HomeMy WebLinkAbout021-320-035p
�BUILDING CODE VIOLATIO�N
30 DAY LiTiER: SENT -
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J.D. MUNHIOLLON
e/s Dewsnup Ave,, aPp- 500' so. of
W. Liberty Rd., Gridley
Perm -it 3444-73PE
Is... (utilities j or,. le-Lhome
_mobi --- ------ ---
'021-32-0-035,,
MUNHOLLON, iONA, -4�
T H
'CON R SUPERIOR�M
1 UP
.1,62 DEWSN 'AVE, GR I DLEY,
.-,MH 1; �F
J�l
021-32g- 02-wO435
f5
LOUGHNfl-L-LER, LEON k1JNDA
1162 DEWSNUP U �QRIDrN
CONT: OWNER
-EX MH PERM FND EX SITE
021-320-035 —0-2-0770
LOU'GHMILLER, LEON& LINDA
1162 DEWSNUP RD, GRIDLEY
.DhCK & AWNING BUILT W/O
PEkMITS-V�,ho-l--�
B08-11003'.�. 021-320-035
RESIDENTrAC'
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NOTES
RESIDENTIAL
I— - - , p -
021-320-035 02-0435
LOUGHMILLER, LEON & LINDA
1162 DEWSNUP Rl� GRIDLEY
CONT: OWNER
EX MH PERM FND EX SITE
THE HCD FORM 433A FOR THIS MH CANNOT BE'
RECORDED UNTIL ONE OF THE FOLLOWING HAS
BEEN TURNED IN TO THE BUILDING DIVISION -
i (1) LICENSE PLATE(S) OR DECAL (THE
INSPECTOR MUST RETREIVE).
(2) STATEMENT OF FACTS (ONLY ON
NEW MH'S).
INSPECTOR TO VERIFY SERIAL & LABEL #'S.
11 SPECIAL* CONDITIONS 11
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
9
JOB FI NAILED Pale�
Signature
CHECKED
BY
V= OK
0 = Not OK
- = NotApplicable MOBILE HOMES
* = Not Ready
Date MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Require ments-_Setbacks- Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/0 -Concrete
4. Water; Location -Test- Easement Needed (Sketch) .
5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap;-/ /" L 'ft.
P Nat. or /"L"ft./ PLPG
7. Well Clearance & Disconnect
8. Utility Clearance
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date MOBILE HOME INSTALLATION (Plans) OK except Vs
1.
Zoning Require ments-Setbacks- Easements
2.
Footings; Size -Spacing -Marriage Line
3.
Gas; MH Test -Demand -Valve -Connector
4.
Electricity; MH Test -Crossovers -Breakers -Clearances
5.
Drain; MH Test -Fall -Flex Connector
6.
Water; MH Test- Regulator -Connector
7.
Water and Sewer Connected -C/O to Grade -HD Approval
8.
Gas and Electricity Tagged
9.
Tie Downs -Type- Installation Carl.
10.
Exits; Insp.-Sketch
11.
Cert. of Occupancy
12.
Permanent Foundation Onlv: License Decal
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
,S4
MISCELLANEOUS
Date
-DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s
1
. Zoning Requiremenls-Setbacks-Easemenls
2.
Footings; Soils-Size-Deplh-Spacing-Connectors-SleeI
3.
Decks; Girders and/or. Joists- Decki ng- Braci ng-Slairs- Rails
4.
Wood Awn.; Posts-Beams-Rttrs.-Connectors
Shthg.-Frg-Bracing
5.
Alum. Awn.; Colu mns-Co nnections- S plice- Decal- Enclosures
6.
Carports; Windows -Doors
7.
Electric
18.
Frmg.; �ills-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 It's
1 .
Setbacks -Easements
2.
Soils; Compaction -Structure Stability
3.
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4.
Elec.; Receptacles and Lighting, Distance-GF1
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'Circulaiting Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-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
Date
Card B-1 Date Card B-1
V = OK
0 = Not OK
- = Not Applicable
* = Not Ready
Date
RESIDENTIAL
Date
Underfloor (Plans) OK except It's
Hangers -Post Caps -Anchors -Connectors
1 .
Zoning -Se tbacks- Ease ments- Flood- Slope
Cling. Joist-Rftr. Ties- Purlin-Rofi Brac. -Truss -Shting. - Rfng.
2.
Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
3.
Ftg., Garage; Soils-Steel-Elec. Grnd.-/ T' Ftg. Depth
Attic Access; Size & Romex Protect ion- Draft Stop -Ins. Battles
4.
Ftg., Porches & Decks; Soils -Steel-/ P' Fig. Depth
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
5.
Sternwalls, Main; Steel-Blockouts-Wrapped
Garage Fire Protection Framing
6.
Stemwalls, Garage; Steel-Blockouts-Wrapped
Property Line Firewall & Openings
6a.
Hold Downs and Special Anchors
Ext. Doors -One T -Check Garage 3rd Story, 2 Exits
7.
Slab, Steel -Wrapped
Stairs; Width -Headroom -Rise- Run -Landing- Fire Protection
8.
Piers -Fireplace Ftg.-Steel
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
9.
D.W.V., Fall- Fitting -Test -2 Way C/0 -Sewer Test
Siding -Nailing Veneer
10.
UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test
Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access
11.
Water Pipe; Test- Anchors- Reg ulato r -Se rvice Test
Glazing Area -Glass Protection -Skylights -Plastic
12.
Electric Underground
Shear Walls; Nailing -Bolts
13.
Plenums & Ducts; Clearance -Material -Support- Ins.
Brace Interior/Exterior Wall Panels
14.
Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
Insulation -Walls -Ceilings
15.
Access & Ventilation
Infiltration-Walls-Winclows
16.
Insulation
Date
Date
Date
Card B-1 Date Card B-1
Date
Date
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
Ext. Steps -Door & Sidelight Protection- Landings
17.
Water Htr.; Vent -Access -Combustion Air Baffle
Smoke Detector
18.
Water Pipe; Test & Anchor -Nail Protection
Furnace Vent s-clea rance- Comb, Air -Connector -
In Garage; Above Floor- Ducts- Mech. Protection
19�
D.W.V.; Test Fittings & Anchor -Nail Protection
Bedroom Exiting
20.
Shower Pan; Test, First Floor -Tub Access
G.F.I. & Bath Fixtures & Tub Access -Spa
21.
Test Tub & Shower, Second Floor -Tub Access
Elec. Trim & Subpanel, Breaker Sizes & Labels
22.
Gas Pipe; Sixe & Anchors
Stairs & Rails
70.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
Elec. Outlets & Receptacles at Kit. Counter
23.
Fixture & Transformer Clearance -Ins. Protection
Garage Fire Door; Swing -Landing -Closure
24.
Elec. Receptacles Spacing -Lights & Switches at Doors
A.C. Duct in Garage -Damper
25.
Size Boxes & No. of Conductors Stapled
Wtr. Htr.; Vents -Clearance -Comb. Air Connector- P. R.V.
in Garage; Above Floor-Mech. Protection
26.
Romex Installed Close to Edge of Studs & C.J.
Plb., Elec. & Mach. Equip. Listed for Location
27.
Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
Elec. Receptacles in Garage (F.F.I.)-Romex Protection
28.
2 Appliance Circuits in Kitchen & Conductor Size GFI
Ins ulatio n- Foam- Looked in Attic
29.
Subfeed Wire Size / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al
Guard Rails & Deck Co nstruction- Post Caps
30.
Range Circle / ga Cu or Al -Oven Circ. / I ga Cu or At
Insulated Neutral Q Yes 0 No
Fc1n. VBents & Crawl Hole Door Drainage & Wood -Earth
31.
Service -Riser Conductors & Ground Main Disconnect
Clearance Looked under Floor Ij Yes
32.
Equip. Clearances Panels-Motors-Mech. Equip.
Following Insild./Drive :1 Yes :j No/Walks :j Yes :j No/Planters Yes No
33.
Clothes Closet Light -Shower Light -Spa Light
Stucco Brown -Finish
34.
Smoke Detector
A.C. Unit Disconnect, Electrical- P I umbing
85.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
Ventilation Throughout House
35.
A.C. Ducts Insulation & Support
Glass Protection
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 Cerlificate-Other Certificates
94.
Address Posted
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
FRAMING (Permit) OK except #'s
40.
Sills Proper Materials & Anchors
41.
Walls Studs -Nailing Spacing & Braces- Plates -Sou nd
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
oingle & Duplex)
Date
FRAMING (Continued)
46.
Hangers -Post Caps -Anchors -Connectors
47.
Cling. Joist-Rftr. Ties- Purlin-Rofi Brac. -Truss -Shting. - Rfng.
48.
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
49.
Attic Access; Size & Romex Protect ion- Draft Stop -Ins. Battles
50.
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
51.
Garage Fire Protection Framing
52.
Property Line Firewall & Openings
53.
Ext. Doors -One T -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-Underfir. Access
58.
Glazing Area -Glass Protection -Skylights -Plastic
59.
Shear Walls; Nailing -Bolts
60.
Brace Interior/Exterior Wall Panels
61.
Insulation -Walls -Ceilings
62.
Infiltration-Walls-Winclows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date C rd B-1
Date
FINAL (Plans) OK except #'s
63.
Ext. Steps -Door & Sidelight Protection- Landings
64.
Smoke Detector
65.
Furnace Vent s-clea rance- 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. & Mach. Equip. Listed for Location
78.
Elec. Receptacles in Garage (F.F.I.)-Romex Protection
79.
Ins ulatio n- Foam- Looked in Attic
80.
Guard Rails & Deck Co nstruction- Post Caps
81.
Fc1n. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor Ij Yes
82.
Following Insild./Drive :1 Yes :j No/Walks :j Yes :j No/Planters Yes No
83.
Stucco Brown -Finish
84.
A.C. Unit Disconnect, Electrical- P I umbing
85.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
86.
Water Well, Disconnect, Electrical, Plumbing
87.
Exterior Elec. Trim, G.F.I. Receptacle- U nderg round
88.
Ventilation Throughout House
89.
Glass Protection
90.
Corrections from Previous Inspections
91.
Gas Test -Meters Tagged, Gas-Eleciric
92.
Water & Sewer Connected -C/0 to Grade -HD Approval
93.
Energy Compliance Cerlificate-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:
Ar
COUNTY OF BUTTE - DEPARTMEN OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive *. Oroville, California 95965 * Telephone (530) 538-7541 PERMIT NO.
0, - -nqas
(Rev. 12/96) i APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
021-320-035
ZONIN G
BUILDINGPERMIT
OWNER
LOUGHMILLER, LEON & LINDA
TELEPHONE
846_2311
SO. FT. OCC. BUILDING VALUATION
R 39,312
OWNERS MAIuNG ADDRESS
1172 DEVSNUP GRIDLEY, CA 95948
CONTRACTOR'S NAME
OWNM
TELEPHONE
CONTRACTORS MAIUNG ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDERS MAILING ADDRESS
Total Valuation 39,312.00
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
—Permit Fee
$ 174.75
ARCHITECT OR ENGINEERS MAIUNG ADDRESS
Plan Checking Fee
$ 23.00
BUILDING ADDRESS
1162 DEWSNUP RD. GRIDLEY, CA 95949
Energy Plan Checking Fee
$
$
PERMIT FEE
$217.75
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF 0 Duplex 0 Mobilehome EX Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.0015.00
gas water heater or vent
15.00
TYPE OF WORK
New IX Addition 0 Remodel 13 Utilities 0 Installation 0 Other 0
Describe Work: EX M14 PERM END FY STTF
—Each
Gas piping system I - 5 outlets
15.00
Building sewer
15.0015.00
Mobile Home I S I G I W F_
920.00
PERMIT FEE
50.00
ELECTRICAL PERMIT
Filing Fee 20.00
F
1.10.0�V OR �SS
Main Service OR LESS
23-00 23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
La for the following reason:
1, asownerof theproperty, ormy employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
0 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
I am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO 1000A
46.00
NEW CONST. DW:�INGffUp.
OR ADDNS. C
so.
3.50FT.
= C ON ST. '0
ID. ,�ULT,' �
97.50
POWE.RAP=US
. 0 C..
Ex. Occu OUTLET OR FixTURES
20 @ 1.00
BAL @ .50
..FIXED A UNS 0"
Ex. Occup. PPES,6.) E.
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wifina
23.00
I
PERMIT FEE
$ 43.00
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
)a I have and will maintain a certificate of consent to self -insure for workers'
comp en,sation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
,ave and will maintain workers' compensation Insurance, as required by Section
0 1 h
3700 ofthe Labor Code, for the performance of work for which this permitis issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEIE
$
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply withn those provisions.
'y u'050 P
;�, Z)
te
&_ Ownej-'
ON
of e
pplick
I VSinature pplicant actorgo Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories)n height.
Mobile Home Installation Fee
$
Energy Inspection Fee $
occ
CONST. TYPE
TOTALFEE $ 310.75
—
'HAZ.
D. FEES
IMP
FLOOD
I
CDF
I
HD
ISS
_�r
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
_V
PERMIT EXPIRES ON
I (Mte)
ReceiptNo.3 Q0 V# S1 0,15
WHITE-D.D. -8. CAMARY-MESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT
D.
COUNTY OF BUTTE - DEPART)WENT-bF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive 9 Croville, California 95965 # Telephone (530) 538-7541 PERMIT NO.
