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HomeMy WebLinkAbout027-080-03927-08-39 FCHARLE-S-c �. ERWIN orth Villa Ave, app 700' W of Palermo Honcut Ave. Permit #1882-77E,.temp ser for wel lot maintenance - - 27=48-39 Permit #4022-81P,E(ut•il i) ELE C , a GAS SUPPORT STRUCTURE Hl, /yLp COMPACTION TEST REQ , /;Zo C 27-08-39 contr: Wilson MHServ3 Oroville Permit #4024-81B(new de � %i ma") PQtai 27-08-39 contr: Wilson MH.-Serv., Oroville Permit #4023-81MHI Issued/�_�� 1/ el �� 027-08-0-039 93-3743 B ERWIN, RUTH 2591 NORTH VILLA AVE, OROVILLE CONTR: MH CENTER y/9I13 MHI/EXISTING SITE o a� • oho F_rWin� wlh a5q �V•v� ala o �v�`)fc C o•it •. S �� �0. PrtFs (HALE wt if c ty oz �-oeo-o�9 RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 22 -Jul -2004 2004-0044528 Has not been compared with original BUTTE COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. CHARLES E ERWIN AND RUTH R ERWIN REAL PROPERTY OWNERILESSOR 2591 NORTH VILLA AVENUE MAILING ADDRESS PALERMO BUTTE CA 95968 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT �. •��l CITY COUNTY STATE ZIP RUTH R ERWIN UNIT OWNER (if also property owner, write "SAME") 2591 NORTH VILLA AVENUE MAILING ADDRESS PALERMO BUTTE CA 95968 CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAIL) NG ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 04-1975 530 538-7541 BUILDIN PERMIT NO. 1 TELEPHONE NUMBER SI TURF OF LOCAILAGENCY OPWCIAL DATE E ER NAME (if not a dealef sale, write "NONE") NONE DEALER LICENSE NO FLEETWOOD 1987 SANDALWOOD MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER CAFLJ 17A/B083 81 S W 28X40 RAD414003/4 SERIAL NUMBER(S) LENGTH X WIDTH TNSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER AP# 027-080-039 HCD FORM 433(A) REV. 8/91 Order Number 0403.149616S Page Number; 4 LEGAL DESCRIMON Real property in the unincorporated area bf the County of BU'T'TE, State of California; described as fogows: LOT 14, IN BLOCK 43, AS SHOWN ON THAT CERTAIN MAP ENTITLED, 44AP OF SUSDMSION NO. 1 OF THE PALERMO CITRUS TRACT, BUTTE COUNTY, CAL", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON FEBRUARY 28, 1888. APN: 027-080-039-0 First American Tide } FOUNDATIONS CERTIFIC .f - OF�� Oi � � � � «J° rim . �z�� 3' °' yet '•+i�;i MF k� � y��� M E r XUPANCY - t n •z} L � rr �,�� P E• . BUILDING PERMIT NUMBER:04-1975 Address or location of unit: 2591 NORTH VILLA AVENUE, PALERMO Legal Description of Real Property: AP# 027-080-039 SEE ATTACHED (x) Mobilehome/Manufactured Home () 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: RUTH R ERWIN Owner's address: 2591 NORTH VILLA AVENUE, PALERMO INSIGNIA OR HUD NUMBER: RAD414003/4 SERIAL NUMBER OR V.I.N.: CAFLJI7A/B08381SW MANUFACTURER'S NAME: FLEETWOOD YEAR: 1987 OFFICIAL APPROVING INSTALLATION: 4 L — DATE: 7- ao - a 4 - PHONE: PHONE: (530) 538-7541 H.C.D. 513C RCCOAn - RQUMMD Cr orevillP•Title Cempany ,ander No. 1013231 1� 51 San Semite Brisbane. California • L J rl.ddressee Riven above al.r L J. To lee Ce Ir» I Off1CIAL PfrOs�S S1scQt;N��' IM, Inj ' COYMitA. AEs:�I�•;cA fEE 301W GrAca AaOVg T14M Uht fan Macolsox"'s use — "?ke und"fwed gmnia is) declare�•(s): rk,Cwnentwy ti -a Oce fox is $4545 LY comDuied vn fvU Volvo of proper ccn+�!*. a compvltd on fvll Volae fess Volvo bens Rd ana3mbroMID1 "MMIMACj of time a6 scde. 1 uni33eoiwroted woo. t D Gty of P.T.T. f. �:............_._.... --i—Grant Deed 8114 VMg W •r114at0 7iq! Iwq/KA4Ca A7W �fu4� CC�.O�►� T �w _ MAA VALVA U CONSIDEUTM rami" 4f %" N Aed7 aA*w*k%ft* RUBEN N£DWM, a sinZlt man b.nbf CRAfit 5) In CWT%LES E. ERWiN AND RUTH R. EFit4IN,' Fits wifo, as Joint Tenents, rhe f404vf" Ann ibed rot paoWq is & Cwy of Eutte . Sua of Caldowis: 1,nt 14, in Lloet: 43, as shown on thc-. Map entitled, ."Mar of Palermo And Subdivisions 1 And 2, with Additicn tr "a„+ber 1 of tho Paleme Citrus Trnct". which N1p was filen in the cfficr of the Keeordor of the - County of Zutte, state of Califorrh, 5eptpAcr 17. 1888. On" N.arch 9, 1977 sTATe Of Cv??NIA °Diarc� ON ' -- 6r1•re we. 161 ups, .d • Na.., ..Mk I• WA for ..i• S.a1r. PI.M6111 •ppm .1�" au en e5'e�rano Sww 4 las r6 b. tba Mer•M •II— "w—j'-9 ab.eiW 1. Aw .14MA i1W7••.t�i .a0 �d•o•I.A4ed .►.. ho --ee Ini 16.40b% r'n-sory luo4 ;jA:61 Linde F. Stilson NVM IrW4 v Noted# OPCIM 64 � .wCM: •_.1.+.13 OGI. tl. 1rr. 4 T %w — - —, —.ft. —b fr•13te Drier N0. J..nov er 144n Nn, YSSY - _ ..... .�. �...i.,i.,.e •c rla4ar+sn arws �n nG dOG�� STATE OF CALIFORNIA BUSINESS, TRANSPORTATION AND HOUSING AGENCY DEPARTMENT OF HOUSING AND CO)�fMUNITY DEVELOPMENT �. DIVISION OF CODES AND STANDARDS REGISTRATION AND =ING PROGRAM STATENMW OF FACTS This unit is a: � Mobilehome 0 Commercial Coach floating Home 0 Truck Camper Decal (License) No.(s) /PfC6Z 1 6 I/We, the undersigned, hereby state: Trade Name Serial No -(s) T11/+ ogyfflisw I/We further agree to indemnify and save.harmless the Director of Housing and Community Development, State of California, and subsequent purchasers of said unit, for any loss they may suffer resulting from registration of the above-described unit in California, or from issuance of a California certificate of title covering the same. I/We certify under penalty of perjury that the foregoing is true and correct. Executed on 7 z1o << at (City) (State) (Date) Signature(s) Printed name(s) IeF t D Address `W CSP 0-1 City , State (f-111 R• ..are. isnuuu . aua1NESS. TRANSPORTA110H AND IWU9ING AOENGY ARNOLO S=-- ___ DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT otw.L" w cud" ana standwda r Decal #: LAK6216 . Manufacturer' 09534 FLEETWOOD Tradenalne: SAAtDALWOOD ?Model: 4363L ALTI Manufactured Date: 10/12/1987 Registration Exv: First Sold On: t0/1911987 tEGOtiL Gcwomor 3 3 a i 0 Title Search o Date Printed: 0!02/2004 Use Code: SFD original Price Code: AFK Rating Year: Tax Type: LPT Last I.LT Amount: Date 1LT Fee Paid: ILT Exemption: NONE Serial Number HUD Label l Insignia Length Width CAFLJ17A08381SW RAD414003 40' 14' CAFLJ17BO8391SR% RAD414W 40' 14' Registered Owner: RUTH R ERW[N 2591 N VILLA A•V p 5968 Last Title Date: 01/26/1994 Last Reg Card: 01;26/1994 Saldrransier Info: pliee $22,000.00 Transferred on 11109/1993 Situs Address: 2591 N VILLA AVE pALERMO, CA 95963 situs County: BUTTE Open Escrow: MID VALLEY TITLE FO BX 1068 2295 FF-AT1IER RIVER BL OROVILLE, CA 95965 Escrow File No: 1496165AM ,rending Buyer. kRWDA SORIA Dealer Name: Reported Escrow Opened On: 01/02!2004 Expires on: 10/30/2004 *** END OF TITLE SEARCH RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 2004-0044528 Recorded , 1 REC FEE 10.00 OfficialRecordsI CONFORM 1.00 Count OROVILLE BUTTE CA 95965 i CANDACE J. GRUBBS 1 Recorder I ROSEMARY DICKSON 1 Assistant I Jason 03:01PM 22 -Jul -2004 I Page 1 of 2 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. CHARLES E ERWIN AND RUTH R ERWIN REAL PROPERTY OWNER/LESSOR 2591 NORTH VILLA AVENUE MAILING ADDRESS PALERMO BUTTE CA 95968 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT SAME CITY COUNTY STATE ZIP RUTH R ERWIN UNIT OWNER (if also property owner, write "SAME') 2591 NORTH VILLA AVENUE MAILING ADDRESS PALERMO BUTTE CA 95968 CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY. STATE ZIP 04-1975 530 538-7541 BUILDINP PERMIT NO. TELEPHONE NUMBER d j2c`. 7•""o• a+" SI URE OF LOCAkAGENCY OPRICIAL DATE ER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. FLEETWOOD 1987 SANDALWOOD MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER CAFLJ 17A/B083 81 S W 28x40 RAD414003/4 SERIALNUMBER(S) LENGTH X WIDTH INSIGNIA/LABELNUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER AP# 027-080-039 HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK -Applicant GOLDENROD- Building Dept. Order Number: 0"3.1496M Page Number: 4 LEGAL DESCRIPTION Real property in the unincorporated area of the County of BUTTE, State of California; described as follows: LOT 14, IN BLOCK 43, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "MAP OF SUBDM5ION NO, 1 OF THE PALERMO UTRUS TRACT, BUTTE COUNTY, CAL.", WHICH hw WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON FEBRUARY 28, 1888, APN:027-080.039-0 First American Title =A NOTES RESIDENTIAL PERMIT,"'^ . 027 ,080 04-1975 ERWIN, RUTH 2591 NORTH VILLA, PALERMO Cont: SIERRA MH EX MH ON PERM FND THE HCD FORM 433A FOR THIS MH CANNOT BE RECORDED UNTIL ONE OF THE FOLLOWING HAS LEEN TURNED IN TO THE BUILDING DIVISION: i (1) LICENSE PLATE(S) OR DECAL (THE INSPECTOR MUST RETREIVE). (2) STATEMENT OF FACTS (ONLY ON NEW MH'S). INSPECTOR TO VERIFY SERIAL & LABEL #'S. SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) Signature J=OK 0 = Not OK a = NotReadyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements-Setbacks-Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location-Test-Fall-C/O-Concrete 4. Water; Location-Test-Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp-Concrete 6. Gas; Location-Test-Wrap;-/ /" L'ft. / P Nat. or/ /" L "ft./ P 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 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMA NT END SYSTEM (ONLY) oning Requirements-Setbacks-Easemen As ootings; Size-Spacing-QAacriagel.iae_ 3. Blocking �%- L4_,&5s; MH Test-Demand-Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date'? F. ,&iCard 6-1 Date Card B-1 Date f Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except Ws 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. Sidinq; Nail inq-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 i 2. Soils; Compaction -Structure Stability E 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining t 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed j 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 1 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main Conduit _i 9. Health Department Approval % 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms 1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ) J=OK z 0 = NotOK Applicable - =Not Applicable RESIDENTIAL (Single & Duplex) . = Not Ready Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel -Blockouts-Wrapped 6. Stemwalls, Garage; Steel -Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test 72. Elec. Outlets at Wood Panel, Int. & Ext. Date 73. Card B-1 Date Card B-1 Date 74. Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Garage Fire Door; Swing -Landing -Closure 24. Fixture & Transformer Clearance -Ins. Protection 76. 25. Elec. Receptacles Spacing -Lights & Switches at Doors 77. 26. Size Boxes & No. of Conductors Stapled 78. 27. Romex Installed Close to Edge of Studs & C.J. 79. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 80. 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 81. 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 82. 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral ❑ Yes Cl No 32. Service -Riser Conductors & Ground Main Disconnect 83. 33. Equip. Clearances Panels-Motors-Mech. Equip. 84. 34. Clothes Closet Light -Shower Light -Spa Light 85. 35. Smoke Detector 86. 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 MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date 95. Card B-1 Date Card B-1 Date 96. Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Card B-1 Date Card B-1 41. Sills Proper Materials & Anchors Card B-1 Date Card B-1 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound Card B-1 Date Card B-1 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. 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 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor Cl Yes _ 83. Following Instid./Drive O Yes ❑ NoMalks 0 Yes 0 No/Planters O Yes ❑ No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler 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 BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE 6WNER 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 corRact this office immediately. P4,1 / I 1 A Date l�? Inspector REV 10/92 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP041975 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: APN: 027-080-039-000 the Business and Professions Code, and my license is in full force and effect. License Class: to Licens umber: y7�'3�G Site Address: 2591 NORTH VILLA AVE PAL Date: 7 6`/ Contractor: Map Index: Description: EX MH PERM FND(1120) OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: ERWIN RUTH R to its issuance, also requires the applicant for such permit to file a 2591 NO VILLA AVE signed statement that he or she is licensed pursuant to the provisions of the Contractor's Slate License Law (Chapter 9 commencing with Section PALERMO, CA 7000) of Division 3 of the Business and Professions Code) or that he or 95968 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: ERWIN RUTH R Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, Contractor:. SIERRA MOBILE SERVICE and who contracts for such projects with a contractor(s) licensed BILL REID pursuant to the Contractors' State License Law.). 466 CIRCLE DRIVE ❑ 1 am Exempt under Article 3 of the Business and Professions Code OROVILLE, CA 95966 530-534-0599 Date: Owner: License #: 470386 WORKERS' COMPENSATION DECLARATION f hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is ed� Engineer: have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carder: �--� Total Square Ft: 0 S. F. Policy #: V Z S 7 Valuation: $0.00 ❑ I certify that in the performance of the work for which this permit is Census Code: issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. - CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the This permit is`h`erre: trued under theapplicableprovisions of the Bufte County C dP andlor Resolutions to do coo ' ti' ted above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) 0 Name: BY 'P- Da//tel1: Address: PERMIT EXPIRES ON: V� Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health 8 Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives f Butte County to enter upon the above mentioned property for inspection purposes. Print Name: I D Signature: Date: ❑ Owner Cd-6erttrdctor ❑ Agent for Owner ❑ Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION CONTRACTOR OWNER Name Address 466 Circle Dr. Address �� l StateC A City Phone 534-0599 State C,, Zip Phone Class B Fax E-mail CONTRACTOR Name Sierra Mobile Service Address 466 Circle Dr. City O r o v i l l e StateC A Zip 95966 Phone 534-0599 Fax 534-0709 E-mail Lic. # 470386 Class B APPLICANT NAME ARCHITECT/ENGINEER Name City Address Zip 9 S, 6 6 City Fax State Zip Phone Lot # Fax E-mail State License Number APPLICANT NAME Name Address yC 6 /- City Sta� Zip 9 S, 6 6 Phone S3 Y os9 9 Fax E-mail APPLICANT SIGNATURE X &_z For office use only: Zoning Flood Zone S Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT oq-1 ars BP LOCATION AP# 02, 7 - CFO —oY Property Address Cross Street WORKER'S COMPENSATION Policy Number 4257 Carrier State Comp Ins If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: Foundation under existing M/H Sq. Footage 0 Structure Built without Permits O Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: V Amount: SY 9 Bldg //` I`7 /, SRA Receipt #:S Sheriff '` 6 L "I 64T ?, SMIP Date: G Other 9-4e ��D !� �• Total K WORM&BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 REV 4-30-04 SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply fora permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPH PAPER! ❑ 3. 3 Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to mobile or modular homes.) ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 8. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 9. Sanitation and site plan approval from the Environmental Health Department. ❑ 10. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form.' ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would- like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION KAFORMSWILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 4-30-04 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: �U� I'� (L� I f� - ASSESSOR PARCEL NUMBER _ U� r D 0- �/ C� Proposed,Building Use: �1-Y W H Q [ /-0 i /7 G] > (S Counter Technician: Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. ;:EI 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxesl ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. :0- 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form ❑ 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ............................................ ❑ 20. Erosion Control Plan Required........................................................................ ........ ❑ 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 22. City of Chico Plumbing permit........................................................................ ❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. ❑ 24. Planning approval (A) Use: (B)Parking: (C) Parcel Check: ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... ❑ 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... kr 28. Pre -Inspection forC,< M -fI. 00r1'n -[� d. :!2x S, Imo. required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization.................................................................... ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ 35. Existing violations and/or expired permits...........x............................................. ❑ 36. Deed Restriction...................................................................... ........ ❑ 37. In Grant Deed,k.H. Title/...S.tatement.....of Facts, liketter from Legal Owner, l Check to H.C.D. ❑ 38. Other: ❑ 39. Other: When issued Telephone )S C - Cr¢r. and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant:4�v Date: -71-11d C 1. Index permit application for the above items numbered: Pla heck Letter 2. Additional items required Contractor signer, owner, was advised of the above data by Cep oe, ❑ mail, ❑ counter, byate: - Contractor, designer, owner was advised of the above ata by ❑ phone, ❑ mail, ❑ counter b Date: Plans reviewed by: Date: Plans approved by: Date: - Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division Building Permit Number: (A -0-7S Owner Name: ErW in Residential Construction Requirements IMPORTANT This set of plans and specifications MUST be kept on the job site at all times and it is unlawful to make any changes or alterations on same without written permission from the Building Division, County of Butte. All materials and workmanship shall be in accordance with recognized good practices and of a quality prescribed for the specific use in the 2001 California Building Code (2001 U.B.C), 2000 California Plumbing Code ( 2000 U.P.C.), 2000 California Mechanical Code (2000 U.M.C.) and the 1999 California Electrical Code (1999 N.E.C.) COMPLY WITH ITEMS CHECKED BELOW Your parcel lies within a designated 100 -year flood plain. Finish floor, electrical, H.V.A.C. equipment and services shall be a minimum of one foot above the elevation shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate will also be required Note: We will normally accept the following as compliance with the flood elevation requirements: 1. Building is anchored to concrete stemwall system with conventional anchor bolts. 2. Building plate on top of stemwall to be one foot or more above the 100 -year flood " elevation. (Plate height less than 24" above grade, or engineered design required). 3. Electrical, heating, ventilation, plumbing and air conditioning equipment and facilities located above the plate. 4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total net area of not less than 1 square inch for every square foot of enclosed area. 5. The bottom of the openings shall be no higher than 1 foot above grade. 6. The openings may be screened or covered with other devices that will permit automatic entry and exit of floodwater. Page 2of 2 Building Permit Number: 04 -197,5 - Owner 7-19ZSOwner Name: [FY -,j In om Parcel lies within the State Responsibility Area (SRA). Comply with attached requirements. Fire sprinklers are required in this structure. The following parcel map requirements shall be met: All structures and e-ouipment including overhangs shall be clear of all easements. A setback of Ob eee{{ from the side andW 514196P from the rear property lines and 20 feet (25 feet if Federal Aid Route) from the edge of the right of way shall be clear of structures and equipment except for a 2 foot overhang. Expansive soil may be encountered on this site. This condition may require the foundation to be designed by a California registered engineer or licensed architect. BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA, PHONE: 538-7541 MOBILEHOME '1NSTALUVE10N SHEET 1. Owner's Name: V r� l� 'v 2. Installer's Name: mo �jt L4 `�jj/I'1� �•���4� 3. Is the site currently under permit? Yes (If yes, furnish permit number ) OR Is the site an existing site? Yes No (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes No F1 (If no, clarify S. What is the mobilehome electrical rating? --------------- % G C J Amps 6. What is the mobilehome site service rating? ------------- Amps 7. What is the mobilehome site circuit breaker rating? ----- /00- 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: ,-r-(Load) Z� /Q (Amps) J 9. What is the mobilehome site gas pipe size? -------------- /e-1 (in.) 10. What is the type of gas service? ------------------- Natural 0 LPG 7 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------------------- r (ft.) * 12. What is the mobilehome gas demand? ---------------------- (BTU) *(This information not required if pipe lengtlgss)Vt'�han;16g�.f� on natural gab or less than 50 ft. on L e � t3. � ' �'''s ` �• k5 BU.TTE OUNTY � ,t 1v���—BQI �D NG DEPARTMENT � fi"`�A•-PPROVE D a il"'L .VILA II Mobilehome Mfr../E /� £�r / LIJUUJ If other than single widefurnish Setup Model No. L1 6.3 L. Year 9 _ Width (f t. ) Bux Lengthq0 (ft.) Tagalong or Expando Size l(/ lft(' ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one) El1. Wood -pressure treated or foundation grade. 2. Other (specify SUPPORTS (check one) EZ1. Concrete block. F-12. Other (specify)-- _–� Pier Footing Sizes and Locations SINGLE -WIDE MULTI-WIOI L10 _ — — — — — e Line 1 — — �.. — — Line 2 "!!" ? �-- Ma In — —N\ — Linn 1 - — '� — �. - Line 2 Main Beams -- — — ---_ -..Line 4 Tag or Triple Lina 1 In•�l Piers: Size-Min.--------.--- Spacing-Max. From Enda-Max.------- Line 2..PLerei Size -Min ------------- ------------Spa,: S Ila,: --•--.- Ing -Max.--------- From F.nds-Max........ From ............. D „ Location (Prom Front) 11 I ne 4_ Plers: Sizn-Min............. nx Spaying -Max.--------- From gnda-Max.------- , Line S Root Lpadai Size -Min. ------------ Location (From Front) L09 1 Openinxs: Size -Min. -----------•------ "x ' Each Side of Openings With Width Over,"-- 7. 79 Line 7 Plerei (Under Dearing Wall Only) Size -Min.. ................. „x Spncing'Max................ Prom Enda-,Max............... v 1 x 11 nx 11 Ilx 11 Il. 11 iunaer Dearing wade vnty) Size -Min. .................. 'k Spacins-Max.------------- Prom Efide-Max.------------- ..x ••x ., ,.x..x „ ,k„x„x , r3L1 T -TE COU t COUNTY WILDING DEQ�% � yi�VG DEPARTMENT P P R® V E D M Vector Dynamics Foundation System INSTALLATION INSTRUCTIONS for the State of California Version 9/212003 SECTION INTRODUCTION - GENERAL INSTALLATION PARTS LIST LONGITUDINAL DEVICES PIER HEIGHTS _ SET-UP INSTRUCTIONS INDEX PAGE NUMBER 2 3 4&5 6 7- 8 RELEASE DATE 9/2/03 9/2/03 9/2/03 9/2/03 9/2/03 9/2/03 COMPONENT PARTS AVAILABLE UPON REQUEST Approval MANUFACTURED HOMEIMOBILE HOME FOUNDATION SYSTEM HHALTH AND SAFETY CODE, SECTION 18551 APPROVED SUBJECT TO CORRECTIONS NOTED kPPROrVAL DOES NOT AUTHORIZE OR APPROVE ANY MISSIONS OR DMA77ON FROM REQUIREMENTS OF APPLICABLE STATE LAWS AND REGULATIONS �Stato of California t PH��ouaia N Oand Community DaveloptaaeR DESS AND STANDARDS (si®ustture) i y .7-D.rq QKOFES$�pN� CZE M. No.6 245 a P. to �3/09- s Civic Tq\/ OF CAUF� BUTTE COUNPi 11011 -DING DEPARTM APPROVE' 031 rl- ro L co O N O O O 5PA FOOTER SIZES This WIND ZONE I - SINGLE 9 9/2/03 - DOUBLE 10 9/2/03 - TRIPLE 11 9/2/03 . - HIGH PIER 12 9/2/03 WIND ZONE II - SINGLE 13 9/2/03 - DOUBLE 14 9/2/03 - TRIPLE 15 9/2/03 V -DRIVE & PIER SYSTEMS 16 9/2/03 SOIL CLASSIFICATION 17 9/2/03 CONCRETE INSTALLATION 18 & 19 9/2/03 COMPONENT PARTS AVAILABLE UPON REQUEST Approval MANUFACTURED HOMEIMOBILE HOME FOUNDATION SYSTEM HHALTH AND SAFETY CODE, SECTION 18551 APPROVED SUBJECT TO CORRECTIONS NOTED kPPROrVAL DOES NOT AUTHORIZE OR APPROVE ANY MISSIONS OR DMA77ON FROM REQUIREMENTS OF APPLICABLE STATE LAWS AND REGULATIONS �Stato of California t PH��ouaia N Oand Community DaveloptaaeR DESS AND STANDARDS (si®ustture) i y .7-D.rq QKOFES$�pN� CZE M. No.6 245 a P. to �3/09- s Civic Tq\/ OF CAUF� BUTTE COUNPi 11011 -DING DEPARTM APPROVE' 031 rl- ro L co O N O O O Tie Down Engineering, Inc. VECTOR DYNAMICS INSTALLATION DESIGN INSTRUCTIONS Introduction These instructions describe the proper use of the lateral and longitudinal foundation system. You may also refer to the home manufacturer's installation manuals that include the Vector Dynamics system as an alternate foun- dation system. General The Vector Dynamics Foundation System provides the support to resist lateral, longitudinal and over -turning movement of the home as required by the Federal Manufactured Home Construction and Safety Standards in a specified wind zone when the system is used as described in these instructions. Please verify state or local wind load requirements prior to installation of the home. The Vector Dynamics Foundation System resists lateral & longitudinal wind & seismc loads by anchoring the two longitudinal main rails. The system is approved to be used on single or multi section homes: Nominally 12 feet to 16' feet wide- (single section) with main rail spacing of 95 inches or greater on center; multi section main rail spacing of 75 inches or greater on center. Nominal 8 foot or less top plate height at sidewalls,with main rail depth of 12" or less. Maximum roof slope of 20 degrees (4.4" in 12" slope). Maximum eave width (roof overhang of sidewall) of 12" for Zone. I, 8" fo Zone II Maximum pier height under main rails -see page 7. The Vector Dynamics Foundation Systems may be used as a part of the vertical or gravity support system con- sidering that each Vector Dynamics pad has two (2) or (3) square feets bearing area. To inquire about the use of the Vector Dynamics Foundation Systems with homes of four or more sections, other widths, or on homes requiring pier heights which are not included in these instructions, contact Tie Down Engineering, Inc. at 1=800-241-1806. The Vector Dynamics Foundation System has not been designed for use on exposure "D" homes within 1500 feet of the coastline. Additional vertical anchor ties that are unique to a home's design may be required by the home manufacturer. These locations may include shear walls, marriage line ridge beam support posts, end frame ties and rim plates. Page 2 California 9/2/0 . GENERAL INSTALLATION INSTRUCTIONS SITE PREPARATION It is necessary that the home site be properly graded and sloped to prevent water and moisture from standing or flowing beneath the home. FOOTINGS AND FROST LINES The Vector Dynamics Foundation System was designed to be placed directly on top of the ground (or poured concrete) after clearing all loose vegetation. In areas with frost heave, use Vector for Poured Concrete (see pages 20 & 21) to comply with local requirements for footer depth. FOUNDATION/FOOTING SPECIFICATIONS FOR VECTOR PADS Vector Pads are used in place of conventional foundation pads. One Vector pad provides two or three square feet of bearing support. Vector Systems should be spaced as symmetrically as possible along the length of the home. For pier locations in between the Vector Systems, use the normal foundation pads. LUMBER/MOISTURE -TERMITE SHIELD To cut PVC or lumber (2 - 2x4's,1 - 4x4 or 1 adjustable steel commpression member per Vector system) for the center compression section,when using concrete blocks for piers, measure center to center frame (I-beam) dis- tance and subtract 16". When using METAL PIER STANDS, measure. center to center frame distance and add 16". ALL WOOD MUST BE PRESSURE TREATED, GROUND CONTACT RATED. Tip: Pre-cut your lumber and mark as to brand or model of homes you will be installing. If frame widths are the same, the pre-cut boards will also be the same length in each Vector set-up. STRAP INSTALLATION All frame ties and diagonal straps must go from the anchor. to the top of the I -Beam. See illustration below. 1. Attach frame hook to top inboard location of "I" beam. (Frame hook must be attached to frame at points closest to floor support.) 2. Keeping in line with the hook, wrap galvanized strap completely around "I" beam. 3. Pull strap past anchor head approximately ten inches before cutting to allow enough strap to give a minimum of five turns around the slotted anchor bolt. 4. Thread loose end through slotted bolt so that the strap is flush with the other side of the bolt. 5. Tighten slotted tensioning bolt a minimum of five full turns. Page 3 California 4/2/03. Longitudinal Stabilizer Devices The use of LSD systems on a. single or multi section home replaces longitudinal anchors, stabilizer plates and straps. • The Longitudinal Stabilization Device (LSD) is vsecl with the Vector Dynamics System to resist loads in the longitudinal direction (short dimension) of home. The number of LSD required is. shown on pages 10-13. LSD C 1, Longitudinal Foundation Pad 2. Beam Clamp (2 per system) 3. Longitudinal Strut (2 per system) 4. Tie Bracket (2 per system) Combine Vector Dynamics & LSD Note: Two struts = 1 L.S.D. Can be used on one Pad or opposite ends of the home. Examples of Possible Placement: (Contact TIE DOWN for placment in other Wind Zones) Wind Zone I 5ingle Section I I •I I I I I I I I I I I I I I I I I I I I I I Wind Zone I Double Section 15 Ft. Max. 32 Ft. Max, Forgreater widths use triple section design. Page 6 Wind Zone Triple Section I I I I i i I I I 1 I 1 I I i i i i ' ' Wind Zone I I I I 1 I 1 I I Tag Section I I I I I I 1 I 1 I 1 � I 45 Ft. Max. California 9/2/03 50 in max. Maximum Pier Height Vector Dynamics Foundation Systems may be used on single section homes in Wind Zone I which require pier heights (from surface of Vector pads to top of concrete or metal pier) not to exceed 50 inches under one or both main rail(s). Note that a ground anchor must be used at each Vector system location where the pier height exceeds 24 inches for single section homes. On multi -section homes in Wind Zone I, an anchor must be used at each Vector System location with pier heights above 46" with the following exception: double section homes that are 24' wide, in Wind Zone l., have a maximum pier height without anchors of 38". See page 12 for double section home high pier set instructions. 50 in max. Unequal Pier Heights Maximum Homes with unequal pier heights are limited to 50" maximum pier height. The difference between the taller pier and the shorter pier cannot exceed 26". N if - Page 7 California, 9/2/03 Set -Up Instructions for Vector System #59018 Long U -Bolts A am q ss} .t� B Mitt F `(� •. ; ,o5.s1L'", CCS �i 1. Set Vector Pads Clear all vegatation where pads will rest. Place a long U -bolt in pad as shown. Press or ham- mer pad into the ground. . 2. Set Block or piers on pads. Center foundation blocks or piers on pads. Place pre-cut center compression member between blocks, resting on pads, centers between U -bolts as shown. 3. Outside Tension Bracket Attach outside tension bracket as shown to out- side of pads. Page 8 ,aPd.., rrl'krr)b�"hr��-nr�jFl: t� 4. Inside brackets & straps Attach the inside tie brackets to the U -bolts over the compresion member. Attach a strap w/hook or swivel strap w/nut & bolt. Place other end of the strap over opposite I-beam & down to out- side tension bracket. Cut strap 12 - 15 inches past bracket. Attach strap & slotted bolt in bracket. Tighten strap until tight with 4-5 wraps around bolt. Repeat with opposite strap. Califor Fki =HIC 9/2/03 C.) tv 0 w WIND ZONE I, SEISMIC ZONE 4 Vector Systems" Required - -"�` L.S.D. ��-""- �•\ 2 0 2 41' to 66' 3 Vector Dynamics Systems Required for 3 67' to 84' 4 0 Double Section Homes 85' to 90' S 0 4 (Materials Required) - - - - _ h 1 _ _ _ e d°ub _ > I.r I \ ♦ \ . " u .. i�'�ca- kl`� W t _ - 1 _ , try.,�'rh�$`'i 1 _ a \-' ._- .. „LL'f1r`?4 '� . ..... .ad._ �-aY" +SrZ�'%'a3r.C� .. N max•... - - � w NOTE: Vector Systems should be spaced as symmetrically as possible along the length of home. Pier spacing must be consistent with I manufacturers' instructions and/or state requ No anchors required. For pier heights up to 46" for WIND ZONE I 28'-36' wide, 38" for 24' wide. See Pg 12 for high pier instructions. 2 sq. ft. pad Soil Bearing Capacity: Anchors Reauired': 1,000 PSF minimum None ('Marriage wall anchors may be required by home manufacturer) Home Length Vector Systems" Required Anchors Required Per Side L.S.D. 0to40' 2 0 2 41' to 66' 3 0 3 67' to 84' 4 0 4 85' to 90' S 0 4 Each Vector System .requires one of the following: 1-4x4 or 2-2x4's pressure treated wood compression member, Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list) Note: L.S.D.= Longitudinal Stabilization Device See Page 6. VECTOR DYNAMICS INSTALLATION DESIGN INSTRUCTIONS namic Foundation Systems may be used only on homes set on soils classified as Class 2, 3, 4A and 4B as �„�.,, I—in the table below: SOIL CLASSIFICATIONS Soil Class Types of Soils 1 Sound hard rock...... Blow Count (ASTM D2586) NA Soil Test Probe (1) Torque Value (2) NA Very dense and/or 40 -up More than 550 lbs - in. cemented sands, coarse 2 gravel and cobbles, preloaded silts, clays, and corals Medium -dense coarse 24-39 350-549 lbs - in. 3 sands, sandy gravels, very stiff silts and clays 4A Loose to medium dense 14-23 275-349 lbs - in. sands, firm to stiff clays 4B and silts, alluvian fill 175-275 lbs - in Peat, organic silts, 0-44 175 lbs - in. 5 inundated silts, loose fine and lower sand, alluvium, loess, varied clays, fill, fly ash. (1) The purpose of the soil test probe is to gauge the strength of the soil below the surface and near the anchor's helical plate. The strength of the soil is estimated in terms of its resistance to penetration (flow) under load by means of the torque probe and is measured in lb -in. The test probe has a helix on it. The overall length of the helical Section is 10.75 in.; the major diameter is 1.25 in.; the minor diameter is 0.81 in.; the pitch is 1.75 in. The shaft must be of suitable length for anchor depth. (2) A measure synonymous with moment of a force when distributed around the shaft of the test probe. Vector Foundation Pads Equivalent to Footer Pads* Footer Size: Footer Size: _ 16x16 = 256 s in. -' _' = = - q� i � �= 20x20 - 400 sq. in. or 1 6x1 8 = 288 sq. in. or 17x25=425 sq. in. -- - -- EQUALS `n"� _ = EQUALS - = - 2 -Vector Pads # 59275 `: 1 -Vector Pad # 59271 - - 288 sq. in. or 432 sq.. in. 1 Vector Pad # 59130 Vector Pad(s) exceed the surface area required when used as the equivalent liste bove. 