HomeMy WebLinkAbout064-560-031k
64-56-31
John A. Roderick
40 Racine Cir. ,lot 130', Unit#10,Maga.
cont% FulleN Construction, Magalia
Permit ELEC.7 �,39-76P,E(util.,Mll)
7 S' /Ja��
GAS 0 d"!
3JPP0 STRUCTURE Q. A/R
COMPACTION TEST REQ.
-` - - 64-5 -
contr: Paradise ular Concepts, Par
Permit #386^ MHI
Issued -mop-
' 64-56-31
Permi't #5368s7.6B.(®®dey®k/MH)
64-56-31
Permit #5983-78B(new carport/MH)
VL-� /o -ca. -I --yl
WORK, EUGENE
14116 RACINE CIRCLE, FAL
MAGALIA
CONTR: TRI -FRAME % - -
GAS LINE S
B07-1729 064-560-031
RESIDENTIAL SFD-Mobile Home RET
RETROFIT MH PERM FND p?��
14116 RACINE CIR
JAR.ZOMBF.K, AMRFR
.1308-0299 L' 064-560-031
MISCELLANEOUS Roorri'Addn-First Stry
'CABANA ADD TO MH (14 X.8),4
14116 RAC NE CIR'
HUNT, CLINT,& SHANNON -G r
6
31
tl
,
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #:(530) 538-7541 FAX#: (530) 538-2140
WEBSITE: www.buttecounty.net\dds
PROJECT INFORMATION
Site Address: 14116 RACINE CIR
Owner:
Permit No: B08-0299
APN: 064-560-031
HUNT,
CLINT & SHANNON G
Issued Date: 05/09/2008 By KCG
Permit type: MISCELLANEOUS
14116 RACINE CIR
Subtype: Room Addn-First Stry
MAGALIA, CA 95954
Expiration Date: 05/09/2009
Description: CABANA ADD TO MH (14 X 8)
(530) 873-0257
Occupancy: Zoning: R-1
Contractor
Applicant:
Square Footage:
DAVID WASNEY
Building Garage RemdVAddn
1280 ORCHARD WAY
112
CHICO, CA 95928
Other Porch/Patio Total
(530)519-9648
112
FEE INFORMATION
DBEH Building Review Fee $78.90
DBF Room Addition - First Stor $192.77
DBFH; E Fire Inspection (SRA) $107.00
DBFIRE Fire Inspection (SRA) $107.00
DBFIRE SRA Fire Plan Review (S $107.00
DBMSC Room Add -1st Story 250sf $289.15
DBOMSCF Fire Safe Standards Re $118.98
DBSMIP Residential $0.73
Total Charged: $1,001.53 Fees Paid: $1,001.53
Balance Due: $0.00 Receipt No: B7284
LICENSED CONTRACTOR'S DECLARATION
OWNER / BUILDER DECLARATION
Contractor (Name) State Contractors License No. / Class / Expires
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License
Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that
requires a peril to construct, alter, improve, demolish, or repair any structure prior to its issuance,
also requires the applicant for such permit to file a signed statement that he or she is licensed
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9
(commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license
pursuant to the provisions of the Contractors License Law [Chapter 9 (commencing with Section 7000)
is in full force and effect.
of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the
X
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects
the applicant to a civil of not more than five hundred dollars
05/09/2008
penalty [$500];
Please check one of the following:
Contractor's Signature Date
❑ I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE
COMPENSATION, WILL DO THE WORK AND THE STRUCTURE IS NOT INTENDED OR
OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractors License
Law does not apply to an owner of the property, who builds or improves thereon, and who does
WORKERS' COMPENSATION DECLARATION
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
HAVE AND WILL
the work himself or herself or through his or her own employees, provided that such improvements
❑I MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR
are not intended or offered for sale. If, however, the building or improvement is sold within one
WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the
year of completion, the owner -builder will have the burden of proof that he or she did not build or
performance of the work for which this permit is issued.
improve for the purpose of sale.).
AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by
❑ section
Section 3700
1, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED
CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code:
of the Labor Code, for the performance of the work for which this permit is issued.
My Workers' Compensation insurance carrier and policy number are;
The Contractors License Law dows not apply to an owner of the property who builds or improves
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the
Contractors License Law.).
Carrier: Policy Number: Exp. Date:
(This section need not be competed if the permit is oris or one hundred dollars ($100) or less.
I AM EXEMPT under Section B. & P.C. for this reason:
(n}.CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS
ISSUED, I shall not employ any person in any manner so as to become subject to the Workers'
Compensation Laws of California, and agree that if I should become subject to the workers'
05/09/2008
compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those
w e Date
provisions.
X 05/09/2008
1 hereby certify that I have read this application and state that the above information is correct. I agree
to comply with all City and County ordinances, rules, regulations, and State laws relating to building
Sign Date
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless
Butte County, its officers, agents and employees from any and all claims and liability for personal
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION,
injury, including death, and property damage caused by, arising out of, or in any way connected with
the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the
DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND
ATTORNEY'S FEES.
use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte
County to enter the above me coned property for inspection purposes. I hereby certify that I am the
p ow r or am au o ed act on the property owners b alf. �_
^ 05/09/2008
J
CONSTRUCTION LENDING AGENCY
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for
e o i ee ] Pint Date
the performance of the work for which this permit is issued. (3097 civ. code)
Owner ❑ Contractor OR. Agent for Owner DAgent for Contractor
FILE COPY
Lender's Address City State Zip
-Butte County Department of Development Services
TIM SNELLINGS, DIRECTOR I PETE CALARCO; ASSISTANT DIRECTOR
7 County Center Drive
Oroville, CA 95965
(530) 538-7601 Telephone
(530) 538-2140 Fax
www.buttecounty.net/dds
OWNER -BUILDER INFORMATION
An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified.
For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed
by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from
possible liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by
law to put their license number on all permits for which they apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and
protection:
° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire
project and such persons are not licensed as contractors or subcontractors, then you may be an employer.
a If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal
n income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions.
There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance.
° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business
Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial
Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through thier own employees,
without a license contractor or subcontractor, only under limited conditions.
A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is
providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work
personally.
Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321
-CLSB (2752) or by accessing thier website at www.CSLB.ca.gov.
PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE
AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED.
OWNER BUILDER VERIFICATION
PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING
PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED.
1. I PERSONALLY PLAN TO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY
IMPROVEMENT OR NO)
2. I (HAVEVE NOT IGNED 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_DnO C,- nAU],;n 1
ADDRESS CITY
PHONE CONTRACTORS LICENSE NO
4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE
THE MAJOR WORK:
NAME
ADDRESS CITY
PHONE CONTRACTORS LICENSE NO
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
Description: CABANA ADD TO MH (14 X 8)
Reference Number: B08-0299
Applicant Name: DAVID WASNEY
Owner's Name: HUNT, CLINT & SHANNON G AP # : 064-560-031
Signature of Property Owner: !A ,_ Date: 6 —<- — 0
r
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION"
OFFICE #: (530) 538-7541 FAX #: (530) 538-2140
A FEE WILL BE REQUIRED AT TIME OFAPPLICATION
Website: www.buttecounty.net/dds
PLEASE PRINT CLEARLY
PERMIT
NO.
BIN #
"When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information
related to this application is subject to public inspection and will be posted on the County's website for electronic access.
OWNER INFORMATION
Last Name
First Name 1 M �S
f/
Mailing Address, /i I 1 /b G vg_ Lv/2 ,
`i i
City � `t
State
Zip �sciZ
Phone
Fax
E-mail
ARCHITECT/ENGINEER
CONTRACTOR
Name
City�I�
Address
/
Zip 59,
�JJ
City
Fax
State
Zip
Phone
Fax
E-mail
Lic. #
Class
ARCHITECT/ENGINEER
Name
Address U
City�I�
Stat
e
/
Zip 59,
�JJ
Phone �r
Fax
E-mail
State License Nu er
APPLICANT INFORMATION
Name i
Address �L�O
City
S?A !
Zip GE
Phone` �/
F(axx�1 ` Iq 66
E-mail "y C
PPL CANT 1GNATURE
X
PROJECT LOCATION
AP# 6-�
Property Address 706
City ✓VM4�4
L 14
WORKER'S COMPENSATION
Policy Number
Carrier
If hiring anyone other than licensed contractors, a certificate of
worker's compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
DESCRIPTION OR SCOPE OF WORK:
M ' aZ- LIJ aL6
_
Flood Zone
I SRA
Yes No
Sq FT- Livi /IZ Garage Open Cov
Structure Built without Permits
Proposed Change of Occupancy
(Note previous use):
For office use only:
Zoning
_
Flood Zone
I SRA
Yes No
Occ.
Type Const.
R � e
` -0
Butte County Department of Development Services
TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR
7 County Center Drive
Oroville, CA 95965
(530) 538-7601 Telephone
(530) 538-2140 Fax
www.buttecounty.net/dds
*PERMIT APPLICATION DATA SHEET"
Reference Number:
B08-0299
Date:
02/21/2008
Location:
14116 RACINE CIR
By:
KCG
Parcel Number:
064-560-031
Sub Type:
Room Addn-First Str
Owner Name:
HUNT, CLINT & SHANNON G
Phone:
(530) 873-0257
Description:
CABANA ADD TO MH (14 X 8)
E
The above permit application has the following Clearances required prior to permit issuance. Please contact each department
indicated below regarding specific requirements pertaining to your permit application.
Yes
No
DRAINAGE DISTRICTS
❑
❑
Thermalito Irrigation District, 410 Grand Avenue, Oroville CA 95965 - (530) 533-0740
1:1
❑
LOAPUD, 1960 Elgin Street, Oroville CA 95966 - (530) 533-2000
E:]
❑
City of Chico, PO Box 3420, 411 Main Street, Chico CA 95927 - (530) 879-6700
PARKS & RECREATION DISTRICTS
❑
Chico Area Recreation District, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711
E
Durham Park & Recreation District, 9447 Midway, Durham CA 95938 - (530) 345-1921
Feather River Recreaction & Park District, 1200 Myers Street, Oroville CA 95966 - (530) 533-2011
Recorded copy of Agricultural Acknowledgment Statement- See Attached Instructions
Paradise Parks & Recreation, 6626 Skyway, Paradise CA 95969 - (530) 872-6393
SCHOOL DISTRICTS
Biggs Unified School District, 300 B Street, Biggs CA 95917 - (530) 868-1281
Chico Unified School District, 1163 East 7th Street, Chico CA 95926 - (530) 891-3006
❑ City of Biggs Planning Department, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447
Other: e S
(2—;Se---1J
Other:
"When filed, this application and all s p orting material beco es subject to the California Public Records Act. All public
information related to this application is sub' ct to public ins tion and will be posted on the County's website for electronic
access.
Signature of Property Owner: Date: 02/21/2008
FILE
Durham Unified School District, 4920 Putney Drive, Durham CA 95938 - (530) 895-4675
Gridley School District, 429 Magnolia, Gridley CA 95948 - (530) 846-4723
Marysville School District, 1919 B Street, Marysville CA 95901 - (530) 741-6000
Oroville Elementary School District, 2795 Yard Street, Oroville CA 95966 - (530) 532-3000
Oroville Union High, 2211 Washington Ave, Oroville CA 95966 - (530) 538-2300 Ext:105
Paradise Unified School District, 6696 Clark Road, Paradise CA 95969 - (530) 872-6400
OTHER
Recorded copy of Agricultural Acknowledgment Statement- See Attached Instructions
❑ City of Biggs Planning Department, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447
Other: e S
(2—;Se---1J
Other:
"When filed, this application and all s p orting material beco es subject to the California Public Records Act. All public
information related to this application is sub' ct to public ins tion and will be posted on the County's website for electronic
access.
Signature of Property Owner: Date: 02/21/2008
FILE
Butte County Department of Development Services
TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR
7 County Center Drive
Oroville, CA 95965
(530) 538-7601 Telephone
(530) 538-2140 Fax
www.buttecounty.net/dds
NOTICE TO BUILDERS
Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In
addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental
Health, and the California Department of :Forestry for their clearances and approvals. There are some things you can do to
expedite your permit:
0 Make sure your application is complete.
D Be responsive to requests from County departments for any additional materials or requirements.
The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes
without a complete application adds to processing time.
Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not
started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to
expiration an indefinite number of times, provided construction progress has been documented by the Building Division during
each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In
order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking
and documentation may be required. Upon completion of work covered by this permit, please contact this office for final
inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is
issued without a final inspection.
EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY"
Application for which a permit has not been issued will expire one year after date of application.
Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications
(not yet issued) must be requested within two years from the date of fee payment. Fees paid at the time of application are
for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn
before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge of
$54.99 to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration
of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any
refund amount) to determine no work was done.
Fee/refund information can be read on-line at http:Hmunicit)alcodes.lexisnexis.com/codes/butteco/
"When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information
related to this application is subject to public inspection and will be posted on the County's website for electronic access.
Reference Number: B08-0299
Location: 14116 RACINE CIR
Parcel Number: 064-560-031
Owner Name: HUNT, CLINT & SHANNON G
Description: CABANA ADD TO NIH (14 X 81
Signature of Applicant:
FILE
Date: 02/21/2008
Phone: (530) 873-0257
Date: 02/21/2008
Butte County Department of Public Works
J. MICHAEL CRUMP, DIRECTOR
LAND DEVELOPMENT DIVISION
Storm Water Managment Program
7 County Center Drive
Oroville, CA 95965,
(530) 538-7266 Telephone
(530) 538-7171 Fax
www.buttecounty.net/dds
National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm
Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment
[LESS THAN 1 ACRE 1
Reference Number: B08-0299
Location: 14116 RACINE CIR
Parcel Number: 064-560-031
Owner Name: HUNT, CLINT & SHANNON G
Description: CABANA ADD TO MH (14 X 8)
Date: 02/21/2008
By: KCG
Sub Type: Room Addn-First Str
Phone: (530)873-0257
By signing below, I the project owner/owners' agent, certify that this project WILL NOT DISTURB 1 acre or more
of land and that I therefore, do not need to apply for a Construction Storm Water Permit from the State of California
Regional Water Quality Control Board. Phased projects that contain multiple site buildouts of less than one acre but
when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm
Water Permit from the state of California Regional Water Quality Board.
I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water
Permit from the State of California Regional Water Quality Control Board for this project that disturbes one acre or
more of land may result in revocation of grading and/or other permits or other santions provided by law.
Signed: Z4 Date: 02/21/2008
Title:t`�
FILE
BUTTE COUNTY FEE SUMMARY
I County Center Drive
Oroville, CA 95965
Department of Development Services
Phone (530) 538-7541 Fax (530) 538-2140
Permit Number: B08-0299
Job Address: 14116 RACINE CIR
Contractor:
Printed: 02/21/2008 .
1:50 pm
Fee Description Account Number Fee Amount Paid Date Pmt Amt
DBEH Building Review Fee
0021-540013-4614901-1010 $78.90 02/21/2008 $78.90
DBFIRE Fire Inspection (SRA)
0100-450001-4617240-1010 $107.00
0100-450001-4617240-1010 $107.00 02121/2008 $107.00
DBOMSCF Fire Safe Standards Re
0010-440001-4210500-1010 $118.98
DBFIRE SRA Fire Plan Review (S
0100-450001-4617240-1010 $107.00 02/21/2008 $107.00
DBMSC Room Add -1st Story 250sf
0010-440001-4210500-1010 $289.15
DBF Room Addition - First Stor
0010-440001-4210500-1010 $192.77 02/21/2008 $192.77
DBSMIP Residential
1001-0-280-1011298 $0.73
Printed By: Kourtni Graham
1,001.53 $485.67
Balance Due: $515.86
At the time of permit application, was advised the above fees are required prior to issuance of the
permit. The7fem hnge g the plan checking process.
Signature: Date: 02/21/2008
Pursuant to Government code Section 66020, you are hereby notified those items listed above may have been imposed on your project. You have 90 days
from the date of approval of the project or from the impostion of the above referenced items during which you may request a protest. The requirments
for a protest are specified in Government Code Section 66020(a).
California Department of Forestry and Fire Protection
Butte County Fire Department
Fire Prevention Bureau
176 Nelson Avenue, Oroville CA 95965
(530) 538-7888 Office, (530) 538-2105 Fax
Reference Number:
B08-0299
Date:
02/21/2008
Location:
14116 RACM CER
By:
KCG
Parcel Number:
064-560-031
Sub Type:
Room Addn-First Str.
Owner Name:
HUNT, CLINT & SHANNON G
Phone:
(530) 873-0257
Description:
CABANA ADD TO MH (14 X 8)
To meet the requirements of Government Code section 51182 and Public Resource Code 4291, Butte County
requires a pre -construction inspection to pro -actively provide the below building and site requirements to the
property owner.
Your property is located within the State Responsibility Area (SRA) of Butte County. All development within the
SRA is required to meet the below requirements:
✓ Public Resources Code 4290
✓ Public Resources Code 4291
✓ California Building Code, Chapter 7A
✓ Butte County Improvement Standards
Requirements prior to scheduling the pre -inspection:
✓ Full plan submittal to Butte County Development Services -Building Division
✓ Driveway and building pad must be identified on site
✓ Structure location must be staked out on the building site
Requests for inspections shall be made a minimum of 72 hours in advance by calling the Fire Prevention
Bureau's 24 hour inspection line at (530) 538-6226, (When the recording comes on, enter the extension
number).
For the pre -inspections, the property owner or authorized agent is required to meet the inspector at the construction
site with two hard copies of the site plan.
I have read and understand the above pre -inspection requirements.
r
i
02/21/2008
Date Signature
All of the Fire Safe Requirements are posted on the Butte County Fire Department website at
hftp://buttefire.org/Fireprevention/protplan/protplan.html
Rev'd 5/7/07
FILE
California Department of Forestry and Fire Protection
Butte County Fire Department
Fire Prevention Bureau
17.6 Nelson Avenue, Oroville CA 95965
(530) 538-7888 Office, (530) 538-2105 Fax
Reference Number: B08-0299 '
Location: 14116 RACINE CIR
Parcel Number: 064-560-031
Owner Name: HUNT, CLINT & SHANNON G
Date: 02/21/2008
By: KCG
Sub Type: Room Addn-First Str
Phone: (530) 873-0257
Description: CABANA ADD TO MH (14 X 8)
To meet the requirements of Government Code section 51182 and Public Resource Code 4291, Butte County
requires a pre -construction inspection to pro -actively provide the below building and site requirements to the
property owner.;
Your property is located within the'State Responsibility Area (SRA) of Butte County
SRA is required to meet the below requirements:
✓ Public Resources Code 4290
✓ Public Resources Code 4291`
✓ California Building Code, .Chapter 7A
✓ Butte County Improvement Standards
Requirements prior to scheduling the pre -inspection:
✓ Full plan submittal.to Butte County Development Services -Building Division
✓ Driveway and building pad must be identified on site
:e location must be staked out on the building site
All development within the
Requests for -inspections shall be made a minimum of 72 hours in advance by calling the Fire Prevention
guteau's 24 hour inspection line at (530) 538-6226, (When the recording comes on, enter the extension
number).
For the pre -inspections, the property owner or authorized agent is required to meet the inspector at the construction
site with two hard copies of the site plan.
I have read and understand the above pre -inspection requirements. / Z
02/21/2008 ' `y JZ
Date Signature
All of the Fire Safe Requirements are posted on the Butte County Fire Department website at
http://buttefe re.ora/Fireprevention/protplan/protplan.html
Rev'd 5/7/07
APPLICANT V�
w,t
t f+.RTIFiCATION FORM , ,
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
r. 7 County Center Drive • Oroville, CA • (530) 538-7541
CORRECTION NOTICE
rt
Ted `] - 7Z q
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 call for re -inspection when correction of
h, work is completed. If you have any questions pertaining to this matter, or need additional
explanation, please contact the Building Inspector as indicated below.
o O L"I
/r/f .� r
Date i ` 0 Inspector /
'. REV 4/05 Phone # �� 6
C`
Et ..
` FOR RE -INSPECTION CALL: 538-7636 OR 891-2834
- r
r
BUTTE COUNTY AREA
DEPARTMENT OF DEVELOPMENT SERVICES 3
INSPECTION CARD MUST BE ON JOB SITE
24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico)
Office: (530) 538-7541 Fax: (530) 538-2140 Website: www.buttecounty.net/dds
Permit No: B07-1729 Issued: 8/13/2007
Address: 14116 RACINE CIR
Area: MAGALIA
Owner: JARZOMBEK, AMBER
Applicant: GERALD GLEN DOREMUS
Permit Type: SFD-Mobile Home RET APN: 064-560-031
Description: RETROFIT MH PERM FND
Flood Zone: None SRA Area: Yes
Front: Ultimate R/W from CL:
Rear: SRA:
Side: AG:
Other:
Total Setback from Centerline of Road:+
ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING
Inspection Type
IVR INSP DATE
Setbacks
132
Foundations / Footings
111
Pier/Column Footings
122
Grade Beams
114
Eufer Ground
216
Forms/Stee l/Holdowns
122
Do Not Pour Concrete Until Above are Signed
Pre -Slab
124
Gas Test House
404
Gas Test Yard
404
Masonry Grout
120
Masonry Bond Beam
119
Underfloor Framing
149
Underfloor Ducts
319
Shear Transfer
136
Under Floor Plumbing
412
Under Slab Plumbing
411
Gas Piping
403
Do Not Install Floor Sheathing or Slab Until Above Signed
Holdowns/Straps
122
Shearwall/B.W.P.-Interior
135
Shearwall/B.W.P.-Exterior
135
Roof Nail/Drag Trusses
129
Do Not Install Siding/Stucco or Roofing Until Above Signed
Rough Framing
128
Rough Plumbing
406
Rough Mechanical
316
Rough Electrical
208
Gas Piping
403
Shower Pan/Tub Test
408
Fire Sprinkler Test
702
Fire Sprinkler Final
702
finals
Building Finar
802
Electrical Final
803
Mechanical Final
809
Plumbing Final
813
Pool Final
802
Mobile Home Final
802
Ins ection Type I
IVR I INSP DATE
Do Not Insulate Until Above Signed
Wall Insulation
117
Ceiling Insulation
118
Do Not Cover Until Above Signed
T -Bar Ceiling / RC
145
Stucco Lath
142
Stucco Scratch
143
Stucco Brown
144
Swimming Pools
Setbacks
132
Pool Plumbing Test
504
Gas Test
404
Pre-Gunute
506
Pool ElecBonding/Light Nitch
502
Pool Fencing/Alarms/Barriers
503
Pre -Plaster
507
Manufactured Homes
Setbacks
132
Blocking/Underpft 'pg
612
Tiedown/Foundtffion System
611 'T , I
Site Utilities/Trench Insp.
137
Gas Test Yard
404
Manometer Test
605
Continuity Test
602
Skirting/Steps/Landings
610
Coach Info
Manufactures Name:
Date of Manufacture:
Model Name/Number:
Serial Numbers:
Length x Width:
Insignia:
Q
PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE. IF WORK HAS COMMENCED, YOU MAY PAY FOR A 1 YEAR
RENEWAL 30 DAYS PRIOR TO EXPIRATION
Inspector Copy O' x ( Q
7
)7
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #:(530) 538-7541 FAX#: (530) 538-2140
WEBSITE: www.buttecounty.net\dds
PROJECT INFORMATION
Site Address: 14116 RACINE CIR
Owner:
permit No: B07-1729
APN: 064-560-031
JARZOMBEK,
AMBER
Issued Date: 8/13/2007 By GLB
Permit type: RESIDENTIAL
524 CURIE DR
Subtype: SFD-Mobile Home RET
SAN JOSE, CA 95123
Expiration Date: 8/12/2008
Description: RETROFIT MH PERM FND
Occupancy: Zoning: R-1
Contractor
Applicant:
Square Footage:
GERALD GLEN DOREMUS
GERALD
GLEN DOREMUS
Building Garage Remdl/Addn
PO BOX 4121
PO BOX 4121
CHICO, CA 95927
CHICO, CA 95927
Other Porch/Patio Total
(530) 895-1774
(530) 895-1774
FEE INFORMATION
DBF MH Plan Check $233.56
DBMSC Mobile Home Permit Fee. $350.34
Total Charged: $583.90 Fees Paid: $583.90
Balance Due: $0.00 Receipt No: B4201
LICENSED CONTRACTOR'S DECLARATION
OWNER / BUILDER DECLARATION
Contractor (Name) State Contractors License No. / Class / Expires
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License
GERALD GLEN DOREMUS 445103 / C47 / 8/31/2007
Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that
requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance,
also requires the applicant for such permit to file a signed statement that he or she is licensed
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9
(commencing with Section 7000) of Division 3 of the u . ss and Professions Code, and my license
pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000)
in full a effect.
of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects
8/13/2007
the applicant to a civil penalty of not more than five hundred dollars [$500];
Please check one of the following:
Co rad Signature Date
E]I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE
COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR
OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License
Law does not apply to an owner of the property, who builds or improves thereon, and who does
WORKERS' COMPENSATION DECLARATION
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
HAVE AND
the work himself or herself or through his or her own employees, provided that such improvements
❑I WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR
are not intended or offered for sale. If, however, the building or improvement is sold within one
WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the
year of completion, the owner -builder will have the burden of proof that he or she did not build or
performance of the work for which this permit is issued.
improve for the purpose of sale.).
HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by
❑ Lection
❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED
CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code:
3700 of the Labor Code, for the performance of the work for which this permit is issued.
The Contractor's License Law dows not apply to an owner of the property who builds or improves
My Workers' Compensation insurance carrier and policy number are;
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the
Contractor's License Law.).
Carrier: Policy Number: Exp. Date:
(This s clion need not be competed if the permit is or ons a hundred dollars ($100) or less.)
❑ I AM EXEMPT under Section B. & P.C. for this reason:
CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS
ISSUED, I shall not employ any person in any manner so as to become subject to the Workers'
Compensation laws of California, and agree that if I should become subject to the workers'X
8/13/2007
compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those
Owner's Signature Date
vis
X /13/2007
-
I hereby certify that I have read this application and state that the above information is correct. I agree
to comply with all City and County ordinances, rules, regulations, and State laws relating to building
Signatur Date
WARNING: AILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless
Butte County, its officers, agents and employees from any and all claims and liability for personal
AND SHAL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
HUNDRE THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION,
injury, including death, and property damage caused by, arising out of, or in any way connected with
the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the
DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND
use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte
ATTORNEY'S FEES.
County to enter the above mentioned property for inspection purposes. I hereby certify that I am the
pe rtY o r or a al orized to act on the property owner's behalf.
CONSTRUCTION LENDING AGENCY
8/13/2007
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for
me of Pe a [SIGN] Prin Date
the performance of the work for which this permit is issued. (3097 civ, code)
,�, /
Owner I (.Contractor OR E]Agent for Owner ❑Agent for Contractor
FILE COPY
Lender's Address City State Zip
r`
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
0,� ° BUILDING PERMIT' APPLICATION
° ° OFFICE i#: (530) 538-7541 FAX #: (530) 538-2140
00 =' -=gat o A FEE WILL BE REO UIRED AT TIME OF APPLICA TION
C®���.� Website: www.buttecounty.net/dds
**PLEASE PRINT CLEARLY*
CONTRACTOR
OWNER INFORMATION
Last Name—{
City0—�
First Name
Mailing Address
C'vQ l M
City
D
State
Zip
Phone
Fax
Fax
E-mail
State License Number
CONTRACTOR
Name
Address
City0—�
State
Zi S g2
Phone 7Z
Fax 69>f'!
E-mail
Lic. # \ ,
Phone
Class
APPLICANT INFORMATION
ARCHITECT/ENGINEER
Name
City
Address
Zip
City
Fax
State
Zip
Phone
Fax
E-mail
State License Number
APPLICANT INFORMATION
Name
Address
City
State
Zip
Phone
Fax
E-mail
1 F�\ r'"' --,APPLICANT SIGNATURE I
PERMIT
NO. 1�
_�j
BIN # .
/
PROJECTLOCATION
Property Address 1 ` �jt� ,,G el /J
City �C
WORKER'S COMPENSATION
Policy Number
Carrier
If hiring anyone other than license contractors, a certificate, of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
DESCRIPTION OR SCOPE OF WORK:
x !silt/ W 0,-L/
Sq FT- Living Garage Open Vv
❑ Structure Built without Permit
❑ Proposed Change of Occupa
(Note previous use):
For office nly:
Zoning Flood Zone I A I SRA YD No
Occ. I I 4e Const.
Xi2 Foundation System
Installation Instructions for California
for Ground & Concrete Systems
HUD Wind Zone 1,
15 PSF Wind Load Seismic 4
By Tie Down Engineering
� 9 COUNTY
,0-vED
:,,�-CT
Xi2 Ground System
Xi2 Concrete System
Engineer Approval
State Approval
MANUFACTURED HOMEI MOSTLE HOME
FOUNDATION SYSTEM
HEALTH AND SAFETY CODE, SECTION 18331
APPROVED
SUBIBCT TO CORRECTIONS NOT13D
APPROVAL DOES NOT AUTHORIZE OR APPROVE ANY
OMISSIONS OR DEVIATION FROM REQUIREMENTS OF
APPLICABLE STATE LAWS AND REGULATIONS
Steto of California
bWabwd of Rossing a►d Comoaadtq bawstopatsat
p OF �p�,ES A—ND STANDARD
SYSDTE Q
SrAxa ar-.
This Pisa AppMow4 E*Maa
Page 1 of 8 3
......._............_..............................................._...._........__.-..........._.........._........................................................._..._.._........................................................................._..........................._......._............._ o . .
DOWN ENGINEERING • 5901 Wheaton Drive • Atlanta GA, 30336; ` TIE ME
X�rlo
Xi2 Foundation System
Installation Instructions for California
for Ground & Concrete Systems
HUD Wind Zone 1, 15 PSF Wind Load Seismic 4
By Tie Down Engineering
REQUIREMENTS
• These plans and specifications meet the requirements of Title 25 Section 1336.3 Sub Section A and 97 UBC Seismic
Requirements, CBC 2001 addition.
• Maximum vertical projection at sidewall is 9'. Higher walls may be used when the design loads are
adjusted accordingly and approved by HUD.
• Main rail spacing must be 75.5" 99.5" * Except single sections 95" minimum
• Additional vertical anchor ties that are unique to a home's design may be required by the home manufacturer. These
locations may include shear walls, marriage line ridge beam support posts, and rim plates. The longitudinal component
of the Xi2 system replaces end frame ties. Check manufacturers set-up requirements.
• Maximum pier height is 48" pier. *Except for single sections 36".
• Steel piers must be fastened to the I-beam with clamps provided with steel pier.
• Systems must be placed as evenly as possible, no more than 10' from end of home.
• Designed for 7:12 roof slope. *Except single sections, (20 4.37 in. 12" pitch).
Additional Requirements for Concrete Systems
• Poured concrete must be 2,500 PSI minimum at 28 days.
• Square concrete pads minimum is 18" wide by 12" deep. Round concrete pads minimum is 18" wide by
14" deep. Strip footings minimum is 18" wide by 14' long by 6" deep.
* X12 components exceed HUD code 3280.306g "Anchoring equipment exposed to weathering shall have a resistance to
weather deterioration at least equivalent to that provided by a coating of zinc on steel of not less than 0.30 ounces per
square foot of surface coating...."
Page 2of8
12l -r-,4e- S7l4/a;
4
0
r
0
0
Installation of Xi2 Ground Systems
1. ' Identify the number of systems to be used on the home using the chart provided.
2. Identify the location where the systems will be installed.
3. Clear all organic matter and debris from the pad site.
4. Place U -bolts through holes in pan provided.
5. Place pad centered under beam with the lateral strut bracket towards the inside of the home.
6. Press or drive pan into ground until level and flush with prepared surface.
7. Build pier according to State, Local or Home Manufacturers guidelines. (Figure 1)
8. Attach the end of the smaller tube to the inside of pan using U -bolt & nuts provided
9. Attach the flag end of the larger tube to the opposite I-beam using the "J" bolt over the top of the I-beam
with the nut & washer provided. (Figure 2)
10. Install a minimum of four (#12 x 1 " tek screws) self -tapping screws into the holes provided in the lateral stmt so
that the two tubes are connected together. (Figure 1)
1-3/4" Tube
Lateral Struts
1-1/2" Tube
4-#12x1"
Tek Screws
U -Bolt & mounting
Bracket
M
J -Bolt Nut & Washer
110)
I -Beam Figure 2
end)
11. Install frame bracket clamps to I-beam on in
side of block/pier. Do not tighten nuts at this time.
12. Attach longitudinal strut to U -bolt in pan using
nuts provided.
13. Insert strut in the frame bracket clamp, attach with nut
and bolt. Do not tighten at this time.
14. Pull the frame bracket clamp with the fastened
strut outward to remove any slack.
15. Tighten all nuts and bolts on the struts and beam clamps.
Xi2 Ground Pmts Detail
Xi2 Ground Lateral System
Part Number 59306
Includes: 5' Strut, pad.& hardware kit
(#59329-1 includes all nuts and bolts).
Longitudinal Hardwam lat
Part Number 59331
Includes: 2 I-beam bradaets &
2 U -bolts with all nuts and bolts.
Xi2 Ground
Lateral and LongitudkW Combination .._Y
Longitudinal Strut
Part Number 59333
Includes: 5' Strut, Pad, Longitudinal Strut (#59329), :::,r.,...M &Hardware Kit .
Lateral and Longitudinal Hardware°
Kit with all nuts and bolts. o 0
Struts for Longitudinal Systems
Part. Start Pier Height
0.%01111 ® o 0
No. Length Up To: o��� Ground Longitudinal
Strut
59330-44 44" 4 Blocks or 32° Ground Longitudinal
59330-65 . 65" 6 Blocks or 48" Hardware Kit
Xi2 Stabilization Pier Placement for Ground or Concrete
Single Section Home
0 -80' (76' Box) 4 Xi2 Systems
Xi2 Pier Placement
I
4
Double Section Home Triple Section Home
0 -62' 3 Xi2 Systems* 0 -62' 4 Xi2 Systems
63' - 80 4 Xi2 Systems 63' - 80' 5 Xi2 Systems .
*2 Xi2 systems can be placed at either end of the home.
1A, 30336
149-0401 ; : DOWN;
_ "ENGINEERING
O
Installation of Xi2 Concrete Systems
1. Identify the number. of systems to be used on the home using the chart provided.
2. Identify the location where the systems will. be installed.
3. Build pier according to State, Local or Home Manufacturers guidelines.
4. Drill two 3/8"x 3" deep holes in the concrete using holes in galvanized bracket as a guide.
Attach bracket to concrete. pad using 3/8"x3-1/2" wedge anchors provided. Place nut &
washer on anchor, leave enough room for 1 to 2 threads showing on top of bolt. Using a
hammer, tap the wedge bolts into hole through bracket, leaving nut & washer flush with
bracket. Using a 9/16" socket wrench, tighten wedge/anchor bolt, securing bracket
to the concrete.
5. Attach the end of the smaller tube to the bracket mounted on the pad, using the
grade 5,1/2" x 2-1 /2" bolt/nut provided.
6. Attach the flag end of the larger tube to the opposite I-beam using the "J" bolt over
the top of the I-beam with the nut & washer provided. (Figure 1 next page)
7. Install a minimum of four (#12 x 1 " tek screws) self -tapping screws into the holes
provided in the lateral strut so that the two tubes are connected together
8. In frame bracket clamps on I-beam on the inside of block/piee.
9. Insert strut in frame bracket clamp and attach with nut & bolt. Attach opposite end to concrete bracket.
10. Pull the frame bracket clamp with fastened strut outward to remove any slack.
11. Tighten all nuts and bolts on system.
Page 5 of 8
Xi2 Lateral Concrete Systems
Part #59307
Includes: 5' Strut, Bracket, & Hardware Kit #59315-1
with all nuts and bolt.
Longitudinal Struts for
"Concrete Systems"
Part No. Length . Pier Height
#59013 44" up to 4 Blocks
#59015 65" up to 6 Blocks
Longitudinal Hardware Kit
Part #59263
(Includes 2 sets per kit: I-beam bracket, nuts, bolts
and washers)
Lateral and Longitudinal Combination
Part #59332
Includes: 5' Strut, Longitudinal Strut (#59364),
Lateral and Longitudinal Hardware
Kit with all nuts and bolts.
Figure 1
Long
Nut & V%sher
BeamClamp
Bracket
-Beam
Longitudinal
Strut
i
Xi2 Concrete
`T*:,O
o�oo
00 ftft @0
ftft
Concrete Longitudinal.
Hardware Kit
Xi2 Installation Placement
Page 6 of 8
E
Offset Placement
El
Diagrams represent examples of double and triple section offsets. Total size is determined by the length of
unit plus offset.
Xi2 Stabilization Pier Placement for Ground or Concrete
Xi2 Pier Placement
Single Section Home Double Section Home
0 -80' (76' Box) 4 Xi2 Systems 0 -62' 3 Xi2 Systems'
63' - 80' 4 Xi2 Systems
*2 Xi2 systems can be placed at either end of the home.
Triple Section Home
0 -62' 4 Xi2 Systems
63' - 80' 5 Xi2 Systems
Page 7of8
q.
s
ESD �2!-F
/ I4
. ^rU
Hardware Breakdown
#59329-1 Hardware for 59306 Lateral System
1 84533Z
U -Bolt 1/2-13 x 2.63 x 2.19 thread
Beam Clamp Base;
1-3/4 zinc
4 10556
Tek Screw #12 x 1 "
1 10631 Z
J Bolt 1/2 x 5-1/2 grade 5 zinc
2 10640
Push Nut 1/2 '
1 12107
Flat Washer 1 x2" SS
1 10646Y
Hex Nut 1/2-13 grade 5 zinc
2. 10519
Hex Nut 1/2" w/ Serr flange
#59331 Longitudinal Hardware for 59306
2
59272-1
Beam Clamp Base;
4
59272-2
Beam Clamp Top Flange
8
10926
Carriage Bolt 1/2-12 x 1-1/4
Beam Clamp Top Flange
4
Full Thread
10
10646Y
Hex Nut 1/2-13 grade 5 zinc
2
10801
Carriage Bolt 1/2-12 x 2-1/2
Hex Nut 1/2-13 Grade 5 zinc
1
Grade 5
2
84533Z
U -Bolt 1/2-13 x 2.63 x 2.19 thread
Grade 5 zinc
1
1-3/4 zinc
4
10640
Push Nut 1/2
4
10519
Hex Nut 1/2" w/ Serr flange
# 59329 Hardware for 59333 Lateral and
Longitudinal combination
1
59329-1
Hardware Kit
1
59272-1
Beam Clamp Base;
2
59272-2
Beam Clamp Top Flange
4
10926
Carriage Bolt 1/2-12 x 1-1/4
10646Y
Hex Nut 1/2-13 Grade 5 zinc
full thread
5
10646Y
Hex Nut 1/2-13 Grade 5 zinc
1
10801
Carriage Bolt 1/2-12 x 2-1/2
2
10801
Grade 5 zinc
1
84533Z
U -Bolt 1/2-13 x 2.63 x 2.19 Thread
6
10646Y
1-3/4 zinc
2
10640
Push Nut 1/2
2
10519
Hex Nut 1/2" w/Serr Flange
#59315-1 Hardware for Lateral System
1 10631Z
J Bolt 1/2 x 5-1/2 Grade 5 zinc
1 12107
Flat Washer 1/2" SS
4 10556
Tek Screw #12 x 1 "
2 10646Y
Hex Nut 1/20 3 Grade 5 zinc
1 10826
Carriage Bolt 1/2-12 x-3
1
Grade 5 zinc
#59027 Hardware Kit for 59307 Lateral System
2 59264 3 Way Concrete Bracket
4 10530 Wedge Anchor 3/8 x 3.50
1 59315-1 Hardware Kit
#59263 Longitudinal Hardware for 59307
2
59272-1
Beam Clamp Base
4
59272-2
Beam Clamp Top Flange
8
10926
Carriage Bolt 1/2-13 x 1-1/4
Lateral Hardware Kit
1
Full Thread zinc
12
10646Y
Hex Nut 1/2-13 Grade 5 zinc
4
10801
Carriage Bolt 1/2-13 x 2-1/2
Carriage Bolt 1/2-13 x 1-1/4
Grade 5 zinc
#59364 Hardware for 59332 Lateral and
Longitudinal combination
1
59264
3 Way Concrete Bracket
2
10530
Wedge Anchor 3/8 x 3.50
1
59315-1
Lateral Hardware Kit
1
59272-1
Beam Clamp Base
2
59272-2
. Beam Clamp Top Flange
4
10926
Carriage Bolt 1/2-13 x 1-1/4
Full Thread zinc
2
10801
Carriage Bolt 1/2-13 x 2-1/2
Grade 5 zinc
6
10646Y
Hex Nut 1/2-13 Grade 5 zinc
tlanta GA, 30336 ;� ITIE.kr (404) 349.0401 I I
STATE OF CALIFORNIA - BUSINESS, TRANSPORTATION AND HOUSING AGENCY
ARNOLD SCHWARZENEGGER, Gover
DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT
pv51Nt; qti
�.
Division of Codes and Standards
•� .�
p0 a
oil z
Title Search
Date Printed : 07/26/2007
Decal #: LBA7939
Use Code:
SFD
Manufacturer:
Original Price Code:
AFD
Tradename: VILLA WEST
Rating Year:
1976
Model: y
Tax Type:
LPT
Manufactured Date: 00/00/1976
Last ILT Amount:
Registration Exp:
Date ILT Fee Paid:
First Sold On: 08/27/1976
ILT Exemption:
NONE
1S
Serial Number HUD Label / Insigni
Length
Width
B26361 CAL006070
56'
12'
A26361 CAL006069
56'
12'
Record Conditions: Voluntary Conversion to LPT
Registered Owner:
AMBER A JARZOMBEK
524 CURIE DR
SAN JOSE, CA 95123
Last Title Date: 10/07/2002
Last Reg Card: 10/07/2002
Sale/Transfer Info: Price $30,000.00 Transferred on 09/05/2002
Situs Address:
14116 RACINE CIR
MAGALIA, CA 95954
Situs County: BUTTE
Inactive DecaL/DMV:
DMV NA6304, DMV NA6305
Title Searches:
FIDELITY NATL TITLE CO
6141 CENTER ST
PARADISE, CA 95969
Title File No: 309478 -WB
* * * END OF TITLE SEARCH * * *
PARC
RECORDING REQUESTED BY
MID VALLEY TITLE CO.
AND WHEN RECORDED MAIL TO:
AMBER A. JARZOMBEK
524 CURIE DRIVE
SAN JOSE, CA 95123
A.P.N.: 064-560-031, Order No.:
yogV? 7 4/j
a00a-0(aga-6I926.
Recorded
Official Records
CoBUTTEyyOf
CANDACE J. GRUBBS
Recorder
ROSEMARY DICKSON
Assistant
09:00AM 05 -Sep -2002
I REC FEE 10.00
I TRX 77.00
1
I
I
I
1 Kathy
I Page 1 of 2
Above This Line for Recorder's Use Only
Escrow No.: 200103CH
GRANT ®EE®
THE UNDERSIGNED GRANTOR(s) DECLARE(s) THAT DOCUMENTARY TRANSFER TAX IS: COUNTY $77.00
X ] computed on full value of property conveyed, or
computed on full value less value of liens or encumbrances remaining at time of sale,
] unincorporated area; [ J Town of _, and
FORA VALUABLE CONSIDERATION, Receipt of which is hereby acknowledged,
MARGARET A. WORK, a Widow
hereby GRANT(S) to
AMBER A. JARZOMBEK, an Umnarried Woman
the following described property in the UNINCORPORATED AREA, County of BUTTE State of California;
See Legal description attached hereto and made a part hereof.
MARGAP= A. O• i
Docurhent D. 00
STATE OF -.CALIFORNIA . I AS
COUNTY OF BUTTE )
On : AUGUST 23, 2002 before me, CEI HOVFY, NOTARY PUBLIC
personally appeared * MARGARET A. BJORK *
personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within
instrument and acknowledged tb me that belshe/they executed the same in his/her/their authorized capacity(ies) and that by his/her/their signature(s) on
the instrument the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument.
WITNESS y hand and official seat.
signatur
This area for official notarial seal.
CHM H0VEY
ComrnissiOn # 13271'13
•'� Notary public - California
Butte County
Comm. moires Ocl27, M
Mail Tax Statements to: SAME AS ABOVE or Address Noted Below
Descripti6m.Butte,CA Document-Year.Doc.ID 2002.46126 Page: 1 of 2
Order: 413409 Comment:
�I
PAR/C
RECORDING REQUESTED BY
MID VALLEY TITLE CO.
AND WHEN RECORDED MAIL TO:
AMBER A. JARZOMBEK
524 CURIE DRIVE
SAN JOSE, CA 95123
A.P.N.: 064-560-031 Order No.:
, IIPI��IIIIIPIPIIP1lIIIlIII1�IP��P
Recorded
Official Records
CoBUTTEyyOf
CANDACE J. GRUBBS
Recorder
ROS64ARY DICKSON
Assistant
09:00AM 05 -Sep -2002
I REC FEE 10.00
I TRX 77.05
1
{
I
1
1 Kathy
I Page 1 of 2
Above This Line for Recorder's Use Only
Escrow No.: 200103CH
GRANT ®EE®
THE UNDERSIGNED GRANTOR(s) DECLARE(s) THAT DOCUMENTARY TRANSFER TAX IS: COUNTY $77.00
X ] computed on full value of property conveyed, or
co
puted on full value less value of liens or encumbrances remaining at time of sale,
X]] unincorporated area; ( I Town of _, and
FORA VALUABLE CONSIDERATION, Receipt of which is hereby acknowledged,
a
MARGARET A. BJORK, a Widow
hereby GRANT(S) to
AMBER A. JARZOMBEK, an Unmarried Woman
the following described property in the UNINCORPORATED AREA; County of BUTTE State of California;
See Le981 description attached hereto and made a part hereof.
, 0?a Aarxhd a
MARGARET A. BJO .
Document Date: August 20, 2002
STATE OR.CALIFORNIA I AS
COUNTY OF BUTTE )
pn : AUGUST 23, 2002 before me, CHFAI HOVEY, NOTARY PUBLIC
personally appeared * MARGARET A. BJORK *
personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within
instrument and acknowledged tb me that he/she/they executed the same in his/her/their authorized capacity(ies) and that by hisfher/their signatures) on
the instrument the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument.
WITNESS My hand and official seal.
Sigaawr
This area for official notarial seal.
MOM—. CHER(HOVEY
Commission # 1327113
•'� Notary Public - CaWamia
_. Butt® County 17
comm. Expires q 27, 2005
Mail Tax Statements to: SAME AS ABOVE or Address Noted Below
Description:.Butte,CA Docutaent—Year.DocID 2002.46126 Page: 1 of 2
Order: 413409 Comment:
BUILDING PERMIT NUMBER: B07-1729
Address or location of unit: 14116 RACINE CIR MAGALIA CA 95954
Legal Description of Real Property: 064-560-031
SEE ATTACHED
(x) Mobilehome/Manufactured Home
() Commercial Coach
Has been affixed to the real property above by installation on a foundation system
pursuant to Health and Safety Code Section 18551.
Owner's name: AMBER JARZOMBEK
Owner's address:524 CURIE DR SAN JOSE CA 95123
INSIGNIA OR HUD NUMBER:CAL006069/70
SERIAL NUMBER OR V.I.N.: AB26361
MANUFACTURER'S NAME: GOLDEN WEST YEAR: 1976
OFFICIAL APPROVING INSTALLATION: W t 4 X Q, YA �_iz
DATE: Z" —IV — 6
PHONE: (530) 538-7541
H.C.D. 513
PERMIT N0. 5983-78B
i
PERMIT EXPIRES
OWNER John Roderick
`CONTR. owner
64-56-31
LOCATION (A.P. )
40 Racine Cir., lot 130, PP#10, Magalia
A
i
K
I '
f-
�J {
Temp. Power Pole
Called PG&E
Temp. Elea Serv.
f'
Called PG&E N
Temp. Gas Serv.
Called PG&E
4
JOB
FINALED 0/2, -�
(Date)
— q - —
(Signature)
a
t
t
3
s.
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
Footings
Footing
ELECTRICAL
Masonry Walls
Throat
BUILDING
BUILDING (Cont'd)
PLL#ABING
Setback/,6—/,P-7,7
Bond Beam
Firewall
Sall Plpin
Forms
Test
Parapets
1st Floor
Main Bldg.
Sub anel
Restroom Finish
2nd Floor
Footings
Scratch
Windows
3rd Floor
Stemwall
S Cooling
Siding
To out
Slab
U er round
Roof Sheathing
Water Pi in
Piers
Door Closer
Roofing
Sewer
Garage
E ec. Pedestal
Fdn. Vents
Fixtures
Footings
Stemwa I I
E ME INSTALLATIO - - - - - - - - - - - - - - Support
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport
Footings
Slab
O —
handlcar pehysically
Conformance of ex:
structure
Final ! 1
Appliances
Gas PI Ina & est
Temp. Gas
Sanitation
• Patio
/ FIREPLA E
Final
Footings
Footing
ELECTRICAL
Masonry Walls
Throat
Rough
Reinf. Steel
Final
Fixtures
Bond Beam
FIRE S RIN LERS
Motors
Framing U U
Test
Water Htr.
Stucco
Final
Sub anel
Mesh
MECAAKICAL
Grd. Fa It Prot.
Scratch
Heating
Service/
Brown
S Cooling
Terrk. Pole
Finish
Ducts
U er round
Interior Lath
Ventilation
P rmanent
Door Closer
Final G
FI al
0
MOBILEHOME UTILITIES - - - - - - - - - = • - - - • - - Elec_ Service
E ec. Pedestal
Water Piping
Sewer
as Piping
E ME INSTALLATIO - - - - - - - - - - - - - - Support
Elec. Conti uity
Water Piping
Drainage ,
Gas Pipin
DATE-'
oe 7a /e�E�X_
REMARKS OR CORREC IONS
(NOTE: An entry must be made on this form each time you visit the job site.)
. r_
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive , .0roVille, California 95965
Telephone: 534-4541 TOW
APPLICATION AND PERMIT A
I
BUILDING
Owner jb/-�/t 13 4D its 5 12-- %G /�
SQ. FT. OCC. BUILDING VALUATION
Mailing Address d 1 � C ��� �
.7 a.
UU
T^leehon�� o
3 7
Fireplace
Contractor
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee&/or Penalty
Telephone No.
Permit Fee $ a
LO d
Building AddressPLUMBING
U v �"�
No. @ FEE
Z4
PERMIT FILING FEE J$3.00
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No. 6 c7/�' ,�(o
Zoning 8 Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
F s
Sa i
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
I Parking Parcel
Rl.ans Declaration
Parcel Ma p
60' R/W
Improveme is
Lawn sprinkler system 2.00
Bldg. Plan / ec'd
Parcel t proval
Plans Approval
Permit Fee $
NEW.a ADDITION ❑ UTILITIES ❑ OTHER ❑
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service 100 AMP ORV OR LESS5.00
Main service EA. ADD'L too AMP 2.50
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Main service � OEAMP OR LESS 25.00
Main service EA. ADD'L too AMP 1.00
NEW CONST. OR ADDNS. ( DACCLBLDGS.CCULING 0 P. &) 22sq ft
NEW CONSTR. MULTI -OUTLET
NON.R ESI D. (BRANCH CIRCUITS) 2.50ea
NEW CR
ON5T. POWER APPARATUS &
NON-RESID. (SINGLE OUTLET CIR.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
Ex. Occup(OUTLETS OR FIXTURES) N @C
BAL@t
Ex. Occup.(OUTLETSP(RESID.)REA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No.Classification
Misc. Wiring 6.25
EFam exempt from the Contractors License Laws of the State of California.
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑ I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
ertify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
1 certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
Authori7P ronrac—t.tl..nc .,i tti.. �........ ..a n...._ ._ __.__ ___._ ..
TOTAL PERMIT FEE
$ d
-••—••_-- •—r ��•-•-•�•�� .sic v U" Y U UUllc lU enter upon, lne
above-mentioned property for inspection purposes.
x!il #
aC Date
ignature of Permitee or Agent a
Receipt No. /f!J -71 2--
White-D.P.W.
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been pai
DIRECTOR OF UB C WORKS
By Date/C-13-?jr
Bu ding permit expires Date _/J ��
r,
I&ERMIT NO. 5368-76B
PERMIT EXPIRES
OWNER John A. Roderick
i CONTR. owner
LOCATION (A.P. 64-56-31
40 Racine Cir. jot 130, PP#10, Magalia
i .
' I
1'
is s
Temp. Power Pole
Called PG&E
Temp. Elec. Serv.
Called PG&E
Temp. Gas Serv.
Called PG&E
FINALED
(Dat
(Signature)
M1
Setback
Forms
Main Bldg.
Footings
Stemwal I
Slab
Piers
Stemwa I I
Slab
Carport
Footings
Slab
Patio
Footings
isonry Walls
Reinf. Steel
Bond Beam
Stucco
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING BUILDING, (Coit'd) PLU BING
L l Firewall
Soil PI In
Parapets
1st Floor
Restroom Finish
2nd Floor
Windows
3rd Floor
Siding
To out
Roof Sheathing
Water Piping
Roofing
Sewer
Fdn. Vents
Fixtures
Garage Vents
Insulation
Water Htr.
Heaters
Prov, for physically
—handicapped
Conformance of ex.
structura
Appliances
Gas PI In &Test
Temp. Gas
Final
Sanitation
FIREPLACE
Final
Footing
E
Fixtures
RINI LERS Motors
Water Htr.
Final I Subpanels
MECHA (CAL Grd. Fault Prot.
Heating Service
Brown Cooling Temp. Pole
Finish Ducts Under round
Interior Lath Ventilation Permanent
Door Closer Final Final
DATE (REMARKS OR CORRECTIONS
,
(NOTE: An entry must be made on this form each time you visit the job site.)
L
. —.rte.". ` ,.:y:
COUNTY OF BUTTE — DEP-ARTMENT OF PUBLIC WORKS
` 7 County Center Drive — Oroville, California 95965 /
Telephone: 534-4541
APPLIC010N AND PERMIT
above-mentioned property for inspection purposes.
X �L ��f/r
'Signature%off Permitee or Agent
/
Receipt No. / J,�
White-D.P.W. - Yellow -Assessor - ink -Inspector - Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF UBLIC WORKS ..,,
1�ilding
Date permit expires Date F-zF— 77
BUILDING
Owner �,IO �yC h1 011�� ���G��
SO. FT. OCC. BUILDING VALUATION
v
Mailing Address _ 1Z(� /�C�� GL
%Y/ %'
Tel phone No
Fireplace
Contractor
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee&/or Penalty
Telephone No.
Permit Fee
�
Building Address 1/1% y V L -U T 130
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
S
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping 1,50
Each gas water heater or vent 1.50
A. P. �� 7
C>
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
F/es
W.
S t ion Fire Dept. Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcela
Declaration
60' R/W
Im r
p ovements
Lawn sprinkler system 2.00
Bldg. Plans Recd
.j
�I-KKc AOpprovaI
Pla Zara
Permit Fee $
NEW CA ADDITION ❑ UTILITIES ❑ OTHER ❑
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service 1100v OR LESS
100 AMP OR LESS 5.00
Main service EA. ADD'L 100 AMP 2.50
Single Family ❑ Duplex ❑ Mobil Home Co Others ❑
Main service OVER 600V
100 AMP OR LESS 25.00
Main service EA. ADD•L 100 AMP 1,00
aey
NEW CONST. % DWELLING OCCUP. &
OR ADDNS. 1 ACC. BLDGS. ) 21Psy ft
NEW CONSTR. MULTI -OUTLET
NON-RESID. BRANCH CIRCUITS) 2.50ea
NEW CONSTR. POWER APPARATUS &
NON-RESID. (SINGLE OUTLET CIR.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
St le Of:
Y
Ex. Occup(OUTLETS OR FIXTURES)@�`
BALL -'`1
/ FIXED APPLNS. OR
Ex. Occup.(OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
am exempt from the Contractors License Laws of the State of California.
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑ I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
ertify that in the performance of the work for which this
U permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
'
MECHANICAL No.1 @ I FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
TOTAL PERMIT FEE is
T
above-mentioned property for inspection purposes.
X �L ��f/r
'Signature%off Permitee or Agent
/
Receipt No. / J,�
White-D.P.W. - Yellow -Assessor - ink -Inspector - Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF UBLIC WORKS ..,,
1�ilding
Date permit expires Date F-zF— 77
COUNTY OF BUTTE
DE" iRTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE
F�
% OROVILLE, CALIF. - 534-4541
CERTIFICATE OF OCCUPANCY
This mobilehome has been installed in accordance with the requirements
of the California Administrative Code, Title 25, Chapter 5, under permit
number —28 6.2 ' 7 6 for the following location:
o0 /?/9 ei�ic- CdfiA 5,0V
Owner
OwLr's Address
Mobilehome Mfg. C'VL0&1V6Urf Model Year
Insignia No. E/9 L 607011 CO 71"Serial No.
It is hereby certified for occupancy at the above described location and
may be occupied.
—Director-of Public Works
Date "/ G B
Y
THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED
t
z
1 _ M
PERMIT NO. 3392 ZP,E
PERMIT EXPIRES
4077
OWNER John A. Roderick
CONTR. Fuller Const. CO._, Magalia
LOCATION (A.P. 64-56-31
40 Racine Cir.,lot 130, Unit #10, Magalia
t
t
{
Temp. P/ower Pole
J
led PG&EElea SeryZw ( jLled PG&EGas Serv.
led PG&E
OB
ED(Date) � C
(Signa re)
Setback
Forms
Main Bldg.
Footings
StemwaI I
Slab
Piers
Garage
Footings
!� Stemwali
Slab
Carport
Footings
Slab
Patio
Footings
Masonry Walli
Reinf: Stee
Bond Beam
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS ti
�l
BUILDING INSPECTION RECORD
BUILDING BUILDING (Cont'd) PLUMBING
Firewall
Parapets
Restroom k ish
Windows
Siding
Roof Sheathin
Roofing
Fdn. Vents
Garage Vents
Insulation
Prov. for physical
handicaooed
Conformance of ex.
Footin
Throat
Final
\ I Final
FIRE
EPLACE
Soll Piping
1st Floor
2nd Floor
3rd Floor
Topout
Water Piping
Sewer
Fixtures
Water Htr.
Heaters
Appliances
Gas Piping & Test
Temp. Gas
Sanitation
Final
Fix
EC1`RICAL
Mesh MECHANICAL Grd. Fault Prot.
Scratch Heating Service ;-,'—
Brown Cooling Temp. Pole
Finish Ducts Underground
Interior Lath Ventilation Permanent
Door Closer Nnai Final
DATE REMARKS OR CORRECTIONS
V�
4,
(NOTE: An entry must be made on this form each time you visit the job site.)
MOBILEHOME INSTALLATION INSPECTION CHECK LIST
i
1: Is the mobilehome located w'th required separation from lot lines and buildings and generally,
conform to plot plan? Yes No_
2. Does the mobilehome have required clearances above ground? (Sec.5085)Yes_ No
3. Are footings and supports properly sized, spaced, and braced. s er approved plans? (Note
possible variation at spring shackles.) (Sec. 5082 & 5083) Yes'� No
4. Is the mobilehome level? (Sec. 5088) Yes No ^
5. If more than a single unit, are crossover connections properly installed? (Sec. 5088)
Yes No
6. Water
A. Is fl ible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566)
YesNo
B: Test - Does water pipin withstand working pressure or.50 lbs. air test? Yes No
C. Backflow - If coach 's not State of California approved, does station have backflow device
and pressure -relief ve? Yes No
7. Wastes and Drains
A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yeses No
B. Does it have minimum" per -foot slope and is it properly supported? Yes No
C. Are any leaks detected in drainage system after runnin 3 allons of water through each
fixtu e 'ding washing machine standpipe? Yes No -
D. If coach not State of .California approved, does station have required trap and vent?
Yes No
8. Gas Piping and Gas ents
A. Connector - Is bilehome con ected to the gas supply with an approved 3/4" minimum
mobilehome conne or not mor than 6 ft. long? Note: All piping is to be at least as
large as the mobi home gas line inlet without reductions other than the mobilehome
connector. Yes o
B. Test OK as per foll ing rocedure? Yes_ No
1. Open all applian a onnector valves.
2. Shut off applianc burner. and pilot valves.
3. Air test /meter.
o ter to 10"-14" water column, or test with slope gauge (minimum
6oz.-maxi.) calibrated in tenth pound increments. Test for 10 min. without
drop.
4. Connect gto obilehome with connector, turn on gas, test connections with
soapy wat
C. Are 411 app iance vents properly installed? Yes No
9. Electrical
A. Is service large enough to provide adequate amperage to mobilehome (must equal rating of
mobilehome with a minimum of 100 amp) and other facilities on lot, i.e., water pumps,
garage, cabana, etc.? Yes No
B. Is there proper clearances around panels? Yes No
C. Is power supply cord or feeder assembly properly fused? Yes No
D. Is continuity test satisfactory as per the following procedure? YesNo
1. De -energize electrical wiring system of the mobilehome at the ped-stal.
2. Make sure that the power supply cord or feeder assembly conductors, including neutral
conductor, have been disconnected.
3. Switch all breakers and switches in the mobilehome to the "on" position.
4. Connect one lead of a test. instrument to the mobilehome grounding conductor and
apply the other lead to each m.obilehoylie supply conductor, including neueral.
S. All non-current., carrying metal parts of the mobilehome (aluminum siding, gas line,
water line),• including fixtures and appliances, shall be tested for continuity from
such equipment and the grounding conductor.
6. Upon completion of the above procedure, the power supply cord or feeder. assembly
conduc;tors.shall be connected to the site service equipment. A further continuity
tes' g.hall then be made between the grounding electrode and the chassis of the
mobilehome. Upon satisfactory completion of the electrical tests, the lot or site
service equipment may be approved Lor energizing.
10. Is job card signed by Health Department for water and sanitation?
11. If everything okay, sign off card and tag services.
MOBILEHOME DATA � 0�- �
Manufacturer and/or Namestyle '`1
Length �_ Width 4!L—~
Vehicle Serial No. e4(- 60_�0WI L
State Identification No.
Additional,Informati.on or Comments:
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Dnve --� oroville, California 95965
Telephone: 534-4541 (
APPLICATION AND PERMIT 1.114 i
above-mentioned property for inspection purposes.
X Date
Signature of Perrmitee or Agent
Receipt No. / 7 t c e LJ,
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of .
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR O"UBLIC WORKS
BY ` _ Dated. �J
i Iding permit expires Date J p
BUILDING
Owner John A. Roderick
SQ. FT. OCC.1 BUILDING VALUATION
Mailing Address
Telep onp o
Fireplace
Contractor Fuller Construction Co.
Total Valuation
Mailing Address P.U. # 453 Magalia, Ca. 95954
Permit Fee
Plan Checking Fee&/or Penalty
87
Tele hone No.
-0668
Permit Fee
$
Building Address Unit 10 I.Ot 130 Racine Circle
PLUMBING
No.
@
FEE .
PERMIT FILING FEE X $3.00
3 -�
(,�! 2 A e C� C j !Z
Each Trap 1.50
l j4
Repair drainage or vent piping
1.50
ZAnOng Verification GLIVach
Water piping X T -.W
(� —
gas water heater or vent 1.50
A. P. No. / L/ _ 5(o /
Zani
Gas piping system 1 - 5 outlets
1.50
Each additional outlet .30
FeWFire
Dept.
Fire Zone
Use Permit
Building sewer y�g-
Oji
EQA
Parking Parcelarce 60' R/W
Plans Declaration
Im r
p ovements
Lawn sprinkler system 2.00
BIdAE rs Rec'd
L07UPc
Parcel Approval
PI s Approval
Permit
Pit F
t
� �4
NEW ADDITIONELECTRICAL
❑ UTILITIES OTHER ❑
No.
@
FEE
PERMIT FILING FEE X $3.00
-S —
Main service 10001 OR 0 AMP ORSLESS 'X 5.00—
Main service EA. ADD'L 100 AMP X
2.50OVR
S �'
Single Family ElDuplex ❑ Mobil Home ® Others 1:1Main
600V
Main service 100E
EAMP OR LESS 25.00
service EA. ADD'L 100 AMP 1.00
VINimum
F02 Ni 0 ?I'
NEW CONST. OR ADDNS. ( ACCLBLDGS.LING CCUP. &l
2¢sgft
NEW CONSTR. MULTI.OUTLET
NON-RESID. ( BRANCH CIRCUITS) '2.50ea
NEW CONSTR. POWER APPARAS &
NON-RESID. (TUSINGLE OUTLET CIR.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
Fuller Construction Co.
Ex. Occup(OUTLETS OR FIXTURES)@SC
BAL@@i
Ex. Occup.FIXED APPLNS. OR
(OUTLETS (RESIDJ EA) 2.00
Temporary service 10.00
Mobile Home Facilities X 15.00
^—
28977 5 Classification A
License No.
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee
$ i
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
® I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
❑I. certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL
No.1
@ I
FEEPERMIT
FILING FEE J$3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances.
and State Laws relating to building construction, and hereby
TOTAL PERMIT FEE
q
� 0 7
above-mentioned property for inspection purposes.
X Date
Signature of Perrmitee or Agent
Receipt No. / 7 t c e LJ,
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of .
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR O"UBLIC WORKS
BY ` _ Dated. �J
i Iding permit expires Date J p
J
COUNTY OF BUTTE 0-DE,1PARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
Telephone: 534-4541 1
APPLICATION AND PERMIT
u — — representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
FE, e
9eAl
Recei- �
White-D.P.W. — Yellow -42s o —Pin -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTO F PUBLIC WORKS
By Date," >17-2 �®
wilding permit expires Date 7J -77
BUILDING
Owner
f
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Fireplace
Contractor -La, A,(" jATJ?_
Total Valuation
Mai I i ng Address 3ud
Permit Fee
Plan Checking Fee &/or Penalty
- �
Telephon = N
Permit Fee
O A
Building Address
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
, QT 0 � Q'
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No. J
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
FteS
*-Gr
Sagan
I Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
PlansBldg.
Declare ion
Parcel Map
60' R/W
Improvements
Lawn sprinkler system 2.00
ns Recd
Parcel Approvol
Plans proval
Permit Fee $
$
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER X
ELECTRICAL No.1 @ FEE
PERMIT FILING FEE J$3.00
Main service 600V OR LESS
100 AMP OR LESS 5•00
3 Z _ 7
Main service EA. AOD•L 100 AMP 2.50
Single Family ❑ Duplex ❑ Mobil Home Others ❑
OVER 600V
Main service 100 AMP OR LESS 25.00
Main service EA. ADD'L 100 AMP 1.00
NEW CONST. (( DWELLING OCCUP. &
OR ADDNS. %ACC. BLDGS. ) 22Sgft
NEW CO NSTR. MULTI -OUTLET
NON-RESID, ( BRANCH CIRCUITS) 2.50ea
NEW CONSTR. POWER APPARATUS&J
NON-RESID. (SINGLE OUTLET CIR.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of CalLfornia Business&Prof ssions Code under the name
Style Of:
O Y11C
Ex. Occup(OUTLETS OR FIXTURES) OL@2,54
BAL�101
1
FIXED APPLNS. OR
Ex. Occup. (,OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
/ C `e I
License No. Classification
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code whi equires every employer to be insured against liability
for Wo en's Compensation.
I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
permit is issued I shall not employ an
P p y y person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
1 certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
a th "
04
Ot
TOTAL PERMIT FEE
$
u — — representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
FE, e
9eAl
Recei- �
White-D.P.W. — Yellow -42s o —Pin -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTO F PUBLIC WORKS
By Date," >17-2 �®
wilding permit expires Date 7J -77
ATA,,
MOBfLEfiOME SUPPORT D
Mobirehome Mfr. �f Setup Model No. �.�- _ Year
Width s (ft.) Length . �OfJ Expando Size ft.x- -- ft.
(Draw support details below) .
On'all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation
r manual and structural setup sheets (if not on .file with the County of Butte)
Sin le - Footings- (check.one)
i
Wood 'either
pressure treated or
Center Center Support � fdn
� � •� � .`grade.:••
Support Footing Sizes
Locations in.,
/ 2: Concrete pad.
3. Other,' -specify
— . in.) in . in •
Supports (check one)
y+.7 Concrete block
�2-,�
r �•�
7_7 2. Concrete piers
1ft �(in;)(in.) . .. . .........
3. Steel piers
4. Other, .. specify I
Al?X.3 vjj Typ i.cal Support "
�- In in. Footing Size
in,
` .(in.) (in.)
Max. Pier.
Spacing
1 b in•
Max. .. .. ..
Overhang
*If center piers are other than drawn above, BUTTE COUNTY
draw in locations, spacing, and dimensions.
BUILDING DEPARTMENT
APPROVED
,. ... . `� .r /,. ..,.. .... .. .... ;xH't'�= •..:w_.�.,•�;r-rr'-a:.M^r..^r�:-.,::or. c-iaa.:v..v.��•.4+..:»�..,...a....�...
n t ,
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville,.CA.
PHONE: 534-4541
MOBILEHOME INSTALLATION SHEET
1.
Owner's name:
2:
J�
Installer's name: �- --A ,p.S,� (fin oC�.0
0�,YIOIQA:94,�
3.,
Is the site currently under permit? Yes-%±-
No _L
(If yes, furnish permit number _?3 ?1 - 7 %
) OR
Is the site an existing site? Yes / /
No
(If .yes, furnish two (2) plot plans.)
4.
Will.the mobilehome be located at least 5 ft. away from
septic tank and leach fields"And
-clear of all setbacks and easements? Yes
No
(If no, clarify
)
5.
What is the mobilehome electrical rating? ______ _________
O C7 s
6.
What is the mobilehome site service rating?, ----------------------
Amp '
/S U p
7.
What is the mobilehome site circuit breaker rat ,ng.
CSL -- --- ;� C)C) Am s
8.
Is there any other electric load to be served by the
home, .
site service. -----------------------------------------
7 Yes
(If yes, identify the -load and size:
(Load) (Amps)
9.
What is the mobilehome site size? -----------------
---
gas.pipe
10.
What is the type of gas service? -------------------------
___ Natural / / LPG
11.
„What is the gas pipe length from meter or tank to the
bilehomeZ —� (ft,)'
12
What is the mobilehome gas demand? ------------------
----------- (BTU s
f
(This information not required if pipe length 1
ss than 6 ft..on natural gas
•
or less than 50 ft, on LPG.)'
... _ ' _:
- ._ '. gat: l -`-`�. IL'4. ! . ,. .%1 ._ . -' -�-" __ - - .. I' ' _ - Z'; - - -- .. 7s._'.. -.-r.+---.^',Yie'.r+E.r_c. a -,gin;-• rnsc— _ `
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COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION `
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT
r i
ASSESSOR PARCEL NUMBER !/V'1 /' q — O + O
ZONING i� - I
BUILDING PERMIT !/
OWNER
TELEPHONE
SO, FT, OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS -
1y II(, ifliGfMF
CONTRACTOR'S NAME
rA I • �'A F
TELEPHONE
CONTRACTORS MAILING ADDRESS
I
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Film Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS HI 1 1 6 A/ i L r
Energy Plan Checking Fee $
MA 44 t '4
$
PERMIT FEE $
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome /Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: qA3 1."-4 V ,..
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home IS -9 1 W
@20.00 2 J
PERMIT FEE S
o
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service ioonORUES
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.P
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
P� 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. ( a ACC. BLOS.
SO
3.5QFT;
rp.ROE,IDT MULTI.OUTLET
97,50
OWER APPARATUS
a SINGLE OUTLET CIR.
Ex. Occup. oLmFT OR FIXTURES
20 @'.00
BAL @ .50
Ex. Occup. DFlx�LEED�A A ORS
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wirino
23.00
PERMIT FEE $
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
Date _
Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 50" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ y0 '
HAz.
o FEES IMP
_- _
FLOOD_
---
CDF
pgRCEL
pp
HD
ISSUE
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 .Z% 4', !a--,.. Date Cr
PERMIT EXPIRES ON Zy OJ
Dela
Receipt No. L _J J
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
FM
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
1 7 County Center Drive - Oroville, California 95965 • Telephone (530) 538-7541,., PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER 6N- _57%C> -_57%C>- f? 31
ZONING n�
BUILDING PERMIT
OWNER FJ y e�f- 3 J 0/tier
_ (J/t ,Vr
J L
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
1 Lf 116 RA(, )F
CONTRACTOR'S NAME
iq
TELEPHONE
CONTRACTORS MAIUNG ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS I 1 1 1 Y14G+,1)C
Energy Plan Checking Fee $
/y.�Cf�LI/J
PERMIT FEE $
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work:Gi10,4 J -Z,
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home IS101 W
@20.00 2
PERMIT FEE S
o
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service '.*.,v, ORtESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class LIC. NO.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
.0 I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
D I am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO L000A
46.00
NEW CONST. DWELLING OCCUR
ADONS. ( ACC.LTIBBLLDS.
3.5¢ so
NOR
EW CONST. M
NON RESID. C
@7.50
POWER APPARATUS
8 SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FIXTURES
B20 1.50
Ex. Occup. ourFIX�is RF�SID°Esn
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE S
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
/ of one hundred dollars ($100) or less.)
[D 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
fo hwith comply with those provisions.
X �. Date to / 7 ,E _
Signature f Applicant - ❑ ner ❑ Contractor ❑ Agent I
An OSHA Aermit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE S
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST. TYPE
TOTAL FEE $ yp '
HA2. I D. FEES IMP FLOOD
CDF PARCEL PD I HD
ISSUE
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.
I lr
By �� ate 2 - 55
PERMIT EXPIRES ON 2 ' MOO,- 2.O t)0
Date
Receipt No. Y S
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
z
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Date: 2/19/08 Job #: 08054
CERTIFICATE OF COMPLIANCE o SIDE+ NTIAL (page i of 5) CF -IR
Project Title
Hunt Addition
Date
2/19/08
Building Permit. ,
Project Address 14116 Racine Circle, Magalia, Ca.
-
Plan Check / Date
Documentation Author
Marty Runnells
Telephone
Field Check /,Date
Compliance Method (Prescriptive)
Climate Zone
Enforcement Agency Use Only
Alternative Component Package Method: (check one) C ✓ D D (Alternative)
Package C and Package D choices require HERS rater field verification and/or diagnostic testing (see CF -1R page 3)
For Package D Alternative see Appendix B Table 151-C Footnotes 8-14 in the Residential Compliance Manual (RCM)
GENERAL INFORMATION 0,;?_ Z,7-7
. ,
( ) ` s..
CFA 112
Total Conditioned Floor Area ft � ,
Average Ceiling Height: 8 ft
Check Applicable Boxes
Building Type: (check one or more) ✓ Single Family Multifamily ✓ Addition Alteration
(If adding fenestration fill -out WS -4R, Fenestration Maximum Allowed Area Worksheet and see Section 8.3.2
for Additions and 8.3.3 for Alterations in the RCM.)
® Maximum Allowed Total Fenestration Area 50 ft2 (from WS -4R)
® Maximum Allowed West Facing Fenestration Area exempt ft2 (from WS -4R)
• Number of Stories: 1 Number of Dwellin Units: 1
® Floor Construction Type: Raised Slab wised Floor (circle one or both)
O Front Orientation: South North / Loud/ East / West : All Orientations (input front orientation in degrees
from True North and circle one).
0 RADIANT BARRIER (check box if required in climate zones 2, 4, 8-15)
Component
Type (Wall,
Roof, Floor,
Slab Edge,
Doors)
Frame
Type
(Wood or
Metal)
Cavity
Insulation
R -Value
Assembly U -
factor (for wood,
Continuous metal frame and
Insulation mass
R -Value assemblies) 1
Joint
Appendix
IV
Reference
Roof RadiantLocation
Barrier Comments
Installed2 (attic, garage,
Yes or No t ical, etc.)
Wall -16 OC
Wood
13
W.13.2x4.16
IV.9 A3
Front
Wall -16 OC
Wood
13
W.13.2x4.16
IV.9 A3
Left
Wall -16 OC
Wood
13
W.13.2x4.16
IV.9 A3
,� A'e;r
Floor -16 OC
Wood
13
FC.13.2x6.16
IV.20 A3
Roof -24 OC
Wood
19
R.30.24
IVA A14
No
err P
1) See Joint Appendix IV in Section IV.2, IV.3, and IVA, which is the basis for the U -tactor criterion. u -tactors can not exceea
prescriptive value to show equivalence to R -values.
2) This column is for the Inspector to verify installation of roof radiant barrier. y f
o,
ember 2005
Residential Compliance Forms" �1d
Date: 2/19/08 Job #: 08054
CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 2 of 5) C&IR
Project Title Date
Hunt Addition 2/19/08
FENESTRATION PRODUCTS — U -FACTOR AND SHGC
® FENESTRATION MAXIMUM ALLOWED AREA WORKSHEET WS -4R— must be included for New
Construction, Additions, and Alterations.
Fenestration
#/Type/Pos. (Front,
Left, Rear, Right,
Skylight)
Orien-
tation, Area U -factor
N, S, E, Wt (fe) U-factor2 Source3
Exterior
Shading/Overhangs''
SHGC ✓ box if WS -3R is
SHGC4 Sources included
Front
South 6 .79 116A
,70 116B
El
_
y®
_
E .
1) Skylights are now included in West -facing fenestration area if the skylights are tilted to the west or tilted in any direction when
the pitch is less than 1:12. See § 151(03C and in Section 3.2.3 of the Residential Manual.
2) Enter values in this column from either NFRC Certified Label or from Standards Default Table 116-A.
3) Indicate source either from NFRC or Table 116-A,
4) Enter values in this column from NFRC or from Standards Default Table l I 6 or adjusted SHGC from WS -3R.
5) Indicate source either from NFRC, Table It 6B or WS -3R
6) Shading Devices are defined in Table 3-3 in the Residential Manual and see WS -3R to calculate Exterior Shading devices.
7) See Section 3.2.4 in the Residential Manual.
MVAC SYSTEMS
Pleating Equipment
Type and Capacity
(furnace, heat pump, boiler, etc.)
Current
Minimum Distribution
Efficiency Type and Location Duct or Piping Thermostat Configuration
(AFUE or HSPF) (ducts, attic, etc.) R -Value Type (split or package)
Duct or Piping
R -Value
Thermostat
Type
Configuration
(split or package)
Cooling Equipment
Type and Capacity
(A/C, heat pump, evap.
cooling)
Current
Minimum
Efficiency Distribution
(SEER or 'Type and Location
EER) (ducts, attic, etc.)
Duct or Piping
R -Value
Thermostat
Type
Configuration
(split or package)
December LUU-)
Residential Compliance Forms
Date: 2/19/08 Job #: 08054
CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 3 of 5) CF -IR
Date
Project Title _ 2/19/08
Hunt Addition
SEAL EIS DUCTS and TXVs or Alternative Measures)
.,_ , --- :, ,:_ a —.-+ f,- v anrh hnme. for which the following are required.
A signed uP-4ie corm rnusL Ue Pavvaud;u sv 1u1 v =vu -b
MRe.frigerant
Sealed Ducts (Al climate zones) (Installer testing and certification and HERS rater field verification re uired.)
TXVs, readily accessible (climate zones 2 and 8-15 only)
(Installer testing and certification and HERS Rater field verification required.)
Charge (climate zones 2 and -I5 only) (Installer testing and certification and HERS Rater field
veification required.)
— ®R_
Alternative to Sealed Ducts and Refrigerant Charge /TX -Vs (See Package D Alternative Packa
❑ge Features for
Project Climate Zone in the RM Appendix B Table 151-C, Footnotes 7-14.
OR
rNo nstalled. from existing s ace conditioninge uipment, not exceeding 40ft. in length.
ns and alterations, duct systems that are not documented to have been previously sealed as confirmed
eld verification and diagnostic testing in accordance with procedures in the Residential ACM Manual.
ms with more than 40 linear feet inunconditioned spaces shall meet the requirements of Section 150(m)
nsulation requirements of Package D.
WATER HEATING SYSTEMS
Current
aweannp, L mtn �J , i,l _--
Water Heater Distribution Number
mAiu„Pl TArn,� Type I in System
/stem. Standard system is one gas-rrrcu waV_1 F- a_. v-
is the maximum capacity and recirculation system is not allowed.
er Heating table, Table 5-4 in Chapter 5 in the KesraenLral
and the system complies automatically.
yard” system, and does not comply with the Preapproved
rformance Method must be used and must be included in the
)r a recirculating system pump
for a system serving multiple units
Alternative Water Heating Systems for recirculation requirements)
ox if system meets criteria of a "Standard" s
the water heater is a storage type, 50 gallons
Energy
ox when using Preapproved Alternative Wa
l. No water heating calculations are required,
EAlternative
Tank
box if system does not meet criteria of "Stant
External
tive Water Heating table. In this case, the Pf
Inputs
tal.box
Thermal
to verify that a time control is required f
Current
aweannp, L mtn �J , i,l _--
Water Heater Distribution Number
mAiu„Pl TArn,� Type I in System
/stem. Standard system is one gas-rrrcu waV_1 F- a_. v-
is the maximum capacity and recirculation system is not allowed.
er Heating table, Table 5-4 in Chapter 5 in the KesraenLral
and the system complies automatically.
yard” system, and does not comply with the Preapproved
rformance Method must be used and must be included in the
)r a recirculating system pump
for a system serving multiple units
Alternative Water Heating Systems for recirculation requirements)
Energy
Tank
Rated
Tank
Factor or
External
Inputs
Capacity
Thermal
Standbys Insulation
(kw or
Btu/hr)
(gallons)
Efficiency
Loss (%) R -Value
serving multiple dwelling emits (See Residential Manual Section 5.3.3) Tank
Energy
Rated Tank Factor' or External
Input Thermal Standbys Insulation
Water Heater Distribution Number (1<w or Capacity o
m_ �o Tvne in System Btu/hr) (gallons) Efficiency Loss (/o) R -Value
l) Fbr small gas storage water heaiers (rated inputs of less than or equal to 75,000 Btu/hr), electric resistance, and heat pump water heaters, list
Energy Factor. For large gas storage water heaters (rated input of greater than 75,000 Btu/hr), list Rated Input, Recovery Efficiency, Thermal
Efficiency and Standby Loss. For instantaneous gas water heaters, list Rated Input and Thermal Efficiencies.
Pipe -Insulation (kitchen lines > 3/4 inches) All hot water pipes from the heating source to the kitchen fixtures
that are 3/a inches or greater in diameter shall be thermally insulated as specified by Section 150 0) 2 A or 150 (I) 2 B.
December 2005
Residential Compliance Forms
CERTIFICAT "OF COMPLIANCE: RESIDENTIAL TIT 2/19/08 Job #: 08054
Project Title g ����� ® �� �&I
I
Hung Addition Date
SPECIAL kE:ATUTg� S 2/19/08
��� �J���'��®1�
(Check Applicable boxes) w only REQUIRING BUILDING OFFICAL ®ir HERS
Indicate which special features are parts of this project. The list beloly represents special features relevant to the prescriptive method.
Building Official
HERS Rater
HERS Rater Diagnostic
Verification Testing
Y
Y
Y
Y
Y
Y
u
Measure
100% of ducts in crawlspace/basement
Buried ducts
Diagnostic supply duct location, surface area, and R -value
Duct increased R -value
Duct leakage
Ducts in attic with radiant barriers
Less than 12 ft. of duct outside conditioned space
Non-standard duct location
Supply registers within two ft of floor
Air retarding wrap
Cool roof
Exterior shades
High thermal mass
Inter -zone ventilation
Metal framed walls
Non -default vent heights
Quality insulation installation
Radiant barrier
Reduced infiltration (blower door). May also require mechanical ventilation.
Solar gain targeting (for sunspaces)
Sunspace with interzone surfaces
Vent area greater than 10%
Y Adequate air flow
Y Air conditioner size
Y Air handler fan power
Y High EER
Hydronic heating systems
Y Mechanical ventilation
Y Refrigerant charge
Y Thermostatic expansion valve (TXV)
Zonal control
Combined hydronic
High EF for existing water heaters
Non-NAECA water heater
Non-standard water heaters (wh/unit)
Water heater distribution credits
� � 9
Residential Compliance Forms
Cember_7005
Y.
y PR4� �„
Verification of
Category
Special Features
Ducts
--
❑
Y
❑
®
Y
❑
Y
❑
Y'
❑
--
Envelope
❑
Y
❑
Y<
❑
Y
❑
Y -
❑
Y
❑
Y' _
❑
Y
❑
❑
Y-'
❑
—
❑
Y —
❑
Y —
❑
Y —(—
❑
HVAC Equipment
1—
❑
❑
�—
❑
Y --
❑
--
❑
❑
--
❑
Y
Water Heater
--
❑
Y
❑
Y --
❑
Y --
❑
Y
❑
Y
HERS Rater
HERS Rater Diagnostic
Verification Testing
Y
Y
Y
Y
Y
Y
u
Measure
100% of ducts in crawlspace/basement
Buried ducts
Diagnostic supply duct location, surface area, and R -value
Duct increased R -value
Duct leakage
Ducts in attic with radiant barriers
Less than 12 ft. of duct outside conditioned space
Non-standard duct location
Supply registers within two ft of floor
Air retarding wrap
Cool roof
Exterior shades
High thermal mass
Inter -zone ventilation
Metal framed walls
Non -default vent heights
Quality insulation installation
Radiant barrier
Reduced infiltration (blower door). May also require mechanical ventilation.
Solar gain targeting (for sunspaces)
Sunspace with interzone surfaces
Vent area greater than 10%
Y Adequate air flow
Y Air conditioner size
Y Air handler fan power
Y High EER
Hydronic heating systems
Y Mechanical ventilation
Y Refrigerant charge
Y Thermostatic expansion valve (TXV)
Zonal control
Combined hydronic
High EF for existing water heaters
Non-NAECA water heater
Non-standard water heaters (wh/unit)
Water heater distribution credits
� � 9
Residential Compliance Forms
Cember_7005
Y.
y PR4� �„
Date:
CERTIFICATE OF COMPLIANCE. RESIDENTIAL
Project Title
Hunt Addition
Special Remarks
uct testing not required if less than forty linear feet of ducting is installed.
COMPLIANCE STATEMENT
2/19/08 Job #
(Page 5 of 5)
Date
08054
CF -IR
2/19/08
This certificate of compliance lists the building _features and specifications needed to comply with Title 24,
Parts 1 and 6 of the California Code of _Regulations, and the administrative regulations to implement them. This
certificate has been signed by the individual with overall design responsibility. The undersigned recognizes that
compliance using duct design, duct scaling, verification of refrigerant charge and TXVs, insulation installation
quality, and building envelope scaling require installer testing and certification and field verification by an
approved HERS rater.
)esi ner or iPwneir (per k3uslness anti rroressions l,—)
RJIW , lwnitna—...wu— .,. d y W -
Name:
Name:
Marty Runnells
Title/Firm:
Title/Firm: Energy Calculation Services
Address:
Address: 574 Manzanita Avenue, Suite 9
Chico, Ca. 95926
Telephone:
Telephone: (530) 894-8466
License #:
License #: (if applicable)
Dlgitalyslyned by 11.1ln G. Runnells
—ECS, ECS,ryyg 3
' ' .,+ pN'. en=Menlo G. Rennous, emairmeM
✓ iyv�yy.%� ypg.�a. r¢-� mm, a=Energy Calculation Servicer,—3
Date:2000.62.191211'.36ll9'99'
(signature) (date)
(signature) (date)
Enforcement Agency
December 2005
Residential Compliance Forms ,
Date: 2/19/08 Job #: 08054
FENESTRATION - MAXIMUM ALLOWED AREA WORKSHEET WS -4R
Project Title Date
Hunt Addition 2/19/08
FENESTRAT40N 1`1�ODUUCTS — NEW CONSTRUCTION- NEW BUILDINGS
a a V r r rel of ff-nactrntinn
Use tnls table for
A
new buildingt,
B
MILIMAIvta sv
C
... -•--
D
E
F
G
9/Type/Pos.
(Front, Left,
Rear, Right,
Skylight)
Orientation
Total
Fenestration,
West Facing
Area (ft)
Total Fenestration for
N, S, E Orientations
Area (ft)
CFA (ft)
Total Percent of
West Facing
Fenestration'
(C/E) x 100%
Total % of
Fenestration2
Including West
(D/E) x 100% + F
Total Area
Added
Fenestration'
(D - E)
North
Total % of
Fenestra -
tion'-' 3' 4
(F/C) x 100%
#/Type/Pos.
(Front, Left,
Rear, Right,
Skylight)
South
East
North
0 NaN
0 NaN
South
East
South
0
East
0 NaN
West
0
Totals
Total
NaN
- ,
NaN
1) If west facing area exceeds :5% of CFA in climate zones 2, 4, and /-15, the perrormance apprUacn luusd Ue uscu.
2) If total percent of fenestration exceeds 20% including West facing orientations then performance approach must be used. West facing area includes
skylights tilted to the west or tilted in any direction when the pitch is less than 1:12 for Package D only.
FENESTRATION PRODUCTS — NEW CONSTRUCTION- ADDITIONS
r7l, r,2 ii _u_ u_ p:n -i +n 7nnn T+2 F1 (,rPntPr 1n(l0 Tt2
V tv_l Less than 1 kJU IL
L=A r_.e=ZIZ) Ll 101 1
C
U1 LIJUG
D
E
F
G
H
A
B
Removed
Orientation
North
_�
Orienta-
tion
Proposed
Addition's
CFA 1' 2' 3
Proposed
Addition's
Fenestration
Area (ft2)4
Fenestration
Area Removed to
make way for
Addition (ft2)2
Total Area
Added
Fenestration'
(D - E)
Total % of West Facing
Fenestration'
(G/C) x 100%
Total % of
Fenestra -
tion'-' 3' 4
(F/C) x 100%
#/Type/Pos.
(Front, Left,
Rear, Right,
Skylight)
South
East
North
0 NaN
0 NaN
South
East
0
West
0 NaN
South
0
East
Total
0
Total
Total
0 Total
NaN
ENa
west'
1) Additions 5100 sf are allowed to install up to 50ft2 of fenestration and are exempt from the 5% west facing and 20% maximum total area
limits and shall meet the U -factor and SHGC requirements of Package D. See Table 8-2 in the Residential Manual. Note: Leave columns E, F,
G, H, and I blank.
2) Additions <1,000 112, the maximum net allowed fenestration is 20% and may be increased additionally to by the amount of glazing removed in
the wall that separates the addition from the existing house. However, the total West facing fenestration can not exceed 5% of the proposed
addition's CFA including skylights orientated in any direction and tilted with a pitch of < 1:12. Column G can not exceed 5% and Column H can
not exceed 20%.
3) Additions >1,000 ft2, must meet Package Drequirements. See Table 8-2 and Table 151-C in Appendix B of the RM or use Performance Approach.
4) The 5%west orientation restrictions are only for Climate zones 2, 4, and 7-15; for Climate Zones 2, 4 and 7-15 enter zero (0) in column E.
FENESTRATION PRODUCTS- ALTERATIONS
f ducts (windows) are being removed and/or added.
Use this table
A
for alterations to
B -
an exlsting
C
bullding where
-D
fenestra Eons
E
ro
F
G
H I
Existing
Area
ft2)
Removed
Orientation
North
Removed
Area
112
Proposed
Installed
Orientation
North
Proposed
Installed
New Area
(ft2)
Total Net Total % of
Fenestration Fenestra -tion 1,2
(ft2) (H/A) x 100%
(C -E -FG) Max of 20%
0 NaN
Existing
CFA
(ft)
Existing
Orientation
North
South
East
South
East
0 NaN
0 NaN
South
East
West
West
0 NaN
West
Total
Total
Total
,.t rho
0
.- mantc of pnrl_-we. D.
1) When 50 ft' or more of fenestration area is added to an existing building, then me fenesuuiiUii suuaL -111 —„ .111, ...,.,-.,- __ _ ____
2) The area requirement for the total fenestration area for the whole building, including the added fenestration, must not exceed 20%.
Otherwise, the Performance Approach must be used. See Section 8.3.3 in the RM for further details.
December 2005
Residential Compliance Forms
Date: 2/1 WA Inh i�• nRnFA
MANDATORY MEASURES SUMMARY: RESIDENTIAL(Page I of 2) MF -IR
Project Title Tate
14116 Racine Circle, Magalia, Ca. 2/19/08
50 0111jw d� «w LaIAalUa ruusd e;unruirr mese measures regardless of the compliance approach used. More
stringent compliance requirements from the Certificate of Compliance supersede the items marked with an asterisk (*) below. When this
checklist is incorporated into the permit documents, the features noted shall be considered by all parties as minimum component
performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only.
Instructions: Check or initial applicable boxes or check NA if not applicable and included with the permit application
documentation.
DESCRIPTION
—
NA
Designer
Enforce
-meat
Building Envelope Measures-
easureso§150(a):
§150(a):Minimum R-19 in wood frame ceiling insulation or equivalent U -factor in metal frame ceiling.
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§ 150(b): Loose fill insulation manufacturer's labeled R -Value:
° § 150(c): Minimum R-13 wall insulation in wood framed walls or equivalent U -factor in metal frame walls (does not apply
to exterior mass walls).
§ 150(d): Minimum R-13 raised floor insulation in framed floors or equivalent U -factor.
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§ 150(e): Installation of Fireplaces, Decorative Gas Appliances and Gas Logs.
1. Masonry and factory -built fireplaces have:
a. closeable metal or glass door covering the entire opening of the firebox
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b. outside air intake with damper and control, flue damper and control
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2. No continuous burning gas pilot lights allowed.
§ 150(t): Air retarding wrap installed to comply with § 151 meets requirements specified in the ACM Residential Manual.
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§ 150(g): Vapor barriers mandatory in Climate Zones 14 and 16 only.
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§ 150(1): Slab edge insulation - water absorption rate for the insulation material alone without facings no greater than 0.3%,
water vapor 2ermeance rate no greater than 2.0perm/inch.
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®
Q
§ 118: Insulation specified or installed meets insulation installation quality standards. Indicate type and include CF -6R
Form:
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§ 116-§ 117: Fenestration Products, Exterior Doors, and Infiltration/Exfiltration Controls.
L Doors and windows between conditioned and unconditioned spaces designed to limit air leakage.
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2. Fenestration products (except field -fabricated) have label with certified U -factor, certified Solar Heat Gain
Coefficient (SHGC), and infiltration certification.
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3. Exterior doors and windows weather-stripped; all joints and penetrations caulked and sealed.
Space Conditioning, Water Beating and Plumbing System Measures-
§ILO-§ 113: HVAC equipment, water heaters, showerheads and faucets certified by the Energy Commission.
EJ
IZI
1:1
§ 150(h): Heating and/or cooling loads calculated in accordance with ASHRAE, SMACNA or ACCA.
§ 150(i): Setback thermostat on all applicable heating and/or cooling systems.
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§ 1500): Water system pipe and tank insulation and cooling systems line insulation.
1. Storage gas water heaters rated with an Energy Factor less than 0.58 must be externally wrapped with insulation
having an installed thermal resistance of R-12 or greater.
2. Back-up tanks for solar system, unfired storage tanks, or other indirect hot water tanks have R-12 external insulation or
R-16 internal insulation and indicated on the exterior of the tank showing the R -value.
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3. The following piping is insulated according to Table 150-A/B or Equation 150-A Insulation Thickness:
L First 5 feet of hot and cold water pipes closest to water heater tank, non -recirculating systems, and entire length
of recirculating sections of hot water pipes shall be insulated to Table 150B.
2. Cooling system piping (Suction, chilled water, or brine lines), piping insulated between heating source and
indirect hot water tank shall be insulated to Table 150-B and Equation 150-A.
E
4. Steam hydronic heating systems or hot water systems >15 psi, meet requirements of Table 123-A.
EJ
Residential Compliance Forret December 2005
Date: 2/19/08 Job #: 08054
MANDATORY MEASURES SUMMARY: RESIDENTIAL (Page 2 of 2) MF
-IR
1_i➢E+ SCRIPT1IONEnforce_
ISA
Designer
ment
Spee Conditioning, Water Heating and Plumbing System Measures: (continued)
+/
v/
e/
5. Insulation must be protected from damage, including that due to sunlight, moisture, equipment maintenance, and wind.
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6. Insulation for chilled water piping and refrigerant suction piping includes a vapor retardant or is enclosed entirely in
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conditioned space.
7. Solar water -heating systems/collectors are certified by the Solar Rating and Certification Corporation.
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§150(m): Ducts and Fans
1. All ducts and plenums installed, sealed and insulated to meet the requirement of the CMC Sections 601, 602, 603, 604, 605
and Standard 6-5; supply -air and return -air ducts and plenums are insulated to a minimum installed level of R-4.2 or enclosed
entirely in conditioned space. Openings shall be sealed with mastic, tape or other duct -closure system that meets the
®
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® ,
applicable requirements of UL 181, UL 18 IA, or UL 181B or aerosol sealant that meets the requirements of UL 723. If
mastic or tape is used to seal openings greater than 1/4 inch, the combination of mastic and either mesh or tape shall be used.
2. Building cavities, support platforms for air handlers, and plenums defined or constructed with materials other than
sealed sheet metal, duct board or flexible duct shall not be used for conveying conditioned air. Building cavities and
support platforms may contain ducts. Ducts installed in cavities and support platforms shall not be compressed to cause
reductions in the cross-sectional area of the ducts.
3. Joints and seams of duct systems and their components shall not be sealed with cloth back rubber adhesive duct tapes
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unless such tape is used in combination with mastic and draw bands.
4. Exhaust fan systems have back draft or automatic dampers.
5. Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated
®
1:1 "
dampers.
6. Protection of Insulation. Insulation shall be protected from damage, including that due to sunlight, moisture, equipment
®
®"
maintenance, and wind. Cellular foam insulation shall be protected as above or painted with a coating that is water
retardant and provides shielding from solar radiation that can cause degradation of the material.
7. Flexible ducts cannot have porous inner cores.
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§1 t4: Pool and Spa Heating Systems and Equipment.
1. A thermal efficiency that complies with the Appliance Efficiency Regulations, on-off switch mounted outside of the
heater, weatherproof operating instructions, no electric resistance heating and no pilot light.
2. System is installed with:
a. at least 36" of pipe between filter and heater for future solar heating
✓
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b. cover for outdoor pools or outdoor spas
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3. Pool system has directional inlets and a circulation pump time switch.
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§ 115: Gas fired fan -type central furnaces, pool heaters, spa heaters or household cooking appliances have no continuously
®
® ;
burning pilot light. (Exception: Non -electrical cooking appliances with pilot < t50 Btu/hr)
§ 118(i): Cool Roof material meets specified criteria
Residential Lighting Measures:
§ 150(1)1: HIGH EFFICACY LUMINAIRES OTHER THAN OUTDOOR HID: contain only high efficacy lamps as
outlined in Table 150-C, and do not contain a medium screw base socket (E24/E26). Ballast for lamps 13 watts or greater
are electronic and have an output frequency no less than 20 kHz
§ I50(k)1: HIGH EFFICACY LUMINAIRES - OUTDOOR HID: contain only high efficacy lamps as outlined in Table
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t50 -C, luminaire has factory installed HID ballast
§ 150(1)2: Permanently installed luminaires in kitchens shall be high efficacy luminaires. Up to 50 percent of the wattage, as
determined in § 130 (c), of permanently installed luminaires in kitchens may be in luminaires that are not high efficacy
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luminaires, provided that these luminaires are controlled by switches separate from those controlling the high efficacy
luminaires.
§ I50(k)3: Permanently installed luminaires in bathrooms, garages, laundry rooms and utility rooms shall be high efficacy
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luminaires. OR are controlled by an occupant sensor(s) certified to comply with Section 119(d) that does not turn on
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automatically or have an always on option.
§ 150(k)4: Permanently installed luminaires located other than in kitchens, bathrooms, garages, laundry rooms, and utility
rooms shall be high efficacy luminaires (except closets less than 70ft'): OR are controlled by a dimmer switch OR are
®
®
®,
controlled by an occupant sensor that complies with Section 119(d) that does not turn on automatically or have an always
on option.
§ 150(1,)5: Luminaires that are recessed into insulated ceilings are approved for zero clearance insulation cover (IC) and are
certified airtight to ASTM E283 and labeled as air tight (AT) to less than 2.0 CFM at 75 Pascals.
§ 150(k)6: Luminaires providing outdoor lighting and permanently mounted to a residential building or to other buildings on
the same lot shall be high efficacy luminaires (not including lighting around swimming pools/water features or other
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Article 680 locations) OR are controlled by occupant sensors with integral photo control certified to comply with Section
119(d).
§ 150(k)7: Lighting for parking lots for 8 or more vehicles shall have lighting that complies with Sec. 130, 132, and 147.
®
®
E!
Lighting for 2arking garages for 8 or more vehicles shall have lighting that complies with Sec. 130, 131, and 146.
§ 150(k)8: Permanently installed lighting in the enclosed, non -dwelling spaces of low-rise residential buildings with four or
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more dwelling units shall be high efficacy luminaires OR are controlled by occupant sensor(s) certified to comply with
Section 119(d).
Jecemoer zuw
Residential Compliance Forms
i
Buffe County Department of Deveiopment Services
TIM SMELLINGS, UiRECTOR I PETE CALARCO, ASSISTANT DIRECTOR
7 County Center I)Ave
Oroville, CA 95965
(,5_2300) 638-7601 Telephone
(630) 638-7785 racw"Ille
WV'AV.bMUgttcoun
6
vo i natIdds
DECENTMER 18, 2007
CLINT & S14ANNON HUNT
14116 RhCINTE CIR
MAGALLA CA 95954
ADMIMSTRATION * BUILDING * PLAMMG
10 ok
Lj1
e67_— O�7
Rea Formal Warnhq-, Nofice
Building Code Violation
Location: 14116 RACIl,Mr' CIR MAGALIA CA 95954
A1'7'T'064-560-031
Dear Owner:
Casey#-. ME07-0143
Through our courtesy notice on 10/10/2007 you were notified pursuant to Section 41-2 of the Butte County
Code of the presence of code violations on your ab6v'e-referenced property. According to our records, the
courtesy notice has not resulted in the correction of the following violation(s). The failure to obtain the
required permits, inspections and approvals from this office for the following:
Addition to existing mobile home.
!. Section 106.1 Permits Required
2. Section 108.1 Inspections Required
3. a miore Use OF UMUPU11GY Section 106.4 inspection Approval t�equire
4. Section 3405 Change in Use Requires Conformance to Code
The -above violation(s) shall be corrected or abated by you by submitting three (3) complete sets of plans,
applying for the required permits, and paying the appropriate fees, including penalties. After permit issuance
and field authorization to proceed, the work must be pompleted and approved by this office wit -bin the permit
specified time.
Other regulatory agencies including by not limited to Butte County Planning, Public Works, Environmental
C�
Health, and California Department of Forestry may need to review an approve this project. Please be advised
that even though you apply f6r a building permit that does not_ guarantee approval of this project. We would
advise that you also consult with these agencies regarding their approval.
This is your fine'll fflarlai . Unless YOu,_contact this office and wake the propff OrrangeTnents to
correct or abate the violation(s) VoluntRAIY, WithirR te", (_Lo) days from the date of this letter,
enforcement shall be pursued through the issuance of A citation (Ordering yon ,to Appear in conet) for
the Aolation('s) ARAB for failing to comply with this warn, ing letter.
Upon conviction of said violation(s) Or failinto
comply with this letter, the court shall impose Penp-Itic-s
41
Of g -nce with Bute C0untY Code section The
,Violation shall be recorded in accorda concerps, a description ofthe
(fines) and a Notice of se fle, violation
,shall include a description of the prem—iscs t' -I(s)
Notice of Violation e -Y f® correct or abate the ViOlatiOl
violation, the date of your conviction and fh action necessal n at 53 9-5367. Or visit Our
Should you have any questions concerning this matter, pc contact Bill BarrO h
roville. Otj Monday throu- Friday 7:30 a.m-. to 4:30
office r offico, hours axe
at 7 County Center gave in 0
P. m.
sincerely,
'Bill Barron
Slipervising Buildinor Inspector
BB: Pjj S
Cc: Assessor
PROOF Off' SERAYW-rd, D -Y MILL44--
arn, and was at
f the United States and em—pidyed in tae CoUntyof Butte.
a citizen 0 � of Cigj- -,_, years ?- D -0
mention x the age _itee pad -Ot a 9aAY to th
vice herei after _Cfj, Ove
ve tinle Of the ser ion. 7
fff-MCIA of Development p�,er,,,jces, Building Divis
within action. My b-asiness address iss Depf ly f, 'e
oroville read, _ n1iliar with jb�p COUTIVIs practic
County Center Drive, cajifornia 95915� 1 am s for rmailina with tile United States
sponder e I -
c e / d o ma III , nt
Ocessing Of corr,
for collection and r spon _ - re deposited- With the Tinited States Postal
postal Se nd tba dence/docanments a"
_r,vice q t said corr
business On the lanae -y-
e do
Service in the ordinary course of the -p,�,,Tson(s) n -9
arned below by placin
-2om the, foregoing 10 day lettey On
postage jb aid, addressed as
a true copy thereof in a sealed envelope, witli first class the eon gully
p
indic-ated below, and by placing said envelope
In lie appropriate place cc within the Departinerjof Development Services
States Postal Services on
,I is collected for m
ailing with the United
where mail _
tb-C sarne day°
ia.
d States Postal Serviee
Mail in cajiforn
oroville
in Ehe Tinite
CILMITT a S�IAIjNoN 1-1-UNT
14116 RACINE CIR-
MAGA_LIA CA 95954
-
lifornia that the foregoing is true
I declare Under Penalty Of Perjury Under the laws of thState 0, Ca
e
andGorrect and t1iqt this declarati n vvasexe uteI oi -DecefflbcT IF -007 oroville'
kala foma.
vv'
7j'qfjles j Strand
�
. J
. Str d
office Specialist
Ip
gqr_�Fo -0148
4 -
u a
CALIFORNIA
ASSOCIATION ADDENDUM
OF ITEALTOILS (C.A-R. Form ADM, Revised 10101)
No.
The following terms and conditions are hereby incorporated in and mode 1 jmi:� -Qf the: EJ Residential Purchase Agreement,
Manufactured Home Purchase Agreement, 0 Business Purchase Agreement, El Residential Lease or Month -to -Month Rental
Agreement 0 Vacant Land Purchase Agreement, El Residential Income Property Purchase Agreement 0 Commercial Property
Purchase Agreement, Fl other
c ,
dated
on property knovin as 141116 - Ral xle !71 Qc
rred to as ("Buyer/Tenant")
in which C -71- 71t is re-fiaa
and —is refer - red to as ("Sell e r/La ndlord")
_i�_ _- - -7- - T�tal 2e,5f-
1.
h.
in -"d tha-L
2nav a t _ - ,145z - I:x r :
t,� ,
Rnni's- -7b-S,
's
-L""',
t of Hotz;5imy- an_ci lr�:a n54 -_I�, ;0_qr.'2�9 -fb:017 t-:Phs- S 'K
4 t tZ= r!
a c, f
an -d- a�LL
25a z
Z1,
on.
The foregoing terms and condifions are hereby agreed to, and the undersigned acknowledge receipt of a copy of this document.
Date -At:qzzzt 16, 2013'? —
BUyeriTenan! X1 4'-17
2 9 � 11 1 �t 4
/tJd/$"
Buyer/Tenant
9 HtInt
Date
Seller/Landlord
Selfer/Lancffbra'
of this form, or any portion thereof, by photocopy machine or any other means,
The copyright laws of the UnRad Slates (Title 17 U.S_ Code) forbid the unauthorized reproduction
including facsimile or computerized formats. Copygghtg 1936_241T1,, CAI IFORNIA ASSOCIATION OF REALTORSO, ING- ALL RIGMS RESERVED.
THIS FORM HAS BEEN APPROVED BY THE CALIFORNIA ASSOCIATION OF REALTORSO (G -A -R.)_ HO REPRESENTATION IS MAhorz AS TO THE! LEGAL VALIDITY OR
ADEQUACY OF ANY PROVISION IN AMY SPECIFIC TRANSACTIOM_ A REAL ESTATE BRCYKER IS THE PERSON QUALIFIED To ADVISE ON REAL ESTATE
TRANSACTIONS. IF YOU DESIRE LEGAL OR TAX ADVICE, C014SULT AN APPROPRIATE PROFESSIONAL- .
This form :as available for use by the entire real estate industry. it is not intended to identifya REALTOR(D. REALTORO is a registered collective membership mark
the user as r_
which may be used only by members of the NATIONAL ASSOCIATION OF REALTORS@ who subscribe 10 its Code of Ethics,
published and Distributed by:
REAL ESTATE BUSINESS SERVICES, INC.
Reviewed by
of REALTORS ®R
61 a sybsWiary of the Cafifomla AS-30daffOD n
525 South Virgil Avenue, Los Angeles, California 900220 Broker or Desigriee Date EGUAL HOUSING
OFFORTUNITY
-ADM11REAMED 10101 (PAGE 1 OF 1)
ADDENDUM (ADMA I PAGE 1 OF 1)
,.COLDWELL BANKER PONDEROSA 14122 Skyway SttL B_Magzdia, CA 95954 14116 Racine C
Phone: (530) 873 - 7640 Fax: (530) 873 - 764P'
22 Nic-nda Ma-chl.
11 =a'"r
oat f
dditional leaching field M11 be rt;quired if € PerienCe Aow$ it to be neceosa,ry. ilio Pt of tSse sy,3tem maylocated
within 50 feet of the center line of zany County Road.
Tla',: $Rt'Elfactoa'y inopvctioa by the Health. Department is required before backfilling g putting
the a into'
ystelyl -x"- QcctrpatEu of a new buildcag is hot permitters iE911st the, 076t�m a� approved.
I
�.
rMit Fer �_� .._ s Penalty i' ens S Total Fee S
a
!/
ii ya f ,r
aid'sEsi; server Fee 3 'figaled By ,
p'
ceipt No. .-1'.� � F
S
.
-475R �
a7aa
OC!,
Qlsae,;; 5ay1 idol ar.Aqw4a6sa e' 4/r' 6df97 ':ap ,:ticT'rai la:-'iCagaaalcimd "ciJsialarG atiral6'i ac . .
>JbYliLi tlB 'SdC"+vf X11 a34� al'6y sip
led or the SYStern ba kfIIled, v put into use, I ufsc understand that
mut
a sat peMble water
be Supplied to the neer building or dwelling before Occupancy can take place.
Signed A—
FOR OFFICE USE ONLY f
K:
Nf Psi(
REVIEW 1)1 -to By
Marc
i Yes NtEy1 Water Plans Cleared j
Potable Yater_
f
- POrrraft Issued
errrrit
d des f40 _
_.,_....m._.
' =:
Comment.,�.�,___._,._._._.. t
3", .
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0
LANG i[\ G DIVI8lON fit) L ING PLAN APPRO'
� I
J
D, 05 L� �
° 8IParking: __ Landscaping:
®
Other:- C�
0 �. Signature;
Tj ��.�c���
i
w 0 \
AAALL
COMPLY WI`S'H CIF-/ CAL FIRE.
REQUIREMENTS PRIOR TO \
MUII_,DINr. DIVISION FINAL.
CONTACT CDF/ CAL EIRE:
FEIR INFORMATION
- �,_
,4 VITIf
N QT ® RESPONSIBLE FOR
pROPER idII�ID LER IS
SIONS OF E'ROPERTTY LINES
DETERMINING
AND EASEMENTS®M p pE'ERTI(TAIFIING �LIIFiED
LINES AI�1p
SETBACKS REQUIRED IF
EASEMENTS. A SURVEY MAY El
DETERMINED NECESSARY BY THE BUILDING
OFFICIAL.
a.
NOTE
`E SITE CONDITIONS
�� rr ENGINEERING MAY BE REQUIRED IF ANY OF THE FOLLOWING SITE
CONDITIONS ARE OBSERVED AND NOT SHOWN ON THE APPROVED
PLANS:
g EXCESSIVE SLOPES
EXPANSIVE SOILS
® EXCESSIVE CUTS OR FILLS
® ALTERATIONS TO NATURAL DRAINAGE
OTHER UNUSUAL SOIL OR GEOGRAPHICAL
CONDITIONS
m
3
1 P
• r,?.. 1.
TITL-� E(JUI EMEWE!
gE UIREMENTS
E��E'�'aY en�rn r='•�
p CCCO Tn /I.TTA�'e"JCn
pMPL1ANCE FOR
CERTIFICATE Opr'Y RFFI1..1lRFMFNTS FfIR -
gpFrIFIG FNE
THIS BLJILDING
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In
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QUI
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13
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