=Unit Manufecftirell Hoyalnq 1 provleiorili of. or}na;9usinssa and Ptofesa)ons Coaei and •my.gcenae. is in full torso dnaW-O'Cro iedHomefMulti•Unit MtpHsg ;COm)ionehr6tretiOhat vehicle.. :, �✓ L:eenae'Cldss Lie. N0. ' 7Esp• Date — Commercial Coach (occupancy GroupT ®SOeelel Purpose Commercial Coach J 1 gjRacow ly%C/ CC// G/ci oete�_. / Decal or Licence No. vN'tJ L� ,1 �.p' •1 2. OWNER-QUILDER OE'C04FIXTION "' • 1.dyeby, sttlrm Vndcr 0enelq` Df, perjury that 1 am axarro from lila /•- Serial Numbers) a AA N0.! Con(ractors•'ticonaeLew for the •dowing reasonASec J031.51; ",; _ ,fir. `.� _ •• RT TO - .• Busincss and Profiiiisioits•Coda:, -:Any city Or COunty which requires a permit to construct, alter. Improve. demolish, or repair, any ctructufe, fila GfJ _trib ,�t/ �/«/ ,A' 'Rr BY priOf,lO i[9 I81Uance, alao_fequires the aDpllCirrt fOL auefl permit t0 a pgnad aiatement that he or aha is licensed Durstient to the provisions of Manufacturer Name/ / /� / /r72! %o . • , �•�� the Contractors Licenselew (Chapter 9 leomrneneing with Sectlon Model Name 7000) o1 Diyision 3 of the_eusimess and Profcssione Codcl o, that he or y _ � , , ,•. : ed exeptidn.: Any. she is exempt therefrom end•.the basis for the aIle'gm violation of Section 7031'.S by any applicant for a permit suttjeeta•the,. Year of Mnnutecturer -Ld •i L• , �/ ..,: eDO.+fcYnLt^.a,chi), YjO�BIIY.,pt,,not.more.tt�en nvC nuiul'rea dotu+rs1i60,01.k.. :.:..:..... ; " .... e '��'' % / a VO La mDe 1 t ,. Ilisigni /r be1'Nu .� R .z .. 1 t: as owner -4. tha. property, or. my, employees with'wades as their ' .) 1019,01h tion, wr11 do thn work, *and tKc ,Ittucture is not intended of rNV.0.."ynaa -It,iolua.e a rkPrnteaslons Code: The SECTION 2 - OWNER/APPLICANT INFORMATION ContractorsLrc`ense lalylrbSB'yl6t-a)ipYp t01pn g2vq rep .builds or i1rprove6 yy��aeppri, �tTt)[1�'A9ae 6 h wotK bCl Or elBOlt Or f bugh'his of her Y1917g a. fovida t a sus Im roGemente are not intended or offered for 4010. It, however, the building or Inlprovemant ib -Sold within one year of completion, the owner-bviloer .will have the burden of proving. hat he or ane did not build or improva 'for the putoose or batC: -•"?,}. ,I�Etiwner of the property. am exciusivelv'eoiritrdcting with li ense0 colttfactorx to conetruct.Lhe project.ISee. 7044. Business and. • Professions Code:' The Contmi:toie License Law dbes. not apply to an "= owfiec ol:pfoparty:,who:builda'Or:lrrl)jr0ycs •tnefebri,:ind.wrid eefitraete :. .. '.•1'Oi'etiClt•pt_oj¢cis writi:.9. corivaagrfsl:licinse0.•pursuant'lo 36i CO rMtors•Llcehse'lav!t: • , I I -ii;; exam .i unaei Seca • :•B:.1! P..0:.'tdi.this.reaeon: r I p ,. .. .. ..Owner•. :Dale. . . ` 3. WORKERS'' CONIPEN$'ATION DECLARATION • ' 1'!t[veDy,etfurif under.pcnaltypf •pe!)VrV one ur the following declarations: 1 .11 have and will maintain a cenificate Of consent to self -insure for wotkem. compensation, as -provided for by Section 3200 of the Labor ,Code, for the peflofmance of the, work for which this permit is )e6ued. OKI have and will maintain workers' compensation msunnce, ea ,squired by' Section 3700 of thr,. Labor Code, for the performance of the woik•for which thio permit is isSuiert. My workers' compensation insurancc' caffie?r and policy -number re: Carrier Policy Numhet� ITh aaOUoA_ngsd.Q1t,b.6COmDI p •r;t Npenmgra; or.10. 9'mlr+dto '•.•,•dottarsl8)hll1)ei tel::':.tom'...;,. :.;. ••; .: •;1.:}.,,:.: ..,. ,�..,.4•_ I .. iify iKet in the periormenca or the work ror wnicn'this pcimir is issued. 1'Mall not employ any person In any manner so as to become bubiect to workers' compensation taws of COfrfornia, and agree that it t 'should become subject to workers' c rrrpensation provisions of Section 37.00 of the Lrabb Codc. I �'iu, cfu ith compty with those provisions. COVERAGE IS UNMWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES•AND. CIVIL FINES UP TO ONF HUNDRED . THOUSAND DOLLARS 1S1017,0601. IN A0017(014 TO TME COST OF'" ' ? ''COMPENSA_TION;"DAMAGES AS PROVIDED FOR IN SECTION 3708 OF :'THE:LAB0R CODE: INTE[iESY,:nND A•TSORNEx'$?FEES:;.,:,; • - e' . CON6TRCI6TION�Li`fJ6lNG'. 'GEtiTCV A `•: td)tere[i" etflr un er" halt i er ur .that thcn: iS d rYcon iiuc on.' . '•: Y .... a, ,pe •``>a�le,�idmjj:egeptq fd , r}lie OeftOimanee Otahe; Work fOf irlMCn.lnld`08irnR 16 16eued1SOLV9.7 CW: CT Lender'6.N'arrib Lender'b Add— . 5* CERTIFICATION .'- ...: - , "....... . 1 lenity that I neve reaa this application an0''Btate that the TbovC ,,�LtI++tOfmjtion iii'cbiieCt: 7'ayree`rn comply with°alli'eitY Bnd county • *tiidlnaribe@;attd;state laws .elating to build cottStruction, dna. Hereby aLthdili'lr4epresent'efives of this countt%`to brrter upon the aoove•mentroneo propartv-ror rtnpectlurr Yurqua... Rneture o pp leant or gent ,... ..;?.`YI'— a� Downer C-,ew 1,v/11 /u AS. Telephone No: Addrcir c'NCforunytyCity Zip / Locafinn a1 Unit If Different ' Than Above Applicant- �.. AOdrasB" . .•,.. F. SECTiON 3 • CONYR/1CTpR; Ai1CFt1TQCT On,ENGINEER _INFORMATION-' :' , :, 'Conuecfor's Nainc Address _—.13 -3. .t/fP/6;--l' L( f . _ ... ... Arewisct/Engines, Nmne license No. /ACTIVITY AND VALUA DeeCflee the propoxod warklacti.ity in detail. Attach additional pages if neresaafy. It Structural alterations ur.remanulacturlho are06ed, completu plans, specifications, details. end calculations must accnrnpany rhlt form. Chetk box Wf plans•BOCOmDenyihis ipnlirarian. Amvide the nre}{a.end model or any epplianct to b9 installcd and jiioviue fOmelete 8t9/cirtce/l,';ealCVljti0nl:'•forD'tiny`etecititAlteRerati0ft6:or' 4aaiiiotl-.9-„ . /(�trl� Dd% VN/_L'.4�1 1R/C/ /1i�/ C/�'. ��v/G1G�/. f / 11 / f • %r l „Jul I/ r A t,ti/, t!, c:r ( • ,;�Ze-/ A"'A , Indicate the Total Cost of the Work -to be f crformcd S L / O I'lWe.he,iDy ineke ep0,licetlon. tbi•tie:aervleee;OealpriatetraDOve'lLapplyiitg torrreplaee%ne6i<oCe: Oat;. litbiortis roctre:u!+IC'':091Cf10Y0>Irr:;SEGTtO1I=]' 9005p; ihve:caRrrM`t at;the/e neve`oeentno:aiietej!o'ria:.•_ ;{ ,addltliihP,' Or modificati ns; o`;tlic�Jhi['t/i�t i+wiiirld iiflcet"ihE':Unit•: "" " - o. debmpfdntc wnh Califom�a'or-'MEcr5l.firvi. Oi the rulcS:and, rcgtrt�jion5 til titC Detianmerri: IR"allteratiunS,'edrjitiun5; `lir moilifiC4tf0+j8 ,TIsvB;0e0� TOGO,'a •' GOCinfi triepectl'On mysi:Daotittiined.t - •` IOwneibf,uni3mae[eign,;wfiene•leD!et:e(nenj.,b - „s:bgih rsaucstcAl..:'..'.f' ' . /+ ;• DE,P' RT%�fjNT lf9E;ONlY'' '. ,Va. • ' ' • �./� 1 PROVED nn NO ION$ Ic rcvcrsc :ids) ., Q Disapproved t}pe�91� $vlhaturt Of OCYartment Representafive Dd� HC0015, Side 1 (02/98) DISTRIBUTION: YELLOW'. DEPARTMENT WHITE • A-REA OFFICE,•1 PINK -.OWNER/RPP,IICAN7 FR -1 : STAGE TEMP INT ACCTG DEPT FAX N0. : 888 867 8243 Jan. 24 2002 09:43AM P2 } v S i.%rte :.%JrAowvrrw.� tr. ` '•.r i' . .rte ..�•ttllett alp MotalYq AgooloF `w( D Vee onif of NotwYq and Corral s"y a�loO�K C -�- �. D1Mslor, lie Coda, and stsadanda a anST :rioia++Vs;zre nc.re•r:: •r. �•-s� '•� ��:• '•tn:e 9AJ 'T :rG OrtR .wm OI'e,6n,i7;=',o nc: v..e.r n+,:. _•::cam orf' e..ou:a soli -1.J *fit 9J9itit'.o7 R7Ci• 79•:L oa: i:. 0 tzlC E:' ^. :-APPLICATION FOR:..:.t ...,,.,,,,�n:•.�:,;1,,•;- n 7 Alteration/Corlvorsiono,4prove tot matnafacture �AitemUto AYp ro nw Technical B� Ic��TIONI ant Insignia O Coding Inspection CONTRACTOR/OWNER eumm DECWtATIONS • ..; ,.,r: SECTION 1. • UNIT INFORMATION -; :: ; :� :+ , . �" ' : a'•'''' Ceaeha>r o! Mol 10,Wlvd nor mmmot� IF44 019 ;1sNnp services toy the following unitlsl• _ , V~m «Ck AOptoOrlete Bort 1. UCENSFD CONTRACTORS DECLARATION 1 hereby efflrm under van&" of perjury that 1 am licensed under snufacturo0 HOmalMultl U11M Manul,oturrd Housing pmvWoae of Chapter a fcommencnno with Section 7000) of Division 3 WofesSiOm Cotte. end my license is In full force and arxdacwmd Home/Muiti-UNt Mia. Hag. Component 6threture of the Business and effect. ��,� Raciestionst VeNcb Commercial Coach IOccup&M Group UW49 Class Lk• NO./Exp, Dated r Special purpose ConmerciU Coach Date ]e f ,� Comnaor Deal of License No. 2.OWNERd3UILDER DECLARATION 1 hamov OR,, under prr(alty at perjury that 1 am exempt from the 7031 Al. Serial Number($) Comrecta,s License Law tet the following reason (Sec. Business and Preteoaion, Code: Any city or t:aumy which requires e to construct, after, Improve, demolish, or repair any 911 -CM -0.W C2&141 C id/ 129 ALL permit pflor to its issuance, also requires 11110 OPOacsns for Such permit to 1119 • that he or She is licensed pursuant 110 the provisions of Manufacturer Ndme signed statement C rector, License Lew (Chapter 9 Icommencinq with Section' Model Name C the ons 70001 of Division S of the ausin"a and Professions Code) or that he or aha is asera0t therefrom and the basis for the elbged exemption. Any veer of Manufacturer iolation.pl Section 7031.6 by any applicant tota permsubjects s ds / .