HomeMy WebLinkAbout027-100-027' 1
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Exemption permif —ai—n—sT _g
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75 She-vo
Permit 93-88BP,E(util, MH)
GAS
COMPACTION TEST REQ
2 0-27
Cont: Feather Ri Homes CD/(?
Permit #1526-8 -Insta1l M)
ISSUED
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� .7-1183
027-100-027,
RESIDENTIAL
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RE g0k24.4G REQUESTED BY:
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE CA 95965
aOO7—OOaS8S4
Recorded I REC FEE 18.00
Official Records I
County of I CONFURIED CONY 1.08
Butte I
OANUAM J. 6RUBBS I
County Clerk-Recorderl
I
JC
183:03P11 20-Jun-i.M I Page I of 2
SPACE ABOVE THIS LINE FOR RECORDER USE ONLY
NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH,
INSTALLATION ON A FOUNDATION SYSTEM
d
Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code T�
Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the J
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.
BENEDICT, JOHN & DOREEN TRUST
BUTTE COUNTY BUILDING DIVISION
REAL PROPERTY OWNER/LESSOR
LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY
7515 RESERVOIR RD
7 COUNTY CENTER DRIVE
MAILING ADDRESS
MAILING ADDRESS
OROVILLE BUTTE CA 95966
OROVILLE BUTTE CA 95965
CITY COUNTY STATE ZIP
CITY COUNTY STATE ZIP
7515 RESERVOIR RD
B07-1183 (530) 538-7541
INSTALLATION MAILING ADDRESS, IF DIFFERENT
BUILDING PERMIT NO. TELEPHONE NUMBER
OROVILLE BUTTE CA 95966
1" 6/20/2007
CITY COUNTY STATE ZIP
SIGNATIM OF 'OCAL AGENCY FICIAL DATE
SAME
NONE
UNIT OWNER (if also property owner, write "SAME"
DEALER NAME (if not a dealer, write "NONE")
V
SAME
NONE
MAILING ADDRESS
DEALER LICENSE NO.
SAME
CITY COUNTY STATE ZIP
UNIT DESCRIPTION
FLEETWOOD HOMES INC 1988 SANDALWOOD
MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER
CAFLJI7A/B08984SW 28'X66' FAD433517/8
SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S)
REAL PROPERTY LEGAL DESCRIPTION:
ASSESSOR'S PARCEL NUMBER: 027-100-027
SEE ATTACHED
HCD FORM 433(A) REV 8/91
WHITE —County Recorder CANARY — HCD PINK—Applicant GOLDENROD —Building Dept.
05/2x'';2007 11 : 58 FAX IM 004
Title No, 07 -109517 -BD
Locate No. UrojrogsS-0958-wi-0000109517 f
LEGAL DESCRIPTION
EXHIBFr"A'
THE LAND REFERRED TO HEREIN BELOW IS SITUATED IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA,
AND IS DESCRIBED AS FOLLOWS:
Parcel 1, as shown on Parcei.Map of Lot 21 of Palermo C(trus Tract Subdivision No. 4, which Map was filed In
the Office of the Recorder of the County of Butte, Stmn of California, April 7, 1981 in Book 82 of Parcel Maps,
at Page 23.
APN., 027-100-027
L
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CjA P wkra" Repot Pone - nodlrad (111i7/06)
BUTTE COUNTY AREA
DEPARTMENT OF DEVELOPMENT SERVICES 1
INSPECTION CARD MUST BE ON JOB SITE
24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico)
Office: (530) 538-7541 Fax: (530) 538-2140 Website: www.buttecounty.net/dds
Permit No: B07-1183 Issued: 5/30/2007
Address: 7515 RESERVOIR RD Area: PALERMO
Owner: BENEDICT, JOHN & DOIAPN: 027-100-027
Applicant: PREMIER BUILDERS Map Page:
Permit Type: SFD-Mobile Home RET
Description: PERM FND EX MOBILE - RETRO FIT
Flood Zone: None SRA Area: Yes
SETBACKS
Front Setback: Side Setback:
Rear Setback: Other Setback:
Minimum Setback From Centerline of Street:
ALL PLAN REVISIONS MUST BE APPROVE -6 BY THE COUNTY BEFORE PROCEEDING
Inspection Type
IVR INSP DATE
Setbacks
132
Foundations / Footings
111
Pier/Column Footings
122
Grade Beams
114
Eufer Ground
216
Forms/Steel/Holdowns
122
Do Not Pour Concrete Until Above are Signed
Pre -Slab
124
Gas Test House
404
Gas Test Yard
404
Masonry Grout
120
Masonry Bond Beam
119
Underfloor Framing
149
Underfloor Ducts
319
Shear Transfer
136
Under Floor Plumbing
412
Under Slab Plumbing
411
Gas Piping
403
Do Not Install Floor Sheathing or Slab Until Above Signed
Holdowns/Straps
122
Shearwall/B.W.P.-Interior
135
Shearwall/B.W. P. -Exterior
135
Roof Nail/Drag Trusses
129
Do Not Install Siding/Stucco or Roofing Until Above Signed
Rough Framing
128
Rough Plumbing
406
Rough Mechanical
316
Rough Electrical
208
Gas Piping
403
Shower Pan/Tub Test
408
Fire Sprinkler Test
702
Fire Sprinkler Final
702
Building Final
802
Electrical Final
803
Mechanical Final
809
Plumbing'Final
813
Pool Final
802
Mobile Home Final
802
Finals
Inspection Type I
IVR
I INSP I DATE
Do Not Insulate Until Above Signed
Wall Insulation
117
Sewer District Final
Ceiling Insulation
118
Do Not Cover Until Above Signed
T -Bar Ceiling / RC
145
Stucco Lath
142
Stucco Scratch
143
Stucco Brown
144
Swimming Pools
Setbacks
132
Pool Plumbing Test
504
Gas Test
404
Pre-Gunute
506
Pool Elec/Bonding/Light Nitch
502
Pool Fencing/Alarms/Barriers
503
Pre -Plaster
507
Manufactured Homes
Setbacks
132
Blocking/Underpining
612
/
Tiedown/Foundation System
611
6/Z / J
Site Utilities/Trench Insp.
137
Gas Test Yard
404
Manometer Test
605
Continuity Test
602
Skirting/Steps/Landings
610
Coach Info
Manufactures Name: E: Q,,% k
Date of Manufacture:
Model Name/Number: - e, j, _
Serial Numbers•
S�
Length x Width:
Insignia:
Public Works Fina
538-7681
Fire Department/CDF
538-6837 ext 169
Env. Health Final
538-7281
Sewer District Final
"PROJECT FINAL
801 2,
-rrolect anal is a uerttttcate of Occupancy for (50idtatial Only)
PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE. IF WORK HAS COMMENCED, YOU MAY PAY FOR A 1 YEAR
RENEWAL 30 DAYS PRIOR TO EXPIRATION
Inspector Copy
A
1-14
COUNTY OF BUTTE
BUILDING DIVISION
Rr<t' DEPARTMENT OF DEVELOPMENT SERVICES
7 County Center Drive • Oroville CA • (536) 538-7541
CORRECTION NOTICE
xa _ kA e. cit C- y �
OWNER
PERMIT NO.
routine inspection indicates that the following violations of Butte County Ordinances exist at
�p� the above address and should be corrected. Please call for re -inspection when correction of
work is completed. Af you have any questions pertaining to this matter, or need additional
ex lanation, please contact the Building Inspector as indicated below.
rLQ
r' C^ C/ - 5—e r l /v
`ti Sar, � • / �, i' � - � .-i
,�_y;• Date (/ Inspector
t�REV 4/05 Phone # S
1 144'
>v 1 f
VQ�-' ' --/FOR RE -INSPECTION CALL: 538-7636 OR 891-2834
��,, ,
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`ti Sar, � • / �, i' � - � .-i
,�_y;• Date (/ Inspector
t�REV 4/05 Phone # S
1 144'
>v 1 f
VQ�-' ' --/FOR RE -INSPECTION CALL: 538-7636 OR 891-2834
��,, ,
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
PROJECT INFORMATION
Site Address: 7515 RESERVOIR RD
Owner:
Permit No: B07-1183
APN: 027-100-027
BENEDICT, JOHN & DOREEN
Issued Date: 5/30/2007 By GLB
Permit type: RESIDENTIAL
7515 RESERVOIR RD
Subtype: SFD-Mobile Home RET
OROVILLE, CA 95966
Expiration Date: 5/29/2008
Description: PERM FND EX MOBILE - RETRO I
530
Occupancy: Zoning: A5 0(
Contractor
Applicant:
Square Footage:
PREMIER BUILDERS
PREMIER BUILDERS
Building Garage Remdl/Addn
6055 TERRA VISTA
6055 TERRA VISTA
PARADISE, CA 95969
PARADISE, CA 95969
Other Porch/Patio Total
(530) 872-1096
(530) 872-1096
FEE INFORMATION
DBF MH Plan Check $233.56
DBMSC Mobile Home Permit Fee. $350.34
Total Charged: $583.90 Fees Paid: $583.90
Balance Due: $0.00 Receipt No: B3296
LICENSED CONTRACTOR'S DECLARATION
OWNER / BUILDER DECLARATION
Contractor (Name) State Contractors License No. / Class / Expires
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License
PREMIER BUILDERS 343173 / B / 9/30/2007
Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that
requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance,
also requires the applicant for such permit to file a signed statement that he or she is licensed
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that 1 am licensed under provisions of Chapter 9
(commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license
pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000)
is in full force and effect.
of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the
X
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];
5/30/2007
Please check one of the following:
Contractors Signature Date
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 Code: The Contractors License
Law does not apply to an owner of the property, who builds or improves thereon, and who does
WORKERS' COMPENSATION DECLARATION
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
HAVE
the work himself or herself or through his or her own employees, provided that such improvements
❑I AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR
are not intended or offered for sale. If, however, the building or improvement is sold within one
WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the
year of completion, the owner -builder will have the burden of proof that he or she did not build or
performance of the work for which this permit is issued.
improve for the purpose of sale.).
HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by
❑ section
❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED
CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code:
3700 of the Labor Code, for the performance of the work for which this permit is issued.
The Contractor's License Law dows not apply to an owner of the property who builds or improves
My Workers' Compensation insurance carrier and policy number are;
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the
Carrier: STATE FUND policy Number: 1127626-06 Exp. Dale:5/1/2007
Contractor's License Law.).
(This section nee not be completed if The permit is or one hundre dollars ($100) or ess.
❑ 1 AM EXEMPT under Section B. & P.C. for this reason:
❑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 Workers'
Compensation laws of California, and agree that if I should become subject to the workers'
X 5/30/2007
compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those
Owner's Signature Date
provisions.
X 5/30/2007
I hereby certify that 1 have read this application and state that the above information is correct I agree
to comply with all City and County ordinances, rules, regulations, and State laws relating to building
Signature Date
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless
Butte Coun its officers, agents and employees from any and all claims and liability for personal
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION,
injury, including death, and property damage caused by, arising out of, in any way connected with
the issuance of this permit. I hereby acknowledge that issuance of this pea rmit does not authorize the
DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND
ATTORNEY'S
use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte
FEES.
County to enter the above mentioned property for inspection purposes. I hereby certify that I am the
property owner or am authorized to act on the property owner's behalf.
5/30/2007
CONSTRUCTION LENDING AGENCY
1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for
Name of Permittee [SIGN] Print Date
the performance of the work for which this permit is issued. (3097 civ. code)
❑ Owner El Contractor - OR Agent for Owner ElAgent for Ccntractor
- INSPECTOR COPY
Lender's Address City - State Zip
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
PROJECT INFORMATION
Site Address: 7515 RESERVOIR RD
Owner:
Permit NO: B07-1183
APN: 027-100-027
BENEDICT, JOHN & DOREEN T
Issued Date: 5/30/2007 By GLB
Permit type: RESIDENTIAL
7515 RESERVOIR RD
Subtype: SFD-Mobile Home RET
OROVILLE, CA 95966
Expiration Date: 5/29/2008
Description: PERM FND EX MOBILE - RETRO 1
530 _
Occupancy: Zoning: A5 0(
Contractor
Applicant:
Square Footage:
PREMIER BUILDERS
PREMIER BUILDERS
Building Garage Remdl/Addn
6055 TERRA VISTA
6055 TERRA VISTA
PARADISE, CA 95969
PARADISE, CA 95969
Other Porch/Patio Total
(530) 872-1096
(530) 872-1096
FEE INFORMATION
DBF MH Plan Check $233.56
DBMSC Mobile Home Permit Fee. $350.34
Total Charged: $583.90 Fees Paid: $583.90
Balance Due: $0.00 Receipt No: B3296
LICENSED CONTRACTOR'S DECLARATION
OWNER / BUILDER DECLARATION
Contractor (Name) State Contractors License No. / Class / Expires
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License
PREMIER BUILDERS 343173 / B / 9/30/2007
Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that
requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance,
also requires the applicant for such permit to file a signed statement that he or she is licensed
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9
(commencing with Section 7000) of Division 3 of the Business and Professions Cade, and my license
pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000)
is in full force and effect.
of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects
X tiu, 5/30/2007
the applicant to a civil penalty of not more than five hundred dollars [$500];
Please check one of the following:
Contractor's Signature Date
❑ 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
WORKERS' COMPENSATION DECLARATION
OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License
Law does not apply to an owner of the property, who builds or improves thereon, and who does
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
the work himself or herself or through his or her own employees, provided that such improvements
❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR
are not intended or offered for sale. If, however, the building or improvement is sold within one
WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the
year of completion, the owner -builder will have the burden of proof that he or she did not build or
performance of the work for which this permit is issued.
improve for the purpose of sale.).
I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by
❑
❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED
CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code:
Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
The Contractor's License Law dows not apply to an owner of the property who builds or improves
My Workers' Compensation insurance carrier and policy number are;
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the
Carrier: STATE FUND policy Number: 1127626-06 Exp. Date:6/1/2007
Contractor's License Law.).
(This section nee not a completed if the permit is or one hundred otters ($100) or less.
❑ I AM EXEMPT under Section B. & P.C. for this reason:
❑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 Workers'
Compensation laws of California, and agree that if I should become subject to the workers'
X 5/30/2007
compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those
Owners Signature Date
provisions.
XAftap5/30/2007
I hereby certify that I have read this application and state that the above information is corec. I agree
to comply with all City and County ordinances, rules, regulations, and State laws relating to building
Signature Date
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless
Butte County, its officers, agents and employees from any and all claims and liability for personal
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
injury, including death, and property damage caused by, arising out of, or in any way connected with
HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION,
the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the
DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND
use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte
ATTORNEY'S FEES.
County to enter the above mentioned property for inspection purposes. I hereby certify that I am the
pro a owner or am authorizedto—alt on the propprty owner's behalf.
a �5/30/2007
CONSTRUCTION LENDING AGENCY
1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for
Name of Permittee [SIGN] Print Date
the performance of the work for which this permit is issued. (3097 civ. code)
Owner ontractor OR. Agent for Owner ❑Agent for Contractor
FILE COPY
Lender's Address City State Zip
BUTTE Ct
DEPARTMENT OF DEVE
BUILDING PERMIT
AND' SUBMITTAL F
OFFICE #: (530) 538-7541
A FEE WILL BE REQUIRED A
Website: www.butt
"PLEASE PRIM'
OWNER INFORMATION
Last Name
(3�A> L= D i G T
first Name, 6 00
Mailing Address
7S16— 2F S� iJD/IZ , g.j7
City R� U L��.State
Zip C_Phone
Fax
Fax
E-mail
CONTRACTOR
Name
Address to O S-6— Tt-tZ§7cQ M557 -P9
City ?ICLV�f71 sF
State
o s -s- rte. tzrz w vtsT�
Phone S' z ` ��
Fax
E-mail
Lic. #3q
Class
APPLICANT SIGNATURE
X
For office use only:
ARCHITECT/ENGINEER
Name
Address
o s -s- rte. tzrz w vtsT�
City
e Const.
State
Zip
Phone
;Z -- /0 r/
fax
E-mail
Cross Street
State License Number.
APPLICANT SIGNATURE
X
For office use only:
APPLICANT INFORMATION
Name
Address
o s -s- rte. tzrz w vtsT�
Cit
YpD6s
e Const.
State C
Zap6 Q
Phone
;Z -- /0 r/
Fax
E-mail
Cross Street
APPLICANT SIGNATURE
X
For office use only:
Zoning
Flood Zone
tEQUIREMENTS
•11�
FAX #: (530) 538-2140 I
SRA Yes
No
Occ.
e Const.
Subdivision Nameook
#Map
o Y
PagePlannerate
I City
7S /6� Rgs745 -V,0jRj
Approved:
AUNTY PERMIT
LOPMENT SERVICES
'APPLICATION NO.
tEQUIREMENTS
•11�
FAX #: (530) 538-2140 I
T TIME OFAPPLICA TION
ecounty.net/dds BIN #
C CLEARLY**
PROJECT LOCATION
AP#
o Y
Property Address
I City
7S /6� Rgs745 -V,0jRj
d5bzevtc.c,,E
Cross Street
sr-�E o
WORKER'S COMPENSATION
Policy Number
Carrier
S Yat -7—& C o Al
Nhiring anyone other than license contractors, a certificate of worker's
compensation mustbe shown at the time of permit issuance.
LENDING AGENCY
Name
Address
Description or Scope of Work:
�= CM3 tar OVA Pty T/es41
V Dv prz, Z P: X/S77" C i"0 F>l /_ C-
Sq FT- Living Garage Open Cov
❑ 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. n
Received by: Amount: �' 1 , Bldg
SRA
Receipt #: Sheriff
Date:
SMIP
Total
I!
i
Xi2 Foundation System
Installation Instructions f®r California
f®r Ground & Concrete systems
HUD,Wind Zone l,
15 PPF Wind Load Seismic 4
By.Tie Down Engineering
SUITE COUNTY
BUILDING DIVISION
Xi2 Concrete System
`Engineer Approval
State Approval
MANUFACTURED ROMEIMOBILE HOME
FOUNDATION SYSTEM
REALTH AND SAFETY CODE, SECTION I s55i
APPROVED
S:zj--"rT TO CORRECT O7,7S NOTED
APPROVAL DOES NOT AUTHORIZE OR APPROVE ANY
OMISSIONS OR DEVIATION FROM REQUIREMENTS OF
-APPIICABLB STATE LAWS ARID Ijidtj &Ng"'
State ofC111ifornin
D%-ftumt OfHmming and Co=vnity Devolopment
V1SI OF CODES AND STANDARDS
F,
Page I of 8 C�
Ln
Xi2 Foundation System
REQUIREMENTS
1 • These plans and specifications meet the requirements of Title 25 Section 1336.3 Sub Section A
and 97 UBC Seismic Requirements, CBC 2001 addition.
• Maximum vertical projection at sidewall is 9'. Higher walls may be used when the design loads are
adjusted accordingly and approved by HUD. .
• Main rail spacing must be 75.5" - 99.5" * Except single sections 95" minimum
• Additional vertical anchor ties that are unique to a home's design may be required by the home
manufacturer=. These locations may include shear walls, marriage line ridge beam support posts, and rim
plates. The longitudinal component of the Xi2 system replaces end frame ties. Check manufacturers
set-up requirements.
• Maximum pier height is 48" pier. *Except for single sections 36".
• Steel piers must be fastened to the I-beam with clamps provided with steel pier.
• Systems must be placed as evenly as possible, no more than 10' from end of home.
• Designed for 7:12 roof slope. *Except single sections, (20" - 4.37 in. 12" pitch).
Additional Requirements for Concrete Systems
• Poured concrete must be 2,500 PSI minimum at 28 days.
Square concrete pads minimum is 18" wide by 12" deep. Round concrete pads minimum is 18" wide by
14" deep. Strip footings minimum is 18" wide by 14' long by 6" deep.
Xi2 components exceed HUD code 3280.306g "Anchoring equipment exposed to weathering shall have a
resistance to weather deterioration at least equivalent to that provided by a coating of zinc on steel of not
less than 0:30 ounces per square foot of surface coating...."
Page 2 of 8 0
�i
. Installation of Xi2 Ground Systems
1. Identify the number of systems to be used on the home using the chart provided.
2. Identify the location where the systems will be installed.
3. Clear all organic matter and debris from the pad site.
4. Place U -bolts through holes in pan provided.
5. Place pad centered under beam with the lateral strut bracket towards the inside of the home.
6. Press or drive pan into ground.until level and flush with prepared surface.
7. Build pier according to State, Local or Home Manufacturers guidelines. (Figure 1) .
8. Attach the end of the smaller tube to the inside of pan using U -bolt & nuts provided
9.. Attach the flag end of the larger tube to the opposite I-beam using the "J" bolt over the top of the I-beam
with the nut & washer provided. (Figure 2)
10. Install a minimum of four (#12 x 1" tek screws) self -tapping screws into the holes provided in the lateral strut so
that the two tubes are connected together. (Figure 1)
1-3/4" tube
J -Bolt Nut & Washer
Lateral Struts 3trut1 (flag end)
°° 1-1/2" Tube
4-#12x1"V.
Tek Screws �:�
Figure I gure 2
U Bolt & mounting
Figure 1 Bracket
°me 31
En
of
N
fram bracket clamps to
:..�;:;t� 11. Installe bra p -beam on in
side of block/pier. Do.not tighten n nuts at this time.
12. Attach longitudinal strut to U -bolt in pan using
_ nuts provided.
13. Insert strut in the frame bracket'clamp, attach with
nut and bolt. Do not tighten at this time.
:.: -•....,..._ :::................o e ....................1.4.:....PuII-the...frame bracket clamp-with'th6 fastened .. _. .
strut outward to remove any slack.
15. Tighten all nuts and bolts on the struts and
�'-- beam clamps.
O
Page 3 of 8
3
0.
• f I I I
.............. OA.
:.,
. Xi2 Ground Parts Detail f
X2 Ground'
m fir..
'Xi2 Ground Lateral System - System
Part Number-;
59306
Includes: 5' Strut, pad & hardware kit
(#59329-1 includes all nuts and bolts).
Longitudinal Hardware Kit
Part Number 59331
�:.
Includes- 2 I-beam brackets &
2 U -bolts with all nuts and bolts.
Lateral and Longitudinal Combination
Part Number 59333 ��` Longitudinal5trut
Includes: 5' Strut, Pad, Longitudinal Strut -
& Hardware Kit
(#59329), Lateral and Longitudinal Hardware
_........ Kit with all. nuts.. -and bolts........... ........__ ....�
Struts for Longitudinal Systems
Part Strut Pier Height ® °
No. Length Up To: ®�®�� ®� ���� Ground Longitudinal
59330-44 44" 4 Blocks or 32° Strut
59330-65 65" 6 Blocks or 48" Ground Longitudinal
Hardware Kit
Xi2 Stabilization Pier Placement for Ground or Concrete
Single Section Home
0 -80' (76' Box) 4 Xi2 Systems
Xi2 Pier Placement
Double Section Home
0 -62' 3 Xi2 Systems''
63' - 80' 4 Xi2 Systems
*2 Xi2 systems can be placed at either end of the home.
Triple Section Home
0 -62' 4 Xi2 Systems
63'- 80' 5 Xi2 Systems
Page 4 of 8
Installation of Xi2 Concrete Systems
1. Identify the number of systems to be used on the home using the chart provided.
2. Identify the location where the.systems will be installed.
3. 'Build.pier according to State, Local or Home Manufacturers guidelines.
4. , Drill �two 3/8"x 3" deep holes in the concrete using holes in galvanized bracket as 65.
a guide. Attach bracket to concrete pad using 3/8"x3-1/2" wedge anchors e... `'
provided. Place nut:& washer on anchor, leave:enough room for 1 to 2 threads
showing on top of bolt. Using.a hammer, tap the wedge bolts into hole through
bracket, leavin.g .nut & washer flush with bracket. Using a 9/16" socket wrench,
tighten wedge/anchor bolt, securing bracket to the concrete. m ,:
5. Attach the end of the smaller tube to the bracket moue_ ted on the pad, using the _
grade 5;112" x 2-1/2" bolt/nut provided.
6. Attach the`ffag end of the larger tube to the opposite I-beam using the "J" bolt over
the to p
......_p.of the &, washer.. rovided... (Figure t.next page).......• ..............:
7. Install a minimum of four (#12 0" tek screws) self -tapping screws into the holes
provided -in the lateral strut so that the two tubes are connected together
8. Install frame bracket clamps ori I-beam on the inside of block/pier.
9. Insert strut in frame bracket clamp and attach with nut & bolt. Attach opposite end to concrete bracket.
10. Pull the frame bracket clamp with fastened strut outward to remove any slack.
11. Tighten all nuts and bolts on system.
Page 5- of 8
DDy{lN
ENGIQEERl1JG
s
LD
0
h
O
O
Z Lateral Concrete Systems
Part.#59307
Includes: 5' Strut, Bracket, & Hardware Kit
#59315-1 with all nuts.and bolt.
Longitudinal Struts for
"Concrete Systems"
Part No.. Length Pier. Height
#59013 44" up to 4 Blocks
#59015 65" up to 6 Blocks
Longitudinal Hardware Kit
Part#59263
(Includes 2 sets per kit: I-beam bracket, nuts,
bolts and washers)
Lateral and Longitudinal Combination
Part #59332
Includes: 5' Strut, Longitudinal Strut (#59364)
Lateral and Longitudinal Hardware `
Kit with all nuts and bolts.
Nut & Washer
Figure 1 Beam Clamp
Bracket
J -Bolt
Lateral
7 7.
Longitudinal
�_.
— — — — — 1 -Beam
Xi2 Installation. Placement
Xi2 Concrete
✓r' yotam
Longitudinal
Strut
me
.end ° ...,
Concrete Longitudinal
Hardware Kit
q
sa
Page 6 of 8
r -
C
LO
O
MMVO
r Offset Placement
Diagrams represent examples of double and triple section offsets. Total size is determined by the
length of unit plus offset.
Xi2 Stabilization Pier Placement for Ground or Concrete
Xi2 Pier Placement
-
I '
I
•
.
i
..... .... .. .. ... ..... .. . + ............:............ .... .: .... ..............
•
i
.. F ....... ......
I
I
I
I i
I
I 1 �
........ ............. ... .
Single Section Home
Double Section Home
0 -80' (76' Box) 4 Xi2 Systems
0 -62'
3 Xi2 Systems`
63' - 80'
4 Xi2 Systems
'2 Xi2 systems can be placed at either end
of the home.
Triple Section Home
0 -62' 4 Xi2 Systems
63' - 80' 5 Xi2 Systems
Page 7 of 8
DO1NN=
ENGINEERING'
Hardware Breakdown
#59329-1 hardware for 59306 Lateral System
1 84533Z
U -Bolt 1/2-13 x 2.63 x 2.19 thread
4 59272-2 Beam Clamp Top Flange
1-3/4 zinc
4 10556
Tek Screw #12 x 1".
1 10631Z
J Bolt 1/2 x 5-1/2 grade 5 zinc
2 10640
Push Nut 112
1 121.07
Flat Washer 1x2" SS
1 10646Y
Hex Nut 1/2-13 grade 5 zinc
2 10519
Hex Nut 1/2" w/ Serr flange
#59331 Longitudinal Hardware for 59306
2 59272-1
Beam Clamp Base
4 59272-2 Beam Clamp Top Flange
8 10926
Carriage Balt 1/2-12 x 1-114
Tek Screw #12 x V
Full Thread
10 10646Y
Hex Nut 1/2-13 grade 5 zinc
2 10801
Carriage Bolt 1/2-12 x 2-1/2
Grade 5 zinc .
Grade 5
2 84533Z
U -Bolt 1/2-13 x 2.63 x 2.19 thread
Full Thread zinc
1-3/4 zinc
4 10640
Push Nut 1/2
4 10519
Hex Nut 1/2" w/ Serr flange ..
# 59329 Hardware
for 59333 Lateral ^and'
Longitudinal
combination
1 59329-1
Hardware Kit
1 59272-1
Beam Clamp Base
2 59272-2
Beam Clamp Top Flange
4 10926
Carriage Bolt 1/2-12 x 1-1/4
full thread
5 10646Y
Hex Nut 1/2-13 Grade 5 zinc
1 10801
Carriage Bolt 1/2-12 x 2-1/2
....... ........
Grade 5 zinc -
1 84533Z
U -Bolt 1/2-13 x 2.63 x 2'.19 Thread
1-3/4 zinc
2 10640
Push Nut 1/2
2 10519
Hex Nut 1/2" w/Serr Flange
#59315-1 Hardware for Lateral System
1 10631Z
J Bolt 1/2 x 5-1/2 Grade 5 zinc
1 12107
Flat Washer 1/2" SS
4 10556
Tek Screw #12 x V
2 .1 0646Y
Hex Nut 1/2x-13 Grade 5 zinc
1 10826
Carriage Bolt 1/2-12 x 3
4 10801
Grade 5 zinc .
#59027 Hardware Kit for 59307 Lateral System
2 59264 3 Way Concrete Bracket
4 10530 Wedge Anchor 3/8 x 3.50
1 59315-1 Hardware Kit
#59263 Longitudinal Hardware for 59307
2 59272-1
Beam Clamp Base
4 59272-2
Beam Clamp Top Flange
8 10926
Carriage Bolt 1/2-13 x 1-1/4
1 59315-1
Full Thread zinc
12 10646Y
Hex Nut 1/2-13 Grade 5 zinc
4 10801
Carriage Bolt 1/2-13 x 2-112
4 10926
Grade 5 zinc
....#59364 Hardware for -59332 Lateral and
Longitudinal
combination
1 59264.
3 Way Concrete Bracket
2 10530
Wedge Anchor 3/8 x 3.50
1 59315-1
Lateral Hardware Kit
1 . 59272-1
Beam Clamp Base
2 59272-2
Beam Clamp Top Flange
4 10926
Carriage Bolt 1/2-13 x 1-1/4
Full Thread zinc
2.....10801........
Carriage. Bolt -.1_/2-.13 x.2-112.
Grade 5 zinc
6 10646Y
Hex Nut 112-13 Grade 5 zinc
Page 8 of 8
FNGIlu$RlNG
LO
0
O
U
V2 Foundatio i
System
Installation Instructions for California
for Ground & Concrete systems
HUD, Wind Zone 19
15 PSS Wind Load Seismic 4
. By Tie Down Engineering-
YU2 Growrid S31,
W Concrete System
`,En
gineer Approval
State Approval
MANUFACTURED HOME/MOBILE BOMB
FOUNDATION SYSTEM
HEALTH AND SAFETY CODE, SECTTON 18551
APPROVED
SUB T.".CT TO CORRECnOSY. Nal—r_D
APPROVAL DOES NOT AUTHORIZE OR APPROVE ANY
OMISSIONS OR DEV1A770N FROM REQUIREMENTS OF
hPPI.iCABLB'STATE LAWS AND REGLILAT10Ng.
State of Colifomie
cfHoueing end Community Davalagrnent
�jVIMU OF CODES AND STANDARDS _
rM
Pan 1 of R
FOUNDATION:SYS,TEM
nCERTIFICATE .OF'OCCUPANCY + ;
BUILDING PERMIT NUMBER: B07-1183
Address or location of unit: 7515 RESERVOIR RD OROVILLE CA 95966
Legal Description of Real Property: 027-100-027
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: BENEDICT, JOHN & DOREEN TRUST
Owner's address: 7515 RESERVOIR RD OROVILLE CA 95966
INSIGNIA OR HUD NUMBER: RAD433517/8
SERIAL NUMBER OR V.I.N.: CAFLJ17AIB08984SW
MANUFACTURER'S NAME: FLEETWOOD HOMES INC YEAR: 1988
OFFICIAL APPROVING INSTALLATION:
DATE: 6/20/2007
PHONE: (530) 538-7541
H.C.D. 513
05/25/2007 12:35 FAX
a
x '
RECORDING REQUESTED BY!
AND WHEN RECORDED RETURN T0:
Michael L Hanka, Esq.
11211 Gold Country Boulevard
Suite 107
Gold River, CA 95670
Mon Tex Strife n To
John & Doreen Benedict
7616 Reservoir RoW
Oroville, CA 96886
la 002
�rr4gg1+�E;—Oi�G�439E�
OffNIAM (hr nrrds rood i 13.0
carte�:`10�fusea
coun
�8£p�s�at�CISCdB 1 �
89ANi89�al-M I pagepInof 3
SPACE ABOVE THIS LME FOR RIMORDER'S USE
TRUST TRANSFER DEED
GRANT DEED mxduded from Reappraiw under Prellleefdw 13, Le- CaM. Const. Art 13 A Seatien 1 at.
seq.)
The undersigned Grantods) declare under penalty of perjury that the following is true and correct:
THERE IS NO CONSIDERATION FOR TMS TRANSFER.
Dowrtentery transfer tax is S -0-
Computed
aComputed on full value of property conveyed or computed on full value late value of liens and
encumbrances remaining at tlrns of sale or transfer,
JL There is no Documentary transfer tax due (state reason iii sive Code Section or Ordinance nunber)
consideration for transfer lase than $100, R&T Glade Section 11911(a].
This is s Trust Transfer under Section 62 of the Revanua and Taxstlon Code and Grentor(s) hat Qnave)
eheaked the applicable exclusion:
JL Transfer to a revocable trusC
Transfer to a short■term not exceeding 12 mare with trustor holding the reversion;
Transfer to a tn,ct where the trustor or the trustor's spouse is 00 solo WW46 M;
_ Charge of trustee holding title;
Transfer from trust to trustor or trustors spouse where prior transfer to trust was excluded from
reappraisal and for a valuable ceneidws6on, receipt of which la acknowledged.
Other:
CAD0C$%81MrCrlttnl TTRANMD=-M7-10?�
It
05/25/2007 12:36 FAX 0003
r
GRANTORS: John Benedict and Doreen Benedict, his wife
hereby GRANT to; John Benedict and Doreen esnediot, as Trustees of the John and
Doreen Benedict 2001 Trust dated August 28, 2001
the fallowing deo nbW rend property in the County of Butte, Stab of CaMrrda:
Parcel 1, as shown on Peroel Map of Lot 21 of Palermo Citrus Tract
Subdivision No. 4, which map was filed in the office of the Recorder of
the County of Butte, State of California, April 7, 1981 in Book 82 of
Parcel Maps, at page 23.
RESERVING THEREFROM a non-exclusive easement for road and public
utility purposes over the North 40.0 feet of sold Parcel 1.
Assessor's parcel number: 027-100.027-000
Commonly known as: 7515 Reservoir Road, Oroville, CA 95966
DATED this 28" day of August, 2001.
HN BENEDICT 4�ELN�SETCT
STATE OF CALIFORNIA }
} SS.
COUNTY OF SACRAMENTO }
On the 281" day of August, 2001, before me, KIM THACKER, the undersigned,
e Notary Public in and for said County and State, personally appeared JOHN
BENEDICT, personally known to me (or proved to me on the basis of satisfactory
evidence) to be the person whose name is subscribed to this instrument and
acknowledged that he executed the same in his authorized capacity, and that by his
signature on the instrument the person, or the entity upon behalf of which the person
acted, executed the instrument.
WITNESS my hand and official seal.
N Public
t C:VXX=99rrWXTd7= TLAHsse: D= - 027a00•m7ao0
i•
2
!ON TW1CitER
g/ w PV%Nto t�ii�l'fY
�Omank>rp.� 1.�
05/25/2007 12:36 FAX
Z 004
STATE OF CALIFORNIA }
COUNTY OF S&�g&M& O ) SS
On the day of "�MIt�A1L� 2001, before me,
ftT & L. Fht6jK , the undersigned, a Notary Public In and for said County and
State, personally appeared DOREEN BENEDICT, personally known -to me (or proved to
me on the basis of setiefaotory evidence) to be the person whose name is subscribed
to this instrument and acknowledged that she executed the same in her authorized
capacity, and that by her signature on the instrument the person, or the entity upon
behalf of which the person acted, executed the instrument.
WITNESS my hand and official seat,
L
Notary Public
c,U)0=8VM01Cr?MU8r nM • 3
HAWS
cc #121M
05/29/2007 11:57 FAX [a 002
STATE OF CALF -00111 WBUSIMS5 TRANSPORTATION AND HOUSING AOENCI' ARNOLD BMWARZENEGCAK Gwer
DEPARTMENT OF HOUSING AN ")MNUNITY DEVELOPMENT >�o
r 'v • �� Dmon of Cada and Sumin As
�r W
Title Search o
E
Data Printed : 05/22/2007
Decal #:
LAM3891
Manufacturer.
09534 FLEETWOOD HM INC
Tradename:
SANDALWOOD
Model:
4663L
Manufactured Date: 04/18/1988
Registration Exp:
First Sold On:
05119/1988
Serial Number
CAFLJ17AO8984SW
CAFLJ17BOB984SW
Registered Owner:
HUD Label / lnsigni
R AD433517
RAD433518
Use Code:
Original Price Code:
Rating Year
Tax Type:
Last ILT Amount:
Date ILT Fee Paid:
ILT Exemption:
Length
66'
66'
DOROTHY ASHELTON
7650 RESERVOR RD
OROVILLE, CA 95966
Last Title bate: 06/24/1988
Last Reg Card: 06(2Q1988
SaWTraushr Iaro: Price 540,140.00 Transferrcd on 0511911988
Situs Address:
7515 SITE YO RD
PALERMO, CA 95%8
Situs County: BUTTE
Legal (Wner:
BANK OF AMERICA
11090 WHITE ROCK RD
RANCHO CORDOVA, CA 95670-6001
Last Intle Date; 06/2411 9 8 8
Lim PeAected On: ON2711988'09;10;00
Title Searches:
FIDELITY NATIONAL T)TLE
455 ORA DAM BLVD SUITE A
OROVILLE, CA 95965
Title 1Fae No: 109517
••' END OF TITLE SEARCH ***
V
SFD
ALD
LPT
111*N14
Width
141
14'
I
05/29/2007 11:58 FAX Z 003
$TATE OF CALOORMA. WME",1RA"POWMICH AND HOUSING AGO CY 's—ow SCKWARENEGGM *QVww
DEPARTMENT OF HOUSING AN amm5 liy DEVELOPMENT
® Registration and Tl* g . a `�
P.O.a"1sn
Socwrw toy CA OU12.1820 4�
C
FIDELITY NATIONAL TITLE
455 ORO DAM BLVD SUITE A
OROVILLE, CA 95965
May 22, 2007
File #: 109517
Decal #: LAM3891
ID #: CAFU17AO8984SW
Make: SANDALWOOD
Your We search request for the above described manufactured home/ commercial modular has been
received. The attached title search reflects the status of this record as of the date of this notice.
RESIDENTIAL
- z I11
F27-100-27 057-89B
DICT, John
i 7515 Reservoir Rd, Oroville
(deck)
}
Coe, NOT-IC17
.,3
a
JOB FI
Sign
r
J=OK
O = Not OK - k.
-=Not Applicable
Not Ready MOBILE HOMES MISCELLANEOUS
=
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-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: / /" L"ft.
/ /"Nat. or/' /" L"ft./ /"LPG
7. Utility Clearance
f
t
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. Exits; Insp.-Sketch
10. Cert. of Occupancy
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date 'DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors
Shthg: Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. 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 Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes-Enclosures- Pane Iboa rds-Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
V OK
O = NoJ/OK
= Not Applicable
' = Not Ready RESIDENTIAL (Single
& Duplex)
Date
UNDERFLOOR (Plans) OK except #'s
Date FRAMING (Continued)
1. Zoning -Setbacks -Easements -Flood -Slope
45. Hangers -Post Caps -Anchors -Connectors
2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng,
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
5. Stemwalls, Main; Steel -Bloc kouts-Wrapped
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
50. Garage Fire Protection Framing
6a. Hold Downs and Special Anchors
51. Property Line Firewall & Openings
7. Slab; Steel -Wrapped
52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits
8. Piers -Fireplace Ftg.-Steel
53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
10. Gas Pipe; Size -Anchors
55. Siding -Nailing Veneer
11. Water Pipe; Test -Anchor -Regulator -Service Test
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
12. Electric; Underground
57. Glazing Area -Glass Protection -Skylights -Plastic,
13. Pienums & Ducts; Clearance -Material -Support -Ins.
58. Shear Walls; Nailing -Bolts
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
59. Insulation -Walls -Ceilings
15. Insulation
60. Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
Date Card B-1 Date Card B-1
16. Water Htr.; Vent -Access -Combustion Air -Baffle
Date FINAL (Plans) OK except #'s
17. Water Pipe; Test & Anchor -Nail Protection
61. Ext. Steps -Door & Sidelight Protection -Landings
18. O.W.V.; Test -Fittings & Anchor -Nail Protection
62. Smoke Detector
19. Shower Pan; Test, First Floor -Tub Access
63. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
20. Test Tub & Shower, Second Floor -Tub Access
21. Gas Pipe; Size & Anchors
64. Bedroom Exiting
65. G.F.I. & Bath Fixtures & Tub Access -Spa
Date
Card B-1 Date Card B-1
66. Elec. Trim & Subpanel; Breaker Sizes & Labels
Date
Card B-1 Date Card B-1
67. Stairs & Rails
Date
ELECTRICAL (Permit) OK except #'s
68. Fireplace or Stove; Clearances -Hearth
22. Fixture & Transformer Clearance -Ins. Protection
69. Elec. Outlets at Wood Panel; Int. & Ext.
23. Elec. Receptacles Spacing -Lights & Switches at Doors
70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
24. Size Boxes & No. of Conductors -Stapled
71. Elec. Outlets & Receptacles at Kit. Counter
25. Romex Installed Close to Edge of Studs & C.J.
72. Garage Fire Door; Swing -Landing -Closer
26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water
73. A.C. Duct in Garage -Damper
27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI
74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage; Above Floor-Mech. Protection
28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga.
Cu or Al
75. Plb., Elec. & Mech. Equip. Listed for Location
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral ❑ Yes ❑ No
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection
77. Insulation -Foam -Looked in Attic ❑ Yes
30. Service -Riser Conductors & Ground -Main Disconnect
78. Guard Rails & Deck Construction -Post Caps
31. Equip. Clearances Panels-Motors-Mech. Equip.
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor 0 Yes
32. Clothes Closet Light -Shower Light -Spa Light
33. Smoke Detector
80. Following instld.; Drive 0 Yes O No; Walks ❑ Yes ❑ No;
Planters ❑ Yes iJ No
Date
Card B-1 Date Card B-1
81. Stucco; Brown -Finish
Date
Card B-1 Date Card B-1
82. A.C. Unit; Disconnect, Electrical, Plumbing
Date
MECHANICAL (Permit) OK except #'s
83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to
Openings
34. A.C. Ducts Insulation & Support
84. Water Well; Disconnect, Electrical, Plumbing
35. Vent Fan; Exhaust above insulation
85. Exterior Elec. Trim; G.F.I. Receptacle -Underground
36. Condensate Drain & Overflow; Size & Grade
86. Ventilation Throughout House
37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet
87. Glass Protection
38. Attic Access & Platform if Furnance in Attic
88. Corrections from Previous Inspections
89. Gas Test -Meters Tagged; Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HD Approval
Date
Card B-1 Date Card B-1
91. Energy Compliance Certificate -Other Certificates
Date
Card B-1 Date Card B-1
Date
FRAMING (Plans;, OK except #'s
Date Card B-1 Date Card B-1
39. Sils, Proper Material & Anchors
Date Card B-1 Date Card B-1
40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
Date Card B-1 Date Card B-1
41. Bearing Walls over Girders & Floor Nailing
Comments at Final:
42. Draft Stop in Walls (rat proof)
43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
44. Headers & Beam -Size & Bearing
each time you visit job site)
(NOTE: An entry must be made
r _
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751 - v
�• 7 County Center Drive, Oroville — Phone: 538-7541
` 747 Elliott Road, Paradise — Phone: 872-6307
CORRECTION NOTICE
Fm
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.
`" Date y/_�� Inspec
v
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - AroVille,"Cafifornia 95965 - Telephone: 916/538-7 41.
APPLICATION AND PERMIT J
ASSESSOR PARCEL NUMBER-7
dL� -/" - a
ZONI G
� 5
BUILDING PERMIT
OWNER T
N��G�
4�! 0
TELEPHONE
SO. FT. OC/C. BUILDING VALUATION
D G 7 vv
OWNER MAILING ADDRESS
-751-5 fl -656P -001E
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $ a,
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$ ,
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.SUBDIVISION
NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome❑ Other ID
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S G W
0.00e
TYPE OF WORK
New ❑ Addition X Remodel ❑ Utilities ❑ Installation[] Other ❑
Describe work: C- _
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP ORV OR LESS10.00
Main service EA. ADD'L too AMP
2.50
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.SINGLE
ense No. Classification
X1,
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 CONST. ( DWELLING OCCUP.1k
OR ADDNS. `ACC. BLDGS.
, /z2sgft
NEW CONSTRESID. RANCH TLET
NON•R ESID BRANCH CIRC ITS
CIRCUITS)
2.50 ea
POWER APPARATUS &)
OUTLET CIR.
EX. OCCU poUTLETS OR FIXTURES
Zoeaeoe30
aAl
EX. Occup. OUTLETS ((RESID )R EA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
9
15.00
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
I Consent to Self -Insure.
tJ ' shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
9
Hood
3.00
Ventilation.
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws.'relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon a e -mentioned property for inspection purposes.
I also agree to e, 'nWndrmless the County ofButte against
liabilities, u enses which may in any way accrue
said granting of this permit.X
Date
Signature of tpplicant — Owner ❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0” deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONSTTYPE
,J
TOTAL FEE $ ��7
HAz
cuA PARK
_„�against
SCHL
FLD
PAR
PDVi-
HD suall
This permit is hereby issued under
sions of the Butte County. Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
By
PER EXPIRES Date _
the applicable provi-
resolutions to do
have been paid.
WORKS
Date /" 3—
Receipt No. 5y [ 3.d
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEP
BLIC WORKS - BUILD
A
7 COUNTY CENTER DRIVE - ORD ILLE,CAOFORNIA 95965 - TELEPHONE: 916/538-7541 p•
PERMi'nAPPLICATION DATA SHEET
ON
y
Permit No.
OWNER S N Gl7i r -7' . 76 h, n) '"'r A. P. No. a7 - /Ob-
Proposed Building Use Building Inspector Date
At time of permit application, I was advised the following data must be;submitted prior to permit processing and/or issuance:
DATE RECEIVED APPROVED
1. All items have been submitted....................11 ................
2. Plot plans in duplicate/triplicate, signed by preparer of plans........
3. Complete plans in duplicate/triplicate, signed by preparer of plans
4. Complete engineered plans and calcs, with wet signature on plans ..
5. Hazardous Material Form ..........................................
6. Energy Design Compliance and supporting documentation .
7. Statement of Intent for Non -Heated and AC Buildings ....<;.! .......
8. Engineered truss details and layout in duplicate (required prior to plan check) z,
9. Mobilehome installation data including manufacturer's installation
instructions.......................................................
10. Fees of $ ........................
11. Chico Urban Area fees paid .......................................
12. Park fees paid ....................................................
X13. School District fees paid ..............
:44. Sanitation approval from 0q0 - Health Department g -,F9
15. City of Chico plumbing permit :....................................
16. Plot plan and business license approval from City of
(see City for other requirements)
17. Planning approval for (A) Use: (B) Parking: ......
18. Improvements may be required. Contact Land Development Section.-DPW.f
19. Driveway permit (construction approval required prior to occupancy)
20. Pre -Inspection for required- .. Pre-inspec. request to
Building Inspector (Date)
(21. Contractor's license information (No., Name Style, Classification) ...
22. Certificate of Workmans Compensation Insurance ..................
23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .. '
24. Recorded copy of Agricultural Acknowledgment Statement ......,...
25. Letter of signature authorization ................... l..............
26. 4..,.
27.
When you issue the permit, process as follows: �C� Mail to owner. * Mail to contractor.
Telephone and hold for pickup at ffice. Deliver w/inspector.
Other
Applicant Date%��� tS7
Copy of plans sent Health Dept., Fire Dept., Other Date
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by_phone--jnaiI—counter by date
Contractor, designer, owner, was advised of above required data by—phone %mall_counter by date
Plans checked by Date Plans approved byl)
12� Date
Sets of plans on hold in . File cabinet AP folder
Copy—DPW
TO Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
Iz
Owner Location AP#
f
Pan Approved for:
Hold final for:
Final clearance O.K. for:
Sewage Disposal_
Clearance for bedroom mobile home. Other
Water Supply
Water Supply
Water Supply
NOTE ***
/_9" LwAf
e
Date
JOB
ESTIMATOR PAGE OF
ESTIMATE \
ESTIMATING
SUMMARY DATE
NOM
I.D. NO,
OPERATION
.; CREW
CREW PER HR TOTAL
—' _ TOTAL
�� �' GREW COST
TOTAL
PROD.PER .
UNIT
COST
LABOR
�'
EQUIPMENT
TEICHERT
'MATERIALS
OTHER
MATERIALS
-
SUBCONTRACTOR
-
&RENTED
EQUIPMENT,
TOTAL
BID
QUANTITY
TAKEOFF
QUANTITY
PRODUCTION
PER CREW HR. ''
TOTALS
CREW HR-
M. HRS
EQ. HR.
M./HR. Imo'
-i
�EO,/HR.
LAB.
EQ.
•.:d'
'v. 1 r
�( t '
..
'
s
r
I
C�
J
v
F.
OFFICE COPY i
I
Address I
GAS
Meter By Date I
Temp. Power Pole
ELECT„
Meter By Date
Called POSE --- --- — - -
Temp. Elec. Se.
Called PG!
Temp. Gas Sen
Called PGd
JOB FINALED
Signature
= OK
'0 = Not OK
=.Not Peadyable MOBILE HOMES MISCELLANEOUS
!�
Date
MOB E HOME UTILITIES (Plans) OK except #'s
Date
DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s
o -ping Requirements -Setbacks -Easements
1. Zoning Requirements -Setbacks -Easements
12"Soils; Special MH Support -Sketch
.
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
Sewer; Location -Test -Fall -C/O -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
..Water; Location -Test -Easement Needed (Sketch)
4. Wood Awn.; Posts- Beams-Rftrs.-Connec.-
Shthg.-Rfg.-Bracing
f-zf Electricity; Location-Clearances-Grnd P /Nmp-Concrete
.Z
/
6. Gas; Location -Test -Wrap: / /"L"ft. Iaz
/, /"Nat. or/ ZVL"ft./ LPG
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
��/ j--
. Utility Clearance
7. Elec.
8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
Card -B1
Date'/-a,jj Card -B1 Date
10. Roof; Shthg-Roofing
Card -B1 6k2 Date - 134,Card-61 Date
11. Ext.; Steps -Doors -Landings
Date
O)31LEHOME INSTALLATION (Plans) OK except #'s
. Zoning Requirements -Setbacks -Easements
Card -B1
Date Card -B1 Date
UZ. F tl`ngs; Size -Spacing -Marriage Line
Card -B1
Date Card -B1 Date
as; MH Test -Deman - alveJ onnectdr
G4. glectricity; MH Test -Crossovers -Breakers -Clearances
r Date
POOLS (Plans) OK except #'s
Dain; MH Test -Fall -Flex Connector
j
1. Setbacks -Easements
Card -B1
Card -B1
v . Water.; MH Test -Regulator -Connector
4-rWaier and Sewer Connected -C/O to Grade -HD Approval
as and Electricity Tagged _
s; Insp.-Sketch
Cert. of Occupancy
Dat " and -B1 Date
Dat�T,20 Card -B1 Date
,
1
{
i
Card -B1
Card -B1
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness-
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date Card -B1 Date
Date Card -B1 Date
= OK=s
= N kAp RESIDENTIAL (Single and Duplex)
= Nm+AApplicable
= Not Ready
Date
UNDERFLOOR (Plans) OK except #'s
Date
FRAMING (Continued)
1. Zoning requirements -Setbacks -Easements
44. Hangers -Post Caps -Anchors -Connectors
2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
45. Cing. Joist-Rftr. Ties-Purlin-Root Brac.-Truss-Shthng.-Rfng.
3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth
46. Fireplace Ties or Type A Flue -Fireplace Throat
4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth
47. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
5. Stemwalls, Main; Steel-Blockouts-Wrapped
48. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
49. Garage Fire Protection Framing
7. Slab; Steel -Wrapped
50. Property Line Firewall & Openings
8. Piers -Fireplace Ftg.-Steel
51. Ext. Doors -One T -Check Garage -3rd story, 2 exits
9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test
52. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
10. Gas Pipe; Size -Anchors
53. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
11. Water Pipe; Test -Anchors -Regulator -Service Test
54. Siding -Nailing Veneer
12. Electric; Underground
55. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access
13. Plenums & Ducts; Clearance- Material -Supprt-I ns.
56. Glazing Area -Glass Protection -Skylights -Plastic
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
57. Shear Walls; Nailing -Bolts
15. Insulation
58. Insulation-Walls-Clg.
59. Infiltration-Walls-Wndws
Card -131
Date Card -81 Date
Card -131
Date Card -81 Date
Card -131
Date Card -B1 Date
Card -B1
Date Card -B1 Date
Date
PLUMBING (Permit) OK except #'s
16. Water Ht. Vent -Access -Combustion Air
Date
FINAL (Plans) OK except #'s
17. Water Pipe; Test & Anchors -Nail Protection
60. Ext. Steps -Door & Sidelight Protection -Landings
18. D.W.V.; Test-Fttngs & Anchors -Nail Protection
61. Smoke Detector
19. Shower Pan; Test, First Floor -Tub Access
62. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
20. Test Tub & Shower, 2nd Floor -Tub Access
21. Gas Pipe; Size & Anchors
63. Bedroom Exiting
64. G.F.I. & Bath Fixtures & Tub Access -Spa
65. Elec. Trim & Subpanel; Breaker Sizes -Labels
Card -61
Date Card -B1 - Date
66. Stairs & Rails
Card -81
Date Card -131 Date
67. Fireplace or Stove; Clearances -Hearth
68. Elec. Outlets at Wood Panel; Int. & Ext.
Date ELECTRICAL (Permit) OK except #'s
22. Fixture & Transformer Clearance -Ins. Protection
69. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance
23. Elec. Receptacles Spacing -Lights & Switches at Doors
70. Elec. Outlets & Receptacles at Kit. Counter
24. Size Boxes & No. of Conductors -Stapled
71. Garage Fire Door; Swing -Landing -Closer
25. Romex Installed Close to Edge of Studs & C.J.
72. A.C. Duct in Garage -Damper
26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
73. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
27. 2 Appliance Circuits in Kitchen &Conductor Size
74. Plb., Elec. & Mech. Equip. Listed for Location
28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga.
Cu or Al
75. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
29. Range Circ. J / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral Yes No
76. Insulation -Foam -Looked in Attic 11 Yes
77. Guard Rails & Deck Construction -Post Caps
30. Service -Riser Conductors & Ground -Main Disconnect
78. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor O Yes
31. Equip. Clearances Panels-Motors-Mech. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
79. Following instld.; Drive O Yes O No; Walks 0 Yes O No;
Planters ❑ Yes ❑ No
80. Stucco; Brown -Finish
Card -131
Date Card -B1 Date
81. A.C. Unit; Disconnect, Electrical, Plumbing
Card -B1
Date Card -81 Date
82. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to
Openings.
Date
MECHANICAL (Permit) OK except #'s
83. Water Well; Disconnect, Electrical, Plumbing
33. A.C. Ducts Insulation & Support
84. Exterior Elec. Trim; G.F.I. Receptacle -Underground
34. Vent Fan; Exhaust above insulation
85. Ventilation throughout House
35. Condensate Drain & Overflow; Size & Grade
86. Glass Protection
36. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet
87. Corrections from Previous Inpections
37. Attic Access & Platform if Furnace in Attic
88. Gas Test -Meters Tagged; Gas -Electric
89. Water & Sewer Connected -C/O to Grade -HD Approval
90. Energy Compliance Certificate -Other Certificates
Card -131
Date Card -131 Date
Card -131
Date Card -61 Date
Card -131
Date Card -B1 Date
Card -B1
Date Card -B1 Date
Date FRAMING (Plans),OK except #'s
38. Sills, Proper Material & Anchors
Card -81
Date Card -61 Date
39. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
Comments at Final:
40. Bearing Walls over Girders & Floor Nailing
41. Draft Stop in Walls (rbt proof)
42. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
43. Header & Beam -Size & Bearing
(NOTE: An entry must be made each time you visit job site)
e`
MOBILEHOME INSTALLATION ACCEPTANCE
E COUNTY OF BUTTE
y' DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE
OROVILLE, CALIFORNIA — 534-4541
PERMIT N0. I';����
11 Address or location of tmobilehome / ���_ ��� to- n
}' Owner's name
A
s ,% J
Owner's address
Insignia or hud number 43 3 1 _
Manufacturer's name `
Serial number of V.I.N. R9 `i Ti -R Year of manufacture
(O ficial Apprgving Installation) (Date)
IF THE MOBILEHOME IS MOVED OR RELOCATED,`�TsHE MOBILEHOME INSTAiLLATION
ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALLNUIT\BE"USEDIWHEN THE
MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM.
513B White - Owner, Yellow - Installer, Pink - D.P.W
MOBILEHOME INSTALLATION ACCEPTANCE
( COUNTY OF BUTTE
` DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE
OROVILLE, CALIFORNIA — 534-4541
ry M
PERMIT N0. `
Address or location of mobi lehome
Owner's name'
Owner's address
Insignia or hud number
Manufacturer's name
Serial number of V.I.N. Year of manufacture
(Official Approving Installation) (Date)
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.
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 -County Center Drive, Orovi Ile — Phone: 538-7541
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
P
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
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 538-7541
747 Elliott Road, Paradise — Phone: 872-6307
CORRECTION NOTICE
T NO.
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 t/ r
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 538-7541
747 Elliott Road, Paradise — Phone: 872-6307
CORRECTION NOTICE
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
Inspector
Date
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS pEyM N ,�
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541.
APPLICATION -AND PERMIT
ASSESS O PARCEL NUMBER
L 0 _ Z
ZC
BUILDING PERMIT
OWNER
TELE HONE
SQ. FT. OCC. BUILDING VALUATION
���SD%tS , VLcU,,��1G���I�eu.:e
OWUD$tESs—� Ile
/~i-Y�(-'
CONTRACTOR[ S,NAM
TELEPHONE
CONTRACTOR'S M [LINDA DRESS "
fci
Fireplace
CONSTRUCTION LEN F�3
W
UNKNOWN
Total Valuation Is
Filing Fee
$ -
E
LENDER'S MAI LI A;ODD E / l
Permit Fee
$
ARCHITECT OR E��N/GIN
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR E,N INEER'S AI ING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee 5
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT O.
SU [VISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S G W
0.00ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities Installation❑ Other ❑
Describe work:
4
o —
L I
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service e0ov OR LESS 100 100 AMP OR LESS
Main service EA. ADO'L 900 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
ElNON.RESID
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.
cerise No. Classification
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ 1 am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.EI\
OR ADDNS. ACC. BLDGS. //
1/20sgft
NEW CONSTR [.OUTLET
BRANCH CIRCUITS)
2.50 ea
POWER APPARATUS tr
SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
z
eAL9wL03030
Ex. OCCUp. OUTLETS P(RESID )FIXED ALNS. REAJ
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
9
15.00
Permit Fee
$
Contractor
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
o nsent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement,. should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
Hood
3'00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to e, i demnif and keep harmless the County of Butte against
all liabilitie d o S.d penses which may in a y way accrue
against sai ou I qu ce the granting of this p rm' .
Date
Signa re of Applicant – Owne Contractor ❑ Agent ❑
An SHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories i height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE. $ '
OCCUP.
CONST.TYPEJ
SCHOOL
.�
PLoO ARCH P
ND 139U
his permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIREC R OF PUBLIC
By
P IT EXPIRES Date -
the applicable provi-
resolutions to do
fees have been paid.
WORKS
DateNIT[-D.P.W..
-'/— 1 l`^�
[Receipt No./
YHLLO W-ASD[SSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
C
; r r r.�Yv ..-"r;;,: jy���r�`;Fr•'A;•.;,t✓lL�k4h ;.;1++ �4. .,..'y'3., {+ .sr •,� ,..A....F�.. r'',.. .r' .-
µ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION —^-
? 7 COUNTY CENTER DRIVE - OROVILLECAE�FO IA 95965 - TELEPHONE: 916/538-7541 �
PERMMAPPLICATIA DATA SHEET
I Permit No.
OWNER
Proposed Building Use
P.. No. O%
Building Inspec.tot°.�'i9 Z/1"/ Date
At time of permit application, I was advised the following data must be submitted prior to permit processing
and:/or issuance: DATE RECEIVED APPROVED
1. All items.have been submitted. . . . . . . . . . . .
2. Plot plans in duplicate./triplicate; signed by preparer of plans. .
3. Complete plans in duplicate./triplicate, signed by prepare of plans.
4. Complete engineered plans and calcs, with wet signature on plans.
5. Plans with Energy Design Compliance Statement. . . . . .
6. School District "Fees Paid" Stamp on Floor Plan.
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ , , , , , , , ,
9. Letter of signature,authorization. . . . . . . . . . .
10. Sanitation approval from Health Dept. . .
11. Planning approval for (A) Use: (B) Parking:
12. Certificate of Workmen's Compensation Insurance. . . . . .
13. Contractor's License Information (no., name style, classif.)
14. Owner -Builder Verification (Given to owner[], Mail to owner ❑,)
_15. Improvements may be required. . . . . . . . . . . .
16. Mobilehome Installation Data. . . . . . . . . .
7Pre-Inspection
Pre-Inspec. request to <A(Date
7. rfor Required. Building Inspects
f Recorded copy of Agricultural Acknowledgment Statement.
19. Driveway Permit.
20. Plot plan approval from city of
21. Engineered trusses in duplicate (required prior to plan check).
22.
Whe you issue the per it p ocess as follows: Mail to owner, Mail to contractor.
7
Telephone s� C 7� and hold for pickup a60 office, Deliver w/inspector.
Otherell
s //
Applicant
i
Copy of plans sent Health Dept., Fire Dept., Other Date
The following data must be submitted prior to permit issuance: (Circle new item not checked above):
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by_phone---nail—counter by date
Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date
Plans checked by Date Plans approved by �,e�Q Date '� ��✓
Sets of plans on hold in File cabinet AP folder
Copy—DPW
TO Buildino Department
FROM: Environmental Health
SUBJECT:. Sanitation Clearance
G5, (I r 2:2 -&-0 1
Owner Location, AP#
Plan Approved- for: Sewage Disposal Water Supply
Hold final for:
Final clearance O.K. for:
Clearance for _ bedroo obil home.
NOTE * * *
Other
Water Supply,
.Water Supply
Sanitarian Date
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An 'owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
1. I personally plan to provide the major labor ander als for construction of
the proposed property improvement (yes or no) ? .
2. -I (have/have not) 4 -pe _ signed an application for a building permit
for the proposed work.
3.
I have contracted with the following person (firm) to provide the proposed
construction:
Name
Address I I City
Phone Contractors License No.
4. I plan to provide portions of this work, but I have hired the following person
to coordinate, supero s , and provide the major work:
Name u i �--�
5.
Sign
Address / City
Phone Contractors.License No.
I will provide some of the work but I have contracted (hired) the following
persons,to provide the work indicated:
Name Address . Phone Type of Work
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to,our office before we are per-
mitted to issue the permit.
A
Re urn 10 DPW
AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT
FOR RESIDENTTAL DL'VEL0PMI:,NT
RECORDED BUTTE COUNTY
Sectioit 26-8.1 of the . Butte County Code
requi.res, Lh:is acknowledgemenL be recorded `
prior to .issuance of a building permit. •
The properly described herein is adjacent
Lo land or included within an area zoned
for agricultural purposes, and residents
of Lhis property may be subject to incon-
ven:ienc:es or discomfort arising from the
use of agricultural chemicals, including,
b u L noL limited to herbicides, pesticides,
and ferl.i.l.irers; and from the pursuit
Of agr:icu.l tural operations including,
but. not 1.imi ted • to cult i.vaLion, plowing,
spray"ifig, pruning, and harvesting which
I'M APP 14 PM 2. 2 9
CAVI JN GL J. tJ 0utJJ
CLERK -RENDER FEE
88-11%05
U
Page
or.casaonally gener.aLe' dusL, smoke, , noise, and odor. Butte County hds:esLabl:i.shed ;ti{ric•ul-
Lura1 zones which have as a priority use for productive agricultural purposes, and residr•ul s
wiLh.in said zones and on adjacent property should be prepared to accepL such i.nconvc.•nic,nc-c•
or disconfor.m from normal, necessary .farm operations.
All that real. -property situate in the County of Butte, State of Cal.iforni.n, dc•srribrd ;;s
(, o.l.l.ows :
Parcel 1, as shown on Parcel Map of Lot 21 of Palermo Citrus Tract Subdivision.
No. 4, which map was filed in the office of the Recorder of the County of Butte,
State of California, April •7, 1981 in Book 82 of Parcel Maps, at page 23.
RESERVING THEREFROM a non-exclusive easement for road and public utility
purposes over the North 40.0 feet of said Parcel 1.
Date: ;3a
SLat.e of
SS
County of
On
the
this the day of� 12&_ , 1.9 O /�
undersigned Notary Public, personally appeared
0 /c 7 -
Personally known to me. 0 Proved to me on the basi:;
of sat:is l acL.ory evidence.
OP.;CIAL SEAL be the person(s) whose name(s) 0V— 157
8 ��_ [1 11 %L1' C. S1N9PSOtd tbscribed to the wi.Lh:i.n :instrument and acknowledged Lh;it
tee. J: rtornr;vF'uiCCin cnuCuty �cecuted the same for. the purposes Lhere.in contained. IN WI'I'NI-X`
fnr,cipal C?lice in BUTTE County
t,wl EREOF, I hereunto set my hand and of ficial seal.
-,a:::• I,Sy Cc}r.�ass;�n Expires t`tttr. 29, 1989
before Im"
Present A.P. No. -277
, 16).—�2
G,
Notar PuhIic
AP #
OWNER h_ �`P/V1 iC't
PERMIT'fk
MH UT IL . CLEARANNCCE DATE
INSPECTOR 0- , ga&—
I/
ELECTRIC
GAS
Support
Struc.
Compaction
lTest-Req.
Service
Size
Other
Load
T e
Pipe
Size
Length
YES NOI
YES NO
3`�
Z
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
ZONG
5
BUILDING PERMIT
OwN R
X
TELEPHONE
L _
J�.
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAI LIN A DR SS
�Sf VOR l
CONTRACTOR'S NAM
f u.All 25-
TELEPHONE
- /
CONTRACTOR'S MAILINGA DRESS
Y STGT A4 e17-1/ 616 6 'eZ
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ Qu
Energy Plan Checking Fee
$
ARCHITECT OR ENGINE R'S AILING ADDRES
D Lf� , �-`
Penalty
$
BUILDING ADDRESS/
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
C
SUBDIVISION NAME
1R911-,1e1y),Q.fAC
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome[V]/ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
0.00 ea
TYPE OF WORK
New E-1 Addition❑ Remodel El Utilities❑ Installation (Vl Other ❑
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100v OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the BuslnesS
and Professions Code and my license is in full force and effect.
��// J/
License No. ��r�%��.� Classification... �[o�
❑ 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 CONST. / DWELLING OCCUP.8d ,/2¢sgft
OR ACDNS, (ACC. BLDGS.
NEW CONSTR.MULTI-OUTLET
NON•RESID BRANCH CIRC ITS 2.50 ea
(POWER APPARATUS e)
SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES SAL20@@30
BALD 30
Ex. OCCup. OUTLETS P(RESID.)FIXED ALNS REA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. bYirin g 15.00
Permit Fee $
WORKMEN'S COMPENSATION lJ4SPRAnCE n '
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
Ate, I have placed on file with the County of Butte Building Department
�1 a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
g
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify,and keep harmless the County of Butte against
liabilities, judgments, costs, and expenses which may in any way accrue-
against id County in c se ence of the granting of this permit.
X BGG - �/ ��7
Date
Signature of Applicant —V OW ❑ Contractor ❑ Agent ��
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee .$ DO
Energy Inspection Fee $
TOTAL PERMIT FEE $
Occup.
CONST,TYPEJ
JF.J_PARCELf
PDall
-■
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
CT OF P
BY /
PERM T EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
C WORKS
Date
/�
/ "
Receipt No.
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF CUTTc
pEPT. OF PUBLIC WORKS
Y, 161988
r 'r .. .... ... n . .rx;" t;e ?n, �� � j.8r�f.,�')ia�:r�.''�'�.�.""`^y'�-�r�ti....+�. ��-.r .....�•..r..`..�.�- 3..-� �.�. ' �..t � '
COUNTY OF BUTTE - DEPARTMENT OF PUBLICS WORKS - BUILDING DIVISION' 't
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-75,QsY/
J f .
PERMIT APPLICATION DATA SHEET
Permit No. n
OWNER �L1 �� rn e f A. P. No. .0 1 D "D. /
l
Proposed Building Use M.t�• .I -n ������ Building Inspector P_�S Date �I o
At time of permit application, I was advised the following data must be submitted prior to permit processing
and:/or issuance: DATE RECEIVED APPROVED
1.
2:
3.
4.
5.
6.
7
8.
9.
10.
11.
12.
13.
14.
18.
19.
20.
21.
22.
All items.have been submitted. . . . . . . . . . . .
Plot plans in duplicate. /triplicate, signed by preparer of plans.
Complete plans in duplicate./triplicate, signed by preparer of plans.
Complete engineered plans and calcs„with wet signature on plans.
Plans with Energy Design Compliance Statement. . . . . .
School District "Fees Paid” Stamp on Floor Plan.
Statement of Intent for Non -Heated and AC Buildings.
Fees of $ - . - - - - -
Letter of signature authorization. . . . . . . . . .
Sanitation approval from Health Dept. . .
Planning approval for (A) Use: (B) Parking: .
Certificate of Workmen's Compensation Insurance. . . . . .
Contractor's License Information (no., name style, classif.)
Owner -Builder Verification (Given to owner❑, Mail to owner ❑-)
Improvements may be required. . . - . . - - . - -
Mobilehome Installation Data. . . . . . . . .
Pre-Inspec. request to (Date)
Pre -Inspection for Required- Building Inspector
Recorded copy of Agricultural Acknowledgment Statement.
Driveway Permit. R
Plot plan approval from city of
Engineered trusses in duplicate (required prior to plan check).
When xou issue the ermiit, proce s as follows: Mail to owner, Mail to contractor.
---!L--Telephone (�t%3—� and hold for pickup atlJ�office, Deliver w/inspector.
Other
Applicant 124 Date
Copy of plans sent Health Dept., Fire Dept., Other Date
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
ontractor designer, owner, was advised of above required data by—Zphone--nail—counter by date
Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date
Plans checked- by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy—DPW
N L. C Ort HL+? Or tOT l o
KR t,7 "AO3 BL t1fj3rrw Moi r /+ez27(M)
io jy:',r_10---►"BYO s`s. so'oot —/iet oo'/�i —_tea CC
tc.L lao+� 1 `•� Ja�•3l y
o
�fW t
30 AELO[J —
ro jwrTE cwmrr
Pt.2 er,%d2%pc
PA.
A
io
-d
L
h
N
0
�ut4s �
R4eCEL 2
44
C rs
b Sha\\
be o /
P C! fie, e$c
tor��\eh°
' v r�VIN the ° d o� `N ��� e{�� °k g
I O a\C O fc
� ire t°aa /oaoo taACr,c o/
h� ha o°,me..
"0
E` sEre Uc �c /
obi\e
. .
994 33 / �... .� 384 33
t �eq*36 00'£ /+ I27r:�^
vo
This set of plans' and specificrKins MUST ye/
Aept-on the;r,6 at qH f r,es an'd itis unlawf,, to
ri�alce any changes °r al+era+ic 11 on same w/- out
written permissiron from the Department of Public
Works, Countj of Butte.
1NbTr",' /-H Mater'#is & Workrrf6nship Shall Be i
4,ccordaAce with fecognized Good Pracfices al RCEL 4
Af•a Hial y presvILLv for the Specified use in the
Jriif ding, PlumRing & Mechanical Codes and
u I Electrical Code.
p)
A, ,
9
k
wKy) Kf Wtl
MAP -,,-
to
4Ir-,♦
3
fo 1/4 + 0^J,.3 404=
/CI.tP"rLo AS C.OLNGa
Lora 15.1f..2122
\ /NO�iES
+ F
O
FOR IN
Urt:1 Tu
144CAeLA
COUNT 1
2 An/ At
,CENrc
aLfrri
3. Nocv,
Pn S['mc A.
A*" 38 oL
GOOK 7" o
Tr49 "
acscevo,
a�o+e
RUTTY
SOP�`�� m
1 �a
I
COUNTY OF - 1311 Le -
BUILDING INSPECTION DIVISION
COMMUNITY SFRVICFS DEPARTMENT
938 14TH STREET
MARYSVILLE, CA 95901
(916) 74.1-6266
MOBILEHOME INSTALLATION SHEET
1. Owner's name: _V
2. Installer's name:
3. Is the site currently under permit?
Yes / /
No
(If
yes, furnish permit number
6.
) OR
Is the site an existing site?
Yes / /
No _S�r7
(If
yes, furnish two (2) plot plans.)
is the mobilehome site circuit breaker rating? -------------
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
I
5.
What
is the mobilehome electrical rating? -----------------------
Amps
6.
What
is the mobilehome site service rating? -----------------------
A90
Amps
7.
What
is the mobilehome site circuit breaker rating? -------------
Amps
8.
Is there any other electric load to be served by the
mobilehome
site
service? ---------------------------------------------------
Yes / / No
/
(If.yes, identify the load and size:
(Load)
(Amps)
9.
What
is the mobilehome site gas pipe size? ----------------------
�S!'!
in.
10.
What
is the type of gas service? -----------------------------
Natural / / LPG
/ V/
11.
What
is the gas.pipe length from meter or tank to the
mobilehome?
(ft.).
12.
What
is the mobilehome gas demand? ------------------------------
(.BTU)
(This information not required if pipe length less
than 6"ncnaturak
EM
or less than 50 ft. on LPG.)NG
®�P%�eO
SUADI
PPR®w •
MOBILEHOME SUPPORT DATA
---�� / If ,other than single wide,
Mobilehome Mfr. 4 GGt� furnish Setup Model No. T Year
W rdth c2 S; (ft.) Box Length �(ft.) Tagalong or Expando Size ft. x ft.
(SHOW SUPPORT DETAILS BELOW)
On all mobilehomes manufactured after October
7, 1973, furnish manufacturer's
installation
manual and
structural setup sheets (if not on
file with the County of Yuba).
All center
supports measured from front of
mobilehome
unless otherwise specified.
Footings (check one)
Single,
Wood either
pressure treated or
EM
foundation grade.
L,2x
(ft.)(in:)
(in.) (in.)
2.
Other (specify)
Center support
Center support
locations*
footing sizes
Supports (check one)
(in.)
L_1 1.
Concrete block.
2.
Other (specify)
(in.) (in.)
U %'r30-
(ft.)(in.) (in.) (in.)
(ft.)(in.) (in.) (in.)
�
(ft. )t (in.) (in.)I (in.)
*If center piers are other than drawn above,
draw in -locations, spacing, and dimensions.
,=,7 x is -3
in.) (in.)
���„
(ft.)(in.)
r1)rr
(ft.)(in.)
E -Tagalong or Expando,
show support details.
Typical Support
Footing Size
-- Max.. Pier Spacing
-- Max. Overhang
DOUBLE WIDE PIERING WORKSHEET
MODEL T� "I �� - 9 L �SnoD , ALTS 14 �, . 3 b PSF ROOF LOAD PLANT#�
SEE PERIMETER PIERING
..SEE NOTE REQUIREMENTS TABLE
' ,t
SEE MATING LINE PIERING TABLE
FRONT OF SEE PERIMETER '
UNIT PIERING REQUIREMENTS TABLE
NOTE: SEE PIERING PLAN DRAWING IN INSTALLATION MANUAL FOR REQUIREMENTS OF MAIN RAIL SUPPOR.r
CAPACITY AND FOOTING SIZE.
MATING LINE PIERING TABLE* "A" TO 116M
RIDGE BEAM
INITIAL
I sr
Z Uo
a eo
4T*
5 tN
to n+
-7 r4
STi+ E&uO
POST LOCATIONS
pose
Por --r
POST
PC6r
M-1-
pmr
PC) sT-
Posr
vols 1.-
(l
•
PIER LOAD ' .. :: •. ,•..
CAPACITY IN LBS.'-
42 0W�io
50Z6
lb75
GOI D
&94
Z7%�
MINIMUM':""'-
FOOTING SIZE
Z•41X, a
6
�i� 11
xZ�
2A 11
q
3/i
-r q
X
i
Z411
�
'3
3�U
X
X411
Z4)1
x Ig
Posrs �ec►M 6U
�¢o�r
X
O'`
x 0
Z4,_j"
x
�d- Id
X W
1 43'-4
36 A
X
MATING LINE PIERING TABLE" "8" Yo TA6)
RIDGE BEAM
INITIAL
I sr
Z va
eo
4T*
S •rH
-1 n•►
POST LOCATIONS
pose!
Por -'r
POST
Pc6T-
ors_-
Ptx'r
P65T
Posr
PosI
POSI"
l
PIER LOAD
CAPACITY- IN LBS. -
MINIMUM;"'"
FOOTING SIZE
Pos'rs *tom
NOTE:. Footing sizes based on: 1000PSF soil bearing value. If soil conditions differ seethe piering plan drawing
or the Home Technical -Installation Manual for method of calculation.
PERIMETER'PIERING REQUIREMENTS TABLE
PIERS'REQUIRED
DOORSIDE WALL"
ROADSIDE WALL"
JAMB STUDS'AT
DOOR OPENINGS .
,
�(0 AND Z% —
2I — ANo .ZZ]
_
OVER- 24
•
OUI r. VVi%Y Ai V Y
OU ILDING DFP' RTMEW
' PORCH POSTS AT- RE-
CESSED S/WALL WHEN
`. =�
POSTS EXCEED 42"
1
2
3
5
G
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PROOF OF SERVICC BY M'AIL
I am over the age of 18 and not a part•, to this cause
I am a resident of and employed .in the county where the ma; linc
occurred. My business address is Butte County Dept of Public Works
7 County Center Dr.
California. Oroville, CA 95965
I served the forecolnc 30 -Day Violation Letter
Dy enclosing a true copv
in a sealed envelope and depositing said envelope in the United
States mail with postage fully prepaid on February 9th
198 9 , and addressed as follows:
John and Doreen Benedict
7555 Putnam Dr.
Oroville, CA 95965
declare under penalty of per ur_v under
7 t-ce la�.:s of
the State of California that the
Lo_Ecoinc is true and correct
and that this declaration was executed on 2/9/89
at Oroville
California.
File No. ' - t
BUTTE COUNTY (For Action 1, 2, 3)
Public Works Dept. (For Information t/ )
Director
Dep. Dir.
Sec.
Rd. & Br. Mtce.
Shop & Yards
Bldg. Insp. Admin.
Design Engr.
Bridge Engr.
Constr. Engr.
Surveys
Mopping
T ran sp.
Land Dev.
Drng. /S.I.
Sub• & Pcl. Maps
Permits
Addr.
John and Doreen Benedict
7555 Putnam Dr.
Oroville, CA 95965
RE: Building Permit
7515 Reservoir Rd., Palermo
Dear Mr. and Mrs. Benedict:
February 8, 1989-
A.P. #: 27-10-27
We sent you a warning letter dated November 90 1988, notifying you that
you are in violation of the Butte, County Code at the above referenced
location. As of this date, the following violations still exist.
Constructed a deck approx. 640 sq. ft. in violation of the sections
of the 1985 Uniform Building Code as adopted by Section 26-1 of the
Butte County Code as follows: (1) 301(a) - Permits required. (2)
305(a) - Inspections required. (3) 305(d) - Inspection approval before
use or.occupancy.
The. above violation(s) shall be corrected. or abated by'you by submitting,
two complete sets of plans, applying for the required permits, and paying
the appropriate fees within 30 days of the date of.this letter. After permit
issuance and field authorization to proceed, the work must be completed
and approved by this office within the permit specified time.
Unless the violation(s) is(are) so corrected or abated, a citation shall
be issued to you to appear in court for said violation(s) and. for failing
to comply with this notice. Upon conviction of said violation(s) or of
failing, to comply with this notice, penalties shall be imposed and a Notice
of Violation recorded in accordance with Section 41=7 of the Butte County
Code.
Should you have any questions concerning this matter, please contact Jim
Glander or Bob Reith of this office'at 538-7541. .
JFG:ahb
cc: Building Inspector
v
Yours very truly,
William Cheff
Director of Public Works
OrBginat igmd Eo
J.F. Glander
Chief Building Inspector
File No.
BUTTE COUNTY (For Action 1, 2,3)
Public Works Dept. (For Information ✓)
Director
Dep. Dir.
Sec.
Rd. & Br. Mtce.
Shop & Yards
Bldgs. & Grnds.
Bldg. Insp. Admin.
Design Engr.
Bridge Engr.
Constr. Engr.
Surveys
Mapping
Transp.
Land Dev.
Drng. /S.I.
Sub. & Pcl. Maps
Permits
Addr.
John & Doreen Benedict.
7555 -Pot nam Dr.,;
Oroville, CA 95965;
RM.- Building Pet wLit
7515 Reservior Rd.,, Palermo
Dear, tiro & Mrs. Benedict. -
November 9:,: 1988
A.P. #i: 27 -JIG -27- '
`, I. Z
A ..
.This is a.warning letter to notify you that you are in violation of the
`Butte County`Code at the above referenced location as follows:
Constructed a deck of approximately'640 square feet.
Since pp- rm.ts and inspections are required for the above work, please contact
this of f ee within ten days of the date of this letter, submit tato complete
sets of plans, apply for the required ;permits, and pay the appropriate fees.
All work must stop until these permits are issued and you are authorized
by.our field inspector to proceed. This field authorization cannot beimade
until the existing work is inspected and approver.
Please be aware that Butte County has entered into a Code Enforcement -Program
that seeks -voluntary compliance with the Butte County Code but provides
an effective means of enforcement if such compliance is not obtained,, If
voluntary compliance -'is not obtained, enforcement: will be-pursised through
the issuance of citations, fines; and the recording of a Notice of Violation.
Your cooperation in resolving this matter would be.appreciated.. Should.
you have any questions concerning .this matter, please contact Jim Gunder
or,Dob Keith of this.office.
jFG:ahb
ce Assessor
Building Inspector
Yours very truly,
William Cheff
Director of Public Works
Original signed bbd
J. F. C kndw '
J.F. Glander
Chief Building Inspector
File Ne
BUTTE COUNTY (For Kction 1, 2, 3)
Public Works Dept. (For Information tI )
Director
Dep. Dir
Sec.
I Rd. & Br. Mtce. I I I
I Shop & Yards
Bldg. Insp. Admin. IQ I 1
Design Engr.
Bridge Engr.
Constr. Engr.
Surveys
Mapping
T ran s p.
Land Dev.
Drng. /S.I.
Sub. & Pcl. Maps
Permits
Addr
9 , ,e e'J
-;I
ti
Septembeir, 22,, 1988,
John.-Benodict, RE: Building Permit.,
7555. -Putnam Dr. A.P. #27-I0-27
Orovillei,.CA .95965
Dear Mr. Benedict:
With reference to the above. subject we have been advised by one, of, our
building inspectors that you have not . obtained the requir
ed permits and
insp6cttons-from'this.office for the,,wo
A.you are.doing as follow
jeer -
P , t'O' Y'Lely P -'r-'
Constructing a deck o a' prox&64O
sq.; ft6
permits and inspections, afre.'requited �by both -State 'land - County. laws,_
Since p;e.;
please'.contact this office trithin ten .days of 66 date.ofthi's letter, submit'
two complete i sets , of, plansapply for. the requited permits® and pay the
appropriate fees..
All work must stop until you obtain these permits.'and Yare, authorized by-
ourfield inspector to. proceed,, This field authorization cannot be made
until-thepxistin'g'work.is inspected and approved.
Your, cooperation in resolving
g this violation. in. a timely manner - uiould be
appreciated. .. Should, you have, any: questions concerning this 6 - please
letter,
contact B06 -;Keith or Jim Glander of this*office,
'Yours very. it, u i
.William Cheff
Director,of Public Works
RK: ahb
cc: Building Inspector:- Oroville
Robert Keith
Supervising Building Inspector
❑ Other -Date
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
• SPECIAL INSPECTION REPORT
Z ON'*IDIG
Owner: c f7 �M� . i c� A. P. %.
Date of Inspection
Address:
Tenant:
Building Locati6n!5/'1j(,a-"q f —s—./kv -
QserJo
Inspector
Type of Inspection requested:
1. Housing 2. Financing / / 3.. Change of Occupancy to
1�
4. Work W/0 Permit / / 5. Other (speci y)
Present use of building:
A. Sanitation (Housing)
1. Water closet:
2'. Lavatory:
J.
Bathtub or shower:
4.
Kitchen sink:
5.
Hot and cold water to fixtures:
6.
Heating facilities:
7.
Natural light and ventilation:
8.
Room and space requirements:
9.
Bedroom window or door for second
exit;
10.
Infestation of insects, vermin, or
rodents:
11.
Connection to sewage disposal:
;
12.
Connection to water supply:
13.
Rubbish and garbage facilities:
;
14.
Stairs:(Rise, Run, Headroom, 1HR,
Tolerances,Handrails)
15. •
Comments:,
B. Structural
1. Piers and footings:
2. Floor construction:
3. Wall construction: +
4. Ceiling and roof construction:
5. Fireplaces: F
6. Comments:
C. Electrical
1. Service and ground:
2. Receptacles:
3. Fusing:
4. Comments:
D. Plumbing
E.
F.
1. Fixtures connected and vented: '%
2. Gas water heater: "
3. Gas heating vents:
4. Comments:
Other
1. Maintenance and repair:
2. Fire hazards:
3. Safety hazards:
4. Weather protection:
5. Underfloor and attic ventilation:
6. Energy::
7. Comments:
Commercial Buildings
1. Roof covering:
2. Distance to property lines:
3. Physically handicapped: _
4. Restroom floors and walls:
5. Exits:
6. Improvements:
7. Zoning:
8. Comments:
G. Field Problems or Violations
1. Problem or jiolat�ion (give complete description):
2.
fm
A. Information only - file.
.I
B. Hold for ten days, then write letter.
77 C. Write letter.
/ / D. Other:
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
AGRICULTURAL BUILDING EXEMPTION PERMIT
PERMIT NO.
—
S�
/� 14
Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to
house farm implements, hay, grain, poultry, livestock, or other horticulutral products. This structure shall not
be a place of human habitation or a place of employment where agricultural products are processed, treated,
or packaged, nor shall it be a place used by the public.
ASSESSOR PARCEL NO. !2 r7_,,
� /D
ZONINGA
OWNER
PHONE N9.
99 7/
OWNER'S ADDRESS
LOCATION OF BUILDING'
USE OF BUILDING 14n
&a rie
SIZE OF STRUCTURE •�
pC X J�
- S0. FT.
TYPE OF CONSTRUCTION:
WOOD FRAME _Jef� STEEL CONCRETE OTHER (Specify)
TYPE OF SIDING
ROOF COVERING
FLOOR TYPE
ESTIMATED COST OF CONSTRUCTION.-
_
$
AG Buildings shall compI ith the building front, side, and rear yard requirements of the applicable County
Ordinances as follows: +14,
�d
- FRONT SIDES
REAR
AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields.
AG Buildings less than 1000 sq. ft. in floor area shall be located'a minimum of 6 feet from a residence, 10 feet
from a mobilehome, and 23 feet from'a commercial building.
AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and
a mobilehome, and 40 feet from'a commercial building.
I declare under penalty of perjury that the building will be used as stated above and the proposed use
conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will
contact the Department of Public Works and will obtain any necessary permits, inspections, and approvals to
comply with the requirements in effect at that time and before occupancy.
Date Signature of Owner
Permit Fee - $25.00 The above described AG Building is exempt from a building permit.
Receipt No. 1 �Z b Director of Public Works
By Date 3 - 3® - 8
White - DPW, Yellow - Assessor, Pink - B.I., Goldenrod - Applicant
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