'Foundations in soil with a bearing capacity of less than 1,000 PSF must be designed by a Registered Professional En in tar with site condilons Page 17 California 9/2/03 PRE -INSPECTION REPORT OWNER: R 4h DATE: 7- � -C3 �✓ LOCATION:QL"er-A.P. # CONTRACTOR: r( I & l A ZONING: rT - D �D Q REASON FOR PRE-INSPECTION,6, yin tt DATE TO INSPECTOR: -Q PERMIT HISTORY ( ) NONE (t1thE ATTACHED BUILDING INSPECTOR'S REPORT Building Description: Commercial/Usage: _ Residential # of Units: Currently Occupied ( ) Yes ( ) No Abandoned/Vacant: Electric: Gas: Electric Currently ( ) On ( ) Off Condition of Electric Currently . ( ) On ( ) Off Condition Sanitation: Plumbing Working ( ) Yes ( ) No Obvious Sewage Problems ( ) Yes ( ) No ACTION RECOMMENDED: ISSUE V) Yes Hold for permits or verify: 4 �l& Mobile home # of Units: ( ) No Inspector: ��j —/�' Date: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION CONTRACTOR OWNER Name - Address t Jx.,ko- City Phone 534-0599 State Zip Phone Class B Fax E-mail Date Approved: CONTRACTOR Name Sierra Mobile Service Address 4 6 6 Ci r c l e Dr . City O r o v i l l e State CA Zip 95966 Phone 534-0599 Fax 534-0709 E-mail Lic. # 470386 Class B APPLICANT SIGNATURE X 41 For office use only: ARCHITECT/ENGINEER Name Address C � /�� City Occ. State Zip Phone Page Fax E-mail Date Approved: State License Number APPLICANT SIGNATURE X 41 For office use only: APPLICANT NAME Name Address C � /�� City 0� Occ. Sta , Zip 9 5 6 Phone 63 Page Fax E-mail Date Approved: APPLICANT SIGNATURE X 41 For office use only: Zoning Flood Zone LRA2J,Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\B1dgApp1SubRgmts.doc PERMIT p�j-1 �- BP LOCATION AN 42- 7 — d ,?'Q — o v % Property Address FSS Street WORKER'S COMPENSATION Policy Number 4257 Carrier State Comp Ins If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Page 1 of 2 Description or Scope of Work: Foundation under existing M/H Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Amount: L54/ %. y Bldg SRA //,, Receipt #: JA Sheriff C4� SMIP Date: rj' 4p- o,4 Other Total REV 4-30-04 27-08-39 CHARLES �. ERWIN SIS North Villa Ave, app 700' W of Palermo Honcut Ave. Permit ##1882-77Etemp ser for wel. lot maintena: ht av*- 27- Permit #4022-81P 08-39 o,E (ut.il ) ELEC. 2o�q OI GAS /-2 8/ 40' /' A147 -1 - SUPPORT STRUCTURE COMPACTION TEST REQ, contr: Wilson M27-08-39 — le Permit #40 ;-81BI(new de krovawnings/ 27-08-39 contr: Wilson MH �Serv. Permit #4023-81MHI Orovil e Issued /` - %t' - / �•�/% ��� 027-08-0-039 93-3743 B ERWIN, RUTH 2591 NORTH VILLA AVE, OROVILLE CONTR: MH CENTER MHI/EXISTING SITE RESIDENTIAL 027-08-0-039 93-3743 B ERWIN , RUTH 2591 NORTH VILLA AVE, OROVILLE CONTR: MH CENTER MHI/EXISTING SITE j s /1 �+ V= OK O = Not OK ` = NotNot Readyabla MOBILE HOMES Date/Initials MOBILE HOME UTILITIES (Plana) OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Teat -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 8. Gas; Location -Test -Wrap: / /"L"ft. / /"Net. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect S. Utility Clearance Date/Initials HOME INSTALLATION Plans OK except #'a 1 uirements-Setbacks Easements 2. zings; Size -Spacing -Marriage Line 3.. GQAA AW'Test-Demand-Valve—Connector 4. ElectricIty; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector eter; MH Teat -Regulator -Connector a r and Sewer Connected -C/O to Grade -HD Approval and Electricity Tagged Ex , Insp.-Sketch 0. Cert. of Occupancy MISCELLANEOUS Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a 1. Zoning Requirements-Setbacks-Easementa 2 Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Gridera and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posta-Beams-Rftm.-Connectors Shthg: Rfg.-Bmcing S. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 8. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date/Initials POOLS (Plans) OK except #'a 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness bead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 8. 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 V=OK O = Not OK - = Not Applicable = Not Ready k RESIDENTIAL (Single & Duplex) Date/Initials UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ P' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6s. 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 -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance -Materiel -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date/Initials PLUMBING (Permit) OK except #'a 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor-Naii Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date/initials ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. _ 26. Equip. Ground made up w/Meth. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels -Motors -Mach. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date/Initials FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Wells Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Date/Initials FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Ong. Joist-Rftr. ties- Puri in -roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Wel Is -Ceilings 60. Infiltration -Walls -Windows Date/Initials FINAL (Plans) OK except #'a 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door, Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Mach. Protection 75. Plb., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yea 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yea 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yea ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg: Appliance -Fireplace -Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Comments at Final: MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE �. DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 C� 37 PERMIT N0. �� Address or locatioQ Doff mobi lehome r �T V I L L.4 Owner's name I %—, Owner's address Insignia or hud number d, . Manufacturer's name_ Serial IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION, ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE. MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 5138 White - Owner, Yellow - Installer, Pink - D.P.W. mber ofi",V.I.N. (Offici 9-'U-5Year of -manufacture CI - 9 -on) (Date) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California'95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 027-080-039 ZONING ARMOWNER BUILDING PERMIT Ruth Erwin TELEPHONE 533-4917 SQ. FT. OCC. BUILDING VALbrXf1ON OWNER'S MAILING ADDRESS 2591 Nor Villa Ave., Oroville 95965 CONTRACTOR'S NAME Mobile Home Center, Inc. TELEPHONE 533-4403 CONTRACTOR'S MAILING ADDRESS 1740 Feather River Blvd., Oroville 9596f Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 23,00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS PERMIT FEE $43.00 2591 North Villa Ave. Oorville PLUMBING PERMIT Filing Fee 20.00 Each Trap 1 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome MOther SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 20.00 TYPE OF WORK New ❑ Addition C3Remodel ❑ Utilities ❑ Installation SCK Other C1 Describe Work: RPnl ara Mnhi 1 P Nome U d aAd',W) T PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 1010'" LESS Main Service ( 200AOLESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP.SD. OR ADONS. ( & ACC. BLOS. ) 3.50 PT, CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Co a and my license is in full force and effect. LicenseNo� 10S— Classification ❑ I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET •NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 1.00 Ex. Occu FIX ED APPWS. OR p- ( OUTLETS(RESID.)EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. ❑ IshallnotemployanypersoninanymannersoastobecomesubjecttotheWorker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County iconsequence of the granting of this permit. 1 X / p?, Date !1 ` / 7"— ?3 Signature of Applicant - ❑ Owner AContractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee Is 100.00 Energy Inspection Fee $ c CONST. TYPE TOTAL FEE $ 143.00 HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE ��`// This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work i nd'i c atep above fo which fees have been paid. t I TOR OF PUBLIC WORKS g.= Date I ,S& 93 PERMIT EXPIRES ON i P o c 94 lDetel Receipt No. 153556 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT • ��'� y.. . `�<'. �..`� Y"{: .. "��.� . --..-..�.ry'•.,�kc'�'`Y"rr�t-r rlslQ''l'1.`+,�"•iV �"'l�..r~ �,..�.��v�- ..r^',.�r _✓"`'•��/'� �-_.r-a �. COUNTYOF BUTTE - DEPARTMENTOJE�%EL(OPMENTSERVICES -BUILDING DIVISION ` 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNERLl?�2�_,e Gy/ /- A. o. Proposed Building Use _ 14/ l-r-:� ie-, t S% LG�fuilding Inspector Date // At time of permit application, I was advised the following data must be;submitted prior to permit processing and/or issuance: DATE RECEIVED BY All items h e 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. ........... 1 ,Fees of $ . ......................................... ............................ 1. Impact fees as shown on attached schedule.SGtvplW.. D.,vZ_.,4........... 12. California Department of Forestry plan approval/fees. ....................... . Flood elevation letter (100 year flood).by California Engineer. . . 14. Sanitation and plot plan approval p Health Department. ........... -4F-.F,3 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. .. oe.°Id 9 .speaor (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 . .................................. I................... 33. -34. When u issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at ok 4 office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date //17, 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. Q. Additional items required: Contrai5ior, designer, owner, was advised of above required data by hone —mail Counter bjjQ Date/[ -Z Contractor, designer, o e �, as advised of above required data by _ phone _ mail -Counter by _ Date Plans checked by - `i!� Date Z - Mans approved by e,,--. Date / -/- 3 Vf Sets of plans Qe wald in File cabinet A --'-AP folder Cop Department of Public Works i UNTY OF BUTTE BUILDING 0 TO: BUildinb Department Q 1993 FROM: Environmental Health SUBJECT: Sanitation Clearance F.H. IS . (). .1" Pba Plan Attached Plum Plan Attachad-- — Sant to 11.1). r a , A ,Ir, ►� Owner Location Plan Approved for: Scwa,c Disposal L -,--"Water Supply: Public _ Clearance for bedroom mobile home. Othcr Hold Final for: Final clearance O.K. for: NOTE Environmental 8/92 lth Specialist o -7.0 AP# T Private Well +✓ "!�-kwl tve.fl,11 v3 e— J s� Date • NOTE:—Alt Materials .& Workmanship Shall Be in This set of plans and specifications MUST be Accordance with Recognized Good Practices and kept on the job at all times and it is unlawful to of a quality prescribed for the Specified use in the make any changes or alterations on same without Uniform Building, Plumbing & Mechanical Codes and written permission from the Department of Public the National Electrical Code. Works, County of Butte. go • �j�L. fat, ALL STRUCTURES AND EQUIP 'ENT INCLUDING OVERHANGS SHALL BE CLEA-9 OF ALL EASEMENTS. A SET BACK OF �^ FT. FRO A THE SIDE AND FT. FROM THE DEAR PRO ERTir LINES AND FT. FROM THE ROAST CE Rl_INE SHALL BE � CLEAR OF STRUOTURES AND EQUIPMENT EXCEPT FOR A 2 FT. EAVE OVERHANG. `►� 73 --373 BUTTE COUNTY GP"NG DEPARTMENT etc APPR®1/E® ( 01 \ G PN a-7 _ 6�'-a b , BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541 MOBILEHOME '1NSTALUMON SHEET 1. Owner's Name: V -r-k R, W ( N 2. Installer's Name: �(n U fit 3. Is the site currently under permit? Yes o (If yes, furnish permit number ) OR Is the site an existing site? Yes No' (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes No F-1 (If no, clarify 5. What is the mobilehome electrical rating? --------------- l G U 'Amps 6. What is the mobilehome site service rating? ------------- �0 Amps 7. What is the mobilehome site circuit breaker rating? ----- /0 U Amps 8. Is there any other electric load to be served by the mobilehome site service? -------------------------------- Yes No (If yes, identify the load and size: &'" (Load) (Amps) 9. What is the mobilehome site gas pipe size? --------------/ (in.) 10. What is the type of gas service? ------------------- Natural LPG 7 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------------------- S00, * 12. What is the mobilehome gas demand? ------=--------------- (BTU) 4 *(This information not required if pipe length less than 6 ft. on natural gab or less than 50 ft. on LPG.) BUTTE COUNTY BUILDING DEPARTMENT A--PPR0VED If' ottiex ithq_n single wide �j Mobilehome Mfr. /` �� £ �CUUUG� furnish, Setup Model No. _L1 C.7? L. Year %J Width__a.?_(ft.) Box Length4(d (ft.) Tagalong.or F,xpando Size 1( tf04 ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one)Y 1. Wood -pressure treated or foundation grade. a 2. Other (specify) SUPPORTS (check one) EZ1. Concrete block. 1-17.. Other (specify) Fier Footing Sizes and locations SINGLE -WIDE L(ne L� HULTI-WIAIR w Line 1 lne 9 Main Beams' 1 _ _ I - JLJ ite Line 1� � � � — � — — — � � � �• � •.� � Line 2 Line 9 —Malo Bcema� 1 Line 2 w..- L i n e Tag or Triple Lina 1 jLing,l_ Piers: Ltne 1 Op*oinna: Site -Min. ------------ :4C 1•te-Min. ---•••..._.._..... Syacing-Max.-.-h Side of Openings From Enda-Max.------- I_ With Width Over-• * ---- r� Line 7 Flom (Under Bearing Wall Only) Sizv-Min.------------ - .�x3V � Size -Min ................... 'IX Spnctng-?tax. ---_. Spa,: Ing -Mex. .... _ _ . _. From Rnds-Max........ f from Endo -Max .............. �J {• n �al�-)mltnoi Loads-': __ ' •'G/ �G /� O //Z giae-Mie............. !' O.. Location (From Front) 7'17 ne4_FS_ero: kLnj_) P1r.KA: (Under Bearing Val Is,Only) Sitr.-Min............. size -Min ................... Spa,in8-Max---------- ffj,. Spacing-Max................From Ends -Max-------- . fro■ Endo -Max.............. Line S Roof LaWs: 91se-Min.------------ Location (From Front) A x s x _k x x ..x _.._ BUTTE COUNTY BUILDING DEPARTMENT AP'PR0VED 0 PERMIT NO. PERMIT EXPIRES��� _ OWNER Charles E. Erwin CONTR. Owner ASSESSOR PARCEL 27-08-39 LOCATION S/S North Villa Ave.,app.700'W.of Palermo Honcut Ave., Palermo Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Cal led P.G&E JOB FINAL ED (Date) S� ignatur FA V = OK O = Not OK = Not Applicable MOBILEHOMES MISCELLANEOUS = Not Ready Date MOBILEHOME UTILITIES (PAZ) OK except H's Date DECKS, COVERS, CARPORTS, ETC. (Plans) G.. oxcept N . 1. gning Requirements—Setbacks—Easements 1. Zoning Requirements—Setbacks—Easements of s; Special MH Support—Sketch 2. Footings; Size—Depth—Spacing—Connectors Sew1; Location—Test—Fall-C/ oncrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails ater; Location—Test—Easement ee a (Sketch) 4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg. -Bracing ectricity; Location—Clearances—Grnd.— 20& Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enc.cs;.res 6 Gas; Location T :/f%f'/"L"ft./� /"Nat.or,' —"� ,._:.T--;"LTc^. 6. Carports; Windows—Doors tility Clearance 7. Elec. Card -BI Date Card -BI Date C rd -BI Date and -BI Date BI Date Card -BI Date Card -BI Date 'Card -BI Date Date ImYgi&k INSTALLATION (Plans) OK except H's Date _ POOLS (Plans) OK except N's 6� ing Requirements—Set s—Eas s 1. Setbacks—Easements . Footings; Size,—Spacing—,Marriage Line 2. Soils; Compaction—Structure Stability H e —Va1v 3. Pool Structure: Steel—Connections—Thickness—Dead Men—Lining lectric H —Gros rs—Bre4M,I--Clearances 4, Elec.; Receptacles and Lighting; Distances—GFI rain; MH T%5t Flex wnnectok 5. Elec.; Pool Lighting; 15 volts—GFI ater; MH Ia51,__Rega1af6r—Con or 6. Elec.; Enclosures: Conduit Entries—Terminals—Listed r and Sewer Connected,—C/O to de—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater czkv nd Elec *! gged 8. Elec.; Grounding; Equip, w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 117Exits; In .—Sk ch ert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B -I Date _ b�- Card -BI Date Card -BI Date Card -BI Date C aLdB-I JW Da —/ Card -BI Date Card -BI Date Card -BI Date P COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2x5'1 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector Date_ COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, uncle--rttpermit numb erAlA') Z — R f for the following location: Z e4 Owner— n V • IE' Imo) s �. Owner's Address % A0 <j Mobilehome Mf g. �i� Model Co Year k Insignia No. l_- -VSa�� l �o Serial No..47-42( S=lrl-43- It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date �f 13,6/_ C THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - O.P.W. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 89Y-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector �i1 �� Date ��y COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO}/��/ 7 County Center Drive - Oroville, Caljfornia X5965 - Telephone 916/53 -4541 �C// APPLICATI` N AND PERMIT r � ASSESSOR =AOR-CFi N�jM ER 2 w ZONING �L�` BUILDING PERMIT OW ERqns_ I/ _ I TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESSCTOR 5AME O� HV 17 /� ,/ CO TR CTOR•S LING _ADDRESS AVE, / S MAV 9D AVE. 0400 A-ZI C4-- Fireplace CONSTRUCTION LENDER UN NOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGI ER LICENSE NO. Plan Checking Fee ,$ ,C) Penalty $ ARCHITECT OR EN, INEER•S MAILING ADDRESS Permit fee $ BUII, SG A) VP l� i//(_LA- AVE.. PP. 700 PLUMBING PERMIT Fi ling Fee 10.00 o� f/'�(^A ,—�0 n� � 7'r Each Trap 2.00 Repair drainage or vent piping 5.00 /��I plf 660LO Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti li�jes ❑ Instal lation L Other Describe work: 1,1771- e fr�;,2-YJ4 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 n �( A (/ x Main service EA. ADD'L 100 AMP 2,50 NEW CONST. ( DWELLING OCCUP.y) OR ADDNS. ACC. BLDGS. 20 sq It CONTRACTORS LICENSE LAW I declare under penalty of perjury p y p i y (Check one): � [ l am licensed under provisions of Chapt. 9, Div. 3 of the Business Professions Code and my license Is In full force and effect. r 10� 1 Classification e- 4 — / License No. a Zr ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR. I -OUTLET 2.50 ea NO N.RESID BRANCH CIRC IT SL_ NEW CONSTR. POWER APPARATUS !V NON.RESID. (SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES BAL2i and FIXED APPLNS, OR Ex. Occup.(OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate 0 onsent to Self -Insure. shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: if after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee S Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue again ounty in consequence f the granting of this permit. Date 5i n re of Applicant Owner g pp Contractor ®/1Cgent ❑ 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 $ �QcOd OccUP. GROUP I TYPE OF CONST. [—IPARCELI PD 1 D 9 E This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO F PUBLIC BY PER XPIRES Date the applicable provi- resolutions to do fees have been aid. p WORKS Date //—^73 —,C>/WHITE-D.P.W., ��Z— Receipt No. // YELLOW-ASSt!SSO R, PINK -INSPECTOR, GOLDENROD -APPLICANT MOBILEHOME SUPPORT DATA - If, of ier than single wide, Mobilehome Mfr. furnish Setup Model No. 3 Year- earWidth1 Width-1d (ft.) Box Length S� (ft.) Tagalong or Expando Size ft. x_../ft. (SHOW SUPPORT DETAILS BELOW) -� On all mobilehomes manufactured after October 7, 1971, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). (ft. )(in;) All center supports measured from'front of `. 1 2. Other: ( spec ify) mobilehome unless otherwise specified.' (ft.)(in.) (ft.)I (in.) *If center piers are other than drawn above, draw in. -locations, spacing, and dimensions. -- Max. Pier.Spacing (ft.)(in.) I ttl a" -- Max. Overhang (ft.)(in.) 3 BUTTE_COUNTY B0ILD'!NG DEPARTMENT APPROVED.* Footings (check one) Single 0--c. Wood either -� pressure treated or x foundation grade. (ft. )(in;) (in.) (in.) 2. Other: ( spec ify) Center support locations* Center support footing sizes Supporta (check one) 1: Concrete block. U � a [:].2i Other (specify) ' (in.) (in.) • M X N 1 , *—Tagalong or Expando,' ' show support details. (in.) (in.) X Typical Support + (in.) (in.) Footing Size (ft.)(in.) (ft.)I (in.) *If center piers are other than drawn above, draw in. -locations, spacing, and dimensions. -- Max. Pier.Spacing (ft.)(in.) I ttl a" -- Max. Overhang (ft.)(in.) 3 BUTTE_COUNTY B0ILD'!NG DEPARTMENT APPROVED.* BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7_County Center Drive, Oroville. CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: ��_ . 2. Installer's name: 3. Is the site currently under permit? Yes /v/'" No (If yes, furnish permit number ) OR Is the site an existing site? Yes / / No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes /!//" No ( If no, clarify ) 10. What is the type of gas service? ----------------------------- Natural LPG 11. What is the gas pipe length from meter or tank to the mobilehome? 0 (ft.) 12. What is the mobilehome gas demand?--------------L'ss - 0 252 000 (BTU) (This information not required if pipe length an 6 ft. on natural gas or less than 50 ft, on LPG.) 5. What is the mobilehome electrical rating? ----------------------- / 5.-v 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 siteservice? --------------------------------------------------- Yes No (I£ yes, identify the load and size: 41J-P—� (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- �� (in.) 10. What is the type of gas service? ----------------------------- Natural LPG 11. What is the gas pipe length from meter or tank to the mobilehome? 0 (ft.) 12. What is the mobilehome gas demand?--------------L'ss - 0 252 000 (BTU) (This information not required if pipe length an 6 ft. on natural gas or less than 50 ft, on LPG.) 'J 1 COUNTY OF BUTTE - DEPARTIv1ENT OF PUBLIC WORKS PERMIT NO. ' 7 County Center UYive - Oroville, California 55965 - Telephone 916/534-4 1 42 _ / APPLICATION AND PERMIT , ASSESSOR P'ARCEy. ER� Z7 ,• ZONIN BUILDING PERMIT OWIy��A ^LE� E�4V/� GG��/�,/ /!l/' /� TELE PHOIJ �_ /TL 1 9 SQ. FT. OCC. BUILDING VALUATION OWN R'S MAILI[JG ADpR% SC� o 4019-0 CONTRACTOR'S NAME a TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LEN R UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGIN LICENSE No. Plan Checking Fee $ Q� Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ Buri ADDR,EOS _t ,f //�v� -7001 �//��`///� V 00 PLUMBING PERMIT Filing Fee 10.00 IJ ' p�, , O , /� % 4(lC , A �V/ /TV V � Each Trap 2.00 Repair drainage or vent piping 5.00 P17--LE4 0 Water piping /10100 LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets /0.00 USEOF S UCTURE SF ❑ Duplex ❑ Mobilehome Other SPECIFY Building sewer .0cV Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Installation[] Other ❑ Describe work: Permit Fee $ , 00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6011 OR LESS�y� 100 AMP OR LESS VV Main service EA. ADD'L 100 AMP 2.50 ie, S-0 NEW CONST. /DWELLING OCCUP.y) OR ADDNS. l ACC. BLDGS. 22 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. ' Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) r ❑ 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 .OUTLET 2,50 ea NON."ESID BRA CH CIRC TS NEW CONSTR. I POWER APPARATUS 6 NON-RESID. %SINGLE OUTLET CIR. EX. Occup OUTLETS OR FIXTURES 50@25 IXED APP LHS. OR Ex. Occup.(ouT LE TS (RESID,) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 /Scop Misc. Wiring 7.50 3 2_00 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. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. No Ice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee S Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said n n consequence of the granting of this permit. �This %� (! =t-��fil wr`' Date G Signature of Applicant — Owner+ Contractor ElAgent❑ 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 $ 9 , -o occuP, GROUP I TYPE or CONST. P A:;;J PD ISSUE permit is hereby issued under sions of the Butte County Code and/or work indicated above for which D1jPTOR OF UBLIC I,� BY y `` PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date L Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK- NSPECTOR, GOLDENROD -APPLICANT P\ Return to DPW AGRICULTURAL STATF;K�Y3 OF ACKNOWLEDGEMENT FOR RESIDFNTIAE DEVELOPMENT Btii TE C0UNTY-C.':A_!r. Section 26-8.1of the Butte County Code requires this acknowledgemeal-_.,RDS PEw:.- be recorded prior to issuance of a building permit. (,�jG�pl �i}LCfI�LYt� OU c3 12 p4 NOT The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of CLARK A_ N -E LS0;vr; 1 this property may be subject to inconveniences or discomfort arisi4ERK-RECOi�0ER from the use of agricultural chemicals, including, but not limited to herbicides, FEE pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation., plowing, spraying, pruning, and harvesting which occa- sionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept -such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Lot 14,' Map"-enLi:tl-ed''=-'!Map-of---Pal-ermo------ and Subdivisions 1 and 2, with Addition to Number 1 of the Palermo Citrus Tract", which Map was filed in the office of the Recorder of the County of Butte, State of California, September 17, 1888. Date : OCTOBER 15, 1981 PROPERTY OWNERS: _ Rut IT R. --Erwih . State of California) On this the 15th day of October 19 81 ) SS. before me, the undersigned Notary Public, personally County of Butte ) appeared Charles E. Erwin and Ruth R. Erwin known to me to be the person(s) whose name(s) are subscribed to the within instrument and acknowledged that they executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. u-b-lic Present A.P. NO. 2 7-(!:�2 S,-37 OFFICIAL SEAL =NYCE A. LONG i ,ai•, ••<'•i.•,.., t:CTr. J r.v P:f,,!.1C CALIFORNIA PRINCIFAL O: FICE IN Bvuii COUNTY MY CCMM:S:ICN EXPIRCS MARCH 6, 1985 known to me to be the person(s) whose name(s) are subscribed to the within instrument and acknowledged that they executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. u-b-lic Present A.P. NO. 2 7-(!:�2 S,-37 NOTE:—All Materials & Workmanship Shall Be In Accordance with Recoari,ed Good Practices a"��d of a quality prescrilaerl f,. -,r the Specified use in f `6 �' Uniform Building, Plumbing Pi Machanical Codof aqj the National Electrical Code, Utility connections shall be ithin 4 ft. of the mobilehome, eit er -- -- — - -� ,� direcfly--behind or within the rear half of-the,roadside (left) of -he • i . _ mobilehom?. LL M.- J" n j� " 'ThTs set W pans and specs ica ions R US 1 150 'kept -on the job at all - imes -end it is unlawful,to mCl•,� any changes a'r a6rction3 on SdMO WANI written permission from the Department of Public Works, CountyMow tte 0Gt1)j 10 9 ZX,5 �ietj- "U / V , � �1 4 al -C , $ _ va7-os- -© - 03 9 -© A permif will b required for tie installation of he .mobilehome. M A §otback of 5 ft. from ft property lines and a setback of 50ft. from the road centerline shall be clear of Structures or equipment OXCOF 1 for e 2 ft. eave overhang: BUTTE couNm. BUILDING DEr'ARTMENI ' PERMIT NO. 4024-81B i PERMIT EXPIRES OWNER Charles E. Erwin ,.. CONTR. Wilson MH Serv., Oroville ASSESSOR PARCEL 27-08-39 LOCATION SIS North Villa Ave.,app.700' W.of Palermo Honcut Ave., Palermo. Temp. Power Pole Called PG&E Temp. Elec. S Called P( Temp. Gas Sei Called PC 1. JOB FINALEI Signature V = OK O = Not OK = Not Applicable MOBILEH.OMES = Not Ready r • t MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except H's Date DE6i1 , CO RS, CARPORTS, ETC. (Plans) u . ,xcept t 1. Zoning Requirements—Setbacks—Easements oning Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch _ o_ngs; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/0—Concrete 4. Water; Location—Test—Easement' Needed (Sketch) ecks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4,_.Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.-Rfg. Bracing_ 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete Alum. Awn.; Columns—Connections—Splice—Decal—Enc us;,res 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L" ft./ /"LPG 6. Carports; Windows—Doors 7. Utility Clearance 7. Elec. Card -BI Date Card - BI Date Card -BI D Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's Card -BI Date Date Card -BI Date _ POOLS (Plans) 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 -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date N COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS ,/PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 �G// V APPLI`ATI( AJUd"PERMIT /// �w ASSESSOR P EL BER _ dM G ZONING /}-�� BUILDING PERMIT O WN EFS S �J TELEPHONE SQ F OCC. BUILDING VA UAA(�T)ION OWNER'S MAILING ADDRESS / t+C Pe' AME / N� .�.Y. ✓ XYHO�� Z Cj�y�F(J(J j/1 Cf OR'S AjL�N,DDRS.� ,/ (O/5 /nj�_ L /1J) ,/L/j•`tI/ Fireplace p-� CONSTRUCTION LENDER / UNKNO N i Total Valuation $ Filing Fee q47ka o $ 10.00 LENDER'S MAILING ADDREJ6S Permit Fee $ -00 ARCHITECT OR ENGINEER`^,YJ/ LICENSE NO. Plan Checking Fee Penalty $ /0-00 $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee Z BUIL ING ADDRESS / 5 5 1,10RJ74 )P- Q / F, II`Z.FJ Q /0F, 7�'TLL�d LOT NO. SUBDIVISION NAME PARCEL MAP , PLUMBING PERMIT Each Trap Repair drainage or vent piping Water piping Each qas water heater or vent Gas piping system 1 - 5 outlets Filing Fee 10.00 2.00 5.00 5.00 USEOF S RUCTURE SF EJDuplex❑ Mobilehomeher SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New El Addition( Remodel U Utilities❑ Installation❑ Other El a work: P6CX • '�C5 Des44?,C—f/�/J/ �L� LN/ /�/� 5 ��, ��/ "'""""`��� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP 00V OR ORSLESS 5.00 Main service EA- ADD'L 100 AMP 2.50 NEW CONST. (DWELLING OCCUP.y) OR ADDNS. \ ACC. BLDGS. 20 sq 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. 3`2—I c�'�j Classification �- ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR I -OUTLET 2,50 ea NON -RES,. BRANCH CIRC TS NEw CONSTR (POWER APPARATUS s� NON.RES,(SINGLE OUTLET CIR- so a zs¢ Ex. OCCUp OUTLETS DR FIXTURES BAL@1 Ex. OCcup.(OUTLETS FIXED PD ) E A. LNS R 2.00 (RESI Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of sent to Self -Insure. shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee S Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. save, indemnify and keep harmless the County of Butte against judgments, costs, and expenses which may in an way accrue Auntin con ence of the granting of this permi . Date U Mignature ican — Owner ❑ Contractor ®gent ❑ 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 $ `6Q wccuP�c`ouP '3,VV,/�/ T' �E`vsT. V PARCEL PD ND ssuE This permit is hereby issued under ;ions of the Butte County Code and/or +vork indicated above for which DIRECT OF PUBLIC 3Y 3E PTEXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. SOiep// WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT I C_ /T C�C4� azo COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive o— Orov ille, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. L.+ Signature of Permitee or Agent Date Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date Building permit expires Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address 1 Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address �}.I �'. PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. �� �: ' Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W. C. Sanitation Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Bldg. Plans Recd I Parcel Approval I Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE J$3.00 Main service 600v OR LESS 5.00 100 AMP OR LESS Main service EA. ADD -L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑ Main service OVER 6 OR -LESS 25.00 100 AMP Main service EA. ADD'L 100 AMP 1.00 / NEW CONS.1 WELING OR ADONST ( DACCLBL GS. OCCUP. &) 20 Sq ft 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: Ex. Occup(OUTLETS OR FIXTURES)@�¢ BAL@1 FIXED APP LNS. OR Ex. Occup. (OUT LETS(RESID.) EA) 2.00 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 California. MECHANICAL No.1 @ FEEPERMIT FILING FEE J$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 $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. L.+ Signature of Permitee or Agent Date Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date Building permit expires Date "COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — >lroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 7 X c Date /� ( 1 Signature oof/Pjermitee or Agent Receipt No. I 6M 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 havee en paid. DIRECTOR OF PUBLIC WORKS By Date q 2 Z ilding permit expires Date Cr�22—Z�! BUILDING Owner �+ wiK SO. FT. OCC. BUILDING VALUATION Mailing Address -5-1 S ` OO� lephone t Fireplace Contractor k J4 Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address .� Q� PLUMBING No. @ FEE PERMIT FILING FEE $3.00 P6"6 /W a— 4 V1. 0 Each Trap 1.50 C� Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. d 3 /Gas Zoning 8 Planning piping system 1 - 5 outlets 1.50 Each additional outlet .30 FeUL.20 SaRrrdrtut Fire Dept. Fire Zone Use Permit Building sewer 5.00 EOA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 W71-9. ons ec'd Parcel Approval Plans Approval Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 �o-O e d%( y Main service 100 AMP OR01 OR LESS5.00 Main service EA. ADD'L 100 AMP 2.50 Main service OVER e00v 100 AMP OR LESS 25.00 Single Family ❑ Duplex ❑ Mobil Home ❑ Others Main service EA. ADD•L loo AMP 1.00 -�%%'" 0, NEW CONST. DWELING OR ADDNS. ( ACCLBLDGOCCUP. &) 20 sq it NEWCONSTR. MULTI -OUTLET NON .RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONST. (POWER APPARATUS &) R NON RES,D. (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 st le of: y Ex. Occup(OUTLETS OR FIXTURES)BA@L0121C Ex. Occu FIXED APPLNS. OR p• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 J ®.uo' Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 ❑ 1 am exempt from the Contractors License Laws of the State of California. Permit Fee $ ,0-0 $ pr,e 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. ❑ 1 have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 7 X c Date /� ( 1 Signature oof/Pjermitee or Agent Receipt No. I 6M 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 havee en paid. DIRECTOR OF PUBLIC WORKS By Date q 2 Z ilding permit expires Date Cr�22—Z�! BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School District h 12 0 U Al /4 l7 Building Department No. A.P. Number c�-6Y() - (i 3 1 Jurisdiction � /0 City (� County Property Owner(%�]�-�" /V Property Location/Address 2591 0 9-77�/ V l i --L A (6 V& 0K D Subdivison Lot No. Residential Development 0 0 Sq. Footage % 2 0 No. of Living MHI Addition1 run R) �� Units L.fi 6S /d x 55" Commercial/Industrial Sq. Footage New Addition (Including Exterior Roofed Areas) r v 11117 3 Building Departmer}ehepresen ative Date (Floor Plans reviewed by School District Personnel) District Identification No. 940071 kz u1�1(Tl� 'AA—School District certifies that A licant ( PP ) N, An Tllpk. (Street Address) (Phone Number) oVDU111�, , �1 (City) (State) (Zip Code) has complied with the requirements of Resolution No. C) ' a� by payment of $ representing square feet. School District Paid by Check Number Bank Number Paid by Cash 1-1111A�) Date Remarks:WW*Wr)DD A , l r 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) feeformmkf (4/92) 5�1 /4,/,j /Z_ L PA-fz� ,N- e A 1,OVEDi c County /iiawental Health b-- -V- -294 Dato avironmentalHIM40h NOV 2 2 1993 _ �9 � � Oroville, C810 04 0 O ■ Q oQ C 4 70 ,— e 0 O ■ R a b M z I �-, crrr BUTTE COUNT'i qLADiNG Dr,PARTMf--, J 7 S r .ac N7 4QN otic a-.a�31Yj �tt1n Na?/aN I bs`� N t •+� TA � � �t 1 n '� rma