• applicsnt to a civil 74!rariY e,: ,r..r..ins:n.,.t,w,,nwet!+d.douente600/.►:,, :rsgndw0•Lar_tNumberul Z L•• 1 11, as owner of the property, or MY oniplayeas with wagse B, tha4 oole:tompefnsation will do the work, and the structure to not inSECTION 2 - O tended of WNER/APPUCANT INFORMATION offered far.sab ISM. 7044. &Mtfw s end Protrusion Code: Tie , Comiractom License'Law does not apply to an owner rty of grope" who / Telephone No. builds at Improves demon, end who does such work himself m hone[( Owns r or through his or her own employees, provided that such improvements we not untended or offered for sale. If, however. the building or Add— hfiffavemant is sold within one year of completion, the owner -builder .. r vl ha or s Ila did not build or Improve will have the bullish of pro ftp flet n city County tot its purpoas of sale.). Location aTVrA if Different ( 11, as owner at the property, am ontctualvew contrecang with "Wroad p00det tote to conde.- The Contractors Liproject cense Law does not apply 10 On owss and pn,fer of p Cade: owner of property who buifdt lir Improves thereon, and who contracts for wen proiseta with a contraetor(al licensed pursuant to the tr Conuactara License Law,)- ( 1 I am exempt under bac. , B. a P,C, for this reason: Owner Da1e 3. WORKERS' COMPENSATION DECLARATION I hereby smfm under penalty of perjury ors of the following declarations. and wtl) maintain a certificate of consent to „IMnswe for workers' compensation, as provided for by Section 3700 of the Labor C.o,de, for the Oerformanca of Its work for which Wo pore 9 is Issued. ,{ 1 have and will maintain workers* compensation inprents, as required by Section 3700 of the Labor Code, for the performance of the won for which this permit is issued. My workers, compensation Insurance comer Ong rCanQol�r• pre: Carrier + •W,IlcY NumberrC `� (� /✓! Liz plNa.so2tlon;�t c u o�rgnu n re dollars (01001 dr tees[. I 1 I sonify that In the pwfeemanea of the work for which this permit Is Issued, 1 Stell not ompley any person In any menner so as to beeame subject to workers• companaetion haws of California, and agree that If 1 should become subject to workere' c mponsation provislors of Section 3700 of Ito Lab r Code, 1 sl 1 ith comply with those provisions. Applicant Date /— _O,Z WARNING: NFWFii PE COVERAGE IS U WFUL, AND SMALL SUILIECT AN EMPLOYER TO CRIMINAL PENALIZES AWb CWYL. FRIES UP TO ONE HUNOREO THOUSAND DOLLARS_ (9700.000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES A6 PROVIDED FOR IN SECTION 3706 OF . THE LA80R CODE. INTEREST, AND ATTORNEY'S FEES. 4. CONSTRUCTION LENDING AGENCY •• 1 hereby efarm under penalty of perjury that there is a construction. trlrtolno agomV Ter the performance of the work for which tins permit In Issued (Sec -2097, C)v- C.I. Lander's Name 6. ZMFICATION 1 certify that 1 have road this application and state that the above Mlormation is connect. 1 agree to comply with all city and country ordinances am state lows relating to building construction, and hereby authorize represamlltittea his county to enter upon the - above. enllensd prod r i 'on purposes. tip nt lir Agent . • 1:0 41 r We 1 (02MQ DISTRIBUTION: , , , YEU-DW - DEPAI Then Above Applicant G Address City Tip Telephone No. SECTION 3 - CONTRACTOR, ARCHITECT OR ENGINEER INFORMATION /► r f C Contractor's Name ('7 Al Y (f ArchheeVEnginearName UearseNo. Address SECTION 4 - OESCRIPTION OF WORKIACHVIIT Arvu vALWArrvn Describe the proposed wark/activlty In detail. Attach additional pages it necessary. It stauctun it ehOmduns at remanclaeturfnp enyr used, eompioes plans. specifications, detalls, and calculatlore net accompay n this term. Check lex fit plans accompany cnia.aOPGcetirn, Provide the make and model of any appliance to be Installed and provide Complete elactflt:W Iculatlons for. ase eiectricat ettera rotioor additions. /TDDr /Air Indicate the Total Coat of the Work to be Performed a�O - tR" ��.-...... ..,...A�,.a� A.,r. r-.otrmPAnnhr .:7111 •. I/We hereby make application for the services das"ted above. It soolving for roplacianom of a lost Insignia for the unit described In SECTION 1 above. I/ws certify that there have beehro a1t&WOne. addition*. or modifiesaens to the unfit that would affect the unit's eomplionee with California or federal low or the tuba and rogulatiera of the Dopanmertt• (if alterations, additions, or modifications have been made, a coding Inspeetlon must be obtained.) — -- - - -- -- (Owner of unit mutt elan• whan a fools mast Inalgtra is baMp rsquasmd). -- --------- - APPROVED DON TONS (see rtnrorsy side) ,. _,-D Obeporat!eit low efaa' Ido) Signatureo Department Representative 2x8 ridge beam Ga 1e z.: L/ naileaate saeat�o 32/i vent bOtb ends w/sD a ;" o•�• o 2xb r2: �_ ed3es 12"'fie3a t D. vers @ F• No- 2 or bet -'0-c- 12 .3 etto,c- 12.3 2x6 Blocking typ. Gcr4e dd R-15 insuat:oz 74'-071 2 lave= o' :S= ie]: eF th:�cl_ feseioz �� { 1 layer t St elt with 4:12 Z' C =lone 0. R. pr=ssure treated 4x4 post concrete block .�2x12318 pressure treate6 DF Pad 28. Perimeter blocking.6f S,idewall at 10'..-D'" Lc eels-. �,. .. rafter NOTE.: perimeter bloc kin ;. o. c. max home is z:nstalled on a 9 not reyuued,;'f mobile - Perimeter foiirida 'ion system. All vent pipes &metal s';;cks to . be ex tq>zcIed UP through the new roof :n'an approved 3-16D toenails ea. rafter r 16D @ 12 0! C. 2-76D71 Ea. end_,Ie- .7 Z.�2x4 @ 2e f� D.- . Nc- 2 2x4 --� 102; g 12 -taQ?Er2� NEW ROOF- B ADDITION FOR'• ROO? L2'J--.; NAME- G 4j.)�`- ADDRESS: A '7-~3 �LO n m fm m M n j n Q Pm D X O W OD CDCD J m N w 4 W A N m N CD a a 3 w AND WHEN RECORDED MAIL TO: ;i BUTTE COUNTY BUILDING DMSION 7 COUNTY CENTER DRIVE OROVILLE, CA 95%5 202—���9482 Recorded Official Records County Of BUTTE CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 12:38PM 2646-2002 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT REC FEE 10. IN COPIES 1.50 Fay Page 1 of 2 Section 26-8. of the Butte County Code required this acknowledgment to 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 inconveniences or discomfort 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 established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: 7 Date 2 - PROPERTY OWNERS: all, State of California County of 6? l e h n On o? — A 5-6 --)- before. personally appeared lz, �. r tai ; 1 `'� a I-•-, personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their-signature(s) on the ' ment, the person(s� or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand an Icial se Signature A. HENRIKSON COMM. 1283248to m ' �� = NOTARY PUBLIC • CALIFORNIA 'DD i7 0 SUTTER COUNTY A.P. # �j�l -- J (� � - 00 � ®o omm. Expires Nov. 19, 2004 '7/ �( k DESCRIPTION THE LAND REFERRED TO IN THIS REPORT IS SITUATED IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, AND IS DESCRIBED AS FOLLOWS: PARCEL 1, AS SHOWN ON THAT CERTAIN PARCEL: -MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE., STATE OF CALIFORNIA, ON APRIL 13, 1978, IN BOOK 65 OF MAPS, AT AGE(S) 74. k 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. (�DI personally plan to provide the major labor and materials for construction of the proposed property improvement: YES NO O I HAVE �HAVE NOT 13 signed an application for a building permit for the proposed wont. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: fw(elas CITY: CONTRACTOR'S LICENSE NO. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK DATE: '), 1-24' v NOTE: This Owner -Builder Verification is required by Section 19831.and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit OVER OWNER BUILDER INFORiNIATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible parry of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: s If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is S300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an emplover, you must register with the State and Federal Governments as an employer and you are subject to several obligations inc luding'state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1030 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. I4tvtger ly, h,;^ s C. Vi iia, C.B.O. , BuildingInspection NOTE. This Owner -Builder Information is required by Section 19810 of the California Health and Safety Coda OVER RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 01 -liar -2002 2002-0010301 Has not been compared with original BUTTE COUNTY RECORDER 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. GARY C. WILLIAMS AND LISA K WILLIAMS REAL PROPERTY OWNER/LESSOR 13337 CENTERVILLE RD. MAILING ADDRESS CHICO BUTTE CA 95928 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS. IF DIFFERENT CITY COUNTY STATE ZIP UNIT OWNER (if also property owner, write "SAME") MAILING