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HomeMy WebLinkAbout061-580-011■ (C- e— rtmica �e�`o .omg-1. nggo �O — —/ Susan Carso d o Pri.gravel rd.,200'W.of Ponderosa WaY. 2i mi.N.of Oro Quincy HWY, $spy rraakr �sl,E Permit o�r•- -#1465-79PE(util. MH) . �,�(Y(w o — GAS SUPPORT STRUCTURE COMPACTION TEST Permit #146 -79MHI 061-580-011 02-242 ANDREWS, VALERIE 927 ENCINA GRANDE, BER MHU ELECTRIC GAS LINE�C COMPACTION TEST REQ_��y SUPPORT STRUCT REn cao �,/n 061-580-011 02 2 ANDREWS, VALERIE INALED 927 ENCINA GRANDE; B RRY C EE CONT: GEORGE'S MHS r ,y MHI 061-- 6-ig-or-6/ ,2-e C a-Z)k. c ✓ q 5 = OZ I 0 R I 1 NOTES RESIDENTIAL (� PERMIT NO. 1,_061-580;011_- _ 02-2421 ' ANDREWS, VALERIE 927 ENCINA GRANDE, BERRY CREEK MHU j OFFICE COPY Address G� v� GAS Meter B le, 0 Dat I /'�l Meter By Date��2v SPECIAL CONDITIONS SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) Signature CHECKED BY J=OK 0 = Not =NotAApplicable RESIDENTIAL (. p� . = Not Ready Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope r 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main. Steel- Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftp. -Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation " 16. Insulation Date FRAMING (Continued) Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 49. 17. Water Htr.; Vent -Access -Combustion Air Baffle 50. 18. Water Pipe; Test & Anchor -Nail Protection 51. 19. D.W.V.; Test Fittings & Anchor -Nail Protection Condensate Drain & Overflow, Size & Grade 20. Shower Pan; Test, First Floor -Tub Access Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 21. Test Tub & Shower, Second Floor -Tub Access Attic Access & Platform if Furnace in Attic 22. Gas Pipe; Sixe & Anchors Card B-1 Date Card B-1 23. Fire Sprinkler; Test Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Date 41. Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al' 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or All Insulated Neutral O Yes O No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector Date FRAMING (Continued) Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 49. 36. A.C. Ducts Insulation & Support I• - 50. 37. Vent Fan, Exhaust above insulation 51. 38. Condensate Drain & Overflow, Size & Grade 52. 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 53. 40. Attic Access & Platform if Furnace in Attic Date Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits Card B-1 Date Card B-1 Date Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 61. 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 62. 46. Headers & Beams -Size & Bearing 1 "ingle & Duplex) Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. 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 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector I 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom'Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 83. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O. to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler 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: L J =,OK MH(le emand-Valu -Conn 0 = Not OK ricity; MH Test -Crossovers -Breakers -Clearances 5 ; MH Test -Fall -Flex Connector r NotReadyab1e MOBILE HOMES., Date MOBI OME UTILITIES (Plans) OK except #'s Wood Awn.; Posts- Beams-Rftrs-Connectors. - Shthg-Frg-Bracing - Zonino Reauirements-Setbacks-Easements , . of , Special MH Support Sketch j3eSewer; Location=Test-Fall-C/O-Concrete ,4. Ater; Location -Test -Easement Needed (Sketch) 6. Gas; Location-Tes -Wrap;-/ - L 'fes / P Nat. or /" L "ft ( ' LPG isc nnecf &ility Clearance Date and B-1 � Date Card B-1 Date -Card B-1 Date Card B-1 Date MOBIL&HOME INSTALLATION (Plans) OK except #'s IIas; MH(le emand-Valu -Conn 1 ricity; MH Test -Crossovers -Breakers -Clearances 5 ; MH Test -Fall -Flex Connector r Footings; Soils -Size -Depth -Spacing -Connectors -Steel 6. er- MH Test -Regulator -Connector Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 7. and Sewer C nected-C/0 to Grade -HD Approval Wood Awn.; Posts- Beams-Rftrs-Connectors. - Shthg-Frg-Bracing - as and Elect&fy Tagged Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures ie owns -Type -Installation Cert. Carports; Windows -Doors .15P -Sits; Insp.-Sketch « Electric Cert. of Occupancy Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERIVIANENr ENIY SYSTEM (ONLY) Elec.; Enclosures; Conduit Entries -Terminals -Listed 1. Zoning Requirements -Setbacks -Easements T. 2. Footings; Size -Spacing -Marriage Line 3. Blocking Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main Conduit . 4. Gas; MH Test -Demand -Valve 9. 5. Electricity; MH Test 6.. Water; MH Test Plumb.; Cir. Test -Water Supply Test. 7. Water and Sewer Connected 11. 8.' Gas and Electricity Tagged 9. Exits. Enclosure; Fencing -Alarms 10. License Decals 11: Verify #'s with Office Date Date Card B-1 Date Card B-1 Date Card B-1 Date . Card B-1 4 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams-Rftrs-Connectors. - Shthg-Frg-Bracing - 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall•Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s " 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI - 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed T. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main Conduit . 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test. 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 s nr' r MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION - COUNTY CENTER DRIVE s OROVILLE, CA 95965 — PHONE (530) 538-7541 APN�r PERMIT NO.: ^� Owner's Name: Owner's Address; O Mob�ileChom Manufacturer: Year of Manufacture: Serial INumber or V.I.N.: Insignia or HUD Number: /'} Official approving installation:_ v Date: 1 Ll 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 White -Owner, Yellow -Installer, Pink -Bldg, Gold -Assessor � t 3 =s, t. - -� .._I 3 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street - Chico, CA - (530) 891-2751 7 County Center Drive - Oroville, CA - (530) 538-7541 CORRECTION NOTICE' A i _2� PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the f above address and should be corrected. Please notice this office when correction of work is 4pll leted. If you have any questions pertaining to this matter, or need additional explanation, e contact this office immediately. �/OvtA-e t 1/*N kac 'a e - w 3: ti (A ------------ Date Z Inspector REV 10/92�� 3 n r�5 Date / - 1� Inspector j&/ M1 � y. REV 10/92 _ COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 ^ „• 7 County Center Drive • Oroville, CA • (530) 538-7541 41 CORRECTION NOTICE: 5 OVINER ' PERMIT NO: A routlne.inspection indicates that the following violations of butte county Ordinances exist at th,0 above address and should be; corrected. Please notice this office when correction of work I r completed. If you have any.gyi?stions pertaining to this matter, or need additional explanati4, - ` plea a con act this office immediately. 4:e 44 n r�5 Date / - 1� Inspector j&/ M1 � y. REV 10/92 _ �., ,..d• �,(;;'.'r�1(\.�.+.��-..,,.,tea». Y.r>t�"+w""'- Fr�Ttt^.+...}. i.s ,...rr�rr�-t.y�a,v, ��.'�...ar ..� _ _...f.r`... A061-580-011 0228ANDREWS, VALERIE 927 ENCINA GRANDE, BERR CONT: GEORGE'S MHS' MAI. r .. '.f "9`� _: , .; _ .,. q i• ... .ter..• .. < - .;+c ia.-. y , COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541,42-- ,?MMv Na. (Rev. 12/96) APPLICATION AND PERMIT D'�% ASSESSORPARCEL;�IUMBER r ZONING ? BUILDINGPERMIT OWNER T Tt TELEPHONE .QA SO. FT. OCC. BUILDING VALUATION . G ASu OWNERSM SQ CONTRACTOR'S NAME � - t �.I C MHS !916 TELEPHONE CONTRACTORS MAILING ADDRESS M 1_. WE11 955 _ _ - �. CONSTRUCTION LENDER - -_ - , c Fireplace LENDER'S MAILING ADDRESS I Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 23.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 927 ENCINA GRANDE Energy Plan Checking Fee $ $ PERMIT FEE $ 43.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE j t SF ❑ Duplex ❑'l Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent ; ; 15.00, TYPE OF WORK t New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work:i I i Gas piping system 1 - 5 outlets / 15.00 Building sewer 15.00 /. Mobile Home S I G I W 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 V OR UES Main Service zoOA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION : I hereby affirm under penalty of perjury that I am licensed under provisions' of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.. License Class Lic.'No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: r ❑ I, as owner of the property, or my employees with wages as their sole compensation, will d_ o the work, and the structure is not intended or offered for sale. "CQ 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 I Main Service TO I 46. 00 NEW CONST. DWELLING OCCUP. WE U OR ADDNS. ( a ACC. Bins. so � SO 3.5QIFT; N.. ,..T MULTI. OUTLET @7.50 POWER APPARATUS a sINGLE 0. cIR. EX. OCCU OUTLET OR FIXTURES 20 @''50 BAL @ .50 Ex. Occup. o xuTIEEDTs RM.)0.R.n 5.00 - Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring H�tl PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 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. X` 1 ` ) t,�A, �, n ;—=t' _� _ Date { k 0 1 I _ Signature of Applicant- M Owner ❑ Contractor ' ❑ Agent An OSHA permit is requiredfor excavations over 60" deep and demolition or construction ures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee I $ 10U.U0 Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 143.00 A D F IMP FLOOD CDF ip CE , ° , ` �D HD •/ ISS�F This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have ' B /f " 1'� y /�y� "� 4 PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date E p/ ��� a�D.S.-B.D. Dafe tR,ceiptNo.363961 $143.00 CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT M COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 1, 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 NO. (Rev. 12/96)' APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER A F1 VAI TELEPHONE 370-4992 SO. FT. OCC. BUILDING VALUATION .OWNERS MAILING ADDRE S -E -RI -E CONTRACTOR'S NAME 9 CA TELEPHONE Ga)EGE1 S MHS 9 715-92-56 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER 9 Fireplace LENDER'S MAILING ADDRESS Total Valuation is ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 23,00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 927 ENCINA GRANDE Energy Plan Checking Fee $ $ PERMIT FEE $ 43,00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.0023.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat um water heater Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: MMI Gas piping system t - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service zooAv OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. °�. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO tOooA 46.00 NEW CONST, DWELLING OCCUP. OR ADDNS. ( 8 ACC. BLD S. SO 3.5¢FT. NON.RGSID. MULTiorlu ET La 7.50 APPARATUS .1114.ROLm_ET CIR. Ex. OCCU . otmFr OR FIXTURES 20 BAL p �: 0 NS Ex. Occup.GFIxUDs R� D D 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 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 compl ' ' h those provisions. ^� X1 � _ Date 1.0-'-) 1-0 Signature of Applicant - Owner ❑ Contractor ❑ Agent An OSHA permit is required f r excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ 100,00 Energy Inspection Fee $ Occ CONST. Y T FEE $ D. I FLo cDF D This permit is hereby issued un er the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date 02 PERMIT EXPIRES ON 6 2 S/10-3 I D fe ReceiptNo. 363961 $143.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ,­ > At q 4 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 0• APPLICATION AND PERMIT �Zf t ASSESS C)?PARCELNUMBER 0-011 ZONING BUILDING PERMIT OWNER AIMVATERIF 1272-2604 TELEPHONE SO. FT. OCC. BUILDING VALUATION .OWNERS MAIUNG S 11845 CDT -FAN DAZY- GIRASS VALLEY, CA 95945 CONTRACTORS NAME owm [TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDERS MAIUNG ADDRESS Total Valuation is ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDINGADDRESS Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.0023.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat um water heater Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK— New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: IHU Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home 1711RIAVI 920-00.60.00 PERMIT FEES ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200A OR LESS 23.00 23,00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION hereby affirm under penalty of perjury that I am exempt from the Contractors License PLaw,for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. +11111, 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, forthe performance of work forwhich this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensp4n provisions of section 3700 of the Labor Code, I shall forthwith comply ith ose provisions. Qe nature of Applicant - Owner 13" ontractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service To 46.00so CCU000A WEE200A NEW CONST. DWELLING OCCUP. SO OR ADDNS. C s ACC. BLDs. 3.50FT; T. NON -ID. MULTI -OUTLET @7.50 POWER APPARATUS 6 SINGLE OUTLET CIR.20 @ I .00 Ex. Occup. OUTLET OR FIXTURESBAL O .50 FlXED APPLNS. OR Ex. Occup. ounETs REBID. EA 5,00 Temporary Service 23.00 Mobile Home Facilities 20.00 2Q, QQ Misc. Wiring 23.00 PERMIT FEE $ 63.00 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 166, Q0 HAZ. p. TEES IMP FLOO D CDF PARCEL Po H 5SU This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. 4 2 / O� By 6 D e/ / F9 PERMIT EXPIRES ON / Dafe Receipt No. WHITE-D.D.S.- ANA - E R PINK -INSPECTOR GOLDENROD -APPLICANT tir;�y��":37�f'�..-,-w y'r..,rr;r.:r.T::>-`�.-::t`fl+iYi'•....'-•... ,-T �. .—;.f. r:^K#t:�eiP�Ww�;SM!+?Ir'rr7e..w•��'T�r } �.irya-,�.. .y,� ,� ���,ti .r+ri":r'+/w r'+•r•4.•r i. _;..i ry�s�ty"* yyyy^._ T. COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET r' OWNERLJ ASSESSOR PARCEL NUMBERy -0 t)l' ,c Propo ed Building Use: Counter Technician: Date: ` Ite s required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. Plot plans, 3 or 4 sets, signedty the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ��7 ❑ 4. Engineered truss details and 1 outs in duplicate. No faxes! : " lj ❑ 5; Energy compliance desi n d supporting documentation in duplica e. pj6. Manufactured homes: Data sheets and installation instructions, (• arriage line information,_ loor Plan Tie down or foundation plans, all in plicate. — I ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and ca culations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. r , Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. s . Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ; ❑ 9. Plot plan and business license approval from the City of Biggs .................................... s ❑ 10. Letter of intent for non-residential buildings......................................................:.. ❑ 11. Detached Accessory Building Form filled out by the owner.. f .................. ❑ 12. Hazardous Material Form............................................................................. ❑ 13. Other ' Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) } ❑ 14. Fees as shown on the attached Schedulq of Fees Due Sheet........... } rN. ❑ 15 Statement f Inte ori s' �, .! .... �!.. 0 or, heated and uil ir�g� anitation and plot plan approval from the Environmental Health Department in 17. City of Chico Plumbing permit!......................................................................: ❑ 18. California Department of Forestry plan approval ❑ paid. Sent_ by: ...................... - 0,19.