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030-212-029
30-212-29 Charles E. Flud 881 14th St., orovili�e- 'dontr: Curly's Trailer Towing, Oro. Permit 1459-78P,E(uql - MH) C�� ELEC. GAS 7 SUP,4POTtST9UCTU:RZEQ—Qv COMPACTION TEST REQ. _ iZJl7 30-212-29 Permit #3457-7810HI Issued I /- 030-212-029 PERMITT96-2519 BARBOZA, Manuel 881 14St., Oroville ��'�'i(�1 MHI Ex Site 030-212-029 PERMIT#96-2567 BARBOZA, Manuel 881 14th St., Oroville Ogen Deck/MH %/� 030-212-029 PERMIT #96-2604 BARBOZA, Manuel 881 14th St., Orovil�l-e Ajj Retage Ele Ser/MH bo 1917 A -i -%MAN $79*BARgOZA 0 ' L ;1. TH4S TR 11E ".'OWNER', 030=21=2-029 00-1918' BARBOZA, _MANUEL - —1 75-9FY4T1'-11ST REET., -.�R- 0 tLE 14T",,STREET, --CONTR.: OWNER- 5Y , MHI L IF21 J 3 S'7 'Ew tit FT LMUL Y.A) - Rli ,!�� . . . . . . . . -- - - - 00*. Ml AN 1 - i � - - i � 1 i� I I f .� 1 I � � i� )4s,/iV "I w I I mo ___ _.._ _ __ ___ ; _. _ I, _._. L.._: J-: 1_ i l t i I i r j i 1 I i i r i -7r-- Mobilehome Manufacturer: VICEROY Manufacture Year: 1 If other than single wide, furnish Setup Model Number:SINAi; SVIP — t*va&A : A3ST /,0 Width: !a ft.) Length: , S,2- (ft.) Tagalong or Expando Size (ft.) x (ft.) On all mobilehomes manufactured after - October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. FOOTINGS: Wood pressure treated or foundation gradel.10 Other: SUPPORTS: Concrete block[ ] Other: Provide Tie Down Specifications for all Mobilehomes: ASCD A10;1N4&`P P Pier Footings Sizes and Location SINGLE WIDE MULTI -WIDE Line I I Line 2 Line 2 ................................................................................................ Main Beams Line2............................................................................................. 2 Line I Line 3 Line 2 ................................................................................................ Main Beams Line 2 ................................................................................................ Line I i .....................................----Line S Tag or Triple ine 4 I Line 1 Piers: Size minimum: r 1 x Spacing maximum: ` From ends -maximum: ` Line 2 Piers: Size minimum: x] x ]. Spacing maximum: ` From ends -maximum. 2 ` ` Line 3 Roof Loads: Size minimum Location (from front): Line 5 Roof Loads: Size minimum: Location (from front): Line 1 Openings Size minimum: [ ] x [ ]. Each side of openings with width over: I` Line 4 Piers: Size minimum: x Spacing maximum: ` From ends -maximum ` OVER = 1. Owner's Name: t'01A V UEL L . -3 A"Z R O Z A 2. Assessor's Parcel Number:C2 CP: t4 i tl-# UTE CorrRvcrioN 3. Installer's Name:, o✓ _ ��� "�' °E' Mt *NOR-[ 7k- Lt3O 4. Is the site currently under permit? Yes[ ] No[ ] Permit No. 5. Is toe site an existing site? Yes[ No[ ] (If yes, furnish two plot plans). 6. What is the electrical rating of the mobilehome?--Y a Amperes. 7. What is the mobilehome site circuit breaker rating?'(_Amperes. 8. What is the electrical rating of the mobilehome site? AX Amperes. 9. Is the main service remote from the mobilehome site? Yes[ ] No[�] If it is, what is the rating? Amperes. 10. Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage etc.)? Yes[ ] No[X If yes, please identify the load and size: a) The mobile home site: Load- Amperes - b) The main service: Load- Amperes - 11. Type of gas service at mobilehome site: Natural[ Propane[ ] None[ ] 12. Size of as pipe at the mobilehome site' from the meter or tank: 30 inches. 13. What is the gas pipe length from the meter or tank to the mobilehome?-S-,(ft.). 14. What is the mobilehome gas demand? B.T.U.* *(This information is not required if the pipe length is less than 6 feet on natural gas or less than 50 feet on propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION May 1995 8.5 r ro m t' 7- DUWNJ SYSTI.: ' �, __�cN'. WADS.: - - SINGLl: 1vmE r:'1!i.nr , 0-K, !I^a°lS SIAM §III'!'f1�71 ryLF;. ;I E I 1 = LIIN. / A IAAX. EOUZIF.MI'UI TlrtF'CLL 1 *WIND LOAD - 15 PSF !'ACING AS RECOMMENDED BY THE IL' � � . HOME MANUEACTUREP. VARIES 10'-70' - 1. THIS TIE DOWN SYSTEM IS DESIGNED TO BE CONSTRUCTED ON A E EYErILY .;PACED BETWEEN FAIRLY LEVEL SITE WITH NO EXISTING SOIL PROBLEMS. - - - •'s C MINIMUM SOIL PARAMETERS: TYPE 5 COHESIVE SOIL, WITH MINIMUM SOIL BEARING CAPCAITY OF 1000 PSF —' I - - — — .__ —.._ — _ U4 n f.:l L1 I I. 2. CHASSIS BEAM SUPPORTS SHALL BE LOCATED AND S171:U EOR iIIE LOADS > AS SIIOWN IN 714L "MANUFACTURED HOME INSTAL ND S IIISTRUCTION; l PIE'r:L RrAM SUPPORT AS l REr;IJIREU BY MANUFACIUP,ER _ I 3. IN AREAS WHERE DIFFERENTIAL SETTLEMENT (DS) (TYPICAL) `T1 '� 1 _ MANUFACTURED HOME SHALL BE REAOJUSTEb WHEN DS EXCEEDS 1/4"CAN OCCI_!R,,—�-0 — - OR WHEN IT WILL ADVERSELY AFFECT MOBILE HOME UNIT. I b. THIS PLAN 15 INTENDED TO BE USED FOR MANUFACTURf:D HOMES UP TO E -7 TN 7, 'T PAD 1 3 SECTIONS IN WIDTH. CONTACT THE DESIGN ENGINEER FOP. SCECr+orEI-PlcAq Io I`I_.l -R Cl DESIGNS FOR MANUFACTUED HOMES OVER 3 SECTIONS WIDE. - -- - - - "- - - — - LT �- 5. STRUCTURAL STEEL: FABRICATED ACCORDING TO AISC SPECIFICATION. LENG114 NUMBER OF E -Z TIES WELD ACCORDING 10 AWS SPECIFICATIONS, ELECTRODES -370 PLATEO-ASTIR A36. j BOLTS=ASTH A307. ="'� HOME 18" HT 21" F►T - — f;i;ij n. , ----- — 28" H f 3t_' r_T 6. THE E -Z TIE ASSEMBLIES ARE CAPABLE OF THE FOLLOWING LOADS: '' r 1 40 — a 4 4 6 HT H0 VERT ' .=' 4 --.—I UPLIFT '� •:' 1 �` '''Y'�• _�'l:, 50- —4 — 4 6 18" 2010 (ib) 6000 (Ib) 891 (Ib) >c 1, ,i t: ' 60' q 4 6 21- 1825 (tb) 6000 (Ib) 801 (Ib) ! r++ --F'.6—_._ _ L_ 4 6 -R 28 1419 (Ib) 6000 (Ib) 629 (Ib) �`' �. r" 111 ��'_ _4__ —6 6- 1U 867 (Ib) 6000 (Ib) say (rb)36 STATE APPROVAL 7, ALL METAL COMPONENTS AND ATTACHMENT ITEMS SHAII- BF PROTECTIVE /+ '~ COATED, of , - ENGINEERED TIEDOW14 SYSTEM �......t,•• APPROVED 8• WHERE STAND IS PLACED ON EXISTING CONCRETE: SLAB, 1/2" SLF:INC SUfl1EC7ToCORRECTIONS NOTED ANCHOR BOLTS MAY BE USED TO SECURE PIER BASE PAD. 9• ATTACHMENT METHODS FOR "C" & "J" BEAMS SHOWN ON SH.T. j I . Mprwal does not authorise or approve any omission or deviation from requirements of applicable State I,nts and regulations. 10_' THE LONG DIRECTION OF THE E -Z TIE PAD (37") MUST BE INSTALLED PERPENC)ICULAR TO THE CHASSIS BDeparlrnent of (lousing and r.. EAM. 'State of Ccomla mmunity Development %( &S AND STAND+�S q Dy_ Date / i- .3 2�7�q%n'a�jrer SPA NO GUS GUARD COMPANY 11-4-2-00( P-0. BOX 126 This Flan Approval Expires CATHEY'S VALLEY, CA 95306 THIS TIE DOWN SYSTEM MEETS THE REOUIREMFNTS PFI 209.377-8354 • PH 800-322-2479 OF SEC110N 1356.3 SUBSECTION (a). FAX 916-383-5207 WAti'NE T. POLVADO, PC -LISTING NU. 99001 SHEET I of 3 Si w ca -4 z CT1 0 r� c 171 e T7 O W W W Q1 N m J r Z' n. , - 2"k2"x3/16" STL. ANGLE 3/8" CAD PLATED ROLT, NOT & WA%HER COUNTER BORED FLUSH WITH BOTTOM (8) REOUIRED — 1/4" STAND BASE ARESCO ABS PAD #503 --Y DETAIL "A- 09/ 16 A" 09/16 HOLE (4) REQUIRED BENT PL (TYP) rw7l"xl,kll10.00 Go I L- _ -i NAND BASE -TOP .VIEW 01 1/2" SC14 40 PIPE RISER WITH - 01/2" ADJUSTER HOLES AND 3/8" THICK TOP PLATE 02" SCH 40 PIPE STAND WITH TWO 01/2' ADJUSTER HOLES 1 1/7' DIA. HOLE (8) PLACES / I i 10 50 Ie:.7s — — — — ------ 1 3/4" DIA. x IR" LG. (4) REOiJIRFCI CHASSIS FRAME �. ��.,� — — — 30.00 -- ---- — --� IQ _I STEEL FRAME TOP VIEW / fir- 1 x 1 "x 0.095 r 3" T.S. . ' 9 — (a) a REouIREn ;�'r'� PLUS - 1/4" GRIPPER PLATE-,-___--._ - -- - — (2) REQUIRED ` S10E VIEW ABESCO ABS PAD 1503% --lir, 0 STEEL FRAME SEE DETAIL "A" 1/4" GRrPr1R BA -,r 1/2-13UNC-A307 x 4" BOLT WITH NUTS (4) REQUIRED 3" C-R_ LOCK PIN r '1� WITH 01/8" BRIDGE PIN r 37" 2" CHANNEL - 1/4•x1-1/4' - TEK ;,TS (21 REQUIRED 1/4" GRIPPER BASE -- COACH "C" FRAME 1/4" GRIPPER PLATE x Y1 JnI 1101-T RIOUIREI! II C-0CAM. r ATT ACFIME14T — -- GROUND LEVEL GUS GUARD COMPANY P.O. BOX 128 CATHEY'S VALLEY, CA 95306 . PH 209-377-8354 • PH 800-322-2479 FAX 916-383-5207 COACH "J" FRAME )EK Sis (4) REOUIREO 1/-''•.Ai07 DOLT (2) REOUIP.EO 1/4" GRIPPER BASE (:) RLQUIREh -J-BEAM ATTACHMENT E -Z_ TfE DOWN SYSTEM_ WAYNE T. POLVADO, PE—FISTING NO. 99001 SHEET 2 of 3 0 <0 w CQa 0 Ln rr; co n, INSTALLATION INSTRUCTION_ S E-l�YSTEM �- 1 PIERS MUST BE PLACED ON BEAM WITHIN 24" OF AN OUTRIGGER OR CROSSMEMBER, OTHERWISE INSTALL WEB STIFFENER ON CHASSIS BEAM. 2. MAKE LEVEL THE PLACE WHERE THE PAD WILL SET, DOWN TO UNDISTURBED SOIL, 3. THE PAD MUST BE CENTERED BELOW THE CHASSIS BEAM. 4. REMOVE THE FOUR (4) NUTS AND WASHERS FROM THE STUD BOLTS IN THE PAD AND PLACE THE PIER. THE HOLES IN THE BASE PLATE WILL LINE UP WITH THE STUD BOLTS, REPLACE THE NUTS AND WASHERS AND TIGHTEN DOWN. LZUm- 5 REMOVE THE TWO (2) GRIPPER PLATES ON THE TOP OF THE PIER. START THE HEIGHT ADJUSTMENT BY REMOVING THE COTTER AND ADJUSTMENT PINS, PIER CAN THEN TELESCOPE. RAISE THE TOP OF TILE PIER UNTIL THE PLATE IS AS CLOSE TO THE BOTTOM OF THE CHASSP BEAM AS POSSIBLE. PLACE ADJUSTMENT PIN THRU ADJUSTMENT HOLE AND SECURE WITH THE COTTER PIN. 6. RAISE THE TOP PLATE USING THE ADJUSTMENT NUTS UNTIL T14E PIER TOP IS TIGHT AGAINST THE BOTTOM OF THE CHASSIS BEAM. 7• PLACE THE GRIPPER PLATES OVER THE FLANGE OF THL 6EAM AND TIGHTEN DOWN FIRMLY WITH THE TOP NUTS. G�.LAAM$_AK JBEAMS 8. HEAD OF PIER REQUIRES THAT TWO (2) TEK SCREWS BE PLACED THROUGH THE SIDE OF THE SIDE FO THE BEAM IN ADDITIN TO ONE GRIPPER PLATE. 9`• FOUR (4) STEEL STAKES (SUPPLIED) ARE TO BE DRIVEN THROUGH GUIDES INTO SOIL UNTIL STOPS ARE FLUSH WITH THE GUIDE. 1 (2) /12 S.M.S ANGLE IRON li1'aI14s41i ALT[aNAnYE: (2) 112 S.M.S. OA w£LD NOTE: 41SE STIFFNER IF OUTRIGGER OR CROSS MEMBER DO NOT OCCUR WITHIN 24' OF STANCHION (TTP) J WEB STIFFENER (,I .n GUS GUARD COMPANY DETAIL P.O. BOX 128 CATHF.Y'S VALLEY, CA 95306 PH 209-377.8354 • NH 800-322-2479 FAX 916•:183-5101 WA1'HF1 T. POLVADO, FE -LISTING NO. 9900; s�I�ET 3 or 3 +� r > O O C -V jo < D N r N i"i N N N_ ON ci T N M 7 z Z p m c o ;° a o = o E ❑ < E P. p n o' ° 3 0' v°. 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Inc •�� � i '; � Io•. ��` C C �S _ice SO4i. °'°i;o ,, ` \ ! o - -' c C t. -11 0-212-029 PERMIT#96-2567 BARBOZA, Manuel • �; 881 14th St., Oroville i Open Deck/MH , e r f' t r JW FINALED (Date) _ S,gnature V=OK 0 = Not OK ble ' = Applicable Not ReaMOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s . Zo ' equirem ts-Setbacks-Easements 1. Zoning Requirements - Setbacks - Easements tings• s-Size-DepthSpacing-ConnectorsSteel 2. Soils; Special MH Support Sketch s; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rttrs.-Connectors Shthg.-Rfg.-Bracing 3. Sewer, Location -Test -Fall -CIO -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 4. Water, Location -Test Easement Needed (Sketch) 6. Carports; Windows -Doors 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 7. Electric 6. Gas; Location -Test -Wrap; / fVtL , / /Nat. or/ / L"ft./ /LPG 8. Frmg.; Sils-AnchorsStuds-Rftrs-Trusses 7. Well Clearance & Disconnect 9. Siding; Nailing -Veneer -Stucco -Mesh 8. Utility Clearance 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 MOBILE HOME INSTALLATION (Plans) OK except #'s POOLS (Plans) OK except #'s 1. Zoning Requirements- Setbacks Easements 1. Setbacks -Easements 2. Footings; SizeSpacing-Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/B Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Tie Downs -Type -Installation Cert. 9. Health Department Approval 10. Exits; Insp.-Sketch 10. Plumb.; Cir. Test -Water Supply Test 11. Cert of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DEC , OVE , ARPORTS, GARAGES(Plans) OK except #'s . Zo ' equirem ts-Setbacks-Easements tings• s-Size-DepthSpacing-ConnectorsSteel s; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rttrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sils-AnchorsStuds-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date"q Date 7' q Card B-1 Date Card B-1 6V Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/B 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 B-1 Date Card B-1 Date Card B-1 Date Card B-1 = OK 0 = Not No OK RESIDENTIAL (Single & Duplex) - = NotApplicahIP * = Not Ready Date UNDERFLOOR (Plans) OK except #s 1. Zoning-Setbacks-Easments-FloodSlope 2. Ftg., Main; Soils-Elec. Gmd.-/ P Ftg. Depth 3. Ftg. Garage; Soils-Steel-Elec. Grnd/ P' Ftg. Depth 4. Ftg. Porches & Decks; Soils -Steel-/ P Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists Vents-Crippies Brace Wall Panels 15. Access & Ventilation Insulation -Walls -Ceilings 16. Insulation Infiltration -Walls -Windows Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card E-1 Date Date PLUMBING (Permit) OK except #'s FINAL (Plans) OK except #'s 17. Water Htr; Vent -Access -Combustion Air Baffle 63. 18. Water Pipe; Test & Anchor -Nail Protection 64. 19. D.W.V.; Test Fittings & Anchor -Nail Protection 65. 20. Shower Pan; Test, First Floor -Tub Access 66. 21. Test Tub & Shower, Second Floor -Tub Access 67. 22. Gas Pipe; Sixe & Anchors 68. Elm Trim & Subpanel, Breaker Sizes & Labels Date Stairs & Rails Card B-1 Date Card B-1 Date Fireplace or Stove, Clearance -Hearth Card B-1 Date Card B-1 Date Elec. Outlets at Wood Panel, Int. & Ext. ELECTRICAL (Permit) OK except #'s 72. 23. Fixture & Transformer Clearance -Ins. Protection 73. 24. Elec. Receptacles Spacing -Lights & Switches at Doors 74. 25. Size Boxes & No. of Conductors Stapled 75. 26. Romex Installed Close to Edge of Studs & C.J. 76. 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 77. 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI 78. 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al 79. 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or AI Insulated Neutral 0 Yes 0 No 80. 31. Service -Riser Conductors & Ground -Main Disconect 81. 32. Equip. Clearances Panels-Motors-Mech. Epuip. 82. 33. Clothes Closet Light -Shower Light -Spa Light 83. 34. Smoke Detector 84. A.C. Unit Disconnect, Electrical -Plumbing Date Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings Card B-1 Date Card B-1 Date Water Well, Disconnect, Electrical, Plumbing Card B-1 Date Card B-1 Date Exterior Elec. Trim, G.F.I. Receptacle -Underground MECHANICAL (Permit) OK except #'s 88. 35. A.C. Ducts Insulation & Support 89. 36. Vent Fan, Exhaust above insulation 90. 37. Condensate Drain & Overflow, Size & Grade 91. 38. Furnance-Vent Access -Comb. Air -Return Air Vent 115 outlet 92. 39. Attic Access & Platform if Furnace in Attic 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 FRAMING (Plans) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-roll Brac.-Truss-Shting: Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elm Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor -Meth. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 82. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: a COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISI 7 .County Center Drive - Oroville, Californ- ', 95965 -;Telephone (916) 538-754 PERMIT NO. APPLICAfGNAND PERMIT 96-2567 ASSESSOR PARCEL NUMBER 030-212-029 ZONING R3 BUILDING PERMIT OWNER MANUEL BARBOZA TELEPHONE�• 3— SO. FT. OCC. BUILDING VALUATION 672 0 4704 O"Y:81W ST., OROVILLE CA 95965 CO bFrER NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 72.00 ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ • 80 Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS ggl 14TH ST. OROVILLE PERMITFEE $ 138.80 PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LAT NO. SUBDNISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome 1Z Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition)] Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: OPEN DECK (12'X56') Mobile Home S G W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service EOOV OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR ADDNS. ( & ACC. BLDS. ) S 3.50 FTD.. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS 8 SINGLE OUTLET CIR. / Ex. Occup. (OUTLET OR FIXTURES) 20 Q I•50 BAL .00 Ex. Occup. FIXED PES ..OEA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. Xr. Date �6 — Sign u e of Pelican - ❑ OwnQ ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 138.80 HA2. D. FEES IMP FLOODS .1�/ 'DF PARCEL PD HD �. ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PERMITEXPIRESON I applicable provisions Resolutions to do work been paid. 11/12/96 Date 11/12/97 (Date) ReceiptNo. WHITE-D.D.S.-B.D. CANARY -AS ESSOR PINK -INSPECTOR GOLDENROD -APPLICANT XOUNTYOF BUTTE - DEPARTMENTOFtDEV y 7COUNTY CENTER DRIVE -OROVILLE C'AL' Proposed Building Use MENT SERVICES -BUILDING DIVISION IA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET Building Inspector Date of At time of per application, I was advised the following.data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. 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 . ........................................... Energy Design Compliance and supporting documentation. ...... `............ 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 $ ............................................ Impact fees as shown on attached schedule. '*.............................. 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). . . Pre4nspec60; request Pre -inspection for required. .. to 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 . ...................................... Plan check list.....4................................................. When you issue the permit, process as follows: Mail to owner.: Mail to contractor. Telephone and hold for pickup at office. Deliverwith inspector. Other Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. . Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other ' Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works 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 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: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S 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: SOCIAL SECURITY NUMBER: 1 int NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. May 1995 2.26 Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerely, Michael C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. May 1995 2.27 �� _ ..r �_f' e VAR/ES _ 36" MIN.. pL •• 7a -,a G' m 3 �m Z 7a v N (7• dS-xA w � O O ' C CD y z � Ln0 O! �hn'1 0 n C, m 2Q n �A N x �: — o— x a 0 v �• n AI n l� 2f rnl �r 0 0T2 N co 3 �c:cn �� m -I (�1t7*— I m m R� . D G r 3 o r rp M ��'i 34„ > o i ? / //HWJ )RAIL RE16HT E m 7a -,a G' m -n M AX. O N (7• dS-xA w � C CD y y Ln0 O! �hn'1 7 0 v �• n AI n l� 2f rnl �r 0 0T2 N co 3 �c:cn �� m -I (�1t7*— I m m R� . D G r 3 o r rp M ��'i 34„ > o i ? / //HWJ )RAIL RE16HT E m 7a -n M AX. O N (7• dS-xA w � C CD y y Ln0 O! �hn'1 7 N. l L MAX. � 91% 36 'MIN. STAIR n rn W I DT4 v 7a -n n y . 7 , l w a y p N o Z < ,J II Ei t/ 1 � A � 91% 36 'MIN. STAIR n rn W I DT4 v 7a y . . "+ f �COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES - BUILDI� 7 County Center Drive • Oroville, California 95965 • Telephone (530) 5 (Rev.IZV6) APPLICATION AND PERMIT A.SESSORPARGdl1{JAlB1O_--, I �^ V� BUILDING P OW/•,'ao (.l �. n2, -Q 3�Z [11" � so. Fr. occ. eul CONTRACTOR? LVAJW ADORESS OONSnnxTION LMER LENDS" MNUNIG ADORESS ARCHITECT OR ENOINEEA AACHITECT OR ENOWEER'I WALINO ADORESS OULOMADORM .s—I LOTNO. SUBMISION'SHWE (7 (i USEOFSTRUCTURE SF. ❑ Duplex ❑ Mobilehome Other TYPE OF WORK Total Valuation Is UCEWE NO. Filing Fee b Permit Fee S Plan Checking Fee b Energy Plan Checking Fee $ 5 PERMIT FEE S . PARCEL AMP PLUMBING PERMIT Filing Fee• 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 soEcsv Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W Q?20.00 3c�asia� Ex. Occup. OUTLET OR FUTURES 2O 1.00 SAL .SO EX. OCCU LIED APPUIS. oR OUTLETS0,,'0., 610. , 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee I 20.00 Hood 1 1 6.50 1 1 PERMIT FEI: I S Mobile Home Installation Fee S , Energy Inspection -Fee S Oc` CONST. TYPE TOTAL FEE $ 1W. O. FEES WP FLO00 COF - ND ESUS This permit is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work Indicated above for which fees have been paid. By Date PERMIT EXPIRES ON ro PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service eoov OR iEss zooA oR LEss 23.00 Main Service 100A TO TOOOA 46.00 NEW CONST. Dva a9cuP. OR ADONS. ACC. 3.54T. NONRESIO. MULTI -OUT \ BAANf.H CNCUTCUr T9 1 7.50 Ex. Occup. OUTLET OR FUTURES 2O 1.00 SAL .SO EX. OCCU LIED APPUIS. oR OUTLETS0,,'0., 610. , 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee I 20.00 Hood 1 1 6.50 1 1 PERMIT FEI: I S Mobile Home Installation Fee S , Energy Inspection -Fee S Oc` CONST. TYPE TOTAL FEE $ 1W. O. FEES WP FLO00 COF - ND ESUS This permit is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work Indicated above for which fees have been paid. By Date PERMIT EXPIRES ON ro COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION .OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other sPECIFv Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 800V OR LE Main Service 20AORLESS 23.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law Jor the following reason: I as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure isnot intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 er by affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall f hwi comply with thos provisions. i X Date I e Applic nt - ❑ MfflbConVBcTor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolitionr construction of structures over 3 stories in height. Main Service To 46.00so DWE200ALLING CCU000A 50. NEW CONST. DWELLING OCCUP. 3.50 CC. BUDD.FT. ADDNS.EW NOR CONST. MU NON•RESID. @7.50 PowER APPARATus 6 SINGLE OurLET CIR. Ex. Occup. OUTLET OR FIXTURES 20 Q 1.00 BAL @ .Sa Ex. Occup. OUTLEEOTS REESID.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HAZ. D FEES IMP I FLOOD CDF I PARCEL Po I HD I ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Date Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT M COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE,' CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PE"IT"PLICA TION DATA SHEET OWNER:-- ASSESSOR ER: — �- Proposed Building Use: Building Inspect Date: At time of permit application, I was advised the following data must a submitted prior to permit j;i&essifig and/or issuance: h, Date Received By �. ❑ 1. All iiems have been submitted -------------------------------------------------------------------------------------- E12. Plot plans, 3/4 sets, signed by the preparer of plans. ------ 03. ----- ❑3. Complete plans, 3/4 sets, signed by the preparer of plans. 114. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- 05. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑ 6. Energy Design Compliance and supporting documentation. ---------------------------------- 117, --------------------------------- ❑7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------- ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------ ❑9. Manufactured Home data and installation instructions including Tie Down Specifications. ❑ 10. Fees of $----------------------------------- - ------ -- - - �1'1.1. fees as shown on the attached schedule. --� - ,� A I - i�E: — -- — ------------------------------------- Impact ❑ 12. California Department of Forestry plan approval/fees.--------------------------------------------------------- Ell 3. -------------------------------------------------------- ❑13. Flood elevation certificate. --------------------------------------------. ❑ 14. Sanitation and plot plan approval Health Department. ❑ 15. City of Chico plumbing permit. --------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------- ❑ 17. Planning approval for (A) Use: (25 (B) Parking: -• 04 8. Contact Land Development about ❑ Improvements, ❑ Drainage, EK egal Parcel. ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). E120. Pre -inspection Pre -inspection for required. Request to Building Inspector on 021.., Contractor's license information. (Number, Name Style, Classification). 022. Workers' Compensation carrier and policy number. ----------------------- 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). - ❑24. Letter of signature authorization. ---------------------------------=--------------------------------------------- r' ❑25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- ❑2f' Letter of intent on building use. ----------------------------------------------------------------------------------- 27. Manufactured Home utility clearance. --------------------------------------------------------------------------- ❑28. Existing violations and/or expired permits.---------------------------------------------------------------------- a_0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ 0. Other: (Date) Wh you issue the ermit, ro/cess as follows ❑ Mail to owner, ❑ ail tzar tor. 4� Telephone ��7" �' (Oa and hold for pickup atoffice. ❑ Deliver with inspector. APPhc �-.. Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Au f llutron Date:y By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Oth ate: By. 1. Index permit application for the above items numbered: 7 ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building ion counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: f ,COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev.IZV6) APPLICATION AND PERMIT - DD 9i� MsawllrARCdMUMa6l ©'3D-._, ") m►+►+o BUILDING PERMIT owmm �SO. FT. OCC. BUILDING VALUATION S �N'eN OWNEHt1 WkM AOOFAMs fi C'^ 1 /—N . I I , CONTPACTO0111 MAUNO ADORERS CoNsTRUcno"LAWER (ENDO" WAILING AGGRESS MCHRECT OR ENOINEIA Total Valuation 1$ 1 PERMIT FEE Flin Fee b �► ARCHITECT OR 04NEM S MA ANO AODMS euE.cwo AooREss, Q Permit Fee S a3 Plan CheckingFee $J Energy Plan Checking Fee S .:,\..IEStEsS . I Main Service S 48.00 PERMIT FEE S DWFIINO OCCUP. IOTNO. SUBDNBIONSNAME PMCEI MAP PLUMBING PERMIT NtW • NONAES10. Fling Feel 20.00 USEOFSTRUCTURE SF O Duplex O Mobilehome Other soEeFv Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ UfifitieseInstallation ❑ Other ❑ Describe Work: c q'./ �e. L� Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home S G (g?20.00 O,L( 1 Ex. Occup. OVn.ET OR FOCTURES PERMIT FEE t ELECTRICAL PERMIT Filing Fee 20.00 Main Service sov oR s a3 23.00 .:,\..IEStEsS 23.00 Main Service 200A TO 1000A 48.00 NEW CONST. DWFIINO OCCUP. oR ADONs. a AGC. stns. 3.5¢Fo. NtW • NONAES10. MUt.TI.OLCMEf ` BRANCH CIRMrM / @7.50 Ex. Occup. OVn.ET OR FOCTURES 20 a 1.00 aAL a .50 Ex. Occup. OIJTtETSA�Q .GEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 aQ Misc. Wiring 23.00 PERMIT FEE S U MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection fee $ oc`OONST' TYPE TOTAL FEE 14 NAz. o.FEEs RPI COF I P r I ssuE V This permit is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work Indicated above for which fees have been paid. By Date PERMIT EXPIRES ON ro (Rev. 12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS CONTRACTORS NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDNIS IONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200AORLESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.P License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Lar the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR oksT. ( AACTCOUBTLEr 3.5aso' Fr. M NON .ID. @7.50 OWER APPARATUS 8 SINGLE OUTLET R. EX. OCCU OUTLET OR FDRURES B� 1.� Ex. Occup. oFucuT A ORA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 _++ PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall those provisions. / forthwith comply�:O— Date ` 12ignat r pplica " Owner ❑ Con for ❑ Agent An OSHA permit is required for excavations over 60" deep and demolitionr construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ HAZ. p, FEES IMP ROOD CDF PAR EL PD HD 55UE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Date Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT M'UNTY OF BUTTE -,DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PE"IT APPLICATION DATA SHEET OWNER: EAgSESSORPARC NUMBER: Proposed Building Use: Building Inspector: , Date: At time of permit application,'I was advised the following data must he submitted prior to permitroc ;sing and/or issuance: r• Date Received By ❑ 1. All items have been submitted -------------------------------------------------------------------------------------- E12. Plot plans, 3/4 sets, signed by the.preparer of plans. ------------------------------------------------------------ ❑3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 114. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ E16. ----------------- ❑6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. -------------------------------------------------- ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑9. Manufactured Home data and installation instructions including Tie Down Specifications ------------------- El10. Fees of $ ------------------ =-------------------- 1---------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. ----------------------------------------------------------------- ❑ 12. California Department of Forestry plan approval/fees.--------------------------------------------------------- ❑ 1. Flood elevation certificate. ---------------------------- ----------------------------------------------------------- 4. Sanitation andE,paal �� Iia____ �®nt. ------------------------------------------- ❑ 15. Cit0f Chico plumbing permit- ----------------------------------------------------------------------------------- ❑ 1 t plan and business license approval fir the City of Biggs. ---------------------------- ----------------- . Planning approval for (A) Use: (B) Parking: lZe4A O ❑ 18: Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). ----------------- ----------- ❑20. Pre -inspection for required. Request to Building Inspector on (Date) ❑21. Contractor's license information. (Number, Name Style, Classification). ------------------------------------ 022. Workers' Compensation carrier and policy number. ----------------------------------------- 7----------------- ❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner El) - -------------------------------------- E124. ------------------------------------❑24. Letter of signature authorization. -------------------------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. ----------------------;-------------_-____________ ❑26. Letter of intent on building use.----------------------------------------------------------------------------------- z ❑27. Manufactured Home utility clearance. --------------------------------------------------------------------------- ❑28. Existing violations and/or expired permits. ---------------------------------------------------------------------- ❑29. 1143 A, ❑Grant Deed, Cl M.H. Title, ❑ Check to H.C.D $ , _______________ ❑30. Other: you issue the pe ro/ce' sss as follows ❑ Mail to owner, ❑Mail to ntractor. Telephone �3 � lOC)- and hold for pickup at �� t office. ❑ Deliver with inspector. Applicant, � 1 �P v Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Poll Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑phone, Building Division counter, by Date: Contractor, designer; owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building DIVISIOIA counter, by Date:.- Plans reviewed by: Date: Plans approved by: ,$Z Date: Sets of plans on hold in 11 Plan Cabinet, 0 A.P. folder. Note transfer by: Date: 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 or and materials for construction of the proposed r erty improvement : YES[ NO[ ]. - I HAVE HAVE NOT[ , ]signed ari application' for a binding permit for the proposed work .. ::.. 3. I have contracted with thefollowing person (firm) to provide_ -the -propo_sed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide' portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: `. NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following+ersons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: SOCL-kL SECURITY t DATE: • NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. May 1995 2.26 f Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the buUder of . property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself; you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which.they apply. If you plan to do your own work, with. the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any'persons other than your immediate family, and the work (mcluding materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you.are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensationcontnbutions. . 0 There may be financial risks for you if you do not carry out these obligations,'and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial C Accidents. If the structure is intended for sale, property owners who are not licensed contractors are.allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not, required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors, State License Board in your community or at 1020 N Street, Sacramento, CA- 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerely, Michael C. Vieira, C.B.O. Manager, Building Inspection NOTE: This 0,,� ie. -Builder Information is required by Section 19830 of the California Health and Safety Code. May 1995 2.27 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 budding permit wig'. be issued until this verification is received. QI personally plan to provide the major labor and materials for construction of the proposed r perry improvement : YES[ ] NO[ :]. C9.I HAVE[ HAVE NOT[ ] signan application' forabudding pernntfor the proposed ork..... 3. I have contracted with thefollowing person (firm) to 'provide -the proposed construction: NAME: ADDRESS: CM: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the followingfeisons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SI ROPERTY OWNER: SOCL-kL SECURITY NUMBER:�— DATE: ( - NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. Mav 1995 2.26 Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of . . property improvements specified For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan.to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any*persons other than your immediate family, and the work (including materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you. are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contdbutions. . 0 There may be financial riskifor you if you do not carry out these-obligations,'and these risks. are. especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your y obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial C Accidents. If the structure is intended for sale, property owners who are not licensed contractors are.allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned .- Sincerely, ,Michael C. Vieira, C.B.O. Manager, Building Inspection NOTE: This 0>.�-ne.-Builder Information is required by Section 19830 of the California Health and Safety Code. May 1995 2.27 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES - 411 Main Street, Chico, CA - (916) 891-2751 - 7 County Center Drive, Oroville, CA - (9'16) 538-7541 CORRECTION NOTICE UVVNtK PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you haveany questions pertaining to this matter, or need additional explanation, please contact this office immediately. A4, I r - -1 T f Date Inspector "'--j REV 10/9 t c�Y�—v'Sr A• COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF -DEVELOPMENT SERVICES 411 Main Street, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 CORRECTION NOTICE UwNtK PERMIT NO. _ A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Date Inspector REV 1 /92 «t RESIDENTIAL 030-212-029 PERMIT#96-2519 BARBOZA, Manuel 1 1 881 14St., Oroville MHI Ex Site � J 11 // a/9 i 'i OFFICE COPY Address GAS Meter By to ELECTRIC Meter By Date J E JOB FINALED (Date) _ Signature i� V=OK 0 = Not OK Not `=Not Ready MOBILE HOMES i Date MOBILE HOME UTILITIES (Plans) OK except #'s i 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) f 5. Electricity; Location-Clearances-Gmd-/ . /Amp -Concrete 6. Gas; Location -Test -Wrap; / 112ft. ; / /Nat. or/ /"L"ft./ /LPG 7. Well Clearance & Disconnect 8. Utility Clearance 4 Date Card B-1 Date Card B-1 E Date Card B -11 ---'Date Card B-1 Date MOBILE -HOME INSTALLATION(Plans) OK except #'s f ni uirements- Setbacks Easements t ngs; Size -Spacing -Marriage Line H Test-0emanda/ahe-Connector lectric• • Test -Crossovers -Breakers -Clearances P raint-Fall-Flex Connector er and Sewer Connected -C/O to Grade -HD Approval j 2as acity Tagged D9wns-Type-Installatiori Cert. -,,,PI ert of Occupancy Date % Card B-1 Date Card B-1 { Date Card B-1 Date Card B-1 i' MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils-Size-DepthSpacing-Connectors-Steel 3. Decks; Girders and/or Joists-Decking-BracingStairs-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. Fnng.; Sils-AnchorsStuds-Rttrs-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, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/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 B-1 Date Card B-1 Date Card B-1 Date Card B-1 V' = - = * = No OK RESIDENTIAL (: Not Applicable t Not Ready Date FRAMING (Plans) OK except #'s UNDERFLOOR (Plans) OK except #'s Sits Proper Materials & Anchors 1. Zoning-Setbacks-Easments-Flood-Slope Walls Studs -Nailing Spacing & Braces -Plates -Sound 2. Ftg., Main; Soils-Elec. Gmd.-/ /' Ftg. Depth 43. 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ P' Ftg. Depth Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 4. Ftg. Porches & Decks; Soils -Steel-/ /' Ftg. Depth Headers & Beams -Size & Bearing 5. Stemwalls, Main; Steel-Blockouts-Wrapped 54. 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 55. 6a. Hold Downs and Special Anchors 57. 7. Slab, Steel -Wrapped Glazing Area -Glass Protection -Skylights -Plastic 8. Piers -Fireplace Ftg.-Steel Shear Walls; Nailing -Bolts 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 61. Insulation -Walls -Ceilings 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test Card B-1 Date Card B-1 12. Electric Underground Date 13. Pienums & Ducts; Clearance -Material -Support -Ins. Ext Steps -Door & Sidelight Protection -Landings 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 65. 15. Access & Ventilation Bedroom Exiting 16. Insulation 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Date 70. Card B-1 Date Card B-1 Date Elec. Outlets at Wood Panel, Int. & Ext. Card B-1 Date Card E-1 Date 73. PLUMBING (Permit) OK except #'s 74. 17. Water Htr.; Vent -Access -Combustion Air Baffle A.C. Duct in Garage -Damper 18. Water Pipe; Test & Anchor -Nail Protection 77. 19. D.W.V.; Test Fittings & Anchor -Nail Protection Elec. Receptacles in Garage (G.F.I.)-Romex Protection 20. Shower Pan; Test, First Floor -Tub Access 80. 21. Test Tub & Shower, Second Floor -Tub Access Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 22. Gas Pipe; Sixe & Anchors 83. Stucco Brown -Finish 84. Date 85. Card B-1 Date Card B-1 Date Water Well, Disconnect, Electrical, Plumbing Card B-1 Date Card B-1 Date 88. ELECTRICAL (Permit) OK except #'s 89. 23. Fixture & Transformer Clearance -Ins. Protection Corrections from Previous Inspections 24. Elec. Receptacles Spacing -Lights & Switches at Doors 92. 25. Size Boxes & No. of Conductors Stapled Energy Compliance Certificate -Other Certificates 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water Card B-1 Date Card B-1 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI Date 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral 0 Yes 0 No 31. Service -Riser Conductors & Ground -Main Disconect 32. Equip. Clearances Panels-Motors-Mech. Epuip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnance-Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Single & Duplex) - - Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-roff Brac.-Truss-Shdng.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor-Mech. Protection 77. Pib., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 82. Following Instld./Drive 0 Yes 0 NoNValks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: �..�i,�+�.w^rwr�'pin.7':,�.�-,.�-.�.r1"�Y.dy..r+""'="�-�a.•_,��r-.-`,�'.r•"f'p'+ "'^'�'rt w.rk.-�^�...,.-..,..��r,-..-... -.. MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION --7 COUNTY CENTER DRIVE OROVILLE, CA 95965 --PHONE (916) 538-7541 APN: 3 V - JJ j 3 y :� G I G. l.J �� PERMIT NO.: (/ _ \ / rCj 2_,1 ` Owner's: Name:''.—^ -- Owners: Address: / Mobilehome / , Year of % Manufacturer Ct p ki Manufacture: Serial number C �! Insignia or or V.I.N. f r HUD number:C� Official approving installation: Date: If the mobilehome is moved or* relocatedythe mobilehome. installation acceptance shall become invalid. {his form shall not be used when the mobilehome is installed on a foundation system.. 5138 White -Owner, Yellow -Installer, Pink -Bldg., Gold -Assessor i� G _-_COUNTY OF BUTTE- DEPARTMENT bF DEVELOPMENT SERVICES -BUILDING DIVISION ~� - 7 .County Center Drive - Oroville,; California 95965 - Telephone (916) 538-754 PER T NO. APPLICATION AND PERMIT�f ASSESSOR PARCEL NUMBER 030-21-2-02 ZONING R-3 BUILDING PERMIT U OWNER U.933-8462 TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 1125 20TH ST, OROVITLE 95969 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNMOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS - Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 23.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS RRI � =E—RT, ,; PERMITFEES 43.00 -PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar Or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome W Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation 15 Other ❑ Describe Work: NIJIVEXISTING SITE — Mobile Home IS I G I W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service a OR LESS ( 2ooA OR LESS ) 23.00 Main Service ( 200A To I000A ) 46.00 l LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License La�or the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR NS. ( 8 ACC. ) SO. 3.S¢ FT. NEW CONST. MULTI.OUTLETLE T NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( 8 POWER APPARATUS ) SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES) 20 @ 1.00 BAL 0 .50 Ex. Occup. (OUFIXED APPLNS. TLETS (RES D.OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee D.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE S Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers'HAZ. compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall rthwith comply with those provisions. X _ Date Ae4oApplican - Owneo ractor LJ Agent An OS A permit is require6 flir excavations over 50" deep and demolition or construction of Sir tures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is OCC CONST. TYPE TOTAL FEE $ F IMP FLOOD i CDF PARCEL PD D ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. / By ate PERMITEXPIRESON u (Date) Receipt No. '�� WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 7"'COUNTYOFBUTT WEPARTMENT&D. ELOPMENT,5ERVICES - BUILDING DIVISION 7 COUNTS CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET Q OWNER s` A. P. No. 036 - Z/ 2 p 2.' Proposed Building Use C ` uilding Inspector C14- Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECENED BY 1 All items have been submitted . ................. y ...................... 9) Plot plans, 3/4 sets, signed by preparer of plans . ........ :.................. Complete plans, 3/4 sets, signed by preparer of plans . ....:................ . Engineered plans and c`alcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... gineered truss details and layout in duplicate (required prior to plan check). .... I MobilehomVla✓manufacturer's installation instructions, 2 sets. ............ F es of $ ..SS ......... 4 pact fees as shown on attached schedule. 6. California Department of Forestry plan approval/fees................. . 1 lood elevation letter (100 year flood) by California Engineer . ................. . YSanitation and plot plan approval Health Department . ............. : C5. City of Chico plumbing permit . ......................................... 1R Plot plan and business license approval from City of Biggs/Gridley. ... . Planning approval for (A) Use: (B) Parking: 8. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. . . 20. Pre -inspection for Prey"SDea1.8 `e4°st required. . . 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 Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ..........................:............. . 28. Mobilehome utility clearance . .......................................... " 29. Documentation of legal access . ..................... :............ ..... . 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... Ejaa-,�sheck lipt. ^r ................................... ....... vyrn you issue the permit prpcess as tollows: Mail to owner Telephon3- Xe- 62- and hold for pickup at Other Mail to contractor. _ office. Deliver with inspector. Parcel Creation Acreage "Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issu 1. Index permit for above items No. 2. Additional items required: checked above). Contractor, designer owner was advised of above required data by '�Ophone _ mail Counter by Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by (71 f3 (; o NS Date _j ( 14! -16 Sets of plans on hold in File cabinet A AP folder Copy - Department of Public Works 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[] 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 constriction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S 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 O SOCIAL SECURITY NUMBER: DATE: l,ltrr -- NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. May 1995 2.26 Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for !.he proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should beaware of the following information for your benefit and protection: % 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and -you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerely, Michael C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. May 1995 2.27 Mobilehome Manufacturer: CA WA71124 Manufacture Year: q If other than single wide, -furnish Setup Nfodel Number: 3- �%�y Width:($.) Length:ls (8&) Tagalong or Expa6do Size (ft.) x (ft.) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual,and structural setup sheets. • FOOTINGS: Wood;pressure treated or foundation grade[J(J Other: SUPPORTS: Concrete block[ Other: Provide Tie Down Specification's for all Mobilehomes: Pier Footings Sizes and Location SINGLE WIDE 11 MTI-WME Line 1 i Line 1 Lice 2 � � Lice 2 .................:.......................................................................... Line 2 ...................... .............Main Bea .......................................... Lia 3 Line 1 Line 2 ..................................................................................... Main Bearers Line 2 .............................................................................................. Line 1 ............................................. ine 5 Tag or Triple e 4 ine 1 Line 1 Piers: Size minimum: r I x Spacing maximum: 1 6` From ends -maximum: ` !- Line 2 Piers: Size minimum: [ All x 1.3a ]. Spacinginaximum: I Jam` ` From ends -maximum: 1/ ` Line 3 Roof Loads: Size minimum Location (from front): Line 5 Roof Loads: Size minimum: Location (from front): Line 1 Openings Size minimum: [ ] x [ ]. Each side of openings with width over: I ` ` Line 4 Piers: Size minimum: [ ] x [ ). Spacing maximum: ` From ends -maximum: ` OVER BU1UM DEPARTMENT APPROVED r 1. Owner's Name: M AN (% k- L- `Z l jZ I's 02�* 2. Assessor's Parcel Number: 03o —,,912:- all sem/' 3. Installer's Name: 6�/'1�,�Gl GU �TI/'Q�¢Yi IGIKs 33- i 7y 9) C 4. Is the site currently under permit? Yes[ J NocJ Permit No. 5. Is the site an existing site? Yes [ J No[ J (If yes, furnish two plot plans). 6.. What is the electrical rating of the. mobilehome? Amperes. 7. What is the mobilehome site circuit breaker rating? -*a— Amperes. 8. What is the electrical rating of the mobilehome site? �'fl Amperes. 9. Is the main service remote from the mobilehome site? Yes No[ ] If it is, what is the rating? 106 Amperes. 10. Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage etc.)? Yes[ J No[ J If yes, please identify the load and size: a) The mobile home site: Load- Amperes - b) The main service: Load- Amperes- . 11. Type of gas service at mobilehome site: Natural[ Propane[ ],None[ J 12. Size ofP as pipe at the mobilehome t site from the m to o g P r _____,_ tank: ( inches. S 13. What is the gas pipe length from the meter or tank to the mobilehome? ft.). 14. What is the mobilehome gas demand? B.T.U.* *(This information is not required if the pipe length is less than 6 feet on natural gas or less than 50 feet on p'ropane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION May 1995 8.5 J l V /)mvs ©mo i �S ass��so 80 Y 43l C© w\ �a ► �'� O'^ u �— TT Awtv i OL c( vv) ts it a; C �9 •-.�n�..�_y17�-..:•v•"+'++�,...�.,•..-.r.••:i �nry- i,^+'^1. .: ��:,:ir.",h`--.f��+�'V"'+wr�74'�"•i.._��r:..�••.yr+_+...,,.+�,T.,.�y�.� -� �.. ..-.� ...�rv.,.r�+ ".r .. . , -BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School District 101 /4, Building Department No. A. P. Number oc v - Z /� pZ9 Jurisdiction: 0 City County Property Owner a z Z3r La` e Property Location/Address 5 4- Subdivison Lot No. Residential Development Sq. Footage No. of Living HI Addition (Group R) Units Commercial/Industrial 0 0 Sq. Footage ; New Addition (Including Exterior Roofed Areas) Buiepa ent epr en five Dat (Floor Plans reviewed by School District Personnel) strict Identificati n a 070 0SR hool District certifies_that pplicant) J (Street dress) ' ,. (Phone Number) F (City) . (State) .(Zip Code) has complied- ith the requirements of; Resolution No. :a -� by payment of $ representing-- t square feet. As 2926$ t PULL MITIGATION d School District Representative !;1 Date Paid by Check # Remarks: 4L X C.Q..0�� Bank Number N ' Paid by Cash c If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeformmkl (11/94)amm x• MIT NO. 3456-78P E .1ir } 9 PERMIT EXPIRES_ / l OWNER Charles E. Flud Curly's Trailer Towing, Oroville CONTR. :LOCATION SA.P. 30-212-29 881 14th St., Oroville 4 • i 1 Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PGA 0B FINALED COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING ISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 5 75 PERMI NO. APPLICATiON AND PERMIT T/-c;v) ASSESSOR PARCEL NUMBER 030-212-029 ZONING R-3 BUILDING PERMIT OWNERT�HONE HANUEL BARBOZA 533-$452 SQ. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS CONTRACTOR'S NAME OT�� TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHFECT OR ENGINEER - LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDINGADDRESS 881 14TH ST PERMITFEE S OROVILLE PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 LOT NO.SUBDNISION'S NAME PARCEL MAP Solar Or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑� Mobilehome I Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑X Installation ❑ Other ❑ Describe Work: RECHECK EXISM-IG SERVICE RE: 96-2519 — Mobile Home S I G W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filino Fee 20:00 Main Service eoov OR LESS ( 200A OR LESS ) 23.00 23.00 Main .Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License w or the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR ( 8 ACC. BLDS. ) SO. 3.50 FT. CNS. NEW CONST. MULTI.OUTLET NON•RESID. ( BRANCH CIRCUITS ) 97.50 SINWER APPARATUS ) ( PO ER GLE OUTLET CIA. Ex. Occup. (ouTlFr OR FIXTURES) zo @ 1.00 BAL .50 Ex. Occup. (OFIXED ETA LNS..OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ 43.00 Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing 9 Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed 0 the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith c mply ith those provisions. ? Q/ X � _ __ DateG,�� `[� _ Signa ur of pplicant Owner ❑ ntractor ❑ A ent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is OCC CONST. TYPE TOTAL FEE $ 43.00 HAZ. I D. FEES I IMP I FLOOD CDF PARCEL I PO HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By / PERMITE IRESONReceipt applicable provisions Resolutions to do work been paid. pDate� (D e) No.22 OKqq ,93 . WHITE-DD.S.•B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT TYPE OE WIND= 15 PSF SEISMIC= ZONE 4 REO'D. NO. OF CROSS DRIVE ANCHORS FOR EACH SIDE AND EACH END LENGTH OF UNIT 30' 1 40' 50' 56' 1 60' 1 66' 70' TIE DOWN LOCATIONS I E I S I E S E S I E I S [E_j S I E S I E SINGLE WIDE UNrTj 4 12 15 12 5 2 16 2 1 612 1712 7 2 IMUNKNOWNS1 12 1 14 15 1 16 1 16 1 18 18 CONTRACTOR'S r►,.. CROSS DRIVE ANCHO .. OCCURES. IF THE GROUNI, MINIMUM 2' ASPHALT, ENCASE . CONCRETE AS SHOWN IN DETAIL 1. INSTALL CROSS DRIVE ANCHO L 'B'. 4i+'rxi ti�"+'y't•`=%` 2. ATTACH STRAPS TO CHASSIS BEAM IN MANNER SHOWN. Uk .. .: 3. INSERT STRAP THROUGH SPLIT BOLT. CUT OFF EXCESS STRAP AND •r;' THEN TIGHTEN BOLT UNTIL STRAP IS SNUG. DETAIL 'B' 4. ABESCO NAME IS STAMPED IN ANCHOR HEAD. CONTRACTORS VERIFICATION I CERTIFY THAT I HAVE INSTALLED THE ABESCO ANCHORING SYSTEM AS PER THE INSTALLATION INSTRUCTIONS. 1 HAVE MADE NO MODIFICATIONS TO THE ANCHORING SYSTEM OR TO THE BUILDING STRUCTURE. COMPANY NAME:1) 4y� oe CONTRACTORS UC. �( Y Lr-• _ DATE. SIGNATURE I ' � y t o { ; FPERMIT NO. 3456-78P E If PERMIT EXPIRES �,O..WNER Charles E. F14d CONTR. CurlyIs Trailer Towing, Oroville LOCATION (A.P. 30-212-29 881 14th St., Oroville 4 • 'r Temp. Power Pole Called PG&E Temp. Elec. Serv.� Called PG&E Temp. Gas Serv. i Called PG&E— FOg INALED 71 (Date) VA (Signature) 4 _ f Slab COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD R LACE Footings Footing BUILDING • BUILDING (Cont'd)PLUMBING Throat tback Newall kil Piping Fo s Pa ets st Floor MaT Bldg. Res om Finish 2 Floor F tins WindoNp 3rd loor Ste all Siding To out Slab Roof She%hing Water Pipmg Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwal I Insulation Heaters Slab r pehysic ly Appliances Carport handica ll Conformance of ex. Gas Pi in & Test Footings structure T G Slab Final Patio R LACE Footings Footing Masonry Wall Throat Reinf. St 91, Final Bond Balm FIRE SPRINKL Framing Test Stucco Final Mesif MECHANICAL ScLitch Heating B/Own CoolAg finish Du s 1 erior Lath V ntllation or Closer Inal OBILEHOMEUTILITIES------------------- Elec. Service Water Piping Sewer I E ME INSTA CATION - - - - - Support Water Piping DATE Drainage REMARKS OR CORRECTIONS_ em . as Sanitation Final LECTRIC L Rough III Fixtures mp. Pole nder round Permanent Final Elec. Pedestal Gas Piping Elec. Continuity Gas Piping (NOTE: An entry must be made on this form each time you vislt the job site.) 1 P n , ' MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome locatedwith equired separation from lot lines and buildings and generally conform to plot plan? Yes o 2. Does the mobilehome have required clearances above -ground? (Sec.5085) Yesr�'- No 3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) YeSt/NO 4. Is the mobilehome 1'evel? (Sec. 5088) Yes( No_ 5. If more than a single unit, are crossover connections properly installed? (Sec. 5088) Yes_ No A/ A- 6. Water A. Is flees ee connector of adequate size and properly installed (1/2" IDm1n.)? (Sec. 5566) Yes ✓ Nol B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes --No C. Backflow = If coach is not State of California approved, does station have backflow device and pressure -relief valve? Yes_ No IVA 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes -** No B. Does it have minimum 'k" per foot slope and is it properly supported? Yes (/No C. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe? Yesz No D. If coach is not State of California approved, does station have required trap and vent? Yes No 4 , r , 8. Gas Piping'and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft. long? Note: All -piping is to be at least as large as the mobil home gas line inlet without reductions other -than the mobilehome connector. Yes7No_ B. Test OK as per following procedureT Yes_ No_ 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test.with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min, without drop. 4. Connect gas meter to mobilehome with connector/No. turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes_ � f:?moi F-^�• l l 9. Electrical A. Is service large enough to provide adequate amperage -to mobilehome (must equal rating of mobilehome with a minimum of 1.P0 amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes No - B. Is there proper clearances around panels?--Yesl. No C. Is power supply cord,or feeder assembly properly fused? Yes�No_ D. Is continuity test satisfactory as per the: following procedure? Yes 1. De -energize electrical wiring system of the mobilehome at the pedestal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card'and tag services. MOBILEHOME DATA Manufacturer and/or Namestyle J/ Length Width 12— Vehicle Serial No. _� State Identification No. TZ- �� Additional Information or Comments: COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNfY-CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number Wym 7- Z V for the following location: Owner.�ii Owner's Address �d 741 5y' (/V?/ Mobilehome Mfg. //��/'�'�s1~ Model 12" O Year 2U Insignia No. Serial No. 5el 3 It is hereby certified for occupancy at the above described location and may be occupied._ f%� DirectorofPubliicc Works Date I�/! i, X .f/ By _ ��2 I THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. . 7Z- COUNTY a COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE �. OROVILLE, CALIF. - 534-4541 CERTIFICATE OF- OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number 1-Fy/'1''7 V for the following location:% Owner % �� / ,�� i ✓�. Owner's Address Mobilehome Mfg. f T/f� ��s1r Model �'2 ;.Year ;7G Insignia No. c% U Serial No. S It is hereby certified for occupancy at the above described location and may be occupied....,,i; Director of Public Works w Date THIS CERTIFICATE IS VOID WHEN MOBILEHOME ISR LOCATED {� White - Owner, Yellow - Installer, Pink - D.P.W. i 01 COUNTY OF BU"a.TE DEPARTMENT OF PUBLIC WORKS • 7 County Center Drive - Orcville, California 95965 Telephoi e: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. �((�/A _ �i'L!t/-�1-- P nate Sig ture�oflPermitee or Agent Receipt No. 7 1 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OP. BLIC WORKS By Dat,_11 I Bing permit expires Date 7' 2_j-' 7 BUILDING Owner Ua& 1 L SQ. FT. OCC. BUILDING VALUATION Mailing Address I 9 Tel pho e Contractor w IL-7` Mailing Address /(�� & t_LIA Fireplace Total Valuation Ihar�e o. -my 13 Permit Fee Building Address f.� Plan Checking Fee&/or Penalty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 ) Repair drainage or vent piping 1.50 Z �Q A. P. No. a- / Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F W. . Sa ion Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bld 6 ' Rec'd Parcel oval Plans ppro`7� val NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Lawn sprinkler system 2.00 P Y Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 610V OR LESS 100 AMP OR LESS 5•�0 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 OR ADDNSNEW T // %ACCDWELBLOGS.LING CCUP. 7i) 22sgft CONTRACTORS LICENSE LAW 1 am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW CONST.ES'.. MULTI-OUTL T NON -REBID BRANCH CIRCUITS) 12.50ea NEW CONSTR. POWER APPARATUS 8 RESID. (POWER NON- ( OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTIIRES 1 50@25¢ BAL01 Ex. Occu / FIXED APPLNS. OR p•\OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 7 —r c1 'r57-2�/.E 7` dict elf Mobile Home Facilities 15.00 License No..2& 3 23.3 Classification_ G Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. PJ-r1'ave placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby L e $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. �((�/A _ �i'L!t/-�1-- P nate Sig ture�oflPermitee or Agent Receipt No. 7 1 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OP. BLIC WORKS By Dat,_11 I Bing permit expires Date 7' 2_j-' 7 MOBILEHOME SUPPORT. DATA Mobilehome Mfr. /LC CSF' T ! SKY4) NF)�~ Setup Model No. Year Width t.) Length (ft.) Expando Size.. t.x (Draw support details below) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets.(if not on .file with the County of Butte). Footings (check.one) PrI7 Wood either pressure treated or fdn. grade. JiL 2. Concrete pad. 3. Other,:specify Supports (check one) Concrete block 2. Concrete piers 3. Steel piers 4. Other,.specify „ Typical Support I? xJ Footing Size in. in. *If .center piers are other than drawn above, draw in locations, spacing, and dimensions. (in. )Max. Pier 5 r-, Spacing f -t . - 4 --_to-- Max. Overhang -- ' in .) BUTTE COUNTY BWLDING DEPARTMENT APPROVED FA BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: 2. Installer's name: 15,f l -n ,- 3. Is the site currently under permit? Yes 7-1-7r No (If yes, furnish permit number , ) OR Is the site an existing site? Yes / / No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes /-.e-l' No / / ( If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- �j`� Amps 6. What is the mobilehome site service rating? --------------------- ICU Amps 7. What is the mobilehome site circuit breaker rating? ------------- ',S—d Amps 8. Is there any other electric load to be served by the mobilehome site service? -------------------------- ------------------------ Yes / / No (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- (in.) 10. What is the type of gas service? ----------------------------- Natural /1®/y'' LPG 11. What is the gas pipe length from meter or tank to the mobilehome? li (ft.) 12. What is the mobilehome gas demand? ------------------------------ I(BTU) (This information not,required-if-pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG:) IM CQUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 Count Center Dive OrovUle, California 95965 i y Telephond:534-4541 <� APPLICATION AND PERMIT iVFIV n— vca V� Ula V�VUIILY UOUlda LU OIIICI UPUII UIU above-mentioned property for inspection purposes. ���[[i2,�1'✓'�-�2U�c.�t a Date Si ature of Permitee or Agent -.0ez,� Receipt No.1�7Fi__% White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the But County Code and/or resolutions to do work indicated above o which fees have been paid. REC OF PYBLIC WORKS Daie Building permit expires Date % Z 0 a BUILDING Owner Sr SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address ItI romville' e pho Contractor , Mailing Address 111"k Fireplace Total Valuation e h `\ o. I on N Permit Fee Building Address �(� — Plan Checking Fee&/or Penalty Permit Fee C1 PLUMBING No.1 @ I FEE PERMIT FILING FEE J$3.00 Each Trap 1.50. •� �t ( e >4 Repair drainage or vent piping 1.50 A. P. N �v� �C, -� A-1 I I g�E Water piping 1.50 ,0-0 Each gas water heater or vent 1.50 F i " ire Dept. Fire Zone Use Permit t3 I Gas piping system 1 - 5 outlets 1.50 EQA Parking Parcel Plans Declaration Parcel ap 60' R/W I Improveme is Each additional outlet .30 Building sewer 5.00 Bldg. PI ns Recd Parc roval Plans' pproval Lawn sprinkler system 2.00 P Y NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ Permit Fee $ $ lot ELECTRICAL No. @ FEE —13 PERMIT FILING FEE $3.00 , Main service 600V OR LESS `A 100 AMP LES S 5.00 Single Family Duplex Mobil Home Others ❑ P ❑ ❑ L Main service EA. ADDIL 100 AMP 2.50 Main service OVER s O 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW LING O OR ADDNST % ACCLBLDGS.CCUP, 7i\ 20 sq ft / CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: LI��Y Z % TLET NEN RESID.R RANCH CIRCUITS NON.CONST BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS 8 NON.RESID. SINGLE OUTLET CIR. EX. OCCUD(OUTLETS OR FIXTIIPES BAL :74 Ex. OCCU / FIXED APPLNS. OR P•\OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No 26373 3 Classification L' ��o� Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ s $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for W men's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. lecertify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ I FEEPERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ iVFIV n— vca V� Ula V�VUIILY UOUlda LU OIIICI UPUII UIU above-mentioned property for inspection purposes. ���[[i2,�1'✓'�-�2U�c.�t a Date Si ature of Permitee or Agent -.0ez,� Receipt No.1�7Fi__% White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the But County Code and/or resolutions to do work indicated above o which fees have been paid. REC OF PYBLIC WORKS Daie Building permit expires Date % Z 0 a .� THERMALITO IRRIGATION DISTRICT 410 GRAND AVENUE - --• OROVILLE, CALIFORNIA 95965 TELEPHONE 533-0740 CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT Service Address: Owner's Name: -��t=� Date: Address: 9 '' Acct. No: ��3v A.P. No.: , f'9 -.' 1-? . --9 Phone: No. Units: Applicant/Agent: /J�r�/`t Address: Agents Proof: i-V.�/" Fees: Phone: Application Preliminary Review By: �� -�-` ''� Date: ��� Arrearage CSA 26 ��=✓ Remarks: SC -OR` 1st mo. S.C. Other Total Fees 7 "' Collected By: Date: Field Review By: Date: Remarks: MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON: ❑ Date of TID approval of completed building sewer (early connection). ❑ 30 days after date above, or on date of D.P.W. approval of completed building sewer, which ever comes first ("existing construction", prior to Mar. 5, 1974). 180 days after date above, or on date of D.P.W. approval of completed building sewer, which ever comes first ("new construction", after Mar. 5, 1974). DISTRIBUTION: WHITE - TID, YELLOW - APPLICANT, PINK - DPW, GOLDENROD - DPW to TID G hb Y s J', 'L k d f fhis set of plans and specifications MUST be kept on the job at all times and it is unlawful to make any changes or alterations on same without j written permisson from the Department of Public Works, County of Butte. p e/ NOTE:—All Materials & Workm nship Shall Be in 4! !�,r..rorrinnce with P-�ncrn"od Cn d Practices and of a auc'lit„ r~�=�*'-^'i 'i^" Th Srecified use in the ! ln;form Qui':,ljnq, Ph•+mL)ing & Macl anical Codes and the National Electrical Code. JIN' t+ A444 The Mg. Setback shall be 5 ft. from the ® siJ-- oroperty line anc 50 ft. from the } ,:L,.,e lire of ti.i, road, permitting a maxi- 1..ui, of a 2 ft. eave overhang but entirely �°- s+ out of all easements. S-- 3 C A Septic system and location - to be aser L �a Butts County Health Dept. Re- o Q}. ' quirements. a� 1 .1 - d o /all utility connecticns shall be locafed wiihin 4 ft. oust -side the rear ti f� - sec-icn Cf the mobi le home c,� t-2 left (road) side of the mobi home. BUT P- COUNTY 3UILDIN S DEPARTMENT APPROVED NRCEC 11� 030-:1 /�)- 0a4- 0 1// -?- / � -� e Y; Complainant: Address: Phone Number: ` Other Comments: Building Inspector must draw a plot plan. with all, :buildings and violations: S� `T'd4!<�7 "� fp V c IV 0 T- C -1-9 V AL5 TV #► 65) Vto y5 �Go- Additional comments from Building Inspector: I OVER 30-212-29 Charles E. Flud _ — . . i —L V• iiYl,V i 1 G' '� A�yY ^, � ' t •:. ' i}{ �,%,fin: a `, . - •�:�, �-' �� , � it ,�` . ' �ibf.�,F.a }• ... t t Y �� 5.,, y(� 1 _ `� tom'. Yt� � r S 41. ; i�� Z Complainant: z Address: Phone Number: 1 Other Comments: Building Inspector must draw a plot plan with all buildings and violations: Additional comments from Building Inspector: OVER r I I—SEAM SHOWN SEE C & RFC CHASSIS FOR CONNECTIONS' '406IER B OLT2 ON TOP SEE DETAIL "A' _2 TYPE(DTIEDOWN SEE DETAIL W TYPEQnEDOVAI �_'--#614 STL STRAP - SEE I—BEAM CHASSIS FOR. TIE DOWN ANCHOR RFC BEAM CHASSIS DRILL 9/16- HOLE AT MID HEIGHT OF BEAM, INSTALL 1/2- A307 BOLT n_ _J X606 S STRAP I BEAM CHASSIS #614 STL STRAP SEE I—SEAM CHASSIS FOR _LTIi;_Dq ANCHOR C BEAM, CHASSIS #606 STL STRAP #614 STL STRAP -r STEEL STRAP SIDE VI END MEW WT & NUT CROSS ME ANCHOR DETAIL W 117? ARE 12 0 GROUND LINE INSTALLATION INSTRUCTIONS j 4.7. CONTRA=FM WARNING: CHECK FIRST FOR UNDERGROUND UTILITIES. ...... ... CROSS DRIVE ANCHORS ARE USED WHERE HARD OR ROCKY SOIL . OCCURES. IF THE GROUND SURFACE IS OTHER THAN ROCK OR MINIMUM 2- ASPHALT, ENCASE THE CROSS DRIVE ANCHORS NTH CONCRETE AS SHOWN IN DETAIL'B'. 1. INSTALL CROSS DRIVE ANCHORS INTO SOIL ACCORDING TO DETAIL ti 2. ATTACH STRAPS TO CHASSIS BEAM IN MANNER SHOWN. 3. INSERT STRAP THROUGH SPLIT BOLT. CUT OFF EXCESS STRAP AND THEN TIGHTEN BOLT UNTIL STRAP IS SNUG. DETAIL 89' 4. ABESCO NAME IS STAMPED IN ANCHOR HEAD. CONTRACTORS VERIFICATION I CERTIFY THAT I HAVE INSTALLED THE ABESCO ANCHORING SYSTEM AS PER THE INSTALLATION INSTRUCTIONS. I HAVE MADE NO MODIFICATIONS TO THE ANCHORING SYSTEM OR TO THE BUILDING STRUCTURE. COMPANY NAME: Ll 4C3�4 .4e eWre..) a4.�t CONTRACTORS LIC. III A, DATE. SIGNATURE ABESQG-,.FNGlNEERED CROSS D•R-IVE TIE • rNnIAIKIQ STATE ROVAL DRILL 9/16* HOLE 'AT MID HEIGHT OF BEAM, INSTALL 1/2" A307 BOLT -1 SEE DETAIL W TYPEQnEDOVAI �_'--#614 STL STRAP - SEE I—BEAM CHASSIS FOR. TIE DOWN ANCHOR RFC BEAM CHASSIS DRILL 9/16- HOLE AT MID HEIGHT OF BEAM, INSTALL 1/2- A307 BOLT n_ _J X606 S STRAP I BEAM CHASSIS #614 STL STRAP SEE I—SEAM CHASSIS FOR _LTIi;_Dq ANCHOR C BEAM, CHASSIS #606 STL STRAP #614 STL STRAP -r STEEL STRAP SIDE VI END MEW WT & NUT CROSS ME ANCHOR DETAIL W 117? ARE 12 0 GROUND LINE INSTALLATION INSTRUCTIONS j 4.7. CONTRA=FM WARNING: CHECK FIRST FOR UNDERGROUND UTILITIES. ...... ... CROSS DRIVE ANCHORS ARE USED WHERE HARD OR ROCKY SOIL . OCCURES. IF THE GROUND SURFACE IS OTHER THAN ROCK OR MINIMUM 2- ASPHALT, ENCASE THE CROSS DRIVE ANCHORS NTH CONCRETE AS SHOWN IN DETAIL'B'. 1. INSTALL CROSS DRIVE ANCHORS INTO SOIL ACCORDING TO DETAIL ti 2. ATTACH STRAPS TO CHASSIS BEAM IN MANNER SHOWN. 3. INSERT STRAP THROUGH SPLIT BOLT. CUT OFF EXCESS STRAP AND THEN TIGHTEN BOLT UNTIL STRAP IS SNUG. DETAIL 89' 4. ABESCO NAME IS STAMPED IN ANCHOR HEAD. CONTRACTORS VERIFICATION I CERTIFY THAT I HAVE INSTALLED THE ABESCO ANCHORING SYSTEM AS PER THE INSTALLATION INSTRUCTIONS. I HAVE MADE NO MODIFICATIONS TO THE ANCHORING SYSTEM OR TO THE BUILDING STRUCTURE. COMPANY NAME: Ll 4C3�4 .4e eWre..) a4.�t CONTRACTORS LIC. III A, DATE. SIGNATURE ABESQG-,.FNGlNEERED CROSS D•R-IVE TIE • rNnIAIKIQ ENGINEER APPROVAL, DW*rit cr. No. 17918 tip 0, IF C THIS TIE DOWN SYSTEM. MEETS THE REQUIREMENTS, OF SECTION 1336.3. SUBSECTION W79 PAcft CoNaum EmNmw 2150 BW Am, Site 145 tsammffltc. CdL 95418 swc 916-YA-M STATE ROVAL -M -P BUTTE C.00,.NTY BiMLD"G DEPARTMENT R kP P'OVED rARESCO, INC ,PE 41 MANUFACTURED HOME' -TIE DOWN CALCULATIONS AND SCHEDULES FOR: SINGLE/DOUBLEfMIPLE WIDES sm- DESIGN LOAM 9 WIND--- 15 PSF o SEISMIC ZONE 4 * SOIL --- 1,000 LBS. PSF LOAD BEARING ANCHOR DESIGN PULLOUT: 1,727 LBS. - MAXIMUM TOTAL LOAD CAPACITY (CALCULATED) ASESCO CROSS DRIVE ANCHOR #607.'MAY, BE USED FOR BOTH SIDE' -AND- END TIE DOWNS.-,----- STRAI3 DESIGN TENSION: 4,750 LBS -MINIMUM TOTAL LOAD dXPAlCITe'(TESTEDl 5,900 LBS.) •'3.150 LBS:'z-WORKING. LOAD CAPACITY (1.5- SAFETY FACTOR) GENERAL NOTES: 1-.- SIDE TIE DOWNS ARE LOCATED -ALONG- HE UTSIDE CHASSIS BEAMIS-. PLACE-ANI-ABESCO CROSS- DRIVE AT 2' IN FROM EACH END OF EACH OUTSIDE CHASSIS BEAMS DISTRIBUTE THE REMAINING- TIE --DOWNS' EVENLY ALONG THE CHASSIS BEAMS. 2. END TIE DOWNS ARE 'LOCATED AT BOTH ENDS OF EACH -UNIT(S). THEY ARE; TO, BE_PLACED-AT,- EACH� END - OF CHASSIS BEAMS, OF EACH -TRANSPORTABLE SECTION OF THE -BUILDING. 3. THE NUMBER OF TIE DOWNS REQUIRED ON EACH SIDE/END OF UNIT(s)-rAk &VE -D bWTHE LATERA LOADS DUE TO 85 MPH WIND EXPOSURE "C'" OR SEISMIC ZONE 4 --WHICHEVER IS GREATER. ENGINEER APPROVAL, DW*rit cr. No. 17918 tip 0, IF C THIS TIE DOWN SYSTEM. MEETS THE REQUIREMENTS, OF SECTION 1336.3. SUBSECTION W79 PAcft CoNaum EmNmw 2150 BW Am, Site 145 tsammffltc. CdL 95418 swc 916-YA-M 4 t STATE ROVAL -M -P BUTTE C.00,.NTY BiMLD"G DEPARTMENT R kP P'OVED rARESCO, INC ,PE 41 MWW MWATO SSW 5851 Ficrin W" laW - Saaamptk CA 95828 ft 06-30-M 4 t 1 4 ASESCO TYPE QS SEE CHART r, , WIND= 15 PSF TYP SEE CH 2' EQUAL EQUAL EQUAL EQUAL EQUAL 2' LENGTH VARIES SINGLE WIDE TYPE QS SEE CHART DOUBLE WIDE TYPE Q SEE CHART \ <' LENGTH OF UNIT 30' IC S0' ` P E A 66' SI CI TIE DOWN LOCATIONS E S E 2' EQUAL EQUAL EQUAL EQUAL EQUAL 2' S E LENGTH VARIES ' S E DOUBLE WIDE TYPE Q SEE CHART \ <' EQE ART SEISMIC= ZONE 4RIV OF CROSS DE ANCHORS FOR EACH SIDE AND EACH END LENGTH OF UNIT 30' 40' 50' 56' 60' 66' 70' TIE DOWN LOCATIONS E S E S E S E S E S E S E SINGLE WIDE UNIT 4 2 5 2 1512 1612 612 1712 1712 TOTAL TIE DOWNS 12 14 15 16 16 18 18 -WIND= 15 PSF SEISMIC= ZONE 4 O REQ'O. NO. OF CROSS DRIVE ANCHORS FOR EACH SIDE AND EACH END LENGTH OF UNIT 30' 1 40' 1 S0' 56' 1 60' 1 66' 1 70' RT I TIE DOWN LOCATIONS I E I S I E I S I E I S I E I S I E I S I E I S I E DOUBLE WIDE UNIT 4 4 5 4 5 4 6 4 6 4 7 4 7 4 TOTAL TIE DOWNSI 16 1 18 1 18 1 20 1 20 1 22 1 22 PE Q WIND= 15 PSF E SEISMIC= ZONE 4 TART f' N0. OF Rj5 CROSS DRIVE ANCHORS FOR EACH SIDE AND EACH END LENGTH OF UNIT 30' 40' S0' ` n 66' SI CI TIE DOWN LOCATIONS E S E S E S E S E S E S E TRIPLE WIDE UNIT 4 615161516 50 FT. 165 PLF 8,250 USS. 5 2 2' EQUAL EQUAL EQUAL EQUAL EQUAL 2' 1616 LENGTH VARIES 1716 EQE ART SEISMIC= ZONE 4RIV OF CROSS DE ANCHORS FOR EACH SIDE AND EACH END LENGTH OF UNIT 30' 40' 50' 56' 60' 66' 70' TIE DOWN LOCATIONS E S E S E S E S E S E S E SINGLE WIDE UNIT 4 2 5 2 1512 1612 612 1712 1712 TOTAL TIE DOWNS 12 14 15 16 16 18 18 -WIND= 15 PSF SEISMIC= ZONE 4 O REQ'O. NO. OF CROSS DRIVE ANCHORS FOR EACH SIDE AND EACH END LENGTH OF UNIT 30' 1 40' 1 S0' 56' 1 60' 1 66' 1 70' RT I TIE DOWN LOCATIONS I E I S I E I S I E I S I E I S I E I S I E I S I E DOUBLE WIDE UNIT 4 4 5 4 5 4 6 4 6 4 7 4 7 4 TOTAL TIE DOWNSI 16 1 18 1 18 1 20 1 20 1 22 1 22 PE Q WIND= 15 PSF E SEISMIC= ZONE 4 TART f' N0. OF Rj5 CROSS DRIVE ANCHORS FOR EACH SIDE AND EACH END LENGTH OF UNIT 30' 40' S0' 56' 60' 66' 7 0' TIE DOWN LOCATIONS E S E S E S E S E S E S E TRIPLE WIDE UNIT 4 615161516 50 FT. 165 PLF 8,250 USS. 5 2 1616 1616 1716 1716 TOTAL TIE DOWNS 20 30 FT. 165 PLF 4,950 UBS. 3 TRIPLE WIDE t #607 CROSS DRIVE ANCHOR ABESCO TIE DOWNS #606 7' STL #614 7' STL STRAP W/BUC STRAP W/HOLE TYPE "S" TYPE ENGINEERING CALCULATIONS WIND=15 PSF -- SEISMIC ZONE 4 #608 SPUT BOLT & NUT WIDTH LENGTH TRANSVERS LOAD'W TOTAL TRANS.1 LOAD $ TYPE Y TIE DOWNS TYPE't+ TIE DOWNS SINGLE WIDE TO 14' 30 FT. 165 PLF 4,950 UBS. 3 2 40 FT. 165 PLF 6,600 UBS. 4 2 50 FT. 165 PLF 8,250 USS. 5 2 60 FT. 165 PLF 9,900 UBS. 6 2 70 FT. 1 165 PLF 111,550 LRS.1 7 2 DOUBLE WIDE TO 28' 30 FT. 165 PLF 4,950 UBS. 3 4 40 FT. 165 PLF 6,600 UBS. 4 4 50 FT. 165 PLF 8,250 UBS. 5 4 60 FT. 165 PLF 9,900 UBS. 6 4 70 FT. I 165 PLF 111,550 LBS.1 7 1 4 TRIPLE WIDE TO 42' 30 FT. 165 PLF 4,950 UBS. 3 6 40 FT. 165 PLF t 6,600 LBS. '4 _ 6 50 FT. 165 PLF 8,250 UBS. 5 6 60 FT. 165 PLF 9,900 UBS. 5 6 70 FT. 165 PLF 11,550 UBS. 7 6 22 22 24 24 26 26 a SOIL CONDITION SPECRCATIONS CROSS DRIVE ANCHORS ARE USED WHERE HARD OR ROCKY SOIL _ OCCURES. IF THE GROUND SURFACE IS OTHER THAN ROCK OR MINIMUM 2" ASPHALT, ENCASE THE CROSS DRIVE ANCHORS WITH f• CONCRETE AS SHOWN IN DETAIL "B". t I 1 • 1 • #406 PIER BOLT—ON TOP - ZONE:- S. F. tER VAZ& vNiT .LVT S F 3a�3'D S F - 3.16 UNC rS P. -J.4� covF I(ICKAM FION) , an, 1184-rbj 4IV RI's, X ITCMe_NJ i 6. ode TO SC#4J-F N This set of plans and specifIcations N MST be kept on the job at all times and it is un]av&d to mage any changes or alterations on same without written permission -from the Department of Public Works, County of Butte. NOTE: All Materials & Workmanship Shall Be In Accordance with Recognized Good Practices -and of a Quality Prescribed for the Specified use . In the Uniform Building, Plumbing 0 Mechanicaj Codes and the National Electrical Code. 1,41V iar I 1?4r� ,7 6 RD W.tTKR DEPART �l11di� �CEM!'NI k�.�'cT 7r��v. GFS,F1? FILE COPY ELECTRICAL, MECHANICAL, AND PLUMBING CONSTRUCTION ( NOT PLAN CHECKED ) SHALLCOMPLY WITH CURRENT EDITION OF NEC,, UMC- AND UPC. This set of plans and specincations MM be kept on the job at all times and it is unlawful to make any -changes or alterations on some without written permission from the Department of Public Works, County of Butte. -NOTE: All Materials & Workmanship Shall Be in `Accordance with Recognized. Good Practices and of a Quality Prescribed for the Specified use -in the Uniform Building, Plumbing & Mechanical Codes and the National Electrical Code. f �0 I'?� P ear/- yTH Sr 3" 'fC- , 1 A 1 z i 6. KAM )PION) A -IV R11 M,rC1PeN) +$ RD L4ov1x2 _ i CE11PN Gj-sci i s��,dE2 �- 030 4P/4�t -- - v a% 0y-� T® SC#4J-E" BUTTE COUNTY BUILDING DEPARTMENT APP OWED 4�rv�r �► . / 3d FILE. C01 --r- (o-psl9 y,; �. {/. �'. [ � "') �'t�,li ,. ,.�` ... ,r. a�. �.s, Y.; r,.. 51 �. � �x.� .�. � F � yet' R b � ��� �1 . t. <'� �.-; �. w � �' ,r ... � s +1TW r t, n+ »" ¢° • / f i` "�•r ., '� ; 4� � ;� � � �� i � �• r ...tet i r/ �� �1 �r i .. ` �. },.r.....,� 4� �, t„ s . �'• S� 1 y,; �. {/. �'. [ � "') �'t�,li ,. ,.�` ... ,r. a�. �.s, Y.; r,.. 51 �. � �x.� .�. � F � yet' R b � ��� �1 . t. <'� �.-; �. w � �' ,r ... � s 0 " rsn• ATE OROVILLp ! ,. ONA e0' h o• a � 5 0 6 0 A /vn O 7.217bC'• 2 5E 19.7 AC. 4 I AC W FBLI�OT - WEST .goo 0' " ! �V 1 LL d (ROUTE 2/.4) qe 'so 2ce 80' h / 20 3.2AC. I 248 580 h W QQ 5 m 3 0 301 6 x h j+lb 2 45 1 m 2 7 r Y__•_____Q- R � 9 27 s. ► Z _ n► 8 a0 - © 10 b. 350 70 80 @O 29 3 0 — — — -- --- .. i 13 oil to . as O p o a �r jhi� fled M-9 .-_ _ 4 46 _ mi Rry ��`-�--�` so - , - -- %S %f .. AVE. va+3 1 _ ` ��w._� \ :.= Assessor's Map No. 30-2/ 478 48 ABERCROMBIE TR. M.O.R. BK. 29 A County of Butte, Calif. HOWARD SUB. At 0. R. Sk. 9 P Na I aFvrseo: 7— e9 Mar ch , 1952 THERMAL/TO M.O.R WALL MAP •: � - = - _ _ ..__...._-...._......-_ '- - IN O CLE •� n-..•-_........,.....- _ / `sj -' S C 9