ADDRESS CITY COUNTY STATE ZIP BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE, BUTTE, CA 95965 GOLDEN WEST CITY COUNTY STATE ZIP 01-2345 (530)538-7541 BUIL- TELEPH NE NUMBER �PERNIO. a oa IG, ATURE OF LOCAL A Y OFFICIAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") DEALER LICENSE NO. UNIT DESCRIPTION GOLDEN WEST 1984 CANTERBURY MANUFACTURER'S NAME DATE OF NIANUFACTURE MODEL NAME/NUMBER GW6CALCT5744A/B 24 X 48 CAL285494 SERIAL NUMBER(S) LENGTH x WIDTH INSIGNIA/LABEL NUMBERS) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. # 011-360-006 SEE ATTACHED HCD FORM 433(A) REV. 8191 WHITE -County Recorder CANARY - HCD PINK -Applicant GOLDENROD -Building Dept. FOUNDATION SYSTEM CERTIFICATE OF OCCUPANCY BUILDING PERMIT NUMBER: 01-2345 Address or location of unit: 13337 CENTERVILLE ROAD, CHICO, CA 95928 Legal Description of Real Property: A.P. 011-360-006 SEE ATTACHED (x) Mobilehome/Manufactured Home () Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: GARY C. & LISA K. WILLIAMS. Owner's address: 13337 CENTERVILLE RD., CHICO, CA 95928 INSIGNIA OR HUD NUMBER: CAL285494/5 SERIAL NUMBER OR V.I.N.: GW6CALCT5744A/B MANUFACTURER'S NAME: GOLDEN WEST YEAR: 1984 OFFICIAL APPROVING INSTALLATION: L��— DATE: 2/27/02 PHONE: (530) 538-7541 H.C.D. 513C GRANT DEED APN 011-360-006-000 FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, V,ITTORINA STELLA HOWELL, a widow hereby GRANT(S) to GARY C. WILLIAMS and LISA K. WILLIAMS, husband and wife, as Joint Tenants the real property in the City of UNINCORPORATED AREA County of BUTTE _State of California, described as SEE ATTACHED LEGAL DESCRIPTION Datel STATE OF_,O�iN �� }ss. COUNTY OFF /1/( On 9/Z/ '7 6 before me, personally appeared V 14 tto Vi personally known to me (or proved to me on the basis of satisfactory evidence) to be the person" whose nam subscribed to the within instrument and acknowledged tome tha they execu ed the same in a thW authorized capacity(iee); a that by Mtair signature(s) on the instrument the person(s) or the entity upon be ah of which the persor>(elp, acted, executed the instrument. WITNESS y hand and official seal. Signa v I I FORINA STELLA HOWELL "'- JAMES F. DAVIS . Recof J al the. Request of Mid Valley Title & Escrow Company No. �1 Escrow No. 153342DP Loan No. WHEN RECORDED MAIL TO: 96-029911, Rec Fee 9.00 1 DOC 89.10 GARY C. WILLIAMS Recorded I Check 98.10 LISA K. WILLIAMS Official Records I County of I 1310 WALTERS STREET Butte I ORLAND, CA 95963 Candace J. Grubbs I Recorder I 8%00am 14 -Aug -96 I MVTC CA 2 MAIL TAX STATEMENTS TO: DOCUMENTARY TRANSFER TAX $6210 Computed on the consideration or value of property conveyed; OR SAME AS ABOVE Computed on the consideration or value less liens or encumbrances remaining at time of sale. ThP llndPr.Rigned G r nIQ derhares Signature of Declarant or Agent determining tax - Firm Name GRANT DEED APN 011-360-006-000 FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, V,ITTORINA STELLA HOWELL, a widow hereby GRANT(S) to GARY C. WILLIAMS and LISA K. WILLIAMS, husband and wife, as Joint Tenants the real property in the City of UNINCORPORATED AREA County of BUTTE _State of California, described as SEE ATTACHED LEGAL DESCRIPTION Datel STATE OF_,O�iN �� }ss. COUNTY OFF /1/( On 9/Z/ '7 6 before me, personally appeared V 14 tto Vi personally known to me (or proved to me on the basis of satisfactory evidence) to be the person" whose nam subscribed to the within instrument and acknowledged tome tha they execu ed the same in a thW authorized capacity(iee); a that by Mtair signature(s) on the instrument the person(s) or the entity upon be ah of which the persor>(elp, acted, executed the instrument. WITNESS y hand and official seal. Signa v I I FORINA STELLA HOWELL "'- JAMES F. DAVIS . M.i1077166 PubllaCalifornia LY, •-e -� i�• County N, lwl; �1 . Nov. 3,1999 E DESCRIPTION THE LAND REFERRED TO IN THIS REPORT IS SITUATED IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, AND IS DESCRIBED AS FOLLOWS: PARCEL 1, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON APRIL 13, 1978, IN BOOK 65 OF MAPS, AT PAGE(S) 74. LEGAL DESCRIPTION A.P. #011-360-006 All that certain real property situate in the County of Butte, State of California, described as follows: Parcel 1, as shown on that certain parcel Map, recorded in the Office of the Recorder of the County of Butte, State of California, on April 13, 1978, in Book 65 of Maps, at Page(s) 74. January 28, 2002 To Whom It May Concern: I, l E0lA)A '->-140W4give permission to (Legal caner egistereOwner) to install a Permanent foundation on a Manufactured home located at (Address) Assessor's Parcel No. Dl / -340-1),M-000 gases v/ cngsa DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT - Division of Codes and Standards Title Search Date Printed: 03/19/2002 Decal #: LAJ1484 Manufacturer: 09248 GOLDEN WEST HOMES Tradename: CANTERBURY Model: CT484A9 Manufactured Date: 05/25/1984 Registration Exp: First Sold On: 07/16/1985 Serial Number GW6CALCT5744A GW6CALCT5744B Registered Owner: HUD Label / Insignia CAL285494 CAL285495 Use Code: SFD Original Price Code: AFT Rating Year: Tax Type: LPT Last ELT Amount: Date ELT Fee Paid: ELT Exemption: NONE Length Width 48' 12' 48' 12' GARY C WILLIAMS LISA K WILLIAMS (Joint Tenants with Right of Survivorship) 13337 CENTERVILLE CHICO, CA 95928 Last Title Date: 09/02/1998 Last Reg Card: 09/02/1998 Sale/Transfer Info: Price $10,000.00 Transferred on 08/14/1996 Situs Address: V. Legal Owner: 13337 CENTERVILLE --� CHICO, CA 95928 Situs County: BUTTE ADOLPH SIEBENEICHER C/O WESTERN MTG 1655 MONTGOMERY ST OROVILLE, CA 95965 Lien Perfected On: 12/15/1997 09:01:52 Jr. Lienholder: VITTORINA S HOWELL 605 BURLINGAME CAPITOLA, CA 95010 Reg Card: 09/02/1998 Lien Perfected On: 12/15/1997 09:03:53 * * * END OF TITLE SEARCH * * * VS1NG •�0 a ® ,Q seaZ 3 1" w 3Goaf .-WESTERN MORTGAGE 1655 Montgomery. St., Oroville, CA 95965 Telephone: (530) 533-3020 Fax: (530) 533-3171 03/19/02 Butte County Building Dept 25 County Center.Dr. Oroville, CA 95965 To Whom It May Concern, RE: Gary Williams APN#:011-360-006 Butte County Please be advised that as legal owner, Western Mortgage authorizes Mr. Williams to install a permanent foundation system under his mobile home, Decal #LAJ1484 located at 13337 Centerville Road, Chico, CA 95928. Sincerely, Y nne H. Stanton Sent By: BUTTE CO ENVIRONMENTALHEALTH; 530 995 6512; Mar -15-02 9:55AM; MAR -14-2082 03:54 MID VALLEY TITLE 8 ESCROW •� NU6tblfil6) tiEAIAINNrdJ1t:N(a) ►�•�••• �•••.••. ' 8k GN6CALCT5744A a 9 CANTERBURY CERTIFICATION OF MISSING TITLE Ina{ HGD Ce care of Tats yr DMV Ownea►Np Certdieate ok* sflp) was: LM, 0 stohn N thi INta was loss or taaten filer receiving k from a pang other than the DepaAment, eller the party's manta hwe: �' ❑ Ipie. ❑ W261ed. A etudlated Or 111901AD titre must be starendered to the DepaAment. J` Q Not lisoehed ham the Department. TMS bore can any be cloaked by the Logo! Owner of RoeQrd (ienhOtQerj, or >t tans, Own A9&ered owner Of r"wd. vwO vot* under penahy of perjury under Wo laws of the State of Caloomta that there are no stens epatnst this unR other then dlosa dwwn on Ota appWath n and the ataaemonts made on this application are true snot DWOct. yWe agres to hdvriw* and two hornless the IDt 00( of the Department of Housing and COmmunhy Development for any Ices Suffered resulting tonn rite tsauanae Of ward dupNeate C.VWQate W Tilts. pceculed on as It (alert) (Cby) (Start) Page 1/1 P.02 Spnttuts PtMod Name of person CcnV" Oefltlketott 1 0. tawwee or leeletmw "wm M rpiwt V aettMAro OWNtA 10 IllettMa o 011wo ne ofilterarts Afairs of tho Swat+® of (1�111tar>.ie L ar tsar om" s C rtaterttttn es uellalotrett+ . A. MW OF owM F -M& M w gum GOT CTION NEW REGI T RHD OWNER SWAT RE S) M edt VSp*%F Is the reaux of A Im num,,.owa nwtnta o eels. Yw td• tate► ell MN OMS mmg be mtesfd Mtarti ti uv neevo ag N amaw"N IV�MAM WAS ► /Iti RtYle�ie OAtAMOIIIIVA6 � � � Tf1T01 D A7 5(�v(q STATE.OF CALIFORNIA-DEPARTMENT..OF HQU!SING AND COMMUNITY DEVELOPMENT DRf:TCTDATTnm PADA MnRTI`9iu"nmF DECAL NO. 1 A I7 644 MANUFACTURER,NAME/10 GOLDEN WEST HOMES/09248 TRADE NAME '. CANTERBURY MODEL': CT4809� ::OQM 05%25/84 DOT 68/43/84 DFS 07/16/85 SPC EXPIRATION U SERIAL MER I IGNIA NUMBER 1 GW6CALCT5744A CAL285494 WEI T 016600 .0.00$76 . IENGt , IDTH 000144 ISS" D 09/22/88. SCC 04 EXEMPT USE SFD TYPE ILPT 2 GKCALCT5744B CAL285495. 