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HomeMy WebLinkAbout064-700-029{ PHILLIP S. HARRIS,"$-�A►.�..!'��i�%L C:s47"2M Cody Ct., lot 136, PP#2,Magali contr: Fuller Const.Co., Magalia Permit #339-76P,E_(u$i.1�, MH) U GAS SUPPORT STRUCTURE REQ. AD COMPACTION TEST REQ�- 64-70-29 contr Anchorman Const., Sacramento Permit #6590=76MHI' Issued 64-70-29 Contr: R. Van StAvern Per-mit��2083-86MHI( xisting site)" - - �, Issued —0014411 'fes 64-7.0-29 < 1630-90B • Yew - HARRIS,tJackie 4�. 0x,�� 6202,Cody Ct, Magalia s l' ,a - i (garage � /MH) •-s, s �a I Pf r K k 064-700-02S P 02-29 HARRIS; JACKIE `" , INALE 1 f i 6202 CODY CT , MAGALIAi� d-�S-o3 i 'CONT- CHICO MHS. EX MH PERM FND EX SITE¢ X064 700 029 030865 A RRI HAS4JACKIE }`r 1Sr`'" Fq {, , 6202`CODY CT��xr't� i 064=700-029 "' 04=0540 ` DOUGHTY, RICHARD. 6202 CODY CT;-MAGALIA - d Cont: RELIANCE PROPANE ` INSTALL GAS LINE "• 1\ .9 w BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP040540 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under Issued Date: 02/25/2004 APN• 064_700-029-000 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. Site Address: 6202 CODY CT MAG License Class : License Number: 73V31-80 Map Index:' Date: D1_ Contractor: �o OWNER -BUILDER DECLARATION Description: INSTALL GAS PROPANE TANK I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: DOUGHTY RICHARD B permit to construct, alter, improve, demolish, or repair any structure, prior 6202 CODY CT to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of MAGALIA, CA the Contractor's State License Law (Chapter 9 commencing with Section 95954-9628 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a`permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not Applicant: DOUGHTY RICHARD B intended or offered for sale (Sec. 7044, Business and Professions PP Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec: 7044, Business and Professions Code. The Contractors' State License Law does Contractor: RELIANCE PROPANE not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed 6426 SKYWAY pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code PARADISE, CA 95969530-872-9200 X206 Date: Owner: WORKERS' COMPENSATION DECLARATION License #: 734318 I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Architect: Labor Code, for the performance of the work for which this permit is issued. Engineer: ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carder and p6licy number are: Carrier: 5h -i e erg,)J Total Square Ft: 0 S.F. Policy#: IGS/ 77 L 2 --U Z- Valuation: $0.00 Census Code: ❑ 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 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: Applicant: ~� WARNING: Failure to secure workers' compensation coverage is In unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This pe it is h eb d n the pli able provisions of the Butte County Code and/ I hereby affirm that there is a construction lending agency for the Resol ns to i c e or hi h f ave been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) '7/i!✓7 Name: BY C Da . Address: PERMIT EXPIRES ON: to ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the'California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification fortes. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representati Butte Cou to enter the above mentioned property for inspection purposes. Print Name: / � Signature: J'rt ` . R,? Date:/LS/y y ❑ Owner , ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 ..- '.BUTTE, COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. DATE: /^ _O:;77 APN: D r ^ / / ZONING: NEAREST CROSS STREET: TRACT/LOT#: SITE ADDRESS: clrr. zIP 7,-D 7� OWNER NAME: Q 9 PHONE STREET ADDRESS: FAX: CITY, ZIP: E-MAIL APPLICANT NAME: ' PHONE STREET ADDRESS: FAX CITY, ZIP: E-MAIL' CONTRACTOR NAME: PHONE STREET ADDRESS: FAX CITY. ZIP: EMAIL LICENSE NUMBERLICENSE d 7347 3) TYPE: ARCHITECT/ENGINEER NAME: PHONE STREET ADDRESS: FAX CITY, ZIP: LICENSE NUMBER E-MAIL: DESCRIPTION OR SCOPE OF WORK: n L �,7 le- 5e /2 tum O ❑ Structure Built without permits ❑ Proposed Change of Occupancy (note previous use) EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. For office use only. Notes: Application Received by: Date: ��� ✓ v Receipt number: Amount Received: RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 25 -Mar -2003 2003-0018677 Has not been compared vith original BUTTE COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. JACKIE B. HARRIS, TRUSTEE FOR THE JACKIE B. HARRIS TRUST REAL PROPERTY OWNER/LESSOR 6202 CODY COURT MAILING ADDRESS MAGALIA BUTTE CA 95954 CITY COUNTY STATE Zip SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT CITY r COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS -- CITY COUNTY STATE . ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT end CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 02-2950 530 538-7541 B GPERMTTNO TELEPHONENUMBER SIGNATURE OF LOCAL AGENCY OFFICIAL ATB NONE DEALER NAME (if not a dealer sale, write "NONE') NONE DEALER LICENSE NO. BAYSHORE HM CALIF. 1986 SEVILLE / LAJ 6243 MANUFACTURERS NAME DATE OF MANUFACTURE MODEL NAME/NUMBER BHA0167A/B 60'X 24' 321127 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER AP # 064-700-029 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE - County Recorder CANARY - RCD PINK - Applicant GOLDENROD - Building Dept FOUNDATION SYSTEM. CERTIFICATE OF OCCUPANCY BUILDING PERMIT NUMBER: 02-2950 Address or location of unit: 6202 CODY COURT, MAGALIA CA 95954 Legal Description of Real Property: AP # 064-700-029 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: JACKIE B. HARRIS, TRUSTEE FOR THE JACKIE B. HARRIS TRUST Owner's address: 6202 CODY COURT, MAGALIA CA 95954 INSIGNIA OR HUD NUMBER: 321127 SERIAL NUMBER OR V.I.N.: BHA0167A/B MANUFACTURER'S NAME: BAYSHORE HM CALIF. INC. YEAR: 1986 OFFICIAL APPROVING INSTALLATION DATE: *L03 PHONE: (530) 538-7541 H.C.D. 513C LEGAL DESCRIPTION A.P. # 064-700-029 All that certain real property situate in the County of Butte, State of California, described as follows: LOT 136, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "PARADISE PINES UNIT NO. 2", FILED IN THE OFFICE OF THE COUNTY RECORDER OF BUTTE COUNTY, CALIFORNIA, ON JUNE 10, 1970, IN BOOK 35, OF MAPS, AT PAGES(S) 71, 72, 73 AND 74. EXCEPTING THEREFROM ALL OF THE VALUABLE MINERALS AND ALL OIL, GAS ASPHALTUM AND OTHER HYDROCARBON SUBSTANCES BENEATH THE SURFACE OF THE SAID LANDS WITH THE RIGHT TO MINE AND EXTRACT SAID MINERALS AND ALL OIL, GAS, ASPHALTUM AND OTHER HYDROCARBON SUBSTANCES, IT BEING AGREED AND UNDERSTOOD THAT IN ALL OF THESE OPERATIONS THE SURFACE OF SAID LANDS WILL BE PROTECTED AGAINST DAMAGE AND THAT ALL OPERATIONS RELATED THERETO SHALL BE CARRIED ON FROM TUNNELS, SHAFTS OR DRIFTS HAVING THEIR ORIFICES OUTSIDE OF THE SURFACE AREA OF THE ABOVE DESCRIBED REALTY. ASSESSOR'S PARCEL NO: 064-700-029 10/2"2 13:02 FIDELITY TITLE PARADISE 4 532 895 1774 N0. 168 901 STATE OF CALFORNIA • OUINN.T. fit0VORTATION AND HOUSING AGENCY _ _GRAY OAKS, Covema DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT5u'lG OhAslen of Codes and Qmdwde � Title Search Date Printed: 10/25/2002 Dti Decal #: LAJ6243 Use Code. SFD Manufacturer: 90047 BAYSHORE HM CALIF INC Original Price Cade. ALD Tradename: HAYSHORE HM Rating Year: Model: SEVILLE Tax Type: LPT Manufactured Date: 01124/1.986 Last!H T Amount: Registration Exp: Date. HT Fec Paid: t'irRt Sold On: 08/15/1986 ILT Exemption: NONE Serial Number HUD Label / Insignia Length Width SHA0167A 321127 60' 12' BHA41673 321129 60' 12' Record Conditions: PPF' Exempt Registered Owner: JACKIE BLANCHE HARRIS 6202 CODY CT MAGAUA, CA 95954-9628 Last Tide Date: 03/06/1987 Last Rog Card:03/06[1987 SsIdTrsnafer info! Price $40,000.00 Transferred on 08/15/1996 Situs Address: 6202 CODY CT MAGALIA, CA 95954-9628 Situs County: BUTTE Title Searches: FIDELITY NATL TITLE CO 6141 CENTER ST PARADISE, CA 95969 Tido File No: 303990•MLB FIDELITY NA'I'L TULE CO 6141 CENTER ST PARADISE, CA 95969 Title FSIs No: 303890•MLB " "'" END OF TITLE SEARCH *** l ul;eblW2 13:02 F I DEL I TY TITLE PARADISE + 530 895 1774 • NO. 168 P02 �'' w�uu,p,uelnfTtew .y>< , IiCT<Ia B. Harrit 1, 1 '• .wawmwea"mkALVal 97-019704: R.0 Fee. S. cc f r<aW�a 8. lRLTIa 6702 CodCowl Y t IMy Z. 00 Rectfrdlard - . Check 7.00 Mtjdta. Cflforala VS034 .1 Qtf LCS■1 Retford■ I' out%& ,i 1 wntueaTwumio ; Jaddo B, murkR■borel•■r Ctanttl■bar 3. Grubbs I 62D2 Caft Cam Masao.', Cjlttoesia SM4 € 1 t 61 pw 29•n�y ;U;�7 I PUBL xx i s r: Gram ww The tttsdetsipaet! troatar(q doetttre(�): �Gt'"700+OZ�-'aor) Bummealary truster tat It $M . Cenvev N L=km Timm r•a 1numn Ime 1edy f ge naeble l.lv:as'=t R&Y 1191 < FOR NO CONMERATION, the uadadp Q, Jmkls B. Har4j, as todlvldad a he joie Ind NFLW pmpat)r. .baeby ORAIMS) W. Jackie B. Hach, is MAW for TKZ JACKIB B. HARRIS TRUST &W Fobrtaty N, 1997, die real prapetty in the Cooluy:of Butte, Stale of Cdlforall deWbW a follows: Lot I36, ae 4lawe'oe etsrcrtio 'Paradik FIM yen R'; wikb ' k ttup map Broa tite8 to the omen of Retmedv of tits 0oanry of Burin. Stale of QW169 t Juno 10, 1970 W ft book 36' of Malo: v1pa{a 71, 72, 73. sod 74. ow�tl therefrom, . of da vWW61e 01iW L sad all otl, Baa, 4 -b9mm aad othv bydrowbes mbatama beseath the jutfaw of the aid WAIT wkb t!e A& to Bier sad atttrsot laid jp", ad all W, gu, ad upha mm ad ower bydrorarboa.wbatanaa. It bd'op apt+ W and uadewteod 1bu Is at dw gasthm dw su of aald Isada wpI be pmmw MatCt damye; aw that all op:ratkau Waled Wrooe loll be eattid ob Aom tuasela, akasa w drib► bltv4ud tkeir oAfiroa Mide of the r4fim alae of CM above desalted refry; More soosamrdy knows ao 60 Cady Court, WAWA. CslUomia 17396{ Stu- of C+tiforaia ) Cawtty of Butte ) on, befom ma. e plf' aekl B. H606i. pamiWly kw#n to mo (w proved to me oe the bats 0f tallgmary av1d9W) W be the perwa(s) OAK aun(j) Woe aubeerlbw le the wId" lnmwmu and mkmowledpd to ma that he a Luey saeruted dw +arae Is 1111A rltbsir audwhg +d oval+ dic and that by hlaAterlthcv elaaatute(a) on Ilk inummud d1r partor(s), or cndt_y, uptm bdsWf of wblrh the penoaij) acted, exetiuted du WITNESS my hand offlelf ueal,/y `� ,�� Ndiary 2uplrutoa tie otary FuElie. A oickle B. f wtu U • Mt1Am IG, t,B Plards t;aorum. a+ml/t� w• agaa: • wrosw 1� FROM : CHICO MOBILE HOME SPECIALIST FAX NO. : 530-895-1774 Mar. 19 2003 02:23PM Pi EX-MBIT "ONE" Lot 136, as shown on that certain Nle" entitled, "Paradise Pines Unit No. 2", filed In the Office of the County Recorder of Butte County, California, on June 10, 1970, in Gook 96, of Maps, at Page(s) 71, 72, 73 end 74. EXCEPTING THEREFROM ®Il of the valuable minerals and all oil, gas, asphaltum and other hydr000rbon substances beneath the surface of the said lands with the right to mine and extract said minerals and 411 oil, pas, asphelturn and othar hydrocarbon substances, it, being agreed and understood that In all of these opifetions the surface of said lands will be protected against damage and that all operations related thereto shall be carried on from tunnels, shafts or drifts having.their orifices outside of the surface area of the above described realty. Assessor's Parcel Pio: 064700-029 ^^^ d " • ^•' �. � i t ree rxr � 7C T RL,1lLr J =J? r e r t �aR r . r n r ...♦ ,_,� ,^ r ,r.,..• ^ m - ' NOTES RESIDENTIAL j 064-700-029 02-2950 PERMIT NO. _ HARRIS, JACKIE.._.. __ ._ . _ __ _ __ _ ' 6202 CODY CT., MAGALIA CONT: CHICO MHS EX MH PERM FND EX SITE THE HCD FORM 433A FOR THIS MH CANNOT BE RECORDED UNTIL ONE OF THE FOLLOWING HAS BEEN TURNED IN TO THE BUILDING DIVISION: (1) LICENSE PLATE(S) OR DECAL (THE INSPECTOR MUST RETREIVE). (2) STATEMENT OF FACTS (ONLY ON NEW MH'S). INSPECTOR TO VERIFY SERIAL & LABEL #'S. SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER lae dpeks E cotrcr- cerrw�� .. . C91� 1,2 7t � JOB FINALED (Date �J Signature l7 ,t � -�- -, • ,;y;� -� COUNTY OF BUTTE -DEPARTMENTOF DEVELOPMENT SERVICES - BUILDING" DIVISION _,. 7 County Center Drive • Oroville, California 95965 • Telephone (530) 55-A'-7541 PIE IT . (Rev. 12/96) APPLICATION AND PERMIT 6� ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER RT. E TELEPHONE SO. FT. OCC. BUILDING VALUATION - /� �/� �y� 1440 R 77 760.00 OWNER'S MAILING ADD SS - -MA-0-11—A.95954- CONTRACTOR'S NAME (MOD MS TELEPHONE 1 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER - y Fireplace LENDERS MAILING ADDRESS Total Valuation $ 77.760.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee 5AS. 5017 $ 770.25 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23 00 BUILDING ADDRESS 62 Energy Plan Checking Fee $ PERMIT FEE $ 1 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.0023.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater Water piping 15.00 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: EX MH PREM FNi) EX SITE: Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 Mobile Home IS I G I W 920.00 PERMIT FEE ELECTRICAL PERMIT Fling Fee 20.00 R UES Main Service 200. OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of. the Business and Professions Code, and my license is full force an, effect.POW License Class Lic. No. / .3 OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exe(npt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number R above sections need not be completed if the permit is for work of a valuation one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. / X ) t . t Date l 0 t] e t i - ❑Owner O'Contrac❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service zoOA TO tOooA 46.00 NEW CONST. DWELLING OCCUP. SO OR ADONS. ( a ACC. BLDS. 3.5¢FT. I,oµgEOSIpT MULTI. OUTLET @7.50 ER APPARATUS 8 SINGLE OUTLET CIR. OUTLET OR FIXTURES 20 @ 1.00 Ex. Occup.BAL. o .50 FUCED APPLNS. OR 5.00 EX. Occu OUTLETS RESID. EA Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 Pr4—Tnq=ti on PERMIT FEE i MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee Is Energy Inspection Fee Is occ CONST. TYPE TOTAL FEE $ 363.25. HAZ. D. FEES IMP FLOOD CDF PARCEL PD 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 Date PERMIT EXPIRES ON Dare ReceiptNo. 36420 tr,� / -a 1 47 `7 , .-j�.t`) '� WHITE-D.D.S.