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HomeMy WebLinkAbout025-320-015(A f RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 2006-0034836 Recorded I REC FEE 10.00 Official Records I County of I CONFORMED COPY 1.00 Butte I Cff1m J. 6RLIBBS I County Clerk-Recorderl I I CW 011:1%M 07 -Jul -2006 I jiPage 1 of.2 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. JAMES J. REUST TRUSTEE REAL PROPERTY OWNERILESSOR ` 7 COUNTY CENTER DRIVE 175 MOMS LN. MAILING ADDRESS MAILING ADDRESS OROVILLE BUTTE CA OROVILLE BUTTE _ CA 95966 CITY COUNTY STATE ZIP SAME BU G PERMIT NO. TELEPHONE NUMBER INSTALLATION MAILING ADDRESS, IF DIFFERENT - AjAmM SAME SIG CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAI LING ADDRESS . SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY ` 7 COUNTY CENTER DRIVE HOMETTE MAILING ADDRESS DATE OF MANUFACTURE OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 06-1377 530 538-7541 BU G PERMIT NO. TELEPHONE NUMBER AjAmM '7-3-0 G SIG TURE OF LOCAL ENCY OFFICIAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. SKYLINE 1978 HOMETTE MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER 03750541AM/BM J 52'X 24' CAL136308/9 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER 025-320-015 I HCD FORM 433(A) REV'8/91 WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD- Building Dept. EXHIBIT "A" the real property in the 0;I Ikf unincorporated area of the County of Butte State of California, described as PARCEL I: PARCEL 1, AS SHOWN ON THAT CERTAIN PARCEL MAP, BEING IN THE SOUTHWEST QUARTER OF THE SOUTHEAST QUARTER OF SECTION 12, TOWNSHIP 18 NORTH,'RANGE 3 EAST, M.D.B. & M., WHICH PARCEL HAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON SEPTEMBER 14, 1979, IN BOOK 73 OF MAPS, AT PAGE 13. PARCEL II: A NON—EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES KNOWN AS MOI -;'S LANE, AS SHOWN ON THAT CERTAIN PARCEL MAP, BEING IN THE SOUTHWEST QUARTER OF SECTION 12, TOWNSHIP 18 NORTH, RANGE 3 EAST, M.D.B. & M., WHICH PARCEL MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON SEPTEMBER 14, 1979, IN BOOK 73 OF MAPS, AT PAGE 13. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. i } T- FOUNDATION SYSTEM CERTIFICATE OF OCCUPANCY BUILDING PERMITS NUMBER: 06-1377 Address or location of unit: 175 MOMS LN., OROVILLE CA 95966 Legal Description of Real Property: 025-320-015 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: JAMES J REUST TRUSTEE Owner's address: 175 MOMS LN., OROVILLE CA 95966 INSIGNIA OR HUD NUMBER: CAL136308/9 SERIAL NUMBER OR V.I.N.: 03750541AM/BM MANUFACTURER'S NAME: SKYLINE YEAR: 1978 OFFICIAL APPROVING INSTALLATION: iU01 Aft_ DATE: q -3-C4 PHONE: (530) 538-7541 H.C.D. 513C Recording requested by and when recorded mail to: Law office ALBERT K. MARTIN 4 West Fourth Avenue #508 San Mateo, CA 94402 Mail Tax Statements to: 20m4 —0�4 8639 Recorded Official Records CoBBUUTT Of CANDACE J. BRUBBS Recorder ROSEMARY DICKSON Assistant 09:02AM I"ug-2004 REC FEE 10.00 SHORTAS -1.50 Barbara Page I of 2 No Tax Due - No Consideration JAMES J. REUST, Trustee ��.�-•-��� 6039 Greenridge Road Attorney Castro Valley, CA. 94552 THIS IS A TRANSFER TO REVOCABLE TRUST WHEREIN GRANTOR/TRUSTE AND BENEFICIARY ARE SAME PARTY GRANT DEED JAMES J. REUST hereby grants unto JAMES J. REUST, Trustee under the JAMES J. REUST 2004 TRUST AGREEMENT dated July 8, 2004, all of her right, title and interest in and to that certain real property situated in an unincorporated area of the County of Butte, State of California, and more particularly described as: SEE EXHIBIT "A" APN# 025-32-0-015-0 July 8, 2004 STATE OF CALIFORNIA) ATTACHED HERETO )ss. COUNTY OF SAN MATEO) Patricia Prevette i On this 8th day of July, 2004, before me, a Notary Public in and for said county and state, personally appeared JAMES J. REUST, personally known to me/or proved to me upon satisfactory evidence, to be the person whose name is subscribed to the within instrument and acknowledged to me that he executed the same in his authorized capacities, and that by his signature on the instrument the person, or the entities upon behalf of which the person acte executed the in ent. Witness my hand and official sea Patricia Prevette, N taly Public in and for said county and state - my com. F—R PATRICIA PREVME Exp: 12/06/04 . COMM. 01285479 £ NOTARY PUBLIC - CALIFORNIA 1_R SAN MATEO COUNTY ►+N Co�rnkeion E�Iroa Oee. 8.2001 EXHIBIT "A" the real property in the Oyy/bf unincorporated area of the County of Butte State of California, described as PARCEL I: PARCEL 1, AS SHOWN ON THAT CERTAIN PARCEL MAP, BEING IN THE SOUTHWEST QUARTER OF THE SOUTHEAST QUARTER OF SECTION 12, TOWNSHIP 18 NORTH, RANGE 3 EAST, DI.D.B. & M., WHICH PARCEL NAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON SEPTEMBER 14, 1979, IN BOOK 73 OF IJAPS, AT PAGE 13. A NON—EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES KNOWN AS MOM'S LANE, AS SHOWN ON THAT CERTAIN PARCEL MAP, BEING IN THE SOUTHWEST QUARTER OF SECTION 12, TOWNSHIP IS NORTH, RANGE 3 EAST, M.D.B. & M., WHICIi PARCEL ILAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF TILE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON SEPTEPffiER 14, 1979, IN BOOK 73 OF MAPS, AT PAGE 13. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. ' BUILDING PERMITS NUMBER: 06-1377 Address or location of unit: 175 MOMS LN., OROVILLE CA 95966 Legal Description of Real Property: 025-320-015 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. r Owner's. name: JAMES J REUST TRUSTEE Owner's address: 175 MOMS LN., OROVILLE CA 95966 INSIGNIA OR HUD NUMBER: CAL136308/9 .SERIAL NUMBER OR'V.I.N.: 03750541AMJBM MANUFACTURER'S NAME: SKYLINE YEAR: 1978 OFFICIAL APPROVING INSTALLATION: � t DATE: PHONE: (530) 538-7541 H.C.D. 513C r 025-320-015 06-1377 V, r' ._ 'ITaaFn NOTES REUST, JAMES 175 MOMS LN, OROVILLE ,Cont- SIERRA MHS IcO° MH PERM FND (EXD I • \-KCJ117LN 7"1H`L APN: Permit No. Owner. Site Address: Contractor. Type of Permit: y 4'0A-04 of 1 1 A .Z i SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUBSTANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE DATE JOB FINALED: - (� v SIGNATURE I rucrKcn my BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE M (530) 538-7541 PERMIT'NO. BP061377 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 06/08/2006 APN: 025-320-015-000 the Business and Professions Code, and my license is in full force and effect. X 17036 Site Address: 175 MOMS LN ORO License Cl s : // License Number'. G - Contractor: Map Index: Date: Description: EX MH EX SITE PERM FNDN (1248) OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: REUST, JAMES J TRUST permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a 