Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
064-200-039
64-20-39 14,E=91P,E RICHARDS, Richard 6095 Guilford Circle, M glia '"(utilities/mh) _ ELEC 2E� Ci 3 �, GAS G/0 6 SUPPORT ST TON TREE 6 -39 ,Permit##1456-91B,E (newgarage)___j42�0 64-20-39 Permit,#1508-91MHI (installation/.mh) 64-20-39 2904-91B RICHARDS, R.H. 6095 Guilford -Circle, Magalia (open.deck/mh) ' 064-200-QX037. PERMIT#97-081 9 BARHAM, Charles C. 6095 Guilford,. Magalia Cont: Kilpatrick Const. z EX' -MH on Perm Fnd - -- -- - y39 44, RES DENTIAL 064-200-pa7o3q_ PERMIT#97-0819 BARHAM, Charles C. 6095 Guilford, Magalia Cont: Kilpatrick Const. EX MH on Perm Fnd CD FORM 433A FOR iRECORDED UNTIL ONE OF THE FOLLOWING 'HAVE BEEN TURNED IN TO THE BLDG DIV: (1) LICENSE PLATE(S) OR DECAL (THE INSPECTOR MUST RETRIEVE) j 4 INSPECTOR TO VERIFY SERIAL & LABEL #'S; �f 4 r. r f -i JOB FINALED (Date) Signature n ✓ l , Ccy`. V=OK O -Not OK'Not Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements - Setbacks - Easements , 2. Soils; Special MH Support Sketch I 3. Sewer, Location Test-Fall-C)OConcrete 4. Water, Location-1bst-Easement Needed (Sketch) 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Locadon-TesWrap; / MIL / /Nat or/ / L*tt./ /LPG 7. Well Clearance & Disconnect 8. Utility Clearance Sv,,- a.� -7 O(o l$BD Zr ---? 0 0 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s Date 1. Zoning Requirements -Setbacks -Easements Date Card B-1 Date Card B-1 ; Date Card B-1 Date Card B-1 Date MOBILE NOWINSTALLATION (Plans) OK except #'s 1,-ning R tints- Se s'Ea tints j 0--5 9? rings; ShwS a ' ne 3. Gas; MH st-Demand-VafueConnector tris fi TestCrossovers-Breakers-Clearances j rn; MH Test -Fall -Flex Connector ji-WAe-r, MH Test -Regulator -Connector r � 7. Water_4ad Sewer Connected -C/0 to Grade -HD Approval s and EI tricity Tagged U. Tie s -Type -Installation Cert. j Date Exits; Insp.-Sketch Date 11. Cert of Occupancy Date POOLS (Plans) OK except #'s 1. Setbacks -Easements Date Card B-1 Date Card B-1 t Date Card B-1 Date Card B-1 r Z- Sv,,- a.� -7 O(o l$BD Zr ---? 0 0 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s Date 1. Zoning Requirements -Setbacks -Easements Date 2. Footings; SoilsSize-0epthSpacingConnectors-Steel Date 3. Decks; Girders and/or Joists-Decldng-BracingStaim-Rails li 4. Wood Awn.; Pos"eams-Rftrs.Connectom Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns-ConnecdonsSplice-Decal-Enclosures 6. Carports; Windows -Doors 7. Electric 8. Fnng.; Sils-Anchors-StudsRftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext; Steps0oors-Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, DistanceGFI 5. Elec.; Pool Lighting; 15 Volts -GR 6. Elec.; Enclosures; Conduit Entries-Terminals-Usted 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/3 Circulating Equip. -Pool Lghtg. Boxes Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 li = OK O = Not No OK RESIDENTIAL (Single & Duplex) = Not A licable VP Not Ready Date 46. UNDERFLOOR (Plans) OK except #'s 1. Zoning-Setbacks-Easments-Flood-Slope 48. 2. Ftg., Main; Soils-Elec. Grnd.-/ P' Ftg. Depth 49. 3. Ftg. Garage; Soils-Steel-Elec. Grnd/ P' Ftg. Depth 50. 4. Ftg. Porches & Decks; Soils -Steel-/ P Ftg. Depth 51. 5. Stemwalls, Main; Steel-Blockouts-Wrapped 52. 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 53. 6a. Hold Downs and Special Anchors 54. 7. Slab, Steel -Wrapped 55. 8. Piers -Fireplace Ftg.-Steel 56. 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 57. 10. OF Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 58. 11. Water Pipe; Test -Anchors -Regulator -Service Test 59. 12. Electric Underground 60. 13. Pienums & Ducts; Clearance-Mater;al-Support-Ins. 61. 14. Girders -Sills -Anchor Bolts -Joists Vents-Crippies 62. 15. Access & Ventilation 16. Insulation Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s Card B-1 Date Card E-1 Date Ext Steps -Door & Sidelight Protection -Landings PLUMBING (Permit) OK except #'s 64. 17. Water Htr.; Vent -Access -Combustion Air Baffle 65. 18. Water Pipe; Test & Anchor -Nail Protection 66. 19. D.W.V.; Test Fittings & Anchor -Nail Protection 67. 20. Shower Pan; Test, First Floor -Tub Access 68. 21. Test Tub & Shower, Second Floor -Tub Access 69. 22. Gas Pipe; Sixe & Anchors 70. Fireplace or Stove, Clearance -Hearth Date Elec. Outlets at Wood Panel, Int. & Ext. Card B-1 Date Card B-1 Date Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance Card B-1 Date Card B-1 Date Elec. Outlets & Recepticales at Kit. Counter ELECTRICAL (Permit) OK except #'s 74. 23. Fixture & Transformer Clearance -Ins. Protection 75. 24. Elec. Receptacles Spacing -Lights & Switches at Doors 76. 25. Size Boxes & No. of Conductors Stapled 77. 26. Romex Installed Close to Edge of Studs & C.J. 78. 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 79. 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI 80. 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al 81. 30. Ran oe Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or AI Insulated Neutral 0 Yes Q No 82. 31. Service -Riser Conductors & Ground -Main Disconect 83. 32. Equip. Clearances Panels-Motors-Mech. Epuip. 84. 33. Clothes Closet Light -Shower Light -Spa Light 85. 34. Smoke Detector 86. Water Well, Disconnect, Electrical, Plumbing Date Exterior Elec. Trim, G.F.I. Receptacle -Underground Card B-1 Date Card B-1 Date Ventilation Throught House Card B-1 Date Card B-1 Date Glass Protection MECHANICAL (Permit) OK except #'s 90. 35. A.C. Ducts Insulation & Support 91. 36. Vent Fan, Exhaust above insulation 92. 37. Condensate Drain & Overflow, Size & Grade 93. 38. Furnance-Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Date 46. FRAMING (Continued) Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-roff Brac.-Truss-Shting.-Ring. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor p Yes 82. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes Q No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 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: 1 COUNTY OF BUTTE- DEPARTMENl`OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754„- ~ — QMNO. (Rev.12/96) APPLICATION AND PERMIT %,� ASSESSOR PARCEL NUMBER 03 064 -20 - ZONING BUILDING PERMIT OWNER CHARLES C BARHAM TELEPHONE SO. FT. OCC. BUILDING VALUATION 1586 R 85,644 OWNERS MAILING ADDRESS 6095GUILFORD, M CONTRACTNAME 672 SERRANO LANE 10 SAN LUIS OBISPO TELEPHONE ' CONT q 'S MAILI ADDRESS 93401 CONSTRUCTION UNDER Fireplace LENDER'S MAIUNG ADDRESS ' Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee -.11/576 $ 288.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ PERMIT FEE $ 331.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ ( Other SPECIFY Each Trap 7.00 - Solar or heat um water heater 23.00 Water piping 15.00 Each as water heater or vent .15,00 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑X Describe Work: MH/PERM FDN Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 1 nn Mobile Home I S IG IW @20.00 PERMIT FEE SAc; no ELECTRICAL PERMIT Filing Fee 20.00 Main Service ODA 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 B Lic. No. Z) 7 Ls� " OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: O 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. O I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 200A To 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( d ACC. BLDS. so 3.50FT. NEWCOS OUTLET NON-RE.I.=OUTLET @7.50 APPARATUS d SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURE .00 BAL Q 1. 0 Ex. Occup. ourEitDrs P=16.) ERJI 5.00 Temporary Service 23.00 Mobile Home Facilities 2U. 00 20.00 Misc. Wirina 23.00 PERMIT FEE $ zLn nn MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. �J X _ Date / _ Signature of Applicant - ❑Owner ❑ Contrac Agent T— An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee is occ CONST. TYPE TOTAL FEE $ 436.00 HAZ. I D. FEE IMP FLOOD CDF pgRCEL PD ._ HD ISSUE This permit is he issued under of the Butte ou Code and/or indicated ov o hich f By PER EXPIRES O the applicable provisions Resolutions to do work been pai � Q2 _ 4 Daatte 6 C, —8—(7 `� Dafe Receipt No. ��O WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK•INSPECTOR GOLDENROD -APPLICANT �c .+�'}��f:'.1'�'��w��y�?'ASSY'%%r'4•:�b'.�i=.�45Tr7M"v,'a:.-. ��cM'+�.c.77+7F„`:Nwa.Ttx,��::»ww+TM.�°s"T.�i'+.�r�c,.n..�v.: ._ 1� .. _; rw•- .. ,V,.. 4 v' COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILL�; CALIF4-ORNIA95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER iP n%L �J/OR � A. P. No. Y� 7,0 0- j)-3? Proposed Building Use �� ��'/�/' ��/h Building Inspector Date l At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted......................................... 2. Plot plans, 3/4 sets, signed by preparer of plans. ......................... . 3. Complete plans, 3/4 sets, signed by preparer of plans . ....................... 4. Engineered plans and calcs, 3/4 sets,'with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data,m riufact��urer's installation instructions, 2 sets. ...........`���� 110. Fees of $ `s,�o............... ................. CIL11. Impact fees as shown on attached schedule. .. ................ . California Department of Forestry plan approval/fees . ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. . . Preanspedion request 20. Pre -inspection for required. . to Building Inspedor (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner _). .......... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. Whe ou issue theermit, 9 ss as follows: Mail to owner. Mail to contractor. i� Telephone ��z' �/ �� hold pickup at U40 office. Deliver with inspector. Other At G Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit 's ance: (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 _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date 99 Plans checked by Date Plans approved by dE Date S Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE., OROVILLE. CA .95965 TELEPHONE (916) 538-7541 L SCHEDULE OF FEES DUE OWNER �'1ftAle-1 (f ko" PROPOSED BUILDING USE —/I. BUILDING PERMIT FEES -- Balance Due ................ $ -- Additional Fees Due ........... $ -- Additional Fees Due ............ $ -- Revised Plan Checking Fee ....... $ 2. SCHOOL DISTRICT FEES (paid at District Office) u. 3. 