I . � 4 (%:�- -OL(35
tRev. 12,196) 11 APPLICATION'ANUPERMIT
ASSESSOAPARCEL NUMBER ZONING BUILDING PERMIT
0 o2 -3 0 - 0,35 -
Plan Checking Fee $
OWNER
Z-ffioii 4 '"04
TELEPHONE
t q 6 ---) 3' 1
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAg ADDRESS
t ZQ V-4 olle
eLA)15 )1 1,4 12
CONTRACTOR'S NAME
TELEPHONE
LOT NO. SUSIDNISIONS NAME
IPARCEL MAP
RAC A NO ADDRESS
�;;' e, A U
Filing-T-eeT20.00
USEOFSTRUCTURE
SF 0 Duplex 0 Mobilehome �,` Other SPECIFY
CONSTRUCTION LENDER
7.001
Fireplace
UENDER'S MAIUNG ADDRESS
Total Valuation Is 9 S
15.00 /-S-
ARCHITECT OR ENGINEER
U CENSE No.
Filing Fee $ 20.00
Permit Fee $ 1/,- 7, C �
ARCHITECT OR ENGINEER'S MAIUNG ADDRESS
Plan Checking Fee $
h
Energy Plan Checking Fee $
$
PERMIT FEE $
LOT NO. SUSIDNISIONS NAME
IPARCEL MAP
PLUMBING PERMIT
Filing-T-eeT20.00
USEOFSTRUCTURE
SF 0 Duplex 0 Mobilehome �,` Other SPECIFY
Each Trap
7.001
Solar or heat pump water heater
23.00
Water piping
15.00 /-S-
Each gas water heater or vent
15.00
TYPE OF WORK
New 0 Addition 0 Remodel 0 Utilities 0 Installation 0 Other '*#
Describe IN k-I)IM 1�_ )2 f ,-�
or 7-7 �,n d
U
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I GT7W
g20.001
PERMIT FEE
ELECTRICAL PERMIT
Filing Feel 20.00
Main Service *.*."A ' CIRR '.s:
23.00 -3-06
*PERMIT FEE PAU> 30-2 �2
-
SRA
514OUFF
OT'M
AhkbVW RECEMO
01AMICa" NVAWM L L
To im Pm Iwo COMM -111"
Main Service 200A TO 1000A
46.00
NEW CONST. DW:-I.LING OCCUP. 3.50SO.
A ADDNS. C S. FT.
=LTIOUTLLET
NEI:.Co
NO TT.
C'RC 1. @7.501
POW.FJ' AP.PARATUS
LE 0 TLE T CIR.
Ex. Occup. OUTLET OR FIXTURES 20 1.00
BAL .50
Ex. Occup. I.= .) E 5.001
..FIXEO APP . OFI,
Temporary Service . 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00,
1
PERMIT FEE[$ Y � -06
MECHANICAL PERMIT Filing Fee 20.00
Hea"g
Cooling'-,
Hood 6.50
ventilation
PERMIT FlEtt$
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE ITOTALFEEs 31e, 7:i —
FEES
L�j
!�F HD
_t=a��J_jr;f
,
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
PERMIT EXPIRES ON
(Date)
ReceiptNo.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD-APPL ICANT
COUNTY OF BUTTE -DEPARTMENT OF DEVELOP, MENT SERVICES -BUILDING DIVISION
7 County Center Drive, Oio�ille, CA 95965 Phone (530)538-7541 Fax (530)538-2140
PERMIT APPLICATION DATA SHEET
OWNER: k ai I lle�r_ ASSESSOR PARCEL NUMBER c;L e� -3
Proposed Building UsO& V M i� a-eAVA kndj5W ��,�Counter Technician: Date:
Items required in order to apply for a periVit. All boxes MUST be checked OR marked NA in order to apply.
-91 -Plot plans, 3 or 4 sets, signed by the preparer of the- plans.
Complete plans, 3 or 4 sets, signed by the Ireparer of the plans.
1�,3- Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
0 4. Engineered truss details and layouts in duplicate. No faxes!
0 5. Energy compliance design and supporting documentation in duplicate.
06. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or
foundation plans, all in duplicate.
0 T. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate.
(D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer.
Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be
indexed and returned to the plan review line-up when required items are received.
Date Received By
0 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................
0 9. Plot plan and business license approval from the City of Biggs ....................................
0 10. Letter of intent for non-residential buildings .........................................................
0 11. Detached Accessory Building Form filled out by the owner .....................................
0 12. Hazardous Material Form ............................................................... ..................
0 13. Other
Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
0 14. Fees as shown on the attached Schedule of Fees Due Sheet .......................................
0 15. Statement of Intent for Non -heated and A/C Buildings .............................................
0 16. Sanitation and plot plan approval from the Environmental Health Department in
0 17. City of Chico Plumbing permit ........................................................................
0 18. California Department of Forestry plan approval 0 paid. Sent by: . ......................
0 19. Planning approval for (A) Use: B)Parking: (C) Parcel Check:
0 20. Contact Land Development about 0 Improvements, 0 Drainage ...............................
0 21. Encroachment Permit for drive a from the Public Works Dept. (construction approval prior to occupancy).
%_ A w tz��
96J22. Pre -Inspection for C X M H — required..... ............
0 23. Contractor's license information. (Number, Name Style, Classification) ......................
0 24. Worker's Compensation Carrier and Policy Number ..............................................
0 25. Owner -Builder Verification (0 Given to owner, El Mailed to owner) .....................
0 26. Letter of Signature authorization .................................... ...............................
0 27. Recorded copy of Agricultural Acknowledgment Statement .....................................
0 28. Manufactured home utility clearance ...............................................................
29. E 'sting violatio s and/or expired pennits.. * * ...,i ..Ctt ................................ I ......
H. Title/Statement of Fac s, e er from Legal Owner, Ed "ec o H.C.D.
t
30. 'rG
0 3 1. Other:
When issued TeleDhone Ufl-O and hold for pickup.
Rave been informed of the above items and requireeents for obZWning a building permit.
'bA) ii D a�
p cant-.��
I Index nermitapplication rtheaboveite numbered:
(T Additional items required__jjie_A0!5 k"Md!!4 0 lb
Contractor, designe(�;Wne7, was advised of the aboveld'ata 1Yy
er.
Contractor, designer, ner, was advised of the above data by
Plans reviewed by: Date:
Structural reviewed by: —Date:
Note transfer bv: Date:
7N
phoAe, 0 mail, 0 counter, by
phone, 0 mail, 0 counter, by
- Plans approved by:
-Structural approved by:
Yellow: Building Division
Plan Check Letter
1-4 0�-e (%&-u fs [C,4_ij v -d
_4Date7 3
Date:
Date:
Date:
D
lc/- Prelvsp
po AA-,:�W-rs
o rc,e64 w he
.. ............
.... ............
xkju-j
OWNER:
LOCATION: C -3L -
CONTRACTOR:
DATE:-
A.P. 3
;2 S
ZONING:
PRE-INSPETION FOR:
DATE TO INSPECTOR: L/ PERmrr HISTORY:( 5 NONE
(/ AS FOLLOWS:
BUILDING INSPECTOR'S REPORT
Building Description:
Electric:
Gas:
-.;-n-,_Ircial/LJsage:
Residential/# of Units:
Currently Occupied
AbandonedfVacant
Yes No Electric currently On Off
Condition of Electric
Natural Propane None Currently On Off
Obvious Problems:
Sanitation:
Plumbing Working
Well Workin ' Potable Water
Obvious SewageProblems
1 6 L;—
&I,A- A-Zt," %0
ACTION RECOMMENDED: ISSUE: OR 1�—M /-- ' &
.,a HOLD F 71 Ane- xr
Inspector:
3 - 07,0z�--
Dateg —? —1, /— --9—
Sketch buildings on reverse and indicate location on property.
COUNTY OF BUTTE - DEPARTMENT OF�DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541
PERMIT NO.
ORev. 12/96) APPLICATION AW PERMIT
ASSESSb AqCELNUMBER ZONING MIHII
, 02 / -3�20 — 035—
OWNER
Z]fpij 4/-,'-,C/4
OWNER'S MAILI ADDRESS
it e.;7 &7
70 e .,)15 n
CONTRACTOWS NAME
CONTRACTOR'S NO ADDRESS
4 1 =,e e, 11, i :2
CONS TRUCTION LENDER
LENDER S MAILING ADDRESS
ARCHITECT OR ENGINEER
ARCHITECT OR ENGINEERS MAILING ADDRESS
116�,) K -11t h
LOT NO. I SUBDIVISION'S NAME
r -
.5,-
53D
LISEOFSTRUCTURE
SFO DuplexO Mobilehome�4 Other
SPECIFY
TYPE OF WORK
New 0 Addition 0 Remodel 0 Utilities 0 Installation 0 Other
Describe Work�-7 i4_
*PEPAIT FEE PAlb
SRA
SHOUFF
OTM
E NO.
S �3) D .? 5
so. Fr. occ. BUILDING VALUATION
Fireplace I I
Total Valuatlon Is
Filing Fee
$
20.00
, 0 6'
Permit Fee 7�; Ll c
/ .50
PERMIT
I Filing Feel
20.00
Plan Checking Fee
$
23.001,2
3.0
Energy Plan Checking Fee
200A TO 1000A
46.001
NEW CONST.
OR ADONS.
DWELLI 'G OCC
3.50j;�.j
PERMIT FEE
$
__CT/ -7.
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00,
Solar or heat pump water heater
23.00---,
Water piping
15.00 /_S-_
Each gas water heater or vent
15.001
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00115. OcJ
Mobile Home I S I G I W
@D20.00!
Ex. Occup. OVTLET OR FI)(TURES
PERMIT FEE S
< /)
, 0 6'
ELECTRICAL
PERMIT
I Filing Feel
20.00
Main Service (
600V OR LESS
200A OR LESS
23.001,2
3.0
Main Service
200A TO 1000A
46.001
NEW CONST.
OR ADONS.
DWELLI 'G OCC
3.50j;�.j
NEW -C -0 -N -S -T
NON -RESOD.
. ACC. SUP
MULTI-OVTLEr
__ ___ )
1 97.501
Ex. Occup. OVTLET OR FI)(TURES
O�XEO APP . 0"
Ex. Occup. r. E�,
5.. 0
Temporary Service
23.00
Mobile Home Facilities
2000
Misc. Wirino
I
PERMIT FEE $ Y
MECHANICAL PERMIT Filing Fee 1 20.001
I Hood 1 1 6.50 1
PERMIT FEt I S
Mobile Home Installation Fee
Energy Inspection Fee
*RECO" NVAWW L OCC CONST. TYPE TOTAL FEE s 3/,�, 7'i
HAZ. D. FEES IMP I FLOOD I CDF I PAFkCEL I PC) I No
PVM 'SS"
TO 66 Pir zwo co#
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
ReceiptNo. B.D. CANARY-ASsESSOR PINKANSPECTOR GOLDEN ROD -APPLICANT PERMIT EXPIRES ON (D.9 (&I
WMTE-D.O.S. I
7
0 -S7,C) - 03�
'OP- 7
W Libe:�ty Rd Gridley K,
Permit -3444-73P
E YY) cv-
(utilitibs for mobile h n L
ome
021-32-,0-035 91-3829' 1 cv-\
MUNHOLLON, ZONA
CONTR: SUPERIOR MH
1162 DEWSNUP AVE, GRIDLEY
MH I
AMk
t L�l
j , Ij
4
c,( vrj&
q
one M60 bd*
of pum. lim Nown,fadl
Thu Bet
thajOil) at�O:UN%61� 411
ln.r.",., tuky kilw4ocl
OQAIW of B%was
r7
t
I eac,
, � �Iioj
-T4
4-W4
fa;z Soo so r
FOR'. A 4BILE.S 30
A -J 19 : M 0 "w oLL w/
sopc^%am i M.
C 14
APPROVED
2alf e.
Butte County .... .. !A
Environmental He'
Ith
a
te
PAJILDIT-4G DE
------- -- - -------
�i;n
pp
Vigure ()VED
AP
j_qj,;
.2
!i, Ai.
-4,
sopc^%am i M.
C 14
APPROVED
2alf e.
Butte County .... .. !A
Environmental He'
Ith
a
te
PAJILDIT-4G DE
------- -- - -------
�i;n
pp
Vigure ()VED
AP
0
I A
see
40 If $. x� 5oo so, r:-
41 KP, *J% FO
1513 1 L FS
0.
j
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iv*
c
APPROVED
Butte County
Environmental Hea*lth
mu "M
BUILDING DEPARTMENT
te ILDItIG
------- -- - A 8*'P R -O V E 0
Sign' ure p R.OVED.
aw, AP
7�
C,(
j t
Thu. sot of plans. 0 Nom -nations 10V� bd*
4fid It. jG ulllw�
on na-rf
;,y c
V
0
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see
40 If $. x� 5oo so, r:-
41 KP, *J% FO
1513 1 L FS
0.
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APPROVED
Butte County
Environmental Hea*lth
mu "M
BUILDING DEPARTMENT
te ILDItIG
------- -- - A 8*'P R -O V E 0
Sign' ure p R.OVED.
aw, AP
1,61M
2 "x 2"x 3/16",
STEEL ANGLE
DETAIL "A"
CHASSIS FRAME
1/4" GRIPPER PLATE
(2) REQUIRED
1/4" GRIPPER BASE
1/2-13UNC-A307 x 4"
BOLT WITH NUTS
(4) REQUIRED
01 1/2" SCH 40 PIPE RISER WITH
01/2" ADJUSTER HOLES AND 3/8 -
THICK TOP PLATE
02" SCH 40 PIPE STAND WITH TWO--,
01/2" ADIIUSTER HOLES
ABESCO ABS PAD #503
STEEL FRAME
SEE DETAIL "A"
3/8" CAD PLATED BOLT. NUT & WASHER
COUNTER BORED FLUSH WITH BOTTOM
AT 8" D.C. (8) REQUIRED
1/4" STAND BASE
ABESCO ABS PAD #503
37"
18 1/2
36" MAX
6'� 1�,
TO BOTTOM
OF PAD
01/2"x 3" C.R.
