HomeMy WebLinkAbout025-320-003Jimmy Lofton
0s_a .3
E/S Power House Hill Rd., app.2 mi.
S.of Palermo Rd., Oroville
Permit #56-79PE(util.,MH)
ELEC .S�b-7.9
SUPPORT STRUCTURE REQ /.t a
COMPACTION TEST REQ.
2.9 29 49
Contr: Yolo Car"k"Tr"ailer,Sacto
ermit "##301'0-79MHI
Issued_%
025-3 03 01-03
N2 ROB & RUTH
5951 POWERHOUSE RD)OI LLE
CONTR: SKYCREST ENT SE' 1
NEW MH ON PERM FND EX SI
025-320-003 01-0370
NEAL, ROBERT & RUTH
5951 POWER HOUSE HILL OROVILLE
CONT: SKYCREST ENTERPRISES .
X15-ogts
c. . W I
CLIFTON DWAYNE WATKINS
Power House Hill Rd,
SANITATION CLEARANCE --2 bd MH 5
BUILDING PERMIT NUMBER: 01-0329
Address or location of unit: 5951 POWERHOUSE HILL ROAD, OROVILLE, CA 95965
Legal Description of Real Property: A.P.#025-320-003
SEE ATTACHED
(x) Mobilehome/Manufactured Home
O Commercial Coach
Has been affixed to the real property above by installation on a foundation system
pursuant to Health and Safety Code Section 18551.
Owner's name: ROBERT & RUTH NEAL
Owner's address: 4318 BIG BEND ROAD ##14, OROVILLE, CA 95965
INSIGNIA OR HUD NUMBER: UL1 5.20570/71/72
SERIAL NUMBER OR V.I.N.: D3-70{ 0364-N-A/B/C
MANUFACTURER'S.NAME:, SKYLINE YEAR: 2001
r,
.OFFICIAL APPROVING INSTALLATION.
DATE:. 4/26/0 i
PHONE: ($30) $38-7541
A
BUILDING PERMIT NUMBER: 01-0329
Address or location of unit: 5951 POWERHOUSE HILL ROAD, OROVILLE, CA 95965
Legal Description of Real Property: A.P.#025-320-003
SEE ATTACHED
(x) Mobilehome/Manufactured Home
O Commercial Coach
Has been affixed to the real property above by installation on a foundation system
pursuant to Health and Safety Code Section 18551.
Owner's name: ROBERT & RUTH NEAL
Owner's address: 4318 BIG BEND ROAD ##14, OROVILLE, CA 95965
INSIGNIA OR HUD NUMBER: UL1 5.20570/71/72
SERIAL NUMBER OR V.I.N.: D3-70{ 0364-N-A/B/C
MANUFACTURER'S.NAME:, SKYLINE YEAR: 2001
r,
.OFFICIAL APPROVING INSTALLATION.
DATE:. 4/26/0 i
PHONE: ($30) $38-7541
IL 11
". RECORDING REQUESTED BY:
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE CA 95965
COPY of Document Recorded
27 -Apr -2001 2001-0017304
Has not been compared with
original
BUTTE COUNTY RECORDER
SPACE ABOVE THIS LINE FOR RECORDER USE ONLY
NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH,
INSTALLATION ON A FOUNDATION SYSTEM
Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code
Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit
described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document
shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as
to its contents to all persons thereafter dealing with the real property.
JIMMY DALE LOFTON & MELLANESE S. LOFTON
REAL PROPERTY OWNEMESSOR
2222 SCENIC STREET
MAILING ADDRESS
EL CERRITO, CONTRA COSTA, CA 94530
CITY COUNTY STATE ZIP
5951 POWERHOUSE HILL ROAD
INSTALLATION MAILING ADDRESS, IF DIFFERENT
OROVILLE, BUTTE, CA 95965
CITY COUNTY STATE ZIP
ROBERT & RUTH NEAL
UNIT OWNER (if also property owner, write "SAME")
4318 BIG BEND ROAD 414
MAILING ADDRESS
OROVILLE, BUTTE, CA 95965
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
01-0329 It (530)538-7541
BU NG PERMIT N TELEPHONE NUMBER
&6CZ4/26/01 -
I URE OF L 6CAL AGE FFICI DATE
COUSIN GA
DEALER NAME (if not a dealer sale, write "NONE")
91265
DEALER LICENSE NO.
SKYLINE 2001 FAIRVIEW
MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMENUMBER
D3-70-0364-N-A/B/C 66'X 38'6" UL1 520570/71/72
SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S)
REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. #025-320-003
SEE ATTACHED
HCD FORM 433(A) REV. 8/91
WHITE -County Recorder CANARY - HCD PINK - Applirant GOLDENROD -Building Dept.
f.
IL
THE FOLLOWING DESCRIBED REAL PROPERTY IN THE COUNTY
OF BUTTE, STATE OF CALIFORNIA
ASSESSOR'S PARCEL #
025-320-003
The North half of Lot 2, according to that certain Map entitled, "OFFICIAL MAP OF
THE HILGERS SUBDIVISION NO. 2, BUTTE COUNTY, CALIFORNIA", which Map was recorded
in the office of the Recorder of the County of Butte, State of California, December 14, 1931,
in Book 10 of Maps, at page 21, partitioned in accordance with the Degree of the Superior
Court of Butte County in January 1918, Case No. 7971 and being more particularly described
as follows:
COMMENCING at the Northeast corner of said Lot 2 and thence running South 00 degree 02'
West along the East line thereof, 599.13 feet to a point; thence South 86 degrees 36' West
2660.42 feet to a point in the West line of Lot 2; thence North 00 degrees 18' East along
the West line thereof 599.14 feet to the Northwest corner of said Lot 2; thence
North 83 degrees 36 ' East along the North line thereof, 2654.83 feet to the point of beginning.
ROBERT AND RUTH NEAL
REAL PROPERTY OWNER/LESSOR
ASSESSOR'S PARCEL # 025-320-003
THE FOLLOWING DESCRIBED REAL PROPERTY IN THE COUNTY
OF BUTTE, STATE OF CALIFORNIA
ASSESSOR'S PARCEL # 025-320-003
The North half of Lot 2, according to that certain Map entitled, "OFFICIAL MAP OF
THE HILGERS SUBDIVISION NO. 2, BUTTE COUNTY, CALIFORNIA", which Map was recorded
in the office of the Recorder of the County of Butte, State of California, December 14, 1931,
in Book 10 of Maps, at page 21, partitioned in accordance with the Degree of the Superior
Court of Butte County in January 1918, Case No. 7971 and being more particularly described
as follows:
COMMENCING at the Northeast corner of said Lot 2 and thence running South 00 degree 02'
West along the East line thereof, 599.13 feet to a point; thence South 86 degrees 36' West
2660.42 feet to a point in the West line of Lot 2; thence North 00 degrees 18' East along
the West line thereof 599.14 feet to the Northwest corner of said Lot 2; thence
,North 83 degrees 36 ' East along the North line thereof, 2654.83 feet to the point of beginning.
ROBERT AND RUTH NEAL
REAL PROPERTY'OWNEWLESSOR
ASSESSOR'S PARCEL # 025-320-003
0
04/27/2001, 11:19 5303429174 CHICO BLDG SYSTEMS
04f27%2001 08:15 F11 1 530 866 7862 SKYLINE HONES + COUSINS CH
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1720 E!►ST BEAKEB S':CR£ET WOODLAND CA 93776
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RECORDING REQUESTED BY:
9
AND WHEN RECORDED MAIL TO:
i
NAME
STREET
ADDRESS
CITY,
STATE
and ZIP
SPACE ABOVE THIS LINE FOR RECORDER USE ONLY
9
NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH,
INSTALLATION ON A FOUNDATION SYSTEM
Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code
Section 18551. This document is evidence that such local agency has issued a cerlificale of occupancy for installation of file Unit
described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document
sholl 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.
-- Ro\ot;,rk r..vc>l i"X, NevaA
REAL PROPERTY OWNER/LESSOR ---"
MAILIING ADDRESS \
\'s`\ 1' w� C CaP ; C Ea . yS965
COUNTY STATE
ZIP
Egg ► 170 .,p;i o ale ;1
INSIAttAt10N MAILING ADDRESS. IF DIFFERENT
v.\\e
CITY COUNTY —_7
STA IF ZIP
UNIT OWNER (II also Propend. owner, .Wile -SAME')
MAILING ADDRESS ---- - -- - -----•
CITY COUNTY
SIatF Ilr
r UNIT DESCRIPTION
IOCAI AGENCY ISSUING PERMIT and CERUNIAlf OF OCCUPANCY
MAILING ADDRESS
CItY COUNTY
STATE ZIP
BUILDING PERMIT NO IFIf OIIQNf NUMBER
SIGNATURE OF IOCAI AGENCYpOFFICIAL DATE
Q llh. \tib V' Y4fY.
DFAIER NAME (If rq1 a deal., sole. ..nil. 1JONE
—Ala_ -5 -.- -
DFAIER LICENSE NO - - -- '-'--'--
MANIC URER'S'NAME - — r —�0.. _[ J� 1
DATE OF MANUr `CIURf MOOEI NAASM-Ej JMBfR
SERIAL NUMBERS)- -... .. _. _._._._ .. _.IfJ v ~" _.-'-
lfNGu X w1DII1 INSICN1A,IABEt NUMBERISI -
REAI PROPERTY IEGAI DFS_RIP110N ASSESSOR'S PARCELO—
CL
1�ENT RFH - - -- -
.QrP 'OGS•
�. or IICD 101WA33(A) Rev. 8/9I
- lit
of" No.'
3521-37525
Lam No.
WHEN RECORDED MAIL TO:
Mr. and Kra. J. D. Lofton
2222 Scenic Street
El Cerrito, Oaiifornia 94530
11.1:.'t .Its
LEY dile AND Esta WWANI
Jug IZ 35 M 1376
C115E Y.l'.') 4:11.1
MA
C�UK111.1cor A.J
$PACI ABOVE THII LINE FOR 041COPIDIA'E USE
MAIL TAX STATEMENTS T0: CQCs�ARY TRV4nA TAX i AI.9Q
SAME AS AB01/$ tad on the con.lderatlon of volve of pro" V aonveyod; OR
«.... Cof ovied eA 04 oordWW loft or value 1a..Il M or eftotfntbfano..
4riWf+IrV of tW4 of W.
eNtYf1 of M Mt 0AF.n1�N Y.- _ .fn.
GRANT DEED
FOR A VALUABLE CONSIDERATION. receipt of which K hereby acknowleoged. CHARLES L. WATKINS AND
SUZANNE J. WATKINS, his wife
hereby GRANT(S) to JIMMY DALE LOFTON AND MELLANESE S. LOFTON, his wife, as Joint
Tenants
the real property In the V,1IAI unincorporated
County of Butte State of California. described as
The No2'..h half of Lot 2, accordinE to that certain trip entitled, "OFFICIAL MAP OF
THE H1L4r-_45 SUBnMSIO.K I40. 2, 5U:TF COUITNI which Map was recorded
in the office of the Recorder of the Coytty of i*.itto, .^,=ate -of CAlifornia, D.ice=.
ter 14, 1931 in Book 10 of Mips, at paga 21, p.•u-L1tie:t4?d in accoz•dance t.-ith the
D:cree of the surr,rior Court of Butte County in January 1918, Cazd'No. 7971 and
being more particularly described as f011UW93
CC::,r`=D.'G at the Northeast corner of naid Lot 2 . nd thsnce running Scsth 00e 021
.
a:st ,long the ,tut line th•Ireof, 5?9.13 :'eat to a point; thence South 88. 361 4'est
".660.~2 feet to a Point in the lest l'r.) of Tot 2; tt.f:nce North 000 18' F.ut along
the West line thereof L599,14 fc^t to the Northwest corner of .Aid li.)t 2; t1r.ence
I:orth 830 36' East along the North lino thereof, 26x4.83 feet to the ,jint of be—
Dated June 29, 1976
STATE OF CALIFORNIA )
COUNTY OF
a..