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 (per unit) . x = $ #Units Amt. Commercial (sq.ft.) .. x =$ Sq.Ft. Amt. 5. RECREATION DISTRICT FEES (paid at District Office) 6. THERMALITO DRAINAGE DISTRICT FEES $425.00 (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 { A.P. # ZOO- 037 DATE 2% S REC # DATE REC 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 ` DATE Original -Owner Copy -Building Div. (Rev. 12/96) rr. (Rev. 12/96) COUNTY OF BUTTE -DEPARTMENT OF' DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER O3 `J ZONING BUILDING PERMIT OWNER C>,�Ql�s - C , �n h�a� TELEDNONE SO. FT. OCC. BUILDING VALUATION Al OWNER .1 �QORESS _/�1, I r pt,Q 1I,/ / � 9 �y S COM CT00.'S NAME Ile TELEPMONE 'r CONTRACTORS IMUP0 ADDRESS 6 2 ,91-v0 CONSTRUCTION LENDER Y� Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee p ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ z 3 BUILAINGADORESS O G'�-.otCQ Energy Plan Checking Fee $ $ /14�" PERMIT FEE $ LAT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ 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 New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: dA1 ICV Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I GI W 920.00 PERMIT FEE ELECTRICAL PERMIT Fling Fee 20.00 800V 0' LE Main Service 20.AORLESS 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: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 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_____ Date Signature of Applicant - ❑Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in qeight. Main Service sow TO 1000A 46.00 NEW CONST. DWELLING OCCUP. s0 OR AODNS. ( . NON•RES OT MULTI.Ol C UTLET 11 @7.50 POWER APPARATUS 6 SINGLE OLrTLET CIR. EX. OCCU OUTLET ORFORUREs SAL@':0 Ex. Occup. DuxTLEFTS I.. APP=.1 Ew 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 2 Misc. Wiring 23.00 PERMIT FEE S rJ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ / J i HAZ. I D. FEES I IMP I FLOOD CDF PARCEL PD HO SSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date _ PERMIT EXPIRES ON (Dale) c� Receipt No. 01_ WHITE-D.D.S.-B.D. CANAR -ASSESSOR K•INSPECTOR GOLDENROD -APPLICANT a .. —, i Vv -RtCORDING REQUESTED BY: I ,,, 97-021226- 197-021226 197-021226 AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 i rrte�' rr��rryy I 9 -0211 GG6 I Rec Fee .00 I Total .00 Recorded I v Official Records 1 County of I / Butte I Candace J. Grubbs I Recorder I 1:37pm 11 -Jun -97 I COMB XX 2 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. CHARLES C. AND JOANNE BARHAM MANUFACTURER'S NAME 6095 GUILFORD CIRCLE MAGALIA, BUTTE, CA 95954 CITY COUNTY STATE ZIP SAME CITY COUNTY STATE ZIP SAME UNI I OWNER (it also property owner, write SAME UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT WW CERTIFICATE 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP 9 916) 538-7541 IL RM NO. TELEPHONE NUMBER 6/5/97 SIGNA U E OF LOCA AGENCY OFFICIAL DATE NO DEALER NAME (if not a dealer sale, write 'NONE') DEALER LICENSE NO. SKYLINE 06/03/91 LEXINGTON LEX 5509 MANUIAUI UREWS NAME DATE OF MANUFA(:I URE MODEL NAME/NUMBER 2T700678AD/2T700678BD 61'X26' ULI334583/334584 LENGTH X WIDTH INSIUNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. # 064-200-039 SEE ATTACHED LEGAL DESCRIPTION. HCD FORM 433(A) REV. 8/91 WHITE - County Recorder CANARY - HCD PINK - Applicant GOLDENROD - Building Dept. LEGAL DESCRIPTION A.P. #064-200-039 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: PARCEL I: Lot 195 as shown on that certain map entitled, "PARADISE PINES UNIT 14", recorded in the Office of the Recorder of the County of Butte, State of California, on July 15, 1971, in Book 38 of Maps, at pages 37, 38, 39, 40 and 41, inclusive. EXCEPTING THEREFROM all minerals, oil, gas, asphaltum and other hydrocarbon substances, with provision that any and all mining operations shall be done from orifices outside the surface area of the land described herein, and that no damage shall be done to the surface of said land. PARCEL IL, A non-exclusive easement over Lots A, B and C (the common areas) of said Paradise Pines Unit 14 and the lots designated for common and recreational areas as described in the Declarations of Annexation for Units IV, VI, VIII, X, XI, XII, XIII and XIV. BUILDING PERMIT NUMBER: 97-0819 Address or location of unit: 6095 GUILFORD CIRCLE, MAGALIA Legal Description of Real Property: A.P. #064-200-039 SEE ATTACHED LEGAL DESCRIPTION. (x) Mobilehome/Manufactured Home () Commercial Coach Has been affixed to the real property above by installation on a foundation sytem pursuant to Health and Safety Code Section 18551.. Owner's name: CHARLES C. AND JOANNE BARHAM Owner's address: 6095 GUILFORD CIRCLE, MAGALIA CA 95954 INSIGNIA OR HUD NUMBER: ULI 334583/334584 SERIAL NUMBER OR V.I.N. 2T700678AD/2T700678BD MANUFACTURER'S NAME: SKYLINE AR: 1991 OFFICIAL APPROVING INSTALLATION:—� DATE: 6/5/97 PHONE: (916) 538-7541 H.C.D. 513C Z0 ' d -Ibioi To Whom It May Concern June 9th, 1997 Concerning Mobil Home located at 6095 Guilford Circle , Magalia Ca., 95954• We are unable to locate decal number LAR4596. 1113gOKEhPasx�1 � tia. uxoiv.Yi a cnyy rM: toed Is VA" fnib : yamaad If rlaln10 I Z0'd OPTZ82S 01 US083QNOd 83ANU9 1-13MCIOD WONA WU9Z:TT L66T—TT-90 1-3 "8X"WM REQUESTED BY 95. 6134 BIDWELL TITLE & ESCROW Co. 9 Order 8 3-171067 -SXL 5-0267,34, Rec Few 9.00 Recorded'' I DOC 93.50 AND I Check 102.50 WHEN RECORDED MAM C To Offi * • Charles C. Barham ial Records I 6095 Guilford Circle County of* Magalia, CA 95954 B.uttip Candace J. Grubbs Record6r 8:00am 10-Au*U-95 I AVTC Fu 2 - SPACE ABOVE THIS UNE FOR M RECOM.9 USE APO 064-200 .039 Grant Deed THIS FORM FUMOSM By NOWELL TITLE A ESCROW COMPANY The undersigned grantor(s) dee THIS Documentary transfer tax is S 93.50 kcomputed onfuUvalue Ofproperly I -,,,yd.., ) 00111PUledon full value o(liew andenc..bcea klinincorporatedint&( resnaining at time of we-. FOR A VALUABLE CONSIDERAInON. receipt of which is M. RICHARDS, husband and wife hereby ac'02owledged: RICHARD H. RICHARDS and AUDREY, h; -by GRANT(S) to CHARLES C. BARHAM and JOANNE BARHAM, . husband and wife as JODW Taym the following described real property in the unincorporated area State of California; County of Butte SEE SCHEDULE CATTACHED HERETO AND MADE A PART HEREOF Dated: August 2, 1995 A Audrey .R r1chards' State or California County of Butte SS. On August 4. 1995 before me, the undcr*signed. a Notary Public in and for said 'State' personally appeared Richard H. Ridlaztl3 and —M Richards 2 Y (This area for official notarial Sul) PV kriown 10 - (or proved to'nte on the basis of I)y"betheper- 1) tii� names) is/arc subscribed to the within insmunent and acknowledged to tne that hdAelthey executed the sante in his&-Aheir authonzed capodty(ies). W.SAINDRA M. Ljj a" NM�LLE and that by W=Vxk s, On the UISOurrm the pawn(3) or dhe entity upon b5W ignatute(j) pmson(s) acted cLacuted the of which the 4; . I "O� P a I Comm. #99866, NOrARYMMUC.,�k,- L H'fTTVGSS and official 0 My c Eq*" • 95-26736 �'. Order No. 3-171067 SCHEDULE C _ .. The lard referred to herein is described as follows: All that Certain real -property situate in the County of Butte, State of California, described as follows: i PARCEL I: Lot 195 as shown on that Certain map entitled, *PARADISE PINES UNIT 14-, recorded to the Office of the•Reoorder of the County of Butte, State of California, on July 15, 1971, in Book 38 o and 41., inclusive. f Maps, at pages 37, 38, 39; 40 EXCEPTING THEREFROM all minerals, oil, gas, asphaltum and other hydrocarbon substances, with provision that any and all mining operations shall be .done from orifices outside the surface area. of, the land described herein, and that no damage shall be done to the surface of nAIA. land. AP No. 064-200-039 PARCEL II: A non-exclusive easement over Lots A,'B and C (the common areas) of said Paradise Pines Unit 14 and the lots designated for common and recreational areas as described in the Declarations of Annexation for Units IV, VZ, "VIZI, X, XI, XII, XIII and XIV. EXE COMP TATE OF'CALIFORNIP ~EPARTMENT-OF HOUSING AND.. VIMUNITY DEVELOPMENT _ SOLCAL1+o. LAR�159G CEk._.ICATE OF TITLE MOBILEHOME out urs src I Lxrulnnur+ I11AIA.I+AML MUULL DUtd MANUFnCiU+2"r:n NAME/IU LEXINGTON LEX5509. 06/03/91 06/03/91 06/19/91 SKYLINE IIH 111C/90002 .--•�F IIIAL t+UMIIUI 11LI334583 ULI334584 A RICHARDS RICHARD )i/AUDREY M D ' JTRS D PO BX 651 R PARADISE CA 95967 B O E R ' RICHARDS RICHARD .11/AUDREY M E JTRS• I. n 6095 GUILFORD CIR S I :.0TH: T L <S� .. u HADA IA C�A: 959 `I rt JU/f 1. D 1 `i RCLC�E•,`�ltE�PZ6T61AED OWNEIt o s •' 6695. GUILFORD CIR 4, 12. '/�!/ . E u HAGALIA' +shy CA xxx IST JR. LIr NtI01 -DER, FILL IN ZTE►IS 13 - 15ci Afl9IONMCNT' OF• I;EoAL O)+INER ,I�rt,,/ � 4 A�'� I`, ' hv. 13. ..t NAME_ - PL£AGE PRINT '• J ��.c+7j "I+It' I A L Y {wSaN�fj1 I I I 11I�?�1 �1 ,li„:rst I I p �t� ... n ctrl i W cb� p g R T R Q�rcv�ilC_ LfA/,,�Fl�if'uvr vGl� jVf1:Il�.11J, ft l[ J It)lI JS�IlLI C� Lx(tAl" S�S U11360 b•o6192 AWN O)/S I U 010')]0 000752 000156 TOTAL • FEES PAID: 557.00• s . --- RELEASE OF,DEALER xx NEW REGISTERED owmER, FILL IN ITEMS 4 - 9 xx 4.A) AND OR D ) NAME - PLEAS C�—t'1 •� 1 ITZ,,;7 CURN ,REY MAILING ADDI All CZTY,i:`' /!i' CNTY ZIP ' FUTURE'MAILING ADDRESS LOCATION' ADORE S9 ST ZIP CITY:':5:,'i!?u.!b,. CNTY)? DATE ..� '" , i : 1• PURCHASE PRICE: tI .., i 4"•. ...,'',.•, 1j NE1t ;RI`OZ6T•EREO OWNL•rt°,GICNATURE A; :•:Kxxie' (�E41 'LEC{tt;•,DY+{•+ER, FILL IN ITl?FJ'�a.} 0 - 12 xxx ii1' � ltd'. ',' , :. 1 A!. ty:L:��1'l,�-'-'' /[�► q /e n) NANL' - PLUA!IFA-.PRINT 12. CITY CNTY JT Zi? �:. L1�..,.. . 11. ADgItES9l xxx NEW xxx IST JR. LIr NtI01 -DER, FILL IN ZTE►IS 13 - 15ci n) t, .- RETEN'EION.OF�LEOAL OWNER 12. CITY CNTY JT Zi? �:. L1�..,.. Sty_ v4s1, ,�T�ty7 I• ' !� •.•: i!� xxx NEW xxx IST JR. LIr NtI01 -DER, FILL IN ZTE►IS 13 - 15ci Afl9IONMCNT' OF• I;EoAL O)+INER ,I�rt,,/ � 4 A�'� I`, ' hv. 13. ..t NAME_ - PL£AGE PRINT '• J ��.c+7j 51 tt1.�; u F 11I�?�1 �1 ADDRESS .1 R p g R T 15. CITY CNTY ST ZIP xxx NEW 2ND JR. LIENMOLD£R, FILL IN ITEMS 16 = 10 xx- 16. MA14E - PLEASE PRIN-r 17.^ ADDRESS CITY CNTY ST ZIP IMP ORTA14T 01-203-00 THIS .CERTIFICATE OF_TITLE 14AY NOT RE=FLECT.ALL LIENS RECORDED 61ITHITHE DEPARTMENT OF.IIOUSING AND COMMUNITY DEVELOPMENT AGAINST THE DESCRIBED UNIT. THE CURRENT 0100010 TITLE -STATUS 01" THE UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT. ACCOUNT ETT 4/0. 3 il a R7r44 4Cef5 ' rts.lsi L ofS 9e. Z.?5 ' aC4L)9 to. !al .4?E 2-I ?4 Lens 4,a IC /7. 7sI v- v \ ,(,�x . LEGEND CALCULATED POINT V/C/A//TY MAP L /4. I V swrrr s 1 L------.1 sarET /A/D EX SET BACK LINE .......... a PUBLIC UTILITY EASEMENT ('P.U.E.)...-----�' DRAINAGE EASEMENT (D.E.)...... RECREATIONAL EASEMENT (R. E.)....... All f�lr- SET CENTERLINE MONUMENT ...................® SET 2*X I IRON PIPE TAGGED R.C.E. 9033... FOUND MONUMENT AS SHOWN FOUND a IRON PIPE TAGGED R.C.E. 9033.....,e ALL LOT CORNERS NOT INDICATED BY THE ABOVE -SYMBOLS TO BE MARKED BY 3/4* IRON PIN WITH TAG-R.C.E. 9033 BASIS OF BEARINGS THE CALIFORNIA COORDINATE SYSTEM ZONE 2 ESTABLISHED .FROM TRIANGULATION STATI.ON_ ..SAWMILI (X•2.124.255.90. Y+781.649:98) TO TRIANGULATION STATION BALD MOUNTAIN (X-2.145.390.63. Y.832.948.42) BEARING N 22.23' 29' E AS SHOWN ON THAT AMENDED RECORD OF SURVEY, FILED IN BOOK 33 PAGES 95. 96. 97. 98: & 99 -BUTTE COUNTY RECORDS. DISTANCES SHOWN HEREON ARE GRID DISTANCES: MULTIPLY BY 1.0001138 TO OBTAIN GROUND DISTANCES. SUBDNISION NO. All PARADISE SINES UNIT -N-0. 14 PTN. • SSC. 14 & 23 T. 23 N.;R 3 E., M.D.M. BUTTE 'COUNTY, CALI.FORN.IA . SCALE- r■ 100 FEBRUARY , 1970 HURRAY B MCCORMICK ING CIVIL ENGINEERS. LAND SURVEYORS 1912 F 3i, 9ACRAN.ENTO, CALIFORNIA._. 4 LEGEND CALCULATED POINT V/C/A//TY MAP L /4. I V swrrr s 1 L------.1 sarET /A/D EX SET BACK LINE .......... a PUBLIC UTILITY EASEMENT ('P.U.E.)...-----�' DRAINAGE EASEMENT (D.E.)...... RECREATIONAL EASEMENT (R. E.)....... All f�lr- SET CENTERLINE MONUMENT ...................® SET 2*X I IRON PIPE TAGGED R.C.E. 9033... FOUND MONUMENT AS SHOWN FOUND a IRON PIPE TAGGED R.C.E. 9033.....,e ALL LOT CORNERS NOT INDICATED BY THE ABOVE -SYMBOLS TO BE MARKED BY 3/4* IRON PIN WITH TAG-R.C.E. 9033 BASIS OF BEARINGS THE CALIFORNIA COORDINATE SYSTEM ZONE 2 ESTABLISHED .FROM TRIANGULATION STATI.ON_ ..SAWMILI (X•2.124.255.90. Y+781.649:98) TO TRIANGULATION STATION BALD MOUNTAIN (X-2.145.390.63. Y.832.948.42) BEARING N 22.23' 29' E AS SHOWN ON THAT AMENDED RECORD OF SURVEY, FILED IN BOOK 33 PAGES 95. 96. 97. 98: & 99 -BUTTE COUNTY RECORDS. DISTANCES SHOWN HEREON ARE GRID DISTANCES: MULTIPLY BY 1.0001138 TO OBTAIN GROUND DISTANCES. SUBDNISION NO. All PARADISE SINES UNIT -N-0. 14 PTN. • SSC. 14 & 23 T. 23 N.;R 3 E., M.D.M. BUTTE 'COUNTY, CALI.FORN.IA . SCALE- r■ 100 FEBRUARY , 1970 HURRAY B MCCORMICK ING CIVIL ENGINEERS. LAND SURVEYORS 1912 F 3i, 9ACRAN.ENTO, CALIFORNIA._. PROPOSAL and CONTRACT Telephone KILPA TRICK CONSTRUCTION 805-227-4547 MOBILE HOME FOUNDATIONS CING TO /�G/1 �(� E_g Slate License No. 407281 EARTHuUAKE BRA . Dale '/ � — / �/ , 19!� ? - We propose to furnish materials and o . . — s!'___.L� Z6 9%)t•-,r!V_L'✓ �_T_elephone 877— 4-214 0 abor to complete the following: EST eosTs aLiO� IJ�PT—� 4-3Q.D yLof Prices do not include permit costs. American Foundation Systs.r is not liable for additional upgrades to meet 433(a) requirements. All of the above work to be completed In a substantial and d workmanlike manner according to standarradices for the sum of&A/ f o'�lC f-�v��'eE� r/Gte� 1 ollars (5 "NOTICE TO OWNER" (Section 7010, 7019—Contractors License Law) Under the Mechanics' Lien Law, any contractor, subcontractor, laborer, malerialman or other person who helps lo,implove your properly and Is not paid for his labor, services or material, has a riglra to enforce his claim against your properly. This means that, eller a cnura hearing, your properly could be sold by a court ofll- cer and the proceeds of the sale used to satisfy the lndebledness. This can happen even If you have paid your own contractor In lull, It the subcontractor, laborer, or supplier remains unpaid. Under the law you may protect yourself against such claims by filing. before commencing such work of Improvement, an original contract for the work of hnprnvemenl or a modification thereof, In the office of the county recorder of lire county wherrllia pr000rty Is situated and requiring Ural a eonlractor's payment bond bn re. corded In such office. Said bond shall be In an amount not less than Illly percent 150;:) of the cataract price and shall, In addition to any conditions for Ilse performance of the contract, be condl. I oned for the Paymenl.ln full of the claims of all persons lurnish. Ing labor, services, equipment or materials for the work described In said contract. Respectfully s6bmilled, KILPATRICK CONSTRUCTION 672 Serrano #10 San Luis Obispo, Calif 93401 (805)544-1248 Lic. # 407281 Name and Registration Number of any salesperson who solicited or negotiated this contract: Name ACCEPTANCE You are hereby aulhorized to furnish all materials and labor required to complete the work mentioned In Ilse above proposal, for which___, agree to pay the amount mentioned In sald proposal, and according to the terms thereof: Owner's Name (o a u LG A C If Street Address city Vale Zip Place of Business Date- 19 ACCEPTED: (Owner's Signature) Corllra'clo s are required -by law to be licensed and reg- ulated by the Contractors' Slate License Board. Any ques- llons concerning a contractor may be referred to the registrar of the board whose address Is: Contractors' Slate License Board '1020 N Street Sacramento, California 95814 a . r M. \4 y� tl I oo `� A � H � •t � a a: e R Ttt i a . r M. \4 y� tl I oo `� A � H � •t � a a: e R Ttt S+Q' 2 Ion Aq. v O ♦1" pY•OJ ' I �0 gn ,• Pte` I 2-1/4n , 1 O I DIA. TYP. i 3" OOr u /4" ROD, WELDED 1" TYP 4-+ OR PUNCHED DIMPLES 1/4" PLATE GR I PPER PLATE DETA 1 L BASE PLATE DETAIL NO SCALE NO SCALE �O 6" �. II I \.E't tye 1O"O� E\\. �O o NOH' (9- E O u p?'� ty2 a 4o Pmt 3n o\P• tl 1�6 O O 0 2-1/4' j 9 •'P'' a 9/16" DIA. TYP. 3" r GRIPPER BASE PLATE DETAIL 2-11/4'! TVP. N NO SCALE 1/4" PLATE BASE PLATE DETAIL FOR AFS—CP PADS NO SCALE ! GRIPPER PLATES - SEE DETAIL —1/2"X2" MB TYP. 1/4" BASE PLATE - SEE DETAIL 1-9/16" ROD WELDED TO GRIPPER BASE PLATE. 1/2 PLUG S" THREADED ROD. 1/2" FILLET BELOW OR ' 1/4" FILLET WELD BELOW PLUG WELD ABOVE OR PLUG WELD ABOVE TO 1-1/8" X 1-3/4"t BASE PLATE HEAVY TUBING. 2" O.D. SCH 40 PIPE WITH 1/2" HOLE .1 An FILLET, t BOTH SIDES 0 1/2" HOLE FOR LOCKING PIN - TYPE— - - - `^ 2-1/4" O.D. SCH 80 PIPE J Q --_ - . m - - 4 -3/8" CADMIUM -PLATED NB TYP.. INTO CAST -IN-PLACE FERROL INSERTS, c AFS -CP d AFS -PCP PADS [NOTE: AFS -CP PAD CAN HAVE 2-1/2" MS WITH PPFI-1/2 INSERTS] t 3, �1 GUSSET SUPPORTt1N TACH SECURELY TO PLATE DETA1LBILE HOME SUPPORT RDER -TYP NO SCALE .1/2" X 3" STEEL WITH LOCKING KEAFS-PCP PAD SHOWN c e IS TYPICAL INSTALLATION DETAIL NO SCALE 2-1/2"t 3" COLLAPSED 9" STD. MAX. 13" TALL MAX. 8" STD. 12" TALL TYP. AFS—EL-9 SIDE VIEW AFS—EL-9 FRONT VIEW NO SCALE NO SCALE DESIGN LISTED AND TESTED BY BSK 8 ASSOCIATES WAYNE T. POLVADO, PE - LISTING NO. F01600438 j. Pp�`90��� Z Lu Nd.00 1110 a Up. ° 351- �t 1k sT CNI1 qIF 0 CAl\E�� • /bs • Lerfi>dc - 1300 Ar NEALTH AND SAFETY COO-. SECT1p+ IRSS1 A P P R O V E D • SU8lEtt TO CORR-CTKWS NOTED prorel door .oY evthoAu or OPP— o.y omiWan Or de.:mle - repuirnnw,n of eppDraye Stop Isn ob regulmiem. Sane of CaOfomio 0-10 nnw of H -W-9 end COn--:1y D -6p, OMSI CODES AND STANDARDS ay � - own. -�` Da►eL� �1 SPA NO.3_ 1LiT�1��,//•,�3 '1.i. PIm A _0�01 cJE1is 9 /%% vP y Z� NO. iesa + a63haL Cg4r �,\ a fir_ r: �!�- � I V F / te' elf OF CAL IOa'�� �p/y,• ,r�y�p ,It ��.� W'�h• P E;.,RJN�A_,y ENT FOUNDATION SYSTEM AFS-EL9 STAND AFS -WP, AFS -CP AND AFS -PCP PADS WILLIAM A. SOMMERMEYER CIVIL ENGINEER 1173-0 ELCAM IND REAL - ARROYO GRANDE CA 93420-2554 RCE 1 e. p. 12/31/96 (805) 489-5380 --PATENTS PENDING-- MARCH 1996 SHEET 1 OF 3 SHEETS 36" l L 1-1/2" TYP. 1-1/2" TYP. r, r 8" all an ic m Nil*AFS-EL9 STAND 1-1 TOP VIEW END VIEW 2" X 28" X 1/8" STRAP - 2 EA - TYP f-.(,-- 0 _ o c EXT.PLYWOOD. WOLMAMIZED SEE NOTE 15 ro O 0 0 1/2" CADMIUM -PLATED CARRIAGE BOLT 8 EA - TYP BOTTOM VIEW /2" CLIP p 45° TYP. f 1" X 2" X 1/8" X 28" TYP. -F 36" SIDE VIEW AFS -WP PAD NO SCALE ___41-1/2" TYP 36" 1-1/2" TYP u CAST-IN-PLACEFERROL INSERTS FOR 3/8" CARNIUM-PLATED M8 4 EA - TYP - \ 06IER RE51N = 1?0 r T YO`V1,,EF CONCRoIE vI11H 0 TOP VIEW END VIEW 2" 36" SIDE VIEW AFS -PCP PAD NO SCALE TOP VIEW 3-5/16"_l1-15/16" 1-3 8" 45" SIDE VIEW AFS -CP PAD AFS-EL9 STAND 10" PPFI-1/2 - 2 EA SEE DETAIL 16„ 1-3/811 •. or- —�, _�_-�. ' 5 - 02 REBARS TRANSVERSELY p 7" O.C. OR APPROVED EQUAL 4 - /3 REBARS p 511 O.C. OR APPROVED EQUAL AFS -CP REINFORCING DETAIL NO SCALE NO SCALE STD IFI -,2e "Ex COUPLIMC "UT Nrzt-,fir PPFr1/2 12 EAI IW FILLET-ELO 2 4xe•IlA- •EAC" SIDE PPF 11 /2 DETAIL ND SCALE END VIEW 0 DESIGN LISTED AND TESTED BY BSK 8 ASSOCIATES WAYNE T. POLVADO, PE - LISTING NO. F01600438 �k PERMANENT FOUNDATION SYSTEM AFS-EL9 STAND AFS -WP, AFS -CP AND AFS -PCP PADS WILLIAM A- SOMMERMEYER C I V I L E N G I N E E R 1173-D EL CAMIN0 REAL - ARROYO GRANDE CA 93420-2554 RCE 11658 exp.12/31/96 (805) 489-5380 --PATENTS PENDING-- MARCH 1996 SHEET 2 -OF 3 SHEETS GENERAL NOTES I. DESIGN LOADS: ROOF LIVE LOAD --20 PSF FLOOR LIVE LOAD40PSF WIND LOAD --80 MPH EXPOSURE 'C' SEISMIC ZONE --4 SNOW LOAD AS REQUIRcD BY BUILDING OFFICIAL 2. THIS FOUNDATION SYSTEM IS DESIGNED TO BE CONSTRUCTED ON AN APPROXIMATELY LEVEL SITE. 3. CARRY ALL FOOTINGS DOWN TO FIRM, UNDISTURBED SOIL. FOOTINGS ARE DESIGNED FOR 1000 PSF TOTAL LOAD SOIL PRESSURE. o. CHASSIS BEAM SUPPORTS SMALL BE LOCATED AND SIZED FOR THE LOADS AS SHOWNIN THE MOBILEHOME MANUFACTURER'S INSTALLATION INSTRUCTIONS. S. IN AREAS WHERE DIFFERENTIAL SETTLEMENT (O.S.) CAN OCCUR. MANU- FACTUREDHOME SHALL BE READJUSTED WHEN D.S. EXCEEDS 1/4". OR WHEN IT WILL ADVERSELY AFFECT MANUFACTURED HOME UNIT. 6. ALL PORTLAND CEMENT CONCRETE USED IN THE MANUFACTURE OF THE AFS -CP PAD SMALL HAVE A MINIMUM /c • 3000 PSI 0 28 DAYS. 7. STRUCTURAL STEEL: FABRICATE ACCORDING TO RISC SPECIFICATIONS. WELD ACCORDING TO AWS SPECIFICATIONS. ELECTRODES --370 PLATES --ASTM A36 BOLTS --SAE GR.5 a ASTM A449 - ASTM A3725 B. THE STAND AND PAD ASSEMBLIES SHALL BE LISTED AND LABELED BY 8SK6 ASSOCIATES FOR THE FOLLOWING LOADS: HORIZONTAL 10749. VERTICAL 59701. 9. THESE STAND AND PAD UNITS ARE DESIGNED TO BE USED WITH MOBILE - HOME CHASSIS BEAMS OF STANDARD SECTION EQUAL TO OR GREATER THAN WSX101. ANY OTHER SECTIONS SHALL BE FIELD ENGINEERED TO ADAPT TO SECTIONS ACTUALLY ENCOUNTERED. 10. EXISTING COACHES MAY BE RETROFITTED TO RESIST SEISMIC FORCES BY INSTALLING THESE UNITS AS SHOWN ON THE TYPICAL FOUNDATION PLAN. 11. MULTIPLE -UNIT INSTALLATION IS ACCEPTABLE PROVIDED THE NUMBER OF AFS UNITS MEETS THE REQUIREMENTS SHOWN ON THIS SHEET AND THE PLACEMENT AND INSTALLATION PROCEDURES ARE FOLLOWED PROPERLY. 12. FOR LONG DURATION SNOW LOADS, USE APPROPRIATE NUMBER OF ADDITIONAL UNITS AS DETERMINED BY THE FOLLOWING FORMULA: IILONC TERM SNOW LOAD C/F771 X [ROOF AREA SQ.FT.11? 5970 . USE EVEN NUMBER OF UNITS ARRANGED 501 EACH DIRECTION. 13. ALL METAL COMPONENTS AND ATTACHMENT ITEMS SHALL BE PROTECTIVE COATED. 14. METAL SURFACES IN CONTACT WITH THE EARTH SHALL BE COATED WITH OREGON RESEARCH AND DEVELOPMENT COMPANY RUBBERIZED PROTECTIVE MEMBRANE AND ROOF SPRAYABLE GRADE" OR APPROVED EQUAL. 15. FOR AFS -WP PADS, USE 1-1/8" EXTERIOR PLYWOOD WITH WOLMAN12ED TREATMENT TO 0.60 PCF RETENTION WITH DRYING AFTER TREATMENT. 16. FOR AFS -PCP PADS. USE CONCRETE MATERIAL CONSISTING OF SAND AND GRAVEL AGGREGATE BOUND TOGETHER WITH A POLYMER AND REINFORCED WITH CONTINUOUS WOVEN CLASS STRANDS. THE CONCRETE THUS PRODUCED MUST HAVE THE FOLLOWING MINIMUM MECHANICAL PROPERTIES: COMPRESSIVE STRENGTH - 11,000 PSI TENSILE STRENGTH - 1700 PSI FLEXURAL STRENGTH - 7500 PSI THE MANUFACTURER MUST CERTIFY THAT THE MATERIALS HAVE BEEN TESTED TO THE REQUIREMENTS OF ASTM METHOD D-543. SECTION 7, PROCEDURE 1. SAID CERTIFICATION WILL GUARANTEE THAT THE CON- CRETE HAS CHEMICAL RESISTANCE AGAINST THE FOLLOWING CHEMICALS IN THE CONCENTRATIONS NOTED: SODIUM CHLORIDE 51 SULFURIC ACID O.1N SODIUM SULFATE O.1N HYDROCHLORIC ACID 0.ZN ' SODIUM HYDROXIDE 0.1N ACETIC ACID 51 KEROSENE PER ASTM D-543 TRANSFORMER OIL PER ASTM 0-543 E S S E • I MANUFACTURER-TYP. O 2NOM. l B' NOM. c,"ll P1LR551`l GLpP STANDARD MH FOUNDATION PIERS -AS RECOMMENDED 5�N10 f0.0 BY THE MANUFACTURER OR THE ENGINEER - TYPICAL ^ THROUGHOUT. RELOCATE AS NECESSARY - O RIOGE BEAM SUPPORT AS O O _ REQUIRED BY MANUFACTURER-TYP. PADS IN ANY PAIR STANDARD MM FOUNDATION PIERS - AS RECOMMENDED n n BY THE MANUFACTURER OR THE ENGINEER - TYPICAL BE RATED 90" CE TO n THROUGHOUT. RELOCATE AS NECESSARY - TYP. PADAIR MAY BE ROTATED O ...... 0 90'STON AVOIDPCLEARANCE' PROBLEMS 0 PLAN FOR 12 AFS SUPPORTS OR LESS VARIES - 30'-77' SEE TABLE E 5 S S E _ 2' NOM. OM71tEO 1 3V B' NOM. S1 pji0 fp0.PGS.P'R PLAN FOR MORE THAN 12 AFS SUPPORTS TYPICAL PERMANENT FOUNDATION PLANS NO SCALE E - 2' MIN / 6' MAX S a 6' MIN / 24/ MAX NORMAL LOADS $NOW LORD a 0 NO. OF WIDTH LENGTH UNITS 10' TO 37' 4 1 38-58' 6 10' S9-78' 8 12' TO 32' 4 33-50' 6 51-68' 8 12' 69-85' 10 13' TO 30' 4 i 31-47' 6 48-64' 8 13' 65-80' 10 14' TO 28' 4 29-44' 6 45-60' 8 14' 61-76' 10 20' TO 32' 6 33-44' 8 45-56' 10 57-68' 12 20' 69-80' 14 24' TO 37' 8 38-48' 10 49-60' 12 24' 61-70' 14 26' TO 34' 8 35-44' 10 45-54' 12 55-64' 14 26' 65-73' 16 28' TO 32' 8 33-41' 10 42-50' 12 51-59' 14 60-68' 16 28' 69-77' 18 --PATENTS PENDING -- a DESIGN LISTED AND TESTED BY 8SK 6' ASSOCIATES WAYNE T. POLVADO, PE - LISTING NO. F016D0438 PROFESS- SOhF,h� < T yM' J, ��v1�- �. P lF�F CAUF0 ENT FOUNDA SYS TI AFS-EL9 STAND AFS -CP AND AFS -PCP PADS y r / W 11L, 'L IAM - A _ SOMMERMEYER •�' CIVIL ENGINEER '173-0 EL CAMINO REAL - ARROYO GRANDE CA 93420-2554 RCE 11658 exp.12/31/96 (805) 489-5380 MARCH 1996 SHEET 3 OF 3 SHEETS III RIDGE BEAM SUPPORT AS REQUIRED BY MANUFACTURER-TYP. O STANDARD MH FOUNDATION PIERS -AS RECOMMENDED BY THE MANUFACTURER OR THE ENGINEER - TYPICAL THROUGHOUT. RELOCATE AS NECESSARY - TYP. PADS IN ANY PAIR MAVOT n n n BE RATED 90" CE TO n PROBLEMS� PLAN FOR MORE THAN 12 AFS SUPPORTS TYPICAL PERMANENT FOUNDATION PLANS NO SCALE E - 2' MIN / 6' MAX S a 6' MIN / 24/ MAX NORMAL LOADS $NOW LORD a 0 NO. OF WIDTH LENGTH UNITS 10' TO 37' 4 1 38-58' 6 10' S9-78' 8 12' TO 32' 4 33-50' 6 51-68' 8 12' 69-85' 10 13' TO 30' 4 i 31-47' 6 48-64' 8 13' 65-80' 10 14' TO 28' 4 29-44' 6 45-60' 8 14' 61-76' 10 20' TO 32' 6 33-44' 8 45-56' 10 57-68' 12 20' 69-80' 14 24' TO 37' 8 38-48' 10 49-60' 12 24' 61-70' 14 26' TO 34' 8 35-44' 10 45-54' 12 55-64' 14 26' 65-73' 16 28' TO 32' 8 33-41' 10 42-50' 12 51-59' 14 60-68' 16 28' 69-77' 18 --PATENTS PENDING -- a DESIGN LISTED AND TESTED BY 8SK 6' ASSOCIATES WAYNE T. POLVADO, PE - LISTING NO. F016D0438 PROFESS- SOhF,h� < T yM' J, ��v1�- �. P lF�F CAUF0 ENT FOUNDA SYS TI AFS-EL9 STAND AFS -CP AND AFS -PCP PADS y r / W 11L, 'L IAM - A _ SOMMERMEYER •�' CIVIL ENGINEER '173-0 EL CAMINO REAL - ARROYO GRANDE CA 93420-2554 RCE 11658 exp.12/31/96 (805) 489-5380 MARCH 1996 SHEET 3 OF 3 SHEETS III RESIDENTIAL 2904-91B RICHARDS, R.H. 6095 Guilford Circle, Magalia (open deck/mh) JOB FINA Signatui ,I OK O = Not OK =Applic No Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /-L-ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 _ Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DUCKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s Y. Zoning Requirements -Setbacks -Easements oot' gs; Soils -Size -Depth -Spacing -Connectors -Steel ecks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beam s-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing Steps -Doors -Landings Date 'D Card B-1 C14 Date 4gwl, Card B-1 Date 1:4 4 ' Card B-1 &W Date Card B-1 Date T POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 r� 0 v C.511 Cs�/ J=OK O = Not OK = Not Applicable Not Ready RESIDENTIAL (; = Date UNDERFLOOR (Plans) OK except ft's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Pefmit),OK except ti's 16. Water Htr.; Vent -Access -Combustion Air -Baffle ------------------------ 17. Water Pipe; Test & Anchor -Nail Protection --------- ---------------------------------------------------- 18. D.W.V.: Test -Fittings & Anchor -Nail Protection -------------------------- -------------------- 19. Shower Pan; Test, First Floor -Tub Access 20. Test -Tub & -Shower•-Second- Floor -Tub Access ---------------------------------- ------------------ 21.21. Gas Pipe: Size & Anchors ------------------------------------------------------------------------------ Date Card B-1 Date Card B-1 ---------------------------------------------------- ----------------- ----------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except a's 22. Fixture & Transformer Clearance -Ins. Protection ----- ----- --------------------------------------------------- 23. Elec. Receptacles Spacing -Lights & Switches at Doors ------- ---- ------------------------------------------------------------ 24._ Size Boxes & No. of Conductors -Stapled 25 Romex Installed Close to Edge of Studs & C.J. ------- --------------------------------- ----------------- ------------- 26.--Equip..-Ground- made up w/.Mech. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI ------------ ----- ------------------------------------------------ ---------- 28. Subfeed Wire Size r ' ga. Cu or AI-A.C. Wire Size / ga. ..,---Cu - Cu or A -I --------------------------------------------------- -- 29. Range Circ. i I ga. Cu or AI -Oven Circ. r / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No - .-------- --- --- --------------- - --------------------------------------- 30. Service -Riser Conductors & Ground -Main Disconnect - ---------- ------------------- ------- -------------- ---------------- -- 31. Equip. Clearances Panels-Motors-Mech. Equip. ------ - ---- -- -- --- - - ------ -- - - - - - - - -- -- --- --- -------------- - - -- --- 32. Clothes Closet Light -Shower Light -Spa Light ---------- - --------- --------------------- 33. Smoke Detector ----------- ---- -------- --- ------------------------------- -------------- Date Card B-1Date Card B-1 - -- - - - -- ------------------------------------ --------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except P's 34. A.C. Ducts Insulation & Support -------------------------------------------- - -------------- 35. Vent Fan: Exhaust above insulation ------------ ---------- - - --- --- -- 36. Condensate Drain & Overflow: Size & Grade -- -_ _...-------------------- ---- .... .. ... - 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet --- ---- ---- -- ------ --- ---------- --- -------------- 38 Attic Access & Platform if Furnance in Attic ---------------- ---- --- - - - - ---------- . Date Card -B-1.-. Date Card 6-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except a's 39. Sils, Proper Material & Anchors -- --. ------ ...__..- - - -- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound - .. - - ---- -------------------- ----- ---- __41 Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) - ... ._... -- - - -- ------ ----- ---•--- -- - ---- -------- ------- 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub - --- ----- -------------- - ---------------------------------- 44. -------------------------- 44. Headers & Beam -Size & Bearing P'ingle & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 4d. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions _ 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings _ _ 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits ------------53.-Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection --------------- - 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers ____________ 55. -Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights- Plastic 58. Shear Walls; Nailing -Bolts 59. -Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows ------- ----------------------- - -------- - Date Card B-1 Date Card B-1 ------------------------------- -- Date Card --B-1 Date Card B-1 Date FINAL (Plans) OK except ft's 61. Ext. Steps -Door & Sidelight Protection -Landings ------------------------ 62-.-Smoke-Detector 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor-Ducts-Mech. Protection ----------------- 64. Bedroom Exiting 65.--G.-F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel: Breaker Sizes & Labels ----------------------------- ___ 67. ----- ----------------67. Stags & Rails ..------------------------------------ -- 68. Fireplace or Stove: Clearances -Hearth - --- --- ---------------------------- 69. Elec. Outlets at Wood Panel; Int. & Ext. - - - - - - - --- ------------------------- 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter ---------- - - -------------------------------- ---- 72. Garage Fire Door; Swing -Landing -Closer --- ----------------------- 73. A.C. Duct in Garage -Damper ------------------------------------ 74. - - - 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection ----------------------------------------- 75. Plb.. Elec. & Mech. Equip. Listed for Location ------------------------- 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection ------------------------------ 7,. Insulation -Foam -Looked in Attic ❑ Yes ------------------------------------ -------------------- -- 78.- Guard Rails & Deck Construction -Post Caps ----------------------------- - 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes ------------------------------------------------- - 80. Following instld.: Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No: Planters ❑ Yes ❑ No --------- ------------------------------------ --- 81. Stucco: Brown -Finish ------ - - -- -- 82. A.0 Unit: Disconnect. Electrical, Plumbing 83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings -- -------------------------------------------- - 84. Water Well; Disconnect, Electrical, Plumbing ------ --- --- --------------- ---------- -- 9 - - 85. Exterior Elec. Trim: G.F.I. Receptacle -Under round - - - -- - --- -- ------------------------ ----- 86. Ventilation Throughout House - --- -------------- ------------------------------------- 87. Glass Protection .. _ _ _ _. _. _..