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HomeMy WebLinkAbout065-190-089I Lester gh 0u s 5�2-.Deerwood,,��Virhaven(�ub3 'Maga 11 1 J Fuller & Pow(trs-C'onst., Magafia -contr: f Perm , it -#2 c9,2-77P,E(_ti �-IMH) L zC GAS pss� SUPPOYT STRUCTURE, REQ COPIPACTIN TEST REQ. 65-19-7& Contr:'- -Reich- -Mobi-le -Home;,-Chico P6rmitj 3184-77MHI —I -s -s -Red -1 "-b8e---------- 5 c P G AP 65-19-89 "065"`190-089 WOO;7,7 1 V, L I 8T� p__ PERMIT# ._T WOO ate., 6567.,- Tall, Pines, Dr. 'Magalia.,/001 Cont; Wendell S o'ren"son 6W = Pr P Det,Ga�.aig'e' 5-190,99 ��'i,P -0ERMI'T'#9621 596 WOOD, 650i1�al-lPinesa , t- ka ia'. De'c_k_Repair/MH 065-,190-089- � ..&, -0632o'"'?" 02- 4001), Tate '& , Traci 6567 Tall Pines Dr.; -Maga 'E;"MV yon -Perm Fnd 0 M im— • .- 7r M., y lo, 0 , I I 114V 1i 4T- 0 r � BUTTE COUNTY . DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION (IVR): (530) 538-4365 OFFICE: (530) 538-7541 FAX#: (530) 538-2140 ONLINE PERMIT/RENEWAL PAYMENTS: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 6567 TALL PINES DR Owner: Permit NO: B0$-2198 APN: 065-190-089 JOHN RAHM . Issued Date: 10/28/2008 By TMP Permit type: MISCELLANEOUS 11564 OAKCREEK DRIVE Subtype: Electrical LAKESIDE, CA 92040 Expiration Date: 10/28/2009 Description: NEW POWER POLE, NEW 200 AM] (619) 561-3159 Occupancy: Zoning: RT -lit,. Contractor Applicant: Square Footage: JOHN RAHM Building Garage RemdUAddn 11564 OAKCREEK DRIVE LAKESIDE, CA 92040 Other Porch/Patio Total (619) 561-3159 FEE INFORMATION DBE Single Phase Service-Resid $59.00 Total Charged: $59.00 Fees Paid: $59.00 Balance Due: $0.00 Receipt No: B8971 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law (Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 10/28/2008 the applicant to a civil penalty of not more than five hundred dollars ($500]; Ple�s.clke of the following: Contractor's Signature Date ER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are notintended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). Carrier: Policy Number: Exp. Date: - (This section nee not be competed if the permit is or one hundred ($100) or less.) ❑ I AM EXEMPT under Section B. & P.C. for this reason: I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California, and agree that if I should become subject to the workers' X 10/28/2008 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those ner's Signature Date ' provisions. X 10/28/2008 I hereby certify that 1 have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and property damage caused arising out of, in any way connected with HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, the issuance of this permit. I hereby acknowledge thatt is issuance of this pea rmit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the property owner or am authorized to act on the property owner's behalf. CONSTRUCTION LENDING AGENCY ,A p 4A--:) ZA 10/28/2008 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Permittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) Owner ❑ Contractor - OR ElAgent for Owner ❑Agent for Contractor FILE COPY Lender's Address City State - Zip rye, BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION* OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OF APPLICA TION Website: www.buttecounty.net/dds PLEASE PRINT CLEARLY PERMIT NO. may' Z BIN # "When filed, this application and all supporting material -becomes subject to the California Public Records Act. All public information related to this application is'subject to public inspection and will be posted on the County's website for electronic access. APPLICANT INFORMATION OWNER INFORMATION Las�eamel� FF�� City Fi t Namg o G+ M fling A fires __E1, 8R Ci�y E___5V State Sta e Zi o C7 Phone Fax Fax E-mail Lic. # APPLICANT INFORMATION CONTRACTOR Name City Address Zip City Fax State Zip Phone Fax E-mail Lic. # Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Fax E-mail State License Number APPLICANT INFORMATION Name O �� Address City State Zip Phone Fax E-mail APPLICAAtT SIGNATURE X es PROJECT LOCATION AP# Iq �+ Prope y Ad _ r s L Ito 6--s City A 5 WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than licensed contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: i'U Z L—) CAS i I C i Y O L 6- ;2"0 A", i2Pink l-,e-vz, 13a Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning 1 Flood Zone SRA I Yes I No Occ. Type Const. Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds OWNER -BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. ° If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal ° income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions. There may be financial risks to you if you do not cavy out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system of 1-800-321 -CLSB (2752) or by accessing thier website at www.CSLB.ca.gov. PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. 1. I PERSONALLY PL TO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY MPROVEMENT.M9 OR NO) 2. I (HAV VE NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK. 3. I HAVE CONTRACTED WITH THE FOLLOWING PERSON (FRK TO PROVIDE THE PROPOSED CONSTRUCTION: ADDRESS CITY PHONE CONTRACTORS LICENSE NO 4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: ADDRESS CITY PHONE CONTRACTORS LICENSE NO I WILL PROVIDE SOME OF THE WORK BUT I HAVE CONTRACTED (HIRED) THE FOLLOWING PERSONS TO PROVIDE THE WORK INDICATED: NAME ADDRESS PHONE TYPE OF WORK Description: NEW POWER POLE, NEW 200 AMP BREAKER BOX Reference Number: B08-2198 Applicant Name: JOHN RAHM Owner's Name: JOHNHM AP # : 065-190-089 Signature of Property Owner: Date: 10 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PERMIT NO. iev.12/96i� APPLICATION AND PERMIT Ar SESSOR PARCEL NUMBER INa �j BUILDING PERMIT OWNER _ 1 \ TELEPHONE . FT. OCC. BUILDING VAL UATIOV (`Ili 1 QCOnS ____ a(_ % _ cam, 3'l0 Each Trap :9�+ OWNERS MAILING ADORESS �_ 23.001 Water piping C,O+;1 a,ACtOq'S NAME \ Ow�' Vcl �� TELEPHONE 15.00! 1 5.001 / -' E eo+rrRAcrons MAILING ADDRESS I @20.00•V -- ___ 00 5.; TAU CTION LENDER Fireplace Mobile Home Facilities i 'J.:.DEIr S MAULING ADDRESS ARCHITECT OR ENGINEER UC NSE NO Total Valuatlon Is Fling Fee _ _ I $ _ A%°CHI(ECT OR ENGINEERS MAILING AO DRESS —Permit Fee X__I-$ C Plan Checking Fee MIM LOTNO. I SUBDIVISION'S NAME 0 PARCEL USEOFSTRUCTURE 1 H (y -AC— SF ❑ Duplex ❑ Mobilehome) Other TYPE OF WORK ;nevi ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Othe"A I Cesrribe Worst: 0 ),--. �A 1A _Qk- (-,P.-1y-) t.... (Y L4 0-0 *PLAMIT FEE PAI® SkA 'SHEWFF a 0 ml AM REM b oa�rr Mum 3 3�� To 06 Krr uno cow,rea 0 Receipt No. I WHITE-D.D.S.-S.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Energy Plan Checking Fee j S 1$ PERMIT FEE I 4 PLUMBING PERMIT Filing Feej 20.00 Each Trap 7.001 Solar or heat pump water heater I �_ 23.001 Water piping ' 15.00 Each gas water heater or vent Gas piping system 1 - 5 outlets 15.00! 1 5.001 / Building sewer 1 j 15.00: Mobile Home I S I GI W I 1 @20.00•V -- PERMIT FEE S �V ELECTRICAL PERMIT I I Filing Feei 0.00 Main Service OOOY OR LESS I ( 20.AOgLESS I I --- ; 23.00; Main Service ( 200A TO 10001.—LI 46.001 ._... NEW CONST. DWELLING OCCUP. ! OR ADDNS. ( a ACC. eLns. �..-..I SO •_—__ I 3.5cR.l NEW COND.ST/�7'O0:. MULTI.OUTLET —�- --- NON�RESI� BRANCH L% POWER APPARATUS -i— 1 &'SINGLE OUTLET CIR EX. OCCUp. (OUTLET OR+F`UR ES � j I BAL 1�I �0 f Ex. Occup. ( FlxeoAwu+s.�nn��1 OUTLETS (RESl0.7 EA ___ 00 5.; Temporary Service 23.00? Mobile Home Facilities i I 20.00; Misc. Wi I !r 23.00 ER FEE S MECHAN - PERMIT I Filing Fee I 20 Cr:• Heating I Cooling Hood j ; 6.50 !_ Ventilation I PERMIT FEE S _ Mobile Home Installation Fee $ Energy Inspection Fee $ _ Occ CONST. TYPE TOTAL FEE $ �C HA2. D. FEESIV I D CDf P EL I'D; SSt.`_ i This permit is hereby issue.d under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: 0,0 ASSESSOR PARCEL NUMBER /a� a Proposed Building Use: g /�/ � / � ( Wt ►`'] d �;� ounter Technician: Date: Items required in order to apply Yor a per 6 it. All boxes MUST be checked OR marked NA in order to apply. 1.: Plot plans, 3 or 4 sets, signed by the preparer of the plans. S(d 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. /� 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. 4. Engineered truss details and layouts in duplicate. No faxes! /NA S. Energy compliance design and supporting documentation in duplicate. l v 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. AA.. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings.......................................................... ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ® 14. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... ❑ 15. Statement of Intent for Non -heated and A/C Buildings ............................................. AVA 16. Sanitation and plot plan approval from the Environmental Health Department in ❑ 17. City of Chico Plumbing permit......................................................................... , 14t 18. California Department of Forestry plan approval ❑ paid. Sent by: ...................... ❑ 19. Planning approval for (A) Use: 0K (B)Parking: (C) Parcel Check: 3_-Z6.0Q i ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... 0,1. Encroachment Permit for drive ay from the Public Works Dep . nstruction approval prii r to oc upancy). Q 22. Pre -Inspection for � 1.4 451Q -K � M equired.51R-14 j!. chemo ZZ ❑ 23. Contractor's license information. (Number, Name $tyle, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization.................................................................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement ...........:........................ ❑ 28. Manufactured home utility clearance............................................................... ^ ❑ 29. E'violations and/or expired permits.......................................................... stingU_)� ❑ 30. Grant Deed, I��/Statement of Facts, ❑ Letter from Legal Owner, (heck to H.C.D. $ ❑ 31. Other: When issued Telephone an old or pickup. I have been informed of the abov items and requirements for obtaining a building permit. Applicant: Date: ell O�- 1. Index permit application for the above items numbered: PPe IN61�; n,di: Ncg Plan Check Letter 2. Additional items required Contractor, designe own was advised of the above data by Contractor, designer, owner, was advised of the above data by Plans reviewed by: Date: Structural reviewed by: Date: Note transfer by: Date: Yellow: Building Division ❑ phone, ❑ mail, ❑ 6 _ Plans approved by: _ Structural approved by: by Date: by Date: Date:_ Date: 61 p z- 4, 1 COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE OWNER. Lo d 0 BUILDING USE I-- c YPOAJED 1. BUILDING PERMIT FEES 1 --Balance Due ........................................................ $ l� --Additional Fees Due ............................................ $ --Additional Fees Due ............................................ $ --Revised Plan Checking Fee ................................. $ 2. SCHOOL DISTRICT FEES i (paid at District Office) 3. SHERIFF FEES (paid at Building Division) Residential .................................... x $360.00 = $ ' Units Commercial (sq. ft.) ...................... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES Residential ............................ x =$ # Units Amt. Commercial (Sq. ft.) ............. x 5. RECREATION DISTRICT FEES 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00.(paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) A.P. # 065- 19 P --O_ / DATE 3 LI >l- RECEIPT # DATE REC. 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT DATE6 % l'I'Alell Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Building Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6/00) " 99 09� b8s his 0 r • • . 02J-32"065-190-089 WOOD, Tate & Traci 6567 Tall Pines Dr., MagEx MH on Perm FndA , 065-190-089 02-0632 WOOD, Tate & Traci = . 6567 Tall Pines Dr., Magalia _ Ex MH on Perm Fnd COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES c BUILDING DIVISION NOTICE Post this job card in a safe, conspicuous place. Do not remove until all required inspections are made and building is approved for occupancy. Plans must be available on the job site. 065-190-089° 02-0632 .. k A4„ ,WOOD, Tate & Traci "6567 Tall'Pines'Dr:, Magalia �— wEx t1GIH- on •Perm •Fnd Pern-A Na Expires - FOR INSPECTIONS Underfloor Mechanical Underfloor Framing Slab DO NOT OCCUPY UNTIL ALL THE ABOVE IS SIGNED AND THE BUILDING OR MOBILE HOME IS APPROVED FOR OCCUPANCY Addresses lafarmatron 74 Hr.lasp Ciroville - 7 County Center Drive 538-7541 538-7636 Chico - 411 Main Street' 891-2751 891-2834 Revised 7194 -! NOTES RESIDENTIAL r0601-190-08902-0632 PERMIT NO. _WOD,,Tate.&.Traci_._ — _.r 6567 Tall Pines De., Magalia Ex MH on Perm Fnd THE HCD, FORM 433A FOR THIS MH CANNOT BE RECORDED UNTIL_ ONE'OF THE FOLLOWING HAS; BEEN TURNED 4N TO THE BUILDING DIVISION: LICENSE PLATE(S) OR DECAL (THE INSPECTOR MUST RETREIVE). (2) STATEMENT OF FACTS (ONLY ON NEW. MH' S)..:. RINSPECTORTO VERIFY SERIAL & LABEL'#'S: SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. . SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER ' x ' r , JOB FINALED (Date) Signature ./ = OK 0 = Not OK = Not Applicable = Not Ready MOBILE HOMES Dat@ MOBILE HOME UTILITIES (Plans) OK except #'s Footings; Soils -Size -Depth -Spacing -Connectors -Steel 1. Zoning Requirements -Setbacks -Easements 4. 