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HomeMy WebLinkAbout064-400-02317 64-40-23 ���_��� ����C�-� ' 6356"'Amhurst Way, lot 112, PP#5,Magalic- Contr: PMC SUPPORT- STRUCTURE, -�F-Q— ^ COMPACTION TEST REQ. Contr'l-i- z ' -__~(pvt garage) __' 64-40-23 �991-WB,E GREIM, Erich 6356 Amhurst, Maga'lia' � 64-4O-23 ' GBDIM, Erick ---�--- 6356 Amherst Way,,Magalia cabanaMh 064-400-023 '.92-2926 6356 ' Amhurst Way, Magalia ` 064-400-,023 PERMIT07-'077C gqc�A A k TJ M 1 -F ul �y , CL r, C2 ° Cont:.Kilpatrick Const. �� r . / " ` ' ) / m I �� = --------------- RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 97-020099 197-020099 197-020099 97-02009911 Rec Fee .00 . I Total .00 Recorded I Official Recorde 1 / County of 1 Butte I Candace J. Grubbp I Recorder I 1:44pm 2 -Jun -97 I FRMS XX 2 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. STEPHANIE GREIM MANUFACTURER'S NAME 6356 AMHERST WAY MAGALIA, BUTTE, CA 95954 STATECITY CoURTY SAME CITY COUNTY STATE SAME (it also property owner, write BUTTE COUNTY BUILDING DIVISION LOCALAGE and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP 97-0770 (916) 538-7541 BUILDING PERMIT NO TELEPHONE NUMBER �L 5/29/97 SIGNATURE OF LOCAL A DATE NONE DEALER NAME (if not a dealer sale, write 'NONE') DEALER LICENSE NO. UNIT DESCRIPTION GOLDEN WEST 05/17/89 BD44174 MANUI-A(;I URERT NAME DATE OF MANUPAUI URI: MODEL NAMUNUMIShR GW6CALBD7706A/GW6CALBD7706B 44'X28' RAD490184/490185 SERIAL REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P..# 064-400-023 SEE ATTACHED LEGAL DESCRIPTION. HCD FORM 433(A) REV. 8/91 WHITE - County Recorder CANARY - HCD PINK - Applicant GOLDENROD - Building Dept. LEGAL DESCRIPTION A.P. x{064-400-023 All that certain real property situate in the unincorporated area of the County of Butte, State of California, being more particularly described as follows: LOT 112, AS SHOWN ON THAT CERTAIN MAP ENTITLED "PARADISE PINES UNIT 5"; FILED IN THE OFFICE OF THE COUNTY RECORDER OF BUTTE COUNTY, CALIFORNIA, ON AUGUST 20, 1970 IN BOOK 35 OF MAPS, PAGES 88, 89, 90 AND 91. EXCEPTING THEREFROM ALL MINERALS, OIL, GAS, ASPHALTUM AND OTHER HYDROCARBON SUBSTANCES, WITH PROVISION THAT ANY AND ALL MINING OPERATIONS SHALL BE DONE FROM ORIFICES OUTSIDE THE SURFACE AREA OF THE LAND HEREIN DESCRIBED, AND THAT NO DAMAGES SHALL BE DONE TO THE SURFACE OF SAID LAND. 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BUILDING PERMIT NUMBER: 97.0770 Address or location of unit: 6356 AMHERST WAY, MAGALIA - Legal Description of Real Property: A.P. #064-400-023 SEE ATTACHED LEGAL DESCRIPTION. • t• (x) Mobilehome/Manufactured Home r O Commercial Coach ' Has been affixed to the real property above by installation on a foundation sytem pursuant to Health and Safety Code Section 18551. Owner's name: STEPHANIE GREIM Owner's address: 6356 AMHERST WAY,. MAGALIA CA 95954 INSIGNIA OR HUD NUMBER: RAD 490184/490.185 SERIAL NUMBER OR V.I.N. GW6CALBD7706A/GW6CALBD7706B - MANUFACTURER'S NAME: GOLDENWEST YEAR: 1989 OFFICIAL APPROVING INSTALLATION: ' DATE: 5/29/97. PHONE: (916) 538-7541 H.C.D. 513C STATE OF CALIFORNIA BUSINESS, TRANSPORTATION AND HOUSING AGENCY DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT DMSION OF CODES AND STANDARDS .7 REGISTRATION AND TITLING PROGRAM� STATEMErIT OF FACTS This unit is a: ® Mobilehome F-1 Commercial Coach E-1 Floating Home E] Truck Camper Decal (License) No.(s) Trade Name Serial No.(s) c. AP lz. cL H 4- C A � a i> -7 -7 o 4 Al I D�..O�rN �rsr�' Q I/We, the undersigned, hereby state: L l CC- d•rS E- E:)G- CA- j- £ �c_,4T-& S A-3 DT C9 1,3 tAD 9 1 1-E (,J t+ IJ P J &0-14 /�-S C -Z I/We further agree to indemnify and save harmless the Director of Housing and Community Development, State of California, and subsequent purchasers of said unit, for any loss they may suffer resulting from registration of the above-described unit in California, or from issuance. of a California certificate of title covering the same. I/We certify under penalty of perjury that the foregoing, is true and correct. Executed on_LZ21 (Date) r - kea-& i i0 -a (city) Printed name(s) C . (State) City 0 ! C� �}-L- I l� . State �6¢ HCD 476.6 (REV 9/91) RECG,PDING REQUESTED BY: BANK OF AMERICA When Recorded Mail To: STEPHANIE GREIM 6356 AMHERST WAY MAGALIA, CA. 95954 Escrow No. 268733 Title Order No. 4-59000 APN: 064-400-023 The undersigned grantor(s) declare(s) 97-007806, Rec Fee 9.00 1 Check 9.00 Recorded I Official Records I County of I Butte I Candace J. Grubbs I Recorder I 8:00am 4 -Mar -97 I FNTC MD 2 GRANT DEED Documentary transfer tax is $ , City tax. $ . 0 computed on full value of property conveyed, or p computed on full value less value of liens or encumbrances at time of sale, II Unincorporated Area City of FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, STEPHANIE GREIM, SURVIVING JOINT TENANT hereby GRANT(S) to STEPHANIE GREIM, TRUSTEE OF THE GREIM FAMILY TRUST DATED OCTOBER 8,1994 the following real property in the City of N/A, County of BUTTE, State of California - SEE LEGAL DESCRIPTION ATTACHED EXHIBIT "A" Dated: February 21, 1997 STATE OF CALIFORNIA COUNTY OF i3Ji?n ON .1Y / Sri 7 before me, f/1t 7�-f L L• !Z/ L C- personally appeared (or proved to me on the basis of satisfactory evidence) to be the person�4 whose nameo is/aFe-subscribed to the within instrument and acknowledged to me that he!she/4:--y executed the same in his/heddwir authorized capacity( and that by his/her/tom signaturNr on the instrument the persol0, or the entity upon behalf of which the person( acted, executed the instrument. Witness my hand and official seal, f Signature MAIL TAX STATEMENT AS DIRECTED ABOVE STEP GREIM Bary FD -13 (Rev 4/94) GRANT DEED a 516 343 4410 "o -KI) 09:51 FIDELITY NTL. TITLE TEL '16 343 4410 P. 001 Order No.: 4-59000WM LEGAL DESCRIPTION EXHXBIT All that certain real property situate in the unincorporated area of the County of Butte, State of California, being milre particularly described as follows: LOT 112, AS SHOWN ON THAT CERTAIN MAP ENTITLE "PARADISE PINES UNIT S", FILED IN THE OFFICE OF THE COUNTY RECORDER OF BUTTE COUNTY, CALIFORNIA, ON AUGUST 20, 1970 IN BOOK 35 MAPS, PAGES 88, 89, 90 AND 91. EXCEPTING THEREFROM ALL MINERALS, OIL, GAS, ASPHALTUM AND OTHER HYDROCARBON SUBSTANCES., WITH PROVISION THAT ANY AND ALL MINING OPERATIONS SHALL BE DONE . PROM ORIFICES OUTSIDE THE SURFACE AREA OF THE ILAND HEREIN DESCRIBED, AND THAT NO DAMAGES SHALL BE DONE TO THE SURFACE OF SAID LAND. AP#064-400-023 STATE OF CALIFORNIA - DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT CERTIFICATE OF TITLE MOBILEHOMF DECAL NO. LAP126e: MANUFACTURER NAME/ID TRADE NAME MODEL DOM DOT DFS SPC EXPIRATI01 GOLDEN WEST HM/09248 GOLDEN WEST BD44174 05/17/89 05/17/89 05/31/89 U SERIAL NUMBER 1 GW6CALBD7706A 2 GW6CALBD7706B LABEL/INSIGNIA NUMBER RAD490184 RAD490185 WEIGHT 018500 016.500 LENGTH 000528 000528 WIDTH 000168 000168 ISSUED 12/24/96 SCC 04 EXEMPT USE SFD ITY1 LP* 3 TOTAL 4 FEES 5 PAID: 6 $35.00 A STEPHANIE GREIM TRUSTEE D 6356 AMHERST WY D -MAGALIA CA 95954 R E S S E R STEPHANIE GREIM TRUSTEE E C =_ I M 6356 AMHERST WY = =- S A _—_— T I E L MAGALIA =_ - ...= CA_;95 R E 1. D RELEASE OF -REGISTERED 0 0 S 6356 AMHERST N T E U MAGALIA (aq R S = E L E E == G ANj L 0 N E 2.A) =: R RELEASE OF -;`LEGAL S) C) J F U I N R I S 0 T R L I E S N E N C 0 0 L N D D E R NT 3. RELEASE OF DEALER ■* NEW REGISTERED OWNER, FILL IN ITEMS 4 — 9 ■ 4.A) B) — :_:.:...._:::_ ::::::::............ NAME — PLEASE PRINT u Ir CNTY ST ZIP ■** NEW 2ND JR. LIENHOLDER, FILL IN ITEMS 16 — 18 r*■ 16. NAME —.PLEASE PRINT 17. ADDRESS 18. CITY CNTY ST ZIP IMPORTANT 01-354-00� THIS CERTIFICATE OF TITLE MAY NOT REFLECT ALL LIENS RECORDED WITH THE DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT AGAINST THE DESCRIBED UNIT. THE CURRENT TITLE STATUS OF THE UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT. 0100015 t STATE OF CALIFORNIA - DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT REGISTRATION CARD MOBILEHOME ncrAl un 1 AP1264 MANUFACTURER NAME/10 GOLDEN WEST HM/09248 TRADE NAME GOLDEN WEST MODEL BM174 DOM 05/17/89 DOT. 05/17/89 DFS 05/31/89 SPC EXPIRATION U SERIAL NUMBER I GW6CALBD7706A 2 GW6CALBD77068 LABEL/INSIGNIA NUMBER RAD490184 RAD490185 WEIGHT 018500 016500 LENGTH 000528 000528 WIDTH 000168 000168 ISSUED 12/24/96 SCC 04 J EXE MPT F USE TYPE TOTAL FEES 3 4 . ............ . . . . ......... . . s 0 S 6356 AMHERST PAM: 6 . . .. ................. ......... . NT $35.00 . A STEPHANIE GREIM TRUSTEE D 6356 AMHERST WY D. MAGALIA CA 95954 R E S S E R STEPHANIE GREIM TRUSTEE '"= -- Rir­. E 6356 AMHERST WY UM S A T I E L LIA = = CA 'LIP R E ... ... .... ... ...... ......... .... ITHriK .... ...... D . .......... . . .... . ............ . . . . ......... . . 0 S 6356 AMHERST ........ ... ........ . ... ::: : :_ ... ... ... M I . . .. ................. ......... NT . E UCA KAGALIA -9595.4 . . . ........ . .... L ............ M E. ......... ............... ... . .... . .. .. .. ...... .......... . ......... ......... U—Ta A .......... ..... .... ...... ........ .......... . . - L .......... ........... ..... ........... 0 . ............. . . ............ ............... . .... ............... . . W . . ............... ... . . . . . .. ............ N E R .... . . . ... L . ...... ...... ..... . .. .. if ..... ..... . J F u I N R I S 0 R T L I E S NE H C 00 L N 0 D E R IMPORTANT 01-354-0021 THE OWNER INFORMATION SHOWN ABOVE MAY NOT REFLECT ALL LIENS RECORDED WITH THE DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT AGAINST THE DESCRIBED UNIT. .2 THE CURRENT TITLE STATUS OF THE UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT. 0100015 . ................ . ... ... ... .... ... ...... ......... .... ITHriK .... ...... . .......... . . .... . ............ . . . . ......... . . 1p ... ..... .. .. ........... . := ... ........ ... ........ . ... ::: : :_ ... ... ... ... ... ... IMPORTANT 01-354-0021 THE OWNER INFORMATION SHOWN ABOVE MAY NOT REFLECT ALL LIENS RECORDED WITH THE DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT AGAINST THE DESCRIBED UNIT. .2 THE CURRENT TITLE STATUS OF THE UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT. 0100015 RE ENTIAL 064-400-023 PERMIT#97-0770 GREIM, Stephanie 6356 Amhurst Way, Ma alia Cont: Kilpatrick Const. Ex MH on Perm Fnd �/. �3 _Gf T E HC FORM 433A FOR THIS MH CAN 0 RECORDED UNTIL ONE OF THE FOLLOWING HAVE BEEN TURNED IN TO THE BLDG DIV. (1) LICENSE PLATE(S) OR DECAL (THE INSPECTOR MUST RETRIEVE) . i INSPECTOR TO VERIFY SERIAL & LABEL #'S -0,c cD 1 JOB FINALED (Date) 1� e7 Signature l..�►^� V=OK O = Not OK Not Applicable'y Not Ready HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements - Setbacks - Easements 2. Soils; Special MH Support Sketch 3. Sewer, Location -Test -Fall -C/O -Concrete 4. Water, Loration:%st-Easement Needed (Sketch) 5. Electricity; Location-Clearances-Gmd-/ /Amp-Doncrete 6. Gas; Loeation-%st4Nrap;/- /LYt. / /Nat. or/ /L"ft./ /LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILRIHO-ME INSTALLATION(Plans) OK except #'s ing uirements-SetbacksEasements gs; SbwSpacing-Maniage Line s; MH Test -Demand -Vale -Connector , 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 d&O q-qGI9��/c� I 6 t � c i305-- / 7,P� 1 zap -;)�, -17 ? -r MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; SoilsSize-DepthSpacing-ConnectorsSteel 3. Decks; Girders and/or Joists-Decking-BracingStairs-Rails 4. Wood Awn.; Posts-Beams-Rttrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sils-AnchorsStuds-Rf rs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries-Terminals-Usted 7. Elec.; Bonding; Metal w/3 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5 Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Paneiboards-Ins. to Main in Conduit' 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 = OK O = Not No CK RESIDENTIAL (Single & Duplex) - = NotApplicahle Not Ready Date 46. UNDERFLOOR (Plans) OK except #'s 1. Zoning-Setbacks-Easments-FloodSlope 2. Ftg., Main; Soils-Elec. Gmd.-/ P' Ftg. Depth Fireplace Ties or Type A Flue -Fireplace Throat clearance 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ P Ftg. Depth Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 4. Ftg. Porches & Decks; Soils -Steel-/ P Fig. Depth Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 5. Stemwalls, Main; Steel-Blockouts-Wrapped Garage Fire Protection Framing 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Property Line Firewall & Openings 6a. Hold Downs and Special Anchors Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 7. Slab, Steel -Wrapped Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 8. Piers -Fireplace Ftg.-Steel Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Siding -Nailing Veneer 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Stucco Mesh -Drip Screed -Fd. Vents-UnderFlr. Access 11. Water Pipe; Test -Anchors -Regulator -Service Test Glazing Area -Glass Protection -Skylights -Plastic 12. Electric Underground Shear Walls; Nailing -Bolts 13. Pienums & Ducts; Clearance -Material -Support -Ins. Brace Wall Panels 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Insulation -Walls -Ceilings 15. Access & Ventilation Infiltration -Walls -Windows 16. Insulation Date Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card E-1 Date PLUMBING (Permit) OK except #'s Ext Steps -Door & Sidelight Protection -Landings 17. Water Htr.; Vent -Access -Combustion Air Baffle Smoke Detector 18. Water Pipe; Test & Anchor -Nail Protection Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor-Ducts-Mech. Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection Bedroom Exiting 20. Shower Pan; Test, First Floor -Tub Access G.F.I. & Bath Fixtures & Tub Access -Spa 21. Test Tub & Shower, Second Floor -Tub Access Elec. Trim & Subpanel, Breaker Sizes & Labels 22. Gas Pipe; Sixe & Anchors Stairs & Rails 70. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Elec. Outlets & Recepticales at Kit. Counter 23. Fixture & Transformer Clearance -Ins. Protection Garage Fire Door; Swing -Landing -Closure 24. Elec. Receptacles Spacing -Lights & Switches at Doors A.C. Duct in Garage -Damper 25. Size Boxes & No. of Conductors Stapled Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor-Mech. Protection 26. Romex Installed Close to Edge of Studs & C.J. Plb., Elec. & Mech. Equip. Listed for Location 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water Elec. Receptacles in Garage (G.F.I.)-Romex Protection 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI Insulation -Foam -Looked in Attic 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size/ / ga Cu or Al Guard rails & Deck Construction -Post Caps 30. Ran je Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral 0 Yes 0 No Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 31. Service -Riser Conductors & Ground -Main Disconect Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 32. Equip. Clearances Panels-Motors-Mech. Epuip. Stucco Brown -Finish 33. Clothes Closet Light -Shower Light -Spa Light A.C. Unit Disconnect, Electrical -Plumbing 34. Smoke Detector Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Glass Protection 35. A.C. Ducts Insulation & Support Corrections from Previous Inspections 36. Vent Fan, Exhaust above insulation Gas Test -Meters Tagged, Gas -Electric 37. Condensate Drain & Overflow, Size & Grade Water & Sewer Connected -C/O to Grade -HD Approval 38. Furnance-Vent Access -Comb. Air -Return Air Vent 115 outlet Energy Compliance Certificate -Other Certificates 39. Attic Access & Platform if Furnace in Attic Date Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date Comments at Final: FRAMING (Plans) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Date 46. FRAMING (Continued) Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-roff Brac.-Truss-Shting.-Ring. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-UnderFlr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 82. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: Date -7 In REV 10/92 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA.- (916) 538-754.1 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE J? a-1 C- kt- 7*6 OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at vy, the above address and should be corrected. Please notify this office when correction of work ' is completed. If you have any questions pertaining to this matter, or need additional explanation, iA pleas contact this office immediately. ' 34 —421 z265 G Ar Zl'or or Date -7 In REV 10/92 iA ' Date -7 In REV 10/92 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE G (Z---- 4/0- 720 OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. 0 C- /LL !/.lam er 2j fT-�crzi4-y Date 3 !J Inspector REV 10/92 eµ COUNTY. OF BUTTE BUILDING DIVISION ' DEPARTMENT OF DEVELOPMENT SERVICES ` 411 Main Street, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 -CORRECTION NOTICE C 97- 2c:> OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify thisoffice when correctiontof work is completed. If you have any questions pertaining to this matter, or need additional explanation, , please contact this office immediately. on d - 'r Date 71Inspector �,PN REV 10/92 ` COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING ISION 7 County Center Drive - Oroville, California 95965 - Telephone (916)-754}�� DJ�J,T�Jo• (Rev. 12/96) -.�._ , APPLICATION AND PERMIT jj ASSEF$ig$flRpAR� NU 23 ZONING BUILDING PERMIT °W N�TEPHANIE GREIM TELEPHONE SO. FT. OCC. BUILDING VALUATION "1'r3 V'%MST WAY, MAGALIA 1232 66,5 8 °°N`ft'EiTAICK CONST TELEPHONE CONT�ACT,QR'tIJ.I41Q W110, SAN LUIS OBISBO 93401 CONSTRUCTION LENDER [Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER UCENSE NO. Filen Fee $ 20.00 Permit Fee 491.00 $ 245.50 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDnI rES$_ ___RST WAY, MAGALIA Energy Plan Checking Fee $ PERMIT FEE $ 288.50 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome 0 Other SPECIFY Each Trap 7.00 - Solar or heat um water heater 23.00 Water piping 15.00 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other 0 Describe Work: PERM FDN/EXISTING MH Gas piping system 1 - 5 outlets 15.00 O Building sewer 15.00 Mobile Home ISI GI W1 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service 200, OR LESS 23.00 23,00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that 1 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 II force and effect.PSING License Class Lic. No. G % Z 9-"� OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service ( 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP, OR ADDNS. ( 8 ACC. BUDS. SO 3.5¢FT. NEW CONST. MULTI -OUTLET NON-RESID. C C', I cITS@7.50 E OUTLET CSOWERLAPPARATUS R. 8OUTLET OR FIXTURES Ex. Occup.BAI- 20 @ 5.00 o .50 Ex. Occup.°UIXTUEeo�aPgIooR� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) j� I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. q Date =L��L�_ Signature of Applicant - ❑ Owner ❑ Contractor W Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 381.50 "^Z D. FS 1=P FLOOOD coF PAROL M_ Ho uE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By> Date PERMIT EXPIRES ON `Z Dafe Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT i . - '-o C � ' `' �y .''1t`€'�'7. •r ..'Y� �r.,�...! J� ..°>"i��'s• • �• d'`r i� COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUIL �GDJIVISION-- V'11COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (91m,538-7541 PERMIT APPLICATION DATA SHE OWNER: ASSESSOR PARCEL NUMBER: �- -" Proposed Building Use: AA A, building Inspector: Date: i1 At time of permit applicat• n, I was advised the following data must be submitted prior to permit processing and/or issuance: Date Received By O 1. All items have been submitted -------------------------------------------------------------------------------------- E12. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ 113:.. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans - -------- 05. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ 116. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ---------------------------------------------------------- El8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications ------------------- El10. Fees of $ ------------------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. ----------------------------------------------------------------- ❑ 12. California Department of Forestry plan approval/fees- --------------------------------------------------------- 0 13. Flood elevation certificate. ---------------------------------------------------------------------------------------- ❑ 14. Sanitation and plot plan approval Health Department- ------------------------------------------- O15. City of Chico plumbing permit. --------------------- -.n ------------------------------------------------------------ ❑ 16. Plot plan and business license approval from the City of Biggs- ---------------------------------------------- O 17. Planning approval for (A) Use: (B) Parking:.-------------------------- ❑ 18. Contact Land Development about O Improvements, ❑ Drainage, 11 Legal Parcel. ----------------------- O 19. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- 020. Pre -inspection for required Request to Building Inspector on (Date) ❑21. Contractor's license information- (Number, Name Style, Classification). ------------------------------------ 022. Workers' Compensation carrier and policy number. ----------------------------------------------------------- ❑23. Owner -Builder Verification (Given to owner ❑, Mailed to owner El) - -------=------------------------------ 024. Letter of signature authorization- -------------------------------------------------------------------------------- 025. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- 026. Letter of intent on building use. ----------------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance. --------------------------------------------------------------------------- ❑28. Existing violations and/or expired permits- ---------------------------------------------------------------------- ❑29. 0433 A, OGrant Deed, O M.H. Title, ❑ Check to H.C.D $ ---------------- E130. -------------- ❑30. Other: ------- Wh n you issue the permitarocess as follows ❑ Mail to owner, ❑Mail to contractor. >�Telephone ?00--71r'us"1 and hold for pickup at O A O , office. ❑ Deliver with inspector. Applicant: 4r'1-l� Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution D By: ^-�- Copy of plans sent o Health Department, o Fire Department, o Other: Date: By: 1. Index permit application for the above items numbered: ❑ P1an.Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by o phone, o mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, o mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division ounter, by Date: }" Plans reviewed by.- Date: Plans approved by: • > Date? %Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: / Yellow Copy - Department of Development Services, Building Division. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 -.Telephone (916) 538-7541 PERMIT NO. (Rev.12/961 APPLICATION AND PERMIT ASSESSORPARCELFiU' D/'�^ C// ZONNG BUILDING PERMIT OWNER�,� - _v TELEAMON! SO. FT. OCC. BUILDING VALUATION 3 OWNER'S ADDRESS ^ a . c TELEPHONE COW R4 NO AD 8 e D Fireplace LENDER'S MAILING ADDRESS • Total Valuatlon $ ARCHITECT OR ENGINEER LICENSE NO. Filin Fee $ 20.00 Permit Fee O^ $ G ARCHITECT OR ENOINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADOPIESS Energy Plan Checking Fee $ b PERMIT FEE _ , mMT . SUBDIVIS ION*s NAME PARCEL 1A/° PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF 0 Duplex 0 Mobilehome Q--&er ' SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New 0 Addition 0 Remodel 0 Utilities 0 Installation O_ Other 0 Describe Work: r r Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service 2�oo.Aon,Ess Main Service 200A TO 1000A 23.00 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70CC) of Division 3 a`.:5e °usiness and Professions Code, and my license Is in full force and effect License Class Uc. No. / OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for. the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. 0 1 am exempt under Sec. Business and Professions Code for this renson-' WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: 0 I have and will maintain a certificate of consent to self -insure for workers' compensation, as.provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Q I have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workero' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is Issued. I shall not employ any person in any manner so as to become subject to workers'HAz. compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X ______ Date Signature of Applicant - ❑ Owner O Contractor 0 Agent An OSHA permit is required for excavations over 60' deep and demolition or construction of structures over 3 stories in height. NEN :.ONS:. DWELLING OCCUR ea OR ADONS. a ACC. BLOS. 3.52°7. NEW CONST. MULTI -OUTLET �7.Se NON.AESID. FoZER APPARATUS a'SINGLE ounEr CIA. 20 EX. Occup. OUTLET OR FIXTURES tit � 1.00 .so' %DAPPLNs.OR Ex. Occup. ounEro REslo. E. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 . PERMIT FEE _ �- MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee S Energy Inspection =Fee S OCC CONST. TYPE TOTAL FEE $ 2 o• FEES IMP fL000 COF PARCEL PO HO ISSUE This permit is hereby Issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By Date PERMIT EXPIRES ON provisions to do work paid. 10) Receipt No. WHITE O.C.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT PROPOSAL and CONTRACT Telephone State License No. 805-227-4547 KILPATRICK CONSTRUCTION 407281 MOBILE HOME FOUNDATIONS EARTHQUAKE BRACING Dale We propose to furn Telephone materials and labor to—complete the following; .1 >V. 0c:1, Frices do not include permit costs. American Foundation Systs..r is not liable -for additional upgrades to meet 433(a)- requirements.