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028-460-024
oO DA HOVEY A4w-01 7 51 Sto Orks Blvd, Oroville (Bangor) 4 _ Permit#16 P (util, MH))�, ELEC — V.) SUPPORT"STRUCTURE•REQ COMPACTION TEST RE 28-17-142 Perm 1685-86MHI s ed 028 93-1061 BPEM HOVEY, DAVID � ' „��� 51 STONEY OAKS, OROVILLE ,y�'_ / CONTR: BEST LINE BURS � f r ; NEW SF e ozA i I r a r i y «' i r. 1 (�CEDDI i + RESIDENTIAL 028-17-7-0-142 HOVEY, DAVID 93-1061 BpEM f 51 STONEY .OAKS CONTR: BEST OROVILLE NEW SF LINE BURS I .f "Il — yrV;1116'c16q( /oribv' VII ,final 1• )�# OFFICE COPY 1 •+i [Address em 7l� ¢ GAS s, Meter By Dat 1 ELECTRIC [ Meter By Date OFFICE COPY t Address I I } I ' GAS � Meter By . Date # f Me er By I �� } Meter By Da{e'� I� JOB FINALED (Date) Signature .►-1 r. - J V =„OK O =Not OK - = Not Applicable = Not Ready* MOBILE HOMES Date/Initials MOBILE HOME UTILITIES (Plans) OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fell -C/O Concrete 4. Water; Location -Teat -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Net. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date/Initials MOBILE HOME INSTALLATION (Plans) OK except #'a 1. Zoning Requirements -Setbacks Easements i 2'Footings; Siie=Spacing-Marriage Line 3.. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test-Crossovers-Breakera-Clearances 5. Drain; MH Test -Fell -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 MISCELLANEOUS Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a 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.-Connectors Shthg: Rfg: Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftm-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date/Initials 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-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test V=OK O = Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date/Initials UNDERFLOOR (Plans) OK except #'s (/ 1.,Zoning-Setbacks-Easements-Flood-Slope -.�2. Fig., Main; Soils-Elec. Grnd.- Fig. Depth 3. Fig., Garage; Soils-Steel-Elec. Grn /' Fig. Depth 4. Fig., Porches & Decks; Soils -Ste I-/ /Ft . Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wra pped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. ,i - fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Materiel -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation l � Date/Initials PLUMBING Permit OK except #'s Water Htr.; Vent -Access -Combustion Air -Baffle ater Pipe; Test & Anchor -Nail Protection D.W.V.; Test -Fittings & Anchor-Naii Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Tet Tub & Shower, Second Floor -Tub Access Gas Pipe; Size & Anchors Date/initials ELECTRICAL Permit OK except #'s F ure & Transformer Clearance -Ins. Protection . Elec. Receptacles Spacing -Lights & Switches at Doors Siz Boxes & No. of Conductors -Stapled . o ex Installed Close to Edge of Studs & C.J. q ' . Ground made up w/Meth. Fastners-Bond Gas & Water Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral O Yes O No 0_86'—ice-Riser Conductors & Ground -Main Disconnect 1 uip. Clearances Panels-Motors-Mech. Equip. ,8e. -,o;tMes Closet Light -Shower Light -Spa Light /3XiSrmoke Detector Date/Initials MECHANICAL Permit OK except #'s tZf A.C..Ducts Insulation & Support Ape-Veint Fan; Exhaust above insulation �36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date/Initials FRAMING Plans OK except #'s ils, Proper Material & Anchors A1!B"ring Wells over Girders & Floor Nailing 6f' D Stop in Walls (rat proof) . Fije'Stops; Furred Ceilinas-Stairs-Chases-Tub Date/Initials / FRAMING (Continued) H gars -Post Caps -Anchors -Connectors Cing. Joist-Rftr. ties-Purlin—roof Brac-Truss-Shthng.-Rfng. . Fireplace Ties or Type A Flue -Fireplace Throat clearance 4"tic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 4"drw. Windows or Exiting Doors -Sill Hgt. & Dimensions erage Fire Protection Framing rorty Line Firewall & Openings xI,Doors-One 3' -Check Garage -3rd Story, 2 Exits P3 -Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection plywood on Roof Overhang -Attic Vents -Rafter Outriggers .65-,9i'dino-Nailina Veneer coo Mesh -Drip Screed -Fd. Vents-Underflr. Access- - A�1_61azing Area -Glass Protection -Skylights -Plastic hear Walls; Nailing -Bolts J n ulation-Walls-Ceilings 60. Infiltration -Walls -Windows Date/Initials FINAL (Plans) OK except #'s _A4 -Ext. Steps -Door & Sidelight Protection -Landings -62-s'rspke Detector . Furnace; Vents -Clearance -Comb. Air-Connector- Infarage; Above Floor -Ducts -Mach: Protection 64@Adroom Exiting -eTG.FF i & Bath Fixtures & Tub Access -Spa W.'EIe Trim & Subpanel; Breaker Sizes & Labels Staff -& Rails $&-fireplace or Stove; Clearances -Hearth ,09'E_1eq_ Outlets at Wood Panel; Int. & Ext. it.Fi & Appliance; Grnd: Air Gap -Cooking Clearance Ieq-Outlets & Receptacles at Kit. Counter 72Jar re Door; Swing -Landing -Closer Duct in Garage -Damper 4. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. Jp-Garage; Above Floor -Meth. Protection 719 P�Elec. & Mach. Equip. Listed for Location 76-Elec. eceptacles in Garage; (G.F.I.)-Romex Protection ns tion -Foam -Looked in Attic O Yes 7A"—Guard Rails & Deck Construction -Post Caps ,19!F n. Vents & Crawl Hole Door-Draina e & Wood -Earth Clearance Looked under Floor Yes ollowing instld.; Drive O Yes O No; Walks O Yes O No; Planters O Yes O No Finish kc -unit; Disconnect, Electrical, Plumbing Vents Above Roof; Pibg.-Appliance-Fireplace: Clearance to _ppen'ings . W ef-Well; Disconnect, Electrical, Plumbing Exte for Elec. Trim; G.F.I. Receptacle -Underground ilation Throughout House olff _Qlass Protection 1 81qgLactions from Previous Inspections faae--Test-Meters Tagged; Gas -Electric 46. Wat & Sewer Connected -C/O to Grade -HD Approval nergy Compliance Certificate -Other Certificates Comments at Final: COUNTY OF BUTTE - DEPARTthENT OF PUBLIC WORKS1G Fp PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916.538-7541 -I J ,W' 1 APPLICATION AND PERMIT �J ASSESSC-1-oARCEL NUMBER • 028-170-142 ZONING MR BUILDING PERMIT O WNPR - David Hove TELEPHONE SO. FT. OCC. BUILDING VALUATION p 1,534 R 78,540.00 OWNER'S MAILING ADDRESS 51 Stoney Oaks Blvd., Oroville 576 M 10,368.00 CONTRACTOR'S NAME Best Line Builders TELEPHONE 534-6406 72 C 936.00 CONTRACTOR'S MAILING ADDRESS 1363 Feather River Blvd., Oroville 95965 Fireplace I A 1.500.00 CONSTRUCTION LENDER UNKNOWN Total Valuation $ 91,34 .00 Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $561-50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 280.75 Energy Plan Checking Fee $ .0 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 15.00 51 Stoney Oak Blvd Oroville Each Trap g 5.00 40.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION 1 NAME PARCEL MAP 94-87 Water piping 1 7.00 7.00 Each qas water heater or vent 1 7.001 7.00 USE OF STRUCTURE SFKI Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets I 1 5.00 5.0 Building sewer IT 15.00 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK New 17 Addition;J Remodel❑ Utilities❑ Installation❑ other ❑ Describe work: New Single Family (3Bedroom) _ (Replaces Mobile Home) Permit Fee $89.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 1 18.50 18.50 Main service 20GATO 1000AI 37.50 CONTRACTORS LICENSE LAW I dNIa 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 ful rce and effect. License Ao.J78S� Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.