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HomeMy WebLinkAbout025-320-014APs It ,.,JARLEN BOTEN e'/,,Q PoTm.,r House Hill Rd., 1 mi. S. ofPalerm d., Palermo PermitE(util.*, MH)' . *Q 17 ELEC. 9-hS 00 S GAS --SUPPO S RTG 'URE RE M4PACTION TEST AP Permit 3242-76 ISSUED William Bar- t/S Power House Hill Rd., 1 mi.S.of Palermo Rd., roville -Permit #1787-81B(new ramada & carport/MH) 025-320-014 .#98-2n32 BAYLEN, TEDDY 0. 6155 -POWER HOUSE HILL RD. OROVI'l OWNER MHI EXISTING SITE 025-320-014. PERMIT #98-2093 BAYLEN, Teddy 0" 6155 Power House Hill Rd,Oroville Relocate Mobilehome Utilities V^;r11v1-- 025-320-014 01-2646 BAYLEN, TED 6155 POWER HOUS OR CONT: PHI ANN EX MH - X SITE PERM FNDN 02'5- BAYLEN, TE FY YVI 6155 PWR HOUSE, HIL OVIL 2 OPEN DECKS NOTES t _ RESIDENTIAL g X025-320-014 01-2646 PIERMIT Nc. BAYLEN, TED 6155 POWER HOUSE HILL, ORO CONT: PHIL DECANN t EX MH EX SITE PERM FNDN THE HCD FORM 433A FOR THIS MH CANNOT BE RECORDED UNTIL ONE OF THE FOLLOWING HAS I BEEN TURNED IN TO THE BUILDING DIVISION: i j (1) LICENSE PLATE(S) OR DECAL (THE INSPECTOR MUST RETREIVE). (2) STATEMENT OF FACTS (ONLY ON NEW MH'S). + + INSPECTOR TO VERIFY SERIAL & LABEL #'S. SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED Signature COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES Al I Main 04 , I -L,; CAI Wqat•co, (030) 891-2751 7 County Center Drive * Oroville, CA - (530).538-7541 CORRECTION NOTICE Lt 4 . 5'WNER( PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Date Zoo Inspector' REV 10/92 .i = OK 0 = Not OK, = Not Applicable MOBILE HOMES = Not Ready Date ' MOBILE'HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / /'Nat. or/ /"L"ft./ /'LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. 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 i MISCELLANEOUS )Date , DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s i 1. Zoning Requirements -Setbacks -Easements y 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel ( 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails p 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 i t 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 i Date FINAL (Plans) OK except #'s jj 1. Setbacks -Easements 1 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 -GF] 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. t 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 i t = OK 0 = Not OK - = Not Applicable =Not Ready RESIDENTIAL (; Date Underfloor (Plans) OK except #'s Hangers -Post Caps -Anchors -Connectors 1. Zoning-Setbacks-Easements-Flood-Slope Cling. Joist-Rttr. Ties- Purlin-Roll Brac.-Truss-Shting.-Ring. 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Fireplace Ties or Type A Flue -Fireplace Throat Clearance 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Fig. Depth Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 4. Ftg., Porches & Decks; Soils-Steel-/ P Ftg. Depth Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 5. Stemwalls, Main; Steel-Blockouts-Wrapped Garage Fire Protection Framing 6. Stemwalls, Garage; Steel- Blockouts-Wrapped Property Line Firewall & Openings 6a. Hold Downs and Special Anchors Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 7. Slab, Steel-Wrapped Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 8. Piers-Fireplace Ftg.-Steel Plywood on Roof Overhang-Affic Vents -Rafter Outriggers 9. D.W.V.; Fall-Fitting-Test-2 Way C/O-Sewer Test Siding -Nailing Veneer 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 11. Water Pipe; Test-Anchors-Regulator-Service Test Glazing Area -Glass Protection -Skylights -Plastic 12. Electric Underground Shear Walls; Nailing -Bolts 13. Plenums & Ducts; Clearance-Material-Support-Ins. Brace Interior/Exterior Wall Panels 14. Girders-Sills-Anchor Bolts-Joists-Vents-Crippies Insulation -Walls -Ceilings 15. Access & Ventilation Infiltration -Walls -Windows 16. Insulation Date Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Ext. Steps -Door & Sidelight Protection -Landings 17. Water Htr.; Vent-Access-Combustion Air Baffle Smoke Detector 18. Water Pipe; Tesi & Anchor-Nail Protection Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 19. D.W.V.; Test Fittings & Anchor-Nail Protection Bedroom Exiting 20. Shower Pan; Teat, First Floor-Tub Access G.F.I. & Bath Fixtures & Tub Access -Spa 21. Test Tub & Shower, Second Floor-Tub Access Elec. Trim & Subpanel, Breaker Sizes & Labels 22. Gas Pipe; Sixe & Anchors Stairs & Rails 70. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Elec. Outlets & Receptacles at Kit. Counter 23. Fixture & Transformer Clearance-Ins. Protection Garage Fire Door; Swing -Landing -Closure 24. Elec. Receptacles Spacing-Lights & Switches at Doors A.C. Duct in Garage -Damper 25. Size Boxes & No. of Conductors Stapled Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 26. Romex Installed Close to Edge of Studs & C.J. Plb., Elec. & Mech. Equip. Listed for Location 27. Equip. Ground made up w/Mech Fasteners-Bond Gas & Water Elec. Receptacles in Garage (F.F.I.)-Romex Protection 28. 2 Appliance Circjits in Kitchen & Conductor Size GFI Insulation -Foam -Looked in Attic 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI Guard Rails & Deck Construction -Post Caps 30. Range Circle / / ga Cu or AI-Oven Circ. / / ga Cu or At Insulated Neutral ❑ Yes p No Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 31. Service-Riser Conductors & Ground Main Disconnect Clearance Looked under Floor O Yes 32. Equip. Clearances Panels-Motors-Mech. Equip. Following Insild./Drive ] Yes 0 NoMalks 0 Yes Q No/Planters 0 Yes ] No 33. Clothes Closet Light-Shower Light-Spa Light Stucco Brown -Finish 34. Smoke Detector A.C. Unit Disconnect, Electrical -Plumbing 85. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Ventilation Throughout House 35. A.C. Ducts Insulation & Support Glass Protection 36. Vent Fan, Exhaust above insulation Corrections from Previous Inspections 37. Condensate Drain & Overflow, Size & Grade Gas Test -Meters Tagged, Gas -Electric 38. Furnace-Vent Access-Comb. Air-Return Air Vent 115 outlet Water & Sewer Connected -C/O to Grade -HD Approval 39. Attic Access & Platform if Furnace in Attic Energy Compliance Certificate -Other Certificates 94. Address Posted Date Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date Comments at Final: FRAMING (Permit) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs-Nailing Spacing & Braces-Plates-Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Wal:s (rat proof) 44. Fire Stops, Furred Ceilings-Stairs-Chasers-Tubs 45. Headers & Beams-Size & Bearing jingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rttr. 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-Affic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Mach. 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 Insild./Drive ] Yes 0 NoMalks 0 Yes Q No/Planters 0 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: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 01-26,f&RMIT NO. (Rev.12/96� I APPLICATION AND -PERU ASSESSOR ARC 02 N 32n-014 ZOT� BUILDING PERMIT OWNER TED BAYLEN TELEPHONE 581-2351 1 SO. FT. OCC. BUILDING VALUATION 1282 7 . OWNER'S MAILING ADDRESS 6155 POWER HOUSE HILL RD, OROVILLE 95966 CONTRACTOR'S NAME PHIL DECANN TELEPHONE 533-2201 CONTRACTORS SS 1691LIBARDOLINO , ORO 95966 CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ 697228 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee 504.50/2 $ 252.25 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDING ADDRESS 6155 POWER HOUSE HILL RD ORO Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome IN Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 15. Each as water heater or vent 15.00 TYPE OF WORK New ❑ , Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other 1X Describe Work: —EX MN EX SITE PERM FNTIN Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 @?20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service "..A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in ful rce and effect. License Class .� �l Lic. No." OWNER -BUILDER DECLARATION 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 Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a AOC. S. SO 3.50FT. NON-RESID 17— MULTI.OUTLET 97,50 PIN. APPARATUS 8 SINGLE OUTLET CIR. EX. Occup. OUTLET OR mcruAEs .00 eAL 20 O I.so -EDI Ex. Occup. Gu APPR OE 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ 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 permitis issued. My worker s c�on i sq urance carrier and policy number are: Carrier i� $:�& MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood r 6.50 Ventilation , PERMIT FEt $ Policy Number bQ3 7-5 2, (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' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forth ,ith comp, with se provisions. X _ Date a v r Signature of App is t - ❑ Owner 13 Contractor 13 Agent An OSHA perrpjt i required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE 345.25 HAZ. D. �� IMP FLOOD CDF PARCEL PD HD 5SU This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By ///� PERMIT EXPIRES ON l applicable provisions Resolutions to do work been paid. / Date 6 D 23 O ate ReceiptNo. 336669/$345.25 WHITE•D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT s -COUNTY OF BUTTE - DEPARTMENT OF -DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 i' PERMIT APPLICATION DATA SHEET ', 0W OWNER: ASSESSOR P L NUMBER: M ✓� Proposed Building Uset it ing Inspecto : Date: '/ �� At time of permit application, I was a vised the following data must be u fitted prior to permit processing and/or issuance: Date Received By ❑ 1. All items 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................................................................... 4. Engineered plans and calculations, 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! ............... ❑ 6. Energy Design Compliance and supporting documentation.: ............................................................... ❑ 7. Statement of Intent for Non -Heated and A/C Buildings................................................................... ❑ 8. Hazardous Material F................................................................................................................ Manufactur and Installation Instructions including Tie Down Specifications .............. 10. Fees of $.......................................................................................................... ❑ 11. Impact Fees as shown on the attached schedule.................................................................................. ❑ 12. California Department of Forestry Plan Approval/Fees...................................................................... ❑ 13. Flood Elevation Certificate.................................................................................................................. ❑ 14. Sanitation and Plot Plan Approval Environmental Health Department.......... ❑ 15. City of Chico Plumbing Permit.............................................................................................................. ❑ 16. Plot Plan and Business License Approval from the City of Biggs ....................................................... ❑ 17. Planing Approval for (A) Use: (B) Parking: ........... ❑ 18. Contact Land Development about ❑ Imp ements, ❑ Drainage, ❑ Legal Parcel ........................... 19. Encroachment Permit f Dr'v ay con t ctio approval prior to occupa cy). ............................. 20. Pre -Inspection for required. �OPP � kilding Inspector (Date) Ll 21. Contractor's License Inform tion Number Name Style, Classification ........... ❑ 22. Workers' Compensation carrier and policy number............................................................:................ ❑ 23. Owner -Builder Verification (❑ Given to Owner, ❑ Mailed to Owner) ............................................. ❑ 24. Letter of Signature Authorization........................................................................................................ ❑ 25. Recorded Copy of Agricultural Acknowledgment Statement.............................................................. ❑ 26. Letter of Intent on Building Use/Detached Accessory Building Form ................................................ ❑ 27. Manufac ured Home Ut' 'ty Clearance ... ... ......................................... :............................................. ❑ �8. Existing ' do and/ r it per ts....................... :....... .. ant D .H. Title k to H.C.D. $ .................... Ll 30. Other .................... W en you issue the permit, process as follows: ❑ Mail to Owner, ❑ Mail to Contractor. 2f Telephone and hold for pickup at ;• _ o ice. sliver with Inspector. Applicant: Date: /0 — % 7 " e-` Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollut Date: By: Copy of Plans sent LlHealth Department, LlFire Department; LlOther ate: By: 1. Index permit Application for the above items numbered: ❑ Plan Check List 2. Additionpl4tems required: ly on rac[or, igner, owner, was advise oft a ove r quire d a by: ❑ phone, ❑ 1,Lj 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: IV Contractor, designer, owner, was advised of the above required data by: L] phone, ❑mail, ❑ Building Division counter, By: Date: Plans reviewed b Date: Plans reviewed b 2Z O y: y: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services. Building Division of------------ 71 7— — -- --- 4-f-I 71= 7 97 4*1 f 7' Jo... P4 7 17" T —J =-; j 7 - . - - — . . . . . . . . .. —T -7 .7. . TA J4. 4- L44 -4417 7 T -T "4 .4 77 ------- L 7 - 7' 4.1 LIU 7777- 4 71 7— — -- --- 4-f-I 71= 7 97 4*1 f 7' P4 7 -4 -T-H17 TP (Ti 4. —J =-; j 7 - . - - — . . . . . . . . .. —T -7 TA J4. 4- L44 -4417 T -T "4 .4 -7ii L 7 - 7' 4.1 LIU . . . . . . . T-1 IL - t -1 . 7,1 "U o 7r' 1 7- 47 J_j 17, TM. J I 7 .