-. .All of the -above work tro�be completed In a subslanllal and workmanlike manner according to standQop�aclices for Ilse sum of �'_� Dollars (s Z7 D� i "NOTICE TO OWNER" (Section 7018, 7019—Contractor3 License Law( Under the Mechanics' Lien law, any contractor, subcontractor, laborer, materialman or other person who helps to Improve your properly and Is not paid for his labor, services of material, has a right to enforce his claim against your property. This means that. after a cnurl hearing, your properly could be sold by a court olll- cer and the proceeds of the sale used to satisfy ilia Indebtedness. This can hnppen even If you have paid your own contractor In lull, It the subcontractor, laborer, or supplier remains unpaid. Under file law you may protect yourself against such claims by filing, before commencing such work of Improvement, an original eonlracl for the work of lmpinvement or a modification thereof, In Ilia office a the county recorder of 1110 county whore file w000rly Is situated and requiting that a eorllractot's payment bored tin re- corded In such office. Said bood shall be In an amount not less than Illly percent (50%.) of the eonlracl price and shall. In addition to any conditions for Ilia' of the contract, be condl• lioned for the Payment In lull of the claims of all persons furnish. Ing labor, services, equipment or materials for the work described In said contract. Respectfully s6bmilled, KILPATRICK CONSTRUCTION 672 Serrano #10 San Luis Obispo, Calif 93401 (805)544-1248 Lic. # 407281 Name and Registration Number of any salesperson who solicited or negotiated this contract: Name `l� No. ACCEPTANCE You are hereby authorized to furnish all materials and labor required to complete the work mentioned In Ills above proposal, for which_ :;Tagree to pay the amount mentioned In sad proposal, posal, and according to the terms thereof: . �eQK • kyr = ��� z► .. . ST�PNA� r C 2E/ Ail - Owner's NameACCEPTED: 4-5!(Owne('s Signature) 3 d '4 '1 ff C—/LS % W Street Add rass Contractorsare req red•by law to be licensed and reg- 17A � ��� cam• 9��1�-i ulated by the Contractors' Slate License Board. Any ques- Cit� � state ^ zip lions concerning a contractor may be referred to elle /7 registrar of the board whose address Is: %O L L.an? 0A:�9;1.s V E lace of Business' Contractors' Slate License.Board '1020 N Street Dale• I 19 Sacramento, Calllornia 95814 10" 10" 01 6 Xv dEyp. 3 , ♦IP��, 1" TYP.-+-*' 1/4" PLATE BASE PLATE DETAIL NO SCALE J tfQ°. w U\ ♦��PR gyp• O o` 0 2-1/4' t 3 B ~ L' 2-1/4" TYP. 1/4" PLATE BASE PLATE DETAIL FOR AFS—CP PAD S NO SCALE 1-9/16" ROD WELDED TO GRIPPER BASE PLATE. 1/2" FILLET BELOW OR PLUG WELD ABOVE ---- 1-1/8" X 1-3/4"S HEAVY TUBING. 1/4. FILLET/ BOTH SIDES f 4- 2-1/2'� W a J I�a e I 10� 9/16" DIA. TVP. "91/4" ROAD, WELDED OR PUNCHED DIMPLES GRIPPER PLATE DETAIL NO SCALE O NON• O O 9/16" DIA. TYP. GRIPPER' BASE PLATE DETAIL GRIPPER PLATES - SEE DETAIL 1/2" X 2" MB TYP. t/4" BASE PLATE - SEE DETAIL NO SCALE _i/2"X5" THREADED ROD. 1/4" FILLET WELD BELOW OR PLUG WELD ABOVE TO BASE PLATE 2" O.Q. SCH 40 PIPE WITH 1/2" HOLE �— 1/2" HOLE FOR LOCKING PIN - TYP -2-1/4" O.D. SCH 80 PIPE -- - 4 -3/8" CADMIUM -PLATED MB TYP.. INTO CAST -IN-PLACE FERROL INSERTS, AFS-CP6 AFS -PCP PADS [NOTE E:AFS-CP PPF7 IPAAICNASINHAVE 2-1/2" B AFS—EL-9 SIDE VIEW NO SCALE DESIGN LISTED AND TESTED BY BSK 6 ASSOCIATES WAYNE T. POLVADO, PE - LISTING NO. F01600438 Q�pFESS/O* .t -3"--t4 QUO S. POz GUSSET SUPPORT �' ATTACH SECURELY TO y 9O C PLATE DETAIL MOBILE HOME SUPPORTS Z GIRDER -TYP a N . C 1110 a NO SCALEup. 01 1/2" X 3" STEEL PIN WITH LOCKING KEY 0 9Z AFS -PCP PAD SHOWN TYPICAL INSTALLATION DETAIL NO SCALE 3" COLLAPSED 9" STD. MAX. 13" TALL MAX. 8" STD. 12" TALL O.b. TYP. AFS—EL9 FRONT VIEW NO SCALE • Ty�.'2t .4a�oaragv_ 6O. 01Zi,-/N0-e,PA? • ;lArriaL - 60Q -;'/a op llrivA - 3300 A mWUEHOME FoY u.sR sYs1M: HEALTH AND SAFETY CODE. SECTION JgW A P P R O V E D SUBJECT TO CORRECTIONS NOTE W—al cf a •oI aae,er4o " ePP " a" omh6m o. dr mk new- of qMj &k SIM La mW .epoloaoe Sane o1 CaL%mW oopamae"I of Mmmo and Commmiy D.wbpm.m OMSI CODESANDSTANDARDS Date ..r,.e1 SPA NO. 3—LC Q�1/•, / '%;s Plop A . o.cl _ 19% CO No. 1658 a a ral f � FOf CAUfOgy�P ek PE' ANENITj1 ,`F'OUNDAT 1 ON SYSTEM A S-EL9,ST�AND� T AFS -WP, AF St" AN[7'-A F,SfCP PADS I W I LL I AM A_&SOML�'ERMEYER _IL_JI C I V I L ENG IfNEER 1173-0 EL CAMINO REAL - ARROYO GRANDE CA 93420-2554 RCE 11658 e■p.12/31/96 (805) 489-5380 --PATENTS PENDING-- MARCH 1996 SHEET 1 OF 3 SHEETS 36" 1-1/2" TYP. 1-1/2" TYP r, d r 8" B" 8" © C9 0 ryaN AFS-EL9 STAND TOP VIEW 2" X 28" X 1 /8" STRAP - 2 EA - TYP 0 0 _ o 0 EXT PL WOOD, OLKANIZ SEO ro o O 0 1/2" CADMIUM -PLATED CARRIAGE BOLT 8 EA- TYP BOTTOM VIEW f2" CLIP @ 45" TYP. 1" X 2" X 1/8" X 28". TYP. 1-1/8"$ 36" J SIDE VIEW AFS—WP PAD NO SCALE .4 r1-1/2" TY 36" 1-1/2" TVP a CAST -IN-PLACE FERROL INSERTS FOR 3/8" CADMIUM -PLATED MB 4 EA - TYP ` M1SN p0`YESZEM1 QES1N r CONCRESE Y0`yhE1L o 0 END VIEW TOP VIEW END VIEW 2":t 36" SIDE VIEW AFS—PCP PAD NO SCALE AFS-EL,' STAND I 11 10" PPFI-1/2 - 2 EA _ SEE DETAIL TOP VIEW 3-5/16" 1-15/16" 1-3 B' 45" SIDE VIEW AFS—CP PAD NO SCALE STD IFI -I2" HEX COUPLINC "UT T .4__ ' • ' . ' 3-5/16" I AI-vr-PFFI-V2 12 EAI 5 - 02 REBARS TRANSVERSELY @ 7" O.C. t/"- FILLET WELD 2 - 4X" -II - OR APPROVED EQUAL -EAC. SIDE 4 - f3 REBARS @ 5" O.C. OR APPROVED EQUAL AFS—CP PPFI-1/2 DETAIL REINFORCING DETAIL NO SCALE 0 END VIEW NO SCALE --PATENTS PENDING -- "It DESIGN LISTED AND TESTED BY BSK :ASSOCIATES WAYNE T. POLVADO, PE - LISTING NO, F01600436 ���E� pROFFSS��h�l SOnfy.E 3 N 11552 m Alf Of 01 CALIFO&�\P P E R MAN EN T FOUNDATION SYSTEM AFS-EL9 STAND AFS -WP, AFS -CP AND AFS -PCP PADS WILLIAM A- S OMM E R M E Y E R CIVIL ENGINEER 1173-D EL CAM IND REAL - ARROYO GRANDE CA 93420-2554 RCE 11658 exp.12/31/96 (605) 489-5380 MARCH 1996 SHEET 2 OF 3 SHEETS G E N E R A L N O T ES 1. DESIGN LOADS: ROOF LIVE LOAD --20 PSF FLOOR LIVE LOAD --40 PSF WIND LOAD --80 MPH EXPOSURE 'C' SEISMIC ZONE --4 SNOW LOAD AS REQUIRED BY BUILDING OFFICIAL 2. THIS FOUNDATION SYSTEM IS DESIGNED TO BE CONSTRUCTED ON AN APPROXIMATELY LEVEL SITE. 3. CARRY ALL FOOTINGS DOWN TO FIRM, UNDISTURBED SOIL. FOOTINGS ARE DESIGNED FOR 1000 PSF TOTAL LOAD SOIL PRESSURE. Q. CHASSIS BEAM SUPPORTS SHALL BE LOCATED AND SIZED FOR THE LOADS AS SHOWN IN THE MOBILEHOME MANUFACTURER'S INSTALLATION INSTRUCTIONS. S. IN AREAS WHERE DIFFERENTIAL SETTLEMENT ID.S.1 CAN OCCUR, MANU- FACTUREDNOME SHALL BE READJUSTED WHEN D.S. EXCEEDS 1/4'. OR WHEN IT WILL ADVERSELY AFFECT MANUFACTURED HOME UNIT. 6. ALL PORTLAND CEMENT CONCRETE USED IN THE MANUFACTURE OF THE AFS -CP PAD SMALL HAVE A MINIMUM 7c • 3000 PSI 0 28 DAYS. 7. STRUCTURAL STEEL: FABRICATE ACCORDING TO AISC SPECIFICATIONS. WELD ACCORDING TO AWS SPECIFICATIONS. ELECTRODES --370 PLATES --ASTM A36 BOLTS --SAE GR.S a ASTM A449 a ASTM A372S 8. THE STAND AND PAD ASSEMBLIES SHALL BE LISTED AND LABELED BY BSK6 ASSOCIATES FOR THE FOLLOWING LOADS: HORIZONTAL 10748, VERTICAL $9701. 9. THESE STAND AND PAD UNITS ARE DESIGNED TO BE USED WITH MOBILE - HOME CHASSIS BEAMS OF STANDARD SECTION EQUAL TO OR GREATER THAN W8X101. ANY OTHER SECTIONS SHALL BE FIELD ENGINEERED TO ADAPT TO SECTIONS ACTUALLY ENCOUNTERED. 10. EXISTING COACHES MAY BE RETROFITTED TO RESIST SEISMIC FORCES BY INSTALLING THESE UNITS AS SHOWN ON THE TYPICAL FOUNDATION PLAN. 11. MULTIPLE -UNIT INSTALLATION IS ACCEPTABLE PROVIDED THE NUMBER OF AFS UNITS MEETS THE REQUIREMENTS SHOWN ON THIS SHEET AND THE PLACEMENT AND INSTALLATION PROCEDURES ARE FOLLOWED PROPERLY. 12. FOR LONG DURATION SNOW LOADS, USE APPROPRIATE NUMBER OF ADDITIONAL UNITS AS DETERMINED BY THE FOLLOWING FORMULA: IILONG TERM SNOW LOAD a/FT') X (ROOF AREA SQ.FT.1) _ 5970 . USE EVEN NUMBER.OF UNITS ARRANGED 50% EACH OIRECTION. 13. ALL METAL COMPONENTS AND ATTACHMENT ITEMS SHALL BE PROTECTIVE COATED. 14. METAL SURFACES IN CONTACT WITH THE EARTH SHALL BE COATED WITH OREGON RESEARCH AND DEVELOPMENT COMPANY RUBBERIZED PROTECTIVE MEMBRANE -SNOW ROOF SPRAYABLE GRADE' OR APPROVED EQUAL. 15. FOR AFS -WP PADS. USE 1-1/8' EXTERIOR PLYWOOD WITH WOLMANIZED TREATMENT TO 0.60 PCF RETENTION WITH DRYING AFTER TREATMENT. 16. FOR AFS -PCP PADS. USE CONCRETE MATERIAL CONSISTING OF SAND AND GRAVEL AGGREGATE BOUND TOGETHER WITH A POLYMER AND REINFORCED WITH CONTINUOUS WOVEN GLASS STRANDS. THE CONCRETE THUS PRODUCED MUST HAVE THE FOLLOWING MINIMUM MECHANICAL PROPERTIES: COMPRESSIVE STRENGTH - 11.000 PSI TENSILE STRENGTH - 1700 PSI FLEXURAL STRENGTH - 7500 PSI THE MANUFACTURER MUST CERTIFY THAT THE MATERIALS HAVE BEEN TESTED TO THE REQUIREMENTS OF ASTM METHOD D-543, SECTION 7, PROCEDURE 1. SAID CERTIFICATION WILL GUARANTEE THAT THE CON- CRETE HAS CHEMICAL RESISTANCE AGAINST THE FOLLOWING CHEMICALS IN THE CONCENTRATIONS NOTED: SODIUM CHLORIDE 56 SULFURIC ACID O.1N SODIUM SULFATE 0.114 HYDROCHLORIC ACID 0.2N SODIUM HYDROXIDE O.IN ACETIC ACID S1 .KEROSENE PER ASTM 0-543 TRANSFORMER OIL PER ASTM O -S43 E S S E I _ i' NOM. I p1''1ttC0 8' NOM. . P1Lp51tt CLP St N'Q�o ^ SUPPORT AS B O REQUIRED S YMANUFACTURER- TYP. STANDARD MH FOUNDATION PIERS - AS RECO/01ENDED BY THE MANUFACTURER OR THE ENGINEER - TYPICAL THROUGHOUT. RELDCATE AS NECESSARY - TYP. PADS IN ANY PAIR MAY BE ROTATE 0 �•-,y 90' TO AVOID CLEARANCE PROBLEMS 0 PLAN FOR 12 AFS SUPPORTS OR LESS PLAN FOR MORE THAN 12 AFS SUPPORTS TYPICAL PERMANENT FOUNDATION PLANS NO SCALE E - 2' MIN / 6' MAX S e 6' MIN / 24/ MAX NORMAL LOADS SNOW LOAD 0 NO. OF WIDTH LENGTH UNITS 10' TO 37' 4 1 38-58' 6 10' 59-78' 8 12' TO 32' 4 33-50' 6 51-68' 8 12' 69-85' 10 13' TO 30' 4 i 31-47' 6 48-64' 8 13' 65-80' 10 14' TO 28' 4 29-44' 6 45-60' 8 14' 61-76' 10 20' TO 32' 6 33-44' 8 45-56' 10 57-68' 12 20' 69-80' 14 24' TO 37' 8 38-48' 10 49-60' 12 24' 61-70' 14 26' TO 34' 8 35-44' 10 45-54' 12 55-64' 14 26' 65-73' 16 28' TO 32' 8 33-41' 10 42-50' 12 51-59' 14 60-68' 16 28' 69-77' 18 DESIGN LISTED AND TESTED BY BSK & ASSOCIATES WAYNE T. POLVADO, PE - LISTING NO. F01600438 0. PERMANENT FOUNDATTVF SYSTI AFS-EL9 STAND AFS -WP, AFS -CP AND AFS -PCP PADS WILLIAM•A- SOMMERMEYER CIVIL ENGINEER 1173-0 EL CAMINO REAL - ARROYO GRANDE CA 93420-2554 RCE 11658 exp.12/31/96 (805) 489-S380 MARCH 1996 SHEET 3 OF 3 SHEETS . R.ESIDEENTIAL_ lb -� 4 - - 6356 Amhurst, Magalia contr: Norman Reinertson Open deck/mh u rPr-2 wyCL I �- f C Nlt- cv '5111/1. JOB FINALED (Date) Signature.— J=OK O = Not OK _ = Not Applicable ='Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / P L" ft. / /"Nat. or/ /"L"ft./ /-LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card 6-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date ECKS OVERS, CARPORTS, GARAGES, (Plans)OK except #'s 0 -Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel ,a -Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date r1 10,0i $ Card B-1 GG Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓=OK O = Not OK = Not Applicable Not Ready RESIDENTIAL (EE = Date UNDERFLOOR (Plans) OK except it's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except ti's 16. Water Htr.: Vent -Access -Combustion Air -Baffle 17. Water Pipe: Test & Anchor -Nail Protection --- 18. D.W.V.; Test -Fittings & Anchor -Nail Protection ---------- --- -------------------- --- -- -19. Shower Pan; Test. First Floor -Tub Access 20. Test Tub & Shower. Second Floor -Tub Access ------------------------------ ---------------- 21. Gas Pipe: Size & Anchors -------------------------------------------------------------------- - Date Card B-1 Date Card B-1 ------------------------------------------------------------------ ------ Date Card B-1 Date Card B-1 Date ELECTRICAL'(Permit) OK except ti'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/Meth. Fastners-Bond Gas & Water ----------- ----------------------------------------------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI - - ------------------------------------------------------------ 28. Subfeed Wire Sizer r ga. Cu or AI-A.C. Wire Size ga. Cu or At ------ ---- - --- ----------------- ----- ---------------------------------- 29. Range Circ. / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No -------------- ----------------------------- -------------------------------- 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip Clearances -Panels-Motors-Mech. Equip. ----------------------------------------- - ---- 32. Clothes Closet Light -Shower Light -Spa Light --------------- --- --- - -- - -- - --- - ------ - ----- -------- 33. Smoke Detector --------------- ----------- - --- --- - ------------------------------- ------- - ---- - -- Date Card B-1 Date Card B-1 ----------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except ti's 34. A.C. Ducts Insulation & Support ----------------------------------------------- 7 --------------------------------- ------------- 35. ----------- ----------------------------------------------------------------- 35. Vent Fan: Exhaust above insulation 36. Conden=ate Drain & Overflow: Size & Grade 37. F-urnance-Vent:- --Access-Comb. Air -Return -Air Vent -1--15-5 outlet- ------ ------ ------------------------------------------ - 38 Attic Access & Platform if Furnance in Attic ------------------------------------------------------------------------------ - Date Card B-1 Date Card B-1 -------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except ti's 39. Sils. Proper Material & Anchors ------- --------------------------------------------------------------- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing ----------------------------------- ------------ ------------ - 42. Draft Stop in Walls (rat proof) --- - ------- ----------------------------------------------------------------- 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub -------------- -------- ----------------- ------ ----------- ----- ---------- ----- 44. Headers & Beam -Size & Bearing 'ingle & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings ____ 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection _54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer ------------------------- 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings ----------- --------- 60. Infiltration -Walls -Windows - -- ---------------------- Date Card B-1 Date Card B-1 ---------------------------- - Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except ti's 61. Ext. Steps -Door & Sidelight Protection -Landings ----------------------- 62. Smoke Detector 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meeh. Protection 64. Bedroom Exiting 65.--G.-F. L & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel: Breaker Sizes & Labels --------------- ------------ ----- -------------- 67 Stairs -& Rails 68. Fireplace or Stove: Clearances -Hearth - - -- - --- --- --- ----- --------------------- 69. Elec. Outlets at Wood Panel: Int. & Ext. - ------ ------------------------------ 70. Kit Fixt_& Appliance: Grnd_Air Gap -Cooking Clearance 71.Elec. Outlets & Receptacles at Kit. Counter 72. -Garage -Fire Door_Swing-Landing-Closer 73.-A.C.-Duct in -Garage -Damper 74. Wtr. Htr Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 75. Plb. Elec. & Mech._Equip. Listed for Location ----------------------------- 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection ---------------------------------- ------ 7 . Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor- ❑ Yes 80. Following instld.: Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No ------------------------------------------ --- 81. Stucco: Brown -Finish - -- -- ----------------------------- - 82. A.C. Unit: Disconnect. Electrical, Plumbing ------ ------------ -------------- - 83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings _ 84. Water Well; Disconnect, Electrical, Plumbing ------------ 85. --Exterior---Elec. -Trim;--G F.I. Receptacle -Underground -------------------- ------ 86. Ventilation Throughout House ----------------------------------- 87. Glass Protection -- - ------------------ ------- ------ ---------------- 8d. Corrections from Previous Inspections 89. Gas Test -Meters Tagged: Gas -Electric ­-------------- ------------------ 90. -------------- --90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates ------ ----------------------- Date Card B-1 ---------- --- --------------- Date Card B-1 Date Card B-1 Comments at Final: Date Card B-1 Date Card B-1 Date Card B-1 COUNTY OF BUTTE - DEPAFtTMEN,T OF PUBLIC WORKS v 7 County Center Drive - Orovllle, California 95965 - Telephone: 916,'538-7541 APPLICATION AND PERMIT Z.ERMIT NO. .A/1 / ASSESSOR PARCEL NUMBER 064-400-023 ZONING RT 1 BUILDING PERMIT If OWNER ERICK GREIM TELEPHONE 873-3751 SQ. FT. OCC, BUILDING VALUATION-' OPEN 370 2 590 OWNER'S MAILING ADDRESS 6356 AMHURST WAY MAGALIA 95954 CONTRACTOR'S NAME NORMAN REINERTSON TELEPHONE 877-3751 CONTRACTOR'S MAILING ADDRESS 6276 GRAHAM ROAD PARADISE 95969 Fireplace CONSTRUCTION NONE ONE UNKNOWN Total Valuation is 2,590 LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ 45.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 22.50 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 6356 AMHURST WAY MAGALIA 95969 Permit fee $ 82.50 PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. 12 SUBDIVISION NAME UNIT 5 PARCEL MAP Water piping 1 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehomeo Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G W @ 15.00 TYPE OF WORK New ❑ Addition YJ Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work: OPEN DECK Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 Main service 200ATO1000AI 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license IS In full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason DWELLING OCCUP.&) NEW CONST.OR ADDNS. (ACC. BLDGS. / 3.6Q sq.ft. NEW CONS TR ULTI.OUTLET _NO N•RES BRANCH CIRCUITS) @ 5.00 POWER APPARATUS 6 (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 76d FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 +– I Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling FHood 6.50 Ventilation Permit Fee $ L202ntractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree ave,Indemni a d keep harmless the County of Butte against all liabilit' s , g nts, sts and expenses which may in any way accrue against said ounty n co nce of the granting of this permit. t X Date k o -- QZ Signet a of ?Ap.,e ownerk Contractor ❑ Agent ❑ HA eis r ion of strHA es ov 3gstor�esoin excavations over 5'0" deep and demolition or construct- Mobile Home Installation Fee $ Energy Inspection Fee $ DCC CONST TYPE TOTAL FEES 82.50 H P FLOOD COF PARCEL PD IS This permit is hereby issued under sions of the Butte Coun Code and/or work indica abov f which fees I F PUBLIC By PEAMIlif EX IRES Date the applicable provi- resolutions to doAn have been paid. WORKS DateZ l-`�'Z- 117 4 1 `6 Receipt No. 7 WNITC-D.P.W„ YELLOW -ASSESSOR, PINK•INSPECTOR, GOLDENROD -APPLICANT TO Buildinc Departmen.t, CC FROM: Environmental Health SUBJECT: Sanitation Clearance - Owner Location AP# Plan Approved for: Sewage Disposal Water Supply Bold final for: Wates Supply Final clearance O.K. for: —���1Water Supply Clearan a for edroo m ile home. Other IC ��f� NOTE *** J'c N 4.,. COUNTY OF BUTTE ' DEPARTMEN-rdF PU9LIC WORKS - BUILDING DIVISION zl­ 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION,DATA SHEET OWNER P. No. Proposed Build in Use Z CG Building Inspector Date At timeof p mit application, I was advised the following data must be submitted prior to permit processing and/or issuance: -•" DATE RECEIVED BY 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . ........................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ................................. `........... 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. .......... . 10. Fees of$ .......................................... 11. Impact fees as shown on attached schedule . ............................... 12. California Department of Forestry plan approval/fees. ........................ 13. Flood elevation letter (100 year flood) by California Engineer . ... ............... . 14. Sanitation and plot plan approval Health Department . ........... . 15. City of Chico plumbing permit . ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). . . 20. Pre -Inspection reque� Pre -inspection for required. .. to Building Inspector + (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner _) . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization ......................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ........................................ 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements. ............ 31. Existing violations/expired permits....................................I.. . 32. Plan check list . ..................................................... 33. 34. When you issue the permit, process as follows: _Mail to owner. Mail to contractor. Telephone and hold for pickup atoffic Deliver with inspector. Other Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. T Xr Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date j ! 7__- Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works . - r��.?- r�ci�.^^.ltw,..sx-Bc��--��a-'s�'&�• �ae:"'i�,'�,; COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751' 7 County Center Drive, Oroville — Phone: 538-7541- 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. 1' Yf(Ln.., �nISffcsi44,rs_ Date 10-27- ti 3 Inspector /`i.�,(-s,_, & COUNTY OF BUTTE - Department of Public Works 7 County Center.Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. -1.I personally plan to provide the major lab r and at rials for construction of the proposed property improvement (yes o rw 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm)'to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following persor. to .coordinate, supervise, and provide the major work; • Name ' Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Securit ber Date §_1 —/' —yZ NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. _ This verification must be completed and returned to our office before we are per- mitted to issue the permit. I II I I : rtwt! J' -L• nn� ENVIRONMEENTP't !HEALTH Iv - � P AUG 13 1397 v `'aku ST b% zI This set of plans andtPe�p�� /'kept ort the job at all timnit Is on selmef wltht make any�'p=jssion l or alterations , from the Department 64 out writtePublic Works, County of Butte. Xvsj v -AD Materna s Workman S � ) nt:� vv+th Recogri ed Goo racticefs a iiity prescribed f the Sppe ifte� in B(ai�, Plumbin & lvlechanieal�uds eusd, mai ctrical C de. Location of str>uctures 1 r equipment shall be as shown b Gear of all easement. SO' Fa+ APPROVED _ J Butte County `��;�� Eriviro mental Health BUTTE COUNTY Q� ��5�. Date UI DING DEPARTMENT IL - - _ IL: nature c 1 Ll0 2i-) t COUNTY OF BUTTE BUILDING DEPT AUG 18 1992 1 c 1 Ll0 2i-) t COUNTY OF BUTTE BUILDING DEPT AUG 18 1992 6' fYP. ill-" -ren DI VIAnnn nn cvr UMN G. CLIP- _ L7, 2'x 12" STAIR 'STRINGER. 48'o.c..'MAX. RS ;. TDP VIEW H AIJDQAIL. NOT SHOWN FOR CLARITY. BOLT GIRDERS Y I'la" TSG PLYWOOD CC EXT: 2"x4" ` MOBILE HOME* 9n a OR DECK a MAX \ 4B" MTI-, FRMU ' MAX. CLIP (EA. DE L 9"MIN. y 4'x t_. 4°)t4" POST I!� ~. .! •, .. a ' Lx I`nn.a. Q _..q G UARDIZAIL -- - <Q,; #2D, °��. 2'x4" PRESSURE" TREATED OR 'MAX. DECKIIJG GIRDS `• BUTTE CO I�iY BOLTS RFDWOODPLATE A5T q"X9 POSTS 1 PREC PIER AD60ATE- DrAGONAL y BRACING. l C L D/VTAl STEPS ,env/RD�Cx TYP A REST / •�bW Y OF BUTTE - DEPARTMENT OF PUBLIC Wn KS cif j,' ' + 7 County Center Drive — Oroville, California 95965 14 x14 MIN. Foo'r ivG ,.. j Telephone: 538-7541 �... I jr -f Q IT I r (.*J I ?o UMN G. CLIP- _ L7, 2'x 12" STAIR 'STRINGER. 48'o.c..'MAX. RS ;. TDP VIEW H AIJDQAIL. NOT SHOWN FOR CLARITY. BOLT GIRDERS Y I'la" TSG PLYWOOD CC EXT: 2"x4" ` MOBILE HOME* 9n a OR DECK a MAX \ 4B" MTI-, FRMU ' MAX. CLIP (EA. DE L 9"MIN. y 4'x t_. 4°)t4" POST I!� ~. .! •, .. a ' Lx I`nn.a. Q _..q G UARDIZAIL -- - <Q,; #2D, °��. 2'x4" PRESSURE" TREATED OR 'MAX. DECKIIJG GIRDS `• BUTTE CO I�iY BOLTS RFDWOODPLATE A5T q"X9 POSTS 1 PREC PIER AD60ATE- DrAGONAL y BRACING. l C L D/VTAl STEPS ,env/RD�Cx TYP A REST / •�bW Y OF BUTTE - DEPARTMENT OF PUBLIC Wn KS cif j,' ' + 7 County Center Drive — Oroville, California 95965 14 x14 MIN. Foo'r ivG ,.. j Telephone: 538-7541 P14M -j 40 Se b - RESIDENTIAL r. 64-40-23 GRE 92-213 IM, Erick 2B,E 6356 Amherst Way„Magalia contrN Norm cabana/mh Rein'' 71131 q- e Cl4��vr �Q AV 11M JOB FINALE Signature til V=OK " Q=Not OK Not = Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s r 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete MISCELLANEOUS 4. Water; Location -Test -Easement Needed (Sketch) ` Date 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L -ft. / /"Nat. or/ /'L"ft./ /"LPG 7. Well Clearance & Disconnect � 8. Utility Clearance 4. Wood Awn.; Posts- Beam s-Rftrs.-Con nectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures Date _ Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date' MOBILE HOME INSTALLATION (Plans) OK except tt's 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector Date 6. Water; MH Test -Regulator -Connector Date 7. Water and Sewer Connected -C/O to Grade -HD Approval Date 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except q's 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel � 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beam s-Rftrs.-Con nectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except N's 1. Setbacks -Easements y 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI, 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip, w/5' Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Y � J=OK O=Not OK = Not Applicable . RESIDENTIAL (; = Not Ready 111. Date 4 FLOOR (Plans) OK except ff's Zon ing-Setbacks-Ease men is -Flood -Slope tg., Main; Soils-Elec. Grnd.-/k /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ft ., Porches & Decks; Soils -Steel-/ /Ftg. Depth temwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel- Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped je!l�rs-Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. P' nums & Ducts; Clearance -Material -Support -Ins. 1 Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date t and B-1 C5 Date Card B-1 Date laja9tard B-1 (ShJ Date Card B-1 Date PLUMBING (Permil),OK except ft's 16. Water Htr.: Ven t-Acc-94,S-Com bust ion Air -Baffle 17. Water Pipe; Test 18. D.W.V.; Test -Fitt Anchor -Nail Protection ---------------------- - - - s & Anchor -Nail Protection 19. Shower Pan: T st. First Floor -Tub Access 20. Test Tub & ower. Second Floor -Tub Access 21. Gas Pipe ze & Anchors Date Car B-1 --- Date - Card B-11 - ------------------- ------ - -------- Date Car 'B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ft's Fixture & Transformer Clearance -Ins. Protection le Receptacles Spacing -Lights & Switche_s at_D_oors ------------------------------------ ----- ----- ----------------- --------- 2 . iz . Boxes & No. of_Conductors-Stapled ---- - - - - ------------------- ------------ omex Installed Close to Edge of Studs & C.J. - - ------------------------------------- 26 E;•• #-Ground made Up w/Meeh. Fastners-Bond Gas & Water --------------- - ------------------------------------ �nce Circuts in Kitchen & Conductor Size!GFI ------------ - - ----------------------------------------------------------- ee Wire Size ! ga. Cu or AI-A.C. Wire Size ga. Cu or Al -------------------------------------- -------- -------------------------------------- �atTcJe Circ. ! r ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No -------------- -------------------------------------------------------------- _30 -Service -Riser Conductors & Ground -Main Disconnect --------------------------------------------------------------------- ------------ - q ­ui p_ Clearances Panels-Motors-Mech. Equip. 3a_,12.16thes Closet Light -Shower Light -Spa Light --- -- ---------------------- ------ ---------- ---- ---------------- 3 oke Detector fr f,✓---------- ---- - - ---------------- ------------------------------------- - - Date 1' Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) Ok except ft's 34. A.C. Ducts Insuj1Ation & Support ------------------------------ ------ve---- lation------------------------------- _ 35. Vent Fan: a-- above insulation - ----- ---- 36. Conde -ate Drain & Overflow: Size & Grade - 37. Fur nce-Vent: Access -Comb. -Air -Return -Air Vent _115 outlet ------------------------------------------ 38. lic Access & Platform if Furnance in Attic ---------- ------------------�--`-------------------------------------------- Date - C -�))- -ard B-1 Date Card B-1 --- -alt ---------------------------------------t ------------- ---------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except ft's 3 . ils. Proper Material & Anchors - - - -------- - - -- ----------------------------- ------ ---- -- 4 alts Studs -Nailing. Spacing & Bracing -Plates -Sound . - --- -- ---------------------------------- 4 earing Walls over Girders & Floor Nailing 4 -------------------------------- ---- ------------------ Draft Stop in Walls (rat proof) ----- --- ---- ---------------------------------------------------- Fire Stops: Furred Ceilings -Stairs -Chases -Tub ---------------- --------------------------------------------------------- Headers & Beam -Size & Bearing >ingle & Duplex) , Date FRAMING (Continued) --------4&.-Hgmgre-rs-Post Caps -Anchors -Connectors --------- -Cing. Joist-Rftr. ties-Purlin-root Bra c-Truss-Shthng.-Rfng. d.___2._5+PWace Ties or Type A Flue -Fireplace Throat clearance -C- A_+r_�Access; Size & Romex Protection -Draft Stop -Ins. Baffles :4g Rri Windows or Exiting Doors -Sill Hgt. & Dimensions 50 C_y.4ge Fire Protection Framing Sd--- Property Line Firewall & Openings 2 -Ex- . Doors -One 3' -Check Garage -3rd Story, 2 Exits ------- ,--53--SMrs: Width -Headroom -Rise -Run -Landing -Fire Protection S wood on Roof Overhang -Attic Vents -Rafter Outriggers 15/Siding-Nailing Veneer -- __---------- _ cco Mesh -Drip Screed -Fd. Vents-Underflr. Access Glazing Area -Glass Protection -Skylights -Plastic 91�ear Walls: Nailing -Bolts ------------------------ ,U- Lasulation-Walls-Ceilings 60. Infiltration -Walls -Windows ---------------------------- Date's r✓���jti Card B-1 42bJ Date _ Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except N's -^T1-E7t-61eps-Door & Sidelight Protection -Landings ----------- --- - --6i--Srr+oke — Detector 1 �d --�----------- �153-FRrn7n: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meeh. Protection ---------------------- e`dr�o-------------- -547 om_Exiting -------- & _ Bath Fixtures & Tub Access -Spa 66, tec. Trim & Subpanel: Breaker Sizes & Labels -------------------------------------- - B9"3taffs &-Rails or Stove: Clearances -Hearth lec. Outlets at Wood Panel: Int. & Ext. - -ix & Appliance: Grnd.-Air Gap -Cooking Clearance ; ^cutlets & Receptacles at Kit. Counter ---- -------------- ->~2-Garage Fire Door: Swing -Landing -Closer --------------------------- — 7J A C Duct in Garage -Damper --------------------------------------- ------ tr.. Vents -Clearance -Comb. Air-Connector-P.R.V. In rage: Above Floor -Meth. Protection 75.LPrb.,Elec_ & Mech. Equip. Listed for Location ---�6-L't2m Receptacles in Garage: (G.F.I.)-Romex Protection ----------------------------------------- �ulation - Foam- Looked in Attic ❑ Yes --------------------------------------------- •-48-hoard Rails & Deck Construction -Post Caps Fin. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes .......----------------------------------- - -------- 4-futtowing instld.: Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No: Planters ❑ Yes C1No - - ---- --------------------------------- -81-5TDm-o: Brown -Finish ------------------------------------------------ ------ -&Q-A Unit: Disconnect. Electrical, Plumbing - ------------------------------------ -- tt-Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings -8-4—WN[er Well: Disconnect, Electrical, Plumbing — :_-� xt --.-to------------ a Elec. Trim; G.F.I. F -.I —Receptacle- Underground --- ----------- d e ilation -- - Throughout House echProt-�------------- -----------------'- VEX -". o_..... ..... ---------------- r-rss ections from Previous Inspections ----------- -------------------- Gas Test -Meters Tagged; Gas -Electric --------------- Sewer Connected -C/O to Grade HD Approval -- 1. EnergyComptiance-Certificate. Other Certificates - -- Date Q and B-1 j,� Date Card B-1 -Date- __ ____ Card B_1 -- _Date — Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE S DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE �� _,2 /32 OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. . 4 —4 7 S a & -F-c � o ri O'f code- �1cfa%a tl�o •� YI2�f t, Snolid R/15<- o irr, C a �'� Qr/i RPGGirto/ �Gr l�'e �S ©/!e,# -S c brand Date Inspector jyf.y REV 11/81 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS, 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovil le — Phone: 538-7541 T s 747 Elliott Road, Paradise'— Phone: 872-6307 CORRECTION NOTICE, , OWNER �, � PERMIT -NO. f A routine inspection indicates that the following violations of County Ordinance exist at the above address and should. be corrected. Please notifysthis office when correction of work is completed. If you have any question pertaining to this ' matter, or need additional explanation, please contact this office immediately. sets ,s CL k '17 ,�i W� �� we_6ks r4 S�'rz� 6Gf f 4 Oh, Q l� S2 C ./ - 6114qz_4' - .,.-A specto,r COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT PERMIT NO. 4o�l332_1_> ASSESSOR PARCEL NUMBER 064i-400-023 ZONWG RT 1 - BUILDING PERMIT OWNER ERICK GREIM TELEPHONE 873-3751 SO. FT. OCC. BUILDING VALU I -N 135 R 7,290 OWNER'S MAILING ADDRESS 6356 AMHURST WAY 14AGALIA CONTRACTOR'S NAME NORMAN REINERTSON TELEPHONE 877-5439 CONTRACTOR'S MAILING ADDRESS 6276 GRAHAM ROAD PARADISE Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation $ 7,290 LENDER'S MAILING ADDRESS Filing Fee g $ 15.00 Permit Fee $ 82.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 41.25 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 6356 AMHURST WAY MAGALIA Permit fee $ 138.75 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. 12 SUBDIVISION NAME UNIT 5 PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehomen Other ROOM ADDITION ��rr SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK New ❑ Addition Q Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: _ AT)T)TNG 12' X 13' h" ROOM ADDITION _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): PS -1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code a d my license is in full force and effect. r � License No. Classification 8 . ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200A TO 1000AI NEW M CONST. DWELLING OCCUP OR ADDNS. ACC. SLOGS. II _37.50 3.6ssq.ft. 5,00 NEW CONSTR ULTI.OUTLET NO N.R ESID BRANCH CIRC ITS 5.00 POWER APPARATUS &\ SINGLE OUTLET CIR. I Ex. Occup( OUTLETS OR FIXTURES 20 76 Ex. Occup. OUTLETS IXED PIRESID IREA.T 1 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. �Virin g15.00 Permit Fee $ 20. )0 — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. $CL I shall not employ any person in any manner so as to become subject C-- to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling g Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also a ee to save, indem 'fy and keep harmless the County of Butte against all liab' hies, judgme s c sts, and expenses which may in any way a again said County ' equence of the granting of this permit. X ate -��� 7-- Si oture. of Dent - OWnerElContractor Agent ❑ An OSHAwork 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 S Energy Inspection Fee $ occ CONST TYPE OTQ EE $ 158.75 E IMP Qep ✓ Cpr� ✓ PAR P HD I This permit is hereby issued under the sions of the Butte County Code and/or e f r which fees O F UBLIC indicat ir BY -Dater] PERMIT EX IR Date applicable provi- resolutions to do have been paid. WORKS Receipt No. WHITE•D.P.W.• YELLOW-ASS[SSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT TO Buildina ;Department L I FROM: Environmental Health 1 SUBJECT: Sanitation Clearance ` �.�APDO OZ3 Owner Location Plan Approved for: Hold final for: Sewage Disposal Water Supply Water Supply Final clearance O.K. for:-. Water Supply Clearance for bedroom mobile home. Other 1-,2 , X �� NOTE * * * s -- ' 9 Z-- - �- Date Sanit 'an COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROrV�I�bl?,..CALIFORNIA 95965 - TELEPHONE (916) 538-754 PERMIT APPLICATION OWNER /%- I� `� Cy��L /k'/�• Proposed Building Use 44y✓/4 DATA SHEET Building Inspector A. P. No C5,— C - - %- z3 Date !' At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. 2. 3. 4. 5. 6. 7. 8. 9. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 'Al. 3344. All items have been submitted . ........................................ Plot plans, 3/4 sets, signed by preparer of plans . .......................... Complete plans, 3/4 sets, signed by preparer of plans . ...................... Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. Hazardous Material Form . ........................................... . Energy Design Compliance andsupporting documentation . .................. Statement of Intent for Nen,-Heated `and A/C Buildings . ............ .... . Engineered truss-d4C—ails and layout in duplicate (required prior to plan check). .... Mobilehome data and manufacturer's installation instructions, 2 sets. ........... Fees of $ Impact fees as shown on attached schedule . .............................. California Department of Forestry plan approval/fees. ........................ Flood elevation letter (100 year'flood) by Calif rnia Engineer ................... Sanitation and plot plan approval Health Department.- .:........... 2 �— City of Chico plumbing permit . ......................................... Plot plan and business license approval from City of Biggs/Gridley. .............. Planning approval for (A) Use: (B) Parking: . ........ Contact Land Development about (A) Improvements (B) Drainage. .......... . .. . . Driveway permit (construction approval required prior to occupancy). .. ..spe. ction Pre-Infr Pre -inspection for required. . . to 8d;ng lnsperedor �;; (Date) Contractor's license information. (No., Name Style, Classification) . .............. Certificate of Workmans Compensation Insurance . .......................... Owner -Builder Verification (Given to owner , Mail to owner_) ............ a` Recorded copy of Agricultural Acknowledgement Statement ................... Letter of signature authorization . ....................................... . Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . Letter of intent on building use . ........................................ . Mobilehome utility clearance . .......................................... Documentation of legal access. ........... . Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... Existing violations/expired permits . ...................................... Plan check list . .................................'.................... AG�'�r,� When you issue the permit, process as follows: Mail to c Telephone and hold for pickup at Other Parcel Creation Acreage Applica fail to contractor. office. Deliver with inspector. Date Copy of Haz-Mat form sent Health Dept. Fire Dept. v Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to per it issuance: (Circle new item not 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by ,� phone _ mail Counter by �u%Date Contractor, designer, owner, was advised of above required data by phone _ mail nter y _ Date Plans checked by Date Plans -approved by Date G Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 959651- Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER - ZONING BUILDING PERMIT OWNER TELEPHONE 973 - Y-1 SO. FT. OCC. BUILDING VALUATION Z N 'S M LING R SS S C /l, CONTRACTOR'S NAME 04M &! NP h 7`6061 T9LE �SE CONTRACTOR'S MAILING ADDRESS 69-9b— t0 ���,Inq ad Joh o 9P E Fireplace CONSTRU TION LENDER UNKNOWN Total Valuation $ Filing Fee $ LENDER'S MAILING ADDRESS Permit Fee $ Z.S ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ �� f Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water he r 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water he er or vent 5.00 USE OF TRUCT�URE I / SF❑ Duplex❑ Mobilehome Other/l/n0o/v /r --c1 �tYLi13!V! SPECIFY Gas piping sys m 1 - 5 outlets 5.00 Building s er 5.00 Mobile ome S I G W F10.00 ea TYPE OF WORK Nec�Wl CitionN, Remodel ❑ Utilities ❑ Installation[]Other ❑ Describe work: .A d ,n, 1/;0-!- n lC 1 -7 (_ _ P unit Fee $ Contractor ELECTRICAL PERMIT Filing Fee .046t�_�rf,`flCo,u Main service tOO AMP OR00V OR LESS10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): 25, 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. / %r<,C�✓a Classification �a ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING oCCUP.�` OR ACDNS. (ACC. BLDGS. / 2'/z2sgft S` NEW CONSTRES,., RANCH CIRCUITS) NON.R ESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS & (SINGLE OUTLET CIR. Ex. Occup(ourLETs OR FIXTURES BAL COQ AL®30 FIXED APLNS EX. OCCUp. OUTLETS PR (RESID IEA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. byirin g 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I I shall not employ any person in any manner so as to become subject �•�l to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3,00 Ventilation Permit Fee $ ContracL411, I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, ind mnify and keep harmless the County of Butte against all Iia ilities, judgme s, costs, and expenses which may in any way accrue again said Count i nsequence of the granting of this permit. C' Date ��— Q --- Signature of p Ic nt — Owner ❑ Contractor Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures'over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST TYPE n "ice TOTAL FEE $ HAz CUA PARK SCHL FLD PAR PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt ,No. WNITE-D.P'.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVIILE-,CALIFORNIA 95965 - TELEPHONE (916)5387541 OWNER/� J C i't C� /7 h !�� A. P. NO. /cz.Z_ PROPOSED BUILDING USEDATE / REC. # DATE REC (/ 1. School District Fees �y S (paid at District Office) 2. Sheriff Fees (paid at Building Department) Residential X =$ unit amt. Commercial(per sq.ft.) X =$ sq.ft. amt. 3. Urban Area Fees (paid at Building Department Residential (per unit) X =$ # units amt. Commerical(per sq.ft.) X =$. sq.ft. amt. 4. Recreation District Fees (paid at District Office) 5. Drainage District Fees (Contact Land Development) 6. Other 7. Other At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT4-114 n DATE 9-�— N 1 BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM '(One Form Per Building) School District (,�5� _ _ Building Department No. A.P. Number, C0 1 _4 0Jurisdiction City E / county Property Owner .. t G % _ j /-'!!I— Property Location/Address Subdivison/B a _�^� c S �^� Lot No. -��-------- - ----- r- Residential. Development U Sq. Footage No. of Living MHi Addition (Group R) Units Commercial/Industrial 0 New Building -Depart esentative _ Sq. Footage Addition (Including Exterior Roofed Areas) (Floor Plans reviewed by School District Personnel) District Identification No. _"(Z.=� 2S ZS Date School District certifies that �C a�'1 ��C.t my, -+6w, (Applicant) (Street Address) (Phone Number) (City) , (State) (Zip Code) has complied with the requirements of Resolution No. representing _ __.square feet. 'r School District Representative Paid by Check -Number Bank Number. Paid by Cash,-.... by payment of $ —6— %OlqZ Date If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to,, additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeformmkl (4/92) PERMIT NO. 2674-88P,E(MH) PERMIT EXPIRES OWNER ERICH GREIN CONTR. Paradise Modular Concepts ASSESSOR PARCEL 64-40-23 LOCATION 6356 Amhurst Way, Magalia t _TOP 1, YCLI FF OFFICE COPY 1 Address in3s H/Vjui�c� t GAS Meter Date_ ,Q3 ELECTT RIC �ZZ' — Meter sy 5 Date Temp. Power Pole . Called PG&E— Temp. Elec. Service Called PG&E _ Temn r:ac Qpmire JI = OK 0=Not OK yable MOBILE HOMES ' = Not Ready _ MISCELLANEOUS Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DECKS, COVERS,CARPORTS,GARAGES, (Plans)OK except #'s A!Zoning Requirements-Setbacks-Easements 1. Zoning Requirements-Setbacks-Easements . oils; Special MH Support-Sketch .2. Footings; Soils-Size-Depth-Spacing-Connectors-Steel ewer; Location-Test-Fall-C/O-Concrete 3. Decks; Girders and/or Joists-Decking-Bracing-Stairs-Rails mater; Location-Test-Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing lectricity; Location-Clearances-Grnd.-//0a/ Amp-Concrete 8!Gas; Location-Test-Wrap: / PV ft. / /"Nat. or/ PV'ft.,-_v//"LPG 5. Alum. Awn.; Columns-Connections-Splice-Decal-Enclosures 6. Carports; Windows-Doors -W—Utility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing=Veneer-Stucco-Mesh Card-81 DM55 , $ Card-B1 Date 10. Roof; Shthg-Roofing Card-81 (SG Date3-0 -96 Card-B1 Date 11. Ext.; Steps-Doors-Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s A!Zoning Requirements-Setbacks-Easements Card-B1 Date Card-81 Date ,2!Pootings; Size-Spacing-Marriage Line . Card-61 Date Card-81 Date .ar.'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 Water and Sewer Connected-C/O to Grade-HD Approval 3. Pool Structure; Steel-Connections-Thickness- Dead Men -Lining Gas and Electricity Tagged Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 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-81 1= Dated tj� Card-Bi Date Card-B1 Date Card-81 Date 9. Health Department Approval 10. Plumb.; Cir. Test-Water Supply Test Card-B1 Date Card-81 Date Card-81 Date Card-81 Date I = OK o = NotOK RESIDENTIAL (Single and Duplex) - =Not Applicable = Not Ready Date UNDERFLOOR (Plans) OK except #'s 1. Zoning-Setbabks;-Easements-Flood-Slope 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth _ 3. Ftg., Garage; Soils -Steel-/ P' Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel- Blockouts-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 Card -131 Date Card -131 Date Card -131 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle 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 -131 Date Card -61 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 Circuts in Kitchen & Conductor Size/G.F.I. 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Card -B1 Date Card -131 Date Card -81 Date Card -131 Date Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnace in Attic Card -81 Date Card -B1 Date Card -61 Date Card -131 Date Date FRAMING (Plans) OK except #'s 39. Sills, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Header & Beam -Size & Bearing Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation-Walls-Clg. 60. Infiltration-Walls-Wndws Card -131 Date Card -131 Date Card -131 Date Card -81 Date Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes -Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation throughout House 87. Glass Protection 88. Corrections from Previous Inpections 89. Gas Test -Meters Tagged; Gas -Electric 96. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates 92. Roofing Certificate Card -B1 Date Card -131 Date Card -131 Date Card -B1 Date Card -131 Date Card -131 Date Comments at Final: i - (NOTE: An entry must be made each time you visit job site) MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY'CENTER DRIVE OROVILLE, CALIFORNIA — 534-454 Address or location of mobilehome Owner's name Owner's address Insignia or hud number 8 Manufacturer's name d Serial number of V.I.N. (Official Approving Installation) PERMIT N0. Year of manufacture IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 513B White - Owner, Yellow - Installer, Pink - D.P.W. b, COUNTY OF BUTTE V DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747' Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE G CG -74-,93 OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address .and should be corrected. Please notify this office when correction of work is completed. if you have any question pertaining to this matter, or need additional explanation, please contact this office Immediately. �00\(-tn1P L.INrz ? y y a Inspector. /J Date 1647 COUNTY, -,OF BUTTE - DEPARTMENT OF PUBLIC WORKS • 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT } 1 , PERM)T N AS SSOR PARCEL NU ER — U — 3 ZONING %' / BUILDING PERMIT o . TELEPHO E SO. FT. OCC. BUILDING VA UATION 6N E R'S 1y1AI L1 DDRS '��• J TRACT 'S NAME p N OR' 1 N ADDRESS /NA I/ ��} Fireplace CONSTRUCTION LER UNKNOWN Total Valuation $ Filing Fee $ -{'- LENDER'S MAILING A ES _ Permit Fee $ i ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ; Energy Plan Checking Fee $ ARCHITECT OR ENGINE R'S MAILING ADOREss P�61�enalty ; BUILDING ADDRESS (N 44 Permit fee ; PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO.SUPP N NAME PARCEL MAP (by IV��/ Water piping 5.00 Each qas water heater or vent 5.00 USE OF UCTURE SF ❑ Duplex❑ Mobilehome Other sPECIFv Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home W O.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Installation❑ Other ❑ Describe work: - Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 8001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 a CONTRACTORS LICENSE LAW I declar nder penalty of perjury (check one): 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Profe 9 e an my license is in f i orce ai effect. � License NoG�� Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.SI OR ADDNS. ( ACC. SLOGS. , /20sgft NEW CONSTNON.RESID R. BRATCH CIRCT ITS2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20050t 8AL03o Ex. Occup. OUTLETS FIXED P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The ermit is for $100.00 (valuation) or less. have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 'Heating Cooling Hood 3.00 'Ventilation permit Fee ; Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the.County of Butte to enter upon the above-mentioned property for inspection purposes. 1 agree to sakeify and keep harmless the County of Butte against all Ii lities, I"osts, d expenses which may in any ay accrue against ountquenc fthe granting of this a it. Date Sign�.tu.f.Aplicant — Owner ❑ Contractor ❑ Agent An is required for excavations over 5'0" deep and demolition or construct- over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ �. oceu P. cow sT.Trac ISCHOOL F D PARC PD N 1390 «-- This permit is hereby issued under sions of the Butte County Code and/or work Indicated .above or which DI OF PUBLIC By P M T XPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date -9r 09 - Receipt No. cZO� WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION I 7 COUNTY CENTER DRIVE - ORc&ILLE, GALI.FOR;NIA 95965 - TELEPHONE: 916/534-4541 PERMIT -APPLICATION DATA SHEET /� Permit No. OWNER 2� / 02 A. P. No. <''Zo Proposed Building Use Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and:/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 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' Pla with Energy Design Compliance Statement. 46.— -�-- ["Fees Paid" Stamp on Floor Plan.�A r 7 -Statement of Intent for Non -Heated and AC Buildings, 8. Fees of $ , 9:. s 10.- Letter of signature authoriz�°n. . . . . Sanitation approval from �alth Dept. . . 11. Planning approval for (A) Use: - (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) , 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ), _15. Improvements may be required. , . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . 17. Pre-Inspec. request to (Date) Pre -Inspection for Required, Building Inspector , 18. �9. Recorded copy of Agricultural Acknowledgment Statement. Driveway Permit. 20. Plot plan;approval from city of sj 21. ,< 22. ^? Whe ou issue the rmit, r e as follows: Mail o owner, ��' ' •ckup Mifice, M 'I to contractor. Telephone and hold for at liver w/inspector. Other G App • t ate Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to mit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone_mail—counter by date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by�_).L_-- date Plans checked by Copy—DPW Date Plans approved by Sets of plans on hold in File cabinet AP folder Date r Hours: 10:00 a.m. - 3:00 p.m. TO: Building Department FROM: Encroachment Permit Section RE: Driveway Clearance owner location IAP # Driveway permit g gce�) % `= has been issued for the above property. si ature date a ti T'0.; Building Department r' FROM: Environmental Health r `SUBJECT: SANITATION CLEARANCE OWNER Plans approved for: Hold final for: Final Clearance O.K. for: LOCATION AP Sewage Disposal Water Supply Clearance for bedroom mobile home. Other o. Clearance for addition ofQ Not 4 A ��1 I Water Supply Water Supply DATE t�- TO Buildinv.Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposals Water Supply Hold final for: Water Supply Final clearance O.R. for: / Water Supply Clearance for _� bedroom mobile home. 'Other NOTE * Date- AP # & Ad -Z OWNER I &j t PERMIT -- ?—(s �% —n a MH UTIL.CLEARANCE DATE i INSPECTOR ELECTRIC GAS Support Struc. Compaction Test Re . Service Other Pipe Size Load Type Size Length YES NO YES NO SCJ q c COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS �7 County Center Drive - Oroville, California 95965 Telephone: 916/538-7541 APPLICATION -AND PERMIT r A E550� PARCL/NOUMB ER ZONING BUILDING PERMIT 00 SQ. FT. OCC. BUILDING VALUATION MR'S M ING A ESS v CON RACTOR'S AME p / / Pkrl O OR'S A' ADDRESS Fireplace CONSTRUCTION LEND R UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING AD' DRE_ SS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEE'S MAILING ADDRESS 11 Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 G" Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP r - Water piping 5.00. Each qas water heater or vent 5.00 USEOF S CTURE SF —1Duplex❑ Mobilehome Other sPECIF', Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea TYPE OF WORK New ❑ A 0ditio Reemmode/l Q �iIities [:J Instal lation Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service eo11 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW clarnBLDGS I deder penalty of perjury (check one): I am licensed under provision of Chapt. 9, Div. 3 of the Business and Profe to d and qly license is in I rce an fect. C.( License N o Classification r_1 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.EI A New CONSTLTII.OUTLET , h2sgft R.( U NON-RESID .BRANCH CIRCs) 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. / EX. Occup OUTLETS OR FIXTURES sA 030 Ex. DCCUp. OUTLETS P(RESID ) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ TjDhapermit is for $100.00 (valuation) or less. LIErThave placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Seif-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 g Hood 3.00 Ventilation permit Fee S Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. aree to save, in minify and keep harmless the County of Butte against all liabl ' ies, judgm nts, costs, and,Pxpenses which may in any way accrue against sai my i quence of t'he granting of this permit. \`1`. _ X Date Sig lure of Ap licant - Owne Contractor ❑ Agent An OS it is required for excavations over 5'0" d dgmolition or construct- tures over 3 stories in height. (O Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT F $ OCCUP. CONST.TYP! ecHo PLooD PARClL D HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT9R OF PUBLIC BVMIT �� P EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date _) Receipt No. a r�Q 00 WHITE-D.'.W.. LLOW-ASet:e SOR. PINK -INSPECTOR. L P N - .-r. .. ,.. .. ..... -.. r.. .- {: ;.. `.. .,.. .�. , -rrb;'-.r�if i`"•rs-'h./...f. «sr u✓ -,'mow .r y�rc. si, r ,. COUNTY. OFYBUTTE - DEPARTMENT -OF. PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE' - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534541 PERMIT APPLICATION DATA SHEET - y I Permit No / OWNER e" A. P. No.�O Proposed Building Use / ' S -L4 . i �' Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and:/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 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. Plaa� with nergy Desi n Cpm .I' rice Statement. 6. CUS�`� e s aid"' ta� Plan 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ , , , , , , , , 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. . . 11. Planning approval for (A) Use: (B) Parking: . 12. Certificate of Workmen's Compensation Insurance. . . . . . �x 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner0, Mail to owner ❑•), _15. Improvements may be required. . . . . . . . . . . . 16. Mobi lehome Installation Data. . . . . . . . . . 17. Pre -Inspection for Pre-Inspec. request to Required. Building Inspector 18. Recorded copy of Agricultural -Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval from city of 21. 22. N When issue the rmit, p cess as follows Telephone % ��5�� and hold Other Copy of plans sent Health Dept., The following data must be submitted prior to 1. Index permit for above items No. 2. Additional items required: ' Mai I to owner, Mai I to contractor, four=up airoffice, Deliver w/inspector. t to -i7 .,_ Other Date issopce: fgrcle new item not checked above). Contractor, designer, owner, was advised of above required data by_phone_mail—counter by Contractor, designer, owner, was advised of above required data by—phone—mall—counter—by. Plans checked Copy—DPW Date Plans approved by I. _ date — date Date Sets of plans on hold in File cabinet AP folder r / — Flours: 10:00 a.m. - 3:00 p.m. 11 BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM. (one Form per Building) A.P.'. Number Building Department No. School District city Q County Q Jurisdiction Property Owner Project Location/Address Subdivision Lot Number Residential Development: Sq. Footage # of Living MHI Addition (Group R) Units Commercial/Industrial: Sq. 6otage LL New Addition (Including Exterior.... Roofed Areas) Building Department RepresentatiVe Date Di^r,'ict.fd,No. School District certifies that (ApplicantName)\�Phone Number)' (Street Address (City) has complied�wit-hth, 'requ by the payment,,ofic (State is of Resolution No. School/Di7stricf-4kepresenta 7 (Zip'Code) epresenting square feet. ve bate PAID BY CHECK NO: REMARKS:* BANK 14QTS?�� K 0 kl) PAID BY CASH white -applicant, yellow -building department, pink -school district SCHOOL .FEE (5/88) * , J I • i nes set of plans and specitications /,AUJ i oe ' <ept on the job at all timos and it is unlawful. tc make any chwnges or alteration, on sar,rc withou+ written parn,isson from ;he Department of Pahl;, Works, Countv of Risft� _ NOTE:—All Materials & Workmanship Shall Be in Accordance with R .cognized Goon Practices and ' of a quc..l'I•y pro:,crii J for 6e S e:'gfied use -iii the Un',Ia-ra Plwi diva, Ply n-:—.ing P; Mechanical Codes and +he National 2ectrict:l Code. Wfilify @@Mttci flons shall be within wg #t ®# f110 mobilehon-ie, either dhOly ballind'or within the rear half _I7 the In mobilehome. �h \ 500 SC. FT. MINI UM 1 l o P FOR 'iLE f . I I � �O 3-5 (� I ' 1 P A/ Ile. i Orb i hike' CLQ lJ N I 1 centerline shall be clear of structures or equipment except "�l� ®IIV� �i`' , TMEN1 for a 2 ft. eave overhang. - N, A A p Y VED Y� r 4 ' ` d I, }�' 8e si a 2fv s gg N1 dry ♦ : w �enfY y sr S •� ��r&w � � rl' : y'?.�.`s., . ' �'' �. = � .. - .. . .F i �- b+, -+ tri T;�.+ a f M f. �y * rry,� •'r � _ � �, ".' ,_: •"{�'� +.�i� i � •c '•� �=� .x a .rYr � w ��;'..:i� r:t .Pr 'f t� r '' ,sF �•f t .:..t -.>e 'i• -•mow r.�—.,�:.,..c.�si ,..v4.e. k r.:-�.5`ir-,+.^r.+.;��. _` C ,�,Jj� �/�� � .-_� (''x >�r. v� aw4s � -:'S { �`i �t, _.� ,p V.'L„r.i`��.a� �-�e'"�+.FN a-ree..�e .. «L At a, c �#�"`�.. d. /N'T� G � �7. /. '� .. • . 1i -V � � �", �.i �r, a�i'�' r l�v a��; .,f ,.r•:= F'# ".nr a. 4 ..,y 'rye � .s.-. -.. ... ... .1!f,...✓�___. Y._.- _ . i�� _G. Al b..- /.'_'� .7.+.-`�t ._ Jr�r yi.. lih.=._th..�_.�wt .a 0 BUTTE COUNTY DEPARTMENT OF -PUBLIC WORKS 7 County Center Drive, Oroville, CA 'PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET Owner's Name: Installer's Name • PARADISE MODULAR CONCEPTS, INC Is the site currently undePr4�Pi4itCf. 95969ies No Er PHONE: (916) 871.8541 r (If yes, furnish permit number Vi 7 L - � O ) OR Is the site an existing site? . Yes F] No 2 (If yes, furnish two plot plans.) 4.. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes Er No (If no, clarify 5. What is the mobilehome electrical rating? --------------- d Amps 6. What is the mobilehome site service rating? ------------ c;2 oy 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) No 1. Er (Amps) 9. What is the mobilehome site gas pipe size? -------------- 10. What is the type of gas service - Natural LPG I 11.. What is the gas pipe length from meter or tank to the mobilehome?---------------------------------------------- BUT 12 -CO NIA (ft.) _ * 12. What is the mobilehome gas demand? -------------------- (BTU) BU1LD►ING, a I M �e=.1 6 ft.n *(This information not required if pipe length less than o .natural gas or less than 50 ft. on LPG.)A PP � F: n M Ttt Lilil 1 ��I►tL-�, 1�-, i�. ��L�f� Zuni 3I� t3EG1�, SUPPORT PIERS CAPACITY FOOTING SIZE O CAPACITY F_O.OTING SI 2000# 12"x24"(In 8000- 481lx2411. 4000- 241lx24" s.1 10, 000# 601lx24" 6000# 36"x24" ' FOR FIELD SUPPORT DETAILS, SEE DWG'S. S-1 and S-3 OF INSTALLATION MANUAL. Oar 61. )DTII: krr(-P J; II' -(JX I21 -o1 o flLl-ry F' d'ri IZI-vy LJJ 6r �� I GOLDEN WEST • ��.'•'I� SO•Q. FT" HOMES OMSflit ounufnuu to 9191 suttruto.Et.tsar 'ttJ`a:tst TITL79"o CARPET LAYOUT AND RIDGE MODttNo.' BEAM FIELD SUPPORT PIERS tw4F-l-Q3 i DRAWN B♦II23•b oOjNyw,G NO. 1 •V✓� �J J Z /I Lilil 1 ��I►tL-�, 1�-, i�. ��L�f� Zuni 3I� t3EG1�, SUPPORT PIERS CAPACITY FOOTING SIZE O CAPACITY F_O.OTING SI 2000# 12"x24"(In 8000- 481lx2411. 4000- 241lx24" s.1 10, 000# 601lx24" 6000# 36"x24" ' FOR FIELD SUPPORT DETAILS, SEE DWG'S. S-1 and S-3 OF INSTALLATION MANUAL. Oar 61. )DTII: krr(-P J; II' -(JX I21 -o1 o flLl-ry F' d'ri IZI-vy P(. �� I GOLDEN WEST • ��.'•'I� SO•Q. FT" HOMES OMSflit ounufnuu to 9191 suttruto.Et.tsar 'ttJ`a:tst TITL79"o CARPET LAYOUT AND RIDGE MODttNo.' BEAM FIELD SUPPORT PIERS tw4F-l-Q3 i DRAWN B♦II23•b oOjNyw,G NO. 1 •V✓� �J J REVISED B♦ / If other than single wi Nobilehome Mfr.y/►'� No. ZL Y� furnish Setup Model Width Q(ft.) Box Lengtha_(ft..)••Tagalong or Expando Size __ft. r. 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 othervise specified. oot in s (check one; Single 1. Wood either P ressure treated i A foundation grade. MV (ft.)( n.)' (in.) (in.) 2. Other• (specify) Center su port Center support locatio * footing sizes Su ort (check one; (in') 1. Concrete block. •2. Other (specify) I � (in.) (in.) Tagalong or Bxpaado, show .support details. (in.) (in.) X31> -- Typical Support (in.) (in.) Footing Size (ft) in.) (in.) (in.) ! s'— -- Max. Pier Spacing Max. ang� (ft.) (in.)(in.) (in.) (ft.)(in•) �O *If center.piers are other than c-. -n above, draw in locations, spacing, and ensions. L BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's Name: is the mobilehome electrical rating? --------------- 2. Installer's Name: C 6. What is 3.. Is the site currently under permit? Yes c� Amps No F] What is (If yes, furnish permit number} site circuit ) OR Amps Is the site an existing site?.. Yes F No (If'yes; furnish two plot plans.) 8. 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yea site service? No ❑ r (If no, clarify 5. What is the mobilehome electrical rating? --------------- U v Am s P, 6. What is the mobilehome site service rating? c� Amps 7. What is the mobilehome site circuit breaker rating? Amps 8. Is there any other electric load to be served by the mobilehome site service? -------------------------------- Yes No .(If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas -pipe size? ------=------- - � in. ( .) 10. What is the type of gas service? ------------------- Natural LPG 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------------------- a r'_(ft.) * 12. What is the mobilehome gas demand? ----=------ ----------- (BTU) *(This information not required if pipe length less than 6 ft, on Q natural gas or less than 50 ft. on LPG.) /�ff!(,yg,R/rpy/t� /sj��8/ BUTTE COUNTY BUILDING DEPARTMENT C.&Vrmcn . "bri f -f/10 . A. P R O V ED SruX To P hV4,A/s& For - PIG(C�/P r-/7 -AFI .Z l If other than single gide ,tv°-Mobil ehome Mfr.�ob) �.QJ Lfurnish Setup Model No.�' J_) Year ylidt(ft.) Box Length '7' d (ft.) .Tagalong or Expando Size ft. x ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October .7, 1973, furnish manufacturers installation manual and 'structural setup sheets (if not on file with the County of Butte). All center supports measured from front of — mobilehome unless otherwise specified. Footings (check one Single 1�1. Aood either pressure treated foundation grade. VX3 1. (ft.) in;)' (in.) (in.) ❑ 2. Other' (specify) Center upport Center support locati ns* footing sizes Supporta (check one. (') dl . Concrete block. ❑ •2. Other. (specify) (ft.in.) (in.) (in.) E—Tagalong or Rxpandn, show .support details. (in.) (in.) 8410 x -- Typical Support in. (in.) Footing Size 1 (ft.)(in.) (in.) (in.) I -- Max. Pier Spacing J 40 Max. Ove : hang (ft.) in.) (in.) (in.) (ft.')(in.) ---- BUTTE COUNTY :BUILDING DEPARTMENT *If center.P iers are other than c-:•-n above, APPROVED draw in locations, spacing, and ens ions. D r� V 0 C m V ca C co C Z 0 0 O D rn I�IJIr-�� — I7 -GV L -7-(o 0..)- . l3 — tDpol — 1 - 0 T1 61!" "ivsAj.sor—4-a475� CA2'ACITT 20009 .00TWC snt 12"x24" G.ACITT 4000 COOT VIc 5121 24"x24" CAPACITY 'QnTOIc sn. 6000# 36"x24" 2a.AcITT IOOT.G sn[ 8000n 48"x24" .: CARPET LAYOUT AND RIDGE g4p Golden West Homes 13EAM FIELD SUPPORT PIERS :2500.S. Walnut -Albany, Oregon.97321 Drawing Title cA►AUT� roonllcsltt FOR FIELD SUPPORT DETAILS, Stt Ww%0'a. - t 0 000 60"x24" and S-3 OF INSTALLATION MANUAL'.- , Date Re -visions Model Dwg. No. j NOT COMPARED WITH ACR- _ _ ' ' `"?;�'T_ kCh'ti0t:'LEDMtEVT C3RiGiNP,E DQCUphEh1I C t r:ST_ :;:' tL ,►i:'.l/F.LOp�i T t �c - -ode ;uires this acknowledgement - J bu'_ding permit. 55-027559 2rc_a is adjacent to land or included --• - _ :cuLtural purposes, and residents of c}' tzz=y to inconventence9 or discomfort arising i>. �sF: z :cultural chemicals, including, but not limited to herbicides, .., rciliL rs; and from the pursuit of agricultural operations including, plowing, spraying, pruning, and harvesting which occa- ��'.^__atz Smoke, noise, and odor. Butte County has established agricul- Ea -, ach have as a priority use for productive agricultural purposes, and ztlnes and on adjacent property should be prepared to accept -such from normal, necessary fart operations. - perty situate in the County of Butte, -State of California, A.P. 64-40-23 The 1snd referred to herin is described.as follows; all that certain real property situate in' the County of Butte,' Unincorporated, State of California, Described as follows: Las I12 , as shown on that certain Map entitled, "PARADISE PINES COUNTRY CLUB" FSTVAT-M, UNIT NO. 5 which Map was recorded in the office of the Recorder of tbe, `: City of Butte, State of California on August 20, I977, in Book 35 of Maps,; at Pages 88, 90, 90, and 9I. 1SC PTLNG THERFROM all minerals, o 1, gas, ashpaltum and other hydrocarbon �sbj��ces with provision that any and all mining operqtions shall be done arca oificies outside the surface areq of the land described herein and .aat =o damages shall be done to the surface of said land, ��� PROPERe az4NE� : 1 _A3 r. V?W CU_ffU* _-,aA10; COMMONWEALTH LAID - 11 5S. TnU INRBe ANN eonvAW deity =4'='moi lb•� ,bdoren.-, the undersigned Joan Menzel personany � s ;=%,"ase a& �a%me dI SMd5db_=Wy e•idencel to be the person wbose name is subscr�ed to the within Instru_ to ! tem= as a R"VM22., w4w mag by me duly savor . deposes and says: '� g s 1 CO t n fi j7 and that she was present and saw , personally known to her im =3d wbose name--l—'a— sabea-tbed to the within and annexed Instrument as fart 3z thereto, execate aad debcer ` a ' .drdaed to said atf mt that zs camt said affiant sulses�d •etttmtunt ..�� atter thereto as a tZ`itaess: a OFFICIAL SEAL I-TTNESS Z7 lmzd ma _ !MARY ANN ROSS ' rta TAaY aust.t o>M .- , - . "' � '`:z Fav �' �.,,-t�. .fie w .r� 11 •e�9 �-:' ... RESIDENTIAL-; r - - ,. 4 40-23 2991-9_OB,E i GREIM, Erich 6356 Amhurst, Magalia ` (pvt.garage); J r t E h fr. , JOB FINALE Signature v=ok O=Not OK -=Not Applicable ' = Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L" ft. / /"Nat. or/ P L" ft./ /"LPG 7. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKSiCOVERS, CARPORTS, RAG Plans OK except #'s o9ip4'Req u i rements-Setbacks-Easements 4e -Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms-Rftrs.-Coonectors Shthg: Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date1-1Y--&' Card B- Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Pane Iboards- Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply; Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 V OK O=Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks -Easements -Flood -Slope 45. Hangers -Post Caps-Anchor3-Connectors 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. ties -Pu rlin -roof Brac-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel -Bloc kouts-Wrapped 50. Garage Fire Protection Framing 6a. Hold Downs and Special Anchors 51. Property Line Firewall & Openings 7. Slab; Steel -Wrapped 52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits 8. Piers -Fireplace Ftg.-Steel 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 10. Gas Pipe; Size -Anchors 55. Siding -Nailing Veneer 11. Water Pipe; Test -Anchor -Regulator -Service Test 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 12. Electric; Underground 57. Glazing Area -Glass Protection -Skylights -Plastic 13. Pienums & Ducts; Clearance -Material -Support -Ins. r 58. Shear Walls; Nailing -Bolts 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 59. Insulation -Walls -Ceilings 15. Insulation 60. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Date Card B-1 Date Card B-1 16. Water Htr.; Vent -Access -Combustion Air -Baffle Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchor -Nail Protection 61. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 62. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa Date Card B-1 Date Card B-1 66. Elec. Trim & Subpanel; Breaker Sizes & Labels Date Card B-1 Date Card B-1 67. Stairs & Rails Date ELECTRICAL (Permit) OK except #'s 68. Fireplace or Stove; Clearances -Hearth 22. Fixture & Transformer Clearance -Ins. Protection 69. Elec. Outlets at Wood Panel; Int. & Ext. 23. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 24. Size Boxes & No. of Conductors -Stapled 71. Elec. Outlets & Receptacles at Kit. Counter 25. Romex Installed Close to Edge of Studs & C.J. 72. Garage Fire Door; Swing -Landing -Closer 26. Equip. Ground made up w/Meth. Fastners-Bond Gas & Water 73. A.C. Duct in Garage -Damper 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Meth. Protection 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 75. Plb., Elec. & Mech. Equip. Listed for Location 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral 0 Yes 0 No 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic 0 Yes 30. Service -Riser Conductors & Ground -Main Disconnect 78. Guard Rails & Deck Construction -Post Caps 31. Equip. Clearances Panels-Motors-Mech. Equip. 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector 80. Following instld.; Drive 0 Yes 0 No; Walks 0 Yes 0 No; Planters 0 Yes 0 No Date Card B-1 Date Card B-1 81. Stucco; Brown -Finish Date Card B-1 Date Card B-1 82. A.C. Unit; Disconnect, Electrical, Plumbing Date MECHANICAL (Permit) OK except #'s 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to " Openings 34. A.C. Ducts Insulation & Support 84. Water Well; Disconnect, Electrical, Plumbing 35. Vent Fan; Exhaust above insulation 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 36. Condensate Drain & Overflow; Size & Grade 86. Ventilation Throughout House 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 87. Glass Protection 38. Attic Access & Platform if Furnance in Attic 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval Date Card B-1 Date Card B-1 91. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s Date Card B-1 Date Card 8-1- 39. Sils, Proper Material & Anchors Date Card B-1 Date Card B-1 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound Date Card B-1 Date Card B-1 41. Bearing Walls over Girders & Floor Nailing Comments at Final: 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing each time you visit job site) (NOTE: An entry must be made COUNTY OF BUTTE - DEPAR'TMENT OF PUBLIC WORKS 7 County Center Drive - Orovilde, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PE MJT NO/ Q n/1 ASSESSOR PARCEL NUMBER 64-40-23 ZONING RT -1 BUILDING PERMIT OWNERy nG Ericreim AILIING TELEPHONE 873-3751 SO. FT. OCC. BUILDI VALUATION 280 M 3,920.00 OWNER'S ADDRESS 6356 ArnhurstWay, Ma alfa CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 3,920.00 LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ 44.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 22.25 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 76.75 PLUMBING PERMIT Filing Fee 10.00 6356 Amhurst Ma alia Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. 112 SUBDIVISION NAME PPCC #5 PARCEL MAP Water piping 5,00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex F-1 Mobilehome❑ OtherPrivatePrivate Garage SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New n Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work: Garage Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service V OR LE 100 AMP ORSLESS 10.00 Main service EA. ADD'L too AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BuslnesS and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code77 for this reason NEW CONST. DWELLING OCC "P,&)OR OR ADONS. ( ACC. BLDGS. 7.00 NEW CONSTFL MULT'-OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) SINGLE OUTLET C'R. Ex. Occu p OUTLETS OR FIXTURES 200500 9AL030 ED APPLNS. Ex. Occup. OUTLETS ((RESID.)REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $17.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State'Laws relating to building c truction, hereby authorize representatives of the Countyot Butte to ent r pon the o e mentioned property for inspection purposes. I also agre /savk,i denify and keep harmless the County of Butte against all liabiliti sm n , costs, and expenses which may in any way accrue agains sa' Ci consequence of the granting of this permit. X - Signa re of A p is nt - Owner Contractor ❑ Agent ❑ An $HA per i 's required for exc vations over 5'0" deep and demolition or construct- ion of structures oveer73 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 5 HAz cuA PARK SCHL FL P This permit is hereby issued under sions of the Butte County Code and/or work indicated abov for which fees DI C R O PUBLIC BY PE IT EXPIR S ate the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. ` ®3 Lel WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF 13UTTE - DEPARTMENT' OP"IPUBLIC WORKS - BUILDING DIVISION � 1 7 COUNTY CENTER DRIVE-4ROVILLE, CAL'IF,ORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT `APPLICATION DATA SHEET Permit No. OWNER .) l'/-/ rAA E, 62 A. P. No. Proposed Building Use pt/IT &!5 C. Building Inspector "� Date 2 49' At time of permit application, I was advised the following data must be submitted prior`to permit processing and/or issuance: —to DATE RECEIVED APPROVED 1. All items have been submitted . ........................ ......... lot plans in duplicate/triplicate, signed by preparer of plans........ — ?,.,Plot plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered'truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ......:................. 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... School District fees paid.. . 4. Sanitation approval from 4raR440is t Health Department �' 2it � C s -J 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW ' 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec.request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at �% off' c ,. 7DeljVer w./inspector. 4 Other Applicant <f-- ate �' � Z-4 Copy of Haz-Mat form sent Health Dept. Fire Dept..' I it Pollution Date Copy of plans sent �-lealth Dept. _Fire Dept. Other Date By The following data must be su6mitte r it l� it iss �(Circl new 'tem not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone_—nall—count r by ..date Contractor, designer, owner, was advised of above required data by_phone_mall_coun er by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder 'Y Copy—DPW • TJ Building Department FROM:'- r Environmental Health SUBJECT: Sanitation Clearance r till Anly q0 ej Owner -- Location AP# Plan Approved for: Sewage Disposal _ Water Supply Hold final for: - Water Supply. Final clearance O.R. for: -`Water Supply Clearance for bedroom mobile home. Other NOTE *** Sanitarian ate COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovllle, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PZ ASSESSOR PA CEL NUMBER `-(- 410-� 2 ZONIN 9--- I BUILDING PERMIT OWNER �Rc-t /r Fz'in-i 1� TELEPHONE �3—37�/ SO. FT. OCC. BUILDING VALUATION OWNER'SMAILING ADDRESS C 3 H u Rrf- L14 LZ g2� CONTRACTOR'S NAME T EPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER __ UNKNOWN Total Valuation $ ' LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE ND. Filing Fee $ 10.00 Permit Fee Plan Checking Fee $ $ -X ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit tee $ 6 '? 3 5'-6- . � y tj /tSO— PLUMBING PERMIT FllingFee 1 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO.SU I � - BDI VISI NAME ���� PARCEL MAP Water piping 5.00 Each qas water heater or vent 5,00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other !?/1 9/*A �3G-� 1� S IFr Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New [9/Addition❑ Remodel[:] Utilities[] Installation[] Other ❑ Describe work:_ -)14.4w—,e— I _ i Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service iARSooMPOLESS 10.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract - ors. (Sec. 7044) ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main service EA, AOD'L 100 AMP 2,50 oa ADDNST \ OWEACCLLI OGOCCUPM S.I 21/:¢sgft t LET NEW NON.RESID coni-sTR ULTIBRANCH .UUTCIRC ITS 2.50 ea ( POWER APPARATUS e) SINGLE OUTLET CIR. Occup(OUTLETS X Ex. Occu Ts oR FIXTURES 20 @!s oe eAL030 E FIXF_D APP Lr15. OR Ex. Occup. OUTLETS IRESID.I EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ - WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Ft ling 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 Countyof Butte to enter upon the ove-mentioned property for inspection purposes. 1 also ag ee to save, nde nify and keep harmless the County of Butte against all liabili't' s, dg Ent , costs, and expenses which may in any way accrue against s Id C n I onsequence of the granting of this permit. Date P Z r — �?o Sig lure Applicant — Owneif L&I Contractor E)Agent ❑ A 05H pVN ermit is required for excavations over 5'0" deep and demolition or construct- 'on b( sy times over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST TYPE qq TOTAL FEE $ . 7� /3 HAz CUA PARK ISCHL FLD PAR PD HD IssuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No._ "7O 'S`-11 WNITC-O.P.W.. YELLOW -A111111011. PINK -IN 9PCCTOR, GOLDCNROO-APPLICANT COUNTY OF BUTTE - Dgpartment of Public Works 7 County,Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. el. I personally plan to provide the major labor and ater als for construction of the proposed property improvement (yes or no) . 2. I'(have/moi �i signed an application for a building permit for the proposed w irk. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise nd provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Sign NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit.