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064-250-008
~ ~ , � � � Alex Pawluk 365 Ponderosa Way, lot 34, PP#15, Maga c6ntr: Par-A-Dise Const., Paradise ,Magj AS ,OMPACTION TEST REQ.-- /VO- Contr: Paradise Modular Concept Permit #4074-"/8141Y Issued Contr: Cal Gas, Paradise Permit #4392-78P(gas piping) MH 64-25-8 ermit #7037-78B(new open deck/MH) 64-25-8 Permit #1135-79B(rWw-oFen deck/MH) 64-25-8 `PHIL DUBOIS Contr: Robert Cooley �,lq 064-250-008 05-3 13 � DAGOEVbKA 6252 PONDEROSA, MAGAYA Cont: MARVIN PL * m " N2 �4 4 JRDING REQUESTED BY: AND WHEN RECORDED MAIL. TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 2005-0075180 Recorded I Official Records I County of 1 Butte I CANDACE J. 6RUBBS I County Clerk-Recorderl I I 09:05AM 12 -Dec -2005 I IEC FEE 10.00 DD Page 1 of 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. VERA L. DAGUE LIVING TRUST REAL PROPERTY OWNER/LESSOR P.O. BOX 1627 MAILING ADDRESS MAGALIA BUTTE CA 95954' CITY COUNTY STATE ZIP ' 6252 PONDEROSA WAY INSTALLATION MAILING ADDRESS, IF DIFFERENT MAGALIA BUTTE CA 95954 CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 0 3113 /� (530) 538-7541 BUILDrW PERMIT NO. _ //TELEPHONE NUMBER SIGRATUREOff LOCAL AGEKCY'OFFICIAL' DATE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. SKYLINE 1978 HOMETTE MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER 03750152A/BM 54 X 24 MH264813/4 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIAILABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER 064-250-008 HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD -Building Dept. '1 1 NOV-04-2005(FR[) 09.30 Paradise Mountain Real Estate (FRX)53U brt bJUJ r.uuu,uuu CERTMCATB OF AWOVaMGNjWT OF NOTARY P C State )ss. County of Butte On Q04, before ace, S k� �rz.l1,3�3:� - a notary public in and for the S .0 ashy appeared VERA L DAGUA personalty known to me (or ed to me on the b satisfactory evidence) to be the person whose name is subscribed the within rent and ledged. to me that she =ecutad the same is her aarth capacity, and that by her sigaatxare an instCnment the pErson, or the entity upon behalf which the person acted, =em tcd the instrum=L 5 my hand and official seal. Notary Public Legal Description Proputy located at: 6252 Ponderosa Way Moulin, California 95954 A. P. X.: 64-25-0-008 Lot 34, as shown on that certain Up entitled, ` PARAMSS PINW Lira 15", recorded in the o2ce of the Recorder of the Cocraty cfButte, State of C•aIifamW, on July 1S,1971, in Book 38 of Maps, at pages 42, 43 and 44. EXCEPTING TBERWROM all mitlerals, oil, gas, asphaltum and other hydrocarbon sabstaaces with provision that any and all mining operations shall be done from orifices outside the surface area of the land deswibad berein and ti>at no damp shallbe done to the oxface of saidlaod. so OF DOC[1D4I: 4T &1+nydaslDaBvii veka�lFamily h�ttilxdunoceom RECORDING REQUESTED BY: A,NTD WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COLrNTY CENTER DRIVE* OROVILLE CA 95965 COPY of Document Recorded 12 -Dec -2005 2005-0075180 Has not been compared with original . BUTTE COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBI.LEHOME) 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. VERA L. DAGUE LIVING TRUST REAL PROPERTY OWNERJLFSSOR P.O. BOX. 1627 MAILING ADDRESS MAGALIA BUTTE CA 95954 CITY COUNTY STATE ZIP 6252 PONDEROSA WAY INSTALLATION MAILING ADDRESS, IF DIFFERENT MAGALLA BUTTE CA 95954 CITY COUNTY STATE ZIP SAME UNIT OWNER (if also progeny owner, write'SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP U1IT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERM31' and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE NAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 05-31,13 (530) 538-7541 ILDL P' rr NO. "PHO NE NUMBER SI 'A L E O LOCAL AGENSC OFFICIAL DATE NONE DEALER NAME of not a dcalcr sale, wlrte'NON E") NONE DEALER UCENSE NO. SKYLINE 1978 H:OMETTE :-MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER 03750152A/BM 54 x 24 MH264813/4 SERIAL NUMBER(S) LENGTH X WIDTH f,NSIGNWlLABEL NUMBERS) REAL PROQERrLLEGAL DESCRIPTION A,SSESSOR'SPARCEL NUMBER 064-250_008 SEE ATTACHED HCD FORM 433(A) REV, 8/91 U W1TF .. (^..,,— c?—A— r^ vje uv _ wrn NCV-Od-2005(FRI) 09:30 Paradise ho untain Real Estate (FRX)530 872 59U9 r.UU0 UU" CERTIFICATE OF ACKNOWLED(3IV,ENT OF NOTARY PUSUC Shite of Wfomia ) )SS. County of Butte ) On _ ra vSd .A-1 —, 20D4, beiora mc", �`t___ _._^ '���,n.���� - a notary public in and forthe S6te of California► persa; allY 8PP=ed VERA L DAGIM personally known to ate (or proved to me on the basis of satisf=rY evidence) to be the person whose Tame is subscn'bed to the within instri==t and atICnowledged to me that she executed the same in ber anthotized capacity, and that by bar siP':dzaa Oa the instrument the person, or the entity upon behalf Ofwhich the person acted, axematcd the instrument. Wl; IMS my hand and official saaL SHARON HOLT 7, n NOp � B a `r°to'mora • n � pLA Legal Description Property located au 6252?onderosa Wqy . M Alia, California 95954 A. P. N. 64-5-0-008 Lot 34, as shown on that cataia Map Mtitled, `epARADISE PII�M L1lVTx 15", roca ttai is trio office, of�e Recorder of the County of B=, Sate of Caiiforaia; oaluly 15, 1971,in Book 38 of Maps, at pages 42, 43 and 44. EXCEyMIG THER Obd all min=b, oil, gas, asphaltum lad other hydrocarbon substances with provision that any and all mining operations shat] be done from orifices outside the surface arca of the land des=fbcd basin and that no damago shall be done to the staface of WdIML $,1.�da�a�DaE¢t1.Ytkoa:A��y TtWddaG�ttt¢i�t.91t1 WILLIAM R. DAGUE 90-716v3M 5096 VERA L. DAGUE 8663035737 LIC.K0 POND 6245 PONDEROSA WAY WAY 873.3228. MAGALIA. CA 95954 PAY 70 urcixc or ___ .__/G%✓ _._• �+k AGO(; !/ V ' W Wash@n Mutual • WasMngton Muteol Beak fA Paiadiso financial Center IWO -. 6669 Clark Road t 80d•7e8 7000 , Paradiso, CA 95968 24 nomr Customer Service • . '^d +:32227162?1: 8663035`?3?11' 5096 1 N' BUILDING PERMITS NUMBER: 05-3113 Address or location of unit: 6252 PONDEROSA WAY, MAGALIA Legal Description of Real Property: 064-250-008 SEE ATTACHED (x) Mobilehome/Manufactured Home . () Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: VERA L. DAGUE LIVING TRUST Owner's address: P.O. BOX 1627, MAGALIA INSIGNIA OR HUD NUMBER: MH264813/4 SERIAL NUMBER OR V.I.N.: 0750152A/BM MANUFACTURER'S NAME: SKYLINE YEAR: 19 8 OFFICIAL APPROVING INSTALLATION: DATE: l � _ PHONE: (530) 538-7541 H.C.D. 513C G tW{'�m�l ��d1�1�A�1o9nnd1�V8 r t • • v • • ti '4 14!ss3o oos�,a o of onop aqTpqs thump ou m pm aiasoq PM=MP PUCI otgia t= a ;Ms atg vppMo soopo tuo$ auop aq IMAs ssogs:ado S== Ile PQs � � ttop�o:d Tim s�ca�sgcts ttogsaaosplfq �q}o p� tttcul�dse `s$S'tlo'slssaaltu lig 1n1O�. �JNLLd3O7C� W Ptm f4 ` it sa5sd WSONJO 894009 W IL61 `S'[ AM 'U* %IWOM- 3o aM'*MMJO 14=00 qqj jo saps000X oql;o aoW.o aq, m psp400as „Sl I= MIC.Z =tea. sp*;i den two X% uo tvMags se 'VE soZ r�14-AON'VdWC9 ?a WIarvtaap 11014 NO WS Q 800-0-52-49 vs6s6 sE�°�EIg'J `s�� Asia loosapaod =9 nopdInpQ Fun 119 Ic = r=ol 4wcTosd ollgod tI {has} —`-' -ps Ig o pas P=q Am SSRKITA -�+um�asII; ,� polnoa�e° `Poke uoszad atg ��M3o �agaq ttoda �ig� ago �o �uossad atp �� otP uo asc�cs saA,tq P� � `�wedeo paz'x°q�n$ r'q trt �s aq4 ponaaxo aerp atu o7 pa$palbauas pug 3 nA Pa4rsosgns s3 otusa asoq�n uo=d aq} oq o4 (aouaplao Alo=gS. slo $FeqoAR to ata Cn PaAosdM) = o4 v&owljll m*ssad `' mya Z vuzA pomdds (Uwo=dvlmoJw PxS --T l P= ul oRgnd =013 t; yra nsopR'�OOZ ''�j� yO rnn tnnn 'd ( a�o�ianoO ss OT'SSCld AXVION 30 ,I NMOCM.&ONMY M 3,IYO== F,nF4 ?).9 ns(u3) 8461s3 Teas uSeluno.W aSTPQJed OE:60 OWS002-GO-from E NOV-Od-2005(FRI) 09;29 Paradise Mountain Real Estate RECORDING REQUESTED BY: Donald R. Travers E bl� (FHX)b�W bfC by Uy r.uu-)/uu.+ .... �l111�1�1�111Etl���f l�l��illlll agog&.4.-@a0afb69�49Er Recorded 1 REC FEE IL20 Official Records I CountyOf mm J. DABS Assistant n I Mylu Donald R. Travers 09a0?AM 0�-Feb-280+ I Paye 1 01 2 Attomey of Law 529 Parson Road pAMIgor, 95969.51 93 A. P. N» 6445-0.008 Q>0'PTCLAIM DEED The undersigned quitclaimor declam: Dom==tnrytransfer tax is NONE. No congdemlion givers. Change in forma] title only. (See Note 1 below) FOR NO CONSIDERATION, VERA L. DAGVE does hereby REM3F, RELEASE AND FOREM =CLAIM to VERA L. DAGM as TnztCe of tho VERA L. DAMM 2004 LIVING TRUST initially crated on January 27, 2004, all ber rim, title and inbezest iti and to the Wowing dm='bed roll property in the unincorporated area, Couatle efButte, State of Califotssia: 03471 1'11_ 1 11 11 111�M.aaa' .oaf' e r / • 1 ` � :% �:�1` Commonly !mown as 6752 Ponderosa Vinay, Magalia, Califomia NOTE #I : g:on�r&'1`ransfemnst into a RMSMble L.iuinc MW This =nvgmcc transfers the quitr.W=ar's interest in the des=bed property into the gaitalaimor's revocablc living trust which is pursuant to Rev. and Tax. Cock =don 11930, does not constitute a change in ownersbip and does not subject the property to r+emessm= l xecuud this al day of -X1tn u,,x&u _ 2004, at Paradise. Califoffiis_ "Qaitchimer" .� _ Vera. L Dague, P. 0. Box 1627, Magalia► CA 95954 12/09/2005 15:31 FAX 530 877 5214 FIDELITY PARADISE 4 PARADISE Q0002/002 h I& MA6 Institute for Building Technology and Safety December 9, 2005 Fidelity National Title Company. Attn: Marion Becker Subject: Verification for HUD Label Numbers CAL112247 and CAL112248 The following information is provided pursuant to authorization by HUD. According to our records, the subject HUD label numbers were attached to a home built by Skyline Homes, Woodland, CA completed 07/10/78 with serial numbers 0375-0152-A/BM and shipped to Paradise Homes, Paradise, CA. This letter is not issued by the FHA mortgage insurance program for manufactured housing. If you are interested in learning more about FHA's mortgage insurance requirements for manufactured housing using this certification rather than a HUD label, you should contact your regional Processing and Underwriting Center at the HUD Home Ownership Center (HOC) administering the FHA mortgage insurance program in your area, or at www.bud.gov. Pam Brillhart Label Department Team Leader IBTS Contractor to HUD (703) 481-2010 (direct) (703) 437-6894 (fax) 506 Huntmar Park Drive, Suite 250, Herndon, VA 20170 • (708) 481-2000 • Fax: (703) 437-6432 • www.ibts.org A not-for-profit 601(c)(8) corporation 11/1$/2005 12:35 FA -1 530 877 5214 FIDELITY PARt01SE Lgii001/001 -STATE OF CALFFORNLA -BUSINESS, TRANSPORTATION AND HOUSING AGENCY AM= SCHWARZENEGOM GOV!`n0C DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT IslAlo q� DivIslon of Cods* and St*ndarda '* d r ►es � 'ii�>tle Search DfN"`' Date Printed : 11/04/2005 Decal w - AAU5260 Use Code:. SFD Manufacturer: SKYLINE Original Price Code: AE- Tradename: HOMETTE Rating Year: 1978 Model: Tax Type: ILT Manufactured Date: oo/00/197-8 Last ILT Amount: $18.00 Registration Exp: 08/31/2005 Date T T Fee Paid: 08/06/2003 First Sold On: 08,'04/1978 rLT Exemption: NONE Serial Number HUD Label / Insignia Length Width 03750152ALM MH264813 54' 12' 03750152BM WA264814 54' 12' Record Conditions: Registered Owner: PPF Exempt VERA L DAGUE 2004 LIVING TRUST 012704 PO BOX 1627 NIiAGALIA, CA 95954 Last TIEN Date: 05/19/2004 Last Reg Card: 05/19/2004 S21e/Transfer Info: Price $.00 Transferred on 01/27/2004 Situs Address: 6232 PONDEROSA WY MAGALiA, CA 95954 Silos County: BLT= Legal Owner: BANKO RICA 10089 WI W CREEK SAN DIE , A 92131 Lien Perfected On: 06/04i1990 11:30:01 luACtive DecabDIViV: DMV SL3859 Title Searches: FIDELITY NAIL TITLE CO 6141 CENTER ST PARADISE, CA 95969 Title File No: 308596NM Renewal Fees: $50.00 * ** END OF TITLE SEARCH ** * a v b - Butte County Department of Development Services. OurrF Ren N TES 7 County Center Drive, OrovUle, CA 95965 COU Nty (530) 538-7601-.bygecounty neVdds RESIDENTIAL APN: Permit No. Owner. 05-3113 064-250-008 Site Addre: DAGUE, VERA 6252 PONDEROSA, MAGALIA Contractor Cont: MARVIN PLOUTED M/H PERM FND (EX) Type of Pei SPECIAL CONDITIONS CHECKED BY Q SRA a FLOOD CERTIFICATE EQUIRED ❑ FIRE SPRINKLERS REQUIRED 0 SPECIAL INSPECTION ITEMS Q VERIFY D USE PERMIT CONDITIONS Q SUB -STANDARD HOUSING LETTER ENCROACHMENT PERMIT Q REINSPECTION FEE PAID Q ENV HLTH CLEARANCE ED 11� . .' //v)- ;� �'F Cid DATE JOB FINALE , G SIGNATURE: �" _ �' T MFNT OF tkrOC IY R.1/p: Y `i O T , T �1► Roy, S of a� ber afOra;eh°me , < P01 , has '�1 Sa C ,:;t��ml�lsbeenci t�;: 0 4S4j OUNTY. : �.; wo r•• �, f .� �� ".. '-`for trat�stelje OCC HTF r / fit COct a l A P q o Mae °hrS'9ddre`�' -1- jOe� ?'1 le,Ordea >:.:� A/I leho. w, sl �eMf E �s ,,..• atiO4 Cha th,t . Ptehe' r S. re u it 'reoi iia J be o here < .�' �' tf - er 'Pe ents . o` ccUPl by .ee• _ /�it \ d rtl flea fo dlr. OC. ^ e ' S ney.at th,,,er1a1NO. CAT/F/Cq T Djrect°r ° f e above aeS Year re owns" yao hFN.M % s ca 104 an / �c o S C! 05 1 V � m Q <C/ �¢, Q 1 O p � h •\ 0 O a c d h 4 aZm m� F C r U .�. kI L 11!1.6:2005 12:35 FA -1 530 877 5214 FiDtL11: ren,L1Jc ARNOW 9CHWARZVNEOGER, Govevnot ,_-STATE OR OALIFORNIA-BUSINESS, TRA�tSPORTATION AND 1i0U5lNO AGENCY DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT Division of Coda and SUndardo r} vSol r ittle Search vel~ Det, Printed : 11/042005 Decal #: AAU5260 Manufacturer: SKYLINE Tradename: HOMBTTE Model: -Manufactured Bate: 0oi00/197a Registration Exp: 08/31/2005 Firs-, Sold On: 08/04/1v?8 Serial Number 03750152ALM 03750152BM Record Conditions: HLFD Label / Insignia MH264813 WA264814 PPF Exempt j Use Code:. Original Price Code: Rating Year: Tax Type: Last'ILT Amount: Date ri T Fee Paid: ILT Exemption: Length 54' 54' Registered Owner: VERA L DAGUE 2004 L1V1NG TRUST 012?04 PO BOX 1627 IvIAGALIA, CA 95954 Last Titte Date: ' 05/19/2004 Last Reg Card: 05119/2004 S>aleNrawfer info: Price $.00 Transferred on 01/27/2005 Situs Address: 6252 PONDEROSA wY NLSGALiA, CA 95954 Situs County: BLrrM-- Legal Owner: BANKO RICA 10089 W CREEK SAN DIE , A 92131 Lien perfected On: 06/04/1990 11:30:01 Inactive DecaJDbi',J: DMV SL3959 Title Searches'. FIDELITY NATL TrrLE CO 6141 CENTER ST PARADISE, CA 95969 Title Fila No: 3095961vM Renewal Fees: $50.00 END OF TITLE SEARCH * *" SFD AEI • 1978 ILT $18.00 08/06/2003 NONE Width 12'. 12' . Butte County Department of Development Services. eurrf nrtea N ® T E S 7 County Center Drive, OroviJIe, CA 95965 (530) 538-7601 vnwv.buttecounty neVdds a�OUNSy. RESIDENTIAL APN: Permit No. Owner. 05-3113 064-250-008 Site Addre DAGUE, VERA 6252 PONDEROSA, MAGALIA, - - Contractor Cont: MARVIN PLOUTED M/H PERM FND (EX) Type of Pei 6 DATE JOB SIGNATURI s. u s s rucrtrGn av SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE 64& Ao� C ,71— ' qc, t o- q 7 .=OK n = tint nK MANUFACTURED HOMES r MISCELLANEOUS DATE PERMANENT FOUNDATION SOFT -SET 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; FaII/C/0-Concrete 4 Wtr; Loctn-Test-Easement Needed -Regulator 5 Elec Loctn-Clrncs-Grnd Amp -Concrete 6 Yard Gas; Loctn-Test-Wrap Nat 0 or LP❑ Inch Sz Ft Lngth 7 Blckng; Sz-Spacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-Cirncs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -C/O to Grade 12 Gas and Electricity Tagged 13 Tie Downs Q Foundation Q 14 Exits 15 Cert of Occupancy 16 HUD Label/Insignia Numbers Serial Numbers DATE D E C K S`C O V E R S`C A R P O R T S `GARAGE S 1 Zoning -Setbacks -Easements 2 Ftgs; Soils-Sz-Dpth-Spacing-Cnnctrs-Steel 3 Decks, Girders/Joists-Dcking-Brcing Stairs-Guard/Handrails 4 Wood Awn; Posts -Beams -Rftrs -Cnn ctrs-Shthg Frmg-Brcng 5 Alum Awn; Columns -CnnctnsSplice-Decal-Enclsrs 6 Carports; Wndws-Doors, 7 Electric 8 Frmg; Sills -An chrs-Stu ds-Rftrs-Trusses 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof; Shthg-Roofing 11 Ext; Steps -Doors -Landings 12 Braced Wall pnls s` ° 4 DATE IPOOLS 1 Setbacks -Easements 2 Soils; CompactionStructure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Lfing; Distance-GFI 5 Elec Pool Lting; 15 volts-GF1 6 Elec Enclsrs; Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal w/5'-Crcltng Eqp-Htr 8 Elec Grndng; Eqp w/5' Crcltng Eqp-Pool Ightg Bokes-Enclsrs-pnlboards-Insults to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Enclsr, Fencing -Alarms 13 Bonding, Diving board or Slide mac` ° A 1400� °s 0e Pool Drawing = OK o = Not 7K RESIDENTIAL (Single & Duplex) DATE JUNDERFLOOR DATE IPLUMBING 1 Zoning -Setbacks -Easements -Flood -Slope 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 2 Ftg Main; Soils-Elec Grnd Ftg Dpth 54 Wtr Pipe; Test & Anchr-Nail Prtctn 3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Dpth. 55 DWV; Test Fittings & Anchr Nail Prtctn 4 Ftg Porches/Decks; Soils -Steel Ftg Dpth ' 56 Shwr Pan; Test, First fir -Tub Acc 5 Stemwalls Main; Steel-Blockouts-Wrapped 57 Test Tub & Shwr, 2nd fir - Tub, Acc 6 Stemwalls Garage; Steel-Blockouts-Wrapped 58 Gas Pipe; Sz & Anchrs 6a Hold Downs and Special Anchrs 59 Fire Sprinkler; Test 7 Slab, Steel Wrapped 60 Yard Gas Piping 8 Piers-Frplc Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way C/0 -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test 11 Wtr Pipe; Test-Anchrs-RgltrService Test 12 Elec Undrgrnd DATE M E C H A N I C A L 13 Plenums & Ducts; Clrnc-MaterialSupport-Insultn 61 AC Ducts Insultn & Support 14 Girders-Sills-Anchr Bolts -Joists -Vnts-Cripples 62 Vent Fan, Exhaust abv Insultn 15 Acc & Vntltn 63 Condensate Drain & Ovrtlw, Sz & Grade 16. Insulation 64 Furnace -Vent Acc-Comb Air RtrnfVent 115 Outlet 65 Attic Acc & Pltfrm if Furnace in attic o," \� \� Q1, ° DATE IFRAMING 17 Sills Proper Materials & Anchrs DATE IFINAL 18 Walls Studs -Nailing Spacing & Braces -Plates -Sound 66 Ext Steps -Door & SideLt Prtctn-Landings 19 Bearing Walls over Girders & fir Nailing 67 Smoke Detector 20 Draft Stop in Walls (rat proof) 68 Furnace Vnts-Clrnc-Comb, Air-Cnnctr 21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs In Garage; abv-flr-Ducts-Mech Prtctn 22 Headers & Beams-Sz & Bearing 69 Bedroom Exiting 23 Hangers -Post Caps-Anchrs-Cnnctns 70 GFI & Bath Fxtrs & Tub Acc-Spa 24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac-TrussShthg 71 GFI Arc Fault 25 Frplc Ties or Type A Flue-Frplc Throat Clmc 72 Elec Trim & Subpnl, Breaker Szs & Labels 26 Attic Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles 73 Stairs, Guard/Handrails 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 74 Frplc or Stove, Clrnc-Hearth 28 Garage Fire Prtctn Framing -RC Channel 75 Elec Outlets at Wood Pnl, Int & Ext 29 Prprty Line Firewall & Opngs 76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Clrnc 30 Ext Doors -One T -Check Garage 3rd Story, 2 Exits 77 Elec Outlets & Rcptcls at Ktchn Counter 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 78 Garage Fire Door; Swing -Landing -Closure 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 79 AC Duct in Garage -Damper 33 Siding -Nailing Veneer 80 Wtr Htr; Vnts-Clmc-Com Air Cnnctr-PRV; abv fir 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Acc Mech Prtctn; LPG Appince Undr House 3" drain 35 Glazing Area -Glass Prtctn-SkyLts-Plastic 81 Plmb; Elec & Mech Eqp Listed for Loctn 36 Shear Walls; Nailing -Bolts 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 37 Brace Int/Ext Wall pnls 83 Insultn-Foam-Looked in Attic 38 Insultn-Walls-Ceilings 84 Guard Rails & Deck Cnstrctn-Post Caps 39 Infiltration-Walls-Wndws 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Clrnc Drnge Planters ❑Yes ❑No o 87 Stucco Brown -Finish o'o'er 88 AC Unit Dscnnct, Elec-Plmb 89 Vnts abv Roof, Plmb-Appinc-Frplc-CImc to Opngs DATE JELECTRICAL 90 Wtr Well, Dscnnct, Elec, Plmb 40 Fxtr & Trnsfrmr CImc4ns Prtctn 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd 41 Elec Rcptcls Spacing-Lts & Switches at Doors 92 Vntltn thru House 42 Sz Boxes & No Of Cndctrs Stapled 93 Glass Prtctn 43 Romex Installed Close to Edge of Studs & CJ 94 Corrections from previous Inspctns 44 Eqp Grnd made up w/Mech Fstnrs 95 Gas Test -Meters Tagged, Gas-Elec 45 Grndng Electrode Bond Gas & Wtr 96 Wtr & Sewer Cnnctd-CIO to grade -HD Apprvl 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI 97 Energy Cmpinc Cert -Other Certs 47 Subfeed Wire Sz ga ❑CU or ❑AL 98 Address Posted AC Wire Sz ga ❑CU or ❑AL 99 Fire Sprinkler 48 Range Circ ga ❑ CU or El AL Oven Circ ga ❑ CU or ❑ AL Insulated Neutral ❑Yes ❑No 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Clrncs pnls-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector o' 0 0' 0 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 5384636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE LICENSED CONTRACTORS 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 : License Number. g -3 / 7 3 Date: l l 2 4 S;'ontractor. IM 0-PJJ[AJ IFLZ 7 T7 li OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and.the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ 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 (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who.does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or Improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Prdfessions Code. The Contractors' State License Law does not apply to an owner of property who builds or Improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code Date: Owner: 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. P --l- have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: COAA P Policy #: i(:Z ?6 2 4` O J ❑ 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 the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: { 2i Q D S` Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. , CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Address: PERMIT NO. BP053113" OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. Issued Date: 11/29/2005 APN: 064-250-008-000 Site Address: 6252 PONDEROSA WAY MAG Map Index: Description: EX MH ON PERM FND Owner: DAGUE VERA L LIVING TRUST PO BOX 1627 MAGALIA, CA 95954 Applicant: PLOURD, MARVIN DBA PREMIER BUILDERS 1584 WAGSTAFF PARADISE, CA 95969 530-872-1096 Contractor: PLOURD, MARVIN DBA PREMIER BUILDERS 1584 WAGSTAFF PARADISE, CA 95969 530-872-1096 License #: 343173 Architect: Engineer: Total Square Ft: 0 S. F. Valuation: $0.00 Census Code: y �[ qp� This do work PERMIT EXPIRES ,sued unde a ap licable rovisions of the Butte County Code and/or indi to above fo whit fees have been paid. A- Date: ❑ I hereby certify that the use of this facility shall comply with Sections.25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for Inspection purposes. 1—\ „ Print Name; l�//�2 1J (1� i�y (� �� Signature: =LPiLr�( Date: (?.Owner GLContractor 13 Agent for Owner 0 Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION "PLEASE PRINT CLEARLY" For office use only: OWNER Name Last Name —�� irst Name , (� Address F1, O 13 ? "'j City Phone tate Fax Phone `p � 6 Fax E-mail For office use only: CONTRACTOR Name p,A_) p -7?- P Address . CO,4 City <je7 State Zi 6T Phone _ Fax E-mail `p � 6 Lic. # Clas E-mail For office use only: ARCHITECT/ENGINEER Name Name Address SRA City State Zip Phone State Fax E-mail `p � 6 State License Number For office use only: APPLICANT NAME Name 64 V AJ SRA Address Occ. City�. 7>l—seC7 State Ziq,.� 9 77 Phone `p � 6 Fax E-mail For office use only: Zoning Flood Zone SRA Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. BP 053113 BIN # LOCATION AP# //,� UD Property AddressCity Cross Street WORKER'S COMPENSATION Policy Number e( 12 7 Carrier 57 If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name —Address Description or Scope of Work: Sq. Footage Izi- 0 Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. 11 Received by: K Flo Amount: 'T 21 q .q CD Bldg 11 OVER FOR SUBMITTAL REQUIREMENTS LL K:\FORMS\BUILDING F0RMS1BIdgApp1SubRgmts.doc Page 1 of 2 SRA Receipt #: 50 Sheriff SMIP Other Date: �— (�' 05 191 Q Qrr\ T ,.. REV 6-16-04 SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit: INCOMPLETE SUBMITTALS WILL NOT BEACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPH PAPER! OR 3 Sets Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to mobile or modular homes.) ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Detached Accessory Building Form, filled out by the property owner, (if required). ❑ 8. Sanitation and site plan approval from the Environmental Health Department. ❑ 9. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ - 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3.. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION KAFORMSMILDING F0RMS1BIdgApp1SubRgmts.doc Page 2 of 2 REV 6-16-04 bPO5611'3 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA .95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: Da nu t ASSESSOR PARCEL NUMBER D OI ` % 50 - Wig Proposed Building Use: LX f X at % P�,JM %Wermit Technician: -6 Date: 11 -IS -05 Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxesl ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down o fndtans-all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Hazardous Material Form ❑ 12. Acknowledgement of building permit application without required clearances. ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 14. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable ❑ 15. Fire Sprinklers............................................................................................ ❑ 16. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 17. Soils Report and/or Engineered Foundation required ........................................... ,,18. Erosion Control Plan Required ............................................. 19. Fees as showmen-the-attached-S-ctreduW ofFees-Bae-SMet-��..32q.• ....... ❑ 20. City of Chico Plumbing permit........................................................................ ❑ 21. Site plan and business license approval from the City of Biggs .............................. ❑ 22. California Department of Forestry plan approval ❑ paid. Sent by: ............. ❑ 23. Planning approval for (A) Use: (B) Parking: (C) Parcel Check: ............ ❑ 24. Contact Land Development about _ Improvements, _ Drainage ........................ ❑ 25. Fire Marshall Review (commercial projects only). Sent by: ...................... ❑ 26. NPDES Form ................................................... :............................. ...... ...... ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ .29. Worker's Compensation Carrier and Policy Number .......................................... ❑ 30. Owner -Builder Verification ( _ Given to owner, _Mailed to owner) ..................... ❑ 31. Letter of Signature authorization.................................................................... ❑ 32. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 33. Existing violations and/or expired permits......................................................... ❑ 34. D e estriction.......... ..� ........................ 35. gal descriptio' M.H. Title, a search, gistration or MCO ......................... ❑ 36. Other: ❑ 37. Other: When issued Telephone('53b) T72" 1096 00Y1' _A( b) Ir and hold for pickup. I have been informed of the above items a d requirements for obtaining a building permit. Applicant: ' - " ,CY/ Date: / - 1. Index permit application for the above items numbered: Plan Check Lette 2=.nal items required 14 r, esigner, owner, was advised of the above data by n , ❑ mail, ❑ counter, by Date: 4r, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: _ Date: Structural reviewed b : Date. Structural approved by: Date: Note transfer by: Date: Yellow: Building Division K/Building/Plan ChecklData Sheets/data sheet page 2 9.27.05 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (630) 538-7636 (OROVILLE) (630) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BPO53130 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS 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 Issued Date: 11/22/2005 APN: 064-250-008-000 the Business and Professions Code, and my license is in full force and effect. License Class A License Number: Site Address: 6252 PONDEROSA WAY MAG Date I//- Qa U5contractor: emap Index: Description: RE -PLACE ELECTRICAL POWER POLE OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the contractors' Slate License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: DAGUE VERA L LIVING TRUST to its issuance, also requires the applicant for such permit to file a C/O DAGUE VERA L TRUSTEE signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 6245 PONDEROSA WAY 7000) of Division 3 of the Business and Professions Code) or that he or MAGALIA, CA 95954 she is exempt therefrom and the basis for the alleged exemption. Any 873-3228 violation of Section 7031.5 by any applicant for a permit subjects the (530) applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the properly, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: TRI -R TRACTOR SERVCE owner of property who builds or improves thereon, and who does P.O. BOX 270 such work himself or herself or through his or her own employees, provided that such improvements are not. intended or offered for MAGALIA CA sale. If however, the building or improvements are sold within one 95954 year of completion, the owner -builder will have the burden of (530 ) 873-2058 proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' Stale License Law does not apply to an owner of property who builds or improves thereon, Contractor: TRI -R TRACTOR SERVCE and who contracts for such projects with a'conlractor(s) licensed P.O. BOX 270 pursuant to the Contractors' State License Law.). MAGALIA CA ❑ I am Exempt under Article 3 of the Business and Professions Code 95954 (530) 873-2058 Date: Owner: License #: 617318 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. Architect: I have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and polic umber ar Carrier: -7� `00 �DD / U Total Square Ft: 0 S.F. Policy #: Valuation: $0.00 ❑ 1 certify that in the performance of the work for which this permit is Census Code: Issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' VO compensation provisions of Section 3700 of the Labor Code, I shall e forthwith comply with those provisions. Date: 05 Applicant: - WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Re o do s to do work indic led a ove for which fees have been paid. performance of the work for which this permit Is issued (Sec 3097 Civ.) By: VA&AA� �� L-0 � 1�--- Name: fj'��//��Date: I) -22- /l/1 _PERMIT EXPIRES ON: Address: (Date) ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safely Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and stale laws relating to building construction. I acknowledge it is unlawful to alter the substanceany official fo or do ant of Butte County. I hereby authorize repre tatives of Butte County t enter upon the above mentioned property for inspection purp e . Print Name: /-/ � ��� _ Signature: // `�G� 41 Date: ❑ Owner ❑ Contractor XAgent for Owner ❑ Agent for Contractor B. C. Building Permit W-16-04 pg 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION **PLEASE PRINT CLEARLY* PERMIT NO. BP053130 BIN # ARCHITECT/ENGINEER Name Address City State Zip Phone Fax E mail State License Number APPLICANT NAME CONTRACTOR Name City Address 49 Xe 1X5) City Fax Statelip Type Const Subdivision Name Map Book << Planner Date Approved: Phone rzQ� Fax X23_i'n E-mail Lic. # Class ARCHITECT/ENGINEER Name Address City State Zip Phone Fax E mail State License Number APPLICANT NAME Name _ rsu J Address L?�� City State, Zip�,��� Phone Fax E-mail APPLICANT SIGNATURE X For office use only: Zoning Flood Zone SRA I Yes No Occ. Type Const Subdivision Name Map Book Page Lot # Planner Date Approved: r%%ico cno C111211AITTAi 09=f11111?FMFAITA% LENDING AGENCY Name Address Description or Scope of Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by, K,U, Amount So� Bldg SRA Receipt #:4 Iib gJr Sheriff SMIP Date: ����� r (�^� O� Other L ffi Total SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply fora permit. INCOMPLETE SUBMITTALS WILL NOT BEACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPH PAPER! OR 3 Sets Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to mobile or modular homes.)' ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 8. Sanitation and site plan approval from the Environmental Health Department. ❑ 9. 'Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2. Marriage line information. 2 Floor. plans. ❑ 5. 2 Engineered Tie -Downs or Foundation plans. K ❑ 6. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPH PAPER! 0 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2Engineered truss details and layouts (if required) (NO FAXES!). ❑.* 4. Letter from Engineer or Architect for truss design review. O 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed. by the engineer. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION November 22, 2005 To Whom It May Concern: I, Vera L. Da oe, authorize and take responsibility for Tai -R -Tractor SenAce to install a new power pole and existing meter box. at the property location of 6252 Ponde-rola. Way, Magalla, California, 95954. Vera L. Dague Vera Cayce 6245 Per-riprow. Way Magalia, CQ 95954 Phone: (530) a73-3228 Fax: (530) 873-9018 . . . . . . . . . . . . TO! T" -Tractor Serv. (Bobby) F� -- rK Vera Dague Fay (530) 873-2091 _ Datm November 22, 2005 Phone: - PaSeg- 2 (including cower page) Re: Power Pole 816252 Ponderosa Way CCn _ i7 urvem 0 E'er Review O Please went ❑ Please Reply p Please Recycle U th Ire is a Probdeln with any o0 it, Plea Se Cantu Me at (SMI S73-3�Z8 au early as Passible. Thank you. PERMIT NO. 911 —88B. F PERMIT EXPIRES OWNER P14TL ilTTgnTg CONTR. Robert �oole� r ASSESSOR. PARCEL 64-25-8 LOCATION 6252 RoxiderGsa, Magalia, a f { Temp.: Power Pole _ e = OK 0 = Not OK Not Not Ready MOBILE MOBILE HOMES • MISCELLANEOUS Data MOBILE HOME UTILITIES (Plans) OK except #'s Dote DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements t 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or,Joists-Decking-Bracing-Stairs-Rails 2. Soils; Special MH Support -Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L" ft. / /"Nat. or/ /"L"ft./ /"LPG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. C rports; Windows -Doors 7. Utility Clearance G EI c. r Is- or -Studs-Rftrs-Trusses iding; Nailing -Veneer -Stucco -Mesh Card -B1 Date Card -131 Date . oof; Shthg-Roofing Card -131 Date Card -61 Date 11. Ext.; Steps -Doors -Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -131 Card-B1g4M Date`s Card -131 Date Da %/j$�jr Card -131 Date 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s 5. Drain; MH Test -Fall -Flex Connector 1. Setbacks -Easements , 6. Water; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability 7. Water and Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 10. Cert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit Card -B1' Date Card -B1 Date Card -131 Date Card -131 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -81 Date Card -131 Date Card -B1 Date Card -131 Date = OK 0 = Nogl icable RESIDENTIAL (Single and Duplex) - =Nott Ap = Not Rearly Date UNDERFLOOR (Plans),OK except #'s Zoning requirements -Setbacks -Easements . Ftg., Main; S ' e M Grnd.-/ /" Ftg. Depth Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped Stemwalls, Garage; Steel- Bloc kouts-Wrapped 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Card -B1 Date Date'4�5'-Card-B1 Date Date Card -B1 Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air 17. Water Pipe; Test & Anchors -Nail Protection 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date 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. Fasteners -Bond Gas & Water 27. 2 Appliance Circuits in Kitchen & Conductor Size 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 Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Date MECHANICAL (Permit) OK except #'s 33. A.C. Ducts Insulation & Support 34. Vent Fan; Exhaust above insulation 35. Condensate Drain & Overflow; Size & Grade 36. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 37. Attic Access & Platform if Furnace in Attic Card -B1 Date Card -B1 Date Card -131 Date Card -131 Date Date FRAMING (Plans) OK except #'s 38. Sills, Proper Material & Anchors 39. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 40. Bearing Walls over Girders & Floor Nailing 41. Draft Stop in Walls (rat proof) 42. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 43. Header & Beam -Size & Bearing -Dale FRAMING (Continued) 44. Hangers -Post Caps -Anchors -Connectors 45. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 46. Fireplace Ties or Type A Flue -Fireplace Throat 47. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 48. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 49. Garage Fire Protection Framing 50. Property Line Firewall & Openings 51. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 52. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 53. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 54. Siding -Nailing Veneer 55. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 56. Glazing Area -Glass Protection -Skylights -Plastic 57. Shear Walls; Nailing -Bolts 58. Insulation-Walls-Clg. 59. Infiltration-Walls-Wndws Card -B1 Date Card -131 Date Card -131 Date Card -B1 Date Date FINAL (Plans) OK except #'s 60. Ext. Steps -Door & Sidelight Protection -Landings 61. Smoke Detector 62. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 63. Bedroom Exiting 64. G.F.I. & Bath Fixtures & Tub Access -Spa 65. Elec. Trim & Subpanel; Breaker Sizes -Labels 66. Stairs & Rails 67. Fireplace or Stove; Clearances -Hearth 68. Elec. Outlets at Wood Panel; Int. & Ext. 69. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 70. Elec. Outlets & Receptacles at Kit. Counter 71. Garage Fire Door; Swing -Landing -Closer 72. A.C. Duct in Garage -Damper 73. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 74. Plb., Elec. & Mech. Equip. Listed for Location 75. Elec. Receptacles in rage; (G.F.I.)-Romex rot c. 76. Insulation -Foam- ookgWin Ittic Y 77. Guard Rails & De ons ction-P raps 78. Fdn. Vents & Gram -1 -10. Draiiia a A Wood -Earth 79. FollowiifSkYld.; rik 0 Yes AGTN s 0 Yes O No; Planters Yes N l" 80. Stucco; qronith 81. A.C. Unit; Di nnect, Ele is lumbing 82. Vents Above Roof; PI da. -App i ce-FirepI.-Clearance to Openings. , 83. Water Well; Disco ct, fiMtrical, Plumbing 84. Exterior Elec. Tri ' ; eceptacle-Underground 85. Ventilation throughoLt House 86. Glass Protection 87. Corrections from Previous Inpections 88. Gas Test -Meters Tagged; Gas -Electric 89. Water & Sewer Connected -C/O to Grade -HD Approval 90. Energy Compliance Certificate -Other Certificates Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Card-B1,yyci Datey_ _ _.Y� Card -B1 Date Comm is at Final: (NOTE: An entry must be made each time you visit job site) 114 COUNTY OF BUTTE L DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7A41 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE OWNER PERMIT NO. A routine inspe tin indicates that the following violations of County Ordinance exist at the Bove address and should be corrected. Please notify this office when cor ction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. .ice c s� .1, 'r -,-'� -• �r..� - `7� Inspector ��� Date_ j [m J COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR.P FCEL NUMBER W BUILDING PERMIT O WNER/�� - AL TELEPHONE SQ. FT. OCC, BUILDING VALUATION OWNER'S MAILING ADORES CONTR NAME t ELEPHONE CONTRACTOR'S M ILI ADDRES C Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDR Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAI ING ADDRESS Penalty $ BUILDING ADDRESS A��� 02 nZPLUMBING Permit fee $ PERMIT FiIingFee 10.00 Each Trap 2.00 �Q Solar or heat pump water heater 20.00 LOT NO SUBDIV17N NAME �J[ Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE //� SF ❑ Duplex❑ Mobilehome❑ Other p��V�t7 SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00 ea TYPE OF WORK New P ---Addition ❑ Remodel[;] Utilities ❑ installation[] Other ❑ Describe work: �t�/f,-,? Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6ODv 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): is 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./707&� 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) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCUP.al ,�sdSgft G� OR ADDNS. \ ACC. BLDGS. NEW CONSTR. U (.OUTLET 2,50 ea NON-RESID BRA CH CIRC ITS POWER APPARATUS e) SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES eA 0 0 FIXED PR 11 Ex. Occup. OUTLETS (RESID IEAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): F-1 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. 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 id ounty in co sequence of the granting of this permit. > _ e& _ /� X Date 'b 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 $ TOTAL PERMIT FEE �$ OCCUP. CONST.TYPL ISCHOOLIF'LOO JPARCELJ PD I ND L,453uv This permit is hereby Issued under sions of the Butte Count Code and/or icated bove for which CtOR OF PUBLIC �Byr � PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS � � / Date /0 t/ Receipt No. e_3 2 WNITE-D.P.W., YELLOW-ASSEeeOR. P I NR -IN SPECTOR. GOLDENROD -APPLICANT tri COUNTY. OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROV,ILL1f, _�t.l¢O. NIA 95965 - TELEPHONE: 916/538-7541 p° 0 PERMIT APPEI,GATION DATA SHEET / U Permit No. J OWNER ' w �11 a - A. P. No. Proposed Building Use �a/ac�4_� Building Inspector Date /- -71 ')9 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . — 2. Plot plans in duplicate/triplicate, signed by preparer of plans. _ 3. Complete plans in duplicate/triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . . 6. School District "Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . Letter of signature authorization. . . . . . . . �� A ----tom 0. Sanitation approval from Health Dept. 11. Planning approval for (A) Use: (B) Parking:- 12. arking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) -14, Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) _.__..._15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . . 17. Pre -Ins -Inspection for_.___ _. _ ._... _. _ Re uired, Pre-Inspec. request to (Date) P q Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. — Plot plan approval from city of - 22. �✓ — — -- When, you issue the permit -process as follows: Mail to owner; Mail to contractor_ Telephone �/ ����� and hold for pickup a�tt�a Li, office, Deliver w/'inspector. Other Applicantl� Dated Copy of plans sent Health Dept.: Fire Dept., Other Date The following data must be submitted prior to pe suance: (Circle new item not checked above). 1. Index permit for above items No. ---- 2. Additional items required: —_—_ C ra or, designer, owner, was advised of above required data by_ phone _--naiI_�ounter by )-D date 'Z( -JPA g�— Contractor, designer, owner, was advised c' above required data by—phone —ma ll_counter`by date Plans checked by Date Plans approved by �d Date Sets of plans on hold in File cabinet AP folder Copy—DPW TO,.: Building Department FROM: Environmental Health SUBJECT: SANITATION CLEARANCE I OWNER ! I,-' zJ -Od LOCATION AP # Plans approved for: Sewage Disposal >u Water Supply Hold final for: Water Supply C Final Clearance O.K. for: Water Supply Clearance for bedroom mobile home. Other Clearance for addition of Note- ITARIAN I DATE t : 1135-79B PERMIT NO. r Q Z-) ` PERMIT EXPIRES' _ (, OWNER Alex & Grace Pawluk { owner LOCATION (A.P. 64-25-8 365 Ponderosa Way, lot 34, PP#15, Magalia :i Y Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. }�. Called PG&E JOB FINALED J� (Da ) (Sign ture) P i i COUNTY OF BUTTE � DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD Relnf. Steel Final I Fixtures BUILDING BUILDING (Cont'd) PLUMBING_ Setback ry Firewall A Soil Piping Forms 7Parapets Final 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport p Footings Prov. for ph sically handica ed Conformance of ex. structure Appliances Gas Piping & Test Temp. Gas Slab Final LTi FIWI Sanitation Patio FIREPL E Final Footings Footing ELECTRICAL Relnf. Steel Final I Fixtures Bond Beam FIRE SP INKLERS Motors Framing — Test Water Htr. Stucco Final Subpanels Mesh MECHA CAL Grd. Fault Prot. Scratch Heatino Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping OBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE; REMARKS OR COR ECTIONS Z-� eV Ate-- � 1�2 (NOTE: An entry must be made on this form each time you visit the job site.) PERMIT NO. 7037-78B PERMIT EXPIRES /1 o/d' OWNER Alex Pawluk owner CONTR. 64-25-8 LOCATION (A.P. ) 365 Ponderosa Way, lot 34, PP#15, Magalia Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB2 FINALED (D ) (Signature)— Setback Main Bldg. Footings Stemwal I Slab Piers Garage Footings Stemwa I I Slab Patio COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Firewall Parapets Restroom Finish Windows Siding Roof Sheathing Roofing Fdn. Vents Garage Vents Insulation Prov. for phsically handicaooed Conformance of ex. FIREPLACE Soil Piping 1st Floor 2nd Floor 3rd Floor Topout Water Piping Sewer Fixtures Water Htr. Heaters Appliances Gas Piping & Test Temp. Gas Sanitation Final ELE Masonry Walls I Throat Rough Reinf. Steel I Final Fixtures Motors Stucco Final Subpanels Mesh MECHANI L Gird. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation -Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MOBILEHOME INSTALLATION ......... . . .. . Support Elec. Continuity Water Piping Drainage Gas Piping DATERE RKS R CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) L Owner it1 / 1 (rOUNTY Gf: BUTTE — , DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT BUILDING 4 SQ. FT. I OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor V Mai I Ing Address Telephone No. Building Address f i 3 > A. P. No. l r �� L0 tng & Planning F114eTVI,- S n Fire Dept. FireZone Use Permit EQA Parking Parcel Parcel Ma 60' R/W Improve ments �Pla�ns Declaration rove P Bldg. �s Rec'd I Parcel A roval I Plans roval NEW ® ADDITION ❑ UTILITIES ❑ OTHER ❑ Single Family ❑ Duplex ❑ Mobil Home J, Others ❑ CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: License No. Classification Q1 am exempt from the Contractors License Laws of the State of California. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. 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 propert for inspection purposes. X Date $ignatur of Permiteee -orr Agent j Receipt No. ) U � 3 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Fireplace Total Valuation ELECTRICAL No. Permit Fee PERMIT FILING Plan Checking Fee &/or Penalty $3.00 Permit Fee V OR 100 AMP ORSL _ PLUMBING No. @ PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 Gas piping system 1 - 5 outlets 1.50 Each additional outlet 30 Building sewer 5.00 Lawn sprinkler system 2.00 Permit Fee ELECTRICAL No. @ PERMIT FILING FEE $3.00 Main service V OR 100 AMP ORSL _ 5.00 Main service EA. AOD'L 100 AMP 2.50 Main service OVER 600V 100 100 AMP OR LESS Main service EA. ADD'L 100 AMP1.00 CONS. OR ADDNST ( ACCLBLDGS.NEW DWELING CCUP.42.5 ¢Sgft NEW CONSTR. NnN-RF_SID. (MULTI -OUTLET l BRANCH CIRCUITS)0ea Ex. OCCUP(OUTLETS OR FIXTIIRES BAL @ 1C FIXED ALNS Ex. Occup. ( OUTLETS P(RESID )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wirina 6.25 Permit Fee $ MECHANICAL No. @ PERMIT FILING FEE Heatina Cooling GO FEE Ventilation Hood 1 1 2.00 Permit Fee $ Land Development Fee $ TOTAL PERMIT FEE I $ co 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. DIRE :XFUBLIC WORKS By 41 Date __q'� Building permit expires Date � COUNTY OF BUTTE - DEPARTPAENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 �—�P ,y APPLICATION AND PERMIT i authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X a&I 4I & e4 ' -V4Z-4- Date .14 s 7Sr Signature /of Permitee or Agent Receipt No. ,/ 7--/ el V- White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECT OF PUBLIC WORKS By Date ��'�' 79_ wilding permit expires Date 2`-z<>- 8o BUILDING Owner /�� �4L G SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. 7' Contractor wllJCr Mailing Address Fireplace Total Valuation.• Telephone No. Permit Fee , Building Address G ©.lJ BSS �,�� Plan Checking Fee&/or Penalty Permit Fee $ C45 � PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 .4,7" Repair drainage or vent piping 1.50 i A. P. No.Zoning nr� & Planning Water piping 1.50 Each gas water heater or vent 1.50 F V1116. 'on Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel'Each Declaration Parcel Map 60R/W Improvements additional outlet .30 Building sewer 5-00 Bldg. F�eRS Recd Parcel AEVreoval Plans Approval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $$ ELECTRICAL No• @ FEE PERMIT FILING FEE $3.00 OR L Main service 10000 AMP ORSI ESS 5.00 Single Family ❑ Duplex ❑ Mobil Home 14 Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600 25,00 100 AMP OR LESS Main serviceEA. ADD'L 100 AMP 1.00 NEW OR ADDNST (( DWELING l ACCLBLOGS.CCUP. Y) 22 sq ft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9. Div. 3, of the State of California Business & Professions Code under the name style of: NEW CONSTR MULTI.OUTL T NON-RESID. BRANCH CIRCUITS) 2.50ea NEW CONST R /POWER APPARATUS B NON-RESID. \SINGLE OUTLET CIR. Ex. Occup (OUTLETS OR FIXTI�RES 5 L25 Ex. Occup. �0 'T LE P(RESID IKEA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 EAI am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 1 certify that in the performance of the work for which this �1 permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X a&I 4I & e4 ' -V4Z-4- Date .14 s 7Sr Signature /of Permitee or Agent Receipt No. ,/ 7--/ el V- White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECT OF PUBLIC WORKS By Date ��'�' 79_ wilding permit expires Date 2`-z<>- 8o -PERMIT NO. 3223-78P,E PERMIT EXPIRES A/ :'OWNER Alex Pawluk CONTR. Par-A-Dise Const., Paradise 64-25-8 LOCATION (A.P. ) 365 Ponderosa Way, lot 34, PP#15, Magalia n' f '4 'i Temp. Power Pole Called PG&E Temp. Elec. Serv. 16 - Called PG&E Temp. Gas Serv. Called PG&E OB Z FINALED (Date) U� (Signature) m 3 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number for the following location: Owner- Owner's wner Owner's Address k-,L, Mobilehome Mfg. Model Year Insignia No. r ! 7 f Serial No. It is hereby certified for occupancy at the above described location and may be occupied. , Director of Public Works Date By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE'- DEPARTMENT OF PUBLIC WORKS ` BUILDING INSPECTION 'RECORD Stucco DATE REP A9VS. .- fit bor � 9c (NOTE: An entry must be made on this form each time you visit the job site.) 'M0BJ_JXH0:tG INS`CALLATION INSPECTION CHECK I..IST 1. Is the mobilehome lQc�;.tc(� wjAAi required separation from lot lines and buildings and generally conform to plot plan? Yes No ?. Does they rw?bil.ehome have requir<d clearances above ground? (Sec.5085) Yes�o_ ��Ipossible e foot.in-:s and supports properly sized, spaced, and braced as per approved plans? (Note variation at spring shackles.) (Sere. 5082 & 5083) YesNo 4. Is the mobilehome level.? (Sec. 5088) Ycs �/,No� 5. If �-morrrrre than a single unit, are crossover connections properly installed? (Sec. 5088) Yes No 5. Water A. Is fl\e(i_ble connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) • Y e s B. Test - `Does water piping withstand working pressure or 50 lbs, air test? Yes o _ r C. Backfl.6w - If coach is not ate of California approved, does station have bTckflow device and pressure -relief valve? No 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Ye No B. Does it have minimum Al," per foot slope and is it properly supported? Yes\cllo C. Are any leaks detected in drainage system after runin 3-g lions of water through each fixture including washing machine standpipe? Yes_ No—\,4 o� n D. If coac Lriot State of California approved, does station have required trap and vent? Yes No 8 Piping and. Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft. long? Note: All piping is -to be at least as large as the mobilehome gas line inlet without reductions other than the mobilehome connector. Yes No B. Test OK as per following procedure? Yes No 1. Open all appliance c.`nnector valves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without drop. 4. Connect: gas meter to mobilehor:ie with connector, turn. on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes!7�•No i , 9. Electrical. n A. Is seivice large enough to provide ::idegUate, amperage to mobilehome (must. equal rating of mobilehome <aith a :,iinu;:um of 100 amp) and other faciliti_as on lot, i.e. , water pumps, aaraoe, cabana, ct c.? Yes No_ B. Is ther--� ;groper clearances around panels? Yes No C. Is power supply cord or feeder assembly 'properly fused? Ye)_ No_ D. is. continuity test satisfactory as per the following procedure? Yes No+ 1. De -energize electrical wiring system'of the mobilehome at the p estal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. , 3. switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other.LCdU to each TOVL)L.LCIIUlIIt: supply CGCILLL1C tor, 111(;1 uU lhg YLC 11Lr31. 5-. All nor. -current, carrying metal parts of the mobilehome (aluminum siding, gas line, ,ater line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of: the above procedure, the power supply cord or feeder assembly conductors shat1 be connected to the site service equipment. A further continuity te:;t shall then be made between the grounding electrode and the chassis of the MOI)ilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. i0, is job card signed by health Departmeat for water and sanitation? 11. If everything ol<ay, sign off card and t.a services. 'MOBILEIIOL^�l DATA Manufacturer and/or Namest:yle Length . Width Vehicle Serial No. State Identificati..on No. AdelILLional Infortlation or Comments: COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - OroviIle, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT �39�2 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. - ke Date 4_ Signature of Permitee or Agent Receipt No.�/ L White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. �R sCTOR OF PUBLIC WORKS By - 4 Date_ v permit expires Date BUILDING Owner L (A,� L L-/ SO. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor 114- `� Mailing Address . ©+ 60-11-- r f�° Fireplace Total Valuation ,e e�honefjo. 51 Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee PLUMBING No. @ FEE Ov PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 c A. P. No. — �^ O E Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fe W.C.1rrr4ertiort� Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets .1.66 Q EQA Parking Plans Parcel Declaration Parcel Map 60' R/W I Improvements Each additional outlet .30 Building sewer 5.00 iJ47-ffmill--Recl I Parcel Approval I Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ r r is ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 5•D0 100 AMP OR LESS Single Family Duplex ❑ Mobil Home Others ❑ Main service EA. ADD•L 100 AMP 2.50 Main service OVER 25.00 100 AMPP OR 'LESS O Main serviceEA. ADD'L 100 AMP 1.00 OR ADDNSNEW (( CONST. ACCLBL GS LING OCC up. 4� rLP Sq ft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW CONSTR ( BRANCH CIR T NON-RESID ` BRANCH CIRCUITS 12.50ea NEWCONSTR. POWER APPARATUS 9 NON -RESID. (SINGLE OUTLET CIR. Ex. Occup{OUTLETS OR FIXT11RES B @01 FIXED APPLNS. OR Ex. Occup. ( OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No.,_U/y-/ ,Z_ Classification (t•- 2 4 Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No @ FEE COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. [�3-I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑I certify that in th6,performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. - ke Date 4_ Signature of Permitee or Agent Receipt No.�/ L White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. �R sCTOR OF PUBLIC WORKS By - 4 Date_ v permit expires Date 9. What is the mobilehome site gas pipe size? =----------------- --- (in.) 10. What is the type of gas service? ------------- ----' Natural LPG 11. What is the gas pipe length from meter or tank to the obilehome? (ft.) 12. What is the mobilehome gas demand? ----=------------- ----------- (BTU) (This information not required if pipe length le s thali,6 ft u a gas• or less than 50 ft.� on LPG.) X11• �G�'" BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541. r MOBILEHOME INSTALLATION SHEET 1. Owner's name: 2. Installer's name: 3. Is the site currently under permit? 'Yes /vf No / / (If yes, furnish permit number ) OR Is the site an existing site?, Yes / / No E (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes /!ii" No ) (If no, clarify 5. What is the mobilehome electrical rating? -----------------=----- U d Amps 6. What is the mobilehome site service rating? --------------------- Amps 7. What is the mobilehome site circuit breaker rating? Amps 8. Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------- Yes (If yes, identify the load and size: (Load) (Amps. 9. What is the mobilehome site gas pipe size? =----------------- --- (in.) 10. What is the type of gas service? ------------- ----' Natural LPG 11. What is the gas pipe length from meter or tank to the obilehome? (ft.) 12. What is the mobilehome gas demand? ----=------------- ----------- (BTU) (This information not required if pipe length le s thali,6 ft u a gas• or less than 50 ft.� on LPG.) X11• �G�'" MOBILEHOME SUPPORT DATA If other than single wide, i Mobilehome Mfr. �'' ./� furnish Setup Model No. Year Width oZ q (ft.) Box LengthSn_(ft.) Tagalong or Expando Size ft. x ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of mobilehome unless otherwise specified. 40_e"�WFooting_s (check one) SingleO" �' 1. Wood either �44� pressure treated or A- foundation grade. X3 v (in.) (in.) Cente sup'port Center support loc tions* footing sizes (in.) 36 X a X (in.) (in.) (in.) (in.) (in.) (in.) c�7 x U ( t•)I (in.) (in.)1 (in.) . *If center piers are other than drawn above, draw in locations, spacing, and dimensions. 0 2. Other (specify) Supports (check one) E1: Concrete block. 0 2. Other (specify) Tagalong or Expando, show support details. 3p -- Typical Support in.) (in.) Footing Size s_ (0 1 - Max. Pier Spacing (ft.)(in.) -- Max. Overhang BUTTE COUNTY BUILDING DEPARTMENT APPROVED %a- 0 • COUNTY OF BiJTTE' — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Tel ephlone: 534-4541 APPLICATION AND PERMIT �f BUILDING Owner LV iC w SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. n Contractor `L — 4 SQ ON S r Mailing Address (p CjgTQ • Fireplace Total Valuation ele hone Permit Fee Building Address S oy,, �� Plan Checking Fee&/or Penalty Permit Fee .3 PP *1/ PLUMBING No.1 @rFE A `I PERMIT FILING FEE $3.00 Each Trap 1.50 „�9 Y-04fic do Repair drainage or vent piping 1.50 02 S = �-ro A. P. No. n Water piping x-90 Each gas water heater or vent 1.50 Feedvile Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel p 60' R/W Improvem Each additional outlet .30 Building sewer .a.G9- ItdgrJl ns Recd Par A royal Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ permit Fee $ ELECTRICAL No. @ FEE r PERMIT FILING FEE $3.0000V OR L Main service 100 AMP ORSLESS 5.00 r Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD•L 100 AMP 2.50 5-09 SQ. FT MINIMUM OR MOBILES Main service OVER eooV 25.00 100 AMP OR LESS Main service EA. ADD•L 100 AMP 1.00 NEW CONST. I DWELLING OCCUP. S OR ADONS. % ACC. SLOGS. 2¢Sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9. Div. 3, of the State of California Business & Professions Code under the name style of: NEW CONSTRESID, BRANMULT I -OUTLET NON-RESID � BRANCH CIRCUITS 2.50ea NEW CONSTP- POWER APPARATUS a NON-RESID. SINGLE OUTLET CIR. Ex. OCCUD{OUTLETS OR FIXTIIRES BAL 25 FIXED LNS Ex. Occup. (OUTLETS P(RESID.)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. 221. �(Zg Classification s Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of Cal ifomia. Permit Fee $ -Cis $ . MECHANICAL NO -J @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. f �?' I have placed on file with the County of Butte a certificate of �+ Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ .-- TOTAL PERMIT FEE $ %3 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date , ignature of PPermitee or Agent Receipt No. IJ-) 0 c 7-- White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PU*ffhIC WORKS By �— Date/, _ %d Buildfg permit expires Date", Z.a ZI M -COUNTY OF BUTTE' — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - P Oroville, California 95965 Tel C-pftne: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned propert r inspection purposes. Date —� $ignatur f Permitee or Agent Receipt No. /75---/ eY White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR UBLIC WORKS fay AO Date Building permit expires Date BUILDING Owner SO. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contract Mailing Address ih� �r Fireplace Total Valuation etll_ �� le ne o -�Lf� Perini t Fee Building Address 3 Plan Checking Fee&/or Penalty Permit Fee PLUMBING No.1 @ I FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 // A. P. No. 1" �' %- S Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fe Wg_ Fire Dept. Fire Zone ii Use Permit Gas piping system 1 - 5 outlets 1.50 EOA Parking Parcel Plans Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. P16rret.-.'d Parcel oval I Plan pproVal Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ 4/ ELECTRICAL No. @ FEE !! PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 OR ADDNSNE WCONST // %ACCDWELBLDGSCCUP. �) r2PSgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW RES,.,CO / BRANCH CIR T NON-RESID ` BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS 9 NON-RESID, SINGLE OUTLET CIR. Ex. Occuo{OUTLETS OR FIXTI�RES B L@; FIXED ALNS. Ex. OCCup.(OUTLETSP(RESID,)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License N Classification r � Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of Cal ifomia. Permit Fee $ $ MECHANICAL No @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ave placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. r -1I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 1 2.00 Permit Fee $� 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $' 3d authorize representatives of the County of Butte to enter upon the above-mentioned propert r inspection purposes. Date —� $ignatur f Permitee or Agent Receipt No. /75---/ eY White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR UBLIC WORKS fay AO Date Building permit expires Date BUTTE COUNTY BUILDING DIVISION APPROVED r INTERIOR RIDGE SUPPORTS AS SPECIFIED BY MANUFACTURER STANDARD PIER SPECIFIED BY COACH MANUFACTURER �Sg.g 0-4, I' - .. OR TRIPLE WIDE 12 0 12 0 12 4 COACH SIZE F 71 g klm I-�+3R ' [vitae Ment STM MOTILE EIOSTWGK cxtmG x� a U LJ eD•aI K110(>y1fll Ll U L:J 1 4: n �+ L•L� C� LIJ 4+ LLI LfJ L•F•1 ® ® 4J 4� L7J ED Poor 4 H PITCH 78' B ' 30'.36' UP TO 60 FT 4:12 4 4 ;• I 4 I 4 I 4 I 4 I 4 I 4 I PER ABS � PLAN ABOVE FOR PLACEMENT OF PIERS a TIF.DOWNS. AUGER.TIEDOWNS SHALL BE ABOVE FOR PLACEMENT OF PIER k TIED `imp . 1 0 MOBILEU OF 1`t�1`mY _LTJ LI �%� T Ep LJ _ �"�7 COACH rLANGED PLASTIC 24', 26'. 28', OR 32- 2'PLA0', .H 16 4 4 4 4 4 4 4' 5/8' x 1-3/8' FLANGED U LJ U FLANGED PLASTL 5/8 x 3' FLANGED 8. THIS FOUNDATION SYSTEM PINI IS DESIGNED TO BE CONSTRUCTED ON A FAIRLY LEVEL ANCHOR INSERTS PLASTIC ANCHOR INSERT Y X Y FLAT[ SITE WITH NO EXLSTING SOIL PROBLEMS. SEE TITLE 25 SECTION 1334(b) 3.5' 3.5' 4x4 -4x4 WWF 4 1,I 1• C.1 MANUAL WITHOUT MANUAL SPACING OF STANDARD PIERS TO BE DETERMINED BY STATE MOBILE HOMES PARK ACT._ 4 4 4 1�0 w _ _. an• U c PLAN Seale- - t0' TRIPLE WIDE MOBILE COACH SEISMIC ZONE 3 INSTALL MDRftE MAN EARTH AUGERS (OR EQUIv.) 2900 lbs CAPACITY WHEN REQUIRED. SEE TABIL SPACE IST ROW f 2 R rROM DID THEN SPACE EVENLY. 1, I� o 0 4 4 �STINS MIATLE� x� AEAMS U L:J � I I rn a 4 4 I 93 . Ep �4 LJ L! 1 sElslnc PILI a I I FOUNDATION PAD PER TABLE] (� 1. G-4 I I' - .. OR TRIPLE WIDE 12 0 12 0 12 4 COACH SIZE F 71 'LACE SE=C PID 4 ROTS O► 4.n¢R 1e Pmo 6. klm I-�+3R OWS OFF EIOSTWGK UP TO 78 IT 4:12 Er KAKIJ 116 24'.28'28' UP TO 48 IT 4:12 �+ L•L� C� LIJ 32' UP TO 44 FT 4:12 4 4 Q 4 24•,26• UP TO e6 FT 4:12 ® ® ® ICSJ 28'•32' 7 L7J ED Poor 4 H PITCH 78' B ' 30'.36' UP TO 60 FT 4:12 4 4 4' 4 MR DOUBLE TIDE 18 0 t6 0 Efi MACE gl%IC U L:J I I u U I PER ABS h TOTAL NUMBER Or TTEDOWNS REQUIRED. 1 PLAN ABOVE FOR PLACEMENT OF PIERS a TIF.DOWNS. AUGER.TIEDOWNS SHALL BE ABOVE FOR PLACEMENT OF PIER k TIED `imp . • FOR .18 G.P. SEISMIC PIERS. PLACE [N 9 ROWS OF e. 0 MOBILEU OF 1`t�1`mY _LTJ LI �%� T Ep LJ _ �"�7 COACH rLANGED PLASTIC 24', 26'. 28', OR 32- 2'PLA0', ANCHOR INSERTS PLAN N SQAI,, I • - 10' ' DOUBLE WIDE MOBILE COACH OUTUNE �' T--OLT OF MOBILE COACH 0'.12',14',OR 16' _ PLAN Scale: 1• - Il1' SINGLE WIDE MOBILE COACH UP TO 48 FT 211:12 6 0 6 G 6 4 MAA. Onve LVALA 4W UP TO 78 FT 2%:12 12 0 12 0 12 4 COACH SIZE F 71 10-01-03' YW' S0TS WIDTH ' LENGTH UP TO 48 IT - 4:12 e 0 8 4 9 6 PIERS Do UP TO 78 IT 4:12 12 0 12 4 12 8 R3:12 10•,12• 60' 6 1 OOF 24'.28'28' UP TO 48 IT 4:12 8 0 6 0 8 4 PITCH 14•18 78' 8 I 32' UP TO 44 FT 4:12 8 0 6 0 12 4 s 44' 4 24•,26• UP TO e6 FT 4:12 12 0 12 0gis 4 a,I 4:12 10' $ 12' 80' 6 28'•32' 7 16 0 16 0 Poor 4 H PITCH 78' B ' 30'.36' UP TO 60 FT 4:12 12 0 f6 0 4 k 18' 60' 642'.40' UP TO 78 PTI aa2 18 0 t6 0 4 78' 6 IND COACH SIZE. ROOF RTC . FOLLOW OT ACROSS TO DESIGN LOAD. KLAU IND C ACROSS TC '. TAL NUMBER OF C.P. SEI511IC PIERS h TOTAL NUMBER Or TTEDOWNS REQUIRED. N C.P. SMIHOW SEE AL NUMBER OF C.P. SESMIC PIERS k PLAN ABOVE FOR PLACEMENT OF PIERS a TIF.DOWNS. AUGER.TIEDOWNS SHALL BE ABOVE FOR PLACEMENT OF PIER k TIED LISTED a INSTALLATION INSTRUCTIONS SHALL BE ON SITE AT TIME OF INSPECTION. • FOR .18 G.P. SEISMIC PIERS. PLACE [N 9 ROWS OF e. c 12. IN OVERSIZED 5/8'x3' Flat CHIPPING AND/OR rLANGED PLASTIC CORNER BREAKAGE H�4 ', ANCHOR INSERTS a. LATERAL :X -LARGE PIER: 1907 LBS. ULT. LOAD LARGE PIER: 2423 LBS ULT. b. VERTICAL : 16000 LBS ULTIMATE LOAD 3 ' 36 1/2' 5. THIS FOUNDATION SYSTEM IS FOR PLACING MANUFACTURED BUDDINGS CONSTRUCTED 4' 5/8' x 1-3/8' FLANGED 5/8'x3' STAINLESS STEEL OR FLANGED PLASTL 5/8 x 3' FLANGED 8. THIS FOUNDATION SYSTEM PINI IS DESIGNED TO BE CONSTRUCTED ON A FAIRLY LEVEL ANCHOR INSERTS PLASTIC ANCHOR INSERT Y X Y FLAT[ SITE WITH NO EXLSTING SOIL PROBLEMS. SEE TITLE 25 SECTION 1334(b) 3.5' 3.5' 4x4 -4x4 WWF 4 1,I 1• COACH 1 DEAN 4 - 3,r 2 - 3/9' x V BOLTS . VA y wIT NUT FIELD DRILL NOTES OPTION- OF 4-114 SELF TAP SCREWS DIA 4x4 -4x4 WWF �F R T N PPR T N PIPE TD PIPE PRECAST C.P. PRO PAD PRECAST PAD 30•x32'x3/4' 7 N FOR T� N PP- 3/IP BOLTS PLYWOOD l4 IN FOR THS IB IN [PEIGNTEtl TO 1/4'x2'x4' 80 IN -LBS ANGLE 3' WIDE HOLES FOR TUBE MUST EXTEND15 FT -LBS) TORQUE 1/2' x 2 1/2' C.B. �_...-._._ 3' MIN IN TO CLAMP3/16' PLAT[ 4 - 3/8' HOLES FOR CLAP 1 18'x24'x3/4• 1/2'x2-1/2' C B BASE HEIGHT3/4• TIRLA.IED ROD BOLTS _ _ c _ __ 7 INCH SMALLFiATCPLYWOOD �� 115 INCH REGULAR3/16' LEGS 185 INCH EXTRA LARGETYP 132 2 T: • . •. STEA{FI� 3/8 x1 -1/z• BOLT OR CONNECTED WITH EIGHT 1-1/2'x.120' NAILS OR 8#8x1-1/2' FHVS 32' 4• Q -PAD PLYWOOD PAD FOUNDATION PADS GENERAL. NOTES: REFERENCE:CALFORNU CODE OF REGULATIONS, TITLE 25 AND U.B.C. 1994 EDITION. TINT 05-02-03 YW 1. DESIGN LOADS SHALL. BE CONSISTENT WITH LOCAL REQUIREMENTS WHERE INSTALLED. 10-01-03' YW' 2. FOOTINGS -ARE TO BE SUPPORTED BY EITHER FIRM. UNSATURATED. UNDISTURBED SOIL OR COMPACTED FILL ASPHALT OR CONCRETE. FOOTINGS ARE DESIGNED FOR 1000 PSF BEARING CAPACITY AND SHALL BE COMPATIBLE WITH I=" SOIL CONDITIONS. .ALL FOOTINGS SHALL 04-07-04 YW BE FOUNDED IN ACCORDANCE WITH H.C.D. GUIDUNES AND TITLE 25. DO 3. STRUCTURAL STEEL- U)IA a. SHALL CONFORM TO ASTM A36 Fp 36 KSI MINIMUM. b. SHALL BE FABRICATED ACCORDING TO AISC SPECIFICATIONS. CO e. SHALL BE WELDED ACCORDING TO AMS SPECIFICATIONS: H.�. M I. ELECTRODES: E70 ii. PLATES: ASTM A36 1" I rC-I QI (U LiL.BOLTS: STANDARD ASTM A307 iv, THREADED ROD: COLD DRAWN LOW CARBON WELDABLE ETI IC N d. ALL METAL COMPONENTS INCLUDING NAILS & SCREWS ETC. ARE TO BE x ^ PROTECTIVE COATED. c 4. THE C.P. SEISMIC PIER SHALL BE LISTED AND LABELED BY CERTIFIED TESING AND GO CONSULTING SERVICES (CTC) FOR THE FOLLOWING LOADS: LOAD H�4 ', a. LATERAL :X -LARGE PIER: 1907 LBS. ULT. LOAD LARGE PIER: 2423 LBS ULT. b. VERTICAL : 16000 LBS ULTIMATE LOAD x" fi Fi-L W ' 5. THIS FOUNDATION SYSTEM IS FOR PLACING MANUFACTURED BUDDINGS CONSTRUCTED N WITH LONGITUDINAL OR CROSS JOISTS. 8. THIS FOUNDATION SYSTEM PINI IS DESIGNED TO BE CONSTRUCTED ON A FAIRLY LEVEL W SITE WITH NO EXLSTING SOIL PROBLEMS. SEE TITLE 25 SECTION 1334(b) z Q 7. STANDARD PIER k FOOTING SPACING PER COACH MANUFACTURER'S INSTALLATION C.1 MANUAL WITHOUT MANUAL SPACING OF STANDARD PIERS TO BE DETERMINED BY STATE MOBILE HOMES PARK ACT._ = J FOUNDATION PAD NOTES: w 1. FOUR FOUNDATION PADS ARE AVAILABLE FOR USE WITH THIS SYSTEM. THE 'FOR U c O CUSTOMER MAY CHOOSE ' ONE •OF THE FOUR PADS THEIR COACH. w c 2. FDTN PADS SHALL BE PLACED ON FIRM, LEVEL UNDISTURBED SOIL (SEE GEN. NOTE 2) �••� F 3. CONCRETE FOUNDATION PDS ---t o-.4 E-4 c I.- A. 3000 PSI AT 28 DAYS AS TESTED AND MANUF. BY STARLITE WEIGHT CONCRETE. H� 3 B. PREFERRED PAD ORIENTATION WHERE EVER POSSIBLE IS THAT THE LONG DIMENSION O W OF THE PAD BE PERPENDICULAR TO THE COACH BEAM (AS SHOWN ON THE PLAN). U► Lal C. WHERE FIELD CONDITIONS REQUIRE PAD ROTATION. NO MORE THAN HALF OF THE V) i PADS IN A TRAVERSE LINE CAN BE ROTATED SO THAT THE LONG DIMENSION OF THE PADS ARE PARALLEL TO THE COACH BEAM. a`, q 4. PRF�tRi DFOUNDATION PAD A. 3/4 INCH A.P.A. 48/24 EXTERIOR P.S.I.-83 CC. PLUGGED, NER-QA397.PRP-108. �4 ►-a g W H 6. ATTACHMENT TO EMSTYMC CONCRrrE STAR THE C.P. SEISMIC PIER MAY BE ATTACHED TO AN FJOSTING COMPETENT CONCRETE SLAB OR C a CONCRETE FOOTING ACCORDING TO THE FOLLOWING CRIi3i1A- $ 1. ATTACH WITH TWO Tri' DIAM. ITR RAMSET/ REDHEAD TRUBULT WEDGE ANCHOR tieU o 2. MINIMUM EMBEDMENT - 2.5• 3. MINIMUM CONCRETE THICKNESS - 3%' l 4. MINIMUM EDGE DISTANCE - 2 COACH SI7.E NOTES: 1A 1. UNLESS APPROVED BY ROCK SOLID ENGINEERING, INC.. THE ROOF PITCH SHOULD NOT M(CEED: O A. SINGLE WIDES: 3:12 OR 4:12 AS SHOWN IN TABLE Q') B. 20 FELT WIDF.B: 24:12 OR 4:12 AS SHOWN IN TABLE C. ALL OTHER DOUBLE WIRES: 4:12 D. TRIPLE WIDES: 4:12 �d 2. FOR ANY COACH SIZE OTHER THAN AS SHOWN ON THIS PLAN OR REFERENCED ABOM Cn LAYOUT SHALL. BE REVIEWED AND APPROVED BY ROCK SOLID ENGINEERING. INC. INSPECTION REQUIREMENTS:. 1. THE DESIGN OF THIS SYSTEM IS BASED ON STANDARD MANUFACTURED HOMES AS G:7 BUILT BY THE MANUFACTURER. SITE BUILT ADDITIONS SUCH AS GARAGES AND E. -I SECONDARY ROOFS HAVE NOT BEEN INCLUDED IN THIS DESIGN. V cn 2. ALL DIMENSIONS INCLUDED ON THIS PLEI N. INCLUDING COACH SIZE. ROOF HMO HT AND• Z>4 0 ca PIER HEIGHT. SHOULD BE FIELD VERIFIED BY THE LOCAL BUMMING OFFICIAL.. ANY DISCREPENCIES SHOULD BE IMMEDIATELY BROUGHT TO THE ENGINEER'S ATTENTION. Z_ z _ co M O 3. THE BUILDING PAD SHOULD BE INSPECTED TO ENSURE THAT PRO D /...I PATTERNS HAVE BEEN ESTABLISHED IN -ACCORDANCE WITH TITLE CC) F BUILDING D „a,, �. IlumAto FmcOmwCTTm wsl APPRO m z :D Amn�uaTTo _ • KxHAAFrrIDHeH wmm AMINNAL W. cQ I z ODES NOT AUTHOR= OR AFRDVAAM, 0��� - OMM)OKS OR DEVIATWH FUN 1Ly W. U ''^^ / tS=AZKVM O! e•_ ARK.K'_!, TATs LArf AHDAiMi,AT� y �• �� d..f (s hft E_ r� ,, y /1 v Y J �y W COACH C OR J BEAM 3' x 3' PLATE SPACER AS NEEDED FOR J -BEAM SEISMIC PIER pl, IC INSERT: 5/8'x2-1/2' BOLT WITH I!'"'NED WASHER 1/4' PLATE SEISMIC BIER Not Ito Scale TYPICAL BEAM C.P. SEISMIC PIER#I-PATENT 115595366 CONNECTION Not t0 Scale Ufri 0M A 870. (HAM 8VPPO" PGL•p8T1t1A17MAxULL 36' `GRADE LOT PER INSTALLATION MANUAL ELEVATION NOT TO SCALE a z_ o a w z DATE: 04-28-03 SCALE: AS SHOWN DRAWN: YMW JOB #: W03002B SHEET: 1 OF 1 SHEETS c INTERIOR RIDGE SUPPORT'S AS SPECIFIED BY MANUFACTURER STANDARD PIER AS SPECIFIED BY COACH MANUFACTURER Lg g.g g� [II,Tp1G Rll,pp IyylAsrcc los>� ' Cnsruc �mns I �srtw wsut Uam" l Er Ka" I fl,04 LTJ u I I IIS I Lid I 4 4 4 4 4 4 - .�. j i ® I ® ® 1 ❑ 4 • 4 LJ I I I I I I I•' I 1 c 4. THE C.P. SEISMIC PIER SHALL. BE LISTED AND LABELED BY CERTIFIED TESTING AND z � Cs CONSULTING SERVICES (CTC) FOR THE FOLLOWING LOADS: n• LATERAL :X-LARCE PIER 1907 LBS. ULT. LOAD LARGE PIER: 2423 LBS ULT. LOAD 091 4 4 [P-0 °T Q 4 4 Q EpLe to, _ _- qn- en• .9. 4n• 6. THIS FOUNDATION SYSTEM PIAN IS DESIGNED TO BE CONSTRUCTED ON A FAIRLY LEVEL PLANScale: ;• TRIPLE WIDE MOBILE COACH ROOF OR TRIPLE WIDE LACE SamC Pmts I ROWS Or 4. MM 18 Pmts DQUIRED f ROWS OF S. FOR DOUBLE WIDE um ;ft MIC PIT. a WS Or 4 F PER TABLE OURJNE OF MOBILE COACH UP TO 48 FT 2%:12 8 0 1 8 0 1 8 1 4 UP TO 78 FT 24112 12 0 12 0 1 12 1 4 UP TO 48 FT r 4:12 8 0 8 4 8 8 UP TO 78 FT 4.12 12 0 12 4 12 6 24'.28.28• UP TO 48 FT 4:12 8 0 8 0 8 4 M. UP TO 44 FT 4:12 8 0 B 0 12 4 24•,28• UP TO 68 FT 4:12 12 0 12 0 12 4 286.32• UP TO 78 18 1 0 16 0 is 4 30'.38• UP TO 60 FT 4:12 12 0 to 0 18 4 42'.48 UP TO 70 FT 4:12 18 0 1 16 1 0 16 4 IND COACH SIZE. fiMr ROOF PITCH. FOLLOW ROW ACROSS TO DESIGN LOAD. READ TAL NUMBER OF C.P. SEISMIC PIERS k TOTAL NUMBER OF TIEDOWNS REQUIRED. SEE PUN ABOVE FOR PLACEMENT OF PIERS k TIEDOWNS. AUGER.TEDOWNS SHALL BE LISTED h INSTALLATION INSTRUCTIONS SHALL BE ON SITE AT TIME OF INSPECTION. • FOR .18 G.P. SEISMIC PIERS. PUCE IN 3 ROWS OF S. 12. IN OVERSIZED 5/8'x3' FOR CHIPPING AND/OR FLANGED PLASTIC CORNER BREAKAGE ANCHOR INSERTS mv 3 36 1/2' 4 5/8' x 1-3/8' FLANGED 5/8'x3' STAINLESS STEEL OR FLANGED PLASTt 5/8 x 3' FLANGED ANCHOR INSERTS PLASTIC ANGOR INSERT 3.5' 3.5' 4x4-4.4 WWF ! I'I 1' 4x4 -4x4 VVF I'•i PRECAST C.P. PRO PAD PRECAST PAD 7 30'x32'x3/4' PLYWOOD MOLES FOR 1/2' x 2 1/2' C.B. HOLES FOR - -- 18'x24•x3/4' 1/2'x2-1/2' C.B PLYWOOD Kfl CONNECTED VITH EIGHT 1-1/2'x.120' NAILS OR 808x1-1/2' FHVS ,, - ; - - 4, _ ... _. Q -PAD PLYWOOD PAD FOUNDATION PADS INSTALL MBIUTE MAN EARTH AUGERS (OR EQUIV.) 2900 The CAPACITY WHEN REQUIRED. SEE TABLE. SPACE IST ROW 2 R FROM DID THEN SPACE EVENLY. 1. IGo � N Q •Q 0 �[nsrnc lotnt� � scac � I I a V1 I I or LJ IJ slaslOc PIER a I I I FbUPER PPAD PLR TABLE mm mm i 0-4 REVISIONS REFERENCE:CAUFORNIA CODE OF REGULATIONS, TITLE 25 AND U.B.C. 1994 EDITION. [II,Tp1G Rll,pp E.113.10 NC I. DESIGN LOADS SHALL BE CONSISTENT WITH LOCAL REQUIREMENTS WHERE INSTALLED. 10-01-03' 2. FOOTINGS -ARE TO BE SUPPORTED BY EITHER FIRM, UNSATURATED, UNDISTURBED SOIL -OR 4 4Ell 4 4 LA 3. STRUCTURAL STEEL. a SHALL CONFORM TO ASTM A36 Fpp a 36 KSI MINIMUM. b. SHALL BE FABRICATED ACCORDING TO AISC SPECIFICATIONS. '� E-+ - .�. j c. SHALL BE WELDED ACCORDING TO ANS SPECIFICATIONS: I-� Fr 4 • 4 LJ �4-�Q U L! I ' I•' I 1 c 4. THE C.P. SEISMIC PIER SHALL. BE LISTED AND LABELED BY CERTIFIED TESTING AND z � Cs CONSULTING SERVICES (CTC) FOR THE FOLLOWING LOADS: n• LATERAL :X-LARCE PIER 1907 LBS. ULT. LOAD LARGE PIER: 2423 LBS ULT. LOAD 091 4 4 [P-0 24', 26', 28'. OR 32' PLAN 5. THIS FOUNDATION SYSTEM IS FOR PLACING MANUFACTURED BUILDINGS CONSTRUCTED W S.W.: I' . to, DOUBLE WIDE MOBILE COACH OUTLINE„ `•jam TSO OF MOBILE tT COAEH 0'.12'.14'.OR l8' PLAN Scale: I• . !o' SINGLE WIDE MOBILE COACH GENERAL. NOTES: REVISIONS REFERENCE:CAUFORNIA CODE OF REGULATIONS, TITLE 25 AND U.B.C. 1994 EDITION. 05-02-03 I. DESIGN LOADS SHALL BE CONSISTENT WITH LOCAL REQUIREMENTS WHERE INSTALLED. 10-01-03' 2. FOOTINGS -ARE TO BE SUPPORTED BY EITHER FIRM, UNSATURATED, UNDISTURBED SOIL -OR COMPACTIED FILL ASPHALT OR CONCRETE. FOOTINGS ARE DESIGNED FOR 1000 PSF BEARING CAPACITY AND SHALL BE COMPATIBLE WITH LOCAL SOIL CONDITIONS. ,ALL FOOTINGS SHALL 04-07-04 BE FOUNDED IN ACCORDANCE WITH H.C.D. GUIDUNES AND TTTTE 25. LA 3. STRUCTURAL STEEL. a SHALL CONFORM TO ASTM A36 Fpp a 36 KSI MINIMUM. b. SHALL BE FABRICATED ACCORDING TO AISC SPECIFICATIONS. '� E-+ - .�. j c. SHALL BE WELDED ACCORDING TO ANS SPECIFICATIONS: I-� Fr L ELECTRODES: E70 ii. PLATES: ASTM A36 Lli.BOLTS: STANDARD ASTM A307 iv. THREADED ROD: COLA DRAWN LOW CARBON WELDABLE E- Lx d. ALL, METAL COMPONENTS INCLUDING NAILS & SCREWS ETC. ARE TO BE ' PROTECTIVE COATED. c 4. THE C.P. SEISMIC PIER SHALL. BE LISTED AND LABELED BY CERTIFIED TESTING AND z � Cs CONSULTING SERVICES (CTC) FOR THE FOLLOWING LOADS: n• LATERAL :X-LARCE PIER 1907 LBS. ULT. LOAD LARGE PIER: 2423 LBS ULT. LOAD 1_4 N 'fes § b. VERTICAL : 16000 LBS ULTIMATE LOAD�- 5. THIS FOUNDATION SYSTEM IS FOR PLACING MANUFACTURED BUILDINGS CONSTRUCTED W WITH LONGITUDINAL OR CROSS JOISTS. WF'� 6. THIS FOUNDATION SYSTEM PIAN IS DESIGNED TO BE CONSTRUCTED ON A FAIRLY LEVEL SITE WITH NO EXISTING SOIL PROBLEMS. SEE TITLE 25 SECTION 1334(b) /� -1 04 � 7. STANDARD PIER k FOOTING SPACING PER COACH MANUFACTURER'S INSTALLATION <4 MANUAL WITHOUT MANUAL SPACING OF STANDARD PIERS TO BE DETERMINED BY STATE C1 MOBILE HOMES PARK ACT. Z _ FOUNDATION PAD NOTES: w x 1.0 1. FOUR FOUNDATION PADS ARE AVAILABLE FOR USE WITH THIS SYSTEM. THE 'FOR U c CUSTOMER MAY CHOOSE ' ONE 'OF THE FOUR PADS THEIR COACH. w c 2. FDTN PADS SHALL BE PLACED ON FIRM, LEVEL UNDISTURBED SOIL (SEE GEN. NOTE 2) CONCRETE Q E-1 1^ 3. FOUNDATION PADS A. 3000 PSI AT 28 DAYS AS TESTED AND MANUF. BY STARLLTE WEIGHT CONCRETE. B. PREFERRED PAD ORIENTATION WHERE EVER POSSIBLE IS THAT THE LONG DIMENSION 1-t 14 U O W C +• OF THE PAD BE PERPENDICULAR TO THE COACH BEAM (AS SHOWN ON THE PLAN). `^ C. WHERE FMLD CONDITIONS REQUIRE PAD ROTATION. NO MORE THAN HALF OF THE g PADS IN A TRAVERSE LINE CAN BE ROTATED SO THAT THE LONG DIMENSION OF THE PADS ARE PARALLEL. TO THE COACH BEAM. � g 4. PRESSURE TREATED FOUNDATION P II A.. 3/4 INCH A.P.A. 48/24 EXTERIOR P.S.I.-83 CC. PLUGGED. NER-QA397,PRP-108. U W 5. ATTACHMENT TO EXISTING coNcgrrE ct AR THE C.P. SEISMIC PIER MAY BE ATTACHED TO AN EXISTING COMPETENT CONCRETE SLAB OR ,i CONCRETE FOOTING ACCORDING TO THE FOLLOWING CRITERIA -9 1. ATTACH WITH TWO %' DIAM. ITW RAMSET/ REDHEAD TRUBULT WEDGE ANCHORS 1. tR1�,U 2. MINIMUM EMBEDMENT - 2.6' 3. MINIMUM CONCRETE THICKNESS - 3'b' 4 YW YW• YW CD 40 OD N 1 IT EU T` ) CO v 4. MINIMUM EDGE DISTANCE COACH SIZE NOTES: 1a7 I. UNLESS APPROVED BY ROCK SOLID ENGINEERING, INC.. THE ROOF PITCH SHOULD NOT I EXCEED: O A. SINGLE WIDES: 3:12 OR 4:12 AS SHOWN IN TABLE co B. 20 FEET WIDES: 2%:12 OR 4:12 AS SHOWN W TABLE C. ALL OTHER DOUBLE WIDES. 4:12 d D. TRIPLE WIDES: 4:12 2. FOR ANY COACH SIZE OTHER THAN AS SHOWN ON THIS PLAN OR REFERENCED ABOVE, in LAYOUT SHALL BE REVIEWED AND APPROVED BY ROCK SOLID ENGINEERING. INC. i INSPECTION REQUIREMENTS:. 2 1. THE DESIGN OF THIS SYSTEM IS BASED ON STANDARD MANUFACTURED HOMES AS E4 BUILT BY THE MANUFACTURER. SITE BUILT ADDITIONS SUCH AS GARAGES AND E_ SECONDARY ROOFS HAVE NOT BEEN INCLUDED IN THIS DESIGN. (n 2. ALL DIMENSIONS INCLUDED ON THIS PLAN. INCLUDING COACH SIZE. ROOF HEIGHT AND Z,O Cn PIER HEIGHT. SHOULD BE FIELD VERIFIED BY THE LOCAL BUILDING OFFICIAL ANY I•'4 DISCREPENCIES SHOULD BE IMMEDIATELY BROUGHT TO THE ENGINEER'S ATTENTION. CC)z 3. THE BUILDING PAD SHOULD BE INSPECTED TO ENSURE THAT PRO DNIN�(� PATTERNS HAVE BEEN ESTABLISHED IN'ACCORDANCE WITH TITLE 00 d �NOM1 BUILDING D z �IMTWAIo1APe*rKaoae,LCTIONus,1 APPRO 00 � Anxmre0 ' co^, r0 t1011ttTTp lTNIRFiLT1pNj M(1TWD O `\ w 04 COACH I BEAN Al fALOK>fs OR UT OR=Olt ArpRM Rom OOwuMm ANIFS Op O `V 04 z z Y x Y Putt ! - 3.r 2 - 3/9' x 1' BOLTS OK=KAPPucA8 ATE LAWS ANDRAMXA � `+ � A � Lo BOLT WITH FIELD DRILL ONHOLESr W Co Q; VASHEI: L NUT OPTION Or www 4-114 SELF TAP SCREWS 's �/C4�•R••w�r �O N FOR T N PIP STAHO D PIPE ITR JJ BEAM Aloes ,f U �" 4 F TFI� NPP 4 - 3/tl• BOLTS z N FOR T N P 3' x 3' -�' OF W- O N FOR THE 16 IN IPE TT[41iE11 TO 1/!'x2'x4' PLATE _ er1..r 180 IN -LBS ANGLE 3' WIDE SPACER AS NEEDED ���• 115 FT -LBS) TDROUE Z TUBE MUST EXTEND. a • FOR J -BEAM 3- MIN IN TO CLAMP 3/16' I'LATC 4 _ 3/B' S CLAW 1 BASE HEIGHT ni 3/4' TIMADED R00 BOLTS SEISMIC IJRt a em. cHAffi auPPoeT DATE 04-26-03 7 INCH SMALLER 115 INCH REGULAR !� 3/16' Ti.ATC LEGS PR OQT4fAA,RON MAMUAL les LNG+ EXTRA LARGE TTP OF 2 SCALE: AS SHOWN ST�E`` INSERT: 5/8'x1-1/2' BOLT OR PLASTIC INSERT: 5/8-.- v /8 x2-1/2' BOLT EISMIC PIER A DRAWN: YMW WITH INROLNED WASHER DUN PA 1/4' PLATE Stan VW n lMN6 mm >x 36MAX JOB #: W03002B SEISMIC PIER Not to SSCate TYPICAL BEAM RADE LOT PER C.P. SEISMIC PIER#I-PATENT 15595366 CONNECTION INSTALLATION MANUAL SHEET: ' Not to scute • E L E V A T I O N NOT TO SCALE OF 1 SHEETS I I..IIII ' ,rl r I I; . I I Il i11I � I I' A, r I I I t' I ill I 1 t Lull III I �It r�1 6SI I II,, , I III I I 1 II I ,.i I.. ..:.: I. �, ...I I „ ,., ,. ,. .. r. :..: I, : � .'. :. � r .. ::., , � .: ,.. ,: ,. is : �.�. : N .,. e. I 1 .I. Ir I r ' , .. I I _: '.. 1 I. ..' I .I. .9. I I I u, �I 4 L f � I I d ,.. ,. u.r.: , 1 .1..-,d I ,.'H. .,1.,31. I .t. .I 1 L,. t I i 7. _ r. : i _.. ,,.. , . ,.:. t , „1 , I •t ! I I :_ r .,: , I I I r. d' r o f d t 4.,. Bel r I. t a, 1 �,.a6,,.,1,..I..,..___,Iz_!._.,�_ilr..ti_,6sr,t,t 1. �-.�,,w.. F., �,.✓1 ,..,.,, ,.l, .r .f. a„.1. ., �. w..a