&\ X 3.64 sq. 73,$5 OR ACDNS. ACC. BLDGS. I NEWCONSTR ULTI.OUT LET NO N.R ESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES L_ 761 FIXED PR EX. Occup. OUTLETS IRESID )EA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g '15.00 Permit Fee $ 107.35 - 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. ❑ 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 FiIingFee 1 15.00 Heating FAV 60,000 1 9.00 9.00 lin Cooling EVAP- 1 10.0 10.00 Hood 1 6.50 6.50 Ventilation 2 4.50 9._00 Permit Fee $ 49.50 L Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue inst said County in con eq&ceoft grantingof this permit.X �!' -� � Date i signora a of Applicant - Owner ❑ Contra tOr- Agent ❑ An Os `1f ion of construct- scturestoverr3gstoriesoin heightlons r 5'0" deep a da li eo nstruct- Mobile Home Installation Fee S Energy Inspection Fee $ 40.00 occ CONST TYPE TOTAL FEE $1,163.10 � HAz OFEE IMP FL000 coF PARCEL PD Ho I suE This permit is h eby issued under the applicable provi- Bions of the t Coun ode and/or resolutions to do work indi to abo r which fees have been paid. OF PUBLIC WORKS By ate` / PE IT XPIRES Date7 Ey Receipt No. 141008 PC $360.75// q�ZS5_ �p WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOOMENT"SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Sliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE oVC (3 lam / OWKIEFt PERMIT N0. A routine iinspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work iscompiIated-tfyouhave any questions pertaining to this matter, or need additional explanation, please co ntad this office immediately. -,= C -r- 1�� f / l 7—gb Datta Inspector REV low Insulation Certificate mumW Ltd iu—C gJCky w CQWgr Subdivision L�[Nu�nber _ Description of installation - ROOF M,iterisl Btattd time ibkkrAm (i"cks) lbam Res umm Dt-value) . CERING BattocBWikctTyW FIBERGLASSBrAetdE CERTAINTEED lbkkness (laches) / b Tk=1 Resi=m (R -Value) LooseFJITpps _ TNS 1 .SAFE III B= dN=W MPTATMIPPrn C01ttiACWS Mhdmum iaualled W9kW Ib 14911=1fif 1111CIUM A222- WAU —i MmUctmes instal. wdgk p : agmse toot to !W" Ibamd Red== (R -Value) 3p EXTERIOR WALL Muerii FIBERGLASS BrodN=a CER7 Ztutms) Ressstaooe at Value) _ '. RAISED FLOOR tiR*rW B=MN&m CERTAINTEED • Tfikk uss ( ) Tm=4 Red=—oca (R Valve) SLAS FLOOR MaterW Brand Name lb d"U (abehes) Tmmal Reah.mma Pt•Valw-) Wft (Incites) FOUNDATION WALL M2%CW Twckness (inches) Declaration BtaadNwm CERTAINTEED 7hauud Roiiuum (R -Value) . wed,' 1 hereby aenUf ft the Above IrmI tion was itutalled In the bWlding at the above loadon to cWotmom v*h the curncnt Bu Ing Enemy Fttickncy StA W3M fornaw rWdcud2 bulldInp conubW InMde 24 olthe CAIUomIA AdmirlISMAtive Code, . tian7al COAQ �� - T �� �� ��✓ • Lk4s"H ilptasttn adTbM Diu — IIAWKtNS INDUSTRIES. INC./SHASTA INSULAT16H 650722 &WTmk COUNTY,O BUTTE -DEPARTMENT OF DEV LOPMENTSERVICES - BUIC'DINGDIVISION 14 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER Z 4 Proposed Building Use A. P. No. 26�' — /70 Building Inspector /&;) Date 2 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. 2. 3. .A. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 22. 23 25. 26. 28. 29. 30. 31 All items have been submitted . ........................................ Plot plans, 3/4 sets, signed by preparer of plans . .......................... Complete plans, 3/4 sets, signed by preparer of plans . ...................... Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. Hazardous Material Form . ............................................. _r Energy Design Compliance and supporting documentation. r Statement of Intent for Non -Heated and A/C Buildings . ..................... . Engineered truss details and layout in duplicate (required prior to plan check). ... . Mobilehome data and manufacturer's installation instructions, 2 sets. ........... Fees of $ R623 CA Impact fees as s own on attached schedule. ................. .......... Q� California Department of Forestry plan approval/fees......................... . Flood elevation letter (100 year flood) by California Engineer . ................. . Sanitation and plot plan approval Health Department. ........... . City of Chico plumbing permit . ........................................ . Plot plan and business license approval from City of Biggs/Gridley. ............. Planning approval for (A) Use: (B) Parking: . ......... Contact Land Development about (A) Improvements (B) Drainage. .......... . Driveway permit (construction approval required prior to occupancy). .. . Pre -ins eCtlOn for '0 "uispedion n queues p required. . . P Building Inspector (Date) Contractor's license information. (No., Name Style, Classification) . .............. Certificate of Workmans Compensation Insurance . .......................... Owner -Builder Verification (Given to owner , Mail to owner _)............ Recorded copy of Agricultural Acknowledgement Statement . .................. Letter of signature authorization . ........................................ Copy of recorded deed of parcel creation and 60 right of way to a public road. . . Letter of intent on building use . ........................................ . Mobilehome utility clearance . .......................................... Documentation of legal access . ..................... :.................. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... Existing violations/expired permits . ...................................... When�9u issue the permit, process as follows: Mail to owner. Mail to contractor. ✓ Telephoneg7c and hold for pickup at office. Deliver with inspector. Other Parcel Creation y l� L3 Acreage Applicant ate Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. 0th r Date By The following data must be submitted prior - per ' ' sua (Circe item t checked bo e). r; `.1. Index permitlor above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone —mail Co nter by _ Date Plans checked by Date - Plans approved by z% Date — ` Sets of plans on hold in File cabinet AP folder 10 eT� 7AWX fI.SGP�ca,02 1 (.;S Copy - Department of Public Works TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance `—Ul=� �� /� "icy Owner Location adL.O " Plan Approved ,Qr: Scwaoe Disposal Water Supply: Public Clearance for---' bedroom Qigigg home. Other Hold ice( for: 1 clearance O.K. for: NOT Environmental Heal 8/92 1:11. Ilan Ilan Atlachcd 14unr Ilan Aluichcd C;)-,?-/ 7-f AP# Private Well N - COUNTY OF BUTTE - DEPARTH ENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916)5387541 OWNER A.P. N0. PROPOSED BUILDING USE .� s J 3 154 DATE REC. # DATE REC &___1 - School District Fees ( paid at D"s" rict'Of fi.ce) � 6 2. Sheriff Fees (paid at Building Department) �e 1�GeMLii/i� p 3. Residential ......... X =$ unit amt. Commercial(per sq.ft.) X =$ sa.ft. amt. Urban Area Fees (paid at Building Department Residential (per unit) X # units amt. M] Commerical(per sq.ft.) X =$ sq.ft. amt. 4. Recreation District Fees (paid at District Office) .......................... 5: Drainage District Fees (Contact Land Development) ......................... 6. Other 7. Other At time of permit application, I was advised the.. above fees are required to be paid prior to is9brance of the permit. APPLI, DATE' U COUNTY OF BUTTE - DEPARTH ENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916)5387541 OWNER A.P. N0. PROPOSED BUILDING USE .� s J 3 154 DATE REC. # DATE REC &___1 - School District Fees ( paid at D"s" rict'Of fi.ce) � 6 2. Sheriff Fees (paid at Building Department) �e 1�GeMLii/i� p 3. Residential ......... X =$ unit amt. Commercial(per sq.ft.) X =$ sa.ft. amt. Urban Area Fees (paid at Building Department Residential (per unit) X # units amt. M] Commerical(per sq.ft.) X =$ sq.ft. amt. 4. Recreation District Fees (paid at District Office) .......................... 5: Drainage District Fees (Contact Land Development) ......................... 6. Other 7. Other At time of permit application, I was advised the.. above fees are required to be paid prior to is9brance of the permit. APPLI, DATE' U 152D CQ � � ��t� �j� COUNTY OF BUTTE - DERARTMENI OF PUE:IC; ViOPriz 2F 0 PERMIT NO. ���� : `� t) . - 7 County Center Drive - Oroville, California 95965, - Telephone 91116 535-7541 J 9, 3 �% /_� /V - .�V` APPLICATION AND PERMIT �//' R IZONING ASSESSOR PARCEL NUMBE 'A� U.28- /70'��/Z ;0 BUILDING PERMIT OWNER An _ TELEPHONE IS0. FT. OCC. I BUILDING VALUATION CON RACTOR'S AME est l Ne CONTRACTOR'S M ILIN i l 3 C�3 CONSTRUCTION LENDE i ' LENDER'S MAILING ADC ARCHITECT OR ENGINE S ESS I ARCHITECT OR ENGINEER'S M ' IfS /W 01 % Gus ESSeher p el ' iILDING ADDRESS 5,1 V\ LOT NOM SUBDIVISION NAME eo S s -s 6,;r UNKNOWN alli/C P&D �0Ui/�� PARCEi. MA USE OF STRUCTURE SFle Duplex ❑ MobilehomeJ7 Other — TYPE TYPE OF WORK Ne,,fr —Addition— RemodelL yU�til-ities I Describe work: SF - -3 R®v e.A SPECIFY allation[ Other _J CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. Business and Professions Code for this reason S 7� .til 10's(o8 " ;. ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18 50 S Fireplace Total Valuation 15 _ Filing Fee 5 Permit Fee _b5.00_ Plan Checking Fee 4 _-91?0 7s�- , Energy Plan Checking Fee $ (), OJ Penalty $ Permlt tee _ 577, PLUMBING PERMIT Filing Fee 1 15.00 Each Trap .5.00i Jfo.oc) Solar or heat pump water heater 20.00 Water piping 7.0017- CPO Each qas water heater or vent 7.00 -7-P:=- Gas piping system 1 - 5 outlets 5.00 S6:> Building sewer 15.00 g,Qj Mobile Home FS I G JW I @ 15.00 1 Permit Fee Contractor $ .� ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18 50 S Main service 200ATOI000A1 37.50 NEW CONST. / DWELLING OCCUP.41\ OR ADDNS. 1 ACC. SLOGS. // 3.64 sq.ft. NEW CONSTR. ^ULTI.OUTLET __) I fa 5.001 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): II The permit is for $100.00 (valuation) or less. 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such Provisions or this permit shall be deemed revoked. I certify that I have read this application and state that the above information Is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any w y accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contrcctor G Agent ❑ An OSHA permit is required For excavations over 5'0" deep and demolition or construct. ion of structures over 3 stories in height. / Z11yO0l Receipt No. ~/r WHITE•O.P.W., YELLOW -ASST SSOR, PINK•INSPECTOR, GOLDENROD -APPLICANT POWER APPARATUS &) SINGLE OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURESFIXE20 76d Ex. Occup. OUTLETS (RESID )REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 1 15.00 I Parmit Fen S //I M A5 1-4 Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating O QQ Cooling Hood 6.50 Ventilation Permit Fee $ contractor 1 Mobile Home Installation Fee 5 Energy Inspection Fee $ CO T TOTAL FEE $ lyA2 D FEES I IMP FLOOD I CDFPARCEL PD 1,gaZZ ISSUE I This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date � p r q.?,j�j � ,. h �'T i���'^'.•N'Z'�W `.Q'�•.�}�*'`� r i 1 . -e< v. BUTTE'COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM to es f (One Form Per Building) 9t io° � W o 40 School District Ok �/o/ Building Department No. � m a A.P. Number JW /70 h� L Jurisdiction 0 City County Property Owner , / b .el Property Location/Address S 5r45rd4 d4 zltlz) Subdivison Lot No. Residential Development 0 0 F7 Sq. Footage, &j(L5TNG- No. of Living MHI Addition (Group R) 4P��flGs Units'}� Commercial/Industrial /O X SSAo!„/e %rd At- Sq. Footage ,SSD New Addition (Including Exterior Roofed Areas) Z17� Building Department Representative Date k 1 �.,AFlo6r Plans reviewed by School District Personnel) istrict Identification No. 930744 U+ -It; pr- hyo School District certifies that (Applican (Street Address) (COY)� iLr� , I,' has complied with ,the requirements of Resolution No. representing sq are'feet. School District (State) (Phone Number) (Zip Code) by payment of $ iv o? 3 (p 0 Date Paid by Check Number'P^ Remarks: =g=:�y tgiA�' &-- 6 -6 -t -a4 Ov Bank Number q b - X12 0 Od ure�- �, I Paid by Cash t ) , 3b• w,,�a; 4 . i 1) i.e'& C, subsequent to the School District Representative signing this Butte County Schools Impact Fee ertification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school districts schools. White (applicant), Yellow (building department), Pink (school district) feeformmkl (4/92) CO ofeUM BUILDING DEPT J U N:1 8 1993 LETTER OF INTENT We, David R. and Linda Hovey, do hereby intend to remove the Mobile Home at 51 Stony Oaks Blvd., Orovi.11e, CA, within Thirty (30) days of completion of home and passing final inspec ' . LINDA HOVEY DATE RESIDENTIAL PLAN CHECKING GUIDE .12/90 (S.F., DUPLEX & MISC. ONLY) Bldg. Permit # 0 OWNER A. P. # oZ8 Plan Checker. GENERAL oning requirements: (sideyards and number of permitted living units). Valuation. Plans signed by designer. Proper description of work on application. Existing violations on .property. 6 Items on data sheet. (W.C., fees, Health, Recorded notice of violation. PLOT PLAN t mplete parcel size and dimensions. tbacks, sideyards, easements, etc. her buildings or structures. ading, fills, drainage. ood hazard. pecial conditions on creation map, tible, and foundations). U & FAS road setback. Developer Fees, License law, etc). (noise, CDF, fire sprinklers, non -comb - Building or utilities across lot lines (Record form). FLOOR PLAN Complete to scale plan with dimensions. Required windows for light and ventilation (Sec. 1205). Required windows for second exit (Sec. 1204). Skylights (Chapter 34 & Sec. 5207). Human impact glass (Sec. 5406). Required room sizes, ceiling heights (Sec. 1207). GFCIs in baths, garage, kitchen, and exterior outlets (Article 210-8). Light fixtures, switches, receptacles, and exterior receptacles for tenance of mechanical equipment. main - Locations of water heater, heating and cooling equipment, other electrical or gas equipment. Garage firewall, door size, and closer (Sec. 503(d)(3)). 1 - 3'0" exterior exit door (sec. 3304 (f). Fireplace and wood stove location, alcoves, and clearance. Smoke detectors (Sec. 1210). Plumbing fixtures, water closet clearances and shower size. STRUCTURAL DETAILS Standard bracing or engineered design (Table 25V) Unusual shape, size, or split level house requiring lateral design. ! Foundation plan complete enough to construct building. eloor construction details complete enough to construct building. levations and wall construction details complete enough to construct building. Roof construction details complete enough to construct building. Fireplace construction details and calcs if necessary. r Rafter ties or bearing ridge beam. Garage door or porch header sizes. -'Stud heights. t7- Adobe soils - special foundation design. R-- Retaining walls requiring design. Special Inspection required. RESIDENTIAL PLAN CHECKING GUIDE 4 12/90 MISCELLANEOUS ITEMS TO LOOK OUT FOR Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306). Guardrail details (Sec. 1711 & 3306(j). Brick or stone veneer (Chapter 30). Exterior plaster - weep screeds (Sec. 4706). Proper roof pitch for roof convering (Chapter 32). Roof covering type - (fire hazard). [.Attic am insulation - protection. " halls and stairways. ving area over garage - complete 1 -hour separation required on garage side cluding supporting walls and posts, etc. o exits on three-story dwellings (sec. 3303 & see Mezannines - 1716). access and ventilation (Sec. 3205). derfloor access and ventilation (Sec. 2516). mbustion air for fuel burning appliances - L.P.G. requirements. ise requirements on duplexes. Energy design. Flashing at all exterior openings. DF responsible area requirements. PERMIT NO. PERMIT EXPIRES. OWNER DAVE. HOVEY d2;1 of owner CONTR. 28-17-142 ASSESSOR PARCEL LOCATION 91 Stoney Oaks Blvd, Oroville JOB FINALE Signature OFFICE COPY Address GAS ' Meter By Date --Prm ELECTRIC I t- Rl Address Temp. Power, GAS Meter By Date_ Called P ELECTR Meter By Dite Temp. Elec. Called PG&E Temp. Gas Service Called PG&E JOB FINALE Signature • J '_ OK 0 = Not OK . Not Applicable MOBILEHOMES = Not Ready MISCELLANEOUS Date MOBI HOME UTILITIES (Plans) OK except N's Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except a's '2— Z ning Requirements—Setbacks—Easements 1. Zoning Requirements—Setbacks—Easements s; Special MH Support—Sketch _ 2. Footings; Size—Depth—Spacing—Connectors rj Sewer; Location—Test—Fall-C/0—Concrete—Decking—Bracing—Stairs—Rails3. Decks; Girders and/or Joists ry at r; Location—Test—Easement Needed (Sketch) 4, Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing 1,,7,-" lectricity; Location—Clearances—Grnd.— Am—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6!'G s; Location—Test—Wrap:/ /"L"ft./ /"Nat.A "L"ft./ LPG 6. Carports; Windows—Doors . Utility Clearance 7. Elea Card -BI Pv Date) Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date B OME INSTALLATION (Plans) OK except #'s Date POOLS (Plans) OK except P's in Requirements—Setbacks—Easements 1. Setbacks—Easements otings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability G�MH Test-Demand—Valve—Connector . E ricity; MH Test—Crossovers—Breakers—Clearances 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4, I'Iec.; Receptacles and Lighting; Distances—GFI ."Drain: MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI r; M~.Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals-Listed r and Sewer Connected—C/0 to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater and Electricity Tagged B. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit s; Insp.—Sketch 1 Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B -I Ir Date — r Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date J = OK H 0 = Not OK - = Not Applicable RESIDENTIAL (Single and Duplex) = Not Ready Date UNDERFLOOR (Plans) OK exceot#'s Dale FRAMING (Contint 1. Zoning requirements -Setbacks -Easements _ 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 3. Fig., Garage; Soils -Steel- / /" Ftg. Depth _ 4, Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 6: Ste_mwalls, Garage; Steel-Blockouts-Wrapped-Slab 7. Piers -Fireplace Ftg.-Steel 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 9. Gas Pipe; Size -Anchors 10. _ Water Pipe: Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders=Sills-Anchor Bolts -Joists -Vents -Cripples Card -BI Date_ Card -BI Date Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except p's 14. Water Ht.: Vent -Access -Combustion Air 15, Water Pipe: Test & Anchors -Nail Protection 16. D.W.V.: Test-Fttngs & Anchors -Nail Protection 17. Shower Pan: Test, First Floor -Tub Access 18. Test Tub Shower, 2nd Floor -Tub Access_ 19. -& Gas Pipe: Size & Anchors Card -Bl Date _Card -BI Date Card -BI Date Card -BI Date Date Card B -I Card B -I Date Card -BI Caid-BI Date ELECTRICAL (Permit) OK except N's 20. Fixture & Transformer Clearance -Ins. Protection 21. Elec. Receptacles Spacing -Lights & Switches at Doors 22. Size Boxes & No. of Conductors -Stapled__ 23. Romex Installed Close -to -Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 25. 2 Appliance Circuits in Kitchen & Conductor Size 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral Yes 7No 28. Service -Riser Conductors & Ground-Main_D_isconnect _ 29. Equip. Clearances: Panels-Motors-Mech. Equip. 30. Clothes Closet Light -Shower Light Date Card -Bi Date Date Card -BI Date MECHANICAL (Permit) OK except ,Y's 31. A.C. Ducts. Insulation & Support _ 32. Vent Fan: Exhaust above Insulation _ 33. Condensate Drain & Overflow: Size _& Grade _ 34. Furnace -Vent: Access -Comb. Air -Return Air Vent -115V outlet _ 35. Attic Access & Platform if Furnace in Attic Date Card -BI Date Date Card -BI Date FRAMING(Plans) OK except H's 36. Sills, Proper Material & Anchors 37. Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) 40. Fire Stops: Furred Ceilings-Stairs_Chases-Tub _ 41 Header & Beam -Size & Bearing 42. Hangers -Post Caps -Anchors -Connectors 43. Cing. Joist-Rfti. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 44. F replace Ties or Type A Flue -Fireplace Throat 45. Attic Access: Size & Romex Protect ion -Draft Stop -Ins, Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing _ - 11-- - (NOTE Anentrymust be made each time youvisit jobsite) 48. Property Line Firewall & Openings 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 50. 51. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection _ Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 52. 53. _ Siding -Nailing -Veneer Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access, 54. _ Glazing Area -Glass Protection -Skylights -Plastic 55. Shear Walls; Nailing -Bolts Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except N's 56. Ext. Steps -Door & Sidelight Protection -Landings 57. Smoke Detector 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meeh. Protection 59. 60. Bedroom Exiting G.F.I. & Bath Fixtures & Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 62. 63. Stairs & Rails Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 66. 67. Elec. Outlets & Receptacles at Kit. Counter Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor -Meth. Protection 70. Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 72. Insulation -Foam -Looked in Attic E] Yes 73. Guard Rails & Deck Construction -Post Caps 74. Fdn. Vents & Crawl '-tole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 75. Following instid.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No 76. Stucco; Brown -Finish 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground _80. 81. Ventilation throughout House 82. Glass Protection _ 83. Corrections from Previous Inspections _ 84. _ Gas `est -Meters Tagged; Gas -Electric _ 85. Water & Sewer Connected -C/0 to Grade -HD Approval 86. Energy Compliance Certificate -Other Certificates Card -BI Date Card -BI Date 1 Card BI _ Date Card -BI Date __- Card -BI Date Card -BI Date ] Com+lents at Final: k COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT N . i,/,, 7 County Center Drive - Oroville, California 95965'- Telephone 916/534-4541 _ .. APPLICATION AND PERMIT • ASSESSOR" P fl[ L..� NUMBER f1�4� f _2 z°"' BUILDING PERMIT OWNER PA/F 140 E TELEPHONE (v3 S(.�. FT. OCC, BUILDING VALUATION OWNER'S MAILING ADDRESS 7�14- A rs CO A TOR'S NAMo a �v�v� TELEPHONE CONTRACTOR'S MAILING AZIMESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $� LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ /1.1 I© Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ D PLUMBING PERMIT Filing Fee 10.00 �C c v J �i�DIV kS P. 0� © Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP --g 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 0.00 ea �. TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities] 1 Installation❑ Other ❑ Describe work: /�iz,�/ Permit Fee $ Q Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service a°OV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 t7 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.Iy OR ADDNS. ( ACC. BLDGS. 21/2 Osq ft NEW CONSTR. MULTI -OUTLET NON.RESID 2,50 ea BRANCH CIRC ITS POWER APPARATUS e (SINGLE OUTLET CIR. I Ex. Occup(OUTLETS OR FIXTURES 20050t eAL030 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 9 RJU of, Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. 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 County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liab' (t es, judgments, costs, and expenses which may in any way accrue again s d Co yin s uence of the granting of this permit. ' %� t Date ��� �/� �(� Signature of Applicant — Own -ga' Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- on of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP. CONST.TYPEJ I FLO D ARCEL PD Ho Issu This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTPP OF PUBLIC BY l QQ/iZ=� PER T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date —3� Receipt No. (D 01ft V WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROO-APPLICANT MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS - 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA - 534-4541 PERMIT N0, Address or location of mobileho e naks -J?::, tf Owner's name e-- A Owner's address R ��7 A �-% F P S Insignia or hud number // t) 'I Manufacturer's name , 1 CG I 11 Serial n er o N. ��'1/ Year of manufacture •-� (Official Appr ing Installation) (Date) IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION A'7;1,�EPTANCE 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. MOBILEHOME INSTALL'AT ON„ACCEPTANCE COUNTY -OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 or location of mobileho .Owner's name I )OW 'Owner's address Insignia or hud number_ Manufacturer's name !,' Serial num.ger 91 -H -+N. cial �...._.._.._ PERMIT N0. e s� S I ti ng Installation) ear of manufacture /// s (Date) HE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION EPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE ILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. lrr� IF 513B 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, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 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 matter, or need additional explanation, please contact this office immediately. n Inspector__ _ - Date_ :�13 p� COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE A routine inspection`Madicates 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. 0 31 t Inspector_ 1 iDate 1 r� 11 COUNTY OF BUTTE - DEPARTMEN`f `OF!1#UB6I.0 WORKS - BUILDING DIVISION 7,COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916%534;4541 °�''^• PERMIT APPLICATION DATA SHEET Permit No. n OWNER fes/ IIP lY UE' A. P. No. Proposed Building Use Permit Fee Based Upon: Complete Contract Price DPW Valuation Building Inspector uaie W- f I At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED A. All items. have been submitted .• . . . . . . . . Plot plans in duplicate/ riplicate. . . . . . . . Complete plans in duplicate/tri.plicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD ''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. . . . . . . . V. Pre -Inspection for Required- BuildingPre-InspI . request to (D�te) p q Building Inspector Recorlgmwf Ag,r.ff u mI Acknowledgment Statement . Other KKII`�11 onstruction approval required prior to occupancy When you issue the permit, process as follows: Mai l to owner. Mail to contractor. Telephone a hold for pickup at office. Deliver w/inspector. Other Applicant_ Date/ Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance. (For required items not checked above at tim applic ti , circle item.) 1. Index permit for above Items No. y 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Plans checked by. Plans approved by Other: Copy—DPW By Telephone Mail Other Date Date Date TO: Building Z." From: 'T11vironment-11 lli:;^11,11 Subject: Sanitation Plan Approved Hold, final. for: Final clearancc� 1"or: Clearance forvie.. Oth.,T, •-A A - - - i (�Dho vi - e 1,'O'F,!; *-x-x v,,.,A,er sur)i-.)ly AL Sanitar 4 , :J r. FTU, 1 I , - COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no), 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise/, /and provide the major work! Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: �r�� Property Owner, Social Security Number Date 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. 00 r� v� ill Ns set of pians and specifications MUST be �i j ;I ; ' kept on.the iob at aH times and it is unlawful to mcike ct>Ay ehanges'or alterations on some without writlen permission from +the Department of Public Works;; County of Bu e. amen, 1 tW%--)i (Glaterials di Workmanship Shall y b Aseordence with Recognized Good Practices and of o qwhty prescribed for the Specified use in the Uniform Building, Plumbing & Machanical Codes and His Notional Electrical Code. iLl ►�fS + j Utility connectia!gc,nritin 4 ft. of the obit?Sr I CP r/ directly beind or v'fiiin the rear ` TA At K half f the �i�� � i •X :Psr^'+1f A 6e rgqu•��7 dor ilio • installation of. the mobilehomo. mobilehome. FI. ivuivi�u: FOR ;MOBILES I�. IM A setback of Wt. from the ' A property lines and a setback h m h of 50ft. from the road ' centerline shall be clear of + structures or, equipment except for a 2 ft. -- ,IV6 / ? %*Ww" I T BUILDING DEPARTMEPII APPROVED /10110 gy -g6 M 4LLL �t. ;.null: 1,* in 6AT 0+ [,)1 If) jc.j .144 11,, f cr'! f Y 0 �Alor ti .n4lod lo F P1 lom > ;i !a nifal.% to of"t �O ",DC,6 loi So, rn A 4 0 1 i ics w0i 10M m .3mc*,H,)i'!dor-; W2 Q! SMARA ON—AlMl Q on, OAK briD prfiUTA t;-,t.l*,-U imi'lin".A lon0ii0l'i or;4 F P1 lom > ;i !a nifal.% to of"t �O ",DC,6 loi So, rn A 4 0 1 i ics w0i 10M m .3mc*,H,)i'!dor-; VkCet n to. DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT R�ECORDED IDI OFFICIAL RECORDS OF BTTEFOR RESIDENTIAL DEVELOPMENT 0. " ATTIIEOREOUESTOFRNIA -Section 26-8.1 of the Butte County Code requires this acknowledgement PARTY,SHOWN be recorded prior to issuance of a building permit. �20424 086 J Z7 M11:50 The property described herein is adjacent to land or included .EAPdORPA.BECKER within an area zoned for agricultural purposes, and residents'of th RMBEC R FEE property may be subject to inconveniences or discomfort arising froERK_g the use of agricultural chemicals, including, but not limited to herbicides, pesticides and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust,Pag smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Date: State of _) County of ) PROPERTY OWNERS: On this tide, day of Ju n-2 19 P6 , before SS. me, the undersigned Notary Public., personally appeared U Personally known to me. 19�_Proved to me on the basis of satisfactory evidence. to be the person(s) whose name(s) subscribed to SANDRA LEE SEAMAN ® the within instrument and acknowledged th t NOTARY PUBLIC -CALIFORNIA o executed the same for the purposes therein contained. ® Butte county o IN WITNESS WHEREOF, I hereunto set my hand and official seal. M My Commission Expiros Jan. 8,1988 13 otary Public Present A.P. No. i - Order No. 132020 The land referred'to herein is described as follows: All that certain real property situate. in the County of Butte, State of California, described as follows: PARCEL A: . . � I . , Parcel No. 1, as shown upon that certain Parcel Map for Lowell Smith, filed in the office of the County Recorder, County of Butte, State of California, on April 25, 1984 in Book 94 of Maps, at pages 86 and 87. RESERVING THEREFROM a 60 foot easement for road and utility purposes located in Sections 2 and 11, Township 18 North, Range 5 East, M.D.B. & M., Butte County,'California, more particularly described as follows: A strip of land 60 feet in width lying 30 feet on each side of the following described centerline: J ` BEGINNING at a point in the centerline of Swede's Flat Road (County Road) that bears South 30 50' 27" East, 688.68 feet from the center of said Section 2; thence from said point, the following courses: South 19° 40' 49" East, 172.61 feet; South 320 23' 53" West, 206.42 feet.; South 5° 41' 50" East, 325.51 feet; South 10 05' 22" East, 1348.46 feet; South 00 36' 18" West, 1323.87 feet to a point hereinafter known as Point "A"; thence from said.Point "A" the following courses: North 890 37' 11" West, 718.14 feet; North 89° 46' 37" West, 181.91 feet; South 860 87' 58" West, 211.83 feet; North 84° 36'12" West, 117.29 feet; South 510 41' 17" West, 127.56 feet; South 70° 34' 17" West, 275.28.feet; South 530 53' 22" West, 122.94 feet; North 801 03' 22" West, 121.14 feet; South 570 47' 37" West, 134.97 feet; South 850 16' 23" West, 201.99 feet; North 660 091 37" West,. 230.77 feet; North 44° 151. 0.7" West, 212.56 feet; North 580 29' 17" West, 172.58 feet,.West 47.03 feet to a point inthe West line of said Section 11,. beginning the point of termination of this line. 0 PARCEL B: A 60 foot easement for road and utility purposes located in Sections 2 and 11, Township 18 North, Range 5'East, M.D.B. & M., Butte County, California, more particularly described as follows: A strip of land 60 feet in width lying 30 feet on each side of the following described centerline: BEGINNING at a point in the.centerline of Swede's Flat Road (County Road) that bears South 3° 50' 27" East, 688.68 feet from.the center of said Section 2; thence from said point, the following courses: South 19° 40' 49" East, 172.61 feet; South 32° 23' 53" West, 206.42 feet; South 5° 41' 50" East, 325.51 feet; South 11 05' 2211 -East, 1348.46 feet; South 0° 36' 18" West, 1323.87 feet to a point hereinafter known as Point "A"; Continued ,�KuEL B: (contxnuea) ORDER N0. 132020* thence .from said Point "A" the following courses: North 89°.37' 11" West, 718.14 feet; North 89° 461. 37" -west, 181.91 feet; South 860 87' 58" West, 211.83 feet;. North 841 36' 12". -West, 117.29 feet; South 51° 41' 17" West, 127.56 feet; South 700 34' 17" West, 275.28 feet; South 530 53' 22" West,.122.94 feet;;,North 800 03' 22" West, 121.14 feet; South 57° 47' 37" West, 134.97; feet; South 850 16' 23" West, 201.99 feet; North 66° 09' 37" West, 230.77 'feet;; North 44° 15' 07" West, 212.56 feet.; North 581 29' 17" West, 172.58 feet, West 47.03 feet -to a point inthe West line of.said Section ll, beginning the point -of termination of this line. EXCEPTING THEREFROM that portion lying within Parcel A above. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 959f5 - Telephone 916/534-4541 APPLICATION AND PERMIT Z RMIT N0. �✓ A ASSESgR P% CEL % UMBER (QJ- ZONING Al BUILDING PERMIT OWN 161 TEL P N SO. FT. OCC. BUILDING VALUATION OWNF,R'S MAILING ADDRESS_ Q /) % V f COTOR' NAM ` e 14 r� TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CON UCTION LENDER dV1_ UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCH, ECT OR ENGINEER YL ` LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Al Penalty $ BuD NJ�j ADD s ©�� / / Permit fee $ PLUMBING PERMIT Filing Fee 10.00 O fiT Each Trap 2.00 to U 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 SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W I J 10.00 ea TYPE OF WORK New ❑ Addition ❑. Remgdel ❑� Utilities [ IInn$�tt Ilatiiion Other ❑ Describe work: afr l / A'T O Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 8001 OR LESS 100 AMP OR LESS Main service EA. ADD'L 100 AMP CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ i, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCUP.N� OR ADONS. ( ACC. BLDGS. / J2.50ea NEW CONSTR. MULTI -OUTLET NON-RESID BRANCH CIRC ITS POWER APPARATUS D (SINGLE OUTLET CIR. Ex. Occup( OR FIXTURES 2ALO 30 DL0 FIXED Ex. Occup. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 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 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. 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 County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabil' ies, judgments, costs, and expenses which may in any way accrue against Id Cou in nse ence of the granting of this /ppermit. X t Date/ / ��/u� �� Signature of Applicant — Owner Contractor ElAgentF1work An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ , d a occuP, CONST.TYPc I JFLO..JPARCE1J PO NO ISSu This permit is hereby issued under sions of the Butte County Code and/or indicated above for which DIRECTOF PUBLIC By PE T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date /over �3(stories Receipt No. 6 ! [/ WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT STATE OF CALIFORNIA -DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT DGPTQTDATTnm PADn MIIATI PUnMC DECAL NO. •&urnicr MANUFACTURER NAME/ID TRADE NAME MODEL DOM DOT DES SPC EXPIRATION NATL 00/00/64 00/00/64 MR 06/30/87 RY-64 U SERIAL NUMBER LABEL/INSIGNIA NUMBER T CHM601FDS11131 A59648 WEIGHT 000000 LENGTH 000720 WIDTH 000120 ISSUEDSCC 07/09/86 04 EXEMPT USE SFD TYPE ! ILT 2 3 TOTAL a FEES 5 PAID: 6 $158.00 A HOVEY DAVE o PO BX 7214 AFFSR o OROVILLE CA 95966 R E' s' a=�;a E] R "ME DAVE E VO G M I A PO BX 7214 AFFSR T L. e OROVILLE 4;Av95966 ag o s STONEY OAK BLY'N,'hiFiEyiEiHHF I! u OROVILLE CA 95966 . „„.. 14 ' ` R s T a L scP Ek Y G $ REGIS L��=' �.THEj'B �00Z ° f10:C? N E �. � � iFiHE�E�hTETF7F R ��.... J u P N Z I R O s R T R rf'ecT fr kRjr �Xhl ' pyx xi ��4F�tyy 3 S � ��3x3 8n A 01 /t 4, 8• "C Ms'2 D Rt,Y 'Y% t> k9 tyf� ATTENTION OMER: � ,IS,TNE REGISTRATION CARD FOR THE UNIT DESCRIBED ABOVE. a SE KEEP" THIS CAM IN A SAFEPLACE WITHIN THE UNIT. i 'IN57RiiCTIONS FORFRENENAL: 3 fI0�1 FORTHISU}IIT EXPIRES. ON THE DATE INDICATED ABOVE IN U;SELED "EXPIRATION". THEW',ARE SUBSTANTIAL PENALTIES lQUERCY,;PIF YOU DO NOT RECEIVE A RENEWAL NOTICE WITHIN VfozR TO TRE EXPIRATION DATE CONTACT H.C.D. FOR RENEWAL L Z E N S H E 0 C L O ,. D N E D R IMPORTANT 01'485-00752 THE OWNER INFORMATION SHOWN ABOVE MAY NOT REFLECT ALL LIENS RECORDED WITH'THE DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT AGAINST THE DESCRIBED UNIT. THE'CURRENT .z TITLE STATUS OF THE UNIT MAY BE CONFIRMED.THROUGH THE DEPARTMENT. 0100131 AP # a.R_ Irl -1 `1'Z OWNER Mi- y eA -4 PERMIT '�k �. �� K4, _.g NSI UTIL.CLEARANCE DATE 7 f INSPECTOR ELECTRIC GAS Support Struc. Compaction Test Re . Service Size Other Load Type Pipe Size Length YES NO YES NO V G 3 8 P-47 • 'y.: s .. v 'wt n_ r a .. a .. t :.. _ .4 - .. . 1COUNTY OF BUTTE - DEPARTMENY OF; PpUBLIC WORKS -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916%5-4541 / PERMIT APPLICATION DATA SHEET — Permit No. OWNER Pave UP V A. P. No. do "% Proposed Building Use r Permit Fee Based Upon: Complete Contract Price DPW Valuation Ot ( Iain) 4// 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.' . . . . . . . . . . . 2., Plot plans in duplicate/triplicate. . . . . . . . . . . 3. Complete plans in duplicate/triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Raid'' 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 ❑ ) �Improvements may be required. . , .. . • .. . • . • .. . • .. . , 6. Mobilehome Installation Data. / •Pre-Inspec. request to (Date) 17. Pre -Inspection for Required. Building Inspector 18. Record�dR ��y_�af_ Agr�l ur� Acknowledgment Statenjent . , 19. Other llll LLWW lY( YYE TT onstruction approval required prior to occupancy WWh ou issue the permit, process as follows: Mail o owner. Mail to contractor. Telephone &33 ("and holEL for pickup at.,C�_office. Deliver w/inspector. Other Applicant ' Dated/ -✓��g6 Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other Date Plans checked by Plans aDDroved b, Other: Copy—DPW COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) — 2. I (have/have not) bZ 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 c Address City Phone Contractors License No. I plan to provide portions of this work, but I,have hired the following person to coordinat supervise, and rovide the major work: Name �e2/��G' i� and Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner AUL4i��A; Social Security Number Date /C? 1_ 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. r 1. Owner's Name: BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1) 1— i cI D,9 i/© V 6 2. Installer's Name: ��Ud E 3. Is the site currently under permit? Yes No 71 (If yes, furnish permit number /IVY -96F �f7N) ) OR Is the site an existing site? Yes No (If yes, furnish two plot plans.) ).1 4. Will the mobilehome be located at least 5.ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes ® No F-1 (If no, clarify C 5. What is the mobilehome electrical rating? ------------- c Amps 6. What is the mobilehome site service rating? --- - -------- 2,C2 49 Amps 7. What is the mobilehome site circuit breaker rating? ------I � 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• %{�°�MjflL(Load) 45�0 (Amps) 9. What is the mobilehome site gas pipe size? -------------- (in.) 10. What is the type of gas service? --=---------------- Natural F] LPG 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------------------- 2.0 (ft.) * 12. What is the mobilehome gas demand? ---------------------- (BTU) *(This information not required if pipe length less than 6 ft. on ,natural gas or less than 50 ft. on LPG.) OUTTE COUW V. QU1111ING DEPARTMEN,? PP ov]E MOBILEHOME SUPPORT DATA If other than single wide, yc� Mobilehome Mfr. 0A) A- L— furnish Setup Model No. Year Width14!52 (ft.) Box Length -5-5 (ft.) Tagalong or Expando Size ft. x ft. -- i0 F7- X 9 On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one)® 1. Wood -pressure treated or foundation grade. 2. Other (specify) SUPPORTS (check one)ai. Concrete block. F] 2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE Line 1 Piers: Size -Min. ------------ Spacing-Max - -----------Spacing-Max. --------- From Ends -Max- ------- Line 1 Openings: Size -Min. ------------------ Each Side of Openings With Width Over --------- Line 2 Piers: Line 3 Piers: (Under Bearing Wall Only) Size -Min.------------ , Size -Min.------------------ lix Spacing -Max.--------- �-, „ Spacing -Max .--------------- From Ends -Max.------- r From Endo -Max- ------------- Line 3 Roof Loads.• Size -Min. ------------ ..x a ..x 1.k u „� a nx a .1xa ,k a .k v Location (Flom Front) Line 4 Piers: Line 5 Piers: (Under Bearing Walls Only) Size -Min.------------ �., Size -Min.------------------ Spacing -Max ---------- Spacing -Max.------- ,_ u -------- From Ends -Max.------- ,„ From Ends -Max .------------- Line 5 Roof Loads: Size -Min. ------------ ..x �� I.x �, ..x .. Ilx �, I,x. �� ,.x 11 ..x ., .L_ „ Location (From Front) Mandatory Measures Checklist: Residential MF -1 R NOTE: Lownse residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. Items marked with an asterisk (•) may be superseded by more stnngent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as binding minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. - DESCRIPTION Building Envelope Measures ' §150(a): Minimum R-19 ceiling insulation. §150(b): Loose fill insulation manufacturer's labeled R -Value. ' §150(c): Minimum R-13 wall insulation in framed walls (does not apply to exterior mass walls). §150(d): Minimum R-13 raised floor insulation in trained floors: minimum R-8 in cmmte raised floors. §150(l): Stab edge insulation • water absorption rate no greater man 0.3%. water vapor transmission rate no greater than 20 pemvinch. §118: Insulation specified or installed meets California Energy Commission quality standards. Indicate type and form. §116.17: Fenestration Products, Exterior Doors and Irifilttation/Exfillmdon Controls a Doors and windows between condwoneo and unconditioned spaces designed to limit air leakage. b. Manufactured fenestration products have label with certified U -value, and infiltration certification. c Exterior doors and windows weatherstripped; all joints and penetrations; caulked and sealed. §1 50(g): Vapor barriers mandatory in Climate Zones 14 and 16 only. §150(4: Special infiltration banner installed to comply with §151 meets Commission quality standards. §150(e): Installation of Freptaces, Decorative Gas Appliances and Gas Logs 1. Masonry and tactory4xWt fireplaces have: a. Closeable metal or glass door b. Outside au intake with damper and contrd c. Flue damper and control 2 No continuous burning gas pilots allowed. Space Conditioning, Water Heating and Plumbing System Measures §110.13: HVAC equipment, water heaters, snowerheads and faucets certified by the Commission. §150(i): Setback thermostat on all applicable heating systems. §150(j): Pipe and Tank Insulation 1. Indirect hot water tanks (e.g., unfired storage tanks or backup solar hot water tanks) have insulation blanket (R-12 or greater) or comoined intenouexterlor insulation (R-16 or greater). 2 First 5 feet of pipes closest to water heater tank. non -recirculating systems. insulated (R-4 or greater). 3. All buried or exposed Piping insulated in recirculating sections of hot water system. 4. Cooling system piping oelow, SVF insulated. 5. Piping insulated between heating source and indirect hot water tank. ' §150(ml: Ducts and Fans 1. Ducts corutructed. installed and sealed to comply with UMC Sections 1002 and 1004: dual insulated to a minimum installed value of R-4.2 or ducts enclosed entirely within conditioned space. 2 Exhaust fan iystems nave oackdran at automatic dampers 3. Gravity ventifana systems servrno conaitioneo space have either automatic or readily accessible. manually operawo dampers.. §114: Pool and Spa Heating Systems and Equipment 1. System is ceiafied with 78% thermal efficiency, on -orf switch, weatherorooi operating instructions. no electric resistance neaung and no Pilot IighL 2 System is initailed with: a. At least 36• ciDe oeiween filter ana heater for future solar heating. b. Cover for outdoor tools or outdoor spa 3. Pool system nas c recaonal inlets ano a circulation sumo time switch. §115: Gas-rirea centrm turnace. pool neater. spa neater or household cooxina atptiance have no continuously buena pilot light. (Exception: Non-etecincal cooking appliance with pilot < 150 8twhr.) Ughting Measures §150(kl: 40 lumenswar, cr areater for General lighting in kitchens and rooms with water closets: and recessed ceiling uxtures tC (insuiauon coven approved. DESIGNER I ENFORCEMENT COMPUANCESTATEMENT This certificate of compliance lists the building features and performance specifications needed to comply -with Tale 24, Parts 1 and 6, of the California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the individual with overall design responsibility. When this certificate of compliance is submitted for a single building plan to be built in multiple onerltations, any shading feature that is vaned is indicated in the Special Features/Remarks section. Designer or Owner (par Sualneas a Prof Wons cod.) Name: Tida/Fmm: Address: Telephone: clic rr: (signature) Enforcement Agency Name: Tide: Agency: Telephone: (date) (signatunwstamp) (natal Documentation Author. Name: TideJFam: Address: ' 3 Certificate of Compliance: Residential Climate Zone 11. Roof ............. ' Wall .............. Wall........... - Floor ........ »..: Floor ............. . Slab Edge_;. FENESTRATION - -Eenestration Area Orientation (s0 _ (s North ( ) North ( ) East ( ) East ) SouthSouLh ( ) ( ) West West ( ) West ( ) Skylight....... —ZF_ THERMAL IMASS TypelCoverirg Shading Devices Type Interior . Exterior Overhang , Framing -Type L Area Thickness IiVAC SYSTEMS Nlinimum Duct Type (furnace, air Efficiency Location conditioner, hent vulnv) (AFtaF,SEER.HSPF) (alae, etc.) eta M Heat Pump IIOT iVATER SYSTEMS Tank ��\�vO v ,, alue Svstc T (storage as, etc.) Capacity Number Ener Facto ;t i}i at ri hit; nn .. {?a/�2 n � _ • Ste_ _ Z S SPECIAL FEATURESIREMARKS Point System Summary: Climate Zone 11 1. Ceiling Insulation K,5V or V ue (38](38" l U -value (0.0281 2. Wall Insulation ��- or R -value ( 9J U -value (0.065] 3. Raised Floor Insulation or R -value 1191 U -value 10.0371 4. Slab Edge Insulation or R -value (OJ F2 tae= (0.751 5. infiltration Any Ducts in Unconditioned Space? ( Y / N) (YJ S. Fenestration Heat Loss �3 Type- U -value (0.651 Total % Fenes.1161 7. Fenestration Heat Gain- Point Scores a °/ Fenest on SCshade ow Eff. % F- Shade Eff. Rath s, North d``Mwx -'77 *'East / x = 'r W South 7 x = l� . (o a► A) West &I. x Skylight D x Overhangs? ( Y / N ) 8. Interior Thermal Mass or r %Exp. [201 Int Mass/CFA 0 9. Exterior wall Mass Ext wag Mass Sum 7-9 10. Headng System -- x • t�3 = _92 AFUE or HSPF Duct Effie. (1 story: Effecave AFUE Zonal Control (78% or 6.81 0.83: 2+ stgry .881 or HSPF Adjustment (01 11. Cooling System /0 x g SEER 110.01 Duct Effic. ( story:- Effective SEER Zorla6C0e1,11:10i 0.81: 2+ story: 0.871 Adjustment (01 12 Water Heating System 1 ,50 .5 3 I O -N% Heater Type Energy Factor Ext Ins. R -value Auxiliary Input Distribution (SG501 (0.531 (121 (None( [STD] System 2 Hearer Type [None) Energy Factor Ext ins. A -value Auxrtiary input Distribution Pont Total: 1. Ceiling Insulation R-0 Number of stones -43 R -value One Two Tliiee `- R-0 -74 -48 -27 R-19 -5 -4 -2 R-30 -1 -1 0 R-38 0 0 0 2. Wall Insulation .71 Numow at stones .61 Single - One Two Three R-0 Faintly Fanwy MuIIU- R-0 -72 -57 -43 R-11 -7 -6 -4 R-13 -5 -4 -3 R-15 -4 -3 -2 R-19 0 0 0 R-21 1 1 1 3. Raised Floor Insulation 1.01 .91 Inwlatfou In Floor .76 .71 Numow at stones .61 R -value One Two Three R-0 -14 -9 -5 R-11 -3 -2 -1 R-19 0 0 0 R-30 2 1 to 4. Slab Edge Insulation .87 or more Number of Stones .51 or lass PI -value One Two Three R-0 0 0 0 R-5 6 4 2 R-7 7 4 2 6. Fenestration Heat Loss 18% 5. Infiltration (Duct Air Leakage) Duas In Unconditioned Space 0 No Duas in unconditioned Space 3 7. Fenestration Heat Gain (based on Shade Ettecuveness Rano) Elf % Fen- estra- non .87 or more North .67 .52 to to .86 .66 .51 or lass East .87 .67 .52 or to to more .86 .66 .51 or less .87 or more South .67 .52 to to .86 .66 U-vdue .87 or more WM .67 .52 to to .86 .66 .51 or less Skylight .67 .66 or or more less 18% -5 .4 Total 1.31 1.21 1.11 1.01 .91 .81 .76 .71 .66 .61 .56 .51 .46 .41 .36 .35 Percent or to to to to to to to to to to to to to to or Fenewman more 130 1.20 1.10 1.00 90 80 .75 70 65 60 55 50 45 40 less 507. -100 -16 -69 -62 •55 -48 -41 •38 •34 -31 .27 •24 -20 -17 •t3 -10 407: •77 -58 -52 -47 -ti -36 -30 -27 -25 -22 -19 -16 -13 -1) $ .5 35% -66 49 -s4 -39 -34 -29 •25 -22 •20 -17 -15 •12 -10 •7 -5 -3 307. •54 -40 -36 -31 -27 •23 •19 -17 -15 -13 -11 -6 -6 -4 .2 0 287. •50 •36 -32 -28 •25 •21 -17 -15 -13 -11 -9 -7 •5 .3 •1 1 267. -15 -33 -29 -25 -22 -18 •14 -13 -11 -9 -7 -5 .4 -2 0 2 24% -41 •29 •26 •22 -19 -16 -12 -11 .9 •7 -6 -1 -2 -i 1 3 22% -36 -25 •22 •19 •16 -13 -10 -8 •7 -5 -4 .2 •i 1 2 4 20X •31 -22 -19 -16 •13 -11 •8 -6 •5 -4 -2 1 1 2 3 5 18X •27 .18 •16 .13 .11 .8 -6 -t •3 -2 •1 1 2 3 4 6 16% -22 -14 -12 -10 -8 -6 -3 -2 -1 0 1 2 3 4 6 7 14% -18 -11 •9 -7 •5 -3 •1 0 1 2 3 4 5 6 7 8 12% .13 -7 -6 -t -2 -1 1 2 3 4 4 5 6 7 8 9 10% -8 -4 .2 1 1 2 3 4 5 5 6 7 8 8 9 10 V. -t 0 1 2 3 4 6 6 7 7 8 8 9 9 10 11 7. Fenestration Heat Gain (based on Shade Ettecuveness Rano) Elf % Fen- estra- non .87 or more North .67 .52 to to .86 .66 .51 or lass East .87 .67 .52 or to to more .86 .66 .51 or less .87 or more South .67 .52 to to .86 .66 .51 or less .87 or more WM .67 .52 to to .86 .66 .51 or less Skylight .67 .66 or or more less 18% -5 .4 .3 -2 -21 -20 -15 -12 -26 -23 -16 -12 -36 -32 -23 -16 -75 -50 16% -4 -4 .2 -1 -18 -16 -13 -10 -21 -19 -13 -9 -31 -27 -19 -14 -65 =4 14: -4 -3 .2 .1 -14 -13 .11 -8 .16 .14 -10 -7 -26 -23 -16 -11 -55 -38 12% -3 -2 •1 -1 -11 -10 -8 46 -12 -10 -7 -4 -21 .18 .13 -8 .46 .31 11% -2 -2 -i 0 -10 -9 .7 46 -10 -8 -5 -3 -19 -16 •11 -7 -41 -28 107. -2 -2 -1 0 -8 -8 -6 -5 -8 .7 -4 .2 .16 .14 .9 -6 .37 -25 9% '-2 •i -1 0 -7 -7 -5 -4 -6 -5 -3 -1 -14 .-12 -8 -5 -32 -22 87. -1 -1 -1 0 -6 -5 -4 -4 .4 .4 -2 0 •11 -10 46 -4 -28 -19 N. -1 -1 0 0 -5 -4 -4 -3 -3 -3 -1 0 •10 -8 -5 -3 -24 .17 6% •1 -1 0 0 -4 -4 -3 -2 -2 -2 -1 0 -8 -7 -4 -2 -20 .14 5% •1 0 0 0 -3 -3 -2 -2 -2 -1 0 0 -6 -5 -3 -1 -16 -12 4% 0 0 0 0 -2 -2 -1 -1 -1 -1 0 1 -4 -4 -2 0 -12 .10 3% 0 0 0 0 -1 -1 -1 0 0 0 0 1 -2 -2 0 1 -9 -7 2% 0 0 0 1 0 0 0 0 0 0 1 1 0. 0 1 2 -6 -5 i% 1 1 1 1 1 1 1 1 0 0 0 0 1 1 2 2 -3 -2 0% 1 1 1 1 1 1 1 1 0 0 0 0 3 3 3 3- 0 0 8. Interior Thermal Mass Houses Extenor Method A (Sist).-on-grade Construction Only) perew One Famtry Two Three Exposed Ston -25 or Stones Stories 0 0 -3 3 .2 2 1 10 5 •2 0.60 .1 8 -i 20 12 0 7 0 14 0 30 1.20 1 13 10 1.40 18 40 11 3 21 2 13 1 50 18 4 200 3 19 2 60 1. 5 0 3 7.4-- 2 70 4 6 2 4 1 2 80 7.6 8 7 5 4 3 90 95% 9 8.0 6 9 3 100 4 10 100% 6 8.5 4 11 9 Method B 2 16 or Ira Effective AFUE or HSPF SLO Floor -15 Raised Floor Mass .15 Stories One Story House .7 Stones Sum at 1.6 /CFA One Two Three One Two Three 0.0 -11 •8 -6 .1 •1 0 0.1 -10 -7 -6 0 0 0 0.3 -9 -6 -5 1 1 1 0.5 -8 •5 -4 2 2 2 1.0 -6 •3 .1 4 4 5 1.5 -4 •1 1 6 6 6 2.0 •2 2 4 8 8 8 2.5 1 3 5 9 9 9 3.0 3 's . 5 11 10 10 4.0 4 6 7 13 13 13 5.0 4 6 8 14 14 14 6.0 5 7 9 15 15 15 7.0 7 8 10 16 16 16 8.0 8 9 11 18 17 17 9. Exterior Wall Thermal Mass Houses Extenor Single- Single- mufti Wall Family Famtry Family Mass Detached Attached -25 or 0.00 0 0 0 0.20 3 3 2 0.40 7 5 4 0.60 9 8 6 0.80 12 10 7 1.00 14 12 9 1.20 17 13 10 1.40 18 14 11 1.60 21 17 13 1.80 23 18 1d 200 24 19 14 10. Heating -System Houses with Ducts (8-43) Sutatint loris 1000 SEER than to Houses With Ducts (R-42) Sum of 7.9 .30 .17 .5 Spls Pcxg -25 or •24 to Sum of 1.6 .6 to 16 or Gas Split Pkg -25 -24 -14 -4 +6 16 AFUE HP HP or to to to to or - Ks" HSPF less -15 -5 +5 +15 more 78% 6.8 6.6- 0 0 0 0 0 0 807. 7.0 6.8 1 1 1 1. 0 0 85% 7.4-- 7.2. 5 4 3 2 2 1 90% 7.8 7.6 8 7 5 4 3 1 95% 8.3 8.0 11 9 7 5 4 2 100% 8.7 8.5 13 11 9 7 4 2 16 or AC Effective AFUE or HSPF less -15 -5 (AFUE or HSPF x duct efficiency) .15 Effective One Story House .7 .4 Sum at 1.6 -17 -12 Gas Split Pkg -25 -24 -14 -4 +6 16 AFUE HP HP or to to to to or -7 HSPF HSPF less -15 -5 .5 +15 more One Story House 0 0 0 0 0 8.1 33% 2.9 2.8 -62- --53 44 -34 -25 -16 407. 3.5 3.4 40 -34 -28 -22 -16 -10 500. 4.4 4.2 -19 -16 -13 -10 -7 -5 60% 5.2 5.1 -4 -4 -3 -2 •2 -1 64% 5.6 5.4 0 0 0 0 0 0 707. 6.1 5.9 6 5 4 3 2 1 807. 7.0 6.8 13 11 9 7 5 3 90% 7.8 7.6 19 16 13 11 8 5 100% 8.7 8.5 24 20 17 13 10 6 Two or Three Story House 0 7.0 6.8 -11 33% 2.9 28 -69 -58 48 -37 -26 -15 407. 3.5 3.4 -46 -39 -32 -24 -17 -10 50% 4.4 4.2 -24 -20 -16 -13 -9 -5 60% 5.2 5.1 -9 -8 -6 -5 -3 -2 69% 6.0 5.8 0 0 0 0 0 0 70% 6.1 5.9 1 1 1 1 0 0 807. 7.0 6.8 9 8 6 5 3 2 907. 7.8 7.6 15 13 10 8 6 3 100% 8.7 8.5 20 17 14 11 8 4 Zonal Corinol Adjustment System Type Resistance 6 4 3 2 1 0 Other 3 3 2 1 1 0 11. Cooling System Adjustment for No TuA lasoladon Hur ew at www Heaters watert+eaer I'voe One Two SG50 .2 .5 SG -,S -3 -6 SE -5 -O HP -2 -4 House Shra AdJuatment Houses with Ducts (8-43) Sutatint loris 1000 SEER than to Poen Sane Sum of 7.9 .30 .17 .5 Spls Pcxg -25 or •24 to -14 to -4 to .6 to 16 or AC AC less -15 -5 .5 .15 more 10.0 9.7 0 0 0 0 0 0 11.0 10.7 4 3 2 2 1 0 12.0 11.6 8 6 5 3 1 0 13.0 12.6 11 9 6 4 2 0 14.0 13.6 13 11 8 5 2 0 15.0 14.6 16 12 9 6 2 0 0.80 2 Effective SEER 3 (SEER x duct efficiency) All OM Eff SEER •12 Sum of 7.9 Split pe xg -25 or -24 to -14 to -4 to +6 to 16 or AC AC less -15 -5 +5 .15 more One Story House .7 .4 3 -17 -12 5.0 4.9 -29 -23 -17 -11 -4 0 6.0 5.8 •16 •13 .9 -6 -2 0 7.0 6.8 -7 -6 - -4 -3 -1 0 8.0 7.8 -1 0 0 0 0 0 8.1 7.9 0 0 0 0 0 0 9.0 8.7 5 4. 3 2 1 0 10.0 9.7 9 7 5 3 1 0' 11.0 10.7 12 10 7 4 2 0 12.0 11.6 15 12 9 6 2 0 13.0 126 18 14 10 6 3 0 14.0 13.6 20 16 11 7 3 0 15.0- 14.6 22 17 12 8 3 0 Two or Three Story House 5.0 4.9 -35 47 -20 -13 -5 0 6.0 5.8 -21 -17 -12 -8 .3 0 7.0 6.8 -11 A •7 -4 .2 0 8.0 7.8 -4 •3 -2 .1 .1 0 8.7 8.4 0 0 0 0 0 0 9.0 8.7 2 1 1 1 0 0 10.0 9.7 6 5 4 2 1 0 11.0 10.7 10 8 6 4 1 0 120 11.6 13 10 7 5 2 0 13.0 126 16 12 9 6 2 0 14.0 13.6 18 14 10 6 3 0 15.0 14.6 20 .16 11 7 3 0 Adjustment for No TuA lasoladon Hur ew at www Heaters watert+eaer I'voe One Two SG50 .2 .5 SG -,S -3 -6 SE -5 -O HP -2 -4 House Shra AdJuatment SG50 Hasa Size (n� Sutatint loris 1000 water Mom ng than to Poen Sane i0100 1499 .30 .17 .5 •25 .14 .4 .20 -11 .3 -15 -9 .3 •10 -6 •2 . .5 -3 1 0 0 0 5 3 1 to 8 2 15 9 3 20 11 3 25 14 4 House Shan AdJustment SG50 Al Hou" sae (1t-) subta l ism 2000 water mom to or Pent Smre 1999 more 30 0 3 1 0. 5 20 0 2 -15 0 1 .t0 0 1 5 0 0 0 0 0 5 0 0 10 0 .1 15 a -1 20 0 .2 25 0 .2 Zonal Control Adjustment All 6 _5 4 2 1 0 17- Water Heating Ow Www Heater - No AuzMary Credits Okanou on Symirtz Recm Svstema Water GT+mae &wqy = HWR Rte NO Trow Ownd Heater Twat Zama Fa=r Poli Insul Mill SG50 Al am 0 3 1 -0 -5 0 0.63 5 8 6 1 0. 5 0.71 8 11 9 0 4 8 SG75 AN 0.48 .2 1 -i -12 -7 -2 038 3 6 5 -5 -1 4 am 7 10 8 -1 3 7 SE AN 0.67 -20 -12 -17 -41 32 -19 0.83 -17 -9 -13 38 -28 -16 IG Al 0.80 2 5 3 IE All OM -21 •12 MP 6.11.13.15 1.80 4 7 5 5 1 4 Two Water Heaton - No AmnIIary Credits S1350 Al am .7 .4 3 -17 -12 -7 OM 1 5 3 41 -4 1 0.73 6 10 8 -2 2 7 SG3 As 0.48 -12 -e -11 -22 -17 -12 0.58 •1 3 0 -it -6 •1 0.68 S 9 7 .4 1 6 SE AA 0.87 -22 .14 .19 44. -35 -22 am -16 .7 -12 -39 -28 -15 :G As 0.80 .4 -1 -3 IE AN a.93 -21 -12 HP 6-11.13.15 1.80 .1 3 1 .10 -6 0