016.600 000576 000144 3 q 5 6. TOTAL FEES PAI[k: $35.00 A HOWELL LARRY D/ D VITT.ORINA-S JTRS 0 13337-CENTERViLLE RD R CHICO'CA 95928=8824 E OFS R HOWELL LARRY D/ E VITTORINA.S ;TRS G M I A 13337 CENTERVILLE RD sI T L E CHICO R' E mx . D D s 13-33-7 CENTERVILLE ARD w N T E v CHICO i R S L DEPT VA STATE ZALIF E CAL VET ^ISI _ d_ ° A PO BX 456 O REDOING CA .95934-`04 w "DATE::08AV85 12:26"60 N ki. 00,Ilk :R; - - Y TRANSAMERICA°FIN SERV U IF N Z I R PO `BX 779 O s R T CNICD CA 95927. L 'KITE: 09/01/88 11:55:00 I E N S N E O C L O D N E 0 R IMPORTANT03=263; 00918 TOt OWNER INFORMATION.'SHOWN ABOVE :MAY_ NO'T R-EFL'ECT. ALL LIENS RECORDED 4fYT." THE b,&AXTMENT OF HOUSING AND COMMUNITY D•EV>EIOPMENT,;'&A:GA'•INST ,TH,EI DESCRIBED - UN -IT. i tot CURRENT TITLE STATUS OF THE UNIT MAY BE CONFIRMED.THRODUGH THE D' 'A " ENT. 0300191 a� 1) Ld L7 a IL O U) Ld W Q r - co N ll7 M CD ro Y F'. 2"x. 3116 i-- 3/8" CAD PLATED BOLT, HUT & WASHER SrCEI. ANGLE COUNTER BORED FLUSH WITH BOTTOLI COACH C" FRAME--.,,_ COACH "J" FRAME AT 8" O.C. (8) REQUIRED 2" CHANNEL 61/2" 1 /4" GRIPPERx1 - 1 /4" 1/4"x1-1/4" PLATE STS 1 /4' STAND BASE TEK STS EQUIRED ABESCO ABS PAD /503 (2) REOUIRED 1/4" GRIPPER 114" GRIPPER BASE BASE DETAIL "A" 112" A307 BOLT (2) REOUIREO A307 801T 3/8'x 6"s 6" (4) REOUIREO CHASSIS FRAME STEEL PLATE - 112' A307 BOLT-- CC BEAM J—BEAM (2) REQUIRED ATTACHMENT ATTACHMENT 36" MAX 10.00 - f 1/1" GRIPPER PLATE_ TO a TTOM 4 - (2) REOUIREO OF PA0 o 0 P_ 1/1� GRIPPER BaS£ Q 8" 1/2" DIA. HOLE. (8) PLACES /1/2"x 3" C.R 10.00 1/2-13UNC-A307 11 4' LOCK PIN WITH BOLI WITH NUTS PIN 6RIOGE o - ¢ (4) REQUIRED PIN t.� 09/16 HOLE (T7P) �+-- ---- 30" 01 i/2" JUSSCH 40 PIPE AND 3/8 I STAND BgSE STEEL FRAME ft/2" ADJUSTER HOLES AND }/g" tl TOP VIEW TOP VIEW THICK TOP PLATE j 02" SCH 40 PIPE STAND VAIN TWO J �(j��=ir{J STATE APPROVAL 01/2- ADJUSTER HOLES 7 h ABESCO ABS PAD f503 ` 0 ` z STEEL FRAME t~ Z q SEEAIL T A Z F 78 oc RE •'fit oi� �1 fl Mel g �y < <�a v O 3r TUF--1 PERMANENT r o d FOUNDATION SYSTEM � v $ 18 1/2' AS> scoG[)S GUARD COMPANY a 10 5851 > WRIN - PERKINS ROM SACRAMENTO, CA 45923 PH: (800) 382-8831 F/1X: (916) 383-5207 WAYNE T. POLVA00, PE—LISTINQ.,Q4(),-,E9A2A9—T.J-.�c1_3 dUILDING DEPARTMEN 1 1� 1? 0 WN po Q r• m N LLT OD m ID IS) N v GENERAL NOTES GUS GUARD TUF—] 1. D , LGN LOADS: LIVE LOAD - 30 L8. FLOOR LIVE LOAD - 40 PSF WIND LOAD - so MPH EXPOSURE "C" SEISANC ZONE "4' * SNOW LOAD 100 PSF (SEE NOTE r15) 2. THIS FOUNDATION SYSTEM M OESIGNED TO BE CONSIRUCTED ON A FAIRLY LEVEL SITE WrtH NO EXISTING SOIL PROBLEMS. 3. CHASSIS BEAM SDPPORTS SHALL BE LOCATED AMC SIZES FOR THE LOADS AS SHOWN IN THE 'MOBILE HOME INBTALLATIOm INSTRUCrNN15". 4. IN AREAS WHERE DIFFERENTIAL SETTLEMENT (O.S.) CAN OCCUR, MANUFACTURED HOME SHALL K READJUSTED WHEN 05 EXCEEDS 1/4", t OR WHEN IT WILL ADVERSELY AFFECT MOBILE HOME UNIT. S. CARRY ALL FOOTINGS DOWN TO FIRM, UNDISTURBED SOIL, FOOTINGS ARE DESIGNED FOR 1,000 PSF TOTAL LOAD SOIL PRESSURE, AND SHALL BE COMPAIISLE WITH LOCAL SOIL CONDITIONS. COMPACTED SAID MAY LIE USED TO Fut. LOCAL VOIDS UNDER PADS_ 6. STRUCTURAL STEEL: FABRICATED ACCORDING TO AISC SPECIFICA110N. WILD ACCORDBLG TO AWS SPECIrI1CATM ELECTRMS-370 PLATES -ASTM .A36 90LTS-SAI GR S=ASTM A449=ASM A3725. 7. THE GUS GUARD ASSEMBLIES SHOWN ON THIS PAGE SMALL -BE LIS1E0 AND LABELED BY BSK AND ASSOCIATES FOR THE FOLLOWING LOADS: ALLORIABIE LOAM, HORIZONTAL VERTICAL GUS GUARD TUF-I 22004 6000/ GUS GUARD MGP PAO 2200# GOOD# GUS GUARD E -Z TIE PAD. 2200/ 6000# B. OURING PRELIUM Y INSPECTION. ]HE ESTIMATOR SHAH ENSURE THAI MOBILE HOME CHASSIS BEAMS ARE OF STANDARD SECTION. 9. EXISTING COACHES MAY BE RETROFITTED 10 RESIST SEISMIC FORCES BY INSTALIOG GUS GUARD TUr-I UNITS AS SHOWN ON THIS PAGE OF TYPICAL FOUNDATION PLANS. 10. INE GUS GUARD TUF-t SYSTEMS ARE SAFE FOR INSTALLATION IN FLOOD PLAIN AREAS WHERE DEPTH OF FLOODING DOES NOT EXCEED THE HEIGHT OF THREE FEET. I1. MULTIPLE UNIT INSTALLATION IS ACCEPTABLE PROVIDED THE NUMBER OF TUF-1 UNITS UNDER EACH UNIT IS THE SAME AS SHOWN REQUIRED PER EACH 'UNI1. 12. SINGLE -WIDE UNITS IEOM ADDITIONAL RESTRAINT. - (SEE SHEET #3) • 13. All METAL COMPONENTS AND ATTACHMENTS ITEMS SHALL BE PROTECTIVE COATED. 14. WHEN CONCRETE SLAB 1S W EXISIANCE, PAO IS NOT REOUIREO. ANCHDR STAND TO CONCRETE SLAB WITH FOUR (4) 1/2"R 3 1/2" EXPANSION ANCHORS. 15. GUS GUARD TUF--1 FOUNDATION SYSTEM PROVIDES ALLOWABLE S40W LOAD TO 100 PSF WHEN TNSTALLEO WITH EXISTING STANDARDS REQUIRED BY COACH MANUFACTURER OR REPLACE THEM ON A ONE TO ONE BASIS. 16. FOUNDATION ELMS 16•: 16"x12" POURED IN PLACE AT GROUND LEVEL MAY K -USED AT INSTALLERS OISCREIION ALTLRNATNE TO PADS. VMC.1 C unnr MA/YiCC E= 2' MIN. / 8' MAX. E= 2'MIN. /..II' MAX. S= 6, MIN. /16' MAX. S= 6' MIN. / 22' MAX. VARIES 10'-70' (SEE TABLE ON SHEET 43) S. —It — � ... S Ej U L11 ❑ ❑ RIDGE SCAM SUPPORT AS REQUIRED BY MANUFACTURER_ Q © (TYPICAL) U U,,I U UCSI._{. E -1D L 8' NOM. 2 NOM. . ❑ ❑ PADS IN ANY PAIR MAY BE STANDARD M.H. FOUNDATION ROTATED 90 DEGREES OR PIERS AS RECOMMENDED BY PvC SERIES OFFSET TO OTHER SIDE TO THE MANUFACTURER OR THE SUPPORT AVOID CLEARANCE PROBLEMS. ENGINEER. TYPICAL IHROUGHOUT PAO (rYP) 0-4 __1 .. W,( N"a 179'18 {� Exp. �`4I• C�iV1ti �`� CPO' TUF-1 PERMANENT FOUNDATION SYSTEM ' STATE APPROVAL z M � O y Qm Q a v 0 ti 4 o > U •y O � lv WAYNE T. POLVADO, PE -LISTING NO. F94249 SHEET 2 oT 3 FX 1/2"x 3 1/2" 1/2"x 8" LONG EXPANSION ANCHOR ANCHOR BOLT (4) REQUIRED (4) REQUIRED CONCRETE PAD INSTALLATION CHASSIS rRAMt F 1/4" GRIPPER PLATE (2) REQMEO O 1/4" GRIPPER BASE W 1/2-13UHC-A307 x 4" BOLT WITH NUTS 1 (4) REQUIRED 01 1/2` SCH 40 PIPE RISER WITH 0'1/2" ADJUSTER HOLES AND 3/B" THICK TOP PLATE 02' SCH 40 PIPE SIAND WITH 1WO 01/2" ADJUSTER HOLES ABESCO ABS PAD #503 Q STEEL FRAME c A POURED IN PLACE 160602 CONCRETE tOUNDATION INSTALLATION 36" MAX TO BOTTOM Or PAO MULTI-11IDB UNITS SINGLF WIDE UNITS 7� 01/2"x 3" C-R. LOCK PIN WITH 1 %/A" nu - .o L16HT HEAVY -WEIGHT PLASTIC PAD INSTALLATION LENGTH OF HOME 21 WIDTH Of NOMC 26 28 40 UP TO 1{ 8 g g 12 12 12 12 18 OVER W. 16 16 16 22 f /f3 BRIDGE NUMBER Of TUF-1 REQUIRED NUMBER Or IUF-1 REQUIRED PIN NOTE: SINGLE WIDE UNITS REQUIRE (4) E -Z TIE PADS. GUS GUARD TUF- I PIERS ARE TO SE PLACED AT APPROXIMATELY EQUAL INTERVALS ALONG EACH FRAME RAIL. ( 4 ; . 6 ;Pw �- CI �.r cix TUF-1 PERMANENT FOUNDATION SYSTEM LENGT H Of —151I WIDIH OF HOME HOME -2 11 16 UP TO 44' 6 6 6 6 44'-1' b 66' 8 8 8 8 kL OVER 66 10 10 1 10 10 f /f3 BRIDGE NUMBER Of TUF-1 REQUIRED NUMBER Or IUF-1 REQUIRED PIN NOTE: SINGLE WIDE UNITS REQUIRE (4) E -Z TIE PADS. GUS GUARD TUF- I PIERS ARE TO SE PLACED AT APPROXIMATELY EQUAL INTERVALS ALONG EACH FRAME RAIL. ( 4 ; . 6 ;Pw �- CI �.r cix TUF-1 PERMANENT FOUNDATION SYSTEM WAYNE T. POLVADO, PE -LISTING NO. F94249 SHEET 3 of 3 STATE APPROVAL X kL F 15,E p 6 2 ti WAYNE T. POLVADO, PE -LISTING NO. F94249 SHEET 3 of 3 R -Z J PLANNING DIVISION- BUILDING PLAN APPROVA ANEW- Soignaturs:- 1759=$5 PERMIT NO. 1922-85MHI PERMIT EXPIRES OWNER LARRY HOWELL CONTR.. Pacific Modular Concepts ~ ASSESSOR' PARCEL 51-43-06 s LOCATION 13337 Centerville Rd, Chico F i{ c 1 Temp. Power Pole Called PG&E Temp. Elec. S Called P( Temp. Gas Sei Called PC- JOB G JOB FINALE[ Signature e o 5 1 • J = OK : r A = Not OK = Not Applicable MOBILEHOMES MISCELLANEOUS = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except q's Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except Ws 1. Zoning Requirements—Set acks—Easements 1. Zoning Requirements—Setbacks—Easements 2. Soils; Special MH Sup rt—Sketch 2. Footings; Size—Depth—Spacing—Connectors 3. Sewer; Lo tion— st—Fall-C/0—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; L atio Test—Easement Needed (Sketch) 4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rtg.—Bracing 5. Electric' .cation—Clearances—Grnd.—/ / Amp—Concrete 1 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6.Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG 6. Carports; Windows—Doors 7. Utility Clearance 7. Elec. Card -BI Date Card - BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date M9BI6n0ME INSTALLATION (Plans) OK except N's Date POOLS (Plans) OK except #'s ing Requirements—Setbacks—Easements 1. Setbacks—Easements ro Ings; alze—apacmg—marriage Line .nya..u.n.—�o.,..w..., ..y MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining le icily; MH Test—Crossovers—Breakers—Clearances 4. Elec.; Receptacles and Lighting; Distances—GFI n; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GF] er; MH Test—Regulator—Connector 6• Elec.; Enclosures; Conduit Entries—Terminals—Listed a er and Sewer Connected—C/0 to Grade—HD Approval 7, Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater as and Electricity Tagged B. Elec.; Grounding; Equip.w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit x' ; Insp.-Sketch if.Xert. of Occupancy 9. Health Department Approval 10, Plumb; Cir. Test—Water Supply Test Card B -I ate W1and-BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date V - C"K 0 =,Not OK Z �, - = Not Applicable Not Ready RESIDENTIAL (Single and Duplex) � Date UNDERFLOOR Plans OK except #'s Date FRAMING Continued 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 50. 