-4 4-A A AL-T -T I q ­r_ # 4* 44 I a• h r —T Ot .71, Cit.. . . . ...... 71 t 17 1 L L _T i Lt i A r_'-'--1-i--- Fla' Mik 17 NJ �-4 cA, 7- 7 120' 4W -It ffiLl- Pd. 1/4• GRIPPER PLATE (2) REOUIRED Q 114' GRIPPER 8ASC Q1/2-13UITC-A301 It (- BOLT WITH kUTS (4) REQUIRED -' 3/6- CAG PLATED BOLI, HUT A WASHER COUNTER BORED (LUSH WITH BOTTOu. Al 8' O.C. (8) REOVAREO STAND aAs( ABESCO ABS PAD dS03 DE_ TAIL •,A,• •1 t/2' SCH 40 PIPE RISER won /I/2' AOJUSTER HOLES AND 3/8' THICK TOP PLATE: 102' SCH •40 PIPE STAND WITH TYVp 01/2' ADJUSTER }TOLES A9ESCD ABS PAD /50l7 STEEL FRAME "'- SEE U TAIL -An �, m -- tV OD 10 N n m 36` MAX TO 9OTTON OF PAD a 01/2'u 3-'C.R. LOCK PIN WITH Al 1/8' BRIDGE PIN i� 1 zi COACH "C" FRAAIE- 2- CHANNEI- ICK STS (1) REOUIRED 1/4- GRIPPER BASE 1/4' CRIPPEI PLATE 1/2' ASO) 9OLT-/ (2) REQUIRED .3/9'-x 6's 6' STEEL PLATE 1/2' A307 BOLT C -BEAM (2) REQUIRED ATTACNME0T 10.00-.. f KROUE 10.00 109 STAND BASE TOP VIEW • 37' . TUF-1 PERMANENT FOUNDATION SYSTEM SACRAME?4TO, CA 95&23 PM: (800) 382-8831 FAX: (916) 383-5207 -sree IQ Xp0 0 J ATTACHMENT ..J' fRAPA L STS E OU1RE0 1/4- GRIPPER BASF 1/2" A307 BOLT (4) REOUIRED + 4 � e` 1/2` CIA. "DiE (a) PLACES 1 ¢ +_�!f 3D- _.- --►1 STEEL FRAME TOP VIEW STATE APPROVAL x 0 c H k • v H >3 L•- � o rz L 5 v O -= z WAYNE T. POLVA00, PE -LISTING too. 3.UILDING DEPARTMEM APPROVE ae-�rc 04/11/20.91 12:105 3835207 K SO °z M Y s l0 E �rxo> `gyp vA CC X IA o rg�N fi •n y � ae N mog -.1m9 a OT.Cy Y x Y h -a p I SAMWY CODE. 5WnoN 19551 =gi z vvlz C �j 1 0o po• p o NA C � o W � z N CP� �%,tWano N D Z O t:OT A VT?{C1C'� Ox AfiROrE AM DR=:nf oft syi.� •0N iRom Rgwwjmvn Q r—�-1� 1 ' APPLICADU SUTE utas AND ARMAAn" Stare of Csl arlds D Depum,alc of our;,, a+d CoaamnraitYDoreiopnxm n DrdS IF CODES AND S?AXDAM u N Ord a blQVU..Uomx PatJN xnON 91f5T H EF' UN AM I SAMWY CODE. 5WnoN 19551 APP? OVED SUBJECT . -; CJ^,%,,ac om NoliZ �--i A"SQrN. DO t:OT A VT?{C1C'� Ox AfiROrE AM DR=:nf oft syi.� •0N iRom Rgwwjmvn Q r—�-1� 1 ' APPLICADU SUTE utas AND ARMAAn" Stare of Csl arlds D Depum,alc of our;,, a+d CoaamnraitYDoreiopnxm -0 DrdS IF CODES AND S?AXDAM BY Dll O/ (i1jP4tVR1 \\ R EPA NO. ❑ 71b Pin AWivai Exomi , •ABE5CO PACZ 02 1 It NNS Ln c O LA o1 p O T=A. DCA OX O OOil� K7p0bfpsq ^��N., p~`=1 N 1 6 N l7ig NQ m q>� ..� np �� MLKA NrZ Vr §�x v ,,r >C^ O O *iyy. 1 bj g p ~y ,N iS v4O0i �2- iO p by 1 1� Nr �nAnAo+�tz ° � c C $Ob 54 •� 1r� In'rfZ X.� f� n n �R •Ri O �'> OAO ^ N ��' > C7 'v O v• V tom. vOH ' C, ILA 1m ul Z P. 21 sem$ 1111 y�"~Lrvw� N n CZ ZZ3 N \\ R O ❑ dtl� o, A z � a ���°� N m co yyy� K O ^ x y A A ^rby L L • ��� � may.• `^j N� {f VGN N�C r0 atP't ?g ❑ ❑� H YZ �r�i'�j 0 c: ❑ EY= y v-• A x � N I y V � ^ y P. 21 3/4" DIA. it IB' LG. EXPANSION ANCHOR 3 1/2" 1/2'x 8- LONG (4) 'REQUIRED ANCHOR BOLT (4) REOUIRED ANCHOR 3/8" CAD PLATEO BOLT. NUT & WASHER COUNIER BORED FLUSH WITH 8017011 - AT e' O.C. \ (8) RYQUIR[O CONCRETE PAD INSTALLATION! CHASSIS FRA6K • 1 1/2" SCA 40 PIPE RISER WITH - ♦1/2" ADJUSTER HOLES AND 3/B" THICK TOP PLATE 02` SCH AO PIPE S1ANO WfTH IWO 01/2" ADJUSTER HOLES ABCSCO ABS PAD /503 STEEE FRAME en N ko M 03 m POURED IN PLACE 16x 16212 CONCRETE FOUNDATION INSTALLATION _.N LIGHT HEAVY—WEIGHT PLASTIC PAD INSTALLATION • sb" L+Ax TO 80TTOK 3MOLTI-MID$ UNrm SINCLE WIDE UNITS Of PAD /1/2"x 3" C.R. LOCK PIN WITH 'LENGTH OF HOLE 1/4" GRIPPER PLATE WID H 26 1 (2) REOUIREO UP TO 44 1/4- GRIPPER BASE 1 B 1 8 1 12 !! 8 B 1/2-13UNC-A307 x 4'" 112 BOLT WITH NUTS OVER 66' (4) REQUIRED • 1 1/2" SCA 40 PIPE RISER WITH - ♦1/2" ADJUSTER HOLES AND 3/B" THICK TOP PLATE 02` SCH AO PIPE S1ANO WfTH IWO 01/2" ADJUSTER HOLES ABCSCO ABS PAD /503 STEEE FRAME en N ko M 03 m POURED IN PLACE 16x 16212 CONCRETE FOUNDATION INSTALLATION _.N LIGHT HEAVY—WEIGHT PLASTIC PAD INSTALLATION • sb" L+Ax TO 80TTOK 3MOLTI-MID$ UNrm SINCLE WIDE UNITS Of PAD /1/2"x 3" C.R. LOCK PIN WITH 'LENGTH OF HOLE .24 WID H 26 1 Of HO31C 28 40 UP TO 44 8 1 B 1 8 1 12 !! 8 B 12 112 12 t8 OVER 66' 1. 16 16 22 LENGTH Of HOME 10112'T_14 WIDTH Of HOME 16 UP To 44' 6 S 6 b 44'-1' to 66' 8 !! 8 B OVER 66 10 10 10 10 01/8 SRIDG£ NUMBER Of TUF-I REQUIRED NUMBER Or lUr-1 REOUIRED P><4 MOTE: SINGLE WIDE UMTS REQUIRE (4) E -Z TIE PADS. CIES GUARD TUF-T PIERS ARE TO BE PLACED AT APPROXAIATLLY EQUAL INTERVALS ALONG EACH FRA11E RAIL. ( STATE APPROVAL t.,.,11j�• N 37' m IS 1/2" m' N m ��•,; �i� E 1:x`4 TUF-.1 PERMANENT FOUNDATION SYSTEtv1 AHESCO-GUS GUARD COMPANY SRS 1 FLOWN -PERKINS ROA_ D SACRAMENTO, CA 95823 PH: (BOO) 382-8831 rAX: (916) 383-52D7 WAYNC T. POLVADO, PE—LISTING NO. F94249 SHEET 3 of 3 REQUESTED BY: a Uhe elityNational Title Company Recorded Mail Document ax Statement To: Teddy O. Baylen Liwayway O. Baylen 6155 Power House Hill Road Oroville, CA 95965 Escrow No. 164116 -CW Title Order No. 1 -64116 -CW APN:025-320-014 JPN IIII"IIII'I'II�III��I'IIIII�I�I�I 1 998-00108Es9 1 Recorded I REC FEE 7.00 Official Records I TAX 61.60 CounOf Butte I CANDACE J. ORUBBS I I Maureen 89:00AM 1"ar-1998 ll - Page 'l of 1 GRANT DEED SPACE ABOVE THIS UNE FOR RECORDER'S USE ONLY The undersigned grantor(s) declare(s) Documentary transfer tax is $ 61.60 City tax $ [ xx]_..computed.on full value. of property conveyed, or..._:.,_ ( ] computed on full valueless value of liens or encumbrances remaining at time of sale, [ xx ] Unincorporated Area City of FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, BEULAH,BARR, a widow hereby GRANTS) to TEDDY O. BAYLEN and LIWAYWAY 0. BAYLEN, husband and wife as Joint Tenants the following described real property in ftAft2f the unincorporated area of Oroville County of , Butte State of California: THE SOUTH 327.32 FEET OF LOT 4, ACCORDING TO 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 MAP BOOK 10, AT PAGE 21. DATED: February 09, 1998 Geo/6f_� STATE OF I* COUNTY OF ON M .Z before me, personally appeared .personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same In his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the Instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. A; Beulah,'Barr ANN S. DIAMOND NOTARY PUBLIC 7 WITNESS my hand and official seal. STATE OF COLORADO My Commission Expires 1214;44)p Signatur MAIL TAX STATEMENTS AS DIRECTED ABOVE FD -213 (Rev 3/94) GRANT DEED x 10/20/01 10:52 FAX 530 532 3304 D &.D HOMES ORO PROD Z001 STATE OF CALIFORNIA -,,,,,, P1 i:SS, TRANSPORTATION AND HOUSING AGENCY iPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT - DMSION OF CODES AND STANDARDS S r REGISTRATION AND TITI.ING PROGRAM STATEMENT OF FACTS This unit is a: � Mobilehome E3 Commercial Coach 0 Floating Home 0 Truck Camper Decal (License) No.(s) I/We, the undersigned, hereby state: Trade Name I- Serial No.(s) THE ABOVE DESCRIBED MO$ILE HOME HAS BEEN INSTALLED ON AN APPROVED PERMANENT•FOUNDATION SYSTEM AND IS PRESENTLY IN ESCROW WHICH WILL CLOSE WITHIN 45 DAYS. I/We further agree to indemnify and save harmless the Director of Housing and Community Developmcnt, State of California, and subsequcnt 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. IfWc certify under penalty of perjury that the foregoing is true and correct Executed on A /2-0/61 at �✓L (city) Signatures Printed names) (01s'5- (-6we2 / ()L)S C /�ie--(- City �Qd���e-C-t State G4cI L HCD 476.6 (REV 9/91) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 (Rev. 12/96) APPLICATION AND PERMIT C-1 c 4S SESSOR PAACEL NU;Aw ZONING BUILDING PERMIT OWNER /� �/�)1r/�` �i� N / �1 /� �� I P 1 Lr.V 1. '02 I S11 *7— AC.('. 11 RI 'Ir —NtI, �. .. CONS TRUCTION LENDER LENDER'S LWUNG ADDRESS ARCHITECT OR ENGINEER ARCMTECT OR ENGINEERS MAILING BUILDING ADDRESS f _ /---' ,,Or NO I 9LIBDNL4gN9 NIAME USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other New ❑ Addition ❑Remmodel Describe Work:r OW 1\ Fireplace Total valuation b ' LICENSE NO. Filing Fee b Permit Fee b Plan Checking Fee b Energy Plan Checking Fee b J S .ARCEL MAP PERMIT FEE b PLUMBING PERMIT Each Trap Solar or heat pump water heater _ Water oioina TYPE OF WORK Each as water heater or vent Ges piping system 1 .5 outlets s ❑ In ❑Other Building sewer _ �(' 4 1 /" Mobile Home S I GT W PERMIT FEE t ELECTRICAL PERMIT Main Service 800V OR LESS z00A OR LESS Main Service ( 200A TO IOOOA 1 Ex. Occup. omu Ex. Occ ountTs Temporary Service Mobile Home Facilities Misc. Wirina NO. N/ 20.00 •ning Nee 20.00 7.00 23.00 15.00 1 5.00 T5—.0-0 1 5.00 Cj20.00 Fling Fee 20.00 23.00 48.00 3.5¢F° @7.50 5.00 23.00 20.00 23.00 PERMIT FEE S . " PERMIT FEE PAZb MECHANICAL PERMIT Fling Fee 20.00 Heating R w SRA �/� Cooling SHERIFF Hood 6.50 Ventilation OTHER - PERMIT FEt S Mobile Home Installation Fee b Energy Inspection Fee b OCC CONST. TYPE TOTAL FEE $ f— A�aouNT REcEiVEp s NIAZ. D. FEES IMP RDOG COF PARCEL PO _1 This permit is hereby Issued under the applicable provisions i of the Butte County Code and/or Resolutions to do work Indicated above for which fees have been paid. sh *R W �� A TO BE RM zNm corm m By Date PERMIT EXPIRES ON Decal has been lost. Date: 12/5/01 Signature:�- M \ PRE-INSPECTI OWNER: LOCATION: CONTRACTOR: PRE-INSPETION FOR: DATE TO INSPECTOR: Building Description: CommerciaWsage:_ Residwitiai/W of Units: Currently Occupied_ Abandoned/Vacant Electric: Yes No_ Condition of Electric AS FOLLOWS: BUILDING INSPECTOR'S REPORT i .f Electric currently On_._,�Off Gas: Natural PropaneNone CurrentlyOn O ff Obvious Problems: Sanitation: Plumbing Working Wel! Working .,Pot,,.�ibleWater. Obvious SewageProblems _:!] ACTION ISSUE: P,� - 0 1 P3 C' I SOLD FOR { Date L �/ Sketch buildings on reverse and indicate location on property. -7- 7 I... L -t- -H --4 -4 4L 7'. a:" 4T =7 T -7--7- j - 21, 1-4 ! i 4- 44 -7-' A L 1 3 it Fl 44 -- Pq-+jj 44- 7 44 J- j I L -4 -71 �'---T 44- 77 r7- 7F., 7 .4- 7: f 4- .4-- i7 1-77 a L -L 01 r,. -f, 4 r 7 f',ji J. -7 It 7 77� I 17 `TT7 —4� 4-- 4-1 -4 --4 -q .7 L.1 - ;' - -..- I - 1. ri i7TF4 �F F f, + - Sl 4- 17, 4-7- f- --7 7 .t. 7T I�E tj 4.. mjr Yl i A F-7 - " I .U -N, k 7r. ZI. T A 77- L A A A F . ..... -7r 77. �7.!-t1 17 iM II, I Ti WEul rinvai Lr= -Hm.- vi r r -7 J7-7 Kx)t D n -TT r- lob --1206 -Q7- 52 Poulek WOUSE t4i L -L Ad „COUNTY OF BUTTE - DEPARTMENT QF DEVELOPMENT .SERVICES - BUILDING DIVI ' 7 County Center Drive • Oroville, California 95965 SION Telephone (530) 538-7541 (Rev. 12/96) _ APPLICATION AND PERMIT PERMIT NO. &S SESSO R PARCEL NU41s1ER E BUILDING PRMIT OWNER — ' A I Ion // Is� CONSTRUCTION LENDER LENDER'S MAIUNO ADORE89 ARCNrtECT OR ENOINEEA ARCKTECT OR ENOWEEAS ►M11N0 ADORE$! e---ADOREss / _ 1 .OT NO I SUBOMSION'BNAME USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other TYPE OF WORK New ❑ Addition ❑ Remodel �❑3 Ublitipsj❑ In ❑ Other Describe Work:lr 1 /�• Y Yl�� PVT\ *PERAUT FEE Pulp SRA •- NO. Fire lace Total Valuatlon 4 S ruing tee b Permit Fee FePlan CheckingEnergy Plan Checking LS Fee E S PERMIT FEE PLUMBING PERMIT Each Trap Solar or heat um water heater Water i in Each as water heater or vent Gas DiDina stem 1 - 5 outlets Buildin sewer Mobile Home S G W PERMIT FEE - ELECTRICAL PERMIT Main Service °00V °q LESS 700A DR LESS Main Service ( 260A TO IOWA 1 Ex. OccuD. a. Occ ,,g ° Temporary Service Mobile Home Facilities 20.00 20.00 7.00 23.00 15.00 15.00 15.00 15 00 (920.00 n Fee 20.00 23.00 48.00 3.500. (97.50 5.00 23.00 20.00 23.00 PERMIT FEE t MECHANICAL PERMIT Filing Fee 20.00 Hood 8.50 SHERIFF Ventilation OTHER s PERMIT FEt S Mobile Home Installation Fee S Energy Inspection Fee $ OCC COT. rypKE TOTAL FEE $ Z Au O I�� T RE�� �z- O. FEtS IMP FLOOD COF PARCEL PO NO ISSL �/�/This permit Is hereby Issued under the applicable provisions I of the Butte County Code and/or Resolutions to do work Indicated above for which fees have been paid. *RECEM * TO f! ” sj.M COBy Date 0 PERMIT EXPIRES ON i AP Wp �- v�, ja " i • `JARLEN BOTEN e/mss Po r House Hill Rd., 1 mi. S. of Pr�torm d. , Palermo Permit#-, 1- EP,E(util., MH) ELEC. S GAS r SUPPO T S R URE QNFACT ION TEST AP Permit 3242-76 ISSUEDfVC — to Wil-Liam Barr E/S Power House Hill Rd., 1 mi.S.of Palermo Rd., "roville Permit #1787-81B(new ramada&3'��/ carport/MH) 025-320-014 #98-2032 BAYLEN, TEDDY 0. 6155 POWER HOUSE HILL RD. OROVIL OWNER MEI EXISTING SITE 025-320-014 PERMIT #98-2093 BAYLEN, Teddy 0. +' '6155 Power House Hill Rd,Oroville Relocate Mobilehome Utilities �ll,1.v., v►� •ale °ii,�9G ,Q/2�/y� RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 14 -Nov -2001 2001-0052817 Has not been compared vith 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. TEDDY O. BAYLEN & LIWAYWAY O. BAYLEN BUTTE COUNTY BUILDING DIVISION REAL PROPERTY OWNER/LESSOR LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 6155 POWER HOUSE HILL ROAD 7 COUNTY CENTER DRIVE MAILING ADDRESS MAILING ADDRESS OROVILLE, BUTTE, CA 95966 OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP CITY COUNTY STATE ZIP SAME 01-2 46 530)538-7541 INST:\LL:\TION AI:V LING ADDRESS. IF DIFFERENT : IT � 0 EPHONE NUMBERMM_11/13/01 �=G CITY COUNTY STATE "ZIP SIGNATURE OF LOCAL AGENCY OFFICIAL / DATE SAME NONE UNIT O\\'N'IiR (if also propeny msner. write "SAME") DEALER NA\IE (if not a dealer sale, write "NONE") NONE \I:\ICING ADDRESS DEALER LICENSE NO. CITY . COUNTY STATE ZIP UNIT DESCRIPTION GOLDEN WEST 1998 UNKNOWN MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NA.\II'/NUMIIL'R G WCA21 L25574A/B 27'X 66' RAD 110 180' SERIAL NUMBERIS) LENGTH N WIDTH INSIGNI.VLABEL NUMBER(S) REM. PROVERTY LEG:\I. DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. 