LOCK PIN WITH'
01/8" BRIDGE
PIN
COACH "C" FRAME
2" CHANNEL
1/4"x 1 - 1 /4'�-
TEK STS
(2) REQUIRED
1/4" GRIPPER
BASE
1/4" GRIPPER
PLATE
1/2" A307 BOLT--"
(2) REQUIRED
3/8"x 6"x 6"
-,STEEL PLATE
1/2" A307 BOLT X__ -BEA
(2) REQUIRED ATTACHMENT
10.00 --�
0 0
10 1 Do. ox _N
09/16 HOLE (TYP)
STAND BASE
-TOP VIEW
N, /N %
TUF-1 PERMANENT
-FOUNDATION SYSTEM
ABESCO-GUS GUARD COWANY
5851 FLORIN - PERKINS ROAD
SACRAMENTO, CA 95823
PH: (800) 382-8831
FAX: (916) 383-5207
C-)
J -BEAM
ATTACHMENT
H J FRAME
x 1 - 1/4"
K STS
REQUIRED
1/4" GRIPPER
BASE
.1/2" A307 BOLT
(4) REQUIRED
WAYNE T. POLVADO, PE-LISTINVANY
I
8"
1/2" DIA. HOLE (8) PLACES
301,
STEEL FRAME
TOP VIEW
-STATE APPROVAL
V9
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WAYNE T. POLVADO, PE-LISTINVANY
I
GENERAL NOTES GUS GUARD TUF-1
i. DESIGN LOADS: LIVE LOAD - 30 LB.
FLOOR LIVE LOAD - 40 PSF
WIND LOAD - 80 MPH EXPOSURE "C"
SEISMIC ZONE "4"
*SNOW LOAD 100 PSF (SEE NOTE # 15)
2. THIS FOUNDATION SYSTEM IS DESIGNED TO BE -CONSTRUCTED ON
A FAIRLY LEVEL SITE WITH NO EXISTING SOIL PROBLEMS.
3. CHASSIS BEAM SUPPORTS SHALL BE LOCATED AND SIZED FOR THE LOADS
AS SHOWN IN THE "MOBILE HOME INSTALLATION INSTRUCTIONS'.
4. IN AREAS WHERE DIFFERENTIAL SETTLEMENT (O.S.) CAN OCCUR,
MANUFACTURED HOME SHALL BE READJUSTED WHEN DS EXCEEDS 1/4-,
OR WHEN IT WILL ADVERSELY AFFECT MOBILE HOME UNIT.
5. CARRY ALL FOOTINGS DOWN TO FIRM. UNDISTURBED SOIL. FOOTINGS
ARE DESIGNED FOR 1,000 PSF TOTAL LOAD SOIL PRESSURE, AND
SHALL BE COMPATIBLE WITH LOCAL SOIL CONDITIONS. COMPACTED SAND
MAY BE USED TO FILL LOCAL VOIDS UNDER PADS.
6. STRUCTURAL STEEL: FABRICATED ACCORDING TO AISC SPECIFICATION.
WELD ACCORDING TO AWS SPECIFICATIONS. ELECTRODES -370 PLATES -ASTM
A36 BOLTS -SAE GR 5=ASTM A449=ASTM A3725.
7. THE GUS GUARD ASSEMBLIES SHOWN ON THIS PAGE SHALL BE LISTED AND
LABELED BY BSK AND ASSOCIATES FOR THE FOLLOWING LOADS:
ALLOWABLE LOADS: HORIZONTAL VERTICAL
GUS GUARD TUF-1 2200# 6000#
GUS GUARD MGP PAD 2200# 6000#
GUS GUARD E -Z TIE PAD 2200# 6000#
B. DURING PRELIMINARY INSPECTION, THE ESTIMATOR SHALL ENSURE THAT
MOBILE HOME CHASSIS BEAMS ARE OF STANDARD SECTION.
9. EXISTING COACHES MAY BE RETROFITTED TO RESIST SEISMIC FORCES BY
INSTALLING GUS GUARD TUF-I UNITS AS SHOWN ON THIS PAGE OF TYPICAL
FOUNDATION PLANS.
10. THE GUS GUARD TUF-I SYSTEMS ARE SAFE FOR INSTALLATION IN FLOOD
PLAIN AREAS WHERE DEPTH OF FLOODING DOES NOT EXCEED THE HEIGHT
OF THREE FEET.
MULTIPLE UNIT INSTALLATION IS ACCEPTABLE PROVIDED
THE NUMBER OF TUF-1 UNITS UNDER EACH UNIT IS
THE SAME AS SHOWN REQUIRED PER EACH UNIT.
12. SINGLE -WIDE UNITS REQUIRE ADDITIONAL RESTRAINT. * (SEE SHEET #3)
13. ALL METAL COMPONENTS AND ATTACHMENTS ITEMS SHALL BE PROTECTIVE COATED.
14. WHEN CONCRETE SLAB IS IN EXISTANCE. PAD IS NOT
16. FOUNDATION BLOCKS 16'x 16% 12' POURED IN PLACE AT GROUND LEVEL MAY
BE USED At INSTALLERS DISCRETION ALTERNATIVE TO PADS.
SINGLE WIDE COACHES DOUBLE/MULTIPLE COACHES
E= 2' MIN. / 8' MAX. E= 2' MIN. I l' MAX.
S= 6' MIN. /16' MAX. S= 6' MIN. 22' MAX.
VARIES 10'-70- (SEE TABLE ON SHEET 03) ..... _ -
E S S S E
Li L�
p 1 1:1
D
Ll
.RIDGE BEAM SUPPORT AS
REQUIRED BY MANUFACTURER
El
(TYPICAL)
p
r]
E]
8' NOM.
--ij
2 �Om.
PADS
IN ANY PAIR MAY BE
t STANDARD
M.H. FOUNDATIO
ROTATED 90 DEGREES OR PIERS AS
OFFSET TO OTHER SIDE TO THE MANUFACTURER
RECOMMENDED BY
OR THE
PVC SERIES
SUPPORT
AVOID CLEARANCE PROBLEMS. ENGINEER.
TYPICAL THROUGHOUT
PAD (TYP)
0. 1
E x p.
OF
REQUIRED. ANCHOR STAND TO CONCRETE SLAB WITH TILIF-1 PERMANENT
FOUR (4) 1/2"x 3 1/2- EXPANSION ANCHORS. FOUNDATION SYSTEM
15. GUS GUARD TUF-1 FOUNDATION SYSTEM PROVIDES
ALLOWABLE SNOW LOAD TO 100 PSF WHEN INSTALLED ABESCO-GUS GUARD COWANy
WITH EXISTING STANDARDS REQUIRED BY COACH 5851 FLORIN - PERKINS ROAD
MANUFACTURER OR REPLACE THEM ON A ONE TO
ONE BASIS. SACRANENTO, CA 95823
I PH: (800) 382-8831
STATE APPROVAL
75
0
Z La
0 0
UZI
go > x cl 0
0 ce cm
" >
o Z
U ba c3l
0
0
0 0
z
0 >
0 z
rA
:2 n 'k
WAYNE T. POLVADO, PE—LISTING NO. F94249 SHEET 2 of 3
1/2"x 3 1/2" 3/4" DIA. x 18" LG.
EXPANSION ANCHOR 1/2"x 8" LONG (4) REQUIRED
(4) REQUIRED ANCHOR BOLT
(4) REQUIRED 3/8" CAD PLATED BOLT, NUT & WASHER
COUNTER BORED FLUSH WITH BOTTOM
AT 8" D.C. (8) REQUIRED
it .�j lit -
it v7ITT7. �-wi_
CONCRETE PAD INSTALLATION I It
CHASSIS FRAME
1/4" GRIPPER PLATE
(2) REQUIRED
1/4" GRIPPER BASE a
1/2-13UNC-A307 x 4"
BOLT WITH NUTS
(4) REQUIRED
01 1/2" SCH 40 PIPE RISER WITH
01/2" ADJUSTER HOLES AND 3/8"
THICK TOP PLATE
02" SCH 40' PIPE STAND IN
01/2" ADJUSTER HOLES ITH TWO
ABS PAD #503
ABESCQ
STEEL FRAME-\
..........
POURED IN PLACE 16xl6xl2 CONCRETE
FOUNDATION INSTALLATION
AR ''..-h-Ul lit
LIGHT HEAVY -WEIGHT
PLASTIC PAD INSTALLATION
36" MA
,,�4 X
:j_t,
TO BOTTOM MULTI -WIDE UNITS
OF PAD SINGLE WIDE [INIT.R
37"
18 1/2�"�
01/2"x 3" C.R.
LOCK PIN WITH
01/8" BRIDGE
PIN
LENGTH OFEWIDTH
HOME
24
OF
26 28' 40
UP TO 44'1
j66'
8
6
EHOME
1
8 2
44 - I. to
12
12
8
OVER 66'
16 .
16 22
m
LENGTH
HOME
10
WIDTH OF HOME
12' 16'
UP TO 44
6
6
144'-1" to
8
8
LOVER 66'
10
10
IMUMOLK Ut lut-1 HLQUIRED NUMBER OF TUF-I REQUIRED
NOTE SINGLE WIDE UNITS REQUIRE (4) E -Z TIE PADS. GUS GUARD TUF-I PIERS ARE
TO BE PLACED AT APPROXIMATELY EQUAL INTERVALS ALONG EACH FRAME RAIL.
STATE APPROVAL
0 -6
0 090
p 11 -: Z'�
u F; 5
LZ
TUF-1 PERMANENT——
C5 0
FOUNDATION SYSTEM
0 >
ABESCO-GIUS GUARD COMPANY 0
jQ
5851 FLORIN - PERKINS ROAD 15
WAYNE T. POLVADO, PE -LISTING NO. F94249 SHEET 3 of 3
OVER 20 YEARS DRILLING EXPERIENCE.
David & Son'"Drilling Co.
Water.Wells Lie.# 425609
(A\
Ph.(510) 589-3914 Fax (530) 434-3581
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An "owner-buildee' 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 buildin permit will be issued until this
9
verification is received.
2 1'. 1 personally plah to provide the major labor and materials for construction of the proposed
prqperty improvement: YES)< NO 0
--2,IHAVE)( HAVE NOT 13 signed an application for a building permit for the proposed W"odL
3. 1 have c6ntracted with the following person (firm) to provide the proposed construction:
'--NAME:
0_1J
PHONE:.
4. 1 plan to provide pb<l
supervise, and provide
NAME:
ADDRESS:
PHONE:
5. 1 will provide some of the
the work indicated:
NAME
CITY:
CONTPUCTOR'S LICENSE NO.
of this work, but I have hired the-f6howing person to coordinate,
maior work:
CONTRAC
but I have co
CITY:
OR'S LICENSE NO.
(hired) the following persons to provide
ADDRESS PHO
A A%W L AL;OA% A A W T W A I - -
rSOCIAL SECURITY NUMEBER:
TE: 3— /- OQ
TYPE OF WORK
NOTE: This Owner -Builder Veriji-cation is required by Section 19831. and 19832 of the
California Health and Safety Code. This veriji'cation must be -completed and
returned to our office before we are permitted to issue, the permit.
OVER
I OWNER BUILDER INFORMATION I
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-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
apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should
be aware of the following information for your benefit and protection:
If you employ or otherwise engage any persons other than your immediate fhmily. 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 o�ligations includin-'state and federal income tax withholding, federal social security taxes,
0
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 employqes, 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 buildee' building
perrnit� erroneously implying that the property owner is providing his or her own labor and material personally. Building
permits are not required to be sign , ed by property owners unless they are performing their own work personally.
a
Information about licensed contractors may be obtained by contracting the� Contractors State License Board in your
community or at 1020 N Street� Sacramento, CA. 95814.
Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you
are aware of these matters. The building permit will not be issued until the verification is returned.
I rely,
+Micel C. Vidira, C.B.O.
sl3ecl
M get. ZuiilMng CInspection
NO rE. rh is 0 w n e r- B u ilder Info rm a 60 n is req u ir ed by Se clid n 19 83 0 of th e Ca lifo rn la Hea Ith a n d Safety Co de.
OVER
RECORDING REQUESTED BY:
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE CA 95965
Cov)y of Document Recorded
31 -May -2002 2002-0028203
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 Cali fornia Health and Safety Code Section
1855 1. This document is evidence that such local agency has issued a certificate of occupancy foirl 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.
LEON E LOUGHMILLER AND
LINDA LOUGHMILLER
RFAL PROPERTYOWNEWLESSOR
1172 DEWSNUP AVE
NIAILING ADDRESS
GRIDLEY BUTTE CA 95948
CITY COUNTY STATE ZIP
1162 DEWSNUP AVE
ALLATIONNIAILING ADDRESS, IF DIFFERENT
GRIDLEY BUTTE CA 95948
L� I I Y COUNTY STATE ZIP
SAME
UNIT OWNER (iraiso Property owner, write"SAME")
MAILING ADDRESS
CITY COUNTY STATE ZIP
UNIT DESCRIPTION
BUTTE COUNTY BUILDING DIVISION
LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY
7 COUNTY CENTER DRIVE
MAILING ADDRESS
OROVILLE, BUTTE, CA 95965
CITY COUNTY STATE ZIP
02-0435 (530)538-7541
'j 'j ' "' _T I
EL E "D�E `,IMBrR
5 T 3 2
L 'T
S41GIATURZE OF LOCAL 'AGEflll�ll ZI D E
NONE
DEALER NAM E (if not a dealer sale, write "NONE")
NONE
DEALER LICENSE NO.