175 MOM'S LN signed statement that he or she is licensed pursuant to the provisions of OROVILLE, CA the Contractor's State License Law (Chapter 9 commencing with Section 95966 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the. basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ 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 (Sec. 7044, Business and Professions Applicant: SIERRA MOBILE SERVICE Code: The Contractors' State License Law does not apply to an BILL REID owner of property who builds or Improves thereon, and who does such work himself or herself or through his or her own employees, 466 CIRCLE DRIVE provided that such improvements are not Intended or offered for OROVILLE, CA 95966 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of 530-534-0599 proving that he or she did not build or improve for the purpose of sale.). ❑ 1, as owner. of the property, am' exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does _ Contractor: SIERRA MOBILE SERVICE not apply to an owner of property who builds or Improves thereon, BILL REID and who contracts for such projects with a contractor(s) licensed , pursuant to the Contractors' State License Law.). 466 CIRCLE DRIVE EII am Exempt under Article 3 of the Business and Professions Code OROVILLE, CA 95966 530-534-0599 Date: Owner: License #: 470386 WORKERS' COMPENSATION DECLARATION I 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 Architect: is issued. Engineer: ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: F Carrier: Total Square Ft: 0 S. F. Policy #: �(� S7 Valuation: $0.00 Census Code: ❑ 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 the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply wi h th se provisions. Date: Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. _ n �(^O ) 44q �,1 CONSTRUCTION LENDING AGENCY This permit Is hereby is&ued under the applicable provisions of the Butte County Code and/or ---- I hereby affirm that there is a construction lending agency for the 3097 Civ.) Resolutions to d w dicate bove for which fees have been paid. (/p performance of the work for which this permit is issued (Sec By. Date:"' Name: V PERMIT EXPIRES ON: Address: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information Is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. 1 acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: rf Signature: OC Date: -� ❑ Ownertractor C3Agent for Owner ❑Agent for Contractor B. C. nunoing Permit v i -;o -vv Ny +=OK e = Ner AK MANUFACTURED HOMES MISCELLANEOUS - FFCK DATE PERMANENT FOUNDATION SOFT -SET ITEoningSetbacks-Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; Fall/C/O-Concrete 4 Wtr; Loctn Test -Easement Needed -Regulator 5 Elec Loctn-Clrncs-Gmd Am -Concrete 6 Yard Gas; Loctn-Test Wrap . Nat or LP❑ . Inch Sz Ft Lngth B g; SzSpacing-Marriage Une -•'+�as; MH Test -Demand Valve-Cnnctr 4. 4V 9 Elec MH Cntnty Test -Crossovers -Breakers -Dimes 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -C/O to Grade 12 G� and Electricity Tagged AYfie Downs ❑ Foundation 14 Exits 15 C�t of Occupancy 11UD LabeUlnsignia Numbers Serial Numbers 4")A L_ 1367004-n '---DATE D E S -C O V E R S -C A R P O R T S'G A R A G E S 1 ZoningSetbacks-Easements 2 Ftgs; SoilsSz=DpthSpacing-CnnctrsSteel 3 Decks, Girders/Jolsts-0cking-Brcing Stairs-Duard/Handralis 4 Wood Awn; Posts-Beams-Rftrs-CnnctmShthg. Frmg-Brcng ' 5 Alum Awn; Columns-CnnctnsSplice-Decal-Encisrs 6 Carports; Wndws-Doors 1 7 Electric 8 Frmg; Sills-AnchrsStuds-RtUs Trusses 1 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof; Shthg-Rooting ' 11 Ext; Steps -Doors -Landings i 12 Braced Wall pnls 6s ys ° DATE IPOOLS 1 Setbacks -Easements 2 Soils; Compaction -Structure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -lining 4 Elec Reptcls/LUng; Distance-GFl 5 Elec Pooi Lting; 15 volts-GFl 6 EIec.Enclsrs; Conduit Entries Terminals4-isted 7Elec Bonding; Metal w/5'-Crcltng Egp-Htr 8 Elec Grndng; Eqp w15' Crcitng Eqp-Pool Ightg Boxes-Encisrs-polboardsansultn to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test Wtr Supply Test 11 Lt Niche , 12 Enclsr; Fencing -Alarms 13 Bonding, Diving board or Slide 041, oa° e`er i O % s, yo- 4 t f Pool Drawing y Y • r r 0 = Nat OK RESIDENTIAL (Single & Duplex) DATE JUNDERFLOOR DATE IPLUMBING 1 Zoning -setbacks -Easements -Flood -Slope 2 Ftg Main; Soils-Elec Gmd Ftg Dp.p 3 Ftg Garage; Soils-Steel-Elec Gmd Ftg Dpth 4 Ftg Porches/Decks; Soils -Steel Ftg Dpth 5 Stemwalls Wain; Steel-Blockouts Wrapped 6 Stemwalis Garage; Steel-Blockouts Wrapped 6a Hold Downs and Special Anchrs 7 Slab, Steel Wrapped 8 Piers-Frpic Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test 11 Wtr Pipe; Test-Anchrs-RgltrService Test 12, Elec Undrgrnd 13 Plenums & Ducts; Clrnc-MaterialSupport-Insults 14 GirdersSills-Anchr Bolts-Joists-Vnts-Cripples 15 Ace & Vntitn 16 Insulation o'r 4b DATE DATE FRAMING 17 Sills Proper Materials & Anchrs 18 Walls Studs -Nailing Spacing & Braces -Plates -Sound 19 Bearing Walls over Girders &.* fir Nailing 20 Draft Stop in Walls (rat proof) 21 Fire Stops,'Fiirred CeilingsStalrs-Chasers-Tubs 22 Headers & BeariuSi &' Bearing 23 Hangers-Posf Caps-Anchrs-Cnnctns 24 Ceiling Joist-Rftr Tieu s-Purlin-Roof Brac-Truss 25 Frpic Ties or Type A Flue=Frplc Throat Cimc 26 Attic A&; Sz & Rmz Pitcln-Draft Stop -Ins Baffles 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 28 Garage Fire Prtcth Framing -RC Channel 29 Prprty Line Firewall & Opngs' 30 Ext Doors -One X -Check Garage 3rd Story, 2 Exits 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Otitrgrs _ 33 Siding -Nailing Veneer 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Ace 35 Glazing Area -Glass PrtctnSkyLts-Plastic . 36 Shear Walls; Nailing -Bolts 37 Brace Int/Ext Wall psis 38 insultn-Walls-Ceilings 39 Infiltration Walls-Wndws DATE JELECTRICAL 40 Fxtr & Trnsfrmr Clrnc4ns Prtctn 41 Elec Rcptcls Spacing-Lts & Switches at Doors 42 Sz Boxes & No Of Cndctrs Stapled 43 Romex Installed Close to Edge of Studs & CJ 44 Eqp Grnd made up w/Mech Fstnrs 45 Gmdng Electrode Bond Gas & Wtr 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI 47 Subfeed Wire Sz ga ❑CU or [:I AL AC Wire Sz ga ❑ CU or AL 48 Range Ciic ga ❑ CU or DAL Oven Circ ga ❑ CU or ❑AL Insulated Neutral ❑Yes QNo 49 Service -Riser Cndctrs & Gmd Main Dscnnct 50 Eqp Cirncs pnls-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector r 53 Wtr Htr; Vent Acc-Cmbstn Air Baffle 54 Wtr Pipe; Test & Anchr-Nail Prtctn 55 DWV; Test Fittings & Anchr. Nail -Prtctn 56 Shwr Pan; Test, Fust fir -Tub Ace 57 Test Tub & Shwr, 2nd fir - Tub Ace 58 Gas Pipe; Sz & Anchrs 59 Fire Sprinkler; Test 60 Yard Gas.Piping 041 up►i� MECHANICAL 61 AC Ducts Insults & Support 62 Vent Fan, Exhaust abv Insultn 63 Condensate Drain & Ovrflw, Sz & Grade 64 Furnace -Vent Acc-Comb Air Rtm/Vent 115 Outlet 65 Attic Ace & Pltfrm if Furnace in attic 66 Ext Steps -Door & SideLt Prtctn-Landings 67 Smoke Detector 68 Furnace Vnts-Cimc-Comb, Air-Cnnctr In Garage; abv-flr-Ducts-Mech Prtctn 69 Bedroom Exiting 70 GFI & Bath Fxtrs & Tub Ace -Spa 71 GFI Arc Fault 72 Elec Trim & Subpnl, Breaker Szs & Labels 73 Stairs, Guard/Handrails 74 Frplc or Stove, Cimc-Hearth 75 Elec Outlets at Wood Pnl, int & Ext 76 Ktchn, Fxtr & Appinc; Gmd Air -Gap -Cooking Cimc 77 Elec Outlets & Rcptcls at Ktchn Counter 78 Garage Fire Door, Swing -Landing -Closure 79 AC Duct In Garage -Damper. 80 Wtr Htr; Vnts-Cimc-Com Air Cnnctr-PRV; abv fir Mech Prtctn; LPG Appince Undr House 3" drain 81 Plmb; Elec & Mech Eqp Listed for Loctn 82 Elec Rcptcls In Garage (GFI) Romex Prtctn 83 Insu1N-Foam-Looked in Attic 84 Guard Rails & Deck Cnstrctn-Post Caps 85 Fndn Vnts & Crawl Hole Door Dmge & Wood -Earth 86 Cimc Dmge Planters ❑ Yes ❑ No 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Plmb 89 Vnts abv Roof, Plmb. Appinc-Frplc-Clmc to Opngs 90 Wtr Well, Dscnnct, Elec, Plmb 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd 92 Vntitn thru House 93 Glass Prtctn 94 Corrections from previous Inspetns 95 Gas Test -Meters Tagged, Gas-Elec 96 Wtr & Sewer Cnnctd-C/O to grade -HD Apprvl 97 Energy Cmpinc Cert -Other Certs 98 Address Posted 99 Fire Sprinkler BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT•NO. BP061377 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under Issued Date: 06/08/2006 APN:O25-320-015-000 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.j{ �%3 d'6 Site Address: 175 MOMS LN ORO License Class,: // License N ber: G Contractor: Map Index: Date: Description: EX MH EX SITE PERM FNDN (1248) OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: REUST, JAMES J TRUST permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a 175 MOM'S LN signed statement that he or she is licensed pursuant to the provisions of OROVILLE, CA the Contractor's State License Law (Chapter 9 commencing with Section 95966 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the. basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: SIERRA MOBILE SERVICE Code: The Contractors' State License Law does not apply to an BILL REID owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, 466 CIRCLE DRIVE provided that such improvements are not intended or offered for OROVILLE, CA 95966 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of 530-534-0599 proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner, of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: SIERRA MOBILE SERVICE not apply to an owner of property who builds or improves thereon, BILL REID and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 466 CIRCLE DRIVE ❑ I am Exempt under Article 3 of the Business and Professions Code OROVILLE, CA 95966 530-534-0599 Date: Owner: License #: 470386 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penally 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 Architect: is issued. Engineer: ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: 1!1- ��" Carrier: � " Total Square Ft: 0 S. F. Valuation: $0.00 Census Code: Policy #: �� - S% ❑ 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 the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply wi h th se provisions. Date: Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is here i ued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the this is issued (Sec 3097 Civ.) Resolutions to d w dicate bove for which fees have been paid. /l - V� performance of the work for which permit _ Date: BY Name: llll PERMIT EXPIRES ON: V Address: (Date) O 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. ndtification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: / ` Signature: ofyl 0 C Date: ❑ Owner U-C�.ntractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit U1 -1s-04 pg 1 COUNTY TE DEPARTMENT OFTDEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO. (530) 891-2834 OFFICE #: (530) 538-7541 9 FEE WILL BE REQUIRED AT TIME OFAPPLIC9TION **PLEASE PRINT CLEARLY** last Name OWNER �Er/ST T�Q,irs Address 179- City u t L k t State C� Phone Fax E-mail Name Address city Phone EE-mia lia l CONTRACTOR State � 5-7 11 osv 9 Fax Lic. # Y765',VE ame ARCHITECT/ENGINEER N Address State Phone Fax E-mail _. . APPLICANT NAME Name Address City State d C� Phone S`3 y Fax E-mail APPLICANT SIGNATURE X For office use only: lip 9sy66 Zip 9SfE E ZIP zip Class 45 Zoning Flood Zone OCC. SRA Yes . No Type Const. Subdivision Name Map Book Page Lot # 'Tanner Date Approved: AVER FOR SLIBIVIITTAI RFfl111�7�tin�r,t�-c PERMIT NO. Bp , / 3�, BIN # AP# LOCATION Ozs azo PropertyAddress l7 S /f%�OM=,ocity ,t E Cross Street WORKER'S COMPENSATION Policy Number yZs 7 Carrier lfhiring anyone other than license c�actors a cert compensation must be shown at the time of permit issuance. f worker's LENDING AGENCY w- Address Description or Scope of Work: Sq. Footage �r N O Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be required. ReREQUEST FOR REFUNDS funds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the perry» t and no construction work has been done. Filing fees, plan check fees for work plan cbecked and other department costs are not refundable. D4f�( . ate: 61p Amount ✓ -I -1 � 56 Bldg SRA Sheriff SMIP _t"79-6— Other �TA►<<=5 T REvsr rRus7- 175 17s JA.V MS �ANf D�ov�i�E CA 459�L ozs- azo -ois Y 0 ®®p mac 0 Y "A„&, Acuuo L4. rpt WESTLAND PAGE 01 q t` X112 Foundation system Installation Instructions for California for Ground B Concrete systems HUD Wind Zone A. 15 PSF Wind Load Seismic 4 By Tie Down Engineering X12 Concrete System r Engineer Approval te+une i -- 04-01—Now now sou„woao r» AMMID ' russctr000e+tec»aaa>tio'rr %AROIA�.aoett�rrnaraamaic ORAlreove �w�r oaaaonetat oevrAr�oa�n�o� ��a� or MlL10Ap,� ftAt81�A1N9 Al1DABW�ATI�A �YI� w�'aflMrw a��tlta�� � C��1r awl�r rl hp-w1QPMAMIUMM" 1 1 BUTTE CO BUILDING DIVISION APPROVED Pape 1 of 8 Me ul/ 111 LGC1D 1L: t7L ytt- �!4-t�lbb WESTLAND PAGE 02 Xi2 Foundation System installation instructions for Californis for Ground & Concrete Systems r� HUD Wind tone 1, 15 PSF Wind Load Seismic 4 By Tie Down Engineering REQUIREMENTS • These plans and specifications meet the requirements of Title 25 Section 1336.3 Sub Section A and 97 UBC Seismic Requirements, CBC 2001 addition. • Maximum vertical projection at sidewall is 9'. Higher wails may be used when the design loads are adjusted accordingly and approved by HUD. • Main rail spacing must be 75.5" - 99.5" • Except single sections 95" minimum • Additional vertical anchor ties that are unique to a home's design may be required by the home manufacturer. These locations may Include shear walls, marriage line ridge beam support posts, and rim plates. The longitudinal component of the X12 system replaces end frame ties. Check manufacturers set-up requirements. • Maximum pier height is 48" pier. "Except for single sections. 36". • Steel piers must be fastened to the I-beam with clamps provided with steel pier. • Systems must be placed as evenly as possible, no more than 10' from end of home. • Designed for 7:12 roof slope. 'Except single sections, (20° - 4.37 in. 12" pitch). Additional Requirements for Concrete Systems - • Poured concrete must be 2,500 PSI minimum at 28 days. • Square concrete pads minimum is 18" wide by 12" deep. Round concrete pads minimum is 18" wide by 14" deep. Strip footings minimum is 18" wide by 14' long by 6" deep. Kit components exceed HUD code 3280.306g 'Anchoring equipment exposed to weathering shall have a resistance to weather deterioratlon at least equivalent to that provided by a coating of zinc on steel of not less than 0.30 ounces per square foot of surface coating...." Pape 2 of 8 V VE rr r3033G JJW C 641.LIIZUUD 1c:Gt 710-Jl4-J15b WESTLAND PAGE 03 1. 2. 3, 5. 6. 7. 8. 9. 1 D. Installation of X12 Ground Systems Identify the number of systems to be used on the home using the chart provided. Identify the location where the systems will be installed. Clear all organic matter and debris from the pad site. Place U -bolts through holes in pan provided. Place pad centered under beam with the lateral strut bracket towards the inside of the home. Press or drive pan into ground until level and flush with prepared surface. Build pier according to State, Local or Home Manufacturers guidelines.(Fleure f) Attach the end of the smaller tube to the inside of pan using U -bolt & nuts provided Attach the flag end of the larger tube to the opposite I-beam using the "J" bolt over the top of the I-beam with the not & washer provided. (Figure 2) Install a minimum of four (#12 x 1" tek screws) self -tapping screws Into the holes provided in the lateral strut so that the two tubes are connected together. (Figure i) 1-3/4" Tube Lateral strata OL i-1/2° rube �4 - #f2 x r" Tek ccrow6 U -"It 6 mouRsing Figura 1 errckos . e end ofd J -Bolt Nut B. Washer lo'J Strut (flag end) '1 1-98am Figut� 2 U1 Install frame bracket clamps to I-beam on in side of blocklpler. Do not tighten nuts at this time. Attach longitudinal strut to U -bolt in pan using nuts provided. Insert strut in the frame bracket clamp, attach with nut and bolt. Do not tighten at this time. Pull the frame bracket clamp with the fastened strut outward to remove any slack. Tighten all nuts and bolts on the struts and beam clamps. / 01/11/2006 12:02 916-374-0150 X12 Ground Parts Detail X12 Ground Lateral System Part Nnmber 59306 Includes: 5' Strut, pad & hardware kit (#59329-1 Includes all nuts and bolts). Longitudinal Hardware Kit Part Number 59331 Includes: 2 I-beam brackets & 2 U -bolts with all nuts and bolts. Lateral aad Longitudinal Combination Part Number 59333 Includes: 5' Strut, Pad, Longitudinal Strut (,59329), Lateral and Longitudinal Hardware Kit with all nuts and bolts. Struts for Longitudinal Systems WESTLAND Xi2 Ground Longitudinal Strut & Hardware Kit PACE 04 Part Strut titer Heignio ll 0 L '=I $ ,� Ground Longkudfnaf !t �� No. Length Up To: �J strut 59330-44 44" 4 Blocks or 32' Ground Longitudinal 59330-65 65" 6 Blocks or 48' Hardware Kit X12 Stabilization Pier Placement for Ground or Concrete Single Section Home 0.80' (76' Box) 4 X12 Systems X12 Pier Placement Double Section Nome 0 -62' 3 X12 Systems' 631.800 4 X12 Systems *242 systems can be placed at either and of the home. Triple Sectlon Home 0 $2' 4 X12 Systems 6-T- 80' 5 X12 systems <J'NA 1jr1/ 01/11/2006 12:02 916-374-0150 WESTLAND PAGE 05 Installation of X12 Concrete Systems 1. Identify the number of systems to be used on the home using the chart provided. 2. Identify the location where the systems will be Installed. 3. Build pier according to State, Local or Horne Manufacturers guidelines. 4. Drill two 318"x 3" deep holes in the concrete using holes in galvanized bracket as a guide. Attach bracket to concrete pad using 3/8"x3-1/2' wedge anchors o provided. Place nut & washer on anchor, leave enough room for 1 to 2 threads showing on top of bolt. Using a hammer, tap the wedge bolts into hole through,.,. bracket, leaving nut & washer flush with bracket Using a 9/16" socket wrench, tighten wedge/anchor bolt, securing bracket to the concrete. 5. Attach the end of the smaller tube to the bracket mounted on the pad, using the grade 5,12" x 2-112" bolt/nut provided. 6. Attach the flag end of the larger tube to the opposite I-beam using the 'T bolt over the top of the I-beam with the nut & washer provided. (rVune t nact peee) 7. instars a minimum of four (#12 x 1" tek screws) self -tapping screws into the holes provided In the lateral strut so that the two tubes are connected together 8. Install frame bracket clamps on I-beam on the inside of block/pier. 9. Insert strut in frame bracket clamp and attach with nut & bolt Attach opposite -end to concrete bracket. 1 Q. Pull the frame bracket clamp with fastened strut outward to remove any slack. 11.1ghten all nuts and bolt$ on system. Page 5 of 8 TIE DOWN M3:M> -R/Jti ,-. , _G r t 111 Ulf 11/ LVCIo 1L: UZ 71 b-3 /4-171 bb Wt51LANll PAGE 06 Xi2 Lateral Concrete Systems Part #59307 Includes: 5' Strut, Bracket. & Hardware Kit 659315-1 with all nuts and bolt. Longitudinal Struts for "Concrete Systems" Part No. Length Pier Height 459013' 44" up to 4 Blocks 659015 65" up to 6 Blocks Longitudinal Hardware Kit Pert #69263 (Includes 2 sets per klt: I-beam bracket, nuts, bolts and washers) Lateral and Longitudinal Combination Part #69332 Includes: 5' Stmt, Longitudinal Strut (#59364), Lateral and Longitudinal Hardware Kit with all nuts and bolts. Nut& Washer Frgu"e r Beam Clam p � Bracket Lone J•Bolt Xi2 Installation Placement -seam ioneitudUra► Strut X12 Concrete 511 o� Home I( Concrete Longitudinal Hardware Kit .Page 6ata m s MM CnOA W, u &Z— d1 /11 / 2U1Jb 12: 02 y1b-a /4-b1 bb Wt51 LHIVU rm%= u r offset Placement Diagrams represent examples of double and triple section offsets. Total size is determined by the length of unit plus offset X12 Stabilization Pier Placement for Ground or Concrete X12 Pier Placement Single Section Home Double Section Home 0.80' (T6' Box) 4 Xi2 Systems 0 -62' 3 X12 Systems' 63' - 80' 4 Xi2 Systems '2 Xi2 systems can be placed at either end of the home. Triple Section Home 0 -62' 4 X12 Systems .63' - 60' 6 X32 Systems jf TIE DOWN 'I II! Single Section Home Double Section Home 0.80' (T6' Box) 4 Xi2 Systems 0 -62' 3 X12 Systems' 63' - 80' 4 Xi2 Systems '2 Xi2 systems can be placed at either end of the home. Triple Section Home 0 -62' 4 X12 Systems .63' - 60' 6 X32 Systems jf TIE DOWN 01 /11/200b 12: b1 'jlb—J14—F71DU Hardware Breakdown #59529-1 Hardware for 59306 Lateral System 1 845332 U -Bolt 1/2-13 x 2.63 x 2.19 thread 4 59272-2 1-3/4 zinc 4 10556 Tek Screw 112 x II 1 10631Z J Bolt 1/2 x 5-1/2 grade 5 zinc 2 10640 Push Nut 112 1 ' 12107 Flat Washer 1x2" SS 1 10646Y Hex Nut 1/2-13 grade 5 zinc 2 10519 Hex Nut 112" w/ Serr flange 459331 Longitudinal Hardware for 52 306 2 59272-1 Beam Clamp Base 4 59272-2 Beam Clamp Top Flange 8 10926 Carriage Bolt 1/2-12 x 1-1/4 2 59272-2 Full Thread r 10 10646Y Hex Nut 1/2-13 grade 5 zinc 2 10801 Carriage Bolt 1/2-12 x 2-1/2 5 10646Y Grade 5 2 845337 U -Bolt 1/2-13 x 2.63 x 2.19 thread 2 10801 1-3/4 zinc 4 10640 Push Nut 112 4 10519 Hex Nut 112" w/ Serr flange # 69829 Hardware for 59333 Lateral and Longitudinal combination 1 59329-1 Hardware Kit 1 59272-1 Beam Clamp Base 2 59272-2 Beam Clamp Top Flange 4 10926 Carriage Boit 1/2-12 x 1-1/4 4 10801 full thread 5 10646Y Hex Nut 1/2=13 Gradeb zinc 1 10801 Carriage Ban. 1/2-12 x 2-1/2 2 10801 Grade 5 zinc 1 845332 U -Boit 112-13 x 2.63 x 2.19 Thread 6 1064BY 1-3/4 zinc 2 10640 Push Nut 112 2 10519 Hex Nut 1/2" w/Serr Range #5g315-1 Hardware for Lateral System 1 10631Z J Bolt 1/2 x 5-112 Grade 5 zinc 1 12107 Fiat Washer 1/2" SS 4 10556 Tek Screw #12 x 1" 2 10646Y Hex Nut 1/2x-13 Grade 5 zinc 1 10826 Carriage Bolt 11212 x 3 4 10801 Grade 5 zinc #59027 Hardware Kit for 59307 Lateral System 2 59264 3 Way Concrete Bracket 4 10530 Wedge Anchor 318 x 3.50 . 1 59315-1 Hardware Kit #59268 Longitudinal Hardware for 59307 2 59272-1 Beam Clamp Base 4 59272-2 Beam Clamp Top Flange 8 10926 Carriage Bott 112-13 x 1-114 1 59315-1 Full Thread zinc 12 10646Y Hex Nut 112-13 Grade 5 zinc 4 10801 Carriage Boit 112-13 x 2-1/2 4 10926 Grade 5 zinc #59364 Hardware for 59332 Lateral and Longitudinal combination 1 59264 3 Way Concrete Bracket 2 10530 Wedge Anchor 318 x 3.50 1 59315-1 Lateral Hardware Kit 1 59272-1 Beam Clamp Base 2 59272-2 Beam Clamp Top Flange 4 10926 Carriage Boit 112-19 x 1-1/4 Full Thread zinc 2 10801 Carriage Bots 112-13 x 2.1/2 Grade 5 zinc . 6 1064BY Hex Nut 1/2-13 Grade 5 zinc Page a of B TIE - DOWN 1"J6rarr [rrm. 4 STATE OF CALIFORNIA - BUSINESS, TRANSPORTATION AND HOUSING AGENCY - ARNOLD SCHWARZENEGGER, Governor . DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT Ov51NG Division of Codes and Standards O ® ® allZ nQ 1 u W Title Search 3G0 Date Printed : 06/06/2006 DEQ Decal #: AAB4609 Use Code: SFD Manufacturer: Original Price Code: AEA Tradename: HOMETTE Rating Year: 1979 Model: Tax Type: ILT Manufactured Date: Last ILT Amount: $16.00 Registration Exp: 04/30/2007 Date ILT Fee Paid: 04/12/2006 First Sold On: 04/04/1979 ILT Exemption: NONE Serial Number. HUD Label / Insignia Length Width 03750541 AM CAL 136308 52' 12' 03750541BM CAL136309 52' 12' Record Conditions: PPF Exempt } Registered Owner: JAMES J REUST GWENDOLYN I REUST (Joint Tenants with Right of Survivorship) 6039 GREENRIDGE ROAD CASTRO VALLEY, CA 94552 Last Title Date: 10/17/1988 Last Reg Card: 04/14/2006 Sale/Transfer Info: Price $25,000.00 Transferred on 07/01/1988 Situs Address: 175 MOMS LN OROVILLE, CA 95965 Situs County: BUTTE Inactive Decal/DMV: DMV SM9654, DECAL AAA4112 * * * END OF TITLE SEARCH �F a• �t iA un�r:�na on ,a -a a Omw w,-vOwvtM*rS the irkt ca#1 sMes mAAKOL pwmtssten fr+ M the Dep ftwo of i X 6-4Ga ,�4y e ��' jads , ;�• ._. U, MOT .t,-� oafs & Worhncmhip shad Bs hk 4ccordance with Recognized C ood Practices and of. a quc�171: 1 prey&ioe:i for the Specified ase in tae Uniform, Wiling, Numbing & Meaanical Codas ►sem National EieCocia. 17 ",5R X- - / 1 • I - yl � � x K � �v� 3 7 eA ! PERMIT NO. l PERMIT EXPIRES �/ 2� OWNER Gordon Rawson _ owner CONTR. f 25-23-76 ASSESSOR PARCEL S/S Mom's Ln.,app.2 mi.W.of t LOCATION , 8 Lone Tree Rd., Oroville t� I r t' r� 4 „ Temp. Power Pole_ CaUled PG&E i uTemp. Elec. Service a Called PG&E _ k Temp. Gas S Cal led PG&E _ JOWINALED (Date) A 6 r Signature ' j - 1 1 0 V =OK 0 = Not OK - = NotAppligable MOBILEHrOMES * = 'Not Ready / u. r MISCELLANEOUS t ' Date ktQB1 COME UTILITIES (P s K except q's Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except H's Z —'Requirements—setbacks—Easements 1. Zoning Requirements—Setbacks—Easements AwSoil ; Special MH Support—Sketch 2. Footings; Size—Depth—Spacing—Connectors e r; Location—Test—Fall-C/0—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails W ; Location—Test—Easement Needed (Sketc 4. Wood Awn.; Posts— Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing Ele ' ity; Location—Clearances—Grnd.—/ mp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures Gas; L ation—Test—Wrap:/ /"L"ft./ /"Nat.or/ , /"L"ft./ 'LPG 6. Carports; Windows—Doors iIity Clearance 7. Elec. Card -BI Date / Ward -BI Date Card -BI Date Card -BI Date Card -BI Date /.S Card -BI Date Card -BI Date Card -Bl Date Date MOBI HO E lNiTALLATION (Plans) OK except k's Date POOLS (Plans) OK except a's Al"'Zgping Requirements—Setbacks-Easements 1• Setbacks—Easements Foo' gs; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability Gas; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining tricity; MH Test—Crossovers—Breakers—Clearances 4, Elec.; Receptacles and Lighting; Distances—GFI MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI L-Wlkte-r; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed & a!9( and Sewer Connected—C/0 to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater a and Electricity Tag d 8. Elec.; Grounding; Equip.w/5'—Circulating Equip.—Pool Lghig. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit ; Insp.—Sketch Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date y t'1,t i i�; 1 vv. .) V = OK 0 = Not 6K Not Applicable RESIDENTIAL (Single. and Duplex) *'= Not Ready Date UNDERFLOOR Plans OK except k's Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Opehings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 54. Glazing Area -Glass Protection -Skylights -Plastic 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except N's Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except k's 14. Water Ht.; Vent -Access -Combustion Air 15. Water Pipe; Test & Anchors -Nail Protection 56. Ext. Steps -Door & Sidelight Protection -Landings 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except Ws 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. &Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23• Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. 74. Insulation -Foam -Looked in Attic ❑Yes73. Guard Rails & Deck Construction -Post Caps Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 25. 2 Appliance Circuits in Kitchen & Conductor Size 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes ❑No 75. 76. Following instld.: Drive E) Yes [)No; Walks E) Yes ❑ No; Planters Dyes ❑No Stucco; Brown -Finish 28. Service -Riser Conductors & Ground -Main Disconnect 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. 80. Water Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B-1 Date Card -BI Date 81. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Perrr,it) OK except q's 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. Vent Fan; Exhaust above Insulation 86. Energy Compliance Certificate -Other Certificates _ 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card -BI Card -BI Date Card -BI Date Date Card -BI Date Date FRAMING(Plans) OK except q's Comments at Final: 36, Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound _ 38. 39. Bearing Walls over Girders & Floor Nailing _ Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. 42. 43. 44. 45.Attic Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rfir. Ties-Purlin-Roof Brac.-Truss-Shthnp.-Ring. Fireplace Ties or Type A Flue -Fireplace Throat Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: An entry must be made each time you visit jobsite) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This :nobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter_ 5, under permit number for the following location: �_�i__o ''!. „_�.-•x/!1-•9 �/s11�1.. ��1L. i� Owner Owner's Address �� -�'� • _/ Mobilehome Mfg. '4 - Model /' Jf��' Year Insignia No. % ti% 0 Serial No. r- It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Uate '�� �/ By s� <. THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. �I COUNTY OF BUTTE e. DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 , 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 , CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS A routine inspection Indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. - f Inspector J � Date � r COUNTY'OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR ARCEL NUMBER _ ZO ING _ BUILDING PERMIT OWN TELEPHONE D. —6 921 SQ. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING v^ �J / CONTRACTOR'S NAMETELEPHONE A 114 S fe , CON RA TOR'S MAILING ADDRESS ,UNK:� Fireplace CONSTRUCTION LENDER Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ /0,0-0- V Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUIL ING Al" PLUMBING PERMIT Filing Fee 10.00 Each Trap1 2.00 Repair drainage or vent piping 5.00 p,p Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome�Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK � New ❑ Addition Remodel ❑ Utilities ❑ InstallationlK,/ Other ❑ Describe work: ` 1 --� r Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 1A - Main service EA. ADD'L 100 AMP 2.50 NEW CONST. (DWELLING OCCUP.5j) OR AODNS. ACC. BLDGS. / 24: sq CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): 005 I am licensed under provisions of Chapt. 9, Div. 3 of the Business • and Professions Coe and my license is in full fo a ffect. a'+ License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR I.OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS NEW CONSTR. ( POWER APPARATUS 61 NON-RESID. SINGLE OUTLET CIR. I DO@¢ 2r Ex. Occup(OUTLETS OR FIXTURES BALP1 Ex. Occup. (0 T ETS P(RESID )REA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee S Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, demni and keep harmless the County of Butte against all H bilities, judgm n s, co ts, and expenses which may in any way accrue again said County i ns q ence of the granting of thi�er it. X + Date Signature of Applicant — Owner ❑ Contractors Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ d . TOTAL PERMIT FEE $ OCCUP. GROUP TYPE OF CONST. PARCEL PD HD s5 This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO O PUBLIC By PERM XPIRES Date the applicable provi- resolutions to do fees have been aid. p WORKS Date / 7 Receipt NO. 570 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT BUTTE COUNTY. DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville,_CA. t , PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1 1. Owner's naive : `�C��Z cl F�-•-� B.a,-�S c i 2. Installer's name: U V6 3. Is the site currently under permit? Yes / / No (If yes, furnish permit number ) OR Is the site an existing site? Yes / / No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome`be located at least 5 ft. away from septic tank and leaah,f ields and clear of.all setbacks.and easements? Yes MZ No ( If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- Amps 6. What is the mobilehome site service rating? --------------------- )�4n Amps 7.. What is the mobilehome site circuit breaker rating? ------------- /Q�U Amps 8. Is there any other electric load.to be served by the mobilehome ------� No / /site service? ---------------------------- (If yes, identify the load and size: _(Load) (Am s ) 9. What is the mobilehome site'gas pipe size? -------------------- 10. What is the type of gas service?------------------------------ Naturalp7 LPG �._L 11. What is the gas pipe length from meter or tank to the mobilehome? o�U (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.) J MOBILEHOME SUPPORT DATA If other than single wide, Mobilehome Mfr. 6 t� --� II furnish Setup Model No. Year' ��b + Width ��- _(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 front of , mobilehome unless otherwise specified. , Footings (check one) Single +! < < ��Wood either At• pressure treated or r foundation grade. 119 1 (ft.)(in:) (in.) (in.) 2. Other: (•specify) Center support Center support locations* footing sizes Support (check one) (in.) D -4 -.Concrete block. � 3c� (� [:]-2i Other. (specify) (ft.)(in.) (in.) (in.) -i • (oX� (ft.)(in.) (in.) (in.) (ft.),(in.) in.) (in.) XD (ft.)I (in.)� (in.)I (in.) <---Tagalong or Expando,' show support details. I a x X)j -- Typical Support in.) (in.) Footing Size (ft.)(in.) (ft.)(in.) -- Max. Pier Spacing -- Max. Overhang aurrE couNrt BUILDING DEPARTMEN` APPROVED *If center piers are other than drawn above, draw in locations, spacing,. and dimensions. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT N0. / • 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-454 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 421 �—� ZONING /,� BUILDING PERMIT OW TELEPHONE 2•21 SO. FT. OCC. BUILDING VALUATION OWNER' A LING DDRES .� A L IL CONT AC, OR'S NAME h TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKN,O_ wy� Total Valuation Is Filing Fee $ t9QQ•_ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ 10 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUIILLDI SADD s S PLUMBING PERMIT Filin 9 Fee 10.00 Each Trap1 2.00 Repair drainage or vent piping 5.00 Water piping LOT NOy I SUBDIVISION NAME PARC L MAP 7 3 Each qas water heater or vent ./0100 5.00 Gas piping system 1 - 5 outlets 16 USE OF STRUCTURE SF ❑ Duplex❑ Mobi lehome �ther SPECIFY Building sewer Lawn sprinkler system E$i TYPE OF WORK New❑ Addition❑ Remodel❑ Utilities installation❑ Other❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. / DWELLING OCCUP.al OR ADDNS, \ ACC. BLOGS. / 2� sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract - 777 ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR -OUTLET 2,50 ea NON.RESID RANCH CIRC ITS NEW CONSTR I POWER APPARATUS e NON-RESID, %SINGLE OUTLET CIR. SO @ 25C Ex. Occup ouTLETs OR FIXTURES BAL01 Ex. OCCUp.�OUTLETS FIXED P(RESID )REA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiri 7.50 YL) 1AA permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee S Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue again said Cou ty in �);geqnce of the granting of this permit. �� ,_ X d Date Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is req Ired for ex ovations over 5'0" deep and demolition or construct- ion of structures over 3 stories in h fight. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ occOP. GROUP I TYPE OF CONST. I PARCEL PD N ' UE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT OF PUBLIC By. PER EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Dater�7��'� 7 Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT al This set of plans and specifications MUST t6 kept 'on tne'ioh at aR times and it is unlawful to mat•A anv;changes or rlterc+ions on some without NOTE:—All Materials & written permission from the De artment of Public Accor. Workmanship Shall B Works, Count of Butte. P dance with Recoc�hized a fn' Y / of a quality prescri Cool Pnc�tices and 1 Uniform Building, Plumdin or the Specified use In th® g ochon►cal Codes • �l"Co e.and S;u0. Utility connections shall be within 4 ft. of the mobilehome, either directly behind or within the rear half of the roadside (left) of the. mobilehome. 500 SQ. FT. MINIMUM FOR MOR" :r A permit will be required for the installation of the mobilehome. -- r j'n M A seback of 5 ft. from the prop rty lines and a setback of 5 ft. from the road cent dine shall be clear of struc tures or equipment except for a 2 ft. eave overhang. BUTTE COUNTY BUILDI G DEPARTMENt PROVE® e / 25-32-15 3486-89B REUST, James ✓' 175 Moms Lane, Oroville (covered deck/MH) PERMITS PERMIT EXPIRES /2(0 / 9w OWNER CONTR. ASSESSOR PARCEL LOCATION, i i i } i 1 1 . Temp. Power Pole Called PG&E Temp. Elec. Service' Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) i Signature LZ a COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico = Phone�-891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE A rro4tine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. o Inspector C Date E . = OK '0 = Not OK = Not Readyable MOBILE HOMES MISCELLANEOUS Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DE COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements Zo ing Req uirem ents-Setb ck -Easements 2. Soils; Special MH Support -Sketch (/ oo • gs; Soils -Si -Dept pacing Connectors -Steel 3. Sewer; Location -Test -Fall -C/O -Concrete ec ; Gi4lefsand/orois ecking-Bracing-Stairs-Rails 4. Water; Location -Test -Easement Needed (Sketch) (1,3� A - Wood Awn.; Posts-Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing 5.Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete ums=Connections-Splice-Decal-Enclosures umnn -Colrr � Al.A.w 6. Gas; Location -Test -Wrap: / /"L"ft. / P'Nat. or/ /"L"ft./ /"LPG 6-Cerports-Wmdows=Doors 7. Utility Clearance ?-ETec.. — 8.-FFmg -Sills=�orT-St .lids`-Rftrs-Trusses - eneer-Stucco-Mesh Card -B1 Date Card -B1 Date &fang - Card -B1 Date Card -B1 Date 4<Ext.; tapls-Doors-Langimfs Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -B1 Da*. Card -B1 Date 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector Card-B1,4&Date / and -B1 Date 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s 5. Drain; MH Test -Fall -Flex Connector 1. Setbacks -Easements 6. Water; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability 7. Water and Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 8. Gas and Electricity Tagged 4. Elec.; Receptacles and Lighting, Distances-GFI 9. Exits; Insp.-Sketch 5. Elec.; Pool Lighting; 15 volts-GFI 10. Cert. of Occupancy 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit - Card -131 Date Card -B1 Date Card -131 Date Card -131 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -131 Date Card -B1 Date Card -131 Date Card -B1 Date I VK 0=NotOK Applicable Not Applicable RESIDENTIAL (Sincgle and Duplex) - = = Not Ready Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks; -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth 46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel- Blockouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 50. Garage Fire Protection Framing 7. Slab; Steel -Wrapped 51. Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 52. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/0 -Sewer Test 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors _ 54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 55. Siding -Nailing Veneer 12. Electric; Underground _ 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 57. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 58. Shear Walls; Nailing -Bolts 15. Insulation 59. Insulation-Walls-Cig. 60. Infiltration-Walls-Wndws Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -61 Date Card -B1 Date Card Date Card Date PLUMBING (Permit) OK except #'s -B1 -131 Date 16. Water Ht. Vent -Access -Combustion Air -Baffle Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchors -Nail Protection 61. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 62. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa _ 66. Elec. Trim & Subpanel; Breaker Sizes -Labels Card -B1 Date Card -B1 Date 67. Stairs & Rails Card -B1 Date Card -B1 Date _ 68. Fireplace or Stove; Clearances -Hearth Date ELECTRICAL (Permit) OK except #'s 69. Elec. Outlets at Wood Panel; Int. & Ext. 22. Fixture & Transformer Clearance -Ins. Protection 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 23. Elec. Receptacles Spacing -Lights & Switches at Doors - 71. Elec. Outlets & Receptacles at Kit. Counter 24. Size Boxes & No. of Conductors -Stapled - 72. Garage Fire Door; Swing -Landing -Closer 25. Romex Installed Close to Edge of Studs & C.J. 73. A.C. Duct in Garage -Damper 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water - 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 27. 2 Appliance Circuts in Kitchen &Conductor Size/G.F.I. - 75 Plb., Elec. &Mech. Equip. Listed for Location 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No - 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 30. Service -Riser Conductors & Ground -Main Disconnect 59. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 31. Equip. Clearances Panels-Motors-Mech. Equip, 32. Clothes Closet Light -Shower Light -Spa Light 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 33. Smoke Detector 81. Stucco; Brown -Finish Card -B1 Date Card -B1 Date 82. A.C. Unit; Disconnect, Electrical, Plumbing Card -81 Date Card -B1 Date 83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. Date MECHANICAL (Permit) OK except #'s 84. Water Well; Disconnect, Electrical, Plumbing 34. A.C. Ducts Insulation & Support 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 35. Vent Fan; Exhaust above insulation 86. Ventilation throughout House 36. Condensate Drain & Overflow; Size & Grade 87. Glass Protection 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 88. Corrections from Previous Inpections 38. Attic Access & Platform if Furnace in Attic 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 9i. Energy Compliance Certificate -Other Certificates Card -B1 Date Card -B1 Date 92. Roofing Certificate Card -B1 Date Card -81 Date Card -B1 Date Card -B1 Date Date FRAMING (Plans) OK except #'s Card -B1 Date Card -81 Date 39. Sills, Proper Materialo& Anchors Card -B1 Date Card -B1 Date 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Comments at Final: 41. Bearing Walls over Girders & Floor Nailing - 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Header & Beam -Size & Bearing COUNTY OF BUTTE - DERAR PMi NT OF PUBLIC WORKS 7 County Center Drive - Oroville. California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT JN0. ASSES PARCE NUMBER -- ZOINN BUILDING PERMIT OWNR TELEPHONE _'f% S0. FT. OCC BUILDING VAL ION OWNER'S MAILING ADDRESS _ O(`Je` _ jL//� CO RACTOR ' AM//,�/� A 149? TELEPHONE TRA R'S MWILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS - Filing Fee $ 10.00 Permit Fee $ so ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee$ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS I,�� �L Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP '73 -%3 Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF [:1Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW I 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Describe work: �► b�`—1 1 _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1Doo AMP OR1 OR LESS10.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license Is In full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service EA. ADD-[- too AMP 2.50 NEW CONST. DWELLING OCCUPM OR ACDNS. ACC. BLDGS. /zQsgft NEW CONSTRESID, RANCH TLET NO N.R ESID BRANCH CIRC ITS CIRCUITS) 2.50 ea (POWER /POWER APPARATUS &) OUTLET CIR. Ex. o p UTLETS OR FIXTURES 200500 eAL030 Ex. Occup. our R ETS IRESID 1EA.� 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. byirin g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. �I shall not employ any person in any manner so as to become subject to the"W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation - Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws"relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agai st said County in consequence of the granting of this permit. XQ It Date Si afore of Applicant Owner ��Canrrocror ElAgent F1 An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE E HA2 '-' uA cARK — P SCHL PAR Po HD Is This permit is hereby issued under sions of the Butte County. Code and/or work indicated above for which fees DI OF PUBLIC By PERMIT EXPIRES Date_ the applicable provi- resolutions to do have been paid. WORKS Date /0'Z_1�7^/ v Receipt No. WHITE-O.P.W.. TELLOW-ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT r , COUNTY OF BUTTE - DEPARTMENT QFUy�LIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CAgLIFORNIA'95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET �- ®� Permit No. OWNERU ��-CI�° art / Proposed Building Use Building Inspector Date 6 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation w instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 3. School District fees paid .............. LISanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of • (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 0Q!1 Pre-Inspection for required ... Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classification) ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 5. Le roof sign ure auth rization 1 26. 27. T When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone—� wand hold for pickup at office. Deliver w/inspector. Other Applicant Copy of plans sent Health Dept.; Fire Dept., Other Date ate .0 —/6— ,<_c1 The following data must be submitted prior to pe 't issua ce: (C'(qle new item not checked above). 1. Index permit for above items No. it 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone_mail—counter by .date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Date Plans approved by of ` Date Sets of plans on hold in . File abinet AP folder •t5 Copy—DPW ;�.'� TO Building Department FROM: Environmental Health .SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Hold final for: Final clearance O.R. for: Sewage Disposal '57� Water Supply Clearance for bedroom mobile home. Other NOTE *** Water Supply Water Supply x 31/ d" � Date Sanitarian COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541' OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid. unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) '�e5 2. I (have/have not) 2 d- signed an application for a building permit for the proposed work. 3.. I have contracted with the following.person (firm) -to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to. provide the work indicated: Name Address Phone Type of Work Signed: Property Owner In Social Security"? tuber - Date f0 -/6- NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION ,r Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 74Z 2. I (have/have not signed an application for a building permit for the proposed work. . 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner Social Security Numb - Date /O�— NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and.returned to our office before we are per- mitted to issue the permit.