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Home My WebLink About058-170-057.. I 1306-2715 T 058-170-057 RESIDENTIAL SPD-Custom/Model NSP(1384)GAR(1280)OPEN(1735).REP 12239 ANDY MOUNTAIN RD MAST, JEFFREY A & SANDY li CCORDOVA,OSUE P IT�/i94-307/21 12239 ANDY MTN RD.9 0R09 ILLE MOBILEHOME UTILITIES 9/�4/9,5 ELECTRIC c7000 L/a0 GAS LINE L /OG 3/,1 '' 8-0 i COMPACTION TEST REQ / o SUPPORT STRUCT REQ /t% 058-170-057 PERMITN94-3073 CORDOVA, SUE 12239 ANDY MTN RD., OROVIL E q MOBILEHOME INSTALLATION 058-17-0-057 00 1875 I 7�}�� DE MOSS, SUSAN G. I'i�(t0.Q 34141N 12239 ANDY MTN RD., YANKEE H LL CONTR: JERRY'S MH SERVICE EX MH ON PERM FND EX SITE 1 ups- riu-u�/ uu-Layi DEMOSS, Susan 12239 Andy Mtn. Rd., Oroville Cont American Fence Electric service 058-17-0-057 00-1909 DEMOSS, SUSAN 12739 ANDY MT., OROVILLE CONTR: OWNER .Neve/ COVERED DECK D58- I?D-DS 3 5 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 12239 ANDY MOUNTAIN RD Owner: Permit No: B06-2715 APN: 058-170-057 MAST, JEFFREY A & SANDY H Issued Date: 03/26/2007 By KCG Permit type: RESIDENTIAL P O BOX 151 Subtype: SFD-Custom/Model FELTON, CA 95018 Expiration Date: 03/25/2008 Description: NSF(1384)GAR(1280)OPEN(1735) RI (831) 336-5458 Occupancy: R-3 Zoning: FR10 I Contractor Applicant: Square Footage: MAST, JEFFREY A & SANDY Building Garage RemdUAddn P O BOX 151 1,384 1,280 FELTON, CA 95018 Other Porch/Patio Total (831) 336-5458 1,735 4,399 FEE INFORMATION Dwelling - Custom, Model $1,458.05 Dwelling - Custom, Model $972.03 EH Building Review Fee $70.00 Fire Inspection (SRA) -Fire -Res $95.00 Fire Plan Review (SRA) -Fire -Re $95.00 Ping Appl Fee (SRA) -Bldg $109.98 SMIP - Residential $13.80 Total Charged: $2,813.86 Fees Paid: $2,813.86 Balance Due: $0.00 Receipt No: B980 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law (Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 03/26/2007 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractor's Signature Date 4I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK AND THE STRUCTURE IS NOT INTENDED OR WORKERS' COMPENSATION DECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). ❑ I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractofs License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). Carrier: Policy Number: Exp. Date: (This section need not a competed if the permit is or one hundred dollars ($100) or less. ❑ I AM EXEMPT under Section B. & P.C. for this reason: F, CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ' SSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' X 03/26/2007 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ignature _ Date X _ 03/26/2007 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building �-- Sig natGre Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE inducting death, and property damage caused arising out of, in any way connected with the HUNDRED THOUSAND DOLLARS $100,000 , IN ADDITION TO THE COST OF COMPENSATION, ( ) isry, the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the t is a DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the Pr owner or am authorized to act on the roperty ownees behalf. CONSTRUCTION LENDING AGENCY - `e, `_03/26/2007 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for ame of Permittee [SIGN] Print.. Date the performance of the work for which this permit is issued. (3097 civ. code) Owner Contractor OR: DAgent for Owner Agent for Contractor FILE COPY Lenders Address City State Zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION Website: www.buttecounty.nettdds "PLEASE PRINT CLEARLY" - - - ----.APPLICANT INFORMATION OWNER INFORMATION Last Name kJ irst C 1 14 -<— Mailing Address City City/on Stat Q vs Phone P/ 33 C Fax E-mail -2-751 - - - ----.APPLICANT INFORMATION CONTRACTOR Name - .Q c/ Address K-3 - City C State Zip Phone Map Book Fax E-mail Planner Lic. # Class - - - ----.APPLICANT INFORMATION ARCHITECT/ENGINEER, Name r' ['4 e tiQ Gt G1E/ r Address K-3 - City C State Zip Phone Map Book Fax E-mail Planner State License Number - - - ----.APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X �'z For office use only: API Zoning Cit Flood Zone SRA I Yes No Occ. Policy Number Type Const. Subdivision Name Map Book Page—] Lot # Planner Date Approved: 0 PERMIT NO. o6 -X74 BIN # A PROJECT LOCATION API Property Address Cit Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Sc pe of Work: Aaw 1 -394 - Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Amount: Bldg r SRA Receipt #: _ Sheriff Other Date: fa Q 0 7� Total BUTTE COUNTY FEE SUMMARY 7 County Center Drive Oroville, CA 75965 Department of Development Services Phone (530) 538-7541 Fax (530) 538-2140 Permit Number: B06-2715 Job Address: 12239 ANDY MOUNTAIN RD Contractor: Printed: 11/27/2006 2:11 pm Fee Description Account Number Fee Amount Paid Date Pmt Amt Dwelling - Custom, Model N - Plan Review Fee 0010-440001-4210500-1010 $972.03 11/27/2006 $972.03 N - Permit Fee 0010-440001-4210500-1010 $1,458.05 EH Buildine Review Fee 0021-540013-4614901-1010 $70.00 11/27/2006 $70.00 Fire Inspection (SRA) -Fire -Res 0100-450001-4617240-1010 $95.00 11/27/2006 $95.00 Fire Plan Review (SRA) -Fire -Re 0100-450001-4617240-1010 $95.00 11/27/2006 $95.00 Ping Appl Fee (SRA) -Bldg 0010-440001-4210500-1010 $109.98 SMIP - Residential 1001-0-280-1011298 $13.80 Printed By: Alice Mefford 2,813.86 $1,232.03 Balance Due: $1,581.83 At the time of permit application, I was advised the above fees are required prior ro issuance of the permit. These fees may be changed during the plan checking process. Signature: Date: 11/27/2006 Pursuant to Government code Section 66020, you are herby notified those items listed above may been imposed on your project. You have 90 days from the date of approval of the project or from the impostion of the above referenced items during which you may request a protest. The requirments for a protest are specified in Government Code Section 66020(a). Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone (530) 538-7785 Fax www.buttecounty.net/dds PERMIT APPLICATION DATA SHEET Reference Number: B06-2715 Date: 11/27/2006 Location: 12239 ANDY MOUNTAIN RD By: AAM Parcel Number: 058-170-057 Sub Type: SFD-Custom/Model Owner Name: MAST, JEFFREY A & SANDY H Phone: (831) 336-5458 Description: NSF(1384)GAR(1280)OPEN(1735) REPLACE MH The above permit application has the following Clearances required prior to permit issuance. Please contact each department indicated below regarding specific requirements pertaining to your permit application. Yes No DRAINAGE DISTRICTS Thermalito Irrigation District, 410 Grand Avenue, Oroville CA 95965 - (530) 533-0740 LOAPUD, 1960 Elgin Street, Oroville CA 95966 - (530) 533-2000 City of Chico, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711 PARKS & RECREATION DISTRICTS Chico Area Recreation District, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711 Durham Park & Recreation District, 9447 Midway, Durham CA 95938 - (530) 345-1921 Feather River Recreaction & Park District, 1200 Myers Street, Oroville CA 95966 - (530) 533-2011 Paradise Parks & Recreation, 6626 Skyway, Paradise CA 95969 - (530) 872-6393 SCHOOL DISTRICTS Biggs Unified School District, 300 B Street, Biggs CA 95917 - (530) 868-1281 Chico Unified School District, 1163 East 7th Street, Chico CA 95926 - (530) 891-3006 Durham Unified School District, 4920 Putney Drive, Durham CA 95938 - (530) 895-4675 Gridley School District, 429 Magnolia, Gridley CA 95948 - (530) 846-4723 Marysville School District, 1919 B Street, Marysville CA 95901 - (530) 741-6000 Oroville Elementary School District, 2795 Yard Street, Oroville CA 95966 - (530) 532-3000 Oroville Union High, 2211 Washington Ave, Oroville CA 95966 - (530) 538-2300 Ext:105 Paradise Unified School District, 6696 Clark Road, Paradise CA 95969 - (530) 872-6400 OTHER Recorded copy of Agricultural Acknowledgment Statement- See Attached Instructions City of Biggs Planning Department, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447 Other: Other: Other: Signature of Property Owner: Date: 11/27/2006 FILE Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone (530) 538-7785 Fax www.buttecounty.net/dds NOTICE TO BUILDERS Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to expedite your permit: 0 Make sure your application is complete. 0 Be responsive to requests from County departments for any additional materials or requirements. The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes without a complete application adds to processing time. Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to expiration an indefinite number of times, provided construction progress has been documented by the Building Division during each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking and documentation may be required. Upon completion of work covered by this permit, please contact this office for final inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is issued without a final inspection. EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY Application for which a permit has not been issued will expire one year after date of application. Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications (not yet issued) must be requested within two years from the date of fee payment. Fees paid at the time of application are for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge of $54.99 to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any refund amount) to determine no work was done. Fee/refund information can be read on-line at hqp://municipalcodes.lexisnexis.com/codes/butteco/ Reference Number: B06-2715 Location: 12239 ANDY MOUNTAIN RD Parcel Number: 058-170-057 Date: 11/27/2006 Owner Name: MAST, JEFFREY A & SANDY H Phone: (831) 336-5458 Description: NSF(1384)GAR(1280)OPEN(1735) REPLACE MH Signature of Property Owner: Date: 11/27/2006 FILE BUTTE COUNTY DEVELOPMENT FEE CERTIFICATION FORM ❑ FEATHER RIVER RECREATION AND PARK DISTRICT (FRRPD) ❑ CHICO AREA. RECREATION AND PARK DISTRICT (CARD) PARADISE RECREATION AND PARK DISTRICT (PRPD) ❑ DURHAM[ RECREATION AND PARK DISTRICT (DRPD) Assessor Parcel Number (s) Building Permit Number . 5 Property Owner (s) MQ Project Location /Address Subdivision Name lU 1 Assessable Sq. Ftge / Type of Residential Development (check one) New Development Single Family -Detached Single Family -Attached Alteration/Addition(s) Non -Residential to Residential Multi -Family Dwelling Mobile home Mobile home replacement verified by Assessor Department Demo Permit (date issued ) verified by Building Department Comments: Csz_ _ Building Department Represen v Date ❑ FRRPD ❑ CARD ❑ PRPD ❑ DRPD certifies that: . v. AL-) Mailing Address Phone City Has complied with requirements of the Butte County Board of Supervisors Resolution No. by Payment of: -- Dwelling Units @ $ b� Square Feet @ $ Remarks: Paid by Check No: Paid by Cash: per unit for a total of $ 33 00 per sq foot for a total of $ Receipt No: Recreation add Park Diitrict RepresentaTe Date •. . vi .m .r .y+ • . ._ _�_ : - . .•.may. '51... `. • , , BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District Gr0l�+L1 01",� -Building Department No. Tax Rate Area No. A.P. Number J� 1 6' U �I Jurisdiction: = City County Property Owner \ �A Property Location/Address (^ Subdivision Residential Development E Q No of 'Living Mobile Home Units Installation Commercial/industrial 0 Addition T� + 'r -::Building Department 01-0-1115 Lot No. ..............................�..................... Sq. Footage Addition/ 'Supplemental to (Group`R) 04 Conversion Permit # Cr. Demo - ( ) '(No foundation inspection)? existing sq. ft. see attached :.................................................................................................. Net total sq. ft. , l Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) ,,14F - District Identification'No. 070142 School District certifies that P Q 9M /S'/ F/�-6 C� (Street Address) (City) (State) Sq. Footage (Including Exterior Roofed Areas) Date (Payor) air' (Zip Code) (Phone Number) has complied with the requirements of Resolution No. _ , O S 1 a by payment of $ representing 3 loc,'i square feet. B 2926 FULL TIGATION '� $ ~..:f MI , School Dis nc • Representative r Date 1.. ! f . Paid by Check #� Remarks: y k y5yg Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White,(school district), Yellow (building department), Pink (applicant) feeform.xls (12i06)dmm Butte County Department of Public Works - J. MICHAEL CRUMP, DIRECTOR LAND DEVELOPMENT DIVISION Storm Water Managment Program 7 County Center Drive Oroville, CA 75965 (530) 538-7266 Telephone (530)538-7171 Fax www.buttecounty.net/dds C National pollutant Disharche Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment [LESS THAN 1 ACRE 1 Reference Number: B06-2715 Date: 11/27/2006 Location: 12239 ANDY MOUNTAIN RD By: AAM Parcel Number: 058-170-057 Sub Type: SFD-Custom/Model Owner Name: MAST, JEFFREY A & SANDY H Phone: (831) 336-5458 Description: NSF(1384)GAR(1280)OPEN(1735) REPLACE MH By signing below, I the project owner/owners' agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site buildouts of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the state of California Regional Water Quality Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for this project that disturbes one acre or more of land may result in revocation of grading and/or other permits or other santions provided by law. Signed: Title: I -t Z 6 p Z-' v FILE Date: 11/27/2006 Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone (530) 538-7785 Fax www.buttecounty.net/dds OWNER -BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. ° If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal ° income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions. There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business Administration). For more specific information about your obligations unders state law, contact the Department of Benerit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform thier work personally or through thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons prefessing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not requir3ed to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. 0 I PERSONALLY PLg�LTO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMENT. R NO) OIV/HAVE NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK. 3. I HAVE CONTRACTED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION: NAME ADDRESS CITY PHONE CONTRACTORS LICENSE NO 4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: ADDRESS CITY PHONE CONTRACTORS LICENSE NO 5. I WILL PROVIDE SOME OF THE WORK BUT I HAVE CONTRACTED (HIRED) THE FOLLOWING PERSONS TO PROVIDE THE WORK INDICATED: NAME ADDRESS PHONE TYPE OF WORK Description: NSF(1384)GAR(1280)OPEN(1735) REPLACE MH Reference Number: B06-2715 Applicant Name: MAST, JEFFREY A& SANDY H Signature of Property Owner: Date: I' Tk e / / JT�e 4u-ke- k -I T-K.J L Gc a— �ou 3eE�Ley �- I��sT— Installation instructions for Java Version 1 4 2 12 Access the folder W:\Support\Kronos\Java Fie Edt Yew facades Took Help ' ® 0 - a I PS-6FoU., o. AMM b w:O pAkw un wa _ Polders --- — `- x { Nene !%e T e B 0 t,j j j?re-1 4 2 12-w 15,851 KB Ap*abm Double Click on file name. Do you want to run this file? Name: i2re-1 4_2_12-windows-i586-p.exe Publisher: Sun Microsystems_ Inc_ Type: Application From: W:\Support\Kronos\Java ,r Run__` Cancel . Always ask before opening this file While files from the Internet can be useful, this file type can potentially harm your computer. Only run software from publishers you trust. What's the risk? Click "Run" lip Java 2 Runtirne Environment, SE v1.4.2 12 - License J license Agreement Please read the following Bcense agreement carefully. Sun. Microsystems, Inc. Binary Code License Agreement j for the - JAVA- 2 RUNTIME ENVIRONMENT Q2RE) II STANDARD EDITION, VERSION 1.4.2 X ; SUN MICROSYSTEMS, INC. ("SUN-) IS WILLING TO LICENSE 11 SOFT'WAR,F.-mFNTrFTF.T).RFT.QW_TO YoTToNT.Y__TTPPoN_ (y I accept the terms in the license agreement (-, I do not accept the terms in the license agreement Install5hield PJext > jr Cancel Accept the terms of the license agreement. Click Next. r 11 Setup Type Choose the setup type that best suits your needs. Please select a setup type. C.4 Typical All recommended features will be Installed. C Custom Specify the installation directory and choose which program features to install. You can change your choice of features after installation by using the Add/Remove Programs utfldy in the Control Panel. Recommended for advanced users. < Back Next > Cancel Choose Custom .Click Next. Custom seta Select the program features you want installed. The Java Runtime Environment with support for European languages will be installed. Select optional features to Install from the list below. Support for Additional Languages Additional Font and Media support The Java Runtime Environment with European languages. This requires 65 MB on your hard drive. Install to: C:�Program Files%3avab2rel.4.2_12% FChange... Next > rCancel -- Click Next. Browser Registration Select the browsers you want to register with Java(TM) Plug -In. ri Microsoft Internet Explorer IE You may change the settings later in the Java(TM) Plug -In Control Panel. d < Back Next > �� Caruel Uncheck Microsoft Internet Explorer or any other browser that might be installed. Click Next. The file will install. This may take several minutes. Click Finish. You must restart your system for the configuration changes made to Java 2 Runtime Environment, SE v1.4.2_12 to take effect. Click Yes to restart now or No if you plan to restart later. Yes No Yes to restart now if this box aooears loss-i7o=os7 OU -2; DEMOSS, Susan 12239 Andy Mtn. Rd., Oroville Cont: American Fence Electric service i JJ 'r f • t � _. -,.r-� s=1-......--,•ry-�••�..w.�+�.�.,,-.n+t+.�'....:�!Y"+-:...-'aF`�'n�'�..a`-v�+71'.y�"'r_�,cA-/w�'•�--www'rrf`�.•".�s'..e71'�,.i[„”""+-.is-",,.,7�'^�-�.'-..'-. rr ._ COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDINNDIVISI(�,N. 7 Count Center Drive • Oroville, California 95965 • Telephone 530 53 7541 PEWT NO. (Rev. 12/96) v APPLICATION AND PERMIT ( ) V M- N ASSESSOR PARCEL NUMBER 058-270-057 ZONING BUILDING PERMIT OWNER; MmTE�-"M SO. FT. OCC. BUILDING VALUATION . OWNER•,., fNy �JG (� ZtS MM, RDA' ORO iR. l CA CONTT�RARAC��TTOORR`SY�}NAME F+�y�i TEELL�EPHOONEE CONT TQ.F�S `MA+IUNOgiAD,pRESS [7M,-�e .. _ (V7JwVrr•iile, �CA 95%5 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS g AM MM. IM. o� Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISION'S NAME .� ^ PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Ufilities ❑ Installation ❑ Other ❑ Describe Work: W0 'MIP ELE=C SEI M Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 EOOV OR ESS Main Service . , OR LESS 23.00 r ry3. LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.p� License Class 0_,'4I 1 Lic. No. 7t7 Z 00 O OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I ❑ 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 I hereby_affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure` for workers' compensation, as provided for by section 3700 of the Labor -Code, for the performance of the work for which this permit is Issued. I ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number L (The above sections need not be completed 0 the permit is for work of a valuation of one hundred dollars ($100) for less.) ' ' • /❑ (!certify that in the performance of the work for which this permit is issued, I shall (/ not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation—provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. 6 +� �^ Date / o� .D Sigrature 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. Main Service TO .00 WEE200A NEW CONST. DWELLING OCCUP. SO CCU000A .50SO OR ADDNS. ( a ACC. BUDS. FT. NOµA°ESID. ANCHOU CULT 97.50 POWER APPARATUS & SINGLE OUTLET CIR. Ex. OCCU 20 1.00 OUTLET OR FDITURES 6 @. 0 LNS Ex. Occup. ourrs RES D.OEA 5.00 Tem orar Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ 4J•UU1 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee Occ i CONST. TYPE TOTAL FEE $ 43#00 HAZ. D. FEES IMP r FLAOD CDF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above or which fees have BY r &(Date PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. r/A �� I G ;%J� (/Jy) � �� ate)r ReceiptNo. '� 1,795 t&3.0n WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT OUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDIN IVISION 7 County Center Drive Oroville, California 95965 • Telephone (530) 5 -7541 Typo. (Rev. 12/96) APPLICATION AND PERMIT iT�/ ASSESSOR PARCEL NUMBER 058-170-057 ZONING BUILDING PERMIT OWNER SUSAN DEMOSS TELEPHONE 533-3139 SO. FT. OCC. BUILDING VALUATION '=r MIN. RD., OROVIUE, GQ1 95966 CONTRACTOR'S NAME AFRICAN M- CE TELEPHONE 533-3039 CO �DJsS.uNSth DR Ave. Oroville CA 95965 CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 12239 ANDY MM. M. OROVIUE Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00. TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 200 AMP r�[, EECTRIC SERVICE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I GI W 1 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 800V OR LESS Main Service zI.A OR LESS 23.00 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.�j •r� Q License Class L -Y 7 Lic. NO. (D L O o C� 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 Main Service 200A TO II00A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( a ACC. BMS. 3. *FT. NNO�N REBID MULTI -OUTLET @7,50 POWER APPARATUS a SINGLE OUTLhT CIR. .00 EX. OCCU . OUTLET OR FIXTURES BAL @ I.w Ex. Occup. DUTLEEDXg R� .D� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) PemplI.certify that in the performance of the work for which this permit is issued, I shall not oy any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date "' —eo Sig ature of pplicant - ❑ 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 corer. TYPE TOTAL FEE $ 43.00 HAA D FEES IMP I FLOOD I COF PARCEL I PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work Indic t d ab v o whi h fees have b n paid. ,GI,/V By F Date _ PERMIT EXPIRES ON gXe Receipt No. Jn9225 43 00 WHITE-D.D.S.-B.D. CAGY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT .� COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION .7.Gounty Center Drive • Oroville, California 95965 a Telephone (530) 538-7541 ly"A M... 0. 12/915) APPLICATION AND PERMIT aE+9oRPAR�5_; Sor.ND BUILDING PERMIT na n��FSO.FT.OCC. BUILDING VALUATION oras t�'/ �// / C• ME" MMM ADOMSO RCWTECT OR Fir�RA McWTECT OR 000" ]MIS W.UNG ADORESS AT N0. lUe0N610NT rw+E USEOFSTRUCTURE SFO Duplex D Wbilehome D Other TYPE OF WORK New O Addition D Remodel D Utihes�p Installat *PERMIT FEE PAID $ SRA - SHERIFF OTHER AMOUNT RECEIVED $ *RECEIPT NUMBER :3)",76 * TO BE PUT INTO COMPUTER Fireplace Total Valuation S Filing Fee 5 Permit Fee = Plan Checking Fee L Energy Plan Checking Fee $ i PERMIT FEE _ PLUMBING PERMIT Each Trap Solar or heat pump water heater Water piping Each gas water heater or vent (`A -t nininn system 1 - 5 Outlets Home PERMIT FEE _ ELECTRICAL PERMIT Main Service = DOR inns: Main Service 20" TO 1~ CONS . OwaLm OCCUP. OR ADONS. ( A ACC. WDS. 20.00 7.00 23.00 15.00 15.00 15.00 15.00 Q20.00 ig Feel 20.00 23.00 , 46.00 3.52i°' EX. OCCU OUnS OR FW"ES g - .0 FtKEO APPUVS. OR 5.00 EX. Occup. ( Oum �R610. EA 23.00 20.00 I PERMIT FEE I s MECHANICAL PERMIT I Fling Fee 20.00 Heatin 6.50 PERMIT FEI: S Moble Home Installation Fee $ Energy Inspection Fee E D`D `D"S` TTS TOTAL FEE $ NAZ 0. FEES WP I ROOD COf PARCEL FO ►O �� This permit Is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work Indicated above for which fees have been paid. By Date PERMIT EXPIRES ON (Onto) _�j5�-/2d- OS7-- Sent. by: r MAILBOXES ETC. S.V. 831 438 8427; Aldi BOXES ETC ® . TRPnS,WnEd VA: T,lf„L BOXES ETC. 24;-4t NIOWNT HERNION fid. Scons VaUEy, CA 95066 Fax: (831) 438-8427 RicnF: (831) 438- 7038 11/22/00 2:22PM;j9L& #560;;P%age 1/3 V C-00YU 51FIZU-T Date: ---' 1 2 Time: i Sending to. suiie. Ca1.cntm, 1�2o„fh 0-� ��.►� >zss� AtFax No.: �� 530- 534- ak- s46 Phone No.: Sent From.: Sam 5 Phor_e N o .: Nuinber of Pages (including this sheet): -3 Message: -l'�t-t5 Q5 RE A�Di�co 1223q t. -rRoA9 fi v f v4kca.�l ave 6� ow :'::s fac_.11a [a1y concaL privileved or cer-f-e-mtial 1 ln_o: r :.wren Interded onL7 fcr t.:e add; ersea, or the n I de3lverer :a :'gat yarscr_ ^_a Nax aepy or recL%c-lu.e AVVE thLs. If you recs"Ved LhW L^. err -.r. plee4e cLa:ac- us usa Lm=e ' _aL7 s::ha stove nu=gar. Sent by: -MAILBOXES ETC. S.V. FUVAM NATKM& iiRt . -, "1 RF,C:ORDING REQUESTED BY Santa Cruz Title Company Cscrow or boon No. 09455843-DJR MAII-TAX STATEMENTS TO AND WHIN REC:ORDPD MAIC. TO 831 438 8427; Name JEFFREY A, MAST And SANDY B. MAST Address P. O. BOX 151 City, State, & zip FELTON, CA 95018 Llf)2 301 a _ .S APN: #058-170-057 11/22/00 2:233PM; jtffyA #5160; Page 3/3 IIII III III � INI I II I IIII II IIII III1I 2Ql00—�m33522 Recorded I REC FEE 7,00 Official Records 1 TAX 69.30 CaBnty_Of CANDACEUJ. ORMS I Reco ROSf1MARY DIMSON I Assistant I Nikki 9;36PM 29 -Aug -2000 I Page 1 of I -rhe undersigned grantor(s) declare(s): Documentary trarsfcr tax is S69_30 --- - X computed on full.value of property conveyed, or at time of sale. [I computed on full value less value of liens and encumbrances remaining X Unincorporated arca: C3 City of , and FOR A VALUABLE CONSEDERATION, receipt of which is hereby acknowledged. SUSAN GAIL DE MOSS, AN UNMARRIED WOMAN hereby GRANT(S) to JEFFREY A. MAST and SANDY H. MAST, HUSBAND & VYM, AS JOINT TENANTS the following described real property in the UNINCORPORATED AREA of , County of BUTTE, State of California: SHOWN ON THAT CFRTAIN STER IN THE ICE F THE IAT 3T RECORDER OF BUTTE COUNTY, CALIFORNIA OWN MARCH 8 87�TN BOOK 1OF40 MAPS AT PAGES COUNTY 88, 89, 50. A CERTIFICA F, OF CORRECTION RECORDED ON AUGUST 2, 1989, INSTRUMENT/FILE N0. 89-28949, OF OFFICIAL RECORDS. ApN: 058-070-057 Dated: August 24, 2000 STATE OF CAL U } SS. '' . d�!!� COUNTY OF S SAN GAIL DkMOSS On AUGUS.r 2S 2000 before me, the undersigned, a Notary Public, personally appeared SUSAN GAIT. DE MOSS personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(a) whose name(s) islare subscribed to thu within instrument and acknowledged to the that he/sbo/they executed the same in His/her/their authorized capacity(ies), and that by his/her/their signature(s) on thts insmument the person(s), or the entity upon behalf of which the person(s) acted, executed the ' ent '%mNFSS my hen o cial seal. =jIn. .. COMM, Signature CNTY OF 9UTTE 02 MAIL TAX STATEMENT AS DIRECTED ABOVE• This form fumishad by S*WA CRUZ TITLE COMP* =5 VWon Fmm SDDOTCA Rem• 05!14!87 47 NOTES _ RESIDENTIAL i.- rrt f. PERMIT NO._ 058-17-0-057 00-1875 DE MOSS,- SUSAN G.\ -- - --- --- 12239 ANDY MTN RD., YANKEE HILL CONTR: JERRY'S MH SERVICE EX MH ON PERM FND EX SITE THE HCD FORM 433A FOR THIS MH CANNOT BE RECORDED UNTIL ONE OF THE FOLLOWING HAVE BEEN TURNED IN TO THE BLDG DIV: (1) LICENSE PLATE(S) or DECAL(THE INSPECTOR MUST RETRIEVE) (2) STATEMENT OF FACTS(ONLY ON NEW MH'S) INSPECTOR TO VERIFY SERIAL & LABEL #'S SPECIAL CONDITIONS CHECKED BY SRA . FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALE[ Signature A S SPECIAL CONDITIONS CHECKED BY SRA . FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALE[ Signature ✓ = OK 0 = Not OK = Not Applicable ` = Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Footings; Soils -Size -Depth -Spacing -Connectors -Steel 1. Zoning Requirements -Setbacks -Easements 4. 2. Soils; Special MH Support Sketch Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 3. Sewer; Location -Test -Fall -C/O -Concrete 7. 4. Water; Location -Test -Easement Needed (Sketch) Frmg.; Sills -Anchors- Studs- Rftrs-Trusses 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 10. 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or/ /"L"ft./ PLPG Ext.; Steps -Doors -Landings 7. Well Clearance & Disconnect 5. 8. Utility Clearance 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater Date Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main in Conduit Card B-1 Date Card B-1 Date Health Department Approval Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector Date 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 12. Permanent Foundation Only: License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 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; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills -Anchors- Studs- Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 V= OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (; Date Underfloor (Plans) OK except #'s Bedroom Exiting 1. Zoning -Setbacks -Easements -Flood -Slope G.F.I. & Bath Fixtures & Tub Access -Spa 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Elec. Trim & Subpanel, Breaker Sizes & Labels 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P Ftg. Depth Stairs & Rails 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth Fireplace or Stove, Clearance -Hearth 5. Stemwalls, Main; Steel -Blackouts -Wrapped Elec. Outlets at Wood Panel, Int. & Ext. 6. Stemwalls, Garage; Steel- Blockouts-Wrapped Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 6a. Hold Downs and Special Anchors Elec. Outlets & Receptacles at Kit. Counter 7. Slab, Steel -Wrapped Garage Fire Door; Swing -Landing -Closure 8. Piers -Fireplace Fig. -Steel A.C. Duct in Garage -Damper 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Plb., Elec. & Mech. Equip. Listed for Location 11. Water Pipe; Test -Anchors -Regulator -Service Test Elec. Receptacles in Garage (FF.I.)-Romex Protection 12. Electric Underground Insulation -Foam -Looked in Attic 13. Plenums & Ducts; Clearance -Material -Support -Ins. Guard Rails & Deck Construction -Post Caps 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 15. Access & Ventilation Clearance Looked under Floor ❑ Yes 16. Insulation Following Instld./Drive J Yes ] No/Walks :1 Yes :1 No/Planters 7 Yes J No 83. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Water Well, Disconnect, Electrical, Plumbing 17. Water Htr.; Vent -Access -Combustion Air Baffle Exterior Elec. Trim, G.F.I. Receptacle -Underground 18. Water Pipe; Test & Anchor -Nail Protection Ventilation Throughout House 19. D.W.V.; Test Fittings & Anchor -Nail Protection Glass Protection 20. Shower Pan; Test, First Floor -Tub Access Corrections from Previous Inspections 21. Test Tub & Shower, Second Floor -Tub Access Gas Test -Meters Tagged, Gas -Electric 22. Gas Pipe; Sixe & Anchors Water & Sewer Connected -C/O to Grade -HD Approval 93. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Date ELECTRICAL (Permit) OK except #'s Card B-1 Date Card B-1 23. Fixture & Transformer Clearance -Ins. Protection Card B-1 Date Card B-1 24. Elec. Receptacles Spacing -Lights & Switches at Doors Card B-1 Date Card B-1 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral ❑ Yes D No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing P ingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties- Purl in- Roff Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (FF.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 82. Following Instld./Drive J Yes ] No/Walks :1 Yes :1 No/Planters 7 Yes J No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Pibg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted 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 (530) 538-7541 R� O• (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 058-17-0-057 ZON1 'D BUILDING PERMIT OWNER SUSAN G. DE MOSS 7 LEPHM 39 SO. Fr' OCC. BUILDINGVALUATION 720 R 38 880 OWNERS MAILING ADDRESS 12239 ANDY MOUNTAIN RD., OROVILLE CONTRACTOR'S NAME JERRY'S MOBILE HOME SERVICE TELEPHONE 8760369 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ 38 880 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 171.50 ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS 12239 ANDY MOUNTAIN RD., OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: EX MH ON PERM FND ON EX SITE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I s I G I W 920.00 PERMIT FEE $ 50.00 ELECTRICAL PERMIT Fling Fee 20.00 800V OR UE Main Service 2o.AORLESS 23.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER 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 Main Service zooA To t000A 46.00 NEW CONST. DWELLING OCCUR OR oNST. ( 3.SQF0 MUL�TI°oL�m Er NON.RESID. @7.50 APPARATUS 8 SINGLE OUTLF'T CIR. Ex. Occup. OUTLET OR FIXTURES BAu @ ,50 Ex. Occup. U. RESID.°EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwi o with those provisions. p �X gam__ Date O Uo 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 $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 264.50 HA2. D. FEES J:Pf FLOOD I CDF pARk PD I HD I IS This permit is hereby issued under of the Butte County Code and/or indic b f which fees have B PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date 100 01 Dat Receipt No. 302387 x_,$264,50 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ^fit -i I Ai^Y ♦��1►,�,•kt'-" �` .�` �f� `1 '1 AT} F • 75. -r�_,. t'7 I ]I.T1 h.1�y' ,. 1 Jvti Nom' ..r rt [ /'�•,fL ��.7, rr-n ,i��-t-.}�..y,+r].+�^"1+4�J7� -:;` l COUNTY OF BUTTE - DEPARTMENT OF' DEEL OPMENT SERVICES - BUILDING DIVISION i,. 7 COUNTY CENTER DRIVE - OROVILL9, CA ' ORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: �JJ ASSESSOR PARCEL NUMBER: 0`/ O / 65 12 Proposed Building Use: Building Inspector: Date: Z En0 0 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 iiems have been submitted-------------------------------------------------------------------------------------- Plot planssets, signed by the preparer of plans. ------------------------------------------------------------ Complete -p ansa sets, signed by the preparer of plans. ----------------------------------------------------- . Engineered pl 4 sets;,with wet signature on plans. All engineering must be shown on plans.-------- E15. ------- ❑5. Engineered truss etails and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑ 6. Energy Design Compliance and supporting documentation. ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ---- ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------ ❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications. G14. Fees of $-------------------------------------------------------------- =---- ❑ 11. Impact fees as shown on the attached schedule. ------- ❑ 12. California Department of Forestry plan approval/fees. ❑ 13. Flood elevation certificate. ------------------------------- ❑ 14. Sanitation and plot plan approval Health Department. ❑ 15. City of Chico plumbing permit. --------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ❑ 17. Planning approval for (A) Use: (B) Parking: ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ❑.ncroachment Permit for drivewayconstructio a oval r o o u c ---------------------------- P �� 0 ( PP P � Y)�2 re -inspection for !L oval uilding Inspector on �S �� (Date) 021. Contractor's license information. (Number, Name Style, Classification). ------------------------------------ ❑22. Workers' Compensation carrier and policy number. 1123. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - ---------------1--------------------- ❑24. Letter of signature authorization.--------------------------------------------------------- --__------------------ 025. Recorded copy of Agricultural Acknowledgment Statement. ------------------------ ' ----------------------- 026. Letter of intent on building use. ----------------------------------------------------------------------------------- 1 ❑27. Manufactured Home utility clearance. ------- d------------------------------------------------------------------- ❑p28. Existing �oQ i ns and/or fired permits----------------------tle ----------p-,-,-------------------------- 29. ❑433 ,A, Grant Deed, M.H. Title, heck to H.C.D $ I C�fc--------- ❑30.Other: _______ en you issue ,h / ' r , - �s follows ❑ Mail to owner Telephone F✓�j✓�j/and hold for pickup ad Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire D�par#nn_ew,__ Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Pollution 0 Deliver with inspector. Date: Date: Date: By: 1. Index permit application for the above items numbered: 2. Additional items required: 4- F d , ❑ Plan Check List Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by ,,, -Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Divisi n counter,,=by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, 13 mail, 13 Buil ' isi n count' er, by Date: ,V, Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Bui e s' - counter, by Datir. Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Yellow Copy,- Department of Development Services, Building Division: PRE -INSPECTION REPORT OWNER: . LOCATION: CONTRACTOR:, PRE-INSPETION FOR: DATE TO INSPECTOR: Building Description: Commercial/Usage: Residential/# of Units: Currently Occupied_ AbandonedNacant JIFA "A ORnx I AMR, I ZONING: PERMIT HISTORY:( ) NONE (I) -AS FOLLOWS: BUILDING INSPECTOR'S REPORT Electric: Yes No Electric'currently On Off Condition of Electric Gas: Natural Propane None _ Currently On Off Obvious Problems: Sanitation: Plumbing Working Well Working Potable Water Obvious SewageProblems Comments: ACTION RECOMMENDED: ISSUE: HOLD FOR Inspector: _ Date p 1 Sketch buildings on reverse and indicate location on property. 1 Aw# 4`+ ki 058-170-057PE IT 94-3072 CORDOVA, SUE � 9 /� �7 12239 ANDY MTN RD. 0 OVILLE MOBILEHOME UTILITIES ELECTRIC �Od Ca0 GAS LINE 4/06 31# �g-Q COMPACTION TEST REQ SUPPORT . STRUCT REQ -,4)a- 058-170-057 -058-170-057 PERMIT#94-3073 CORDOVA, SUE 12239 ANDY MTN RD. , OROVIL E � MOBILEHOME INSTALLATION ,/$ I D 5B 'l 110 a NOTE:—All Materials & Workmanship- Shall Be i. Accordance with Recognized Good Practices an( o a duality prescribed for the Specified use in the Uniform Building, Plumbing Mechanical CodF and the National Electrical Code. ' �►.1Y.,9•- .. n 100'a d CpadalYoatx5+70?�Vti 9r� a ,-� r. �a qC,},0 � €. �:r� cd:i Com- 1s°Jlcfl� / a i' yy f s"Ar%x Kei?{�tZJ GiiCom- 83 w `� ��fi,� �iry,r;, anent out�;� ; �:, :on 'c:�e i3el-of Butt 1 1 i� BUTTE COUNTY BUILDING DEPART EN/ TOP VIEW - MGP - PAD. 6" 3/8" PLATE I O r � 21a rns"a 1 iPPER BASE` nrD�a.• . u IIAa i. . (*PM LATE A IL %2" z 4" bolts Typ of 4 GRIPPER BASE PLATE ( I II • I'I TUF.' t sR:zwoieorTs Wl c?". cp 0i�A"�� 1-1/2" SCH. 40 PIPE .oft 1 I I--- WITH 3 OR MORE i,• GRADE 5 PLN OR EQUAL ADJUSTER HOLES m LOCK %—.M 'A" LOCKING ' NUT OR PIN i _ 2" SCH 40 PIPE I i i • W/ 2 ADJUSTER HOLES ' SIDE VIEW - MGP - PAD 2" SCH 40 PIPE WELDED TO 1/4" / BASE PLATE. 3/16" X 2" BRACE T X 7 X 3/16' BAR W/ MIN 3/16" ANGLE IRO x 3H"FILLET WELD. LONG TYP OF 4 2r 2T i r GD. nAn "m *am farAi f/1 d' Qi Hat M. END VIEW - MGP - PAD VGP - UNDERLAYMENT GRADE PLYWD. P & S CCA PRESSURE TREATED I DESIGN LISTED AND TESTED BY: BSK ASSOCIATES WAYNE T. POLVADO, PE - LISTING NO. F94249 'h" X 6" A,NICHOR BOLTS TAT OF 4 HEAMLDIB1 IANEDOSIAE!Z r-O'iUC'ODAEnoN sso M IACIFIC C ENGINEERS ,StCT!ONI;2150 E101Avenuenue #143ph:91&4"4026 APPROVED Eaeraerntc, CA 966]6 Fal: 916.564-0029 SUBJECT TO CORRECTIONS NOTED APMVALDOES rarAunw>MORAPPROVE AW �j�_I PERMANENT ae�a w MUMOv FUM R wmD(Dm ar 1 le HATE APHJCMLE STATE LAWS AHD RMUS.t21Dltl StacorG6fo� FOUNDATIONSYSTEi�1 DWmw of BaWAS and Can>mlariq Dc-kq— DNMIPNOFCODES AND STANDARDS ABESCO . GUS GUARD COMPANY P.O.BOJC 128 CATHEYS VALLEY, CA. 95306 BUTTE COUNTY aq�°, FAX BUILDING DEPAPTMEN ; "°`eo Z_�GD GENERAL NOTES GUS GUARD TUFSt 15. LIGHT HEAVYWEIGHT PLASTIC AND STEEL PADS MAYBE USED IN PLACE OF SOIL CONDmONS. COMPACTED SAND MAY BE USED TO FBI LOCAL VOIDS UNDER PADS. I I WOLMANIZED PADS. I. DESIGN LOADS: LIVE LOAD - 301-B. FLOOR LIVE LOAD - 40 PS _ _ - - 16• E -Z TIE DOWN USED ON SINGLE -WIDE, ROUND STAKES (3/J )l 1 J !).L41' BE USED IN PLACE! 1LTHANM SAF FOUNDATION TION I�! �,,U-� A,�D SAFETY Y CODe, SECI70N 1&i; AD - WIND LOAD - SU MPH EXPOSURE -C' OF THE I -X I!8" FLAT BAR WHEN SOIL IS EXTREMELY HARD OR IN ROCS:. HOLES MAI' BE SEISMIC 04" PRE-DRIILED WHEN NECESSARY. v ^ APPrOVED • SNOW LOAD 100 PSF - _ - j 17. GUS GUARD TUF-I FOUNDATION SYST_ FM PROVIDES ALLOWABLE SNOW LOAD TO 100 PSF SUBJECT 70 CORRECTIONS NCTPD 2. THIS FOUNDATION SYSTEM IS DESIGNED TO BE CONSTRUCTED ON A FAIRLY LEVEL SITE WHEN INSTALLED WITH E?OSMG S, ANDARDS REQUIRED BY COACH MANUFACTURER AMOVALDM uarAunroazmoa ApFwnAar WM NO Ea1STING SOB. PROBLEMS.OR RMACE Tnr7.! ON A ONE TOONi BASIS. � 0a °�°" TNM �DOMCW �MMCAUS sun uws Arra aBoui. rorc 3. CHASSIS BEAM SUPPORT SHALL BE LOCATED AND SIZED FOR THE LOADS AS SHOWN IN I6• x 16' x 12' 18. FOUNDATION BLOCKS POURED IN PLACE AT GROUND LEVEL MAYBE USED. SuedCaG(«nu p�ya({�8 � Ca�iry Dn,� THE MOBILE HOME INSTALLATION INSTRUCTION. AT INSTALLERS DISCRETION. AS ALTERNATIVE TO PADS. DMSI OP CODES AND STANDARDS 4. IN AREAS WHERE DIFFERENTIAL SErniENENT (D.S.) CAN OCCUR. MANUFACTURED HOME SHALL BE READJUSTED WHEN D.S. EXCEEDS 114- OR WHEN IT WILL BE ADVERSELY VARIES Jr - 710 SEE TABLE oil -'wa7a 1u�) AFFECT MANUFACTURED HOME UNIT- i r_► �sZ ' -- rS ] r 3. CARRY ALL. FOOTINGS DOWN TO FIRM. UNDISTURBED SOIL. FOCn INGS ARE DESIGNEDf �� i v L—--. ! FOR 1000 PSF TOTAL LOAD SOI. PRESSURE AND SHALL BE COMPATIBLE WTTI.1 LOCAL SOIL CONDmONS. COMPACTED SAND MAY BE USED TO FBI LOCAL VOIDS UNDER PADS. I I 6. STRU&I1RAL STEEL FABRICATE ACCORDING TO ASIC SPECIFICATIONS. WELD ACCORDING TO AWS SPECIFICATIONS. ELECTRODES - 370 PLATES -ASTM A36 BOLTS - SAE GR 5 -ASTM Aug - ASTM A3725. -.7. THE GUS GUARD ASSEMBLIES SHOWN BELOW SHALL BE LISTED AND LABE3BY BSK AND ASSOCIATES FOR THE FOLLOWING LOADS: ALLOWABLE LOADS HORIZONTAL VERTICAL . GUS GUARD TUF-1 22W 6000# GUS GUARD MGP PAD 22008 60000 GUS GUARD E Z TIE PAD 22(ft 6000M THE ESTIMATOR SHALL /F :'.8. DURING PRELIMINARY INSPECTION. ENSURE THAT MOBILE STANDARD SECTION R!DC= 3ZAM SUPPGRT AS wc.^-J ST MA\'LM ACTLRZR TYP. HOME CHASSIS BEAMS ARE OF 2' NUK-/ ' 9. EXISTING COACHES MAY BE RETROFITTED TO RESIST SEISMIC FORCES BY INSTALLING PADS IN ANY PAIR MAY GUS GUARD TUF-1 UNITS AS SHOWN ON THIS PAGE OF TYPICAL FOUNDATION PLANS. BE ROATED 90 DEGREES OR OFFSET TO OTiB•RSB7E 10. THE GUS GUARD 117-1 SYSTEMS ARE SAFE FOR INSTALLATION IN FLOOD PLAIN AREAS • 0 AVOID CLEARANCE WHERE DEPTH OF FLOODING DOES NOT EXCEED THE HEIGHT OF THREE FEET. PROBLEMS. 11: MULTIPLE UNIT INSTALLATION IS ACCEPTABLE PROVIDED THE NUMBER OF TUF-1 UNITS UNDER EACH UNIT IS THE SAME AS SHOWN REQUIRED PER EACH LTM. Ii��S(NGLE-WIDE UNITS REQUIRE ADDITIONAL RESTRAINT. • (SEE SHEET A3)'n 1 Z I�[�Q 1 13. ALL METAL COMPONENTS AND ATTACHMENTS ITEMS SHALL BE PROTECTIVE COATED. 14. FOR MGP PADS USE 1 1/8 EXTERIOR PLYWOOD WITH WOLMANU ED TREATMENT TO 0.40 MAX PCF RETENTION WITH DRYING AFTER TREATMENT ❑ n ❑❑❑❑?` 7918' A ti hEzD.� 1 MGP OR PVC Smpms STANDARD MH FOUNDATION PIERS SUPPORT PAD AS RECOMMENDED BY THE MANUFACTURER TY?. OR THE ExweER TYPICAL THROUGHOUT TUF—Y PERMANENT FOUNDATION SYSTEM SINGLE WIDE UNITS DOUBLE WIDE UNITS ABESCO - GUS GUARD CONIPANN' �EMIN / 8' MAX" E- 7 / I1' P.O.BOX 128 S== 7 e' MIN06 MAX; S= 6'1 2Z CAT'HLYS VALLEY, CA. 90% FAX-1099bb6i49 SHETE 2 OF 3 BUTTE COUNTY 3UIL®IIVC3 ®EPARTMEN' , ` _r I' F1 _BACKFILL W/ A.C. 1 B 20g 1 ASPHALT SET WITH CONCRETE PAD caTdt 1m " •' i\ THINSET MORTAR, W MAX THICKNESS. f- 0.6 CONCRETE SET WITH CONCRETE PAD „ h' RED HEAD OR EQUAL 2' FROM CORNER TOTAL 4 CONCRETE SET WITH MOP PAD w -ISINGLE IT - ID DTH TH24 F 2628 VER 88' 10 10 10 10 8 8 8 8 VER 66' 12 16 12 12 12 16 16 18 -ISINGLE WIDE UNITS GTH DTH 10 12 14 18 TO 44' 8 B 6 6 VER 88' 10 10 10 10 SINGLE WIDE UNITS REQUIRE=GUS GUARD E -Z TIE PADS Mott Gus Stm'd 7W -f Piers are to be placed at appfavawtelr ecwl internals atoll ead frame rad SIIdC;IF.WIDE ANCHORAGE -4 INSTALL E - Z TIE DOWN SYSTEM m3:X7=517 zedaiiC-N 0 MOBI[FHOME POUNDAnON SyM'e4 HEALTH AND S" -'-7y COO& SBMCN WS1 APPROVED SUWECT TO CORRECTIONS NOTED APPROVAL VMS NOT At, nMRM OR A"WVRANY ORmso6 OR DWATTON FROM RaQUMOMMM OP APPLFCABLB STATS LAWS AND RLOIAA IMO . SWC of Gaf. nig Dq m= ofHo"Ag Id Cwmlq DCVCb,,= D[VLS1 N OF CODES AND STANDARDS Br D.r A� SPA NO. d _6 Us Ptm AWQ19 EVtm 11T Uzi TUF-1 PERMANENT FOUNDATION SYSTEM ABESCO -GUS GUARD COMPANY P.O.BOX 128 CATSEYS VALLEY, CA. 95306 2011*0 "A ;_WA 9 $'ate—.��,� - ��.3 % • Tcox 91,(-,353,57-07 . BUTTE COUNTY NTY SHEET 3 OF 3 8UIL®INNG ®EPARTM.R".. APPP Vp® .0 RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 15 -Aug -2000 2000-0031687 Has not been compared with original BUTTE COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. SUSAN GAIL DEMOSS REAL PROPERTY OWNER/LESSOR 12239 ANDY MOUNTAIN ROAD MAILING ADDRESS OROVILLE, BUTTE, CA 95942-0492 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT CITY COUNTY. STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") MAILING ADDRESS CT' COUNTY STATE LP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP 00-1875 (530)538-7541 ffi G PERMIT TELEPHONE NUMBER (j� &494Z 08/14/00 IGNATURE OF LOCAL AGE OFFIQIAL DATE NONE DEALER NAME (if not a dealer sale, write 'NONE") DEALER LICENSE NO. FLEETWOOD 1972 BROADMORE MANTJFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER S6020 60'X 12' 37531 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. # 058-170-057 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD -Building Dept. VA BUILDING PERMIT NUMBER: 00-1875 Address or location of.unit: 12239 ANDY MOUNTAIN RD., OROVILLE, CA 95965 Legal Description of; Real Property: A.P. #058-170-057 SEE ATTACHED .(x) Mobilehome/Manufactured Home O Commercial Coach Has been affixed to -the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: SUSAN GAIL DEMOSS Owner's address: 12239 ANDY MOUNTAIN RD., OROVILLE; CA 95965 INSIGNIA OR HUD NUMBER: 37531 SERIAL NUMBER OR V.I.N.: S6020 MANUFACTURER'S NAME: FLEETWOOD YEAR: 1972 OFFICIAL APPROVING INSTALLATION: DATE: 08/14/00 PHONE:- (530) 538-7541 H.C.D. 513C LEGAL' DESCRIPTION A.P. #058-170-057 All that certain real prdperty situate in the County of Butte, State of California, described as follows: LOT 3, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "FOSTER SUBDIVISION", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MARCH 18, 1987, IN BOOK 104 OF MAPS, AT PAGE(S) 88, 89 AND 90. A CERTIFICATE OF CORRECTION WAS RECORDED AUGUST 2,1989, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 89-28949. • w STATE OF CALIFORNIA - DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT RFnT%TRATTnm [_ARn mnRTI I:Unmc MANUFACTURER NAME/ID TRADE NAME — — MODEL DWI DOT OFS mr...«L SpC - AAI7435 FLEETWOOD/ BROADMORE ::::.:_.-• . CS .9592 j _y.n 00/00/72 07/19/72 ABV'0 97 RY-72 :..: • .. U SERIAL NUMBER 1 S6020 LABEL/INSIGNIA NUMBER WEIGHT LENGTH WIDTH ISSUED SCC EXEMPT USE TY 37531 000000 000720 000144 12/24/% 04p SF 2 II 3 TOTAL 4 FEES 5 5PAID s $8.00 A D D R E S S E R E e I M SA T I EL R E D DS W I NT E U R S L E G A L 0 N N E' R JF U I N R I S 0 T R CORDOVA SUSAN GAIL 12239 ANDY MOUNTAIN RD OROVILLE CA 95965-0000 CORDOVA SUSAN GAIL :��*'I'- 12239 ANDY MOUNTAIN RD =_ OROYILLE 12239 ANDY OROVILLE BENEFICIAL: PO BX 3236; CHICO DATE: I 19_ - 4��'m5. c 8 __—= CA- 95%840060 �. _. �� 2p .� 2�F N RD -__Af -CA -.95965-0000 40 ®. s' - M- ��- IS OHM: FOR THE E PLACE n g .=r:. .__ .. .: !r__tEci3F::IC .='dj 1!'ri. !i'Fc - = ��!• - _ =-a:::3 J. -___ — -'� US -!!:.._: .� .. .;,Z vA ir'y.�:Y-ami-=:�a..:$_! �j: �-.n � �-• . _ ____ — rF: F _- a�` . ,. u!cii:TiF�.:� ..:i. • Ir ^•',_,.•y";'dc."—'�eEF�_s__' �p.sr Jr i:.ai'si!i•:!` m.E2,:=—� •�-.r,_ _ — i _... 6p.2{ :L•;. _........ .E E; _ - :... c 4- A DESCRIBED ABOVE. N THE UNIT. - INDICATED ABOVE I! HTIAL PENALTIES AL NOTICE WITHIN .C.D. FOR RENEWAL L I ' E S N E H C 0 0 L N DD E R IMPORTANT 03-354-00159 THE OWNER INFORMATION SHOWN ABOVE MAY NOT REFLECT ALL LIENS RECORDED WITH THE DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT AGAINST THE DESCRIBED.UNIT. .1 THE CURRENT TITLE STATUS OF THE UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT. 0300016 _,- a- z -L•�� s� REGISTRAT01 .E;rBQ.-:t;ABE� n = - ::- * 10 DAYS ::::.:_.-• . CS .9592 j _y.n ..PRIOR * INS OHM: FOR THE E PLACE n g .=r:. .__ .. .: !r__tEci3F::IC .='dj 1!'ri. !i'Fc - = ��!• - _ =-a:::3 J. -___ — -'� US -!!:.._: .� .. .;,Z vA ir'y.�:Y-ami-=:�a..:$_! �j: �-.n � �-• . _ ____ — rF: F _- a�` . ,. u!cii:TiF�.:� ..:i. • Ir ^•',_,.•y";'dc."—'�eEF�_s__' �p.sr Jr i:.ai'si!i•:!` m.E2,:=—� •�-.r,_ _ — i _... 6p.2{ :L•;. _........ .E E; _ - :... c 4- A DESCRIBED ABOVE. N THE UNIT. - INDICATED ABOVE I! HTIAL PENALTIES AL NOTICE WITHIN .C.D. FOR RENEWAL L I ' E S N E H C 0 0 L N DD E R IMPORTANT 03-354-00159 THE OWNER INFORMATION SHOWN ABOVE MAY NOT REFLECT ALL LIENS RECORDED WITH THE DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT AGAINST THE DESCRIBED.UNIT. .1 THE CURRENT TITLE STATUS OF THE UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT. 0300016 T Record at the Request of C;L Mid Valley TWO & Escrow Company Order No. Escrow No. 165951 LN Loan No. WHEN RECORDED MAIL TO: SUSAN GAIL DEMOSS 12239 ANDY MOUNTAIN RD.' OROVILLE, CA 95965 1 998-00 1 6478 Recorded I REC FEE 1e; 99 Official Records CoutfI uOICAEJ. GRUBBS I I Fay 89:N M 29 -Apr -1998 I Page l -of 2 SPACE ABOVE THIS UNE FOR RECORDERS USE MAIL TAX STATEMENTS TO: DOCUMENTARY TRANSFER TAX $--(L- C Computed on the consideration or value of property conveyed; OR. SAME AS ABOVE Computed on the consideration or value less Hens or encumbrances remaining at time of sale. AP 058-170-057 ThA unrfArsirinprf (�rantnr rlp�larpS Signature of Declarant or Agent determining tax - Firm Name GRANT DEED 'CONVEYANCE CHANGES THE NAME OF THE GRANTOR, GRANTOR AND GRANTEE REMAIN THE SAME AND CONTINUE TO HOLD THE SAME PROPORTIONATE INTEREST, R & T 11911.4 FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, SUSAN GAIL DEMOSS, AN UNMARRIED WOMAN, WHO ACQUIRED TITLE AS SUSAN GAIL CORDOVA, AS HER SEPARATE PROPERTY hereby GRANT(S) to SUSAN GAIL DEMOSS, AN UNMARRIED WOMAN the real property In the City of UNINCORPORATED AREA OF THE County of BUTTE State of California, described as SEE ATTACHED LEGAL DESCRIPTION Date STATE OF CALIF�R.N - A COUNTY C %i } On gdri 2/ /9yff before me, 'e� 'i4 o j o ssiiv I personally appeared —I—.sv„J personaly'known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) Ware subscribed to the within Instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacitypes), and that by his/her/their signature(s) on the Instrument the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official sea[._ Signature ENRICO J. ROSSINI Comtnbslon #1023438 Mlr CPS 1 Notary Public s` Butte County, California My Commission Exp. Apr. 30. 1998 ORDER NO. BU -165951 LN DESCRIPTION THE LAND REFERRED TO IN THIS REPORT IS SITUATED IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, AND IS DESCRIBED AS FOLLOWS: LOT 3', AS SHOWN ON THAT CERTAIN MAP ENTITLED, „FOSTER SUBDIVISION", WHICH MAP. WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON.MARCH 18, 1987, IN BOOR 104 OF MAPS, AT PAGE($) 88, 89 AND'90. A CERTIFICATE 0 ..CORRECTION WAS RECORDED AUGUST 2, BUTTE COUNTY RECORDER'S SERIAL NO'. 89-28949. 1989, UNDER r 1 RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 2000-0031 667 Recorded Official Records County Of BUTTE CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 02:10PM 15 -Aug -2000 REC FEE.00 CONFORM .00 Kristyy Page 1 of 2 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY ' NOTICE OF MANUFACTURED HOME MOBILEHO ( ME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. SUSAN GAIL DEMOSS REAL PROPERTY OWNER/LESSOR 12239 ANDY MOUNTAIN ROAD . MAILING ADDRESS OROVILLE, BUTTE, CA 95942-0492 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") MAILING ADDRESS CnY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP 00-1875 (530)538-7541 BUJL94NG PERMIT TELEPHONE NUMBER 08/14/00 SIGNATURE OF LOCAL AGE OFFi_9fAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") DEALER LICENSE NO. FLEETWOOD 1972 BROADMORE MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER S6020 60'X 12' 37531 SERIAL NUMBER(S). LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCELNUM13ER A.P. # 058-170-057 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK -Applicant GOLDENROD -Building Dept. LEGAL DESCRIPTION A.P. #058-170-057 All that certain real property situate in the County of Butte, State of California, described as follows: r LOT 3, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "FOSTER SUBDIVISION", WHICH MAP WAS RECORDED IN THE OFFICE OF THE. RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MARCH 18, 1987, IN BOOK 104 OF MAPS, AT PAGE(S) 88, 89 AND 90. A CERTIFICATE OF CORRECTION WAS RECORDED AUGUST 2, 1989, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 89-28949. RESIDENTIAL ["*A 058-170-057 PERMIT#94-3072 CORDOVA, SUE 12239 ANDY MTN RD., OROVILLE MOBILEHOME UTILITIES G� 4' OFFICE COPY Address GAS ti Meter By Date ELECTRIC t1, Meter By Dat I (` JOB FINALED (Date) Signature ,I OK " O = Not OK Not Applicable MOBILE HOMES = Not Ready, Date MOB HOME UTILITIES Plans OK except #'s Zo !f Requirements -Setbacks -Easements s; Special MH Support Sketch. Sewer; Location -Test -Fall -C/O Concrete er; Location -Test -Easement Needed (Sketch) '' . EI ncity; Location-Clearences-Grn / mp-Concrete Gas; Locati -Test-W p: ; /"L"ft. /, "Nat. o /'L'ft.{a'LPG W F Clearance & Di connect op6tility Clearance DateJCard B-1 1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except q's cr g Requirements' Setbacks Easements otings; Size -Spacing -Marriage Line ; MH Test-Demand-Valve—Connector Elec 'city; MH Test -Crossovers -Breakers -Clearances r in''MH Test -Fall -Flex Connector Water.; MH Test -Regulator -Connector ater and Sewer Connected -C/O to Grade -HD Approval _gas and Electricity Tagged s; Insp.-Sketch Cert. of Occupancy Date Card B-1 Date Card B-1 Date g 4a Card B-1 Date Card B-1 ( I • MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns-Connectioris-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 f Date Card B-1 Date Card B-1 (Date POOLS (Plans) OK except It's 1. Setbacks -Easements 1 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 L— 10. Plumb.; Cir. Test -Water Supply Test i 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 RESIDENTUL (Single & Duplex) - = Date UNDERFLOOR (Plans) OK except #'s: Date FRAMING (Continued) 1 Zonin -Setback's-Easements-Flood-Slo e 9 P 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth I 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-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 B-1 ------------------- --------------------------------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection ---------------------------------------------- -------------------- ---- - - 23. Elec_Receptacles-Spacing-Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled -------------- 25. -- Romex -Installed- Close to Edge of Studs & C.J. -- ------------------------------------------------------------ 26. Equip. Ground made up w!Mech. Fastners-Bond Gas & Water -------------------------------------------------------------- -------------- - 27. 2 Appliance Circuits in Kitchen & Conductor SizerGFI ----------------------------------------------------- 28. Subfeed Wire Sizer ga. Cu or AI-A.C. Wire Size r / ga. Cu or AI 29. Range Circ / / ga. Cu or AI -Oven Circ. / ! ga. Cu or Al. -------- -------------------- - Insulated Neutral ❑ Yes ❑ No -------------------------- -- 30. Service -Riser Conductors & Ground -Main Disconnect ----- - ------------------------------------------- -------------31.--Equip.-Clearances-Panels-Motors-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 #'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 ------------------------------ Headers & Beam -Size & Bearing 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 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers ------------ ------- - 55. Siding -Nailing Veneer ----------------------------- 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows - -- - ---------------- -Date -----------Date _______ __Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except ti's 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector --------------------- 63. -------------------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 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 & Rece tacles 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. -Insulation-Foam-Looked in Attic ❑ Yes --------------------------------------- _28.. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes ------------------------------------ 80. ....----------------------------80. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes - ❑ No --- 81. Stucco_Brown_Finish- ------ 82. A.C. Unit; Disconnect. Electrical, Plumbing --------------•----------------------- -- --- 83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings - ---------------------------- ---- 84. Water Well; Disconnect, Electrical, Plumbing -------------------- 85. Exterior Elec. Trim: G.F.I. Receptacle -Underground 86. Ventilation Throughout House -- -------------------------- 87. -----------------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 - ------ ------------------------- Date -.-Card-B-1 Date Card -B-1 Date Card B-1 Comments at Final: Date Card B-1 Date--- _Card B-1 Date Card B-1 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION _�.,. 7 County Center Drive - Oroville, California 95865 - Telephone (916) 538-7541 PERMIT NO. f APPLICATION AND PERMIT 9a' 7Q-/ ASSESSOR PARCEL NUMBER — — 57 ZONING F 10 BUILDING PERMIT i OWNER SUE CORDOVA TELEPHONE 139 SO, FT, OCC. BUILDING VALUATI OWNER'S MAILING ADDRESS 12239 ANDY MT RD OROVILLE CONTRACTOR'S NAME - OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ 23-00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 19939 ANDY PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO.' SUBDIVISION'S NAME �,q�,� 5-O"�C� ` P RCEL MAP (�y� g� b Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome Other, SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home VS OCT@20.00 ' TYPE OF WORK New ❑ Addition ❑ Remodel CIUtilities YInstallation 1:1Other EI Describe Work: FEE $ . Contractor Contractor ELECTRICAL PERMIT Filing Fee 1 20.00 SOOVMain Service ( 200AORLESS OR LESS ) 200A 23.00 23.00 Main Service ( 200A TO IOOOA ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. OLDS. ) BO- 3.50 FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ I 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) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET .NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIN. Ex. Occup. ( OUTLET OR FIXTURES ) @ 1.00 Ex. Occup.FIXED APPLNS. Ofl (OUTLETS IRESID.I EA. ) _BALs 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. 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 $ 63.00 Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all 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 nseque of he granting of this permit. p X Date &— 7 ` Sign 4re of Applicant ❑ Owner ❑ Contractor ❑ Agent An MHA 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 $ 166.00 HAZ. D. FEES r IMP �— FL O DF ARCEL PO HD SSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have BY �� PER ITEXPIRESON the applicable provisions Resolutions to do work been paid. Date Z� 9 Da pr Z fDa tel Receipt No. 1.70610 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 1 , h; COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF2DEVELOPMENT SERVICES 41 1469 Humboldt Road,'Chico, CA - (916) 891-2751 'r 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 j CORRECTION NOTICE OWN 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. Approved steps and or porches shall be installed within 60 days where indicated by X. Permits are required. Date e Inspector z�� REV 10197 / � L " 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 F CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should betcorrected. 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. ) v �'�i'vSSo cJet/ r1r �. f Date X3 Inspector REV 10/9 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 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 cont ct this office immediately. Ir— A / % w Date L L Inspector REV 10X2 COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER - P. . 5 9--�J '— 0 `S 7 Proposed Building Use Building Inspector Date L At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: All items have been submitted. 2. Plot plansj3 4 sets, signed by preparer of plans. '3. Complete plans, 3/4 sets, signed by preparer of plans. / 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans. 5. Hazardous Material Form. 6. Energy Design Compliance and supporting documentation. 7. Statement of Intent for Non -Heated and A/C Buildings. 8. Engineered truss details and layout in duplicate (required prior to plan check). 9. Mobilehome data and manufacturer's installation instructions, 2 sets. 10. Fees of $ pfuwImpact fees as shown on attached schedule. z California Department of Forestry plan approvalmeD- Flood elevation letter (100 year flood) by Califor'ciEngineer. / 14. Sanitation and plot plan approval Health Department. /�,�//�,y,�✓'� 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). q Certificate of Workmans Compensation Insurance. , ) Owner -Builder Verification (Given to owner , Mail to owner 4. Recorded copy of Agricultural Acknowledgement Statement. 2 . Letter of signature authorization. 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. 27. Letter of intent on building use. 28. Mobilehome utility clearance. 29. Documentation of legal access. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements. 31. Existing violations/expired permits. 32. Plan check list. 33. 11 ,1�' ai/ \ �� 34. When you issue the,,ppermit, process as follows: Mail t owner. � Mail to contractor. Telephone:'/ - 7,3 ! I and hold for pickup at t, office. Other EXPIRATION OF APPLICATION Deliver with inspector. Date 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 yea rfro m 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. " 4. x Original - Applicant 4 B.H. USE ONLY t Plot Pim An.chad I/ s Poor Pim AU=W smt to B.D. i Td: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Toe- A &a &r&oa- il(,,)e),-�q 4-n A i, Mfn, RA f-5 - m - Owner Location AP# Plan Approved for: Sewage Disposal Water. Supply: Public Private Well Clearance for I�J bedroom mobile home. Other Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist Date 8/92 a. 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 (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: Property Owner e Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. Thisverification must be completed and returned to our office before we are permitted to issue the permit. 4 • . Return to: AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT 9 4- 5 0 4 6 7 Building Division FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County. Code requires this acknowledgement be recorded prior to issuance of a building permit. ; i94-0504621 }■ }.. The property described herein is adjacent to land or included I Res Fee 6.00 I Cash 6.00 within an area zoned for agricultural purposes, and residents, Recorded I of this property may be subject to inconveniences . or Official Records I discomfort arising from the use of agricultural chemicals, County of I including, but not limited to herbicides, pesticides, and Butte I fertilizers; and from the pursuit of agricultural operations J. Grubbs I including, but not limited to cultivation, plowing, spraying, lCandace,Recorder I pruning,' and harvesting which occasionally generate 12 : 32pm 13 -Dec -94 I PUBL XX 1 dust,smoke, noise, and odor. Butte County has established � agricultural zones which have as a priority use for productive agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Lot 3, as shown was recorded in California, on Date: 1/,,-N" �-% 7 on that certain map entitled, the Office of the Recorder of March 18, 1987, in Book 104 of "Foster Subdivision", which map the County of Butte, �S�ta�e? of Maps, at page(s) 88, 89, and 90. PROPE Y OWNERS: ,suSt4ri Cordova State of California ) County of /5&,t2P- ) On /a /3 before me, personally appeared �(1SH�ilJ eUD7/ personally known to me (or proved to me on the basis.of satisfactory evidence) to be the person() whose name(6'f is/are subscribed to the within instrument and acknowledged to me that he/she/tom executed the same in his/her/44teir authorized capacity(, and that, by, t s/her/their,isignaturefA) on the instrument, the person(s), or the entity upon behalf of which the person( >ff acted, executed the instrument. . WITNESS my hand and official, seal. ��' "� �' CAROLYN WING COMM. * 1028326 Z z : -a'' = + Nota P Z .o n ry Public — CallforNa D BUTTE COUNTY Signature Seal: MY Comm. Expires MAY 30. 199 A.P. #LS ?5�� / •- O END OF DOCUMENT Tits S ,T4 .L ; ioo a Gallo `' daHG Ye% . T uk APPROVED �1lJ6 aG. 41 #1 r,w •1 /�aC Butte County Environmental Health Date _ Y—j— 1 las 3gy\�jc� }� Signature o � i 1 �_ a oo � �L• 4 s� 60, �,Gc �Ivlru� un X20 f qa Croville ^ / � �ati%;rr_. '�' �ai"f . .'4.�2 ..:<''��"'". :,.r a ; •� i� e a"..:� .r��.: �' ,Ts.,.•. -.rt-- o"c��— T��:... "''"t �ca;mr-rs: � td; 'Y�1�L`�` a + . «.��!�':v�F"rx'°�'e 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.: Owners: Name: Owners: Address: Mobilehome r17f Year of r 7 Manufacturer !^ [l(�)fi,;�?'� Manufacture: Serial number s Insignia or or V.I.N. _ HUD number: �/ v! f J ! Official approving installation: Date: 44 a If the mobilehome is moved or relocated(he mobilehome installation acceptance shall becom 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 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, Cal�fbmia,%5965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 58-170-057 ZONING FR10 BUILDING PERMIT OWNER SUE CORDOVA 533.3139 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 12239 ANDY MT RD OROVILLE CONTRACTOR'S NAME OWNERTELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDER'S MAIUNG ADDRESS Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER UCENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 1223 ANDY MT RD PERMIT FEE $ OROVILLE PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE SFO Duplex O Mobilehome 11 Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 1%20.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Cx Other O �^ _�—� �� Describe Work: 2 RFIIROf1M /�J PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOOV OR LESS ) 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. OWELLING OCCUP. OR ADONS. ( 8, ACC. OLDS. ) S0, 3.5C FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ I 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) ❑ 1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason WORKER'S COMPENSATION INSURANCE I 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 Certificate of Consent to Self -insure. �I I shall not employ any person in any manner so as to become subject to the Worker's t 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. NEW CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWERAPPARATUS ) 8 SINGLE OUTLET CIH. Ex. Occup. ( OUTLET OR FIXTURES ) zo@,.50 DAL. 50 Ex. Occup.FIXEDAPPWS.Ofl ( OUTLETS IRESID.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ �. Contractor 41• MECHANICAL PERMIT Filing Fee -,'20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S 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 in onsequence the granting of this permit. f p X Date %/ / y Signal a of Applicant - ❑ Owner ❑ Contractor ❑ Agent An O HA 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 $ 143.00 HAZ. D. FEE IMP F100D COF PARCEL PD D SSUE t This permit is hereby issued under the of the Butte County Code and/or Resolutions indicated above for which fees have been BY AgPT4?�9W' PERMIT EXPIRES ON lDarel applicable provisions to do work paid. Dateo- Receipt No. —17 QGG _ 77 WHITE-D.D.S.-B.00. CANARY--AASSESSOR PINK -INSPECT GOLDENROD -APPLICANT �V��"''��T SV',♦✓(��.i'y��7'�'''ir '.`. �'Y'Ptf'1Fi�+iY'��WM1"1'S'1_.„1^a%S�,�YYiC�'�Y:�'��'�({,�;+7Y�'t...r.yr..'4l\'�y�¢'r �,r.. 'COUNTYOF. BUTTE - DEPARTMENTOF DEAL ORRA�NTSERVICES - BUILDING DIVISION COUNTYCENTER DRIVE - OROVILLE 4CCA 1 95965 -T ELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER Proposed Building Use Bu nspector Date At time of permit application, I was” advised the following data must be submitted prior to permit processing and/or issuance: r 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 . ....................... *E gineered truss details and layout in duplicate (required prior to plan,check).a 4d bilehome d d manufacturer's installation instructions, 2 sets. es of $ ..........................:. pact fees as shown on attached schedule. ..:. . 12. California Department of Forestry plan approval/fees. ............ ........... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 1.14. 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). .. Preansing lns eduoLrs � 20. Pre -inspection for required. .. to Building �naPedor (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. Certificate of Workmans Compensation Insurance. .......... Owner -Builder Verification (Given to owner , Mail to owner i. ........... 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 . ......................................... Mobilehome utility clearance ........................................... t' , _ 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 checklist ...................................................... '•_ 33 34. a When you issue the permit, process as follows:M I o caner. Mail to contractor. Telephone •,fes - 7,3)1 and hold for pickup at r office. Deliver with inspector. Other lon Parcel Creation _ Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. V 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 it 1. Index permit for above items No. 2. Additional items required: ecked above). 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 J COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 -COUNTY CENTER DRIVE, OROVILLE CA 95965 - TELEPHONE (916)K538-7541 PROPOSED BUILDING, USE ]� / SCHOOL DISTRICT FEES (J (paid at District Office) ......................... SHERIFF FEES (paid at Building Department) Residential......�x 0 =$ -36 unit amt. Commercial (sgft) x =$ Aa- sq.ft. amt 3. URBAN AREA FEES (paid at Building Department) Residential (per unit) x =$ #-u-nits amt. Commercial (per sq.ft) x =$ sq.ft. amt. 4. RECREATION.DISTRICT FEES `(paid at District Office)...... ................. 5. D INAGE DISTRICT FEES Contact Land'Development Division) .............. 6. SRA FIRE INSPECTION AND PLAN CHECK $89.00. .... (paid at Building Department) 7. OTHER A. P. # J DATE REC. # DATE REC At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT N DATE 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 (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: Property Owner Tel�, ( Social Security Number Date / 7_—/ 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. AP fir` !!5'6 1 ('S % OWNER. PERMIT't % Y 3 U 7 7 MH UTIL.CLEARANCE DATE, INSPECTOR ELECTRIC GAS Support Compaction Struc. Test -Req. Service Size off" OtherPipe Load Type'_ Size —Length YES NO YES J NO I BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School_ District 0A UA/ #5 A.P. Number _6i- -176 'U S / Jurisdiction . '0 Cit} Property Owner. �(/ (i C C) (9C) Property Location/Address ) Subdivison Residential Development No. of Living MHI r -Units Commercial/Industrial, New Building Department No. County Lot No. 0 -Sq. Footage c2Z Addition (Group R) &�Footage Addition (Including Exterior =Roofed A,e ,)�u (Floor Plans reviewed by Schoi _ �'' trict Identiti fication. o 950061, 4r,"C)ool District certifies (Street dd ess) Y L-, L - pp4icant), (PhoneNumber) 1-11 7-1011F (City) (State) (Zip Code) r- k5has complied with the requirements of Resolution, N6- f � oby.payment o!5$ representing n square eet, ❑ Check here if fee received represents "Full Mitigation". District Representative ' Date Paid by Check # emarks 4Ir Bank Number Paid by Cash If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.wkl (4/94) This set of plans and spwMcatlons MUff be kept on the -job at all times and it is unlawful to r Make any changes or alt6rations on same without written permission from the DePartment of Public Works, County of :Butte. Work @! �mp MmU Be In t� i10TB: �u � ed Good practices and Accordance with FAcog� Of a Quality prescribed for the 8pecfSed use in the =,�nt%rm Buildi"g, plumbing Meohanical Dodw and the ii tUo& ]U90tricAl Code. REVIEWED By P,UTTE CO. FI11E DEPT. CALIF. DEPT . of FOR`-)TFRY 0 approved a submitted 4r,pr°Ved With ; conditions pQr attar i eco s`�`��'y►.S !! , Dale Si�:�ut�re or e �gked �- '°� ALL STRUCTURES AND EQUIPMENT INCLUDING OVERHANGS SHALL BE CLEAR OF ALL EASEMENTS. A SET BACK OF 3_0 FT. FROM THE SIDE AND 3� FT. FROM THE REAR PROPERTY LINES AND � FT, FROM�THE ROAD D NTERLINE SHALL BE EQUIPMENT EXCEPT CLEAR OF STRIJC.TURES ATS FOR A 2 FT- EAvL- OvERHANG. J` r Lol A:e*l 41Y • VA eP;I_ Ale, e7c, ao th ,f)., V -.c 1.1 CDF-FIRE-SAFE-REQUIREMENT 57-r 7-.S-7 9 3 0-7 2 - PERMIT PERMIT # �dv�- SuE Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. 1272.00'Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provide for by the land owner. Driveway Standards 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other app irte-iant structures which supple- ment the roadway bed or shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing sedans and fire apparatus weighing up to 40,000 pounds. �Q 1273.03 Grade., Not to exceed 16 percent unless paved. 1273.04 Driveway Radius 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of 50- 100 feet radius; 2 feet to those from 100-200 feet. [�] 2. The length of ver_i:al curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. l 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. 1270.10 Width. All driveways shall provide a minimum 10 foot 11 traf f is lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 of :?.-. J 7 -S? AP # / �0 7 z PERMIT # NAME ] 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. [�] 1273.10 Turnaround. A turnaround shall be provided at all building sites on driveways over 300 feet in length and shall be within 50 feet of the building. 1273.11 Gates [�Q 1. Gate entrances shall be at least two feet wider than the roadway it serves. 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop -without obstructing traffic on that roadway. [ ] 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be -used. Fuel Modification 1276.01 Setback for Structure Defensible Space. (x] 1. All parcels 1 acre and larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from 413 property lines and/or the center of the road. [ ] 2. For parcels less than l acre, local jurisdiction shall provide for the same practical effect. See Other Requirements below. �-] 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction. and fuel modification shall be completed prior to completion of road construction ,r fi.ral inspection of a building permit. Page 2 of 3 r ti AP # PERMIT # Other Requirements [ ] If Building Setback is 15 to 30 Feet: Class A or B roof - Enclosed eaves NAME [ ] If Building Setback is Less Than 15 Feet Choose any 3 of the following: - Metal or no doors on side toward property line with insuffi- cient setback - Class:A or B roof with enclosed eaves Interior automatic sprinkler system per NFPA 13D - Glass area not to exceed 10% of wall area toward property line with insufficient setback - Siding from the following list: Stucco - 3 coat Hardi-Board or Plank Masonry Masonry veneer Metal Other.Butte County Fire Department approved materials CIO", Date Signature Page 3 of 3 BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541. MOBILEHOME INSTALLATION SHEET 1. Owner's Name: 2. Installer's Name: 0,12 LG�D1�Gt_� 3. Is the site currently under permit? Yes i.n l No F (If yes, furnish permit number No " S0 / � ) OR Is the site an existing site? . Yes F-1 No ;R] (If yes, furnish two plot plans.) 4. Will the mobilehome,be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes � No (If no, clarify 5. What is the mobilehome electrical rating? ---------------- Amps 6. What is the mobilehome site service rating? ------------- 0 0 Amps 7. What is the mobilehome site circuit breaker rating? ----- b Amps 8. Is there any other electric load to be served by the mobilehome site service? -------------------------------- Yes No F-1 (If yes, identify the load and size: 3/:- (Load) O (Amps) 9. What is the mobilehome site gas pipe size? -------------- `3/ (in.) 0.,'- What -is the t pe . -of g4s aervice?--=-----_--- ------ Natural LPG 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------------------- U (ft.) rs o�D * 12. What is the mobilehome gas demand? ---------------------- (BTU) *(This information not required if pipe length less than 6 ft. on natural gas or less..than 50 ft. on LPG.) �U� t E COUNne NEXT PAGE MUST BE COLLETED TO PROCESS PERMIT D' APPS OV E D; . MOBILEHOME SUPPORT DATA y If -o-ther- than single wide, Mobilehome Mfr. c��.P.et� I1iC7D furnish Setup Model No. Year Width (ft.) Box Length�Tagalong or Expando Size — ft. x ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). 1. Wood -pressure treated or foundation grade. Other (specify) FOOTINGS (check one)❑ SUPPORTS (check one) 1. Concrete block. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE Main Beams Line Line 1 Main Beams — - - -. T —.Tag or Triple --- — — — — — — — t . i n P 4 Line 1 Line 1 Piers: Line 1 Openings: Size -Min. ------------ k Size-Min.------------------ Spacing-Max - -----------------Spacing-Max. --------- ,_. _ _ Each Side of Openings From Ends -Max. ------- With Width Over""""-"-"- Line 2 Piers: Line 3 Piers: (Under Bearing Wall Only) Size -Min.------------ „x o„ Size=Min.------------------ IIx Spacing -Max. ------.--- ,_ _ Spacing -Max------------- From Ends -Max.------- '- ^ From Ends -Max .------------- Line 3 Roof Loads: Size -Min .------------ Location (From Front) e 4 Piers . Size -Min.-- ------ Spacing-Max.--------- From Ends -Max .------- Line 5 Roof Loads: Size -Min.------------ x "x "x " "x k "x " "x "x " Location (From Front) _ ,_ ,_ _ _ _ �_ -_ e.5 Piers:_ (Under Bearing Walls. Only). . Size -Min .------------------ Spacing -Max.--------------- From Enda-Max.------------- 0 wCOUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION .� 7 County Center Drive • Orovillel California 95965 • Telephone (530) 538-7541 PERMIT No. _t tir.lb'A6) APPLICATION AND PERMIT - L`/ AMC a O soi i)' BUILDINGPERMOS�� IT ` t CJS 4 IIJ � £ 0 !a —1 5'a 3 °3 ? SO. FT. OCC. BUILDING YA UATION oa�e ✓1/Q j case we muma F U[MOrs NNIla eooira i A1lcW= ail D m ell ' M1cwmcr OR 040010911 1MIM MMIeN su"M Vown LOT NO. suaONe1MN'I k4me ►AAC[l ww USEOFSTRUCTURE SF O Duplex O� Moblehome O Other ePccsv TYPE OF WORK New O Addition O Remodel Ott Utilities O 'Installation O Other O Describe Work: C_ D t V, QQ . G Y=l PC; -- RECEIPT # Z3n PERMIT FEE S SRA $ r r r 3 Iva q"" °� TOTAL $ Total Valuation I: Flina Fee r SHR - S 20.00 CSA 87 S S CUA $ o`? Sdo TUA S REC S 1 a�- C��J OTHER:. i r r r 3 Iva q"" °� TOTAL $ Total Valuation I: Flina Fee S 20.00 Permit Fee S o`? Sdo Plan Checking Fee i 3 Energy Plan Checking Fee i i PERMIT FEE _ 75 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 020.00 _ PERMIT FEE _ ELECTRICAL PERMIT Main Service O00v on IPss 10M Oil 1E99 Main Service 2— To lowA .50 20.00 Ex. Occup. OUTUET OR fOnuRFS eni 3 ':w ExOccup. a°ESa s.00vs ro. Temporary Service 23.00 Mobile Home Facilities 20.00. Misc. Wirino 23.00 PERMIT FEE _ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 0.50 Ventilation PERMIT FEE S Mobile Home Installation Fee i Energy Inspection fee S occ CONST. TYPE d' TO AL FEE S wiz D. res n000 coP P.nc Po w asuc Thu permit is hereby issued under the applicable Provisions of the Butte County Code and/or Resolutions to do work Indicated above for which fees have been paid. By Date PERMIT EXPIRES ON n COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: D 1') s ASSESSOR PARCEL NUMBER: l o 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 items have been submitted .------------------------------------------------------------------------------------- Plotplans, 3/4 sets, signed by the preparer of plans. --------------------------------------------'---------------- 03. Complete plans, 3/4' sets, signed by the preparer of plans. ----------------------------------------------------- ❑4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! --------- ❑6. Energy Design Compliance and supporting documentation. ------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ------------------------------------------------ ❑ 8. Hazardous Material Form. ------------------------ =-------------------------------------------------------- ❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications ---------- 0 10. Fees of $---------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. --------------------- C31 2. -------------------- ❑12. California Department of Forestry plan approval/fees.-------------- ❑ 13. Flood elevation certificate. --------------------------------------------- ❑ 14. Sanitation and plot plan approval Health Department. ❑ 15. City of Chico plumbing permit.--------------------------------------- 1116. -------------------------------------- ❑16. Plot plan and business license approval from the City of Biggs. --------------------------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: ---------------- -- El 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------- ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). --------------------- ❑ 20. Pre -inspection for required Request to Building hispector on ❑21. Contractor's license information. (Number, Name Style, Classification). ----------------------------- 0 22. Workers' Compensation carrier and policy number. --------------------- 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). 024. Letter of signature authorization. ----------------------------------------- 025. Recorded copy of Agricultural Acknowledgment Statement. ----------- 026. Letter of intent on building use. -------------------------------------------- 027. Manufactured Home utility clearance. ------------------------------------- ❑28. Existing violations and/or expired permits. ------------------------------- 029. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ 1130. Other: When you issue eaernuit, p�` suas fQllows ❑ Mail to owner, ❑Mail con actor. _ d O elephone and hold fQy pickup at %eliver with inspector. o�l0- 030 eDepartment, ppcant: � �' I �%'L.- Date: Copy of Haz-Mat form sent ❑ Health Dep ent,❑ ire ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: (Date) "/0.w Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, 11 A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. 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 ear[iest opportunity .to avoid unnecessary delay in processing and issuing your building permit. No budding permit be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed propertyimprovement : YESf/1 NO[ ]. 2. I HAVE[ HAVE NOT[ ] signed an''applicati I , for a binding 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 followin$.peisons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WO$K SIGNED: PROPERTY OWNER: S IBER: � DATE: NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. Dear Property Owner: r An application for a building permit has been submitted in your name listing yourself as.the builder of property improvements specified. = For your protection, you should be aware that as "owner -builder" you are the responsible party of iecord on such a permit Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with_ the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any ' persons other than your immediate family, and the work-(mcluding materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you. are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. f. 0 There may be financial risks'for you if you do not carry out these obligations,Aand these risks are. especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Inteinal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific i0ormation about your y obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial f` Accidents. If the structure is intended for sale, property owners who are not licensed contractors are.allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerely, Michael C. Vieira, C.B.O. Manager, Building Inspection NOTE: This (>xner-Builder Information is required by Section 19830 of the California Health and Safety Code. M-11: I QQ� 2.27 COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION •�..r NOTICE Post this job card in a safe, conspicuous place. Do not remove until all required inspections are made and building is approved for occupancy. Plans must be available on the job site. A.P. No. 058-17-0-057. 00-1909 DEMOSS, SUSAN Owner 1.2239 ANDY MT-. , OROVILLE- — Contractor _ CONTR : OWNER COVERED DECK Permit No. — PERMITTEE MUST CALL FOR INSPECTIONS DO NOT OCCUPY UNTIL ALL THE ABOVE IS SIGNED AND THE BUILDING OR'MOBILE HOME IS APPROVED FOR OCCUPANCY s : Inf..ormatron.:::..::: 24::Hr,.:lns .........................................................................:......:.:.::...:.................:..::::::......... Oroville - 7 County Center Drive 538-7541 538-7636 Chico - 411 Main Street 891-2751 891-2834 Revised 7/94 NOTES RESIDENTIAL 058-17-0-057 00-1909 PERMIT NO. DEMOSS, SUSAN. 12239 ANDY MT., OROVILLE 'CONTR : OWNER-- COVERED WNER -COVERED DECK 11 SPECIAL CONDITIONS II SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) Signature CHECKED BY V= OK 0 = Not OK - = Not Applicable • = Not Ready MOBILE HOMES Date ' MOBILE HOME UTILITIES (Plans) OK except #'s Footings; Soils -Size -Depth -Spacing -Connectors -Steel 1. Zoning Requirements -Setbacks -Easements 4. 2. Soils; Special MH Support Sketch Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 3. Sewer; Location -Test -Fall -C/O -Concrete 7. 4. Water; Location -Test -Easement Needed (Sketch) Frmg.; Sills -Anchors- Studs- Rftrs-Trusses 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 10. 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / /"L"ft./ /'LPG Ext.; Steps -Doors -Landings 7. Well Clearance & Disconnect 10. Plumb.; Cir. Test -Water Supply Test 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type- Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 12. Permanent Foundation Only; License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 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; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills -Anchors- Studs- Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shing -Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 = OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (: Date Underfloor (Plans) OK except #'s Hangers -Post Caps -Anchors -Connectors 1. Zoning -Setbacks -Easements -Flood -Slope Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rfng. 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Fireplace Ties or Type A Flue -Fireplace Throat Clearance 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 5. Stemwalls, Main; Steel-Blockouts-Wrapped Garage Fire Protection Framing 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Property Line Firewall & Openings 6a. Hold Downs and Special Anchors Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 7. Slab, Steel -Wrapped Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 8. Piers -Fireplace Ftg.-Steel Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Siding -Nailing Veneer 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 11. Water Pipe; Test -Anchors -Regulator -Service Test Glazing Area -Glass Protection -Skylights -Plastic 12. Electric Underground Shear Walls; Nailing -Bolts 13. Plenums & Ducts; Clearance -Material -Support -Ins. Brace Interior/Exterior Wall Panels 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Insulation -Walls -Ceilings 15. Access & Ventilation Infiltration -Walls -Windows 16. Insulation Date Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Ext. Steps -Door & Sidelight Protection -Landings 17. Water Htr.; Vent -Access -Combustion Air Baffle Smoke Detector 18. Water Pipe; Test & Anchor -Nail Protection Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection Bedroom Exiting 20. Shower Pan; Test, First Floor -Tub Access G.F.I. & Bath Fixtures & Tub Access -Spa 21. Test Tub & Shower, Second Floor -Tub Access Elec. Trim & Subpanel, Breaker Sizes & Labels 22. Gas Pipe; Sixe & Anchors Stairs & Rails 70. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Elec. Outlets & Receptacles at Kit. Counter 23. Fixture & Transformer Clearance -Ins. Protection Garage Fire Door; Swing -Landing -Closure 24. Elec. Receptacles Spacing -Lights & Switches at Doors A.C. Duct in Garage -Damper 25. Size Boxes & No. of Conductors Stapled Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 26. Romex Installed Close to Edge of Studs & C.J. Plb., Elec. & Mech. Equip. Listed for Location 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Elec. Receptacles in Garage (F.F.I.)-Romex Protection 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI Insulation -Foam -Looked in Attic 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At Guard Rails & Deck Construction -Post Caps 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or AI Insulated Neutral O Yes O No Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 31. Service -Riser Conductors & Ground Main Disconnect Clearance Looked under Floor ❑ Yes 32. Equip. Clearances Panels-Motors-Mech. Equip. Following Instld./Drive:1 Yes ] NoMalks' Yes :) No/Planters D Yes ] No 33. Clothes Closet Light -Shower Light -Spa Light Stucco Brown -Finish 34. Smoke Detector A.C. Unit Disconnect, Electrical -Plumbing 85. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Ventilation Throughout House 35. A.C. Ducts Insulation & Support Glass Protection 36. Vent Fan, Exhaust above insulation Corrections from Previous Inspections 37. Condensate Drain & Overflow, Size & Grade Gas Test -Meters Tagged, Gas -Electric 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet Water & Sewer Connected -C/O to Grade -HD Approval 39. Attic Access & Platform if Furnace in Attic Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Date FRAMING (Permit) OK except #'s Comments at Final: 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Tingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 82. Following Instld./Drive:1 Yes ] NoMalks' Yes :) No/Planters D Yes ] No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted 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 (530) 538-7541 P R►W NO. (Rev. 12/96) APPLICATION AND PERMIT id -1(70/ - ASSESSO R PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION .OWNERS MAILING ADDRESS CONTRACTORS NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ LAT NO. SUBDN610NS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 1 @20.00 I d I I PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service noon R LEss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter (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: �C. I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP, ORw c NS. ( ACC. 3.3.50,'.'9 F M NON-RESID. U 97.50 POWER APPARATUS 8 SINGLE OUTLi�' CIR. EL, OCCU OUTLET OR FIXTURES 00 �0 Q'. 0 Ex. Occup. OFIx�e Ra.) EEn 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall fo th c ply with those provisions. /�j X 11 !_ Date �Qy(� _ Signa ure of Applicant -J4 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 $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE It FEES IMP FLOOD CDF PARCEL pD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON ate Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT '^?V;q�'. ,"h�?i�R:il�z.t+i'tsx g °' '"1+�,Y�«�n++t►�+'Y.*�%. 5�n=�'►�•+^w,�' r3 Il COUNTY OF BUTTE -DEPARTMENT .'OF DEVELOPMENT'SERVICES - BUILDING DIVISION 7 County Center Drive Or:oville, California 95965' • Telephone (530) 538-7541 P RNo. (Rev. 12/96) APPLICATION ANDPERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS - 1 CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS - CONSTRUCTION LENDER LENDER'S MAILING ADDRESS !w Fireplace Total Valuation $ ARCHITECT OR ENGINEER - LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS Energy Plan Checking Fee $ _ $ PERMIT FEE S LOT NO. SUBDNISIOWS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ - Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping ,.15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: ` Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service loon oA LEss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. .. License Class Lic. No. OWNER -BUILDER DECLARATION .xFILED 1 hereby affirm under penalty of perjury that I am exempt from the,IContractors License Law for the following reason: 'Ok I, as owner of the property, or my employees with wages as their sole compensation, Will do the work, and the structure is not intended or offered for sale: ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO t000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 ACC. BLDS. s0 3,50FT. =RES'.. MULTI.OUTLETCU. @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. ' ounFr OR FIXTURES Ex. Occup.&LL 20 @ 100 o .50 APPWS. OR Ex. Occup. O.RESID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ . WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensatilon, as provided for by section 3700 of the Labor Code, for the performance of the.work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number L (The above sections need not be completed if the permit is for work of a valuation Vof 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 fort with c mply with those provisions. /y� Date Signaure 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. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEU= $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ HAZ. D. FEES IMP FLOOD COP PARCEL Pii HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON Date ReceiptNo. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT "' A y: ASSESSOR PARCEL NUMBER ZONING ' 4 BUILDING PERMIT OWNER r-� TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER r Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER - LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ' ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDINGADDRESS Energy Plan Checking Fee $ $ PERMIT FEE S LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater '23.00 Water piping 15.00 Each as water heater or vent 15.00, TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Unities ❑ Installation ❑ Other ❑ Describe Work: Gas piping i;ystern t - 5 outlets .15.00 Building sewer 15.00 Mobile Home I S I G W @20.00 PERMIT FEE S I ELECTRICAL PERMIT Fling Fee 20.00 600V OR LESS Main Service 20 AOR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.P License Class Lic. No. I;r OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the,Contractors License Law for the following reason: 'Ut. 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. ❑ I have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) X;7-1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. 77 { X �' ;..1,/ _ Date c+ % �) ..�!� _ Signature of Applicant Owner ❑ Contractor ❑ Agent "An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( s ACC. BIT 3.5$FT. ,.,DµR61DT MULTI.OUTLET @7,50 OWER APPARATUS 3 SINGLE OUTLET CIR. 00 Ex. Occup. OUTLET OR FIXTURES BAS @ .50 Ex. Occup. DFuTTEF°Ts PES16 °EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ HOZ. D. FEES IMP FLO7 CDF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date (Date) rReceipt No. WHITE-D.D.S.-B. D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT . .+- mss^roti.r../'+.."`�+aTRNta.!"r}r..Y�eia:T:v+t,►ti.�eVv'r..+,�.�..Y-•-- . COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) ` APPLICATION AND PERMIT' ASSESSOR PARCEL NUMBER ZONING .-..-� BUILDING PERMIT OWNER ?�. i t TELEPHONE SO. FT. OCC. BUILDING VALUATION .OWNERS MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE .• �«.v CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER , Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER \ LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS - \ \\ Plan Checking Fee $ BUILDINGADDRESS ! Energy Plan Checking Fee $ $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Feel 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other 0 Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service p A 0.R LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class + Lic. NO. �L OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: `0& I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service TO I 46.00 WEE200A NEW CONST. DWELLING OCCUP. U OR ADDNS. ( & ACC. BLDS. SO 3.50Fr. LLO"�..ESIDT ANCHOUTLET @7,50 POWER APPARATUS 8 BINDLE Olt U CIR. EX. OCCU OUTLET OR FIXTURES BAL p L. 0 FIXED APPLNS. OR Ex. Occup. OUTLETS RESID, E0. 5.00 Temporary Service 1 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 / PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensa?On, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation J. of one hundred dollars ($100) or less.) 1pw not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that rf I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. } rl w X-.-: "L 1141 f " fcr i ce..._ Date t. ° 1 ••tet ;Signature of Applicant - <p Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction ,,,of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE EE $ HAz. D FEEs IMP FLOOD I CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON ate ReceiptNo. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 11 I -J a U "kA a I 1-i `Z- he- PIZ 4 Aftft u I 7) e Z'S. � -..; a 4r, 4-1 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES, BUILDING DIVISION 7 County Center Drive, Oroville CA 95965 Phone: 916-538-7541 RE: PERMIT FOR COVERED DECK A.P. # 058-170-057 With reference to the above subject: Attached is: Application for permit Building Plans Engineered Calculations Owner -Builder Verification Fm DATE SEPT 1, 2000 Mobilehome Utilities Installation Sheet Mobilehome Installation Information Sheet Typical Plan Sheet.' List of Codes Enforced We need the following information prior to permit processing and/or issuance: Permit application signed and completed where indicated with all copies returned. XXXPlot 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. Mobilehome data and manufacturer's installation instructions, 2 sets. Fees of $ , payable to Butte County Treasurer. Impact fees paid. California Department of Forestry plan approval/fees. F.E.M.A. National Flood Insurance Program Elevation Certificate prepared by a licensed land surveyor, architect or 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 Land Development (a) Improvements (b) Drainage. Driveway permit (approval of construction required prior to occupancy). Contractor's license information (No. Name Style, Class) or exemption statement. Owner -Builder Verification Form. 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 So* subdivision developed or (a) Road improvements completed and (b) Parcel meets zoning area and frontage requirements. Existing violations/expired permits resolved. Plan check list data and revisions. sets of plans in accordance with changes marked in red. Copy of recorded 60' right of way to a public road Other Should youhave any questions concerning the above, please contact TOM COLEMAN of this office. +Maner y t , . Vieira, C.B.O. MCV:ahb uilding Inspection !1, SEE DETAIL CHASSIS �' DETAIL��A TYPE QTIEDOWN / TYPE OS — CHASSIS SIDE TIEDOWN #614 STL. STRAP SEE DETAIL «A„ TYPE QTIEDOWN TIE DOWN ANCHOR #606 STL. (TYP) STRAP SIDE VIEW END VIEW DETAIL B" SEE DETAIL C (TYPICAL) i TYPE Q END TIEDOWN ill a K.. SPLIT BOL s NUT GROUND UNE — DETAICC', (TYPICAL) NOTE: VERTICAL OR ANGULAR INSTALLATION IS OPTIONAL CONTRACTORS WARNING: 1. CHECK FIRST FOR UNDERGROUND UTILITIES. 2. INSTALL ANCHORS INTO SOIL APPLYING CONSTANT DOWNWARD PRESSURE TO MINIMIZE SOIL DISTURBANCE, UNTIL HEAD IS FLUSH WITH STABILIZER PLATE. ANCHORS SHOULD BE INSTALLED BELOW FROST LINE. 3. ATTACH STRAPS TO CHASSIS BEAM IN MANNER SHOWN. 4. INSERT STRAP THROUGH SPLIT BOLT. CUT OFF EXCESS STRAP AND THEN TIGHTEN BOLT UNTIL STRAP IS SNUG. 5. ABESCO NAME IS STAMPED IN ANCHOR HEAD. Cq PLACE STABILIZER PLATE NEXT TO SHAFT BETWEEN ANCHOR AND CHASSIS BEAM, AND DRIVE INTO GROUND. - CONTRACTORS VERIFICATION - 0 FINISH... TURNING ANCHOR INTO THE GROUND UNTIL ANCHOR HEAD IS FLUSH WITH STABILIZER PLATE. THIS PROVIDES SECURE PROTECTION AGAINST LATERAL MOVEMENT.' 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 NAM E:�17%—�i ---- CONTRACTORS LIC.#_____ '_____----_ GATE: /�'_ %J (07'1 0�,�'1t i� SIGNATURE:-- 0'�------ n ABESCO' ENGINEERED TIE -DOWNS MANUFACTURED HOME AND COMMERCIAL COACH TIEDOWN CALCULATIONS AND SCHEDULES FOR SINGLE/DOUBLE/TRIPLE AND QUAD-WIDES GENERAL NOTES 1. DESIGN LOADS: * WIND--- 85 MPH EXPOSURE "C' *SEISMIC — ZONE 4 �E SOIL --- 1,000 LBS. PSF LOAD BEARING ABESCO EARTH ANCHORS #601 OR #602 MAY BE USED FOR BOTH SIDE AND END TIEDOWNS. 2. ANCHOR DESIGN PULLOUT: * 4,750 LBS.—MINIMUM TOTAL LOAD CAPACITY (TESTED 7,000 LBS.) * 3,150 LBS.—WORK!NG LOAD CAPACITY (1.5 SAFETY FACTOR) TIEDOWN STRAPS ARE TO BE ABESCO'S STEEL STRAPS #606 AND ,#614. THESE STRAPS MEETS FEDERAL SPECIFICATION QQ—S-781 H FOR TYPE 1, CLASS 8, GRADE 1 STRAPPING AND BE AT LEAST 1 1 /4" x .035 ZINC PLATED. 3. STRAP DESIGN TENSION: * 4,750 LBS.—MINIMUM TOTAL LOAD CAPACITY (TESTED 5,900 .LBS.) * 3,150 LBS.—WORKING LOAD CAPACITY (1.5 SAFETY FACTOR) SIDE TIEDOWNS ARE LOCATED ALONG THE OUTSIDE CHASSIS BEAMS. PLACE AN ABESCO EARTH ANCHOR AT 2' IN FROM EACH END OF EACH OUTSIDE CHASSIS BEAM. DISTRIBUTE THE REMAINING TIEDOWNS EVENLY ALONG THE CHASSIS BEAMS. 4. END TIEDOWNS ARE LOCATED AT BOTH ENDS OF EACH UNIT(S). THEY ARE TO BE PLACED AT EACH END OF CHASSIS BEAMS, OF EACH TRANSPORTABLE SECTION OF THE BUILDING. 5. THE NUMBER OF TIEDOWNS REQUIRED ON EACH SIDE/END OF UNIT(S) ARE BASED ON THE LATERAL LOADS DUE TO 85 MPH WIND EXPOSURE "C" OR SEISMIC ZONE 4 --WHICHEVER IS GREATER. ABESCO INC. 5851 FLORIN—PERKINS RD. 'SACRAMENTO. CA. 95828 (916) 383-8831 (800) 382-8831 - FAX (916) 383-5207 ul M), ITS dIJtLDi PkR�'MI� Alf89M"D Y SEE DETAIL"B"CHASSIS �� r DETAIL"A TYPE QTIEDOWNq %- TYPE QS — CHASSIS SIDE TIEDOWN #614 STL. STRAP SEE DETAIL "A" TYPE Q TIEDOWN TIE DOWN X606 STL. JIr ANCHOR STRAP (TYP) Vv SIDE VIEW END VIEW DETAIL B" SEE DETAIL C (TYPICAL) TYPE Q END TIEDOWN CONTRACTORS WARNING: 1. CHECK FIRST FOR UNDERGROUND UTILITIES. SPUT BOLT s NUT GROUND UNE —� D ETAI CC" (TYPICAL) NOTE: VERTICAL OR ANGULAR INSTALLATION IS OPTIONAL 2. INSTALL ANCHORS INTO SOIL APPLYING CONSTANT DOWNWARD PRESSURE TO MINIMIZE SOIL DISTURBANCE. UNTIL HEAD IS FLUSH WITH STABILIZER PLATE. ANCHORS SHOULD BE INSTALLED BELOW FROST LINE. 3. ATTACH STRAPS TO CHASSIS BEAM IN MANNER SHOWN. 4. INSERT STRAP THROUGH SPLIT BOLT. CUT OFF EXCESS STRAP AND THEN TIGHTEN BOLT UNTIL STRAP IS SNUG. 5. ABESCO NAME IS STAMPED IN ANCHOR HEAD. PLACE STABILIZER PLATE NEXT TO SHAFT BETWEEN <. ANCHOR AND CHASSIS `= BEAM, AND DRIVE INTO GROUND. - CONTRACTORS VERIFICATION - Im FINISH TURNING ANCHOR INTO THE GROUND UNTIL ANCHOR HEAD IS FLUSH WITH STABILIZER PLATE. THIS PROVIDES SECURE PROTECTION AGAINST LATERAL MOVEMENT. 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: DATE: -_--------- CONTRACTORS LIC.# SIGNATURE: ,\ ABES,C0 ENGINEERED TIE -DOWNS MANUFACTURED HOME AND COMMERCIAL COACH TIEDOWN CALCULATIONS AND SCHEDULES FOR SINGLE/DOUBLE/TRIPLE AND QUAD-WIDES GENERAL NOTES 1. DESIGN LOADS: * WIND--- 85 MPH EXPOSURE "C" *SEISMIC - ZONE 4 * SOIL --- 1,000 LBS. PSF LOAD BEARING ABESCO EARTH ANCHORS #601 OR #602 .MAY BE USED FOR BOTH SIDE AND END TIEDOWNS. 2. ANCHOR DESIGN PULLOUT: * 4,750 LBS. -MINIMUM TOTAL LOAD CAPACITY (TESTED 7,000 LBS.) * 3,150 LBS. -WORKING LOAD CAPACITY (1.5 SAFETY FACTOR) TIEDOWN STRAPS ARE TO BE ABESCO'S STEEL STRAPS #606 AND #614. THESE STRAPS MEETS FEDERAL SPECIFICATION 00-S-781 H FOR TYPE 1, CLASS B, GRADE 1 STRAPPING AND BE AT LEAST 1 1/4" x .035 ZINC PLATED. 3. STRAP _DESIGN TENSION: * 4,750 LBS. -MINIMUM TOTAL LOAD CAPACITY (TESTED 5,900 LBS.) 9E 3,150 LBS. -WORKING LOAD CAPACITY (1.5 SAFETY FACTOR) SIDE TIEDOWNS ARE LOCATED ALONG THE OUTSIDE CHASSIS BEAMS. PLACE AN ABESCO EARTH ANCHOR AT 2' IN FROM EACH END OF EACH OUTSIDE CHASSIS BEAM. DISTRIBUTE THE REMAINING TIEDOWNS EVENLY ALONG THE CHASSIS BEAMS. 4. END TIEDOWNS ARE LOCATED AT BOTH ENDS OF EACH UNIT(S). THEY ARE TO BE PLACED AT EACH END OF CHASSIS BEAMS, OF EACH TRANSPORTABLE SECTION OF THE BUILDING. 5. THE NUMBER OF TIEDOWNS REQUIRED ON EACH • SIDE/END OF UNITS) ARE BASED ON THE LATERAL LOADS DUE TO 85 MPH WIND EXPOSURE "C' OR SEISMIC ZONE 4 --WHICHEVER IS GREATER. N ABESCO INC. 5851 FLORIN-PERKINS RD. SACRAMENTO, CA. 95828 (916) 383-8831 (800) 382-8831 FAX (916) 383-5207 bUlTfe COUNTY MA DING Dr=PARTMEN APPROVEr SEE DETAIL 'B' - TYPEEQTIEDOWN #614 STL. STRAP -- CHASSIS CHASSIS SEE DETAIL TYPE DTIEDOWN DETAILA TYPE SO SIDE TIEDOWN SIDE VIEW END VIEW DETAIL `B" TYPE Q END TIEDOWN SPLIT BOLT \\ ' 3 NUT CONTRACTORS WARNING: 1. CHECK FIRST FOR UNDERGROUND UTILITIES. 2. INSTALL ANCHORS INTO SOIL APPLYING CONSTANT DOWNWARD PRESSURE TO MINIMIZE SOIL DISTURBANCE, UNTIL HEAD IS FLUSH WITH STABILIZER PLATE. ANCHORS SHOULD BE INSTALLED BELOW FROST LINE. 3. ATTACH STRAPS TO CHASSIS BEAM IN MANNER SHOWN. 4. INSERT STRAP THROUGH SPLIT BOLT. CUT OFF EXCESS STRAP AND THEN TIGHTEN BOLT UNTIL STRAP IS SNUG. 5. ABESCO NAME IS STAMPED IN ANCHOR HEAD. f / 0 '2 z PLACE STABILIZER PLATE NEXT TO SHAFT BETWEEN ANCHOR AND CHASSIS BEAM, AND DRIVE INTO GROUND. O FINISH TURNING ANCHOR INTO THE GROUND UNTIL ANCHOR HEAD IS FLUSH WITH STABILIZER PLATE. THIS PROVIDES SECURE PROTECTION AGAINST LATERAL MOVEMENT. -- — -- -- -- -- -- -- -- -- -- -- -- - 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: CONTRACTORS LIC.#--________ DATE:__---______ SIGNATURE: I q ABE-SCO ENGINEERED TIE -DOWNS MANUFACTURED HOME AND COMMERCIAL COACH TIEDOWN CALCULATIONS AND SCHEDULES FOR SINGLE/DOUBLE/TRIPLE AND QUAD-WIDES GENERAL NOTES 1. DESIGN LOADS: -16 WIND--- 85 MPH EXPOSURE "C" * SEISMIC — ZONE 4 -36 SOIL --- 1,000 LBS. PSF LOAD BEARING ABESCO EARTH ANCHORS #601 OR #602 MAY BE USED FOR BOTH SIDE AND END TIEDOWNS. 2. ANCHOR DESIGN PULLOUT: * 4,750 LBS. -MINIMUM TOTAL LOAD CAPACITY (TESTED 7,000 LBS.) * 3,150 LBS. -WORKING LOAD CAPACITY (1.5 SAFETY FACTOR) TIEDOWN STRAPS ARE TO BE ABESCO'S STEEL STRAPS #606 AND #614. THESE STRAPS MEETS FEDERAL SPECIFICATION 00—S-781 H FOR TYPE 1, CLASS B, GRADE 1 STRAPPING AND BE AT LEAST 1 1/4" x .035 ZINC PLATED. ( 3. STRAP DESIGN TENSION: * 4,750 LBS. -MINIMUM TOTAL LOAD CAPACITY (TESTED 5,900 LBS.) * 3,150' LBS. -WORKING LOAD CAPACITY (1.5 SAFETY FACTOR) SIDE TIEDOWNS ARE LOCATED ALONG THE OUTSIDE CHASSIS BEAMS. PLACE AN ABESCO EARTH ANCHOR AT 2' IN FROM EACH END OF EACH OUTSIDE CHASSIS BEAM. DISTRIBUTE THE REMAINING TIEDOWNS EVENLY ALONG THE CHASSIS BEAMS. 4. END TIEDOWNS ARE LOCATED AT BOTH ENDS OF EACH UNIT(S). THEY ARE TO 'BE PLACED AT EACH END OF CHASSIS BEAMS, OF EACH TRANSPORTABLE SECTION OF THE BUILDING. 5. THE NUMBER OF TIEDOWNS REQUIRED ON EACH SIDE/END OF UNIT(S) ARE BASED ON THE LATERAL LOADS DUE TO 85 MPH WIND EXPOSURE "C OR SEISMIC ZONE 4=—WHICHEVER IS GREATER. PACIFIC CONSULTING ENGINEERS 4020 EL CAMINO AVE. 'SAC. CA. 95821 PH: 916-482-7378 ABESCO INC. 5851 FLORIN-PERKINS RD. SACRAMENTO. CA. 95828 (916) 383-8831 (800) 382-8831 FAX (916) 383-5207 est e 1 . i MllETN�N A nT � C :• TYPE Q SEE CHART \ `TYPE OE SEE CHART 12'1 ENLY (SPACED 2' r EVLENGTH VARIES T� SINGLE WIDE TY E U SEE CHART TY SE � C 4r, 2''T1_EVENLY SPACED IEVENLY SPACED I EVENLY SPACEOI.2'� 1 LENGTH VARIEt DOUBLE WIDE L2'1 EVENLYISPACED I VARENCED EVLYISPA12'l LENGTH IES TRIPLE WIDE 2'1 EVENLYISPACEDL EVENLY SPACED 2' LENGTH VARIES QUAD -WIDE PEO EE HART WIND= 85 m.p.h. Exp. "C SEISMIC= ZONE 4 REQUIRED NUMBER OF TIEDOWNS FOR EACH SIDE AND EACH END LENGTH OF UNITI 20' 30' 1 40' 50' 1 56' If60'' , 62' 66' 70' TIEDOWN LOCATIONS E S E S E S E S E .S E 'S E S E S E (TOTAL TIEDOWNSI 12 1 12 1 14 1 16 1 18 1' . 18 'I', 20 1 20 1 20 1 WIND= 85 m.p.h. Exp. "C' SEISMIC= ZONE 4 WIND= 85 m.p.h. Exp. "C' EE OE SEISMIC= ZONE 4 IART 'PE QE X iART (SINGLE WIDE UNITI 41 6 1 41 6 1 51 6 1 61 6 1 71 6 1 71 6 1 81 6 1 8 16 1 81 6 1 TOTAL TIEDOWNSI 20 1 20 1 22 1 24 1 26 1 26 1 28 1 28 1 28 WIND= 85 m.p.h. Exp. "C" SEISMIC= ZONE 4 .n ABESCO, TIEGOWNS w I a #601 30" #606 7' STL. #614 7' STL. #406 BOLT- T.D.A. STRAP W/BUC STRAP W/HOLE ON TOP #608 SPLIT #616 STABILIZER #602 48" T.D.A. BOLT & NUT PLATE ENGINEERING CALCULATIONS 85 MPH WIND EXP "C' 85 MPH WIND EXP "C" Vs SEISMIC ZONE 4 LENGTH LAT=(1.06)(1.3)(17)(1)=25.6 PSF 333 PLF=0.186 32.5)( WOR )+160] WLAT=(25.6 PSF)(13')=333 PLF �o1, 50.8'-0 51' WIDTH SEISMIC ZONE 4 V=0.186(DL) LENGTH V=0.186 [(10 PSF)( WIDTH +10 PSF)(WOTH")+(2 WALLS)(8')(10 PSF( WIND= 85 MPH EXP "C" AND SEISMIC ZONE 4 WIDTH LENGTH TLOADRANS/LONG TOTAL OTRANS) 0 TOTAL LONG)LOAD TTYPE T.D. /NOPE T.D. SINGLE WIDE TO 14' 40 FT. 333/333 13,320 LBS. 4,662 LBS. 5 2 50 FT. 333/333 16,650 LBS. 4,662 LBS. 6 2 60 FT. 333/392 19,980 LBS. 5,488 LBS. 7 2 70 FT. 333/453 23,310 LBS. 6,342 LBS. 8 2 DOUBLE WIDE TO 28' 40 FT. 333/333 13,320 LBS. 9,324 LBS. 5 4 50 FT. 333/333 16,650 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 4 TRIPLE WIDE TO 42' 40 FT. 333/333 13,320 LBS. 13,986 LBS. 5 6 50 FT. 333/333 16,650 LBS. 13,986 LBS. 6 6 60 FT. 333/392 19,980 LBS. 16,464 LBS. 7 6 70 FT. 333/453 23,310 LBS. 19,026 LBS. 8 6 QUAD 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. 333/392 19,980 LBS. 19,600 LBS. 7 8 70 FT. 333/453 23,310 LBS. 22,650 LBS. 8 8 PITTSBURGE TESTING LABORATORY RESULTS TEST ##1: Pull Out Test in SANDY SOIL, A3, having a Density of -124.90 lbs./cu.ft. RESULTS: Actual Pull Out=7,000 lbs. Average Deflection measured in inches=1.448 TEST #2: Pull Out Test in ROCKY SOIL. Al, having a Density of -133.65 lbs./cu.ft. RESULTS: Actual Pull Out=7,000 lbs. Average Deflection measured in inches= .771 TEST #3: Pull Out Test in ADOBE SOIL, A6, having a Density of- 87.23 lbs./cu.ft. RESULTS: Actual Pull Out=7,000 lbs. Average Deflection measured in inches= .624