51. 52. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except q's Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 56. Ext. Steps -Door & Sidelight Protection -Landings 57. 58. 59. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection Bedroom Exiting 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth Card -BI Date Card -BI Date 64. 65. Elec. Outlets at Wood Panel; Int. & Ext. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 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 20. 21. Fixture & Transformer Clearance -Ins. Protection Elec. Receptacles Spacing -Lights &Switches at Doors 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 22. Size Boxes & No. of Conductors -Stapled 70. Plb., Elec. & Mech. Equip. Listed for Location 23. Romex Installed Close to Edge of Studs & C.J. 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 24. 25. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 2 Appliance Circuits in Kitchen & Conductor Size 72. 73. InsulationFoamLooked in Attic F] Yes Guard Rails o Deck -Construction -Post Caps 26. Subfeed Wire Size // ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes ❑No 75. Following instld.: Drive ❑ Yes _]No; Walks []Yes ❑ No; Planters Oyes ❑No 28. 29. Service -Riser Conductors & Ground -Main Disconnect Equip. Clearances; Panels-Motors-Mech. Equip. 76. Stucco; Brown -Finish 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; PIbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. 82. Ventilation throughout House Glass Protection Card B -I Date Card -BI Date Date MECHANICAL (Permit) OK except k's 31. A.C. Ducts; Insulation & Support 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. Vent Fan; Exhaust above Insulation 86, Energy Compliance Certificate -Other Certificates 33. Condensate Drain & Overflow; Size & Grade 34. 35. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FRAMING Plans OK except p's 36. Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing 42. Hangers -Post Caps -Anchors -Connectors 43. 44. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng_.__ Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE:Anentrymust be made each time you visit jobsite) 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 OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. J Inspector MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA —.534-4541 Address or location of mobilehome Owner's name Owner's address Insignia or hud number Manufacturer's name Serial number of V.I.N. (Official Approving Installation) PERMIT NO. Year of manufacture (Dote) 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. COUNTY OF. BUTTE - DEPARTMENT OF -PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534.4541 APPLICATION AND PERMIT ; PERMIT NO ASSESSOR PAR EL NUMBER ZONING BUILDING PERMIT OWN R / TELEPHONE' 40. FT. OCC. BUILDING VALUATION• ' OWN R'S MAILING DDR //V� / — .. CO T ACTO 'S NAME TEL PHON ' - CONTRACTOR'S MAI ING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN 'Total Valuation $ Filing Fee $ 10.00 LENDE MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS - -" PLUMBING PERMIT Filing Fee 10.00 / Each Trap 2.00 Solar Water Heater 20.00 Water piping 5,00 LOT NO. SUBDIvisL9 NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF [_1 Duplex❑ Mobilehome O Other I( SPECIFY Building sewer 45.00 Mobile Home G W 10.00 e a TYPE OF WORK New ❑ Addition ❑ Re odel ❑ Ll ilities ❑ Installation ❑ Qther Describe work: 7' /JMain Pe it Fee $Za C2 Contractor ELECTRICAL PERMIT Filing Fee 10.00 service 1000V OR LE 0 AMP ORSLESS 10.00 v eml Main Service EA. ADD'L 100 AMP 2.50 NEW CONST.(DWELL DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. I 2/ 2QSgft 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 ['f I, as the owner, or my employees with wages as their sole cgmpen- 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 CONSTR U TI.OUTLET 2.50 ea NO N.RESID BRANCH CIRC ITS NEW CONSTR POWER APPARATUS &) NON.RESID. (SINGLE OUTLET CIR. 20@50a Ex. Occup(ourL ETS OR FIXTURES BAL®30 'FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 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 dof Consent to Self -Insure. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 aid County, ' on uence of the granting of this permit. ,rlezDate �� �� �- Sign tore of plicont - 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 hheeight. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 57, �5-6 OCCuP. GROUP I TYPE OF CONST. PARCEL PD I HD I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which RE TOR OF PUBLIC By PERMIT EXPIRE ate the applicable provi- resolutions to do fees have been paid. WORKS Date"' inn Receipt No. 7'� / Ll 7 WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT JCOUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, Califgrnia 95965 - Telephone 916/534-4541 l �a APPLICATION AND PERMIT10. ASSESSOR PARCELNUMBER _ a ZONING _ � BUILDING PERMIT OWN O ELEPHONE SQ. FT. OCC. BUILDING VALUATION G TT OWNER'S MAILINAF C� •S N M G f/ c o �i✓G LEPHONE �— O RACTOR•SIL G ADDRESS G✓ Fireplace CONSTRUCTION LE DR / 240 UNKNOWN Total Valuation, $ Filing Fee $ 10.00 LENDER'S MAILING A E S Permit Fee $ ARCHITECT OR ENGINES LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINECMAILING ADDRESS Permit fee $ BUILDING AD RE S PLUMBING PERMIT FiIingFee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME y PARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S I G I W 10-00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service MR LESS 100 A 100 AMP OR LESS 10.00 ' Main service EA. ADD•L 100 AMP 2:50 NEW CONST. DWELING OR AODNS. ( ACCLBLDGS.CCUP.&) 21/20sgIt CONTRACTORS LICENSE LAW I declare r penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professi s C� gnd�y license is in ful rce nd effect. License No. Classification' ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and.the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR ULTI.OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS NEW CONSTR. ( POWER APPARATUS &1 NON•RESID. SINGLE OUTLET CIR. / 20e50C Ex. Occup(ourLETs OR FIXTURES BAL®30Q FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID,) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ T erm)t is for $100.00 (valuation) or less. 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. galsogree to save, in mnify and keep harmless the County of Butte against judgment ,costs, and expenses which may in any way accrue d County in c asequence o e granting of this per it. Date �� of plicant — Owner ContractorL�gent it is required for excavations over 5'0" deep and demolition or construct- ctures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP TYPE OF CONST. PARCEL PDities, This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR O . PUBLIC By � PERT EXPIRES- Date the applicable provi- resolutions to do fees have been paid. WORKS Date /f �—� �`� Receipt No. j� a�tj WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT t .t. R-; -VOEJ IN OFFiC14L 11E CORDS OF 4 UTTE COUNTY, CALIFORNIA AT THE REQUEST OF Section 26-8.1 of the Butte County Code requires this acknowledgement r `' be recorded prior to issuance of a building permit. 85-1925 19835 JUL -3 PM 2: 44 The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents REANOR M.BECKER 'thisproperty may be sub j ect to inconveniences or d iscomf ort ai. � if ECORDER FEE from'%the use of agricultural chemicals, including, but not limited to=:herbicides, .rpesticides, and fertilizers; and from .the.pursuit�of agricultural .operations .including, bu='atst limited to cultivation;°=plowing, sprayiag'.pruning.,° and harvesting which sicca- `-sioaally generate dust, swage,'; oise, and odor: --Butte'County-`has estab3: shed`�a kl ul- . tural zones Mich have -:as a priority use -for ;productive .-agriculturai',:p'urposes;� and` residents within said zones:adon„adjacent :property should be`prepared to accept'auch inconvenience or-discomfortfrom normal, necessary farm operations. >w All UIJt real property situate in t1ae County 'or 'But't-e, State of California, described us follows: r� t All that certain Real Property situale in the County of Butte, State of California, diocribed as fellowaa Parool 1, as shown' on that pertain Pareel Hap being a penia'& o! $ictien 8, Township 22 North Range 5 Esa=t, filed in e£fide of they -Recorder, County of Butte, State'ef California an April 15, 1978, is Beek 65 of Parcel Maps, at page 74. 5 / `1.3 d t 'Date: STATE OF CALIFO NIA I SS. COUNTY OF On ILtz y �s T I� S before me, the undersigned, a Notary Public ina d fors d County and State, per- sonally appeared 1 1 D A rt) C • &Z"V 2.EZ personally known to me (or proved to me on the basis of satisfactory evidence) to be the person whose name is subscribed to the within Instrument (or proved to be such by the oath of a credible witness who v is personally known to me), as a subscribing Witness thereto, who being by me duly sworn, deposes ang says. Z That S I)e resides in a 0 _-Nand thwas present and saw WAI f- ryas NA personally known to Z It W 3: to be the same person described in � and whose names 4 � subscribed to the within and annexed ~ p 'Instruments as iAe Part beS thereto, execute and deliver the same, and _5 acknowledged to X n said affiant that -/ executed the same-, and that said affiant subscribed name Ahareto as a Witness. "Signature Z STN d A ;.� q;, Name (Typed ou Printed) Notary Public in and for said County and State NOT COMPARED WITH ORIGINAL DOCUMENT PROPF. OWNERS: OFFICIAL SEAL KATHY DANCE `"' NOTARY PUBLIC - CALIFORNIA PRINCIPAL OFFICE IN BUTTE COUNTY MY COMMISSION EXPIRES OCTOBER 5, 1985 FOR NOTARY SEAL OR STAMP ?� r 13 3 3 7 F1PP 3(0 �I C A setback o property lir of 50ft. f roi centerline s structures o for a 2 ft. e NVTE:- Accord ofaqu Unifom the Nall k. ~ / W J •: Oil rials & Workmanship Shall Be in Recochized Good Practices and Zescribed for the Specified use in the g, Plum► ing & Mechanical .Codes and lBctri6/ CodAQ hVIef of pldes and specification MUST be on the job at alf times and it is unlawful to �. C 6 Ac xPrs �`o�c4cin changes or alterations on s m •th written �rmission from the Depa n of Public r / Vl�rks, County of Bute, 5�� �R� U I ►' Utility connections steal be wifhttt Ft. from ft / � 4 ft. of the mobilehom , eith@t ind a setback -directly behind or within the Moo e road / / , half of the roadside (left) of the be clear of mobilehome. uipment except overhang. s /O BUTTE COUNTY BUILDING DEPARTMENT . PROVED A.� :� . If other than single wide .•'A1'_home' Mfr.�i✓iU1 -✓-)/ furnish Setup Model No. P'�j� g �'7 Year V" (ft.) Box Length _(ft.) Tagalong or Expando Size ft. x ft. (SHOW SUPPORT DETAILS BELOW) .'-,n all mobilehomes manufactured after October 7, 1973, furbish manufacturer's installation :n=sal and structural setup sheets (if not on file with the County of Butte). :11 center supports measured from front of ::,abilehome unless otherwise specified. r Single x (in. (in.) T I -_ ter.. support -oca'tions* I (.ft.) (in.) I I (it.)(in.) 0 (ft.)l (in.) Center support footing sizes (in.) 1 (in.) (in.) (in.) (in.) /.-)- x J (in.) (in.) Footings (check one) 1 Wood either ,pressure treated o2 foundation grade. El 2. Other. (specify) Supporta (check one) Concrete block. E]-2. Other, (specify) 4—a --Tagalong or ExpFando,' show support details. /.a- x 30 1 -- Typical Support in. (in.) Footing Size �� -- Max. Pier Spacing (ft.)(in.) / — O -- Max. Overhang (ft.)(in.) BUTTE COUNTY BUILDING DEPARTMENT *If center piers are other than drawn above, APPROVED -craw in locations, spacing, and dimensions. BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 1. Owner's name: 2. Installer's name: I—AC // MOBILEHOME INSTALLATION SHEET 0 L � r 3. Is the site currently under permit? Yet / / No (If yes, furnish permit number ) OR Is the site an existing site? Yes (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 is the ) ( 10. What ) 5. What is the mobilehome electrical rating? ----------------------- ._�� Amps 6. What is the mobilehome site service rating? --------------------- Amps 7. What is the mobilehome site circuit breaker rating? ------------- / 9 D Amps 8. Is there any other electric load to be served by the mobilehome siteservice? --------------------------------------------------- Yes _1 (If yes, identify the load and size: (Load) No = _(Amps) 9. What is the mobilehome site gas pipe size? ---------------------- 10. What is the type of gas service? ----------------------------- Natural /% LPG 11. What is the gas pipe length from meter or tank to the mobilehome? 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.) .f f r 7-S 0 al� Inter-Departmem®randum TO: FROM: r � SUBJECT: DATE: COUNTY OF BUTTE- DEeARTfyENT OF PUBLIC WORKS RMIT NO. .~1. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT t� ASSESSOR PARCE NU BER ZONA �� BUILDING PERMIT OWNERTELEPHONE ' SO, FT. OCC, BUILDING VALUATION OWNER'S L N ADDRESS ' CON RACTOR•S NAME / TLEPHONE CONTRACTOR'S MAILING ADDRESS 40 Fireplace CONSTRUCTION—LENDEFf UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 1,3,00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ D® Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS enal ty $ BUILDING ADDRESS _ r mit fee $ LUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MA Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF [I Duplex❑ Mobilehome❑ Other SP CI 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 F-1Uti lities [IInstallation Other ❑ Describe work: �o Qr _ gr (p Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100v OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LI i'S L I declare r penalty of perjury (check on ) 9?111 am licensed under provisions of pt. Div. 3 of the Business and Professions Code and my lice s is in full force and effect. License No. -7/�%) Clas 'fica Ion 7 ❑ I, as the owner, or my employees wit wages as their sole compen- sation, will do the work,and the stru ture 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. R\ ��ZQsq ft OR AODNS. ACC. SLOGS. / NEW CON5TR MULTI -OUTLET NON•RESID BRANCH CIRCUITS) 2.50 ea (POWER APPARATUS e) (POWER OUTLET CIR. 20@50t EX. OCCUp OUTLETS OR FIXTURES ALO 3001 LNS Ex. Occup. OUTLETS ED APP(RESID.)REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): n The permit is for $100.00 (valuation) or less. 1L(i/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 permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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, j ments, costs, and expenses which may in any way accrue a Hy 'n consequence of the granting of this permit. X Date Ar Signnt — Owner ❑ Contractor ��Agent ❑ An required for excavations over 5'0" deep and demolition or Construct- ionr 3 stories Mobile Home Installation Fee $ Energy Inspection Fee $ O TOTAL PERMIT FEE $ 0 occuP. CONST.TYPEJ _[_F i PARCEL PD NO ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date `in1height. Receipt No. L%fO T WHITE-D.P.W.• YELLOW -ASSESSOR, INK -INSPECTOR. GOLDENROD -APPLICANT C;;��OUNTY OF BUTTE - DEPARTMEN7'OFXBLIC WORKS --BUILDING DIVISION 1CCOUI NTY CENTER DRIVE - OROVIL•LE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET OWNER Proposed Building Use Permit Fee Based Upon: Complete Contract Price Permit No. A. P..No. .'��-�-Co DPW Valuation Building Inspector /Zin/i(,/�t Date 7//12/ T5 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. . . . . 3. Complete plans in duplicateJtriplicate. . . . 4. Complete engineered plans and (alts. . . . . .(�. 5. Plans with Energy Design Compliance Statement. 6. State Energy Forms No. . 7 Statement of Intent for Non -Heated and AC Bui6011s. . 8. Fees of $ Letter of signature authorization.�.. . . . . . 1 10. ,Sanitation approval from L , r � ,Health Dept. .. . 1 . Planning approval for (A) Use: (B) Parking: Certificate of Workmen's Compensation Insutance. 13. Contractor's License Informationi�no., name style, classif.) 14. Owner -Builder Verification\(Given tb"owner0, Mail to owner ) 15. Improvements may be requireed. . . . . . . . . . . . 16. Mobilehome Installation%Data\ . . . . . . •. Pre-Inspec. request to 17. Pre -Inspection for �� Required. Building Inspector (Dote) 18. Recorded copy of Agricult�ralvlcknowledgment Statement. 19. Other When you issue the permit, Telephone - Other is follows: Mail to owner. Mail to contractor. and hold for pickup at office. Deliver w./inspector. Applicant Copy of plans sent Health Dept., Fire.D'ept:, L feOther During the plan checking process, the following data must�66e i (For required items not checked above at time of E 1. Index permit for above Items No. AQ 2. Additional items required: Date 9-/0 .1;0_17 — Date itted prior to permit issuance: ica,t�ioD/circle item.) (Contractor, Designer, Owner) was 'advised of above required data by Telephone Mail By Date Plans checked by 2 Date Plans approved by "ZDate _ g— Other: Copy—DPW Other COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 Larry Howell 13337 Centerville Rd. Chico 95926 With reference to the above subject: PHONE. 916-538-7541 DATE 12/16/1991 RE: Return of Plans A. P. # 51-43-006 L Attached is: Application for permit Mobilehome Utilities Installation Sheet 2VTX;Pk_ Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet owner -Builder -Verification Form List of Codes Enforced OTHER LL We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in , including plot plans. Plot plans in - Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section (DPW). sets of plans in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: 196 Memorial Way,' Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, Orovills, for Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy of agricultural acknowledgement statement.- L_1L OTHER The one year time limit iD which tn JgAiip 4cmir pprmit fnr thp dprk plans Should you have any questions concerning the above, please contact DT or Anne of this office. at (916) 538-7541. Thank you. Yours very truly, JFG/aj William Cheff Director of Public Works .F. Glander Chief Building Inspector REPORT FC -18(1/80) /71 ORIGIN • LOCATION SEC. TOWNSHIP©N j RANGE © E a 22 -❑s 3❑w C H 1 Co C REG. R.U. INCIDENT NO. S?ART MO. DAIE YEAR COUNTY Z I _ Z I 77 I _ n Lo b_ 12_ '� c) FIRE NUMBER FIRE NAME: REG. R.U. NO. thN ACRES BURNED SEC. TOWNSHIP©N j RANGE © E a 22 -❑s 3❑w MILES DIRECTION ❑X FROM ❑ IN. NATIONAL FOREST, FIRE DIST., CITY & STREET NO., �. C H 1 Co C INCIDENT TYPE ❑FALSE ALARM—GO TO ff�FIRE " BLOCK 10 ' RESPONSIBILITY 4Ai i ii4B STATE ZONE - STATUTORY 0 WILDLAND BURNED OR THREATENED RESPONSIBILITY OP Cl CDF LOCAL GOVT. CONTRACT �0 AT ORIGIN) C]. UNPROTECTED ®STATE 0 ❑ ASSIST OTHER AGENCY (Not City) • ❑ U.S.FS. LOCAL ZONE ❑ s L -M 5 CDF LOCAL GOVT. CONTRACT O B.I.A. 6 ASSIST OTHER AGENCY NmCity) O OTHER FEDERAL FEDERAL ZONE ❑ OTHER © ❑ ASSIST FED. AGENCY (Not MiI.) 8 ❑ CDF LOCAL GOVT. CONTRACT O MISC. AND OTHER 9 O ❑ASSIST CITY CONTRACT CO. MIL, OTHER _ 5 CAUSE (STARTS IN 0 O © OR 0 ONLY) ' ❑ LIGHTNING ❑ DEBRIS ❑ PLAY W/FIRE [:1 CAMPFIRE E] ARSON OTHER/MISC. ❑ SMOKING ❑ EQUIPMENT LrAND USE (STARTS IN 2 OR 8j ONLY) 6 DOMESTIC "'' T ❑ FOREST INDUSTRY ❑RANCH -FARM • . - .A -4}RECREATION n DUMP OTHCCpp INDUSTRY-COMRCL. ❑ EP ROAD ❑ WILDLAN4 ❑ UTILITY, RAILROAD _ ❑ NON-WILDLAND UTILITY ELECTRIC , OTHER ER DAMAGE( TIMBER 8/OR YOUNG GROWTH WILDLAND VEGETATION Other than T & Y G AGRICULTURAL PROD Other than T & Y G) DWELLINGS &/OR CONTENTS OTHER STRUCTURES d/OR CONTENTS VEHICLES d CONTENTS OTHER TOTAL OR <k ONLY) S DAMAGE Number (.220off to Nea.e 101028/or 50,000 - ACRES OF VEGETATION BURNED SA • DIRECT :v? i .. :tai:: is :v: ....... AGENCY PROTECTION 8C ACRES BURNED ACRES BURNED VEG. TYPE 1 CDF l0 TIMBER 5 3# WOOD OTHER LAND TOTAL BRUSH GRASS 2 J AGRIC. >:z{{.:•}::::::.:::::}:{..:{{.;:•}::;}}:};:«.:.} :.. PROD. CDF SIZE CLASS TOTAL ;.}"> 8D h A ❑ .2 ACRE OR LESS 5 ` STATUT.•. RESPON. Oj ACRES BURNED B .26-9 ACRES ; OF :: ❑ C„ 10-99 ACRES STATE 3= X ❑ D 100-299 ACRES :.};>}: U.S.F.S. ❑ E300-999�AGRES '' B.I.M. r� A`#:: `:� ❑ F 1000-4999 ACRES • ' • B.I.A. o .� � Y �- �•�a , ❑ G 5000 ACRES OR MORE B.O.R. a OTHER 3. iv4�i:Jir�T:vij:�iii ii:?t::i:tti:i'•' FED. {•>>rti:•i?i'}}{}}}:{� i:•}}:i4ii}<i:�ii?.v.y`.:<b t}:`};' '•.:' ' '?>%<.?<?`' ;«'#<>;?<i%? <:`; 'y'.::r .... OTHER .. r4..W:\v: :•:.} •: i{L��<i:J> {p}?:•}:•i:^}}%i}}}}}}i:;i}};4)}:;d::+L{h}i:i�G:?j;}:{p})i}}: O L '0-J ::•f' 1. S ON ARRIVAL (0 VEGETATION FIRES ONLY) 9 SIZE DISTANCE (Origin to head) ' t) ACRES F WEATHER ESTIMATE AT SCENE) WIND SPEED (M.P.H.) DIRECTION (FROM) TEMPERATURE (°F) -15 1 w . 98° 10 OVER PLEASE S C. fl CDF 7540-130-01 18 9 19310-356 ¢63 1 DOM 03► 0r vt.. U„1$Elt •-_� ..� AcG I. P U. :N."DENT NO. YEAR 10 IRE RECORD Mo. OUTSIDE 0 n ©ORO FIRE STARTED Enter 1ST. CD Dis atch 21 GO TO© INSIDEto O©OR $ b Z FIRE DISCOVERED Ip 1 12- (, LOOKOUT. !If 1ST_ nr ?ND. --rt mode by Lnako.0 FIRST REPORT(p I Z 1`x%5 / NAME ►/)!. L D !moi �jOtJ rr 89 5 - SECOND REPORT y ORGAN- PERSON SITE NAME: FIRST ATTACK BY CDF (0 Z , AJ Z V FIRE CONTAINED lQ 2 t'N CREW /nVER14FAn 'RECORD ATE & LOCAL GOVT. CONTRACT ORGAN- PERSON AIRCRAFT CDF STATE 8 LOCAL GOVT. CONTRACT ORGAN- PERSON AIRCRAFT NAME IZATION HOURS FLT. HRS. CREW NAME IZATION HOURS FLT. HRS. �(• L H I C.qU r A , z -F=�- RICHVALi✓ A Z CHICo A S uppe�f2-” T; SRH Arm A g '� I IFZLi-4C-I GT`( Tr Z -'7uT`1F-=F2 H I L -L- # Z Jr ►J't' Z i3 �Z. .. CDF OVERHEAD TOTAL A41 ONFIRES, ENTER 1 Z 8 '<#;:.`•`<�;aZ>.�, :. 3 :.,r,.z.rs: TOTALS BELOW ::i4:{S.i}•�f•.•tr �k :?iy. �•�:yf�Miji:{j'!}:: U.S.F.S. (Ind. Overhead) TOTAL 14 OTHER FEDERAL (Ind. Overhead) TOTAL »;.... , FIRE DIST. 8 OTHER LOCAL TOTAL' - . :.v ....... C PAID HOURLY (E.F"F.) TOTAL VOLUNTEERS (Unpaid) TOTAL: ',nY p' 'M t•><� ❑ FC -18B (Additional crew activity) ATTACHED m®■mu■■■', TITLE r`IL)F>IL-� H0t-1 AT 1 FAD. %-E- - ■vmommi■■■■ &AN -Q-O�. Ur't-� F � i 1= YJ �• `7 �,G N I tJ = D T O ■■M.■■■■ --� 1-►��ti ,� S9 4. 7 o Zo ■m,■■■■■ ■M,■■.■■. .o� nR1MNAt REPART RY• r\ PnAAAACAITC 1$6MAP IS: ® ONE SECTION ❑ FOUR SECTIONS ❑ MAP ATTACHED TITLE r`IL)F>IL-� H0t-1 AT 1 FAD. %-E- - &AN -Q-O�. Ur't-� F � i 1= YJ �• `7 �,G N I tJ = D T O �j ?• C , --� 1-►��ti ,� S9 4. 7 o Zo APPROVED BY: 14 SIGNATURE TITLE DATE INTL. DATE 1 / V 4 (J r, 3461-79P,E ti ..-.• PERMIT NO. PERMIT EXPIRES G� L. D. Howell OWNER CONTR. owner LOCATION (A.P. 51-01-103 ) NIS Humbug Rd%, app.4.8 mi.past covered bridge, Chico Temp. Power Pole Called PG&E _ Temp. Elec. Serv.� —7,79 _ Called PG&E 12 Temp. Gas Serv. wax eAW49. Called PG&E JOB FINALED (Date) (Signa ) Malk Bldg. Fo in s Stem all Slab Piers Garage Footings Stemwa I I Slab Carport Footings Slab Patio Footings isonry Walls Reinf. Ste Bond wedin Inibrior Lath or Closer MOBIL�EHOME Water= ping OBILEHOME Water Piping DATE COUNTY'UF- bTTE - DEPARTMENT OF PUBLIC WORKS BUILD ING INSPECTIOrIII RECuRD BUILDIM.G BUILDING (Cont'd) PLUMBING WI Finish n Fdn. Vents Garage Vents Insulation Prov. for phsical h ndicappe.1 Conformance of ex. structure Final FIREP ACE Footing Throat INKLE t entllation Final ----------------- Elec. Service ; Z Z Z Sewer Z % 1 ON -------------- Support 77--!'/f y Drainage REMARKS OR CORRECTIONS Sol Piping' is Ioor 2nd Idor 3rd FI 'r Topout Water PI Inc Sewer Fixtures Water Htr. Heaters Appliances Gas PIDIna & Test Final Grd. Vault Prot. Sery ce emp. Pole nder round Permanent anal Elec. Pedesta Gas Piping Elec. Conti i Gas Piping (NOTE: An entry must be made on this form each time you visit the job site.) c 7 9. Electrical - A. Is service large enough to provide adequate amperage-to'mobilehome (must equal rating of- mobilehome with a minimum of 10 -amp)' and other facilities on`lot, i.e., water pumps, garage, cabana, etc.? Yes B. Is there, proper clearances around panels? Yes !/No_ C. Is power supply cord or feeder assembly properly fused? Yes' No D. Is continuity test satisfactory as per the following procedure? Yes No 1. De -energize electrical wiring system of the mobilehome at the pedestal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome.to the "on" position. 4. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity 'test shall then be made between the grounding electrode and the chassis of the.. mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA Manufacturer and/or Namestyle Length Width z� a 71P Vehicle Serial No. !Z 45!s2t13 - State Identification No. Additional Information or Comments: . MOBILEHOME INSTALLATION INSPECTION CHECKLIST 1. Is the mobilehome located with equired separation from lot lines and buildings and generally conform to plot plan? Ye No 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yesi--'No 3. Are footings and supports properly sized, spaced; and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083)..Yes No 4. Is the mobilehome level? (Sec. 5088) Yes o_ 5. If more than a single unit, are crossover connections properly installed? (Sec. 5088) Yes 6. Water A. Is fle3�ible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes li No B. Test - Does water piping withstand working pressure or 50 lbs. air test? YesL.—No Backflow - If coach is not State of California approved, does station have backflow device and pressure -relief valve? Yes_ No 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes ?,"INo B. Does it have minimum '" per foot slope and is it properly supported?:Yes brio C. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe?,.Yes,4--"No If coach is not State of California approved, does station have required trap and vent? Yes No 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as large as the mobile me gas line inlet without reductions other than the mobilehome connector. Yes_ B. Test OK as per following procedure? Yes4l-*�No 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments.. Test for 10 min. without drop. 4. Connect gas meter to mobilehome-with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? YesjZNo 0 COaNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the re uirements of the California Administrative Code, Title 25, Chapter 5, unler permit number for the following location: Owner Owner's Address Mobilehome Mfg. Model Year Insignia No. Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE — * DEPAi TMENT OF PUBLIC WORKS 74County Center Drive Oro011e, California 95965 Telephone:=534-4541 APPLICATION AND PERMIT .n authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. �f X �'� /f Date �i2f/ Signature of Permit or Agent Receipt No. 15�51011AZ?_ White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the B e County Code and/or resolutions to do work indicated abo fo which fees have been paid. EC UBL WORKS 3 to Building perm t expires Date `r'� BUILDING Owner `/ SQ. FT. OCC. BUILDING VAAJ.46ION Mailing Address �rg (.JO AJ 1� �%. f % T Iepho eN�� Contractor wC (p Mailing Address �ag Fireplace Total Valuation =ne N ` Permit Fee Building Address �� v� Plan Checking Fee&/or Penalty Permit Fee 9 id PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trao 1.50 Repair drainage or vent piping 1.50 A. P. No. ��� Q/y �Q 3 Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F seRitftTiotr Fire Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 uilding sewer 5.00 BI fans Rec'd Parcel A oval Plans oval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ �J V 3 /— 79 ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L foo AMP 2.50 Main service OVER 600 25.00 100 AMP OR LESS Main service// EA. ADD'L 100 AMP 1.00 NEW CONS.DWELING OR ADDNST l ACCLBL GSCCUP. 6) 22sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the•name style /� ,,��JJ'')) `` �/ - M/9, /�/O(/!`/� 161le ke[JlCe NEW CONSTR. MULTI -OV L T NON-RESID BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS 6 NON-RESID. SINGLE OUTLET CIR. Ex. OCCUO(OUTLETS OR FIXTtIRES B L: FIXED EX. Occup.(OUTLETSP(RESI*DO.) REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. �7�T Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. Rj I have placed on file with the County of Butte a certificate of w Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ a0 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction. and hereby Land Development Fee $ TOTAL PERMIT FEE $ �Q authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. �f X �'� /f Date �i2f/ Signature of Permit or Agent Receipt No. 15�51011AZ?_ White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the B e County Code and/or resolutions to do work indicated abo fo which fees have been paid. EC UBL WORKS 3 to Building perm t expires Date `r'� MOBILEHOME SUPPORT DATA 11 If other than single wide, ` Mobilehome Mfr. GCIcv _. ?`_ furnishwS_etup Model No. ��5 Year Width(ft.) Box Length r�(ft.) •.Taga;lgng or Expando Size 0 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 of mobilehome unless otherwise specified. ` Footings (check one) Single 1: Wood either pressure treated or foundation grade. LLJ x (ft.)(in.) (in.) (in.) EJ 2. Other (specify) Center support Center support locations* footing sizes Supports (check one) (in.) 1: Concrete block. 2w Other (specify) (ft.)(in.) (in.) (in.) E3 Do 4----Tagalpng or Expando,� show support details. 6 30 y,/4 (ft.)(in.) (in.) (in.) finF cal Support ing Size (ft.)(in.) (in.) (in.) Pier Spacing (ft.)(in.) Max. Overhang (ft.)I(in.) (in.) (in.) (ft.)(in.) BUTTE COUNTY. SUILDING DEPARTMeN7 APPROVI�D 0- *Tf Fgnter piers are other than drawn above, Aram in.lnnatinna_ anarinv anA e1imancinna_ BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: 2. Installer's name: ,��� ,�� �dEJ�IF � SeeJ/C P 3. Is the site currently under permit? Yes No (If yes, furnish permit number 7OR 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? ----------------------- f00 Amps 6. What is the mobilehome site service rating? --------------------- d�J Amps 7. What is the mobilehome site circuit breaker rating? ------------- /dQ Amps 8. Is there any other electric load to be served by the mobilehome site .service? --------------------------------------------------- Yes / / No 75< (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- in. 10. What is the type of gas service? ----------------------------- Natural / / LPG rS 11. What is the gas pipe length from meter or tank to the mobilehome? 744&t�`J (ft.) 12. :What is the mobilehome gas demand? ------------------------------ (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) (BTU) COUNTY OF BUTTE — DENtiFt'iPVENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. /7 ate �° —14 $i gnat, f. Permitee or Agent Receipt No. ;Z a!12 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR 0 UBLIC WORKS til � By Date�n B ding permit expires Date �- �O BUILDING Owner's -LL SQ. FT. OCC. BUILDING VALUATION Mailing Address&V A3 01P —� 117 1 J I' '7 .� o elephone No. acs a Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address�r Plan Checking Fee&/or Penalty Permit Fee PLUMBING No.1 @ FEE ' PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. 5 —0 1 > - I D3 p Zoning & PI ning Water piping 1.50 6,06 Each gas water heater or vent 1.50 FW S on eDept. Fire Zone Use P #it Gas piping system 1 -5 outlets 1.50 0,C)e) EQA Par g Plans Parcel Declarationrcel (� i' p 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 16 00 Bldg. s Recd t'� ILawn Parc rovaI Plans pproval s rinkler s stem 2.00 p Y NEW ADDITION UTILITIES OTHER Permit Fee $ 33,00 $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 100 AMP OROR L SLESS 5.00 Single Family Duplex Mobil Home Others ❑ Main service EA. ADD•L 100 AMP 2.50 –� Main service OVER 25.00 100 AMPP OR LESS O Main service EA. ADD'L 100 AMP 1.00 OR ADDNST %ACCLBLDGS.CCUP. h\ 2¢sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW CONST1BRANCHCIR-OUTLET (MULTI BRANCH CIRCUITS) 12.50ea ....RES'.. NEWCONSTR. POWER APPARATUS 8 NON .RESID. (SINGLE OUTLET CIR. Ex. Occup{OUTLETS OR FIXT11RES g 0251'00 FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 ,, Q License No. Classification Misc. Wiring 6.25 6K61L � I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 5czC> $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this ermit is issued I shall not employ any person in any manner s as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee t,,.�,,;�{ '_" $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee ` . •� $ TOTAL PERMIT FEER $ $ 52 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. /7 ate �° —14 $i gnat, f. Permitee or Agent Receipt No. ;Z a!12 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR 0 UBLIC WORKS til � By Date�n B ding permit expires Date �- �O Rd 1slplo►a►t►o'1II10I16181 6161 z j Nrlivyr ov n dlle 10 'ddRQ _s, ,�'k. \ . rr t. ... -•Y .iF n,.sa `..�4 .:e ••tea,:..,. d.:... ' E� . e s -; =3A'`-..rte .@� •I .�L`r e� _ ? t.. � -•s '2'. •..dw. ? w;. } . - L 17 vV- AA _. NOTE_ All Materials &Vorkmanship Shall Be in_ Accordance with Recognized-Good- ractices a in the of -a -quality prescribed for the p - Uniform Building, Plumbing & Mechanical Codes and the Notional Electrical Code. /Y► -shall be ft. from the The . Setbackro ert line, and 50 ft.. from the - \ side p P y ermitting a maxi centerline of the road, p 4; r`r;ym of a 2 ft. eave overhang but entirely This set of plans and speetfications MUST bt _ out,-of all easements. kept on the job at all times and it is unlawful to make any changes or alterations on same withouf = ,y onnections shall be, written permission from the Department of Public All utl!Ity Works, County of Butte. located 'within N, ft. outside the rear . ,r �� third section o%the mobile home ', ,y� e.►� the lest Iod!de .•f the mobile K3 _ Z �e �•o I XII I LNG 13 �T- _ Septic system and location d='=='--'-^ -='� �: _7 \.. ' be a' per Ec ,Ee Butte County Health _ Dept. Re- qWrenwn -r UNTY . _BUI-LDING- DEPARTMENT �, A PIP 1 l �gow C6'^-FL 130 Sok PQ I= I (3p CWIJANS IM FICAT101 2465 COUNV ORDINAHM BUTTE The Chic* Unified . 3,*001 Distflurm calaftes q -702- 2 1-,4 R A T we 0 t P 14�me �0"�m� I 333 , nv L, trees C 6 (State (zip City lied with the requirements of Ordinance 2463, has conresidential un't(s) regarding rr_%e_ (-() by the, l' � of a On AS005507 areal or execution fees Of $ —C 7' / /_- payment 0 air A ement dated t itigition School I —gy 0 S R prese n ati e ate 405 I= Three BedrOOM - cr-4e4A-o 1152 SO. FV I TW gYgI "UTILITY.' I I. TUbf I a 11. KITCHEN DININP Db SECOND unedceng (Vaulted! BATH 'BEDROOM LU lu—(Oa . UK. 01 1.- 0 zm MASTER THIRD BEDROOM.:BEDROOM LIVINGROOM. (Vaulted Ceiling) (Vaulted Culling IT -41" 20' --On Three BedrOOM - cr-4e4A-o 1152 SO. FV I I ji j ^_ ui � ,uf1 ! � - i' � � i. t •� `� t f � t. j. 3r l't . Al 4C -t 3 1 41 P r ,4') I ji j ^_ ui � ,uf1 ! � - i' � � i. t •� `� t f � t. j. 3r l't . 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Thetblaze'wa� co�colled,�y,��p��*� :•�'� �'� i� "'. � , , �- I ©• � GI✓/1+e�SPj�CQ �'i .1 r• r',,�t5 a'(p % «�� � l j. T Tho Assessor's Parcel Number: Owner Name -Wi6L;Ctlya • ,� Yd Address /Phone No. � � � 3 `7 C � � Uu � - � 's b Site Location � uNI Contact Name Phone