SKYLINE
1991
KLW1404A
MANUFACTURER'S NAME
DATE OF MANUFACTURE
MODEL NAME/NUMBER
14700356E
52 X 14
UL1341601
AL NUMBER(S)
LENGTH X WIDTH
INSIGNIA, LABEL NUMBER(S)
REAL PROPERTY LEGAL DESCRIPTION
SEE ATTACHED
ASSESSORS PARCELNUMBER A.P. # 021-320-035
HCD FORM 433(A) REV. 8191
WHITE -County Recorder CANARY-HCD PINK -Applicant GOLDENROD -Building Dept.
- --v- 4
R W
N
—FOWND,
-�4 k
tZ
'U"Ye "A %:Iv
, A I, E, 0.,
Z-1
7
W—N,�, j?'A
BUILDING PERMIT NUMBER: 02-0435
Address or location of unit: 1162 DEWSNUP AVE., GRIDLEY, CA. 95948
Legal Description of Real Property: A.P. #021-320-035
SEE ATTACHED
(x) Mobilehome/Man ufactu red Home
Commercial Coach
Has been affixed to the real property above by installation'on a foundation system
pursuant to Health �nd Safety Code Section 18551.
Owner's name: LEON E. AND LINDA LOUGHMILLER
Owner's address: 1172 DEWSNUP AVE., GRIDLEY, CA. .95948
INSIGNIA OR HUD NUMBER: UL1341601
SERIAL NUMBER OR V.I.N.: 14700356E
MANUFACTURER'S NAME: SKYLINE YEAR: 1991
OFFICIAL APPROVING INSTALLATION: (7-L
/7
DATE: 5-30-02
PHONE: (530) 538-7541
H.C.D. 513C
5 - 3 9 4 5 8
E)diibit A page 1
Legal description of the prapertY
PARCEL 2, AS MM ON UW CMAIN MAP R=MMI ,PARCEL MAP BEING A POWICN OF T4
ior 33, GRIDIXy 00jnNY NO. 4", WKCjj MAP WAS FIIM IN ME OFFICE OF THE RBMIMER
OF THE COUM OF BUM, SrATE OF alLIFOyO41A, JUNE 22, 1973, BOCK 46 OF KNPS, AT
PAGE 42.
Ac -320-035
,sessorts parael No: 021
END OF DOCUMENT
. RECORDING REQUESTED BY
AND WHEN RECORDED MAIL THIS DEED AND, UNLESS
OTHERWISE SHOWN BELOW, MAIL TAX STATEMENTS TO:
NAME IBM IDUMOULLER, etal
ADDRESS 1172 DEWSNUP
GRMLEY, CA 95948
L
TitleOrclerNo 4-54SQ4 EocrawrNo IA3-5u.
95-0394581'
1
Recorded I
Official Records I
County of
Butte
Candace J. Grubbs I
Recorder I
8:00am 8 -Nov -95 I
Rec Fee 9.00
DOC 56.10
Check 65.10
BCTC MP 2
-SPACE ABOVE THIS UNE FOR RECORDER'S USE -
THE UNDERSIGNED GRANTOR DECLARES:
DOCUMENTARY TRANSFER TAX $ 56 _ 1 )
COMPUTED ON FULL VALUE OF PROPERTY CONVEYED,
OR COMPUTED ON FULL VALUE LESS LIENS AND
ENCUMBRANCES REMAINING AT TIME OF SALE.
rant Dee
Tj
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, JASON F. KNMqME
and KEMBERLY MITTM, husband and W3.fe
hereby GRANT(s) toj�WN IDUGMEELLER. arid MMA ILLYGEzEMIM, husband and wife
as Joint Tenants
the following described real property in the LVdnccrporated Area
County of Bum , State of California:
PrCPertY :is described on Exhibit A attaciled hevt,,,, and made a part hereof
Dated
STATE OF CALIFORNIA
COUNTY OF
On
before me,
Personally appeared
AC k'e-l: 4+L
person fly known to me (or proved to me on the basis of —satisfactory
evidence) to be the person(s) whose narne(s) Is/are subscribed to
the within instrument and acknowledged to me that he/shetthey
executed the same in histher/their authorized capacity(ies), and that
by his/her/their signature(s) on the instrument the person(s), or the
entity. upon behalf of which the person(s) acted, executed the
instrument.
WIT�S my hand an;I official a
(Space above for official notarial seal)
9 3atA�e at a Narne Street Address city a State - .
A LOUGHMILLER E LEON/
D LINDA JTRS
D 1172 DEWSNUP AVE
R GRIDLEY CA 95948
E
S
S
E
IS7
* LOUGHMILLER E LEON/
* LINDA JTRS
G M
I A 1172 DEWSHUP AVE
S I
T L
V.
E GRIDLEY i-,�
,CA 95948
E 1.
RELEASE..OF REGISTERED OWNER
0 S i162 DEWSNUP AVE:j�
W I
N T
3.
RELEASE OF DEALER
NEW REGISTERED OWNER, FILL IN ITEMS 4 - 9
4.A)
AND
STATE OF CALIFORNIA
-DEPARTMENT OF
HOUSING AND
COMMUNITY DEVELOPMENT
NAME - PLEASE PRINT
MANUFACTURER NAME/10 CERTIFICATE OF T TLE
MOBILEHOME
DECALNO. LAS6 38
__�DOT
N
SKYLINE HH INC/90002
TRADE NAME MODEL DOM� OFS Spc EXPIRATION
KNOLLWOOD KLW1404A 10/24/91 10/28/91
.4
12/06/91
1
bEHIAL NUMBER
14700356E
LABEL/INSIGN
UL1341601
WEIGHT LENGTH
018990 000624
WIDTH UED SCC -EXEMPT jj� �ET V�
000168 �10311/28/96
5 �s
2
FUTURE MAILING. -ADDRESS
8/96 04
04 ILPI
3
LOCATION ADDRESS
12.
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4
CITy-__'llW CN—
CITY
TOTAL
5
NEW
IST JR. LIENHOLDER,
FEES
6
PAID:
13.
$42.00
A LOUGHMILLER E LEON/
D LINDA JTRS
D 1172 DEWSNUP AVE
R GRIDLEY CA 95948
E
S
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IS7
* LOUGHMILLER E LEON/
* LINDA JTRS
G M
I A 1172 DEWSHUP AVE
S I
T L
V.
E GRIDLEY i-,�
,CA 95948
E 1.
RELEASE..OF REGISTERED OWNER
0 S i162 DEWSNUP AVE:j�
W I
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3.
RELEASE OF DEALER
NEW REGISTERED OWNER, FILL IN ITEMS 4 - 9
4.A)
AND
NAME PLEASE PRINT
OR B)
r'A, ��pp
NAME - PLEASE PRINT
. ................
9.
N
CURRENT MAILING ADDRESS
.4
CNTY ST ZIP
6.
ADDRESS",
RETENTIONOF OWNER
FUTURE MAILING. -ADDRESS
.,.LEGAL
LOCATION ADDRESS
12.
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CITy-__'llW CN—
E U GRIDLEY CA 95948,,-`: . ....... .......... : ZIP
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9.
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ADDRESS",
SE PRICE DATE
STERED OWNER"SidNATURE
FILL IN ITEk�:10 - 12 x)e*
RJ�
ADDRESS
15. — -_
CITY CNITY ST ZIP
NEW 2ND JR. LIENMOLDER, FILL IN ITEMS 16 - 18 ***
16.
NAME - PLEASE PRINT
17
ADDRESS
is.
CITY CNTY ST ZIP
IMPORTANT 01-085-0066
THIS CERTIFICATE OF TITLE MAY NOT REFLECT ALL LIENS RECORDED WITH THE DEPARTMENT
OF HOUSING AND COMMUNITY DEVELOPMENT AGAINST THE DESCRIBED UNIT. THE CURRENT
TITLE STATUS OF THE UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT. - 0100164
NAME PLEASE PRINT
RELEASE:OF LEGAL OWNER
ADDRESS",
RETENTIONOF OWNER
.,.LEGAL
12.
CITY
CN ry ST ZIP
ASSIGNMENT OF LEGAL OWNER
NEW
IST JR. LIENHOLDER,
FILL IN ITEMS 13 15
13.
P
—
NAME PLEASE PRINT
14.
ADDRESS
15. — -_
CITY CNITY ST ZIP
NEW 2ND JR. LIENMOLDER, FILL IN ITEMS 16 - 18 ***
16.
NAME - PLEASE PRINT
17
ADDRESS
is.
CITY CNTY ST ZIP
IMPORTANT 01-085-0066
THIS CERTIFICATE OF TITLE MAY NOT REFLECT ALL LIENS RECORDED WITH THE DEPARTMENT
OF HOUSING AND COMMUNITY DEVELOPMENT AGAINST THE DESCRIBED UNIT. THE CURRENT
TITLE STATUS OF THE UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT. - 0100164
7777- -7-0 ----------
Mrs. Liftda Loughmiller
1172 Dewsnup Road
Gridley, CA 95948
RE: Building Code Violation Address:
1162 Dewsnup Road, Gridley, CA 95948
AP # 021-320-035
Dear Mr. and Mrs. Loughmiller:
B E A U T Y
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397
TELEPHONE: (530) 538-7541
FAX: (530) 538-2140
This is a courtesy notice to notify you that you are in violation of the Butte County Code, as
follows, at the above -referenced location.
Failure to obtain the required permits, inspections and approvals from this office for the
construction of a deck and awning on the mobile home.
Since permits and inspections are required for the above work, please submit three (3) complete
sets of plans, apply for the required permits, and pay the appropriate fees. All work must stop
until ' these permits are issued and you are authorized by our field inspector to proceed. The field
authorization cannot be made until the existing work is inspected and approved.
It is the County's goal to obtain voluntary compliance with the Butte County Code. However,
you should be advised that Butte County has an active Code Enforcement Program which
provides an effective means of enforcement . if voluntary compliance is not obtained.
Enforcement may be pursued through the issuance of citations, fines and the recording of a
Notice of Violation including a description of the action necessary to abate the violation.
You have thirty (LO) days to voluntarily comply with the above directions or to present an
acceptable plan for abatement or corrective actions to be taken by you. Should you have any
questions concerning this matter, please contact Scott Rutherford or Michael Vieilra in this office
at the address or telephone number listed above. . .
Sincerely,
Scott Ru erfor
9 th ow
Chief, Building Inspector
SR:th
cc: Assessor
NOTES
m
021- 2 P 35"—'—'02_'_07'7_0__�
LOUGHMILLER, LEO
N & LINDA
DEW
PERMIT 041"! �2 P_E_W$NVF�RD, GRIDLEY.
I'
DECK & AWNING BUILT W/O-.
P MITS
ERMITS
SPECIAL CONDITIONS
SRA'
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION. ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
JOB FINALED (Date�_
Signature
CHECKED
BY
V = OK
0 = Not OK
- = NotApplicable
* = Not Ready. MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
I .
Zoning Requirentents-Setbacks-Easemenis
2.
Soils; Special MH Support Sketch
3.
Sewer; Location -Test -Fall -C/0 -Concrete
4.
Water; Location -Test- Easement Needed (Sketch)
5.
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
6.
Gas; Location -Test -Wrap;-/ /" L 'ft.
/'Nat. or-/-- /"Lnft./ PLPG
7.
Well Clearance & Disconnect
8.
Utility Clearance
9.
Siding; Nailing -Veneer -Stucco -Mesh
10.
Roof; Shthg-Roofing
Date
11.
Card B-1 Date Card B-1
Date
12.
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
1 .
Zoning Req ui re me nts- Setbacks- Easements
Card B-1 Date Card B-1
2.
Footings; Size -Spacing -Marriage Line
Card B-1 Date Card B-1
3.
Gas; MH Test -Demand -Valve -Connector
FINAL (Plans) OK except Ws
4.
Electricity; MH Test -Crossovers -Breakers -Clearances
. Setbacks- Easements
5.
Drain; MH Tesl-Fall-Flex Connector
Soils; Compaction -Structure Stability
6.
Water; MH Test- Regu lator-C on nector
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
7.
Water and Sewer Connected -C/O to Grade -HD Approval
Elec.; Receptacles and Lighting, Distance-GFI
8.
Gas and Electricity Tagged
Elec.; Pool Lighting; 15 Volts-GFI
9.
Tie Downs -Type -Installation Cent.
Elec.; Enclosures; Conduit Entries -Terminals- Listed
10.
Exits; Insp.-Sketch
Elec.; Bonding; Metal w/5'-Circulatin.g Equip. -Heater
11.
Cert. of Occupancy
Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes- Enclosures- Panelboards- Ins. to Main in Conduit
12.
Permanent Foundation Onlv: License Decal
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 4's
1.
Zoning Requirements -Setbacks- Easements
2.
Footings; Soils -Size- Deplh-Spaci ng -Con necto rs- Steel
3.
Decks; Girders and/or Joists -Decking -Bracing -Stairs- Rails
4.
Wood Awn.; Posts -Beams- Rftrs. -Connectors
Shthg.-Frg-Bracing
5.
Alum. Awn.; Colu mns-Connections-Splice- Decal- Enclosures
6.
