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064-080-014
64-08-14 [,DONALD ECORDED AG STATEMENT -- - --- 64-08-14 HACKNEYColter-Way, Magalia PErmit#2873-87B,E(new garage & 2 decks) 64-08-14 Contr. entland Const Permit#29 7PE,(util, MH) ELEC O - `'OAC�tCb� .�AGGt✓'(.�9� AS �.• SUPPO T STR RE . v/CO �✓�/� COMPACTION TEST REQFT 4- -'64-08-14' 4/j2 5/® Contr: alley Homes - Per 3013-87MHI— I ed B07-1685 -:064-080-014 ` RESIDENTIAL SFD-Mobile'Home RET EX MH ON PERM FND' 14669 COLTER WAY'. : STARK, RICHARDg'-Z22-'D% i i - i � � � � � �. � BUILDING PERMIT NUMBER: B07-1685 Address or location of unit: 14669 COLTER WAY MAGALIA CA 95954 Legal Description of Real Property: 064-080-014 SEE ATTACHED (x) Mobilehome/Manufactured Home () Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: STARR, RICHARD Owner's address: PO BOX 1163 MAGALIA CA 95954 INSIGNIA OR HUD NUMBER: CAL347138/9 SERIAL NUMBER OR V.I.N.: GW6CALKG7004A/B MANUFACTURER'S NAME: GOLDEN WEST YEAR: 1987 OFFICIAL APPROVING INSTALLATION: DATE: 8-22-2007 PHONE: (530) 538-7541 H.C.D. 513 BUTTE COUNTY AREA DEPARTMENT OF DEVELOPMENT SERVICES 3 INSPECTION CARD MUST BE ON JOB SITE 24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico) Office: (530) 538-7541 Fax: (530) 538-2.140 Website: www.buttecounty.net/dds Permit No: B07-1685 Issued: 08/20/2007 Address: 14669 COLTER WAY Area: MAGALIA Owner: STARR, RICHARD Applicant: KEMPTON CONSTRUCTION . Permit Type: SFD-Mobile Home RET APN: 064-080-014 Description: EX MH ON PERM FND I Flood Zone: None SRA Area: Yes Front: Ultimate R/W from CL: Rear: SRA: Side: AG: Other: Total Setback from Centerline of Road:+ ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING Inspection Type IVR INSP DATE Setbacks 132 Foundations / Footings 111 Pier/Column Footings 122 Grade Beams 114 Eufer Ground 216 Forms/Steel/Holdowns 122 Do Not Pour Concrete Until Above are Signed Pre -Slab 124 Gas Test House 404 Gas Test Yard 404 Masonry Grout 120 Masonry Bond Beam 119 Underfloor Framing 149 Underfloor Ducts 319 Shear Transfer 136 Under Floor Plumbing 412 Under Slab Plumbing 411 Gas Piping 403 Do Not Install Floor Sheathing or Slab Until Above Signed Holdowns/Straps 122 Shearwall/B.W.P.-Interior 135 Shearwall/B.W.P.-Exterior 135 Roof Nail/Drag Trusses 129 Do Not Install Siding/Stucco or Roofing Until Above Signed Rough Framing 128 Rough Plumbing 406 Rough Mechanical 316 Rough Electrical 208 Gas Piping 403 Shower Pan/Tub Test 408 Fire Sprinkler Test 702 Fire Sprinkler Final 702 Finals Building Final 802 Electrical Final 803 Mechanical Final 809 Plumbing Final 813 Pool Final 802 Mobile Home Final 802 >' Inspection Type I IVR I INSP DATE Do Not Insulate Until Above Signed Wall Insulation 117 Ceiling Insulation 118 Do Not Cover Until Above Signed T -Bar Ceiling / RC 145 Stucco Lath 142 Stucco Scratch 143 Stucco Brown 144 Swimming Pools Setbacks 132 Pool Plumbing Test 504 Gas Test 404 Pre-Gunute 506 Pool ElecBonding/Light Nitch 502 Pool Fencing/Alarms/Barriers 503 Pre -Plaster 507 Manufactured Homes Setbacks 132 Blocking/Underpining 612 Tiedown/Foundation System 611 Site Utilities/Trench Insp. 137 Gas Test Yard 404 Manometer Test 605 Continuity Test 602 Skirting/Steps/Landings 610 Coach Info Manufactures Name: Date of Manufacture: Model Name/Number: Serial Numbers: Length x Width: Insignia: 2 { r Public Works Fina 538-7 81 Fire Department/CDF 538-6837 cxt 169 Env. Health Final 538-7281 Sewer District Final "PROJECT FINAL 801 -rrolect anal is a i-ernncate of occupancy for (Kesidennal Unly) PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE. IF WORK HAS COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION Inspector Copy I m BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 14669 COLTER WAY Owner: Permit No: B07-1685 APN: 064-080-014 STARR, RICHARD Issued Date: 08/20/2007 By KCG Permit type: RESIDENTIAL PO BOX 1163 Subtype: SFD-Mobile Home RET MAGALIA, CA 95954 Expiration Date: 08/19/2008 Description: EX MH ON PERM FND Occupancy: Zoning: RTI Contractor Applicant: Square Footage: KEMPTON CONSTRUCTION KEMPTON CONSTRUCTION Building Garage Remdl/Addn 6348 SPAR WAY 6348 SPAR WAY MAGALIA, CA 95954 MAGALIA, CA 95954 Other Porch/Patio Total (530)873-1002 (530)873-1002 FEE INFORMATION DBF MH Plan Check $233.56 DBMSC Mobile Home Permit Fee. $350.34 Total Charged: $583.90 Fees Paid: $583.90 Balance Due: $0.00 Receipt No: B4289 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License KEMPTON CONSTRUCTION 766471 / B / 07/31/2009 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the iness and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full for do of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 08/20/2007 the applicant to a civil penalty of not more than five hundred dollars [$500); Please check one of the following: Contractors Signature Date ❑ 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 WORKERS' COMPENSATION DECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compansation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). Carrier: Policy Number. Exp. Date: (This section nee not be competed if the permit is for one hundred dollars ($100) or less. ❑ I AM EXEMPT under Section B. & P.C. for this reason: CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS 41SSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' 'ons X 08/20/2007 compensatio prov' of Section 3700 of the Lab ode, I shall forthwith comply with those Owner's Signature Date provisio 08/20/2007 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regu'ations, and State laws relating to building ignature Date WARNING: FAILURE TO SECURE ORKER OMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and property damage caused by, arising out of, or in any way connected with HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the pro wner or am au on to act o the o rry own s blz4o _ CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for O erml a SI Pr nt ate the performance of the work for which this permit is issued. (3097 civ. code) Owner 1:1 Contractor OR: Agent for Owner/ (Agent for Contractor FILE COPY Lenders Address City State Zip BUTTE COUNTY 0 o DEPARTMENT OF DEVELOPMENT SERVICES o o BUILDING PERMIT APPLICATION. o. o OFFICE #: (530)5')8-7541 FAX #: (530)'5318-2140 o A FEE WILL BE REOUIRED AT TIJUE OFAPPLICATION .� Website: w. lw.buttecounty.net/dds OIJ N'"PLEASE PRINT CLEARLY" APPLICANT SIGNATU PERMIT NO. 430-1-I�5 BIN tl PROJECT LOCATION API ` D� N Property Address v u City WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker s compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address 1 DESCRIPTION OR SCOPE OF WORK: r . Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: . OWNER INFORMATION Last Name i h vv-vo n Fit Namesy4m Mailing Address ,I; LoV City \ 1 State Z� Phone Fax, �0 r 973-1056 Fax E-mail State License Number APPLICANT SIGNATU PERMIT NO. 430-1-I�5 BIN tl PROJECT LOCATION API ` D� N Property Address v u City WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker s compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address 1 DESCRIPTION OR SCOPE OF WORK: r . Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: -CONTRACTOR Name 11� i h vv-vo n Addres�slJ S City � (i State, State a Zip Phone 53 _ s73' Q0_) . Fax, �0 r 973-1056 E-mail q0707 31 0 State License Number Class —7 APPLICANT SIGNATU PERMIT NO. 430-1-I�5 BIN tl PROJECT LOCATION API ` D� N Property Address v u City WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker s compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address 1 DESCRIPTION OR SCOPE OF WORK: r . Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: ARCHITECT/ENGINEER Name Flood Zone Address ''f r i � Qr City � (i State, State Zip Phone E-mail Fax E-mail State License Number APPLICANT SIGNATU PERMIT NO. 430-1-I�5 BIN tl PROJECT LOCATION API ` D� N Property Address v u City WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker s compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address 1 DESCRIPTION OR SCOPE OF WORK: r . Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: APPLICANT INFORMATION Name'Q"" Flood Zone Address ''f r i � Qr City � (i State, Zip Z:2L, Phone , Fax E-mail APPLICANT SIGNATU PERMIT NO. 430-1-I�5 BIN tl PROJECT LOCATION API ` D� N Property Address v u City WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker s compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address 1 DESCRIPTION OR SCOPE OF WORK: r . Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning Flood Zone SRA Yes No Occ. Type Const. 20- .0. 0 ell) C/) Z 76 cri. M 14. S�- 76 TM A L9 .01 4f� 010 POW P cou -)UTTE ILDINGDIVISION 1 AFiPROVED;;: 1510ec) r-1 C'. C64 %Q RT).014. 5 1 6 PL t 10 0 t As. ► :s T-,4 4L PA -D', 1::o 9 "X e. il U'M J?A . 6Pr44Lr 4-6, L -vi aAl ,v Xi2 Foundation System Installation Instructions for California for Ground & Concrete Systems HUD Wind Zone 1, 15 PSF Wind Load Seismic 4 By Tie Down Engineering Xi2 Ground System g07-1(65 BUTTE c;�,, 13UILDING DIV16. Xi2 Concrete System Engineer Approval State Approval MANUFACTURED HOMEIMOBILE HOMB FOUNDATION SYSTEM HBALTHAND SAFETY CODE,'SECTION 15331 APPROVED SUBJECT TO CORRECTIONS NOTBD APPROVAL DOES NOT AUTHORin OR APPROVE ANY OMISSIONS OR DEVIATION FROM REQUIREMENTS OF APPLICABLE STATE LAWS AND REGULATIONS Sate of California fta t of Housing and Community b mtoputol D OF �, 13$ AND STANDARDS $T— DAT$ SPANO. � 1- (algaetere) TWlan Approve! Bzptres Cop Page 1 of 8 0 0 0 0 OF Xi2 Foundation System I Installation Instructions for California _. for Ground & Concrete Systems �- HUD Wind Zone 1, 15 PSF Wind Load Seismic 4 By Tie Down Engineering REQUIREMENTS • These plans and specifications meet the requirements of Title 25 Section 1336.3 Sub Section A and 97 UBC Seismic Requirements, CBC 2001 addition. • Maximum vertical projection at sidewall is 9'. Higher walls may be used when the design loads are adjusted accordingly and approved by HUD. • Main rail spacing must be 75.5" - 99.5" * Except single sections 95" minimum • Additional vertical anchor ties that are unique to a home's design may be required by the home manufacturer. These locations may include shear walls, marriage line ridge beam support posts, and rim plates. The longitudinal component of the Xi2 system replaces end frame ties. Check manufacturers set-up requirements. • Maximum pier height is 48" pier. *Except for single sections 36". • Steel piers must be fastened to the I-beam with clamps provided with steel pier. • Systems must be placed as evenly as possible, no more than 10' from end of home. • Designed for 7:12 roof slope. *Except single sections, (20'- 4.37 in. 12" pitch). Additional Requirements for Concrete Systems • Poured concrete must be 2,500 PSI minimum at 28 days. • Square concrete pads minimum is 18" wide by 12" deep. Round concrete pads minimum is 18" wide by 14" deep. Strip footings minimum is 18" wide by 14' long by 6" deep. * Xi2 components exceed HUD code 3280.306g "Anchoring equipment exposed to weathering shall have a resistance to weather deterioration at least equivalent to that provided by a coating of zinc on steel of not less than 0.30 ounces per square foot of surface coating...." Page 2 of 8 121–r— . - Sze 410 1. 2. 3. 4. 5. 6. 7. 8. 9. 10 Installation of Xi2 Ground Systems Identify the number of systems to be used on the home using the chart provided. Identify the location where the systems will be installed. Clear all organic matter and debris from the pad site; Place U -bolts through holes in pan provided. - Place pad centered under beam with the lateral strut bracket towards the inside of the home. Press or drive pan into ground until level and flush with prepared surface. Build pier according to State, Local or Home Manufacturers guidelines. (Figure 1) Attach the end of the smaller tube to the inside of pan using U -bolt & nuts provided Attach the flag end of the larger tube to the opposite I-beam using the "J" bolt over the top of the I-beam with the nut & washer provided. (Figure 2) Install a minimum of four (#12 x 1 " tek screws) self -tapping screws into the holes provided in the lateral strut so that the two tubes are connected together. (Figure 1) Figure 1 of Nome 1-3/4" Tube Lateral Struts j 1-1/2" Tube 4-#12x1" Tek 5crews U -Bolt & mounting Bracket 21 J -Bolt Nut & Washer Ig) A/ I -Beam Figure 2 end) 11. Install frame bracket clamps to I-beam on in side of block/pier. Do not tighten nuts at this time. 12. Attach longitudinal strut to U -bolt in pan using nuts provided. 13. Insert strut in the frame bracket clamp, attach with nut and bolt. Do not tighten at this time. 14. Pull the frame bracket clamp with the fastened strut outward to remove any slack. 15. Tighten all nuts and bolts on the struts and beam clamps. Xi2 Ground Parts Detail Xi2 Ground Lateral Stem Part Number'59306 Includes: 5' Strut, pad & hardware kit (#59329-1 includes all nuts and bolts). Longitudinal Hardware Wt Part Number 59331 Includes: 2 I-beam brackets & 2 U -bolts with all nuts and bolts. Lateral and Longitudinal Combination Part Number 59333 Includes: 5' Strut, Pad, Longitudinal Strut (#59329), Lateral and Longitudinal Hardware Kit with all nuts and bolls. Struts for Longitudinal Systems Part Strut Pier Height No. Length Up To: 59330-44 44" 4 Blocks or 32" 59330-65 65" 6 Blocks or 48" 0 Ground Longitudinal Hardware Kit QA Xi2 Ground System Longitudinal Strut & Hardware Kit Ground Longitudinal Strut Xi2 Stabilization Pier Placement for Ground or Concrete Single Section Home 0 -80' (76' Box) 4 Xi2 Systems Xi2 Pier Placement Double Section Home 0 -62' 3 Xi2 Systems' 63' - 80' 4 Xi2 Systems *2 Xi2 systems can be placed at either end of the home. Triple Section Home 0 -62' 4 Xi2 Systems 63' - 80' 5 Xi2 Systems Page 4 of 8 FA s' TIEz°° DOWN ENGINEERING; :Mv � Installation of Xi2 Concrete Systems 1. Identify the number of systems to be used on the home using the chart provided. 2. Identify the location where the systems will be installed. 3. Build pier according to State, Local or Home Manufacturers guidelines. 4. Drill two 3/8"x 3" deep holes in the concrete using holes in galvanized bracket as a guide. Attach bracket to concrete pad using 3/8"x3-1/2" wedge anchors provided. Place nut & washer on anchor, leave enough room for 1 to 2 threads showing on top of bolt. Using a hammer, tap the wedge bolts into hole through bracket, leaving nut & washer flush with bracket. Using a 9/16" socket wrench, tighten wedge/anchor bolt, securing bracket to the concrete. 5. Attach the end of the smaller tube to the bracket mounted on the pad, using the grade 5,1/2" x 2-1/2" bolt/nut provided. 6. Attach the flag end of the larger tube to the opposite I-beam using the "J" bolt over the top of the I-beam with the nut & washer provided. (Figur: l next page) 7. Install a minimum of four (#12 x 1 " tek screws) self -tapping screws into the holes provided in the lateral strut so that the two tubes are connected together 8. Install frame bracket clamps on I-beam on the inside of block/pier. 9. Insert strut in frame bracket clamp and attach with nut & bolt. Attach opposite end to concrete bracket. 10. Pull the frame bracket clamp with fastened strut outward to remove any slack. 11. Tighten all nuts and bolts on system. Xi2 Lateral Concrete Systems Part #59307 Includes: 5' Strut, Bracket, & Hardware Kit #59315-1 with all nuts and bolt. Longitudinal Struts for "Concrete Systems" Part No. Length Pier Height #59013 44" up to 4 Blocks #59015 65" up to 6 Blocks Longitudinal Hardware Kit Part #59263 (Includes 2 sets per kit: I-beam bracket, nuts, bolts and washers) Lateral and Longitudinal Combination Part #59332 Includes: 5' Strut, Longitudinal Strut (#59364), Lateral and Longitudinal Hardware Kit with all nuts and bolts. Nut & V�sher Figure 1 BeamClamp Bracket J -Bolt Lone Xi2 Installation Placement Beam Longitudinal Strut Xi2 Concrete ) Mt ®o O ®o Concrete Longitudinal Hardware Kit N°r1e lCnd °f Offset Placement Diagrams represent examples of double and triple section offsets. Total size is determined by the length of unit plus offset. Xi2 Stabilization Pier Placement for Ground or Concrete Xi2 Pier Placement Double Section Home 0 -62' 3 Xi2 Systems" 63' - 80' 4 Xi2 Systems *2 Xi2 systems can be placed at either end of the home. Triple Section Home 0 -62' 4 Xi2 Systems 63' - 80' 5 Xi2 Systems Page 7 of 8 TIE:'. DO{NN�e ENGINEERING ` :.,„� Hardware Breakdown #59329-1 Hardware for 59306 Lateral System 1 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 thread Beam Clamp Base 1-3/4 zinc 4 10556 Tek Screw #12 x 1 " 1 10631Z J Bolt 1/2 x 5-1/2 grade 5 zinc 2 10640 Push Nut 1/2 1 12107 Flat Washer 1 x2" SS 1 10646Y Hex Nut 1/2-13 grade 5 zinc 2 10519 Hex Nut 1/2" w/ Serr flange #59331 Longitudinal Hardware for 59306 2 59272-1 Beam Clamp Base 4 59272-2 Beam Clamp Top Flange 8 10926 Carriage Bolt 1/2-12 x 1-1/4 Carriage Bolt 1 /2-12 x 3 full thread Full Thread 10 10646Y Hex Nut 1/2-13 grade 5 zinc 2 10801 Carriage Bolt 1/2-12 x 2-1/2 U -Bolt 1/2-13 x 2.63 x 2.19 Thread 6 10646Y Grade 5 2 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 thread Hex Nut 1/2" w/Serr Flange 1-3/4 zinc 4 10640 Push Nut 1/2 4 10519 Hex Nut 1/2" w/ Serr flange # 59329 Hardware for 59333 Lateral and Longitudinal combination 1 59329-1 Hardware Kit 1 59272-1 Beam Clamp Base 2 59272-2 Beam Clamp Top Flange 4 10926 Carriage Bolt 1/2-12 x 1-1/4 Carriage Bolt 1 /2-12 x 3 full thread 5 10646Y Hex Nut 1/2-13 Grade 5 zinc 1 10801 Carriage Bolt 1/2-12 x 2-1/2 4 Grade 5 zinc 1 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 Thread 6 10646Y 1-3/4 zinc 2 10640 Push Nut 1/2 2 10519 Hex Nut 1/2" w/Serr Flange #59315-1 Hardware for Lateral System 1 10631Z J Bolt 1/2 x 5-1/2 Grade 5 zinc 1 12107 Flat Washer 1/2" SS 4 10556 Tek Screw #12 x 1 " 2 10646Y Hex Nut 1/2x-13 Grade 5 zinc 1 10826 Carriage Bolt 1 /2-12 x 3 Beam Clamp Top Flange Grade 5 zinc #59027 Hardware Kit for 59307 Lateral System 2 59264 3 Way Concrete Bracket 4 10530 Wedge Anchor 3/8 x 3.50 1 59315-1 Hardware Kit #59263 Longitudinal Hardware for 59307 2 59272-1 Beam Clamp Base 4 59272-2 Beam Clamp Top Flange 8 10926 Carriage Bolt 1/2-13 x 1-1/4 2 59272-2 Beam Clamp Top Flange Full Thread zinc 12 10646Y Hex Nut 1/2-13 Grade 5 zinc 4 10801 Carriage Bolt 1/2-13 x 2-1/2 Grade 5 zinc 6 10646Y Grade 5 zinc #59364 Hardware for 59332 Lateral and Longitudinal combination 1 59264 3 Way Concrete Bracket 2 10530 Wedge Anchor 3/8 x 3.50 1 59315-1 Lateral Hardware Kit 1 59272-1 Beam Clamp Base 2 59272-2 Beam Clamp Top Flange 4 10926 Carriage Bolt 1/2-13 x 1-1/4 Full Thread zinc 2 10801 Carriage Bolt 1/2-13 x 2-1/.2 Grade 5 zinc 6 10646Y Hex Nut 1/2-13 Grade 5 zinc ' Page 8 of 8 m r _ o wetE$! 4 5.r t 4� �4 Mid Valley Title A Escrow Company 7084 Skyway. Paradise, CA 95969 (530) 877-4471 FAX (530) 877-2966 CALIFORNIA MOBILEHOME SELLERIBUYER ESCROW INSTRUCTIONS TO: Mid Valley Title & Escrow Commpamy 70M Skreny Paradise, CA 95969 Date: September 22,1999 Escrow Oftener MARSHA VIFRA Escmw Number..176393MV Telephone No.: (SM 877-4471 HM VALLEY Tr= & ESCROW COMPANY is licensed by the Department of" Corporations, Liomm No. 1t58. Buyer herein is pmchaslag from seller *e mobildwme and accessory sttuotutr s'desetbed below and will hand you or cause to be handod you -the consideration as Wows: Terms of Tratasacdomt Buyer will deposit. prior to close to escrow. the sum of which regasents payment for the mobilehome descn'bed as: MANUFACTUMM : GOLDEN WEST' MODWMADE NAME _ YEAR : 09/29/87 VaMI t :168" LENUM :768° SERIAL. NUNSERM : Unit 1: OW6CALKt37004A Mata D>;CA1. M MDERM : LAL3334 LABELTisIOPUA NMd88R(3) : CAL347138 uk*2. Gw6CALK07004B Unit o: LA1.3334 CAL347139 53,500.00 53.500.00 BUTTE ' COUNTY AUG 2 0 2007 DEVELOPMENT SERiVICES The escrow fee and RCD fen which yon,are hareby sluhorized to disburse prior to close of escrow at your disc tion S. aocessM setactnms to be included m the pn duo price arm Banco holder is insancted to ordaf a fWmal search of We from BCD. Seller will, prWr to dose of escrow; camas to be deposited two escrow We cut rem rem card, all copies of the M&tf8d= cards held by lWor lies &n1dkers, and the certificate of title. Prior to dose of escrow the mer will arose to be delivered law escrow a signed and acktowledged conditional lien release of all rights. title or interest is the mobilehomc held by legal ower. Junior lieaholder or other 11wholder. Such releases) will be oonditioaed upon receipt of paymu d fiom escrow of the swtw w set fmRb in each rehme(s). 7b* name and addresses) of registered ownerlegal owner, junior liewbolder or other liedolder is: DONALD L. HACKNEY Buyer's title to said mobile hesate shall ba held m follows: BItHAIM $TAM _ I.ocadom where the mobile home and eny aocessday strtunue will be delivered and iaatalled and buyer has as P I to accept de&ay: X The mobile home is preatudy irotailed and buyer agues to accept delivery at: 14660 COLT= WAY, MAGALIA., CA . 95M If the p www location of tote mohkhame park at time of cele and nadbilehome is to remain in said park, buyer wiII sign a datemieW h0cating that they bpt<ve agreed to ft', x % of the pant's reutal agveesooseut. Said statement or a Dopy of a Idtr cubed reeW agreement sigmed by bupw will be delivered to eserOW Frior to dosing. AMMONAL NWIRUCl' M ATrACMM ERSl0 AM MADE A FMa SOF A dt4 BeSLR Mtmr �rc�+�l aR+e� mrd 4/t� (, s Fags 1 FROM TO 530-873-1082 7/11/20071:48 PM Page 1 a PERMIT NO. — PERMIT EXPIRES U' OWNER _-DONALD L HACKNEY CONTR. Owner - ASSESSOR PARCEL A LOCATION Colter Way, Magalia ,4 r►: 1' r i}}f �t ti Temp. Power Pole { Called PG&E Temp. Elec. Service Celled PG&E Temp. Gas Service — Called PG&E JOB FINALED (Date) ` �/ ✓e7 \8lgnature 60,41 = OK ( 0 = Not OK - = Not Applicable MOBILE HOMES MISCELLANEOUS �... . Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DECKSCOVERSCARPORTS, AG Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements . o ' g ire s-Sqaa ks-EasemeRW 2. Soils; Special MH Support -Sketch ogs; s- a-D-Spaeing- rs-S>I 3. Sewer; Location -Test -Fall -C/O -Concrete - 4. Water; Location -Test -Easement Needed (Sketch) - ec.- Shshg -RI o"r• " 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap: / P L" ft. res. / /"Nat. or/ P L" ft./ P'LPG 7. Utility Clearance ec, n1grS' s- rs=Trusses 9 Iding,• N _ neer-Stucco-Mesh Card -B1' Date Card -B1 Date *oof; Shthg-Roofing Card -81 Date Card -131 Date t.; Steps -Doors -Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s L 1. Zoning Requirements -Setbacks -Easements Card-B1DateCard-B1 9 Date 2. Footings; Size -Spacing -Marriage Line Card -B1 Date Card -B1 Date (j— 7 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except Ws 5. Drain; MH Test -Fall -Flex Connector 1. Setbacks -Easements 6. Water; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability 7. Water and Sewer Connected -C/O to. Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - 8. Gas and Electricity Tagged Dead Men -Lining 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 10. Cert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater Card -Bt Date Card -B1 Date 8. Elec.;Ground ing; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards- Ins. to Main in Conduit Card -B1 Date Card -B1 Date _ 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date �'� �' e )C- �d o� 11 = OK 0 = NotOK - =Not Applicable _ - RESIDENTIAL (Single and Duplex) = Not Ready Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning requirements-Setb ks-Easements 44. Hangers -Post Caps-Anc rs-Connectors - .-/- L" Etg_Depth 45. Cing. Joist-Rftr. -Ti-Pur(In-Roof Brac.-Truss-Shthng.-Rfng. 3. Ftg., Garage;,Soils-Steel-/ r Ftg. Depth 46. Fireplace Ties o Type A lue-Fireplace Throat 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 47. Attic Access; Size & ome Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blocko ts-Wrapped 48. Bdrm. Windows or iting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel -Bloc s -Wrapped 49. Garage Fire Prote ion Framing 7. Slab; Steel -Wrapped 50. Property Line F' ewall & Openings 8. Piers -Fireplace Ftq.-,el 51. Ext. Doors- O a 3' -Check Garage -3rd story, 2 exits 9. D.W. , I t 'n s -Test -2 way C/O -Sewer Test 52. Stairs; Wid -Headroom-Rise-Run-Landing-Fire Protection 10. Gas i e64e-Anchors 53. Plywood o verhang-Attic Vents -Rafter Outriggers 11. Wat ipe; Test -Anchors -Regulator -Service Test 54. Siding -Nailing Ve er 12. Electric; Underground 55. Stucco Mesh -Dr' Screed -Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 56. Glazing Area- ass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 57. Shear Walls; ailing -Bolts 15. Insulation 58. Insulation- alls-Clg. 59. Infiltration ells-Wndws Card -81 Date Card -131 Date Card -131 Date Card -131 Date Date PLUMBING (Permit) O xce t #'s 16. Water Ht. Vent -Ac ss -Combustion Air 17. Water Pipe; Te rs-Nail Protection 18. D.W.V.; Test-Fttngs & A hors -Nail Protection 19. Shower Pan; Test, Firs Floor -Tub Access 20. Test Tub & Shower, nd Floor -Tub Access 21. Gas Pipe; Size & gifichors Card -B1 Date Card -81 Date Card -81 Date Card:BZ Date Date ELECTRICAL (Permit) OK xcept #'s 22. Fixture & Transformer learance-Ins. Protection 23. Elec. Receptacles S Ging-Lights & Switches at Doors 24. Size Boxes & No. jot Conductors -Stapled 25. Romex Installed lose of Studs & C.J. 26. Equip. Ground ma a up w/M ch. Fasteners -Bond Gas & Water 27. 2 Appliance Circuits in Ki hen & Conductor Size 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 30. Service -Riser Conductors & round -Main Disconnect 31. Equip. Clearances Panels -Motors -Mach. Equip. 32. Clothes Closet Light -Shower Light -Spa Light Card -81 Date Card -B1 / Date I Card -B1 Date Card-Bf Date Date MECHANICAL Permit K except #'s 33. A.C. Ducts Insulat' n & Support 34. Vent Fan; Exhaulf abov sulation 35. Condensate Drain Overf w; Size & Grade 36. Furnace -Vent; Access -Cobb. Air -Return Air Vent -115 outlet 37. Attic Access & Platform/f Furnace in Attic Card -81 Date Ca -B1 Date Card -B1 Date C rd -B1 Date Date FRAMING (Plans) O except #'s 38. Sills, Proper Mate ial & Anchors 39. Walls Studs-Naili g, Spacing & Bracing -Plates -Sound 40. Bearing Walls ov r Girders & Floor Nailing 41. Draft Stop in Was (rat proof) 42. Fire Stops; Furre Ceilings -Stairs -Chases -Tub 43. Header & Beam -Size & Bearing Card -B1 Date / Card -B1 Date Card -B1 Date Card -B1 Date Date . FINAL (Plans) OK except #'s 60. Ext. Steps -Door & Sidelight Protection -Landings 61. Smoke Detector 62. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 63. Bedroom Exiting 64. G.F.I. & Bath Fixtures & Tub Access -Spa 65. Elec. Trim & Subpanel; Breaker Sizes -Labels 66. Stairs & Rails 67. Fireplace or Stove; Clearances -Hearth ` 68. Elec. Outlets at Wood Panel; Int. & Ext. \ 69. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clea e� 70. Elec. Outlets & Receptacles at Kit. Counter 71. Garage Fire Door; Swing -Landing -Closer 72. A.C. Duct in Garage -Damper 73. Wtr. Htr.; Vents -Clearance -Comb. AY-Connector-P.R.V.- In ars ; Above Floor -Mach. Prqfection 74. P Elec. & MecN Equip. Liste for Location 75. I"ceptacles i ge; .F.I.)-Romex Protec. 76. In ation-Foam- ked inAttic 0 Yes 77. Guard R ' s OdIck Con ruction -Post Caps 78. Fdn. Ve is awl H e Door -Drainage & Wood -Earth Cleara ked u er Floor 0 Yes 79. Follo in i slid.; ive 0 Yes 0 No; Walks 0 Yes 0 No; Planters 0 Ye 0 No 80. Stucco; Brown -Finish 81. A.C. Unit; Disconnect, Electrical, Plumbing 82. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. 83. Water Well; Disconnect, Electrical, Plumbing 84. Exterior Elec. Trim; G.F.I. Receptacle -Underground 85. Ventilation throughout House 86. Glass Protection 87. Corrections from Previous Inpections 88. Gas Test -Meters Tagged; Gas -Electric 89. Water & Sewer Connected -C/O to Grade -HD Approval 90. Energy Compliance Certificate -Other Certificates Card -B1 Date Card -131 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Comments at Final: (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE r r, DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE OWNER Of PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at t e above address and should be corrected. Please notify this office when ;rection of work is completed. If you have any question pertaining to this mat r, or need additional explanation, please contact this office immediately. i i � Inspector %Q1 s„_" Date � COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE VNER / PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above .address and should be corrected. Please notify this office when corre tion of work is completed. If you have any question pe Paining to this matter, r need additional eki lanation, please contact this office immediately. I Inspector-"--- Date r COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovi Ile, California 95965 - Telephone: 916/538-754' APPLICATION AND MMIT ASSESSOR P ,R J7 NUMBE '"' ZONING BUILDING PERMIT OWNER L HONE SQ. FT. OCC. BUILDING VALUATION OWNER'S M LING AD RESS CONTRACTOR'S NAM TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 10 00 Permit Fee Plan Checking Fee $ $ r ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS - Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME 7-� PP t/�. RCEL M P 8 Z Water piping 500 Each qas water heater or vent 5,00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehorrl Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ tilities ❑ Installation❑ Oth r Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service eoov OR LESS 100 AMP OR LES QJ 10.00 CONTRACTORS LICENSE LAW 1 declare under penalty of perjury p y p I y (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. License No. Classification I, as the owner, or my employees with wages as their sole compen- — sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ElI, as the owner, am exclusively contracting with licensed contract - ors. (Sec. 7044) ❑ i am exempt under Sec. , Business and Professions Code for this reason Main service EA. AD D'L 100 AMP 2.50 NEW CONST. DWELLING 0CCUP.& 1 OR ADONS. ACC. BLDGS. /xOsgft NEW CONSTR ULTI.OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea (POWER APPARATUS e) SINGLE OUTLET CIR. 2 p 2011 0 Ex. OCCU OUTLETS OR FIXTURES A '0 FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 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 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 shal I be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 300 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, indem ify and ke ar ass the County of Butte against all liabilities, judgments os , a pen es which may in any way accrue agains d County in s en the anti of this permit. X �? O� r-,/ ate Signature of Applicant — Owner Ee Contrac r Agent ❑ An OSHA permit is required for excavations ova 0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ 75 OCCUP. CON ST.TY P!J FL000 PARCEL PD ND 99UE This permit is hereby issued under sions of the Butte County. Code and/or work indicated above for which DIRECTM OF PUBLIC By P IT EXPIRES Date- the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. WNITC-D.P.W., t•eL Low-Asa9eso R, PINK -INSPECTOR. GOLDENROD -APPLICANT -- .66''�'-. _..._. ..-., r. ;. ..- ,rte... s+.a.aJ �lwiv.f.., w.ri: �'s..riG:lid.R'..:•Y.f+iA'i+lJ7E�SF,i Sri .1rr .:r'�q"r r. .'-� -r atye':1 a .<w x COUNTY OF BUTTE - DEPARTMENT,, OF PUBLIC WORKS - BUILDINGrDI)ISION 7 COUNTY CENTER DRIVE - OROVILLE� CALQ.RNIA 95965 - TELEPHONE: 96/534-4541 PERMIT APPLICATION DATA SHEET OWNER No", Proposed Building Use Building Inspector Permit No. At time of permit application, I was advised the following data must be submitted prior to permit processing and1or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . 2. Plot plans in duplicate. /triplicate, signed by preparer of plans. . 3. Complete plans in duplicate./triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid'' Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . ��9. Letter of signature authoriz tion. . . . . Q)V _10. Sanitation approval from _aLAIHealth Dept. . . 5 2-2—K7 11. Planning approval for (A) Use: (B) Parking: . 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑•)• —15. Improvements may be required. . ... 16. Mobilehome Installation Data. . . . . . . . . . 17. Pre -Inspection for . ) RequiredPre-Inspecrequest to (Date . Building Inspector I. 4zol 18. Recorded copy of Agricultural Acknowledgment Statement. 9. Driveway Permit. &,a I M 7. 20. Plot plan approval from city of 21. 22. When you issue the permit, process as follows: —Mail to owner, —Mail to contractor. i Telephone and hold for pickup i_,&_�/,Loff-i/ce, Deliver w/inspector: Other Applicant ate s�7- 27-,0,7 Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted pri 1. Index permit for above items No. 2. Additional items required: I permit issuance: (Circle new item not checked above). Contractor, designer, Oer, was advised of above required data by—phone Contractor, designer, owner, was advised of above required data by—phone Plans checked by ySets of plans on hold in Copy—DPW Date Plans approved File cabinety AP folder ter by -A date 2.7 aJ ter by date Date 31494 8 — Flours: 10:00 a.m. - 3:00 p.m. i r 'r0: Building Department FROM: Environmental Health '1 SUBJECT: SANITATION CLEARANCE Plans approved for: \''1 LOCA 0 N ? Sewage Disposal AP # oK�a4� Water Supply Hold final for: + Water Supply Final Clearance O.K. for: Water Supply `' 24 t Clearance for 2�1 bedroom mobile home. Other COUNTY 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 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) Vetf S 2: I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name ' Address City . Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work.but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner ` Social Security Number Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per„, mitted to issue the permit. i ZO74. SZ! _OT---=lIII M6+ericl5-Fi !"Jor';m�nship S!�aA- 6� in. icor >xrce with €'.��c.ei<u.ry- C; � sc.Aa - ? "SLOPE Tn I I BUTTE "COUNTY 3UILDING DEPARTMEN) APPROVED �� ` 4"XIZ" HEPrnr-e %\ o o Dec. 2 "X9'1 TD P F/2DmT V I t:w — &At48—E "r,'1"SMDS�l6�0•e• PLAT 12 'ZDi D2 ?E7 -L -Z. LQD55-lalpCiNfS BUTTE "COUNTY 3UILDING DEPARTMEN) APPROVED �� ` o o F/2DmT V I t:w — &At48—E CT�QAG-c - FLODIL PLFFnI 2"X 6'/ QIDFsr' �cPn� Z35QOmP Trrr3 _ ♦ �/� ov e,660< I Yz T/ • 2"K9"J• u Q : 29"O.0 S�PARATi I!l. n / M� D S, LL r.FOa,Xlo T =NDS � ,, Z_ a� •-:-1r:WJ "o.ir l:t � ,\•� Q ('�` A•.�1• / 13LTOP PLAI � / I"X!.'' FAUA " SOFC7. J •� N � ` ._ \�� ; � ?CAl IN �. Yet p"rl/`lCs 17�P IL me—pe DE � -D „ —6 SLE . �F I=� , O�/ st.. BUTTE "COUNTY 3UILDING DEPARTMEN) APPROVED �� �N a �-0 A X IOX �v •L ald aZ I1 �� n ;) I � � u x b •t�-1 S N �N a �-0 A X IOX �v •L ald aZ I1 �� n ;) I � � u x b •t�-1 rr N (e7 oY; - - m rn D .P cill I o I t\) JD 4 M M r AZrn <` r e �N a �-0 A X IOX �v •L ald aZ I1 �� n ;) I � � u x b •t�-1 rr N (e7 oY; I X IOX •L ald aZ I1 �� n ;) a � b •t�-1 N (e7 oY; ti I .. 41 r �-1 %e" TE G FLYWOD CC EYT, I-- 4'w!o' OF'2 GIRDER" = J... A w m nw ...w. 2"x!o• DECKIWG (ALT) CrIJAR6 RAIL 90 MAX. /_DECKIWG PRECAST W -PIE R xf #(�N; FOOT /N6 I-1, 1'i"PIEVT GIRDER 2'x4'- MOBILE 'x4'- MOBILE HOME OR DELK—� 4"x V 1- a �f 0 L3 2'x 12" STAIR STRIIJGER. 48'o.c.. MAX. 70P VIEW H RU12RAIL NOT 546U1 tJ FOR UNIZIT`L BOLT 9'�� L MAX ; � KrL. FRMN 6--- — — `•� _% . CLIP (EA. S DE % 1 .: 4'x!o' ' "MSUPFE COUNTY • 4'Y4' POST ' fid LDING DEPARTMENT SIZDFIV WXI" POST ADEQUATE Dbt►OONA;. bRkCI NG. DOLTS pvt, v✓,, o/ T YP I CAL RFS IyEmr1w `srrp S .4No/ e D�Ct COUNTY OF BUTTE- — DEPARTMENT OF PUBLIC WOi' .1 7 County Center Orfve - r- 0rovllle. California 95965 Telaphon44541 `J'• i cetuxm cu urvi T �Vk1CUL1'U 1�1'1L JLn11_'iL :�♦ va' :,V :... ,.�,. a.. ii v.-- _.4;V ��•�� �'� FOR` RESIDENTIAL DEVELOPMENT i r , Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. ED property described herein is adjacent to land or included The prop y paggS within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, -and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occa- sionally generate dust, smoke; noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All Lhat real pruperty situate in the County Of BUCUe, State of California, described as follows: Lot.200 as shown on that certain Map entitled, "PARADISE PINES UNIT W' recorded in the office of the Recorder of the County of Butte, State of California, on May 13,.1971 in Book 38 of Mapsna:t 24, 25, 26 and 27. State of ) re;2- / � ) County of ) ,R;IECO 'DED BUTTE COUNTY' OFFICIAL RECORDS BY C NNMON' EALT'H TITLE GO. 1981 AUG - 7 AM 11. $A GANDACE J. GRUBBS CLERK -RECORDER FEE PROPERTY OWNERS: 8'7-2851 ��I /JX67 On this the day of , 19 , SS. before me, the undersigned NotarY Pub# -c, personally appeared ® or9- M.a®n®0®6.®MONO ®®t30MOO l'MMMEM 0 OFFICIAL SEAL � m TERR! aRIDDLE Q NOTARY PUBLIC -CALIFORNIA Gov Butte .;ounty M F9 My Commission Expires May 13, 1988 g. 0 (3Ma0aM0M000©Mala0a013M0isaagg known to me to be the person(s) whose name(s)_ subscrib d to the within instrument and acknowledged that executed the same for the purposes therein co tained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Present A.P. NO. (O 7 `0 � Rotaery — END OF DOCUMENT —J� gS . 74 4 _ 1IM 'CATHEY & DAUGHTE .SU-'iLDI*NG: CO-IVSULTANTS :)f52 Grape 'Ln: Paradise,A9`i9(�69 2 410 ? / G-91 9 13.3<--t- .I'LL ! •' -N �./g'd.�. ' �LiK— �r ... - ' h -f -m 45 :� _ 1` iW-4Lb !. , �{ a" AP. r 2oL1 DAA : %75= 87 ------ _. ___.--------- C'D �-,s•T+'� .. ��__-�L�.� - r Pii r � _ 2 't�F-D 1b 0)/6 py) of l r.,,5- 14tn? c V I - %j�. a" ``1 j �1 Z .�,.v� : ICA 1m+ - A.� Z N ci pt ? o ® ® • ® AA • 2873-87B,E i,4r- 2S� 3-67 PERMIT NO. 2 63-87P E MH PERMIT EXPIRES < �� OWNER TNINAT.D HACKNEY CONTR. WPntlnnrd Const ASSESSOR PARCEL 64-02-1 4 .LOCATION J4669 rnl tar WAW, Ma pal i a OFFICE COPY I Temp. Power Pc Address Called PG&E i s Temp. Elec. Seryl Meter D ELECTRIC D0"e' !� Meter By Called PG&E Temp. Gas Service Called PO&E JOB FINALEO (Date) Signature = OK '0 = Not OK - = Not Applicable = Not Ready MOBILE HOMES IMISCELLANEOUS , .. Date MOBIL HOME UTILITIES s except #'s Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s oni g Requirements -Se ks-E-asemt,n s 1. Zoning Requirements -Setbacks -Easements o' , S - e c 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel t� ewer; Locgtien-Test-FHif=CZG-Coacreter 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails "ajar; L ion-Test=Easem ee tcM- 4. Wood Awn.; Posts-Beams-Rftrs.-Conner.- . Shthg.-Rfg.-Bracing %- lec icity; ILOeStion- le, es -Gk d. -6&c/ Amp -Cert rete effll as; Location -T - p: f ---t. /"LPG �� N 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors lwfliity Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -131 Dat! /, — 7Card-131 Date 10. Roof; Shthg-Roofing Card -131 Date Card -131 Date 11. Ext.; Steps -Doors -Landings Date OB OME INSTALLATION Plans OK except #'s ,(A'.-Setbacks-Easements43f Card-81 Date Card -B1 Date o gs; Size -Spacing -Marriage Line Card -81 Date Card -131 Date �aI H Test -Demand -Valve -Connector I icity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s Dr ' H Test -Fall -Flex Connector 1. Setbacks -Easements ate H Test -Regulator -Connector 2. Soils; Compaction -Structure Stability a and Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining a d Pectricity Tagged xits sp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI A�Z&rt. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. =Heater 8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit Card -B1 ate rd -B1 Date Card -131 Date Card -131 Date 9. Health Department Approval /� / /� f �'�/ CS��� C�4 f ��rG+ G.dO .�.�G ��// /S live 10. Plumb.; Cir. Test -Water Supply Test Card -131 Date Card -61 Date Card -131 Date Card -131 Date = OK 0 = Not OK - =Not Applicable RESIDENTIAL(Single and Duplex) = Not Reedy Date UNDERFLOOR (Plans) OK except #"s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 44. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth 45. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils -Steel-/ P' Ftg. Depth 46. Fireplace Ties or Type A Flue -Fireplace Throat 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 47. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped 48. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 49. Garage Fire Protection Framing - 7. Slab; Steel -Wrapped 50. Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 51. Ext. Doors -One T -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 52. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors 53. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 54. Siding -Nailing Veneer 12. Electric; Underground 55. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 56. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 57. Shear Walls; Nailing -Bolts 15. Insulation 58. Insulation-Walls-Clg. 59. Infiltratio n-Walls-Wndws Card -131 Date Card -81 Date Card -B1 Date Card -131 Date Card -B1 Date Card -131 Date Card -B1 Date Card -131 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchors -Nail Protection 60. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 61. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 62. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors 63. Bedroom Exiting 64. G.F.I. & Bath Fixtures & Tub Access -Spa 65. Elec. Trim & Subpanel; Breaker Sizes -Labels Card -B1 Date Card -B1 Date 66. Stairs & Rails Card -131 Date Card -B1 Date 67. Fireplace or Stove; Clearances -Hearth 68. Elec. Outlets at Wood Panel; Int. & Ext. Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 69. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 23. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Elec. Outlets & Receptacles at Kit. Counter 24. Size Boxes & No. of Conductors -Stapled 71. Garage Fire Door; Swing -Landing -Closer 25. Romex Installed Close to Edge of Studs & C.J. 72• A.C. Duct in Garage -Damper 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 73. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 27. 2 Appliance Circuits in Kitchen & Conductor Size 74. Plb., Elec. & Mech. Equip. Listed for Location 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 75. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 76. Insulation -Foam -Looked in Attic ❑ Yes 77. Guard Rails & Deck Construction -Post Caps 30. Service -Riser Conductors & Ground -Main Disconnect 78. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑Yes 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 79. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 80. Stucco; Brown -Finish Card -131 Date Card -131 Date 81. A.C. Unit; Disconnect, Electrical, Plumbing Card -131 Date Card -B1 Date 82. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. Date MECHANICAL (Permit) OK except #'s 83. Water Well; Disconnect, Electrical, Plumbing 33. A.C. Ducts Insulation & Support 84. Exterior Elec. Trim; G.F.I. Receptacle -Underground 34. Vent Fan; Exhaust above insulation 85. Ventilation throughout House 35. Condensate Drain & Overflow; Size & Grade 86. Glass Protection 36. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 87. Corrections from Previous Inpections 37. Attic Access & Platform if Furnace in Attic 88. Gas Test -Meters Tagged; Gas -Electric 89. Water & Sewer Connected -C/O to Grade -HD Approval 90. Energy Compliance Certificate -Other Certificates Card -B1 Date Card -131 Date Card -B1 Date Card -131 Date Card -Bt Date Card -B1 Date Card -131 Date Card -81 Date Date FRAMING (Plans) OK except #'s 38. Sills, Proper Material & Anchors Card -B1 Date Card -B1 Date 39. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Comments at Final: 40. Bearing Walls over Girders & Floor Nailing 41. Draft Stop in Walls (ret proof) 42. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 43. Header & Beam -Size & Bearing (NOTE: An entry must be made each time you visit job site) MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 PERMIT N0. Address or location of mobilehome F , v Owner's name Owner's address Insignia or hud number Manufacturer's name r Serial number of V.I.N. Year of manufacture (Official Approving Installation) (Date) 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 - D.P.W. DEPARTMENT OF PUBLIC WORKS ' 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 C0 Rm FCE CTJ®RI N®TICE BUILDING OR PR TY ADDRESS A routine Inspection Indicates that the following violations of County Ordinance e,;Ist at the above address and should be corrected. Please notify this office n correction of work is completed. If you have any question pertaining to this :wr, or need additional explanation, please contact this office immediately. Inscector_. -1 " 7 �R7 5�?f COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS r 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE R T NO. A routine Inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office Immediately. 0 7 Jrr -,?" k-1, /o ( �'Z ` / � % /mss 30 �� v�� L -7 6"7 1 C Inspector Date L", COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS pEgM O/ 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 (�/ Oct APPLICATION AND PERMIT ASSESSOR PAR EL MB _..� ZONING�� BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VA ATION OWNER'S M ILI G A DRESS CONTRACTO'R'S -N. ME TELFjp HQ pY, Y C/V/V/ CONTRACTOR' ILING A ESS Fireplace CONSTRUCTI N LENDER UNKNOWN Total Valuation is Filing Fee $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ _ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 - Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME n /✓ 0 � PARCC L MAP 3 v ,y Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] MobilehomeX Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home 0.00 a (%Q TYPE OF WORK New ❑ Addition❑ Rem del Utilities Installation[]Other ❑ Describe work: �p_ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS_10.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 5� CONTRACTORS LICENSE LAW I declare enalty of perjury (Check.One): I am licensed under provisions of Chapt. 9, Div. 3 of the Bu$Ines$ and Professions Code an my license is In full force and effect. License No. Classification L� ❑ 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. ( DWELLING OCCUP.&\ OR ADDNS. ACC. BLOGS. // '/2QSQft NEW CONSTRMULTI-OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 9ALo20050Q FIXED APLNS.so Ex. Occup. OUT ETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Af Misc. Wiring 15.00 i 1__:�; Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare un r penalty of perjury (check one): (e permit is for $100.00 (valuation) or less. 02/1 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. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butteagainst all liabilities, Jud g ents, costs, and expenses which may in any accrue against $aidCorinty in c nsequer the granting of is permit Z N G ate o Signet e o 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 $ TOTAL PERMIT FEE $ Qr� OCCUP. CONST.TYPE I FLoo AR L P NO YISSUV This permit is hereby issued under sions o he Butte ounty.Code and/or work 'nd ted a ve for which TOR OF PUBLIC By / PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS p Date 1 S�O Receipt NO. 62 !� WNITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT I � �,.«. .ti,. ...ta-.. .mom ..., ,a. : ..'✓� • . .�. .r.^> >rv., , �.:: m.. j. u,"�'ri �. . i1 .,.. Y i...r-.. COUNTY OF BUTTE - DEPARTMENT"OF. PUBLIC WORKS - BUILDING DIVJSION i 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-45_ 41 ' PERMIT APPLICATION DATA SHEET s Permit No. k OWNER A. P�.jNo. - Proposed Building Use Building Inspector 1T r/ Date all i At time of permit application, I was advised the follow-ing data must be submitted prior to permit processing and:/Or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate. /triplicate, signed by preparer of plans. . 3. Complete plans in duplicate. /triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . .. 6. CUSD "Fees Paid" Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. ~ t.8. Fees of $ . . . . . . . . Letter of signature authorization. . Sanitation approval from Health Dept. e ,11- .Planning, approval for (A) Use: (B) Parking: —� Certificate of Workmen's Compensation Insurance. . . . . . ^ TQ. 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ), —15. Improvements may be required... . . . . . . . , . . 16. Mobilehome Installation Data. . . . . . . . . . Pre-Inspec. request to A(Date) 17 Pre -Inspection for Required. Building Inspector 8. 19. Recorded copy of Agricultural Acknowledgment Statement. Driveway Permit. 20. Plot plan approval from city of 21. 22. When you issue the permit, process as follows: Mail to owner, Mail to contractor. Telephone �'S1%%'7� and hold for pickup mice, Deliver w/inspector. Copy of plans sent Health Dept., Fire Dept., Other Date '. The following data must be submitted prior 1. Index permit for above items No. 2. Additional items required: it#i§,suance: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by_phone---nail—counter by date Contractor, designer, owner, was advised of above required data by—phone _malj_-_N-gAnter by date Plans checked by _Sets of plans on hold in Copy—DPW Date Plans approved by File cabinet folder Date — Flours: 10:00 a.m. - 3:00 p.m. OWNER PERMIT � C RA MMH ijT IL. ATE INSPECTOR =DAf4 ELECTRIC GAS Support Struc. Compdction Test .Req, Service Other Pipe YES NO NO 3ize Load Type Size Length so SGP s� --n/ zw' 7,5 -Alt -.COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS RMIT 7 County Center Drive - Oroville, Cale,fornia 95965 - Telephone: 916/538-7541607 � Y APPLICATION AND PERMIT O ASSES OR PARCEL NUMB R aaa ZONING BUILDING PERMIT OWNER T EPHONE SO. FT. OCC. BUILDING VALUATION [.1 AI LING ADDRESS 5� C NTRA(CCTOR`/S-•CN�AME TELEPHONE CONTRACTOR'S MA LI ADDRESS QQ 1 /SJ�a Fireplace CONSTRUCTION LENDOR UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ . ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. 2�o SUBDIVISION NAME 1 PARCEL MAP 1 Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ InstallationA Other ❑ Describe work: o2 l� 3_y7 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR1 OR LESS10.00 Main service EA. AOD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F-1 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. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑'I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.� , OR ACDNS. ACC. ) /z2sgft MULTI -OUTLET NEW RESID,CONSTRANCH CIRCUITS)2.50 ea NON.R ESID BRANCH CIRC ITS POWER APPARATUS e __SINGLE OUTLET CIR. / Ex. OCCUp(OUTLETS OR FIXTURES 2A3t eLOL00 FIXED APLNS. \\ Ex. OCCUp. OUTLETS (RESIO )REAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. byirin 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 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 10.00 Heating Cooling Hood 3.00 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 st sai ounty in consequence of the granting of this permit. 1 11 %� ,e,- Date Signature of Applicant — Owner ❑ Contractor ❑ Agent �---- An OSHA permit is required for exca otions over 5'0" deep and demolition or construct. ion of structures over 3 stories in hei t. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ oCCUP. CONST.TYPE PLOOD PARCEL PD ND This permit is hereby issued under sions o the Butte County. Code and/or work nd Gated above for which E TOR OF PUBLIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date ✓�E�'E,% Zl SES Receipt No. WHITE-D.P.W.. YELLOW-ASD(SDOR, PINK -INSPECTOR. GOLDENROD -APPLICANT /A .. r •. • ; . r1 ''i}Sir j'' t"M j ii. _., tr . 8i4 �.. t N k • 1 r �r� •,'t1sWr� i\r'.w ,_y.t. r ��..� • c� �... J :IA'} .i .. �. ., �� i�i' COUNTY OF BUTTE-'-4DEPARTMENT OF PUBLIC WORKSr- BUILDING D`IV•ISION 7 COUNTY CENTER DRIVE - OROVILLE, h3AL-1 EMNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET' Permit No. OWNER CfcJ A. P. No. Proposed Building Use {r Building Inspector;n"O!�--) Date'"�f+�'7 At time of permit application, I was advised the following data must be submitted prior to permit processing \ and/or Issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . — '2. Plot plans in duplicate/triplicate, signed by preparer of plans. _ 3. Complete plans in duplicate/triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. , . . . . 6. School District "Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . . . 10. Sanitation approval from _ Health Dept. . . 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) _14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑) _..._15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . . . 17. 8. Pre-Ispc, rue Pre -Inspection for .. _ Required. Burldingelnspe tort to (Date) Recorded copy of Agricultural Acknowledgment Statement.(din��llp 19. Driveway Permit. — _ 20. Plot plan approval from city of 21. - —22. _ When you issue the permi/tt/ process as follows it net, it to contractor_ r "' Telephone and hold for pick a o i Deliver w/inspector. Other Applt� ate f Copy of plans sent Health Dept.; Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. — 2. Additional items required: —_— Contractor, designer, owner, was advised of above required data by_phone---nail—counter by date Contractor, designer, owner, was advised c: above required data by—phone —ma il—counter by date Plans checked by—W Date / Plans approved by -4 Date / Sets of plans on hold in File cabinet AP folder Copy—DPW A� OD�m. • r, 1 �_ O CD � ;m.� �. „ rn .00 Fr\PIB y e®� gar � �� �S���E C� W. M n' of 6 N X. Q p .V. to G' 44 'ysPoTmO� GONG b Poi, ^11�1%1*1 `43rom $VAC) :. PV096rty.lin3s arta SPEc.i Fi � RT'r o� s. • � � : ; : ' , ,� �: • of 5®'f�. fror� �'�ie -raid ' ��01, �a el�ar. of CS9i�� P Zoo' �rr1iP . 6Pt_iT R� ar r+•' G• 5l t c�c .r�L�GTre1; I �s�E'��K;�":� esr'�Ua rho''' P. 10'0 0 [k:A-L TR-.i4 k ' w i-rR : i e,p' i=T:. 'L e 3�y �� sA%L✓, B :' �i/� tj,4�- LIN E ' i. jf'l' ' �. P pSc ,, f� r.3 f3 , ' • ' QltO✓fie �1Ef $SSftILN "5 �T`t.✓>i.�OS' L�fl1i4,Di,� �4 1•J�'L�'SA�L�/., 1 11J STALL• • � Pa-D �e� . 'ZB �'� � � � M'� 3 r !_E � �¢� �, D F , •Cq�n� PAc,7'�© r3 E��. ' IP.oCK. � . cnd - A y L C7PG C �� e GJ, Kd�T �-I �J� .gip �n,Dr77P9 �ti�• �d�u��, � � ��� ���, ° °,� � �a �,�� � ����:�� �'�'��a �'Gt1�. 1. Owner's name: BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 2. Instal:ler's name: 3. Is the site currently under permit? Ye! 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 No ( If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- a Amps 6. What is the mobilehome site service rat-ing?---------------------� Amps C� 7., What is the mobilehome site circuit breaker rating? ----------- f Amps 8. Is there any other electric load to be served by the mobilehome siteservice? --------------------------------------------------- Yes No (If yes, identify the load and size: (Load) (Amps) I 9. What is the mobilehome site gas pipe size? ---------------------- 10. What is the type of gas service? ----------------------------- Natural LPG 11. What is the gas pipe length from meter or tank to the mobilehome? / (ft.) 12'. What is the mobilehome gas demand? ----------------- A-X:4440L711 (BTU) (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) MOBILEHOME SUPPORT DATA If other than single wide, Mobilehome Mfr. furnish Setup Model No. Year Width (ft.) Box Length (ft.) rTagalong or Expando Size 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). All center•supports.measured from front of mobilehome unless otherwise -specified.• Footings (check one) Single 1. Wood either pressure treated or foundation grade. (ft.)(in.) (in.) (in.) 2. Other (specify) ort Center support Center support \\ locations* footing sizes Supports (check one) (in.) 1: Concrete block. E:] 2. Other (specify) .(in.) (in.) ' v! - <---Tagalong or Expando, show support details. (ft.)(in.) (in.) (in.) Lx 3 t -- Typical Support (in.) (in.) Footing Size (ft.)(in.) (in.) (in.) Max. Pier Spacing (ft.)(in.) 7 ft.)(in.) 7 ill ,.3 a -- Max. Overhang (ft.)l (in.) (in.) (in.) .. (ft.)(in.) ���� �ol *If center piers are other than drawn above, draw in. -locations, spacing, and dimensions. r . k., - _:.• .fl ,' .-a.4J�.d .ri SyW:i' ►...4:�i�: w'.w1.. I. '.J• 1. 1. .. fir: Lo- Eio L--- 4 1 1 10" /LCIf D r Ir (Ell a __ --�� — — -- — ----------- I ; tA` Gi1dFLrX -�- MIDDL q '70 ;- MIDDLE .0 �, ;tIDDt EO MIDDLED � }` � H 1 "� • �90UTN, � q • — g I HiDnLE3 1•IIDOLE Z 1 10"� max MIDI�Lt:g O - HIDDLEOO I G ( 1 1 1 / H O 2_I n L� �7 -�j M ' I Z, 3-� MIDDLG/1 I 1 E I I I I STAWDARD GARFET= OPTIONAL CARP=—r: i I j' T Z �._ �� LIVIUEj ROOM, OIIJIWGI, HALL. I H I I KITcNE�+ 12 - x ILrr FAMILY ROOM, MlCaDQOOM, ElOAIU., ROOM I I I 2Nv/BEDRooM�+yR�/E'SEDRooM O' f'./-�� .If-,. .If'.I �-. 1 M/P�T1+• IQI >< Bi-�n 1C_ITY .._ 0o� 73 00#-- 06# -- - � I ' I I f� � I -, • I 12 it X08 ! of .I I SUPPORT PIERS L.J_!_ I I I _i }c�t•lc-,�-�-at.t TING SIZE 0 1 CAPACITY FOOTING SIZE ?HQEe bED40'0M1FAMILY ROoM 2'X24!'4811X24" m!'7' CARPET LAYOUT AND RIDGE 24"x 24'! 10, 000 - __ 60'x 24 BEAM FIELD SUPPORT PIERS 61!x2411, - ow.wN.. 1!�/e li� Z g GOLDEN WEST S0. FT. HOMES IY/ L MAA(HAM SI. MOOIL NO SAN fAANA, CA 22M l / % ►HONE= U'.I 1.11U11 1RN(, NO ;Ld�� n C°o� s T� u e T�©� �� s���