Orange
on _ JI
Oxton me. Cho uftdanian.d, a Notary Public In and for .aid
Stat.. Pa.on.11y wpowed
__ Charles L. Watkins and
Sueanne 2 Watkins
►mown to me to be the Pawn L wAoee mete
.ubwr6w to M. w trin if-OrUtn.nt Ond ac►now/.doed that
they
Charles L. Watkins
L /
:t ,
�SueJ. Wa
OFFICIAL SEAL
ee
JEANNE E. CARR
`
P
NOTARYPU8LIC•CALL IFORNIA
ORANGE COUNTY
(�
- ,
t,rCofflnntnntfp.rnlra.i'0.1/11
,��
DEPARTMENT OF HOUSINGFAND LCObMMUNITY DEVELOPMENT
DIVISION OF CODES AND STANDARDS •
REGISTRATION AND TITLING SECTION
STATEMENT OF'FACTS
'h 1s unit is.'.a:[DJMobilehome [] Commercial Coach Floating Home Truck Camper
)ecal (License) No.(s)
Trade Name
Serial No.(s)
!/We, the undersigned,
hereby state
that
the unit described above:
V\- e�
Affiant further agrees to indemnify and save harmless the Director of Housing and Community
Development, State.of..California, and subsequent purchasers of said unit, for any loss they
may suffer resulting from registration of the above-described unit in California, or from
issuance of a California certificate of title covering the same.
I/We certify under penaity of perjury that the foregoing is true and correct.
Executed on � e '.`�\-� at 13`�b06 - 0 C�
Da e
(City) (State)
4SJgnature of each'affia t
Address 1�:, 1L\6
Printed name of each affiant
uk-. c "') —A:_ (\._ 4
City cl C r") / State
HCD 476.6 (Rev 11/86)
CrIIIIINTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING VISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538- 541 PERMIT NO.
(Rev. 12/96) APPLICATION AND -PERMIT ®!✓f% -�
ASSESSOR PARCEL NUMBER
025-320-003
ZONING
A-5
BUILDING PERMIT
OWNER
ROBERT AND RUTH NEAL
TELEPHONE
538-8001
SO. FT. OCC. BUILDING VALUATION
2,518 115,IQ72
OWNERS MARINO ADDRESS
4318 BIA BEND RD. #14 YANKEE HILL CA
CONTRACTOR'S NAME
SKYCREST ENTERPRISE
TELEPHONE
342-2694
CONTRACTORS MAILING ADDRESS
13468 HWY. 99 CHICO CA 95973
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee 765,50 $
-382.75
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
5951 POWERHOUSE HILL RD. OROVILLE CA 95965
Energy Plan Checking Fee $
$
PERMIT FEE $
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome M Other
SPECIFY
Each Trap 1
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ]1 Addition ❑ Remodel ❑ Utilities ❑ Installation ;0 Other ❑
Describe Work: NEW MANU HOME ON PERM FOUNDATION F.XTSTTNC;
SITE
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
ile Home I S I GI W 1
@20.00
PERMIT FEE $
ELECTRICAL PERMIT
Fling Fee 20.00
600V R LE
Main Service Z00A OR LESS
23.00 21
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.P
fI Lk I
License Class C..--��, Lic. No. S
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑. I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
;?have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is Issued.
❑ 1 have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation in urance carrier and policy number are:
Carrier P"A-, ok
Policy Number 1,513 H0,
(The above sections need not be completed If the permit is for work of a valuation
of one hundred dollars ($100) or less.)
not employ any person In any manner so as to become subject to workers'
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 with those provisions.
X Date
Signature of App Icant - ❑ Owner Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or nstruction
of structures over 3 stories in height.
Main Service 200A TO LIOOA 46.00
NEW CONST. DW:.LUNG UP. NG OCCs0
OR ADDNS. ( 6 ACC. BI S.3.50FT.
IN RESIp. MULTI.OUTLEr @7,50
LE OWER APPARATUS
.131N..
SINGOUTLET CIR.
Ex. Occup. OUTLET OR FIXTURES �Q'.50
eAl Q .so
Ex. Occup. .MO IS APP=.) EE 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $ 41 nn
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEt $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
OTAL FEE $
�HAZ.
�
p. FEES IMP
_
FLAOD
CDF
PARCEL PD
D
IScompensation
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�W�Eito 2 01
PERMIT EXPIRES ON � f�
ate
Receipt No. / 4 '1 �� t
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR LD NROD-APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
County.Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
Rev:; 2/96) APPLICATION AND PERMIT
2ON"0
BUILDING PERMIT
oNnra "'� TMAP"DNQ
11kel-, t '600 t
'CJ'
SO. FT. OCC. BUILDING VALUATION
"A
J3
5
OWN&R1 ADOP9155
" Yoo0- �� ►a key \:1 l C.�
3 ►v
00mrRACTORI NAME N-
S l-C� C_,r t' � e ✓ •f ` r 3 Ll,-. 3.6°1 L
CoNR4CMAIADomm
C CV 9
t 6 -L,: c o -1 .
CON°TRUCr10N LMER
LMgt,s MwLNG ADDRUS
Fireplace
Total Valuation L
ARCWMCT OR MNEM UM SE NO.
Fee
5 20.00
—Filina
Permit Fee
S 7
ARc1frECT OR ENONEMI MWNO ADORES°
,
Plan Checking Fee
$
OUILONO ADDRE3sEnergy
Plan Checking Fee
E
$
_
Cu �.,. Ca . G S 9 6 5
PERMIT FEE
_
LOT NO. °U°°^'1S1D"eNAAM PAACEL Z°
PLUMBING PERMIT
Filing Fee 20.00
Each Tra
7.00
USEOFSTRUCTURE
Solar or heat um water heater
23.00
L /
SF ❑ Duplex ❑ Mobilehome f3' Other
Water piping
15.00 /
°PIM'P'S
Each as wafter heater or vent
15.00 '
TYPE OF WORK
Gas piping system t - 5 outlets
15.00 % S
New & Addition Re el 13 Utilities ❑ Installation M --'Other 13
Building sewer
15.00
t, �;\ �°,._ �"�
�i
Mobile Home S G W
(P20.00
Describe Work: taa� �.: ��`•'�
PERMIT FEE
$
ELECTRICAL PERMIT
lFillngFee 20.00
Main Service °ioaAv o�Rs
23.00
Main Service 200A TO 1000"
46.00
NEW CGP6T. DWEUNG OCCUP.
OR AWNS. L ACC. BlD°.
3.50o.
OR
..
NOWWSCONS MULTI. -Own."
@7.5.10
F,0NOLE APPAMTU3
i OUTLET CR
Ex. Occup. ovnPT OR -mAEs
20
SAL o 1.50
Ex. Occup. yrs 610. EA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
r
Misc. Wiring
23.00
PERMIT FEE
i O 0
PERMIT
Firing Fee 20.00
*PERMIT FEE PAID $
Heating
SRA - - $
Cooling
SHERIFF $
Hood
6.50
Ventilation
OTHER. $
$
PERMIT FEIE
f
Mobile Home Installation Fee
$
$
Energy Inspection Fee
$
Du CONST. TYPE TOTAL FEE $ r
AMOUNT RECEIVED $ S
NAZ- I D. P FLOOD I
COF PTCfie I PO ssUE
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.
*RECEIPT NUMBER (� l�
S/ 8- 7-!S�
* TO BE PUT INTO COMPUTER
By
Date
PERMIT EXPIRES ON
(an)
4t"A'W ",...
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541
PE"IT "PLICATION DATA SHEET
i
OWNER: ASSESSOR PARCEL 'fUMBER:
Proposed Building Use: ding Inspecto Date:
At time of permit application, I was advised the following data must a submitted prior to permiprocessing and/or issuance:
Date Received By
❑ . All iiems have been submitted--------------------------------------------------------------------------------------
2. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------
❑3. Complete plans, 3/4 sets, signed by the preparer of plans. -----------------------------------------------------
tEngineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. --------
❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------
06. Energy Design Compliance and supporting documentation. ----------------- ----------------------------------
El 7. Statement of Intent for Non -Heated and A/C Buildings. -7 -----------------------------------------------
%t
118. Hazardous Material Form = -----------------------------------------------------------------------------------------
ufactured Ho ata and installation instructions including Tie Down Specifications.------------------
eesof $ �� = eQ--------------------------------------------- �------------------------------ v2 7- D�
ct fees as shown on the attached schedule. �G�----------------------------------------------- —
❑ 12. California Department of Forestry plan approval/fees.---------------------------------------------------- ----
#g�odelevation certificate. ----------------------------------------------------------------------------------------
tion and plot plan approva Health Department. -------------------------------------------.
❑ 15. City of Chico plumbing permit. -----------------------------------------------------------------------------------
❑ 16. Plot plan and business license approval from the City of Biggs. ----------------------------------------------
ti �i
❑ 17. Planning approval for (A) Use: (B) Parkin --
?�
❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. -----------------------
9. Encroachment Permit for driveway (construction approval prior to occupancy). ----------------------------
P. Pre -inspection for I required- Request to Building Inspector on kjd ic> 13,j $- L (Date)
❑21. Contractor's license information. (Number, Name Style, Classification). ------------------------------------
022. Workers' Compensation carrier and policy number.-----------------------------------------------------------
E123. Owner-Budder
----------------❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner El) - ______________________________________
❑24. Letter of signature authorization. --------------------------------------------------------------------------------
❑25. Recorded copy of Agricultural Acknowledgment Statement. ---------------------------------------
❑26. Letter of intent on building use. ------------------------------------------------------------------------------------
❑27. Manufactured Home utility clearance. -------------------------------------------- `-----------------------------
❑2 xistinW61
ions and/or a ed p
WhecktolI.C.D;:�
o
❑433ant D H. Titl - ---------------
030.
______________❑30. Other: _
Whe ou issue
45
elephone —
follows ❑ Mail to owner, PMail to
and hold for pickup fit/ 4t]r/ office. ❑ Deliv%y yith inspector.
Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, 0 r Pollution Date: By:
Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By:
1. Index permit application for the above items numbered: ❑ Plan Check List
2. Additional items required:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail;: o, Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, o Building Division counter, by Date:
Plans reviewed by' Date: Plans approved by'.' :' Date: 26
n
Sets of plans on hold in ❑ Plan Cabinet, 11nsfer A.P. folder. Note traDate;Z--2 J
Voll.,,.1 r,..... rle...,.-t....,,..♦ _PT>,. -.-I---- a------- --- _ — . .
E. USE ONLY
4 ..
Plot Plan Attache
Floor Plan Attgched
Sant to B.C.
r �
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
3 2 -
Owner
Owner Location AP#
Plan Approved for: Sewage Disposal Water,pply: Public Private Well
rn - _t
Clearance for dwelling. Other I,�►1STI1�Y� L, m LC /.ISG
Hold final for:
Final cl
(VOTE:
Environmental Health Specialist
8/96
Date
OWNER:
LOCATI(
. PRE -INSPECTION REPORT
PRE-INSPETION FOR:
DATE TO INSPECTOR:c2 (� ( PERMIT HISTORY:( ) NONE
Building Description:
Commercial/Usage:
Residential/# of Units:
Currently Occupied
Abandoned/Vacant
Electric:
Yes No
Condition of Electric
DATE:
W AT. #•a
ZONING:
BUILDING INSPECTOR'S REPORT
FOLLOWS:
Electric currently On
Gas:
Natural Propane None
Obvious Problems:
Sanitation:
Plumbing Working
Well Working Ili Potable
Obvious SewageProblems f--� D�
Comments:
ACTION RECOMMENDED: ISSUE:
Inspector:
Currently On Off
•<
HOLD FOR (��
Date % Q
Sketch buildings on reverse and indicate location on property.