Carports; Windows -Doors
7.
Electric
8.
Frmg.; Sills-Anchors-Studs-Rflrs-Trusses
9.
Siding; Nailing -Veneer -Stucco -Mesh
10.
Roof; Shthg-Roofing
11.
Ext.; Steps- Doors -La nd ings
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 Ws
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'-Circulatin.g Equip. -Heater
8.
Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes- Enclosures- Panelboards- Ins. to Main in Conduit
9.
Health Department Approval
10.
Plumb.; Cir. Test-Waler Supply Test
11.
Light Niche
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
V= OK
0 = Not OK
- = Not Applicable
* = Not Ready
RESIDENTIAL (4.
Date
Hangers -Post Caps -Anchors -Connectors
Underfloor (Plans) OK except It's
Cling. Joist-Rftr. Ties- Purlin-Roff Brac.-Truss-Shting.-Rfng.
I
. Zon i ng- Setbacks- Ease ments- Flood -Slope
49.
2.
Ftg., Main; Soils-Elec. Grnd.-/ r Ftg. Depth
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
3.
Ftg., Garage; Soils-Steel-Elec. Grnd.-/ r Ftg. Depth
52.
4.
Ftg., Porches & Decks; Soils -Steel-/ r Ftg. Depth
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
5.
Sternwalls, Main; Steel-Blockouts-Wrapped
55.
6.
Sternwalls, Garage; Steel-Blockouts-Wrapped
Siding -Nailing Veneer
6a.
Hold Downs and Special Anchors
58.
7.
Slab, Steel -Wrapped
Shear Walls; Nailing -Bolts
8.
Piers -Fireplace Ftg.-Steel
61.
9.
D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test
Infiltration -Walls -Windows
10.
UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test
79.
11.
Water Pipe; Test -Anchors- Reg u lator-Se rvice Test
Guard Rails & Deck Construction -Post Caps
12.
Electric Underground
13.
Plenums & Ducts; Clearance -Material -Support- Ins.
Following Instld./Drive :1 Yes :1 NQIWalks :I Yes :1 No/Planters Yes No
14.
Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
84.
15.
Access & Ventilation
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
16.
Insulation
87.
Exterior Elec. Trim, G.F.I. Receptacle- U nderg round
88.
Date
89.
Card B-1 Date Card B-1
Date
Corrections from Previous Inspections
Card B-1 Date Card B-1
Date
92.
PLUMBING (Permit) OK except #'s
93.
17.
Water Htr.; Vent -Access -Combustion Air Baffle
Address Posted
18.
Water Pipe; Test & Anchor -Nail Protection
19.
D.W.V.; Test Fittings & Anchor -Nail Protection
20.
Shower Pan; Test, First Floor -Tub Access
21.
Test Tub & Shower, Second Floor -Tub Access
22.
Gas Pipe; Sixe & Anchors
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
23.
Fixture & Transformer Clearance -Ins. Protection
24.
Elec. Receptacles Spacing -Lights & Switches at Doors
25.
Size Boxes & No. of Conductors Stapled
26.
Romex Installed Close to Edge of Studs & C.J.
27.
Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
28.
2 Appliance Circuits in Kitchen & Conductor Size GFI
29.
Subfeed Wire Size / I ga. Cu or N-A.C. Wire Size / / ga Cu or Al
30.
Range Circle / I ga Cu or Al -Oven Circ. / / ga Cu or Al
Insulated Neutral E) Yes Q No
31.
Service -Riser Conductors & Ground Main Disconnect
32.
Equip. Clearances Panels- M otors- Mech. Equip.
33.
Clothes Closet Light -Shower Light -Spa Light
34.
Smoke Detector
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
35.
A.C. Ducts Insulation & Support
36.
Vent Fan, Exhaust above insulation
37.
Condensate Drain & Overflow, Size & Grade
38.
Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet
39.
Attic Access & Platform if Furnace in Attic
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FRAMING (Permit) OK except #'s
40.
Sits Proper Materials & Anchors
41.
Walls Studs -Nailing Spacing & Braces- Plates -So und
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 & Beanna
"ingle & Duplex)
Date
FRAMING (Continued)
46.
Hangers -Post Caps -Anchors -Connectors
47.
Cling. Joist-Rftr. Ties- Purlin-Roff 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- R un -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.
Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
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.)-Romex Protection
79.
Ins ulation- Foam -Looked in Attic
80.
Guard Rails & Deck Construction -Post Caps
81.
Fc1n. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor Q Yes
82.
Following Instld./Drive :1 Yes :1 NQIWalks :I Yes :1 No/Planters Yes 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- U nderg round
88.
Ventilation Throughout House
89.
Glass Protection
90.
Corrections from Previous Inspections
91.
Gas Test -Meters Tagged, Gas -Electric
92.
Water & Sewer Connecled-C/0 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:
I
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County C&nter Drive * Oroville, California 95965 * Telephone (530) 538-7541 IN — MIT5.
(Rev. 12/96) APPLICATION AND PERMIT
BER
ASSESSOR PARCRANM'
021-320,035
ZONING
BUILDINGPERMIT
OWNER
LOUGRCLLM, IMN & LIMA
TELEPHONE
846-2311
SQ. FT. OCC. BUILDING VALUATION
112 r -()V 1456
OWNEWS mAIUNG ADDRESS
1172 OMNI RD., CRIDI.EY, CA 95948
CONTRACTOR'S NAME
OWWR
TELEPHONE
CONTRACTOWS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAJUNG ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$1 35.00
ARCHITECT OR ENGINEERS MAIUNG ADDRESS
Plan Checking Fee
$ 23.00
BUILDING ADDRESS
1162 DEWSNUP RD., GRIDLEY
Energy Plan Checking Fee
$
$
PERMIT FEE
$ 78.00
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF 0 Duplex 0 Mobilehome EX Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New 0 Addition 0 Remodel 0 Utilities 0 Installation 0 Other )lp
Describe Work: DECK & AWNING (BUILT W/O PERMITS BY
PF"IOUS OWNM)
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
Ca20.00
PERMIT FEE
ELECTRICAL PERMIT
Filing Fee 20.00
( 600V OR UESSS
Main Service ." OR .
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
Rf 1, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
0 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
0 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO 1000A
46.00
NEW CONST DW
.%IMG OCCUP.
OR ADDNS. ' ACC S.
so
3.50FT.'
NNO-N-ICEOS-107- M.ULT2.0.
@7.50
OWER AP=TU
IPSI..LE 0 C SIR.
Ex. Occup. OUTLET OR FIXTUR ES
20 @ 1.00
BAL @ .50
O�XED AP INS OR
Ex. Occup. rL. (PRLS16.) EA.
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
0 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.
0 1 have and will maintain workers' compensation insurance, as required by Section
3700ofthe Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith COMPI�y with those provisions.
Date
_,Sdnature of ApplicanV- 0 Owner 0 Contractor 0 Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEt $
Mobile Home Installation Fee77 $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 7 8. 00
HAZ.
I D. FEES IMP
I FLOOD
qDF
I PAaW I.
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
By
PERMIT EXPIRES ON 74
the applicable provisions
Resolutions to do work
been paid.
4E�
I Dalia4hb_
r
ReceiptNo. 343706 $78.W
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT
COUNTY 0. r.--,RUTTE-DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
6 ' Center Drive, Oroville, CA., 95965 Phone (530)538-7541 Fax (530)538-2140
��ty
PERMIT APPLICATION DATA SHEET
OWNER: Vvi Lr OaA _3po - S
ASSESSOR PARCEL NUMBER j
Counter Technician Date:
Proposed Building Use:
Items required in order to apply for a permit Ail boxes NWST be checked OR marked NA in or&.r lo apply.
Plot plans, 3 or 4 sets, signed by the preparer of the plans.
Z 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'ca'Iculations. t.
4. Engineered truss details and layouts in duplicate. No faxes!
5. Energy compliance design and supporting documentation in duplicate.
6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or
foundation plans, all in duplicate.
W7. Metal buildings: (A) Metal Building- Plans, (B)'Foundation plans and calculatioi;s in- triplicite-, (C) Elevation views in triplicate.
(D) Floor plans in triplicate.- All of these must be stamped and wet -signed by the engineer.
Items required for initial plan review. -'If checked items have fiot been received,-'pla-n review cifinot proceed. The permit will be
indexed and returned to the plan review line-up when required items are received.,
Date Received By
0 8. Flood Elevation Certificate, wet-stamped'arid signed, in duplicate ................................
0 9. Plot plan and business license approval frorn'the City of Biggs ..............................
0 10. Letter of intent for non-residential buildings ........ * , j
............................................
El 11. D�tached Accessory Buildin Form filled out by the owner .....................................
.9 1 .
0 12. Hazardous Material Form..: ......... ..................................................... : .............
.0 13. Other
'Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
0 14. Feesp shown on the attached Schedule of Fees Due Sheet ... .....................................
S ement of Intent for Non -heated and A/C Buildings ...............................................
San . tation and plot plan approval from the Environmental Health Department in
I Ci of C
7< hico Plumbing permit ........................................................................
18. California Department of Forestry plan approval 0 paid. Sent by: ......................
annin
g approval for (A) Use:
_(B)Parking: (C) Parcel Check:
--7,d'26 'iContact Land Development about 0 Improvements, 0 Drainage ................................
0 21 . Encroaclunent Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
-0 22. Pre -Inspection for required ................
0 23. Contractor's license information. (Number, Name Style, Classification) ......................
0 24. Worker's Compensation Carrier and Policy Number ..............................................
0 25. Owner -Builder Verification (0 Given to owner, 0 Mailed to owner) .....................
0 26. Letter of Signature authorization ....................................................................
0 27. Recorded copy of Agricultural Acknowledgment Statement ....................................
0 28. Manufactured home utility clearance ...................................... .........................
0 29. Existing violations and/or expired permits .................................................. 4.. k '..
0 30. 0 Grant Deed, 0 M.H. Title/Statement of Facts, 0 Letter from Legal Owner, 0 Check to H.C.D. $
0 31. Other:
When issued Telephone and hold for pickup. .
1 -have been informed of the above items and requirements for obtaining a building permit.
I
Applicant: 141-vt Date: 2
1. Index permit application for the above items numbered: Plan Check Letter
2. Additional items required
Contractor, designer, owner, was advised of the above data by 0 phone, 0 mail, 0 counter, by Date:
Contractor, designer, owner was advised of the a4ole dt.ta by 0 phone, 0 mail, 0 co w, by Da e:
I t ,
Plans reviewed by: Date: 77�-- Plans approved by: -bate- 6
Structural -reviewed by: Date: Structural approved by: _Date�
Note transfer by: Date:
Yellow: Building Di
J�islon
OWNER -BUILDER VERIFICATION
AaenEion Property Owner:
An "owner-buildee' 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.
I personally plan to provide the major labor and materials for construction.of the proposed
property improvement: YES 11 NO 0
I HAVE 0 HAV`E NOT E3 signed an application for a building permit for the proposed WO&
I have contracted with the following person (firm) to provide the proposed construction:
NAME:
ADDRESS: CITY:
PHONE:
CONITRACTOR'S LICENSE NO.
4. 1 plan to provide portions of this work, but I have hired the following person to coordinate,
super;vise, and provide the major work:
NAINE:
ADDRESS: CITY:
PHONNE:
CONTRACTOR'S LICENSE NO.
5. 1 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
�IG�ED:
PROPERTYOWNER: z4aw
DATE:
NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the
California Health and Safety Code. This verification must. be -compkted and
returned to our office before we are permitted to issue the permit.
OVER
I OWNER BUILDER INFOXVIATION �, I
Dear Property Owner:
An applicarion 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 dw as "owner -builder" you are the responsible party of record on such
a permit. Building permits are not required to be signed by property owners unless they are personally performing their
own work. If your work is being performed by someone other than yourself, you may protect yourself from possible
liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business
license from the city or county. They are also required by law to put their license number on all permits for which they
apply -
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should
be aware of the following information for your benefit and protection:
If you employ or otherwise engage any persons other than your immediate fhmily, 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 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 tinder 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 strucnire 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
conununiry or at 1020 N Street, Sacramento, CA. 95814.
Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you
are aware of these matters. The building permit will not be issued until the verification is returned.
I rely,
C. Vigira, C
Mic el 4 B.O.
Mic el
specl
IM gP_erC,Zuii1diZng CInspection
M TE.- Th is 0 w n er- B u ilder Info rm a tio n is requ ired by Section 1983 0 of I# e Califo rn Ja Health an d Safay Code.
OVER
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Building Department
Environmental Health
Sanitation Clearance
E.H. USE ONLY
--7
Plot Plan Attached
Floor Plan An#ched
Sent to 6.0—) -Z =17
rE a -a -IL
Owner Location AP#
Plan Approved for: Sewage Disposa-1-- Water Sup I Public Private We4---,_
Clearance for dwelling. Other IIIIA 0 -4l Y;�,� 73 1, Y--) D P I T
Hold final for:
Final clearance O.K. for:
NOTE:
nmental Health Specialist
8/96
Date
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APROVED
Butte County
tal Health
Enviro-nmen
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APPROVED
Butt
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Environmental Health
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-------- -- - -------
S �i�n
Vignure AP oVE
m
RESIDENTIAL
�
'
021-32-0-035 81-3829 i
\ MUNHOLLON' ZONA
i
!
'
CDNTRSUPERIOR MH
. ' �
' 1152 DEWSNUP AVE, QR\DLEY
� MH| '
[ i
/
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'
'
,
^
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JOB FINALE
'
Signature
}
-I= OK
0 Not OK
Not Applicable
Not Ready MOBILE HOMES
Date MOBILE HOME UTILITIES (Plans) OK except #'s
1'. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s
1. Zoning Requir.ements-Setbacks-Easements
2. Footings; Soils-Size-Depth-Spacing-Connectors-SteeI
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts- Bea ms- Rft rs. -Con necto rs
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
3. Sewer; Location -Test -Fall -C/0 Concrete
4. Water: Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test-Wrap: 1 P'L"ft.
/ P'Nat. or/ /"L ft./ /"LPG
7. Well Clearance & Disconnect
8. Utility Clearance
Date
Card B-1. Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
1. ZopLng Requirements -Setbacks Easements
L,-2--Footiqgs;-Size-spacing-Marriage
Line
J__,3
-las; MH Test -Demand -Valve -Connector
4. Eh��icity; MH Test -C rossove rs- Brea kers-C lea ra nces
L----T-Drain;
MH Test -Fall -Flex Connector
��ate�,MH
Test -Regulator -Connector
u_--r-Water
and Sewer Connected -C/0 to Grade -HD Approval
Electricity Tagged
(_---V_E��lnsp.-Sketch
Boxes -Enclosures -Panel boards- Ins. to Main in Conduit
C--tI.-Cent.
of Occupancy
10. Plumb.; Cir. Test -Water Supply Test
Date
Card B-1162 Date Card B-1
Date'
Card B-1 ' - Date Card B-1
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s
1. Zoning Requir.ements-Setbacks-Easements
2. Footings; Soils-Size-Depth-Spacing-Connectors-SteeI
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts- Bea ms- Rft rs. -Con necto rs
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg: Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps- Doors -Land i ngs
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, Distances-GF1
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.;Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Panel boards- Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
V OK
0 Not OK
Not ApplicableN
Not Rjadf RESIDENTIAL
Date UNDERFLOOR (Plans) OK except #s
1. Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test
10. UF. Gas Pipe: Size -Anchors - yard gas piping: size -test
11. Water Pipe: Test -Anchor -Regulator -Service Test
12. Electric: Underground
13. Pienums & Ducts; Clearance -Materia I -Su pport- Ins._
14.--Girders-Sills-Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
16. Insulation
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PLUMBING (Permit),OK except #'s
16. Water Htr.: Vent -Access -Combustion Air -Baffle
17. Water Pipe; Test & Anchor -Nail Protection
18. D.W.V.: Test -Fittings & Anchor -Nail Protection
------ -19. Shower Pan: Test, First Floor. -Tub Access
20. Test Tub & Shower. Second Floor -Tub Access
21. Gas Pipe: Size & Anchors
---- - - ------- - - --------------- - --- - - ---------------
Date Card B-1 Date Card B- I
- - ----- - ---- ---------------- - - - -
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except 4's
22. Fixture & Transformer Clearance -Ins. Protection
- --- - - ------------ - ---------------- --
23.- Dec. Receptacles Spacing -Lights & Switches at Doors -------------
24. Size Boxes & No. of Cond uctors-Sta pled
25. Romex Installed Close to Edge of Studs & C.J.
------------------------------ -------------------
26. Equip. Ground made up w!Mech. Fastners-Bond Gas & Water
----- - -------------------- --------------------------- - ----------------------------
27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI
-------------------- - -------------------------- -- --------------------- I ----------
28. SLjbfeed Wire Size I / ga. Cu or AI-A.C. Wire Size / / ga.
---------------- --- Cu- or -Al ----------- ----------------------------------------------
29. Range Circ. / I ga. Cu or Al -Oven Circ. / / ga. Cu or Al.
Insulated Neutral 11 Yes El No
-----------------------------------------------------------------------------------
30. Service -Riser Conductors & Ground -Main Disconnect
----------------------------------------------------- ------------------------------
------- 31.-Equi-p.-Cleara-nces Panel s- Motors- Mech. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
--------------------------------------------------
33. Smoke Detector
-----------------------------------------------------------------------------------
--------------------------------------- -------------------------------------------
Date Card B-1 Date Card B-1
-------------- -------------------------------------------------------------
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except 4's
34. A.C. Ducts Insulation & Support
------------- - -------------- 7----- -------------------------
35. Vent Fan, Exhaust above insulation
-------- - --------------------------------
36. Conden�ate Drain & Overflow: Size & Grade
----------------------------------------------------------------
37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet -.----
-----------------------------------------------
38. Attic Access & Platform if Furnance in Attic
- ---------------------------------------------------------
------------------------------------------------------- --------------------------
-Date -------------- Card -B-1 -------------- Date -------------- Card -B-1 -------------
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except 4's
39. Sils. Proper Material & Anchors
------- ------ -------------------- I - -- ----------------- -----------
40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound
--------------------------------------------------------- ------------------------
--.---------41... Bearing -Walls ove-r-Girders &-Floor Nailing ---- - -------------------
42. Draft Stop in Walls (rat proof)
-------------------------------- - -------------------------------------------------
------------- 43., Fire -Stops:- Furred Ceilings -Stairs -Chases -Tub -- -----------
44. Headers & Beam -Size & Bearing
hfgle & Duplex)
Date FRAMING (Continued)
Hangers -Post Caps -Anchors -Connectors
46. Cing. Joist-Rftr. ties-Purlin -roof Brac-Truss-Shthng.-Rfng.
47. Fireplace Ties or. Type A Flue -Fireplace Throat clearance
48. Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
50. Garage Fire Protection Framing
51. Property Line Firewall & Openings
52. Ext. Doors -One S -Check Garage -3rd Story, 2 Exits
53. Stairs; Widt h -Head room -Rise- Run- Landing -Fire Protection
-54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
55. Siding -Nailing Veneer
--------------
56. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access
----------- -- 57. -Glazing Area -Glass Protection -Skyl ights-Plastic
58. Shear Walls', Nailing -Bolts
59. Insulation -Walls -Ceilings
------------------------- --
-------------- 60.- Infiltration -Walls -Windows
----------------
------------------
Date Card B-1 Date Card B-1- I
Date Card B-1 Date C��d-B-11 I
Date FINAL (Plans) OK except #'s
61. Ext. Steps -Door & Sidelight Protection -Landings
-----------------
------------- 62., Smoke Detector
63. Furnace: Vents -Clearance -Comb. Air -Connector -
In Garage: Above Floor-Ducts-Mech. Protection
64. Bedroom Exiting
------------- 65. -G. -F.1' & Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel: Breaker Sizes & Labels
---------------
67. Stairs & Rai Is
68. Fireplace or Stove: Clba ra nces- Hearth
------------- -
69 . Elec. Outlets at Wood Panel: Int..& Ext.
70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
----------------------------
7 l.- Elec. Outlets & Receptacles at Kit. Counter
-------------- - ..
-------------- 72. -Garage -Fire -Door: Swing -Landing -Closer
-23.--A.C.- Duct in -Garage -Damper .
74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage: Above Floor-Mech. Protection
75. Plb., Elec. & Mech. Equip. Listed for Location
--------------------
76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection
----------------
7;. Insulation -Foam -Looked in Attic 0 Yes
---------------- -------------- - - ------ ---
78.- Guard -Rails & Deck -Const ruct ion -Post Caps
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor 0 Yes
--------------------------------------- -------
80. Following instld.: Drive 0 Yes ID No, Walks 0 Yes 0 No;
------------------ Planters--O-Yes --- El No
81. Stucco', Brown -Finish
82. A.C. Unit: Disconnect. Electrical, Plumbing
---------------------------------
83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to
Openings
84. Water Well: Disconnect, Electrical. Plumbing
-------------------------------
85. Exterior Elec. Trim: G.F.I. Receptacle- Underground
86. Ventilation Throughout House
--------------- -----------------
87. Glass Protection
...... ............. ------- - ----------------
88. Corrections from Previous Inspections
-- -------------------------
------------- 89.- Gas -Test -Meters -Tagged: Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HD Approval
-----------------------------
91. Energy Compliance Certificate -Other Certificates
-------------- I -------------------- - ------
------- --------- -- - - ---------
Date Card B-1 Date Card B-1
------------- --------------------
Date Card B-1 Date Card B-1
------------------------------
Date Card B-1 Date Card B-1
Comments at Final:
--------------------
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 538-7541
747 Elliott Road, Paradise — Phone: 872-6307
CORRECTION NOTICE
T NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
--% A A
Date Inspector
MOBILEHOME INSTALLATION ACCEPTANCE
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE
OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541
PERMIT N0.2— I—
Address or location of mobilehome lli�&
Owner's'narne :ZJOAJA 621 j hl 41—A
Owner's address
Insignia or hud number—,3 q/(vo
Manufacturer's name
,'Serial, number of V.1 Year of manufacture
_AA&4AA'--- I /� _,�_
%(UffiVafdVpbrov—ino-l'nstall—atiorT)F . (Dote)
0
IF THE MOBILEHOME I IS MOVED OR RELOCA.TED, THE MOBILEHOME INSTALLATION
ACeEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE
MOBI EHOME IS INSTALLED ON A FOUNDATION SYSTEM.
L 513B White... Owner,,Yel low ..,instal ler, Pink,,- D.P.W.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, C&Iifornia-95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
;>
ASSqSSOR PARCEL NUMBER
021-320-035
ZONING__
A 5
BUILDING PERMIT
:::T
OWNER.
7nNA MTTNT40T.T.ON
TELEPHONE
846-4428
SQ.FT. OCC. BUILDING VALUATIO
OWNER'S MAILING ADDRESS
1169 T)F.WSNITP GRITNEY 99948
CONTRACTOR'S NAME
HA LDDTRE
TELEPHONE
C 0 N T R A C T §W4;R9NRG_
S S
16777 HWY 99 LIVE OAK 9595
Fireplace
CONSTRUCTION LENDER
Total Valuation Is
LENDER'S MAILING ADDRESS
Filing Fee
$ 15.00
Permit Fee
$
ARCHITECT OR ENGINEER
0WVNGINEER'S
LICENSE NO.
Plan Checking Fee
20.00
Energy Plan Checking Fee
_$
$
AR CHI TEC MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
1162 DR142aIR CRIDLEY
Permit fee
$ -As nn
PLUMBING PERMIT
FilingFee 15.00
Each Trap
5.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
1
PARCEL AP
41� q,;,
Water piping
7.00
Each qas water heater or vent
7.001
USE OF STRUCTURE
SFF1 DuplexF� Mobilehorrea Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home S I G I IN
@ 15.00
TYPE OF WORK
New F� Addition E:1 Remode I EJ Uti lities [:] Installationxr Other
Describe work: 2 BDRM 4�4
Permit Fee
$
Contractor
ELECTRICAL PERMIT
FilingFee 15.00
Main service 600V OR LESS
200A OR LESS
18.50
Main service 200A To 1000A)
37.501
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
Fj I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full f ce and effect.
'1!7 L7 Classificatio
License No.�2_2 - n '41 J /
Fl 1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
D I am exempt under Sec.-, Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUPM
OR ADONS. ( ACC. BLDGS.
3.54 sq.ft.1
NEW CONSTR. M ULTI-OUTLET
NON-RESID. B RANCH CRC. ITS)
@ 5.00
(POWER APPARATUS
SINGLE OUTLET CIR.8')
Ex. Occup(OUTLETS OR FIXTURES
20 @ 76—i
AL. (@ 46a
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EA.)
3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. Wiring
-15.001
I
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
n The permit is for $100.00 (valuation) or less.
rt;,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.
F-1 I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Fi I ing Fee 15.00
Heating
Cooling
Hood
6.50
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnity and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
XY"4&1;'� 6�2� 42'� Date 6f-
Signatuk of Applicant — Owner� Contractor 4 Agent F-1
An OSHA permit is required for excavations over 5'0" deep and demolition of construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee 70 -
! ja_
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE $ 105.00
�AZ
1 07 1
IMP
I F��CDF
PAR7E��J
ISSUE
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work incli ed al: ov for which fees have been paid.
I 'ov
D
DIRVA OF PUBLIC WORKS
By Date
'Z I
IT 11
PE EXPIRER Date
Receipt No. 1-01471
WRITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDEN ROD-APPL I CANT I
'A'r` dk 1i
COUNTY OF,BUTTE - DEPARTMqNT..W,, PUBLIC WORKS BUILDING DIVISION
ORdVI4-L[F,,C
7 COUNTY CENTER DRIVE ,ALIFORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET
1, Permit No.
OWNER ZQr)6L M1jnAQ)JQ11 A. P. No. -0-:21 - 16.96
Proposed Building Use eY Building Irispector Date _1�)Z_1eP'Z
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED APPROVEIS",
1 . All items have been submitted . ....................................
2. Plot plans in duplicate/triplicate, signed by preparer of plans ........
3. Complete plans in duplicate/triplicate, signed by preparer. of plans
4. Complete engineered plans and calcs, with wet signature on plans
5. Hazardous Material Form ..........................................
6. Energy Design Compliance and supporting documentation .........
7. Statement of Intent for Non -Heated and AC Buildings ..............
8. Engineered truss details and layout in duplicate (required prior to plan check)
9 M6151_refiome� installa n data including manufacturer's installation
`01
(instrutctions," ...........................................
- 10. Fees of_rrr ? Z��,
-1 �, I e , . ........................
- 1 i./8hico Orban Area fees paid ....................................... .
�12�0ark fee's paid ....................................................
-1 3. r, -d School District fees paid .............
14. Sanitation appr6ai from or Health Departmen*
aleex ,I/ t
15. City of Chico plumbing pern7it'
16. Plot plan and business license approval from City of
(see City for other requirements)
17. Planning approval for (A) Use:—(B) Parkijn'�: . ......
18. Improvements may be required. Contact Land Devel'ol5ment Section DPW
19. Driveway permit (construction approval required-p.i, r o occu ancV
r oA
20. Pre -Inspection for ��`Pre-lnspec. request to
required Building Inspector (Date)
21. Contractor's license information (No., Name Style,,C-1-assification) ...
22. Certificate of Workmans Compensation Insurance ..................
23. Owner -Builder Verification (Give i tb.oiW �e&l 'Mail to owner 0) .....
24. Recorded copy of AjricuIturaFX('4nQ1*edgment Statement .........
/25. Letter of sign' U .......
............
AZ26. :Siwere i�. /0 %) ZZ Iq
27.
When you i6sue the permit, process as follows: Mail to owner. —Mail to contractor.
elephone 0V_anWhd1d(for pickup at —office. —Deliver w/inspector.
Other—
Applicant n-_� Date
Copy of Haz-Mat form sent —HealthDept. —FireDept. ----Air Pollution Date
Copyofplanssent -----Health Dept. —FireDept. —Other— Date— By.
The following data must be submitted prior to permit issuan cle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
a
// - 2- -5'- - �Fl
Contractor, designer, owner, was advised of above required data by —phone ---mai I —counter by—..date
Contractor, designer, owner, was advised of above required data by—phone—mall—cou ter by— date
Plans checked by Date Plans approved by— 7�—_ Date / Z) ;�-(9
Sets of plans on hold in
Copy—DPW
File cabinet _AP folder
TO nt
,.Ouildina Departme:
FRom: ,-,.,,,,Environmental Heal . th
SUBJECT: �!Sanitation Clearance
�Devsof
4 :wt
_:_L:�'
�Owner I Location AP#
Plan Approved for: Sewaqe Disposal 1-�� Water Supply -L=--
Hold final for:
Water Supply
Final O.K.' for: Water supply
Clearance for -bedroom mobile home. . Other x(A (I AJUrP)
COUNTY OF BUTTE -, DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, CaLl-ifornia 95965 - Telephone: 916.'538-7541
APPLICATION- AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
I Z.- Z3,2=0 —03,5-
ZONIN�4_6
1
BUILDING PERMIT
OWNER
,Zono- McAn he) I lon
I TV PH ONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'7;),?;G AODRn
r --uL
CONTRACTOR�� _5L&J2,er_J t,
)k_ JW
J7EL.P.0N1
Fireplace
CONTRACTOR'SMAILING40DRESS
AP7 Z2 'I J—k up_ OAK q5&
CONSTRUCTION LENDER
JUNKNOWN
Total Valuation $
Filing Fee
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT,OF ENGINEER
IVOAJ,E-
LICENSE NO.
I
Plan Checking Fee
$ .06—
Energy Plan Checking Fee
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING AD2,�� e,�
Permit fee
$ 00
PLUMBING PERMIT
FilingFee 1 15.00
Each Trap
1 5.00i
Solar or heat pump water heater
1 20.001
LOT NO.
SUBDIVISION NAME ��'M A P
Water piping
1 7.001
Each qas water heater or vent
7.00
USE OF STRUCTURE
SF [] DuplexF_J MobilehomeA- Other
SPECI FY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home S I G I W
15.00
TYPE OF WORK
New F-1 Addition 0 Remode I [] Uti lities [] Installationg– Other
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
FilingFee 15.00
Main service 600V OR LESS
200A OR LESS
8.50
Main service 200A TO 1 OOOAi 1
37.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
F� 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
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)
El I, as the owner, am exclusively contracting with licensed connaut-
ors. (Sec. 7044)
I am exempt under Sec. Business and Professions Code
for this reason
NEW CONST DWELLING OCCUPM
OR AODNS.' ( ACC.BLDGS.
3.64 sq.ft.1
NEW CONSTR. 'AULT'-OUTLET
N N.RES'D
0 BRANCH CIRCUITS)
@ 5 0
(POWER APPARATUS &)
SINGLE OUTLET CIR.
�5.00
Ex. Occup( OUTLETS OR FIXTURES L_
20 7 1 cl!
�AL _ 0454
IXED APPLNS. OR
Ex. Occup. 0 F LITLETS [RESID.) EA.)
1 3.001
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. Wiring
'15.00
Permit Fee
$
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
F� The permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
F-1 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
Fi I ing Fee 1 15.00
Heating
Cool ing
Hood
6.50
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X Date
Signature of Applicant — Owner 0 Contractor AgentEl
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee
Energy Inspection Fee $
OCC
CONST TYPE
I
TOTAL FEE $ 470
HAZ
I D IEIS I
IMP
I FLOOO
I CD1
I PARCIL
I PD
J'HD
I ISSUE
This permit is hereby issued under the
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
applicable provi-
resolutions to do
have been paid.
WORKS
Date
Receipt No._A)/Y7
WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLD ENROD-APPL I CANT
AJ
-rM=TTIEWOUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM
(one Form per Building)
Al. Nuler 2-1 Building Department No.
School 'District rc�-.USL>' City County Jurisdiction
Property Owner
Project Location/Address
.a ��:_
Subdivision Lot Number
2
q 6
Residential Development:
Sq. Footage
# of Living MHI Addition (Group
Units
Commercial/Industkial:
New
Sq " Footage
Addition.(I.nclLiding Exterior
Roofed Areas)
Buildir4'g _Depai�tment Repre§-entative Date
(Flodl��Plans reviewed by Schooi District Personnel),
District -Id No.
.7/� "School District certifies that
(Applicant Name) (Phone Number)
(Street Address)
(city) -,(State) (Zip Code)
has.6omplied with the requirements,of Resolution No.
by the paymen't of $ representing -z.�P— square feet.
.Sc'ho9X District Representative Date
PAID BY CHECK NO.
SWAM
BANK NO
PAID BY CASH
white -applicant, yellow -building department, pink-s'chool district
SCHOOL.FEE -(8/88)
11
NOL
KNOLLWOOD,
1401A *40x14
I BEDROOM-- FRONT
KITCHEN -SNACK BAR
BOX BAY -CATHEDRAL
CEILING (546 SQ. FT.)
1402A *44xl4
I BEDROOM -FRONT
KITCHEN -SNACK BAR
BOX BAY -CATHEDRAL
CEILING (601 SQ. FT.)
1403A *52xl4
2 BEDROOM -FRONT
KITCHEN -SNACK BAR*
BOX BAY -CATHEDRAL,
CEILING (710 SQ. FT.)
1404A *52xl4
2 BEDROOM -CENTER
KITCHEN -SNACK BAR
BOX BAY -CATHEDRAL
CEILING (710 SQ. FT.)
1406A *56xl4
2 BEDROOM -CENTER
KITCHEN -SNACK BAR
BOX BAY -CATHEDRAL
CEILING (765 SQ. FT.)
1412A *60x14
2 BEDROOM -FRONT
KITCHEN -SNACK BAR
BOX BAY -CATHEDRAL
CEILING (802 SQ. FT.)
0 -
MASTER LIVING ROOM 1 -4 KITCHEN/
DINING I
BEDROOM 101-11" 10% 5"
N
lo?.81" I AA
MASTER
BEDROOM
No. I
".. r A
1: LJJ KITCHEN/
LIVING ROOM 7-. DINING -
13% 7" 10'- 5"
U, i ------------ -
MASTER KITCHEN/
BEDROOM DINING BEDROOM
N?. 1 10' 8 LIVING ROOM No. 2
12 -01, 13% 4" 12% 0"
A -11 ..0
rn
----------- f 777
MASTER Q1
KITCHEN/
BEDROOM LIVING 0
No 1 11 DINING
16'- 0"
!." . nBEDROOM RO M Z 12'. 0"
10 Os No. 2
A
101-0..
T 0
F -I
777 1 _a
Og ;7
MASTER
BEDROOM
00
LIVING ROOM z
KITCHEN/
DINING Z
No. 1
13'. 7"
_rl
a
101-5"
101-81,
BEDROOM
A
No.2
9'.4"
MASTER
KITCHEN/ LIVING ROOM
DINING
BEDROOM
BEDROOM
00
10% 8- 12% 0"
No.2
No. 1
10'-8"
101-81,
A
......... .......
U, i ------------ -
MASTER KITCHEN/
BEDROOM DINING BEDROOM
N?. 1 10' 8 LIVING ROOM No. 2
12 -01, 13% 4" 12% 0"
A -11 ..0
rn
----------- f 777
MASTER Q1
KITCHEN/
BEDROOM LIVING 0
No 1 11 DINING
16'- 0"
!." . nBEDROOM RO M Z 12'. 0"
10 Os No. 2
A
101-0..
T 0
F -I
777 1 _a
.d /
01
AVAILABLE MODELS
1404A, 1406A, & 1407A
Standard Features
LiVING ROOM'
0 Self -edge Lay. Top
• Cathedral Ceiling
0 Pop-up Drain
• Carpet w/Pad
0 Privacy Locks
• Floor -length Designer Drapes
0 Linen Cabinet per Floor Plan.
w/Sheers
0 60" Tub w/Showerhead
• Feature Wall per Floor Plan
per Floor Plan
KITCHEN
0 towel Bar & Paper Holder
0 Cathedral Ceding
REAR BEDROOM
9 Raised Panel Cabinet Doors
Carpet w/Pad
9 Designer Cabinet Hardware
Designer Drapes
0 Lined Overhead Cabinets
Ventilated Wire Shelving
.0 Self -edge Counter To�
FRONT OR CENTER
0 Ledge -type Sink
BEDROOMS
14 -Cu. Ft. Refrigerator
Carpet w/Pad "
30" Gas RanO per Flodi Plan
Designer. Drapes
Power Range Hood w/Light
Ventilated Wire Shelving
OTHER OUTSTANDING
FEATURES
OPTIONAL 3/4 BATH
AVAILABLE MODELS
1406A&1407A
* Gas Furnace
0 30 -Gal. Gas Water Heater
'w/Exterior Access Door
0 Plumb for Washer
* Water Shut-off Valves
0 In -swing Front Door
0 Egress Windows in Bedrooms
0 Acoustical Textured Ceiling
0 7' - 6" Sidewall Height
,6 2., x 4 Sidewall, 16" O.C.
0 2 x 6 Floor joists, 16" O.C.
0 Rafters, 16" O.C.
0 3o- Roof Construction
0 Copper Wiring
* Smoke Detector
e Exterior. Receptacle w/GF1
Breaker
e Electrical Breaker Box
0 Code Insulation
* Iron Gas Piping mr/Shut-off
BATH U.L. Design Approv.al Valves . . I �
Inspection Exterior Light at All Exterior
Designer Hardware
Recessed Medicine Cabinet * Fome-cor in Roof Doors
at Lay. End' e Masonite Exterior
* Raised Panel Cabinet Doors e Acoustical Textured Ceiling
0 Designer Hardware 0 Carpet w/Pad in Hall
%
MEE
GR*4yingAtneiica hmw.
0% it, For your cornion and safety, Skyline home designs are approved and each home is inspected by U�derwrilers Laboratores for conformance with Federal standards.
Dimensions stated to industry standards. Width and length dimens!'ns are nominal and are not to be used for set up of home on site; consult selling retailers for exact
'o
specifications. Overall length does not include approximately four foot hitch. The square footage is approximate and based upon nominal exterior floor size. Room sizes
are measured from floor ends and wall centers.
Because of progressive product improvement,*all prices & specifications are subject to change without prior notice of obligation to Skyline Corporation.
V)
0
0
:R:
00
C)
1413A *60x14
2 BEDROOM -FRONT
KITCHEN/BARASLAND
BOX BAY -CATHEDRAL
CEILING (802 SQ. FT.)
1407A *60x14
2 BEDROOM - CENTER
KITCHEN -SNACK BAR
BOX BAY -CATHEDRAL
CEILING (802 SQ. FT.)
MASTER
B
r
MASTER
UTILITY i L___j
DINING
UT' AREA
�O A BEDROOM
BEDROOM
2 BEDROOM CENTER
BEDROOM
EDROOM
B BEDROOM
BEDROOM
N .2
�o
-7 @ .81,
-7 Room
M 77A
BATHS - OVAL TUB - BOX
No. 1
No 1
00
BAY -CATHEDRAL
KITCHEN/
[iVl_NGROO
12'.0"
CEILING (802 SQ. FT .
BEDROOM
16'-0.1 DINING
NF
A
1: 14'- 8" - - -
No.2
BEDROOM
9'.4"
------------
CIO
-7-T9&.
11'. 4"
----------
U. 1.
--- - ---
r
2 KITCHEN/
Ld
---------
MASTER
BEDROOM
N?. 2
00
DINING
LIVING ROOM
BEDROOM
No.
12 -01.
101-81,
1
13% 4"
A
1429A *60x14
B
r
MASTER
UTILITY i L___j
DINING
UT' AREA
�O A BEDROOM
BEDROOM
2 BEDROOM CENTER
KITCHEN - 2
EDROOM
B BEDROOM
BEDROOM
N .2
�o
-7 @ .81,
-7 Room
M 77A
BATHS - OVAL TUB - BOX
No.2
KITCHEN/
No 1
-7 -
KITCHEN 14'- 6"
BAY -CATHEDRAL
9 ,
DINING 9'- 4"
LIVING ROOM
CEILING (802 SQ. FT .
FD1
NF
1415A *66xl4
2 BEDROOM -CENTER
KITCHEN -SNACK BAR
2 BATHS -OVAL TUB -
BOX BAY -CATHEDRAL
CEILING (902 SQ. FT.)
1408A *66xl4
3 BEDROOM -CENTER
KITCHEN -SNACK BAR
11/2 BATHS -BOX
BAY - CATHEDRAL
CEILING (902 SQ. FT.)
1428A *66xl4
2 BEDROOM - CENTER
KITCHEN -2 BATHS -
OVAL TUB -BOX BAY
CATHEDRAL CEILING
(902 SQ. FT.)
F_ 6-6
UTILITY
I
14ASTER BEDROOM
BEDROOM LIVING ROOM KITCHEN/ N.2
N 1 16'- 0" DINING op;
00 10 8"
13 - 2" 12% 0"
UTILITY
I DINING
AREA LIVING ROOM 0 BEDROOM
18'- 6" A No.2
MASTER
10'- 8"
BEDROOM
No. I KITCHEN
�N,
13'- 6 _0 1E
13% 0" 0
0
L -J
() -------
EDROOM
B BEDROOM
No.2
KITCHEN/
B
MASTER
BEDROOM
9 ,
DINING 9'- 4"
LIVING ROOM
00
- -
10'- 8"
N?. 1
A
1: 14'- 8" - - -
BEDROOM
No.3
11'. 4"
----------
U. 1.
--- - ---
UTILITY
I DINING
AREA LIVING ROOM 0 BEDROOM
18'- 6" A No.2
MASTER
10'- 8"
BEDROOM
No. I KITCHEN
�N,
13'- 6 _0 1E
13% 0" 0
0
:f'p
.66
Y",
7
!:ZsO(4- :"-i� lg�',., oj;"
r. �4 Vri
A"�
4i
find It is,
bn. tho
Ili AU tljl�. co,
yt,.
lift
OU
4 Dbpsr
ij
be
ONO,
V .a
�A
OV
as
eo
tip
7,
0 FT W
Winim
FOR'.. A
7 >
Ai
a r,
50'.
"v 0 cot
AP.PROVED
Butte County
Environmental Health
te
�Ii n u re
ign
.g n
A+
-Tot
14 2-
:�OpVA%OVL .16
41,y
3U.TIE coul
AR
r" 1ILDING DEP
Waim
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
7 County Center.Drive, Oroville, CA
PHONE: 538�'7541.
MOBILEHOME INSTALLATION SHtET
1. Ownerls Name: ,�04�z
2. Installe. r's Name: 6Lt4 ey- (6<- M6&e
I
3. Is the site currently under permit? No
'Yes F
(If yes, furnish permit number OR
Is the site an existing site? Yes. No F-1.
(If yes, furnish two plot plans.)
4. Will the,mobilehome be located at least 5 ft. away from septic tank and leach
-''fields'and clear of,all-setbacks,and easements? Yes No F
(If no, clarify
5. What is the mobilehome electrical rating? --------------- 0 .- -Amps
6. What is the mobilehome site service'rating? ------------- Amps
7. What is the mobilehome site circuit breaker rating-?.----- /0 0 Amps
8. Is there any other electric load to be served by the
mobilehome site service? --------------------------------- Yes No
(If yes, identify the load and size: (Load) (Amps)
9. What is the mobilehome site gas pipe size? -------------- - (in.)
10. What is t he type of gas service? -------------------- Natural LPG
What is the gas pipe length from meter or tank to the
mobilehome? ---------------------------------------------- (ft.)
12. What is the mobilehome gas demand? ----------------------- (BTU)
*(This information not required if pipe length less than 6 ft. on
natural gas or less than 50 ft. on LPG.)
all cou�
VAC P,,pa
, , IDEP
P� 0\1"ED'
1V
MOBILEHOME SUPPORT DATA
If other than single wide,
Mobilehome Mfr. .59, furnish Setup Model No-. Year.. e
U
Width (ft.) Box Length 5,;�-(ft.) Tagalong or Expando Size ft. X ft.
On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation
manual and structural setup sheets (if not on file with the County of Butte).
FOOTINGS (check one)rT711. Wood -pressure treated or foundation grade. 2. other (specify)
Lni 0
2. Other (specify)
SUPPORTS (check one) 1. Concrete block. F-1
Pier Footing Sizes and Locations
SINGLE -WIDE
N���Ma —in B—eams
>
Line 2 Line
Line 1 —.4
HL '2
ine '2
Main Beams
2
Tag or Triple
Line I
Line I Piers: Line 1 Openinitt:
Size -Min - ------------ Size -Min - ------------------
Spacing-Max - --------- Each Side of -Openings
From Ends -Max - ------- With Width,Over ---------
Line 2 Piers:
Size -Min - ------------
Spacing-Max ----------
From Ends -Max --------
Line 3 Roof Loads:
Size -Min -------------
Location (From Front)
e 4- Piers:
Size -Min -------------
Spacing-Max ----------
From Ends -Max --------
Line 3 Piers: (Under Bearing Wall Only)
Size -Min -------------------
Spacing-Max ----------------
From Ends -Max --------------
Line 5 Piers: (Under Bearing Walls OnTY7
Size -Min -------------------
Spacing-Max -----------------
From Ends -Max --------------
Line 5 Roof Loads:
Size -Min ------------- x "A .�X 11x N
Location (From Front)
_:�E_ +
CLAIMANT:
ADDRESS:
9Utt4e
OROVILLE, CALIFORNIA
CLAIM FOR PROFESSIONAL AND SPECIAL SERVICES
SUPERIOR MOBILEHOMES
16777 HWY 99
CITY&STATE: LIVE OAK, CA 95953 IMPORTANT:
NOVEMBER 20, 1991 SEE INSTRUCTIONS
DATE OF CLAIM: - ON REVERSE SIDE
SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES
DATE
DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY)
AMOLIN
REFUND OF SHERIFF FEES PAID ON A.P. f0 -2-'1--'-"'--3-2-W35! PROPERTY OWNER
ZONA MUNHOLLON, RECEIPT #103071, DATED 11/6/91.
.SHERIFF FEES PAID ------------------- $360.00
TOTAL REFUND DUE --------------------------------- $360.00
$36C.00
TOTAL 1
$360�
00
1, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this
claim i: true.and correct as.stated. L i v r:: py/.:f
Dated his .. .. ' I day of ..... k4.V&.W.' ....... . 1911. at ................................. Calif.
..... ......................................
. ...... ..... Signature of Claimant
1. the undersigned. hereby certify that, to the best of my knowledge. the services or articles specified above have been performed or de-
livered and that ther�� a Budget Appropilatlon [] or Specific Board Approval [D (Check one) for th& same._
Dated this ....... ��-) .................. day of ... ......... 19-?/' at ..... Qk::::R ....... , Calif. .................
ph �en �.-d �®r u ri.e
ept.
Code ........ . ... . ............................. zp' SHERIFF'S FEE
1001 ode ............ ............. _...PAYABLE: FROM .................................................................. S ........................ FUND
DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY
DEPT. & SUB.
PROJ. SUB. OBJ.
CLAIM NO.
INV.NO.
INV.DATE
ENCUMB. GROSS AMT.
A DECISION WAS MADE ON 11/8/91 BY THE COUNTY COUNSEL'S OFFICE OF
BUTTE COUNTY THAT SHERIFF FEESNEED NOT BE PAID FOR REPLACING
MOBILEHOMES ON EXISTING MOBILEHOME SITES. SINCE YOU PAID THESE
FEES YOU ARE AUTHORIZED A REFUND. PLEASE DATE AND SIGN THE
ATTACHED CLAIM FORM WHERE INDICATED AND RETURN TO THIS OFFICE.
k
IF
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
Teleph,pnG` &3*LrAl
APPLICATION AND PERMIT
OULIMIZU 1t�y[t!Z:,Ur11d11Vt:ZS U1 me uounty at t5utte to enter upon ine
above-mentioned property for inspection purposes.
X
Signature of Permitee or Agent
Date
Receipt No.
White-D.P.W. - Yellow -Assessor Pink -inspector - Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By
Date
BUILDING
Owner
SQ. F T. Occ. BUILDING VALUATION
Mailing Address
Telephone No.
Fireplace
Contractor
Total Valuat ion
Mai I ing Address
Permit Fee
PlanChecking Fee&/orPenalty
Telephone No.
Permit Fee
$
$
Building Address
PLUMBING
No.1
@ I FEE
PERMIT FILING FEE $2.00
Each Trap 1.50
Repair drainage or vent piping
1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No.
Zoning & Planning
Gas piping system 1 - 5 outlets
1.50
Each additional outlet .30
Fees I
W. C.
Sanitation
F i re Dept.
Fi re Zone
Use Permit
Building sewer 5.00
EQA
I Parking
Plans
Parcel
I Declaration
Parcel Map
I
60' R/W
I
I Improvements
Lawn sprinkler system 2.00
Bldg. Plans Rec'd I
Parcel Approval
Plans Approval
Permit Fee
$
$
NEW ADDITIONE] UTILITIES OTHER
ELECTRICAL
No.1
@ FEE
PERMIT FILING FEE $3.00
Main service incl. 1 meter
Additional meters, each
1.00
Sub -panel 0 2 or less) (more than 12)
Single Family Duplex 0 Mobil Home E] Others [I
Range, Cook -top or Oven 1.00
Water Heater or Space Heater
1.00
Light fixtures 20 P 2T
bal,'dlo
'9
-
Receps., switches & fix outlets db.lein
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:
Hood, Ex. FanorF.A. Furn. Motor
1.00
Evap. cooler, gar. disp. or D.W. 1.00
Air conditioner or heat pump
Water pump
Mobil Home Facilities 5.00
Temp. Power Pole 5.00
License No. Classification
Misc. wiring
I am exempt from the contractors License Laws of the State of Cali fornia.
Permit Fee
$
$
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
F� 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.
MECHANICAL
No.1
@ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
1 certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
TOTAL PERMIT FEE
I
OULIMIZU 1t�y[t!Z:,Ur11d11Vt:ZS U1 me uounty at t5utte to enter upon ine
above-mentioned property for inspection purposes.
X
Signature of Permitee or Agent
Date
Receipt No.
White-D.P.W. - Yellow -Assessor Pink -inspector - Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By
Date
F I
COUNTY OF BUTTE DEPARTMENT OF PUBLIC
7 County Center Driyje� - Oroville, California 95965
Tel e^. 'i�6:16!iX-4541
- I
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
aldilg&&t± Date 224-3-4-
Signatu
7 re of Permitee or Agent
Receipt No. -3 / S��
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod-Appli cant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF, PUBLIC WORKS
B, Date -
Building permit expires Date
BUILDING—tV--
V
Owner
-SQ. FT. OCC. BUILDING VALUATION
Mailing Jddress/t,,�:,)
,�el�ho
'rWeplace
Contractor
Total Valuation
Mai I ing Address
Permit Fee
PlanChecking Fee&/orPenalty
Telephone No.
Permit Fee
$
Building Addressk4s /C410 -k-.4 4
No.
FEE
PERMIT FILING FEE $2.00
Z, 00
-
0 _1�
- Each Trap 1.50
Repair drainage or vent piping
1.50
Water piping 1.50
sv
.4
Each gas water heater or vent 1.50
A. P. No
a
Z�"-jng
Gas piping system 1 - 5 outlets
1.50
Each additional outlet .30
Fee
W.
Sf)ifkionll)-�ire Dept.
FireZone
Zone
Use Permit
Building sewer 5.00
J7 o z>
EQA Par inj
I Plans
_ �arce
I DeclaratlioTnA�,
killt:1
60' R/W
Improvements
Lawn sprinkler system 2.00
Plans Rec'd�"�J
Parcel Approval Plans Approval
Permit Fee
$
/0,00$
NEW ADDITION UTILITIES OTHER
ELECTRICAL
No.
@
FEE
PERMIT FILING FEE $3.00
.90
Main service incl. 1 meter
4�, 02>
Additional meters, each
1.00
Sub -panel (12 or less) (more than 12)
Single Family Duplex Mobi I Home Others
Range, Cook -top or Oven 1.00
Water Heater or Space Heater
1.00
Light fixtures 25
_j(3101
Receps., switches & fix outlets 20 Id 2!)'
h. I (@ 10
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:
Hood, Ex. Fan or F.A. Furn. Motor
1.00
Evap. cooler, gar. di sp. or D.W. 1.00
Air conditioner or heat pump
Water pump ;�/,(/ 4 a
/,,9.0
Mobil Home Facilities 5.00
.5-.02)
Temp. Power Pole 5.00
License No. Classification
Misc. wiring
KI am exempt from the Contractors License Laws of the State of California.
Permit Fee
$
12 --all
$
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
(I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL
No.
@
FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
1 certify.that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
TOTAL PERMIT FEE
s
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
aldilg&&t± Date 224-3-4-
Signatu
7 re of Permitee or Agent
Receipt No. -3 / S��
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod-Appli cant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF, PUBLIC WORKS
B, Date -
Building permit expires Date
A
BUTTE COUNTY tIr"
BUILDING DEPARTMENI The Bldg. Setback shall be 5 ft. from
the side property line and 50 ft. from
APPROVED the centerline of the road, permitting
a maximum of a 2 ft. eave overhang,
All utility connections shall be
located within 4 ft. outside the rear
third section of the mobile home
on the left (road) side of the mobile
home.
1c,
0
40!
/X
e
1P
el
rhis set of plans and specifications MUST be
on the job at all times and it is unlawful to
kept
make any changes or alterations on same withoult
written permission from the Department of Public
V&rks, County of Butte.