• Planning approval for (A) Use: t?IK (B)Parking: (C) Parcel Check: ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required M' ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization.................................................................... ❑ 21. Recorded copy of Agricultural Acknowledgment Statement ...................................... Z�. -Manufactured home utility clearanc ............................................................. 29. Existing violations and/or expired p its... . .................................................. ❑ 30. ❑ Grant Deed, ❑ •M.H. Title/Statement of Facts,❑ Letter froom Le al Owner, ❑ Check to H.C.D. $ ❑ 31. Other: . i f �, ,g wn When issued Telephone lin—Tho' for p k p. I have been informed of the above item and requirements for obtaining a building permit. Applicant: U Date: /0 — //— 6O, 1. Index permit application for the above items numbered: ,Plan.Check Letter 2. Additional items required Contractor, designer, owner, was advised cf the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of theab ve d to by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: 13_ Date: j> a -s bZ Plans approved by: `Date: D —1X5 oz - Structural reviewed by: Date: Structural approved, by: Date: Note transfer by: Date: Yellow: BuildineDivision '.-�'.;.3t't•� 4�-«vy.a`"�Yfji/tri.vil+y Fy`_'�i '':.�«�+r"`5+'yn esc...caw� .�o-� �.rw•,�c-�r+�:�,<ya%rs++%N '<'`�. i:.Yla<L`j'LAI.iCns�r. ..vti��. ,4��, .,,^ ti COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: C , „ Ab ASSESSOR PARCEL NUMBER '` J S—oll %LllwProposed Building Use: M �/r Counter Technician: Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. 1.. Plot plans, 3 or 4 sets, signed,�y the preparer of the plans. 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the en ineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The.permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ �' ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................... ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... _ ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... ❑ 15. Statement of Intent for Non -heated and A/C Buildings ............................................. sanitation and plot plan approval from the Environmental Health Department in % 2 —0Q - 0 0Z❑ 17. City of Chico Plumbing permit ............................................ . .. .................. 40—W. California Department of Forestry plan approval )0 paid. Sent.. ...................... ❑ 19. Planning approval for (A) Use: OPK (B)Parking: (C) Pa el Check: Dj —�►— O 2 ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ncroachment Permit for driveway.from the Public Works Dept. const, uction approval prior to occupancy). 2 Pre -Inspection for ........... ❑ . Contractor's license information. 7umber, Name tyl�Classifi, ation)...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... 26. Letter of Signature authorization.................................................................... Recorded copy of Agricultural Acknowledgment Statement .................................... 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits......................................................... ❑ 3 . ❑ Grant Deed, ❑ M.H. Title/Statement of Fac s, ❑Letter from Legal Owner, ❑Check to H.C.D. $ er. i en issued Telephone I have been informed of the above it m and requirements for obtaining apbuilding permit. Applicant: Q Date: G c� 0 1) AA- rt It � e,P re, -4 1. Index permit application for the ve i umbere Plan Check Letter 2. Additional items required �% Contractor, designer, owner, waslladvised cf th above d to by ❑ phone, ❑ mail, ❑ counter, by Date: _ Contractor, designer, owner, was advised of the abo e d to by ❑ phone, ❑ mail, ❑ counter by Date: Plans reviewed by: (��, Date: %$ Plans approved by: Date: Structural reviewed by: Date: I I Structural approved by: Date: Note transfer by: Date: Yellow: Building Division E.H. USE ONLY Not Plan Attached ry Z Floor Plan Attached U ,nom Y" Sent to B.D. /na- Y TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance e e- A4fe-o S k-tI-CjK0 N Owner Location AP# Plan Approved for: Sewage Disposal i,� Water Supply: Public Private Well N Clearance for d 6ddwelling. Other I Hold final for: Final clearance O.K. for: NOTE:- Environmental OTE:-Environmental FOalth Specialist Date 8/96 COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE OWNER �/' ` �<-' ` v A.P. #(Y--91 ✓ "�� t I PROPOSED BUILDING USE DATE I 0" RECEIPT # DATE REC. 1. BUILDING PERMIT FEES Balance Due ....................... $ Additional Fees Due ................. $ Additional Fees Due ................. $ Revised Plan Checking Fee �t c` 2. SCHOOL DISTRICT FEES �� I ) 1�0 (paid at District Office) (Available after Plan Chectv SHERIFF FEES (paid at Building Division) Residential ...................... x $360.00 = $ Units Commercial (sq. ft.) ............... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES (paid at Building Division) Residential ................... —x—=$ # Units Amt. Commercial (sq. ft.) ............ —x—=$ Sq. ft. Amt. 5. RECREATIONAL DISTRICT FEES (paid at District Office) (Available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT In DATE E2 ,—f'—� Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Buiding Div, 2nd Copy - Applicant 3rd Copy - Owner • (Rev. 6/00) ±..ti`s}!L�ay.,�I•r .-�r :,aw�..� ^�+x.,r'-'t,,.. --x ""M .- ,,..-r^.'Y+�ti�ji"ff+rR�'F.�.w'.�.�'¢h+:... rw�P�TT'1�!��1wG�t'.'�h`k�ti..rwr..'^';�,a..(.+�,-r.r1N7�'W•nc�'"r.. :.tie-s.h.-.r'.{/.�/'/�/ .t.,.�.•'T'� BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form r Building) School District- "• V� Building Dep rtment No. A.P. Number W� W• U ` Jurisdiction:City County Property Owner M 1 V Property Location/Address ��� �• / �� (,V� , Subdivision Lot No. �L ................................................................................................ Residential Development Sq. Footage �Y " No of Living Mobile Home Addition/ *Supplemental to (Group R) Units Installation Conversion Permit # 's *(No foundation inspection)' Commercial/Industrial Sq. Footage New Addition (Including Exterior Roofed Areas) Jo- O�K V Building Department Representative Date ,(Floor Plans reviewed by School District Personnel) District Identification No. 030056 r , School District certifies that V,:; Ir'� (Applicant) 3-?6_z..� (Ste t Address) (Phone Number) (City) (State)) (Zip Code) has complied with the requirements of Resolution No. I� ~ JQ by payment of $ representing "" ` tg7 square feet. School District Paid by Check # v I tv^' I l Remarks: ._ VVf U AB 2926 $ FULL MITIGATION $ f' �o tt �... i Date Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(x), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQAI, this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls (10/98)dmm AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 2'Z � IIII"III�'II'II'II'III�'IIII'I'�i 2��2'-'046844 Recorded Official Records I REC FEE 10.00 I CONFORM County Of BUTTE .00 I COPIES 1.50 CANDACE J. GRUBBS I Recorder ROSEMARY DICKSON I Assistant 02:21PM 09 -Sep -2002 I Andrew I Page 1 of 2 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required' this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: CC R-YTF)CAm(f-NT `' S0—J4C DULL (2- /r Date C�-- 5 _ D a PROPERTY OWNERS: �1 )q L65P— AN D���s v� State of California ) County of ) On - before me, personally appeared (,��G 2./� %`tAINF— Vmmmmy mer proved to me on the basis of satisfactory evidence) to be the persono whose name ubscribed to the within instrument and acknowledged to me that hroe" bey executed the same inr their authorized capacity9el , and that by h' i e" theiwsignature( on the instrument, the person(Sa`or the entity upon behalf of which the person acted, execute the instrument. , � % WITNESX my hand official seal. Signatu % GERALD B. :At�N Seal: COMM. # 1356814 . " • NOTAFt EVADA C- CAU OML4:0 My Carm� E MAY 17, 2Wv G col. 111,13 13, * C30.01 1 I babi. "I'l Imnso loloill" Ce.1 M is -SO �Tl]:13i-11il"Aro THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS: ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS: THE NORTHERLY 200.0 FEET OF -THE SOUTHERLY 800.0 FEET, AS MEASURED ALONG THE WESTERLY BOUNDARY LINE OF ALL THAT PORTION OF THE FOLLOWING DESCRIBED PARCEL OF LAND LYING SOUTHERLY OF AND WESTERLY OF THE CENTERLINE OF PONDEROSA WAY: BEGINNING AT THE EAST QUARTER CORNER OF SECTION 31, TOWNSHIP 21 NORTH, RANGE 5 EAST, M.D.B. &-M.; THENCE SOUTH 0'46'29" EAST ALONG SAID EAST BOUNDARY LINE, 1326.07 FEET TO THE SOUTHEAST CORNER OF THE NORTHEAST QUARTER OF THE SOUTHEAST QUARTER OF SAID SECTION 31; THENCE SOUTH 891 21' 04" WEST, ALONG THE SOUTH BOUNDARY LINE OF THE NORTHEAST QUARTER OF THE SOUTHEAST QUARTER OF SAID SECTION 31, A DISTANCE OF 1314.59 FEET TO THE SOUTH WEST CORNER OF SAID NORTHEAST QUARTER OF THE SOUTHEAST QUARTER; THENCE NORTH 00 50'27" WEST ALONG THE WEST BOUNDARY LINE OF SAID FRACTIONAL SECTION 31, A DISTANCE OF 1323.18 FEET TO THE NORTHWEST CORNER OF SAID NORTHEAST QUARTER OF THE SOUTHEAST QUARTER; THENCE CONTINUING NORTH -0'5012711 WEST, 1.01 FEET ALONG THE WESTERLY BOUNDARY LINE OF THE SOUTHEAST QUARTER OF THE NORTHEAST QUARTER OF SAID SECTION 31; THENCE LEAVING SAID WESTERLY BOUNDARY LINE, NORTH 730 35'13" EAST, 195.12 FEET TO A POINT IN THE CENTERLINE OF PONDEROSA WAY; THENCE ALONG THE CENTER LINE OF SAID PONDEROSA WAY, SOUTHEASTERLY TO A POINT THAT INTERSECTS WITH THE EAST -WEST CENTERLINE OF SAID SECTION 31; . THENCE ALONG SAID EAST -WEST CENTERLINE, NORTH 89° 13'31" EAST, A DISTANCE OF 850.0 FEET, MORE OR LESS, TO THE POINT OF BEGINNING. " EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDARIES OF THE FOLLOWING DESCRIBED PROPERTY: COMMENCING AT THE NORTHWEST CORNER OF THE NORTHEAST QUARTER OF THE SOUTHEAST QUARTER OF SAID SECTION 31; THENCE ALONG THE WEST LINE OF SAID. NORTHEAST QUARTER OF THE SOUTHEAST QUARTER, SOUTH 00° 05'27" EAST, 297.27 FEET TO THE TRUE POINT OF BEGINNING FOR THE PARCEL OF LAND HEREIN DESCRIBED; THENCE FROM SAID TRUE POINT OF BEGINNING, CONTINUING ALONG SAID WEST LINE, ' SOUTH 000 05'27" EAST, 260.0 FEET; THENCE LEAVING SAID WEST LINE, NORTH 890 5413311 EAST, 120.0 FEET; THENCE NORTH 00° 15' 27" WEST, 260.0 FEET; THENCE SOUTH 890.54' 33" WEST, 120.0 FEET TO THE TRUE POINT OF BEGINNING. AP N0.061-580-011 CERTtFtCkTE OF ANCHOR INSTALLATION Tide 25 CCR MoMehome Parks Act Section 1326 (b)(3) I certify those portions of the tiedown system installed below grade were not damaged prior 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 installation -instructions, plans and specifications of the engineered tiedown system referenced on this certificate. -. V940M System: - Manufacturer. A � ,r Model �C �aw,�S'�E�/ a Z , Installed. by: �E'q E S N t Date: �l'� % �— a Contr./Owner: LDS License No. jr. A.P. # /-S80--0 /f OWNERT�Il� c PERMIT #-(,,)Z _ :Z MH UTIL. CLEARANCE DATE /Q Z2 / oZ INSPECTOR ELECTRIC GAS SUPPORT STRUCTURE COMPACTION TEST REQ. SERVICE OTHER PIPE SIZE LOAD TYPE SIZE LENGTH YES NO YES NO 3h O`VNER-BUILDER VERIFICATION Attention Property Owner: An -owner-builder" building permit has been applied for in your name and bearing your 981MUa. Please complete and return this information at your earliest opportunity to avoid noneoessu aft in processing and issuing your building permit. No building permit will be issued u ck ddss verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES ❑ NO E32. I HAVF 6 HAVE NOT ❑ signed an application for a building permit for the proposed wadi. J have cc NAINME: ted with the following person (firm) to provide the proposed construction ADDRESS: 0 (f ox -crrY: (� E2 - y 0. t2C--c—e PHONE: 5-R9 _ 3 8 3,a CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NA�ti1E: ADDRESS: CITY: PH0NE: CONTRACTOR'S LICENSE NO. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NANIE ADDRESS PHONE TYPE OF WORK SIGNED: A PROPERTYOWNER: SOCIAL. SECURITY NUMER: -� DATE: 001. NOTE: This Owner -Builder VerVieation is required by Section 19831 and 19832 OAU CalifornAi Health and Safety Code. This verification must be eoa~pl *W md returned to our office before we are permitted to issue the permit OVER OWNER BUILDER INFOR1ti1ATION Cea.- ?rote^; C••�-" A.z application for a building permit has been submitted in your name listing yourself as the builder ofpioperty. improvements specified. For your protection. you should be aware that as "owner -builder" you are the responsible party of reeoed an such. a permit. Building permits are not required to be signed by proper, owners unless they are personally perfatmit 16ir own work. If your work is being performed by someone other than yourself, you may protect yourself tom poastble liability if that person applies.for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required -by law to put their license number on all permits for which they. apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise enpae any persons other than your immediate family. and the work (including materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or subcontractors. then you may be an employer. ♦ I f you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including'state and federal income tax withholding, federal -social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation conmbutions. ♦ There may to financial risks for you if you do not carry out these obligations, and these risks are especially serious With respect to worker's compensation insurance. ♦ For more specit:e information about your obligations under Federal Law, contact the Internal Revenue Service (and, if you wish, LFe U.S. Small Business Administration). For more specific information about your obligations under State Law, c --,-.:ac- the Department of Benefit Payments and the Division of Industrial Accidents. 1: the strucn:re is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information sbeut licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. r rely. Mic el C. Vi ira, C.B.O. tit ger, Building Inspection NOTE: Tint owner -Builder Information is required by Section 19810 of the California Heald, and Safety Cadt- OVER PRE -INSPECTION REPORT OWNER- V& DATE: ;z a D o 2— LOCATION:�%-7 �i� c; �ra..•o0.c %3 C • A.P. CONTRACTOR: ZONING: PR&1NsPET1oN FoP- jt o,.j DATE TO INSPECTOR: 23/,O—Z— PERMIT HISTORY:( ) NONE (4&'FOLLOWS: d w.v-C/ J -Aa 4e.! BU LDING INSPECTOR'S REPORT Building Description: . Commerciawsage: Residential/# of Units: Currently Occupied Abandonc&Vacant Electric: Yes No Electric cun-ently On Off Condition of Electric ' Gas': Natural Propane !/ None Currently On Offy Obvious Problems: Sanitation: Plumbing Working _ Well Working Potable Water .y Obvious SewageProblems Comments: ACTION RECOMMENDED: ISSUE: !/ HOLD FOR Inspector. Date 2,-AzZo2 , - Sketch buildings on reverse and indicate location on p'roperth Mobilehome Manufacturer- :5KgLl AJe_, 1 Manufacture Year: If other than single wide, furnish Setup Model Number: Width: a .(ft.) Length:%o(ft.) Tagalong or Expando Size---? _(ft.) x_-L;A--(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[ >(] Other: SUPPORTS: Concrete block[)(.] Other: ' Provide Tie Down Specifications for all Mobilehomes: Pier Fobtings Sizes and Location . ID SP,VGLE WIDE MIII,TI-WE Line 1 el Line 2 f ne 2 ............................................................................................. Main Beams Line 2 Line 1 ne 3 ne 2 ............................................................................................. Main Beams ne 2 ne 1 • ................................................. ine 5 Tag or Triple ine 4 ................................................. ine I n A . Line 1 Piers: x Size minimum: il- 1 x r 30 Spacing maximum: ` (o ` From ends -maximum: E) ` U . ` Line 2 Piers: /V_K X 30 Size minimum: [ Spacing maximum: G ` From ends -maximum: ` Line 3 Roof Loads: Size minimum Location (from front): Line 5 Roof Loads: Size minimum: a Location (from front): May 1995 Line 1 Openings Size minimum: [ ] x [ J. Each side of openings with width over: ` Line 4 Piers: Size minimum: [ ] x [ ]. Spacing maximum: ` From ends -maximum: ` BUN. DEPARTumE�? APPROVED 11.4 M.H.I:-2 1. Owner's Name: \J A L C tZ 1 AN 0 IZC (,Js 2. -Assessor's Parcel Number: D G 1 01 3. Installer's Name: 6)1 Co 2 5(A 4. Is the site currently under permit? Yes[x] No[ ] Permit No. a' 5. Is the site an existing site? Yes[x] No[ ] (If yes, furnish two plot plans). 6. What is the electrical rating of the mobilehome? I Amperes. 7. What is the mobilehome site circuit breaker rating? / Amperes. 8. What is the electrical rating of the mobilehome site? Amperes. 9. Is the main service remote from the mobilehome site? Yes[ ] No If it is, what is the rating? Amperes. ' a 10. Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage etc.)? Yes[ ] No[)O If yes, please identify the load and size: a) The mobile home site: Load- Amperes - b) The main service: Load- Amperes - 11. Type of gas service at mobilehome site: Natural[ ] Propane[ ] None[ ] 12. Size. of gas pipe at the mobilehome site from the meter or tank: __51q inches. 13. What is the gas pipe length from the meter or tank to the mobilehome?a0 (ft.):.. 14. What is the mobilehome gas demand? B.T.U.* *(This information is not required if the pipe length is less than 6 feet on natural gas or less than 50 feet on propane). THE OTHER.SIDE OF THIS FORM MUST'BE COMPLETED IN ORDER TO PROCESS THIS PERMIT -APPLICATION rt'J> May 1995 8.5 ^-7'x 3 c o oo Y) pm # d (,( 5Fo o 1 I `J f�LC'RlE AN�oR�wS� owN�2 -�a�7 �Ne.ltJ� Cgi(LANO� O.,C-N I f0 - 1l 1�7� �1��Li�rt F-tl�Lc2�si vary n S97 �- �o N �1; L v�441�a lc�D+ D0. a 3 0 1 `I ►�A-r1 L. c. LTJ D- 15 a uj L Q CL ^-7'x 3 c o oo Y) pm # d (,( 5Fo o 1 I `J f�LC'RlE AN�oR�wS� owN�2 -�a�7 �Ne.ltJ� Cgi(LANO� O.,C-N I f0 - 1l 1�7� �1��Li�rt F-tl�Lc2�si vary n S97 �- �o N �1; L v�441�a lc�D+ D0. a 3 0 1 `I ►�A-r1 L. c. LTJ D- 15 a E -Z TIE DOWN SYSTEM DISIUN LOADS: *WIND LOAD -- 15 PSF 1. THIS TIE DOWN SYSTEM IS DESIGNED TO BE CONSTRUCTED ON A FAIRLY LEVEL SITE WITH NO EXISTING SOIL PROBLEMS. MINIMUM SOIL PARAMETERS: TYPE 5 COHESIVE SOIL, WITH MINIMUM SOIL BEARING CAPACITY OF 1000 PSF. 2. CHASSIS BEAM SUPPORTS SHALL BE LOCATED AND SIZED FOR THE LOADS AS SHOWN IN THE "MANUFACTURED HOME INSTALLATION INSTRUCTIONS". 3. IN AREAS WHERE DIFFERENTIAL SETTLEMENT (DS) CAN OCCUR, MANUFACTURED HOME SHALL BE READJUSTED WHEN DS EXCEEDS 1/4", OR WIIEN IT WILL ADVERSELY AFFECT MOBILE HOME UNIT. 4. THIS PLAN IS INTENDED TO BE USED FOR MANUFACTURED HOMES UP TO (3) SECTIONS IN WIDTH. CONTACT THE DESIGN ENGINEER FOR DESIGNS OF MANUFACTURED HOMES OVER (3) SECTIONS WIDE. 5. STRUCTURAL STEEL: FABRICATED ACCORDING TO RISC SPECIFICATION. WELD ACCORDING TO AWS SPECIFICATIONS. ELECTRODES -370 PLATED -ASTM A36. BOLTS=ASTM A307. ! ; : F 6. THE E -Z TIE ASSEMBLIES ARE CAPABLE OF THE FOLLOWING LOADS: HEIGHT HORIZONTAL VERTICAL UPLIFT 18 2010 (lb) 6000 (Ib) 891 (Ib) 21 " 1825 (Ib) 6000 (Ib) . 801 (Ib) 25" 1510 (Ib) 6000 (Ib) 664 (Ib) 28" 1419 Ib 6000 (Ib) 629 (Ib) 36" 867 �Ib� 6000 (Ib) 385 (Ib) 7. ALL METAL COMPONENTS AND ATTACHMENT ITEMS SHALL BE PROTECTIVE COATED. 8. WHERE STAND IS PLACED ON EXISTING CONCRETE SLAB, 1/2" SLEEVE ANCHOR BOLTS MAY BE USED TO SECURE PIER BASE PAD. �j. Ai IACHMEN T ME I'HODS FOR "C" & "J" BEAMS SHOWN ON STJT. #2. THE LONG DIRECTION OF THE E—Z T E PAD (37") MUST BE INSTALLED PERPENDICULAR, ^T0=' Hf^:;� AVIS �B AM. ABESCO-GUS GUARD COMPANY 5851 FLORIN - PERKINS ROAD SACRAMI-N-F0, CA 95923 PH: (800) 382-8851 FAX: (916) 383-52.07 SINGLE WIDE COACHES DOUBLE/MULTIPLE COACHES E= 2' MIN. / 8' MAX. E= 2' MIN. / 11' MAX. VARIES 10' -70' -- EVENLY SPACED BETWEEN i (] l -J L_., p —.RIDGE BEAM SUPPORT AS REQUIRED BY MANUFACTURER ❑ ❑ (TYPICAL) ❑ ❑ B E3 ❑ ❑ ❑ E—Z TIE SUPPORT PAD \ (TYPICAL)' - L CHASSIS BEAM SUPPORT PIERS --SIZE AND SPACING ` AS REQUIRED BY THE HOME MANUFACTURER. LENGTH OF HOME NUMBER OF E -Z TIES ^ 18" HT 21 " HT 25" HT_ 28" HT 36" HT - 40' j 50' 4 4 4 4 4 4 4 4 6 6 60' _4 4 4 6 8 66' _ 4 4 4 6 8j STATE APPROVAL ENGINEERED TIEDOWN SYSTEM APPROVED SUBJECT TO CORRECTIONS NOTED Approval does not authorize or approvo any of n deviation from raquirements of applicable State reeu!aliuns. = „p SMC. 01 C2!i,crnil Departm^nt of HouSirC aeG ^'tv Devc!op9 3!0..10; COLE. r,":; IVA By D Sts �� �J EPA NO �._..__._. ca This Plan Approval Expires` THIS TIE DOWN SYSTEM MEETS THE REQUIREME{M OF SECTION 1336.3 SUBSECTION (a). WAYNE T. POLVADO, PE -LISTING NO. 99001 SHEET 1 of .. ` y . � `y ; } ne+' / 2"x2"x3/16" STL. ANGLE 3/8" CAD PLATED BOLT, NUT & WASHER COUNTER BORED FLUSH WITH BOTTOM _ (8) REQUIRED 1/4" STAND BASE ABESCO ABS PAD #503 DETAIL "A" CHASSIS FRAME - 1/4" GRIPPER PLATE - (2) REQUIRED 1/4" GRIPPER BASE 1/2-13UNC-A307 x 4" - BOLT WITH NUTS (4) REQUIRED 01 1/2" SCH 40 PIPE RISER WITH 01/2" ADJUSTER HOLES AND 3/8' • THICK TOP PLATE 02" SCH 40 PIPE STAND WITH TWO 01/2" ADJUSTER HOLES � A8:'SCO ABS PAD //503 - STEEL FRAME \ \ 3/4" DIA. x 18" LG. (4) REQUIRED 36" MAX TO BOTTOM OF PAD - 01/2"x 3" C.R. LOCK PIN WITH 01/8" BRIDGE PIN Ir Oq 37" 10 ❑ 1 - 1/2" DIA. HOLE (8) PLACES 1-.--1] 10.00 ----{ O O i 10.00 09/16 HOLE (TYP)- STAND BASE TOP VIEW 18.75 ❑ 7 STEEL FRAME TOP VIEW - 1 1/2"x1 1/2"x3/16 x2" T.S.(aj a*s (4) REQUIRED tcs SIDE VIEW 1/4"x1-1/4 TEK STS (2) REQUIRE[ 1/4" GRIPPER BASE 1/2" A307 130L (4) REQUIRED 18 1 /2" ASESCO-GUS GUARD CONVA 5851 FLORIN - PERKINS ROAD Y SACRAMI-ENTO, CA 95823 PH: (800) 382-8831 FAX: (916) 383-5207 1-111^,H C" FRAME C—BEAM ATTACHMENT -COACH "J" FRAME 1/4"x1-1/4" ;RIPPERTEK STS ATE (4) REQUIRED 1NNEL -j )2 REQUIREDOLT � ( (T 1/4" GRIPPER BASE X1/2" A307 BOLT (2) REQUIRED J -BEAM ATTACHMENT E -Z TIE DOWN SYSTEM WAYNE T. POLVADO, PE—LISTING NO. 99001 SHEET 2 of 3 -0 p. 50 O 0 0 30.00 10.00 ----{ O O i 10.00 09/16 HOLE (TYP)- STAND BASE TOP VIEW 18.75 ❑ 7 STEEL FRAME TOP VIEW - 1 1/2"x1 1/2"x3/16 x2" T.S.(aj a*s (4) REQUIRED tcs SIDE VIEW 1/4"x1-1/4 TEK STS (2) REQUIRE[ 1/4" GRIPPER BASE 1/2" A307 130L (4) REQUIRED 18 1 /2" ASESCO-GUS GUARD CONVA 5851 FLORIN - PERKINS ROAD Y SACRAMI-ENTO, CA 95823 PH: (800) 382-8831 FAX: (916) 383-5207 1-111^,H C" FRAME C—BEAM ATTACHMENT -COACH "J" FRAME 1/4"x1-1/4" ;RIPPERTEK STS ATE (4) REQUIRED 1NNEL -j )2 REQUIREDOLT � ( (T 1/4" GRIPPER BASE X1/2" A307 BOLT (2) REQUIRED J -BEAM ATTACHMENT E -Z TIE DOWN SYSTEM WAYNE T. POLVADO, PE—LISTING NO. 99001 SHEET 2 of 3 INSTALLATION INSTRUCTIONS E -Z TIE DOWN SYSTEM 1. PIERS MUST BE PLACED ON BEAM WITHIN 24" OF AN OUTRIGGER OR CROSS MEMBER, OTHERWISE INSTALL WEB STIFFENER ON CHASSIS BEAM. 2. MAKE LEVEL THE PLACE WHERE THE PAD WILL SET, DOWN TO UNDISTURBED S011_. 3. THE PAD MUST BE CENTERED BELOW THE CHASSIS BEAM. 4. REMOVE THE FOUR (4) NUTS AND WASHERS FROM THE STUD BOLTS IN THE PAD AND PLACE THE PIER. THE HOLES IN THE BASE PLATE WILL LINE UP WITH THE STUD BOLTS. REPLACE THE NUTS AND WASHERS AND TIGHTEN DOWN. . ALTERNATIVE: (2) #12 S_M_S. OR WELD s/i6 (2) #12 S.M.S.— s/ir ANGLE IRON --� 1 1/2 "y 1 1/2 'x 3/16 NOTE: USE STIFFNER IF OUTRIGGER OR =—= CROSS MEMBER DO NOT OCCUR WITHIN 24" OF STANCHION (TYP) WED S`I'II FENF1' R 1)E'1'A11_, A131iSCc)-c;US GUARD COMPANY 5851 PI,010N - PERKINS ROAD SACRAMENTO, CA 95823 PH: (80U) 382--8831 FAX: (916) 383-5207 WAYNE T. POLVADO, PE—LISTING N0. 99001 SHEET 3 of I -BEAM 5. REMOVE THE TWO (2) GRIPPER PLATES ON THE TOP OF THE PIER. PINS, PIERS CAN THEN TELESCOPE. RAISE THE START THE HEIGHT ADJUSTMENT BY REMOVING THE COTTER AND ADJUSTMENT TOP OF THE PIER POSSIBLE. PLACE ADJUSTMENT PIN THRU ADJUSTMENT HOLE AND UNTIL THE PLATE IS AS CLOSE SECURE TO THE BOTTOM OF THE CHASSIS BEAM AS 6. RAISE THE TOP PLATE USING THE ADJUSTMENT NUTS UNTIL THE PIER WITH THE COTTER PIN. TOP IS 7. PLACE THE GRIPPER PLATES OVER THE FLANGE OF THE BEAM TIGHT AGAINST THE BOTTOM OF THE CHASSIS BEAM. AND TIGHTEN DOWN FIRMLY WITH THE TOP NUTS. C_ BEAMS AND J -BEAMS 8. 9. HEAD OF PIERS REQUIRES THAT TWO (2) TEK SCREWS BE PLACED FOUR (4) STEEL STAKES THRU THE SIDE OF THE BEAM IN ADDITION TO ONE GRIPPER PLATE. (SUPPLIED) ARE TO BE DRIVEN THRU GUIDES INTO SOIL UNTIL STOPS ARE FLUSH WITH THE GUIDE. ALTERNATIVE: (2) #12 S_M_S. OR WELD s/i6 (2) #12 S.M.S.— s/ir ANGLE IRON --� 1 1/2 "y 1 1/2 'x 3/16 NOTE: USE STIFFNER IF OUTRIGGER OR =—= CROSS MEMBER DO NOT OCCUR WITHIN 24" OF STANCHION (TYP) WED S`I'II FENF1' R 1)E'1'A11_, A131iSCc)-c;US GUARD COMPANY 5851 PI,010N - PERKINS ROAD SACRAMENTO, CA 95823 PH: (80U) 382--8831 FAX: (916) 383-5207 WAYNE T. POLVADO, PE—LISTING N0. 99001 SHEET 3 of CDF FIRE SAFE REQUIREMENTS [ , J , I ( 0 2 - AP# PERMIT ## NAME - Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made apart of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. [, 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provide for by the land owner. Driveway Standards 66 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other appartezant structures which supple- ment the roadway bed or shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing sedans and fire apparatus weighing up to 40,000 pounds. j 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius l�] 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of 50- 100 feet radius; 2 feet to those from 100-200 feet. l 2. The length of vertical -curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. [ 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. [ 1270.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 of 3 '. S�,cl ©Z-1––yl �-L r S AP # PERMIT # NAME [ 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. [P 1273.10 Turnaround. A turnaround shall be provided at all building sites on driveways over 300 ,feet in length and shall be within 50 feet of the building. 1273.11 Gates 1. Gate entrances shall be at least two feet wider than the roadway it serves. [ 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. [�11 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space. [ 1. All parcels 1 acre aid larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from 411 property lines and/or the center of the road. [ ] 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See Other Requirements below. 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction.,- road and driveway construction and fuel modification shall be completed prior to completion of road construction )r fi:ial inspection of a building permit. Page 2 of 3 61- 54-1 f aZ -Z42-f 4/✓awc, 14CS,:Lr� AP # PERMIT # 14AME Other Requirements [ ] If Building Setback is 15 to 30 Feet: - Class A or B roof - Enclosed eaves ] If Building Setback is Less Than 15 Feet Choose any 3`of the following: - Metal or no doors on side toward property line with insuffi- cient setback - Class A or B roof with enclosed eaves - Interior automatic sprinkler system per NFPA 13D - Glass area not to exceed lot of wall area toward property line with insufficient setback - Siding from the following list: Stucco - 3 coat Hardi-Board or Plank Masonry Masonry veneer Metal Other Butte County Fire Department approved materials Date Signature Page 3 of 3 V 0 APPROVED 13tjy,ie Count) Ton,r,pntal �t SCvr't Oi R /)JAj -,44 0 (a 1—`x'90-011 C?r% L; NCIAll A)D47 r.• APPROVED County arth Aiir® w a 0 _....r CL 4c t LP 0 z 0 O �rc-- I T'r- See the aftached Z Pies t- �Xi ��a�s A►d.P#. re�a�e0 The eftachad Sm S -ft raquiremefft must be wrekabW es Ef ed wd appoved by G.D.F. . 6 j REVONED By BUTTE CO. FIDE CLEFT. CALIF. DEPT. of FORESTRY [] approved as submitted approved with conditions —p er ttache sheet. 21jko'�- i nature Date ALL STRUCTURES AND EQUIPMtNT INCLUDING OVERHANGS SMALL BE CLEAR OF ALL EASEMENTS. A SET BACK OF�ii FT. FROM THE SIDE AND Fr. FROM THE REAR PROPERTY LINES AND _ FT. FROG•! THE ROAD CENTERLINE SHALL BE CLEAR OF STRUCTURES AND EQUIPMENT EXCEP? e:'OR A 2 Fr. EAVE 0VER6 qG. ,tt 02. — .2g5; Z A .7;6O Z- — 7y Z 1 /A tj Q � ,� 9 0 BUTTE COUNTY /9pi\J-g 0 / -SS -a -=alb 9� 7 Ctrl bluA 61 �AjOL. a E 0 o � N r 0 a PLANNING DIVISION- BUILDING PLAN APPROVAL Use: 81< Date: )0-Qj-2 2 Parking: Landscaping: :C) goo. SFo 0// v R L L'n 16 AN on Elus ow,'J 9 a D eNo--pv6 d!y � , c3 r� •� , 3 a 1 � m r ou,N<i q/Z4/0z �l A Z Z The attached Fire Sal® requirements must be oornpbW as speoffied and approved by C.D.F. 1 o G l i 3611 U AN r 'NOTE. Sae the attached � I 'dentlal CO e-4- ,—tim e U6teIY1@I1tS 2 - ---Pages REVIEWED BY BUTTE CO. FIRE DEPT. CALIF. DEPT. of FORESTRY ❑ approved as submitted approved with conditions per ttache sheist. ill l 0�� Psignature Date ALL STRUCTURES AND EQUIPMENT INCLUDING OVERHANGS SHALL BE CLEAR OF ALL EASEMENTS. A SET BACK OFc7 FT. FROM THE SIDE AND —311 FT. FROM THE REAR PROPERTY LINES AND 0 FT. FROM THE ROAD CENTERLINE SHALL BE CLEAR OF STRUCTURES AND EQUIPMENT EXCEP? AOR A 2 FT. EAVE OVERHANG. -ep z — .'z�121 M �•C 9 o BUTTE COUNTY � ®s- ��N� 9a 7 rev �r,vA G, /41q AX U'f}C.l= RIC /-}jUDR�WS-OC,c�ivC�L APPROVED 4 7 A>;l 1465-79P,E t PERMIT NO. PERMIT EXPIRES3L. +OWNER Susan Carlson iCONTR. own er LOCATION (A.P. 62-07-347 ! iy 1 End of pri.gravel Rd.,200'W.of Ponderosa Way, 22 mi.N.of Oro Quincy Hwy,. l - i x I: 1i f t y 1 _ Ct 1 i Temp. Power Pole { wi Called PG&E _ t7 4 -emir Elec. Serv. Called PG&E { Temp: Gas Serv. iCalled"P-"G&� � JOB t FINALED ' (Date) (Signatu� COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING ZeVDaCK k1rewall Soi Piping Fo s P apets A Floor MaXp Bldg. Re oom Finish 2nd loor otin s Wind4s 3rd Nor Ste wall Sidin To out Slab Roof Shhthina Water PI i Piers Roofing Sewer Garage Fdn. Vents Fixtures FootinosX Garage Vents Water Htr. Stemwal I Insulation X Heaters Slab Prov. for ph slca y Appliances Carport handica ed Gas Piping & Test Conformance of ex. Footings v structure v Temp. as Slab A Final Sanitation Patio IRE . ACE Final Footings Footing LECT R IGN L Masonry Walls Throat Rou h Reinf. Steel/ Final Fixtures Bond Bea FIRE SPRINKLE Motors Framing Test Water Ht Stucco Final Sub an s Ylor MECHANICAL Gird. ult Prot. Heat Sery e Co Ing mp. Pole D is nder round 3� th entilation Permanent I e or Closer Inal inal MOBILEHOME UTI ITIES Elec_ Service Elec. Pedestal Water Piping Sewerl Gas Piping D G BI E OME INSTALLATION - - - - - - - - - - - - - - Support 11 Elec. Continuity ' Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS gev "7 /J/�m�� i ) q Y (NOTE: An entry must be made on this form each time you visit the job site.) i . COUNTY Of,_-BiiTIT DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with therequirements of the California Administrative Code, Title 25, Chapter 5, under permit number 4—OZ—A " 74 for the following location: .01 Owner- Owner's wner Owner's Address_��-Y Mobilehome Mfg. ��/yd/ Model _4,4' Year L�Z_/ Insignia No. //- '? X/'1 cz..� Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date—�//�/;7`1 $y 1 THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED - White - Owner, Yellow - Installer, Pink - D.P.W. w COUNTY OF BUTTE-"DePARTMENT OF PUBLIC WORK 7 County Center Drive — Oroville, California 95965 ' Telephone: 534-4541 APPLICATION AND PERMIT aUUlUllctl 1VlJICSCIIIGUVCJ v1 me v.vunry ul ouue 1v enter upun me above-mentioned property for inspection purposes. X ;'s. C_f>I i t 4. %-- Date 3- ao- RC1 Signature of Permitee or Agent Receipt No.���� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable'provisicfns of the Butte County Code and/or resolutions to do work indicated above which fees have been paid. RE JTXOF P LIC WORKS By Date 3'' Building per expires Dat c�-� BUILDING Owner SQ. FT. OCC. BUILDING VALU&46N Mailing Address Tele hone No. ,7 Contractor Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address �L Plan Checking Fee&/or Penalty Permit Fee PLUMBING No. @ FEE a PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. 2 " zing & PI Water piping 1.50 Each gas water heater or vent 1.50 eset Sa i Fire Dept. Fire Zone Use P it Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans ParcelEach Declaration Parcel MWJ 60' R/W I Improvements additional outlet .30 Building sewer 5.00 QrQ Bldg. P ns Recd Parcel roval Plans Approval Lawn sprinkler system 2.00 NEW ADDITION UTILITIES OTHER permit Fee $ 3570d ELECTRICAL No.1 @ I FEE PERMIT FILING FEE 1 $3.00 J j,Oa Main service 600V OR LESS 100 AMP OR LESS 5.00 /& Single Family Duplex Mobil Home/Ig Others ❑ Main service EA. AOD•L 100 AMP 2.50 Main service OVER 25,00 100 AMPP OR LESS O Main service EA. ADD'L 100 AMP 1.00 NEW CONST DWELIN. OR ADDNS. ACCLBLDGSCCUP. s� 20sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name st le of: Y T NEW CONSTR./MULTI-OUTLET NON-RESID `BRANCH CIRCUITS/ 2.50ea NEW C ON ST R ( POWER APPARATUS B NON-RESID. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXT11RES 5B L2j Ex. OCCU FIXED APPLNS. OR p•�OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ t�"rpPi TOTAL PERMIT FEE $ ' ®I aUUlUllctl 1VlJICSCIIIGUVCJ v1 me v.vunry ul ouue 1v enter upun me above-mentioned property for inspection purposes. X ;'s. C_f>I i t 4. %-- Date 3- ao- RC1 Signature of Permitee or Agent Receipt No.���� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable'provisicfns of the Butte County Code and/or resolutions to do work indicated above which fees have been paid. RE JTXOF P LIC WORKS By Date 3'' Building per expires Dat c�-� COUNTY'bF BbTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT /IN authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X � )-),- C4�,.a_r%C Date =_3 Signature of Permitee or Agent Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated a r which fees have been paid. C OF PUBLIC WORKS Date �v 0J Building permit expires Date _to -' %d'��� BUILDING Owner �� SO. FT. OCC. BUILDING VALUATION Mailing Address , T e hone N 7 Contractor /✓ C Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address n �� Plan Checking Fee &/orPenalty Permit Fee PLUMBING No. @ FEE O Q PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1,50 A. P. No. 1p ^D — 14 d�� {i Ze.-_ing & Planning Water piping 1.50 Each gas water heater or vent 1.50 F Fire Dept. FireZone Use Permit Gas piping system 1 -5 outlets 1.50 EOA Parking Plans Parcef Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 �� Bldg. P anf s Rec' d Parcel A val ans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ ELECTRICAL No. @ FEE 22 _PERMIT FILING FEE • $3.00 00V OR LE Main service 100 AMP ORSLESS 5.00 Single Family ❑ Duplex E] Mobil Home/XJ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service 100 A MP s0ovOR LESS 25.00 100 A Main serviceEA. AOD'L 100 AMP 1,00 OR ADDNSNEW T (( %ACCDWELBLDGS.LING CCUP, 4) 20sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name st le of: y NEW CONSTR BRANCH CIR T NON•RESID ( BRANCH CIRCUITS) 12.50ea NEW CONST R. (POWER POWER APPARATUS 6 NON•RESID. (SINGLE OUTLET CIR, Ex. OCCUD(OUTLETS OR FIXTIIRES 5 L� EOFIXED APPLNS. OR Ex. CCU 2.00 p•(OUTLETS (RESID,) EAJ Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring , 6.25 RrI am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 1 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X � )-),- C4�,.a_r%C Date =_3 Signature of Permitee or Agent Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated a r which fees have been paid. C OF PUBLIC WORKS Date �v 0J Building permit expires Date _to -' %d'��� r LazdrJ-Devetop' tnent­'Sec.riorl ` .;r-r-�.1`�� 177F Ct�i'ILC Llci ;l r' Issued to: Don Ivan. P. 0. Box 11 Berry Creek, CA. 95916 FE- R Pq_IC WORKS e.'Np FEE F t [. This Certificate of Compliance is herebv issued by the County of Butte to certify that the land division which created the parcel of property identified below complies with the applicable provisions of the Subdivision_ Map :pct and of Chapter 20 of the Butte County Code. 1. Property location: Bloomer Mountain area. 2. assessor's Parcel Number: 62-07-347 bySA 9C Description: All thatcertain property located in the County of Rutte, State of California, more particularly described.as Tollcws: ` The Northerly 200.0 feet of the Southerly 8U0.u0feet, as measured along the Westerly boundary line.of all that portion of the following described parcel of land lying. SOUL-herly and Westerly of the centerline of Ponderosa Way: Beginning at the East quarter corner of Section 31, Too,-nship 21 North, Range 5 East, D1. D. B. & H.; thence South 0°46'29" East along said East boundary line, 1326.07 feet to the Southeast corner oL' the Northeast quarter of the Southeast quarter of said Section 31; thence South 89°21'04" [Jest, along the South boundary line of the North- east quarter of the Southeast quarter of said Section 31, a distance of 1314.59 feet to the Southwest corner of said Northeast quarter of the Southeast quarter; thence: North 0°50'27" West along the [Jest boundary line of said fractional Section 31, a distance of 1323.18 feet to the Northwest corner of said Northeast quarter of the Southeast quarter; thence continuing North 0°50'27" West, 1.01 feet along the. West- erly boundary line of the Southeast quarter of the Northeast quarter of said Section 31; thence leaving said Westerly boundary line, North 73°35'13" East, 195.12 feet to a point in the centerline of Ponderosa Way; thence along the centerline of said Pon- derosa -Way, Southeasterly to a point that intersects with 'the East-West centerline of said Section 31; thence along said East-West centerline, North 39°13'31" East, a dis- tance of 850.0 feet, more or less, to the point of beginning., E<l'1't:;' T i dC THEREiRO'N all that portion lying within the boundaries of the following .de- scribed property: Commencing at the Northwest corner of the Northeast quarter of the Southeast quarter of said Section 31; thence along ttie West line of said Northeast quarter of the South- east quarter, Soutti 00°05'27" East, 297.27 feet to the true point of beginning for the parcel of land herein described; thence from said true point of beginning, continuing along said West line, South 00°05'27" East, 260.0 feet; thence leaving said West line, North 39°54'33" East,, 120.0 feet; thence Nortti 00°05'27" West, 260.0 feet; thence South s;9°54'33" :`est, 1'20.0 feet to the true point of beginning.. issuance of this Certificate is conditional Upon the following conditions which have been imposed pursuant to the Butte County Code anal Government Code, rection 66499.37 (b), to protect the -and public safety. �one..•. CN❑ CC DOCUM SNT - County of Butte Subdivision Violation Co=ittee RETiiRIN T0: CERTIFICATE OF C0MPLIN CE Planning Oept. Issued to: Charles.E. Mortmain 110 Oakvale.Co.urt Oroville, CA 95965 OFFICIAL R -'-CORM, 9UTTiE CO!1!HTY-10rL1F u�C.1R3 REr,r .0_c 6 .2 03 HIM .'7� FEE. �5 This Certificate o Compliance is hereby issued by the County oButte to certify that the land division which created the parcel of proberty identified below complies with applicable .provisions of. the viSion "ap Act and of Chapter 20 of t. -he Butte County Code. 1. Property location: lying north & east of Ponderosa Way, BI comer 'Mountain. 2. assessor's Parcel 'Number: AP 62-07-347 Description: All that certain property. located in the County of Butte, State of California, more particularly described as follows: The northerly 200 ft. of the southerly 800 ft. as measured along the westerly boundary line of all that portion of the following described parcel of land,, lying southerly and westerly of the centerline of Ponderosa Way. Beginning at the E4 corner of Sec 31, T21N, R5E, 'IDB` &M; thence S 00 46' 29" E, along said east boundary line, 1326.07 ft. to the SE. corner of the 'IEa of the SE -1,; thence S. 890 21 ' 04" U, along the south boundary 1 i ne of the iNE4 of the M4 -.of said. Sec 31 , 1314.59 ft. to the S1.4 cornea, of said NEof the SE4; thence N 00 50' 27" +A, along the. west boundary 1 ine of said fractional Sec .31 , 1323.18 ft. to the N'W corner of said . PJE`- of the SED-,; thence continuing N 00 50' 27" W, 1 .01 ft.. along the westerly boundary line of the SE -1,, of the NEI.- -of said.Sec 31; thence eavino said westerly boundary line;' N 73o 35', 13" E; 195.12_ ft. to a point in the centerline of Pondersoa Way; thence along the centerline of said Ponderosa Jay, southeasterly to a point that intersects -.with t,e east .rest centerline of said Sec- 3l; thence aionq said east west centerline i'I 890 13 31" E, 250.00 ft. more or less to the point of beginning. Excepting. therefrom a well. site, .pumping plant and water storage tank. Together with rights=of-•ray of record. Issuance of this certificate. i:s conditional upon the following conditions which have been imposed pursuant to Butte Coun.ty.Code Chapter 20-48 and .Government Code; Section 66499.35 (b), -to protect the public h e_a ::1 and pub l i c S F e t y . i'J0NE County of Butte Board of SupervisorsUj. BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. I PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET ' e 1. Owner's name: i, c,`n C-Lus o n 2. Installer's name: 3. Is the site currently under permit? Yes / / No (If yes, furnish permit 'number.. ) OR Is the site an existing site? Yes / ✓/ No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at.least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes /-so'7 ..No ( If no, clarify _ ) 5. What is the mobilehome electrical rating? ------------------------ 0 0 0 Amps 6. What is -the mobilehome site service rating? --------------------- Ca Amps 7. 'What is the mobilehome site circuit breaker rating? ------ ---- Amps 8. Is there any other electric load,to be served by -the mobilehome . site service? --------------------------------------------------- Yes / / No (If yes, identify the load and size: (Load). (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- (in.) 10. What is the type of gas service? ----------------------------- Natural / / LPG ;;K 11. What is the gas pipe length from meter or tank to,,, he mobilehome? ('ft.) 12. :What is the mobilehome gas demand? ------------------------------ A -)J A (BTU) (This information,not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) , MOBILEHOMESUPPORT DATA If other than single wide, `Mobilehome Mfr. Q j\f%Vnc,VoV'1 furnish Setup Model No. /�� Year Width- - (ft.) Box Length's ' " (ft.)' {Tagalong or Expando Size ,r�� ft. x ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation manual and structural.setup sheets'•(if not on file with the County of Butte). d' All centersupports measured from front-of mobilehome unless otherwise specified, i.. Foot ifia ,' (check one) Single �1. Wood either pressure treated o foundation grade.. x 2. Other =(specify) Ae in;(in.) (iris) ❑ CentCenter su ort lofooting zes Supports (check one) (in.) � 2 1j Concrete block. K ❑ 2. Other ;(specify) (in. • M --Tagalong nor Expando, show support details. (ft.)(in.) (in.) (in.)., .-- Typical Support in.) (in.) Footing Size s x (ft:-) in.) (in. (in.)' _ -- Max. Pier Spacing (ft.)(in.) ' Max. Overhang ft.) (in.) (ft.)(in.) - C�k� ��.� BUTTE COUNTYOO'' / BUILDING DEPARTMENT.. APPROVED *If center piers are other than .drawn above,. v draw -in.-locations, spacing, and dimensions. 9. Electrical A. Is service large enough to-provide.adequate amperage -to mobilehome (must equal rati%g 'o' mobilehome with a minimum of 100 amp) and. other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes_,,,./No B. Is there proper clearances around panels? Yes t/ leo C. ,Is power supply cord or feeder assembly properly fused? Yes /No— D. Is continuity test satisfactory as per the following procedure? Yes No 1. De -energize electrical wiring system of the mobilehome at the pedestal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome .to the "on" position. 4. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure,'the power supply cord or feeder assembly conductors shall be connected to the site service equipment.- A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? 11. If everything.okay, sign off card and tag services. MOBILEHOME DATA Manufacturer and/or Namestyle Length � 1, Width Vehicle Serial No. _5oZ��(7 State Identification No. Additional Information or Comments: Z MOB ILEflOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located reqi;ired separation froin.-lot lines and buildings andtgenerally conform to plot plan? Ye 0 s 2.. Does the mobilehome have required',."clearances above ground? (Sec.5085) Yes_/No 3. Are footings and -supports properly''sized,,s*paced,-.afid-braced as per approved plans? `(Note possible variation at spring -shackles.) (Sec. 5082 &.5083) Yes No�_ _jZ Is the mobilehome level? (Sec. 5088) Yes es -1/4 5. If more than a single unit, are crossover connecfions',•prop6rly installed? -(Sec. 5088) Yes No 6. Water A."),,Is.i,flexible connector of 'adequate size and properly installed (1/2" ID min.')? (Sec. .5566) Yes i - ANO CB. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes No C. Backflow - If coach is not Stat off.California app'roved, does station have backflow device and pressure -relief valve? Yes 7. Wastes and Drains A. -Is'connection made with Schedule .40DWV and have flex connectors at each -lend? Yes -ANo Does it have minimum per 0slope io e and, is it properly supported? Yes tNo , ' C. Are any leaks detected in drainage system after running 3-�allons-of water through each fixture including washing machine standpipe?.Yes* No Z D. If coach ispor- state of Californiaapprov'ed,."'does station have required trap grid vent? Yes No- i 8. Gas Piping and Gas Vents A. Connector - Isrnobil&home-66Tinected to the gas supply with an approved 3/4" minimum' mobilehome connector not more than 6 ft.'long? Note: All piping is to be at least as la'rge as the mobilehome gas line inlet without reductions other than the mobilehome. c6nnector. Yes /No B. Test OK as per following procedure? Yes__I...,/No 1., Open all applianice�Z6nnidicf6r valves.'' 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min, without drop. 4. Connect gas meter to mobilehome with connector, turn on gas,, test connections with soapy water. C.. Are all appliance vents'properly installed? ­­_ . .. ........ . - . ...... I Yes No fllis set of plans and specifications MUST !^ ! kepi on the job at P:'I rlmns and it is unlav'�c ` ^r al' -r -tions on same w;f-`. -ons ;sic Depa, –.,,int of , Vlorks, Couniv of Eutte. 7_ `)All (� i'ty copneztions shall be ^ located witMin,4`ff. outside the rear third section o`F t6fe mobile home on the left (road)_—s+,�of the mobile A permit will be ri quiml for fheihome. •� installation of the mobl 'ehomea Septic system and locationof "= \ to be as per Butte County ' Health Dept. Re- quirements. The Setback shall' oe`5 ft. from the side property line and 50 ffArom the centerline of the road, permiffing a maxi- mum of a 2 ft. eave overhang but entirely =iut of all easements. i fTE:—All Materic!Is & Workmanship Shall Be in Alccordc nce wiih Recognized Good Practices and c�i'� a cjuai.iy presci il,e,1 far. the Snecif and use_in the � �r'iiform Bui,ding, Plumal Codes .:ing & Mechanicand 0%"• Nutional Electrical Code. t BUTTE COUNTY ! BUILDING DEPARTMEN ,. .,APPROVED l r BUTTE COUNTY ! BUILDING DEPARTMEN ,. .,APPROVED