------------------------------------ ----- 88. Corrections from Previous Inspections - - -- -- --------- ------------- -------------- --- 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval - -- - ---------------------------------------- 91. Energy Compliance Certificate -Other Certificates --- ---------------------------------------------- ---- 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: t COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 CouAty Center Drive - Oroville, Galiforrrig 95965 - Telephone: 9:6/538-7541 APPLICATION AND PERMIT PERMIT NO. 2904-9 . � ASSESSOR PARCEL NUMBER _ 4- - ZONING T BUILDING PERMIT OWNER R.H. Richards TELEPHONE 873-3495 SQ. FT. OCC. BUILDING VALUATION 52 open , 567 OWNER'S MAILING ADDRESS 6095 Guilford Circle, Magalia 95954 CONTRACTOR'S NAME ownpr - TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 50.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 25.25 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 6095 Guilford, Ma alia Permit fee $ 85,75 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping * 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome&l Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00 ea TYPE OF WORK New ❑ Addition ®x Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: o.pen deck Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): E -1I 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.61\ OR ADDNS. ACC. BLDGS. / '/z(Csgft NEW CONSTPLMULTI-OUTLET NON, ESI BRANCH CIRC ITS 2,50 ea POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(ourLETs OR FIXTURES .AL03 t LeD FIXED APPLNS. OR EX. Occup, OUTLETS (RESID.) EA.7 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ Contractor 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. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against Id County in c equence of the granting of this permit. X �s 4- 17,1 Date Signature of Applicant — OwnerX Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ - 85.75 HAL I CUAT _ PARK — SCHL _ I FLD _ I CDFPA PD ( HD. ISSUE, This permit is hereby issued under the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated pbove for which fees have been paid. 11 CT OF PUBLIC WORKS B Date P6M1T EXPI S Date _ Receipt No. b ^'�% WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT -' . ,� ' ' _� . `� ' , ' /. . \ ��. > v'� � �. ^- , .._ ' _ - �-- . - ,. ' - ^ _~-- ~ '^ _ - � . , `\ � � .^..- �. _ � ' ' ''•w•®**3s�"id_�l[?'t`�.r71Ni}�i4e�Ye �Y t•�'T,'� �r4.i tai'��iM1r."19^-p.r""�''"'"r�.�'�"'�`�"_u'n" COUNTY`OF BUTTE - DEPARTMENT OF'PUBLIC WORKS -BUILDING DIVISION eTM»^^ OUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/536-7541 PEWIT APPLICATION DATA SHEET r Permit No. OWNER %�_ �i- !%� t L 6/�0)?O S A. P. No. G y� 2 0 3 S CC / . —7 Proposed Building Use Pye✓ aeCA Ail, Building Inspector Date s ` 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. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions........................................................ 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... School District fees paid .............. Sanitation approval from A` Health Department 9I30I9/ 13w 15. City of Chico plumbing permit. ................................ 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 4 20. Pre -Inspection for required Pre-inspec.request to Building Inspector (Date) _ 21. Contractor's license information (No., Name Style, Classification) ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... ' 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: ___.4/Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date` Copy of plans sent Health Dept. Fire Dept. Other Date By. The following -data must be submittE 1. Index permit for above items No. 2. Additional items required: or to permit issuance: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by—phone---mal [—counter by ..date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Date 9,1Oikl Plans approved by 60Date Sets of plans on hold"in File cabinet AP folder Copy—DPW COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville,,California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL U ERZONING 20 3 .- � BUILDING PERMIT OWNER H. c TELEPHONE &73 -3Y 9 SO. FT. OCC. BUILDING VALUATION 7- OWNER'S MAILING A.DDR ESSw R �, �� A`, J 4 ClJ 9�9 CONTRACTVR*5 NAME TELEPHONE 0113 CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is r-7 Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ p. ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Z -2 Energy Plan Checking Fee $_ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ S--�- / PLUMBING PERMIT Filing Fee 10.00 ��2Q Each Trap 2.00 L /,v— Solar or heat pump water he er 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heate or vent 5.00 USE OF STRUCTURE SF El Duplex❑ Mobilehomej��Other SPECIFY Gas piping system - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea TYPE OF WORK New [Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work: QPQj VeC$\_ _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service eoov OR LESS 100 AMP OR ESS 10.00 Main service EA. ADD'L 00 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. 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. DWACC. ELLI OR ADDNS. I/z¢sgft B DGS. NEW CONSTR. ULT -OUTLET 2.50 ea NON•RESID BRA CH CIRC ITS Po R APPARATUS S, LE OUTLET CIR. ) �e Ex. Oecu zo o Doe p OUT ETS OR FIXTURES eALa 30 OR FI ED APP RENS Ex. Occup. O TLETS IRESID.1 EA.) 2.00 Temporary s rvice 10.00 Mobile Ho4 Facilities 15.00 Misc. Iyiri g 15.00 Permit F e $ Contrac r 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. 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. 1 also agr to save, indemnify and eep harmless the County of Butte against � which may in any way accrue agai g of this permit. all k22N2Ef X Date 91 Signature of Applicant — OwnerZ Contractor ❑ Agent ❑ C1 An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ I CONST TYPE TOTAL FEE $ qS 7S HAz CUA PARK $CHL FLD CDF PAR PD I HO. ISSUE This permit is hereby issued under sions of the Butte County. Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. Q q ��� WHITE-D.P.W.. YELLOW-ASSEeSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT 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) 2. I (have/have not) .t -P 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: -Age,., _ Property Owner Social Security Number — — l Date 9— /2— L 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. RESIDENTIAL 64=20=39 1455-91P E — RICHARDS, Richard 6095 Guilford Circle, (utilities/mh)Magalia �r V31 /'q6 G5 -J l4AI�eA, OFFICE COPY Address 6 ©95— G �% LFOiQD GASCA42Cr Date �� Meter By ELECTRIC � , / g . cl, Meter By Date JOB FINALED (Date) Signature J=OK O = Not OK NotReadyable I MOBILE HOMES MISCELLANEOUS Not Date MOB HOME UTILITIES Plans OK exce t #'s Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s . Z ing Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements Ste; Special MH Support Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel wer; Location -Test -Fall -C/O Concrete 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails Wr; Location -Test -Easement Needed (Sketch) viteectricity; 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors V. ELocation /Amp -Concrete Shthg.-Rfg.-Bracing Te Gas; Location-Test-Wr : / /"L"ft. 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures Nat. orf/"L"ft. LPG 6. Carports; Windows -Doors Utility Clearance 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing Date Card B- Date Card B-1 11. Ext.; Steps -Doors -Landings Date Card 8-1' Date Card B-1 Date MQdILE HOME INSTALLATION Plans OK except #'s zoning Requirements -Setbacks Easements Date Card B-1 Date Card B-1 Footln , Size -Spacing -Marriage Line Date Card B-1 Date Card B-1 3. Ga H Tes emend-Valve—Connector Date POOLS (Plans) OK except #'s i,!:0ectricit H Test-Cros vers -Brea rs-Cle_arances 1. Setbacks -Easements T"Prain; MH Test -Fall -Flex Connector 2. Soils; Compaction -Structure Stability . Water; MH Test -Regulator -Connector 3. Pool Structure; Steel -Connections -Thickness ater and Sewer Connected -C/O to Grade -HD Approval Dead Men -Lining as and Electricity Tagged 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI . Exits; Insp.-Sketch 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 1lyCert. of Occupancy 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Date - r/ fCard B-1 Date Card B-1 Boxes -Enclosures -Panel boards -Ins. to Main in Conduit Date Card B-1 Date Card B-1 9. Health Department Approval I 10. Plumb.; Cir. Test -Water Supply Test Ni 04 C- ' ,. 1,9 5 9�N Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 PERMIT N0. � �r./ S Address or location of mobilehome I� uy' J -40 C. Owner's name r Owner's address Uc> • Insignia or hud number � Manufacturer's name Serial number of V.I.N. 6 , 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. 5130VA White -Owner, Yellow -Installer, Pink -D.P.W. __ �~ COUNTY OF BUTTE f 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 ��CH�snQs A0.9 - 5� OWNER 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 correction of work is completed. If you have'any question pertaining to this matter, or need additional explanation, please contact this office immediately. rev"i '0C -d -e++ . rS Fin Date Cl- ` 5! �I Inspector le tzC'L This set of pf r+s MUST bs . k ---t on the job +. -" unlawful to make any cha c- r>r aft..:. s on same wl& C h/�po �c slq�s out written Pe mi•: -ion from t Depanrr ttof Public Works, ounty pf 8.utta NOT Accord as , ."xi Good 9U i- prescribed for tfm S i *dam Un'f+orm B ' i , Plumbi In Me Natio of EI meat Code. E.odat ORA 0. ",-� /,\ \ A setback of 5 ft. from the property lines and a setback of 50 ft. from the road . centerline shall be clear of structures or equipment except ft. eave overhang A j.. U IqSS BUTTE COUNTY BUILDING DEPARTMENT f APPROVED- �N COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California'95965 - ; elephoaA: 916/538-7541 t APPI-IrGATION AND PERMIT r, ASSESSOR PARCEL NUMBER 64-20-39 ZONING RT-1BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS GrpPri Circjp, Pleasant Hill 2 CONTRACTOR'S NAME 11P -CA TELEPHONE 343-84 4 CONTRAC OR's MA LING ADDRESS 16652 Pnwprlinp Rd-, Redding CA 96QO1 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ '10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR 'tN ;INFER LICENSE No. Plan Checking Fee $15.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 6()95 Mggglin Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. 195 SUBDIVISION NAME Paradise PARCEL MAP 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 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti 'ties ❑ Installation [3 Other Describe work: 3 Bedroom Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 Main Service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): �am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions_ Code and my license is in full force and effect. 3s ��'a9 C_ 7 License No. Classification. ❑ 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.N OR ACDNS. ACC. SLOGS. ,/z0Sgft NEW CONSTIRMULTI-OUTLET NON.RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS e SINGLE OUTLET CIR. ) ( EX. OCCUp\OUTLETS OR FIXTURES 2AL@30 .20@500 FIXED PR EX. Occup. OUTLETS (RESID.IEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc.�yiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ave 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 Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against s 'd County vrisequInce of the granting of this permit. XDate cS %�� c3 t Signature of A icant — Owner Contractor ❑ Agent ❑ —'--\OSHA permit is required for excavations over 5'0" deep and demolition or construct- of structures over 3 stories in height. Mobile Home Installation Fee $45.00 Energy Inspection Fee $ occ CONST TYPE — TOTAL FEE $70.00 HAz. CUA PARK SCHL _ FLD OF PAR PD I HO. .- ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated abo for which fees have been paid. DI LIC WORKS J�— // Date � PE MIT EXPIRES ate `�—��—-/����7 t No. 88793B �.P W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT I OWNER _ .[. 4.. - COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - 6AZVI1E, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Proposed Building Use eBui;lding Permit No. A. P _ Inspector i lo, -.2- Da te 2-Date S' 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. Hazardous Material Form ........................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ....................... 11. Chico Urban Area fees paid .............. 1........................ 1Park fees paid .................................................... 13. School District fees paid .............. ' 14. Sanitation approval from Health Department Z 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-inspec.request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... ` 25. -Letter of7snature, But riz i. .......... ................... 27. When you issue the Dermit, process as follows: Mail to owner. Mail to contractor. Telephon and hold for pickup at(:.�Z office. Deliver w/inspector. Othei U 7-_ 1/ Appl ican Date 5-/ Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent _Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above item 2, Additional items required:( "a/J I"b" h on,/H iib _ c Eel Contractor, designer, owner, was advised of above required data by_phone---jnail—counter by .date t Contractor, designer, owner, was advised of above required data by—phone —mal l_counter by date Plans checked by Date _'51 I `f1 Plans approved by VAJ Date 5(1-71C1 Sets of plans on hold in File cabinet AP folder Copy—DPW COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION' ANC PERMIT ASSESSOR PARCEL NUMBER _ p _ ZONING BUILDING PERMIT OWNER filc s TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING A RESS o - CON RAC R'S NAME M 1441' TELEPHONE ?43 -egcO (( CONTRACT'OR'S MAILING ADORE S yt1C �J6Oc� / Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ O 0 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDIN ADDRES(:5;v i o c Permit tee a PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. /ro SU-BDIVjP NAME / PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF El Duplex❑ MobilehomeW Other /�� SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW 1 10.00e TYPE OF WORK �� New ❑ Addition E]Remodel ❑ Uti lities ❑ InstallationE Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service ;000V OR 0 AMP ORLESS10.00 Main service EA. ADD'L too AMP 2.50 CONTRACTORS LICENSE LAW I declare der penalty of perjury (check one): I am licensed under provisions Of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in fullforce and effect. License No�( -) Classification-C___-� ❑ 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 OCCU1.1, OR ADONS. ACC. BLDGS. �z2SQ ft NEW CONSTR ULTI-OUTLET NO N.RESIO BRANCH CIRCUITS) 2.50 ea /POWER APPARATUS e `SINGLE OUTLET CIR. EX.000Up�OUTLETSORFIXTURES 120 50C eALO30 EX. t7CCUp. FIXED OUTLETS PIRESID IREA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for S100.00 (valuation) or less. 91-1--haveplaced 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 g 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. also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against aid Countc0n equence of the granting of this permit. /� _ �/ X Datey��' Signoture Applicant — OwUr ❑ 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 $4S,00 Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 7a 00I E HAZ CUA PARK SCHL I PAR I Po I Ho I ISSUE This permit is hereby issued under sions or the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the appiicable provi- resolutions to do have been paid. WORKS Date Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 'PHONE: 538-7541 s MOBILEHOME INSTALLATION SHEET 1. Owner's Name: ?l�jy/��� A( nm_ nl /K1 C, L 1 ��13D S 2. Installer's Name; Q_ZA_2 ZZY M -�i -1 L f: Md^I'= S/57-0/0 3. Is the site currently under permit? Yes No (If yes, furnish .permit, number Is the site an existing site? (If yes, furnish `two plot plans.) Yes F-1 No OR 13- 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 D No F-1 (If no, clarify 5. What is the mobilehome electrical rating? --------------- v./,� Amps 6. What is the mobilehome'site service rating? ------------- 00 Amps P 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 [:1 No E�_ (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 F-1 LPG 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------------------- 4 t (ft ) * 12. What is the mobilehome gas demand? ---------------------- (BTU) *(This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) —�Q��9 % TMEM MOBILEHOME SUPPORT DATA e � ' If other than single wide, _ Mcbilehome Mfr._ A ., //�/F furnish Setup,Model No. � S U9 Year / Rfi:dth ;Q6. (ft.) Box Length_�(ft. ) Tagalong or Expando Size ft-. x ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturers installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one) Wood -pressure treated or foundation grade. 2. Other (specify) SUPPORTS (check one) ©-1-.'Concrete block. 1:12. Other (specify) Pier Footing Sizes and Locations 22-2 �e-GS ` Z!?ZLe SINGLE -WIDE MULTI -WIDE �y � Main Beams Line Main Beams Tag or Triple Line. 1 Piers: Size-Min.------------ Spacing-Max - ----------Spacing-Max. --------- From Ends -Max. ------- Line 1 Openinits: Size-Min------------------- ux n Each Side of Openings With Width Over --------- Line 2 Piers: Line ] Piers: (Under Bearing Wall Only) Size -Min.------------ ,� „ Size -Min. k Spacing -Max- --------- ,_ o Spacing -Max .--------------- , From Ends -Mex-------- �,—y A r� from Ends -Max.------------- Lt,� , n . f Roof Loads: S�� ATTAcH ��i v(AGV_kM 12 m"_ekA66 UU6 C0&0IQp Size -Mia.-- - ------- .,x ,. ,.x ,k ,k .,x ,.x Location (non Front) Line 4 Pira: Line 5 Piers: Under Bearing galls Only) Size -Min.------------ Size -Min ------------------- Spacing-Max ---------- ------------------Spacing-Max.--------- ,_ ., Spacing -Max.- -------------- Frock Ends -Max-------- ,_ From Ends -Max.------------- _ bine S goof laads: Size -Min.--- x u k x u x n ,x nx a ux « „x Location (from IIS' iA s M •� f 2a,.p" F LONG i + o {236 i2x o� X Sl in j2 X Za M1S-Or 4 o Z r iZx24 o ''40 Q 12ff'J x30 �F <v I�x2 12n3a i2x3o 24x34 �2z30 x �7 q '; p °� r o i 1bTE:--AI] Miter;;�-Is & Workmanskip Shal� B If - .1 rcordL,nce with Recognized Good Praoce .(4 e s cribed for the Specifies n thc,/ a quality pres, e a I Uniform Building, Plumbing & Mechani Cocles and 4he National Electrical Code. AG or tv�� o 45 N, r4l orad Sper'I'll'o-CAtIOVIS I&D q.e OT P101% '3 is UMU46 pt on '-A rri (r, "'Athouil N", -M permis's 0,1 jgetb8(-k of 5 f 4rOPQrty lines Of.-50ft- from th centerline shal structures ore u Fly 8 2 ft. eave o, clear of ct it eO7- j95- - from the d a setback road a clear of Ement exce nq. t I 33 61 rn)0. AWLA6� DEPARTMI Pp 44 V 6 7 1P ;0 F] 5 j • r y 1 rt r i S F] 5 j y F] n PERMIT MH UT IL. CLEARANCE DATE /g, INSPECTOR ELECTRIC GAS Support Struc. Compaction Test Re . Service Size Other Load Type Pipe Size Length YES NO YES NO Pt �� �-- TO Buildina Department C(0��IC j FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Locati KP-# r� Plan Approved for: Sewaqe Disposal Water Supply Fold final for: Water Supply Final clearance O.R. for: Water Supply Clearance for ---bedroom mobile home. the NOTE *** "� Zox Sanitari n D to This Set Of pl n• •••! .,�_r;�:�_•; ••.� A•�Il1Sr b k --,t on the job -" ;' unlawful to make any cha .:: �•,S on same with- out written pe mi: -ion from t Depe"MW*Of Public Works; ounty, pf Butte, NOT AccordantA R&& .Wgn � in of a quali Good prescribed for ffm S Un'form B 'rig. Plambi b�� C°d no i, Me Natio al E,Ikf cal Coda i Codes and �a9r- to ,� A setback of 5 ft. from the property lines and a setback of 5o ft. from the road ine shall be clear of res or equipment exc- , t ft. eave overhang AN"' 1 .. a {' BUTTE COUNTY ° BUILDING DEPARTMENT APPROVED COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS ZpE MIT NO. 7 County Center Diive - Oroville, California 95965 - Telephone: 916/538-7541 . APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 064-200-039 ZONING RTl BUILDING PERMIT OWNER Richard Richards 415 TELEPHONE 685-7396 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 20 Rol i a Circle,Pleasant Hill 99523 CONTRACTOR'S AME Ownpr TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee ARCHITECT OR ENGINEER LICENSE NO. Pian Checking Fee !$ $ 15.00 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. 195 SUBDIVISION NAME PP #14 PARCL MAP Water piping 5.00 Each qas water heater or vent 5.00 'VSE OF STRUCTURE SF ❑ Duplex❑ Mobilehome[]X Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer Building 5.00 Home S W 10-00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities MK Installation ❑ Other ❑ Describe work: 3BR Permit Fee $ zLn nn Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1000 AMP V OR LES 10 10.00 10.00 Main service EA. AOD'L 100 AMP 2.50 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.81 OR ADDNS. ACC. BLDGS. , /22sq ft NEWCONSTR U TI.OUTLET 2.50 ea NON•R ESID .BRA C CIRCUITS POWER APPARATUS tr (SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES eAL020*3OSOt FIXED APPLNS, OR Ex. Occup. OUTLETS (RESID.) EA.� 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 15.00 Misc. 1Yirin 15.00 9 Permit Fee $ 37.50 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I Tl 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 g Hood 3.00 Ventilation pernl4 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. also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. O-9� X��� Date Signature of Applicant — Owner ❑ Contractor ❑ Agent An OSHA permit id 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 $ T36TAL PERMIT FEE $ 92.50 cuP, coN ST.7 SCN OOL FLOoo AZ:J PD VND / I ISSu This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO F UBLIC By / PE IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Ly' -0 JJ f ^�2__ Receipt No. 93611 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK-INDPZCTOR, GOLDENROD -APPLICANT .��+r... -.lam ..IT ••.rte -.. o �` ,. ^' R s� .n /��tr1•(TI �l . COUNTY OF BUTT�g DEPARTMENT. -OF PUBLIC WORKS - BUILDING DIVISION e _ e'[e 7 COUA_T � 'R bAiLE cj- OR©VILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET �— �j OWNER Permit No. — CVfa r� s A. P. No. Proposed Building Use lln (/l Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: ; DATE RECEIVED APPROVED 1. All items have been submitted . ..................................... I 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. Hazardous Material Form .......................................... , 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid .............. �14� Sanitation approval from Health Department Cyj` 15. City of Chico plumbing permit ................................ .GZW Z 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: . 18. Z r Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 5-1(.-91 20. Pre -Inspection for required Pre-Inspec. request to 0�: Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... S/'..) 9 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. 'r Telephone ?Y3-,36 Tc9-and hold for pickup at wi0 office. Deliver w/inspector. Other ' Applicant -G Datef G� 9� Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted pri to pe mit is uance: (Circle new item not checked above). 1. Index permit for above items No. 1 _ CIRO k9sInA �l 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phonail counter by .date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by fw Date s I Plans approved by Y5W Datey Sets of plans on hold in File cabinet AP folder Copy—DPW .1,..TO:4 Building Department. . FROM: Encroachment Permit Section RE: Driveway Clearance I t- a Ief ' l (lG xa'l t r owner i Driveway permit si ature location AP # has been issued for the above property. .S - /S" 9/ date TO Buildina Department FROM: Environmental Health SUBJECT: Sanitation Clearance . CA`2a 3 Owner Locatio AP# . / r Plan Approved for: Sewage Disposal 'V Water.Supply Hold final for: Water Supply Final clearance O.K. for: Water Supply Clearance for bedroom mobile home. Other 0_1j��d c-), 0 Y AM *e 0 Paik _ �-s}l a l _ �' b �C4 t � ��Q7 L1?�( : � ' i"�ir;.a ryfS t •i � /,� A,! 1 All T^ �' - y, c - s r�! .�, I, _ r rs ;• #i �C D�% �tt4:�i,t C* w �i t rt., �� nal s5[,' b WR�i &ji iS'CCOrG�rnC" :'I;+.� .°:..: ... 1 r':;...,, rcCtlCe9 `c .' y t �.z 4'b 1 l "t'�E1✓}*7r �of_e uali use in t! f� =q r Uniform BuiIc inc?._�I Alt C j jsptrock Of droper;y ,n:.,� and a sets,,: of_5.0rt..-from the road j' ceete� shall be clear of , t strurtu� or ei.p.rr�^t �xeep� i � � t j % Cil i, _ i •�. �• �rnIA u ►s �� \\• 1< � 4,l� tf��'� • � t� � 111 l cJ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - OrovJlle, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. .46 ASS l.0 PAR L NUMoB R -[,[[' ZON)G ' T BUILDING PERMIT owN I 'c�lal" R iota ✓' S � - TELEP"ONE 9 SO. FT. OCC. BUILDING VALUATION 0346ER'S AI an ADDSSrt CONTRACTOR'SN M TELEPHONE C NTRACTOR'S MAILING ADDRESS Fireplace CON TRUCTION LENDER 0it(I- UNKNOWN Total Valuation Is Filing Fee $ i0 gt3^ LENDER'S MAILING ADDRESS Permit Fee $ AR H TECT OR ENGINEER � LICENSE No. Plan Checking Fee = O Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty BUILDING ADDRESS U O r Vr,4 /�\ rc /�/ �� h \ `/I Permit fee c$ $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO SUBDIVISION NAME/ ` PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehomer Other ' SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home W 10.00ea ,30.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ UtilitiesJSY-4ristallation❑ Other ❑ Describe work: �� `[1J Permit Fee $ �40, 00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 8001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 P. -O CONTRACTORS LICENSE LAW p 1 y (Check one): I declare under penaltyof perjury ) ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification. El 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCUP.°I)/z¢sgft OR ACDNS. \ACC. MULTI -OUT NEW CONSTR. U I.OUTLET NON.RESIO BRANCH CIRC ITS 2,50 ea POWER APPARATUS e SINGLE OUTLET CIR. ) Ex. OCCup�OUTLETS OR FIXTURES 20®306 °ALoso FIXED Ex. Occur. OUTLETS (RESID.)LNS REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 fs - (170 Misc. Wiring 15.00 Permit Fee $ 3 Contractor 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. 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONSTTYPE - TOTAL FEE $ HAZ. I CUA I PARK SCHL I FLD I CDF I PAR I PD j HD. ISSUE This permit is hereby issued unser sions of the Butte County. Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. ,34 11 WHITE-D.P.W.. YELLOW-ASDESSOK, PINK -INSPECTOR. GOLDENROD -APPLICANT L-7 COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541 ti 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 tris verification is received. 1. I ptrsanally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no)/�_�. 2. I (have/have not)'�/ �� signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone 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 tLe work but I.have contracted (hired) the following persons to provide the work indicated:. Name Address Phone Type of Work Signed: _ Property OwnerI'_2 " Social Security Number� Date - ;K 7-9.Z NOTE: This Owner -Builder Verification is sent to you as required by Sections 1 831 and 19832 of the California Health and Safety Code. This verification must be completed and return_e_4_t9 our office before we are per- mitted to issue the permit. OFIQIAI,SEAL. • NADENE MONTGOMERY NO CONTRA COSTACALIFORNIA � � 0•�� • CONTRA COSTA COUNTY W Cemm Ex*es May 6.199 -- -1 -7--%. -n I �._8_ N _ 91-018478 1 Rec Fee Check Recorded I Official Records 1 County of L Butte 1 Candace J. Grubbs I Recorder I 11: 47am!.?l0,-May-91 I Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. 5.00 5.00 •.;..r+ r • r 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 arising from :he 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, ..moke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes, and residents within.. said zones and on adjacent property should be prepared to accept such inconvenience or disc`on-fornr--from normal, iecessary farm operations. All that real property situate in the County of Butte, State of California, described is follows Lot 195, as shown on that certain map entitled, "PARADISE PINES UNIT 1411, recorded in the office of the Recorder of the County of Butte. State of California, on July 15, 1971, in Book 38 of Maps, at pages 37, 38, 39, 40 and 41, inclusive. EXCEPTING THEREFROM, all minerals, oil, gas, asphaltum and other hydro- carbon substances, with provision that any and all mining operations shall be done from orifices outside the surface area of the land described herein, and that no damage shall be done to the surface of said land. ,ate: State of SS. County o f On this the � day of 19_q1_, before me, the undersigned Notary Publ• , oersonally.appeared -. ?1 C /V / f C /75/ /e E C Personally known to me. / / Proved to me on the basis of satisfactory evidence. to be the person(s) whose name(s) a 1^ subscribed to the within instrument and acknowledged that executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. resent A. P. No. G K - � 0 - 3 F7/Z 3'? �'67oc 1 • Y a J 1 F BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM *� (One Form per Building), ' A.P. Number 6cl".Z-40 — Building'Departmen`t No. School District City County, Jurisdiction Property Owner'D% 1� Project Location/Address �!"�� ��)" f. f��flE,/d�S� r Subdivision,'- � Lot Number Residential Development: E]Sq. Footage 15 3 # of Living MHI Addition (Group R) Units Commercial/Industrial: a Sq. Footage New Addition (Including Exterior Roofed Areas.) uilding pepartment Representative Da+_e (Floor, Plans reviewed by School District Personnel) District d No. 3 I— IL 41\4 So 110 Al', t, n/d School District certifies that VkAl AJ _"ajW I - A plicant Name) (Phone Number) ,0, ��( r \,( Street Address) �/QI (City) (State)- (Zip Code) has complied with the requirements of Resolution No. by the payment I of $ " �//�`j 1-� representing j square feet. School District R-ei5fesentative Da e PAID BY CHECK NO. -REMARKS:- BANK NO ��-- 41 F. � PAID BY CASH white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) i C, n RESIDENTIAL 64-20-39 1.456-91B,E y T,9' RICHARDS, Richard I `l 1 6095 Guilford Circle, Magalia (new garage) 0 ETACH FOR SERVING UTIL TY I Address I i GAS Meter By Date I ELECTRIC JOB FINALED (Date) Signature J=OK O = Not OK ' = Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / P'Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 (MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES Plans OK except #'s -C_,-I'. Zoning Requirements -Setbacks -Easements tr/ L Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors ctric . g• ' -Anchors-Studs-Rftrs-Trusses 9. ing; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing �1. ; Steps -Doors -Landings Date - Card B-1 Date Card B-1 Date - Card B-1 Date Card B-1 Date POOLS (Plans) O except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 V OK O = Not OK - = Not Applicable Not Ready RESIDENTIAL, (,c ' = Date ERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope U� Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth tg., Garage; Soils-Steel-bec. Grnd.-V,,Z7 Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ft g. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation 441 02 Date and B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing 'Ingle & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. / 7 Count enter Drive - OroJille, California 95965 - Telephone: 916/538-7541 APPLICATIOIJ AND PERMIT ASSESSOR PARCEL NUMBER 064-200-03 ZONING RTl BUILDING PERMI OWNER Richard Richards 415 TELEPHONE 685-7396 SQ. FT. OCC. BUILDING VALUATION 528 M 9 504 OWNER'S MAILING ADDRESS 20 RollinGreen Circle Pleasant Hill 99523 CONTRACTOR' NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER None UNKNOWN Total Valuation $ Filing Fee $ iQ,QQ LENDER'S MAILING ADDRESS Permit Fee $ 80.50 ARCHITECT OR LN -,WEEP None LICENSE No. Plan Che;king Fee $ 40.25 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 6nog Guilford Circle, Magalia Permit fee $ 131.05 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other pvt dPtas a�P SH Gas piping 'system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00ea TYPE OF WORK New Pg Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: 24 x 22 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service BOOV OR LESS 100 AMP OR LESS 10,00 Main service EA. ADD'L 100 AMP 2.50. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification. I, as the owner, or my employees with wages as their sole compen- VNk 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. I DWELLING OCCUP.& NEW DCONSTIL IL AUC , �Z¢sgft TBI.OUTL NO N.R ESID BRANCH CIRC ITS 2.50 ea (POWER APPARATUS e) SINGLE OUTLET CIR. EX. OCCUp\( OUTLETS OR FIXTURES 200800 °ALoso FIXED . OR EX. Occup. OUTLETS TS (R (RESESI D,) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc.�Yiring 15.00 Permit Fee $ 23 20 Contractor 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. �j 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 FiIingFee 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 - again County inponsequence of the granting of this permit. X Date r"YG`Q Signator of Applicant — Owner❑ Contractor ❑ Agent An OSHA permit is required for excavations over S'b" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE - TOTAL FEE $ HAz. I CLIA I PARK I SCHL I FLD I CDF I PAR PD This permit is ereby ssu unser the applicable provi- sions e B tte Co my de and/or resolutions to do work ndi to abov f hich fees have b an paid. 1 T R BLIC WORKS q BY Date �. Al r PERMIT EXPIRES ate Receipt No. A1FiI l WN,TE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT i COUNTY OF BUTTE - DEPAR*MA -t OF PUBLIC WORKS - BUILDING DIVISION V r ,• ± ^ 7 COUNTY. CENTER DRIVE - OROVILif CALIFORNIA 95965 -TELEPHONE: 916/538-7541 `PERMIT AhVPLICATION DATA,SHEET y ....._. Permit No. C OWNER / \ I l VI G Y �`I C �'( Lr l.� % A. P. No. Proposed Building Use a Building Inspector Date Y, 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 . .................................... ` A. Plot plans in duplicate/triplicate, signed by preparer of plans........ omplete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation.......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ........................................ 12. Park fees paid .................................................... 13. School District fees paid .............. 14. Sanitation approval from S& dna M-1wi h Department �7-2L—W 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance ......... 23. Owner -Builder Verification (Given to owner ❑, Mail to owner `...` ° 5IC �. 0 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. X_ Telephone ,34113LS�2- and hold for pickup at QCO office. Deliver w/inspector. Other Applicant Date o— cp/ Copy of Haz-Mat form sent Health Dept. Fire ept. Air Pollution Date r Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted pri to permit issuance: (Circle new item not he ked above). 1. Index permit for above items No. 2. Additional items required-,— Contractor, equired Contractor, designer, owner, was advised of above required data by_pho Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by 6A) —Date., Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW TO Buildinc Department C FROM: Environmental Health SUBJECT: Sanitation Clearance 77 '2& Owner Locatio APSE Plan Approved for: Sewage Disposal Water Supply 0 Fold final for: Water Supply Final clearance O.K. for: Water Supply f/ Clearance for bedroom o �ehome. Ot z NOTE Sanitar'a -Date �— COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 -County Center Drive - Orovlll&, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER U(o — �O - d - D� ZONING NT 1 BUILDING PERMIT Ow) ER 1 U7 s TELEPHONE S0. FT. OCC. BUILDING VALUATION O NER'S AI Iy+G ADDRE ll _ ,, /I (� � (` V1 n �� e c l� -P le, 5 n tV i Y Asa C NTRACTOR'5 NAVE r TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER �{l/J VNKNO WN Total Valuation $ Filing Fee $ ;0.00 LENDER'S MAILING ADDRESS Permit Fee $ , AR H TECT OR iN.;WEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING 6IQ- ADDRE(�U, t rc A A- Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each pas water heater or vent 5.00 USE OF STRUCTU E -! SF ❑ Duplex❑ Mobilehome❑ Other i �f` ► 1^af Building SPECIFY Gas piping system 1 - 5 outlets 5.00 sewer 5.00 Mobile Home S I G I W 10.00 ea TYPE OF WORK Newa] Addition ❑ Remodel ❑ Utilities L,�tt�_Jnstailation❑ Other ❑ Describe work: c/ X i a Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of check one): P Y perjury 1ur Y( ) ❑ 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.dif OR ACDNS. ACC. BLDGS. t� ,�i�Spft !3 NEW U I.OUTLET NON•RESIESIDD, BRANCH CIRC ITS 2.50 ea /POWER APPARATUS e (POWER OUTLET CIR. ) E X. CCUp�OUTLETS OR FIXTURES D 20050 2AL93FIXED t Ex. Occup. OUTLETS PIRESID IREA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 2 Contractor 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. ❑ 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. . MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation penult Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ ITOTAL CONST TYPE - FEE $ %_ , a HAL. I CUA PARK I SCHL FLD F I PAR PD I HD. I ISSUE This permit is hereby Issued unser the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt No. C WHITE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT OT CRO ---------------------- ft. etLack of from tfie �� /C�R , /,�opQ:ty-lines- n`d= Sa e#back f-50ft. from th road -� 6q - .2O 'J 7 %a •, ' 7 r - rl / conterline ha. I:_'e_ clear of tructures or e�u�—�� ment ex e t �_ _ _ P ^r 2 -ft. cave b :TF -a - Clear r/ Clear o� a.Il cj e. tn Shal;13�'': / �9S Acord+nx with -Rec niz^d Gocc! Prao'ce , a �= a quality prescribed -ior the SpecifieAZS th,: � Uniform Building, Pluming & Mechani Codes and the National Elect r c I Coc'e. / �9 5�rn 1 \6AnAC o/ N`FkIr In NAr. `6.33 Gj GFiq S�.vG i'I'Gr�tSaFiS I�rlubl Of F71ot75 t( v cF r•pyc.���1.���1� _ �9; Tl�t.c�r L•,q Acy�' N, lxxetc�cN o{ ft. from e /C/I R f(.Party-lines Mase /50ftfrom�th road ,a r- - 6 - .2Q '•y •. -7 r r19� /centerline sha I 'e cfearof structures or eV C R Iy' ham, ment except /^r a 2 ft, caveov rhanq t clear of ct it Ezts eyi 07- ATE:-ALI_r�,ti.3-tm '_is ` L.)Lcr a: ans ip Shal B P;, --� -ccord.+ncr with P-c.:)nniz:nd Good Pra ce a quality prescribed '.:or the Secifiec�uses thl � Uniform Building, Plumbing & Mecnani Codes �n�c1 the Nati&n_-WElectriczl.Coe. 5'rn?a y An cc ti07 A6E Nf'F�, �O o o tt? \y M'►, 6.33 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 a=115f terials for construction of the proposed property improvement (yes or no 2. I (have/have not)d"er, signed an application for a building permit for the proposed wo k. 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 iX Social Securi=tyNumberTr - , Date U 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- IIII���tted'to issue the permit. �— oilt of p1ar�, and specific&10115 MUSE bt .' ,4;x,11 00 t�G' 1n1- 'i'iiitp5 Oi1d It 15 UT&3Hr'Fiil'�t 4 0TE:--All Materials ar., Accordance with C�COt .•'l17_P.L% Good Practices 8:1. '.I '.n� mmy chc_n rr5 ~* 4if ;1i � O.•"9 sGt'^t`!8 w.l 110t�i ',vrPft�t permission i 41 Deparftnen+ o+ PuLH, I of a quality prescribed for the Specified use in tf t- ,�;�� Coun M. :l-. Uniform Building, Plumbing & Wchanical Codd- :wnd the National Ele&Tical Code. .A setback of 5 ft. from the property lines and a setback of 50ft. from the road wterline shall be clear of structures or equipment except se�Fft. eave overhang. + i t9 cPean o all-easevn���, _ Sip e /1 1V6ri r o i jun RU 14 -9 +ILDING DEPART APO!""tft ED .E COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Centdr Drive, Oroville, CA 95965 PHONE: 916-538-7541 • DATE May 20, 1991 Richard Richards HE: applications for garage & mobile 20 Rolling Green Circle installation Pleasant Hill, CA 99523 A. P. # 64-200-039 With reference to the above subject: / / Attached is: Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced OTHER TW We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in including plot plans. Plot plans in Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section (DPW). sets of plans in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: 196 Memorial Way, Chico 7 County Center Dr., Oroville Skyway & Elli6tt Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for XX Completed Owner -Builder Verification form. for garage,in addition to the one we have Recorded copy of deed showing for the mobile utilities. XX Recorded copy of agricultural acknowledgement statement. XT OTHER 1. Driveway permit Should you have any questions concerning the above, please contact Barbara Wilding of this office. ATTER 3 P.M. Attachment JFG/aj Yours very truly, William Cheff Director of Public Works J.F. Glander Chief Building Inspector TO Huildina Department FROM: Environmental Health 5U8JECT: Sanitation Clearance U 5� Owner Location AP# Plan Approved for: Sewage Disposal Water Supply Fold final for: Water Supply Final clearance O.R. for: Water Supply Clearance for bedroom mobile home.. Other Imam ,,. _ S_6 APPROVED 9u'Ffe County Environmental HePM /��c iC �, i�v �•! l re iI I-'-C;kuTt+ DCS° Fc I 'PIAK3 Ill." T4P- PlYWAOr) Or PTF GrUARPRAIL 0-,\ V -11 it 1 11N 1 - -6-.- . 1 x14''MI. F GIRDER 7S N z1"x9POST T-(PICAL COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7Couniy Cente! Drive — Oroville, California 95965 Telephone: HOME JMOBILE OF, VU - MAX. MR. FRR CLIP (EkI P.0 4"x4"POST I Iz Js 5/1 4 4 14 1, 41t ) I L wmifl. z1"x9POST T-(PICAL COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7Couniy Cente! Drive — Oroville, California 95965 Telephone: A&-) !::311-4 16 -+962, qf a4