-B.D. CANARY-ASSESSO PINK -INSPECT OR GOLDENROD -APPLICANT = OK = Not OK = NotReadyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or / /" L "ft./ P LPG 7. Well Clearance & Disconnect MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams-Rftrs-Con nectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding;.Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1. Date Card B-1 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1. Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams-Rftrs-Con nectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding;.Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1. Date Card B-1 J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftq.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings Date Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 17. Water Htr; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 67. Bedroom Exiting 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 72. Elec. Outlets at Wood Panel, Int. & Ext. 23. Fire Sprinkler; Test 74. Elec. Outlets & Receptacles at Kit. Counter Date Card B-1 Date Card B-1 Date 77. Wtr. Htr; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 84. Stucco Brown -Finish 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 87. Water Well, Disconnect, Electrical, Plumbing 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral 0 Yes O No 90. Glass Protection 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 93. Water & Sewer Connected -C/O to Grade -HD Approval 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date Comments at Final: Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes 83. Following Instld./Drive 0 Yes O No/Walks O Yes 0 No/Planters O Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUIL/5-7541 SION 7 County Center Drive • Oroville, California 95965 • Telephone (530R(Rev.12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 064-700-099 ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION 1440 R 77.760.00 . OWNERS MAILING ADD4E.SXKIF CONTRACTOR'S NAME CHTCO MRS TELEPHONE CONTRACTORS MAILING ADDRESS R.O. RrA 4121, G14-1100GA 95927 CONSTRUCTION LENDER 9 Fireplace LENDER'S MAILING ADDRESS Total: Valuation $ 270760.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00_ Permit Fee12 $ 270-25 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan CheckingFee $ BUILDING ADDRESS Energy Plan Checking Fee S PERMIT FEE $ 313,99 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 15,00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: = MH PERM FND FX �TTF. Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 Mobile Home S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service noon oa mss 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, effect. and my license isLp full for& � C,�� License Class — Lic. No. ! /J / OWN R -BUILDER DECLARATION I hereby affirm under penalty of perjury that I em exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A To 46. 00 CCU000A NEW CONST. DWElUNO OCCUP. SO so OR ADDNS. a ACC. S.3.5¢FT. "NoNa°Es,oT. MULTI -OUTLET 97,50 POWER APPARATUS 8 SINGLE OUTLET CIR. 20 Qa ,.00 EX. OCCu . OUTLET OR FIXTURES SAL @ .50 LNS Ex. Occup. oFIXur rs ED R.,D.DEE. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 _ on PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 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 umber (T above sections need not be completed if the permit is for work of a valuation one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' ensation laws of California, and agree that if I should become subject to the worke ' compensation provisions of s ction 3700 of the Labor Code, I shall fo hwith omply with those provisions. X Date JO C% �, Sign ture pp (cant - ❑ Owner Botontractor ❑ Agent An SHA ermit is required for excavations over 5'0" deep and demolition or constructionJ� of ructu es over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 363.25 HA2. D . FEES IMP FLOOD CDF PARCEL PD HD IS UE 1 This permit is Pereby issued under the applicable provisions of the Butte unty Code and/or Resolutions to do work indicated a ve for which fees have been paid. By ate vvv V PERMIT EXPIRES ON J I) De e Receipt No. WHITE-D.D.S.-B.D. CANA -A PINK -INSPECTOR G LDENROD-APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 ' If ev.12/96) APPLICATION AND PERMIT ERMIT NI A^, SESSOR PARCEL NUMBER w ZONING BUILDINGPERMIT OWNER TELEPHONE BUILDING VA UATI N @. OWNERS "UNG AnnRFCS- . ''L CONSTRUCTION LENOER LENDERS MAILING ADDRESS ARCHITECT OR ENGINEER ARCHITECT OR ENGINEERS MAILING ADDRESS BUILDING ADDRESS LOTNO. I SUBDNIS IONS NAME USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY TYPE OF WORK New ❑ Addition q Rpmodel ❑ Desprib,@ Work: *PERMJM FEE PAlb SRA • SHERIFF OTHER ' AA6VW RECEM0 L] `R6CES►r NUAAset �O�t' " TOM !VT sNTO COMPVTlR Fireplace Total Valuation $ h1inq Fee $ Permit Fee $ Pian Checking Fee $ ,Energy Plan Checking Fee $ $ PERMIT FEE S PLUMBING PERMIT Each Trap Solar or heat pump water heater Water piping Each gas water heater or vent Gas piping system 1 • 5 outlets Building sewer Mobile Home I S I G I W 20.00 -tying Fee 20.00 7.00 23.00 1 5.001 15.00 __I 5.00 -� 15..001 @20.001 r fling Feel 20.00 23.001 _ 46.001 NON•RES10. PERMIT FEE ELECTRICAL PERMIT Main Service ( 000OR LESS ` 200AA OR DESS Main Service ( 200A TO 1000A ) NEW CONST. / OR ADONS. 1 DWEWNG OCCUP. 20.00 -tying Fee 20.00 7.00 23.00 1 5.001 15.00 __I 5.00 -� 15..001 @20.001 r fling Feel 20.00 23.001 _ 46.001 NON•RES10. y I ..- I @7.50 POWER APPARATUS 6 SINGLE OUTLET CIR. —) Ex. Occup. OUTLET OR FIXTURES 20 O 1.00 BAL .50 Ex. Occup. OU�71Ff ESID.OEA I 5.00 Temporary Service 1 23.00 -bile -HomqTaciiitiIas 20.00 C iri 23.001 P RMIT FEE A MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 1 PERMIT FEI= I S Mobile Home Installation Fee $ Energy Inspection Fee $ Dcc CONST. TYPE TOTAL FEE $ HAZ. D. FE IMP FL=O CDF PMC—EL =I 71 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 ReceiptNo. PERMIT EXPIRES ON WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Date COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE OWNER v Vv v t/ v PROP SED BUILDING USE 1. BUILDING PERMIT FEES Balance Due ....................... Additional Fees Due ................. $ Additional Fees Due .......... :...... $ Revised Plan Checking Fee .............$ 2. SCHOOL DISTRICT FEES (paid at District Office) (Available after Plan Check) 3. SHERIFF FEES (paid at Building Division) Residential ...................... x $360.00 = $ Units Commercial (sq. ft.) ............... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES (paid at Building Division) Residential ................... -x-=$ Commercial (sq. ft.) ............ # Units Amt. -x_=$ Sq. ft. Amt. 5. RECREATIONAL DISTRICT FEES (paid at District Office) (Available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER A.P. #O &g/ DATE RECEIPT # DATE C. At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT DATE rD 17,19 `-d Z— Pursuant to Govfrnm nt Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on yout project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which tou may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Buiding Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6/00) '�'����+X14:�+�"1r�ii�a�,�s,��^`^a�'i����w�++►�+ •��'�.��it�►�''i2'�>t�.�w��x..r j =y. - COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, C/95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT WLICATION DATA SHEET OWNER: ASSESSOR PARCEL NUMBS Cy `� D Proposed Building Use: Counter Technician: Date: /D Items required in order to apply for a permit. All boxes MUST be checked marked NA in order to apply. N. Plot plans, 3 or 4 sets, signed,�y the preparer of the plans. 2. omplete plans, 3 or 4 sets, signed by the preparer of the plans. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. 2� ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevat%- i tripltoat •. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. 1�� Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The.permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................:.. ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form..........:.................................................................... ❑ 13. Other. Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 14 Fees as shown on the attached Schedule of Fees Due Sheet ....................................... _ Statement of Intent for Non -heated and A/C Buildings ............................................. _ ❑ 16. Sanitation and plot plan approval from the Environmental Health Department in _ ❑ 17. City of Chico Plumbing permit........................................................................ ❑ 19. California Department of Forestry plan approval ❑ paid. Sent by: ...................... ❑ 19. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: ❑ Contact Land Development about ❑ Improv ments, ❑ Drainage ............................... ncroachment Permit f ewa o t ublic Works Dept. (construction approval prior to occupancy). 22 e -Inspection for required ................ 3. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization.................................................................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement ................................... ❑ 28. Manufactured home utility clearance .............. ...........,... ❑ 29.ti g violati an or expired permits......................................f .......... . ❑ 30. ant.Dee� Title/Statement of Facts, 'terfrom.Legal O.w er, Check to H.C.D. $ ❑ 31. ther: ' ' C When issued Telephone - and hold for pickup. I have been ' formed of the above items and' equirements for obtaining a building permit. Applicant: O� 3 R4 �i 3D JQ0, Date: 1p ' 2b -0 V 1 o l e,,4 ► ..a E 4el '6,r d-eee5 1. Index permit a0lication for the ab numbered: d -- i �o,..j pre' a s"b Plan Check Letter 2. Additional items required Contracto , designer, owner, was ad a above data by Er phone, ❑ mail, •-❑ counter, by Contractor, designer owner, was advised of e abo aata by ❑ phone, ❑ mail, ❑ counter, by Plans reviewed by: k 6, Dat( / d2 Plans approved,by: . Structural reviewed by: Date: Structural pproved by: Note transfer by: Date: )8 0 Rb. mss N e Yellow: Building Division _Date: /D/ 6'z— Date: / Date:_ Date pr,- !S- Z OWNER: - LOCATION:% CONTRACTOR: PRE-INSPETION FOR:_ DATE TO INSPECTOR: PRE -INSPECTION REPORT Building Description: Canmercial/Usage: Residential/# of Units: Electric: Gas: Currently Occupied Abandoned/Vacant AS FOLLOWS: BUELDMG INSPECTOR'S REPORT Yes No Electric currently On Off Condition of Electric Natural Propane None Obvious Problems: Sanitation: Plumbing Working Currently On Off Well Working Potable Water Obvious SewageProblems _ Comments: ACTION RECOMMENDED: -ISSUE: HOLD FOR Dec-L�/.s� 4L Inspector: Date Sketch buildings on reverse and indicate location on p'ropert COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT N, Ifev.,2�96) APPLICATION AND PERMIT AS SESSOR PARCEL NUMBER ///���'' ZONING B U I LD I NG P ER M IT OWNER v TELEPHONE SQ C, BUILDINGVA UATIGyr OWNERS MAiUbm ADDRESS. .� /A /1 / _ A n — CUPSTRUCTION LENDER LENDERS MAILING ADDRESS ARCHITECT OR ENGINEER ARCHITECT OR ENGINEERS MAILING ADDRESS BUILDING ADDRESS LOTNO. I SUBONSIONSNAME USEOFSTRUCTURE SF D Duplex O Mobilehome O Other TYPE OF WORK New O Addition ,Rmode� ❑ 17:9, stallat Des¢ribje Work: "PERMIT FEE PAlb SRA • . SHERIFF OTHER - AMOVNT RECaV Eb NVMM * TO IN " Ul" COMM PERMIT FEE ELECTRICAL PERMIT Main Service 000V OR LESS 200A OR LESS Main Service ( 200A TO 1000A Fling Feel 20.00 23.001 OR ADDNS. Fire lace Total Valuation $ I 3.5C 1 —' —"- MULTI -OUTLET ' 97.50 LICENSE NO. POWER APPARATUS 6 S W OLE 011RET 01, Flinq Fee S 20.00 20 ® 1.00 SAL .SO Permit Fee $ 7 - Plan Checking Fee $ Service 1 23.00 /Energy Plan Checking Fee $ 20.00 c iri VRMIT $ PERMIT FEE S MECHANICAL PERMIT PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Cooling Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15,00 / Gas pipinq stem 1 - 5 outlets 15.00 Building sewer 15.00 Moil Mobile Home I S I G I W 620.001 NVMM * TO IN " Ul" COMM PERMIT FEE ELECTRICAL PERMIT Main Service 000V OR LESS 200A OR LESS Main Service ( 200A TO 1000A Fling Feel 20.00 23.001 OR ADDNS. 8 ACC. BLDS�" I 3.5C NEW CONS . NDN-RESIo. MULTI -OUTLET ' 97.50 POWER APPARATUS 6 S W OLE 011RET 01, —I Ex. Occup. OUTLET OR MTURES 20 ® 1.00 SAL .SO Ex. OCCU .FIxED APPLNS. OR OUTLETSI ESID. CA 5.00 Temporary Service 1 23.00 bile HomerFacilities 20.00 c iri VRMIT 23.001 $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 1 6.501 PERMIT FEI 1 S Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ NAZ• 10. FEES I IMP I F1 CDF PARCEL I 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. By ReceiptNo. PERMIT EXPIRES ON WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENFROO•APPLICANT Date V `© It z -also v VECTOR DYNAMICS FOUNDATION SYSTEM WIND .ZONE 1 & 2 INSTALLATION INSTRUCTIONS For the State of California INDEX SECTION INTRODUCTION PIER HEIGHTS GENERAL INSTALLATION SET-UP INSTRUCTIONS METAL PIER 8t V DRIVE PARTS LIST CONCRETE INSTALLATION SCHEMATICS PAGE NUMBER 2 4 58t5a 6 7,7A, 7B 8t 7C 8819 WIND ZONE I - SINGLE SECTION WIND ZONE II - SINGLE V -DRIVE - METAL PIER - DOUBLE SECTION - TRIPLE SECTION - SINGLE SECTION - DOUBLE SECTION - TRIPLE SECTION SOIL CLASSIFICATION 10 11 12 13 14 15 16 17 18 COMPONENT PARTS AVAILABLE UPON REQUEST Foundation System P^� Release Date 8/13/2001 Engineer Approval ��,F ESSi,,�, ., T li <<. 26070 b �� CFL APPROVED SUBJECT TO CORRECTIONS NOTED APPROVAL DOES NOT AUTHORIZE OR APPROVE ANY OMISSIONS OR DEVIATION FROM REQUIRF1vIEM OF APPLICABLE STATE LAWS AND REGULATIONS State of California Department of Housing and Community Development �CO7�17DARDS � O� ( �gnatury SPA N0. S/9- / For Further Information TIE DOWN ENGINEERING 5901 Wheaton Drive Atlanta, GA 30336 . 404-344-0000 FAX 404-349-0401 ' www.tiedown.com 9'y' Tie Down Engineering, Inc. VECTOR DYNAMICS INSTALLATION INSTRUCTIONS Introduction These instructions describe the proper use of the Vector Dynamics Foundation System in Wind Zones 1 & 2. Additional installation instruction is available in VHS video, from manufactured housing distributors or from Tie Down Engineering, titled, Vector Dynamics Installation Video. The Vector Dynamics foundation system supports the home by anchoring the two longitudinal main rails. The system is approved in Wind Zone I & II & III areas of the Manufactured Home Construction and Safety Standards and Wind Standards; Final Rule 24CFR part 3280 for both single and multi sec- tion homes. Instructions for Class 5, Sub Soil Conditions, (Wind Zone I & II), are available through local distributors of Vector Dynamics or directly from Tie Down Engineering. General The Vector Dynamics Foundation System provides the support to resist lateral and over -turning movement of the. home as required by the Federal Manufactured Home Construction and Safety Standards in Wind Zones I & II when the system is used as described in these instructions. See manufac- tures Home Installation Manual for other pier & anchoring requirements. The following characteristics apply to both single and multi section homes: • Main rail minimum spacing of 86 inches or greater. • Nominal 8 foot or less top plate height at side walls. • Main rail depth of 12 inches or less. • Maximum roof slope of 20 degrees (4.4 in. in 12 in.) • Maximum pier height under main rail of 56 inches (see page 3). WIND ZONE I • Maximum single section home width is 16 feet including eaves; maximum eave width of 12 inches on each longitudinal side of home. • Maximum double section home width is 36 feet including eaves; maximum eave width of 12 inches on each longitudinal side of home. • Maximum triple section home width is 48 feet including eaves; maximum eave width of 12 inches on each longitudinal side of home. WIND ZONE II • Maximum single section home width is 15 ft. including eaves, maximum eave width is 6" per side. • Maximum single section home width of 16 ft. including eaves must use two additional vertical ties/ anchors/stabilizer plates (one per side) as listed in the charts on page 15. • Maximum double section home width including eaves 32 ft., maximum 12" eaves per side • Maximum triple section home width including eaves 48 ft., maximum 12" eaves per side The Vector Dynamics Foundation Systems may be used as a part of the vertical or gravity support system considering that each set of Vector Dynamic .pad (s) has two (2) or three (3) square feet bearing area. Piers not used as part of the Vector system shall be located and constructed in accordance with the home installation instructions and/or state standards. To inquire about the use of the Vector Dynamics Foundation Systems with homes of four or more sections or on homes requiring pier heights greater than 56 inches which are not included in these instructions, contact Tie Down Engineering, Inc. at 800-241.1806. The Vector Dynamics Foundation Systems may be used on homes which require pier heights not to exceed 56 inches under one or both main rail(s). See page 3. Note that a ground anchor is used at each Vector system location in Wind Zones II & III. The use of interlocked double stacks of concrete blocks may be required by the home manufacturer or the state. Check with the most recent regulations in Califomia. The Vector Dynamics Foundation System has not been designed for use on exposure "D" homes. Exposure "D" homes are homes located within 1500 feet of the coastline: Additional vertical anchor ties that are unique to a home's design may be required by the home manufacturer. These locations include shear walls, mar- riage line ridge beam support posts, end frame ties and rim plates. The term end frame ties refers to the longitudinal ties that are attached to a home to resist wind load on the end walls. If longitudinal ties are required by the home installation instructions or other state standards, these longitudinal ties must be installed and connected to anchors that are independent of other ties and anchors. See separate instructions for the use of Vector Dynamics with Tie Down's Longitudinal Stabilization Device. The term rim plates refers to the factory brackets fastened onto the perimeter joist or specified as a location for vertical ties. Page 2 California 8/2001 56 i ma Maximum Pier Height (Wind Zones I & II only Figure The Vector Dynamics Foundation System may be used on homes which require pier heights not to exceed 56 inches under one or both main rail(s). Note that a ground anchor must be used at each side of a Vector system location -in Wind Zone II, and where the pier, heights exceed 24 inches on a single section home in Wind Zone I. Piers must be constructed in accordance with the manufacturer's installation instructions and/or state requirements. The use of interlocked double stacks of concrete blocks may be required by the home manufacturer or state. Check with the most recent regulations in your state. 56 i ma; -Iyure c Unequal Pier Heights ( Wind Zones I & II only 5 in. iax. Vector Dynamics may be used on homes with unequal pier heights of 56" or less under one or both main rails. The difference between the taller pier and the shorter pier cannot exceed 26". Note that a ground anchor must be used at each side of a Vector system installation in Wind Zone I and where either of the pier heights in that location exceeds 24 inches on a single section home in Wind Zone I. Only concrete blocks and pressure treated lumber compression members are permitted on unequal pier heights using the Vector system: Piers must be constructed in accordance with themanufacturer's installation instructions and/or state requirements. The use of interlocked double stacks of concrete blocks may be required by the home manufacturer or state. Check with t ost recent regulations in your state. „ r Page 3 California 8/2001 GENERAL INSTALLATION INSTRUCTIONS SITE PREPARATION It is necessary that the home site be properly graded and sloped to prevent water and moisture from standing or flowing beneath the home. See manufacturer's home installation manual and state requirements for grading and other site preparation. FOOTINGS AND FROST LINES The Vector Dynamics Foundation System can be placed directly on top of the ground after clearing all loose vegetation. In areas where frost line/poured footers are required, the Vector system for concrete is used. See pages 8 & 9. FOUNDATION/FOOTING SPECIFICATIONS FOR VECTOR PADS Vector Pads must be used in place of conventional foundation pads for each Vector foundation system. Each (set of) Vector Pad(s) provides two or three square feet of pier bearing support. Vector Systems should be spaced as evenly as possible along the length of the home, with one Vector system within two feet of each end of the home. For pier locations in between the Vector Systems, use the foundation pads normally recommended by the home manufacturer and/or state requirements. Pier heights in excess of 24 inches or when unequal must follow instructions printed on page 3 of these instructions. Nominal 3-1/2 inch or 4 inch Schedule 40 PVC pipe or TDE steel compression strut (#59043) may be used only when the pier heights are similar on fairly level ground. Steel strut and PVC are not permitted when metal pier foundations are used. The adjustable galva- nized steel compression strut, #59043, is attached to each inside pad with a 1/2" X 2-1/2" grade 5 carriage bolt and can only be used with the swivel connector on strap. The grade 5 bolt attaches the swivel connector and the steel strut to the pad. When the swivel connector is used with a wooden or pipe compressive member, the vector diagonal connector should be part #59279 not #59276. After tightening the end grade 5 bolts, adjust- ment bolt is installed through the two square steel compression struts to lock them in place. Foundation pad size and pier spacing must be consistent with home manufacturers' instructions and/or state requirements. LUMBER/MOISTURE - TERMITE SHIELD To cut lumber (2 - 2x4's or 1 - 4x4 per Vector system) for the center compression section, when using con- crete blocks for piers, measure center to center frame (I-beam) distance and subtract 16". When using METAL PIER STANDS, measure center to center frame distance and add 16". 3-1/2" or 4" nominal schedule 40 PVC pipe meeting ASTM D1784 or Tie Down's steel compression strut (#59043) may be substituted for lumber as the center compression strut under certain conditions described above. Pipe adapter bracket, part #59281 must be used with PVC pipe simultaneously with the Inside Tie Brackets, part number 59276. The pipe adapter bracket is used on top'of the pipe and under the Inside Tie Bracket. In certain regions the optional Moisture Termite Shield may be required between the lumber and ground. ALL WOOD MUST BE PRESSURE TREATED, GROUND CONTACT RATED. Tip: Pre-cut your lumber and mark as to brand or model of homes you will be installing. If frame widths are the same, the pre-cut boards will also be the same length in each Vector set-up. STRAP TENSION All strapping must be tight upon assembly of the Vector system. Tests have been conducted with "hand tight- ened " strap in the Vector system to remove the need for specific tension specifications. Hand tight is defined as removing all slack with minimum of movement available when pressing on the strap. While subsequent tight- ening of the straps is not required, straps should be checked after any strong wind conditions, just as conven- tional anchor tie down straps should also be checked, to insure the maximum performance of the foundation system. A minimum of two factory 1/4" spot welds must be used when straps are connected to the swivel con- nectors with welds. c 0 Page 4 California 8/2001 Set -Up Instructions for the Vector Dynamics Foundation System #59007 (Kit #59007 is interchangeable with Kit #59018) 1. SET VECTOR FOUNDATION PADS Short Long gU-boit short Clear all loose vegetation from the immediate Shorn u-boit area where your Vector foundation pads will rest. Press or hammer pads into the ground. Tip: Place a 3/8" nut on each U -bolt to keep it in place while you position the Vector pads. 2. SET BLOCKS (OR PIERS) ON VECTOR FOUNDATION PADS Center the foundation blocks over the Vector pads. Place the pre-cut 4x4, 2x4's (side by side), Schedule 40 PVC (w/PVC adapter plate, part #59281) or 1 adjustable TDE steel compression member, (part #59043) tightly between the blocks, with ends resting on the Vector pads, and centered on each U -bolt. 3. OUTSIDE TENSION BRACKETS Attach an Outside Tension Bracket to the U -bolts on the outside of the foundation blocks and Vector pads. Place one of the short 6"- 2x4's between the bracket and Vector pad. Adjust the short 2x4 so that it pushes against the foundation blocks, removing any space between the piers and center compression section. Tighter! the 3/8" bolts. 2 square foot pad placement or (1) 3 square foot pad 4. INSIDE BRACKETS AND STRAPS Attach the Inside Tie Brackets to the U -bolts over the pre-cut boards or PVC. Attach a strap with hook to each inside tie bracket. Tighten bracket. When using looped strap and a crimp seal, in place of the hook, place a 3" long section of strap, folded in half and inserted between the strap and inside tie bracket. Place other end of strap over the opposite (- beam and continue down to outside of the foundation blocks. Attach the strap to the Outside Tension brackets using the slotted bolt and nut provided. Wind strap a minimum of five times around the bolt. Continue tightening the slotted bolt until all slack has been removed and the strap is tight. 5. SET ANCHORS Refer to section home drawings for anchor installation information. Stabilizer plates are required for diagonal ties only. Preload anchor against stabilizer plate. Make certain all slack is removed and strap is tight. For single section homes in rocky soil conditions in Wind Zone 1 only (Soil Classifications` ,3 - only), use minimum of 3 each V -Drive anchors per side. See drawing on page 6 for placement. �. Page 5 California 8/2001 Set -Up Instructions for Vector System #59018 (Kit #59018 is interchangeable with Kit #59007) Long U -B 1. Set Vector Pads Clear all vegetation where pads will rest. Place a long U -bolt in pad as shown. Press or ham- mer pad into the ground. 2. Set Block or piers on pads. Center foundation blocks or piers on pads. Place pre-cut center compression member between blocks, resting on pads, centers between U -bolts as shown. 3. Outside Tension Bracket Attach outside tension bracket as shown to out- side of pads. 4. Inside brackets & straps Attach the inside tie brackets to the U -bolts over the compression member. Attach a strap w/hook or swivel strap w/nut/washer & bolt (washers are required). Place other end of the strap over opposite I-beam & down to outside tension bracket. Cut strap 12 - 15 inches past bracket. Attach strap & slotted bolt in bracket. Tighten strap until tight with 4-5 wraps around bolt. Repeat with opposite strap. Page 5a ca California 8/2001 Vector Dynamics Metal Pier Installation Im For metal piers, place the piers in the center of the Vector pads. Set the single 44 or two 2x4's through the piers, centered in the U -bolts, so that the board(s) overhangs the Vector pads on each side by about 2'. Outside Tension brackets attach the same. Inside tie brackets mount 'upside down' as shown in drawing. Metal piers using the Vector system can only be used on level ground installations. Conventional pier adjusters must be placed under beam with upturned edge directed towards the outside of the home. Pier capacity rating and spacing must be consistent with home manufacturers' installation instructions and/or state requirements. When using METAL PIER STANDS, cut lumber (2 - 2x4's or 1 - 44 per Vector system) for the center compression section, by measuring center to center frame distance and adding 16'. Optional Moisture Termite Shield may be required in certain regions. ALL WOOD MUST BE PRESSURE TREATED, GROUND CONTACT RATED. Adjustable steel strut (#59043) and PVC Schedule 40 pipe are not permitted to be substituted for lumber when using metal pier stands. V -Drive System Installation: for rocky soil conditions V Drive anchors are used only with Zone 1, single section homes. Soil Class 1,2,& 3. V -Drive anchors are used only in Wind Zone I, on single section homes in areas where rocky soil conditions do not allow a conventional helix style anchor to be installed. For solid rock, Soil Class 1, predrilling of holes for the V -drive rods is recommended. Vector Systems are set following the general set up instructions provided. With the V -Drive anchor, the short 2x4 boards used with the outside tension brackets are discarded. In place of the short 2x4's, a longer 2x4 is used as per the diagram above. This 2x4 board should extend from the base of the Vector pier set to 5 inches from the side wall of the home. Place the V -Drive head over the end of the longer board. Using a heavy hammer or electric hammer gun, drive the three V -Drive anchor rods through the V -Drive heads at an angle of approximately 45 degrees under the home. The rods must come to a complete stop on the V -Drive he ttach a strap with hook, buckle or beam clamp to the frame and attach to the V -Drive head with a slotted bolt. Cut the strap end about ten inc he a anchor head to allow at least five wraps around the slotted bolt. Continue tightening strap until all slack is out and strap is tight. ; 121-0 Page 6 California 8/2001 Vector Dynamics _ Foundation Systems `- ector Component Parts List Vector System 2000 11 Ya( f Kit # 59018 v Single piece pads with straps s = - and slotted bolts Ilk Part #'s included: 59310, 59288, 59135, 10925, 59279, 83044z, 59232 & 59732 ---------------------------------------------------------------------------------------------------------------- - � s Vector System s e Kit # 59007 ° Part #'s included: 59275, 59282, 59276, 83044z & 10999 -------------------------------------------------------------------------------------------------------------- 0o eo 000��� Concrete Vector System _ Kit # 59008 (for single stack blocks) Li®o o ®o c Part #'s included: 59277, 59282, 10530, 83044z, 59279 & 59232 Part #'s included: 59273, 59282, 10530, 83044z, 59232 & 59279 Page 7 Concrete Vector System Kit # 59006 (for double stack blocks) c 0 California 8/2001 Vector Dynamics Foundation Systems Component Parts List Vector 2000 3 Sq. Ft. Pad Part # 59271 1 required with 59026 Longitudinal System 2 required with 59024 Lateral System Part #'s included: 59281, 59288,10925, 59232 & 83044Z Vector Lateral Hardware Kit Kit # 59024 (for use with 59271) 0 0 V Drive Anchor Kit Kit # 59287 (for use with Kit#59007 only) ® c ®o 0 0 Part #'s included: 59269, 59113, 59282 & 10999 Adjustable Steel Compression Strut P/N 59043„ „ Or these products available at your local hardware store dl tessole <ceake Qy�QIP 2ea2Xpo QVCQ�Qe R° Seclea:\e A� A. Schedule 40 PVC pipe: 3-1/2" or 4" nominal schedule 40 polyvinyl chloride pipe or conduit made from type 1, grade 1, with cell classification 12454 as defined in ASTM D1784. Compound dimensions and tolerances in accordance to the requirements of ASTM D1785D. Color can be gray or white. Outside diameter is 4 inches. B. Ground Contact Rated Wood: No. 2 yellow pine or equivalent, pressure treated to AWPACI-1990 mini- mum, stamped "Ground Contact Rated" on wood or on label attached to the wood when purchased. . o Page 7A California 8/2001 Vector Dynamics Individual Component Parts Detail ee. ® 0 0 0 0 0 � Vector Dynamics Single Block Pad Part # 59275 1 Sq. Ft. 12 gauge, used in pairs 16-3/16" X 9" x 2-9/16" Vector Dynamics 2000 Single Block Pad Part # 59310 2 Sq. Ft. 12 gauge 18.719" x 15.625" x 3" Vector Dynamics Single Stack Concrete Pad Part # 59277 12 gauge 17-1/4 n x 11" x 5-5/16" Vector Dynamics Double Stack Concrete Pad Part # 59273 12 gauge 18.75"x 18.625"x 5.188" Vector 2000 3 Sq. Ft. Pad Part # 59271 - 12 gauge 22.5"x19.418"x3" Vector Dynamics Tension. Link y Slotted Bolt Part # 59282 ''i'"� Part # 59135 6.25" x 2.52" x 3" m 3" x 5/8" Vector 2000 Tension Link Long U -Bolt w/Nuts & Washers Part # 59288 Part # 83044Z 2.125" x 2.375" x 2.06" 3/8" x 4" (16 Threads Per Inch) Concrete Wedge Anchor ® Short U -Bolt w/Nuts & Washers Part # 1053Part # 10999 P 0 Part X 0 30 3/8" x 3" (16 Threads Per Inch) 3/8n Page Protecto-Strap Carriage Bolt w/Nut & Washer a Part #59276 p® Part # 10925 6.3" x 3.3" x 7/8" 1/2"X 2-1 /2" Strap Protectors as Protecto-Strap Part # 59232 Part # 59279 6.3" x 3.9" x 7/8" PVC Adaptor Part # 59281 ® Carriage Bolt w/Nut & Washer 7.25" x 4/56" x 1.42" Part # 10624 3/8"16 x 4.5" Tie Down Marked & Certified G120 Strap w/Swivel Connector Part # Length 59732 12' 59734 14' 59736 16' Earth Anchors 30" x 3/4" with 2-4" helix Black Paint: Part #59095 Galvanized: Part #59079 V Drive Head Part #59269 Drive Rods Part #59113 Tie Down Marked & Certified G60 Galvanized Strapping Model Part # Length MS35 59150 35' MS37 59155 37' MS42 59160 42' MS60 59165 60' MS600 59170 600' 0 .. Frame Tie w/Hook 8 ft. P/N 59195 10 ft. P/N 59210 12 ft. P/N 59211 Longer Lengths Available Earth Anchor Stabilizer 12" wide Black Paint: Part #59292 Galvanized: Part #59294 Page 7C California rF-TIE w D� wN EfJGINEE.':NG , Vector Dynamics System for Concrete Applications Instructions for Vector Kit #59008 (for single stack blocks) or Vector Kit #59006 (for single or double stack blocks) Page 1 of 2 These instructions are an addendum to the standard Vector Dynamics instructions. Read and follow all applicable instructions and guidelines in the Vector instructions and home installation manual. The Vector system for concrete pads applies to concrete footers, runners and slabs. Minimum size of concrete per Vector pier is 24" x 24" x 4"(for part #59006 or 59008) or 18" round X 12" deep (for part # 59008 only). The bottom of footers must be below the frost line or a minimum of 4" below finished grade whichever is greater. Concrete must be a minimum of 2500 PSI and sufficiently cured and set to accommodate an anchor bolt to its' full load resistance. 1. Determine location of pier sets where the Vector systems will be located. 2. Place one Vector concrete pad (galv. metal) on the concrete where the pier will be located, centered under the I-beam of the home. Place the upturned edge towards the center of the home and directed to the opposite Vector pier. Do the same for the opposite Vector pier. 3. Measure the distance between the two Vector system pads at the base where the Vector pad meets the concrete. Cut two ground treated 2x4's this length and place between the piers as shown. 4. Place a long u -bolt under the 2x4's and through the holes of the Vector pad as shown. 5. Place the concrete pier blocks on the Vector pad. Center the blocks under the frame. The upturned edge end of the Vector pads should be up against the inside of the pier blocks. 6. Build vector piers but do not wedge at this time. 7. Using a concrete drill bit, drill two 3/8" diameter holes on each side into the concrete using the holes in the Vector pad as a guide. Drill the holes 3 inches deep. 8. Place an outside tension bracket on the Vector pad as shown in Illustration one. Line up the holes in the bracket, Vector pad and concrete pad. Illustration One 4� Vector pad' for 0..00 `r r concret Concrete footer Page 8 Wood Cap and wedge Outside Tension Bracket Wed Bolt California 8/2001 Vector Dynamics System for Concrete Applications Instructions for Vector Kit #59008 (for single stack blocks) or Vector Kit #59006 (for single or double stack blocks) Page 2 of 2 9. Put a washer and nut on one of the 3/8" x 3-3/4° wedge anchors provided. The nut should be screwed on enough to have 1 or 2 threads showing on the top of the bolt. Place the wedge end of the bolt into one of the holes, going through the outside tension bracket, metal Vector pad and into the concrete. 10. Using a hammer, tap the wedge bolt into the hole. Maximum height for expansion bolt above concrete is 2". 11. Repeat for the other hole in the outside tension bracket and the two holes on the other Vector system pier set. 12. Place an inside tie bracket over the u -bolt so that the lip of the bracket is between the Vector plate and concrete blocks. Place washers and nuts on each U -bolt. Do not tighten yet. 13. Attach a strap with hook or crimp seal to the inside tie bracket, with sufficient length to go over the opposite pier and down to the outside tension bracket, plus 12 inches for wrapping the slotted bolt. Repeat for the opposite side. 14. Tighten inside u -bolts at this time. 15. Use the outside tension brackets to remove any space between the outside tension brackets, concrete blocks and the inside edge of the Vector pad, by tapping the brackets with a hammer. 16. Wedge the pier set at this time. 17. Using a 9/16" socket wrench, tighten all of the wedge/anchor bolts, securing the outside tension bracket and Vector pad to the concrete. 18. Using a_ slotted bolt in the outside tension brackets, insert strap through slotted bolt with end of strap aligned with outside edge of bolt. Turn slotted bolt until straps are tight using at least five turns on the slotted bolts. Illustration Two Inside Tie Bracket Compression boards U -bolt Page 9 Vector pad for concrete Concrete fo er California /2001 N tQ CD WIND ZONE I I \ Vector Dynamics Systems Required y I , , for Single Section Homes (Materials Required) I � \ - ' - - h01e 5. ,e Sgct%oGCot sy rtea uat - _ �- - f 2 l2 fa s, ag1omeonSCaNation EXampsho s 9e\,5tt. be ho tNusstaao nd spacingm Found anon I WIND ZONE I o (not to scale) N OD o �2 sq. ft. pad instructions and/or state requirements. Maximum allowable working drag load for the Vector System with the steel compression strut is Soil Classifications: 2, 3, 4A, & 4B 3,150 pounds per K2 Engineering test report. Soil Bearing Capacity: 1,000 PSF minimum Anchors Required': 30" with 4" helix anchor (59095),12" stabilizer plates (55292), 1-1/4" frame ties w/4725 lbs. min. breaking strength. Home Length Vector Systems Required Anchors Required Per Side " 0 to 72' 3 2 73 to 90 4 3 * Anchor and stabilizer plate combination Each Vector Foundation System requires Y One Mactor Kit, 2 slotted bolts Y 2 ea. 1-1/4 in. ties, length will vary with pier height (4725 Ib. min. break), Y 1 ea. 4 x 4 pressure treated wood compression member Y or 2 ea. 2 x 4 pressure treated wood compression member Y or 1 ea. 3-112" or 4 nominal SCH 40 PVC pipe compression member Y or 1 TDE adjustable steel strut WIND ZONE I Vector Dynamics Systems Required Single Section Homes g I Difficult Soil Conditions gotio� h s,s em% gu\de\ines' _ - 72 it S%09 �n9 for Sta11 tion man 1 - _ EXAM\ ,, Ws get' mus l? ome in 1e to h ' I = - - - - r ' ustratto spac\n9 n' \\1 and - _ ♦ ' ads e , _ '' ♦ ♦ I ♦ Fou nda ♦ p , rn —A .ri i ii,ti."x " — � ♦�C'�"NEitis;, r�OR@ V► -_ A � ' V -Drive anchors o are used only in 6 WIND ZONE I W (not to scale) a �'r _ 1r Do 0 4 �2 s ft. pad 0 Home Length 9 h NOTE: Vector Systems should be spaced as evenly as Anchors Required Is practicable along the length of the home. Pier spacing must be consistent with home manufacturers' Instalatim Per Side " Instructions andfor state reWirements. 0 to 72' Maximum allowable working drag load 3 for the Vector System with the steel compression strut Is 3,150 pounds per Soil Classifications: 2, 3, the K2 Engineering test report. Soil Bearing Capacity: 1,000 PSF minimum Anchors Required': "V" Drive Anchor, Part Number 59269 1 4 1-1/4" frame ties w/4725 lbs. min. breaking strength. When using "V" Drive Anchors Home Length 9 h Systems VtSt y Anchors Required Each Vector Foundation System requires • One Vector Kit, 2'V" Drive Anchors, 4 slotted bolts Required Per Side " • 2 ea. 1-1/4 in. tie, length will vary with pier height (4725 Ib. min. break), • 1 ea.4 x 4 pressure treated wood compression member 0 to 72' 3 3 • or 2 ea. 2 x 4 pressure treated wood compression member 73' to 90' 4 1 4 • or 1 ea. 3-1/2" or 4' nominal SCH 40 PVC pipe compression member (center compression member only) • or 1 TDE adjustable steel strut • "V" Drive Anchor, Part Number 59269 -2 ea. 2x4 pressure treated wood for "V" Drive Anchor connection. Note: PVC pipe cannot be substituted for wood on the "V" Drive Anchor connections. TIE DOWN Metal Pier Sets ZONE I - - Vector -Dynamics Systems Required __- -" - - ' ♦ \ for Single Section Homes Up to 72 ft.__ (Materials Required) _ - - " - - I � , _ Sed%o hof o s e nual guide\ones'- """ a�2f<Spgin91 aUaV`°nn'a is a i I EXampsh� fs 98v5` be to hoR` � ' I dspa°`n9 1 ` n ' ♦ \ 1 �. dation Pds a a Fon 1 I � - 1 "'LLL Soil Classifications: Soil Bearing Capacity Anchors Required: 2, 3, 4A, & 4B 1,000 PSF minimum 3/4" x 30" with 4" helix anchor (59095) 12" stabilizer plates (55292), 4 ea. 1 1/4" frame ties Each Vector Foundation System requires one Vector Kit, 2 slotted bolts 2 ea. 1-1/4 x 12 ft. ties (4725 Ib. min. break) 1 ea. 4 x 4 wood compression member or 2 ea: 2 x 4 wood compression member Home Length Vector Systems Required Anchors Required Per Side ' 0 to 72' 3 2 73' to 90' 4 3 Anchor and stabilizer plate combination %.,e. PI" s., NOTE: Vector Systems should be spaced as evenly as is practicable along the length of the home. 00 N 0 0 WIND ZONE I , - - " Vector Dynamics Systems Required _ -' "- b`e se l soh s an„a, 9utdelMes I for Double Section Homes _ _ ;e of a (ad pah me°�sta��a<t ,. (Materials Requiredl' S0. n Shows 9 must ° _ I 11\0stc3tl d spac`n9 c�' atio _ - I I - F ads o�nd 2 n. Maximum allowable working drag load for the Vector System with the steel compression strut Is 3,150 pounds per the K2 Engineering test report. WIND ZONE I (not to scale) \2 sq. ft. pad/ - - ' NOTE: Vector Systems should be spaced as evenly as is practicable along the length of the home. Pier spadng must be consistent with home mamdacttrers' Installation instructions and/or state requirements. Soil Classifications: 2, 3, 4A, & 4B Soil Bearing Capacity: 1,000 PSF minimum Anchors Required: None (marriage wall anchors may be required by home manufacturer) Home Length Vector Systems Required 0to48' 2 48' to 71' 3 72' to 89' 4 Each Vector Foundation System requires • One Vector Kit, 2 slotted bolls • 2 ea. 1-1/4 in. ties, length will vary with pier height (4725 Ib. min. break), • 1 ea. 4 x 4 pressure treated wood compression member • or 2 ea. 2 x 4 pressure treated wood compression member • or 1 ea. 3-1/2” or 4" nominal SCH 40 PVC pipe compression member • or 1 ME adjustable steel strut WIND ZONE 1 Vector Dynamics Systems Rei for Multi Section Homes (Materials Required) Soil Classifications: 2, 3, 4A, & 4B _ .......,,.5ti.• 1 goo PCF minimum Jun Dear vul+a Home Length .y. --- - - Vector Systems Required Anchor Per Homes up to 48' 2 Vector Foundation Systems for the Vector System with the steel comthe pression strut Is 5 ppounds per Homes over 48' 3 Vector Foundation Systems 0 up to 52' Vector systems should be spaced as evenly as Is along the length of the home. A two foot uired - - me s - ^ \\ngs • a1 gu\de 4 Vector Foundation Systems � I up to 76' manual. 68ywgctoQsHslan nM IIl I e�(e`h me�nsla\\al\o amp be k. >: I \ \ , _ _ shows mos` suaUo ecwg �2 sq. ft. pa/ I ` 0 , s Required Jun Dear vul+a Home Length .y. --- - - Vector Systems Required Anchor Per Homes up to 48' 2 Vector Foundation Systems for the Vector System with the steel comthe pression strut Is 5 ppounds per Homes over 48' 3 Vector Foundation Systems 0 up to 52' Vector systems should be spaced as evenly as Is along the length of the home. A two foot Homes over 52' 4 Vector Foundation Systems 0 up to 76' manual. One Vector Kit - 2 ea. 1-1/4 in. ties (4725 Ib. min. break) WIND ZONE 1 I Maximum allowable working drag load NOTE: Shear wall, ridge beam support posts & marriage wall straps & anchors may be required by for the Vector System with the steel comthe pression strut Is 5 ppounds per the home manufacturer. Engineering te3,150 t 0 Vector systems should be spaced as evenly as Is along the length of the home. A two foot N 0 practicable variance + or - Is allowable at each system.Pler. spacing must be consistent with the home Installation Materials: Each Vector foundation system requires 3 manual. One Vector Kit - 2 ea. 1-1/4 in. ties (4725 Ib. min. break) IIl 1 ea. 4 x 4 wood compression member or 2 ea. 2 x 4 wood compression member >: or 3-1/2" or 4" nominal SCH40 Pipe com ression member or 1 TIDE adjustable t steePstrut �2 sq. ft. pa/ N O 0 ♦ 1 � WIND ZONE II (Hurricane) \ I ♦ , Vector D namics Systems Required y for Single Section Homes _ - Y S. er 1 , 1 ♦ Ome lees' (Materials Required} - g;�9,e ioa�e� t,on mar`vai guid ' l^ 0f a �2(a sPacM me �nsta��a _ EXampsteioWs 9eust be tO ho - _ iiWstr at%d Spacing m _ , ; _s*<,:. ♦ ♦ .� ' � � J 1 , ads - " ,.. \R�,�. ♦ ♦ , ♦ 1 G undacion ♦ \ 1 ,. �" lid? T a) cn CD Cn n v O WIND ZONE II (not to scale) \2 sq. ft. pad/ *NOTE: For single section homes with eaves that exceed 6 Inches In Zone 2, two additional frame tie anchors with stabilizer plates (one anchor and one plate per side) must be Installed In additon to the number of anchors listed In the chart below. Maximum allowable working drag load for the Vector System with the steel compression strut Is 3,150 pounds per at report. Soil Classifications: 2, 3, 4A, & 4B the K2 Engineering to Soil Bearing Capacity: 1,000 PSF minimum Anchors Required": 30" with 4" helix anchor (59095), 1-1/4" vertical ties w/4725 lbs. min. breaking strength. Home Length Vector Systems Required Anchors Required Per S Ida " Eaves 6" or less Eaves over 6" less than or, equal to 12" 0to48' 4 4 5 49' to 60" 5 5 6 61' to 72' 6 6 7 73" to 84' 7 7 8 85' to 90' 8 8 9 2 max EYP Vector Systems should be spaced as evenly as Is practicable along the length of the home. Pier spacing must be consistent with home manufacturers' Instructions andlor state requirements. Each Vector Foundation System requires • One Vector Kit, 2 slotted bolts • 2 ea. 1-1/4 in. ties, length will vary with pier height (4725 Ib. min. break). • 1 ea. 4 x 4 pressure treated wood compression member • or 2 ea. 2 x 4 pressure treated wood compression member • or 1 ea. 3-1/2" or 4" nominal SCH 40 PVC pipe compression membe 1 • or 1 TDE adjustable steel Strut WIND ZONE II Vector Dynamics Systems Required " _ - - - �t�on ho me ems; ; �del%nes for Double Section Homes do, Sof vectO manual 9v - - (Materials Required) _ -' - - f a -r2 a, , 6n a sta\\a s in I . 1 EXaM9 'S olds 9 ust be to ham �1\\ust aid sPa_ctn9 rn dalton Paas- _ _ - I • ♦ 6 @i — �Ftd Y�rE ♦ 1 " \ 1 `\ '•. �,:. _ �, �v max. HP• . ` I F.=o ®RA 2"' 00 N 0 0 NOTE: Vector Systems should be spaced as evenly as Is prat the length of the home. Pier spacing must be conslate manufacturers' Instructions and/or state requirement: Soil Classifications: 2, 3, 4A, & 4B Soil Bearing Capacity: 1,000 PSF minimum Anchors Required': 30" with 4" helix anchor (59095), 1-1/4" vertical ties w/4725 lbs. min. breaking strength. Home Length Vector Systems Required (Q 0 to 48' CD Maximum allowable working drag load 49' to 60" for the Vector System with the steel 5 compression strut Is 3,150 pounds per 6 the K2 Engineering test report. 00 N 0 0 NOTE: Vector Systems should be spaced as evenly as Is prat the length of the home. Pier spacing must be conslate manufacturers' Instructions and/or state requirement: Soil Classifications: 2, 3, 4A, & 4B Soil Bearing Capacity: 1,000 PSF minimum Anchors Required': 30" with 4" helix anchor (59095), 1-1/4" vertical ties w/4725 lbs. min. breaking strength. Home Length Vector Systems Required Anchors Required Per Side " 0 to 48' 4 4 49' to 60" 5 5 61' to 72' 6 6 73" to 84' 7 7 85' to 90' 8 8 Each Vector Foundation System requires • One Vector Kit, 2 slotted bolts • 2 ea. 1-1/4 in. ties, length will vary with pier height (4725 Ib. min. break). • 1 ea. 4 x 4 pressure treated wood compression member • or 2 ea. 2 x 4 pressure treated wood compression member • or 1 ea. 3-1/2" or 4" nominal SCH 40 PVC pipe compression member • or 1 TDE adjustable steel Strut 1� WIND ZONE 2 Vector Dynamics Systems Required 3 Section Homes (Materials Required) Maximum allowable working drag load for the Vector System with the steel compression strut is 3,150 pounds per the K2 Engineering test report. WIND ZONE 2 ' I 111 Septot� eo s\ 9ulde\\aea ♦ .I I` or _ - - 1B p1 � �sPac\n a tna\a\\a\\O , - , ` ♦ � ` ♦ . ` � — — ' (1Uus\rel�angIF da\\On Pads ;<„4., ♦ I �. ,i h � ` � .,Fico I ♦ q,'L-' - trrt • • - - ��' iT`$ ` � I NOTE: Longitudinal stabilization Is required. Vector systems should be spaced as evenly as is practicable along the length of the home. Pier spacing must be consistent with the home installation manual. n !y O 1 N 2 sq. ft. pad O N O 0 Soil Classifications: Soil Bearing Capacity: 2, 3, 4A, & 4B 1,000 PSF minimum Materials: *Anchors Required: 3/4” x 30" anchor (59095), with vertical straps Each Vector foundation system requires One Vector Kit 2 ea. 1-1/4 in. ties (4725 Ib. min. break) 1 ea. 4 x 4 wood compression member or 2 ea. 2 x 4 wood compression member or 3-1/2" or 4" nominal SCH40 Pipe compression member or 1 TDE adjustable steel strut Required Home Length Vector Systems Required ter Sides Homes up to 48' 4 Vector Foundation Systems 4 Homesover 49' 5 Vector Foundation Systems 5 up to 60' Homes over 61' 6 Vector Foundation Systems 6 up to 72' Homes over 73' 7 Vector Foundation Systems 7 up to 84' Homes over 85' 8 Vector Foundation Systems 8 up to 90' Materials: *Anchors Required: 3/4” x 30" anchor (59095), with vertical straps Each Vector foundation system requires One Vector Kit 2 ea. 1-1/4 in. ties (4725 Ib. min. break) 1 ea. 4 x 4 wood compression member or 2 ea. 2 x 4 wood compression member or 3-1/2" or 4" nominal SCH40 Pipe compression member or 1 TDE adjustable steel strut VECTOR. DYNAMICS INSTALLATION DESIGN INSTRUCTIONS This Vector Dynamics Foundation system instruction is applicable only on homes set on soils classified as Class 4A 413, 3 and 2 as described in the table below. For separate instructions for sub -soil, Class 5 conditions (above 50 in. lbs.), contact Tie Down Engineering. SOIL CLASSIFICATIONS Soil Class Types of Soils Blow Count (ASTM Soil Test Probe (1) D1586) Torque Value (2) 1 Sound hard rock...... NA NA Very dense and/or 40 -up More than 550 in. lbs. cemented sands, coarse 2 gravel and cobbles, preloaded silts, clays, and corals Medium -dense coarse 24-39 350-549 in. lbs. 3 sands, sandy gravels, very stiff silts and clays 4A Loose to medium dense 14-23 275-349 in. lbs sands, firm to stiff clays 4B and silts, alluvian fill 175-275 in. lbs Peat, organic silts, 0-14 175 in. lbs 5 inundated silts, loose fine and lower sand, alluvium, loess, varied clays, fill, fly ash. (1) The purpose of the soil test probe is to gage the strength of the soil below the surface and near the anchor's helical plate. The strength of the soil is estimated in terms of its' resistance to penetration (flow) under load by means of the torque probe and is measured in inch lbs. The test probe has a helix on it. The overall length of the helical section is 10.75 in.; the major diameter is 1.25 in.; the minor diameter is 0.81 in.; the pitch is 1.75 in. The shaft must be of suitable length for anchor depth. (2) A measure synonymous with moment of a force when distributed around the shaft of the test probe. Information about geographical areas of termite infestations which might require the optional termite and moisture shield when a wood compression member is used may be obtained from the local building official or may be found in the 1995 edition of the One and Two Family Dwelling Code. c Page 18 California 8/2001 1 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Teleph530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMITone 03-0865 ASSESSOR PARCEL NUMBER 064-700-029 ZONING BUILDING PERMIT OWNER JACKIE HARRIS TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS 6202 Cow ar, MAGAI 1A 95954 224 CONTRACTOR'S NAME MIEWOM OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ 1568.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 6202 CODY CT A Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome N Other SPECIFY Each Trap 7.00 - Solar or heat um water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: Iwo AS t9)dLT�llc Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile HomeS G W=_ @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service E00V OR LESS 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. 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: IN 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ I 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. BLDs. SO 3.5¢FT; NOWRESID. MULTI -OUTLET CUITS @7,50 POWER APPARATUS & SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES BAL @ 1.50 Ex. Occup. o xuxEEDTs R'.,D °E. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 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 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) IF I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply wit those provisions. �•'—� X Date lam` %% Signature f Applicant - $0 Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 57.00 HAZ. D. FEES IMP FLOOD I CDF PARCEL I PD I HD ISSUE '' This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indica ed ab for which fees have been paid. /� Date3 V PERMIT EXPIR N ` 61 ete Receipt No. 375838/$57.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT .GOUN iY OF BUTTE - Di PARTMENT OF DEVELOPMENT SERVICES - BUELDiNG DITISIOF1 7 County Center Drava m, Oroville, 09I 0mia 95965 ► Telephone (530) 538 -158? - 38 -f5- p:-:;uvitT 140. :21 4IQ�c7L ro12196) A.PPLICATION AND PERMiT BUILDINGPERWr I- . OCC. I SUILDNG VALUk'nON ' SG3 scar ;rimennt. ow gym= as omnm 6%=W= oa Darnus mum naDp= ) i� BTKS I s{�VGOLS lAM. `US,EOFS ieZUCiiJF�C �F a Dcrpl�t t bbbbwne �1' Mar 14me G Ad:r= O d Dobe Wor>r TYPE OFtWDP.K L a hdaftf= 0 Othst F�ta� ' (s sara..F ea,ei� en Tow vahtason � o��� WL0,� Firno Fee S 26.66 Permit Fes *?Sk= FEE PtlD -- Pim chmidno Fes 5 r& - mw Pian Che -.erg Fee s SRA $ WL--- 'Alking MDD Pm -w FF--- S e� e t.IiMSSh1G P�i�rT PERma FTs S r-i�iig Fee 20.DD Esq Trap JEECKAMCAL PERMIT FrTmg Fee 2D.Do 7.DD S6iar or host pimp wdar heaY,>r HesTmg . 23.DD wemr pig , 15.06 c_e,-b pzs wEhir heir or vent H=! s.>o 1 s.DD m= P%gm Wstm ! - 5 aar6sb � I s.DD gy,creg sawar � $- 15.DD M:bb H=2 S G 1N C20.OD PErTBIIiT F-=�- S . ATF- S ' ELECTRICAL PEPWIT �l Fang Feal ZD.Do h6ain Sent -s =a t9 TOTAL FEE S mim saris= ( m m m" ) I IasaD ' (s sara..F ea,ei� en o��� WL0,� *?Sk= FEE PtlD $ rr Tmnpwwy SsW=s, =D IJ�ffe Herne ra�Tmes 2D oD SRA $ WL--- 'Alking MDD e� PERma FTs S �+ � aLb � � JEECKAMCAL PERMIT FrTmg Fee 2D.Do . . HesTmg . H=! s.>o � Vents�s5ars ��h, �CTi►Ci GV � $- PErTBIIiT F-=�- S . NbSife Home n Fes � ' clergy ir�e-6sn Fee �l /✓� TOTAL FEE S �a IS e+� Imoeon � d F=,—w P.ZZD rGF P.aR== PD This parmt is hereby b;m5ld under ,69 appBabte pr lds rs of bs 9utie County Code and/or Rsmtuiions b dD work inn=aied dcwla fit wit- lies have bsen paid. 3y . Ds'-- PEPWT CPH rt ..Me •�, •"r t�Jt�..�'►o-.1,�v�>*'�"wtt,.t+�^'�+n.:"�pe+�w� ` ' Yiti,;fi�+4'F�° COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET / OWNER: 1 I � 7 ASSESSOR PARCEL NUMBERyLLf Proposed Building Use: Counter Technician Date: Items required in order to apply for a permit. All boxes MUST be checked O m rked NA in order to apply. 1.. Plot plans, 3 or 4 sets, signed,k the preparer of the plans. 1,3. 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ T. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The.permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................:.. ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... ❑ 15. Statement of Intent for Non -heated and A/C Buildings .................................. n 16. Sanitation and plot plan approval from the Environmental Health Department in �t --� 17. City of Chico Plumbing permit......................................................................... ❑ 18. California Department of Forestry plan approval ❑ paid. Sent by: ...................... ❑ 19. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 5. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... Letter of Signature authorization.................................................................... 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits......................................................... ❑ 30. ❑ Grant Deed, ❑ M.H. Title/S tement o Facts, ❑ Le_jr from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: When issued Telephone I v/ v / I and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. I Applicant: _ �� Date: 03— 97-O3- 1. 7O31. Index permit application for the above items numbered: Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised cf the above data by ❑ phone, ❑ mail, ❑ counter, by Date: _ Contractor, designer, owner, was advised of the above data by 0 phone, ❑ mail, ❑ counter by Date: Plans reviewed by: Date: Plans approved by: Date:T_ • �j -Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Buildine Division I u: Building Department �;, :. r' FROM: Environmental Health SUBJECT: Sanitation Clearance ("A.A- CJ. QL Owner r l.ocat'o AP# . Plan Approved for: Sewage%D' sal VVa er Supply: Public aPr�ivaltte-.)v0ell Clearance for dwelling Other S E.W. us LY 'Piot P48a Attechod Floor Ran Attached Sent to ®.O. Hold final .for. Final clearance O.K. for: NOTE: Environmental Health Specialis Date 8/96 4,0 RIJ zz • ��� ' � �= -� ; �'`�� ._ :2 �� � .,. w (o' TYP. I Tar, PIYWODD CC EXT. L4•,, DF*2 L-Vx(; DECKING '(ALT) GIRDERS z GUARDRAIL I}'MAK. l- DECY I W L w oc LC 1 /t to r PINS MIN. FOOTING FRMJG. CLIP.:! I�,'x 12' PIES 4 yit" nt.n. '00ti q°x4' MOBILE NOME OR DECK I I MTL. FKMIJ L" - CLIP (EA. RE 4'x4' P05T 2'x IT, "2QF..�%' 8- w. / GIRDER 4X9° POST - ADF4tl4TE' DAGDNA L 13RACI NG. 4'x us z� ' m 2' x 12" STAIR STRIWER. 4B'o.c,. MAX. 7DP VIEW HRUDQAIL NOT 5NOWN •FOR CLARITY. r 3/5" BOLT 20,4" PRESSURE' I TRrATE'll GR tn RFDWOOD'n/.ATE' '-4 : 6-Iz-90 I , Mar 20 03 01:41p Jake & Sissie. 1-928-468-6731 P.1 i-j1zl1T1A1 L po XL pure- - Al- 1vc-) 7L-'Ih 5 i//4 tj i(y ito 171-6 Z C a— ® t� QN 13 6• "fYP. 4•x&" I TEG PLYWOOD CC EXT, •'-...Ep—h FRMM6L CLIP_ • 2'>< 12" STAIR STRINGER. 48'o.0. MAX. ES 'TOP_ VIEW %n IAF Ile ei.n. oetl�� H AIJDRRIL NOT 5HOW IJ •FDR CLARITY. 4'xfo DF2 2'x& DECKING •(ALT) 3/g° BOLT GIRDERS 1 Ys" TAG PLYWOOD CC EXT: 2"x4" • X t,a MOBILE HDME m J OR DECK a ^, nj I . hIAX. 48". MN L'r- TL. FRMCL1P – — �� • (C)� r'- � EA. RE MI K y = 4%V 4'x4' P051 • , + 1G GUARDRAIL "2QF. 3 to 21r PRESSURE �'�' (2) 11e QTR A r Olt DOLTS RFDWOoOP/.aT�' 4"MAX• DECYOUG • GIRDER c7 ;1 PRECAST 4X9" POST -�--•i 6 - la - 90 Lu oc IER ADFQU4TE DIAD ONA L - e MIIJ/ BRACING. TYPICAL RESIDEIM0l_ STcps .4No/R pEcK • • • ' ' �. " ' COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 9 �o PINS 14"x�41rMIN. FOOTI N6 7 County Center Drive — Crovllle. call forma 95965 Telephone: ' 2083-86MHI ._PE.RMIT NO. hh /� ex-s'i:e- e PERMIT EXPIRES d OWNER JACKIE HARRIS • CONTR. ' R VenStayern } ` _ASSESSOR PARCEL 64-20-29 LOCATION 6202 Cody Ct, Magelie y. ,4 S ' • as ` .+ •. it Temp. Power PoleE COp�r Called' " 'c.Y. 1 OV ,. •�, � . •� ':1i Paas eSP ��� ���-`�� + 5�2`�• M . �,� � R� -,� i, >r Temp. Elec.'• Called•PGyGPS t f ru Temp. Gas Servt.E� Ee� 6`1oe , Called PG&E r til• is r JOB FINALED (Date) i • ' Signature J=OK• `O = Not OK NotApplicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS; ETC. (Plans) OK except H's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Specia Support-Sk c 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; L ation-T t- 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; L i e t- ent Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electri & eL��d­/ / Amp -Concrete _ 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Locati Test -Wrap:/ /"L" i / Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. zz `Card-BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEt5ME INSTALLATION (Plans) OK except N's Card -BI Date Date Card -BI Date POOLS (Plans) OK except N's _ 1. oni Requirements -Setbacks -Easements 1. Setbacks -Easements 2. ootings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 6. -Ge&, M" -ret -Demand -Valve-Connee tor . 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. ec 'city; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI 5. ai MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6: ater; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. and Sewer Conn! -C/O to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electri agged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 9 rs -,,A nsp.-Sketch 1O.Laefr of Occupancy 10. Plumb; Cir. Test -Water Supply Test ot Card B -I ate' Card -BI Date Card -BI Date Card -BI Date Card B -I Date i L.,Card-BI Date Card -BI Date Card -BI Date I ,F J = OK 0 = Not OK - = Not Applicable } = Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR (Plans) OK except N's Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Fig., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3 Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection_ - 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Ste_mwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn._Vents-Underflr. Access_ 7. Piers -Fireplace Ftg.-Steel 54. _ Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe: Test -Anchors -Regulator -Service Test 11. Electric: Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date _ Card -BI Date Card -BI Date Card -BI Card -BI Date DateCard-BI Date - Date Card -BI Date PLUMBING (Permit) OK except N's Date FINAL (Plans) OK except N's 56. Ext. Steps -Door & Sidelight Protection -Landings 57. Smoke Detector Card -BI Card -BI 14. 15. 16. 17. 18. 19. Water Ht.: Vent -Access -Combustion Air Water Pipe: Test & Anchors -Nail Protection D.W.V:: Test-Fttngs & Anchors -Nail Protection Shower Pan: Test, First Floor -Tub Access Test Tub & Shower, 2nd Floor -Tub Access Gas Pipe: Size & Anchors - - Date Card -BI Date Date Card -BI Date 58. 59. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection Bedroom Exiting 60. G.F.I. & Bath Fixtures & Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper �. Card B -I Card B -I 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. Fixture & Transformer Clearance -Ins. Protection Elec. Receptacles Spacing -Lights &Switches at Doors Size Boxes & No. of Conductors -Stapled Romex Installed Close to Edge of Studs & C.J. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 2 Appliance Circuits in Kitchen &Conductor Size Subfeed Wire Size i / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral Yes _No -_ _ Service -Riser Conductors & Ground -Main Disconnect _ Equip. Clearances: Panels-Motors-Mech. Equip_ Clothes Closet Light -Shower Light Date Card -Bi Date Date Card -BI Date 69. Wtr. Htr.; Vents -Clearance -Comb :Air-Connector-P.R.V.- In Garage; Above Floor -Meth. Protection 70. Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 72. Insulation -Foam -Looked in Attic ❑Yes 73. Guard Rails & Deck Construction -Post Caps 74. ---- Fdn. Vents & Crawl `sole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 75, 76. Following instld.: Drive E, Yes ❑ No; Walks [Yes C] No: Planters ❑Yes ONO Stucco; Brown -Finish 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim: G.F.I. Receptacle -Underground _ _ 81. Ventilation throughout House 82. Glass Protection Date MECHANICAL (Permit) OK except k's 83. _ Corrections from Previous Inspections 84. Gas gest-Meters Tagged; Gas -Electric Card -BI Caid-BI Date 31. A.C. Ducts. Insulation & Support 32. Vent Fan. Exhaust above Insulation - 33. Condensate Drain & Overflow: Size -& Grade 34. Furnace -Vent: Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Date Card -BI Date Date Card -BI Date -- FRAMING(Plans) OK except p's _ 85. Water & Sewer Connected -C/O to Grade -HD Approval 86. Energy Compliance Certificate -Other Certificates -- -' -"--- - --- - Card -BI Date Card -BI Date Card -BI Oate Card -BI Date Card -BI Date Card -BI Date Com lents at Final: 36. 37. 38. 39. 40. 41 42. 43. 44. 45. 46. 47. Sills, proper Material & Anchors Walls. Studs -Nailing, Spacing & Bracing-Plates-S,:nd Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) Fire Stops. Furred Ceilings -Stairs -Chases -Tub Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfnp. Fireplace Ties or Type ype AFlue-Fireplace Throat Attic Access. Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing - - _ (NOTE Anentrymust be made each time youvisit jobsite) MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE' DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA— 53.4-4541 PERMIT NO. / S Address or location of mobilehome ICS i�? GL1Y ci" ��� 1 1A p� , Owner's name \ 1�e��f_�; y� f l�'%1� • t { "; Owner's address Insignia or hud number ` Manufacturer's name j Serial number of V.I.N. 011,74 _ES / Year of manufacture (Official Approving Installation) (Date) IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION I ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 513B White - Owner, .Yellow - Installer, Pink - D.P.W. i c- COUNTY OF BUTTE DEPARTMENT Or PUBLIC WORKS r 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 BUILDING OR ROPERTY ADDRESS A routine inspection Indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, 'please contact this office Immediately. -5-r4(PS )!FEQLo12ED LjlTA,(/A/ COO 2Ys - P QM 1-rs 1 E D Ins r)p.ctor '-� Date �'L' "-- COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville„Califoroia 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. (I e�lt ASS S R P R EL ER — �— ZON BUILDING PERMIT OW � Na rrt TEL PHO E SQ. FT. OCC.1 BUILDING VA N OWN R'S MAILC ADESS CONT ACTONAME z? 14 LIL TELEPHONE CO TRACTO 'S MAIL[ AODRES Ago' I. Q j/ / Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ b Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ AL C242 PLUMBING PERMIT Filing Fee 1 10.00 Each Trap 2.00 ` Solar or heat pump water heater 20.00 LOT NO.SUBDIVISIO ; 'ffPARCEL `r� AP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ MobilehomefV Other Lft SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑tilities ❑ nstallationig Other ❑ Describe work: �, n �C _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): E9 --i am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full � force and effect. License No. 3�f� 7 S Classification v - i7 ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. - , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.d+ , A New S'ET ) h¢sgft CONSTR.( ULTI OUTLCC.BLDG NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e SINGLE OUTLET CIR. I ( Ex. Occup\OUTLETS OR FIXTURES 20050C eALO 30 FIXED APPLNS. R Ex. Occup. OUTLETS (RESID.)EA.I 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. r5�I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating. Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said C unty'in consequence of the granting of this permit. 1 / ..� X V ai Date. •7-"-0 6 Signature of Applicant — Owner ❑ Contractor e" Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE OCCUP. CONST.TYPEJ I I FLOOD P cEL PO ND Is” This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which U4RECTOR OF PUBLIC BY PERMIT PIKES Date the applicable provi- resolutions to do fees have been paid. WORKS Date 7�r/� `- -aO �/ Receipt No. WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT kt '1..: ^m: 1=:, -'-: :.Y..,. y ...- r - rte: .� u.: _ , . e Y•rr-� Via: ��x tgaa .,;. y.. -. y .rte ,*. , .. ..COUNTY OF BUTTE-'DEPARTMENt OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE,tCA FORNIA 95965 - TELEPHONE: 916/534-4541' PERMIT APPLICATIVA DATA SHEET f ^�` 11016's �� Permit No. OWNER a. tC� A. P. No. -// Proposed Building Use �`i 'C V Permit Fee Based Upon: Complete Contract Price DA Valuation O er ( Iain) Building Inspector. Date At time of permit application, I was advised the following data must be submitted prior to permit processing and:/or issuance: DATE RECEIVED APPROVED All items have been submitted. . . . . . . . . . . . ., Plot plans in uplicate/triplicate. . . . . . . . . . . 3. Complete pla s in uplicate/tri.plicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD ''Fees Paid" Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. -Fees of $ . . . . . . . . Letter of signature authorizati 1. . . . . . . . anitation approval from Dept. 11. Planning approval for (A) Use: (B) Parking: 12, Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner.❑, Mail to owner ❑ ) Improvements may be required. obilehome Installation Data. �•.CQyz�F�->%� Pre -Inspection for Re uired, Pre -Ins . request to (0 ate) p q Building Inspector cord1Rcm&fiA6ri yr L Acknowledgment Statement. _ 9 ther Construction approval required prior to occupancy Wuyou issue the permit, rocess as follows: Maiy)to owner. Mail to contractor. Telephone (5 and hold for pickup ati�Cc ✓l office. Deliver w/inspector. Other / Applicant&L-1clC�J �/v Date 7` r ' Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at i e of a .plication, circle item,) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Date Plans checked by Date Plans approved by Uate Other Copy -DPW TO..: ^���°� Building Department FROM ;Environmental Health SUB°JECT.' SANITATION CLEARANCE �l e _9114dtetis OWNER ' Plans approved for: Hold final for• (�26 CATION AP # -10 Sewage Disposal Water Supply Water Supply Final Clearance O.K. for: Water Supply Clearance for 2 bedroom mobile home. Other Clearance for addition of No ANITARI DATE �i OF BUTTE •Return to DPW' AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENTC� Section 26-8.1 of the Butte County Code requires'this,acknowledgement 1926 JUL 3 0 N 3' 2 6 be recorded prior to issuance of a building permit. ELEANOR The ro ert `described herein is adjacent CLERK -RECORDER FEE Jacent to land or included � P P y ':.within an area zoned for agricultural purposes, and residents of this �6Q'24��'7:➢ ,,property may be subject to inconveniences or discomfort arising from ' j�j� ,the use of agricultural chemicals, including, but not limited to herbicides, pesticides, l� and fertilizers; and from the pursuit of agricultural operations including, but not limited p"" P g P g , N�lg�S to..cult.ivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke,',; i i. ✓�7 lri`.. 'j ` this set of plan: ataWieolinas MUST be, •pt on the job at all times and it is unlawful to ke any chang&s or alterations on same without written permisson from the Department of Public Works, County of Butte. All ��133l�%�0 located within 4 ft ctions shall be third ;section outside the rear on the left (road) side of mobile e mobile home. ,ept;.c system and location o466qMO. to be as per. ,utte County Health- Dent. RP_. uirPment_c The Setback shall be the side property line and So ft. fron, the centerline of the road, permitfiri f a moxi mum of n 2 ft. Ll� NOTE:—All Ma+erinls & Workmanship Shall Be Accordesnr..p with RQrorinized Good Practices of a quolifv prescriherl for the Specified use in Uniform Buildinct, PlumYng & Machanical Codes the National Electrical Code. ;11 � vY `i C i4 pertnit will be required for the - - installation of the mobilehome. ! _ 1 -__.... • — i;: ' orf � ;. . , . ( Oc"„•� � DC7 �� , BUTTE COUNTY BUILDING DEPARTMENT o V ED . .. a. .�..i.,�ws.ra�v " -- .... w•...,......�.......,....,._.,......_ — ___...___..�...�..__...r.......r._...........�..��.�.��.�+.�..�.bsw+m•rr.:.scA,as.i.a'F�;•J,::::1 . BUTTE COUNTY -DEPARTMENT -OLS PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's Name: 2. Installer's Name: 3. Is the site currently under permit? Yes F] No (If yes, furnish permit number ) OR Is the site an existing site? Yes No F (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5.ft. away from septic. tank and leach f ields'and clear of all setbacks and easements? Yes [El No [—] (If no, clarify 5. What is the mobilehome electrical rating? --------------- 0 Amps 6. What is the mobilehome site service rating? --------------- Amps 7. What is the mobilehome site circuit breaker rating? ----- S� 0 Amps 8. Is there any other electric load to be served by the mobilehome site service? ------------------------- ------- Yes � No (If yes, identify the load and size: =—(Load) (Amps) 9. What is the mobilehome site gas pipe' 'size? --------`'=----- k . (in.) 10. What is the type of gas service? --=---------------- Natural 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------------------- ,_—. (ft.) * 12. What is the mobilehome gas demand? ---------------------- (BTU) *(This information not required if pipe length less than 6 ft. on natural gas or less than -50 ft. on LPG.) 71Y MOBILEHOME SUPPORT DATA 2 %ed If other than single wide, 1 Mobilehome Mfr. & furnish,Setup Model No. Year / Y,9( Width 2 q (ft.) Box Length 6 (ft.) Tagalong or Expando Size ft. x ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one) 1. Wood -pressure treated or foundation grade.2. Other (specify) 5 SUPPORTS (check one)P�1. Concrete block. a 2. Other (specify) Pier Footing Sizes and Locations ` SINGLE -WIDE MULTI -WIDE Main Beams ,Line 2 � � _ � _ _ _ � � � � � � � _ _L,,=_2 i.ine2 Line 1 Piers: Size-Min.------------ Spacing-Max - -----------Spacing-Max. --------- From Ends -Max. ------- Line 2 Piers: Size-Min------------- Spacing-Max ---------- From Ends -Max .------- Line 3 Roof Loads: Size -Min ---------- Location (From Front) Main Beamer Tag or Triple .V Line 1 Openinae• Size -Min.------------------ „x o Each Side of Openings With Width Over --------- " Line 3 Piero: (Under Bearing Wall Only) Size -Min .------------------ rx a Spacing -Max._______________ From Ends -Max .------------- _ /S-( )0 . �-a�iv rr �r.x 3C 3`�y��p a y��prr e=rr rrx r rrx rye 7 J41 --1 r41-- 1 rr r_D r_ rr ,_ rr r_ r Line 4 Piers: Size -Min.----=------- k r u Spacing -Max.--------- , From Ends -Max .------- r_ r Size-Min.------------------ r� rr Spacing -Max.--------------- r_ u From Ends -Max .------------- r_ r Line 5 Roof Loads: Size -Min. ------------,1x a ux n ux n nx o rrx. n ux a rrX n rk u E. Location (From Front) — r :r- RESIDENTIAL ..5 64-70-29 1630-90B HARRIS` , Jackie 620-2`Cody Ct, Magalia (garage/MH), 4 ' z tt: gar T• ' Y ' 7 ' i 4 U JOB FINALE Signature �.1 J=OK O = Not OK =N tReadyab)e ` MOBILE HOMES Date -MOBILE HOME UTILITIES (Plans) OK except IPs 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / P'L"ft. / P'Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'a 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances S. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS +, J. UeCKS; uriaers anotor JOISTS-USCKing-oracing-JTaIB-maiis 4. Wood Awn.; Posts-Beams-Rftrs-Coonectors Shthg: Rfg: Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. EI ctric . Fr ;-Sill-Anchors-Studs-Rftrs-Trusses Siding; Nailing-Venser-Stucco-Mesh 10. Roo • hthg-Roofing t.; Steps -Doors -Landings Date 92 -7.4,ECard B-1 !:;a;:)Date Card B-1 Date ,/V-2Card B-1 gJ24Z Date Card B-1 Date POOLS (Plans) OK exCept #a 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater '8. Elec.; Grounding; Equip. w/5' Circulating Equlp: Pool Lghtg. Boxes-Enclosures-Panelboards-Ina. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 _ Date Card B-1 Date Card B-1 Date Card B-1 V OK O=Not OK - = Not Applicable Not Ready � RESIDENTIAL (SE ' = Date tJ1s1UERFLOOR (Plans) OK except #'s �1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ P' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Cfearance-Material-Support-Ins. 14. Girders -Sills -Anchor Boits-Joists-Vents-Cripples 15. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe: Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral 0 Yes 0 No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing jingle & Duplex) a Date FRAMING (Continued) ' 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54, plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 57. Glazing Area -Glass Protection -Skylights -Plastic, 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 75. Plb., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic 0 Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 80. Following instid.; Drive 0 Yes 0 No; Walks 0 Yes 0 No; Planters 0 Yes 0 No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE. DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE OAR PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office'. when correction of work is completed. If you have any question pertaining to this . matter, or need additional explanation, please contact this office immediately. r Date G% Inspector- COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: .891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541' ' 747 Elliott Road, Paradise — Phone: 872-6307 'L CORRECTION NOTICE )WNM PERMIT NO. A routine inspection indicates that the following violations of County Ordinance . exist at the above address and should be corrected. Please .notify this office when correction of work is completed. If you have any question pertaining to this. matter, or need additional explanation, please contact.this office immediately - Date (// // / / Inspector ,d . COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovitle; California 95965 - Telephone: 916/538-7541 1630-90 APPLICATION AND PERMIT ASSESSOR PAR �_ �. NUMBER 64-70-29-,f ZONING RTI BUILDING PERMIT OWNER Jackie B. Harris TELEPHONE 873 '-3,x20 SSQ.M . FT. OCC. BUILDING VA U TION 440 6160 OWNER'S MAILING ADDRESS 6202 Cody Ct, Ma alfa 95954 CONTRACTOR'S NAME owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 62.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee 31.25 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 6202 Cody Ct- Permit fee $ 103.75 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 O I i q Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome ',Other Garage SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer --FSTG7wl 5.00 Mobile Home e TYPE OF WORK New ®X Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: _detached garage _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.&` OR ADDNS. ACC. BLDGS. / , 2/zQsgft NEW CONSTR. ULTI-OUTLET NON -R ..ES BRANCH CIRC ITS 2.50 ea (PO /POWER APPARATUS .&) \SINGLE OUTLET CIR. Ex. Occu p OUTLETS OR FIXTURES 20@030 BAL20@I30 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �Yirin 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Coolin g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agains County iZ cons que a the granting of this permit. X D�'G yam/ Sign ure of Applicant — Owner Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE ALS TOTAL FEE 10 5 H z c PA J F P PD. H uE ff This permit is hereby issued under sions of the Butte County Code and/or work Ind' ed ab ve for which fees R F PUBLIC B PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Da '/� Receipt No. 66131 WHITE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT P,. -T�'0t. COUNTY OF BUTTE - DEPARTMENF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVI~-,OROVI LEP. FO IA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET L Permit No. OWNER (a tr r 5 A. P. No. Proposed Building Use a ru cst. Building Inspector JAnd.2 Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: j DATE RECEIVED APPROVED 1. All items have been submitted. ... (.... :............ ......... 2.Plot plans in duplicate/triplicate, signed by preparer of plans........ Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs,,with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... Statement of Intent for Non -Heated and AC Buildings ............... Engineered truss details and layout in duplicate (required prior to plan check) 9. Mob'ilehome installation data including manufacturer's installation Instructions....................................................... 10. Fees,,of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephoneand hold for pickup, at �_ 'office. Other Deliver w/inspector. Copy of Haz-Mat form sent � Health Dept. - f Fire Dept. Air Pollution Date Copy of plans sent Healt0yept: ` Fire Dept. Other Date By. The following data must be submitted' p ' r o er'mit' 'issuarrice: (Circle new item not checked above). 1. Index permit for above; items.-No;��� , f 2. Additional items required: _ Contractor, designer, owner, was advised of above required data by_phone---nail_counter by ..date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date - Plans checked by Date Plans approved by AZ Date _4 Sets of plans on hold in File cabinet AP folder Copy—DPW COUNTY OF BUTTE - Departmt nt of Public Works 7 County Center Drive, Orovil,le, CA 95965 Phone: 916-538-7541 0 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement {yes or no) S 2. I (have/have not)!/ signed an. pplication for a building permit for the proposed work. 3 I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Prope Soc is Date NOTE: This Owner -Builder Verification.is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and.returned to our office before we are per- mitted to issue the permit. V/ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. q� 7 County Center Drive - Orovllle,_Cali(ornia 95965 - Telephone: 916/538-7541. ( � �.� n APPLICATION AND PERMIT ASSESSOR PARCEL i1UMBER _ 17 _ `off.. q ZON G -1' _ I BUILDING PERMIT OWNER 5 Q Iel:� � c r ­ TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS(/ 2- CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAI ING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 2 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Z Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ _96— BUILDING ADDRESS Oct f Permit fee $ 3 - PLUMBING PERM Filing Fee 10.00 Each Trap 2.00 Solar or heat pump wat r heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water eater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] MobilehomejX Other SPECIFY Gas piping sy em 1 - 5 outlets 5.00 Buildings er 5.00 Mobile oma S G W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: D e -E roc (,p ok rA ra Permit Fee $ Contractor ELECTRICAL PERMIT IlingFee 10.00 Main service °Dov oR LESS 100 AMP OR LESS 10.00 Main service EA, ADD -L 100 P 2.50 CONTRACTORS LICENSE LAW y p I y (Check one): I declare under persalt of perjury ) ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license Is In full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen-, sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason .. NEW CONST, DWELLING o CUP.el) OWADDNS. ACC. BLDG , h¢SQft NEW CONSTR ULTI.O•'rLET NON-RESID BRANC CIRCUITS) 2,50 ea / POWE APPARATUS f1 (SINGLE OUTLET CIR. / Ex. Occup�OUT ETS OR FIXTURES 200801 eALo3o Ex. Occup. FUTL.ETS PIRESID RE A.) 2.00 Temporar service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement. should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMyr Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contrapt6r I certify that I have read this application and state that the above information is correct. 1 agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agains County in consequenc of the anting of this permit. X at Signa re of Applicant — Owner Conr.actor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ y� occ CONST TYPE . TOTAL FEE $ (2,3 HAz CUA ;;T HL FLD P PD HD IssuE This permit is hereby issued under sions of the Butte County Code and/or work Indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date (o Receipt No. 6 /,`2.1. W N,TE-O.P.W.. YELLOW -ASSESSOR, PINK-IN9PECTOR. GOLD F.NROD-APPLICANT COUNTY OF BUTTE - DEPARTMENT`OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET ll (Permit No. OWNER 1`�C y- Y` I'S A. P..No. Proposed Building Use 1 n4, a 1,0 c. A- Building inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . ........................ .......... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions......................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid.................................................:�: School District fees paid .............. Sanitation approval from t -en 4 -ad Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license iriformation (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization .................... :7--: ............ 26. 27. When you issue the permit, process as follows: Y_Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w./inspector. Other 96; Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items—No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone---nall_counter by ..date Contractor, designer, owner, was advised of above required data by—phone _mall—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW T--�_ -_ --- - --- -- --- - - --- - ---- - -- _�.-- C - - _ _ a d - --- .. .V 0.54 ..0/inl.'A,ND ... Q s -- v �O:JOSE,CA.�X15112 ' 1 _NLA_GA-►�1A�;�; O a L 1— �a .70 �_fh �iL 11_�e_�..i �5 _. _..a..--.;_. ��, I.V =..O IT .��d� i1 �0r, %�,•,;�i _ i O /�� �E V �.Od , 0-0� v PARADISE.P1tJES i ARCHITECTIMAE COMTROl. CDi?IC�4�TiEPy) :rl �= H di NANi p�'!'—x_22" TRACT_G/./���_4 OT :.:: - ... •.. °� : > DATE_- v '� I :irrpl3v�O�1irk {I 1 V y- rty s��{{�� jj �6tb8dC : ; C a m 0 APPROVED BY Y'',;'`.. I' f ADD12ES5 2 0 Q.f).''h!N?1;'�?l;�gl: o` . t ;,cenii dins. ' ` �Ct r,-of V v `,,t-IiJ��rps ar;i�yu�'/�p0s't except - 1 1 4. C (o t c Kq LD c Q'� i 1 I t 1 ` .Z�•r: .>�".2+�.� $ \'�,. i/� 1' '" ,K._tt N i. Q' 3 .` : r '� �' f'� ^ w ` tY � ,.. 4` ; iyti 1r � i7,t� lj t 1 %�' �1'.•%�--�' SCI SCALE 1. ! L✓ o a I Ss,s� '�' rk1�ER-rYtII• ��/T/ 1 STANOA ap 1 V UNT 1 PARTMENT AS'PRMtEq TO Building Department FROM: Environmental Health SUBJECT':. Sanitation Clearance Owner 'AP# Plan Approved for: Sewage Disposal Water Supply v Hold final for:. Water Supply' Final clearance O.I. for: Water Supply Clearance for bedroom mobile home. Other �Oc. 2 Z 92 - NOTB Sanitarian Date WJ44 r v y 0 6/x/`70 R44::: oad BUILDING OEPAIITMENr APPROVED , Ida*W'x 10"andxrWs It 6' O.C. max. and within ISN of 161nts. To / ffl �pEC1�L ROOF ()OiMG, Clra 5.5 C a BUTTE COWMy DEPIg7.,,r APP V'EV) _. n / �✓4/�1i�S, �'�oor •Sys/G/>! Jv Pressv� Tresfed ' 4n y 4�,orow/ G vI/a. L., . /*N:ia Far J�er�or ,lr�•�-d�P n //I � �. /2 "Mi ro M; h Aof, �-i„ . - I � , li ''M/ •� /✓AJ''tdro /�. li�r�sfL.6 ea/ ,I - t ,vl ,ge dwoo el or /moires s yr r T/`eo /te o/ %7?0 lc Areaos� (oNM/p /neo we/ 14 1-f D,47Z o G/Tc/ Reelw000/ ore Pressure Tr�ofe/ T-- I �x�Cr/Or tirr�dP I i ,r /O'/arc ii er bo/As /nfo CoHcr�/c f ro o,C� os ols ld0t v _ s� r/it dtr s�e6 f,// UTT E COUNTY /a 01NG DEPARTMENT .APPROVED util.,MH 339=76P';'E PERMIT NO. P E M ,MH UTIL. PERMIT NO. PERMIT EXPIRES 442117 :OWNER Phillip L. Harris `CONTR. Fuller Const .Co: , Magalia .LOCAT-ION (A.P- 64-70-29 ) 25 Cody Ct., lot.136, PP#2, .:a Magalia j� x F'r �y ;C Temp. Power Pole '. Called PG&E TvpW Elec. Serv. f Z—'Z-- 7 Called PG&E 42,1 2t 4_% L / Temp. Gas Serv. Called PG&E �L r Z- 4;7 % FOINALED (Date) (Si.gnatur`e) 4 f� i oBli.13I'tOi1I DISIAL-WT1ON INSPECTION CHECK LIST ' 1. Is the.. mobilehome located wi.!.h required separation from lot lines and buildings and generally conform. -to plot plan? Yes '✓No_ ?. Doe; the mobilehome have required clearances. above ground? (Sec.5085) Yesv No 3. .Are foot.in-s and supports properly sized, -spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec, 5082 & 5083) Yes ✓ No 4. Is the mobilehome level.? (Sec. 5088) Ycsi/ No+ 5. If more than a s uMit, are.crossover•connections properly installed? (Sec.,5088) Yes No- 5. o`a. Water A. 1•s flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes l�No B. Test - Does water piping withstand working pressure or 50 lbs, air test? Yes -I­�N o C. Backflow - If coac St State of California approved, does station have backflow device and pressure-reli va ve? Yes No 7, Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes -L ---'No, B. Does it have minimum ?," per foot slope and is it properly supported? Yeses/No C. Are any leaks detected in drainage system after running 3 -gallons of water through each' fixture including washing mach / ��}}ine standpipe? Yes No L D. If coach is not State o alj�% rnia approved, does station have required trap and vent? Yes No 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft, long? Note: All piping is to be at least as large as the mobilehome g' line in t with t reductions other than the mobilehome connector. Yes No B. Test OK as per followin roced re? Yes No 1. Open all appliance o nect valve . 2. Shut off applian b ner and pi aloes. 3. Air test with nome e to 10"- ater•column, or test with slope gauge (minimum 6oz.-maximum oz.) c .ibrated in tenth pound increments. Test for 10 min, without drop. 4. Connect: gas meter to mobilehome with connector, turnon gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes No 9. Electrical A. Is service large enokcgl. to provide ;adequate amperage to mobilcliome. (must equal rating; of mobilehome caitli a :::in.ii:um of 100 amp) an -,1 other faciliti`�—s' ori lot, i.e., water pumps, g..crat,e, cabana, etc.:' Yes p-' No B. Is there. proper clearances around panels? Yes ti No C. Is power supply cord or feeder assembly properly fused? Yes ✓ No_ D. Is continuity test satisfactory as per the following procedure? Yes ✓ No 1. De -energize electrical wiring, systeri of the mobilehome at the pedestal. 2. Make sura that t1he 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. h. Connect one lc -:.:id of a test instrument to the mobilehome grounding conductor and tl�e Utu.ei aj�pi)' ,uau to caro niOui.�euuuie supply CUnuuCtU'i, ilicliiuliig iieuLYdl. 5. All nor. -current, carrying metal parts of the mobilehome (aluminum siding, gas line, eater line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of: the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity tet_; i_ shall then be made between the ,grounding electrode and the chassis of the crobilehome. Upon satisfactory completion of the electrical tests, the lot or site service eq��i.pment may be approved for energizing. Ts job card signed by health Departmeat for Water and sanitation? 11. If everything okay, sign off card and ta; services. MOBILEi? .t4E_DATA Manufacturer and/car Namest:yle �sIvd1�0� Length CSD Widtth % ?i Vehicle Serial No.�� State Identification No. calf: itional Infor-mat..ion or Comments: 1 1' 1 1 1' COUNTY OF BUTTE — DEPARTMENT` OP PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback ,S ,—?E-, irewall Soil Piping Forms karapets 1st Floor in Bldg. R stroom Finish 2nd Floor tings Wi ows 3rd Floor Stem all Sidi To out Slab Roof eathing Water Piping Piers Roofing Sewer �• Garage Fdn. VenIts Fixtures Footings Garage Ve s Water Htr. StemwaII Prov. for phy ically Heaters ped Slab handicapAppliances '�— Carport Conformance of Gas Piping & Test - Footings structure Temp. Gas Slab Final Sanitation Patio FI PLACE FinalFootings Footing ELECTRICAL - Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam RE SPRINKL RS Motors ----- Frami nq Test Water Htr. ' Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch eating/Service '2 - ?_ f--' 7 e. Brown boolin Temp. Pole Fini Duct Underground Interior Lath Ve ilation N4 Permanent / L — 2 7 Door Closer Final Final t°2 --'y-6 7 DATE REMARKS OR CORRECTIONS 4r COUNTY OF BUTTE G, ENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 51 under permit number 339 , -7 b for the following location: r 1 /lit M r A L I A Owner_- Ph, C G r o t /4A Owner's Address 01, M Mobilehome Mfg. -50 cr >>o'^v'r`--Model Year Insignia No. I $l & 10 Serial No. l U P6 G 7,0 C -/,9Q It is hereby certified for occupancy at the above described location and may be occupied. ' Director of Public Works Date / Z — 2 7 (� By (234-� �2oY THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive -- Uroville, California 95965 Tel ephone,: 53*4541 APPLICATION AND PERMIT authorize,re resentiv of the County of Butte to enter upon the above -m nt' ed pr p-er-y for inspection purposes. /��X � f , Date`/ L� G� ignatu.e of mitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY z Date permit expires Date �8�,7 BUILDING Owner 2h 1,LipL i Y r f SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address Telephone No. Fireplace Contractor f� D>' M 4- y✓ GO,vS7—, Total Valuation Mailing Address R p . 801S4- / ; � Permit Fee Plan Checking Fee &/or Penalty c re `✓T �Skf 3 T lephone No. �!� �-73/b Permit Fee $ Building Address r PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 ,T_/ ' Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. L C`•— %0 - c7 9 Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F Sarl-=17f1' Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking I Parcel Plans Declaration Parcel Ma P 60' R/W Im rovements - P Lawn sprinkler system 2.00 Bldg. Plo s Recd Parcel A04Y<eval Plans royal Permit Fee $ $ NEW ❑' ADDITION ❑ UTILITIES ❑ OTHER ® ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 L �p „/ �p ✓ --A-.tT Main service '$$ AMP 0RSisESS 5.00 3 3 ^— `9 Main service EA. ADD'L 100 AMP 2.50 Main service OVER eoov 100 AMP OR LESS 25.00 Single Family ❑ Duplex ❑ Mobil Home JA Others ❑ Main service EA. ADD'L loo AMP 1.00 NEW OR ADDNST ( ACCLDWEBLDGS.LING Ccup. &) 20Sgft NEW CONSTR. MULTI.OUTLET NON.RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONST. POWER APPARATUS &) NON • R RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & P fessions Code under the name style of: J y '�•_ Ex. Occup(OUTLETS OR FIXTURES) BA@L@�1 Ex. Occu (//FIXED ASPENS. OR P•OUTLETS (-RES-ID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No.:Z '_X0A Z - 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 which requires every employer to be insured against liability for Workmen's Compensation. have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. XI certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so s to become subject to the Workmen's Compensation Laws of California. 1 certify thatI have re this application and state that the above information ' correc sl agree to comply to all County Ordinances and State aws r ati g to building construction, and hereby MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ r $ ®•oG TOTAL PERMIT FEE $ _O �G authorize,re resentiv of the County of Butte to enter upon the above -m nt' ed pr p-er-y for inspection purposes. /��X � f , Date`/ L� G� ignatu.e of mitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY z Date permit expires Date �8�,7 MOBILEHOME SUPPORT DATA Mobilehome Mfr. G N I 11+9—, Setup Model No. Yearl Width (ft.) Length. (ft.) Expando• Size ft.x ft. (Draw support details below) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. (if not.on .file with.the County of Butte). j'Footings-(check.one) 1. Wood. either + , , pressure treated or fdn..' grade. ` Ll 2. Concrete pad. 3. Other;:specify *If center Biers are other than drawn above,. draw in locations, spacing, and dimensions. Supports (check one) 1. Concrete block 2. Concrete piers 3. steel piers 4. Other, specify ` ,Typical Support Footing Size Max. Pier Spacing t. in.) Max. .Overhang BUTTE COUNTY BUILDING .®EPARTMENT ®'VED APPR y .. BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name:. I R t. 1 f /D ` ] Ala 2. Installer's name: 3. Is the site currently under permit? Yes / No ( If yes, furnish permit number OR Is the site an existing site? Yes No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and 4 clear of all setbacks and easements? Yes M:7: No ( If no, clarify 5. What is the mobilehome electrical rating?7-------------------.--- 6. What is the mobilehome site service ratin'� - ------- 7. What is the mobilehome site circuit breaker rating? -----:_;- 8. Is there any other electric load to be served by the mobilehome J S 0 AAmp;s IM VAmps Amps site service? --------------------------------------------------- Yes / / (If yes, identify the load and size: (Load) No —(Amps) 9. What is the mobilehome site gas pipe size? ---------------------- (in.) 10. What is the type of gas service? ----------------------------- Natural--- LPG 11. What is the gas pipe length from meter or tank to the mobilehome? (ft.) 12. What is the mobilehome gas demand? ------------------------------ (BTU) (This information not required if pipe length less than 6 ft. on natural gas or less -than 50 ft. on LPG.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATI6N AND PERMIT ,339-6 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X l� r Q_ _�J► Date I—.23 —7Z Signature of Permitee or Agent � Receipt No. �/ 3o ! White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid� DIRECTOR OF Pl/BLYC WORKS By Date wilding permi�exppir�esDate �-7--77 BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor yL Cp�lS f �. Total Valuation Mailing AddressPermit ©X Fee Plan Checking Fee&/or Penalty /f„�1 Tel hone No. Permit Fee Building Address 4� CC��J, PLUMBING No• @ FEE PERMIT FILING FEE $3.00 r p� 2 Each Trap 1.50 ,1_W4!M 4, a// Repair drainage or vent piping 1.50 Water piping 1.50 Q Each gas water heater or vent 1.50 A. P. No. b — le% Z In ing Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F N2� Sa n ire Dept. Fire Zone Use Permit Building sewer 5.00 Q EQA Parking Parcel Plans Declaration parcel Ma P 60' R/W Improve ents Lawn sprinkler system 2.00 Bldg.1Plan�fRkT PorceApprovol P Plans Xpproval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 100 SS AMP OV OR L R LESS 5.00' S� Main service EA. ADD'L too AMP 2.50OVR Single Family ❑ Duplex ❑ Mobil Home Others ❑ 600V Main service 100E EAMP OR LESS 25.00 Main service EA. ADD'L too AMP 1.00 /' -7OSQ C //��JJ//JJ r 7- ~L /��� Wep /L NEW CONST, DWELLING OCCUP. & OR ADDNS. ( ACC. BLDGS. 2¢sq ft NEW CONSTR. MULTI -OUTLET NO N.R ESI D. ( BRANCH CIRCUITS) '2.50ea NEWC ON ST R. (POWER APPARATUS & NON .RESI D. (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) BAL2¢ Ex. Occu FIXED APPLNS. OR P•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No..I kq-22 j Classification_} Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 5 $ S 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. Ail I have placed on file with the County of Butte a certificate of U� Workmen's Compensation Insurance. I certify that in the performance of the work for which this EJ 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 $ $ 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 $ !� authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X l� r Q_ _�J► Date I—.23 —7Z Signature of Permitee or Agent � Receipt No. �/ 3o ! White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid� DIRECTOR OF Pl/BLYC WORKS By Date wilding permi�exppir�esDate �-7--77 `iC..l..11 C;x LI 13 Y2 0AiM,A\N"ID - ..} �az n .0. "�Z h)T V36 This set of plans ss MUST 6e• . kept on the job at all times and it is unlawful to make any changes or alterations on same without written permisson from the Department of Public Works, County of -Butte. 4 TIT 9 [p�49P.S..•rS—ly f1�6 b - All ut'j33 connection o n • located within 4 ft ct�ons shall be third section Outside the rear on the left (road) side of he me- Mobile obile home. mobile Septic system and location . --e---__- •-_ - - to be, as per Butte County Health` Dent. Ra- ouirP_ments, �� , crF1L�l�o The /1' Setback shall be 5• f}, from the side property line and So ft, fro"i the centerline of the road, permittin a maxigmumm of a 2 ft. eove .over ff int I NOTE:—All Mo+erinls & Workmanship Shall Be it Accordance wi+h Rpcogni7ed Good Practices anc of a quali+v prescribed for the Specified use in the Uniform Buildinq, Plum6inq & Machanical Codes ant the National Electrical. Code. JI .-A 00'o UTIL. t \ % It ,i a 0 A pprrnif will. bel required for the Ca c I+tion/,gf , fhe mobilehome. 1 _ ti i� u� cv � sj . _, _ilk •, -..._.._ _! , -,, - �lC ��-t �c�z, SUTTE COUNTY BOILDINO DEPARTMENT AJ. r� . ! I c:aIiJ1}' — A Of V;)�)c u _ ti i� u� cv � sj . _, _ilk •, -..._.._ _! , -,, - �lC ��-t �c�z, SUTTE COUNTY BOILDINO DEPARTMENT