Jimmy Lofton F
� E/S Power House Hill Rd. a t
pp.k mi. CLIFTON DWAYNE WATKINS
S -of Palermo Rd., Oroville
i Permit #56-79PE(util.,MH) Power House Hill Rd,
��D-7g
ELEC. SANITATION CLEARANCE- 2 bd MH
isaa
GAS sya= 2�r AIN -11
SUPPORT STRUCTURE RE
COMPACTION TEST REQ,
Contr: Yolo Car-& Trailer,Sacto
�ermit #3010 79MH I
.sued
t
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
' (Rev.12J96) 121, APPLICATION AND PERMIT
AaaaaoR►AW!ft ►aAam
nomm ,
BUILDING PERMIT
ToLa"iO(20 �' Oat pia
SO. FT. OCC. BUILDING VALUATION
ow►eR, �O� `oRa' S�; c � # (� • ►a r�. ke e �\:1 l C.r-� •
OOMRACTOR'a WAC Ttl�1gNC
S 1'C� C.r Q & e✓ r ' c 3 Ll� 6c1
�
•
COWRACTMI ADoRm
l 6 �' C-h;(o C� q
CommiCnON uDou1
LM171Y UAAM A001102
Fireplace
Total Valuation is
ARCHITECT 011 ayMpM
UCENCE No.
Filina Fee
E
20.00
ARCWMCT OR ENONEE717 MALNO ADORESa
Permit Fee
S
%
Plan Checking Fee S
saaaDao AooREaa
Ci 1 �' f �� 5� ���� ��•
Energy Plan Checking Fee
t
_
`C' f 0 `7.\ e_ :. co, `i Ca . Cil 5 96,s
i
PERMIT FEE S
S
LOT NO.
aUE0N1410NE WAC
PARCEL MAP
PLUMBING PERMIT
Fling Fee
20.00
USEOFSTRUCTURE
SF O Duplex O Mobilehome "or
'PMFY
Each Tr
7.00
Solar or heat pump water heater 23.00
Water piping 15.00
/s -
Each as water heater or vent
15.00
'
TYPE OF WORK
Now W Addition QReel O Utilities `O` installation [9"Other CI
Describe Work: -N 1 ► t A nay A .) A 40 �' (fir 1,
Ods 21C! 5 i r1G S I
Gas piping system 1 - 5 outlets
15.00
S
Building sewer 15.00
Mobile Home I S 1 (31 W 1 (920.00
PERMIT FEE i '—
ELECTRICAL PERMIT
Filing Fee
20.00
Main Service =00.Rumy
23.00
•
•
*PERMIT FEE PAID $
SRA $
SHERIFF $
OTHER $
$
$
f
AMOUNT RECEIVED $ S
/
**RECEIPT NUMBER (,� 4s`
* TO BE PUT INTO COMPUTER
Main Service 200A To 1000A 46.00
NEW CONST.DwELLNO occuP. 3.5CF7:
OR ADONS. i ACC. Gins.
NOZAESID. mLW Gum 1. MULTFOUftET @7.50
P'01VFA APPAAATUa
i SNOLE OVTU?T C0.
Ex. Occup. ounrr oR mums 200 1.00
SAL a .50
Ex. Occup. OX0,M.-OL1 S.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE S
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 8.50
ventilation
PERMIT FEt S
Moble Home Installation Fee =
Energy Inspection Fee $
occ
CONST. TYPE TOTAL FEES
HAz
o. rEEs WP
ftAOD
a71
PARCEL
Po
S�
This permit Is hereby Isaued under the applicable provisions
of the Butte County Code and/or Resolutlons to do work
Indicated above for which fees have been paid.
By Date
PERMIT EXPIRES ON
� .
." .. ` . .
4�. '
"
}
'
\+[]\k�,_ \Z.
43
LAO
cc
\+[]\k�,_ \Z.
Department of Development Services
Building Division
7 County Center Drive
Oroville, CA 95965
(530) 538-7541 (530) 538-2140 FAX
Residential Construction Requirements
FVIPORTANT
This set of plans and specifications MUST be kept on the job site at all times and it is unlawful to make
any changes of alterations on same without written permission from the Building Division, County of
Butte.
All materials and workmanship shall be in accordance with recognized good practices and of a quality
prescribed for the specific use in the 1998 California Building Code (1997 U.B.C.), 1998 California
Plumbing Code (1997 U.P.C.), 1998 California Mechanical Code (1997 U.M.C.), and the 1998 California
Electrical Code (1996 N.E.C.)
COMPLY WITH ITEMS INDICATED BELOW
❑ Your parcel lies within a designated 100 -year flood plain. Finish floor, electrical, HVAC equipment and services shall
be a minimum of one foot above the elevation shown on the attached Flood Elevation Certificate. A Post Flood
Elevation Certificate will also be required
Note: We will normally accept the following as compliance with the flood elevation requirements:
1. Building is anchored to concrete stemwall system with conventional anchor bolts.
2. Building plate on top of stemwall to be one foot or more above the 100 -year flood elevation. (Plate height less than 24"
above grade, or engineered design required).
3. Electrical; heating, ventilation, plumbing and air conditioning equipment and facilities located above the plate.
4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total net area of not less than 1 square
inch for every square foot of enclosed area.
5. The bottom of the openings shall be no higher than 1 foot above grade.
6. The openings may be screened or covered with other devices that will permit automatic entry and exit of floodwater.
❑ Parcel lies within the State Responsibility Area (SRA). Comply with attached requirements.
❑ Fire sprinklers are required in this structure..
❑ The following parcel map requirements shall be met:
® All structures and equipment including overhangs shall be clear of all easements.
A setback of 30' from the side and 30' from the rear property lines and 20 feet (25 feet if Federal Aid Route) from the
edge of the right of way shall be clear of structures and equipment except for a 2 foot overhang.
® Expansive soil may be encountered on this site. This condition may require the foundation to be designed by a
California registered engineer or licensed architect.
BUTTE COUNTY
BUDDING DEPARTMENT
Page 1 of 1 APPROVED . Owners Name: Neal
Building Permit Number: 01-0329
Plans Examiner: Glenn Gibbons
r � -t1-+ r -, 7 T-3 t� .- . i - •- _- _-�r�__�^�_-:_ -� ..- . _ �-,-1- '�_ .
X5;4. . _ _ . . ..
0 �
J�-Axfro-
��
bQov1��E , Ch.
3�L,p-003- 000
SCn„�
APPROVED
Butte Coun�ty
Environmental Health
_.
:*ig�naturme��
ono
-
w� - .., BUTIj ECOUN
r� - --- - I------ ---- - . '-BUILDING R-
..��z
wows v -
j I m r r n 0 v1.J
r
M.H.I. -2
MOBILI .lam S1PPRT GA'Z'A:
................................................................... .
Mobilehome Manufacturer: Manufacture Year X00
If other than single wide, furnish Setup Model Number:
Width: _c(ft.) Length: 6 6 (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.
FOOTINGS: Wood pressure treated or foundation grade [L—J Other:
SUPPORTS: Concrete block [Other:
Provide Tie Down Specifications for all Mobilehomes:
Pier Footings Sizes and Location
SINGLE WIDE MULTI -WIDE
Line I Line I'
Line 2 Line 2
Line 2 Main Beams Line 2
Line I
............................................................................................
Line 2
Main Beams Line 2
............................................................................................
Line I
Line ................
'rag or Triple Line a
BUTTE COUNTY
Line 1
BUILDING DEPARTM
Line 1 Piers: Line 1 Openings:
Size minimum: I _1x1 I Size minimum: [\t] x (-jy]
Spacing maximum: Each side of openings
From ends -maximum: with width over: 4'- O "
Line 2 Piers: Line 4 Piers:
Size minimum: x "k] Size minimum: x
Spacing maximum: 6, 0 " Spacing maximum: to 0 "
From ends -maximum: -J" L7 " From ends -maximum: -'�L p "
Line 3 Roof Loads:
Size minimum:
Location (from front):
Re.,Cw
Line 5 Roof Loads:
Size minimum:
Location (from front):
'4A&
11
Ib'•o'�.q'-ti"T33'•3,� yo' -53" X1.0 4i=�' S3'y" b5�-g"
OVER
1
1
MH -L-2
4 . Is the site currently under permit? Yes [ ] No [ Z Hermit No.
5 . Is the site an existing site: Yes No [ ) (If yes, furnish two plot plans).
6 . What is the electrical rating of the mobilehome? O O Amperes.
7 . What is the mobilehome site circuit breaker rating? IVO Amperes.
8 . What is the electrical rating of the mobilehome site? r,p p Amperes.
9 . Is the main service remote from the mobilehome site? Yes [ C --t No [ ] If it is, what is
the rating? Amperes.
10 . Is there any other electric, load to be served by the mobilehome site electric service
(i.e. well'.garage,'etc)?'" Yes [ No [ ] If yes, please identify the load and size:
a)'• The mobilehome site:.
Load - Amperes -
b) The main service:
Load - Amperes -
11 Type of gas service at mobilehome site: Natural [ ] Propane [ -L]iNone [ ]
12 . Size of gas pipe at the mobilehome site from the meter or tank: inches.
13 . What is the gas pipe length from the meter or tank to the mobilehome?
14 . What is the mobilehome gas demand? BTU.*
*(This information is not required if the pipe length is less than 6 feet on natural gas or
less than 50 feet on propane).
THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO
PROCESS THIS PERMIT APPLICATION
36' 6"aw
f
DESIGN LISTED AND TESTED BY: BSK ASSOCIATES _
28'
B• g• 8. 3/8" PLATE WAYNE T, POLVADO, PE _ LISTING NO. F94249
i
..21M ► OW S.nr GRIPPER BASE 8 QpOFE SSlp, \
W Tal Q
al
t 7T NATe '�1rt•rrec•. r,
O O O 1 I 1 I f4o.0 051110 A
1 + f * Eu 911411—
Li
'PA CML
o Mu n? GRIPPE MATE grFOFCAL��
oO 'h" x 4" bolts
O TYP of 4
2•x2'x3nd-L :. .
T1r. OF 2 L1 - HE/1W WE1C�FrT PAp °
GRIPPER PLATE A�Ik� GRIPPER BASE °
TOP VIEW - MGP - PAD
'/2"X 6" ANCHOR
i • i ♦ TUF.I I BOLTS TYP OF 4
;31
I kv W. .G r0000D WWXr,WAOL 8= 1
�.arr®a ■ore .� mu^ei s+• . .
1-1/2" SCH. 40 PIPE I
'O I K" GRADE S PIN OR EQUAL I I-- STH 3 OR MORE I ► '
_ , ♦ • • LOCK WITH Y,• LOCKING � i ADJUSTER HOLES '- I
I NUT OR PBJ A
I o QQ gF'f ss/oy
• 2" SCH 40 PIPE A�
► • W/ 2 ADJUSTER HOLES
SIDEf - MGP - PAD ib• i `'y
M POURED IN PLACE .17918 0
i-2" SCH 40 PIPE / CONCRETE PIERtuTl .�:xp.�L �. it.
v WELDED TO 1/4"
BASE PLATE.
a7 . 7/16' X 2' BRACE -
Ml. !G�i.E� • MOBQZIOME POUNDAnGN SYSTW .
l�I X'4WFILLET„ELD. / �Al]1tANDSAF�YCODB.SWnO?jl PACIFIC �ONSUlTINB ENGINEERS
TYP OF 4 I 21 tip Del Awnw H44 PA: 9164WWW20 ,
APPROVED sm5c arrsanto, CA. 9SM Fax: 9164W4-6022
0 ♦ SUBJECT TO CO
RRECTIONS NOTPD
1/•• /4re ~VAL D= Not ArmmR= 0RAA"V6 ANY .
1 amasoaOR "V LOON FR«M REQLMtMwmM W TUF-I PERMANENT
I '��1= STATE LAW AND RW
"A'ID _ S.aCLusf�M'!
;, `�'1710t" FOUNDATION SYSTEM
DV -=W orRo„sia j ed CarmxWrr Denbpr�
tiu
1' rKXf rr. I DNiOF CODES AND SfANDARDS
ABESCO -GUS GUARD COMPANY
ENDS _MGP -PAD t.io,m,.) tb ? � p.0.Bozits' �e
UNDERLAYMENT E PLYWD. P & S CCA PRESSURE TREATED _ 41) Ic CATHEYS VALLEY, CA. 95306
209-966-5540, FAX 109-966-5549
1fYPteAppsndEspl,es - ?;!:6
6. STRUCTURAL STEEL FABRICATE ACCORDING TO ASIC SpECMCA77ONS. WELD U U U ❑ ❑ LI
ACCORDING TO A WS SPECIFICATIONS. ELECTRODES - 770 PLA•ES -ASTM A76 BOLTS - . RIDGE BEAM .SUPPORT AS REG*,:)_
SAE OR 3 -ASTM A449 - ^STMT A7723. FBY HANU?ACTURzR - TYP.
7. THE GUS GUARD ASSEMBLES SHOWN BELOW SHALL BE LISTED AND LABELED BY BSK EJ^ a - a
AND ASSOCIATES FOR THE FOLLOWING LOADS:El El
ALLOWABLE LOADS HORIZONTAL VERTICAL u
GUS GUARD TUF-I 22000 60000
GUS GUARD MGP PAD 22000 60000
GUS GUARD E -Z TE PAD 22000 60000
B. DURING PRELIMINARY INSPECTION. THE ESTIMATOR SHALL ENSURE THAT MOBO. E
HOME CHASSIS BEAMS ARE OF STANDARD SECTION. // II
9. EXISTING COACHES MAY BE RETROFITTED TO RESIST SEISMIC FORCES BY INSTALLINt I / 2' NUKZ
GUS GUARD TUF-1 UNITS AS SHOWN ON THIS PAGE OF TYPICAL FOUNDATION PLAN S• PARS IN ANY PAIIL MAY
BE ROATED 90 DEGREE?$
10. THE GUS GUARD TUF-I SYSTEMS ARE SAFE FOR INSTALLATION IN FLOOD PLA% Ay77 CA OFFSET To OR7ER.SME
WHERE DEPTH OF FLOODING DOES NOT EXCEED THE HEIGHT OF THREE FEET. TO AVOID CLEARANCE
11. MULTIPLE UNIT INSTALLATION IS ACCEPTABLE PROVIDED THE NUMBER OF TUF-1 NTT BLEMS.
TT
PRO
UNDER EACH UNIT IS THE SAME AS SHOWN REQULRED PER EACH UNIT.
to-]
STANDARD MH FOUNDATION PIERS .
AS RECOMMENDED BY THE MANUFACTURER
OR THE ENGLNEFR TYPICAL THROUGHOUT,
12. SINGLE-WIDE�A B SINGLE WIDE UNITS
UNITS REQUIRE ADDCTIONAL RESTRAprr, • (SEE SIEEE; I' 1J)
17.ALL METAL COMPONENTS AND ATTACHMENTS �q E- 2' MIN / 8' MAX
►773MS SHALL BE PROTECTTVE CO ®B ■ S- B' MIM 18 MAX
GP PADS USE 1 1/8 LXTERIOR
14. FOR PCF RETENTION WITH DRYING�AFTERROTREATWITH OLMANIZED TREATMENT TT. OO
DOUBLE WIDE UNITS
E= 2' / 11-
S= 6'/ 22'
SHETE 2 OF 3
!E:p�-1�: I
- MGP OR PVC SB3Eb i
SUPPORT PAD
TYR .
TUF-1 PERMANENT
FOUNDATION SYSTEM
ABESCO -GUS GUARD COMPANY
P -0 -BOX I28
CATEEYS VALLEY, CA. 98706
209-966-SS40, FAX 209-%6-SS49
t
Jrn.'�
GENERAL NOTES GUS GUARD TUFa1 ,
-
1. DESIGN LOADS: LIVE LOAD - )OLB.
15• LIGHT HEAVY -WEIGHT PLASTIC AND STEEL PADS MAY BE USED IN PLACE OF
WOLMANIZED PADS.
FLOOR LIVE LOAD - in pSQ
WIND LOAD - 80 MPH EXPOSURE -C-
SEISMIC ZONE -4^
16. E -Z TIE DOWN USED ON SINGLE -WIDE, ROUND STAKES (3/4 X 1.11 MAYBE USED IN PLACEMOBILEHOME
OF THE 1-X 1/8" FLAT BAR WHEN SOIL IS EXTREI.SFLy HARD
FOUNDATION SYSTEM
HEALTH -1) SAM -Ty CODE SECTION
• SNOW LOAD 100 PSF
OR IN ROCK. HOLES MAYBE
PRE -DRILLED WHEN NECESSARY.
ILL
2.. THIS FOUNDATION SYSTEM 1S DESIGNED TO BE CONSTRUCTED ON A FAIRLY LEVEL SITE
WITH NO E),7S77NG SOIL PROBLEMS.
17' GUS GUARD 711E-1 FOUNDATION SyS?EM pROV>DES ALLOWABLE SNOW LO 100 p5F
APPROVED
SUBIECI TO CORAEmONS NOTED
.WHEN INSTALLED WITH EXISTING S."ANDARDS REQUIRED BY COACH MANUFACTURER
OR
OR REPLACE TrIrM ON A ONE TO ONE BASIS.
A"WVALDoes NW A unaOM=e AU++eoruM
3. CHASSIS BEAM SUPPORT SHALL BE LOCATED AND SUED THE LOADS AS SHOWN IN
THE MOBILE HOME INSTALLATION INSTRUCTION.
1E• FOUNDATION BLACKS 16• x 16• x 12• poURED IN
a�lMMM at D
A"Lr-42U MTB LAWS MD 6
Stan:d�0104
4. IN AREAS WHERE DI FER8M7AL SETTLEMENT
PLACE AT GROUND LEVEL MAYBE USED.
AT INSTALLERS DISCRE HX AS ALTERNATIVE TO PADS.
�°0, °I H0using ad C°Qmnsiry D,,,i mmi
(D.S.I CAN OCCUR, MANUFACTURED
HOME SHALL BE READ16STED WHEN D.S. EXCEEDS 1/4' OR WHEN R WILL BE ADVERSELY
AFFECT
..
DTVfSI OF CODES AND STAtmARD6
MANUFACTURED HOME UNIT.
r
VARIES 80' - V
7 SEE TApLE e�J s�/[!T J
LUY11�
3. CARR)' ALL FOOTINGS DOWN 7'O FIRM UNDISTURBED SOII.. FOOTINGS ARE DESIGNED
FOR I0(KI PSF TOTAL LOAD SOIL PRESSURE AND
U ' S
I i S E
N0.
SHALL BE COMPATMLE WITH LOCAL
SOIL CONDITIONS. COMPACTED SAND MAY BE USED 7b FII1, LOCAL VOIDS UNDER PADS.
6. STRUCTURAL STEEL FABRICATE ACCORDING TO ASIC SpECMCA77ONS. WELD U U U ❑ ❑ LI
ACCORDING TO A WS SPECIFICATIONS. ELECTRODES - 770 PLA•ES -ASTM A76 BOLTS - . RIDGE BEAM .SUPPORT AS REG*,:)_
SAE OR 3 -ASTM A449 - ^STMT A7723. FBY HANU?ACTURzR - TYP.
7. THE GUS GUARD ASSEMBLES SHOWN BELOW SHALL BE LISTED AND LABELED BY BSK EJ^ a - a
AND ASSOCIATES FOR THE FOLLOWING LOADS:El El
ALLOWABLE LOADS HORIZONTAL VERTICAL u
GUS GUARD TUF-I 22000 60000
GUS GUARD MGP PAD 22000 60000
GUS GUARD E -Z TE PAD 22000 60000
B. DURING PRELIMINARY INSPECTION. THE ESTIMATOR SHALL ENSURE THAT MOBO. E
HOME CHASSIS BEAMS ARE OF STANDARD SECTION. // II
9. EXISTING COACHES MAY BE RETROFITTED TO RESIST SEISMIC FORCES BY INSTALLINt I / 2' NUKZ
GUS GUARD TUF-1 UNITS AS SHOWN ON THIS PAGE OF TYPICAL FOUNDATION PLAN S• PARS IN ANY PAIIL MAY
BE ROATED 90 DEGREE?$
10. THE GUS GUARD TUF-I SYSTEMS ARE SAFE FOR INSTALLATION IN FLOOD PLA% Ay77 CA OFFSET To OR7ER.SME
WHERE DEPTH OF FLOODING DOES NOT EXCEED THE HEIGHT OF THREE FEET. TO AVOID CLEARANCE
11. MULTIPLE UNIT INSTALLATION IS ACCEPTABLE PROVIDED THE NUMBER OF TUF-1 NTT BLEMS.
TT
PRO
UNDER EACH UNIT IS THE SAME AS SHOWN REQULRED PER EACH UNIT.
to-]
STANDARD MH FOUNDATION PIERS .
AS RECOMMENDED BY THE MANUFACTURER
OR THE ENGLNEFR TYPICAL THROUGHOUT,
12. SINGLE-WIDE�A B SINGLE WIDE UNITS
UNITS REQUIRE ADDCTIONAL RESTRAprr, • (SEE SIEEE; I' 1J)
17.ALL METAL COMPONENTS AND ATTACHMENTS �q E- 2' MIN / 8' MAX
►773MS SHALL BE PROTECTTVE CO ®B ■ S- B' MIM 18 MAX
GP PADS USE 1 1/8 LXTERIOR
14. FOR PCF RETENTION WITH DRYING�AFTERROTREATWITH OLMANIZED TREATMENT TT. OO
DOUBLE WIDE UNITS
E= 2' / 11-
S= 6'/ 22'
SHETE 2 OF 3
!E:p�-1�: I
- MGP OR PVC SB3Eb i
SUPPORT PAD
TYR .
TUF-1 PERMANENT
FOUNDATION SYSTEM
ABESCO -GUS GUARD COMPANY
P -0 -BOX I28
CATEEYS VALLEY, CA. 98706
209-966-SS40, FAX 209-%6-SS49
t
Jrn.'�
DOUBLE WIDE UNITS
E= 2' / 11-
S= 6'/ 22'
SHETE 2 OF 3
!E:p�-1�: I
- MGP OR PVC SB3Eb i
SUPPORT PAD
TYR .
TUF-1 PERMANENT
FOUNDATION SYSTEM
ABESCO -GUS GUARD COMPANY
P -0 -BOX I28
CATEEYS VALLEY, CA. 98706
209-966-SS40, FAX 209-%6-SS49
t
Jrn.'�
a
riBACKFILL W/ &C.
'IC IE,' F=
ASPHALT SET WrM CONCRETE PAD.
