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065-173-020
65-173-6220 Maynard Kizer Rosewood Drive, lot349 Fir Haven bub, alfa \ Permit # 77-82P,E(util/gH') Electric — lo- z- Zo^ � Gas o -/-AZ POO Support structure re r 1&14 -(— compaction test re 440 65-173-02 Contr: or & Minor MH !Per i 1138-83NHI suede K3 --------- 65-173-20 V7ZDANIEL HOUSEHOLDEg 6576 Rosewood, Maga lia C-ontLr: - Ba y' Area- M Permj#16-86MHI(e fisting site)Issuet tlospet rd' F4 r e oqjtopa, 65-173-20 Permit#3759-88MHI (e ist, e) Issued .-Osit a/�/ 65-173-20 LPermit#9(6-89B(new open deck/ B08-0561'- 065-173-020 RESIDENTIAL , SFD-Mobile Home'RET RETRO -FIT EX MOBILE HOME PERM 6576 ROSEWOOD DR'. +F/N4 NIELSEN, SHAWN'- a. ti 65-173-6220 Maynard Kizer Rosewood Drive, lot349 Fir Haven bub, alfa \ Permit # 77-82P,E(util/gH') Electric — lo- z- Zo^ � Gas o -/-AZ POO Support structure re r 1&14 -(— compaction test re 440 65-173-02 Contr: or & Minor MH !Per i 1138-83NHI suede K3 --------- 65-173-20 V7ZDANIEL HOUSEHOLDEg 6576 Rosewood, Maga lia C-ontLr: - Ba y' Area- M Permj#16-86MHI(e fisting site)Issuet tlospet rd' F4 r e oqjtopa, 65-173-20 Permit#3759-88MHI (e ist, e) Issued .-Osit a/�/ 65-173-20 LPermit#9(6-89B(new open deck/ B08-0561'- 065-173-020 RESIDENTIAL , SFD-Mobile Home'RET RETRO -FIT EX MOBILE HOME PERM 6576 ROSEWOOD DR'. +F/N4 NIELSEN, SHAWN'- ti BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES INSPECTION CARD TVIUST BE ON JOB SITE 24 Hour Inspection Line: (530) 538-7636 (Oroville) (530).891-2834 (Chico) Office: (530) 538-7541 Fax: (530) 538-::140 Website:www.buttecounty.net/dds Permit No: B08-0561 Issued: 4/1/2008 Address: 6576 ROSEWOOD DR Area: MAGALIA Owner: NIELSEN, SHAWN Applicant: RONS MOBILE HOME SET UP SERVIC Permit Type: SFD-Mobile Home RET APN: 065-173-020 Description: RETRO -FIT EX MOBILE HOME PERM FN AREA 3 Flood Zone: None SRA Area: Yes Front: Ultimate R/W from CL: Rear: SRA: Side: AG: Other: Total Setback from Centerline of Road:+ ALL PLAN REVISIONS MUST BE APPROVE BY THE COUNTY BEFORE PROCEEDING Inspection Type IVR INSP DATE Setbacks 132 Foundations / Footings 111 Pier/Column Footings 122 Grade Beams 114 Eufer Ground 216 Forms/Steel/Holdowns 122 Do Not Pour Concrete Until Above are Signed Pre -Slab 124 Gas Test House 404 Gas Test Yard 404 Masonry Grout 120 Masonry Bond Beam 119 Underfloor Framing 149 Underfloor Ducts 319 Shear Transfer 136 Under Floor Plumbing 412 Under Slab Plumbing 411 Gas Piping 1 403 Do Not Install Floor Sheathing or Slab Until Above Signed Holdowns/Straps 122 ShearwallB.W.P.-Interior 135 Shearwall/B.W.P.-Exterior 135 Roof Nail/Drag Trusses 129 Do Not Install Siding/Stucco or Roofing Until Above Signed Rough Framing 128 Rough Plumbing 406 Rough Mechanical 316 Rough Electrical 208 Gas Piping 403 Shower Pan/Tub Test 468 Fire Sprinkler Test 702 Fire Sprinkler Final 702 Building Final 802 Electrical Final 803 Mechanical Final 809 Plumbing Final 813 Pool Final 802 Mobile Home Final 802 Inspection Type I IVR I INSP DATE Do Not Insulate Until Above Signed Wall Insulation 117 1 - Ceiling Insulation 118 Do Not Cover Until Above Signed T -Bar Ceiling / RC 145 Stucco Lath 142 Stucco Scratch 143 Stucco Brown 144 Swimming Pools Setbacks 132 .,Pool Plumbing Test 504 Gas Test 404 Pre-Gunute 506 Pool ElecBonding/Light Nitch 502 Pool Fencing/Alarms/Barriers 503 Pre -Plaster 507 Manufactured Homes Setbacks 132 Blocking/Underpining 612 Tiedown/Foundation System 611 Site Utilities/Trench Insp. 137 Gas Test Yard 404 Manometer Test 605 Continuity Test 602 Skirting/Steps/Landings , 610 Coach Info Manufactures Name: Date of Manufacture: Model Name/Number: S -_; ;0 Serial Numbers:*, Length x Width: -i; Insignia: CAL7 Finals Public Wor s Fina ,. "'538-76.81,.- '538-7681• Fire Fire Departmpnt/CDF • Q ' 5,18-6226 Env. Health Final : . _ 53,8-. 28jl. 'Sewer District:Final "PROJECTfINAL -'•--'-',801 . -rrolecc rinai is a %,eraucare oivccupap ior,tK-esiagnnai vniyj PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE. IF WORK HAS COMMENCED, VO' MAAY'PAY FOR A 1 YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION. ' x—, Inspectur Copy BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 6576 ROSEWOOD DR Owner: Permit NO: B08-0561 APN: 065-173-020 NIELSEN, SHAWN e [S N] Permit type: RESIDENTIAL 6576 ROSEWOOD DR Issued Date: 4/1/2008 By GLB Subtype: SFD-Mobile Home RET MAGALIA, CA 95954 Expiration Date: 4/1/2009 Description: RETRO -FIT EX MOBILE HOME PI (530) 873-0972 Occupancy: Zoning:RT1A' Contractor Applicant: Square Footage: RONS MOBILE HOME SET UP SERVIC RONS MOBILE HOME SET U Building Garage Remdl/Addn 19690 HIRSCH UNIT #1 19690 HIRSCH UNIT #1 ANDERSON, CA 96007 ANDERSON, CA 96007 Other Porch/Patio Total (530) 365-6118 (530) 365-6118 FEE INFORMATION DBF MH Plan Check $241.16 DBMSC Mobile Home Permit Fee. $361.74 Balance Due: $0.00 Receipt No: B6849 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License RONS MOBILE HOME SET UP 898312 / C47 / 6/30/2009 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, I HEREBY AFFIRM UNDER PENALTY OF P JURY t I am licensed under provisions of Chapter 9 also requires the applicant for such permit to file a signed statement that he or she is licensed (commencing with Section 7000) of D' is* o 3 of•th' usiness and Professions Code, and my license pursuant to the provisions of the Contractors License Law [Chapter 9 (commencing with Section 7000) is in full force and effe 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 X 4/1/2008 the applicant to a civil penalty of not more than five hundred dollars [$500]; Contractor's Signature Date Please check one of the following: I WORKERS' COMPENSATION DECLARATION I I 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. EI HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; Carrier: State Fund Policy Number: 1785708 Exp. Date:6/1/2008 (This section need not be comp eted a the permitis oror onehundred dodollars ($100) or ess. ❑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 agrge that if I should become subject to the workers' compensation provisions of Section 37 of the Labo ode, I shall forthwith comply with those provisions. r 4/1/2008 WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. I CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Lender's Address City State Zip ❑I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of the property, who builds or improves thereon, and who does the 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 improvement is sold within one year of completion, the owner -builder will have the burden of proof 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 License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors License Law.). ❑ I AM EXEMPT under Section B. 8 P.C. for this reason: 4/1/2008 Owner's Signature Date I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and Slate laws relating to building construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employF_esJ5om any and all claims and liability for personal injury, including death, and property damage ca ed by, arising out of, or in any way connected with the issuance of this permit. I hereby.acknowle a that issuance of this permit does not authorize the use or occupancy of any, sidewalk, street subs' alk. I hereby authorize representatives of Butte County to enter the ab ve mentio rope r inspection purposes. I hereby certify that I am the property oymer ofnth ized to a e property owners behalf. FILE COPY 4/1/2008 Name of P e [S N] Print Date Owner 0 Contractor OR; FlAgent for Owner DAgent for Contractor FILE COPY I I i �03Tr BUTTE COUNTY o " o DEPARTMENT OF DEVELOPMENT SERVICES ° ° BUILDING PERMIT APPLICATION ° ° AND SUBMITTAL REQUIREMENTS ° tea- _ 024 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 C�(i Nay A FEE WILL BE REQUIRED AT TIME OF APPLICA TION "PLEASE PRINT CLEARLY" OWNER Last Name N �\ \ irst Name. Address 7 (o?��► City iY1 A A� ll State ZipCT�;-Cf 9 -It PhonS�J ©�j�Z f�w E -mai CONTRACTOR Name Address 19 tag D iFS z. e State City � Stated 1 Zip Ft M Toe 3b� -��16 Fax -mall lac. Clas Fax mail Date Approved: ARCHITECT/ENGINEER Name F. 7Z d (�� Address -S-'-7 O V --a A , City P�T� N State Z' 033 Fjq hon -�j� Fax 9—Q -mail St License Number o_ p APPLICAt4Ti IGNATURE For office use only: APPLICANT NAME Name �r� ���` � 461 Jc.6�S►'� i�' � C. Address I Yes I No City S� State Zip96 M Shan P Fax mail Date Approved: p APPLICAt4Ti IGNATURE For office use only: Zoning PpeSrty7Address� Flood Zone Cross Street SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO 6 BP BIN # LOCATION AP# . /73 —D—Lo PpeSrty7Address� City r►� T-\bLCA Cross Street WORKER'S COMPENSATION Policy Number 820 Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name J dre OVER FOR SUBMITTAL REQUIREMENTS K:tFORMSIBUILDING F0RMS1BldgApplSubRgmts.doc Page 1 of 2 \ Description or Scope of Work: Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by- Amount: Bldg SRA Receipt #: Sheriff SMTP Date: -Other REV 6-16-04 I� /dX v Cp"_ �-73- X972_ -oZo �v�.�Ut VI`t)%NG I)IVISiON AP ovI . �rl %,v' S,epl, ®Str ' q90 yF�%O SVP�E SFT (S3p) 366 rSo,, out �nY�NCVA 6118 ,91 360n, #' 6S 1�5� C�S7 6 J2 -sip- who �(2 CK- �S9S f -\e 020 BUTTE COUNTY 13UILDING DIVISION PROVED Xi2 Foundation System Installation Instructions for California for Ground & Concrete System's HUD Wind Zone 1, 15 PSF Wind Load Seismic 4` By Tie Down Engineering Bu�EG p1�1151� p�pP C Xi2 Ground System Xi2 Concrete System Engineer Approval State Approval MANUFACTURED IIOMFIMOBILE HOME FOUNDATION SYSTEM 1ETT3ALTH AND SAFETY CODE, SECTION 18551 APPROVED WBJECT TO CORRECTIONS NOTED /APPROVAL DOES NOT AUPIIORIZE OR ATPROVE ANY OMISSIONS OR DEVIAT1014 FROM REQUIREMENTS OR APPLICABLB STATE LAWS AND REGULATIONS Snito of California bapohm of Housing and Community Dmlopmed OIB9 AND STANDARDS � SPAM l of 'Phis Ploy A"MV'8l Expires Page 1 of 8 m 0 ui C) 0 X12 Foundation System I Installation Instructions for California for Ground & Concrete Systems HUD Wind Zone 1, 15 PSF Wind Load Seismic 4 By Tie Down Engineering REQUIREMENTS ,, • These plans and specifications meet the requirements of Title 25 Section 1336.3 Sub Section A and 97 UBC Seismic Requirements, CBC 2001 addition. • Maximum vertical projection at sidewall is 9'. Higher walls may be used when the design loads are adjusted accordingly and approved by HUD. • Main rail spacing must be 75.5" - 99.5" * Except single sections 95" minimum • Additional vertical anchor ties that are unique to a home's design may be required by the home manufacturer. These locations may include shear walls, marriage line ridge beam support posts, and rim plates. The longitudinal component of the Xi2 system replaces end frame ties. Check manufacturers set-up requirements. • Maximum pier height is 48" pier. *Except for single sections 36". • Steel piers must be fastened to the I-beam with clamps provided with steel pier. • Systems must be placed as evenly as possible, no more than 10' from end of home. • Designed for 7:12 roof slope. *Except single sections, (20° - 4.37 in. 12" pitch). Additional Requirements for Concrete Systems • Poured concrete must be 2,500 PSI minimum at 28 days. • Square concrete pads minimum is 18" wide by 12" deep. Round concrete pads minimum is 18" wide by 14" deep. Strip footings minimum is 18" wide by 14' long by 6" deep. * Xi2 components exceed HUD code 3280.306g "Anchoring equipment exposed to weathering shall have a resistance to weather deterioration at least equivalent to that provided by a coating of zinc on steel of not less than 0.30 ounces per square foot of surface coating...." Page 2 of 8 Installation of X412 Ground Systems 1. Identify the number of systems to be used on the home using the chart provided. 2. Identify the location where the systems will be installed. 3. Clear all organic matter and debris from the pad site. 4. Place U -bolts through holes in pan provided. 5. Place pad centered under beam with the lateral strut bracket towards the inside of the home. 6. Press or drive pan into ground until level and flush with prepared surface. 7. Build pier according to State, I or_.al or Home Manufacturers guidelines. (Fie ure 1) . B. Attach the end of the smaller tube to the inside of pan using U -bolt & nuts provided 9. Attach the flag end of the larger tube to the opposite I-beam using the "J" bolt over the top of the I-beam wills the nut & washer provided. (Figure 2) 10. Install a minimum of four (1112 x 1 " tek screws) self -tapping screws into the holes provided in the lateral strut so that the two tubes are connected together. (Figure 1) 1-3/4" Tube Lateral Struts 1-1/2" Tube 4-#12x1" Tek ScreWS U -Bolt & mounting Bracket �a Figure 1 f N°me End ° n s�. J -Bolt Nut & Washer a I Strut (flag end) ) I -Beam Figure 2 11. Install frame bracket clamps to I-beam on in side of.block/pier. Do not tighten nuts at this time. 12. Attach longitudinal strut to U -bolt in pan using nuts provided. 13. Insert strut in the frame bracket clamp, attach with nut and bolt. Do not tighten at this time. 14. Pull the frame bracket clamp with the fastened strut outward to remove any slack. 15. Tighten all nuts and bolts on the struts and beam clamps. Page 3 of 8 j riEr. s DOWN•? ENGINEERING,.' .A2 -Ground Pads Detail Xi2 Ground Lateral System Part Number 59306 Includes: 5' Strut, pad & hff.dware kit (#59329-1 includes all -man and bolts). Longitudinal Hardware Ed Part Number 59331 r Includes: 2 I-beam brach & 2 U -bolts with all nuts .ate bolts. Lateral and Longitudinal Combination Part Number 59333 Includes: 5' Strut, Pad, Longitudinal Strut (#59329), Lateral and Longitudinal Hardware Kit with all nuts and bolts - Struts for Longitudinal Systems Part Strut Pier Height No. Length Up To: 59330-44 44" 4 Blocks or 32" 59330-65 65" 6 Blocks or 48" ® 0 ®gill Ground Longitudinal Hardware Kit Xi2 Ground Longitudinal Strut & Hardware Kit Ground Longitudinal Strut Xi2 Stabilization Pier Placement for Ground or Concrete Single Section Home 0 -80' (76' Box) 4 Xi2 Systems Xi2 Pier Placement Double Section Home 0 -62' 3 Xi2 Systems" 63' - 80' 4 Xi2 Systems "2 Xi2 systems can be placed at either end of the home. Triple Section Home 0 -62' 4 Xi2 Systems 63' - 80' 5 Xi2 Systems Installation of Xi2 Concrete Systems 1. Identify the number of systems to be used on the home using the chart provided. 2. Identify the location where the systems will be installed. 3. Build pier according to State, Local or Home Manufacturers guidelines. 4. Drill two 3/8"x 3" deep holes in the concrete using holes in galvanized bracket as a guide. Attach bracket to concrete pad using 3/8"x3-1/2" wedge anchors provided. Place nut & washer on anchor, leave enough room for 1 to 2 threads showing on top of bolt. Using a hammer, tap the wedge bolts into hole through bracket, leaving nut & washer flush with bracket. Using a 9/16" socket wrench, tighten wedge/anchor bolt, securing bracket to the concrete. 5. Attach the end of the smaller tube to the bracket mounted on the pad, using the grade 5,1/2" x 2-1/2" bolt/nut provided. 6. Attach the flag end of the larger tube to the opposite I-beam using the "J" bolt over the top of the I-beam with the nut & washer provided. (Figure 1 next page) 7. Install a minimum of four (#12 x 1" tek screws) self -tapping screws into the holes provided in the lateral strut so that the two tubes are connected together 8. Install frame bracket clamps on I-beam on the inside of block/pier. 9. Insert strut in frame bracket clamp and attach with nut & bolt. Attach opposite end to concrete bracket. 10. Pull the frame bracket clamp with fastened strut outward to remove any slack. 11. Tighten all nuts and bolts on system. Y, 30336 .0401 ,DOWN- 3 ENGINEERING Xi2 Lateral Concrete Systems . Par# #58307 Includes: 5' Strut, Bracket, & Hardware Kit #59315-1 with all nuts and bolt. Longitudinal Struts for "Concrete Systems" Part No. Length Pier Height #59013 44" up to 4 -Blocks #59015 65" up to 6 Blocks Longitudinal Hardware Kit Part #59263 (Includes 2 sets per kit: I-beam bracket, nuts, bolts and washers) Lateral and Longitudinal Combination Part #59332 Includes: 5' Strut, Longitudinal Strut (#59364), Lateral and Longitudinal Hardware Kit with all nuts and bolts. Nut &V�sher Figure 1 BeamClamp Bracket J -Bolt Lom Xi2 Installation Placement Longitudinal Strut vy,� m Concrete Longitudinal Hardware Kit o f Hake �n '�...w fill 01 DOWN • ENGMEER1NGz • Offset Placement Diagrams represent examples of double and triple section offsets. Total size is determined by the length of unit plus offset. Xi2 Stabilization Pier Placement for Ground or Concrete Xi2 Pier Placement Single Section Home 0 -80' (76' Box) 4 Xi2 Systems Double Section Home 0 -62' 3 Xi2 Systems* 63' - 80' 4 Xi2 Systems *2 Xi2 systems can be placed at either end of the home. Triple Section Home 0 -62' 4 Xi2 Systems 63' - 80' 5 Xi2 Systems Page 7 of 8 r-. 444, WOW u tri O 1 I S v Hardware Breakdown #59329-1 Hardware for 59306 Lateral System 1 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 thread Beam Clamp Base 1-3/4 zinc 4 10556 Tek Screw #12 x 1 " 1 10631Z J Bolt'1 /2 x.5-1/2 grade 5 zinc .2 10640 Push Nut 1/2 1 12107 Flat Washer 1 x2" SS 1 10646Y Hex Nut 1/2-13 grade 5 zinc 2 10519 Hex Nut 1/2" w/ Serr flange #59331 Longitudinal Hardware for 59306 2 59272-1 Beam Clamp Base 4 59272-2 Beam Clamp Top Flange 8 10926 Carriage Bolt 1/2-12 x 1-1/4 Beam Clamp Top Flange 4 Full Thread 10 10646Y Hex Nut 1/2-13 grade 5 zinc 2 10801 Carriage Bolt 1/2-12 x 2-1/2 Hex Nut 1/2-13 Grade 5 zinc 1 Grade 5 2 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 thread Grade 5 zinc 1 1-3/4 zinc 4. 10640 Push Nut 1/2 4 10519 Hex Nut 1/2" w/ Serr flange # 59329 Hardware for 59333 Lateral and Longitudinal combination 1 59329-1 Hardware Kit 1 59272-1 Beam Clamp Base 2 59272-2 Beam Clamp Top Flange 4 10926 Carriage Bolt 1/2-12 x 1-1/4 10646Y Hex Nut 1/2-13 Grade 5 zinc full thread 5 10646Y Hex Nut 1/2-13 Grade 5 zinc 1 10801 Carriage Bolt 1/2-12 x 2-1/2 2 10801 Grade 5 zinc 1 845332 I I -Bolt 1/2-13 x 2.63 x 2.19 Thread 6 10646Y 1-3/4 zinc 2 10640 Push Nut 1/2 2 10519 Hex Nut 1/2" w/Serr Flange #59315-1 Hardware for Lateral System 1 10631Z J Bolt 1/2 x 5-1/2 Grade 5 zinc 1 12107 Flat Washer 1/2" SS 4 10556 Tek Screw #12 x 1 " 2 10646Y Hex Nut 1/2x-1 3 Grade 5 zinc 1 10826 Carriage Bolt 1/2-12 x 3 1 Grade 5 zinc #59027 Hardware Kit for 59307 Lateral System 2 59264 3 Way Concrete Bracket 4 10530 Wedge Anchor 3/8 x 3.50 1 59315-1 Hardware Kit #59263 Longitudinal Hardware for 59307 2 59272-1 Beam Clamp Base 4 59272-2 Beam Clamp lop Flange 8 10926 Carriage Bolt 1/2-13 x 1-1/4 Lateral Hardware Kit 1 Full Thread zinc . 12 10646Y Hex Nut 1/2-13 Grade 5 zinc 4 10801 Carriage Bolt 1/2-13 x 2-1/2 Carriage Bolt 1/2-13 x 1-1/4 Grade 5 zinc #59364 Hardware for 59332 Lateral and Longitudinal combination 1 59264 3 Way Concrete Bracket 2 10530 Wedge Anchor 3/8 x 3.50 1 59315-1 Lateral Hardware Kit 1 59272-1 Beam Clamp Base 2 59272-2 Beam Clamp Top Flange 4 10926 Carriage Bolt 1/2-13 x 1-1/4 Full Thread zinc 2 10801 Carriage Bolt 1/2-13 x 2J/2 Grade 5 zinc 6 10646Y Hex Not 1/2-13 Grade 5 zinc.. Page 8 u( 8 z.a1 G, 0 L 0 0 0 03/19/2008 09:15 FAX 530 343 4410 FIDELITY NATIONAL TITLE roll. STATE OF CALIFORNIA - BUSINESS, TRANSPORTATION AND HOUSING AGENCY ARNOLD SCHWARZENEGGER, Governor DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT �p&)SING , Division of Codes and Sbndaras ��C' Q� 1z Uj 3G Title�Search 04 Date Printed : 03/19/2008 �.. DEQ Decal #: LBG1345 Use Code: SFD Manufacturer: Original Price Code: AJB Tradename: MTHME Rating Year: 1979 Model: Tax Type: LPT Manufactured hate: 00/00/1979 Last ILT Amouiat: Registration Exp: Date ILT Fee paid: First Sold On: 02/09/1979 ELT Exemption: NONE Serial Number 2821A 2821B HUD Label / Insignia CAL134878 CAL134877 Record Conditions: PPF Exempt Voluntary Conversion to LPT Registered Owner: Length Width 68' 12' 68' 12' SHAWN NIELSEN ROXANNA D NIELSEN (Joint Tenants with Right of Survivorship) 1320 GREENWICH DRIVE CHICO, CA 95926 Last Title Date: 06/22/2004 Last Reg Card: 06/22/2004 Sale/Transfer Info: Price $23,632.00 Transferred on 05/28/2004 Situs Address: 6576 ROSEWOOD DR MAGALIA, CA 95954 Situs County: BUTTE Inactive Decal/DMV: DECAL ABB6101, DM'V SM9636 Title Searches: FIDELITY NATIONAL TITLE CO 505 WALL ST CHICO, CA 95928 Tide File No: 222306JT * * * END OF TITLE SEARCH STATE OF CALIFORMA - DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT �..,,. CERTIFICATE OF TITLE ManufacWred Home Decal No: LBG1345 +� manutmcturar lumme Trade Name Model D..OM DFSPR Y TMTHME 00/001979 D21091979 Serial Number LabeUlrrefgnla Number Weight Length Width gpC SCC 6[vmpt Uee Typa 2821A ' CAL134978 88' 12' 04 SFD LPT 28218 CAL134877 ss' 1r linued Total Fees PBig Jun 22, 2004 $132.00 Addressee - SHAWN NIEL$EN 1320 GREENWICH DRIVE CHICO, CA 95926 OF- 01 Registered : er( *.... -._ >.. E s -SHAWN NI N--- ROXAN IE Joint Ten- of navorship "* .1320 G WICH D IV * f CHICO, 95926 Situs resso f ~` 6576 EWOOD DR MAG CA 95954 C108t ITYDIE V i1• IMPORTANT THE OWNER INFORMATION SHOWN ABOVE MAY NOT REFLECT ALL LIENS RECORDED WITH THE DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT AGAINST THE DESCRIBED UNIT. THE CURRENT TITLE STATUS OF THE UNIT MAY BE CONFIRMED DTN: 3476806 THROUGH THE DEPARTMENT. 06222004. 494 Ed WdOT:TT 800E ZT apW 00PZL9EOES: 'ON Xdd 311 hjajeS 8 aatd pa,}Tjaa3: W06j RECORDING REQUESTED BY: "" Fidelity National Titre Company of California ESCrpw NO.: 04 -307172 -MB L.Ocaft No.: CONI SS -0958-0003-0000307172 TM* No.: 04-307172 When Recorded Mail Docvhnent and tax Statement To: Mr. and Mrs. Shawn Nielsen 1320 Greenwich Drive Chico, CA 95926 APN: 065-1 ,004 —0031 9+EsEa Recorded Official, ReCOMS CountY_ Of CMDAM J. aRuns Recorder ROSEMRY DICKSDN + Assistant 09:00101 28-111ay-2004 GRANT DEED f TAX FEE 115.50 Kathy Page 1 of 2 SPACE ABOVE THIS LINE FOR RECORDER'S U5E The undersigned grantor(S) declaNKO) Documentary transfer tax Is $115.50 [ x ] computed* on full value of property conveyed, or [ ] computed on full value less value of liens or encumbrances remaining at time of sale, [ ] Unincorporated Area City of Magalia, FOR A VALUABLE CONSIDERATION, receipt of which is hereby admowiedged, Jay Dean Forester, a single man i hereby GRANT(S) to Shawn Nielsen and Roxanna D. Nielsen, husband and wife, as Joint Tenants Me follOWing described real properly in the City of Magalia; County of Butte, State of California: See Legal description attached hereto DATED: May 21, 2004 STATE OF CALIFORNIA COUNTY OF Butte ON 5/24/04 before me, The Undersigned Notary personally appeared 2 Dean Egi+estier personally (mown to me (or proved to me on the basis of sats act evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the Instrument.. Witness my ha an I seal. 4 Signature ]ay Dean re r BOMAN t 0. Comm. #1341474 �_ a NOYARY PUBLIC CAUFORNIA Q BUTTE COUNV �► My COMMbS10n WVn Jan. 27, M% MAIL TAX STATEMENTS AS DIRECTED ABOVE FD -213 (Rev 7/96) GRANT DEED (grantx3-04) Ed WU9T : T T 8002 LT 'apW 00bZZ9E02S : j '0N Xdd 91n Ria j es 8 as i d Pa.t T -:Iaao : woa A LEGAL DESCRIPTION THE LAND REFERRED TO HEREIN BELOW IS SITUATED IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA, AND IS DESCRIBED AS FOLLOWS; THE NORTH HALF OF LOT 349, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "FIR HAVEN SUBDIVISION", WHICH MAP WAS FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, MAY 19, 1955, IN BOOK 21 OF MAPS, AT PAGES 31, 32, 33, 34 AND 35. EXCEPTING AND RESERVING THEREFROM ALL OF THE VALUABLE MINERALS BENEATH THE SURFACE OFTHE SAID LANDS, WITH THE RIGHT TO MINE AND EXTRACT SAID MINERALS, IT BEING AGREED AND UNDERSTOOD THAT IN ALL MINING OPERATIONS THE SURFACE OF SAID LANDS WILL BE PROTECTED AGAINST DAMAGE; AND THAT -ALL. SUCH MINING SHALL BE CARRIED ON FROM TUNNELS; -SHAFTS OR - DRIFTS HAVING THEIR ORIFICES OUTSIDE OF THE SURFACE AREA OF THE ABOVE DESCRIBED REALTY, ALL AS EXCEPTED AND RESERVED IN THAT CERTAIN DEED FROM THE MAGALIA MINING COMPANY, A CORPORATION, TO E. D. STORTS, ET UX, RECORDED September 4, 1947, IN BOOK 423 OF BUTTE COUNTY OFFICIAL RECORDS, AT PAGE 385. , ALSO EXCEPTING THEREFROM THE MOBILE HOME SITUATE ON THE ABOVE DESCRIBED PROPERTY. APN: 065-173-020 2d WULZ:ZZ 800E LZ 'apW 00bLL9E02S:,'ON Xdd 011 Flajes 8 aatd Pa,}?q-aa0: WOdd Barch`-1, 1990 Trezza, Ithurburn & Steidlmayer RE: Recent Correspondence P.O. Drawer S A.P. #65-173-20 Yuba City, CA 95951 ATTN: Lyle Havens Gentlemen: With reference to the above -'subject and your letter dated FBbruary 23, 1990, our records indicate all work done under permits issued by this office to be inspected and approved for compliance with applicable codes and regulations. We do not perform the work you are requesting, so I suggest you contact a private inspection agency or other firm to do this work. Should you have any questions concerning this- matter, please contact this office. Yours very truly, William Cheff _ Director of Public Works .9. F, �1or�•. JFG:ds __ ._.__ Y , _ _ _ _ _J.F. Glander Chief Building Inspector LAW OFFICES TREZZA, ITHURBURN & STEIDLMAYER A PROFESSIONAL CORPORATION JOHN J. TREZZA FRED B. ITHURBURN MARK G. STEIDLMAYER BERTRAND F. ITHURBURN LYLE E. HAVENS Mr. Jim Glander Chief Building Inspector 7 County Center Drive Oroville, CA 95965 Re: Kari Mavens Dear Mr. Glander: P. O. DRAWER S 506 SECOND STREET YUBA CITY, CALIFORNIA 95991 TELEPHONE 1916) 673-5637 February 23, 1990 My client, Kari Havens, slipped and fell, injuring her back, on the front stairs to a mobile home locatd at 6576 Rosewood Drive, Magalia, California, owned by Jay Forester. We are currently in the process of investigating Kari 's claim, one aspect of which is her understanding that the stairs she slipped on were improperly constructed. Therefore, we are requesting at this time that the County Building Inspection Department evaluate the stairs at issue for compliance with all applicable building codes and regulations and issue a report on its findings. If you have any questions or suggestions in this regard, please do not hesitate to contact me at my office. Thank you for your assistance in this matter. LEH:mbs Sincerely, 2LE E. HAVENS PERMIT NO. PERMIT EXPIRES OWNER HAW 7� _P[�i+-Z fi1.:71Y7TPf77'-Y'CYY�2�TLT 4 I V CONTR. eiffier- ASSESSOR PARCEL 65 173 29 LOCATION 6576 Rosewood'Dr, Magalia L �noP,4 7 iX A � i i' y i Temp. Power Pole r Called PG&E_ }} Temp. Elec. Se I Called PGE Temp. Gas Seri i Called PGE JOB FINALED Signature = OK` 0 = Not OK = Not Read�yable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) QK except #'s Date 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete MISCELLANEOUS Zoning Requirements -Setbacks -Easements Footings; Soils -Size -Depth -Spacing -Gonne Decks; Girders and/or Joists-Decking-Brac except #'s Steel irs-Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts- Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -131 Date Card -131 Date 10. Roof; Shthg-Roofing Card -131 Date Card -131 Date 1x Ext.; Steps -Doors -Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -B1 r_r, Dater-(!7_-Xj6Card-B1 Date 2. Footings; Size -Spacing -Marriage Line Card -131 Date Card -131 Date 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s 5. Drain; MH Test -Fall -Flex Connector 1. Setbacks -Easements 6. Water; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability 7. Water and Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 10. Cert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater Card -B1 Date Card -B1 Date 8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes- Enc losures- Panel boards -Ins. to Main in Conduit Card -131 Date Card -131 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -131 Date Card -131 Date Card -81 Date Card -131 Date = OK 0 = NotOK RESIDENTIAL (Single and Duplex) - =Not Applicable = Not Ready Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks; -Easements -Flood -Slope 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils -Steel-/ P' Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Card -131 Date Card -131 Date Card -B1 Date Card -131 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchors -Nail Protection 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors Card -131 Date Card -131 Date Card -B1 Date Card -131 Date Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Liqht-Shower Liqht-Spa Liqht Card -B1 Date Card -81 Date Card -131 Date Card -B1 Date Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnace in Attic Card -61 Date Card -B1 Date Card -131 Date Card -131 Date Date FRAMING (Plans) OK except #'s 39. Sills, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41• Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Header & Beam -Size & Bearing [.late FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. Ties -Purl in -Roof Brac.-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation-Walls-Clg. 60. Infiltration -Wal Is-Wndws Card -131 Date Card -B1 Date Card -B1 Date Card -81 Date Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes -Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation throughout House 87. Glass Protection 88. Corrections from Previous Inpections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates . 92. Roofing Certificate Card -61 Date Card -131 Date Card -131 Date Card -61 Date Card -B1 Date Card -131 Date Comments at Final: (NOTE: An entry must be made each time you visit job site) . — COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND OERMIT ASS S$Q,g�AR,C LUMBER !i JJ�' //-00 ZO ING BUILDING ERMIT OwN IA ) 61 VrNrl = �� T��I�Hopl� fes) SQ. FT. OCC. BUILDING VALUATION OWNER 'S MAIL N DDRE S f a 0 11f ` l s CON ACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONST UCTIOCN LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee ARC 1 ECT OR ENGINEER LICENSE NO. Plan Checking Fee - $ Energy Plan Checking Fee $ ARC ITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS /h'� Permit fee '1 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 I Solar or heat pump water heater 20.00 LOT NO.SUBDI VISION NAME RCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF [IDuplex[]Mobilehome Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home Is G W 0.00ea TYPE OF WORK New Addition ❑ Remodel Utilities Inst a lation❑ Other Describe work: F 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 100AMP 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 -1.111E 0as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.61) yZ¢sgft OR ADDNS. ACC. SLOGS. NEW CONSTPU TI -OUTLET 2,50 ea NO N•RESIO .BRA CH CIRCUITS POWER APPARATUS e SINGLE OUTLET CIR. ) EX. OCCUp(OUTLETS OR FIXTURES 20050t SALe30 Ex. QCCup. OUTLETS APP(RESID )RP A.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 9 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE 1 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. kg, -1 -shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in copse uence of the granting of this permit. f f X r Date / " Signature of Applicant - Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP. CONST.TYPEJ JSCHOIfFLOOOJ PARCEL I PD I IsSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which D ECT OF PUBLIC BY PERMIT EXPIRES Date--/ the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. 131 l: %�. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT OWNER J 't COUNTY OF BUTTE - DEPARTMENT.OF PUBLIC WORKS - BUILDING DIV SIGN r 7 COUNTY CENTER. DRIVE - OROVILLE, CAOFORNt%4��95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET ____.• Proposed Building Use Permit No. "y A. P. No. 1 i— r'r Building Inspector Date At time 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. Energy Design Compliance and supporting documentation ......... 6. Statement of Intent for Non -Heated and AC Buildings .............. 7. Engineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation instructions....................................................... 9. Fees of $ .......................... 10. Chico Urban Area fees paid ........................................ 11. Park fees paid. ......... School District fees paid ................. Sanitation approval from � Health Department 14. City of Chico plumbing. permit ..................................... . 15. Plot plan and business license approval from City of (see City for other requirements) 16. Planning approval for (A) Use: (B) Parking: ......... 17. Improvements may be required. 18. Driveway permit (construction approval required prior to occupancy) ... Pre-Inspec. request to 19. Pre -Inspection for required ...... Building Inspector 20. Contractor's license information (No., Name Style, Classification) ....... 21. Certificate of Workmans Compensation Insurance .................... 22. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ........ 23. Recorded copy of Agricultural Acknowledgment Statement ............ 24. Letter of signature authorization ..................................... 25. 26. Date) When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Applicant 24 ' L� Date Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance 1. Index permit for above items No. 40 2. Additional items required: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by_phone_maiI—counter. by date_ Contractor, designer, owner, was advised of above required data by—phone —Mai I—counter by date_ Plans checked by Date Plans approved _ Date Sets of plans on hold in File cabinet AP folder Copy—DPW COUNTY OF BUTTE - Department of Public Works 7.County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no). 2. I (have/have not) _ /�� ��� signed an application for a building permit .for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired .the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security Nu 'ber ._, 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. Iii`"--'_. .-•-r—�— � — i - - _i.�_, a 'M a}eriaW/� orkmanshiP � r;ad ' c- ls Prcc es t� �.,;� c;GnCe cri.e� tor' ►, - • - ' PrespluMbin9 Building.rirc.I Cade. c e. Na}ional to Ik cIIUX �1 -ft �FCoM t eck 1 �1 ck 5 a tba `� 41 �71- i n setba ° es and se Vv e'(Ay ��n the Coad of Yo- TOP Q-i Co5pft. �CoM 1� be ceaC eXcep{ °{ the sha Ment <� U'p �;'r cerate es Of eA Chan° * \ ( { StC��vC vJe ,°�e ,. z DwNe� - �o oA) �t�6L iv� . m t - ' ~ � � . . , m t VyV- rr. � t e��it«: �,���ja �,�t�' ... i 1 r - 1 .. tr - ptr..`S.+ ti �, r��d( L 1 } � i. tC r (�7.1_ . •�'t rf k � j j - 1 � 7. F�.. '1 J t- •" j } 3zt y r r73. to rirf$it��tiYi.( 1*Yr.: Y�± �t} :Z? ¢_, �.. YFF t�A...rJ >f,tf �'_...i�aT�: �\ ki...i:•t ft r.- � ! �"tT"�'1r[::. �]1 4A a4 , SY a r 1 A.SA6w, ae / 1 , rC. '>�� 'All , wir 4� ue, i 1 � \)6 41 r F-,, cs IF 7 A -3 IF 'K�4y,. pfj p. 6' TYP ,K 4'xV i v • T c of vtilnnn or GVT I I - - -- z I— FRMMO (2 CLIP. _ �- — 2' x 12" STAIR STR iNGER. 48'o.c,. MAX. �S 7pP VIEW GIRDERS 71 Ys' TiG PLYWOOD CC EXT. S TZ z �.— CrUAR�7RA1L 6"MAX. fir- DECK IQ G Lij AsT PIE ck I > O�wlN� FOOT ! N6 HAIJDQAIL MDT SHOWM FOR CLAtZITY. LT) `3/81 BOLT MOBILE HOME OR DECK . ry MAX. L--- �s 48" MTL. FRMU i CLIP (EA: DE v MAX. 9"MIN. 4%(D" 4"X 4° POST • p " X '# fZDF �0� 2'x4„ pRFSSO RE T s (2) la TREATED R ®'MT IN DOLTS.-RFDWOOD PLATE GIRDER _ 4*x4" POST 9-25-87 — APF4)U4TE DLAC, ONAL aRAci N�. T YPIOAL RfS1',pE1✓r1xz COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKSi ^ 7 County Center Drive — Oroville, California 95965 Telephone: 538-7541 -' PERMIT NO. 37.59-88MHI ex site PERMIT EXPIRES 11/21/89 OWNER HOWARD & WILMA FORESTER. CONTR. OWNER ASSESSOR PARCEL 65-7'17320 6576 Rosewood Dr, Magalia LOCATION r� y t i t Temp. Power Pole Called PG&E t4 3 Temp. Elec. Service Ten JOE = OK 0 = Not OK = Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special AAH, SuPLort-Sketch �p 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: / P'U ft. / /"Nat. or/ P'L"ft./ /"LPG 7. Utility Clearance Card -B1 Date Card -B1 Date I Card -B1 Date Card -B1 Date 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.-Connec.- Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s 4. -Zoning Requirements -Setbacks -Easements Card -61 Date Card -B1 Date {„Footings; Size -Spacing -Marriage Line Card -131 Date Card -B1 Date 3. G s; MH Test -Demand -Valve -Connector ectricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s rain; MH Test -Fall -Flex Connector 1. Setbacks -Easements K)Water; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability ,7, -Water and Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel-Connections-Thickness- Dead Men -Lining �nd Electricity Tagged N Exits; Insp.-Sketch ' 4. Elec.; Receptacles and Lighting, Distances-GFI of Occupancy ` 5. Elec.; Pool Lighting; 15 volts-GFI ,.�ert. 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed `( 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater Card -B1 Date Card -81 Date Ya 8. Elec.;Groundin Equip. w/5'-circulatingEquip.-Pool L ht g' q p' g g' Boxes- Enc losures-Panel boards -Ins. to Main in Conduit Card -81 Date Card -B1 Date /Card Sk l�'�O ' u / I -131 Card -61 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card -B1 Date Date Card -131 Date =OK 0 = Not - =Not Applicable RESIDENTIAL (Single and Duplex) Not Ready , Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks; -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 50. Garage Fire Protection Framing 7. Slab; Steel -Wrapped 51. Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 52. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 9. O.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors 54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 55. Siding -Nailing Veneer 12. Electric; Underground 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 57. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 58. Shear Wails; Nailing -Bolts 15. Insulation 59. Insulation-Walls-Clg. 60. Infiltration-Walls-Wndws Card -B1 Date Card -81 Date Card -131 Date Card -131 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air- Baffle 17. Water Pipe; Test & Anchors -Nail Protection 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors Card -131 Date Card -131 Date Card -131 Date Card -81 Date Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Liqht-Shower Liqht-Spa Light Card -131 Date Card -131 Date Card -131 Date Card -131 Date Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnace in Attic Card -131 Date Card -131 Date Card -131 Date Card -61 Date Date FRAMING (Plans) OK except #'s 39. Sills, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Header & Beam -Size & Bearing Card -B1 Date Card -B1 Date Card -81 Date Card -131 Date Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes -Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79, Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 8i. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. 94. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation throughout House 87. Glass Protection 88. Corrections from Previous Inpections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval Of. Energy Compliance Certificate -Other Certificates 92. Roofing Certificate Card -131 Date Card -131 Date Card -131 Date Card -131 Date Card -B1 Date Card -81 Date Comments at Final: (NOTE: An entry must be made each time you visit job site) MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE s DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CEtyTER DRIVE OROVILLE, CALIFORNIA — 534-4541 PERMIT NO. Address or location of mobilehome Owner's name Owner's address Insignia or hud number ' 1 —' Manufacturer's name Serial number of V.I.N. ' Year of manufacture / (Official Approving Installation) (Date) IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 513B White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE _ DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-275J 7 County Center Drive, Oroville — Phone: 538-7541 r` 747 Elliott Road, Paradise— Phone: 872-6307 T CORRECTION NOTICE 3-7 SS - 8 � OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance ,%-- exist '-„exist at the above address and should be corrected. Please notify this office -41 when correction of work is completed. If you have any question pertaining to this mater, or need additional explanation, please contact this office immediately. Inspector 1�01_� Date � — 2(O - E COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NOe,.% ASSESSOR PARCEL NUMBER 7 — 010 ZO ' BUILDING PERMIlf OWNER TELEPHONE ,SQA FT. OCC. BUILDING VALU ON OWNER'S AILING ADDRESS 3 O CONTRACTOR' S N AME ELEPHONE __ CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 1000 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS ,p V Permit fee$ a,no PLUMBING PERMIT Filing Fee 10.00 7� l Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehomele�other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel J❑ Utilities ElInstallation❑ Other [I Describe work: A/.5Fif9�51,& ), o 12 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): ElNON.R 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. rcense No. Classification LLLJJJ , 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- ontract- ors.(Sec. 7044) ors. ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCUP.N OR ACDNS. C ACC. BLDGS. , /s¢sgft NEW CONSTRU ESID .BRA BRANCH H CCIRRCCU ITS 2.50 ea /POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occu o p UTLETS OR FIXTURES 20 a 50C 5AL030 Ex, Occup. OUTLETS ((RESID )REA.) 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. / ' shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against sins unty i nsegyence of t e granting of this permit. .�.�/_( �, o Date s11 Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in heigh�ty Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE$ r OY OC cup. CONST.TYPG JSCNooJLOOD ARCFLJ P11 I ND ISSUE This permit is hereby issued under sions of the Butte Count Code and/or y work indicated above for whic ECTO OF L1 BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. ORKS Date Receipt No. / WHITE-D.r.W.. YELLOW-ASSESSa R, PINK -INSPECTOR, GOLDENROD-AP►LI CANT Yv+v_...,.:�.(s _ a.. ,,.� s_� �.1r+r��lt.lrra�4'n. Y'r.r.tr�ie'.••wy�.r.�m.7('hr�`..r.•�Oi"i^!"!Ky✓}'i�i�:.•�I� �'{''i[�n.��"5.�i•".^4W-Ti(y�.'.i�-�.y.,�.- ;ty�:r'�.:_: vl C.QUd TY OF BUTTE - DEPARTMENT OFtPUBLIC WORKS -BUILDING DIVISION f4.j 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 �^ PERMIT APPLICATION DATA SHEET • Permit No. OWNER �'� �- ���� /2 A. P. No. Proposed Building Use y%%7�. 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. :brPlans with Energy Design Compliance Statement. �-$-b.School "Fees �� 6. District Paid" Stamp on Floor Plan. j/" �� •Cg 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . , . , , , 9. 10. Letter of signature authorization. . . . . . . . . Sanitation from zdf approval Health Dept. Tom/ 13 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . 13. Contractor's License Information (no., name sty , classif.) mail � �14. Owner -Builder Verification (Given to owner[[, to owner ❑) _,1/—IT-4 0<5 _15. 6. Improvements may be required. . . . . . . . . , , , Mobilehome Installation Data. . . . . . . . . ' I& 17. Pre -Inspection for Required. Pre-Inspec. Inspector request to (Date).Building 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval from city of 21. Engineered trusses in duplicate (required prior to plan check). 22. When you issue the permit, process as follows:` Mail to owner, Mail to contractor. 4—, -'Telephone' %0('"// and hold for pickup at _Foffice, Deliver w/inspector. Other r � f Applicant Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. i 2. Additional items required: d Contractor, designer, owner, was advised of above required data by_phone---jnail_counter by date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Sets of plans on hold in Copy—DPW Date Plans approved by File cabinet AP folder Date 0(& Ar V T ? �" T0-- Building Department - FROM: Environmental Health i SUBJECT: SANITATION CLEARANCE 5 r OWNER LOCATIO # Plans approved for: Sewage Disposal Water Supply � Hold final for: F Final Clearance O.K. for: ;Clearance for 2— bedroom mobile home. Other ;'Clearance for addition of No tem A SANIT Water Supply Water Supply s"/r DATE a i% l ( f • ��" C ..u'' ..gyp 7 all ed rl if y } 1 . i t �1HONARD,'F,ORES TER 1360;PEARSON R0. PARADIS :4fGA 959 9 ri C;zo 107)� At -C, �M 1 I on (date) CH THIS NOTICE REFERS DOES NOT CONSTITUTE A E PARTIES ARE STILL MARRIED. ONE OF THE PARTIES )DGMENT ON THE FORM PRESCRIBED BY RULE 1288. VAL JUDGMENT OF DISSOLUTION IS ENTERED. J( COUNTY OF BUTTE - Department of Public Works u 7 County Center Drive, Oroville, CA 95965 Phone: 916-538=7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City. Phone Contractors License No. 4. I plan to provide portions of this work,' but I have hired the following person. to coordinate, supervise, and provide the major work: Name \ Address City Phone Contractors License No. 5. I will provide some of the work.but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work i Signed: Property Owner r Z64 tz\— Social Security N m er - Date Nr� ✓ — �!� 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. -� �S 7 7as•c 7oc 15 j�� BUTTE`,COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM n' ( One,. Form per Building) A.P. Number . h �'- /%� ��U Building Department No. School Districtl� u s %J City Q County Q Juris.diction Property Owner-d/L{icpC '7L�� Project Location/Address Subdivision Loyt Number Residential Development: / �,. Sq. FootageF7 # of Living MHI Addition (Group R) Units Commercial/Industrial: Sq. Footage New Addition (Including Exterior Roofed Areas) Building Department Representative Date District Id No. School District certifies that (AppJplicanName) ,Zhone lumDer,l) (Street Address) (City) (State) (Zip Code) has complied with the requirements of Resolution //No. by the payment of $ representing 6 3�square feet. �� 0 e_ly:�� . School District Representative Date PAID BY CHECK NO. BANK NO, PAID BY CASH W white -applicant,, yellow -building department, pink -school district SCHOOL . FEE ( 5/88) 1,0 `1 fr �/orkmanshi Snag► �� •. li p Ma}erials & ,PfGGices� cmc` ;. -- ext, Reco9nsze 00-3 ,•���' use in he f ;COQ t]Qnw a tOi n, c a Quct."'I ng plumbing n11o. & � \ . 1 � .,, „e Nation X00 SQ • p6��� to } F0 i ®a � 0 i the 1, ; ^ ck o{ 5 ana a setback s a \\res road th cep .�, O{ 50{ ytr°5 a\\ be c\eert eX 1 ev\\re U\pm cert NUres or eG ovecharg r st<U� ale-,, e po,,,.Q, F6 � Dwive-w - I 010 rt . 21k 10 RO 6- Z --j �W 7, O U 'ivy-/ Men -72 AMOI EpA 1 W d BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive', Oroville, CA PHONE: 538-7541 MOBILEHOME INSTALLATION SHEET 1. Owner's Name: l O U-1 Q C1 Y SOY C/ V 2. Installer's Name: 3. Is the site currently under Yes No permit? (If yes, furnish permit number ) OR Is the site? Yes No F site an existing (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and easements? Yes No 17, and clear of all setbacks (If no, clarify 5. What is the mobilehome electrical rating? --------------- 14 i Amps 6. What is the mobilehome site service rating? ----------- -- Amps 7. What is the mobilehome site circuit breaker rating? ----- c> Amps 8. Is there any other electric load to be served by the mobilehome site service? -------------------------------- Yes No i (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? -------------- (in.) 10. What is the type of gas service? ------------------- Natural LPG /% 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------------------- �D (ft.) * 12. What is the mobilehome gas demand? ---------------------- (BTU) �CA *(This information not required if pipe length less than 6 ft. ob,,� natural gas�or less than 50 ft. on LPG.) ore � VJ ��� MOBILEHOME SUPPORT DATA r :2 a& m-If other 'than single wide, ' Mobi•lehome Mfr. C�"/ (/ furnish Setup Model No. Year 1&7 % Width(ft. ) Box Length_(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). Wood -pressure treated or foundation grad e.1:12. Other (specify) SUPPORTS (check one) P-1. Concrete block. F-1 .2.' Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE Line Main Beams — — — — — — — — Lino Line 2 — — — — — — — — — — — — — Line Main Beams Line ____---Line Tag or Triple Line 1 Piers: Line 1 Openings; Size -Min. ------------ Size -Min. ------------------ � ' „x n Spacing -Max. --------- k Each Side of Openings From Enda-Max.------- _ With Width Over --------- Line ' Piers: Size-Min.------------ Spacing-Max ---------- From -----------Spacing-Max.--------- From Ends -Max. ------- Line 3 Roof Loads: Size -Min ------------- Location ----------- _ �x x Location (From Front) Line 4 Piers: (1 Size -Min.------------ Spacing -Max.--------- , From Enda-Max.------- Llne J Hoot Wads: Size -Min -------------- Location (From Front) Line 3 Piers: (Under Bearing Wall Only) Size -Min .------------------ "x Spacing -Max.-______________ From Ends -Max .------------- 55Jy 00 , vx,::�U' '.x 7 Line 5 Piers: (Under Bearing Walls Only) Size -Min .------------------ 'k Spacing -Max.--------------- From Ends -Max .------------- _ „x k ,x k nx „x SUPPORl' DATA- c c n t: c r supports measured from Irollt of tobilellmr,ic., unless Otherwise Q S in!; Le. A A ::cr suppol:L .-) c ; i L j. C) n :;',': in. ��__ -8 x O � — — _ _ M)i1elloillo. Mfr &&&X� 21I.AlK, othcr Hizill Single. Wide, Center Support C�lgr _(IL: Box length 16 cm It: TagaLon},, or Size s—It. x. ft footilig, (SHOW SUIPPORT DFTATLS B1. LOW Lu )11 AA r1lobilchollics lllzllll_lfZ1Ctlll:(2d aFVOU OCLOhcr 7, 1.973, hiriii.sh mzIlilli'zicttirer's i.11, 1:111ti'll and strilctural setup s1w.0ts (if not: on filo. wi.01 I -Alt. Comity (I[ c c n t: c r supports measured from Irollt of tobilellmr,ic., unless Otherwise Q S in!; Le. A A ::cr suppol:L .-) c ; i L j. C) n :;',': in. ��__ -8 x O � — — _ _ S1 (in.) (ill.) Center Support C�lgr Spac 11) ;L footilig, Lu ft -am o o Lai ill.) (in.) 1 56 0 It. E6x3a_ 7 cc.!nter piers are other than (Iravrn above, LO-oLin'c's (chock ()n El 1. Wood ei'ther pressure: treated 10 ti n d,' 1 t: i- n n g ra d 0 El 2. Other. (specify) Stwports (check 011, 1. Concrete block. 2. Other (specify) t'al";llong or E:,palldo. ShOW Sllpp,,-)rt dcLail! Typical ' Su J..'00ti.111.1 S1 C�lgr Spac 11) ;L Lu ft -am o o Lai BUTTE COUNTY DLPAR1MEI FT OF PUBLTC WORKS 7 County Center. Drive, 0royil1C CA PHONE: 534-4541 1`LOBD.,E110`iE INSTALLATTON SHErT 1. Owner's name: I — 2. Installer's name: O 3. Is the site currently under permit? Yes / lifer ido• (If yes,, furnish permit number �;5i� 00J y-, ) OR Is the site an existing site? 1'0 / 4-� NO (If yes, fUriliSh two (2) plot plans.) 4. Will 'the mobilehome be located at least 5 ft. away froin septic tank and leach fields and clear of all setbacks• and easements"? Yes / l�f� A!o / / (If no, clarify 5. What 'is the mobilehome c:lectr.i.cal r.at::i.nl,,?----------------------- IWO - C� Am- ps G. What is the mobilehome site sci-vicc r;iti.n);?--------------------- o2Dd Amps 7. What is the mobilehome site circuit breaker rating? ------------- � Amps 8. Is there any other electric load to be served by the n,olhilehomc - (This infonnation not required if pipe length T(!<;:; thnn 6 ft. on rintural gas or less than 50 f t . on LP0. ) NO site seivicc? --------------------------------------------------- ------------- Yes / / No (If yes, identify the load and size: _(Load) —_1(Amps) 9: What is the mobilehome site gas pipe sire'? ---------------------- *e4re — (in.) 10. What is the type of gas service? ----------------------------- Natural L-1 ,.1. What is the gas pipe lenl;tli from metes: or t;lnk to the 1110hi.l01cnnc? T (ft.) 2. What is the mobilehome gas demand? ------------- ---- ------------ (Lil,) - (This infonnation not required if pipe length T(!<;:; thnn 6 ft. on rintural gas or less than 50 f t . on LP0. ) NO a. 2777-82P,E PERMIT NO. PERMIT EXPIRES OWNER Maynard Kizer CONTR. Owner ASSESSOR PARCEL' 65-173-02 LOCATION Rosewood Dr,Magalia— lot #349 Fir Haven) I. Temp. Power Pole Called PG&E Elec. Service Called PG&E-W-7—✓Mdh��f &1,,h Called PG&E JOB FINALED (Date) Signature T, V = OK b = Not OK - = Not Applicable MO.BILEHO S * = Not Ready MISCELLANEOUS, Date MOB LE ME UTILIT S (P a K except N's Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except k's 1 oning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements 2 s; pecial MH Support -Sketch _ 2, Footings; Size -Depth -Spacing -Connectors 3. er Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. er; Location -Test -Easement Needed (Sketch 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 1490—;TC ity; Location-Clearances-Grnd.- Amp-concretQ 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures K�Vas; Location -Test -Wrap:/ /"L" ft./ /"Nat. or "L"ft./ LPG 6. Carports; Windows -Doors 7 ility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date - f., XsCard-BI Date Card -BI Date Card -BI Date Date MOBILE E INSTALLATION (Plans) OK except N's Date POOLS (Plans) OK except N's 1piMgRequirements-Setbacks-Easements 1. Setbacks -Easements 2. FSptitigs; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas• H Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4 lec1picity; MH Test PS -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI ' MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI at , MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed and Sewer Connected -C/O to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit Ex' ; Insp.-Sketch Aert. of,Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I ate rd -BI Date Card -BI Date Card -BI Date Card B-1 Date Date Card -BI Date Card -BI Date nCard-61 i V = OK O = Not OK - = Not Applicable * = Not Ready RESIDENTIA1 (Single and Duplex) f Date UNDERFLOOR Plans OK exce t#'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., 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. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protect ion=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 Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except N's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 15. Water Pipe; Test & Anchors -Nail Protection 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth Card -BI Date Card -BI Date 64. 65. Elec. Outlets at Wood Panel; Int. & Ext. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except H's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. 22. Elec. Receptacles Spacing -Lights &Switches at Doors Size Boxes & No. of Conductors -Stapled 70. Plb., Elec: &'Mech.•Equip. Listed for Location 23. Romex Installed Close to Edge of Studs & C.J. 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation- Foam- Looked in Attic E] Yes 25. 2 Appliance Circuits in Kitchen & Conductor Size 73. Guard Rails Deck Construction -Post Caps _ 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes ED No 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters Dyes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 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 Card B -I Date Card -BI Date 81. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except q's 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85. 86. Water & Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates _ _ 32. 33. Vent Fan; Exhaust above Insulation Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI _ Date _ Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date 11 Card -BI Date Card -BI Date Date FRAMING(Plans) OK except q's Comments at Final: 36. Sills; Proper Material & Anchors _ 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders & Floor Nailing _ 39. Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing 42. 43. 44. Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: An entry must be made each time you visit job site) • COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number .f `'� y for the following location: Owner Owner's Address IVAilehome Mfg. Model Year Insignia No. Serial No. e It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White -Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF B.UT.TE - DEPARTMENT OF PUBLIC WORKS ?• d 7 County Center Drive - Oroville, C&ifornia'95965 - Telephone 916/534-4541 APPLICATION AND PERMIT P RMIT O. / ��� ASSESSOR;P RCEL NUMBER _ �� ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER' 1 ADDRESS CONTR TOFFS NAME ov Act-5��--'8 TELEPH E £7 CONTRACT 'S M ILI G A DR f5 O t I/ Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ •� Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ -- BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME t PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobi lehom Other SPECIFY Building sewer 5.00 Mobile Home S I G I W I I 110-00e TYPE OF WORK �y New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation]!_U Other E] Describe work:— /` — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 10ov OR LESS10010.00 1AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 2h0sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Profession Code a d m license is in full force and effect. y License No. O Classification G` 1C / ❑ 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 CONSTR. ULTI.OUTLET 2,50 ea NO N.RESID BRANCH CIRC ITS NEW CONSTR. POWER APPARATUS & NON RES D. ( SINGLE OUTLET CIR. Ex. Occup(o OR FIXTURES BAL�30Q zAL030 FIXED A FIXED APP LNS, OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 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 X -1 --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. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all Iia ' I es, judgments, costs, and expenses which may in any way accrue again idCount in consequ of the granting of this permit. - Date Signature of Applicant — O er ❑ Contractor Agent F-1 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 $ TOTAL PERMIT FEE $ oc UP. GROUP TYPE oP CONST. F PARCEL PD HD se E This permit is hereby issued under sions of the Butte County Code and/or workindicated above for which DIRECT90F PUBLIC By PER EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date 'q— 7-L — �� 4 / Receipt No. Z��6(o� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT • i. BUTTE COUNTY,DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 7.. What is the mobilehome site circuit breaker rating? ------------- ,3 ® Amps 8. Is there any other electric load to be served by the mobilehome siteservice? --------------------------------------------------- Yes (If yes, identify the load and size: (Load) 9. What is the mobilehome site'gas pipe size? ---------------------- 10. What is the type of gas service?' ----------------------------= Na 11. What is the gas pipe length from meter or tank to the mob me. 12 Wh t i the obil h e d d? -------- -------------------- No (Amps) ral 7-7 7 LPG ;S d a s All e om gas eman (This information not required f pipe length less than.6 ft. on or less -than 50 ft. on LPG.) /AJSP. e W �r;), gas 1. Owner's name: G k1 C V 2. Installer's name: ./W 4- o o" 3. Is the site currently under permit? Yes 757,7 No ( If yes, furnish permit number 2-7 77-3-2--) OR Is the site an existing site? Yes / / No 7 (If yes, furnish two (2) plot plans.) ' 4. `Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks.and easements? Yes No ( If no, clarify ) 5. ,_What is the mobilehome electrical rating? ----------------------- p Amps 6. What is the,°mobilehome site service rating? ---------- ZA`OAmps 7.. What is the mobilehome site circuit breaker rating? ------------- ,3 ® Amps 8. Is there any other electric load to be served by the mobilehome siteservice? --------------------------------------------------- Yes (If yes, identify the load and size: (Load) 9. What is the mobilehome site'gas pipe size? ---------------------- 10. What is the type of gas service?' ----------------------------= Na 11. What is the gas pipe length from meter or tank to the mob me. 12 Wh t i the obil h e d d? -------- -------------------- No (Amps) ral 7-7 7 LPG ;S d a s All e om gas eman (This information not required f pipe length less than.6 ft. on or less -than 50 ft. on LPG.) /AJSP. e W �r;), gas MOBILEHOME SUPPORT DATA If other' than single wide, Mobilehome Mfr. o'L f C�G_i��'� furnish Setup Model No. Year v Width l(ft.) Box Length (ft.) Tagalong or Expando Size ft. x ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973,• furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of mobilehome unless otherwise specified. ` Footings (check one) Single 1 Wood either pressure treated or x foundation grade. (ft.)(in:) (in.) (in.) ❑ 2. Other: (specify) Center support locations* Center support footing sizes ' Supports (check one) (in.) 1: Concrete block. (� L(ft.)(in.) (^� ❑ -2: Other. (specify) (in.) (in.) 4 ----Tagalong or Expando,' show support details. (in.) (in.) x -- Typical Support (in.) (in.) Footing Size —x (ft.)(in.) (in.) (in.) s — -- Max. Pier Spacing --Max. Overhang _ (ft.) (in.) (in.) (in.) (ft.)(in.) BuT TP COUNTY BUILDING DEPARTMENT APPROVED *If center piers are other than drawn above, 'draw in. -locations, spacing,, and dimensions. This set of plans and specifications MUST .. kept on the jots at all times and it is unlawful /3 Z �^ mak des or a terafiions on same.with- out. ritten permission from the Department of, , Publi WorksrCounty of gutter Utility connections shall b 4 ft. of the mobileho within directly behind or" iithin therearhalf of the roa ide (left) of t mobileho '. e i pal NOTE:—All Materials & Workmanship Shall. Be in Accordance with Recognized• Good Practices and of a quay Prescribed for thie , ecifie se in the Uniform Building, Plumbing & Mechani al hod" and the National Electrical Code. 0 S . FT. MINIMUM �• FO MOBILES p if' iii be quired for they 04flah e mobilehome. 0 Q 11 / by �7 0.0� o� DLvNe_�- .- _v� r /A setb ck of 5 ft. f mthe prop rty lines and A se back of 50ft. from the ro d c nterline shall be lea of structures or equip en� except for a 2 ft. eave ove harya. Qr• \a 010 01 -- .. y '20 5'e f �l v fw,i, d Ro 6ceiv 7- eh B1U-T�fE Nlll /�•� � �JILPJING D TMEN ly/v A R J. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovil le, California 95965 - Telephone 916/534-4 41 APPLICATION AND PERMIT -�/ ^ PERMIT NO.. 1^ / 0 ASSESSOR PARC L N�MBE ^ �— /��D 7ZONING �— �/�' UILDING PERMIT i OWNER TELEPHONE SQ. F OCC. BUILDING VAL TION O ER'S //A`( ING ADlD/RESS X��km= CONTRACTOR'S NAE TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ LENDER'S MAILING ADDRE Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ / d� Penalty $ ARCHITECT OR ENGINEER' MAILING ADDRESS Permit fee $ BUILDING ADDRESS _ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping OT NO. SUBDIVISION NAME:�� PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome Other SPECIFY Building sewer A9 Lawn sprinkler system5.00 TYPE OF WORKPermit New ❑ Addition ❑ Remodel ❑ I litie Installation ❑ Other ❑ Describe work: Fee $ s_ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6101 OR LESS 100 AMP OR LESS 6 �p Main service EA. ADD'L 100 AMP r� 2.50 25 — NEW CONST. (DWELLING OCCUP.01\ OR ADDNS. ACC. BLDGS. I 20 sq CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ❑ I am licensed under provisions of Chapt. 9, Div. .3 of the Business 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 CONSTR. -OUTLET 2.50 ea NO BRANCH CIRC ITS NEW CONSTR. (POWER APPARATUS D) NON-RESID, (SINGLE OUTLET CIR, EX. OCCUp OUTLETS OR FIXTURES 50@25 and IXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 5—ff Misc. Wiring 7.50 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3,00 Ventilation Permit Fee S Contractor I certify that I have read this application and state that the above information 1s 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 agai t said County in co sequ ce f.the granting of this permit. %� Date 17 --'?'f/ Signature f Applicant — Owner Contractor ElAgent EJ An OSH permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in heig Mobile Home Installation Fee $ TOTAL PERMIT FEE S occuP. GROUP I TYPE OF CONST. PARCE PD D ssu This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DiRECTn OF PUBLIC BY PE EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date ? '- ReceiptN WHITE-D.P.W., YELLOW- ESSOR, PINK -INSPECTOR, OLDENROD-APPLICANT „Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT i j, •;' FOR RESIDENTIAL` DEVELOPMENT Section 26-8.1of the Butte County Code requires this acknowledgement J { SEP 30 be recorded prior to issuance of .a building permit. i I;6 AN �� ELEANOR?!. EE(;ER j ' + The property described herein is adjacent to land or included CLERK-RIIIRIER within an area zoned for agricultural purposes, and residents of cy7;,3 ' FEE this property may be subject to inconveniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, - but not limited to cultivation, plowing, spraying, pruning, and harvesting which occa- sionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which'have as -a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared•to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: .The.North half. of Lot 349, as shown on that certain Man entitled, "FIR.HAVEN SUBDIVISION", which Man was recorded in the office of the Recorder of the County of Butte, State of California, May 19, 1955 in Map Book 21, at page 31, 32, 33, 34 and 35. Date: 9-30-82 PROPERTY OWNERS: State of California ) On this the 30th day of September , 19,x_, SS. before me, the undersigned Notary Public, personally County of Butte ) appeared *****Maynard Kizer and Theil H. Kizer*-*** �.� C,F F -ICI k SF. A I- Zi ��. i�' :.•,�^ It -��jn;, �, tt.�;.:; : �-� i�' •i% •' _'l 1)til?•-;:G�'r �M�w..�.'O.`M~ R'^w�.+^�iTfw���Ta:.Cf \= K• ! Present A.P. NO. known to me to be the person(s) whose name(s) are subscribed to the within instrument and acknowledged that they executed the same for the purposes - therein -contained. - - - IN I4ITNESS WHEREOF, I hereunto set my hand and official seal. Notary Public •� t 1 ���� eaunt* ,o OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: Bay Area Mobilehomes ADDRESS: P.O. Box 232 CITY 8 STATE: Maggi i a , CA 95954 IMPORTANT: DATE OF CLAIM: JanuSEE INSTRUCTIONS ON9. 1986 ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT _ Owner has decided not to do work. (Bldg Permit Appin.1fai, Recei t 48432 dated 1/6/86, AP #65-173-20). Owner: Daniel Householder. Total fees paid ------------------------------- $70.00 Retain filing fees -------- $10.00 Retain plan checking fees -$15.00 Amount Retained ------- ---------------------- $25.00 Total refund due ------------------------------ $45.00 $45.00 i f TOTAL $4 :00 I. the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true -and corrgct as stated. p� Dated this 8, , , day of ,,.I-!/9� 190.4' et Calif. ............ .. ........ ............................... Signature of Claimant I. the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de- livered and that there is a Budget AppropriationE] or Specific Board Approval (Check one)M same. Dated this 9th._... day afJanuar .........19..86 at ._Oroville caur. .......... artment Head or Autlt orized utv Dept. , Exp. Code ............................................ Code ................................................PAYABLE FROM DO NOT WRITE BELOW THIS I INF _ e11111 -MGIC rrc .......................................................... FUND DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. COUNTY OF BUTTE - DEPARTI��ENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AM PERMIT PERMIT NO ASSESSOR PARCEL NUMBER ZONIN BUILDING PERMIT , OW ER TELEPHONE Xgy - SO. FT. OCC, BUILDING VALUATION OWNER'S MAILING ADORES 0 / / CONTRACTOR'S AME esd TELEPHONE / CON A TOR'S MAILING ADDRESS /620 J21 / Fireplace CONSTRUCTION LENDER UNKIJ WN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER AVAIZ LICENSE No. Plan Checking Fee .$' 6 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee � $ J BUILDING ADDRESS PLUMBING PERMIT FiIingFee 10.00 Each Trap 2.00 Solar Water Heater 20.00 'PARCEL Water piping 5.00 LOT NO. SUBDIVISION NAME MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF S UCTURE SF ❑ Duplex ❑ Mobi lehome Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New ❑ Addition Remodel LLQ Utilities ❑ Installation ther ❑ Describe work: Ag t 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 NEW CONST. ( DWELLING OCCUP.& OR ADDNS. C ACC. BLDGS. 1 2/20sq it CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ' �] I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions / `Code `and my license is in full force and effect. License No. _ +LLQ/l1/.l 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 CONSTR MULTI -OUTLET NON.RESID BRANCH CIRC ITS 2,50 ea NEWCONSTR ( POWER APPARATUS &) NON .RESID. SINGLE OUTLET CIR. 20es0C Ex. Occup(O OR FIXTURES 6AL®so IXEDTS Ex. OCCUp. OUTLETS P(RESID )LNS REA.) 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. 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 FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in conse u nce of the granting of this permit. %� Date lv Sign "ore of Applicant — Owner EJ Contractor ❑ Agent G 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 $ TOTAL PERMIT FEE $ O OCCUP. GROUP I TYPE of CONST. I PARCEL PD M I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF,,PUBLIC .ems By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS 401 at r— — Receipt No. Lid' e Z— WHITE-D.P.W., Y LLOW-AS�OR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF -PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916;534-4541 PERMIT API'LCCAT�ION DATA SHEET U . Permit No. OWNER &af// A. P. No. - Proposed Building Use � � 13r r l" 5-/�-7—F Permit Fee Based Upon: Complete Contract",Price —DPW Valuation -.—Other (Explain) Building Inspector v/�� %6`/�/.�/ Date— At time of permit application, I was advised the follow:i:ng data must be submitted prior to permit processing andJr issuance: DATE RECEIVED. APPROVED 7o1. All items have been submitted. . . . . . . . . . . . 2.. Plot plans in duplicate./triplicate. . . . . . . . . . . — -- 3. Complete plans in duplicate. /triplicate. . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ , . . . . . , . 9. Letter of signature authorization. 10. Sanitation approval from �i, -Ie Health 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 owner0, Mail to owner[:]) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . •Pre-Inspec. request to 17. Pre -Inspection for Required. Building Inspector (Date) 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Other When you issue the permit, process as follows: Mail to owner. —Mailtocontractor. Telephone ;FW, 7r0/1 and hold for pickup at office. Deliver w. /inspector. Other Applicant 1� �%��� Date Com` � _ . 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 time of application, 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 �_ L Plans checked by j Date Plans approved by Date Other: Copy—DPW TO.: Building Department FROM: Environmental Health SUBJECT: SANITATION CLEARANCE 44Dd1LAa1d4G_< OWNER Plans approved for: Hold final for: LOCATION AP # Sewage Disposal Water Supply' Final Clearance O.K. for: Clearance for -.' bedroom mobile home. Other Clearance for addition of 1.eVK0✓U Sti(Qsr,!vrt , No ANIT 6I,e Water Supply Water Supply DATE I . i *� BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name:.' ,4/1.9�"17j. " %fesu.s� a1C1�� 2. Installer's name: - 3. Is the site currently under permit? Yes / / No / / e (If yes, furnish permit numb x , �X7��� %° L ) OR , Is the site an existingsit1 ? t Yes/jam No > (If yes, furnish two�(2) plot fans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks.andfeasements? Yes No (If no, clarify �. ) 5. :What is the mobilehome electrical rating? ----------------------- so Amps 6. What is the mobilehome site service rating? --------------------- / U Amp 7.. What is the mobilehome site circuit breaker rating? ------------- C, Amps 8. Is there any other electric load to be served by the mobilehome siteservice? --------------------------------------------------- Yes No (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? -------------------- (in.) " 10. What is the type of gas service? ----------------------------- Natural/% - LPG / /. 11. What is the gas pipe length from meter or tank to the mobilehome? 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.) BUTrE COUNTY BUILDING DOARTMEN APPROVED MOBILEHOME SUPPORT DATA If,other than single wide, Mobilehome Mfr.�'yr,t�� furnish'Setup Model No. Year Width(ft.) Box Length s (ft:) Tagalong or Expando Size_ft. x1 ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of mobilehome unless otherwise specified. Footings (check one) . _ _ Single 1'. Wood either i pressure treated or foundation,grade. 2. Other(specify) Center s port * Centertlocation footisSupports /nz (check one) (i l: Concrete block. (� I ] .2 : Other. ( specify) . L -J x (ft.)(in.) (i .) (in.) F -Tagalong or Expandb,' show support details. U n.) (in.) Typical Support (in.(in.) Footing Size x (ft.) in.) (in.) (i Max. Pier Spacing x Max. Overhang 1 (in.) (in.) a M *If center piers are other than drawn above, 2 ,,draw in. -locations, spacing, and dimensions.