9025-320-014 SEE ATTACHED IICD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - I ICD PINK -Applicant GOLDS\ROD - Building Dept LEGAL DESCRIPTION A.P. #065-210-005 All that certain real property situate in the County of Butte, State of California, described as follows: THE SOUTH 327.32 FEET OF LOT 4, ACCORDING TO 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 MAP BOOK 10, AT PAGE 21. PA BUILDING PERMIT NUMBER: 01-2646 Address or location of unit: 6155 POWER HOUSE HILL ROAD, OROVILLE, CA 95966 Legal Description of Real Property: A.P.025-320-014 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: TED BAYLEN Owner's address: 6155 POWER HOUSE HILL ROAD, OROVILLE, CA 95966 INSIGNIA OR HUD NUMBER: RAD 1101803/02A/B SERIAL NUMBER OR V.I.N.: GWCA211,25574A/13 MANUFACTURER'S NAME: GOL N WEST YEAR: 1998 OFFICIAL APPROVING INSTALLATIO DATE: 11/13/01 PHONE: H.C.D. 513C (530) 538-7541 NOTES fly. 3 RESIDENTIAL PERMIT NC. 025-320-014_ 01-2811 i 13AV i EN, TEDDY 6155 PWR HOUSE HILL, OROVIL 2 OPEN DECKS 11 SPECIAL CONDITIONS SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) I Signature 6z CHECKED BY ,/ = OK 4. 0 = Not OK Date - = Not Applicable MOBILE HOMES = Not Ready 1. Date MOBILE HOME UTILITIES (Plans) OK except #'s 2. 1. Zoning Requirements -Setbacks -Easements Well Clearance & Disconnect 2. Soils; Special MH Support Sketch 8. 3. Sewer; Location -Test -Fall -C/O -Concrete ' 4. Water; Location -Test -Easement Needed (Sketch) Date 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 1. 6. Gas; Location -Test -Wrap;-/ /" L'tt. / P Nat. or / /"L"ft./ /'LPG 2. 7. Well Clearance & Disconnect 3. 8. Utility Clearance 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures Date Carports; Windows -Doors Card B-1 Date Card B-1 Date Electric 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 Date 6. Water; MH Test -Regulator -Connector Date 7. Water and Sewer Connected -C/O to Grade -HD Approval Date 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 5. Elec.; Pool Lighting; 15 Volts-GFI Date 6. Card B-1. Date Card B-1 Date 7. Card B-1 Date Card B-1 ' MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 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 Ready RESIDENTIAL (; Date Underfloor (Plans) OK except #'s Hangers -Post Caps -Anchors -Connectors 1. Zoning -Setbacks -Easements -Flood -Slope Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rfng. 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Fireplace Ties or Type A Flue -Fireplace Throat Clearance 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 5. Stemwalls, Main; Steel -Blackouts -Wrapped Garage Fire Protection Framing 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Property Line Firewall & Openings 6a. Hold Downs and Special Anchors Ext. Doors -One T -Check Garage 3rd Story, 2 Exits 7. Slab, Steel -Wrapped Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 8. Piers -Fireplace Ftg.-Steel Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Siding -Nailing Veneer 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Stucco Mesh -Drip Screed -Fd. Vents-Undertlr. Access 11. Water Pipe; Test -Anchors -Regulator -Service Test Glazing Area -Glass Protection -Skylights -Plastic 12. Electric Underground Shear Walls; Nailing -Bolts 13. Plenums & Ducts; Clearance -Material -Support -Ins. Brace Interior/Exterior Wall Panels 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Insulation -Walls -Ceilings 15. Access & Ventilation Infiltration -Walls -Windows 16. Insulation Date Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Ext. Steps -Door & Sidelight Protection -Landings 17. Water Htr.; Vent -Access -Combustion Air Baffle Smoke Detector 18. Water Pipe; Test & Anchor -Nail Protection Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 19. D.W.V.; Test Fillings & Anchor -Nail Protection Bedroom Exiting 20. Shower Pan; Test, First Floor -Tub Access G.F.I. & Bath Fixtures & Tub Access -Spa 21. Test Tub & Shower, Second Floor -Tub Access Elec. Trim & Subpanel, Breaker Sizes & Labels 22. Gas Pipe; Sixe & Anchors Stairs & Rails 70. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Elec. Outlets & Receptacles at Kit. Counter 23. Fixture & Transformer Clearance -Ins. Protection Garage Fire Door; Swing -Landing -Closure 24. Elec. Receptacles Spacing -Lights & Switches at Doors A.C. Duct in Garage -Damper 25. Size Boxes & No. of Conductors Stapled Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 26. Romex Installed Close to Edge of Studs & C.J. Plb., Elec. & Mech. Equip. Listed for Location 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Elec. Receptacles in Garage (F.F.I.)-Romex Protection 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI Insulation -Foam -Looked in Attic 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI Guard Rails & Deck Construction -Post Caps 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral O Yes ❑ No Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 31. Service -Riser Conductors & Ground Main Disconnect Clearance Looked under Floor ❑ Yes 32. Equip. Clearances Panels-Motors-Mech. Equip. Following Instld./Drive ❑ Yes 0 NoMalks D Yes 0 No/Planters 0 Yes 0 No 33. Clothes Closet Light -Shower Light -Spa Light Stucco Brown -Finish 34. Smoke Detector A.C. Unit Disconnect, Electrical -Plumbing 85. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Ventilation Throughout House 35. A.C. Ducts Insulation & Support Glass Protection 36. Vent Fan, Exhaust above insulation Corrections from Previous Inspections 37. Condensate Drain & Overflow, Size & Grade Gas Test -Meters Tagged, Gas -Electric 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet Water & Sewer Connected -C/O to Grade -HD Approval 39. Attic Access & Platform if Furnace in Attic Energy Compliance Certificate -Other Certificates 94. Address Posted Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date Date FRAMING (Permit) OK except #'s Card B-1 Date Card B-1 40. Sits Proper Materials & Anchors 41. Walls Studs-Nai ing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing dingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One T -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Undertlr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 82. Following Instld./Drive ❑ Yes 0 NoMalks D Yes 0 No/Planters 0 Yes 0 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: .ff.. / COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION o 7 County Center Drive Oroville, California 95965 •Telephone (530) 538-754}° _ R I NO. (Rev.12/96) ' APPLICATION AND PERMIT 02 ASSESSOR PARCELNUMBER 25-320-014 ZONING BUILDING PERMIT OWNER BAYLEN TEDDY TELEPHONE 533-5053 SO. FT. OCC. BUILDING VALUATION .OWNERS MAIUNG ADDRESS 155 POWER HOUSE HILL RD. OROVIUE, CA 95965 152 0 540 0 CONTRACTORS NAME OWNER TELEPHONE CONTRACTORS MAIUNG ADDRESS 690 0 4830.00 CONSTRUCTION LENDER LENDERS MAILING ADDRESS Fireplace Total Valuation is 4 830.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 72 , 0 ARCHITECT OR ENGINEERS MAILING ADDRESS - Pian Checking Fee $ 46.8 BUILDINGADDRESS 6155 POWER HOUSE HILL RD. OROVILLE CA 95965 Energy Plan Checking Fee $ $ PERMIT FEE $ 138.80 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome CK Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK • New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other KI Describe Work: 2 OPEN DECKS BUILT W/OUT PERMITS Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W (9]20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service *.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.P License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law f1pir 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: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. r❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed If the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that If I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. 1 9 Da�t� ! f — ^ o a a re of " plicant - Owner ❑Contractor Agent PAn SHAperm' is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service TO LD A 46.00SO WEE200A NEW coNsr. DWELLING occuP. 3.5¢so. ADDNS. &ACC.' FT. NOR EW CONST. LET NON.RFSID. BRANCH CIRCUITS @7.50 OWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTL.ET OR FIXTURES BA2L 9'.0° L 9 .SO ED Ex. Occup. 0. Ao ,DEA 5.00 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 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 138.80 HAz o FE CDF I PARCEL I PO HD AWA This permit is hereby issued under the of the Butte County Code and/or Resolutions indicated ab e f whit fees have By PERMIT EXPIRES ON applicable provisions to do work been paid. Date 1 Ar ale Receipt No. / WHITE-D.D.S.-T5. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT t�i-nSii'�+�.,..�.'+�-'r.>ti'S3^.i.}.f'^ '"T�'��,-*�tJ�•Fi�!'"i:•9•y 7`s��_�„F.. i��-+•1. 3N .ii~ vy •� , d 4 `°C0UV, TY OF BUTTE - DEPARTMENT"OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (530) 538-7541 :. -of PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL NUMBER: 5 8� 15 ' 2) D6_ U/ q : %",.'`Proposed Building Usa. n� •I AQ 10 142 Building Inspector: Date: W01-01 UT_ At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: Date Received By ❑ I. All items 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................................................:i................. ❑ 4. Engineered plans and calculations, 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! ............... ❑ 6. Energy Design Compliance and supporting documentation................................................................ ❑ 7. Statement of Intent for Non -Heated and A/C Buildings...................................................................... ❑ 8. Hazardous Material Form.................................................................................................................... ❑ 9. Manufactured Home Data and Installation Instructions including Tie Down Specifications .............. ❑ 10. Fees of $ ❑ ,111. Impact Fees as shown on the attached schedule.................................................................................. ❑ 12. California Department of Forestry Plan Approval/Fees......................................................................: ❑ 13. Flood Elevation Certificate. .. ..- .................................................................................... �14. Sanitation and Plot Plan Approval ��r/ / e Environmental Health Department.......... - ❑ 15. City of Chico Plumbing Permit............................................................................................................ ❑ 16. Plot Plan and Business License Approval from the City of Biggs ....................................................... A• ❑ 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) ............................... ❑ 20. Pre -Inspection for required. Request to Building Inspector (Date) ❑ 21. Contractor's License Information (Number, Name Style, Classification) . ........................ A., .............. ❑ 22. Workers' Compensation carrier and policy number............................................................................. ❑ 23. Owner -Builder Verification (❑ Given to Owner, ❑ Mailed to Owner) ............................................. ❑ 24. Letter of Signature Authorization.......................................................................................................e . ❑ 25. Recorded Copy of Agricultural Acknowledgment Statement.............................................................. ❑ 26. Letter of Intent on Building Use/Detached Accessory Building Form ................................................ f Ll 27. Manufactured Home Utility Clearance . ................... .............................................................................. ❑ 28. Existing violations and/or expired permits.......................................................... .............................. ❑ 29. ❑ 433 A, ❑ Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D. $ ..................... ❑ 30. Other ,^` When you issue the ermit, process•as follows: ❑Mail to Owner, ❑ ail to Contractor. elephone y nd'hold for pickup at Office. Deliver with Inspector. _ 71 l ���_ (Appl' an . h Dat . en Copy of Haz-Mat. fofdt�ni(dlt5q*artment, ❑ Fire Department, ❑ Air'Polluti n 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, ❑ Building Division counter, By: Date: Contractor, designer, owner, was advised of the above required data by: ❑ phone, ❑ mail, ❑ Building Division counter, By: Date: Plans reviewed by: Date: Plans reviewed by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services - Building Division LW COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 (Rev. 12/96) APPLICATION AND PERMIT PERMIT No. .ASSESSOR PARCELNUMa0% ZO~PA BUILDING PERMIT OWNER e/` TELEPHONE 533-5053 SO• FT. OCC. BVA................................................MAT-1—ON OWNER'S MAIUNO ADDRESS fls�usg 41 �S a L PCI CONTRACTDR'S NAME 1-1 L(, I _ . TELEPHONE CONTRACTOR'S MA4JN0 ADDRE88 CONSTRUCTION LENDER - OlJ LENDER'S MNUNO ADDRESS Fireplace ARc rrEcr oR ENOINEEA Total Valuation S L 00 i LICENSE NO. wM NTECT OR ENGINEER'S MALJNO ADDRESS WILDING ADDRESS WIS �OTNO. SUBDIVISION8NAME USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome( Other LL TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: CLI *PERAAIT FEE PAYS SRA • - SHERIFF OTHER AIVIOVNT RECE "b S S S Permit Fee S r%p2.04 4 $ S Energy Plan Checking Fee " TO BE PVT INTO C0WVM S-0 Filln Fee S 20.00 Permit Fee S r%p2.04 Plan Checking Fee $ CONST. (OCCUP. oR ADDNs. LDs. Energy Plan Checking Fee S Mobile Home a PERMIT FEE S PLUMBING PERMIT Filing ee 20.00 Each Trap 7.00 Solar or hes p water heater 23.00 Water piping 15.00 Each gas water heater or ve 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 0 Mobile Home S G W1 (0]20.00 PERMIT FEE I $ ELECTRI AL PERMIT ,ORiEss Filing Fee 20.00 Main Servic 000 EX. OCCU OR LESS 23.00 Main Service 48.00NEW CONST. (OCCUP. oR ADDNs. LDs. 3.5QSO Ex. OCCU OUTLET EX. OCCU SAL p�S Temporary Service !M23.00 Mobile Home Facilities Misc. Wirin Cool PERMIT FEE:: $ MECH ICAL PERMIT I Filing Fee 20.00 PERMIT FEE 1 $ 6.50 Mobile Home Installation Fee S Energy Inspection Fee S OCC CONST. TYPE TOTAL FEE $ HA2- D. FEES IMP FLOOD Is R CDF PARCEL I PD I NO I ISSUE 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 PERMIT EXPIRES ON Date t OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in. processing and issuing your building permit. No building permit will be issued until this verification is received. DI personally plan to provide the ajor labor and materials for construction of the proposed property im rovement : YES NO ❑ C I HAVE HAVE NOT ❑ signed an application for a building permit for the proposed work. 3.r-4ave contracted with the following person (firm) to provide the proposed construction: NAMJI�:. ADDRESS: PHONE: CONTRACTOR'S 4. I plan to provide portions of this but I supervise, and provide the major work: NAINJ E: ADDRESS: PHONE: CITY: the following person to coordinate, CONTRACTOR'S LICENSE 5. I will pro ' e some of the work but I have contracted (hired) the following p ns to provide the rk indicated: NARE ADDRESS PHONE TYPE OF WORK ;D: PROPERTYOWNER SOCIAL SECURITY NUMBERS D TE• NOTE. This Owner -Builder Ver cation is required by Section 198.31. and 19831 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER OWNER BUILDER INFORMATION j Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible parry of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their_license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. t rely, Mic el C. Vi iia, C.B.O. M ger, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the Cal jornla Health and Safety Code 1 OVER—� �, TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance E.H. USE ONLY Not Plan Attached"-- Floor ttached\Floor Plan A had Sant to a.D( I wner Location AP# Plan Approved for: Sewage Disposals Water Supply: Public _ Private Weli� Clearance for dwelling. Other IC ` o, A. Ste' ' ld Hold final for: Final clearance O.K. for: NOTE: Environmenta ealth Specialist Date 8/96 • • Fli J W P cq c � V ' J F-- oo — • Fli J W P _ h . 35 �C) a �:h j N {3u"rte County .:: environmental Health '.` ate " 7rCn �itur© lq� 0 0i APPROVED T'l 1H913H 1NYINYH,' �7 I ISVE 1.F ' � I =J _J LU CD 0 7-0 H m � p S o'- N L :z N Ld LL.� W be `• Y v w O st cc c \' Y �0 0 U � Q J CD rn Z Lo 0= ccc 1 C7 Qotr �Wc ` � H d (� Cp c LY LL v o V z VY 5661 f -RW I a► 2 IAJ O bUT TE C®t 0 L Ljj cL- P N � ti14 I M w ui X dW c11 b1 S WIN, �l 1H913H 1NYINYH,' �7 I ISVE 1.F ' � I =J _J LU CD 0 7-0 H m � p S o'- N L :z N Ld LL.� W be `• Y v w O st cc c \' Y �0 0 U � Q J CD rn Z Lo 0= ccc 1 C7 Qotr �Wc ` � H d (� Cp c LY LL v o V z VY I a► 2 O 0 L Ljj cL- I— O Cot' co NIW ..90 E 1cYVA o— 025-320-014 PERMIT #98-2093 RESIDENTIAL i BAYLEN, Teddy 0. 6155 Power House Hill Rd,Oroville Relocate �I�bbilehome Utilities PERMIT NO. / PERMIT EXPIRES [ OWNER 0 CONTR ASSESSOR PARCEL LOCATION OFFICE COPY r Address GAS Meter By Date ELECTRIC Date Meter By , CHECKED SRA BY FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E --Z0 JOB FINALED (Date) Signature V=OK , O = Not OK Not Not Ready MOBILE HOMES Date OBILE HOME UTILITIES lana OK except #'s . Zoning Requirements - Setbacks - Easements 2. Soils; Special MH Support Sketch Sewer, Location -Test -Fall -CAO -Concrete Gas; Location-w�ra�p�; / %'L'ft. / ,/Nat. orl�YL"ft./fid G ZllNell Clearance & Disconnect 8. Da Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION lana OK except #'s Hing Requirements- Setbacks Easements 3.F1i�ngs; Size -Spacing -Marriage Line as; MH Test -Demand Calve -Connector ectricity; MH Test -Crossovers -Breakers -Clearances rain; MH Test -Fall -Flex Connector ter; MH Test -Regulator -Connector Wa r and Sewer Connected -C/O to Grade -HD Approval s and Electricity Tagged Downs -Type -Installation Cert. its; Insp.-Sketch �C7ert of Occupancy nt Foundation Only: License Decal DM7 l /(� j' Card B-1/�4 Date Card B-1 Date tic Card B-1 Date Card B-1 6- D ( rt) zl-u ET MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils-Size-DepthSpacing-ConrtectorsSteel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rttrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns-ConnectionsSplkx-Decal-Enclosures 6. Carports; Windows -Doors 7. Electric 8. Fnng.; Sils-AnchorsStuds-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip, w/5 Circulating Equip. -Pool Lghtq. 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 ✓ = OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plats) OK except #'s 1. Zoning-Setbacks-Easments-FloodSlope 2. Ftg., Main; Soils-Elec. Gmd. / P Ftg. Depth 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ /" Ftg. Depth Fireplace Ties or Type A Flue -Fireplace Throat clearance 4. Ftg. Porches & Decks; Soils -Steel-/ P' Ftg. Depth Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockoutsa/Vrapped 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 Siding -Nailing Veneer 11. Water Pipe; Test -Anchors -Regulator -Service Test Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 12. Electric Underground Glazing Area -Glass Protection -Skylights -Plastic 13. Pienums & Ducts; Clearance -Material -Support -Ins. Shear Walls; Nailing -Bolts 14. Girders -Sills -Anchor Bolts -Joists Vents-Crippies 15. Access & Ventilation 16. Insulation Infiltration -Walls -Windows Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date Date PLUMBING (Permit) OK except #'s FINAL (Plans) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 63. 18. Water Pipe; Test & Anchor -Nail Protection 64. 19. D.W.V.; Test Fittings & Anchor -Nail Protection 65. 20. Shower Pan; Test, Firs' Floor -Tub Access 66. 21. Test Tub & Shower, Second Floor -Tub Access 67. 22. Gas Pipe; Sae & Anchors 68. Elec. Trim & Subpanel, Breaker Sizes & Labels Date Stairs & Rails Card B-1 Date Card B-1 Date Fireplace or Stove, Clearance -Hearth Card B-1 Date Card B-1 Date Elec. Outlets at Wood Panel, Int. & Ext. ELECTRICAL (Permit) OK except #'s 72. 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Bokes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral 0 Yes 0 No 80. 31. Service -Riser Conductors & Ground -Main Disconect 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 32. Equip. Clearances Panels-Motors-Mech. Epuip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings Date Water Well, Disconnect, Electrical, Plumbing Card B-1 Date Card B-1 Date Exterior Elec. Trim, G.F.I. Receptacle -Underground Card B-1 Date Card B-1 Date Ventilation Throught House MECHANICAL (Permit) OK except #`s 89. 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Fumance-Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s Comments at Final: 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Puriin-toff Brac.-Truss-Shting: Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior / Exterior Wall Panels 61.Insulation-Walls-Ceilings 62. 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-Conector- 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 & Recepticales 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 (G.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 0 Yes 82. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 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 Throught 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 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: - I-1tlYW{,. ',�N�Y.1�►YYm'.ir�-,yam....... � ._ _ _ _a _ _�:. I— -•P � Fw. "• .. +.r.MNw�+.r..._._„ .. ._F„ ..r�,,_K_.VMiu.Vn��'.M�_.__ +KM..w .F 'h.. w,'J lYrTllV.rr'�+r---w_r.w�swi�a�.Y.�l � 1 1,10tallat ori Permit Numb,or t YY- Z) 3, rroperty Owner l g 1Jcunn s Addinva or Location o.tt�ni �'�1,�y?r!.l_�/CY_ Year of M/H t�_C=� .. T. oduwn 5yi3f;411, �tun►1.,er t �- �G I certify that thoae pvrt.i.ol" tlf t110 l:ic;caOwtl syMteiri ixaatalled bullovi gradR M worn not; damaged, pr.i.6r to car as a r(3r.ult of �110 installntioji, (2) were not modifiOd Pciclr to or dux.ing tato instal.lat.ian, and (3 ) worn l ilsta l.ltd In aec:ordnncse WUh the - tern , of their li.nt:.ing or wi.tiz- frl specifications. icz terms at 1;11a engineered Vln!� narid ;3ignz�truxa U�i;� t int Na.riie J .'-., COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION .. -� 7 County Center Drive • Oroville, CaMornia 95965 • Telephone (530) 538-754 PE MIND. (Rev. 12/96) APPLICATION AND PERMIT -- ASSESSOR PARCEL NUMBER 025-320-014 ZONING BUILDING PERMIT OWNER .Jpaylen, teddy TELEPHONE SO. FT. OCC. BUILDING VALUA OWNERS MAILING ADD91s55 POWER HOUSE HILL RD. CONTRACT?" Jf TELEPHONE CONTRACTORS MAILING ADDRESS ,. CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 6155 POWER HOUSE HILL RD. Ener Pian Checking Energy g Fee $ OROVILLE $ PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome JX Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: MHU Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W @20.00 60.0 PERMIT FEE $ 80.00 ELECTRICAL PERMIT Fling Fee 20.00 e00v oR LES s Main Service 200A OR 23.00 23.00 1 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 License Class LIC. NO. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I X 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 Main Service 200A TO 1000A 46.00 NEW CONST. DwEwNG OCUP. CSO OR ADONS. ( 8 ACC. BLDS. 3.5¢FT, NON -RES• ID T. MULTI -OUTLET @7,50 OWER APPARATUS 8 SINGLE OUTLET CIR. EX. OCCU OUTLET OR FIXTURES B20 @ 1.00 Ex. Occup. Ours Ao O. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 90 00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) `�. I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X u is Date i —CT K/ Signature of plica Own ❑ Contractor [I Agent An OSHA per tis requ ed for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $166..00 HAZ. I D. FEES IMP FLO D I PDHD SUE 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 -dZ-J io /n� la, Date PERMIT EXPIRES ON K, --3,D -••99 Date Receipt No. 250550/166.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 Count Center Drive • Oroville Californial 95965 • Telephone 530 � y p ( ) 538-754 PERMIT NO. (Rev.'12/96) APPLICATION AND PERMIT L,2 023 ASSESSOR PARCEL NUMBER `R —Q ZONING BUILDINGPERMIT OWNER T,� D TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS LS MAILING ADORE CONTRACTORS NAME TELEPHONE CONTRACTOR NO ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fire lace Total Valuation $ ARCHrrECT OR ENGINEER LICENSE NO. Filin Fee $ 0 Permit Fee $ ARCHITECT OR ENGINEERS MAUN0 ADDRESS Plan Checking Fee $ BUILDING AOORESs g / Energy Plan Checking Fee S $ PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MSP PLUMBING PERMIT Filing Fee 20.00 USEOFS . UCTURE SF ❑ Duplex ❑ Mobilehome Other sPECFY Each Tr 7.00 Solar or heat um water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities 0' InstnUation O Other O Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home Ca?20.00 r PERMIT FEE $ 3�— ELECTRICAL PERMIT Filing Fee 20.00 Main Service 'w oa Es 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license Is in full force and effect License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ .I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under .penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (rhe 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, 1 shall not employ any person In any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 50" deep and demolition or construction of structures over 3 stories in height Main Service WELL TO t000A 48.00 NEw CONST. OWELLRq occuP. 3.5QF°; OR ADONS. ( a ACC. OLDS. NtW NON,RESIO. MULT' CIRCurrrs @7,50 POWER APPARATUS a SINGLE OUTLET as Ex. Occup. OUTLET OR FDLTUHEs 20 0'00 SAL ® .50 DAPPLNS OR Ex. Occup. �Io 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ In MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEI_ $ Mobile Home Installation Fee 1 b Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HAZ D FEES IMP I FLOOD I COF PARCEL Po HD ssUE This permit is hereby Issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By Date PERMIT EXPIRES ON provisions to do work paid. to ReceiptNo. as 22=ZZ i0l WHITE-D.D.S.-B.D. CANARY- SESS R PINK -INSPECTOR GOLDENROD -APPLICANT .-,�.—•�c�•-•rig.,;�y'`�I�r'taypw�'a*�iisr�'X;;}lji7,(�i"Y';' ni#i''CSl47'iJ4'e'tTi�.iY'•4 r'f.+�P�,.jnAvr f 'COUNTY -OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 l PERMIT APPLICATION DATA SHEET OWNER: 6 Lira'' ASSESSOR PARCEL : Proposed Building Use: Building Inspector: Date: At time of permit application, I was advised the following data must be siXmitted prior to permit processing and/or issuance: Date Received By ❑ 1. All items have been submitted .------------------------------------------------------------------------------------- ❑2. Plot plans, 3/4 sets, signed by the preparer of plans. ------ 03. ----- ❑3. Complete plans, 3/4 sets, signed by the preparer of plans. 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑ 6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- 0 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------ ❑ 10. Fees of $------------------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. ------- ❑ 12. California Department of Forestry plan approval/fees. ❑ 13. Flood.elevation certificate. --------------------------------------------- . Sanitation and plot plan approval 6rQ0 Health Department. 15. City of Chico plumbing permit. --------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. --- ❑ 17. Planning approval for (A) Use: (B) Parking: ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ElLegal Parcel. ----------------------- El 1. 9. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- ❑ 20. Pre -inspection for required Request to Building Inspector on - ti (Date) ❑21. Contractor's license information. (Number, Name Style, Classification). ---------------------- ------------- 022. Workers' Compensation carrier and policy number. ----------------------------------------------------------- ❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------- ❑24. Letter of signature authorization. -------------------------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- ❑226. I.fof intent on building use. ----------------------------------------------------------------------------------- iactured Home utility clearance. --------------------------------------------------------------------------- ❑28. Existing violations and/or expired permits. ------------------------------- -------------------------------------- ❑ 9. 0433 A, ❑Grant Deed, ❑ M.H. Tide, ❑ Check to H.C.D $ .------------- Wh 'you issue the permit, pr cess as follows D.Mail to owner, 6mail to contractor. Telephones 33 —96� and hold for pickup at � � office. ❑ Deliver nth inspector. Applicant: �r° Date: �'- l L _C1 a Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Polluti Copy of plans sent ❑ Health Department, ❑ Fire Department, o Other- pate: By: bate: 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 o phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ B */ding Di ' 'on cae ter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Z Yellow Copy - Department of Development Services, Building Division. ,r 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 ajor labor and materials for construction of the proposed property improvement : YES NO C3 2. I HAVE Gr�_HAVE NOT ❑ signed an application for a building permit for the proposed work. 3. I1 have contracted with the following person (firm) to provide the proposed NA ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate; supervise, and provide the major work: NAIMM: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to prpvide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER: C9 SOCIAL SECURITY NUMBER: DATE:. 9—t6 -9g NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the. California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER OWNER BUILDER INFORMATION =1 Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property-. . improvements specified. 4p For your protection, you should be aware that as "owner -builder" you are the responsible party ofjecord onsuch.; a permit. Building permits are not required to be signed by property owners unless they are personally performing t1t k", own work. [f your work is being performed by someone other than yourself, you may protect yourself from possible 14 liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business `. license from the city or county. They are also required by law to put their license number on all permits for,which *. apply .::.... If you plan to do our own work, with the exception of various trades that you lar to subeo r �'� Y P Y P Y P ntiact, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including aAaoeiials and other costs) is 5300 or more for the entire project, and such persons are. not licensed as eoa �` im' k ;or subcontractors, then you may be an employer.:' = ♦ If you are an employer, you must register with the State and'Federal Governments as an employer andyou; subject to several obligations including state• and. federal income tax.withholding, federal social sectgit�r workers compensation insurance, disability insarairce costs; and unemployttient-c?mpensation eontrt'butions ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially: us rrx- with respect to worker's compensation insurance. " • :x> ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service'.(and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations wader State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. T If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, -only under•limlted conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building _ permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building ' permits are not required to be signed by property owners unless they are performing their own work personally.. Information about licensed contractprs may be obtained by contracting the Contractors State License Board in your - community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" lin the reverse side of this form so that we can confirm that.you. are aware of these matters. The building permit will not be issued until the verification is returned r rely, Mic el C. Vi ira, C.B.O. M ger, Building Inspection NOTE. This Owner-Builder,Information is required by Section 19830 of the Callfornla Health and Safety We. OVER LAND DEVELOPMENT OROVILLE i CHICO �} BUILDING / ENVIRONMENTAL HEALTH PERMIT CLEARANCE Building Penznit No. _ / U OWNERS/ A p NAME (� NUMBER ��' PRINT LAST NAME FIRST r ADDRESS/ LOCATION: COUNTY ZONING DESIGNATION: FLOOD MAP: FLOOD ZONE: APPROVED: CONDITIONALLY APPROVED: V RESOLVE PROBLEMS PRIOR TO APPROVAL ✓20 Ar - PARCEL CREATION BY DEEDS OR MAP DEED INFORMATION: ll // DATE OF CREATION— 2 2 8 l0 � DEED REFERENCE: I, 9l0 O 12 Zap LEGAL ACCESS PROVIDED: V_ YES — NO LEGAL ACCESS REQUIRED: YES NO COMPLIES WITH COUNTY STANDARDS FOR DEEI T_Z EATION:y YES NO W COMMENTS/CONDITIONS:-- MAP INFORMATION: - DATE OF RECORDING: LOT BOOK J PAGE COMPLIANCE WITH OLD SUBDIVISION LOT ORDINANCE REQUIRED? (MAP RECORDED PRIOR TO BOOK 17 OF MAPS AT PAGE 23): YES _NO. IF YES, MARK APPROPRIATE'ITEM(S) BELOW. A. Construct road to B. Meet parcel size required by zone. C. Meet current E.H.D. requiremenbL CHECK SPECIAL CONDITIONS WHICH APPLY TO MAP: . ALL FIEES TO BE PAID TO THE BUILDING DIVISION UNLESS OTHERtVW.NOTEM 1. Maintain a 50 ft. building setback from centerline of road. —2. Maintain a It. building setback from right-of-way/centertlne —3. Comply with Zoning code for building setback from road. —4. Maintain a 100 It leachfield setback from all e)dsting wells. —5. Maintain a fL leachfield setback from —6. Pay water tender fees in the amount of $ to Battalion Number of the Butte County Fire Department. —7. Meet the Fire Safe Regulations of Butte County and P.R.C. 4290. —8. Conned to public water supply. —9. Conned to a public sewer system. -10. Automatic fire suppression sprinkler systems shall be installed in all residential structures in accordance with the National Fire Protection Association Standard for the installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet Fire Department specifications, serves the parcel. RECEIVED _ 11. Pay T.D.D. (Therrnalito Drainage District) fee in the amount of $ Won _ 12 Meet the requirements of the Department of Fish and Game for the preservation of oak trees. (See phone number bellow)-- COUNTY OF BEUN _ 13. Obtain approval from the Department of Fish and Game for vegetation removal. Contact Fish & Game at*"jgWg0. —14. A traffic mitigation fee for each new or additional living unit shall be paid. Pay the amount of $ as stated in the Oroville Area Traffic Mitigation Fee Agreement. Payment to be made to the Planning Division. —15. All new residential buildings shall be constructed to comply with the requirements of the Uniform Building Code for seismic safety. Mobile homes shall be constructed on a permanent foundation system which complies with the Seismic Zone 3 requirements of the Uniform Building Code. —16. Deer Mitigation fees are to be paid, if such fees have been adopted by the Butte County Board of Supervisors. X 17. Pay school impact mitigation fees. X 18. A development impact fee for sheriff facilities shall be paid pursuant to the provisions of Chapter 3, Article II of the Butte County Code. _ 19. Wood stoves and fireplace inserts shall be EPA approved and designed to most the emission requirements of the California Clean Air Act of 1988 as amended. —. —20. If any cultural resources are encountered during ground disturbing activities, all work shall cease to the area of the find pending examination of the site by a professional archaeologisL This person would then be able to assess the site significance and suggest appropriate mitigation measures. 21. 22. 25. -28. LD 6/98 FORMSIBLDG PERMIT CLEARANCE kn KLEINFELDER An employee owned company September 25, 1998 File: 26-2530-01 Mr. Teddy Baylen 6155 Power House Hill Road Oroville, California 95965 Subject: Soil Evaluation Proposed Baylen Residence Butte County, California Dear Mr. Baylen: This letter summarizes the results of Kleinfelder's evaluation of the soil sample submitted for laboratory testing. A five -pound sample of soil marked "1 foot deep" was delivered to our Redding Laboratory for expansion potential evaluation (which was apparently requested by Butte County). Upon receipt'of the sample, we visually examined the soil and performed a visual soil classification according to American Society of Testing Materials (ASTM) D-2488, Standard Practice for Description and Identification of Soil (Visual -Manual Procedure). The soil was classified as a tan, sandy silt with low plasticity (ML). Based on the low plasticity of the sample (indicative of a low clay content and low expansion potential), an Expansion Index test was not performed. It is our opinion that the expansion potential of the soil sample submitted to our laboratory for evaluation is low to very low. We•hay.P prepared this Letter -in st-.bstantial.kcccrdance •x,ith t v; generally acretp+ed geotechnical. engineering practice as it exists in the site area at the time of our study. No warranty is expressed or implied. We appreciate the opportunity of providing assistance to you on this project. If you have questions regarding this information, please contact me at your convenience. Very truly yours, KLEINFELDER, Inc. „ 1 ��.��•� Traver E. Metcalf, Jr. G.&� G Area Manager TEM:mcr 2618L615/26-2530-01 1 September 25, 1998 Copyright 1998, Kleinfelder, Inc. KLEINFELDER 1522 Charles Drive, Redding, CA 96003-1423 (530j 244-7203 '(530) 244-3031 fax COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES OWNER'S STATEMENT OF USE - DETACHED ACCESSORY BUILDING PN: ONE: BUILDING PMT. # OWNER: MAIL ADDRESS: Cp .� 6211 W� ._ Se L L d2d nn ^ SITE ADDRESS: c L 2Cj (:0goyI ut e- qs9(K - PROPOSED USE: :—%tom 2 PLEASE ANSWER QUESTIONS 1-20. PLEASE EXPLAIN YES ANSWERS (2-18) IN THE SPACE PROVIDED ON THE REVERSE OF THIS FORM. (PLEASE PRECEDE EACH COMMENT WITH RELATED QUESTION #) GENERAL INFORMATION: 1. Is there a primary dwelling on the property? Yes: No: 2. Is the structure already built, under construction, or under notice of code violation? Yes: :( No: 3. Will items produced in this building be offered for sale? Yes: - No: X_ 4. Will the public have access to this building? Yes: No: X 5. Will any advertising, on or off site, be associated with the use of this building? Yes: No: 'R 6. Will this building be occupied at any time as a sleeping quarters? Yes: No: x 7. Will this building be occupied at any time as an eating area? Yes: No: x 8. Will this building be occupied at any time as. a cooking area? Yes: No: 9. Will this building be occupied at any time as a living area? Yes: No: x SITE CONDITIONS: 10. Is the structure foundation within 5' of septic tank or 10' of leach lines? Yes: No: x 11. Is any portion of the proposed structure located closer than 20' to your front property line? Yes: No: X 12. Do you plan to add a driveway or modify existing access to a county maintained road? Yes: No: x 13. Will the proposed structure encroach within any recorded easement? Yes: No: x CONSTRUCTION FEATURES: 14. Will this building have insulated floor, walls, or ceiling? Yes: _�_ No: 15. 16. Will this building be heated or cooled? Will this building have a water closetttoilet? Yes: Yes: No: No: X_ x 17. Will this building have a sink? Yes: No: 18. 19. Will this building have a water heater? What type of floor covering will the building have?, _ 0061�) Yes: No: x 20. What type of wall covering will the building have? �OQ� ADDITIONAL INFORMATION: 1,QxXJ --4 a- JL0 14, I hearby affirm under penalty of perjury the above infromation is true and correct. 1 understand that any changes to the use, or character of use, of this building will require permits from the permitting authority. 1 understand that Real Estate Disclosure laws require disclosure of this information it or when offered for sale. OWNEkS SIGNATU DATE OWNER'S SIGNATURE DATE FOR DEPARTMENTAL USE REVIEWED BY: COMMENTS: DATE: ut 1 nwrn.wn[ um mxw PIER N0. n DRAFTING DEPT/PERRIS DIVISION 31 00 N. PERRIS BLVD. PERRIS. CA 92572 STANDARD CARPET L"* ROM FAMILY RXM ONW. ROOM MASTER BEDRXM BEOR7R7 7 ,ORCCM 7 UALK-N TOTAL g,{ .6• OPTIONAL CARPET MASTER BATH 01.4- ■ Y•r GEST BATH 0••a• ■ r•a• KITC4N 0'd• ■ 0'-P CITY 0'•41 ■ •'d• FOYER 0'.f ■ 41.pr APPROVW Butte County ,rivironmental H e `J `-�� f" - ' -------- 4-4 • ' , .i_ t_-}4_.� 1 q : ' • i--�'�1' , •-jam:< -i= __�_ L'r'--rT�-' 1. ..�__J 1. 7 1 1_'t "�•S's'- �}`-TC-{r•_f ._'lgy''J -�- i ( ';�..r.� ��:7 :', f.' I I rY� i ! � 1�•/�p�,i �; ...�__'-t• JI.-___.1�_q�-.y-l_a-r-•-e. �ly�_...�_ •�r�....__�_'�-__. �. l - i 11., =.,_ r. .,. 1 1 -'- A. Nm- ! 1-y ' fi - t '•�. i_' '!-Y'_T'y.^. ;..-L- -.._ f_.1-_y-��.__ .� _ -_t--1 1 :Y�._..��. � __ _ ! _ I o it ,.� 71 : 1 " i-r"f �-'{ -! - -. +-�L � T.} 'fit•-�-A�^ I ! � r• f a_-:_ _. ,...I: ^ ! avt Kfi IIs s • ! ; � 1 'i--I--t �i, .� 7 :�—i—� .._f.�:.•� I 1 ILa L..:� ! ?,.,.{._,.�..,�.-i-s` 1 t� i I i 1 w-.r. 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Sf _"^: 4 a yS- y -; inrr "-`°" i rw1�' .t<''�.._, TY;.. � .F t:'�'^�t i'�'. }•`'�� _ .! ✓z�Tl�w�^....,- �-—��52�,,;� ,d MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION --7 COUNTY CENTER DRIVE OROVILLE, CA 95965 --PHONE (916) 538-7541 APN: PERMIT NO.: Owners: Name: Owners: �. � / Address: J Mobilehome Year of ! �% Manufacturer 6Qi✓ U C I - Manufacture: Serial number or V.I.N. e1, -'10 G A2,1 L x41_71/45 Insignia or HUD number: 0 / / oleo Z I % d Official appro wing i�-nstallation: } �x ,,� / Date:/� If the mobilehome is moved or relocated, th/mobilehome installation acceptance shall become invalid. This form shall not be used when the mobilehome is installed on a foundation system. 