THINSET MORTAR !4, MAX
THICKNESS, f - 0.6
CONCRETE SET WITR CONCRETE PAD
S" RED READ OR EQUAL
2- FROM CORNER
TOTAL 4
CONCRETE SET WITH MGP PAD
• SINGLE WIDE UNITS REQUIRE GUS GUARD E -Z TIE PADS
Abfe
bus &w d W -d Piers" to De placed al apprwinafelr e4 if interrats olooV each /Fame mR
SR;G F.WME ANCHORAGE .carnAto>Aa� _
4 S
INSTALIA
E - Z TIE DOWN SYSTEM
PEA 3SX 7S' --NG and 065"CIN
MOBILEHOME PDUNDATION SynSW
HEALTH AND 5.5.'Ty CODE. SECTION IHSS 1
APPROVED
SUBJECT TO CORRECTIONS NOTED
AMROVAL DOCS NOT AUnMM OR APROVIA M
CM&'d4 OR DEVMON FROM ReQVMEbo�fi Cr
APPNC"LB STATE LAWS AND AMUL.O'ID,Q
Sute of CRBf"i,
Dcp-tmm1 of Bousins trod C-=Wty Dmkgm=
DfVLSI OF CODES AND STAND
ARDS
By Dau 5L3 dD
I��wert/
811 NO. 7D hof
rW PLo Ap w.1 Ey.
NP(�T 7918
TUF-1 PERMANENT
FOUNDATION SYSTEM
ABESCO - GUS GUARD COMPANY
F.O.BOX 128
CATB[EYS VALLEY. CA. 95306
209-966.5540, FAX 209-966-SU9
SHEET 3OF3
MULIT- WmF
UNITS
NGTH
DTH
F4'-1
24 26
28
40:
P TO 44'
8 8
8
8
"- 66
12 12
12
12
VER 66'
16 18
18
16
GLE WIDE UNITS
DTH10
V
12
14N18
8 8
8 8
10 10
' 1
• SINGLE WIDE UNITS REQUIRE GUS GUARD E -Z TIE PADS
Abfe
bus &w d W -d Piers" to De placed al apprwinafelr e4 if interrats olooV each /Fame mR
SR;G F.WME ANCHORAGE .carnAto>Aa� _
4 S
INSTALIA
E - Z TIE DOWN SYSTEM
PEA 3SX 7S' --NG and 065"CIN
MOBILEHOME PDUNDATION SynSW
HEALTH AND 5.5.'Ty CODE. SECTION IHSS 1
APPROVED
SUBJECT TO CORRECTIONS NOTED
AMROVAL DOCS NOT AUnMM OR APROVIA M
CM&'d4 OR DEVMON FROM ReQVMEbo�fi Cr
APPNC"LB STATE LAWS AND AMUL.O'ID,Q
Sute of CRBf"i,
Dcp-tmm1 of Bousins trod C-=Wty Dmkgm=
DfVLSI OF CODES AND STAND
ARDS
By Dau 5L3 dD
I��wert/
811 NO. 7D hof
rW PLo Ap w.1 Ey.
NP(�T 7918
TUF-1 PERMANENT
FOUNDATION SYSTEM
ABESCO - GUS GUARD COMPANY
F.O.BOX 128
CATB[EYS VALLEY. CA. 95306
209-966.5540, FAX 209-966-SU9
SHEET 3OF3
61
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01/12/2001 15:55 1-530-343-8496 COUSIN GARY'S HOMES PAGE 01
MWAW Wh* 40M
law MPS ,w4NO
on" a=
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i
APPROVED
Butte county
E9,vimnmental Health
to
Sign tui'e
x
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,
-
i.■■■ •...
_.8.a410■ ■
i788416
_
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Press mm�.
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APPROVED
Butte county
E9,vimnmental Health
to
Sign tui'e
x
11 . f:
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One form per Building)
School District Building Departent No.
A.P. Num txer.COLO Jurisdiction: City County
Property Owner
Property Location/Address [ S j D � Q V `; / L_.�„ �.�•,
i
Qqz-600
A
Subdivision Lot No.
Residential DevelopmentEzf
Sq. Footage
No of Living
Mobile Home
Addition 'Supplemental to
(Group R)
Units
Installation
Conversion Permit #
���
'(No foundation .inspection)s
I��V�:•/+�
CommerciaVl ndustrial
Sq. Footage
(Including Exterior
Roofed Areas)
Date
(Floor Plans reviewed by School District Personnel)
District Identification No. i i+
UYL,, ! -t7y --
School District certifies that
U (Applicant)
�{h eb
(Street Address) (Phone Number)
Vim �4 9S9&&
(City) /(/State) Q JZip Code)
has complied with the requirements of Resolution No. ! �✓ r 7 payment of $
representing square feet. AB 2926$
FULL MIT; ATION $
/ Kms• � i��✓' .Y, �' �o� vel "�Ql
School District Representative Date
f
Paid by Check # • /J/J 4
Remarks:
Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with
Government Code Section 660201a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit
you from challenging the imposition of the fees in any court action.
If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is
notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), j
this project may be subject to additional school fees to fully mitigate its impact on the school district's schools.
White (applicant), Yellow (building department), Pink (school district) feeformAs (10198)dmm
-COUNTY !DF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
.47 County PERMIT NO. Center Drive • Oroville, California 95965 • Telephone (530) 538-7541
_
(Rev. 12/96) APPLICATION AND -PERMIT' el
ASSESSOR PARCEL NUMBER
025-320-003
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
538-8001
SO. FT. OCC. BUILDING VALUATION
400 U 7,200.00
.OWNERS MAKING ADDRESS
4318 BIGGS BEND RD.# 14 YANKEE HILL CA
CONTRACTOR'S NAME
SKYCREST ENTERPRISES
TELEPHONE
342-2694
CONTRACTORS MAILING ADDRESS
13468 MY 99 EAST CHIM CA 95973
CONSTRUCTION LENDER
LENDER'S MAIUNG ADDRESS
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDINGADDRESS 5951 POWERHOUSE HIT 1. RD, DROVE I E CA 9 596
Energy Plan Checking Fee $
$
PERMIT FEE $
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater 1
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: NEW GARAGE
Gas piping stem 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
920.00
PERMIT FEE $
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service oon oa LE::
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.C
License Class Q.,-44- Lic. No. �qy �Z
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under'penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insure carriereqd policy number are:
Carrier 'i<4�t? wa–fid.
Policy Number
(The above sections need not be competed If the permit Is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 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
f with comly with those p ovi t ns.
X Date 1 `"o
Signature o App (cant - ❑ Owner ntractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction®/
of structures over 3 stories in height.
Main Service 200A TO 1000A 46.00
NEW CONST. DWELLING OCCUP. SO
OR ADDNS• ( a ACC. aLos. 3.5¢x:14.00
NO ID MULTI.OUTLET 97.50
POWER APPARATUS
BSINGLE OUTLET CIA.
EX. OCCU OUTLET OR FIXTURES
1
20 0 00
BAL p 50
FIX
Ex. Occup. DUTIETSREB,D° A 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $ 34.00
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEt $
Mobile Home Installation Fee I $
Energy Inspection Fee $
oc
FEE $ 217.35
&CONS.TOTAL
M
D
C7rJ
PARC_QJPD
H
ISS
This permit is hereby Issued under the applicable provisions
of th utte Coun Code and/or Resolutions to do work
i cate v fo w�ich fees have been paid.
Date
PERMIT EXPIRES ON Z 6
ate
ReceiptNo. 314684/$ 217.35
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
y�C(' 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
APPLICATION AND PERMIT
(Rev.12)86)
mseSSORPARMN UM80
ZONNe BUILDING PERMIT
oMneR O� a �� Tu�fONe SO, FT. OCC. BUILDING VALUATION
er .
J NG A00Res1e,�
\ ;\l
7__re
TO" N"
►��1 �. V% .an
TMJF"ONe
Lk ;tb 01 LA-
.0NrgACTORI Ao
C i CA
L- a
OONSTRL CrwN LME R
Fireplace
LM R*S ►wLNo ADOMS
Total Valuation s
ARCWTECTORV NEER UCEMENO'
Fee s 20.00
—Alina
Permit Fee s r
ARcNma OR v+oNEEA' uAUNO ADOMS
s
Plan CheckingFee
SULOM ADORERS-- Energy Plan Checking Fee s
S G r ® L. el vNkb c :\\ �J'
-D u • s
\.� u e C.0 k, _ cf 1 PERMIT FEE _
LOT NO. cUe0asla+s PANEL MAP PLUMBING PERMIT Filing Fee 20.00
Each Trap 7.00
USEOFSTRUCTURE Soler or heat pump water heater 23.00
SF ❑ Duplex O Mobilehome O Other G' Vi v I&- Water Water i in 15.00
° Each gas water heater or vent 15.00
TYPE OF WORK Gas piping system 1 - 5 outlets 15.00
New b' Addition ❑ Remodel ❑ Utilities O installation O Other O Building sewer 15.00
Mobile Home I S I G I W 920.00
Describe Work:
PERMIT FEE S
ELECTRICAL PERMIT 1 Filing Feel 20.00.
mss
Main Service zoo g: 23.00
Main Service 200A TO 1000A 46.00
CONST. DWELLM OCCUP. 3.Seso i
- OR AOONS. A ACC. OLDS.
(/ NOKRES10. NM cum 1. MVLTFO RANCH IRCL @7.50
C POWER APPARATUS
i SNOLE OUTLET dR
• OUTLET OR FUTURES 200 L.50
Ex. Occup. OAt .s0
Ex. Occup. ovn is Es ii.O-L L 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE s
*PERMIT � � � �/ MECHANICAL PERMIT Filing Fee 20.00
FEE PAID $ � Heating
SRA Cooling
Hood 8.50
SHERIFF $
Ventilation
OTHER $
$ PERMIT FEI= t
Mobile Home Installation Fee =
$ Energy Inspection Fee s
CO T' PE TO AL FEES 7 a ,
AMOUNT RECEIVED $ �� e 3 NAL °•SES 19.000 `° PAR PO NO LA
This permit Is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutkxte to do work
Indicated above for which fees have been paid.
l Y
*RECEIPT NUMBER 1 V
* TO BE PVT INTO COMPUTER By Date—
PERMIT EXPIRES ON
N
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541
PERMIT APPLICATION DATA SHEET
OWNER: t " ASSESSOR PARCE�mitted
0-e
Proposed Building Use Building Inspector:Date:
At time of permit application, I was advised the following data must berior to permit processing and/or issuance:
Date Received By
❑ 1. All iiems have been submitted .---------------------------------------------------------------------- ---------------
Plot plans, 3/4 sets, signed by the prepar'er of plans.------------------------------------------------------------
-omplete plans, 3/4 sets, signed by the;preparer of plans. -----------------------------------------------------
114. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. --------
❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------
116. Energy Design Compliance and supporting documentation. ----------------------------------------------------
t
❑ 7. Statement of Intent for Non -Heated and A/C Buildings.-------------------------------------------------------_
❑ 8. Hazardous Material Form. ----------------------------- ------------------------------------------------------------
0 9.
----------------------------r------------------------------------------------------------
❑9. Manufactured Home data and installation instructions including Tie Down Specifications l:----------------
❑ 10. Fees of $----------------------+--------------------------------------------'---------------
H
❑ 11. pact fees as shown on the attached schedule. -`------------ - - ---------------------------------------
California Department of Forestry plan approval/fee
s._#115.
lood elevation certificate. -------------------- --- Sanitation and plot plan approv a Department. --mt1q City of Chico plumbing permit.-----------------------------------------------------------------------------------
❑ 16. Plot plan and business license approval from the City of Biggs.
❑ 17. Planning approval for (A) Use: (B) Parking:
❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel.
❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). ---
E-120.
--
❑20. Pre -inspection for
required Request to Building Inspector on
021. Contractor's license information. (Number, Name Style, Classification).
022. Workers' Compensation carrier and policy number. -----------------------
E123. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). -.
0
24. Letter of signature authorization. --------------------------------------------
025. Recorded copy of Agricultural Acknowledgment Statement. -------------
❑ 26. Letter of intent on building use. ----------------------------------------------.
❑27. Manufactured Home utility clearance. ---------------------------------------
I
❑28. Existing violations and/or expired permits. ---------------------------------
❑29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $
030. Other:
��When'you issue the
L`3'Telephone Z
(Date)
prPj
)Jc�ws ❑ Mail to owner, ❑Mai o co actor..
((ffiid hold for pickup at office. ❑ Deli er with inspector.
Applica�i t-0
ate -
Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Dep ent, ❑ Air Pollution Date: By:
Copy of plans sent ❑ Health Department, ❑ Fire Department, ther: Date: By:
1. Index permit application for the'above items numbered: ❑ Plan Check List
2. Additional items required:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Buildin Di igro3pn unter, by Date:
Plans reviewed by: Date: Plans approved by: Date: eD
Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date:
Voll..... !`.,.... Tle.....+.........♦ ,.r Tl,. -...t'._------` r------- ^-- . , .�
E.H. IaE ONLY
Plot Plan Attached
Floor Plan Attaeped
n�
Sent to S.D. !'� /
`t TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
s�� I
Owner Location AP#
Plan Approved for: Sewage DisposalWater upply: Public Private Well
Clearance for dwelling. Other
Hold final for:
Final clearance O.K. for:
NOTE:
y
Environmental Health Specialist Date
8/96
`'OWN
A
I -J)elZ EIEADF-R `T�IZ WEAD�►�
I
L F M rA'v. H Om F E Ar
/WALL 16 SHMATVAr O VVI $/$
G--,yP 1WA0,0; uSF. Z - L11.1 MIN
I
I I tZ F_7<d RO vQ At.l,.s A -r c, A #,A6 C-
I
SHE A -r% -j w( 3/0.1, PLy wcX,)j
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t
\ DSL. TRIMMEt; (.1? HDR.
V/ALL
ak
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YARIF.S ® 30 R6F A "1
Z�
-01 it I& I
&I - Dt x -71 _ Oil POO K
MIA✓ 6.4v� SlDCG
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GARAGE FLOOR TAN
VARIF-5
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AAT ovib-7,,q
PERMIT NO. �
j PERMIT EXPIRES
i
• OWNER
Jimmy Lofton
(CONTR. owner
25-23-45.
{ LOCATION (A.P. )
E/S Powerhouse Hill Rd. , alp. i mi S. of
Palermo Rd., Oroville
�y
Temp. Power Pole
Called PG&E
Tem lec. Serv.1-/a" )9 C 4
Called PG&E
Temp. Gas Serv.
Called PG&E
• JOB
FINALED ��
(Date)
(Signature)
Framin Test Water Htr
tu
Scco Final Sub ane
Mesh( MECHANICAL Grd. FAR Prot.
Scrpich HeatIJ Servl e
wn CooAg T mp. Pole
Inish Du s nder round
I terior Lath . V ntilation Permanent
oor Closer anal anal
MOBILEHOME UTILITIES ------------------ Elec. Service—S�.(Q— Elec. Pedestal
Water Pitying Sewer �� 0 �� Gas Piping ��
BI E ME INSTALLATION - - - - - - - - - - - - Support ,. Elec. Continuity
Water Pining ���� 7% C Drainage Gas Piping
DATE REMARKS OR CORRECTIONS
9,4-� — leo
Cif
(NOTE: An entry must be made on this form each time you visit the job site.)
COUNTY OF BUTTE = DEPA•RTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING J BUILDING (Cont'd)
PLUMBING
ck
F ewall
Ski Piping
A6
Par ets
t Floor
Ma Bldg.
Restr m Finish
2n Floor
F tins
Window
3rd Noor
Ste wall
Siding
To out
Slab
Roof Sheaking
Water PlAg
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Stemwa N I
Garage Vents
' Insulation
Water Htr.
Heaters
Slab
Carport
p
Footings
Prov. for ph sicall
handica ed
Conformance of ex.
A structure
Appliances
Gas Piping &Test
Temp. Gas
Slab
Final
Sanitation
Patio
REP CE
Final
Footings
Footing
ECTR Idt L
isonry Wall
Throat
Rou h
Reinf. Sted
Finni
ci..h.—
Framin Test Water Htr
tu
Scco Final Sub ane
Mesh( MECHANICAL Grd. FAR Prot.
Scrpich HeatIJ Servl e
wn CooAg T mp. Pole
Inish Du s nder round
I terior Lath . V ntilation Permanent
oor Closer anal anal
MOBILEHOME UTILITIES ------------------ Elec. Service—S�.(Q— Elec. Pedestal
Water Pitying Sewer �� 0 �� Gas Piping ��
BI E ME INSTALLATION - - - - - - - - - - - - Support ,. Elec. Continuity
Water Pining ���� 7% C Drainage Gas Piping
DATE REMARKS OR CORRECTIONS
9,4-� — leo
Cif
(NOTE: An entry must be made on this form each time you visit the job site.)
MOBILEHOME INSTALLATION . IlQSPECTION CHECK LIST
1. Is the mobilehome located with equired separation from lot. lines and buildings and generally
conform to plot plan? Yes_ No_
2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes_ No t�
3. Are footings and supports properly sized, spaced, and braced as pe pproved plans? (Note
possible variation at spring shackles.) (Sec. 5082 &'5083) Yes_ No
4. Is the mobilehome level? (Sec. 5088) Yes_ No
5. If more an a single unit, are crossover connections properly installed? (Sec. 5088)
Yes No
6. Water
A. Is flx' a connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566)
Yes_ No_ ,�
B.. Test - Does water piping withstan working pressure or 50 lbs. air test? Yes �' No
C. Backflow - If coach is not S e o California approved, does station have backflow device
and pressure -relief valve? s No
7. Wastes and Drains
A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes I- <o
B. Does it have minimum 'k" per foot slope and is it properly supported? Yes L No
C. Are any leaks detected in drainage system after running 3-ga ons of water through each
fixture including washing machine standpipe? Yes No
D. If coac s of State of California approved, does stati+on have required trap and vent?
Yes
8. Gas Piping and Gas Vents
A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minisasa
mobilehome connector not more than 6 ft. long? Note:- All,piping•is to beat least as
large as the mob��N000
me gas line inlet without reductions other than the mobilehome
connector. Yes_ _
B.Test OK as per following procedure? Yes_ No
1. Open all appliance connector valves.
2.' Shut off appliance burner and pilot valves.
3. Air test with manometer to 10"-14" water column', or test with slope gauge (minimum
6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without
drop.
4. Connect gas meter to mobilehome with connector, turn on gas, test connections with
soapy water.
C. Are all appliance vents properly installed? Yes P No
9. Electrical
A. Is service large enough to provide adequate amperage -to mobileaome (must equal rdoing-of
mobilehome with a minimum of j- amp) 'and other facilities on lot, i.e., water pumps,
garage, cabana, etc.? Yes ( No_
B. Is there proper clearances around panels? Yes�No
P P
C. Is power supply cord or feeder assembly properly fused? Yes
D. Is continuity test satisfactory as per the following procedure? Yes_ No
1. De -energize electrical wiring system of the mobilehome at the pedestal.
2. Make sure that the power supply cord or feeder assembly conductors, including neutral
conductor, have been disconnected.
3. Switch all breakers and switches in the mobilehome to the "on" position.
4. Connect one lead of a test instrument to the mobilehome grounding conductor and
apply the other lead to each mobilehome supply conductor, including neutral,
5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line,
water line), including fixtures and appliances, shall be tested for continuity from
such equipment and the grounding conductor.
6. Upon completion of the above procedure, the power supply cord or feeder assembly
conductors shall be connected to the site service equipment. A further continuity
test shall then be made between the grounding electrode and the chassis of the
mobilehome. Upon satisfactory completion of the electrical tests, the lot or site
service equipment may be approved for energizing.
10. Is job card signed by Health Department for water and sanitation?
11. If everything okay, sign off card and tag services.
MOBILEHOME DATA
Manufacturer and/or Namestyle
Length�_� Width
Vehicle Serial No.
State Identification No.
Additional Information or Comments:
9-- F,2)c�,
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS — .. 7 COUNTY CENTER DRIVE
OROVILLE, CALIF. - 534-4541
CERTIFICATE OF OCCUPANCY
This mobilehome has been installed in accordance with the requirements
of the California Administrative Code, Title 25, Chapter -5, under permit
number �1�' 7 for the following location: �/� +CUJ)QA-
Owner - I I Vr%�
Owner's Address
®I
Mobilehome Mfg. Guerclvv, Model LL-J^IA IiP Year
Insignia No. Serial No.
It is hereby certified for occupancy at the above described location and
may be occupied.
Director of Public Works
Date __ Byi.
:l
THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED
White - Owner, Yellow - Installer, Pink - D.P.W.
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
OwnerCr�
Ma, I ingL7ddress
Contractor
Mailing Addresw,11 4e
1
Building Address
- %
Telephone No.
Telephone o.
A. P. No.
$
'—y�`j '-'
No. @
Zoning &Planning
$3.00
Plan Checking Fee &/or Penalty
5.00
Permit Fee
2.50
PLUMBING
No.1 @ FEE
.C.
S
ion
Fire Dept.
Fire Zone
Use Permit
EOA I
Plans Parking
Parcel
I Declaration
Parcel Ma p
60' R/W
I Improvements
JkSg. Plans Rec'd I Parcel Approval I Plans Approval
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
<— - Y_ o
Single Family ❑ Duplex ❑ Mobil Home V9 Others ❑
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style o :
O Qi,
(PvPC C 4
License No. L" 6l " .2 7Classification
❑ I am exempt from the Contractors License Laws of the State of Cal'ifomia.
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
M I have placed on file with the County of Butte a certificate of
orkmen'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.
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
authorize representatives of the County of Butte to enter upon the
above-ment' ned property for inspection purposes.
X Date
Signature of Permitee or Agent
Receipt No.2 3�3
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
_ BUILDING
SO. FT. I OCC. BUILDING VALUATION
Fireplace
$
Total Valuation
No. @
Permit Fee
$3.00
Plan Checking Fee &/or Penalty
5.00
Permit Fee
2.50
PLUMBING
No.1 @ FEE
PERMIT FILING FEE
J$3.00
Each Trap
1.50
Repair drainage or vent piping
1.50
Water piping
1.50
Each gas water heater or vent
1.50
Gas piping system 1 - 5 outlets
1.50
Each additional outlet
.30
Building sewer
5.00
Lawn sprinkler system
2.00
Permit Fee
$
ELECTRICAL
No. @
PERMIT FILING FEE
$3.00
Main service 100 AMP ORSLESS
5.00
Main service EA. ADD'L 100 AMP
2.50
Main service OVER
100 AMPP OR LESS O
25.00
Main service EA. ADD'L 100 AMP
1.00
NEW CONSTR. MUL I I.vU I Lt 1
NON.RESID. BRANCH CIRCUITS
2.50eE
NEWCONSTR.POWER APPARATUS a
NON .RESID. \ ( SINGLE OUTLET CIR.
Ex. OCcuo(OUTLETSOR FIXTURES
so��s¢
BAL910
FIXED APLNS
EX. Occup.(OUTLETSP(RESID )REA)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
6.25
Permit Fee $
MECHANICAL NO -1 @ I FEE
PERMIT FILING FEE J$3.00
Heating
Cooling
Ventilation
Hood 1 2.00
Permit Fee $ $ 3�1 100
Land Development Fee $
TOTAL PERMIT FEE is 30 a
This permit is hereby issued under the applicable provisions of
the BUAe County Code and/or resolutions to do work indicated'
abo f r which fees have been paid.
IR OR OF PUBLIC WORKS
Datey
Building rmit expires Date
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA.
PHONE: 534-4541
siteservice? --------------------------------------------------- YesNo
(If yes, identify the load and size: t ) (Load) (Amps)
9. What is the mobilehome site gas pipe size? ----=----------------- in.
10. What is the type of gas service? ----------------------------- 'Natural / / LPG Zr_/
11. What is the gas pipe length from meter or tank to the mobilehome? (ft.)
12. What is the mobilehome gas demand? ------------------------------ (BTU)
(This information not required if.pipe length -less than 6 ft. on natural gas
or less than 50 ft. on LPG.)
MOBILEHOME INSTALLATION SHEET
1.-
Owner's name. Z"14
2.
Installer's name: P&�s�r
Z
i-1 C
3.'
Is,the site currently under permit? Yes / / No
(If yes, furnish permit number 7713 E
) OR
Is the site an existing site? Yes / / No
(If yes, furnish two (2) plot plans.)
4.
Will the mobilehome be located at least 5 ft. away from
septic
tank
and leach fields and
clear of all setbacks and easements? Yes No
7�
( If no, clarify
)
5'.'
What' is' the mobilehome electrical rating? -----------------------
Amps
6.
What is the mobilehome site service rating? ---------------------
S^�
Amps
7.
What is the mobilehome site circuit breaker rating? ----------
CO,
Amps
8.
Is there"any'other electric load to be served by the mobilehome
siteservice? --------------------------------------------------- YesNo
(If yes, identify the load and size: t ) (Load) (Amps)
9. What is the mobilehome site gas pipe size? ----=----------------- in.
10. What is the type of gas service? ----------------------------- 'Natural / / LPG Zr_/
11. What is the gas pipe length from meter or tank to the mobilehome? (ft.)
12. What is the mobilehome gas demand? ------------------------------ (BTU)
(This information not required if.pipe length -less than 6 ft. on natural gas
or less than 50 ft. on LPG.)
MOBILEHOME SUPPORT DATA
] If other than single wide, c,
Mobilehome Mfr. 6V L furnish Setup Model No. WD .262/5- Year /7
Width 2 (ft.) Box Length_(ft.) Tagalong or Expando Size ft. x ft.
(SHOW SUPPORT DETAILS BELOW)
On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation
manual and structural setup sheets (if not on file with the County of Butte).
All center supports measured from of
mobilehome unless otherwise specified.
D� 00 I x�`�I
(ft.)(in; (in.) (in.)
Center support
locations*
(ft.)(in.)
(ft.)Lin.)
Center support
footing sizes
(in.)
(in.) (in.)
(in.) (in.)
I x
(in.) (in'.)
')-I x a4
(in.)I (in.)
Footings (check one)
Single 1. Wood either
pressure treated or
foundation grade.
2. Other (specify)
*If center piers are other than drawn above,
draw in locations, spacing, and dimensions.
Supports (check one)
1: Concrete block.
2. Other (specify)
--Tagalong or Expando,
show support details.
1;L_1 xz, ' -- Typical Support
in.) (in.) Footing Size
-- Max. Pier Spacing
(ft.)(in.)
/ -- Max. Overhang
BUTTE COUNTY
BUILDING DEPARTMEN1
APPROVED
0
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
+ 7 County Center Drive Oroville, California 95965
Telephone: 534-4541 62,
j
APPLICATION AND PERMIT
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
Mailing Address G Zla— 7Gels l L T
Telephone No.277r
Contractor V
Mailing Address
Fireplace
Total Valuation
Telephone No.
Permit Fee
Building Address S^ �W2 �
Plan Checking Fee &/or Penalty
--
Permit Fee
0 �,
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00 00
Each Trap 1.50
I/
epair drainage or vent piping 1.50
A. P. N ;Z S Z _3—t
�•
Zonln & Planni
Water piping 1.50 /0,001
Each gas water heater or vent 1.50
s I
W\t. Sa on
FireDept.
FireZone
Use Permit
Gas piping system 1 - 5 outlets 1.50 f IOv
EQA
Parking Parcel
Plans Declaration
parcel Map
60' R/W
Improvements
Each additional outlet .30
Building sewer 5.00 %p,vd
Bldg. P s Recd
Parce A oval
Plan Approval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES OTHER ❑
permit Fee $
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00 –3.00
600V OR LESS
Main service 100 AMP OR Less 5.00 ,:%C)
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Main service EA. ADD'L 100 AMP 2.50 ;� Jrq
Main service OVER 600v 25.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 1.00
NEW OR ADDNST ( ACCLBLDGS.LING CCUP. S) 20sgft
CONTRACTORS LICENSE LAW
I am- licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
st le of:
y
TLET
NEW CONSTR BRANCH CIRCU 1
NON.RESID � BRANCH CIRCUITS/ 2.50ea
NEW CONSTR POWER APPARATUS d
NON-RESID. SINGLE OUTLET CIR.
Ex. OCCUD(OUTLETS OR FIXTIIRES 1 5 L�
Ex. Occu FIXED APPLNS. OR
p• OUTLETS (RESID.) EAY 2.00
Temporary service 10.00
Mobile Home Facilities 15.00 /5,00
License No. Classification
Misc. Wiring 6.25
� � e v t..
Vh
aam exempt from the Contractors License Laws of the State of California.
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
.5QI 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. @ FEEPERMIT
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
Land Development Fee
$
E FE
TOTAL PERMITIse,
$
oU LI
IUI ILC IUJAt;bCIIIGIIVCS UI llle %1UUIIty UI DUlle to enter upon ine
above-mentioned property fo inspection purposes.
;rtml
XDategnotur of Permt e or Ag nt
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 IC WORKS
By /- Dates' 71�
ding permit expires Date ����
• , ....� _ ��.Y � A yrs' C�N.s
This set of plans and specifications MUST be
kept on the job at ail times and it is ,unlawful'tc
make any changes or alterations on same without
wri-hten permission from the Department of Pu6-
1',c Works, County of Butte.
NOTE:—All Materials & Workmanship Shall Be in
Accordance w„h Recognized Good Practicesa and
of a quality prescribed for the Specified use in the
Uniform Building, Plumbing & Mechanical Codes and
the National Electrical; Codes
All utility connections shalj e
located within 4 ft. outside the rear
Aird section of the mobile home
on the left (road) side of the r--L"-
home, .
.rr
je�nferline
/ t977
e E�j. Setback shall be 5 ft. from thee property line and 50 ft. from they
of the road, permitting a m xi-qm of a 2 ft. eave overhang butWely
of all easements.
Septic system and'location of ice.
to 6e ,as
Butte County Health De per
Dept.
quirements. P Re -
A permit vrill be re:iuired for f e
insta!lartion of the mobilehome.
`"""" «ivR4. iia. .,,,. , /•d�,�;�:. & �,,,,,,„ ,
4
i
BUTTE COUNTY
BUILDING DEPARTMEN
APPROVED
i
:lam.»
s
Septic system and'location of ice.
to 6e ,as
Butte County Health De per
Dept.
quirements. P Re -
A permit vrill be re:iuired for f e
insta!lartion of the mobilehome.
`"""" «ivR4. iia. .,,,. , /•d�,�;�:. & �,,,,,,„ ,
4
i
BUTTE COUNTY
BUILDING DEPARTMEN
APPROVED
i
:lam.»
NOTES
RESIDENTIAL
i 025-320-003 01-0370
NEAL, ROBERT & RUTH
5951 POWERHOUSE HILL RD., OROVILLE
CONTR: SKYCREST ENTERPRISES
NEW GARAGE
II SPECIAL CONDITIONS II
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
1
JOB FINALED (Date)
Signature
CHECKED
BY
1..
a
t
f.
i,
t
i'
1,
r
t�.
t
t
j�
f
4
1
i
RESIDENTIAL
i 025-320-003 01-0370
NEAL, ROBERT & RUTH
5951 POWERHOUSE HILL RD., OROVILLE
CONTR: SKYCREST ENTERPRISES
NEW GARAGE
II SPECIAL CONDITIONS II
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
1
JOB FINALED (Date)
Signature
CHECKED
BY
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538;7541PERMIT NO.
(Rev.12/96) 1 i , ,APPLICATION AND PERMIT- lelw ZZ? -*76
ASSESSOR PARCEL NUMBER I 'so -- •
025-320-003
ZONING
BUILDING PERMIT
OWNER
� RORM UM
TELEPHONE
538-8001
SO. FT. OCC. BUILDING VALUATION
2on.
on
. OWNERS MAILING ADDRESS
4318 BIGGS BEND RD.# 14, YANKEE Hn1 CA
CONTRACTOR'S NAME
SKYCRES'T ENTIMPRISFS
TELEPHONE
342-2694
CONTRACTORS MAILING ADDRESS
13468 WY 99 FAST CEIGO CA 95973
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $ 9 -
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$ AQ ,00
ARCHITECT OR ENGINEERS MAILING ADDRESS
*
Plan CheckingFee
$ A e;
BUILDING ADDRESS
5951 P014M OUSE HILL RD.. OROVI JE, CA 95
Energy Plan Checking Fee
-
$
$
PERMIT FEE
$ 1 RQ
LAT NO.
SUBDNISIONS NAME
PARCEL MAP
PLUMBING PERMIT _
Filing Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition O Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: NW GARAGE
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G W
Q20.00
PERMIT FEE
$ 1
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service ' noon.R iso
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 C.—LA-+ Lic. NO. :Kq.% LA \-I—
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ 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.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit Is Issued.
My workers' compensation insuran ec@,carrier a d policy number are:
Carrier '-�-ws [/�
Main Service 200A TO 1000A
-.•-.-46.00
NEW CONST. DWEWNO UP.
OR ADDNS. ( a Acc. BLDS.,
O 0
"-14.0
3.5¢FT. 4•A7y%.
NOWREW ESIO.' MUL 11INLETCUITS
@7.50
FOWER APPARATUS
a SINGLE OUTLET CIR.
OUTLET OR FIXTURES
Ex. Occup.&LL
20 ® 1'00
@ .so
LNIS
Ex. Occup. ops APPID,°R
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
$ 34.OD
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEt
$
jS-A;dA?
Policy Number I �_L7.,N 8
(The above sections need not be completed If the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 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 co m ly with those provis'3ns.
h ^�
X %�o Date 14—l/�
Signature of Applicaptf- ❑ Owner O Irontractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height. - 1 '`
9
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
coNs J PE 217 35
' TOTAL FEE $
..w
HAZ.
.
D. FEES IMP FLOOD
,,
CD.
j�
W
PARCEL
,s..
Po
HD
ISSUE
V
This permit is hereby Issued under
of the Butte County ,Code and/or
indicated above`for thiKh fees have
By _ ''U!
PERMIT EXPIRES ONE
the applicable provisions
Resolutions to do work
been paid.
Date
t!
ate
ReceiptNo. 314W4/$ 217.35
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
/= OK
0 = Not OK
- = Not Applicable =Not Ready
MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
ootings; Soils -Size -Depth -Spacing -Connectors -Steel
Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
Wood Awn.; Posts- Beams- Rftrs.-Connectors
Shthg.-Frg-Bracing
1.
Zoning Requirements -Setbacks -Easements
6.
2.
Soils; Special MH Support Sketch
Electric
3.
Sewer; Location -Test -Fall -C/O -Concrete
9.
4.
Water; Location -Test -Easement Needed (Sketch)
Root; Shthg-Roofing
5.
Electricity; location-Clearances-Grnd-/ /Amp -Concrete
Elec.; Receptacles and Lighting, Distance-GFI
6.
Gas; Location -Test -Wrap;-/ /" L'ft.
/ P Nat. or / /"L"ft./ PLPG
Elec.; Pool Lighting; 15 Volts-GFI
7.
Well Clearance & Disconnect
Elec.; Enclosures; Conduit Entries -Terminals -Listed
8.
Utility Clearance
Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8.
Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes- Enclosures- Panelboards-Ins. to Main in Conduit
9.
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.
Zoning Requirements -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 Cert.
10.
Exits; Insp.-Sketch
11.
Cert. of Occupancy
12.
Permanent Foundation Only; 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 #'s
G�tCard B-1 Date Card B-1 /
onin quirements-Setbacks-Easements
2
3.
4.
ootings; Soils -Size -Depth -Spacing -Connectors -Steel
Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
Wood Awn.; Posts- Beams- Rftrs.-Connectors
Shthg.-Frg-Bracing
5.
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6.
Carports; Windows -Doors
7.
Electric
8.
Frmg.; Sills -Anchors- Studs- Rhrs-Trusses
9.
Siding; Nailing -Veneer -Stucco -Mesh
10.
Root; Shthg-Roofing
11.
s- Doors- Landings
raced Wall Panels
Date
G�tCard B-1 Date Card B-1 /
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
1.
Setbacks -Easements
2.
Soils; Compaction -Structure Stability
3.
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4.
Elec.; Receptacles and Lighting, Distance-GFI
5.
Elec.; Pool Lighting; 15 Volts-GFI
6.
Elec.; Enclosures; Conduit Entries -Terminals -Listed
7.
Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8.
Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes- Enclosures- 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
J = OK
0 = Not OK
- = Not Applicable
= Not Ready
RESIDENTIAL (E
Date
46.
Underfloor (Plans) OK except #'s
1.
Zoning -Setbacks -Easements -Flood -Slope
2.
Ftg., Main; Soils-Elec. Grnd.-/ /" Fig. Depth
3.
Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth
4.
Fig., Porches & Decks; Soils -Steel-/ P' Ftg. Depth
5.
Stemwalis, Main; Steel-Blockouts-Wrapped
6.
Stemwalls, Garage; Steel-Blockouts-Wrapped
6a.
Hold Downs and Special Anchors
7.
Slab, Steel -Wrapped
8.
Piers -Fireplace Ftg.-Steel
9.
D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10.
UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test
11.
Water Pipe; Test -Anchors -Regulator -Service Test
12.
Electric Underground
13.
Plenums & Ducts; Clearance -Material -Support -Ins.
14.
Girders -Sills -Anchor Bolts -Joists- Vent s-Crippies
15.
Access & Ventilation
16.
Insulation
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
63.
PLUMBING (Permit) OK except #'s
17.
Water Htr.; Vent -Access -Combustion Air Baffle
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 & Showe,, Second Floor -Tub Access
22.
Gas Pipe; Sixe & Anchors
70.
Fireplace or Stove, Clearance -Hearth
Date
71.
Card B-1 Date Card B-1
Date
72.
Card B-1 Date Card B-1
Date
73.
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 / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al
30.
Range Circle / / ga Cu or Al -Oven Circ. / / ga Cu or Al
Insulated Neutral C) Yes J No
31.
Service -Riser Conductors & Ground Main Disconnect
32.
Equip. Clearances Panels-Motors-Mech. Equip.
33.
Clothes Closet Light -Shower Light -Spa Light
34.
Smoke Detector
85.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
Date
86.
Card B-1 Date Card B-1
Date
87.
Card B-1 Date Card B-1
Date
88.
MECHANICAL (Permit) OK except #'s
35.
A.C. Ducts Insulation & Support
36.
Vent Fan, Exhaus- 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
94.
Address Posted
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FRAMING (Permit) OK except #'s
Comments at Final:
40.
Sills Proper Materials & Anchors
41.
Walls Studs-Nailirg Spacing & Braces -Plates -Sound
42.
Bearing Walls over Girders & Floor Nailing
43.
Draft Stop in Walls (rat proof)
44.
Fire Stops, Furrec Ceilings -Stairs -Chasers -Tubs
45.
Headers & Beams -Size & Bearing
jingle & Duplex)
Date
FRAMING (Continued)
46.
Hangers -Post Caps -Anchors -Connectors
47.
Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Ring.
48.
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
49.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
50.
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
51.
Garage Fire Protection Framing
52.
Property Line Firewall & Openings
53.
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
54.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
55.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
56.
Siding -Nailing Veneer
57.
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
58.
Glazing Area -Glass Protection -Skylights -Plastic
59.
Shear Walls; Nailing -Bolts
60.
Brace Interior/Exterior Wail 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.
Insulation -Foam -Looked in Attic
80.
Guard Rails & Deck Construction -Post Caps
81.
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor Q Yes
82.
Following Instld./Drive J Yes J No/Walks J Yes J No/Planters J 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 -Underground
88.
Ventilation Throughout House
89.
Glass Protection
90.
Corrections from Previous Inspections
91.
Gas Test -Meters Tagged, Gas -Electric
92.
Water & Sewer Connected -C/O to Grade -HD Approval
93.
Energy Compliance Certificate -Other Certificates
94.
Address Posted
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Comments at Final:
NOTES
RESIDENTIAL
'025-320-003 01-0329
NEAL, ROBERT & RUTH
15951 POWERHOUSE HILL RD.OROVILLE
CONTR: SKYCREST ENTERPRISE
NEW MH ON PERM FND EX SITE
_ __HI
_ _
THE HCD FORM 433A FOR THIS MH_ CANN_OT'
BE RECORDED UNTIL ONE OF THE FOLLOWING
HAVE BEEN TURNED IN TO THE BLDG DIV:
(1) LICENSE PLATE(S) or DECAL(THE
INSPECTOR MUST RETRIEVE)
(2) STATEMENT OF FACTS(ONLY ON
NEW MH'S)
INSPECTOR TO VERIFY SERIAL & LABEL #'S
SPECIAL CONDITIONS
CHECKED
BY
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS _
SUB -STANDARD HOUSING LETTER _
OFFICE COPY
Address
I
GAS Meter B2����_ �
ELECTRIC
Meter By Date
I
I JOB FINALED (Date
Sign ure
r
t
I
RESIDENTIAL
'025-320-003 01-0329
NEAL, ROBERT & RUTH
15951 POWERHOUSE HILL RD.OROVILLE
CONTR: SKYCREST ENTERPRISE
NEW MH ON PERM FND EX SITE
_ __HI
_ _
THE HCD FORM 433A FOR THIS MH_ CANN_OT'
BE RECORDED UNTIL ONE OF THE FOLLOWING
HAVE BEEN TURNED IN TO THE BLDG DIV:
(1) LICENSE PLATE(S) or DECAL(THE
INSPECTOR MUST RETRIEVE)
(2) STATEMENT OF FACTS(ONLY ON
NEW MH'S)
INSPECTOR TO VERIFY SERIAL & LABEL #'S
SPECIAL CONDITIONS
CHECKED
BY
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS _
SUB -STANDARD HOUSING LETTER _
OFFICE COPY
Address
I
GAS Meter B2����_ �
ELECTRIC
Meter By Date
I
I JOB FINALED (Date
Sign ure
✓ = 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
3.
Sewer; Location -Test -Fall -C/O -Concrete
4.
Water; Location -Test -Easement Needed (Sketch)
5.
lectricity; Location-Clearances-Grnd-/ /Amp -Concrete
12.
Gas; Location -Test -Wrap;-/ L -ft.
/ P Nat. or/ /-L-ft./ ✓PLPG l
7.
Well Clearance 8 Disconnect
8.
Utility Clearance
Card B-1 Date Card B-1
Date
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date MOB!
HOME INSTALLATION (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
Footings; Size -Spacing -Marriage Line
G , MH Test -Demand -Valve -Connector
2.
Electricity; MH Test -Crossovers -Breakers -Clearances
5.
D in; MH Test -Fall -Flex Connector
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
Water; MH Test -Regulator -Connector
4.
ter and Sewer Connected -C/O to Grade -HD Approval
L'e8.
Gas and Electricity Tagged
9.
Ti owns -Type -Installation Cert.
6.
Exits; Insp.-Sketch
11.
Gert. of Occupancy
2.
Permanent Foundation Only; License Decal
8.
Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes- Enclosures- Panelboards-Ins. to Main in Conduit
Dat .,J P, Q /tard
Date
B- Date Card B-1
Card B-1 Date Card B-1
•
o�
r
-7c:Z
�P l�3 `76834qA__,
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors
Shthg.-Frg-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8.
Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9.
Siding; Nailing -Veneer -Stucco -Mesh
10.
Roof; Shthg-Roofing
11.
Ext.; Steps -Doors -Landings
12.
Braced Wall Panels
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
1.
Setbacks -Easements
2.
Soils; Compaction -Structure Stability
3.
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4.
Elec.; Receptacles and Lighting, Distance-GFI
5.
Elec.; Pool Lighting; 15 Volts-GFI
6.
Elec.; Enclosures; Conduit Entries -Terminals -Listed
7.
Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8.
Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes- Enclosures- 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 Readv
RESIDENTIAL (Single & Duplex)
Date
FRAMING (Permit) OK except #'s
Underfloor (Plans) OK except #'s
Sills Proper Materials & Anchors
1.
Zoning -Setbacks -Easements -Flood -Slope
42.
2.
Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
Draft Stop in Walls (rat proof)
3.
Fig., Garage; Soils-Steel-Elec. Grnd.-/ f' Fig. Depth
45.
4.
Ftg., Porches & Decks; Soils -Steel-/ P' 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/O -Sewer Test
10.
UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test
Date
11.
Water Pipe; Test -Anchors -Regulator -Service Test
Date
12.
Electric Underground
Date
13.
Plenums & Ducts; Clearance -Material -Support -Ins.
Comments at Final:
14,
Girders -Sills -Anchor Bolts -Joists- Vent s-Crippies
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
17.
Water Htr.; Vent -Access -Combustion Air Baffle
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
69.
Stairs & Rails
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 / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At
30.
Range Circle / / ga Cu or Al -Oven Circ. / / ga Cu or AI
Insulated Neutral ❑ Yes U No
31.
Service -Riser Conductors & Ground Main Disconnect
32.
Equip. Clearances Panels-Motors-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 -t Date Card B-1
Date
Card B -t Date Card B-1
Date
FRAMING (Permit) OK except #'s
40.
Sills Proper Materials & Anchors
41.
Walls Studs -Nailing Spacing & Braces -Plates -Sound
42.
Bearing Walls over Girders & Floor Nailing
43.
Draft Stop in Walls (rat proof)
44.
Fire Stops, Furrec Ceilings -Stairs -Chasers -Tubs
45.
Headers & Beams -Size & Bearing
Date
84.
FRAMING (Continued)
46.
Hangers -Post Caps -Anchors -Connectors
47.
Cling. Joist-Rftr. Ties-Purlin-Roff Brac.-Truss-Shting.-Ring.
48.
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
49.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
50.
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
51.
Garage Fire Protection Framing
52.
Property Line Firewall & Openings
53.
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
54.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
55.
Plywood on Root Overhang -Attic Vents -Rafter Outriggers
56.
Siding -Nailing Veneer
Date
57.
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
Date
58.
Glazing Area -Glass Protection -Skylights -Plastic
Date
59.
Shear Walls; Nailing -Bolts
Comments at Final:
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. Insulation -Foam -Looked in Attic
80. Guard Rails & Deck Construction -Post Caps
81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor O Yes
82. Following Instld /Drive J Yes J NoMalks J Yes J No/Planters J Yes J No
83. Stucco Brown -Finish
84.
A.C. Unit Disconnect, Electrical -Plumbing
85.
Vents Above Roof, Pibg-Appliance-Fireplace-Clearance to Openings
86.
Water Well, Disconnect, Electrical, Plumbing
87.
Exterior Elec. Trim, G.F.I. Receptacle -Underground
88.
Ventilation Throughout House
89.
Glass Protection
90.
Corrections from Previous Inspections
91.
Gas Test -Meters Tagged, Gas -Electric
92.
Water & Sewer Connected -C/O to Grade -HD Approval
93.
Energy Compliance Certificate -Other Certificates
94.
Address Posted
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Comments at Final: