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HomeMy WebLinkAbout027-070-033{ r �f . ' BILL ADAMS TfM,�� Q- 3-)04 O(�j i ! '.'�-O�%o _033 ,a a e/ s Carmel Ave . , 400' N. ' of he - , r Oroville 027-070-.033 _ PERMI_T#97 1r 2A G RosarioPermtt# 1087-75P,E(util., SORIA,ELEC. 6825 Upper Palerm Rd-Pale•r]mo 4� GAS---------------------__. _ _ ._ Ag Ex Permit-Farm Impl.,Feed Stg SUPPORT STRUCTURE REQ.. COMPACTION. TEST REQ. "`- -- - -- — -of 27-07=33 027-070-033 PERMIT#97-13AG contra Ernies MH Tr SORIA, Rosario° sport, Marysville 6825_Upper Palermo Rd. Palermo Permit #4804Q76MH1A 9-3-ie Issued_,? ��' -'� P �/ Ag Ex Permit-Farm Impl. , Feed Stg 27-07-33 ko K,. Dura�m=; nc., Sacramento Permit ��3424-77B new ( patio cover/MH) 27-07-33� { JOHNOPA�LAZZI 6825 Upper`Palermo Rd,.O oville ' i Contra Acro LUme_ F,n� ; Permit#3282-83B(awning & d.ck MH) ' 4 , 027-0.7-0-033 97-0080°MHI j SORIA,,Rosario y) a 6825 U er-Palei / II ll�� PP mo Road, Ofjl.. le, 1 (MHI/ex site) Al Carl RESIDENTIAL 027-07-0-033 97-0080 MHI SOR'IA, Rosario 6825 Upper Palermo Road,-Oroville (MHI/ex site) AlCarl r f j • i S L-/,Pae f ` ., Fr S JOB FINALED (Date) 0:22 Signature V=OK O = Not OK Nott MOBILE HOMES Date MOBILE HOME UTILITIES(Plans) OK except #'s j4EfX9g Requirements - Setbacks - Easements oils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water, Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap; / /"L'ft. / /Nat. or/ PL"ft./ /LPG 7. Well Clearance & Disconnect - 8. Utility Clearance Date Card B Date Card B-1 Date C B-1 Date Card B-1 C(, a2g Requirements -Setbacks Easements ddr'Footings; Sine -Spacing -Marriage Line �/Ef�tricity; MH Test -Crossovers -Breakers -Clearances Drain; MH Test -Fall -Flex Connector . - ater and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged owns -Type -Installation Cert. 't sp.-Sketch LlrX'ert of Occupancy Date • rj►C?? Card B-1 Date Card B-1 DatqV—O--(: :� Card B-1 Date Card B-1 in 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.-Rfg: Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sils-AnchorsStuds-Rftrs-Trusses 9. Siding; Nailing Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 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 Ughting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7.Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/3 Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. TestWater Supply Test I Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 l i r � • f 1 _ OK O = Not No OK RESIDENTIAL (Single & Duplex) - = Not A licahio PP Not Ready Date UNDERFLOOR (Plans) OK except #'s 1. Zoning-Setbacks-Easments-Flood-Slope 2. Ftg., Main; Soils-Elec. Gmd.-/ P' Ftg. Depth 3. Ftg. Garage; Soils-Steel-Elec. Grnd/ P' Ftg. Depth 4. Ftg. Porches & Decks; Soils -Steel-/ r' Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-BlockoutsaNrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card E-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 69. Stairs & Rails Date 70. Card B-1 Date Card B-1 Date 71. Card B-1 Date Card B-1 Date 72. ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Faslners-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 All 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral 0 Yes 0 No 31. Service -Riser Conductors & Ground -Main Disconect 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 86. Card B-1 Date Card B-1 Date 87. Card B-1 Date Card B-1 Date 88. MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnance-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-Purlin-roff Brac.-Truss-Shting: Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill 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 Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration-WallsaNindows 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./Drlve 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�k�r��_....�=^r�'•v:.�t���'.S,-,.•: '-.� :t a?iF:_+�svr �� �tli� "'�''ti..%i71`r :g�slr :{:2 � �l.a -�=,��ii6:JW'�`.�ii-= '-_-'=.-.`�`�'*� MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION -7 COUNTY CENTER DRIVE OROVILLE, CA 95965 -PHONE (916) 538-7541 APN: ,?,7-o-7 --o.3 PERMIT NO.: 9-7--oo�-o Owners: t Name: o 54 Owners: Address: r, r Mobilehome C Year of Manufacturer e. —P" J/ p /t./' Manufacture: Serial number 9 7 -Go 7 9' 3 ?. Insignia or Tr. 4:5�- 3 S / 3 eO or V.I.N. Y HUD number: 3 5 3 Official approving installation: Date: 12, tw If the mobilehome is moved or relocated, the mobilehome installation acceptenceshall become invalid. r his form shall ; not'be_used when the mobilehome is installed on a foundation systemi;. '5138 : �,, , r White Owner,*Yellow Installer Pink Bldg Gold Assessor •' t Ci V1, a<1?.s2'L, .., vur:!e 5:.0.:ftF ro V...,-.r:...+iii_n�".t".:G..t...�4.!JL}St:.n.:; �.�., _„:,.l�..c_�'�1�_' i. %.x.:.ttS.sri..tk.a:,s...»M.....:E i..�.�i .:..,•S:�w�!c..±:a. _. ::. .:,..�i. a,..re COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES-BUILDINGDIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754 � T NO j j (Rev.12/96) APPLICATION AND PERMIT !2�7_,J ASSESSOR PARCEL NUMBER 027-070-033 ZONING ARMH2.5 BUILDING PERMIT OWNER ROSARIO SORIA TELEPHONE SO. FT. OCC. BUILDING VA ATIO OWNERS MAILING ADDRESS 6825 UPPER PALERMO RD., OROVILLE CA 95966 CONTRACTOR'S NAME AL CARL TELEPHONE ' CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDING ADDRESS 6825 UPPER PALERMO RD., OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE $ 43.00 LOT NO.SUBDIVISION'S • NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ MobilehomeM 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 J2( Other ❑ Describe Work: FX STIE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service zoonoa'.ss 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. /V 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 Main Service 200A To 46. 00 CCU000A NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 ACC. BLOS. SO SO 3.5¢FT. NON-RESNEW rID. gMUICI CIR CUI @7.50 OWER APPARATUS 8 PSINGLE OUTLET CIS. Ex. Occu ourLET OR FocruREs 20 @ 100 BAL ao FIXED APPLNS. OR Ex. Occup. OUTLETS RESID. EA 5.00 1 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: ❑ 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 I 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 insuu nce carrier anV policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number Z ,6 S / (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with tho provisions. X !�// __ Date �g �4T✓ g7 _ Signatu e o Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is 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 TOTAL F $ HAZ. D. FEE IMP F CDF PA(iC V PD HD Issu This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. ate ate FR7eceipto. 206993 .D.S.-B. D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT�SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIPORNIA95965 -TELEPHONE (916) 538-7541. PERMIT APPLICATION DATA SHEET e OWNER 'S r I No. �? --C�7 Proposed Building Use e S! Building Inspector Date /597 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECENED BY 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . ......................... . 3:: Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. -7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ . ;A.......... . `]1. Impact fees as shown on attached ischedule. �6. -Oct 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: - ......... . 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. Preans6; req.ue 20. Pre -inspection for - 'required. . . to Building ng Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification). ............... 22. Certificate of Workmans Compensation Insurance . .................•.....:.. . 23. Owner -Builder Verification (Given to owner , Mail to owner ............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. . 25. Letter of signature authorization . ......................................... 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28.. Mobilehome utility clearance . ..................:...................... . 29. Documentation of legal access. ... .................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... ' 31. Existing violations/expired permits . ...................................... 32. Plan check list . ........................................ 33. 34. Whet you issue the r�nit, p�oc i t .ss as follows: Mao owner Mail to contractor: ✓ Telephone`s-��7 and hold for pickup at n , office. Deliver with inspector. Other A, Parcel Creation Acreage Applicant Date r'` Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date . Copy of plans sent Health Dept. Fire Dept. Other Date By The following data, must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail _Counter by _ Date Plans checked by Date Plans approved byDate Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works r, E.H. USE ONLY % Plot Plan Aaa&W a . e _ w Floor Plan Attached : Sent to B.D. r13 /9:7) TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance �Sc�cI �, Owner Location AP# Plan Approved for: Sewage Dispo WatWo�;rtAc-, u o m Supply: Public Private Well Clearance for bedrobile home: Other /v c c yi sTiM(s Twa 6& (- r 41 /TN ,4t-JFL0 0 dR k4t)01 Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist Q /o1) h COUNTY OF BUTTE BUILDING'DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA'- (916) 891-2751 . 7 County Center Drive, Oroville, CA - (916) 538-7541 :.. 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER PERMIT NO. yrr. A routine inspection indicates that the following violations of Butte County Ordinances exist at c the above address and should be corrected. Please notify 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. xK4 / / /. 1�e 4r ya „ ;zg ti i - ,r' r yy . coN• Date InI. G -Inspector s` REV 10/9 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES .k.. 1469 Humboldt Road, Chico, CA - (916) 891-2751 ~" 7 County Center Drive; Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise; CA - (916) 872-6307 CORRECTION NOTICE 9 -7 000 OWNER PERMIT NO. A routine inspection indicates that the following.violations of Butte. County Ordinances exist at the above address and should be, corrected. Please notify this office when correction of work ,t is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. 14 --7 . Date cii Inspector REV 10/92 b ram: Ulys'ses'Mori To: Integrity Homes Date: 10!22!96 Time: 08:41:57 i;r y u + • Page.9 z it CROSS DRIVE TIE -DOWN: x= t' {ENO TIE -DOWN — — CHASSIS K � h r PIER !- _ 71 Sim 30LT-ON TOYS STRAP 3' ]. e. Sm SPLTT BOLT s NVr---� �— SIDE TIE -DOWN ohne C�=4` ' 7E F Y ocar •' � � i . GROUND UNE �1 �'• - /r t STRAP STL STRAP ./ � � ��// `\� �• DETAIL (TTP!CAL) [NSTAL.LATI-ON INSTRUCTIONS 1. INSTALL CROSS DRIVE ANCHORS INTO SOIL AS SHOWN. �•�`'•- a - _. ATTACH STRAPS TO CHASSLS BEAM IN MANNER SHOWN. 3. Q(SIiRT STRAP Tf TROUGH SPOT BOLT. CUT OFF EXCESS S-FRAP AM ;11JEJ TIGHTEN BOLT UNTIL STRAP IS SNUG. CONTRACTORS AARPll VG; CHECK FIRST FOR UNDERGROUND URIJIES.• ' CROSS DRIVE ANCHORS ARE USED WHERE HARD OR ROCKY SOIL, iICCURS. IF THE GROUND SURFACE IS OTTER ROCK OR MINTE UM 2' ASPHALT, ENCASE THE CROSS- DRIVE AN<.'.H0 2S WITH CONCRETE AS SHOWN QQbE7AIIJ.'. •—OftiLL S/Ir: WLIE Ar wo• h rmr of afAm rI i. , i' • , - • M J2 * y i t - _�... ANo INSTALL! I/zA307 BOLT ^ • %r • :T 1.rf �. .{ Y \ 4iJ, •t.1 '1 x - •- ...•...-) V LC s7i t 1 r1-M�+'�� = f.... • " � � _�7(y`eC � F j1t A i iyR,.1. �1 •� i to � y S F;r� .y�f„:�" � �'� \•' ° - ♦ /, MF c .arty-��' . ��•�/br SIpEyIEWVFEW F VI �' J fi c s -r r SIDE VIEW F ENO. VIEW ' r :RP -B -AM r•tti= $ SEE 'f BEAM CHASSIS NOTE 83 SEE 'f BEAM CHASSIS NOTE SHEET I FOR TIE -GOWN INFO IHFO t ENO TIEOOWN SHEET :t F4R TIE OOMN , -N �ONT��CTORS CERTIFICATION I CERTIFY THAT I IIAVE INSTALLED '111E SAC WDy, INC. -ANCHORING'SYSTEM AS PER THE ENSTALLATIONt o-zy INSTRUCTIONS. J I HAVE MADE NO MODIFICATIONS', -TO 'LTTE ANCHORING",'! SYSTEM OR TO ,TIE BUILDIN { ` r c STRUCTURE. f 9J 1 1 �l 1 t ! FGr Y� 4 i 8fl' e ti l p ,COMPANY NAME S ' IrMRACTOP 11 N 1 . q � 7 .. �� .— L•• hn:•::.a rta F ' -1. j 1.121 't its - Y r t1 .. � - yr7 vr- • a'`F.C9' � � F-.� v F7�� r1 F f�A ti• ,�rt� g rF• 1 . > t �. f�}r, r'4 .`•� � 71'i " � 5 1 r r •`.t � Lh i a'+ f +. , a ;� ✓,.. e i C TS •M1[W y. (7i� �.1+, rcf �, G] hCpae c„�r a �•V r ..1 �,�F �. T°. �J'� ` 1.. )•'�i��"J� �A�•a.'�,.Y41.1•��;)����•���9f��7r?�7f'�f . Y��r��f 1{�'J�: r . ti . � s• � S5 t T s1 J '�'. `x. f �� f . Atrd %�"� . 8 5 r 3 S'� 35o8( JUS! 29 . ' 94 9: 29 FROM CHAMPION HOME TO MH CTR -O PAGE.001' r @ Ob I r rn D m ,-0 TO MH CTR -O PAGE.001' r @ Ob I r 00 • .y Y`Y N"1�....r ♦.S�y'..Y .—.tea ...��-�i+lr/�•9•'+�"r1"�'l�^n{.M{�w�'rv'4T'4yf{"','^��'..�.{ 1 , IF(j ' D. RN BPTTE COUNTY SCHOOLSJMPACT FEE CERTIFICATION FORM (One Form Per Building) School District O M V I I CQ A.P. Number ('IJ-'?—C�-?O-`033 Jurisdiction: n Property0wner Property Location/Address Subdivison Residential Development Commercial/Industrial Building Department No. ty County Lot No. 0 Sq. Footage ) Q 13 >J �a-e� No. of Living MHI Addition (Group R) Units (5� l � r 9 AW 6�4� 0 New Addition (Floor Plans reviewed by School District Personnel) District Identification No. 97008 Sq. Footage (Including Exterior R ofed Areas) Dat ClrQVt Its UlrctoiYt ► Q h School District certifies that (Applicant) (Street Address) R f (Phone Number) IOM611e,C1 �I fiP (City) (State) (Zip Code) has complied with the requirements of Resolution No. 105 -qQ by payment of $ representing tr square feet.: As 2926 $ FULL MITIGATION $ K. Paid. by Check# -� Bank Number .,.,. Paid by Cash .,.�.._ Date Remarks: 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) feeform.wkf (f 1/94)dmm BUILDING, DIVISION 0 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES, 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE: (916) 538-7 41 AGRICULTURAL BUILDING EXEMPTION PERMIT / PERMIT NO. q'7-/_:3 Agricultural building is defined as follows: Agricultural building is a structure designed and onstructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure sVall not be a place of human habitation or a place of employment where agricultural products are processed, treated or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. ZONING OWNER PHONE NO. OW ER'S DDRES II LOC I N O -P BUILDI P ne-ov' OHS . USE OF BUILDING s , SIZE OF STRUCTURE L/ rrn SO. FT. TYPE OF CONSTRUCTION: WOOD FRAME %, STEEL CONCRETE OTHER (Specify) TYPE OF S DI G,� ROOF COVERING FLOOR TYPE ESTIMATED COST OF CONSTRUCTION AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: r - r - , e 55 FRONT A'n'd, SIDES ^44— REAR 20 'f","— AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation USGS Datum. I declare under penalty of perjury that the building will be used as stated above and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date Permit Fee - $60.00 Receipt No. I30qg Signature of Owner , The above described AG Building is exempt from a building Dernvit. FLOG PARCV I Py I RVG ISS Manager Building Division By Date White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant BUILDING DIVISION 0 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-754a AGRICULTURAL BUILDING EXEMPTION PERMIT 7 MIT NO. ►_/2 Agricultural building is defined as follows: Agricultural building is a structure designed an onstructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structur shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. �r, _ (( O ' ©,S ZONING -� OWNER PHONE NO. OWN R'S A RESS LOCATIO OF BUILDING USE OF BUILDING SIZE OF STRUCTURE W X = SO. FT. TYPE OF CONSTRUCTION: WOOD FRAME ,V/ STEEL CONCRETE OTHER (Specify) TYPE OF SIDING O ROOF COVERING FLOOR TYPE ESTIMATED COST OF CONSTRUCTION AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: 1 r d FRONT 5� 'st' SIDES 4''"Pol, REAR '20 /0� AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation USGS Datum. I declare under penalty of perjury that the building will be used as stated above and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before oc Date-it cu- CJ Signature of Owner Permit Fee - $60.00 The above described AG Building is exempt from a bui ing permit. �f FL PARC P.D. ROOFI IS Receipt No. lj Manager Building Division By �� Date White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTYCENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATASHEET OWNER A. P. No. Proposed Building Use Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and!or issuance: 1. All items have been submitted. 2. Plot plans, 3/4 sets, signed by preparer of plans. 3. Complete plans, 3/4 sets, signed by preparer of plans. 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans. 5. Hazardous Material Form. 6. Energy Design Compliance and supporting documentation. 7. Statement of Intent for Non -Heated and A/C Buildings. 8. Engineered truss details and layout in duplicate (required prior to plan'check). 9. Mobilehome data and manufacturer's installation instructions, 2 sets. 10. Fees of $ 11. Impact fees as shown on attached schedule. ` 12. California Department of Forestry plan approval/fees. 13. Flood elevation letter (100 year flood) by California Engineer. 14. Sanitation and plot plan approval Health Department. 15. City of Chico plumbing permit. . 16. Plot plan and business license approval from City of Biggs/Gridley. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. 19. Driveway permit (construction approval required prior to occupancy). 20. Pre -inspection for required. 21. Contractor's license information. (No., Name Style, Classification). 22. Certificate of Workmans Compensation Insurance. 23. Owner -Builder Verification (Given to owner , Mail to owner �. 24. Recorded copy of Agricultural Acknowledgement Statement. 25. Letter of signature authorization. 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. 27. Letter of intent on building use. 28. Mobilehome utility clearance. 29. Documentation of legal access. 30. 'Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements: 31. Existing violations/expired permits. 32. Plan check list. 33. 34. Whe►yyou issue the ermit, rocess as follows: M o owner � Mail to contractor. Telephone �3ot and hold for pickup at M Q_ office. Deliver with inspector. Other Applicant Date EXPIRATION OF APPLICATION Applications for which a permit has not been issued, will expire by limitation one year after date of application. In order to renew action on an application after expiration, a new application; plans and fees will be required. FEE REFUNDS Refunds can only be made upon writtten request by the person who paid the fee. The request must be made within one year from the date of fee payment on permits not issued, and one year from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan checking fees for work plan checked and other department costs are not refundable. Original - Applicant COUNTY OF BUTTE - DEPARTMENTOE,DLENELOPMENTSERVICES -BUILDING DIVISION 7COUNTYCENTER DRIVE - OROVILLE, CALIFORNIA95965 - TELEPHONE'(916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER A. P. No. Proposed Building Use Building Inspector Date At time of lJermit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . ........................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calci, 3/4 sets, with wet signature on plans . ............. +� 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation. . 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9r Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ .......................................... Al 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letteF�(100 year flood) by California Engineer ................... 14. Sanitation and plot plan approval Health Department . ........... . 15. City of Chico plumbina'permit........................................... 16. Plot plan and business license approval,from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking ........ 18. Contact Land Development,about (A) Improvements (B) Drainage. 19. Driveway permit (construction approval required prior to occupancy). .. ..: ..... 20. Pre -inspection for Pia"v ns req" - required. .. to Building (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................:. . 23. Owner -Builder Verification (Given to owner , Mail to owner _). .......... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ....................................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... 27. 'Letter of intent on building use . ........................................ . 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33 34. Whe you issue the a mit, roce s. as follows: M�+�o owner Mail to contractor. ~ Telephone � !4 !Rand hold for lJ Deliver pickup at office. with inspector. Other Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent 'Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by =,phone mail `Counter by _ Date r Plans checked by Date Plans approved by Date Sets of plans on hold_ in Fileicabinet AP folder Copy - Department of Public Works d G C a � a 1� c i 0 g rV, a IN , , A eN O eeC Slr *O .n��OJ� C8MOD$ m�V�N1 t0 set of Ply hepsand it ae wtthout ob at t of 0. th ch gas or alta e D � c si b�� e eission from e ,rte unV of. Butte ALL S � . TRUCTURES AND OVERHAN®S SHALL BE EQUIPMENT, INCLUDING A -SET BACK OF � CLEAR OF ALL tASI;MEN7'S. .FT. FR*ct.4 THE SIDE AN6 <� FT. r -ROM THE REM.PROPERTY LAVES AND E SHALL r� FT. FROM THE ROAD CENTERLIN .CLEAR OF STRUCTUND _ P A 2 FT EgVE (aVERH�4tVQ EQLItpMrz RES r�NT EXCc� T �. s w YL Q 0 � O i 0 g rV, a IN , , A eN O eeC Slr *O .n��OJ� C8MOD$ m�V�N1 t0 set of Ply hepsand it ae wtthout ob at t of 0. th ch gas or alta e D � c si b�� e eission from e ,rte unV of. Butte ALL S � . TRUCTURES AND OVERHAN®S SHALL BE EQUIPMENT, INCLUDING A -SET BACK OF � CLEAR OF ALL tASI;MEN7'S. .FT. FR*ct.4 THE SIDE AN6 <� FT. r -ROM THE REM.PROPERTY LAVES AND E SHALL r� FT. FROM THE ROAD CENTERLIN .CLEAR OF STRUCTUND _ P A 2 FT EgVE (aVERH�4tVQ EQLItpMrz RES r�NT EXCc� T �. s w YL M.H.I.- 2 Mobilehome Manufacturer: 1 Ha m f I 0/'j Manufacture Year: 9 i If other than single wide, furnish Setup Model Number:' 6, 01 Width:_;Z V (ft.) Length: .-.Z. (ft.) Tagalong or Expando Size (ft.) x -- (ft.) On. all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. r, FOOTINGS: Wood pressure treated or foundation grade[)(] Other: SUPPORTS: Concrete block[X� Other: Provide Tie Down Specifications for all Mobilehomes: SAC a ,K7(h_e6-1-r1 f S Line I Line 2 Line 2 Line 1 Pier Footings Sizes and Location SINGLE WIDE MULTI -WIDE fLiine e 2 .....................:....................................................................Main Beanu ..........................................................................................2 e 3 e 2 .................................................................................Main Beamse 2 ................................................................... ...................1 ................................................. .............--............ \ , 'e S T or Triple �■ J`'"'e 4 f j .......................... ........�_Line 1 Line 1 Piers: Line 1 Openings Size minimum: r I x F 1. Size minimum: [ /z ] x [ ?b ]. Spacing maximum: 1 11 Each side of openings From ends -maximum: A with width over: o ` t 6,01A Si 0; Line 2 Piers: Size minimum: [ i 2] x 130 ]. Spacing maximum: 41 From ends -maximum. b ` Line 3 Roof Loads: Size minimum Location (from `ter : Line 15 Roof Loads: Size minimum: Location (from front): Line 4 Piers: Size minimum: [ ] x [ ]. Spacing maximum: ` From ends -maximum: ` a4O lL 30 xZ 30 I Zye?a j i/' / • /S-. ' I y '/ „ OVER 1. Owner's Name: �o S.iP� / O Jed f- IA_ 2. Assessor's Parcel Number: 1,V10,A1 0 2 7 0-7 077 3. Installer's Name: 4. Is the -site currently under permit? Yes[ ] No[d] Permit No. 5. Is the site,an existing site? Yes ] NofQ (If yes, furnish two plot plans). 6.. What is the electrical rating of t e mobilehome? U b Amperes. 7. What is the mobilehome site circuit breaker rating? 0 6 Amperes. 8. What is the electrical rating of the mobilehome site? 2 Amperes. 9. Is the main service remote from the mobilehome site? Yes[ ] Nojx ] If it is, what is the rating? Amperes. 10. Is the a any other electric load to be served by the mobilehome site electric service (i. . we , garage etc.)? YesN ] No[ ] If yes, please identify the load and size: a The mobile home site: Load- w // Amperes- 2 0 b) The main service: Load- Amperes - 11. 12 13. Type of gas service at mobilehome site: Natural[ ] PropanepC] None[ ] Size of gas pipe at tank: �%`�/ inches. What is the gas pipe length 14. What is the mobilehome gas d *(This information is not required if less than 50 feet on propane). 1.7 -w May 1995 _1 the mobilehome site from the meter or,. M the`meter or tank to the mobilehome? aI d? ' B.T.U.* :he, pipe length is less than 6 feet on natural gas or 8.5 11tH OPLOVAL © �a . ., DMMG r•e• x e •o•KI7C14EN T 'DOOR �' ' �•--� '. k.•� fEFG lu BEDROOM --2,: •' 7 -- BEDROOM 14 .e• x I� •e LIVING ROOM 70.•4. x U••10• OPTIONAL DEN �-BEDROOM • MODEL 606 • 24'x 52' • 12'13 S . .,Frod):ysses Mori To: Integrity Homes 4: Date: 10/22/96 Time: 08:36:50 SAC. INDUSTRIES,' INC. COMB [NATION. TIE'DOWNS MALNUFKCTURED HOME TLE -DOWN iNSTRUCTIONS ANI) SCHEDULES FOR SINGLE DOUBLE I TRIPLE WIRES DFSIQNL & GENERAL NOTES DESIGN LOADS: 15 pst"(70 MPH EXPOSURE SEISMIC ZONE - 4 SOIL BEARING 1000 psf NOTE: MA-MMUM SOIL PRFSStME' IS 1000 PSI' WITHOUT A SOILS REPORT. EARTH AUGERS 4750f MIN TOTAL LOAD CAPACITY ('VESTED TO 6400) 3150' WORKING LOAD CAPACITY (1.5 SAFETY FACTOR) 'CROSS DRIVES 1727' (CALCULATED) • CONCRETE SLAB ANCHORS 4750' MIN TOTAL LOAD CAPACITY (CALCULATED) 1 3150' WORKING LOAD CAPACITY' (1.5 SAFETY FACTOR) • TEE DOWNSTRAPS 3150"=; .WOR.MG LOAD TIE -DOWN STRAPS WETS FEDERAL SPECIFICATION Q)QG781H FOR TYPE 1, CLASS B. GRADE I STRAPPING AND BE AT LEAST 1 114" x .035 'ZINC PLATED. GENERAL NOTES'. I. IIIE CHARTS SHOW THE RL-QUME-13 NUMBER OF ITE -DOWNS ON 1TIE SIDES OF THE MANUFACTURED. HOME. 2. COMBINATIONS OF THE DIFFERENT TYPES OF TIE -DOWNS CAN BE USED. 3. FOR ALL TIE -DOWN INSTALLATIONS, TtT. %JFG'D. tioNfE CHASSIS MEMBERS ARE SHOWN AS "I- BEAMS. (FOR ILLUSTRA-Florl PURPOSES ONLY) Cj-IASiIS BEikMS CAN ALSO DE "C" SHAPED OR "RFC'SHAPED. U THE 0' _tIr RV 4. SIDE I -DOWNS ARE REQWtED ALONG UTSWE CHASSIS BEAMS. END - UOINt'4S ARL 4411(flU AT EACH END OF EACH TRA14SPORTABLC SECTION -OF THE MANUFACTURED HOME 5. END TTE-DOWNS CAN BE LOCATED WrnVN*IR" 0F EITHER SIDE OF CHA.SSLS FJEAM.AXL5. 6. THE SIZES, TYPES, LENGTHS. ETC. . OF MATERIALS SHOWN HEREON ARE MINIMUM. LARGER. LONGER,'., HEAVIER MATERIALS SUPPLIED BY SAC INDUSTRIES, INC. MAY HE USED AT TV. SAME SPACING &' LOCATIONS SHOWN. 7. ALL PARTS ARE, PROTECTIVE- COATED WMI INDIISTRIAL SHOP PR%1FR DY ALRGAS. APPROVALS sualE 'N d .,To c6afcfliolls�7 6'r 2. Approval does not nufhagilo of oppiove anyomitdon e, 1s`v'-2vi*M 1.0m recitf-rominh of applicable State laws and •69.161;ans. Slat* of Cefifor.lo Department of "Outing' and Community Development DIVISION OF CODES AND 31AP40ARD3 by .SPA 31 512 SAC INDUbTfU'ES. INC. - 3236 C F1 TZCERALO RI). - RANCHO CoRwvk C.1% 9$741 PH; OW) T711,3(155 . rufam It"I NEW DAWN ovuvt ,SACRAMENTO. CA 9SM6, JR11: (91b) 362-4363 &jqE:.D0W SYSTEM MEETS y E A ".IMAAEMS OF 'TION 11316 LfBSECTION(3) :From: Ulysses.Mori-To: Integrity Homes f Date: 10/22/96 Time: 08:37:44 Page 3 of 9 SAC IND. TIE -DOWNS 8 7000 71 ST1- STAAP,' I1 /H V C iV•.8 � ••t ? 4002,- PEER.-' 8007 CONCRETE SLAB kKCHOR SLEEVE ANCHOR/ �' 0 6004 CONCRETE SLAB 'ANCHOR 7001 STEEL' STRAP I Ir/PRAWE CLAW 8001 40" TDA e8002 CROSS DRIVE ANCHOR TYPE SEE CHART I TYPE OE SEE CW.RT i i • EVENLY SPACED 2" LENCTW' VARIES . SINGLE WIDE . Z' • EVENLY I SPACED ' EVENLY ; SPACED .2" LENGTH'- VARIES: TRIPLE WIDE TYPE o SEE . CHART REWD # OF 4 01® LNCHORS FOR EACH SME* & DID w+OrH LENGTH 1 MEPE .411.1,"Ou ti 7002 i' sT'I_ 0-38' I 2 STRAP w/HOLE IS. -57' 1 3 I� TO ?e' 4 2 OOUBLE0'-38' I 2 8005 SPLIT '. WIDE J8'=57' 3 HOLT k NUT 8006 STABILIZER 57'-78' ; ' 4 . PLATE rRIPLE 0'-38" TYPE SEE CHART I TYPE OE SEE CW.RT i i • EVENLY SPACED 2" LENCTW' VARIES . SINGLE WIDE . Z' • EVENLY I SPACED ' EVENLY ; SPACED .2" LENGTH'- VARIES: TRIPLE WIDE TYPE o SEE . CHART REWD # OF 4 01® LNCHORS FOR EACH SME* & DID w+OrH LENGTH 1 MEPE .411.1,"Ou ti SINGLE 0-38' 2 2 '41 74'57'— IS. -57' 1 3 2 TO ?e' 4 2 OOUBLE0'-38' I 2 4 WIDE J8'=57' 3 4 TO 2$' 57'-78' ; ' 4 . `.4 rRIPLE 0'-38" 2 6 'NIDE 38'-'57'.1 3 6 TO 42 57'-78' 4 6 NOTE: WHEN #6007- CROSS DRIVE ANCHOR IS USED FOR ANY REQUIRED ANCHOR, 2 SETS MUST BE USED AT THAT LOCATION From: Ulysses Mo'ri To: Integrity Homes I .4. Date: 10/22196 Time: 0e:41:10 TIE -DOWN END DE—DOWN PIER BOLT—ON -.CP—,_.,, . 7� Page a of 9 CHASSIS SME TIE—GOWN STL. SIL. STRAP pot STRAP SPLIT 3OLT & MUT CROUNO LINE 7�1 1. INSTALL ANCHORS INTO SO(L APPLYING CONSTANT DOWNWARD PRESSURE TO MINDAM SOIL 03 STABILIZER,.: Pur 2. ATTACH STRAPS 'CO CHASSIS Or -AM IN MANNER SHOWN. 3. INSERT STRAP THROUGH SPLIT BOLT. CUT OFF EXCESS STRAP ANT) TIGHTEN BOLT UNTIL STRAP ISSNUG. .. CONTRACTORS WARNING: 6PKING. CHECK FIRST FOR UNDERGROUND UTILITIES. IINSTALL GROLF.ND PLACE STAMMER FIN, 15 H TU RN M- . %,N C I 10 It INSTALLATION INSTRUCTIONS ANCHOR INTO GKOVND PLATE NMrTO SHAFT INTO THE GROUND I. CUNCME MUST BEA MININIVNI OF 3 .2' LEAH. 0 12'-14'UF: BETWEEMANCkOR AND t.A_14CfiOP HEAD IS FL(;si( ...... . Typ D 7 SHAFT "OSED. CHASSIS BEANLAUND WiT14 STABILL7.r.R PLATE..!"': DFUVE INTO GROL NiD. VERTICAL OR ANGULAR vom NEW C QNCRETF, INSTALLATION IS OPTIONAL STRAP STRAPI. rLkCE COMCRETE'ANICHOR- INTO WET' INSTALLATIO INSTRUCTIONS 1. INSTALL ANCHORS INTO SO(L APPLYING CONSTANT DOWNWARD PRESSURE TO MINDAM SOIL DISTURBANCE, UNTIL ITAD ISFLUSH WVMISTUILV-ERPLATE. ANCI IORS St iOLILD BE INSTALLED BELOW FROST LINE_ 2. ATTACH STRAPS 'CO CHASSIS Or -AM IN MANNER SHOWN. 3. INSERT STRAP THROUGH SPLIT BOLT. CUT OFF EXCESS STRAP ANT) TIGHTEN BOLT UNTIL STRAP ISSNUG. .. CONTRACTORS WARNING: 6PKING. CHECK FIRST FOR UNDERGROUND UTILITIES. CONCRETE TIE -DOWN, a INSTALLATION INSTRUCTIONS 'M END TIE -GOWN — CHASSIS -.46003'EMSTING CONCRETE I. CUNCME MUST BEA MININIVNI OF 3 .2' THICKAND M GOOD ICONDITIQN_:-: PIER 2. 111NIMMM SLAB EA OF EACH ANCHOR IS D 7 BOLT -ON TO P 28 SQUARE FEET" DRILL PROPER SIZE ITOLE IN SLAB. A MINIMUM OF 12"FROM ANN' FWE. vom NEW C QNCRETF, STL- STL. STRAP STRAPI. rLkCE COMCRETE'ANICHOR- INTO WET' CONCRETE`. - 2. ALLOW CONCRE-M TO PROPERLY CVRETSI . CR CONNECTION 0 / -ASSIS \OR 1. ATTACH -TTRAPS TO Ci.WSIS DEAM IN MANNER SHOWN. 2. INSERT STRAP THROUGH SPLIT BOLT. CLT OFF EXCESS STRAP AND THEN TIGHTEN BOLT MML STRAP IS SNUG. NOTE: E\ ovr.-.7%o*.shE_AR:-,�,*,�,! TANSION BOLT IS TYPE SH -5222 OR EQUIV. 3ar x 2 1/4" WITH 2" MINIMUM ENMEDMENT A.4 D 6 1804 FULL -jl,�. �v­i.-. VALUE, k k pi.,o WOn, PP. 'M _jrom: uty'sses Mori To: Integrity Homes Date: 10122/96 Time: 08:39:11 END TIE -DOWN CHASSIS PIER BOLT—ON TOP SIDE TIE -DOWN Page 6ofq PIER BOLT—ON TOP r CTM STW "IS SKIT ! awnwR DEEP STL. wd STRAP d "—STL. STRAP 4 DETAIL CROSS DRIVE TIE* DOWN'. ?n; 4:' r ,W.ql — 1 � `:Tvw - , , ­_­ r -J"o STL"O(s END TIE—DOWN CHASSIS STRAPA,—,STL" SPLIT BOLT & NUT GROUND LINE PIER BOLT—ON TOP ­ STABILIZER SIDE TIE—DOWN PLATE 10 06 '--STL STL STRAP- STRAP i. NOTE: TYFl VERTICAL OR ANGULAR NAL INSTALLATION IS,DPT*.. O/R \OR WK 1_ AUGER TIE -DOWN CONCRETE TIE -DOWN Y; lu� AL CND TIE—DOWN CHASSIS, M PIER BOLT—ON TOP r CTM STW "IS SKIT ! awnwR DEEP STL. wd STRAP d "—STL. STRAP 4 DETAIL CROSS DRIVE TIE* DOWN'. ?n; 4:' r ,W.ql — 1 � `:Tvw - , , ­_­ r -J"o Brom: Ulys�sesMori To: Integrity Homes Date: 10!22/96 Time: 08:41:57 Page 9.of 9,e„>�•!' ' CROSS DRIVE TIE -DOWN. r3 ;r • � ,fir .t'" {� r? " �t �x;x �:. END TIE -DOWN — CHASSIS r 5t PIER � - I- - \ „. ;: r'•� � � - ... 3OLT-ON TOP- •-_ 80Lf NUf - CROSS �— SIDE TIE -DOWN ORNE ANCJIUR,aS cr sou - \ IT SO vf EEP GROUND UNE =� �• _ . ' r - STL. �o STRAP �`'— STI. - _.;,j I � : ••; \ ' • - + STRAP / • , , DETAIL r " (TTP!GL1 - INSTALLATION WSTRUCTIONS t, INSTALL CROSS DRCW ANCHORS INTO SOIL AS SHOWN. ,.. 2. ATTACH STRAPS TO CHASSIS BEAM IN MANNER SROWN. 3. INSERT SI AP THROUGH SPLIT BOLT. CUT OFF E.XCE•SS STRAY AND '[1. EN TIGHTEN BOLT UNTIL STRAP ^t IS SNUG. CONTRACTORS WARN WGd CHECK FIRST FOR UNDERUROUND U- rnX TirS CROSS DRIVC ANCHORS ARE USED WHERE HARD'OR ROCKY SOIL. GCCORS.'� IF THE OROUND SURFACE IS OTHER ROCK OR NUNDAUM 2' ASPHALT. ENCASE THE CROSSDRIVEANCHORS WITH CONCRETE AS SHOWN IN'bETAIL.' A -rnciu s/re' NocF �r •ao meGmr of scAm -�• AN0:IN3rALC,;1/Y .. • '/' I ., lJ t t _ --i i . .. ( ; � r � < c, j i s rt r Z. ,y^ �'L .:. , r \ �� tee✓^ )7 ..o - rrt .z +, �• r: 'j L+ xf LQ� 11i moi• y7 Nom/ s s � -ti 1 + ' JJJ��� ♦ SOE VIEW:,SIDE t Jr L r. Y `1• �, I�,� 7 r Q f '" i `^ i tS ^- y{—•j- � ! .s``3 .. . V SIDE VIEW t z -.c ENO VIEW 7r t . •C. AEAU�i Ii�S.i�' •• !'RF . <ARIW� 1 S x . ^ �` t ...' �'�- i x,+i 7� •,) y •c i+ .fib r SEE 'r SEAN CHASS.- NOTE q SEE r eEui cNassls NOTE p ENO TIEOOWN SHEET I FOR TIE -DOWN INFO: • .. SNEEL' 1 FOR tfE OOvt � INFO suers � r t .. .. - :.., ., � c t .t (. ni ti1F ✓../' �, rt# �` lti'ia'9 ' .,, y ,+ , sj�. le ',i l>t INTI! CONTRACTORS CER.TIFI T10N r • t R + I CERTIFY THAT i IIAVE INSTALLED TI1E"SAC IND.,' INC. °ANCHORINOSYSTEM AS PER THE MSTALI:ATiON.' t ' INSTRUCTIONS. I HAVE MADE' NO' "MODIFICATIONS,' TO TTM-ANCHORING•.'•;SYSTEM OR To -THE' SUILDINQ STRUCTURE. COW ANYAME ri tt h �•` RY..Yn \SL y ' F 6 j �' ' ��I 7.3 S 1c f r([�: �,� 'rt L FONTitACTORS LIC N �`` • t t i .,> t 4 ya N yr ;I r t 1 y a Y�, �' f )'I.4 y + 'f" M %r ,tJ ���ryr ai �jC � i5` Ypf. �,p¢ r+ ) ) -) LX ry'��iy,' ���• �( ' ` ..�f�"7�ir.��$ ]1`�' lt. x.21 ^,h�C �`���iy. ��, q'�yL�1��),., 7�� ^-�y'�.pit,T�rl•;h�•'l��l����e!��3����fC ��{Y•.��W'�{�+i{`"I}�: From: . Ur ysses Mori To: integrity Homes Date: 10/22/96 Time: 08:38:27 P 4 age o SAC INDUSTRIES, INC: TIE -DOWN ACCESSORIES 6000 3(r TDA 6001 48" TDA 6003 CONCIRM SLAB ANCHOR W1 Sl"VE AKCHolq 0004 CONCRETE MAO ANCHOR 7000 7' BTL. 'STRAP W/BUCKU Gooz CHUBB DRIVE ANCHOIJ 70,31 STEEL MW W/FRAME CLAUP z. j nog r m SAC INDUSTRIES. INC STRAP W/a0EX 3236 C F(TWEPUkUl 4002 'Flip P-MC1110 COROCIVA. CA 45742 BOLT -OH TOP -Pit' (100) 77111-3053 4, CENE S PORTER, INC. 6005 9PUT vj,, SACRANI ENTO. CA 9W24 BOLT k NUT. ao Q Ora# 6006 STA811MR, FLATB Approval of these plans does not or .93,0 ESS/ . 0 approve any omission of or deviviicn trent Ocl-2. s P, laws or regulations or able 'c z ot jinal?':e S. Approved a C 0. 15 18 cr State of California Department of Housing and Commu-i:ti Di i'on of Codes end Ste 0— or# :4- SAC INDUSTRIES. INC 3236 C F(TWEPUkUl P-MC1110 COROCIVA. CA 45742 -Pit' (100) 77111-3053 CENE S PORTER, INC. "M NEW DAWN 6PJVE-:'' a vj,, SACRANI ENTO. CA 9W24 ao Q 0— or# :4- i COUNTY OF BUTTE - DEPARTMENT. OF, PUBLIC WORKS ' BUILDING INSPECTION'RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback — Firewall 3 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 Fdd: Vents Fixtures Footings Garage Vents r ' Water Htr. StemwalI Slab Prov. for physically handicapped f Heaters' Appliances Carport Footings Conformance of ex. structure Gas Piping & Test 1, _ Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing. ` ELECTRICAL Masonry Walls Throat ' Rou fi • z. Reinf. Steel Final i 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 I MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1 Is the mobilehome located w`tli required separation from lot lines and buildings and generally conform to. plot plan? Yes777No i �� 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes No 3. Are footings and supports properly sized,•spaced, and braced as per approved plans? (Note possible variation' at spring shackles.) (Sec. .5082 & 5083) Yes No 4. Is the mobilehome •level? • (Sec. 5088) Yesx No_ 5. I. over connections.proper,.ly installed? (Sec. 5088) Yes No 6. Water A., Is,fl ible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) YesNc -74 B: Test - Does water piping withstand working pressure or..50 lbs.'air test? Yes No C. B � 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" per foot.slope and is it properly supported? Yes No ,. 4 C. .4 Are any leaks detected in drainage.system after running 3 -gallons of waters through each fixture including washing machine standpipe? Yes No `x D. If 4forff a approvel, does station have required trap and.vent? . Yes No . 8. Gas s 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 inlet without reductions. other, than the mobilehome connector. Ye S-14t,No B. Test OK as per following procedure? YesNo 1. Open all appliance connector valves. �- 2.. Shut off„appliance burner and pilot valves . ' 3. Air test with manometer to 10"-14” water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth,pound increments. Test for 10 min, without drop. 4. Connect gas meter to mobilehome with connector, turn on gas; test connections with soapy water. C. Are 411 appliance vents properly installed? YesV, No 9. Electrical A. Is service large enough to provide adequate amperage to mobilehome (must equal rating of mobilehome with a minimum of 100 amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? YesNo B. Is there proper clearances,around panels? Yes_X No C. Is power supply cord' or feeder assembly properly fused? Yes* No D. Is continuity test satisfactory as per the following procedure? Yes No 1. De -energize electrical wiring system of the mobilehome at the pe estal. 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 rn.obilellome supply conductor, including neutral. 5. All non-current., carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment. and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder.assembly conductors. shall be connected to the site service equipment. A further continuity to -t shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health�Department for water and sanitation? 11. If everything okay,'sign off card and tag services. MOBILEHOME DATA Manufacturer and/or Namestyle07 Length (A 3 Width c�� Vehicle Serial No. 2' 0--3 f State Ident if icat ion No. `% 17— Zs._ Additional,Informati.on or Comments: i COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLS, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY. This mobilehome has been installed in accordance with the requirements of the C liforni Administrative Code, Title 25,��pter �, unler it number for the f�lowwiingslocation: �" (,'/�� Owner's Address Mobilehome Mfg. Model Year Insignia No. Serial No. -Z Q Z3 It is hereby certified for occupancy at the above described location and may be occupied. Directorublic Works Date By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE %Y OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the re uire . ents of the California Administrative Code, Title 25, Chapter 5, gpder permit number %���%�' 74 for the following location: �%s �r�,:fu Owner's Owner's Address ��37/3 �_s�r�i✓I - =�C22 ��}, Mobilehome Mfg. J�-� C� Model Year! Insignia No. �oZ Serial No. -z - P 3 It is hereby certified for occupancy at the above described location and may be occupied. Director of/Public Works Date By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED e r COUNTY OF BUTTE' — DEPARTMENT,OF FUBLIC.WfJ�" �• 7'County Center Drive. = Oroville, California 95965' �• t-Telophone:.534-4541 z APPLICATION AND PERMIT. + tioned pr,a uic '.uunly ui ouuc lu "It,' uNun uie This permit is hereby issued under the applicable provisions of above mentioned property for inspection purposes. the,Butte County Code and/or resolutions to do work indicated tl �' above for which fees have been paid. X 4 Date ^.•/ 7DIRECTOR OF P LIC WORKS Signature of Permitee or Agent '� i^ r a t BY Receipt No. zG%'� White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant B ; d g............:.. p@ffillt @XPIf@S Date .............................. ................ . .... BUILDING Owner � ;- a . s SQ. FT. OCC. BUILDING VALUATION r r Z Mailing Address' - ` �� `• Aelephone ` No. ut. Fireplace ' rY /� / Contractor + Total Valuation Mailing Address t_ `. `r . Permit Fee.. ,• '. _ Plan Checking Fee &/or Penalty Telephone No. , r Permit Fee _ $ is Building Address - - �I' r PLUMBING' - No. FEE PERMIT FILING FEE�o Each Trap . �` .I 11,50 �, rF Repair drainage or vent piping AAA Water piping 1 --1 : *: Each'gas water heater or'vent •. 5 A. P. No. `� � Zbni Gas piping system'1 = 5 outlets , Each additional outlet , FSa-itl EQA 'on� Fire Dept. Fi•reZone t Use Permit Parking •Parcel Parcel 60' R/W Im r Plans Declaration p p ov ments Building sewer i Lawn sprinkler system 2.00 .Plans Recd P e Approval - .Pla Approval s Permit Fee ` - • $ $ NEWE] ADDITION.[] -UTILITIESX,„'OTHER ❑ •'• ELECTRICAL No. @ •FEE ` PERMIT FILING FEE t= `t $3.00 .Main service incl'. 1 meter J Additional meters, each 1.00 ' SUb-panel (12 or less) (more than 12) i Single Family [J. • Duplex f:] `Mobil Home "Others[], * Range, Cook -top or Oven,,. 1.00 , /1 Water Heater or Space Heater' 1.00 fixtures .. bal10 _Light ' •; Receps., switches & fix outlets20025 bal 010 CONTRACTORS LICENSE LAW I am licensed 'under the provisions of Chapter. 9, Div. 3, of the State of Cal ifornia'Business & Professions Code Ader the name style of: Hood, Ex. Fan or F.A. Furn. Motor 11:00 3' 4 Evap. cooler, gar. disp. or D.W.. 1.00 Air conditioner`or heat pum Water pump Mobil Home Facilities • ._ ~ t ► 3 Temp. Power Pole 5.00 License No. Classification Misc. wiring t .- o I am exempt from the Contractors License Laws of the State of Cali fomia. Permit Fee $ $ C1. 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. ❑ WI have placed on file with the County of Butte`a certificate,of orkmen's Compensation Insurance. ; "� I certify that-in'the performance of the work for which this permit is issued I shall not employ any person in. any manner so as to become subject to the Workmen's Compensation. Laws of California - MECHANICAL No. @ FEE. ; , PERMIT FILING FEE $ 3.00' Heating Cooling Ventilation ., Hood 2.00 Permit Fee 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 TOTAL PERMIT FEE $ ,fps tioned pr,a uic '.uunly ui ouuc lu "It,' uNun uie This permit is hereby issued under the applicable provisions of above mentioned property for inspection purposes. the,Butte County Code and/or resolutions to do work indicated tl �' above for which fees have been paid. X 4 Date ^.•/ 7DIRECTOR OF P LIC WORKS Signature of Permitee or Agent '� i^ r a t BY Receipt No. zG%'� White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant B ; d g............:.. p@ffillt @XPIf@S Date .............................. ................ . .... ✓ I his set of plays nd•'s aMUS I bt. x `_:.,,.. kept ,on- the job at all times. and it is*'to to t Make 'any changes or alterations on sane wittteut ' written permisson= from the Department of `Putilk - 4 Works, Comfy of Butte...< 3 Septic systema and locafion'bFY s u - to be as Q butte .County Health Per nJ t quirements: Dept. .rhe . Setback shall be', .5 ft. frog the side property. line.and 50 ft. fro the centerline of the road;;F ermrttin I, - a maximum of a 2 ft. eave overha I 1 /01 A11 utility � < { •. , , connectionss;I n: located within 4 ft. outside the v `' third section . of the mobile on the left (road) side of the mobile i home: BUTTE COUNTY ` I1.DING DEPARTMENT $U permit Will' be required for arlstallation of the mobilehome j O Y E Q PPCA COUNTY OF BUTTE — DEPiTME;NT OF PUBLIC WORKS -'' 7:County Center Drive — Uroville, California 95965 Telephone: 5344541 APPLICATION AND PERMIT - yyDS'76 Receipt No. 1 S- i Ci ( 2— Date 0 — ','J *- /.I- White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Uililing permit expires Date 61— y� BUILDING Owner w 1Wt. 6- 'b���20 SO. FT. OCC. BUILDING VALUATION Mailing Address NC/, "1*R DR - Fireplace Contractor _ Total Valuation Mailing Address J� I ;Vez Permit Fee Plan Checking Fee&/orPenalty TelUhone No .• Building Address "`r F1)C� �� ��:di//lr Permit Fee $ PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Z3 V� O�iT B �1 Each Trap 1.50 O� ,q . Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No..- — Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Sa,14 Fire Dept. Fire Zone Use Permit Building sewer 5.00 EOA QA Parking Plans Parcel Declaration Parcel Ma 60' R/W P Improvements P Lawn sprinkler system 2.00 E Lf31d Plans Rec'd 9• Porcel A PP al Plans pproval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. la FEE PERMIT FILING FEE $3.00 /� ItASIALLAiII'�" F;oa! 10'9:7-7 Main service 10000 AMOR R ORSLESS 5.00` Main service EA. ADD -I. 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home IR Others ❑ Main service R 600V 1100EAMP OR LESS 25.00 Main service EA. ADD'L too AMP 1.00 NEW CONS. DWELINGOR ADON5T ( ACCLBLDGO_ ' &) 2¢sgft NEW CONSTR. MULTI -OUTLET NON-RESID. ` BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS &) NON-RESID. (SINGLE OUTLET CIR. 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: � ��' `� / 1/ y/� � ,� ./% n`ry•- !/ Lh... /y j �I�\li%A'bAXOVJ Ex. Occup(OUTL'ETS OR FIXTURES) @---104 FIXED APP LNS. OR Ex. OCCU 2.00 LE.I'S (RE51 D.) EA) y cervi Temporary service 10.00 Mobile Home Facilities 15.00 License.No. Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 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 Cal i forni a. 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 authoriz representatives of the County of Butte to enter upon the above -ml n Toned property for inspection purposes. r X Date �' Sign Lure of Permltee or Agent , - MECHANICAL No. @ FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ ANr r'I f-4 L'Li_3�0 $ ix TOTAL PERMIT FEE Is '30 a 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 OrUBLIC WORKS � a, i 'qc� — �— _, Receipt No. 1 S- i Ci ( 2— Date 0 — ','J *- /.I- White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Uililing permit expires Date 61— y� : MOBILEHOME INSTALLATION SHEET „ . ; 1. Owner's name: ! LL t t' . r ^ �� = 2. Installer's name: 1 i 11 14 J�i` )eT 3. Is the site currently under 'permit? Yes /` (If yes, furnish permit number 10d %-- :2;i ) 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 /T` No (If no, clarify ) 5. What is the mobilehome electrical•ratin g. ? ------- ---------------- Amps 6. What is the mobilehome site service rating? --------------------- Amps 7. What is the mobilehome site circuit breaker rating? ------------- _ Amps 8.• 'Is there any other electric load to be served by the mobilehome site service? ---------------------=-------------------- ------ Yes / / No (If yes, identify the load and size: o 1/-Pl (Load) /tCl 'off (Amps) ---- ° 9. What is the mobilehome site-------------- .gas pipe size? ---- 10. What is the type of gas service? ---------=------------ Natural 7—/ LPG / / 11. What is the gas pipe length from meter or tank to the mobilehome? (ft.) 12. What is the mobilehome gas demand? ------------------------------ (BTU) _ y (This information not required if pipe length less than.6 ft. on natural gas or les's'.:than"50; ,-ft°=Lon LPG. ) MOBILEHOME_ SUPPORT DATA Mobilehome Mfr.. t Setup Model No. Year, 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). *If center piers are other than drawn above, draw in locations, spacing, and dimensions. Footings-(check.one) / 1. Wood :either . pressure treated or .fdn. ''grade.: 2..:Concrete pad. 3. Other, specify Supports (check one) 1. Concrete block 2. Concrete piers 3. Steel piers .. ................... / / 4. Other, specify ?.j Typical Support Footing Size i in.) Max. Pier. Spcing a H. Max. Overhang BUTTE COQ 1N;"Y BUILDING DEPAr-'• 17NT .APPROVED y�v ` � a PERMIT NO. 3282-83B PERMIT EXPIRES OWNER JOHN PALAZZI y CONTR. Acro Lume ASSESSOR PARCEL 27-07-33 LOCATION, 6825 Upper -Palermo Rd, .. Oroville _ } Temp. Power Pole / Called PG&E Temp. Elec. Service—,. �S r Called PG&E r Temp. Gas Service ' Cal led PG&E a f- JOB FINALE[ } Signature f - J _ OK r O = Not OK ` - = Not Applicable MOBILEHOMES MISCELLANEOUS = Not Ready -Setbacks -Easements . •_ Date MOBILEHOME UTILITIES (Plans) OK except N's 2. Soils; Special MH:Support-Sketch Date DECKS VERS, CARPORTS, ETC. (Plans) OK except k's 1. Zoning Requirements -Setbacks -Easements • ?!'ng Requirement ;r 3 • ecks Girders and/or Joists -Decking -Bracing -Stairs -Rails - r a -Setbacks -Easements . •_ 2. Soils; Special MH:Support-Sketch o Ings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/O -Concrete 3 • ecks Girders and/or Joists -Decking -Bracing -Stairs -Rails - 4. Water; Location-Test-Easemerit Needed (Sketch) 4., osts-Beams-Rftrs.-Connec.-Shthg.-Rig.-Bracing_ 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete _ 5. Alter.; Colypas onne s- De4e04-n ures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG a arports: Windows -Door's 7. Utility Clearance _ ..3—Elec. Card -BI Date Card -B1 Date" Card -BI Date p Card -BI Date Card -BI Date Card -BI Date Card -BI _ Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except k's Date _ POOLS (Pla s) OK except N's 1. Zoning Requirements -Setbacks -Easements 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/O 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. Exits; Insp.-Sketch - 10. Cert. of Occupancy 9. Health Department Approval _ 10. Plumb; Cir. Test -Water Supply Test Card B-1 Date Card -BI Date Card -BI . _ Date Card -B1 Date Card B-1 Date Card=B1 Date Card -BI Date Card -BI Date r a r = OK = Not OK = Not Applicable = Not Ready RESIDENTIAL (Singh' and Duplex) Date UNDE LOOK Plans OK except H's Date FRAMING (Continued) klezoning 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. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underfir. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic _ 8. D.W.V.: Fall-Fittings=Test-2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. 12. Electric; Underground 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 N's Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except q's 56. Ext. Steps -Door & Sidelight Protection -Landings 57. Smoke Detector _ 14. Water Ht.; Vent -Access -Combustion Air 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. 63. Stairs & Rails 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. 67. Elec. Outlets & Receptacles at Kit. Counter Garage Fire Door; Swing -Landing -Closer Date ELECTRICAL Permit OK except N's 68. A.C. Duct in Garage -Damper -- 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor -Meth. Protectiontec. 21. SReceptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. -__ 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 72. Insulation -Foam -Looked in Attic E3 Yes 73. Guard Rails &Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen & Conductor Size 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At _-_ 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes 0 N 75, Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters El Yes [J_ 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. Water Well; Disconnect, Electrical, Plumbing Card B -I Date_ Card -Bi Date _ -_ 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 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. Water & Sewer Connected -C/O to Grade -HD Approval _ _ 32. _33. Vent Fan_Exhaust above Insulation Condensate Drain _& Oven low; Size & Grade 86, Energy Compliance Certificate -Other Certificates v 34. --Furnace-Vent: Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Card -BI -_-- -- ___-- - - Date _ _Card -BI _ Date Date Card -BI Date Card -BI Card -BI Date Card -BI Date. Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except H's Comments at Final: 36. Proper Material & Anchors _ _ 37. 38. 39. _Sills; _ Walls; Studs -Nailing, Spacing &_Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing____ Draft Stop in Walls (rat proof) 40. _Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. 42. 43. 44. 45 46. 47. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties -Purl in -Roof Brac.-Truss-Shthnp.-Rfnq. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows_ or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing (NOTE: An entry must be made each time you visit job site) _ 4'. L! . COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERM17 NO.� / ASSESSOR PARCEL NUMBER •'ZONIN Al2G 7 – ' M BUILDING PERMIT OWNER ^ ELEPHONE 1.) �L_►9ZZ- 3-1c�N1 DDRES�j OWNER'S MAILING IZ A}S 9- U41 q 11 I� IF(� f✓ ~ �� N SO. FT. OCC -1 BUILDING VALUAITY r _ JEF- CON ACTOR'S AM TELEPHONE CONTRACTOR'S MAILING ADDRESS ' 09 W no—, 1 C- A � ®� Fireplace ' CONSTRUCTION LENDER UNKNOWN Total Valuation $ �, Filing Fee LENDER'S MAILING ADDRESS $ 10.00 Permit Fee $ 3 U, c.;,, ARCHITEECC Ta OR ENGINEER L� AZ 00 14 i6c P 1--> L LICENSE NO. '3 f/ Plan Checking Fee Penalty ,$• $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ Y Ly E1 BUILDINGADDRESS a 6 vy-Y PLUMBING PERMIT Filing Fee 10.00 I Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF,STRUCTURE Building sewer Lawn sprinkler system 5.00 SF ❑ Duplex F-1 Mob ilehome Other SPECIFY TYPE OF WORK Permit Fee $ New el<ddition ❑ Remodel ❑ Utilities ❑ Ins Ilation❑ Other ❑ Contractor Describe work O'e-CIC % ��) ��:� —G.AJ /) % y %/ G>. /� �� ` /1 � � E–e�vc-T �`� � � .+� �7 ELECTRICAL PERMIT F11ingFee 10.00 Main service 100 AMP ORSLESS 5.00 - Zo�"99T"" ��� ��y e- Main service EA. ADD'L 100 AMP 2'.50 NEW CONST. DWELLING OCCUP.y OR ADDNS. (ACC. BLDGS. ' 20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No.!2-7VFcy% Classification �^� / NEW CO ID R BRANCH CIRC TITS2.50 ea NEWCONSTR POWER APPARATUS e\ NON -R ESID. SINGLE OUTLET CIR. 1 50 @ 25a Ex, OCCUp�OUTLETS OR FIXTURES BAL@1 Ex. DCCUp.(OUT LE (RESID )RE A. 2.00 'Temporary service 10.00 F1 1, as the owner, or my employees with wages as their sole compen- Mobile Home Facilities 15.00 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) ' Misc. Wiring 7.50 Permit Fee $ ❑ I am exempt under Sec. , Business and Professions Code Contractor for this reason WORKMEN'S COMPENSATION INSURANCE MECHANICAL PERMIT FiIingFee 10.00 Heating 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. -Cooling Hood 3.00 Ventilation ❑ 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. Permit^Fee $ Contractor 1 certify that I have read this application and state that the above information Mobile Home Installation Fee $ is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. I PARCEL PD ND ssUE agains Zty ' ranting of this permit. XDate ��'–/'– 3 Signature of pplicant — Owner ❑ Contractor Q Agent ❑ This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. DI R TO UBLIC .e By. � ` WORKS Dateq—,,Fo—e3 Receipt No. DUO WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT PERMIT EXPIRES Date i 4 I" PERMIT NO. 3424-77B PERMIT EXPIRES •'s OWNER Pauline Adams CONTR. Duralum„Inc., Sacramento .., rLOCATION (A.P: 27-07-33 1 6825 Upp er Palarmo Rd., Oroville y r 4 Ir Temp. Power Pole . i Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. # Called PG&E �+ JOB FINALED (Date), } w , (Signature) y COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS • BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd). PLUMBING . Setback Firewall SolI 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 Gara a Fdn. Vents Fixtures Footings StemwaI l Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically 'handicappecf Conformance of ex. structure Appliances Gas Piping &Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rou h 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 MOBILEHOMEUTILITIES ------------------ Elec. Service o Elec. Pedestal Water Piping Sewer • Gas Piping OBILEUOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas'Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive" Oroville, California 95965-77 r =, Telephone: 534-4541 / / APPLICATION AND PERMIT d/ -- ..y v. .-....w n.c, upon uic above -menti d property for inspection purposes. X�=�_ / &41L Date s .4Si,gnnuure of Permitee or Agent Receipt No. ,6 erS White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provision's of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR JGR-PUBLIC WORKS BY Date �— 2 Z — 7 B ilding permit expires Date _ %—ZZ -7Y BUILDING Owner PAULINE ADAMS SO. FT. OCC. BUILDING VALUATION 91 X 251 Mailing Address 6825 UPPER PALMERO ROAD PATIO COVER OROVILLE, CALIF. Telephone No. Fireplace Contractor DURALUM INC . Total Valuation Mai I i ng Address P.O. BOX 2612 Permit Fee Plan Checking Fee &/or Penalty SACRAMENTO, CALIF. 95,at4 TRh°af°0�1 Permit Fee $ I Building Address 6825 UPPER PALMERO RD. PLUMBING No. @ FEE PERMIT FILING FEE $3.00 OROVILLE, CALIF. Each Trap 1.50 z Repair drainage or vent piping 1.50 q: Water piping 1.50 Each gas water heater or vent 1.50 A. P 0. 27-7-33 Zoning 8 Planning Gas piping system 1 -'5 outlets 1.50 Each additional outlet .30 Fes I VP6 I S ation FireDept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel 60' /W Im r p o ments Lawn sprinkler system 2.00 BI g. Plans Rec'd Parcel Approval PI s Approval Permit Fee $ IT NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ — ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter 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 Water Heater or Space Heater 1.00 Light fixtures b0 �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 ❑ 1 am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor . Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑I certify that in the performance of the work for which this permit .is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling r. Ventilation Hood 1 2.00 Permit Fee' $ $ 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 TOTAL PERMIT FEE $ -- ..y v. .-....w n.c, upon uic above -menti d property for inspection purposes. X�=�_ / &41L Date s .4Si,gnnuure of Permitee or Agent Receipt No. ,6 erS White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provision's of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR JGR-PUBLIC WORKS BY Date �— 2 Z — 7 B ilding permit expires Date _ %—ZZ -7Y I l°�� r�91�61s9I1it10I1618i Vld INV GZZ61 L ii1f ; .1 �' I A (J sN'dOM oiiand JO '1d3a 3-L, no JO A!Nnoo N