513B White -Owner, Yellow -Installer, Pink -Bldg., Gold -Assessor . J ' COUNTY OF BUTTE - DEPARTMENTJ OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 Courity Center Drive • Oroville, California' 95965 • Telephone (530) 538-754 _ ^PERUT No. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 025-320-014 ZONING A5 BUILDING PERMIT OWNER Baylen, Teddy 0. TELEPHONE 533-5053 SO. FT. OCC. BUILDING VALUATION .OWNERS MAILING ADDRESS 6155 Power T-IOuse Hill Road, Oro 95965 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDINGADDRESS 6155 Power House Hill ill Road Energy Plan Checking Fee $ $ PERMIT FEE $ 43.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome I) 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 ❑ Remodel ❑ Utilities ❑ Installation M' Other ❑ Describe Work: Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 20 AOR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION 1 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.POWER License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 200A TO IuooA 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a =1 OCS. SO 3.5¢F; NON-RESIDMOLT O.OUTLET @7,50 APPARATUS 8 SINGLE OUTLET CIR. EX. OCCu OUTLET OR FDRURES BAL Q I. 0 Ex. Occup. GFS (RR=.) E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt: $ Policy Number (The above sections need not be completed if the permit is for work of a valuation Xof one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith compk with those provisions. I Date ! l Ti2n�tr'eof Ap I ant - Owner ❑ Contractor ❑ Agent An OSHA permit I quired for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ 100-00 Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 143.00 FEES IMP I FLOOD I CDF PARCEL I PD I HD ISV This permit is hereby issued under of the utte CountCode and/or ind' ate for hich fees have PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. D to /o/ it/�y p Date Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT / (Rev. 12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCELNUMBER L. Z ZONING BUILDING PERMIT OWNER 1 IVB:). TELEPHONE �g3 SO. FT, OCC. BUILDING VALUATION &o,55 PADRESE us& ;44u c -QWru,rpr cA, 9 lc i CONTRACTOR'S NAME TELEPHONE CO RS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation S ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee b 1f7 3, cry BUILDINGADDRESS 7J`.1 P&Li(P Energy Plan Checking Fee $ a PERMIT FEE $ LOT NO. SUBDIVISION .� dam%►1/I�I PZ%M�P3Z�/ PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ DuplexMobilehome O Other 4 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 O Addition O Remodel O Utilities O Installation Other O Describe Work: (IT) ( Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 020.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service * ca L=Bs 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that i am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: O I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project O 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. 8 ACC. ins. SO 3.50FT. NONO REBID ONST' MULTFOU% @7,50 POWER APPARA 1 8 SwGLE OUTlF7 CIR Ex. Occup. ounETORFIXTURES 00 BAhL®'.50 Ex. Occup. °� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: O 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation 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 1 should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith compwith those provisions. X Date q Signature of Ap Ii nt -)(Owner O Contractor O Agent An OSHA permit is quired for excavations over 50' deep and demolition or construction of structures over 3 stories in hei ht. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FELE S Mobile Home Installation Fee $ , cx0 Energy Inspection Fee $ CONST. TYPE TOTAL FEE $ 7 $ V]hispermit D. FEES IMP FLOOD PARCEL Po HD ss UE is hereby issued under oteutte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Te Receipt No. q-1 77 WHITE-D.O.S.-B.D. CANARY- SSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT • o ,...,,���ic'-r::,i�'+�R�rr,r',r,,.�« ^i1 ;-•r�'��'+'�.<�;'J't;yir�YrcT'" �}`�''+`R��.�IP'hv��'�''nl� �� j'�7{G'r'v'�h:.-•-'^...�h COUNTY 'OF BUTTE DEPARTMENT OF DEVELOPMENT tSERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: TED2 Y O RI*tL ASSESSOR PARER: Proposed Building Use: _ Building Inspector: Date: 17 At time of permit application, I was advised the following data mustVbebmitted prior to permit processing and/or issuance: Date Received By ❑ 1. All iiems have been submitted --------------------------------------------------------------------------------------- E12. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------- ❑ 3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- ❑4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans.-------- 115. ------- ❑5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑6. Energy Design Compliance and supporting documentation. ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ---- 118. --- ❑8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑9. Manufactured Home data and installation instructions including Tie Down Specifications.------------------ ❑ 10. fees of $ ---------------------------- 1. Impact fees as shown on the attached schedule. ------- ❑ 12. California Department of Forestry plan approval/fees. 111-3 . Flood elevation certificate. --------------------------------------------- Sanitation and plot plan approval b aQ ' Health Department. 1115. 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: 1118. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ❑ 1.9. Encroachment Permit for driveway (construction approval prior to occupancy). ---. 1120. Pre -inspection for required Request to Building Inspector on ❑21. Contractor's license information.' (Number, Name Style, Classification). ---------------------- =------------- ❑22. Workers' Compensation carrier and policy number. ----------------------------------------------------------- �� ❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner 0) - — ------------------------------------ E124. Letter of signature authorization. ---------------------------------------------------- Recorded copy of Agricultural Acknowledgment Statement. ---------------------- tter of intent on building use. ------------------------------------------------------- Manufactured Home utility clearance. ------------------------ --- --------------;--- 028—sting violations and/or expired permits. -- ---- �(S ----- -- -- 05 433 A, ❑Grant Deed, 11M.H. Title, D "?130.-Other:1- Wh ou issue the p t, process as fol s ail to owner,ai to contractor. (Date) 1 Telephones 3 3 — S'O Sr� and hold for pickup at office. ❑ Deliver with inspector. �rn >< �� OO; �tt� � Io of H'az-Mat form sDep ent, ❑Fire Department, ❑Air Pollution D By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: By: 1. Index permit application for the above items numbered: 11 Plan Check List 2. Additional items required: 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, ❑ 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, of the above kpy ❑ phone, ❑ mail, ❑ Building Division}counter, by Date: Plans reviewed by: Date: Plans approved by:' '-� Date: ZZS� Sets of plans on holddo ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. E.H..USE ONLY Plot Plan Attached Floor Plan Attached Sent to B.D. 14 l TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance lJ �V ✓ 2t�%i ~Ci Cau���11 p� 1) J �� ner _ /Location AP# Plan Approved for: Sewage Disposal t/ Water Supply: Public Private Well Clearance fo"Rlwelling. Other Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist Im Date ELECTRICGAS Support Struc. Compactio Test Req. Service Other Pipe YES NO YES NO Size Load -TV a Size Length �wrsrrr�yf 'r •-..,.,-c y{v...^T..ws:� +?rna+�.;vpn�": t'r'L�11y17t"i'} i �'S%7�;.T.�7�yn"'"®'•': 1',`'.�'�v�.,.`r,"w!.�;.A.i�Tr'ex'",� "•'�Y��4.R•�.p"�i e�L+,-y'p�''���%,vrrx�� 'C� `�+*i; r.-1 !k . �< a t, •a BUTTE'COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) p School District. Building Department No. A.P. Number ����('}/L� Jurisdiction: Cityounty C Property Owner I� (" /4 Property Location/Address Subdivision ° Lot'No. Residential Development No of Living Mob• a Home Addition Units Installation Commercial/Industrial New Addition '(Floor Plans reviewed by School District Personnel) 1 Sq. Footage /(Group' Sq. Footage (Including Exterior Roofed Areas) Date District Identification No. 9,90029 / / G School District certifies that e t (Applicant) Cpl 5"5- • . !,�•�,� -� � � �� (Street Address) (Phone Number) (aty) S has complied with the requirements of Resolution No. representing lo2k,2-, square feet. District Representative Paid by Check # iVI /Remarks: (State) (Zip Code) % Vby payment of $ B 2926 $ ULL MITIGATION $ Ar Xate Notice: You may protest the imposition of the fees identifi9d above by subiditting a (written protest the District' in compliance with Government Code Section 660201a), within 90day I 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), 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 (2/97)dmm S -11 - a JJ• r w'va COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541 SCHEDULE OF RECEIPT OF FEES OWNER 1 � . PROPOSED BUILDING USE 1 1. BUILDING PERMIT FEES -- Balance Due ................ $ -- Additional Fees Due ........... $ -- Additional Fees Due ........... $ -- Revised Plan Checking Fee .... $ ,e 2. SCHOOL DISTRICT FEES i' (paid at District Office) ' 3. SHERIFF FEES (paid at Building Division) Residential ........ x $360.00 = $ ` Units ; Commercial (sq.ft.)... /z $0.03 = $ f Sq. Ft-`'' 4. URBAN AREA FEES (paid at Building Division) Residential (per unit) . x = $ #Units - Amt. Commercial (sq.ft.) x =$ Sq. Ft. Amt. 5. RECREATION DISTRICT FEES (paid at District,Office) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK. P A. P. # '--_ DATE, RECEIPT # DATE REC r A $89.00 (paid at Building Division) . 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) x 9. CSA' 87 TRAFFIC FEE $2`500/.00 at B in g"Division) 10. OTHER At time of,pernj pplicati4on,Awas; advised the•above fees are required to be paid prior to issuance of the building permit. ' These fees may changed during the plan checking process. APPLICANT % :'DATE ` Pursuant to Government Code Sectia . 66020, you are hereby notified that items 2,3,4,5,6,8,9, and 10 above may have been imposed on your Pursuant to Government Code Sect�i project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Div. 2nd Copy - Applicant 3rd Copy - Owner `�� (Rev. 2/97) TOP VIE`t! - MGP - PAD 1 1/6- EXT. MG PLYWOOD_ H•CLraANiZED — SEE NOTE 14 SIDE VIEW - MGP - PAD 2" X 2" X 3/16" -\ `NGLE IRON '26" LONG. 3/8- X 2- CAO. PLATED HEX EOLTS. (8 EA.) r6,. 1 4/ 16' DIA. TY'P. i 1" NON- TY°• I � 1/c PIAre i ' b GRIPER BASE DETAIL _2' FLAIRED SCH40 PIPE j CV EDAT CORNERS N Dm'NELD DTv0 1/a PLATES OCi wELOED AT CORNERS ANO CENTERS t CAP PLATE DETAIL i I I ; r c _I 2 1/2" �TUF-1 �Y LO 5/16_ DA, TYP./ Wn DED 3/15 ROD- GRIPER PLATE DETAIL 3/E" X 2" ttACH EOLTS FLUSH ANO COUNTER SUNK ( 6 E4 TYP ) ' 2" SCH. 40 PTFE w D_D TO 1/4" EASE PLATE 2 4,. END VIE'dr - r,.GP - PAD CCA PRESSURE TREATED 1/' GR _rE 5 PIN OR EOL LOCK WITH 1/Z" LOCKINS NUT CR CC ii � __R PIN 2• � „RE:, ECr�o 'r WELDED AT COR."ERS MrCBILE HOME CO/-I.CH SUPPORT GIP.DER - TYP.� SCH SC`!. 40 Q f x 2" DI. HOLE o t FOR ROPE Pl C i 2- SCH40 PIPE ' WELDED TO 1/:' PLA,c I TYPICAL INSTALLATION DET,�11_ GAT i=,d T S rE1 DIiaG DESIGN LISTED AND TESTED BY BSK Fr_ ASSOCI ;TES WAYiVE T. POLVA.DO, PE - LISTING NO. F-941249 Qr,OFFS$/0� T. P041 y�F c,Nc.—C�'c,� -90 �C�C051110 R 3 a Ile OFCr',L APPROVED 'eaJ SU3IECT TO CORRECTIOtdS NOTED ;PPro+al does not ourhori:e or eporo•.e cny omission o. le+iation lrom require:ne,fs of rFguiatusnf. ..oPpNCOMe c:ate Ins ...d state of Carfa.nia Hoos+ng oad Cennu.-,ity D.=.eiopment Dlv11110;4 OFC as AND srA�.DaRDs 'Yr Date (signs ure) SPA NO..., This Plan Approval Expires_0�� TE p. 3-z,.y7- "l�, C ! V 1 \-� fi OF Ci ENGINEERED-TUF-1 TIE DOWN SYSTEM WITH MGP PAD JOE N. OZOA , CIVIL ENGINEER 2721 CHAPEL CT., MQ1 JSTO, CA.. 95355 Pig 'n(209) 52-4-8302 .� o P R O %E ' T 1 OF 3 SHEETS CUS-GUARD CJ`iPAt l 1 011%A 131)0_').i'?0 - :: r em 1. DESIGN LOADS: ROOF LIVE LOAD - 30 LB. FLOOR LIVE LOAD - 40 P50 WIND LOAD - 80 MPH EXPOSURE 'C' SEISMIC ZONE -4 FOR SNOW LOAD MORE THAN 30 LBS. REFER TO PAGE 3 ATTACHED. 2. THIS FOUNDATION SYSTEM 15 DESIGNED TO BE CON5T RUCTED ON A FAIRLY LEVEL 51TE WITH NO EX151-ING MOIL PRO13LEM5. 3. CHASSIS BEAM SUPPORT SHALL BE LOCATED AND 51ZED FOR THE LOAD5 A3 5'H2OWN IN THE MOBILE HOMEE INSTALLATION INSTRUCTIONS 4. IN AREA15 w,.—,, ERE DIFFERENTIAL 5ETTLEMENT (0.5.) CAN OCCU, MANUFACTURED HOME SHALL Q= READJUSTED WHEN D.S. EXCEEDS 1/4", OR WHEN IT WILL BE ADVERSELY AFFECT MANUFACTURED HOME UNIT. S. CARRY ALL FOOTINGS DOWN TO FIRM, UN0I5TUR5=D SOIL. FOOT ING5 ARE D=5I0NED FOR 1000 FSF TOTAL LOAD 501L PRESSURE AND 5.; --.ALL BE COMPATIBLE WITH LOCAL SOIL CON DIT IONS. 6. STRUCTURAL STEEL: FABRICATE ACCORDING TO ASIC SPECIFICATIONS, WELD ACCORD ING TO AWS 5PECIFiCATIONS. ELECTRODES - 370 PLATES - ASTM A36 5OLT5 - 5AE GR. 5 = ASTM A449 = ASTM A3725 7. THE G -U5 -GUARD ASSEMBLIES SHOWN BELOW SHALL BE LISTED AND LABELED BY 55K & ASSOCIATES FOR THE FOLLOWING LOADS: A55EMBLY LOAD5 HOR. VERT. GU5-GUARD TUF1 STANDS 1062# 5900# GU5 GUARD MGP 1062# 5900# DESIGN LISTED AND TESTED BY BSK ASSOCIATES WAYNE T. POLVADO, PE — LISTING NO. F94249 10. THE GUS -GUARD TUF1 SYSTEMS ARE SAFE FOR INSTALLATION IN FLOOD PLAIN AREAS WHERE DEPTH OF FLOODING DOES NOT EXCEED THE HEIGHT OF 3 FEET. 11. MULTIPLE -UNIT INSTALLATION 15 ACCEPTABLE PROVIDED THE NUMBER OF GUS -GUARD TUF-1 UNITS MEET THE REQUIREMENTS SHOWN ON SHEET 3 AND THE PLACEMENT AND INSTALLATION PROCEOUKE5 ARE FOLLOWED PROPERLY. 12. FOR LONG DURATION SNOW LOADS, USE APPROPRIATE NUM5ER OF GIJ5-GUARD TUF-1 UNITES A5 SHOWN ON SH;ET 3 13. ALL METAL COMPONE-Ni 5 AND ATTACHMENT5 ITEMS SHALL BE PROTECTIVE COATED 14. FOR MGP, J5E i -?i8" EXT =RIOR TREATMENT T004f) MAX FCr" R. T ENTIOPI'^/ITH DRYING AFTER T R=ATMEN T. VARTES 10' — 70' SEE TABLE 1. E i S i. S i S i, E I ❑ F� I I RGGE BEAN SUPPORT .1S REQUIRED BY .1—AS MASUFAC':URER - TYP. STANDARD PIERS - .LSI THE NA.NUFA ENGINEERING RELOCATE m a oc a OI z PADS IN ANY PAIR RA's / BE ROTATED 90 OR OFFSETTo J// CLEARANCE PROBLLEMSAVOID 2' IOM. SERIESGUS-GUARD MCP RT SERBS SUPPORT PADS - TDP 8. DURING PRELIMINARY INSPECTION, THE ESTIMATOR SHALL ENSURE THAT M051LEHOME E— 2' MIN. / 6' MAX. CHA5515 BEAMS ARE OF STANDARD SECTION EQUAL TO OR GREATER THAN W10X10#. S=6' MIN. / 24' MAX. 9. EXISTING COACHES MAY BE RETROFITTED TO RESIST 5E15MIC FORCES BY INSTALLING GUS -GUARD TUF-1 UNITS A5 SHOWN ON 5HEET 3 AND THE TYPICAL FOUNDATION PLAN. i FOUNDATION RECOMMENDED BY :TURER OR THE - TYPICAL THROUGHOUT NECESSARY - TYP Qq0 f ESs/p�� T PQM ryo. 051110 Exp. 71.(Acl-1 ESSI No. 27219 Exp. 3-31.97 �c JJ C IV0, 9Tf OF CP��40 ENGINEERED TUP-1 TIE DO`vfN1 SYSTEM WITH MGP PAD JOE N. OZOA , CIVIL ENGINEER 2721 CHAPEL CT., MODESTO, CA 95355 P.E.# 27219 exp. 3/31/97 (209) 524-8302 APRIL 1996 - SREET 2 OF 3 SHEETS HU14BER .OF U`NI`TS REQUIRED FOR VARYING LONG-TERM SNOW LOADS GUS-ZUAiKb,XGP PAI? AND, TUF-1 STANCHION DESIGN. LISTED AND TE= BY BSK & MATES Np S ___ . _ _.. __ _ _ _.... - . _ - - ,. :. �_ " (ccnt} MAYNE T: POLVADO, PE - LISPING NO. F94249 SNOW LOAD = 0 -30# 40#/F'P2 (cont) 40#/FT2 (cont) - 50#/FT2 (cont?�� ; 60 FT'2 (cont)_ 60#/F'r2� (cant? 80#/Ffi2 -�•- No. ot No. of No. of No. of o No. o Width Lenqt Units Width Length Units Width Length Units Width Length Unit ;Width Lanngth Units Width Length 12 Units Width Len h Units 1r- ' To 3 4 �`- T 20 9 6 28 T� _2 24 To 24 10 ` -1S'^ To 22 —g 28 T 20 — T 26 38-58' 6 30-39' 8 28-32' 14 25-28' 12 23-30' 8 27'30' 16 27-30' 14 pfESSip 10' 59-78' 8 40-50' 10 33-37' 16 29-33' 14 k 31-38' 10 31-34' 18 31-35' 16 QR /t!q 51-60 ` 12 38-42 ` 18 34-38' 16 ► 39-46' 12 35-38' <11 20 36-40 18 ` ��,\�� C . Pp" t' 12' To 32' 4 12' 61-70' 14 43-46' 20 39-43' 18 47-54' 14 39-42' 22 41-44 22 47-51' 22 44-48' 20 55-62' 16 43-46' 24 45-49' 22 33-50 6 50-53 24 ''� C 051110 M 51-68 8 13 To 27 6 52-56 24 49-53 22 13 63-70 18 47-50 26 54-58' 26 12' 69-85' 10 28-37' 8 57-61' 26 54-58' 24 ! 51-54' 28 Exp. ° ; 38-46' 10 62-66' 28 59-63' 26 14' To 28' 8 55-57' 30 59-63' 28 47-56 To 30 4 ' 12 28' 67-71' 30 64-68' 28 29-35' 10 58-61' 32 64-67 ' 30 13 31-47' 6 57-66' 14 24' 69-74' 30 3E>>-43' 12 62-65' 34 20 68-72 3 x/T^ 0� 0;= L•1L��� 48-64' 8 13' 67-75' 16 SNOW LOAD = 50#/FT 2 44-50' 14 66-69' 36 24' To 25' 14 13' 65-80' 10 No. of 26' To 26' 12 51-58' 16 28' 70-73' 38 26-29' 16 14' To 25' 6- Width Length Units 27-31' 14 5c-65' 18 30-33' 18 14' To 28' 4 26-34' 8 10 To 31 6 32-35' 16 14' 66-73' 20 SNCW LOAD = 80#/FP2 34-37' 20 29-44' 6 35-43' 10 32-42' 8 36-40' 18 No. or 38-41' 22 45-60' 8 44-52' 12 43-53' 10 41-45' 20 20' To 25' 10 WidthLength Units 42-45' 24 14' 61-76' 10 53-61' 14 54-64' 12 46-49' 22 26-31' 12 10 To 24r 6 46-49' 26 14' 62-70' 16 10' 65-75' 14 50-54' 24 32-36' 14 25-33' 8 50-52' 28 20' To 32' 6 55-59' 26 37-42' 16 34-41' 10 53-56' 30 33-44' 8 20' To 24' 8 12' To 26' 6 60-63' 28 4::-47' 18 42-50' 12 57-60' 32 45-56' 10 25-31' 10 27-35' 8 64-68' 30 4f;-52' 20 51-58' 14 61-64' 34 57-68' 12 32-37' 12 36-45' 10 26' '69-73' 32 5;;.-58' 22 59-67' 16 65-68' 36 20' 69-80' 14 38-44' 14 46-54' 12 5'i-63' 24 10' 68-75' 18 24' 69-72' 38 45-51' 16 55-64' 14 28' To 24' 12 64-69' 26 26' To 24' 14 24' To 37' 8 52-57' 18 12' 65-73' 16 25-29' 14 20' 70-74' 28 12' To 27' 8 25-27' 16 38=48' 10 58-64' 20 30-33' 16 28-35' 10 28-31' 18 49-60' 12 20' 65-71' 22 13' To 24' 6 34-37' 18 24' To 26' 12 36-42' 12 32-34' 20 24' 61-70' 14 .25-33' 8 38-42' 20 27-30' 14 43-49' 14 35-38' 22 24' To 26' 10 34-42' 10 43-46' 22 31-35' 16 50-56' 16 39-41' 24 26' To 34' 8 27-31' 12 43-50' 12 47-50' 24 36-39' 18 57-64' 18 42-45' 26 35-44' 10 32-37' 14 51-59: 14 51-55' 26 40--44' 20 12' 65-71' 20 46-48' 28 45-54' 12 38-43' 16 60-68' 16 56-59' 28 45-48' 22 49-52' 30 Q�OE CSS!0��9 55-64' 14 44-48' 18 13' 69-77' 18 60-64' 30 49-53' 24 13'• To 25' 8 53-56' 32 0 Fy 26' 65-73' 16 49-54'• 20 65-68' 32 54-•58' 26 26-32' 10 57-59' 34 55-60' 22 14' To 23' 6 28' 69-72' 34 59-62' 28 33-39' 12 60-63' 36 rr 28' To 32' 8 61-65' 24 24-31' 8 63-67' 30 40-46' 14 64-66' 38. c 10. 27218 m 33-41' 10 24' 66-71' 26 32-39' 10 SNCW LOAD = 60#/FT 2 24' 6!3-71' 32 47-52' 16 26' 67-70' 40 Exp. 3-1-97 ¢s 42-50' 12 40-47' 12 No. of 53-59' 18 51-59' 14 26' To 24' 10 48-55' 14 Width Length Units 26' T? 24' 12 60-66' 20 28' To 25' 16 slgT�C IV tL ��0`� 60-68' 16 25-29' 12 56-64' 16 1p To28' •6 25-28' 14 13' 67-73' 22 26-28' 18 t OF C6 \i 28.' 69-77' 18 30-34' 14 14' 65-72' 18 29-38' 8 29-32' 16 29-32' 20 11 35-39' 16 39-48' 10 33-36' 18 14' To 24' 8 33-35' 22 Snow Load = 40#/FT2 40-45' 18 20' To 22' 8 49-58' 12 37--40' 20 25-30' 10 36-38' 24 ENGINEERED TUF-1 TIE DOWN SYSTEM No. of 46-50' 20 23-28' 10 59-68' 14 41-45' 22 31-36' 12 39-42' 26. WITH MGP PAD Width Lenh Units 51-55' 22 29-34' 12 10' 69-78' 16 46-49' 24 37-43' 14 43-45' 28, lOT To 3 4. 56-60' 24 35-40' 14 5.0-53' 26 44-49' 16 46-48' 30 35-46' 8 61-66' 26 41-46' 16 12' To 24' 6 54-57' 28 50-56' 18 49-52' 32 JOE N. OZOA , CIVIL ENGMER 47-58' 10 26' 67-71' 28 47-52' 18 25-32' 8 58-62' 30 57-62' 20 53-55 34 2721 CHAPEL CT., M0DEST0; CA 95355 10' 59-70' 12 53-58' 20 33-41' 10 E3-66' 32 63-68' 22 56-58 36 P.E.# 27219 exp. 3/.11/97 (209) 524-8302 59-64' 22 42-50' 12 26' E7-70.' 34 14' 69-75' 24 59-62' -•3 20' 65-70' 24 51-58' 14 - 63-65' 40 59-67' 16 28, 69-72' 44 APRIL 1996 SHEET 3 OF 3 SHEETS 12' 68-75' 18 I. Owner's Name:E 17 ®. IAy L 2. Assessor's Parcel Number: -S 3. Installer's Name: 4. Is the site currently under permit? Yes[ ] No[13 Permit No. 5. Is the site an existing site? YesNo[ ] (If yes, furnish two plot plans). to Q6.. What is the electrical rating of the. mobileh6me7IX Amperes. r 7. What is the mobilehome site circuit breaker rating? p? C% Amperes. . 8. What is the electrical rating of the mobilehome site? 2CL- 0 Amperes. 9. Is the main service remote from the mobilehome site? Yes[] No[ ] If it is, what is the rating? -;2CV Amperes. 10. Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage etc.)? Yes NoW If yes, please identify the load and size: a) The mobile home site: Load- Amperes - b) The main service: Load- Amperes - 11. Type of gas service at'mobilehome site: Natural[ ] Propan eM None[ ] 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? (ft.). . 14. What is the mobilehome .gas demand? B.T.U. * *(This information is not required if the pipe length is less than 6 feet on natural gas or . less than 50 feet on propane). a a11J-a &-.KW WM M-h"rrM .0a 0 ■Jt.Elm May 1995 8.5 Mobilehome Manufacturer- �� A, Manufacture Year: / , (-G Ifother than single wide, furnish -Setup Model Number: Width:o2Z(ft.) Length:j::� e (ft.) Tagalong or Expando Size -=- (ft.) x On all mobilehomes manufactured after October- 7, 1973, furnish manufacturer's installation manual and structural setup sheets. FOOTINGS: Wood pressure treated or foundation gradeK Other: SUPPORTS: Concrete block Other: Provide Tie Down Specifications for aH Mobilehomes: Pier Footings Sizes and Location SINGLE WIDE MULTI -WIDE Line 1 0fLimne Line 2 -e 2 ..............................................................................................Main Beams..............................................................................................2 Line 1 e 3 e 2 ................................................................................................ Main Beams 2 ............................................................... .. ....................e 1 " ..............�......:....../............. e3 or T !� e 4 ine i Line 1 Piers: Size minimum: r i x Spacing maximum: ` From ends -maximum: ` Line 2 Piers: Size minimum: x [ Spacing maximum: Q� ` From ends -maximum. 2 ` ` Line 3 Roof Loads: Size minimum Location (from front): Line 5 Roof Loads: Size minimum: Location (from front): Line 1 Openings Size minimum: [ j2] x [2d-). Each side of openings with width over: ` O ` Line 4 Piers: Size minimum: ) x ]. Spacing maximum: ` From ends -maximum: ` OVER I 200' jLo- Tr - � '--r- -+-1......__ r— t ..-r.-•.!•. t _ t , 180'- i I r 1 ! {_1 I 1 '•T, I � I ' ---*-r.-i r�-r r.�..�.._...!� 60' I ' ' _. K , i- R _ ,27•i� 1 i + 1 �i..17 7Td - '� • i S I 1 t -s-12 q� _ _. t •- `. is , .moi. i _t - Wit.: 111. j , -� 3� r �i i. -.2. �1' _�L14 1 i� '1 1I._�^I � -1. -i��;•: r i ,. i •.-�1-�- yr-}�_ t I '�jrJ-Sy��f'`' •!•f. �-�`• e. �.� 1-•��i- I�,1��. ' `'� T ,1 '� %1�/�..`��+-: ----1--<<�-��-r•r'.."_' -ti7!-' �i. i>�(. .?. .•!-, ..L-} "�-I ! '1"�1 -1.t _�_- -1-i•1- t �� �'T1{.-� i q~.1t — i �� TF -,} ..i_ / �: �t ;"f i ,_i- _�'. �..�- _t ►!. 1�_ �,- -i --I -� i (--!-,--• .Li f �• �f .�--; - — ,�'. 3 t d a 1 i `�-• ` • �•.. 1 it _"�"�.�`'#_. »J"``—i—+—_ � 1 1hf�1 r... I ..�.�.r I .-i � • � �•. �.'t.,�,� .'4 _�_ � �...�.a ! � I ` t 1 � t-jJ{--��--- 1 �y t ' I. I + � '.'_, �--T 1 1 41120 �-i *�:3 ,�t�l-}.. I _ , .ft _ j ; ,:{ t,,�=J• � a�.'~L�. L �LtJ � i 1�iy.;(".1i. `� 1 { •'r ; 'I`�.�,�'"y-t + [ - �! ...J{?u�. � 1:ti It V 1 15F �. F - .� i. i .. ��- •� lr t ; '-{ .� �.5� - f •3-A-�•tl-,^y1' _+_.� --.+. , _I i../ tt•21 j U ;7- a .r 1. -----��t111--�ttll--.-��1���ttt11----^•_•• -s-� +-t--7 i.._T-..- r., 4l� ' IP { 1T• r 3 i -J- �� ij.�1'�.'�,-i����1 `� i.�.-.y�f! 1 i}. i� 1 �i,.-�-�r41 +.-F--«- 1' i l `�'t • .xy I w �� , .. +tom 9 : !-_ _ i s i f 1 _� a ., -T, - i i --r f- i' i� :Lr1 t , (• X20'-� VI I .��t T•� �.+-..1�-. , t ���t-aT ( 1 i � , ,'t i "t'--- -�-_ _ +• �-�.- . -� t r—�..,> j..r...� E•~ _, ! 1-f t ) i• t t r»_ -1 �1 -4 1 .} .� . li_ -{-. _ rLil � I. f_ _ � 4Y ' SOF_' 1 �' '1 —`_ --7 i 1 ; 14 20f-1--t:-T-r-F-401---t --`_{:-8 _,-•--r-r,-;-?--}10t-•�;t-i�"t--`1'120, -"'-�"'T- - - - - • - .----. 3 - _ — - `2 SE E61. --R - VOUSE tfi « - Rd .- - . - - a,ED rep, B. N •�- �-•r rr.r �•.�• �•.o• a••r tEN1Erb�! - X - I ® , --� Tow > 30 p j -11 _ ....� .• ) )o y1------ ) 70 ry ) 2e FW ' 20 . 20p � ® b O . 40 rer pr �► 3o P. 46rb,L........t: }._rd• Ro bre,3 4or51 STANDARD CARPET OPTIONAL CARPET VYW MMM WTER d,461 - 0••4• x 7•r fA4LT + CM51 DATN u••a• x r•s• ONM Nott K110f11 0• - d• . W r PUMA of mxm unmr u e• x � W lwc,, n v' rarEa n d• x 4'•r A mearam N ui�a�eeeLEGEND TOTAL 94••6' _ PIERS PER TABLE t ■'} OF OJSTALIATION MANUAL PIERS PER TABLE ■ ®� OF INVALUITION MANUAL 13'-6' WIDE CARPET PSR FOOTING REWIRED PIER (NOT REDuM FOR 201) PSR SIZE (SO. IN.) CAPACITY �' PIER FOOTING SIZE REOUIREO (S0. IN.) p FOOTING SIZE REOURED (50. W) PIER P� FOOTING SIZE REOUIREO (S0. e1.) 185) 1000 PSF 1500 PSF 2000 PSF N0 LBS) 1000 PSi 1500 PSF 2000 PSF �' U ) 1000 PSF 1500 PSF 2000 PSF CAPS (LBS.) 1000 PSF 1500 PSF 2000 PSF 1 2000 286 192 141 3 4000 576 384 288' S 6000 864 576 432 7 10000 1440 960 720 2 2500 360 240 160 4 5000 720 460 360 6 6000 1152 766 576 11 Q> 1 12000 1726 1152 864 ' DRAFTING DEPT/PERRIS DIVISION oe.w"K:p� T"'� CARPET •_47G PIER "°°°`T NATIONAL HOUSE YeOC "° NH3721 3700 N. PERRIS BLVD.SUPPORT_,10CATIONS PERRIS, CA 92572 �° ^ 1,782 °"" 10-8-97 6• ,JLII oA,� rK` "�r04"•Yw" PERRIS DIVISION o11•w" n , j. MONTES s"�R 1-A2 .Ensco - 909 657-1611 Phone HOMES 909 943-1872 Fox —f NJ 1111115 I 1 illiffillill r11111111111111111101-ififf!11111,1311main m —I i - f Util. PERMIT NO. 3171-75P,E P tt SI E M MH UTIL. 1 , PERMIT NO. PERMIT EXPIRES 4 ��— 76 OWNER Jarlen Boten ,CONTR. ,LOCATION (A.P. 25-23-30 ) . e/s 'Power House Hill Rd.) 1 mi. S. of Palermo Rd., Pal8rm0 .ec yI _ � f Temp. Power Pole Called PG& PO jemp. Elec. rv. L . C Called P &E [Temp. Ga Serv. �%� Cal l x �a f FOI ALED �� '�U ` (Date) (Signature) 4N ,<r I i - f Util. PERMIT NO. 3171-75P,E P tt SI E M MH UTIL. 1 , PERMIT NO. PERMIT EXPIRES 4 ��— 76 OWNER Jarlen Boten ,CONTR. ,LOCATION (A.P. 25-23-30 ) . e/s 'Power House Hill Rd.) 1 mi. S. of Palermo Rd., Pal8rm0 .ec yI _ � f Temp. Power Pole Called PG& PO jemp. Elec. rv. L . C Called P &E [Temp. Ga Serv. �%� Cal l x �a f FOI ALED �� '�U ` (Date) (Signature) 4N MOBILEHOME INSTALLATION INSPECTION CHECK LIST .i 1. Is the mobilehome located with required 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 3. Are footings and supports properly sized, spaced, and braced as Der approved plans? .(Note pos.sible variation at spring shackles.) (Sec. 5082 & 5083) Yes No 4. Is the mobilehome level? (Sec, 5088) Yes No 5. I e crossover connections properly installed? (Sec. 5088) Yes No 6. Water A. Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes No B. Test - Does water piping withstand working pressure.or.50 lbs, air test? Yes No C. Backflow - If coach is not State of California approved, does station have backflow device and pressure -relief valve? Yes_ No� 7. Wastes and.Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes No B. Does it have minimum 4' per foot slope and is it properly supported? YesNo C. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe?. -Yes No� D. If coach is not State of California a yroved, does station have required trap and vent? Yes N o4 �' # .� I- = — �¢� ,ems �r '"' "� 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft, long? Note: All piping is to be at least as large as the mobilehome gas line itlet without reductions other than the mobilehome connector. YesNo 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. 9. Electrical I A. Is service large enough to provide adequate amperage -to mobilehome (must equal rating of mobilehome with a minimum f 100 amp) and other facilities on lot, i.e., water pumps, garage, cabana,_etc.? YesNo B. Is there proper clearances around panels? Yes No C. Is power supply cord or feeder assembly properly fused? Ye sA / No D. Is continuity test satisfactory as per the following procedure? YesNo I. 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. S. 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 _Q Manufacturer and/or Namestyle i Length Width Vehicle Serial No. State Identification No. Additional Information or Comments: COUNTY OF BUTTE — DEPARTMENT OF'PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test Temp. Gas %, Slab Final Sanitation Patio FIREPLACE Final _ Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service % Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS -17, 9/) V S� . T f. i Owner •.LJ' I d A Mailing Address COUNTY OF BUTTE - DEPARTMENT OF PUBLIC W KS 7 County Center Drive — Oroville, California 95965 Telephone: 594-4541 APPLICATION AND PERMIT / BUI DING _. —.. i I SQ. FT. I OCC. BUILDING'VALUATION 03-2 fRP,i4 Qc,v0. _� ��, T lephan No. Contractor �r Mai I i ng Address Telephone No. Building Address t5S Ls , I4 OF ekeXrn a r A. P. No. as —a 3C, Zoning & Planning Fekils' W. . Seni Fire Dept. Fire Zone Use Permit 'EQA Parking Plans Parcel Declaration . Parcel Ma p 60' R/W Im rovements p � `PTan Parcel 4 royal Pla pproval NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Single Family Family ❑ Duplex ❑ Mobil Home 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 of: License'No. Classification /1 I'am exempt from the Contractors License Laws of the State of California. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. j 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. 1 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 nn above-mentioned property for inspection purposes. d� X ° Date Signature of Permitteee or Agent Receipt No. / 34 7 Z/ White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Fireplace Total Valuation Permit Fee P I an Checking Fee &/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system Permit Fee ELECTRICAL PERMIT FILING FEE Main service incl. 1 meter Additional meters, each Sub -panel (12 or less) (more than 12) Ranqe, Cook -top or Oven Water Heater or Space Heater Light fixtures Recaps., switches & fix outlets Hood, Ex. Fan or F.A. Furn. Motor Evap. cooler, gar. disp. or D.W. Air conditioner or heat pump Water pump Mobil Home Facilities Temp. Power Pole Misc. wiring Permit Fee MECHANICAL PERMIT FILING FEE Heatina Cooling Ventilation Hood Permit Fee @ FEE $3.00 1.50 1.50 1.50 1.50 1.50 .30 5.00 2.00 $3.00 2.00 FEE n4LL 7-/;n TOTAL PERMIT FEE $ 3cJ 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 'd. RECTOR OF P BLIC WORKS By Date E; Zilding permit expires Date��-�6- 7 7� 7 7 COUNTY OF BUTTE �.— DEPARTMENT OF PUBLIC WO KS 7 County Center Drive - Oroville, California 95965 /J Telephone: 534-4541 APPLICATION AND PERMIT •-r•-��••••-••— . 1— —.,,,y vi uu w cn 1 uNvn uic above-mentioned property for inspection purposes. X n Date -a -7 6- J Signature of Permitee or Agent Receipt No. 1--a 7;�'_'6 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date '3 Biriidl�ei -permit expires Date' BUILDING Owner -, T�/ SQ. FT. OCC. BUILDING VALUATION Mailing Address I -JZ AY woc�dFireplace Tel ne� Contractor Cty1 Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address S W � AQ PLUMBING No. @ FEE PERMIT FILING FEE $3.00 ?,0 Q (/ Each Trap 1.50 D ,� /1 FAL66AIn (�-�1J Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No.0-5 Gas piping system 1 - 5 outlets 1.50 /v,Q Each additional outlet .30 SAQ ign Fire Dept. Fire Zone Use PermitBuilding sewer 5.00 EQA Parking Parcel Plans Declaration Parcel Ma P 60 ' R/W Improvements P Lawn sprinkler system 2.00 El Is Recd Parcel Approval Pla ,oval Permit Fee $ $1 NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3, C) Main service incl. 1 meter 3,00 Additional meters, each 1.00 — Single Family ❑ Duplex ❑ Mobil Home Others ❑ Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 y-- i �� ~� ��r w� W ter Heater or Space Heater 1.00 P right fixtures b %2 Receps., switches & fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap, cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring V ® I am exempt from the Contractors License Laws of the State of Cal ifomia. Permit Fee $22.00 i$ ZZ 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. 3 I certify that in the performance of the work for which this pdrmit ,is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $S.s •-r•-��••••-••— . 1— —.,,,y vi uu w cn 1 uNvn uic above-mentioned property for inspection purposes. X n Date -a -7 6- J Signature of Permitee or Agent Receipt No. 1--a 7;�'_'6 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date '3 Biriidl�ei -permit expires Date' J BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville,.CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: J 22r, 2. .Installer's name: 3. Is the site currently under permit? Yes/ -/. No (If yes, furnish permit number /ZS / — 7 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 What is the mobilehome site gas pipe size? ---------------------- What is the type of gas service? ----------------------------- Natural 11. What is the gas pipe length from meter or tank to.the mobilehome? 12. :What is the mobilehome gas demand? ------------------------------ (in.) LPG /T7K (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) AT "' (ft.) (BTU) /_04� ( If no, clarify ) What is the mobilehome electrical rating?-----------------------�j �j Amps What is the mobilehome site service rating? ------------------ -- s What is the mobilehome site circuit breaker rating? --------- --- /00Amps Is there any other electric load to be served by the mobilehom siteservice? --------------------------------------------------- Yes No (If yes, identify the load and size:�L_Z (Load) (Amps) What is the mobilehome site gas pipe size? ---------------------- What is the type of gas service? ----------------------------- Natural 11. What is the gas pipe length from meter or tank to.the mobilehome? 12. :What is the mobilehome gas demand? ------------------------------ (in.) LPG /T7K (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) AT "' (ft.) (BTU) /_04� MOBILEHOME SUPPORT DATA Mobilehome Mfr...Z!_Z211&i 0 6 Setup Model No. Year 0 Width . (ft.) Length .. (ft:)--Expando 'Size . ft.x ft. (Draw 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) . /3,nle .. Footings-•(check.one) --- s.1. Wood :either , .. TTS—__ pressure trea Center Center pDA dn::grade.: Support FooP-i g Sizes Locations /(in.) ...... /rL.2: Concrete pad. - x r 3..Other,'specify in. ins. -7— _ Supports (check one) •� ( �1 •Concrete block x / / 2. Concrete piers ft 3. Steel piers ........ . ... ........ ................. 4. Other, specify ......... _ Typical Support X (� (:Ln.) Siz (�T(e ,lFf x rn' ................ _ 4.. _ Max. Pier ...._ .., Spacing .. r l__ J �- - Max. Overhang *If center piers are o r�than drawn above, draw in locations, spac' and dimensions. BUTTE .COUNTY BUILDING Dr-' P.T�A NT . APPR-OVED v/v - •~ �a vTTE COUNTY ecificaiions I,a.i� and sp • ' Inla`p+ful E UILDING �EPAR� EN fhis wt 01' N and it IS ob at all 'Imes On "me �gi#f►oui sept Onthe1 s or alterations �ertmt ®f. p�y;ic n �0 / E make y change '`C V 15son from � WrWen perm of Boo. WCrIcs, County 'is shai4 be 4 tt oo,.side the moh the rear 1{,� ated �,t?�++� bile ome third section of t;�e mobi,e On the le,r �'oad� viae c`� 4 1787-81B PERMIT NO. PERMIT EXPIRES A/2 OWNER William Barr CONTR. owner I ASSESSOR PARCEL 2.25-23-30 LOCATION E/S Power House Hill Rd., l.mi, S.of Palermo Rd., Oroville �f �t 1! Temp. Power Pole_ t' Called PG&E _ Temp. Elec. Service_ Called PG&E Temp. Gas Service _ I CalledP E_ a }� JOB FINALED (Date) t, Signature 46 1 = OK = Not OK i = Not Applicable MOBILEHOMES MISCELLANEOUS = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except k's Date DEC , COVERS, CARPORTS, ETC. (Plans) OK except H's 1. Zoning Requirements—Setbacks—Easements Z ning Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch .Footings; Si6e,� t—Sp g—Connectors 3. Sewer; Location—Test-Fall-C/0—Concrete '3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) 4, od Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete 5. nnections—Splice—Decal—Enclosures 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /" LPG- —D e 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date C d -BI - Date _ Card -BI Date Card -BI Date C d -BI M,, Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except q's 1. Zoning Requirements—Setbacks—Easements r Date POOLS (Plans) OK except #'s 1. Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line. 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. Electricity; MH Test—Crossovers—Breakers—Clearances 4. Elec.; Receptacles and Lighting; Distances—GFI 5. Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6. Water; MH Test—Regulator—Connector ' 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. Water and Sewer Connected—C/0 to Grade—HD Approval 7, Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged ! 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9. Health Department Approval 9. Exits; Insp.—Sketch 10. Cert. of Occupancy 10. Plumb; Cir. Test—Water Supply Test Card B-1 Date Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date = OK = Not OK = Not Applicable = Not Ready RESIDENTIAL JSi.n.g1e and Duplex) Date UNDERFLOOR Plans OK exce t#'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 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. Stemwal Is, Garage; Steel -Bloc kouts-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. 55. Glazing Area -Glass Protection -Skylights -Plastic Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except k's Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except p's 56. Ext. Steps -Door & Sidelight Protection -Landings 57. Smoke Detector 14. Water Ht.; Vent -Access -Combustion Air 58. 59. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection Bedroom Exiting 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 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 q's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. 21. Fixture & Transformer Clearance -Ins. Protection Elec. Receptacles Spacing -Lights &Switches at Doors 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 70. Plb:, Elec. & Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 23. Romex Installed Close to Edge of Studs & C.J. 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. 73. Insulation -Foam -Looked in Attic F] Yes Guard Rails & Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen & Conductor Size _ 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral ❑Yes El No 75, Following instld.: Drive ❑ Yes C] No: Walks [-]Yes ❑ No; Planters ❑Yes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 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 -I Date Card -BI Date 81. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except N's 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85. 86. Water & Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates 32. _Vent Fan; Exhaust above Insulation _ 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 -81 Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except q's Comments at Final: 36. Sills; Proper Material & Anchors _ 37. 38. _ Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub _41. 42. 43. 44. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnp.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat _ 45. -Attic Access; -Size & Romex Protection -Draft Stop -Ins. Baffles _ 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: An entry must be made each time you visit job site) V COUNTY OF BUTTE - DEPARTMENT 6F PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovllle, California 95965 - T'elephone 916/534- 541 R/ APPLICATION AND PERMIT ASSES OR PARCEL NUMBER 6--Z3 —�ja ZONING _3 BUILDING PERMIT OWNE,,R, / vV/LL��%� 64e2 TELEPHONEp �08� SO. FT. OCC. BUILDING VAL ICON OWNER'S MAILING ADRIESS 2% O zlY P-7-2 K �>eoV/LLC Gq- CONTRACTOR'S NAME ELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LEN ER UNKNOWN Total Valuation 1 $ .'a Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 6Z, pco ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee r $ 24©D Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ -8'8', oo BUIL NG ADDRESS -...5 F0 ,2 t4ouse BILL Pz> I -M PLUMBING PERMIT Filing Fee 10.00 �S. F A -L Eemc fil Each Trap 2.00 Repair drainage or vent piping 5.00 ® OVlb Water piping LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeQKOther SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition lP- Remodel ❑ U i lities ❑ Installation ❑ Other ❑ Describe work: f} %t� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 00V OR Main service 100 AMP ORSLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST.( DWELLING OCCUP.ai) OR ADDNS. \ ACC. BLDGS. I 20 sq it CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ❑NON.RESID, I am licensed under provisions of Chapt. 9, Div. 3 of the Business50 and Professions Code and my license is in full force and effect. License No. Classification ,1N'k_'dJ 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 CI OU LET 2,50 ea NON.RESID BRANCH CIRC TS NEW CONSTR. l POWER APPARATUS fit SINGLE OUTLET CIR. / @ zs¢ Ex. Occup OUTLETS OR FIXTURES BAL@100 Ex. OCCUp.�OUTLETS P(RESID))R EA.) 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 $ 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 accruer� against saidCounty in consequence of the granting of this permit. X ^ Date --%� — Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition Or construct- ion of structures over 3/stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ BS. Ca 0CCUP. GROUP I TYPE OF CONST. `� PARCEL 1.".4 PD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTF PUBLIC By �7 PE T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date��6-�� S % Z6 - e?Z Receipt No. / WNITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT