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HomeMy WebLinkAbout041-490-008MOBILEHOME INSTALLED AND OCCUPIED W/O PERMITS 9/21/94 Q 93`269 ,E(MH)." KAROLA ERICKSONivr•��_�3 G Lo __Min& s �Roa ORov 1 �e iii��LLPrrc�,.^' ELEC /00 .GAS COMPACTION TEST REQ PORTSTRUCTREQSUP Z x.95 041-490-008IT..►►,. 9 ERICKSON; KAROLA37 3559 .LOS ? RANCHOS RD., OROVILLE - /64 �r COMPLETE MH UTIL BP#93=0269 041-490=008 '` .•PERMIT#94"=2978'`. ERICKSON K ROLA �'1 / h i 3559 LOS RANCHOS' RD . , OROS VAI 3 _MOBILEHOME INSTALLATION 041-490-008 PERMIT#95-0415- ERICKSON:, Karola, 3 559L-5sRanchos 'Rd. ,'b,Or.ovlle ' Open Deck/MH., -1490 (f) A.Sr lzar=�; r RESIDENTIAL 041-490-008 PERMIT#95-0415 ERICKSON, Karola 3559 Los Ranchos Rd., Oroville Open Deck/MH N N 41 I JOB FINALED (Date) Signature J=OK • O =Not OK Not = Not Ready MOBILE MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s" Foo ' gs; Soils -Size -Depth -Spacing -Connectors -Steel 1. Zoning Requirements -Setbacks -Easements ecks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 2. Soils; Special MH Support Sketch 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Rfg.-Bracing 3. Sewer; Location -Test -Fall -C/O Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 4. Water; Location-Test-Easement.Neeaed (Sketch) 6. Carports; Windows -Doors 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 7. Electric 6. Gas; Location -Test -Wrap: / P L" ft. / /"Nat. or/ /"L"ft./ /"LPG 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 7. Well Clearance & Disconnect' 9. Siding; Nailing -Veneer -Stucco -Mesh 8. Utility Clearance 10. Roof; Shthg-Roofing xt.; 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; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Drain; MH Test -Fall -Flex Connector, 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/O to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. 9. Exits; Insp.-Sketch Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 10. Cert. of Occupancy 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 Date 11 MISCELLANEOUS Date DEC OVERS, CARPORTS, GARAGES, (Plans)OK except #'s Zo W g Requirements -Setbacks -Easements Foo ' gs; Soils -Size -Depth -Spacing -Connectors -Steel ecks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing xt.; Steps -Doors -Landings Date Dat m, -q Card B-1 Date Card B-1 �' Card B-1' -_ Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes-Enclosures-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 OK O = Not OK _ = Not Applicable Not Ready RESIDENTIAL (; ' = Date UNDERFLOOR (Plans) -OK except ti's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except ti's 16. Water Htr.: Vent -Access -Combustion Air -Baffle -------------- ---------------------------- 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection -------- -------------- ----------------- -- ----19. Shower Pan; Test. First Floor -Tub Access -_-- - ---- 20. Test Tub & Shower, Second Floor -Tub Access ---------------- ---------- ------ ----------- 21. Gas Pipe: Size & Anchors -------------------------------------------------------------------------- Date - - Card B_1 ---- Date - Card 8-1 - Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ft's 22. Fixture & Transformer Clearance -Ins. Protection ----------------------- -------------------------- -------------------- 23. Elec. Receptacles Spacing -Lights & Switches at Doors ---- ------ ------------------------------------------------------ 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water --- ------------------------------------- --- ---------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI -------- --- -- ------------------ -- ------ ----------------------------- 28. Subfeed Wire Size i ga. Cu or AI-A.C. Wire Size ! 1 ga. Cu or At --------------------------- -------------------------------------------------- ----- 29. Range Circ. ! / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑ Yes ❑ No ---- I ----------- I ----------------------------- - ------------------------------ 30. ----------------------- 30. Service -Riser Conductors & Ground -Main Disconnect ---------------------------------------------------------------------------------- 31. Equip -.Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light •------------------------------------------ --- - --------- 33. Smoke Detector ---------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 ---------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except n's 34. A.C. Ducts Insulation & Support - ------------------------------- ------------ ------------------------------------- 35. Vent Fan: Exhaust above insulation •------------------------------------------------------ -- - ----- --- 36. Condensate Drain & Overflow: Size & Grade -----------..---------------------------------------------- 37. Furnance-Vent: Access -Comb. Air -Return -Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic ------------------------------------ --------------------------------------------- Date Card B-1 Date Card B-1 ------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except P's 39. Sils. Proper Material & Anchors - --- ---- ------------------------------------ 40. Walls Studs -Nailing Spacing & Bracing -Plates -Sound ---------- ----------------------------- --------------------------- -------------- 41.- Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) - - ----- ---------------------------------------------------------------- 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub ----------------- ------------------------------------------------- 44. Headers & Beam -Size & Bearing Ingle & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection plywood on Roof Overhang -Attic Vents -Rafter Outriggers ----------- --54. ---- --- 55. Siding -Nailing Veneer ---------------------------- 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls: Nailing -Bolts 59. Insulation -Walls -Ceilings - - 60. Infiltration -Walls -Windows ------------ . -- ---------------------------- Date B-1 Date Card B-1 Date _ ---Card Card B-1 Date Card B-1 Date FINAL (Plans) OK except ft's ----------------------- 61. - Ext. Steps -Door & Sidelight Protection -Landings -- 62. Smoke Detector 63. Furnace: Vents -Clearance -Comb. Air -Connector - ------------ In Garage: Above Floor-Ducts-Mech. Protection - ------------- --------------- 64. Bedroom Exiting 65. G.F.I.& Bath Fixtures & Tub Access -Spa ------- 66. Elec. Trim & Subpanel: Breaker Sizes & Labels - -- ------------------------------------ 67. Stairs & Rails 67. ------- - ----------- 68. Fireplace or Stove: Clearances -Hearth -- ----------------------------- 69. Elec. Outlets at Wood Panel: Int. & Ext. 70. Kit.Fixt & Appliance: Grnd -Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter --------------------------------- ----------------------------- 72. Garage Fire Door: Swing -Landing -Closer ------- 73. A.C. Duct in Garage -Damper - - - -------- 74. Wtr. Htr Vents -Clearance -Comb. Air-Connector-P.R.V. , ----------------------------------------- In Garage: Above Floor-Mech. Protection - 75. Plb.. Elec. & Mech. Equip. Listed for Location --------------------------------- 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection ---------------- ------ --------------------------------------- 77. 77. Insulation -Foam -Looked in Attic ❑ Yes - - ------------------------------------- ------------------------------------79. 78. Guard Rails & Deck Construction -Post Caps 79.Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.: Drive ❑ Yes 0 No: Walks ❑ Yes ❑ No; ---------------------------------------------- Planters ❑ Yes ❑ No -- - 81. Stucco_Brown_Finish - ' 82. A.C. Unit: Disconnect Electrical, Plumbing 83. Vents Above Roof: PIbg-Appliance-Fireplace.-Clearance to Openings -------------- 84 Water Well: Disconnect, Electrical, Plumbing I ------------------------ - 85. Exterior Elec. Trim: G.F.I. Receptacle -Underground - --- - -----.._...------------------------------ -- - -- 86. Ventilation Throughout House - -- - -- - - - - - ------------------------------------------- _.... - .... 87.- Glass Protection - - - --------------------- ------------- ------ --------------- 88. Corrections from Previous Inspections ---------------------------------------- --------------------- 89. Gas Test -Meters Tagged: Gas -Electric I ------------- ---------- --------------------------------- 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. 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: COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT'�`f ASSESSOR PARCEL NUMBER 041-490-008 ZONING U BUILDING PERMIT 8 / OWNER KAROLA. ERICKSON TELEPHONE SO. FT. OCC. BUILDING VALUA ION 40 0 280.00 OWNERS MAILING ADDRESS 3559 LOS RANCHOS RD OROVILLE 95965 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNMOWN Total Valuation is Fling Fee $ 20.00 LENDERS MAILING ADDRESS Permit Fee $ 15.00 ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ 23.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 3559 LOS RANCHOS RD PERMITFEE $ 58.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ffi 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 yyyy New ❑ Addition II' Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: �:N 10MR'IM ��-'�-K Mobile Home I S I GI W @20.00 PERMITFEE g Contractor ELECTRICAL PERMIT Filinq Fee 20:00 Main Service OOOV 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 I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason 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 NEW CONST. DWELLING OCCUR` OR ADDNS. ( & ACC. BLDS. / SO. 3.50 FT. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( b PSINWGOER APPARATUS ) LE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES) 20 @ I.00 BAIL -00 Ex. Occup. (OUTLETSFIXAPPLN o.OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor MECHANICAL PERMIT Filing Fee 20.03 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (rhe 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 fo with complyW'th those rovisions. X------ Date _ " (O 9J_— Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 5,q nn HAZ. I D. FEES IMP FLOOD COF PARCEL PD HD E 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 311195 PERMITEXPIRESON -�9 h 4 (Date) Receipt No. 175603 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT i .CO,UI,T;YOF BUTTE - DEPARTMENTOF DEVE ,MENTSERVICES - BUILDING DIVISION 7 COUNTY_ CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916)538-7,941 / APPLICATION DATASHEET PERMIT ,, OWNER - Proposed Building Use DP.2 Building • APS7'.F��AFL/l i Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 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 prepairer 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. ........... Feesof $ < .......................................... 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). . Preanspection n:qu_e9_ 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 . ..................................................... When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked_ above)..,w 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' A Counter by _Date 10 Plans checked by Date Plans approved by ` Date F' Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works b A Tor Buildinv Department FROM: Environmental Health SUBJECT: Sanitation Clearance y/- y9o- Ownez o� Location AP# Plan Approved for: Sewaqe Disposal Water Supply. Hold final for: Water Supply Final clearance O.R. for: Water Supply Clearance for bedroom mobile home. Other NOTE od�y/1�i cJ:✓ �T T 1....�r...•. (Y..¢Gk 1�+�-� SPv�"rC __%n.�—.C� — anit__ax an Date COUNTY OF_BUTTE Department ofLDevelotnient Services Building Division Oroville: 7 County Center Dr., Oroville CA 95965 Ph: 916-538-1541 Chico: :1469 Humboldt Rd., Chico CA 95928 Ph: 916-891-2751 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and .issuing your building permit. No;building permit will be issued until this verification is received. .I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes r no) 0 ave ave 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�Z Social_ Security Number -, Date -3 —(o -- 9 NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. 1�, -- m Ur ! -- 00 }. « 0�r1 Q cD Perri -tit will be to I �allotion of the Mobilehol h O M p 'T? ED Q :LOO +i I 17 G 4, .;,Z) e d- ' Location of structures & equipment shall be as shosrftl & clear of all easements. s�taAc!cs � 5a' F Qam o F WAID This set of plans and sps nn -d it �s unM`w ul ibc ns kept on the job at a make any chenges or alterhtions on'same wi houi written permission from the Department of Pubic Works, County of Butte. \ I , �t✓ocl:mnns ,p `5\I`,'''he :n ,,:i. e i C d Isrr.cti„es�,and {i^�.. .ti:.'�i„'.r i'�::'":.,•t,] ;Cr ii)r Usn,:�i� ih9 ! ...' ... '� ....;;: �'._..:r :,'.- 1:•`•ec ��'nical Odcs and It �i 0 TYP. ,..GIRDERS... 1717a" TiG PLYWOOD CC EXT. v GUARDRAIL „ A,)( ., L� • DECK)IJ G PRECAST W PIER to rWINS 14' 4" MIN. F'00T I NG P, m GIRDER 4"x V I I i — FRMN G. - n CLIP.. -71 2'x 12" STAIR 'STRINGER. 4B'o.c.. MAX. -TDF. V.IEW - H AUDRAIL NOT SHI)W tJ FOR CLARITY. 3/g 1 BOLT 2"X4" .. w MOBILE HDME a OR DEL1C MAX. c L--- \ s MTL. FRMW — — `.� CLIP (EA. IDE 9"MINI. \� 4°x (D„ 4%4" POST 2'X I'Z . x *"ZD ( s' „ � 2' 4" PRESSURE -.- - 12� /f3 7R A o R >g MIN. BOLTS REDW00D P/ATE 4"X9" POST ADEQUATE DIAGONAL BRACING. TYPICAL RES /DEiV71-01- ST,ZP.S aN���OFCK w COUNTY OF BUTTE — DEPARTMENT OF PUBLIC (WORKS 7 County Center Drive — Oroville, California 95965 i Telephone: 538-7541 r RESIDENTIAL 041-49-0-008 KAROLA'ERICKSON 93-269 P,E(MH) 3559 Los Ranchos Road, ORoville (util, MH) OFFICE COPY Address o GAS Meter By Date I ELECTRIC Meter By Date JOB FINALED (Date) v _ Signature V- OK , E O = Not OK Not t Applicable NotMOBILE HOMES Date M BILE HOME UTILITIES (Plans) OK except #'s Zoning Requirements -Setbacks -Easements oils; Special MH Support Sketch ewer; Location -Test -Fall -C/O Concrete Vater; Location -Test -Easement Needed (Sketch) I Electricity; Location-Clearences-Grnd- Amp -Concrete 6. Gas; L io Test -W p: ; /"L"ft. / at. or "L" ft./ LPG ell Clearance & DilcolInnect Ljaedtliiity Clearance Date 9-S Card 13-1 IDate Card B-1 Date Card B-1 Date Card B-1 Date MOS&E HOME INSTALLATION (Plans) OK exceot #'s ZoDK Requirements -Setbacks Easements ootin s; Size -Spacing -Marriage Line s H Test-Demand-Valve—Connector lect' ' y; MH Test -Crossovers -Breakers -Clearances rai H Test -Fall -Flex Connector at ; MH Test -Regulator -Connector aid Sewer Connected -C/O to Grade -HD Approval Electricity Tagged p. -Sketch Cert. of Occupa Date 1 Card B-1 Date Card B-1 Dat /Card B-1 Date Card B-1 16° (. t; t MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes-Enclosures-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 J=OK O = Not OK = Not Applicable Not Ready RESIDENTIAL (; = Date UNDERFLOOR (Plans) OK except h's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except h's 16. Water Htr.: Vent -Access -Combustion Air -Baffle ---------- --- ------------ --------------- 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.:--Test-Fittings & Anchor -Nail Protection - --- -------- ------ - ------------------ 19. Shower Pan: Test. First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access - ----------------- 21. Gas Pipe: Size & Anchors ----------------------------------------------------------------- Date Card B-1 Date Card B-1 -------------------- ---------------------------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except h's 22. Fixture & Transformer Clearance -Ins. Protection ---------------------------------------------------------------- _ Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled -------------------------- --- ------------------------- 25. Romex Installed Close to Edge of Studs & C.J. ----------- ---------------------------------------------------- ------------- 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water --------- --------------------- ------------ ----------------------------- 27. 2 Appliance Circuts -in Kitchen- & Conductor SizerGFl ------------------------------------ - -- ----- 28. Subfeed Wire Size r / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI 29. Range Circ / r ga Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No - -------------------------------------------------------------------------- 30. Service -Riser Conductors & Ground -Main Disconnect ------------- -- - ---- --------------------------------------------------- -------------- 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light •--------------------------------------------- ---- ------ --------------- ---- 33. Smoke Detector --------------------------------------------------------------------------------- --------------------------------------------------------------------------- --- Date Card B-1 Date Card B-1 •-------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except n's 34. A.C. Ducts Insulation & Support -------------------------------------- ------------------------------------------- 35. Vent Fan: Exhaust above insulation ----------------------------------------- --------------------------------------- ------------ 36. Condensate Drain- - & Overflow: Size -&- Grade --------------------------------------------------- 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet -- --------- -- -- - - --- -------------------------------------------- 38 Attic Access & Platform if Furnance in Attic ---------------------------------------------------------------------------------- Date----------- Card B-1 Date Card B-1 ------------- -------------- ----- ------------------ ---------------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except h's 39. Sils. Proper Material & Anchors -------- --------------------------------------------- --------------------------- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound -------- ---------------------------------------------------------- 41. Bearing Walls over Girders & Floor Nailing -------------------------------------------------------------------------------- 42. Draft Stop in Walls (rat proof) ----------- •-------------------- -------------- ----------------------------------- ------------- 43.. Fire -Stops: Furred Ceilings -Stairs -Chases -Tub ------------------- ------------------------------------ 44. Headers & Beam -Size & Bearing jingle & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing -----------51.-,Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Head room -Rise-Run- Land in Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers SS. Siding -Nailing Veneer --------------- 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access ------ -- 57. Glazing Area -Glass Protection -Skylights- Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls-Ceilings 60. 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 61. Ext. Steps -Door & Sidelight Protection -Landings ----------------- 62. Smoke Detector 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garaoe: Above Floor -Ducts -Meth. Protection --------- -------------------- 64. Bedroom Exiting ----------------------------- -- 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel: Breaker Sizes & Labels --------------- 67. -------- 67. Stairs & Rails 68. Fireplace or Stove: Cl6arances-Hearth - ---- --- ----- ------------------------- - 69. Elec. Outlets at Wood Panel: Int. & Ext. --------------------------- 70. Kit.Fixt & Appliance: Grnd.-Air Gap -Cooking Clearance -7 1. Elec. Outlets & Receptacles at Kit. Counter 72. Gara a Fire Dor: SwingLanding-Closer ------------- ----------------------- 73. A.C. Duct in Garage -Damper -------- ------ ---- ---------------------------- 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection 75. Plb.. Elec. & Mech. Equip. Listed for Location ----------------- ------------- ---------- ---- ---- ------------------ 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection 7,. Insulation -Foam -Looked in Attic ❑ Yes ------------------------------ ------------- ---------- 78.-Guard-Rails & Deck -Const ruct ion- Post Caps 79. Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes ------------------------------ 80. Following instld. Drive ❑ Yes ❑ No; Walks ❑ Yes Planters ❑ Yes ❑ No ❑ No; ------------- ---- 81. Stucco Brown -Finish 82. A.C. Unit Disconnect. Electrical, Plumbing ---- ---- -- ----------------------------- -- - 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings --- ------------------------ ------- 84. Water Well; Disconnect, Electrical, Plumbing -------------- ----------------------- -- --- 85. Exterior Elec. Trim: G.F.I. Receptacle -Underground -- --- - - --------------- 86. - ---------- --- 86. Ventilation Throughout House --------------------------------- - 87. Glass Protection ------------------------------- 88. Corrections from Previous Inspections ---- -------------------------- 89. Gas Test -Meters Tagged; Gas -Electric _.. --------------------------------------- 90. Water & Sewer Connected -C/O to Grade -HD Approval - _. -- -- • ----- - --- - ------------- ------ 91. Energy Compliance Certificate -Other Certificates b-;te ...---------- C--ard- B- - 1 ------- Date-------------------- Date Card B-1 ---------------------------------- Date Card B-1 Comments at Final: ------------------ Date Card B-1 Date Card B-1 Date Card B-1 DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT DIVISION OF CODES AND STANDARDS � P.0 BOX 1407 .SACRAMENTO; CA 95812-1407 (916) 255-2501 . • TIEDOWN SYSTEM CERTIFICATION (To be completed by the mobilehome installation permittee or their representative) I li .0 !.. �� �� .o P,- , ti 0 v W", Le r�l�,G, ; % l l..,i (Print Name and Title) hereby certify under, penalty' of perjury and in accordance with the provisions of the California Code of Re ulations, Title 25, Division 1, Chapter 2, Section 1326 that the portions of t e tiedown system installed at � L r �z � � (Address) (Lot No.) �� (City) (Zip Code) below grade were not damaged prior to or as a result of the installation, were not modified prior to or during -the i allation, and were installed in accordance with the terms of the listing/or in accordance with plans a pecdications f an e&Imdown system. 12,1 ' (Signature)(Date) w•_ Note to Installers: Pursuant to the CCR, ' T25,, Section 1326(d) upon completion of the installation of the home, the home manufacturer's installation' instruction, the approved plot plan, a copy of the plans and specifications for. an engineered tie down. system` 1—used;-wand_ -,a copy of any maintenance requirements for the tiedown system, shall be placed within the home • for retention • by the,, ,homeowner. Department Use Only Permit # District Representative HCD-NAO.21 (9/94) . f r t MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION --7 COUNTY CENTER DRIVE OROVILLE, CA 95965 --PHONE (916) 538-7541 APN: PERMIT NO.: 2J/ ZY 7d Owners: �r1`— ��. Name: c� ►cam 1� f C S a. Owners: � S Address: Mobilehome / r t f �'� Year of 79 Manufacturer ' Manufacture: Serial number r 0c/7 5"�6 `r/� � � x Insignia or �� ���� � � /�� �� or V.I.N. .�.5' HUD number.r� Official approving installation: Date: If the mobilehome is mov d or rplocated, the mobilehome installation acceptance shall become invalid. This form shall not be used when the mobilehome is installed on a foundation system. 513B - White -Owner, Yellow -Installer, Pink -Bldg.; Gold -Assessor, - - ... ..�A"; :.rl(� 4n_u�t,. �_... ..:#L. "+.11x, 'fit:. ,.. e.>_.�.. TA�.......:.K i. .�...... .1..4 ;.#�t�:f 4-.r .. ,yne. a. v.. ._.. i—IU.o ..i F�/,ry_:F1'.+.. _i,., ...d ... .. .. _a_.. L. �*•�.._.... COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541PERMIT NO. APPLICATION AND PERMIT � � ��l-'�� ASSESSOR PARCEL NUMBER 041-490-008 ZONING U BUILDING PERMIT OWNER KAROLA ERICKSON (619) TELEPHONE 242-2752 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS f CONTRA ERS NAME I 1 o . 034 TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee S ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 3559 LOS RANCHOS RD., OROVILLE PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome X] Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I G I W 1 @20.00 14-0.00 TYPE OF WORK New ❑ Addition O Remodel EI Utilities] Installation O Other 1:1 Describework: COMPLETION OF UTILITIES STARTED PERMIT FEE S 60.00 Contractor ELECTRICAL PERMIT Filing Fee 20.00 UNDER #93-269 Main Service ( 200AOR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( 6 ACC. BLDS. ► So, 3.5C FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification )(1, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET NON.RESIo. ( BRANCH CIRCUITS ► 07.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. .50 Ex. Occup' (OFIXED APPLNS. OR UTLETS (RESID.I EA. ) / 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certiticate of Consent to Self -insure. I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. 1 agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County i cons�nce of a grenti of this permit. X Date ^ �J ' r Signature of Applicant - Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 60.00 HAZ. I D. FEES I IMP I FLOOD I CDF PARCEL PD ' HD I U . This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been BY PERMIT EXPIRES ON Male) provisions to do work paid. ate /G FReceiptNo.ITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 1 1. F�� • 'COUNTY OF BUTTE - DEPARTMEN T OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE; CALIFdRNIA 95965 -TELEPHONE (916) 538.7541 PERMIT APPLICATION DATA SHEET OWNER KAROLA -ERICKSON A. P. No. 041-490-008 Proposed Building Use UTILITY COMPLETION Building Inspector AHB Date 10/4/94 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: mmovavl7d= ;%% 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. MA/i W (G�� 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 $ 60.00 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). Pre -inspection for required. Contractor's license information. (No., Name Style, Classification). Certificate of Workmans Compensation Insurance. Owner -Builder Verification (Given to owner . Mail to owner X ). 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. SIGN THE FRONT OF PERMIT APPLICATION AND CHECK APPROPRIATE BLOCKS When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Applicant Date EXPIRATION OF APPLICATION Applications for which a permit has not been issued, will expire by limitation one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. FEE REFUNDS Refunds can only be made upon writtten request by the person who paid the fee. The request must be made within one year from the date of fee payment on permits not issued, and one yearfrom the date of permit issuancefor permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan checking fees for work plan checked and other department costs are not refundable. Original - Applicant COUNTY OF BUTTE Department of Development Services Build-ng.'Division Oroville: 7 County Center Dr., Oroville CA 95965 Ph: 916-538-7541 Chico:. 1469 Humboldt Rd., Chico CA 95928 Ph: 916-891-2751 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) x 2. I hav /have not) 1,4 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 �C P rty X Social Security Number Date d NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. COUNTYF 0 BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Galliornil95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. 9 ASSESSOR PARCEL NUMBER 041-490-008 ZONING U, BUILDING PERMIT OWNER Karola Erickson 61 TELEPHONE 242-2752 SQ, FT. OCC. BUILDING VA ION OWNER'S MAILING ADDRESS P.O. Box 2997, Apple VAlley, CA 92307 CONTRACTOR'5NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 1, Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 20.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ 20.00 35.59 os Ranchos Rd. Oroville PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME Leonard Campbell Property PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome[3 Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G JW I @ 15.00 45.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities® Installation❑ Other ❑ Describe work: MHU Permit Fee $ 60.00 Contractor ELECTRICAL PERMIT FiIingFee 15.00 Main service 600V OR LESS 200A OR LESS 1 .18.50118.50 18.50 CONTRACTORS LICENSE LAW I declare underenalt of p y perjury y (Check One): ❑I am licensed under p provisions of Cha t. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason Main service 200ATO1000A1 37.50 NEW CONST. / DWELLING OCCUP.9 OR ADDNS. 1 ACC. BLDGS. 3.64sq.ft. NEW CONSTFZ U TI.OUT LET NON•RESID BRANCH CIRC ITS @ 5.00 /POWER APPARATUS 61 SINGLE OUTLET CIR. Ex. OCcU OUTLETS OR FIXTURES p 20 76 FIXED APPLNS. OR \ EX. Occup. OUTLETS IRESID.1 EA./ 3.00 Temporary service 15.00 Mobile Home Facilities 1 15.001 15.00 Misc. Wiring 15.00 Permit Fee $ 48.50 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate Xof Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against s 'd Coun in cgWgequen of the granting of this permit.0 X `� /� ` Date _ / / 3 Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ Occ CONST TYPE I TOTAL FEE 2 50 HAz OFEES IMP FLOOD CDF PARCEL PD ISSS This permit is hereby issued under t sions of the Butte County Code and/or work indicated abov for which fees D ECT OF PUBLIC By PE ITE PIKES Date , licable provi- resolutions to do have been paid. WORKS / Dat�`ZI - Receipt No. 135304 WHITE-D.P.W., TELLO W-A88[890R, PINK -INSPECTOR, GOLDENROD -APPLICANT y'•-.-. ;f... --t `"-�+ �`ri--f---Y. •�..-,�.+�1 �.C1�t-r17�:.�� .:�,f•�-s.,-.�.�-^•.,.. �•�ry );,,.�T�•rN �.:lh-`�•.. t.-+..`v..i.-., :�„-,rr .. .. r- :,y•7�ii-,..,�,�Jh•�• ..4 r C UNTYOF BUTTE - DEPARTMENTOF DE/EL-'OPMENTSERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CAC061ANIA95965 -TELEPHONE (916) 538-7541 Q 01/� PERMIT APPLICATION DATA SHEET OWNER t,9ic SO/!/ A. P. No. 01'x— 700 Proposed Building Use M H U Building Inspector Date 2 3 At time of permit application, I was advised-th`e following data must be' 'subrnked prior to permit processing and/or issuance: rr• DATE RECEIVE BY 1. All items hay,e been submitted.... '................................... . 2. Plot plans X3/4 sets, signed by preparer of plans . .......................... = 3., -Complete plans, 3/4 sets, signed by preparer of plans . ....................... .4.' Engineered plans and calcs, 3/4 sets, with wet signature on plans. .. ".. . 5; Hazardous Material Form. .. ....................................... 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . t 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $......................................... 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees......................... laf Flood elevation letter (100 year flood) by California Engineer . ............... i O�Wul Sanitation and plot plan approval (J'' k- Health Department . ............ City of Chico plumbing permit . ......................................... R 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 8. Contact Land Development about (A) Improvements (B) Drainage. .......... . �. QE_V - 19. Driveway permit (construction approval required prior to occupancy). . . 20..Pre-inspection for F,;4nspection reque�s 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 ecorded'copy of Agricultural Acknowledgement Statement. I1Q Q)hi . % etter of signature' authorization.........................................� Copy of recorded'deed of parcel creation and 60 right of way to a public road...... 27. Letter of intent on building use . ............ t.............................. 28. Mobilehome utility clearance . .............. 29. Documentation of legal access . ..................... :........... ....... . 30. Documentation of 50% subdivision developed or (A) Road improvements completed . and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing.violations/expired permits . ...................................... . 32. Plan check list . ..................................................... 33 .34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation hrL.;.` / 97Z— Z Acreage Applicant iC��L ��O'—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 submitteZy rmit issuan • ircle new item not checked above). 1. Index permiffor 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 �(g �c� 3 Plans approved by 6�, `R Date 103 Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, 0•roville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity -to avoid. unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) S 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 c Address City Phone Contractors 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 Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: - Name Address Phone Type of Work Signed: Property Owner Social Security Number Date — NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 -of the California Health and Safety Code - - This verification must be completed and returned to our office before we are per- mitted to issue the permit. A",etur n oto DPW _ AGRICULTURAL STATE IBNT OF ACXVOWLED(;MMJT FOR RESIDENTIAL DEVELOP..haNT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded NOT COMPARED.WITH prior to issuance of .a building permit. ORIGINALDOCfJMENI° The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to incon veniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and 'harvesting which occasionally generate dust, smoke, noise, and odor. . ural zones which have as,a priority use for productive within said zones and on adiacent DroDerty should be or discomfort from normal, necessary farm operations. ACCEPTED FOR RECORDING AT 8:01 A.M. BUTTE COUNTY RECORDER APR 2 2 1993 Butte County has established agricul- agricultural purposes, and residents prepared to accept such inconvenience A.11 that real property situate in the County of Butte, State of California, described as follows: Date:—�,)— 9� PROP RTY OWNERS: STATE OF CALIFORNIA COUNTY OF - SAN %si a;� {:I rt I) 1. i�';.1 Capacity Claimed By Signer: .1Ill I) -*1. t l D (JA L On 02/06/93 before me, � ^ '1\ T Personally a �n,, ., .,. _ .. �� .. :tiiv* Y Ppeared 4C K A t L. -; ._. i .,. L; I� i C)"N' r , notary public, OFFICIAL SEALor- MARGARET E. HOKENSOf4 ` to be the proved to me on the basis of satisfactory evidence NOTARY PUBLIC . CALIFORNIA acknowledPerson(s) edo osme that he/ hewhose %they executed the s) is/are essamelin his/her/their authorizedand PRINCIPAL OFFICE IN capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or SAN BERNARDINO COUNTY the entityu upon behalf of which the Person(s) acted, executed the instrument. My Cmmnission Exp. Sept.+13 Witnes my hand a fficial seal. Official Notarial Seal Signature This certificate must be Title or Type of Document w 10 attached to the document Number of Pages -' T ('. "` �" i'I:i�{ s described at right. Signers) Other Than Named Above .,,i. ;;. Date of Document 02/06/9_ %LL -PURPOSE ACKNOWLEDGMENT ifro(V ,_ • j` Order No. P-31105 -KD Page 6 S' C H E D U L E. C Q The land referred to herein is described as follows: All that certain real property situate in the County' of Butte, Unincorporated, State of California, described 'as follows: PARCEL I: All that portion of Section 33, Township'21 North, Range 4 East, M.D.B. & M., lying within the boundaries of the following described parcel of land: COMMENCING at the South quarter corner of Section 33, Township 21 North, Range 4 East, M.D.B. & M.; thence North 89° 36' 59" East along the South boundary of said Section 33, 63.72 feet; thence North 140 38' West, 153.83 feet; thence North 160 59' West, 61.71 .feet; thence North 160 38' East, 44.31 feet; thence North 160 57' East, 88.59 feet; thence North.080 16' West, 92.44 feet; thence North 810 33' West, 1.01.83 feet; thence North 02°12' West, 78.69 feet; thence North 150 10' West, 84.80 feet; thence North 40-0 ill East, 98.80 feet; thence North 460 O1' East, 136.93 feet; thence North 690 17' West, 184.40 feet; thence North 410 54' West, 140.62 feet; thence North 220 04' West, 318.45 feet; thence North 070 11' West, 103.65 feet; thence North 020 04' West, 63.90 feet; thence 1 North 020 04' West, 414.30 feet; thence North 150 44.1 West, 160.95 feet; thence North 00 38' East, 59.75 feet; thence North 680 06' 34" West, 768.36 feet; thence North 580 28' 38" East, .197.51 feet; thence North 070 43' 17" East, 807.71 feet to the true point of beginning.for the parcel of land herein described; thence from said true point of beginning continuing North 070 43' 17" East, 267.00 feet; thence North 840 32' 38" East, 201.38 feet; thence East, 524.49 feet; thence South 280 08' 00" East, 48.08.feet; thence South 000 55' 00 East, 149.50 feet; thence South 010,351 00" West, 93.65 feet; thence WEist, 782.36 feet to the true point .of beginning. PARCEL II: Right of way for road and public utility purposes over a strip of land 60 feet in width, lying 30 feet on each side of the following described centerline: BEGINNING at a point on the North line of 'the South 2100 feet of Section 33, Township 21 North, Range.4 East, M.D.B. & M., where it intersects the centerline of Oroville Concow Road; thence from said point of beginning West along the North boundary line of the South 2100 feet of said Section 33 to a point on the East line of the land described in Deed to J.W. Radii, recorded January 4, 1966 in Book 1407 of Butte County Official Records at page 418; thence South 08° '39' 05" East, 99.15 feet; thence South 600 09' 40" West, 454.20 feet; thence North 760 31.' 20" West, 201.79 feet; thence (Continued) .J Order No. P-31105 �r Page 7 Legal Description (continued) North_ 260 1:1' 45" 45,West, 27:4.32 feet; thence North 46°' 59'' 02 West, 265..00 feet; thence North 31° 36"53" West, 148.36. feet';''thence "North. 07.0 51' 43'' East, 93:.82_ feet; thence North 200 14' 58" West,.:216..58 feet; thence North 040 32' 24" East, 305.;16 feet; thence North 250 .06' 35" East, 370.53 feet;. j thence North 230 25' 26" East, 258.71 feet; thence North 080 53' 13*" West,'. ! 340.50 feet; thence North ;200 00' 34" West 167.42 -feet; thence North -180 14' 21" West, 160:22 feet-and:.the end of said line. ,C COUNTY OF BUTTE - DAR.ENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 Karola Erickson P.O. BOx 2997 Apple Valley, CA 92307 Dear Ms. Erickson: With reference to the above subject: / / Attached is: OTHER PHONE: 916-538-7541 DATE April 8. 1993 RE: Building Permit #93-269 A.P. # 041-490-008 Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in including plot plans. Plot plans in Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section'(DPW). sets of plans in accordance with the changes marked in.red. Sanitation approval from Butte County Health Department at: 1469 Humboldt Road, Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for Completed Owner -Builder Verification form. Recorded copy of deed showing XXX Recorded copy of agricultural acknowledgement statement. .OTHER Agricultural Acknowledgement Statement needs to be re;;orded at.the Butte . County Recorders Office. See 43 on instructions. Should you have any questions concerning the above, please contact of this office. Yours very truly, William Cheff Director of Public Works J.F. Glander JFG/aj COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 PHONE: 916-538-7541 kQrto,� YlC(CsQy1 DATE `{i71%3 6 P• 0 (66v 2qQ'7 . RE: 19 93- 269 Appit V&aq 'Ca 92307 A.P. # 041-4°)0-008 With reference to the above subject: Attached is: Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced OTHER We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in including plot plans. Plot plans in Structural details in Complete plans.and_calcs in.. .by.registered engineer.or architect. Energy design including Street and drainage improvement plan approval from Land Development Section'(DPW). sets -o€ plans in accordance with the' --changes marked -in red. Sanitation approval from Butte County Health Department at: 1469 Humboldt Road, Chico 7 County Center Dr., Oroville Skyway &.Elliott Rd: Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, .Oroville, for Completed Owner -Builder Verification form. Recorded copy of deed showing _,Recorded copy. of agricult.ural._acknowledgement..st.atement.... L1 OTHER rayl ru 9 funaD r4' rn#WLa (av mamk Sb t-04 wm t nIA4 S Ise A Orrnl.or� rid RO .5 , _ - Should you have any questions concerning the above, please contact $,w of this office ,!�rLcko3w•a. JFG/aj Cl Y�d��(.t1'UJ Yours very truly, William Chuff Director of Public Works jf.F. Glander !;CORDING REQUESTED BY: Oi 'nviv... TH TITLE CO. Order No. ! Escrow No. P-31105 Loan No. WHEN RECORDED MAIL. TO: KAROLA ERICKSON - 22717 Shawnee Rd. Apple Valley, Calif. 92308 MAIL TAX STATEMENTS TO: S, ' Yf SAME AS ABOVE. i. i t91-39711 OOUNry OF BU71 f: BUILDING DEpr FEB a 8 1993 91-039711 1 Rec Fee 9.00 I STF 2.00 Recorded I DOC 4.95 Official Records I Check 15.95 County of I Butte I Candace J. Grubbs I Recorder I 8:00am 26 -Sep -.91 I JJ 3 DO(MlI E TARY TRANSFER TAX &—A..25 ... ........................ Computed on the consideration or value of property conveyed; OR . Computed on the consideration or value Iea liens or encumbrances remaining at time of sale. ,/ I COMMOINTV 3.An TZTLr CO. B:Y��^`'`-`' Signature of Declarant or Aunt determining tax — Firm Name w AP$ 041-490-008 GRANT DEED FOR A VALUABLE CONSIDERATION, receipt'of which is hereby acknowledged, RICHARD J. CAMPBELLAND JOAN R. CAMPBELL, husband and wife, hereby GRANT(S) to KAROLA ERICRSON.,, a un—married woman the real property in the City' of . unincorporated County of Butte i SEE ATTACHED. Dated August 12. 1991 STATE OF CALIFORNIA )es COUNTY OF On - before me, the undersignec, a Notary Public in a for said Slate, per- sonally appeared / Cil,,.VO oo —_ X Personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) Is/are subscribed to the within Instrument and acknowledged to me that he/she/they executed the same. , State of California, described as OFFlCIAL. SEUL KATHY DANCE NOTA1111 ts11oLJC — CALM'ObNA OoNNTtl OF Ilium ka Eq*w Feb. Sbr 1!N WITNESS my hand official Seal (This area for official notarial seal) Signature Fo,m 3195 MAIL TAX STATEMENTS. AS DIRECTED ABOVE Oi'der No, P-31105 Page 6 -KD S C H E D U L E C The land referred to herein is described as follows: All that certain real property situate in the County of Butte, Unincorporated, State of California, described "as follows: PARCEL I: All that portion of Section 33, Township 21 North, Range 4 East, M.D.B. & M., lying within the boundaries of the following -described parcel of lands COMMENCING at the South quarter corner of Section 33, Township 21 North, Range 4 East, M.D.B. & M.; thence North 890 36' 59" East along the South boundary of said Section 33, 63.72 feet; thence North 140 38' West, 153.83 feet; thence North 160 59' West, 61.71 feet; thence North 160 38' East, 44.31 feet; thence North 160 57' East, 88.59 feet; thence North 080 16' West, 92.44 feet; thence North 810 33' West, 101.83 feet; thence North 020 12' West, 78.69 feet; thence North 150 10' West, 84.80 feet; thence North 400 ill East, 98.80 feet; thence North 460 01' East, 136.93 feet; thence North 690 17' West, 184.40 feet; thence North 410 54' West, 140.62 feet; thence North 220 04' West, 318.45 feet; thence North 070 11' West, 103.65 feet; thence North 020 04' West, 63.90 feet; thence North 020 04' West, 414.30 feet; thence North 150 44' West, 160.95 feet; thence North 100 38' East, 59.75 feet; thence North 680 06' .34" West, 768.36 feet; 'thence North 580 28' 38'' East, thence North 070 43' 17" East, 807.71 feet to the truepoint feet; beginning for the point of Parcel of land herein described; thence from said true point of beginning continuing North 070 43' 17" East, 267.00 feet; thence North 840 32' 38" East, 201.38 feet; thence East, 524.49 feet; thence South 280 08' 00" East, 48.08 feet; thence South 000 55' 00" East, 149.50 feet; thence South 010 35' 00" West, 93.65 feet; thence WEtst, 782.36 feet to the true point of beginning. PARCEL II: Right of way for road and public utility purposes over a strip of land 60 feet in width, lying 30 feet on each side of the following described centerline: BEGINNING at a point on the North line of the South 2100 feet, of Section 33, Township 21 North, Range 4 East, M.D.B. & M., where it intersects the centerline of Oroville Concow Road; thence from said point of beginning West along the North boundary line of the South 2100 feet of said Section 33 to a point on the East line of the land described in Deed to J.W. Radii, recorded January 4, 1966 in Book 1407 of Butte County Official Records at page 418; thence South 080 39' 05" East, 99.15 feet; thence South 600 09' 40" West, 454.20 feet; thence North 760 31' 20" West, 201.79 feet; thence (Continued) Order No. P-31105 Page 7 Legal Description (continued) North 260 11' 45" West, 274.32 feet; thence North 460 59' 02" West, 265.00 feet; thence North 310 36' 53" West, 148.36 feet; thence North 070 51' 43" East, 93.82 feet; thence North 200 14' 58" West,.: -216.58 feat; thence North 040 32' 24" East, 305.16 feet; thence North 250-.061 35" East, 370.53 feet;. thence North 230 25' 26".East, 258.71 feet; thence'North 080 53' 13" West, 340.50 feet; thence North -20° 00' 34" West 167.42 •feet;. -thence North 180 - 1:4.- -21" West;_ 160: . 2-2-feet._and the end of said .line. 5Np p!: DoCUMENT Karola Erickson P.O. BOx 2997 Apple Valley, CA Dear Ms. Erickson: COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA, 95965 PHONE: 916-538-7541 ' DATE February 10, 1993 92307 RE: Building.Permit #93-269 With reference to the above subject: X Attached is: A.P. # 041-490-008 Application for permit Mobilehome Utilities Installation Sheet.. Building Plans Mobilehome'Ihstallation Information Sheet . Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced OTHER Agricultural Acknowledgement Statement We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer., Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in including plot plans.. Plot plans in Structural details in Complete plans and calcs in by registered.Jangineer or architect: Energy design including Street and drainage improvement plan approval from Land'Development Section (DPW). sets -of plans -in accordance with'the.changes marked in red. XX Sanitation approval from Butte County Health Department at: 1469 Humboldt Road, Chico XX 7 County Center Dr:, Oroville Skyway & Elliott Rd..-,-, Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for Completed Owner -Builder' -Verification form. .Recorded copy of.deed showing -�� Recorded copy of agricultural..acknowledgement statement... OTHER Should you have any questions concerning the above; please contact. Barbara Wilding of this office, between 3:00 and.5:00pm weekdays. Yours very truly,. William .Chaff , Director of Public Works COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 PHONE: 916-538-7541 DATE -219193 PD" &Uk 2997_ _ _. RE: GLpplicizhor� aplap_ aa.aa x . 92 30-7 . A.P. # 04/- "D - 008 With reference to the above subject: Attached is: Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder VerificationForm 1 List of Codes Enforced OTHER d7gr�� G.l�u��� J?J"?nh„4/�'%oPmFn1 �ta�epn `- " We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in including plot plans. Plot plans in Structural details in Complete plans and calcs.in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development.Section'(DPW).._ sets of plans -in accordance with the changes marked in,red. - Sanitation'approval from Butte County Health Department at: 1469 Humboldt Road, Chico 7 County Center Dr.,-Oroville Skyway. & Elliott Rd:-; - Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for Completed Owner -Builder Verification form. Recorded copy of deed -showing ,�. Rec___orddO copy, of. agricultural .ackno-wiedgement_statemen.t... �L. OTHER Should you have any questions concerning the above, please contact of this office. Yours very truly, William Cheff - Director of Public Works ///1 -F. Glander ` JFG/aj 4 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drivq, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE Er 'GLs d/,, 9y -z9 Its' OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. 1 � or 49YU4 4e-191 -- Date /-� -� Inspector REV COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, &'oville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE ER 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. i 4.1, S,- m%C- V Date � /O Inspector _— REV 10/92 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE ISI -Z<:i 78 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. L/ Date jInspector REV 10/92 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Dive - Oroville, California 95965 - Telephone (916) 538-7541�/ n�E�T N APPLICATION AND PERMIT T �[T-� ASSESSOR PARCEL NUMBER 041-490-008 ZONING U BUILDING PERMIT OWNER KAROLA ERICKSON 619 TELEPHONE 242-2752 SQ, FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 7 - T��j COO W NERS NAM �OK ^ 39� OC) TELEPHONE 3 CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDERUNKNOWN NONE Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ 23.00 Energy Plan Checking Fee S ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 3559 LOS RANCHOS RD. OROVILLE PERMIT FEE $ 43.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO.SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SFO Duplex ❑ Mobilehome ?hOther SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @ 20.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installations] Other ❑ Describe Work: ,>? PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 �y7 / / Main Service ( 20OVORLESS ) 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLOS. ) 3.50 FTSO., CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. �License No. Classification I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET NON-RESIO. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) a SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 p 1.00 BAL. @ .50 Ex. Occu FIXED APPLNS. OR p' ( OUTLETS (RESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): O This permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Ae rtificate of Consent to Self -insure. I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. . I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County�I� rconse uence /ftl�e g ting of this permit ` n� X %l��(/ G�� I/ Ky' A. Date / 0 : ! '7 Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ 100.00 Energy Inspection Fee $ occ CONST. TYPE TOTAL FEES 143.00 HAZ. D. F IMP F.L000 DF PARCEL PO HD I 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/ [ Jj PERMIT EXPIRES ON 1l0 Mato') 0 F fC" Receipt No. (QU (�J WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK•INSPECTOR GOLDENROD -APPLICANT 10 COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER KAROLA ERICKSON A. P. No. 041-490-008 Proposed Building Use MOBILEHOME INSTALLATION Building Inspector AHB Date 10/4/94 At time of permit application, I was advised the following data must be submitted prior to permit processing- and/or issuance: 1. All items have been submitted. 2. Plot plans, 3/4 sets, signed by preparer of plans. 3. Complete plans, 3/4 sets, signed by preparer of plans. 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans. 5. Hazardous Material Form. 6. Energy Design Compliance and supporting documentation. 7. Statement of Intent for Non -Heated and A/C Buildings. 8. Engineered truss details and layout in duplicate (required prior to plan check). 9. 10. Mobilehome data and manufacturer's installation instructions, 2 sets. Fees of $ 143.00 . 11. Impact fees as shown on attached schedule. 12. California Department of Forestry plan approval/fees. 13. Flood elevation letter (100 year flood) by California Engineer. 14. Sanitation and plot plan approval Health Department. 15. City of Chico plumbing permit. 16. Plot plan and business license approval from City of Biggs/Gridley. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. 19. Driveway permit (construction approval required prior to occupancy). 20. Pre -inspection for required. 21. Contractor's license information. (No., Name Style, Classification). 22. Certificate of Workmans Compensation Insurance. Owner -Builder Verification (Given to owner , Mail to owner 24. Recorded copy of Agricultural Acknowledgement Statement. 25. 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. 29. Documentation of legal access. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel -meets -zoning area and frontage requirements. 31. Existing violations/expired permits. 32. 33. Plan check list. TIE DOWN INFORMATION (REQUIRED AS OF 19 SEP 94 v� l� 9S " 34. RECORDED WATERLINE ) When you issue the permit, process as follows: Mail to der. Mail to contractor. Telephone and hold for pickup at � office. Deliver with inspector. Other A . A' Date EXPIRATION OF APPLICATION .Applications for which a permit has not been issued, will expire by limitation one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. FEE REFUNDS Refunds can only be made upon writtten request by the person who paid the fee. The request must be made within one year from the date of fee payment on permits not issued, and one yearfrom the date of permit issuancefor permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan checking fees for work plan checked and other department costs are not refundable. Original - Applicant COUNTY OF BUTTE Department of Development Services Building Division Oroville: 7 County Center Dr., Oroville CA 95965 Ph: -916-538-7541 Chico: 1469 Humboldt Rd., Chico CA 95928 Ph: 916-891-2751 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement x (yes or no) 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone 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: x Property Owner " GC. Social Security Number Date /0 �2 S' Tt NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. 7 SA' /N perrnit will b I allafion of thee9uired for the. n'obifeho1he. � I ry &�t�nrimlonsF�,n �S�k to in :�ft]C61CeS and {� t" lt.•' `iC:....•' !: Cr Sc.)e ifie'd use in the CMGs and i M Hv # 93 2 ("9 BuITE COUNTY BUILDING DEPARTMENT I APPROVED Location of structures & equipment shall be as shown & clear of all easements. !�-' ,10E T � � p.�. sET � �! •Fearn of PoPcp This set of plans and specificctions MU bi kept on the job at all tirnos and if 'is un!--I ul tc make any changes or ralterntions on same wi houf Q from the Department of Pdb�c written permission Works, CountY of Butte- K 1 &�t�nrimlonsF�,n �S�k to in :�ft]C61CeS and {� t" lt.•' `iC:....•' !: Cr Sc.)e ifie'd use in the CMGs and i M Hv # 93 2 ("9 BuITE COUNTY BUILDING DEPARTMENT I APPROVED 9 y 1. Owner's Name: 2. Installer's Name: BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541. MOBILEHOME INSTALLATION SHEET 3. Is the site currently under permit? (If yes, furnish permit,number Is the site an existing site? (If yes, furnish two plot plans.) Pf'r L'gg`-A1Z&1 /N c YesrV No OR Yes No 4. Will the mobilehome be located at least 5 ft. away from eptic tank and leach fields and clear of all setbacks and easements? Yes No El (If no, clarify P 5. What is the mobilehome electrical rating? --------------- Amps 6. What is the mobilehome site service rating? ------------- Amps r * 12. What is the mobilehome gas demand? ---------------------- *(This=_informatio nn ot-required_if_.pipe lengthless than 6`ft: on lnatural gas__or_ less than _ 50 _ft-.._ on_LPG..)_— J (BTU) 7. What is the mobilehome site circuit breaker rating? =---- Amps 8. Is there any other electric load to be served by the No mobilehome site service? --------------------------------'Yes I &)44 (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? -------------- (in-) Ta. 10. What is the type of gas service?:-- ----------=-'--- Natural VG ' 11. What is the gas pipe length from meter or tank to the • 1 mobilehome?--------------------------------------------- (ft.) r * 12. What is the mobilehome gas demand? ---------------------- *(This=_informatio nn ot-required_if_.pipe lengthless than 6`ft: on lnatural gas__or_ less than _ 50 _ft-.._ on_LPG..)_— J (BTU) Mobilehome Mfr. MOBILEROME SUPPORT DATA If other than single wide, /��� furnish Setup Model No. Year Width_ (ft.) Box Length _�(ft.) Tagalong or Expando Size ft. x� ft: On all mobilehomes manufactured a ter October 7, 1973, furnish manufacturer's installation manual and structural setup s is (if not on file with the County of Butte). FOOTINGS (check one) Wood -pressure treated or foundation grade. 2. Other (specify) SUPPORTS (check on 1. Concrete block. F2. Other (specify) ier Footi gSize�and�Locat�ions SINGLE -WIDE _ MULTI -WIDE k ,.,Vtx - - - - - - - - - - - ];� Main Beams Line 2 —— — � Maio Beams �- — — — — �Line 4 Tag or Triple Line 1 Line I Piers: Size -Min. ------------ Spacing -Max- --------- From Ends -Max. ------- Line 2 Piers: Size -Min.------------ /A„ Spacing -Max---------- �_ „ From Ends -Max.------- 1--o.. Line 3 Roof Loads • PwV �i�b� 24�X Size -Min .------------ f w(J Location (From Front) Line 4 Piers: Size -Min .------------ Spacing -Max.--------- - From Ends -Max.------- r_ „ Line 5 Roof Loads: Size -Min ------------- A Line I Openings: gize-Min- ------------------ "x Each Side of Openings With Width Over --------- Line 3 Piers: (Under Bearing Wall Only) Size-Min------------------- Spacing-Max ---------------- ------------------Spacing-Max.--------------- -5 From Ends -Max .------------- if QAD 1+ PI Crzs kr ALL )KM!�tOC j?OQUK6 a1 Nijs „x „x "A „ n , , u e 5 Piers: (Undo Bearing Walls Only) Size -Min ------------------- .1x n Spacing -Max ---------------- From Ends-Max-------------- '- ..x 1. I,x 11 ,L] _ n „x ,l_ ,rx „ Location (From Front) 3. 4. 5: r= Stu E DESIGN >F 4.750 LBS. -MINIMUM TOTAL LOAb CAPACITY TESTED 5.900 LBS. 1F 3.150 LBS. -WORKING LOAD CAPACITY (1.5 SAFETY FACTOR) SIDE 11EOOWNS ARE LOCATED ALONG THE OU E IDE CHS SIS BEAD STP LUTE SIDED ESCO EARTH QREMAININO TIEDOWNS AT Z' IN FROM EACH END OF EACH EVENLY ALONG THE CHASSIS BEAMS. )) Ef40 TIEDOWNS ARE LOCATED AT DOTH ENDSLOF E SECTION UNF (THE TBUILDINGHEY ARE . TO BE PLACED AT EACH END OF CHASSIS BEAMS, OF EACH TRANSPORTABLE TIDE HUM9ER OF TIEDOWNS REQUIRED ON "AOR SEISMIC END or ZONE 4 N!TWHICHEVERAIRE BASED GREATER. E LATERAL LOADS DUE TO 85 MPH WIND EXPOSURE "C" VA -PPS 140-17918 . * fxpl 4.t': OF CI►���C ' �... 2t= srsrElA ►1[ S tNQSIMouutE>wcNrs 1336.3. t CTIDN e PACIFIC CONSULTINO ENGINEERS 4030 Q CAMNO AVL ?AC. m f9821 PMa •fe-4Et-73!11 STATE APPROVAL SVs1Kt to tOltReKcm"" NOTlD Aopr", dW Pitt eulherlN M 0"" drlefien kof% #"VIVO 'O"b M sppeow 9wk 1� %tt et caw"Aw p�p�rl,r,f„► t/ Nevd�O snd C�rw>*f ,Ow+>A� prvl of coo AN0 SW16 A00 SPA NO. .t. this Plan ApprovVI ASESco Sol noR+ 32C.l�-�ta+�nes lle Szc. CA. rStfrf r+« f+h -Wt ENGINEERED TIE-DOWNS�� � MANUFACTURED HOME AND COMMERCIA L COACH So o CA TIEDOWN CALCULATIONS AND SCHEDULES � 3 FOR SINGLE DOUBLE TRIPLE AND QUAD—FIDES c2; � � � -t � GENERAL NOTES ��o DS. to 1.tIF.Si .N LO WIND--.- 85 MPH EXPOSURE "C" t� N IE SEISMIC -- ZONE 4 �F SOIL ---- 1,000 LBS. PSF LOAD BEARING END 11EDOWNS. AOESC0 EARTH ANCHORS x'601 OR #602 MAY BE USED FOR BOTH SIDE AND 2, �nlrunR nF�tGN PjjLLOi' I1• A,750 LBS.—MINIMUM TOTAL LOAD CAPACITY (TESTED 7,000 LBS.) CAPACITY (1.5 SAFETY FACTOR) 9F 3,150 LBS.—WORKING LOAD TO BE ASESPCO'S STRAPS AND91 RANO BEE AT LEASt MEETSRAPS 1 /4 FEDERAL x -035 TIEDOWN STRAPS ARE GRADE6065TRAPP SPECIFICATION 00—S-781 H FOR TYPE , CLA55 ZINC PLATED. 3. 4. 5: r= Stu E DESIGN >F 4.750 LBS. -MINIMUM TOTAL LOAb CAPACITY TESTED 5.900 LBS. 1F 3.150 LBS. -WORKING LOAD CAPACITY (1.5 SAFETY FACTOR) SIDE 11EOOWNS ARE LOCATED ALONG THE OU E IDE CHS SIS BEAD STP LUTE SIDED ESCO EARTH QREMAININO TIEDOWNS AT Z' IN FROM EACH END OF EACH EVENLY ALONG THE CHASSIS BEAMS. )) Ef40 TIEDOWNS ARE LOCATED AT DOTH ENDSLOF E SECTION UNF (THE TBUILDINGHEY ARE . TO BE PLACED AT EACH END OF CHASSIS BEAMS, OF EACH TRANSPORTABLE TIDE HUM9ER OF TIEDOWNS REQUIRED ON "AOR SEISMIC END or ZONE 4 N!TWHICHEVERAIRE BASED GREATER. E LATERAL LOADS DUE TO 85 MPH WIND EXPOSURE "C" VA -PPS 140-17918 . * fxpl 4.t': OF CI►���C ' �... 2t= srsrElA ►1[ S tNQSIMouutE>wcNrs 1336.3. t CTIDN e PACIFIC CONSULTINO ENGINEERS 4030 Q CAMNO AVL ?AC. m f9821 PMa •fe-4Et-73!11 STATE APPROVAL SVs1Kt to tOltReKcm"" NOTlD Aopr", dW Pitt eulherlN M 0"" drlefien kof% #"VIVO 'O"b M sppeow 9wk 1� %tt et caw"Aw p�p�rl,r,f„► t/ Nevd�O snd C�rw>*f ,Ow+>A� prvl of coo AN0 SW16 A00 SPA NO. .t. this Plan ApprovVI ASESco Sol noR+ 32C.l�-�ta+�nes lle Szc. CA. rStfrf r+« f+h -Wt _ SE`s DETAIL9,B" CHASSIS TYPE TIEDOWN �- CHASSIS #614 STL. STRAP --";'AI A ' TYPES i SIDE ISOOWN umc SIDE VIEW END VIEW DETAIL'B'� TYPE mTIEDQW A'� SEE DETAIL TYPE S TIEDOWN ��:� :•' TIE DOWN 606 STL. ANCHOR TRAP (TYP) SEI: DETAIL'�C" _rt ;.�.,. (TYPICAL) r. --";'AI A ' TYPES i SIDE ISOOWN umc SIDE VIEW END VIEW DETAIL'B'� TYPE mTIEDQW DETAIL�C" (TYPICAL) NOTE; VERTICAL OR ANCIMR MIAUATI" D W"MIAL CONTRACTORS WARNING: 1. CHECK FIRST FOR UNDERGROUND UTILITIES. 2. INSTAL ANCHOS UNTILLHEAD IS R LUSHOWI WITH STABILIZER PLATE• ANCHORS wSHOULD EBEUINS INSTALLED IBELOWOFROST LINENCE. APPLYING CONSTNT � 3. ATTACH STRAPS TO CHASSIS BEAM IN MANNER SHOWN. 4. INSERT STRAP THROUGH SPLIT BOLT. CUT OFF EXCESS STRAP AND THEN TIGHTEN DOLT UNTIL STRAP IS SNUG. S. ABESCO NAME IS STAMPED IN ANCHOR HEAD. INSTALL GROUND ANCHOR INTO GROUND, LEAVING 1i-12' OF SHAFT EXPOSED. PLACE STADILIUR PLATE NEXT TO SHAFT BETWEEN -ANCHOR AND CHASSIS BEAM, AND DRIVE INTO GROUND. .nNISH TVWW AK" IOR Nt flv�sN WITH! STAINUZER PLAT[. THI ttPROVIDIES VRt pR [ClIQN VJMISTsut[K MOVEMENT. w w •.rr� w + w. w w lw.r r • rrrrr � r • Amb"_ r 0. amal r • r Yw�� • • rrwrr r r r�r :w r�rr wig w w -- 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--w� CONTRACTORS UC./ ------ DATE: SICNATUREt-- TOTAL P.Od Ji­ DETAIL�C" (TYPICAL) NOTE; VERTICAL OR ANCIMR MIAUATI" D W"MIAL CONTRACTORS WARNING: 1. CHECK FIRST FOR UNDERGROUND UTILITIES. 2. INSTAL ANCHOS UNTILLHEAD IS R LUSHOWI WITH STABILIZER PLATE• ANCHORS wSHOULD EBEUINS INSTALLED IBELOWOFROST LINENCE. APPLYING CONSTNT � 3. ATTACH STRAPS TO CHASSIS BEAM IN MANNER SHOWN. 4. INSERT STRAP THROUGH SPLIT BOLT. CUT OFF EXCESS STRAP AND THEN TIGHTEN DOLT UNTIL STRAP IS SNUG. S. ABESCO NAME IS STAMPED IN ANCHOR HEAD. INSTALL GROUND ANCHOR INTO GROUND, LEAVING 1i-12' OF SHAFT EXPOSED. PLACE STADILIUR PLATE NEXT TO SHAFT BETWEEN -ANCHOR AND CHASSIS BEAM, AND DRIVE INTO GROUND. .nNISH TVWW AK" IOR Nt flv�sN WITH! STAINUZER PLAT[. THI ttPROVIDIES VRt pR [ClIQN VJMISTsut[K MOVEMENT. w w •.rr� w + w. w w lw.r r • rrrrr � r • Amb"_ r 0. amal r • r Yw�� • • rrwrr r r r�r :w r�rr wig w w -- 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--w� CONTRACTORS UC./ ------ DATE: SICNATUREt-- TOTAL P.Od MA� #601 30" T.D.A. 7 ABESCO TIEDOWNS #606 7' STL. #614 7' STL. STRAP R/BUC STRAP W/HOLE #602 48" T.D.A. *w� #608 SPLIT BOLT & NUT Uv #406 BOLT— ON TOP ENGINEERING CALCULATIONS 85 MPJ WIND EXP "C" 85 M WIND XP "C"Vs 5E�I�MIC ZONE 4 QLAT=(1.06)(1.3)(17)(1)=25.6 PSF 333 PLF=0.186 H'LAT=(25.6 PSF)(13')=333 PLF =50.8'=D 51' SEISMIC ZONE V=O.186(DL) V=0.186 110 PSF)(moo,, )+(Y+10 PSF)(,, M)+(2 WALLS)(8')(10 PSF, WINT1- Ali MPu F.XP "("' AND SEISMIC ZONE 4 WIDTH IENOTH LOAD TRANS LOAD LOND(TRANS)LON TOT LOAD TOIAL LOA /TRANST.D. TYPE ^S' /LON .0. Tl P[ SINGLE wl 14' TO 1 DOUBLE WIDE , TO 28 TRIPLE WIDE TO 42' 40 FT. 333 333 113,320 LBS: 4,682 LBS. 3 2 50 FT. 333/333 16,550 LBS. 4,662 LBS. 6 2 60 FT. 333/392 19,980 LBS. 5,488 LOS. 7 2 70 FT. 333 453 23 310 IBS. 6,342 LBS. 8 d0 FT. 333/333 13,320 LBS. 9,324 LBS. 5 2 4 50 FT, 333/333 161650 LBS, 9,324 LBS, 6 4 60 FT. 333/392 19,980 LBS. 10,976 LBS. 7 `. 4 70 FT. 333/453 23,310 LBS. 12,684 LBS. 8 40 FT, 333 333 13,320 LBS. 13,986 LBS. S 4 S. 50 FT, 333 333 16,650 LBS. 13.986 LBS. 6 6 60 -FT. 333Z392 19.980 LBS. 110,454 LBS. 7 6 70 '.'FT. 333 453 23,310 LBS. 19,026 LBS.. 8 6 OUAD 'WIDE TO 50' 40 FT. 333/333 13,320 LBS. 16.650 LBS. 5 8 50 FT, 333/333 16,650 LBS. 16,650 LBS. 6 8 60 FT. 333Z392 19,980 LBS. 19,800 LBS. 7 8 70 FT., 1 333/453.123,310 LBS. 122,050 LOS. 8 8 PITTSBURGE TESTING LABORATORY RESULTS TEST # 1: Pull Ouf To -it" In 0 SANDY SOIL, A3. having d Densily of -124.90 Ibi./ou.fl.' RESULTS: Actual Pull Ouf=7,000 161. Average Oeffeolton measured in Inchw*1.448 TEST #2: Pull Out Teet.,in ROCKY_ SOIL, Al. havin0 o Density of -133.63 Ibs,/cu.0. ►, RESULTS: Actual Pull 06t=7,000 lbs. Averope Oeftectlon meoaured In InehesF •.171 TEST y3: Pull Out -Test In ADOBE SOIL, A8, hovinp o D0911y of— 87.23 Ibs./eu.ff. RESULTS: Actual Pull Out=7.000 lbs. Averdge Delleeflon meosured In Inehess .624 < < < TYPE Q SEE CHART 4ciHART E (a'I t,tT'I s.Acc0 la I T�NT�A.� � a SINGLE AIDE E V SEEICHART I' I CVMT VX0 I CIbkf SPA= Mny v*m 11, 1 ItHorH VARiEti DOUBLE WIDE MMLYIPACEDcvcjVAC[V Irl L&ON vAlt„u tt TRIPLE WIDE Irl ms-kTIwACtO l Y AC[O Irl T ttrotM vAIMt�= QUAD-WIDE WIND= 85 m,p.h. Exp. "C" SEISMIC= ZONE 4 1 WIND= 85 m.p.h. Exp. "C" SEISMIC= ZONE 4 'E ART WIND= SS m.p.h. Exp. "C" PE Q SEISMIC= ZONE 4 It ART WIND= 85 m.p.h. Exp. "C" SEISMIC= ZONE 4 FE REQUIRE DNUMBER OF TI uRT LENGTH OF UN n LOGsic s E SINGLE VAFA -off TOTAL WNS 4 4 .. 4f Tyi SE CH Me 1 I I' I CVMT VX0 I CIbkf SPA= Mny v*m 11, 1 ItHorH VARiEti DOUBLE WIDE MMLYIPACEDcvcjVAC[V Irl L&ON vAlt„u tt TRIPLE WIDE Irl ms-kTIwACtO l Y AC[O Irl T ttrotM vAIMt�= QUAD-WIDE WIND= 85 m,p.h. Exp. "C" SEISMIC= ZONE 4 1 WIND= 85 m.p.h. Exp. "C" SEISMIC= ZONE 4 'E ART WIND= SS m.p.h. Exp. "C" PE Q SEISMIC= ZONE 4 It ART WIND= 85 m.p.h. Exp. "C" SEISMIC= ZONE 4 FE REQUIRE DNUMBER OF TI uRT LENGTH OF UN n LOGsic s E SINGLE VAFA -off TOTAL WNS 4 4 .. 4f CrCler -No. •,escrow No. Loan No. WI IEN RECORDED MAIL TO: Karola Erickson 3558 Lo 5 gA to c ki o -5 95-005369 1 Recorded 1 Official Records I County of 1 Butte I Candace J. Grubbs I Recorder I 10:22 -am 16 -Feb -95 I Rec Fee 9.00 COP 3.00 Cash 12.00 PUBL XX 2 J SPACE ABOVE THIS LINE Fon nECOnDEn's USE 4 MAIL TAX STATEMENTS 10: DOCUMENTARY TRANSFER TAX$.........0 ................................................. Computed on the consltlerntlon or value of property conveyed: On n / a ...... Computed on the considerallon or value less liens or encumbrances remaining at time of sale. Faclamtg9 r no ernnc9cgee4111 unq_FathRrm > ager�gnec declares A.P. #41-49-07 & 08 EASEMENT tlT DEED r -OR A VALUABLE CONSIDERATION, receipt of wliiclt Is liereby acknowledged, Charles R. Merino and Melanie D. Merino, husband and wife as joint tenants Iterrlby GRANT'S to Karola Erickson , AM the rent properly in the a"# unincorporated area County of Butte Slate of California, described as An easement for water well and water line purposes, 12 feet wide, lying 6 feet on each side of the following described centerline; See Exhibit "A" attached hereto and made a part hereof; Dated FEBRUARY 14, 1995 STATE OF CALIFORNIA jse. COUNTY OF CALIFORNIA } On FEBRUARY 14, 1995 before me, CAMEO L. LANGLAND personally appeared CHARLES R. AND MELANIE D. MERINO Charles R. Merino Mala D. Merino personally known to me (or proved to me on the basis of satisfactory evidence) to be the parson(s) Whose name(s) Is/are subscribed to (tie within Instrument end acknowledged to me (hal he/sheAhey Executed the same CAMEO L. LANGLAND i COMM. ♦ 1027692 In hisRierAheir authorized capacity(les), and that by hls/herAheir slgne• z Notary Public —California tures) on Ilse Instrument the persons) or the enlity upon behalf of which z " SANTA CLARA COUNTY Ilia person(s) acted, executed the Instrument. My Comm. Expires MAY 25. 1998 WITNESS mobtid and officl seat. r SI t `" (This area for official notnrini sear) gna u-L� • , i„ •a MAIL TAX STATEMENTS AS DIf1ECTED ABOVE 1002 (11911 Exhibit "A" Legal Description Merino to Erickson Beginning at the center of an existing water well from which the Southwest corner of that parcel of land described in a deed to Karola Erickson, recorded under Butte County Recorders serial number 91-39711 bears North 65° 38' 08" West, 519.91 feet;' thence North, along the centerline of said easement, 213.45 feet to a point on the South line of said Erickson parcel and the end of this description. The sidelines of said easement shall be lengthened or shortened as necessary to intersect said South line. This easement includes a circle around said well with a 10 foot radius measured from the center of said well. It also includes the right of the grantee to enter upon said easement at any time to inspect, repair, replace, maintain and service said well, water line and appurtenant facilities. The Basis of Bearings for this description is the same as shown on the Record of Survey filed in Book 39 of Maps at Page 1, Butte County Recorders Office. 95 -OOT 1• Y �• Exhibit "A" Legal Description Merino to Erickson Beginning at the center of an existing water well from which the Southwest corner of that parcel of land described in a deed to Karola Erickson, recorded under Butte County Recorders serial number 91-39711 bears North 65° 38' 08" West, 519.91 feet;' thence North, along the centerline of said easement, 213.45 feet to a point on the South line of said Erickson parcel and the end of this description. The sidelines of said easement shall be lengthened or shortened as necessary to intersect said South line. This easement includes a circle around said well with a 10 foot radius measured from the center of said well. It also includes the right of the grantee to enter upon said easement at any time to inspect, repair, replace, maintain and service said well, water line and appurtenant facilities. The Basis of Bearings for this description is the same as shown on the Record of Survey filed in Book 39 of Maps at Page 1, Butte County Recorders Office. 95 -OOT O BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School District -Department ment No. art 'A P Number Jurisdiction 0 County Property Owner ,✓ �^ (.' �. 7�f 1� Kl<� S Property Location/Address.S L12 Subdivison : .: . L of No. Residential Development No. of Living Units Commercial/Industrial MHI New Sq. Footage Addition V up 00 0 Sq. Footage Addition (Including Exterior Roofed Areas) District Identification No. School District certifies that (Applicant) . 355- 9 (Street Address) 0 4&-(�� (City) has complied with the requirements of Resolution No. representing Z O YO square feet. School District Representative Paid by Check Number Bank Number Paid by Cash i!- 70 c,� (State) oma- �b Remarks: (Phone Number) (Zip Code) by payment of $ 1716,016 Date 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 thatthis 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) teeform.wkt (4/92) CA 5utte o LORAL 'dVEAL T H Ai'�D 3E A I_!-.. BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 FAX: (916) 538-2140 September 26, 1994 Karola Erickson P.O. Box 2297 Apple Valley, CA 92307-0056 RE: Code Violation A.P. #041-49-0-008 3559 Los Ranchos.Road, Oroville Dear Karola Erickson: This is a courtesy notice to notify you that you are in violation of the Butte County Code, as follows, at the above -referenced location. Failure to obtain the required permits, inspections and approvals from this office for installation of a mobilehome. Since permits and inspections are required for the above work, please submit three (3) complete sets of plans, apply for the required permits, and pay the appropriate fees. All work must stop until these permits are issued and you are authorized by our field inspector to proceed. The field authorization cannot be made until the existing work is inspected and approved. It is the County's goal to obtain voluntary compliance with the Butte Countv Code. However, you should be advised that Butte County has an active Code Enforcement Program which provides an effec ve means of enforcement if voluntary compliance is not obtained. Enforcement may be pursued through the issuance of citations, fines and the recording of a Notice of i t- ••.. ola�ion including a description of the action necessary to abate the violation. You have thirty (30) days to voluntarilir roMnl With the above directions or to present an acceptable plan for abatement or corrective actions to be taken by you. Should you have any questions concerning this matter, please contact Michael Vieira or Scott Rutherford in this office at the address or telephone number listed above. Sincerely, MCV: dms Mich 1 C. Vieira, C.B.O. Manager, Building Inspection cc: Assessor Phil Him Alludhed How 11lun Aluiehed $enl 111 II,I), l� TO: Building Dopartllient FROM: Environmental Health SUBJECT: Sanitation Clearance ka-YQ 4 �1 �cf�Sz� r� 1 � s !` apt c►1v� /\v� l — �1�i—�3�' Owner �e Location AP# Plan Approved for: Scwaoc Disposal Water Supply: I'ublic � Private Well Clearance for ?Lbedroom'mobile home. Olhcr Hold final for: Final clearance O.K. for: NOTE: / 7h3 Environmental Kalth Specialist Date 8/92 n n iz 009 Environmental Health FE9 0 4 1993 \ OrOville, California -;2rv�� APPROVED Butte County Env* onmental Health i 0 Dat r' - ----- - --- K N Sign ure .2 6, 7 -- --- , �l f €nviWlim vital Health FES 0 41993 oroville, Gelitomia _;�D I APPP,C)vEp Butte County r Environmental Healt)f - �l Date COUNTY OF BUTTE -=DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center, Drive - Oroville, California 95965 - Telephone: 916/538-7541 �►� r 9 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 041-490-00$ ZONING t,t BUILDING PERMIT OWNER Karola Erickson 61, TELEPHONE 242-9752 S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS P.O. Box 2997, Apple VAlley, CA 92307 - CONTRACTOR'S NAME Owwr TELEPHONE_, CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ j �0df Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $20.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ 20.00 ��� 1.08 Ranchos Rd., OrOville PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Leonard Campbell Property -41-49' Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome© Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G 1 W @ 15.00 45.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities[XI Installation Other ❑ Describe work: MIM Permit Fee $60.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 - Main service 600V OR LESS 200A OR LESS 1 18.50 X$ 'S0 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9,+Dtv. 3 of the Bub neSs and Professions Code and my license -is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200A TO 1000A) 37.50 NEW CONST. ( DWELLING OCCUP. N\ OR ADDNS. ACC. BLDGS. / 3.64 sq.ft. NEW CONSTR ULTI.OUTLET NON ESID BRANCH CIRCUITS) I @ 5.00 POWER APPARATUS el SINGLE OUTLET CIR. Ex. OCCU P OUTLETS OR FIXTURES 20 76 FIXED . OR EX. Occup. OUTLETS TS (RES(RESID.) EA.) 1 3.00 Temporary service 15.00 Mobile Home Facilities 1 15.00 15.00 Misc. Wiring -15.00 Permit Fee $ 48.50 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrueHAz against said County in consequence of the granting of this permit. ` ` Date Signature of Applicant — OwnerX Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE 12 .50 OMDFEES IMP FLOOD I CDf PARCEL PD H SSUFj� sions of the Butte County Code and/or Work indicated above for which fees DIRECTOR OF PUBLIC BY > PERMIT EXPIRES —Date Slicable proviX resolutions to do have been paid. WORKS }_ Datel ?�' ! ti S3U4 Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, COLD ENROD-APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7,tCounty Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 " APPLICATION AND PERMIT Q PERMIT NO. ASSESSOR PA MBER S ZONING U BUILDING PERMIT OWNER Karola Erickson 619 TELEPHONE 242-2759 S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS P.O. Box 2997, Apple Valley 92301 CONTRACTOR'S NAME Mobile Home Center Inc. TELEPHONE 741-3818 CONTRACTOR'S MAILING ADDRESS 1838 Feather River Blvd., Oroville 95965 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 20.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee- $ 35.00 PLUMBING PERMIT Filing Fee 15.00 Ranchos'199Q T.ns Rd., Orovill Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome® Other SPECT F -Gas piping system 1 - 5 outlets 1 5.00 Building sewer 15.00 Mobile Home I S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ther Describe work: 2 Bedroom Mobile Home Instal lati0 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200A TO 1000A) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): (� `i -t I am licensed under provisions of Chapt. 9, Div. 3 Of he Business and Professio s� ode and dense is in full,fpr a nd ffect. License .Jo. Classification L ❑ I, as the owner, or my employees with wages as th it sole compen- sation, will do the work,and the structure is not i ended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting wit licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business nd Professions Code for this reason NEW CONST. / DWELLING OCCUP.&\ OR ADDNS, l ACC. BLDGS. / 3.64 sq.ft. EW CONSTR ULTI.OUTLET ON•RESID BRANCH CIRC ITS @ 5•00 POWER APPARATUS e (SINGLE OUTLET CIR. E Occup(OUTLETS OR FIXTURES 20 76d 464 Ex. Occup. OUTLETS (PRESID )REA.� 1 3.00 Tem orary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSU ANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or le $ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I ❑. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling g Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comp I County Ordinances and State Laws relating to building construction nd her y authorize representatives of the Countyot Butte to enter upon th above m tioned property for inspection purposes. I also a to a ndemn' and keep harmless the County of Butte against all ' bilitie j m nts osis, and xpenses which may in any way accrue a Pest s Co ty aeequ the granting of this permit. ,/ Date _ a -� 7� -,I,/ner ignature of Applicant — Contractor Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S 70,00 Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $105.00 HAz DFEES IMP FLOOD CDF PARCEL PD HD ISSUE j This permit is hereby issued under the sions of the Butte County Code and/or Work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. 135462 WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTYOF BUTTE - DEPARTMENTOF,DEVELOPMENTSERVICES -BUILDING DIVISION �D 7COUNTYCENTER DRIVE - OROVILLE, CALIFORNIA95965 - TELEPHONE (916)538-7,941 PERMIT APPLICATION DATA SHEET OWNER /l LQ 6i A 5/14 f C- _ A.P,,No&14 / A Proposed Building Use Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . ........... ............... . 3_ Complete plans, 3/4 sets, signed by preparer of plans . ...................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ....... ................................... . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings. ...............}c ..... . 8. ngineered truss details and layout in duplicate (required prior to plan }C) / . . Mobilehome data and manufacturer's installation instructions, 2 sets. Rik Fees of $ ................................... . 11. Impact fees as shown on attached schedule. ............................. . 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). . . 20. Pre -inspection for Preansve�°n req°e — fequlred. . . to Building Inspector (Date) 1,121. 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. .... . Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ........................................ 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . .............. 31. Existing violations/expired permits ....... ................................. 32. Plan check list . ....................... 33. -34. When yodfissue`the permit, proce as follows: Mail to owner. Mail to contractor. a;.,-4*-Telephoneand hold for pickup at ��Ln office. Deliver with inspector. Other 12 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. Indexipermit 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 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASS ESSO JC PA EIt NUMB R � 'd _ OA wAM IZONING ` BUILDING PERMIT OWNE XIA C 6 TELEP2HONE SO. FT. OCC. BUILDING VALUATION OWN MAILING ADD E S �• ok�/ 2 VI *3O CO A T R'S NAME � 5 TELEPHONE CO TRACTOR'S M�i JL 7G A DRESS %� / 1` �L—{/(� �� y7/ GONSTRU ION ENDER VNKNOWN Fireplace Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15.00 ARCHITECT OR ENGINEER Permit Fee $LICENSE NO. Plan Checking Fee -2O, $ e9 !j ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ BUILDING ADDRESS Penalty $ �j�� 1 4 CA G �V I Permit fee $ 0 o g-0 v/ L PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP WaterPiP 9 I In 7.00 Each cas water heater or vent 7.00 USOF STRUCTURE Gas piping system 1 - 5 outlets 5.00 SFO Duple-'x[3Mobilehome Other Building sewer15.00 SPECIFY Mobile Home S G W @ 15.00 TYPE OF WORK New❑ Addition❑ Remodel[]Utilities Installation,� Other ❑ Permit Fee $ Describe work: Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 CONTRACTORS LICENSE LAW Main service 200A TO IOOOAI 37.50 I under of perjury (check one): NEW CONST. (DWELLING OCCUP.6\declare ORADONS. ACC. BLDGS. 3.6$sa.ft. -'•' I am licensed under provisions of Chapt. 9, Div. 3 of the Business NEW CONSTR. U NON-RFSLET D BRA I (POWER APPARATUS e1 @ 5.00 and Profess) sr ode and dense Is In full rCe nd ffeCt. (SINGLE OUTLET CIR. I �i /. License ,�i0. Classification ❑ I, EX. OCCUp OUTLETS OR FIXTURES FOUD APPLN S. OR 20 76d as the owner, or my employees with wages as their sole compen- EX. Occup. TLETS IRESID.1 EA.� I 3.00 sation, will do the work,and the structure Is not intended or offered Temporary for sale. (Sec. 7044) service 15.00 I, as the owner, am exclusively contracting with licensed contract - Mobile Home Facilities 15.00 ors. (Sec. 7044) Misc. Wiring 15.00 ❑ I am exempt under Sec. , Business and Professions Code for this reason Permit Fee $ WORKMEN'S COMPENSATION INSURANCE Contractor I declare under penalty of perjury (check one): MECHANICAL PERMIT Filing Fee 15.00 ❑ The permit is for $100.00 (valuation) or less. Heating XI have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate Consent to Self -Insure. Cooling bof I shall not employ any person in any manner so as to become subject Hood I to the W. C. laws of California. 6.50 Notice to Applicant: If after making this statement, should you become subject Ventilation to the W. C. provisions of the Labor Code, you must forthwith comply with such PertnIt Fee $ Provisions or this permit shall be deemed revoked. Contractor I certify that I have read this application and state that the above information is I Mobile Home Installation Fee S 0. (� correct. agree to comp I County Ordinances and State Laws relating to building construction nd her y authorize representatives of the Countyot Butte to enter Energy Inspection Fee $ u on t above -m tionad property for inspection purposes. occ CDNST TYPE I also a to a , 'ndemn' and keep harmless the County of Butte against TOTAL FEE $ / 0 �� all i clic j nts osts, and xpenses which may in any way accrue a nst 8 C HAz OFEES IMP FLOOD 5 PARCEL Po Ho ISSUE ty qu the granting of this permit. Date .z/� This permit is hereby issued under the applicable provi- iynotur• of Applicant _ er Contractorf Agent ❑ sions of the Butte County Code and/or resolutions to do An OSHA v permit Is required for excavations over 5'0" deep and demolition or construct- work indicated above for which fees have been paid. -an of structures over 3 stories in height. DIRECTOR OF PUBLIC WORKS Receipt No. -3 Z. By Date NNITZ-o-P-W-, Y9LL0W-ASsC3S0A, PINx•INSPCCTan, 4OLDEN,IOD•APPLICANT PERMIT EXPIRES Date COUNTY OF BUTTE — DEPARTI= OF PUBLIC 'WORKS — BUII.DING DIVISION 7 COUNTY CMITER DRIVE. - OROVILLE, CALIFORNIA 95965 - T=PHONE (916)5387541 ,0POS ) BU`71 DING USE A.P. NO. DATE REC. 7 DATE_P= School Distr:c Fees C/ 9-0 V A �T (pa=d at District Office) :Y-2, 307 a 3 She:-iff Fees (paid. at Building Depar,=ent) G� Residential 130 O _ I unit amt. Commercial( per sq . f t .) R sq. ft. amt. 3. Urban Area Fees (paid at Building Department Residential (per unit) x ir units amt. Commer_cal(per sq.f-.) X =3 sq.ft. amt. 4. Rec=eation Distr-"c- Fees (paid at District Off=ce) .......................... 5. Drainage Dist=_ct Fees (Contac-- Land Development) ........................ 6. Other 7. Other tie of pertzit auol_caton, _ Was adrised the above fees are. required to be pard = - issuance of t:ze perm -it.. P7,CANT DA. VIOLATION CHECK LIST A. P. # 041-49-0-008 Address- 3959 T,nc Ranrhnc Rnar nraicille Owner Karola Ericksono2 Owner's Address. P 0 Box Owner's Phone No. Supervisoral District Tenant's Name Phone No. Type of Violation in Detail with Code Section Priority No. util permit issued but not finaled --expired MHI no i-,gllpd Per assessor, installed and occupied Specific Plot Plan with C/V Noted _yes no Penalties Requfred 1st. Notice Sent 9/26/94 2nd. Notice Sent ate Date Comments and/or Determination Disposition For Citation Citation (Date) (Date) Department Recommendation to Court Court Action Notice of Violation Recorded (Date)