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061-350-025
92-i921 P,E 1.61-35-25 VIVA WEED, Berry Cr 10 Grieen Cedar Way, T, Marcella eek mh'util ities I ELEC SO GAS COMPACTION TES'i SjjpPORT'STRUCT REQ 92-1922MHI 1-35-25 WEED, Marcella 10 Green Cedar Way, 'Berry Creek mhi 061-350-0250225-, WEED- '-Marcella*-;' 10 ,Greim' Ced'air'rWay,': &-n!ry Cree/�` Ah' Cail Cont'. JMHI Ix 'Site . — . 1.1sr I S t 3 t1� • JOB FINALED (Date) - a k Yrs .Signature V=OK 0 = Not OK =Not Applicable " = Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Card B-1 1. Zoning Requirements - Setbacks - Easements Card B-1 2. Soils; Special MH Support Sketch Card B-1 3. Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water, Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg: Rfg.-Bracing 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap; / /'Uft. / /Nat. or/ /"L 1t./ /LPG 6. Carports; Windows -Doors 7. Well Clearance & Disconnect 7. Electric 8. Utility Clearance 8. Frmg.; Sils-Anchors-Studs-Rftrs-Trusses Date Card B-1 Date Card B-1 Date Cana B-1 Date Card B-1 Date MOBILE HOME INSTALLATION Plans OK except #'s 1. ning Requirements- Setbacks Easements tings; Size -Spacing -Marriage Line as; MH Test -Demand -Valve -Connector 00'4. EWCGcitv; MH Test -Crossovers -Breakers -Clearances p5. Dom; MH Test -Fall -Flex Connector -7. Y3ter and Sewer Connected -C/O to Grade -HD Approval nstallation Cert. Kits; Insp.-Sketch Cert of Occupancy Dater Card B- Date Card B-1 Date Card B-1 Date Card B-1 i A MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils-Size-DepthSpacing-Connectors-Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg: Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining i 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ry J=OK O = Not OK = Not Applicable ' RESIDENTIAL FSing[e = Not Ready Date UNDERFLOOR (Plans) OK except k's 1. Zoning -Setbacks -Easements -Flood -Slope & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main: 'Soils-Elec. Grnd.-/ /" Ftg. Depth ---------- 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -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 n'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 rr's 22. Fixture & Transformer Clearance -Ins. Protection ----------------------------------------------------------------- 23. -------------------`-------------------------------- 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 wrMech. Fastners-Bond Gas & Water ----------------------------------- -------- -------- ------ -- - ------- - - - --- 27. 2 Appliance Circuts in Kitchen & Conductor S ze,GFI - ---------------------------------- -----........... .. 28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size ga. Cu or At -------- - --- - - 29. Range Circ r ' ga. Cu or AI -Oven Circ. ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No -------------------------------------------- ....-----_..._. .. 30. Service -Riser -Conductors & Ground -Main Disconnect . ---------- ---- --........ - ....... . 31. Equip Clearances Panels-Motors-Mech. Equip. --- - -- ....----------------- . -. . ....... ....... .. 32. Clothes Closet Light -Shower Light -Spa Light -------------------------------- ...-_---- 33. Smoke Detector ---- -- - - -- --- -- . --- .. .. ........ ............... .. Date Card B-1 Date Card B-1 ---------------------- ................ ------ - -----..... ......... ... ... .. Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except a's 34. A.C. Ducts Insulation & Support ---------------------- --- ---------- - --......---- ........... ... ... . 35. Vent Fan: Exhaust above insulation ----------------------------- ......... - ..._... .... ... ... ... .. 36. Condensate Dram & 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 ------------- I ....... ....... ............. ..... _.. . Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except 4's 39. Sils. Proper Material & Anchors .. ... __. ... ... ... ..I ......... ... ... ... ... .. 40. W .......... ....................... ..... ... 41. Bearing Walls over Girders & Floor Nailing ._...._. ....................................... ... .. .- 42. Draft Stop to Walls (rat proof) ... ---- ....... ....... ._.._._... .1 ......... ......... 43. Fire Stops: Furred Ceilings-Staus-Chases-Tub ............. ..... .. .......... .. ... .. 44. Headers & Beam -Size & Bearing 46. Cing. Joist-Rftr. ties -Purl in -roof Brac-Truss-Shthng.-R 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. Insu lation-Walls-Cei li nos ------------------- 60. Infiltration -Walls -Windows ------------ -----...-------------------------------- -- Date Card B-1 Date' Card B-1 ---------------- ---------------------- Date Card B-1 Date Card B-1 - Date FINAL (Plans) OK except a's 61. Ext. Steps -Door & Sidelight Protection -Landings --------- -------------------- 62. Smoke Detector 63. Furnace Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meth. Protection ------------------------------ 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel: Breaker Sizes & Labels ............. ---------------------------- 67. Stags & 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 & Receptacles at Kit. Counter . _ . - - - ----- -- ------------------------ 72. Garage Fire Door: Swing -Landing -Closer 73. A.C. Duct in Garage -Damper ...........--------------------------------- ----- 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor -Meth. Protection ..... ------------------------------------------ ---- 75. Plb.. Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection --- --------------------- ------------------------------- 7,. Insulation -Foam -Looked in Attic ❑ Yes ------------------------------------------- ---- 78. Guard Rails & Deck Construction -Post Caps -----------...----------------------------------- -- 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes --------------- -- iso. Following instld.i, Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No: Planters ❑ Yes ❑ No -------------------- 81. Stucco: Brown -Finish - - - - - _ --- - - -_ - - - -- - - ------------------ 82 -----------------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 Glass Protection 88. Corrections from Previous Inspections 89 Gas Test -Meters Tagged: Gas -Electric . . .. . . ..... . ........ _ ..-------------------------------------- 90. Water & Sewer Connected-CrO to Grade -HD Approval ------------------------------- 91. Energy Compliance Certificate -Other Certificates . . ..... ..... - ............. ---- -- - -------------------- Date Card B-1 Date Card B-1 -------------------------------------------- Date - - - - - - -- --- -- -- ------------------ - ------------ Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments. at Final: ''t�ir�� ;�'"t •-s,,*;"t.f-y'tri'• `��+%�"y'�`��'�`,� ra;��,'�: �r�^!^' ;` ���+� t��*�'�i �' �.� .:'l�+rit7F:�r �`�" `/4 4 MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION ---7 COUNTY CENTER DRIVE' R OROVILLE, CA 95965 --PHONE (916) 538-7541 APN: PERMIT NO.:G (t Owner's: 4 q n 0. j Name: 1 /I t, ) 1— t.—. � `,'j Owners: R Address: (r 42a fit/ c, 4->. 0 A Mobilehome R fir! Year of Manufacturer i I r v Manufacture: Serial numbersignia &_714-E(9JHUD or, `/ { � `'i ?0 or V.I.N. ( number: i Official approving instillation: Date: tF t If the mobilehome is moved or relocated, the mobilehome installation acceptance shall become invalid. This form shall not be used when the mobilehome is installed on a foundation system. 513B White -Owner, Yellow -Installer, Pink -Bldg., Gold -Assessor r 4t` ti COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754 PERMIT NO. APPLICATION AND PERMIT �T ASSESSOR PARCEL NUMBER 61-35-025 ZONING A5 BUILDING PERMIT OWNER MARCELLA WEED TELEPHONE SQ. FT. OCC. BUILDING A UATIO OWNER'S MAILING ADDRESS 1325 IMOLA AVE WEST NAPA, 94559 CONTRACTOR'S NAME AL CARL I TtSN "0758 CONTRACTOR'S MAILING ADTUS DEER SPRINGS LN BERRY CREEK �J Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Fling Fee $ 20.00 LENDER'S MAIUNG ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ 23, 00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS - Penalty $ BUILDING ADDRESS 10 GREEN CEDAR WAY PERMITFEE $ 43.00 BERRY PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LAT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑X Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation)b Other ❑ Describe Work: REPLACE EXISTING MOBILE W/DOUBLE NIDE — MOBILE 3 BEDROOM 2 BATH 26X60 Mobile Home S G Ew7 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filing Fee =0:00 Main Service 000V OR LESS ( 2ooA OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. �P y J License Class C / % Lic. No. '7 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason:Mobile ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.SO. OR ADDNS. ( & ACC. BUDS. ) 3.50 FT. NEW CONST.MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 a4L .50 Ex. Occup. (oFIXEEDrs PLNS.JOR 5.00 Temporary Service 23.00 Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE _ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: Q I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 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 insu�nce carr er and olicy number are: Carrier ,r� / G fr a � MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number /p % ��'' / —7— (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 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. /+ Date �- - 9 e _ Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee is 100.00 Energy Inspection Fee is OccCONST. TYPE T TAL FEE $ 143.00 HAZ. rJiEryIMP I FLOOD I CDF PARCEL PD HD UE This permit is he y issued under the of the Butte County Code and/or indic ab ve fo hah fees have By PERMITEXPIRESON applicable provisions Resolutions to do work been paid. Date 9--,2,2— (Date) Receipt No. 190830 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT CERTtFtCkTE OF ANCHOR INSTALLATION Title 25 CCR Mobnehome Pints Act Section 1326 (bH3) : 1 certify those portions of the tiedown system installed below grade were not damaged prion to or as a result of the installation, were not modified prior to or -during the installation, and were installed in accordance with the manufacturers iastallatioa -instructions, plans and specifications of the engineered tiedown system referenced on this certificate. r6down' Systim.- - - Manufacturer. N 1 Model: Installed. by: L Date: �7 " Contr./Owner. zzllw4v license No.: V r TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance VI -7) Owner Location Plan Approved for: Sewage Disposal Water Supply: Public Clearance for bedroom mobile Other final K. for: ironmental Health Fl.k"N ILK, USE r Fkw Pbn Smt to B D,—/ 2 —/L7 -,-.a AP# Private Well v /3 -� Date Y�-•' � .� �.�:i.i,.. •.«-h'�( �,� •ww•� i=ce Y. t �., �,- �r�1••'.a.i'�'x"'�'r'""'NM!'.� 'rrif�-••iY!'�;�; n,.,41..* ��-'-% dry` . .. nr ,r C'♦ + . ..W 66 I + 4T •PS. ktl i1.: a -v raF I / i'7 1' 'w^r,.'f:1,+-L'f •�-7,.::'I �'1* �-i �'S� 1'i� Ali,.ti'r� .Ni r�+ti • `_ 1� YYr.�'�"`.. . Nye, a;. +i' ...rt' . .i,. COUNTYOF BUTTE - DEPARTMENTOk D�VLOPMENTSERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET R OWNER ma/C e Proposed Building Use /Vl Building Inspector Q. P. No. Z, 1 ✓dZs • Date c2 - 6 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: 1. 2. 3. DATE RECEIVED BY ti All items have been submitted . ........................................ Plot plans, 3/4 sets,tisigned a by preparer of plans . .......................... 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. 4 10. 11. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... Fees of $ .......................................... Impact fees as shown on attached schedule. Sc PPj..o.Nl.{ _ . _ ... ,�_ � 12. California Department of Forestry plan approval/fees. ....................... . 1 Flood elevation letter (100 year fl �d) by8alifornia.Engineer . ................. . Sanitation and plot plan approval �OVr `� Health Depatiment. ............ 3 94 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. -ex" 3+; •� 19. 20. 21. Contact Land Development about (A) Improvements (B) Drainage. .......... . Driveway permit (construction approval required prior to occupancy). . . Pre-inspection for P`�4nsect'oA r�46�- required. . to Building Inspector (Date) Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner, ........... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. ' 28. Letter of intent on building use . ............................... . Mobilehome utility clearance ........................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. Whe you issue the nit ro ess as follows: Mail to owner Mail to contractor. Telephon /5 and hold for pickup at Or -0 V r I � - office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date S�� 5o4' Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date 41�., Copy of plans sent Health Dept. Fire Dept: Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). d 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ it unter by -Date / Plans checked by Date Plans approved by I Date C%�2W Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF. BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541 OWNER- �� �llG�— GC�e ,O A.P. # PROPOSED BUILDING USE /1A 1q _ DATE REC. # 1. SCHOOL DISTRICT FEESO w OV e_ - (paid at District Office) - 2. SHERIFF FEES (paid at t Building. Division) _ Residential....... - x _ $ - unit amt. Commercial (sq.ft.). x =$ _3. URBAN AREA FEES (paid at Building Division) Residential (per unit). x • _$ #units amt. Commercial (sq.ft.). x = $ sq.ft. amt. 4.' RECREATION DISTRICT FEES (paid at District Office) 5. THERMALITO DRAINAGE DISTRICT FEES $400.00 (paid at Building Division) 6. SRA FIRE INSPECTION AND - PLAN CHECK $89.00 (paid at. Building Division) 7. WATER TENDER FEES (BATTALION # ) $200.00 (paid at Building Division) 8. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 9. OTHER 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 DATE �� 9� •...'s)�,.•_. J -t. .r�,w+.+rye.�.: anr•+.-,.....'Vr„•r,,•�r'�n..'=�.....,.,.+r .r r.'.�.-'^„'�T:1"*.::T,�.. ..,, _�^-rr.�--r re+n�.....s:,,n ��. •+a ,;�� ... . _. P ' BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School Districtorowl' LJ 0 4 `' Building Department No. A.P..Number 41-35-02-5 Jurisdiction: City �� County Property Owner Property Location/Address /9) iSre eN ",e�11 r -i W11 14,s V r- c!•ee lC Subdivison Lot No. Residential Development ©' Sq. Footage 'No. of Living MHI Addition (Group R) Q2�O�a c 1N cy'bti.� Units 0 6 ; I.2 Commercial/Industria Sq, Footage New Addition (Including Exterior Roofed Areas) Building Departmentep esentative Date` y. (Floor Plans reviewed by School District Personnel) rict Identifical' n No. 960087 C School District certifies that (Applicant) Irl % '0 Dia ��- (Street Ad ress) / a (Phone Number) (City) (State) p (Zip Code) has complied with the requirements of Resolution No. by payment of $ representing square feet. AB 2926$ FULL MITIGAT $ School District Rep esentative Date Paid by Check # Remarks: Bank Number kid, Paid by Cash If, subsequent to the School District Representative signing this Butte County Schools'lmpact 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 mitiaate its imoact on the school district's schools. ° ... = White (applicant), Yellow (building department), Pink (school district) feeform.wkl (11/94)dmm 2 :y>> OWNER COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT '®F 60ELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916)'87-2L6307 CORRECTION NOTICE A ; r 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 aRy questions pertaining to this matter, or need additional explanation, please contact this office immediately. REV 10192 • • r_; COUNTY OF BUTTS a BUILDING DFPT t 1 �D OA Do ALL STRUCTURES AND EOUIPM,_ OVERHANGS. SMALL BE CLEAR OF ALL EaASEi ;E 0. FAK Fr. FRO%11, THE SW AN t. FROM THE REAR PRCPE�RTY LI 4S AAD FT. MOM THE ROAD CENTEALIN HALLOG ��` xP CAR OF STRUCTURE AND EQUJi'�!f"� I�x 0�; �,�a H \ FOR A 2 FT. EAVE OVERMO v �e n 10 V ^� 75 _ c%moo �o bpi TE: �l F:9 or �lofma�fkip SliaA► eeorc ce illt Recoan'� ed Coad Practices o d e , 'dua3ity pr&crihad or the Specified use il� t►�ie itm �l ��'}. , Plum nc Mechanical GOd�A 1 ;. Lhp Ati" R6lIi3CtriG Coda. fh tef of Vlark and specMvcntio . UST b#. Q ke , on the joat all times •ait unlawful is Me' a any Ch? es or altbrgti s - I same without An itten Pery ssion from ' Itp D .rtmsnt of P..e / �Karkr, Odurify of 1 170 BUTTE COUNTY In BUILOING-DEPAMV)ENT 14-e �'�� - ROVED- MODEL #3 MEN KEI in • 1■!�MENImEm now ■. • � ,�, � ® ��i7��� � son::: iii ® Ism 21121.■■■ lr a .- a � ;ry :: � kY_':x,.•:r. •:r�• •.n•::-n..e:r.•ca•.o�a MASTER BEDROOM L I V IW -3 ROOM 191•0' x 121-41 O,ODLAl'rE 674 26 x 60 1560 SQ. FT. BEDRDON 9 11'-a• x 121.4. fjP# �o/-3-�5- 9 ctkr�we- 7 Mobilehome Manufacturer: e,�/,� Manufacture Year: 1 9 If other than single wide, furnish Setup Model Number: Z7V Width:.7& (ft.) Length: D (ft.) Tagalong or Expando Size _ (ft.) x --� (ft.) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. FOOTINGS: Wood pressure treated or foundation grade[X] Other: SUPPORTS: Concrete block[X] Other: Provide Tie Down Specifications for all Mobilehomes: Pier Footings Sizes and Location SINGLE WIDE - MULTI -WIDE Line 1 Line I Line 2 Line 2 ........................................................................................... Main Beams ................................................................................................ Line 2 e 2 Line 1 Line 3 Line 2 .............................................................................................. Main Beams Line 2 ................................................................................................ Line 1 Line ine S Tag or Triple e4 1 Line 1 Piers: Size minimum: x r3v 1. Spacing maximum: _ ` From ends -maximum: ` Line 2 Piers: Size minimum: [ / 2] x [3li ]. Spacing maximum: y ` y ` From ends m* O ` Line 3 Roof Loads: Size minimum Location (from front): Line 5 Roof Loads: Size minimum: Location (from front): Line 1 Openings Size minimum: [ ] x [ ]. A V Each side of openings o av i Si with width over: ,�a f n Line 4 Piers: 2li- sICfe Size minimum: [ ] x [ ]. 0�� Spacing maximum: From ends -maximum: ` 201.Z y a/2x3 /2x3 01 jy�jv /1x36 I P' 8/130 "PI 3 Z' 'VI'Vi a' I * E4- I OVER `�� r 1. Owner's Name: 2. Assessor's Parcel Number: 3. Installer's Name: 4. Is the site currently under permit? Yes[ ] NoD4] Permit No. 5. Is the site an existing site? Yes[A NO ] (If yes, furnish two plot plans). 6.. What is the electrical rating of the. mobilehome? 0 6 Amperes. 7. What is the mobilehome site circuit breaker rating? / U B Amperes. 8. What is the electrical rating of the mobilehome site? Amperes. .9. Is the main service remote from the mobilehome site? Yes[ ] NoWl If it is, what is the rating? Amperes. 10. Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage etc.)? Yes[] No[ ] If yes, please identify the load and size: a) The mobile home site: I Load- a e Amperes- 3d b) The main service: f Load- — Amperes - 11. Type of gas service at mobilehome site: Natural[ ] Propane[] None[ ] 12. Size ofas. pipe at the mobilehome site from the meter or tank:�1 inches. 13. What is the gas pipe length from the meter or tank to the mobilehome?-/,o (ft.). 14. What is the mobilehome gas demand? B.T.U.* *(This information is not required if the pipe length is less than 6 feet on natural gas or less than 50 feet on propane). THROTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION May 1995 8.5 M STATE TESTING - MEMPHIS, TENNESSEE A CALIFORNIA APPROVED LISTING AGENCY a l�=alt` aZ E E 9 9: 3=•,".e . ae TIE DOWN ENGINEERING CALIFORNIA APPROVED ANCHORING PRODUCTS MANUFACTURED HOUSING AND COMMERCIAL COE _ INCLUDES SCHEDULES, DIAGRAMS FOR ?, SINGLE/DOUBLE/TRIPLE/QUADRUPLE WIDE UNITS n•:s i}7a:i!•l �• ' 00 1. PRODUCTS DESIGNED FOR A. SOIL ---1,000-4,000 AND UP PSF SOILS (CLASSES 1-4 200=550 INCH POUNDS AND UP TORQUE VALVE (CLASSES. 1-5, UBC -CALIFORNIA) SOIL CLASSIFICATION �p P DESCRIPTION OF SOILS Types of sail Bl.. ea.a1 Test Probe 1 ALLOWABLE PRESSURE (ASTM D1586) Torove Value 2 1 Hud rock NA NA GENERAL DES 9 psf uplift' Hurricane Zone II c39 psi Horizontal 27 psf uplift (Pounds Per Square Foot) SOIL TYPE No allowance made for overburden based on the unified pressure, embedment depth, water classification system table height or settlement problems rock or hard an 4,000 and u Sand Gravel or Gravel 2.000 Sand, Silly Sand, Clayey Sand, Silty Gravel, or Gayey Gravel. 500 Clay, Sandy Clay, Silly Gay, or Clayey sin 000 Uncommitted Fill Special analysis is required. Peat or Organic Clays Soecial analysis is required. B. WIND—ZONE 1, 85 MPH EXPOSURE -C° ><�t/Grit/�`frZED T/EoOWAI 6 -yo -OW APPROVED SUSJECT TO CORRECTIONS NOTED 4pprovnl car -s not c•ulltorize or approve any omission or deviation from regvit-ements of applicable State laws and •eflulaticns. State of California Depgrtment o! Housing and Community Develepmem DIV:SIO 1 CODES AND STANDARDS ' - - Date_/t���(� (si3awtu:e) �sCi--�— .zoA tea.-----�_r__ ..�� . TNes Plan Apt raved. Expires_1 2(al Ve-y-dense a.d'ar cemented sands. cogs. v-.] .] and cabbies. more than preiceded silts. and clays 40W 550 lbs. Inch —6— IN ore then IN cords 40..p 550 tbs, yuh 3 Mediumdense soars. sands. sandy gravels. wy. 350 m stiff sets & days 2:-39 549 tbs. etch 4 Loose to m.ddan d— sands. 6r -.n m still days & 200 m silts. akn um 67 14.23 349 tbs. Itch 5 concrete slab Tenskm4tg devices for we to axncree pad navha, etc. shall be tested (sem. as anrJtors) and tpecibcetlons m m PcJ and aaa Cote of m+crae, renlacanarL pee a,td thcitnels of concrete st:e end &pdh of bolt hole, type and kid d shkW 9 pc . sibic ht'vnlwtn distance a t hilt to cesurq device tun be Installed ham edge ar ed of dab. pad. runner. etc., shwa be W --i � iutmc9ons shipped Wth each tenianing devka shell ind de the ab— flat The teat probe is a device 6or aeuuirs de ae vabe d sods m assist to r A tag the hoidag capability of the sods in which the anchor Is placed The test probe has a We on IL The avaaC length of Ce h8cal section b 10.75 inches, de meiar Set nasa h 125 4dw; the minor &mrta Is 0.81 Ydnes: 11- pitch 1.75 Mee The Ptah mra be d suttable Imgth I. ander dgdL ' (b) A measure synr,,— with mama of a force vdtan ch -d dad amud de shah of CF. test probe (c) Be;— dwa vabaes, a professional etgYea should be c—dred ar add d—I anchors add.& Desion Wind -load Zones:. Standard Wind Zone 1 15 psf Horizontal 9 psf uplift' Hurricane Zone II c39 psi Horizontal 27 psf uplift Hurricane Zone III X47 psf Horizontal 32 psf uplift ' net uplift Note – psf: pounds per square foot Reference – Manufactured Home Construction and C. SEISMIC—ZONE 4 Safety Standards (MHCSS) 24 CFR 3280.305(c)(2), latest edition 2. CAPACnT OF ANCHORS - EACH GROUND ANCHOR, WHEN INSTALLED, SHAL E C 't I, OF RESISTING AN ALLOWABLE WORKING LOAD AT LEASE EQUAL TO 3,150+[D. �S I A 50 PERCENT OVERLOAD (4,725 POUNDS TOTAL) WITHOUT FAILURE. 3. CAPACITY OF STRAPPING - TIE DOWN ENGINEERING GALVANIZED STEEL STRAP OR EXCEEDS THE NCSBCS/ANSI 225.1-1994 AND THE ASTM -D 3953-91 SPECIFICATIONS FORT 1-1/4"X.035 (MIN.) TYPE 1, FINISH B, GRADE HOT DIPPED GALVANIZED STRAPPING CONFORMS TO SB -750 REQUIREMENTS SECTION 1336.3 OF THE CALIFORNIA CODE OF REGULATION TITLE 25, 18613.4 OF THE HEALTH AND SAFETY CODE. PAGE 1 Side Frame Ties Must Be No More Than 2' From Each End Of Unit, Other Ties Spaced Side Ties Evenly Thoughout 2' Max. The Length Of. Unit, 2' Max. -I -- Frame End Ties Single Wide Unit Wind - Zone I (85 MPH - Exposure °C") Seismic - Zone 4 Re Uired Number Of Tiedowns For Each Side And Each End Unit Length 20' 30' 400'. 50' 56' 60' 62' 66' 70' Tiedown Locations Side End Side I End Side End Side End Side End e FE7 End Side End Side End Side . End SIgg!e• Wide 4 2 4 2 5 2 6 2 7 2 1 2 8 2 8 1 2 8 2. otnl Number OF s 1 12 12 14 16 ]8 18 20 20 20 Side Frame Ties Must Wind - Zone I Be No More Than 2' (85 MPH - Exposure "C") From Each End Of Unit, Side Ties Seismic - Zone 4 Other Ties Spaced Evenly Thoughout -� �- 2' Max. --I I- 2' M°"' The Length Of Unit. f Double Wide Unit End Ties Re utre M ,e 0f Tiedowns For Each Side And Each End Unit 4,e • h 20' 30' 40' 50' S6' 60' 1 62' 66' 70' ide Tied o L I IT, -- End Side End Side End Slde End Side End Side End Side End Side End Side Enda 'WI 4 4 4 4 5 4 6 4 7 4 7 4 8 4 B 4 8 4 16 1 16 1 18 . 1 20 1 22 1 22 1 24 1 24 I 24 Side Frame Ties Must Wind - Zone I Be No More Than 2' (85 MPH - Exposure NC'> From Each End Of Unit. Side Ties Seismic - Zone 4 Other Ties Spaced _I I_ 2' Max. -I I- 2' Max. Evenly Thoughout The Length Of Unit. Triple Wide Unit End Ties Required Number Of Tiedowns For Each Side And Each End 60' 62' 66' 70' Unit Length 20' 30' 40' 50' 56' Tiedown Locations Side End . Side :End Side End Side End Side End Side End Side End Side End Side End Single Wide 4 6 4 6 5 6 6 6 7 6 7 6 8 6 8 6 8 6 Total Number ❑F 20 ' 20 22 24 26 26 28 - 28 28 Tiedo.ns Side Frame Ties Must Be No More Than 2' From Each End Of Unit, Other Ties Spaced Evenly Thoughout The Length Of Unit, t Side Ties —1 1— 2' Max. —1 1— 2' Max. Quadruple Wide Unit End Ties Wind - Zone I (85 MPFI* - Exposure "C") Seismic = Zone 4 Re u►re� Ncv` er Of Tiedoxns For Each Side And Each End Unit�er gtN � 20' 30' 40' 50' 56' 60' 62' 66' 70' T�edown�Locatigns Side End Side End Sl de End Side End Side End Side End Side End Side End Side End ,Single i dgNY 8 4- 8 5 8 6 8 7 8 7 8 8 8 8 8 8 8 otni'v Nunbar of tedo�n .a 24 24 P-6 28 30 30 32 32 32 M Engineering Calculations 85 MPH Wind EXP °C" 85 MPH Wind EXP "C" Vs; Seismic Zone 4 P LAT=(1,06)(1,3)(17)(1)=25,6 PSF 333 PLF=0,186 C(32.5)( t.a.rotn,,,dt, )+160J ih W LAT=(25.6 PSF)(13')=333 PLF `,,, Ith r =50.8'=D 51' Seismic Zone 4 V=0.186(DL) V=0.186 U10PSF)(� )+(. +10 Psf)("or "")+(2 WALLS)(8%ld: PSF)J 7nnp 1 (R5 MPH - EXDosure "C") Seismic - Zone 4 Width Length Load Load Trans / Trans Total Load (Trans) Total Load (Long) : it Trans T.D. Side '(les ong T.D. EEndTle s 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 40 FT. 333/333 13,320 LBS, 9,324 LBS. 5 4 Double Wide To 28' 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. 1 8 6 Quad Wide TO 50' 40 FT. 333/333 13,320 LBS. 16,650 LBS, . 5. 8 50 FT. 333/333 16,650r LBS. 16,650 LBS. 6 8 60 FT. 333/392 19,980 Lbs. 19,600 LBS. 7 8 7a FT. 333/453 23,310 LBS.: 22,650 LBS. 8 8 ca W TIE DOWN ENGINEERING INDEPENDENT TESTING RESULTS ML 45 DEGREE PULL ON -STABILIZER PLATE IN SILTY 6,067# 8/5/92 (59292) CLAY. TEST PROBE TORQUE VALUE BETWEEN (AVG.) 200-349 INCH POUNDS NOTE: ALL ABOVE TESTS WERE CONDUCTED BY ATEC ASSOCIATES, PRODUCT TESTING, INC. AND GALLET & ASSOCIATES. THE INDIVIDUAL TEST RESULTS WILL BE w MADE AVAILABLE UPON REQUEST. PLEASE FORWARD YOUR REQUEST FOR THIS INFORMATION TO: TIE DOWN ENGINEERING 5901 WHEATON DRIVE ATLANTA, GEORGIA 30336 l� �r PAGE 7 ULTIMATE MODEL NO. DESCRIPTION OF TEST STRENGTH TEST DATE NMH VERTICAL PULL-OUT IN MOIST SILTY CLAY. 6,133# 9/15/92 (5/8"&3/4") TEST PROBE TORQUE VALUE BETWEEN (AVG.) 200-349 INCH POUNDS- MI22 VERTICAL PULL-OUT IN SILTY SAND AND GRAVEL . 5,733# 9/15/92 (5/8-&3/4") TEST PROBE TORQUE VALUE 550 INCH POUNDS (AVG.) AND MORE-,-'- ORE-_'- MRA. MRA. VERTICAL PULL-OUT IN LABORATORY FIXTURES 5,567# 3/2/93 FOR SIMULATION. UNCONFIRMED ROCK WAS NOT AVAILABLE. MICS2 VERTICAL PULL-OUT IN 2500 PSI CURED 5,200# 3/24/94 CONCRETE. TEST STOPPED AT 5,200 POUNDS. MIJ2 VERTICAL PULL-OUT IN 2500 PSI CURED 5,200# 3/30/94 CONCRETE. TEST STOPPED AT 5,200 POUNDS. MIT2 VERTICAL PULL-OUT IN 2,500 PSI CURED 5,200# 3/30/94 CONCRETE. TEST STOPPED AT 5,200 POUNDS. MI2H64 VERTICAL PULL-OUT IN SILTY CLAY. TEST PROBE 5,200# 10/6/93 (59250)' TORQUE VALUE BETWEEN 200-340 INCH POUNDS ML 45 DEGREE PULL ON -STABILIZER PLATE IN SILTY 6,067# 8/5/92 (59292) CLAY. TEST PROBE TORQUE VALUE BETWEEN (AVG.) 200-349 INCH POUNDS NOTE: ALL ABOVE TESTS WERE CONDUCTED BY ATEC ASSOCIATES, PRODUCT TESTING, INC. AND GALLET & ASSOCIATES. THE INDIVIDUAL TEST RESULTS WILL BE w MADE AVAILABLE UPON REQUEST. PLEASE FORWARD YOUR REQUEST FOR THIS INFORMATION TO: TIE DOWN ENGINEERING 5901 WHEATON DRIVE ATLANTA, GEORGIA 30336 l� �r PAGE 7 TIE DOWN ENGINEERING ANCHORING SYSTEM MI2H (5/8".-3/4") .48"LONG ANCHOR 0 NERAL STABILIZER PLATE STRAP BOLT & NUT MI22 (5/8"-3/4") 30" LONG ANCHOR alo* to/sa � � YIHTA4 SIDE FRAME TIE i I (MBU) _.PAGE 8 . o0 00 BUCKLE/W STRAP (SIDE FRAME TIE) MRA (ROCK ANCHOR) MBU7 END FRAME TIE (MLFT) MUT (END FRAME TIE) . d WARNING BEFORE BEGINNING GROUND ANCHOR INSTALLATION, MAKE SURE THE ANCHOR LOCATIONS WILL NOT BE . CLOSE TO ANY UNDERGROUND ELECTRICAL CABLES, WATER LINES, SEWER LINES OR GAS LINES. FAILURE TO DETERMINE THE LOCATION OF ELECTRICAL CABLES OR GAS LINES MAY RESULT IN SERIOUS INJURY OR DEATH. 1. PARTIALLY INSTALL APPROPRIATE GROUND ANCHOR ALLOWING TENSION HEAD TO MAINTAIN APPROXIMATELY 14" TO 16" MINIMUM GROUND CLEARANCE. 2. 3. . USING OVERSIZED HAMMER, VERTICALLY INSTALL STABILIZER PLATE BETWEEN FRAME AND ANCHOR. THE TOP SECTION OF THE STABILIZER PLATE MUST BE DRIVEN FLUSH WITH THE GROUND TO INSURE SURFACE SOIL COMPACTION. FULLY INSTALL GROUND ANCHOR UNTIL TENSION HEAD BOTTOMS OUT AGAINST STABILIZER PLATE. 8 wl INSTALLER/CONTRACTOR CERTIFICATION 3) I CERTIFY THAT I HAVE INSTALLED THE TIE DOWN ENGINEERING ANCHORING SYSTEM AS PER TIE DOWN'S INSTALLATION INSTRUCTIONS AND THAT NO MODIFICATIONS HAVE BEEN MADE TO THE ANCHORING SYSTEM OR BUILDING STRUCTURE. COMPANY NAME: CONTRACTORS LICENSE # DATE: SIGNATURE 'yo V4 p PAGE.9 TE =0U °AU M G SERVICES, INC. September 28, 1994 Mr. Locke M. Jones Tie Down Engineering 5901 Wheaton Drive Atlanta, GA 30336 Dear Mr. Jones: LISTING NUMBER: TIE -942609 im Having completed the in-house audit of quality control, quality assurance, procurement, welding procedures, etc., Tri-State Testing Services in compliance with the rules and regulations of the Department of Housing of California lists the following products: MODEL NUMBER PART NUMBER DESCRIPTION M12H5/8. 59080 5/8" X 58" DOUBLE HEAD ANCHOR W/6" AUGER M12H3/4 59085 3/4" X 48" DOUBLE HEAD ANCHOR W/6" AUGER M1225/8 59090 5/8" X 30 DOUBLE HEAD ANCHOR W/2-4" AUGERS M1223/4 59095 3/4" X 30 DOUBLE HEAD ANCHOR W/2-4" AUGERS MIT2 591.15 3/4." X 8". DO-UBLE-HEAD.THREADED ROD PATIO ANCHOR MIJ2 59120 5/8" X 12" DOUBLE HEAD J -ROD SLAB ANCHOR MICS2 59125 PATIO ANCHOR W/EXPANSION BOLT 59250 59250 3/4" X 36" DOUBLE HEAD ANCHOR W/6" & 4`' AUGER MR 59110 CROSS -DRIVE ROCK ANCHOR 3/4" X 30" ROD MIC2 59096 5/8" X 30" CORAL ANCHOR 59292 59292 LATERAL STABILIZER PLATE MGRB 59145 GALVANIZED ROOF BRACKET MIDH 59100 DOUBLE HEAD ONLY MIS2 59105 SWIVEL ADAPTER HEAD 6756 BUCKLES COVE MEMPHIS, TN 38133 901-38S-1 199 FAX 901-386-6614 PAGE 10 Tie Down Engineering Page 2 September. 28, 1994 BCS 59175 CRIMPING SEAL FOR 1-1/4" STRAP MBU 59140 GALVANIZED STRAP BUCKLE MBUS 59139 SPECIAL GALVANIZED STRAP BUCKLE BISB 59135 SLOTTED BOLT AND NUT MS33 59149 1-1/4" X 33' GALVANIZED STRAP MS35 59150 1-1/4" X 35' GALVANIZED STRAP MS37 59155 ' 1-1/4" X 37' GALVANIZED STRAP MS42 59160 1-1/4" X 42' GALVANIZED STRAP MS60 59165 1-1/4" X 60' GALVANIZED STRAP MS600 59.170 1-1/4" X 600 GALVANIZED STRAP MHT6 59185 1-1/4" X 6' FRAME TIE W/HOOK MHT7 59190 1-1/4" X 7' FRAME TIE W/HOOK MHTB 59195 1-1/4" X 8' FRAME TIE W/HOOK MHT10 59210 1-1/4" X 10' FRAME TIE W/HOOK MHT12 59211 1-1/4" X 12' FRAME TIE W/HOOK MHT15 59050 1-1/4" X 15' FRAME TIE W/HOOK MBU6 .59137 1-1/4" X 6' FRAME TIE W/BUCKLE MBU7 59141 1-1/4" X 7' FRAME TIE W/BUCKLE MBU8 59142 1-1/4" X 8' FRAME TIE W/BUCKLE MBU10 59138 1-1/4" X 10' FRAME TIE W/BUCKLE MBU12: 59144. 1-1/4" X 12' FRAME TIE W/BUCKLE MBU15 .' " ' ` 59143 ' 1-1/4" X 15' FRAME TIE W/BUCKLE If you have any questions or if we may be of further help, please call us. Sincerely, TRI-STATE TESTING SERVICES, INC. w4l-t. �. . -4-� William E. Jacson Manager TRI -31 151 TESTI S VICE 'Ir PA 11 STATE OF CALIFORNIA - BUSINESS TRANSPORTATION AND HOUSING AGENCY PETE WILSON. Governor DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT "_O;��s DIVISION OF CODES AND STANDARDS 1800 THIRD STREET, Suite 260 P.O. BOX 1407 SACRAMENTO, CA 95812-1407 ,,,� •(916) 445-9471 FAX (916) 327-4712 TDD 800-735-2929 September 29, 1994 OCT 0 5 1994 William E. Jackson, Manager Iiii Tri-State Testing Services, Inc. 6756 Buckles Cove Memphis, TN 38133 Dear Mr. Jackson: This is to confum that the. California Department of Housing and Community Development has approved your funis application to become an approved testing and listing agency for load bearing supports and structural components used with manufactured homes, mobilehomes and commercial coaches. This approval is for the listing and labelling of structural components used in the manufactured housing industry in accordance with the standard established by -your firm. Please note the Departmen't'-may require design calculations and test data be submitted to substantiate a design when the listed system or component does not appear to conform to your approved standard. 'We'may also request this information for the purpose of routine monitoring or -complaint investigation. Revisions to your approved standard as well as listed designs may be necessary in the future as a result of amendments to current statutes and/or regulations. Thank you for choosing to become an approved listing and testing agency. If in the future you have any questions -or need to discuss a particular 'issue, you may contact either myself at (916) 445-9471 or Mike Rosenberg at (916) 255-2501. Sincerely, Chris L. Anderson Mobilehome Parks Program Manager cc: Mike Rosenberg 3 PAGE 12,:.. 2 100410 MM.ibCt, KJVO W. W" ftlt oWw umw Von Mot "m W. N•'9 "L W, Son Low USM Vm V" 4fxfr V -S Ile S 11/me 9 -7V- I/C to- L. I W. Not am %% PINT" k SwIt" PX9A OF PI— awssuAmmompon alp to Up 8-3 'r-1 Sloe L III a Ile jr-to sloe I 1 3 4 is 14 1? is, 56 34 11 22 is mml .06 Motor • 4-1 VIC 9-3 r -s s/36' II t�s Of mr-S Plot 74- I so at 01 as as '4i e•ld some ZONE 1 OHL'' pool 1,1101009 _P4L_cCiOiTtCA% L9449110 McfavAL _b"_ 1154" 14 1 1 1 1 SAW Moil. CHAMPION 110)JE BUM ERS Co. Wm% LiellpW I Al . foO.!FVMMM[ICH c W 140 )MOP 101 (arl) IWO U. mows 1114 PWTOW, 11I It•11 !AL1.t/1*!t• ili witex opcerp3jnc avwtr _ Popp" W111 'WCCV11 op '674C 26X64 3— 10RU. Fi.000 nm (A Susuor Stu" r.lwsw Wcel.e Otataaa' am?) -7,,f- of 4'1) WC. f-welf 4VI'm 06 ?A-. roe •,/iz;;;; A&L fka P'"O" ICL Wis. f"111 16.9? 9.0 sf Stim" cso�lsrt Dow Z�I�Nlfcwp(.' I co1164 04 NI. 1.4641018If In 0 raw = =21 "4104 woo PON •T.— 7AX ;/—I R;ji Pa. a %W1 9— [u1n Dodo m.,• a A� avw!� dour �o _- " +^ro:t outdo. Hr' 6rFIWca » _ u/c r/almia A rn .,., 31 "Inc rot v-wrw on I V14raw. !_ Ch - As. Silk go"." sill W/424UKP kkm mml IN(EnIOR 544AWhAtt. MAO ?apt ecemAeof WIWI WIND 2404d.�. S. -A&ALJU 19 . 21.2 2 11 4fxfr V -S Ile S 11/me 9 -7V- I/C to- L. I W. Not am %% PINT" k SwIt" PX9A OF PI— awssuAmmompon alp to Up 8-3 'r-1 Sloe L III a Ile jr-to sloe I 1 3 4 is 14 1? is, 56 34 11 22 is mml .06 Motor • 4-1 VIC 9-3 r -s s/36' II t�s Of mr-S Plot 74- I so at 01 as as '4i e•ld some ZONE 1 OHL'' pool 1,1101009 _P4L_cCiOiTtCA% L9449110 McfavAL _b"_ 1154" 14 1 1 1 1 SAW Moil. CHAMPION 110)JE BUM ERS Co. Wm% LiellpW I Al . foO.!FVMMM[ICH c W 140 )MOP 101 (arl) IWO U. mows 1114 PWTOW, 11I It•11 !AL1.t/1*!t• ili witex opcerp3jnc avwtr _ Popp" W111 'WCCV11 op '674C 26X64 3— 10RU. Fi.000 nm (A Susuor Stu" r.lwsw Wcel.e Otataaa' am?) -7,,f- of 4'1) WC. f-welf 4VI'm 06 ?A-. roe •,/iz;;;; A&L fka P'"O" ICL Wis. f"111 16.9? 9.0 sf Stim" cso�lsrt Dow Z�I�Nlfcwp(.' I co1164 04 NI. 1.4641018If In 0 raw = =21 "4104 woo PON •T.— 7AX ;/—I R;ji Pa. a %W1 9— [u1n Dodo m.,• a A� avw!� dour �o _- " +^ro:t outdo. Hr' 6rFIWca » _ u/c r/almia A rn .,., 31 "Inc rot v-wrw on I V14raw. !_ Ch - As. Silk go"." sill W/424UKP kkm mml IN(EnIOR 544AWhAtt. MAO ?apt ecemAeof WIWI WIND 2404d.�. i _RESIDENTIAL r x^61-35-25 •92-1921 P,E WEED, Marcella " 10 Green Cedar Way, Berry Creek mh utilities A N i v OFFICE COPY d Address { GAS Meter By Date ELECTRIC iMeter BY T� Date JOB FINALED (Date)gp Signature J=OK O = Not OK Not Ap = Not Readyable MOBILE HOMES Date MO OME UTILITIES Plans OK except #'s nin Requirements -Setbacks -Easements SoK,r s; Special MH Support Sketch S er; Location -.Test -Fall -C/O Concrete W ter; Location -Test -Easement Needed (Sketch) Electricity; Location-Clearences-Grnd%?Amp-Concrete 6. Gas; Location -Test -r p: / /" L" ft. / P'Nat. o ('L"it. 'LPG t7 ell Clearance & Disconnect 8. Utility Clearance Date L Card B-1Date Card B-1 F Date Card B-1 Date Card B-1 i Date MOBJkV'HO_ ME INSTALLATION (Plans) OK except #'s ; Z rhg Requirements -Setbacks Easements Footings; Size -Spacing -Marriage Line 3. Gas; MH Test-Demand-Valve—Connector ; Electricity; MH Test -Crossovers -Breakers -Clearances (_5. Dain; MH Test -Fall -Flex Connector GR"Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval { 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy s I 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; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O=Not OK ` = Not Applicable Not Ready RESIDENTIAL (Single & Duplex) = Date UNDERFLOOR (Plans) OK except ti's I Date FRAMING (Continued) 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wra pped 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 N'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 DateCard 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 & Water ------------ ------------------------------------------------Gas---------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI ------------------------------------------------------------------ 28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size ! ! ga. Cu or At -------------------------------------- --------- - ---------------------------- 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No ------------------------------ ------------------- 30. ------------------ 30 Service -Riser Conductors & Ground -Main Disconnect ------------- - ------------------------------------------ 31. Equip. Clearances Panels-Motors-Mech. Equip. --------- -- _ 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector -------------------------------------------------- ---------------------------------------------------------------------------------Date Card B-1 Date Card B-1 -------------------------------------------------------------------------------- Date - Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except a'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 a's 39. Sils. Proper Material & Anchors - -- - -------------------------------------------- I ------------------- -- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound ---------------------------------------------------- 41. Bearing Walls over Girders & Floor Nailing ----------------------------------------------- 42. Draft Stop in Walls (rat proof) 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing 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-Underfir. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls: Nailing -Bolls 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date _ Card B-1 _ _ Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s _ 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meth. Protection ----------- -------------------- 64. Bedroom Exiting ------------------------- --- 65. G. F.1' & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel: Breaker Sizes & Labels ----------- ------------ 67. Stairs & Rails --------------- ------ ------------ - 68. Fireplace or Stove: Clearances -Hearth - - - - - -- -- - ----- --------------------- 69. Etec. Outlets at Wood Panel: Int. & Ext. - -------------------------------- 70. Kit.Fixt. & Appliance: Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door: Swing -Landing -Closer 73. A.C. Duct in Garage -Damper ---------------------------------------- ------ 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor -Meth. Protection 75. Plb.. Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 7,. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes 0- 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. - - Ex-terior- - EIec.- - Trim: G.F.I. Receptacle -Underground -- -- -------------------------------- 86. Ventilation Throughout House --- --------------- 87. Glass Protection _ --------- -------------------------------------- 88. Corrections from Previous Inspections ------ --- - ------ -------------------------------- --------------- -- 89. Gas Test -Meters Tagged; Gas -Electric _...------- ----------------------------- --PP ---------- 90. Water &--------------------- Sewer Connected -C/O to Grade -HDA Approval ------------------------- 91. Energy Compliance Certificate -Other Certificates ----------------------------------------- ------ --- Date Card B-1 Date Card B-1 ------------------------------------------------------ Date Card _B- 1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUN4.Y OF BUTTE- DEPARTMENT OF PUBLIC WORK PERMIT NO. 7 G6unty Center Drive - Oroville, California 95965 - Telephone: 916.538 5 1 Q a —T(�, APPLICATION AND PERMIT 7 /" ASSESSOR PARCEL NUMBER 61-350-025 ZONING A 5 BUILDING PERMIT OWNER MARCELLA WEED 707 TELEPHONE 257-2520 SO. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS 1966 PINE ST MAPA 94559 CONTRACTOR'SNAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER NOW LICENSE NO. Plan Checking Fee $ 20.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 10 GREEN CEDAR WAY BERRY CREEK 95916 Permit fee $ 35.00 PLUMBING PERMIT Filing Fee 115.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each gas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome[] Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK New ❑ AdditionRemodel❑ Utilities❑ Installa nFl Other F] Describe work: MH U #------ a Ate. Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 2OOV OR LESS 00A OR LESS 18.50 Main service 20CATO 1000A) 37.50 CONTR CTORS LICENS IfAW I declare under penalty of perjury check 0 ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect.SINGLE (cense No. Classification �as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW ADDNST ( DWELING DWELLING OCCUP.&\ S. 3.54 sq.ft. NEW CONS TR ULTI.OUTLET NON -"ESI D• BRANCH CIRC ITS @ 5•00 POWER APPARATUS & OUTLET CIR. -, EX. Occu Occup(OUTLETS OR FIXTURES 20 75; Ex. Occup. OUTLETS FIXED (RESIN IR EA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate onsent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling g Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against aid County in donsequ of the granting of this pe it. //''� �'`�-- L��/°�� _Date../ ��� Signature of Applicant — Owner ❑ Contractor ❑ Agent An OSHA permit i,s required for excavations over 5'0" deep and demolition or construct - ion of structures over 3 stories in height. Mobile Home Installation Fee $ 70.0, Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ 10 :00 ,• HAz OFE 1 IMP FLOOD I CDF PARC PD HD Is E This permit is hereby issued under the P Y sions sions of the Butte County Code and/or work indicated above for which fees WEC TOR OF PUBLIC By PE ES Date applicable provi- PP P resolutions to do j have been paid. WORKS Dat Receipt No. 116878 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT ' h MOBILEHOMEAI$TLLATION ACCEPTANCE ,y COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 /? PERMIT NO. Address or location of mobi lehome /0[ /`eG�✓I t o �Q✓ UL 4 Owner's name r n_�,�cz (4 !gyralp Owner's address 1946 pl in e -94, A)0_ 0_ 241,5S9 1 x' Insignia or hud'number � Manufacturer's name 'r Serial number of V.II. 2 Year of manufacture (/ proving Installation) ?F IF'THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED`ON A FOUNDATION SYSTEM. 5138 t ,,;;White ,Owner Yellow .Installer 'P�>^k :O P .i ti+ 441COUNTY OF BUTTE.`'-�PARTMEN ~OF PUBLIC WOR�I BUILDI ID VISION 7 COUNTY CENTER DRIVE PERMIT OWNER Arce //0, Proposed Building Use OROVILLE, CALIFORNIA 95965 - TELEPHONE (91 ) 530541 APPLICATION DATA SHEET P e Cl A. P. N Building Inspector G Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted......................................... 2. Plot plans, 3/4 sets, signed by pireparer 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 $ . ......................................... ............. 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ........................ 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............. 15. City of Chico plumbing permit. ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: I . ........ 18. Contact Land Development;about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. ... .... _ F j Pre -Inspection request20. Pre -inspection for required. .. to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans,Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner _) ............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ....................................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . L ett of intent on building use. . .. ......................:............... 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_ -_ . _ _ -/,_ _ _ . , , i _ . 34. eL I/ V5 V When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation,, G �2-- Acreage Applicant Zx/j Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be subm 1. Index permit for above items N 2. Additional items required: it issuance: (Circle new item not checked 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 6,A) Date _ Plans approved by f Date 292 Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 s 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE A 9 z - / 92.E O NER PERMIT NO. :3 A routine inspection indicates that the following violations of Butte County Ordinances exist at y 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 immediatelv. U r rCfa6e l k�P C-1 LI%! 4 6 4- 62 i �� ) 1�r)�� ve N rli�� G �� — i�e����e . A (aI Date Inspector Vl� _ REV 10/9 COUNTY OF BUTTE = DEPARTMENT OF PUBLIC WORKS — BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916)5387541 OWNER P la ✓' e -e /l 4 - Weela PROPOSED BUILDING USE A.P.. N0. DATE _DATE REC School District Fees Oro 1111;0.1 (paid at District - Office-) Sheriff Fees �/ (paid at Building Department)I��r t �577 Residential � .......... 1 _.x unit -amt: �L Commercial(per sq.ft.) X _$ sq.ft. amt. Urban Area Fees (paid 'at Building Department Residential (per unit) X" _$ # units amt. Commerical(per sq.ft.) X =$, sq.ft. amt. 4. Recreation District Fees (paid at District Office) 5. Drainage District Fees (Contact Land Development) 6. Other 7. Other At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT `v DATE('- . L� R COtNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An `owner -builder" building permit.has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your buildin.g.pe.rmit.-'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 ye or no) 2. 1-(have/have not) 1�e��signed an application for a building permit for,the proposed work. 3. I have contract construction: Name Address - Phone . . . ith the following pin (firm) to provide the proposed Contractors -License No. City 4. i plan to provide po ons of.this work, but I have hired the following person to coordinate, supervise, nd pro die major work: Name Address City Phone Contractors License No. 5. I will provide some of..the work but I have contracted (hired) the following persons.to provide the work.indicated: Name \ Address Phone Type of Work Signed: Property Owner�� ✓ Social Secur'ty Number Date 9l� NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832.of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 PHONE: 916-538-7541 MARCELLA ETEED P 0 BOX 374 BERRY CREEK. CA 95916 With reference to the above subject: / / Attached is: Application for permit Building Plans Engr. Calcs Owner -Builder Verification Form OTHER /x / We need the following information: DATE 11/13/92 RE: MII INSTALUTION PER14IT A.P. # 061-35-0-025 Mobilehome Utilities Installation Sheet Mobilehome Installation Information Sheet Typical Plan Sheet List of Codes Enforced Permit application signed and completed where indicated with all copies returned. X Fees of $ 128.5n payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in including plot plans. Plot plans in Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section (DPW). sets of plans in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: 196 Memorial Way, Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy of agricultural acknowledgement statement. / X / OTHER YOUR MOBILEWT, INSTALLATION PERI�IIT IS READY TO BI -7, ISSUED AS SOON AS TIIF; ABOVE FEES ARE PAID. THESE FEES ARE THE BALANCE OF SI(ERIFF IMPACT FERS. YOUR FEES WERE 111ISCAL.CULA7ED AT THE TIME OF APPI,T_C:ATTON. P1,7ASE C',ONTAf',T qtr. TF YOU HAVE ANY QUESTIONS THANI; YOU Should you have any questions concerning the above, please contact of this office. JFG/aj Yours very truly, ANNE William Cheff Director of Public Works J.F. Glander Chief Building Inspector t�V,.pirnr..-..y.�:,'S�I'�$��,+'�1��w"r'+j�'�"�+'�"�.aai�,r4',p�u�`�'��r"A=.�ir'�i��,�+w•�rt i�"''r"�.�i�'3hW�m�r"'iYii"a'�w'vF;R`•�a�:t"•��"�'►`41�!(�;�i�r,�iyLy"d+tcc�t l�;Ye`..,��,r�,���•��ri'",.�„ Mn . 4v4 BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School District rQ v� , p v1 _ _ _S _ Building Department No. A.P. Number _ 3s" c9S _ Jurisdiction (_ City County Property Owner �� ►^c 1�c_Wee._d Property Location/Address, on/Address,--/ T e e n ee a ( E (it/O. 8F r i v ✓• 6 e Subdivison Lot No. Residential Development 0 Sq. Footage No. of Living MHI Units Addition (Group R) Commercial/Industrial 0 Sq. Footage New Addition (Including Exterior Roofed Areas) 114 /9 p Building Department Re native _ Date . 1 �. t �, ae District Identification No. _ 9 LSchool District certifies that r UZZIL (Applicant) (Street Address) 71(Phone Number) 1/ _ &6b i (City) has complied with the requirements of Resolution No. _ representing _ — _ square feet. School Distric�presentative (State) Paid by Check Number Remarks: Bank Number Paid by Cash _--------------.___ (Zip Code) —52c"') by payment of $ n2 w Date If, subsequent to the hoot District Representative signing this Bu County Schools Imp ct Fee Certification Form, the S ool District is notified by the applicable Loc�all Planning Agency th this project is being reviewed under th California Environmental Quality Act (CEQ`this project may be s ject to additional school fees to full mitioate its impact on the school districts s ools_ White (applicant), Yellow (building department), Pink (school district) feeformmkl (4/92) f 4L - COUNTY OP 13UTT€ BUILDINO f2ffr J U N. 0 4 1992 �Ib 0O O �2-3Zo' Z- - ZG 9. 78 N� ...,�,fl ►teri�l+ &. WorkrnarnsNn S. 01 1& / \ , D with Rt ccxpnised Good Pr \� qualify proseribL�d tear th"- specifi V.. � r . ':Urpiform f;Wi4nq, Olurnbing & ,Rk-,* i \ �� itho Nations-1 BVI SOQ SQ.. Ft. IVIINI/V1UIVi FOR MOBILES Q \ + vp .per this set ofand spe ications MUST be kept on the job a all times nd it Qunlawful toPAAW EG ! / ,hake any changes or alte ion on scene without written permission from th DertmenTof Public ' 1 Works, County 'of 6utte s• 00 OD �t _� P` ` 144V �5 OP m BUTTE WUNTY0. \ 1LQING DEPARTMENT' 1 � PAOOVE l c P,a QC arL Z •� ;t:• �s;��;, �.� �. �,•+. �t�+ Y. x.;•c4►,Y)+.�sa 1j�'4:i�+ �;3`: y T" 10 �r'tp}:ir?: iS -`•*� " �tCfC� evatLY to top gall ^� t _...31 �� i. .i, � 't'.,E. t'x '�?.? t'1 ..F � t►i, iSti y!�!`:° Y•O .'. �.•�j z ?; +, �vk�ft;_.r�: fi"� C',IC?:r� 'Z i .,� �'iC'i(xr,+,.SvT ��;f.t/� ..�� 'r'`°i� 1' �•...-'''1TT:id= fS!'x�'�l2l�F WTUOJIUS "�'• � 1 r ` y � env • 4 r i. p 1. Owner's Name: 2. 'Installer's Name: BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541 MOBILEHOME INSTALLATION SHEET At VAeel(� �F�d 3. Is the site currently under permit? Yes 41 No (If yes, furnish permit number tank and leach ) OR Is the.site an existing site? . Yes F] No F-1 (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 F-1 (If no, clarify 5. What is the mobilehome electrical rating? --------------- �5 O Amps 6. What is the mobilehome.site service rating? ------------- ;0 0 Amps 7. What is the mobilehome site circuit breaker rating? ----- 5 O Amps 8. Is there any other electric load to be served by the RI F mobilehome site service? --------------------------------- Yes No ,(If yes, identify the load and size: el (Load) o�O (Amps) rrtY 9. What is the mobilehome site gas pipe size? -------------- ) ral Natural LPG a — a P _f gasservice.10:_`-Whye 11. What is the gas pipe length from meter or tank to the mobilehome?---------------=----------------------------- (ft.) * 12. What is the mobilehome gas demand? ---------------------- (BTU) *(This information.,not-.required.-if pipe length--less-than-6,-ft. -on, natural gas or less than 50 ft: on LPG.)_ BUTTE COUNTY -NEXT PAGE MUST BE COMPLETED TO PROCESS PERMIT APPLICATION. i0PON/Pr) MOBILEHOME SUPPORT DATA If other than single wide,fQ/ Mobilehome Mfr. vn°furnish Setup.Model No. Year Width /0 (ft.) Box Length O (ft.) Tagalong or Expando Size ft. x ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one) FX Wood-pressure treated or foundation grade. 1:12. Other (specify) 1. Concrete block. 2. Other (specify) SUPPORTS (check one)[ Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE Llac 1 Line 1 �1 in — —ea Line 2 Nl�Main Beams ine 2 - _ — _ — — — — — _ _ — — — Lin t_ 2 2 Main Beams Line 2 — — �L]ne v Tag or Triple Line 4 Line 1 Line 1 Piers: Line 1 Openings: Size -Min. ------------ Size-Mio.------------------ Spacing-Max - -----------------Spacing-Max. --------- , Each Side of Openings From Ends -Max. ------- '_ " With Width Over --------- L 1..0 Size -Min. ------------ Spacing-Max ---------- From Ends -Max .------- Line 3 Roof lauds: Size -Min .------------ Line 3 Piers: (Under Bearing Wall Only) Size -Min .:----------------- Y Spacing -Max._______________ From Ends -Max .------------- ._ x x .,x .. `Ix x ..x .. .1x .. k „ Location (From Front) Line 4 Piers Size -Min.------ ------ ,k Spacing -Max .--------- From Ends -Max .------- ._ Line 5 Roof Wads: Size -Min. ------------ Location (From Front) e 5 Piers:. .(Under Bearing.Walls On y) - Size -Min ------------ : ------- Spacing-Max.--------------- From Ends -Max .------------- - 5 nx n ux .. ,.x a ux .. .k q ..x ,. ax n ,.x .. 5 AP # 014NER e1 PERMIT MEI UT IL . CLEARANCE DATE �Z INSPECTOR ELECTRIC GAS Support Struc. Compaction Test eq. Service Other Pipe. YESI NO YES NO Size Load Type Size Length . o A' K LPG 3 e 9103 W t COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95985 - Telephone: 918.'538.7541 APPLICATION AND PERMIT PERMIT NO. z— aye 93OR R N n61_,i9n_n2s zoN .1-- •� BUILDING PERM OWNER TED 707 MARCELLAOWNER'S TELEPHONE 257-2520 SO. FT. OCC. BUILDING VALUATION MAILING ADDRESS 1966 PINE STREET NAPA 94559 CONTRACTORS NAME nWNTRT TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER NQNF LICENSE NO. Plan Checking Fee $ 20.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS in GREEN CEDAR WAY BERRY CREEK Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 q4- — oy Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent' 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome® Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home W I @ 15.00 45.00 TYPE OF WORK New ❑ Addition❑ Remodel❑ Utiliti�nstallation❑ Other ❑ Describe work: 1 $DRM 500 MTN _ A/ Permit Fee $ 60.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service SS 200A OR LESS 18.50 18.50 Main service 20CATO IOOOA) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. Icense .Jo. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. OR ADDNS. 1 ( DWELLING OCCUPM 3.6Q sq.ft. ACC. BLDGS. NEW CONSTFLULTI.OUTLET NON.RESI D BRANCH CIRC ITS @ 5.00 POWER APPARATUS & (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 7Ei FIXED APLN Ex. OCCup. OUTLETS P(RESID,)REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 15.00 Misc. Wiring 15.00 Permit Fee $ 48- 50 — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate (jLZonsent to Self -Insure. 2-1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling g Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agai t said County in cons eq of the granting of this permi . X G 2-, Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required For excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 128.50 I HAz OFEES IMP FLOOD CDF PARCF� `V/Lt- Po HD ISSUE This permit is hereby issued under the applicable provi- sions sions of the Butte County Code and/or resolutions to do k worindicate ab a for which fees have been paid. OR PU LIC WORKS er B y r2t__�- &.1, 4P'L_l Aft, PE IT EXPIR S ate U _ Date Receipt No. 116878 WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT I `,- �:''��. �'' L'� :r!l•l� T'�~'l,�i��'dSJ+ 1 t :�� ���� �� ''f"`ist%'`�'Ir'�:£ai�'t.(�� i s` � ('j `�.�,-rh �ly��' s'sF�3 j�r`rft','1�.."'i-�1tj,,�ti"1`� �tif ., � ,�i'w � _._,COUNTY OF BUTTE7PARTMENT"OF UBLIC WO BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 • TELEPHONE (916) 538.7f11 PERMIT APPLICATION DATA SHEET OWNER Ai ✓• C e (I Q We ed �A-. R No. Proposed Building Use Building Inspector &� 6 Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans. , * , * * .................... . 3. Complete plans, 3/4 sets, signed by preparer of plans. •..................... . 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . .. ......................................... . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non-Heated,and A/C Buildings . ...................... 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$ .......................................... 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ........................ lood elevation letter (100 year floosla byv TKornia Engineer. .......... . 1 . Sanitation and plot plan approval Health Department. .....: �rx..�1 - City of Chico plumbing permit. °' 16. lot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ .r18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. ... ... . Pre -Inspection req us - 20. Pre -inspection for required. .. to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . ......................... . 23. Owner -Builder Verification (Given to owner , Mail to owner ............ .......... 24. Recorded copy of Agricultural Acknowledgement Statement ................... 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . ........................................... 29. Documentation of legal access . ........................................ 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . .............. . 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33./) n.z 34. ( . C/AJV - ( m y � When you issue the permit, process,as follows: A Mail to owner. Mail to contractor. Telephone ari hold for pickup at office. Deliver with inspector. Other 4ot Parcel Creation Acreage Applicant/c, Date Copy of Haz-Mat form sent k.Health Dept. Fire Dept. Air Pollution Date Copy of plans sent ' Health Dept Fire Dept. Other Date By The following data must be submitted 1. Index permit for above items No. _ 2. Additional items required: to permit issuance: (Circle new item not checked 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 JW Date L�I� Z(92 Plans approved by 6j -Date JOJ 49L_ Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works Oro COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle, California 95965 - Telephone 916 '538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 041 -' 350– Q 0,5 ZONI G^.. j�� BUILDING PERMIT OWNMR e elf' TELEPHONE SO. FT. OCC. BUILDING VALUATION O1 E6 '6M AI jnPDR E,5,51 Q (214 9A S� f /Q/iS� CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace STRUCTION LENDER CO7$ O Q. UNKNOWN Total Valuation LENDER'S MAILING ADDRESS Filing Fee $ Permit Fee $ AR ITECT OR ENGINEER h LICENSE No. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Ener Plan Checking Fee Energy 9 $ Penalty $ BUILDING ADDRESS %� V r e e+t �C- r t^ ��PN Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome® Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S W @ 15.00 1,6,00 TYPE OF WORK New _ Addition _ Remodel L //U��ti 1'ties InstallationE. Other ❑ Describe work: C� _ ar Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AOR ORLELESS 18.50 Main service 20GATO10o0A1 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License .Jo. Classification !_j I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) El 1, I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.h\ OR ACDNS. ACC. BL)LIT 3.66sq.ft. NEW CONSTR ULTI.OUT LET NO N•RESII'BRANCH CIRCUITS) @ 5.00 POWER APPARATUS &) ( SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 7FIXED APLNS.6� Ex. Occup. OUT LE Ex. IPRESID IREAJ 3.00 Temporary service 15.00 Home Facilities 15.00 ` �� Misc. Wiring g 15.00 Permit Fee $ 1 — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyor 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 consequence of the granting of this permi . X Date q ! � Signature of Applicant — OWner GI Contractor ❑ Agent ❑ An OSHA ion of structures toverr3Qsrorriesoineheigfattions over 5'0" deep and demolition or construct- Mobile Home Installation Fee $ Ener Inspection Fee $ 9Y P occ CONST TYPE TOTAL FEE $ 1141 rs0 !hAZ IOFEES I I I IMP FLOOD i CDF PARCEL PD HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC BY PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. !16 8' WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drivei Droville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary -delay in processing and issuing your building permit. No building.permit will be issued -until this verification is. received. 1. I personally plan to provide the major labor and materials for construction of the proposed. property improvement yes or no) 2. I (have/have not) Ai«p— signed an application for a building permit for the proposed work. KM I have contracted with the following person (firm) to provide the proposed construction: C Name \ Address City Phone ContractorsLicense No. 4. I plan to 1 to coordinate, Name Address ide portions this work, but I have hired the.following person ape e, and provide the major work:. City Phon Contractors License No. 5. I will provide some of.the work.but I have contracted (hired) the following persons. to provide the work indicated: Name Address Phone Type of Work Signed Property Owner Social Secur ty/Number Date Cl� NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. . This verification must be completed and returned to our office before we are per- mitted to issue the permit. COUNTY OP BUTT€ BUILDINQ PFPT fl At D' •3 J U N 0 4 1992 �00 OA n' .v 0 -cam Z— - ZG9.?8' i\� AM 04iaWials & Workmanship Sh U .n 3s o Wth R ccAinixed Good Prato :d q►a�lity pre r'bed for the Spo-cifledtt,- �/ \ � �•Q �r � Afom Bull4i ng,- Plumbing & Mocha W vud the N )nrsral F-loorical Fade. SOG� S R FT. MINIh�IU,rv, \ C6 FOR MOBILES w \ '� Th-is sei of pla�peci r tions MUST be . kept on the job tunes an it is unlawful to make any changes without PAAM EG / at alteratic on sa written permission from the D art%�ntr eef Public Works, Courhy of Butte. / s. o@ A , ,��• ,� 44' v_ D CA r ` o Z� 0 90 . Z g' �D Y ��T ` y 1G h �fG I�D�q{ s.+� .f+cyS "EN aek�47 �4.✓'Lr9 .o'ifl l APPROVED I oen? v!�lo b IT i:,ln, y 192-24186 "e"turn to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County' Code requires this acknowledgement be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned Recorded 1 for agricultural purposes, 'and residents Official Records I of this property may be subject to incon- County of veniences or discomfort arising from the Butte use of agricultural chemicals, including, Candace J. Grubbs I but not limited to herbicides, pesticides, Recorder and fertilizers; and from the pursuit'2:Olpm 4 -Jun -92 I of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. tural zones which have as a priority.use for productive within said zones and on adjacent property should be or discomfort from normal, necessary farm operations. Rec Fee 8.00 Cash 8.00 PUBL XX 2 Butte County has established agricul- agricultural purposes, and residents prepared to accept such inconvenience All that real :property.", situate in'.the County of Butte, State of California, described as follows: Date: ////f1� PROPERTY OWNERS: State of On this the ( '— day of 11,k rr 19-L2, before me, the SS. undersigned Notary Public, personally appeared County of Personally known to me. Proved to me on the basis of satisfactory evidence. to be the person o whose name(K f S 0 Joni D. (+ rozinski subscribed to the within instrument and acknowledged that Comm. #9533,36 A same ur executed the for the oses therein contained. IN WITNESS VIZ'' o NOTARY( PUBLIC. GALFFORNIA P P BUTTE CO.0 Tv n WHEREOF, I hereunto set my hand and official seal. r , My Comm. E#r*_, ..20.1996-A Present A.P.'%b. C3� �- 350 -Dash 1 �. 92-24186 OESLRiPTION: 89-49 9 � � 9 187 .All that certain real property situate in' the County of Butte, State Of California, described as follows: PARC_ EL1: Par --el 1, as shown on that certain Parcel Map entitled, "In Section 31 T.21N.; R.6E., M.D.M." Recorder of the CountypofaButt' e,id PcStstepofas iled in the Office of they In '3ook 94 of Parcel Maps, at Page 29. r on January 26, 1984, RESERVING•THEREFROM a non-exclusive easement for road and publi as shown on the above described Parcel Mac utilitiesp. PARCEL II: r A non-exclusive easement for ingress and egress over that portion of the cul-de-sse lying in'Parcel 4 of the Parce 80 of Parcel M;;,;'3,l Map fil.:d June 14, 19829 in Book PARCEL III. `s, at Page 69. A non-exclusive easement for road and public. utilities over Parcels 2 and 4, as shown on ghat certain Parcel Map entitled, "iii Se tion 31, •3, thelCounty6of�8uttDeM�t'I said Hap was filed in the office of the Recorder of of Parcel Kops, at PaStage 2e of California9., on January 26, 1984, in Book 94 / f &STATF OF CALIFORNIA Ont.his.... /.. .......dayof..V;tC4''t?�� .. in the dd QQ LL as. . enveuo... eik1ly ..r!eye....:.....cff ............ I ........ before me. COUNTY OF. . P-14? T ................ QDYIlIGO.... ..lrv�ll7 71P..... ..... , a Notary Public, State of California, duly commissioned and sworn, personally appearcd ..... l4v1.�44 ....tiG'�� ....... . ....................................... .............................................. personally known to me for proved to me on the basis of satisfactory evidence, to be �. Official Seal the person .... whose name ................... J DONALD E. WHITEHAIR """""""""" """"' "" NOTARY PUBLIC• CALIFORNIA subscribed to this instrument, and acknowledged that .... he .... executed it. NAPA COUNTY IN WITN ,SS WHEREOF' I have hereunto set my hand and affixed my oMciul sent My Comm. Expkeec. s D 4,18(12 to the ......................... /1.4917e ..................................County of .............................../4. ............... .0 the tt( bovr: .� in this certificate. rM aaam«n . a•+r . Ye^^'r• 10.. ansa. m.Y a Paee• W u., n «n,w b.nr..mn .b r eu YLf �4 ..r.n..ae..«d.eem.e.«m«m..wm....c.o..�..a.... rn.a�m«m...a Notary Public, state or California mw, ry .r,.ray. «a,« e.p..r a +rosea .. �o m, ape .r•.ry a ear nwna, o nv /1 !moi G K, A1v romminsian rxpirr•s O Cowderys Form.No. 32 — Acknowledgement to Nutaty Public — Individuals — 1C.C. Sec. 1189) — )Rev. It831 END OF DOCUMENT FND OF DOCUMENT TO: Building Departmcnt FROM: Environmental Health SU13JECT: Sanitation Clearance • VA= COUWY OF BUTTE BUILDING DEPT 0 C T 0 9 1992 Owner ���a�'iq���. Plan Approved for: Sewage ]disposal Water Supply: I'ublic. Clearance for —Lbedroom GDDther I'lol I'lao Muidivil r L Hour flim Am uvlLe _�f'_ sem 111 11, APf1 Private Well Hold ril`aal clearance O.K. for: N Environmental Health Specialist 8/92 2— Date w. M COUNTY OP BUTTE j BUILDINGPff.. t �a J U N 0 4 1992, ° ��p moo, Z- - 29.78'o - APPROVED Butte County • � Environmental „Health s:msac• n� , \ ----a - natu� eARCEL 00 A / .AD A) P _-- �°� rlie, .AV ( ,• O / / = CO�Wi OF BUTTE BUILDING DEPT ACT 0 8 1992 t K�+ c . 4 ee--7 APPROVED Butte County Environmental, lth :. e