2. Soils; Special MH Support Sketch Shthg.-Frg-Bracing 3. Sewer; Location -Test -Fall -C/O -Concrete 10. 4. Water; Location -Test -Easement Needed (Sketch) 11. 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 12. 6. Gas; Location -Test -Wrap; / /" L'ft. / P Nat. or / /"L"ft./ /'LPG 7. Well Clearance 6 Disconnect 8. Utility Clearance Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s Date Setbacks -Easements Card B-1 Date Card B-1 Date Soils; Compaction -Structure Stability Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch Date 11. Cert. of Occupancy Date 12. Permanent Foundation Only; License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 /= OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (; Date Hangers -Post Caps -Anchors -Connectors Underfloor (Plans) OK except #'s Cling. Joist-Rftr. Ties-Purlin-Roff Brac.-Truss-Shting.-Rfng. 1. Zoning -Setbacks -Easements -Flood -Slope 49. 2. Fig., Main; Soils-Elec. Grnd.-/ r Ftg. Depth Bdrm. Windows o• Exiting Doors -Sill Ht. & Dimensions 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ r Ftg. Depth 52. 4. Ftg., Porches & Decks; Soils -Steel-/ r Ftg. Depth Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 5. Stemwalls, Main; Steel-Blockouts-Wrapped 55. 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Siding -Nailing Veneer 6a. Hold Downs and Special Anchors 58. 7. Slab, Steel -Wrapped Shear Walls; Nailing -Bolts 8. Piers -Fireplace Ftg.-Steel 61. 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Infiltration -Walls -Windows 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 11. Water Pipe; Test -Anchors -Regulator -Service Test Elec. Outlets & Receptacles at Kit. Counter 12. Electric Underground Garage Fire Docr; Swing -Landing -Closure 13. Plenums & Ducts; Clearance -Material -Support -Ins. A.C. Duct in Garage -Damper 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 15. Access & Ventilation Plb., Elec. & Mech. Equip. Listed for Location 16. Insulation Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Clearance Looked under Floor O Yes 17. Water Htr.; Vent -Access -Combustion Air Baffle Following Instld./Drive J Yes J No/Walks :1 Yes :) No/Planters 0 Yes ] No 18. Water Pipe; Test & Anchor -Nail Protection Stucco Brown -Finish 19. D.W.V.; Test Fittings & Anchor -Nail Protection A.C. Unit Disconnect, Electrical -Plumbing 20. Shower Pan; Test, First Floor -Tub Access Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 21. Test Tub & Shower, Second Floor -Tub Access Water Well, Disconnect, Electrical, Plumbing 22. Gas Pipe; Sixe & Anchors Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Corrections from Previous Inspections ELECTRICAL (Permit) OK except #'s 91. 23. Fixture & Transformer Clearance -Ins. Protection 92. 24. Elec. Receptacles Spacing -Lights & Switches at Doors 93. 25. Size Boxes & No. of Conductors Stapled 94. 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Card B-1 Date Card B-1 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI Card B-1 Date Card B-1 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI Card B-1 Date Card B-1 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or AI Insulated Neutral O Yes O No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing jingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-Roff Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or -ype A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows o• Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Docr; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes 82. Following Instld./Drive J Yes J No/Walks :1 Yes :) No/Planters 0 Yes ] No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (RP.V.12/96). APPLICATION AND PERMIT ©a-cG-5,� ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNERS MAIUNG ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00, TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W 920.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service zoDAoRR :s 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.PSING License Class Lic. NO. -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. Fr I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Mein Service ?DOA TO 46.00so TCU000A NEW coNsr. DW LUNG occuP. OR ( S. 3.5QF°; EW coNST. Mu.. NON-RESID. @7.50 US OWELER APPARATLET CIR. a OUT Ex. Occup. OUTLET OR FIXTURES 20 BAL @';50 OWNER Ex. Occup. oFlxA PEENS 0-E. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I� I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply it those provisions. XDate _ Signatur App icant - ❑ Owner ❑ Contractor IV Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HAZ D FEES IMP I FLOOD CDF PARCEL PO HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Date Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT '•.• ..... .. ... •l Y✓ •�. _.`,� . �__ .�. -4.-+,t..-,.-.-.'�.r-��...''^_`Y*�'-.;Jy,,,,.w .,.. -..�-.rte.•• ..�l` ... � COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • .Oroville, California* 95965 • Telephone (530) 538-7541 PERMIT NO. APPLICATION��AND PERMIT 0 - a _ �� ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER ' Fireplace LENDER'S MNUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Fee $ 20.00 —Filing Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: i${$ Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 OOOVOR LESS Main Service za.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ' I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service To 46.00so CCU000A WEE200A NEW CONST. DWELLING OCCUP. OR ADONS. ( & ACC. BLDS. SO 3.50FT. EW rNONRESID. MULTI.OUTLET @7.50 APPARATUs a SINGLE our_ETCIR. EX. Occup. OUTLET OR FDTTURES .00 SAL @ I.so Ex. Occup. o 'CUTLEEDA g.,6.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to. self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply rith those provisions. X Datep?ze?a j>� Signatur App (cant - ❑ Owner ❑ Contractor IV Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. k MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ MAZ. D. FEES IMP I FLOOD I CDF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Date Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT _ COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (R� APPLICATION AND PERMIT-- .., ASSESSOR PARCEL NUMBER ZONING BUILDINGPERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: -41t<} Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 OOOVOR LESS Main Service zo.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service TO 46.00so WEU200A CCU000A NEW coNsr. owEwNG occuP. OR ( 3.52F°: EW coNsr. MUACC. �Ff NON -REBID, LTHIC @7.50 POWER APPARATUS a SINGLE OImFT CIR. EX. Occup. OUTLET OR FIXTURES .00 BAL @ I. 0 FIXED Ex. Occup. O. (R D ORS 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation ; PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) d 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the Workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply ith those provisions. �y X��"-Cc-� ^ Date�/!'�r1_T��i Signaturow6f Applicant - ❑ Owner ❑ Contractor F Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HAZ. D. FEES IMP I FLOOD I CDF PARCEL pD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date (Dal Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (F#V.a 2/9.15j�� APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. , OCC. BUILDING VALUATION OWNERS MAIUNG ADDRESS CONTRACTOR'S NAME TELEPHONE a CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSENO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Y Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE S LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 1 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work:;j• Gas piping stem 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S �> ELECTRICAL PERMIT Fling Fee 20.00 OOOv OR LESS Main Service 2o0A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.PSIN License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. f3 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permitis issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BLDS. SD 3.5¢FT; NON•RESIUT' MULTI.OUTLEr 97.50 E OWER APPARATUCIR.S aGLOUTLET OUTLET OR FDRURES Ex. Occup.BAL 20 @ I'00 @ .50 FIXLNS Ex. Occup. ouTLeD APPOFR , ROEA 5.00 ' Temporary Service 23.00 Mobile Home Facilities 20.00 Misq. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation t PERMIT FEt $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) O I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X �� ...' r l'" �/'" _ Date.' .*2"r r �'r, Signaturp,.of-Applicant - ❑ Owner ❑ Contractor O' Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ HA2. I D. FEES IMP I FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Date Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD=APPLICANT PRE -INSPECTION REPORT � OWNER I raci LOCATION: l 5,9 7 CONTRACTOR:_ per,., PRE-INSPETION FOR: M DATE: O A.P. #. ZONING: DATE TO INSPECTOR: 2 Z _�_ PERMIT HISTORY:( ) NONE ALLOWS: BUILDING INSPECTOR'S REPORT ~+� Building Description: Commercial/Usage: - ResidentiaU# of Units: Currently Occupied AbandonedNacant Electric: Yes No Electric currently On Off Condition of Electric Gas: Natural Propane None Currently On Off Obvious:P--o_blem..—s: _. Sanitation: ' Plumbing Working Well Working Potable Water— Obvious SewageProblems k Comments- „ MMUM I OEM Inspector: ! HOLDTOR /)( �J_./--7_/ /n/ _ n Date Sketch buildings on reverse and indicate location on property Aw �.� � - ���j � ..�� Gln 65-19 -;Z:Lester Garlinghous :5!)KI+irhaven Sub Maga 5k Deerwood, Permit GA tiREQ i 1 ` tt ,. Beich • F i t 65-19 99 16-0/84917 065 PERMIT#96-0897 -190-089 Y�WOOD, Tate 6567 Tall Pines Dr. Magal'a Cont; Wendell Sorenson I i - � New Pri Det Garage -.�. '�ht y ��,�^I+ 4� t;i a!f �` v+al :=�Y � �! � t-i '"R'i: �a-. iw �' ice= y �''C� .. r �.�+"�i ►^' - _ . r PERMIT#96-1596 WOOD,065-190-089 TateDeck s ai y 6567 Tall Pines, Magplia Repair/MH 17/ h 065-190-089 02-0632 WOODTate & Traci . * • •7 Tall Pines , Fnd Ex MH on Perm A 1}_ �f ' SF ¢ t ,^�•� arv- r r • 4 , ! �1 ..e.� t � 4 r1 � t .t '� S' � �� + `•` ., �1 �^ � �t _ �cY•` � .k �� i tt �r�'1t .:{�. .i'(• f µ+ � z t r: ,� � v� ~ h7 � t.. 1I,. �' L '� ^ M.• r. . t' {�y h'� fMY ' f Y w' 13' ! 5 " S `i! `� - �� !� `ti T 3 ♦ +.'.M•, � `f �f A ft i'" s jar} I� 5�! fig �ark;�•. �� �, g.. ���� ¢lN,.l€"}L�' � ♦ :.; '� 4 � ti�'�'_{M �a 31.1 �4" 1 't '•j' ,r,. y X4 � w � �ty�} rfel� �}sj � � ii �•. .-.a. _ a v ;�Q � r ' !' errs ..�.i r ... � � � '.,�'Tlif V �14� S� ,rid, 1 •ire - ah_ .�. r y �� � dr, `_ 1 i.k-��iF �?� . � '3,ft;?, t :1! �T'AF�. F i �t __ 4.- " r '� .t_Y. .�Y' '�.4. '� - * r. 7'! :� • � - _ COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO '��� 96 APQLICATION AND PERMIT nom- �3�, A:SES.OA PARCEL NUMBER `� U jN� BUILDING PERMIT OWr+ER 7ELF'HONE S BU . FT. OCC. ILDING VALUATION OWNERS MAIUNO ADDRESS CO+RRACTOR'S NAME c0;rigTOWS MAIUNO ADDRESS CONSTRUCTION LENDER LEI,DEII S LNUNG ADDRESS ARCHITECT OR ENGINEER ARCHITECT OR ENGINEERS MAILING ADDRESS 9.ILOR G ADDRESS -� I LOTNO I SUBDNISIONSNAME TELEPHONE LICENSE NO Y\.Qa �` PARCEL MAP USEOFSTRUCTURE L H (,a A C- SF ❑ Duplex ❑ Mobilehome), Other SPECIFY TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other (} Describe Work: 0 NA k,,, L� cyy­, 0; G) V i� *PEP AIT FEE PAI0 SRA SHERIFF arplm AAI 0* VW REMWO •REC�TT NllAAtHt����� " TO N PJT INTO CCMrVTER Fireplace I I f ACV Total Valuatlon $ I Fling Fee; 20.00 Filing Fee $ Permit Fee , (o 3 7 $ Plan Checking Fee $ Energy Plan Checking Fee $ NEWS NON-RESIO. S PERMIT FEE _ PLUMBING PERMIT Each Trap Solar or heat pump water heater I Water piping Each gas water heater or vent --H Gas piping system 1 _ 5 outlets Building sewer I Mobile Home I S I G W I I I 1 20 C.' x 'iling Feel 20.G0 7.00 •- .. 23.001 15.00, 15.00! 15.00,1 15.00: @20.00' EX. Occup. (OvrLEr OR ER�!URrtE��S ��� I I 94L �t1 L.0 Ex. Occup. (�uiltorLNS s IRESIO.) EA %� 5.00; Temporary Service I I 23.001 _ Mobile Home Facilities I j 20.00 Misc. Wi I 23.00: I I IER FEE MECHAN PERMIT I Filing Fee 1 20_C-0 CoolingI I i Hood I 6.50: __- Ventilation I PERMIT FEE I S Mobile Home Installation Fee I $ Energy Inspection Fee I $ Occ CONST. TYPE TO AL FEE $ 3,71 75< I IHA2. I D. FEES W 'EL9 D COF P EL'h 4I HD i SSLE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Receipt No. PERMIT EXPIRES ON WHITE-O.O.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Date PERMIT FEE I S ACV ELECTRICAL PERMIT I I Fling Fee; 20.00 Main Service *.'*.A oR LEss ( o R u:ss ) I 23.00; Main Service ( zooA To I000AI 46.00' NEW coNsr. OR ADONS. owEUINc occs BI DS.. ) I I 3.5C FT -1 _ NEWS NON-RESIO. MULTI.OUTLET 7,50' 1 I (POWER APPARATUS 8 SINGLE OUTLET CIR EX. Occup. (OvrLEr OR ER�!URrtE��S ��� I I 94L �t1 L.0 Ex. Occup. (�uiltorLNS s IRESIO.) EA %� 5.00; Temporary Service I I 23.001 _ Mobile Home Facilities I j 20.00 Misc. Wi I 23.00: I I IER FEE MECHAN PERMIT I Filing Fee 1 20_C-0 CoolingI I i Hood I 6.50: __- Ventilation I PERMIT FEE I S Mobile Home Installation Fee I $ Energy Inspection Fee I $ Occ CONST. TYPE TO AL FEE $ 3,71 75< I IHA2. I D. FEES W 'EL9 D COF P EL'h 4I HD i SSLE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Receipt No. PERMIT EXPIRES ON WHITE-O.O.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Date PLANNING DIVISION-BUILDING PLAN APPROVAL Use: OIZ Date: Parking: Landscaping: Other: Signature: `��r � APPROVAL PLANNING DIVISI®N-BUILDING 3 2b, 02— Use : K Date. C) Landscaping Parking: other, Signature: �• 2"x 2'x 3/16" STEEL ANGLE CHASSIS FRAUE 3/8" CAO PLATED BOLT, NUT do WASHER COACH "C" FRAME COUNTER BORED FLUSH WITH BOTTOM AT 8" D.C. (8) REQUIRED 2" CHANNEL - 1/4" GRIPPER 1/4" STAND BASE 1/4"x1IE TEK STTSS I ,— ASESCO ABS PAD #503 (2) REQUIRED COACH "J" FRAME 1/4"xI-1/4" TEK STS (4) REQUIRED 1/4" GRIPPER 1/4" GRIPPER BASE BASE DETAIL "A" 1/2" A307 BOLT ' (2) REQUIRED 1/2" .A307 BOLI 3/8"x 6'x 6" (4) REQUIRED STEEL PLATE 1/2' A307 BOLT VEAM J -BEAM (2) REQUIRED ATTACHMENT ATTACHMENT STEEL FRAME SEE DETAIL 'W'-1 37" I o 1/2" . o o t 0.00 o xo. 09/16 HOLE (TYP) STAND BASE TOP VIEW c' ti Ex:. 7 TF ^F %tint\1 TUF-1 PERMANENT FOUNDATION SYSTEM 8" 1/Y DUl HOLE (8) PLACES 30� i STEEL FRAME TOP VIEW STATE APPROVAL 36' MAX 1/4' GRIPPER..PLATE; TD BOTTOM (2) REQUIREQ ; OF PAD 6/4• GRIPPER BASE 41 od `CC p 1/2 13UNC–A,307 x 4" 01/2'x 3' C.R. LDCK PIN WITH fi BOLT WITH NUTS 01/8' BRIDGE S c'a � J J b (4) REQUIRED •, PIN I asPg- O y h > 01.1/2" SCH 40 PIPE RISER WITH .9 „3 r 01/2" ADJUSTER HOLES AND 3/8" TH1CK TOP PLATE 02' SCH 40 PIPE STAND WITH TWO 141/2' ADJUSTER HOLES ASESCO ASS PAD {503 STEEL FRAME SEE DETAIL 'W'-1 37" I o 1/2" . o o t 0.00 o xo. 09/16 HOLE (TYP) STAND BASE TOP VIEW c' ti Ex:. 7 TF ^F %tint\1 TUF-1 PERMANENT FOUNDATION SYSTEM 8" 1/Y DUl HOLE (8) PLACES 30� i STEEL FRAME TOP VIEW STATE APPROVAL 7� od `CC p 0 fi 7T S c'a � J J b li i •, L) r I asPg- O y h > ' o .9 „3 o o WAYNE T. POLVADO, PE -LISTING NO. F94249 SHEET 1 0l 3 M m N m w Q D_ n m N L!l M CD m r In m N CD CD N m m M) GENERAL NOTES GUS GUARD TUF-1 1. DESIGN LOADS: LIVE LOAD - 30 LB. FLOOR LIVE LOAD - 40 PSF WIND LOAD - 80 WPH EXPOSURE "C" SEISMIC ZONE '4" *SNOW LOAD 100 PSF (SEE NOTE x/15) 2. THIS FOUNDATION SYSTEM IS DESIGNED TO BE CONSTRUCTED ON A FAIRLY LEVEL SITE WITH NO EXISTING SOIL PROBLEMS. 3. CHASSIS BEAM SUPPORTS SHALL BE LOCATED AND SIZED FOR THE LOADS AS SHOWN IN THE "MOBILE HOME INSTALLATION INSTRUCTIONS'. 4. IN AREAS WHERE DIFFERENTIAL SETTLEMENT (D.S.) CAN OCCUR, MANUFACTURED NOME SHALL BE READJUSTED WHEN DS EXCEEDS 1/4", OR WHEN IT WILL ADVERSELY AFFECT U08ILE HOME UNIT. 5, CARRY ALL FOOTINGS DOWN TO FIRM, UNDISTURBED SOIL. FOOTINGS ARE DESIGNED FOR 1,000 PSF TOTAL LOAD SOIL PRESSURE, AND SHALL BE COMPATIBLE WITH LOCAL SOIL CONDITIONS. COMPACTED SAND MAY BE USED TO FILL LOCAL VOIDS UNDER PADS. 6. STRUCTURAL STEEL: FABRICATED ACCORDING TO AISC SPECIFICAFION. WELD ACCORDING TO AWS SPECIFICATIONS. ELECTRODES -370 PLATES -ASTM A36 BDLTS-SAE GR 5=ASTM A449 --ASTM A3725. 7. THE GUS GUAM ASSEMBLIES SHOWN ON THIS PAGE SHALL BE LISTED AHD LABELED BY BU AND ASSOCIATES FOR THE -FOLLOWING LOADS. ALLOWABLE LOADS:' HORIZONTAL VERT[CAL GUS GUARD TUF-1 22DOI 60D0/ GUS GUARD MGP PAD 2200# 60DO# GUS GUARD E -Z TIE PAD 22DO# 6000/ 8. DURING PRELIMINARY INSPECTION, THE ESTIMATOR SHALL ENSURE 114AI MOBILE HOME CHASSIS BEAMS ARE OF STANDARD SECTION. 9. EXISTING COACHES MAY BE RETROFITTED TO RESIST SEISMIC' FORCES BY INSTALLING GUS -GUARD TUF-} -UNITS AS -SHOWN -ON THIS PAGE 'DF TYPICAL 1DUNDATIow -PLANS: 10. THE GUS GUARD TUF-i SYSTEMS ARE SAFE FOR IN 11. 12. 3. STALL1LT1011 IN FL000 PLAIN AREAS WHERE DEPTH OF FLNG NOT EXCEED THE HEIGHT OF THREE: FEET. 16. FOUNDATION BLOCKS 16"x 16"x12' POURED IN PLACE AT GROUND LEVEL MAY 8E USED Al INSTALLERS DISCRETION ALTERNATIVE TD PADS. SINGLE WIDE COACHES DOUBLE/MULTIPLE COACHES E= 2' MIN. / 8' MAX. E= 2' MIN. / 11' MAX. S= 6' MIN. /16' MAX. S= 6' MIN. / 22' MAX. VARIES 10'-70' (SEE TABLE ON SHEET #3) E S S S D D RIDGE BEAM SUPPORT AS REQUIRED BY MANUFACTURER O O (TYPICAL) Q D Q D � D D D D 8' NOM. 2' NOM. D PADS IN ANY PAIR MAY BE STANDARD N.H. FOUNDATION ROTATED '90 DEGREES OR PIERS AS RECOMMENDED BY PVC SERIES OFFSET TO OTHER SIDE TO THE MANUFACTURER OR THE SUPPORT AVOID CLEARANCE PROBLEMS. ENGINEER. TYPICAL THROUGHOUT PAD (TYP) 7918 MULTIPLE UNIT INSTALLATION IS ACCEPTABLE PROVIDED Exp. THE NUMBER OF TUF-1 UNITS UNDER EACH UNIT IS THE SAME AS SHOWN REQUIRED PER EACH UNIT. `h�' f��L �/t SINGLE -WIDE UNITS REQUIRE AODRIONAL RESTRAINT. x (SEE SHEET /3) 1ALL METAL COMPONENTS AND ATTACHMENTS ITEMS SHALL BE PRDIECTIYE COATED. 14. WHEN CONCRETE SLAB IS IN EXISTANCE, PAD IS NOT R EOR UI LD. ANCHOR STAND TO CONCRETE SLAB WITH TUF- 1 PERMANENT FOUR (4) 1/2"x 3 1/2' EXPANSION ANCHORS. 15. GUS GUARD TUF-1 FOUNDATION SYSTEM PROVIDES FOUNDATION SYSTEM ALLOWABLE SNOW LOAD 10 100 PSF WHEN INSTALLED ABESCO•('US GUARD COMPANY WITH EXISTING STANDARDS REQUIRED BY COACH MANUFACTURER OR REPLACE THEM ON A ONE 10 5851 FLORIN - PERKINS ROADE ONE BASIS. SACRAMNTO CA 95523 STATE APPROVAL �..�.Vy x o H QQO 7 p ac an ru 5p py� O b E O < E .S UO � F oH�� O i g c z y go PH: (800) 382-8831 N_ J FAX: (916) 383-5207 I WAYNE T. POLVADO, PE -LISTING NO. F94249 SHEII 2 of 3 i n m N In OD m n Lr) m N 1n m N CDn M m 3 1/2" W EXPANSION ANCHOR a(4) REQUIRED 112". B•' LONC ANCHOR BOLT (4) REQUIRED 3/4 DIA. x 18" LC. 318 CAD PLATEDBOLT(4) REQUIRED LUSH COUNTER BORED F USH NUT & WASHER O.C. - AT g" WITH BOTTOM (8) REOUFRED CONCRETE P I - AD INSTALLATION - -1 CHASSIS FRAMC 1/4" GRIPPER PLATE 0 (2) REQUIRED nLd 1/4" GRIPPER BASE Q 1/2-13UNC-A307x 4" BOLT WITH NUTS (4) REQUIRED 01 1/2" SCH 40 PIPE RISER WITH THICK T O OP PLATE 3/8„ 1'K)LES AND ..a2 SCN...40 PIPE STAND. WITH. TWO. /2 ADJUS;ER�-HGkES- •. ASESCO ABS PAD STEEL FRAME POURED IN PLACE FOUNDATION ,INSTALLATIONCRETE LIGHT HEAVY -WEIGHT 36" MAX PLASTIC PAD INSTALLATION TO BOTTOM \ OF PAD MULTI -BIDE UN]TS LENGTH OF HOME 24 WIDTH OF HOVE SINGLE BIDE UNT'1'3 C R. UP TO 44' a 28 2B 40 GTHkDf4OF WIOiH . HOME LOCK PIN WITH 41•-1 to 66' 12 8 12 10 12 PIN 8" BRIDGE OVER 66' 16 12 12 1B UP TO 44' 6 14 16' 16 1 6 �4'- 1' 10 66' 8 6 6 6 NUMBER OF TUF-1 REO22OVER 66' 10 1U 8 8 - ftOTE: SINGLE WIDE UNITS REQUIRE 4TL*- 10 ID TO BE P (} E -Z T&E PADS. NUMBER OF TU> _ 1 REQUIRED DICED A7 APPROX114ATELY EQUAL INTER- GUS GUARD TUF- T ALS ALONG EACH FRAME PIERS ARE - L. �6 V~`iQ 1/778 Exp. TUF— CF CAST FOUNDATION M YS ANENT TEM ABESCO-GUS GUARD COMPAN 5851 FL OIZ , pY pKK1NS ROS PHCFNIO CA 95823 (800) 382-8831 FAX: (916) 363-5207 H'AYNE T. POLVADO, PE -LISTING N0. F9q ?QS SHLE1 3 of 3 :,:r.... Q f -KU VA L z N z >; kk 0 Q ..� :-- -_•moo �, Q • � ��� c !, 11 o' a< J W O m o „U .7 r O > 2 H'AYNE T. POLVADO, PE -LISTING N0. F9q ?QS SHLE1 3 of 3 i0 D Ln LJ m Q m N (1) 00 M n 9 N ED m N m f7 ID 2"x 2'x 3/16" STEEL ANGLE CHASSIS FRAME 1/4" GRIPPER-,, PLATE - (2) REQUIRED,'; ; 1-/4' GRIPPER BASE 1/2-13UNC-A307 x 4" BOLT WITH NUTS (4) REQUIRED 3/8" CAD PLATED BOLT, NUT 8 WASHER COACH "C" FRAME COUNTER BORED FLUSH WI1H BOTTOM AT 8" O.C. (8) REQUIRED 2" CHANNEL 1/4" STAND BASE 1/4"xt TEK STS , /-- ABESCO ABS PAD X1503 (2) REQUIRED 1/4" GRIPPER PLATE "J" FRAME I-1/4" STS SQUIRED 1/4.. GRIPPER J 1/4" GRIPPER BASE BASE DETAIL "A" t/2" A307 BOLT (2) REQUIRED 1/2.A3D7 BOLT 3/8"x 6'x 6" (4) REQUIRED STEEL PLATE A307 BOLT78EAM J—BEAM (2) REQUIRED . ATTACHMENT ATTACHMENT 01 1/2" SCH 40 PIPE RISER WITH o 01/2" ADJUSTER HOLES AND 3/8" tt THICK TOP PLATE o 02' SCH 40 PIPE STAND WITH TWO 01/2' ADJUSTER HOLES n ABESCO AHS PAD {503 0 STEEL FRAME SEE DETAIL 36" MAX TD BOTTOM OF PAD 01/2% 3" C.R. LOCK PIN WITH 01/8' BRIDGE PIN 10.00 —1 T 0 0 10.00 0 09/16 HOLE (TYP) STAND BASE TOP VIEW NO. if s F F r,:6i� 37" TUF-1 PERMANENT FOUNDATION SYSTEM 8" 1/2" DIA. HOLE (8) PLACES — 30" STEEL FRAME TOP VIEW STATE APPROVAL z Z 0 _ u C A� r >C-3 (� {wig, i r:: 0 c -' '� c1 1 G 7 oga U H O f Do � o I i i Q y 9 a WAYNE T. POLVADO, PE—LISTING N0. F94249 SHEET 1 of 3 n m N M OD M n In m CD N m M N n m i m GENERAL NOTES GUS GUARD TUF-I 1. DESIGN LOADS: LIVE LOAD - 30 LB, FLOOR LIVE LOAD - 40 PSF WIND LOAD - 80 MPH EXPOSURE "C" SEISMIC ZONE "4" *SNOW LOAD 10D PSF (SEE NOTE 115) 2. THIS FOUNDATION SYSTEM IS DESIGNED TO BE CONSiRUCTEO ON A FAIRLY LEVEL SITE WITH NO EXISTING SOIL PROBLEMS. 3. CHASSIS BEAM SUPPORTS SHALL BE LOCATED AND SIZED FOR THE LOADS AS SHOWN IN THE 'MOBILE HOME INSTALLATION INSTRUCTIONS'. 4. IN AREAS WHERE DIFFERENTIAL SETTLEMENT (D.S.) CAN OCCUR, MANUFACTURED HOME SHALL BE READJUSTED WHEN DS EXCEEDS 1/4", OR iVHEN IT WILL ADVERSELY AFFECT M081LE NOME UNIT. 5. CARRY ALL FOOTINGS DOWN TO FIRM, UNDISTURBED SOIL. FOOTINGS ARE DESIGNED FOR 1,000 PSF TOTAL LOAD SOIL PRESSURE, AND SHALL BE COMPATIBLE WITH LOCAL SOIL CONDITIONS. COMPACTED SAND MAY BE USED TO FILL LOCAL VOIDS UNDER PADS - S. STRUCTURAL STEEL: FABRICATED ACCORDING TO AISC SPECIFICATION: WELD ACCDRDNG 10 AWS SPECIFICATIONS. ELECTRODES -370 PLATES -ASTM' A35 BOLTS -SAE GR 5=AS1M A449=AS1M A3725. 7. THE GUS GUARD ASSEMBLIES SHOWN ON THIS PAGE SHALL 8E USTED AND LABELED BY BSK AND ASSOCIATES FOR THE -FOLLOWING LOADS: A,LLOMABLE LOADS:' HORIZONTAL VERTICAL GUS GUARD TUF-1 22DO# 60DO# GUS GUARD MGP PAD 22001 60DO/ GUS GUARD E-2 TIE PAD 22DOJ 6000# 8. DURING PRELIMINARY INSPECTION, THE ESTIMATOR SHALL ENSURE INA] MOBILE HOME CHASSIS BEAMS ARE OF STANDARD SECTION. 9. EXISTING COACHES MAY BE RETROFITTED TO RESIST SEISMIC' FORCES BY INSTALLING GUS GUARD TUf-4 UNITS AS -SHOWN -ON THIS PAGE'DF TYPICAL 1 `OUNDATTOH­PtANS: 10. THE GUS GUARD TUF-1 SYSTEMS ARE SAFE FOR INSTALLATION IN FLOOD PLAIN AREAS WHERE DEPTH OF FLOODING WES NOT EXCEED THE HEIGHT OF THREE FEET. 11. MULTIPLE UNIT INSTALLATION IS ACCEPTABLE PROVIDED THE NUMBER OF TUF-T UNITS UNDER EACH UNIT IS THE SAME AS SHOWN REQUIRED PER EACH UNIT. 12. SINGLE -WIDE UNITS REWIRE ADDITIONAL RESTRAINT. (SEE SHEET 13) 1 13. ALL METAL COMPONENTS AND ATTACHMENTS ITERS SHALL BE PROTECTIVE COATED. T 14. WHEN CONCRETE SLAB IS IN EXISTANCE, PAD IS NOT 16. FOUNDATION BLOCKS 16'x 16"x12' POURED IN PLACE Al GROUND LEVEL MAY BE USIO AT INSTALLERS DISCRETION ALTERNATIVE 1D PADS. SINGLE WIDE COACHES DOUBLE/MULTIPLE COACHES E= 2' MIN. / 8' MAX. E= 2' MIN. / I V MAX. S= 6' MIN. /16' MAX. S= 6' MIN. / 22' MAX. VARIES 10'-70' (SEE TABLE ON SHEET #3) E S S S ul 0 o Fq I RIDGE BEAM SUPPORT AS REQUIRED BY MANUFACTURER O O (TYPICAL) a D Q O 8'NOM. L1 ?'jNOM. Q o PADS IN ANY PAIR MAY BE STANDARD M.H. FOUNDATION ROTATED 90 DEGREES OR PIERS AS RECOWUENDEO BY PVC SERIES OFFSET TO OTHER SIDE TO THE MANUFACTURER OR THE SUPPORT AVON CLEARANCE PROBLEMS. ENGINEER. TYPICAL THROUGHOUT PAD (TYP) AT01, 17918 Exp. qjf 4F C P1.6% REQUIRED. ANCHOR STAND TO CONCRETE SLAB WITH TUF- 1 P E R M A N E N.T FOUR (4) 1/2'x 3 1/2' EXPANSION ANCHORS. 15. GUS GUARD TUF-1 FOUNDATION SYSTEM PROVIDES FOUNDATION SYSTEM ALLOWABLE SNOW LOAD TO 100 PSF WHEN INSTALLED ABESCOGUS GUARD COMPANY WITH EXISTING STANDARDS REQUIRED BY COACH 5851 FLORIN - PERKINS ROAD UANUFACTURER OR REPLACE THEM ON A ONE 10 ONE BASIS. I SACRAML'•NTO. CA 95523 STATE APPROVAL �...d. �. o o x O z 6 � a D xp 26 < > o�coi ��5ccc a `Td�m 0 s O �' � g. S u a'S 0 W F, v� O z k' FAX: (916) 383-520-7 WAYNE T. POLVADO, PE -LISTING NO. F94249 SHEE1 2 o1 1 M m 1/2"x 3 1/2^ (D EXPANSION ANCHOR < (4) REQUIRED 1/2' x B" LONG ANCHOR BOLT 3/4" DIA. x 1 (4) REQUIRED (4) REQUIRED LG. _ 3/8' CAD PLATED BOLT. NUT & WASHER COUNTER BORED FLUSH WITH BOTTOM Al 8" O.C. CONCRETE P 1 ` \ (8) REQUIRED AD INSTALLATION -1� CHASSIS FRAME 1/4" GRIPPER PLATE 0 (2) REQUIRED U7 I Ld /4` GRIPPER BASE Q 1/2-13UNC-A307 x 4" BOLT WITH NUTS (4) REQUIRED " 1/2" SCH 40 PIPE RISER WITH M1�2• ADJUSTER HOLES ANO 3/8 - ...SC 1 THICK TOP PLATE4 �2.. 4.0 PIPE STAND W1.T.yA L1K0 .491/2' -A QU ER HB 'ES A8ESC0 ABS PAD /503 m STEEL FRAME (V OD t - U') cio CD POURED IN PLACE 16x 16x 12 CONCRETE FOUNDATION INSTALLATION LIGHT - LIGHT HEAVY -WEIGHT 36" MAX, PLASTIC PAD INSTALLATION TO BOTTOM OF PAD MULTI -WIDE UNITS LENGTH OF HOME 24 WIDTH Of HOME SINCLB WIDE UNTTS LENGTH /1/2".x 3" C.R. UP 10 44' 8 26 28 40 HOMEOF WIDTH OF HOME LOCK PIN WITH 44'-1 to 66' 12 8 B 12 UP 70 44' 10 12 14 01/8" BRIDGE OVER 66' 16 12 12 18 6 16 PIN 16 1S l4-1- lo 66' 6 6 6 NUMBER OF 22 OVER 66' f0 8 B fYQTE: TUF-1 REQUIRED 10 8 SINGLE WIDE UNITS REQUIRE 4 NUMBER 01 TUT -10 1D TO BE PLACED AT () E -Z TIE PADS. 1 REQUIRED I APPROXIMATELY EQUAL INT GUS GUARD TUF-1 PIERS INTERVALS g10f,EG EACH FRAI:E ARE RAIL. STA TF A P P 'f J �r Fx; t. ................... ` . OF C�� TUE— 1 PERMANENT FOUNDATION SYSTEM ABESCp-GUS Gi1ARD CUMpAN 5851 FI ORW y . pFR1C1NS ROAD Pk•C'NTU CA 95823 (800) 382-8831 FAX: (916) 383-5207 wAYNE T POLVADO,P[- LIS TING NO FSA24S - (1 3 of 3 .i ter... R0 VA L h z Q ° I A t ;�:��^ ,ri d<to m e 1ppp� h POLVADO,P[- LIS TING NO FSA24S - (1 3 of 3 .i 7 / 2"x 2'x 3/16" STEEL ANGLE DETAIL "A" CHASSIS FRAME N 1/4" GRIPPER,.PLATE. - (2) REQUWEQ, I-/4' GRIPPER BASE — .11 2 3UNC—A307 x 4"— DOLT WITH NUTS (4) REQUIRED 01.1/2" SCH 40 PIPE RISER WITH - 01/2" ADJUSTER HOLES AND 3/8" THICK TOP PLATE 02" SCH 40 PIPE STAND WITH TWO - >01/z" ADJUSTER HOLES ASESCO ABS PAD ;503 STEEL FRAME SEE DETAIL "A' / 3/8" CAD PLATED BOLT, NUT & WASHER COACH "C" FRAME COUNTER BORED FLUSH WITH BOTTOM AT 8" D.C. (8) REQUIRED 2" CHANNEL 1/4" STAND BASE 1/ x1 TEK STS , -- ABESCO ABS PAD 9503 (2) REQUIRED a _ _ > ' 36" MAX TO BOTTOM OF PAD a 01/2"x 3" C.R. LOCK PIN WITH 01/8" BRIDGE PIN x I J 1v 1/4" GRIPPER BASE 1/2" A307 BOLT (2) REQUIRED 3/8"x 6"x 6" STEEL PLATE 1/2" A307 BOLT (2) REQUIRED 10-010 o o 10.00 09/16 HOLE (TTP) STAND BASE TOP VIEW N TUF-1 PERMANENT FOUNDATION SYSTEM COACH "J" FRAME 1/4" GRIPPERr///r1/4"xI-1/4" PLAIE TEK STS ® (4) REQUIRED 1/4" GRIPPER BASE 1/2".A3D7 BOLT (4) REQUIRED C -SEAM J -BEAM ATTACHMENT ATTACHMENT DIA. HOLE (8) PLACES- STEEL FRAME TEP VIEW STATE APPROVAL z roc U to j o o > U 29 �Q i oma`^ V -C j 5 G L> osQ � 0 r o y x O > Z 3 I FAX: (91 6) 383-5207 I WAYNE T. POLVADO, PE -LISTING NO. F94249 sHEET 1 of 3 1 GENERAL NOTES GUS GUARD TUI -I I. DE21GN LOAD • UVE LOAD - 30 18. FLOOR LIVE LOAD - 40 PSF WIND LOAD - 80 MPH EXPOSURE "C" SEISMIC ZONE '4" *SNOW LOAD 100 PSF (SEE NOTE #15) 2. THIS FOUNDATION SYSTEM IS DESIGNED TO BE CONSTRUCTED ON A FAIRLY LEVEL SITE WITH NO EXISTING SOIL PROBLEMS. 3. CHASSIS BEAM SUPPORTS SHALL BE LOCATED AND SIZED FOR THE LOADS AS SHOWN IN THE 'MOBILE HDME INSTALLATION INSTRUCTIONS. 4. IN AREAS WHERE DIFFERENTIAL SETTLEMENT (D.S.) CAN OCCUR, MANUFACTURED HOME SHALL BE READJUSTED WHEN DS EXCEEDS 1/4", OR WHEN IT WILL ADVERSELY AFFECT MOBILE HOME UNIT. 5. CARRY ALL FOOTINGS DOWN TO FIRM, UNDISTURBED SOIL. FOOTINGS ARE DESIGNED FOR 1,000 PSF TOTAL LOAD SOIL PRESSURE, AND SHALL BE COMPATIBLE WITH LOCAL SOIL CONDITIONS. COMPACTED SAND MAY BE USED 70 FILL LOCAt VOIDS UNDER PADS. 6. STRUCTURAL STEEL: FABRICATED ACCORDING TO AISC SPECIFICATION, WELD ACCORDING TO AWS SPECIFICATIONS. ELECTRODES -370 PLATES -ASTM A35 BOLTS -SAE GR 5=ASTM A449=ASTM A3725. 7. THE GUS GUARD ASSEMBLIES SHOWN ON THIS PAGE SHALL BE USTED AND LABELED SY BSK AND ASSDCIATES FOR THE FOLLOWING LOAOS: ALLOWABLE LOADS: HORIZONTAL VERTICAL GUS GUARD TUF-1 2200# 60DO# GUS GUARD MGP PAD 22001 AODO# GUS GUARD E -Z TIE PAD 22DOI 6000# 8. DURING PRELIMINARY INSPECTION, THE ESTIMATOR SHALL ENSURE 114AI MOBILE HOME CHASSIS BEAMS ARE OF STANDARD SECTION. 9. EXISTING COACHES MAY BE RETROFITTED TO RESIST SEISMIC FORCES BY INSTALLING GUS GUARD TUF-4- UNITS AS SHOWN ON THIS PAGE 'Of TYPICAL i'OUNDATION' 'PrANS: 10. THE GUS GUARD TUF-1 SYSTEMS ARE SAFE FOR INSTALLATION IN FLOOD PLAIN AREAS WHERE DEPTH OF FLOODING DOES NOT EXCEED THE HEIGHT OF THREE FEET, 16. FOUNDATION BLOCKS 16'x 16"x12' POURED IN PLACE AT GROUND LEVEL MAY BE USID AT INSTALLERS DISCRETION ALTERNATIVE TO PADS. SINGLE WIDE COACHES DOUBLE/MULTIPLE COACHES E= 2' MIN. / 8' MAX. E= 2' MIN. / I V MAX. S= 6� MIN. /16' MAX. S= 6' MIN. / 22' MAX. VARIES 10'-70' (SEE TABLE ON SHEET #3) E S iS' S D ❑ RIDGE BEAM SUPPORT AS REOUIREO BY MANUFACTURER O O (TYPICAL) a ❑ D Q o EaT D❑❑o I 8' NOW. LJ 2" NOM. ❑ PADS IN ANY PAIR MAYBE STANDARD M.H. FOUNOAT(ON ROTATED 90 DEGREES OR PIERS AS RECOMMENDED BY ' PVC SERIES OFFSET TO OTHER SIDE TO THE MANUFACTURER OR THE SUPPORT AVOID CLEARANCE PROBLEMS. ENGINEER. TYPICAL THROUGHOUT PAO (TYP) �r.04,1 7918 11. MULTJPLE UNIT INSTALLATION IS ACCEPTABLE PROVIDED' Exp.�3" THE NUMBER OF TUF-1 UNITS UNDER EACH UNIT IS THE SAME AS SHOWN REQUIRED PER EACH UNIT. `F%' 0 1v\L �Q 12. SINGLE -WIDE UNITS REQUIRE ADDITIONAL RESTRAINT. ' (SEE SHEET #3) qlf (}E Ep:0"t4�� 13. ALL METAL COMPONENTS AND ATTACHMENTS ITEMS SHALL BE PROTECTIVE COATED. 14. WHEN CONCRETE SLAB IS IN EXISTANCE, PAD IS NOT REQUIRED. ANCHOR STAND TO CONCRETE SLAB WITH FOUR (4) 1/2'x 3 1/2' EXPANSION ANCHORS. 15. GUS GUARD TUF-1 FOUNDATION SYSTEM PROVIDES ALLOWABLE SNOW LOAD TO 100 PST WHEN INSTALLED WITH EXISTING STANDARDS REQUIRED BY COACH MANUFACTURER OR REPLACE THEM ON A ONE 10 ONE BASIS. TUF— I PERMANENT FOUNDATION SYSTEM STATE APPROVAL b p x 0 a fal ca Q O > 0 �r4 c4l � J 0 y $ C) y E r F N .n V Q �5 c z o ;y1 4. q Q WAYNE T. POLVADO, PE -LISTING NO. F94249 SHEET 2 of 5 CD V) m w Q) Q D_ O U Lf) W L>a Q m N m OD f'l) r- 66 m N CD CS) N CD f�7 d, 1/2"x 3 1/2"3/4" DIA. x 18" LG. - EXPANSION ANCHOR 1/2"x B" LONG ANCHOR BOLT (4) REQUIRED (4) REQUIRED (4) REQUIRED 3/8" CAD PLATED BOLT. NUT do WASHER COUNTER BORED FLUSH WITH BOTTOM _ - AT 8" O.C. \ (8) REQUIRED CONCRETE PAD INSTALLATION - CHASSIS FRAME 1/4" GRIPPER PLATE (2) REQUIRED 1/4" GRIPPER BASE 1/2-13UNC-A307 x 4" BOLT WITH NUTS (4) REQUIRED of 1/2" SCH 40 PIPE RISER WITH e X1/2" ADJUSTER HOLES AND 3/8" THICK TOP PLATE e 02 SCH..AO PIPE STAND. WITH. T.W.O. - ..01./27 -ADJUSTER--HOLES- . ASESCO ABS PAD #503 -\ � STEEL FRAME i11-41- POURED IN PLACE 16x16x12 CONCRETE _ FOUNDATION INSTALLATION - _- LIGHT HEAVY -WEIGHT PLASTIC PAD INSTALLATION 36" MAX TO BOTTOM MULTI -WIDE UNITS OF PAD SIN --- 01/2"x 3" C.R. LOCK PIN WITH 01/8" BRIDGE LENGTH OF HOME 24 WIDTH Of HOME 26 28 40 UP TO 44' 8 8 8 12 41'-1 fo 66' 12 12 12 18 OVER 66' 16 16 16 27 GLB VIDE 1 LENGTH OF HOME -1 p WIDTH OF HOME 12 14 16 UP TO 44' 6 6 6 6 14 8 8 B OVER 66' 10 10 10 1D PIN NUMBER OF TUf-1 REQUIRED NUMBER OF TUT -1 REQUIRED NOTE: SINGLE WIDE UNITS REQUIRE (4) E -Z TIE PADS. GUS GUARD TUF-1 PIERS ARE TO BE PLACED AT APPROXIMATELY EQUAL INTERVALS ALONG EACH FRAME RAIL. ►. .. .� STATE APPROVAL.. �� r •� F-- 'h lL,t 17918 � EX 1.`?�2S" OF TUF-1 PERMANENT FOUNDATION SYSTEM WAYN£ T. POLVADO, PE -LISTING NO. F94249 SHEET 3 of 3 14 z g •a A b € O a 0 '1 cc b qo� o e U '9' 0 rA ! �e WAYN£ T. POLVADO, PE -LISTING NO. F94249 SHEET 3 of 3 REJIDENTIAL 065-190-�08-----� PERMIT#96-0897 WOOD, Tate 6567 Tall Pines Dr., Magalia Cont; Wendell Sorenson New Pri Det Garage 12 JOB FINALED (Date C - Signature 729 V=OK O = Not OK NotApplicable t Ready NoMOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 1. Zoning Requirements - Setbacks - Easements 6. Carports; Windows -D rs 2. Soils; Special MH Support Sketch I 7. Electric L !LS 3. Sewer; Location -Test -Fall -C/O -Concrete 8. Frrng.; Sils-Anchors-Stud ftrs-Trusses 4. Water, Location -Test -Easement Needed (Sketch) 9. Siding; Nailing -Veneer -Stucco -Mesh 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 10. Roof; Shth-Roofin 9 9 6. Gas; Location -Test -Wrap; / P'L'ft. / /Nat. or/ /"L"ft./ /LPG 11. Ext.; Steps -Doors -Landings 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date . Card B-1 Date Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 2. Soils; Compaction -Structure Stability 1. Zoning Requirements -Setbacks Easements 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 2. Footings; Size -Spacing -Marriage Line 4. Elec.; Receptacles and Lighting, Distance-GFI 3. Gas; MH Test -Demand Valve -Connector 5. Elec.; Pool Lighting; 15 Volts-GFl 4. Electricity; MH Test -Crossovers -Breakers -Clearances 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 5. Drain; MH Test -Fall -Flex Connector 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 6. Water; MH Test -Regulator -Connector 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 7. Water and Sewer Connected -C/O to Grade -HD Approval 9. Health Department Approval 8. Gas and Electricity Tagged 10. Plumb.; Cir. Test -Water Supply Test 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert of Occupancy Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-RFas.-Connectors Shthg: Rfg: Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -D rs 7. Electric L !LS 8. Frrng.; Sils-Anchors-Stud ftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shth-Roofin 9 9 11. Ext.; Steps -Doors -Landings Date Card B-1 Date . Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFl 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 V OK O = Not OK = Not Applicable Not Ready RESIDENTIAL (Single ' = Date +UNDE OR (Plans) OK except If's o g -Setbacks -Easements -Flood -Slope & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 0 -fig., Main;'Soils-Elec. Grnd.-/ /" Ftg. Depth ----- 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" IF, Depth ------- '4. Ft.g'., Porches & Decks; Soils -Steel-/ /Ftg: Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except u's 16. Water Htr.: Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection -------------------- 18. D.W.V : Test -Fittings & Anchor -Nail Protection ---------------------------------------------- --- --- 19. Shower Pan: Test. First Floor -Tub Access -------- ------------------------------- -------- -- - - - - - - -- -- - - 20. -Test -Tub & Shower. Second Floor -Tub Access -- ------------------------------------------ 21. Gas Pipe_Size & Anchors ------------------------------- ------ -------------------------------------------------------------------------- Date Card B-1 Date Card B-1 ------- ------------ ----------------------- ---------------- ------ Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except a'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 wrMech. Fastners-Bond Gas & Water ----------------------------------- - _..... - 27. 2 Appliance,Circuts in Kitchen & Conductor SizerGFI ------------------------------------------------------------------ - 28. Subfeed Wire Sizer ga. Cu or AI-A.C. Wire Size - r ga. Cu or At 29. Range Circ. r ' ga. Cu or AI -Oven Circ. r r ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No ---------------------------------------------. .. 30. Service -Riser Conductors & Ground -Main Disconnect ----......---- . ---- .......... ....... .. 31. Equip. Clearances Panels-Motors-Mech. Equip. ------------ - ----- ----------- - --.._. ....... ....... .. 32. Clothes Closet Light -Shower Light -Spa Light --- - - - -- -- - - ---------- - ---................... 33. Smoke Detector --------------_.--------._.... ......................... __.... ....... ....... .. Date Card B-1 Date Card B-1 - ------------ - - - --- - ----------- ------------_..... ... .. ... ... -.. .. Date Card B-1 Date Card B-1 Date MECHANICAL.(Permit) OK except # s 34. A.C. Ducts Insulation & Support -------------- ....-- . ------ ................................ ... ... .. ._.. .. 35. Vent Fan: Exhaust above insulation ---------------­-------------........ ............... ._ ... ... 36. Condensate Drain & Overflow: Size & Grade ------ ------ .. ........... ............... 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet .............. ... - --.. _ ... ..- .. 38 Attic Access & Platform it Furnance in Attic ------ --- - .. ... ....... . .. ........ Date Card B-1 Date Card B-1 - - .... ..... . Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except 4's 39. SUs. 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-Staus-Chases-Tub --------------... .. ..... ................ -..._ .. ._ .. 44. Headers & Beam -Size & Bearing 46. Cing. Joist-Rftr. ties- Purlin-roof Brac-Truss-Shth 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles ------------------ - 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing ------------------------------------ 51. Property Line Firewall & Openings _ 52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits -------------- -------------- --------------------------- 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection -------------- 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers ------------------- 55.Siding-Nailing Veneer _ ______ 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 5a. Shear Walls: Nailin Bolts ---------------------------------- 59. -Insulation -Wal Is-Cei Ii ngs ------------------ ------ 60. Infiltration -Walls -Windows ---- - - -- ------- ------------------- Date ------------------Date Card B-1 Date Card B-1 ------------ ----------------------- Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor-Ducts-Mech. Protection --------------------------------------------- - - -----------------------64. Bedroom Exiting 65. G.F.I & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel: Breaker Sizes & Labels .-- -------------------------- 67. Stairs & Rails 68. Fireplace or Stove: Clearances -Hearth - - -------------------------------- 69. Elec. Outlets at Wood Panel: Int. & Ext. ..... - - - - _ . ------------------ ------------ - --- - 70. Kit.Fixt. & Appliance: Grnd.-Air Ga 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. ---------------------------75. Plb.. Elec. & Mech. Equip. Listed for Location ..- - ------------------------ - 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection .. --- --------------------- --------------------------------- 7i. 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 --b-No: Walks ❑ Yes ❑ No: Planters ❑ Yes ❑ No -- ----­----------------------------------- 81. Stucco: Brown -Finish ....... .........------------------------ ---- -------- ------- 82. A C Unit: Disconnect. Electrical, Plumbing -- --- --- --- ----------------------------------------- ----- 83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings ........ 1- - . _ .. ----------------------------- ------- 84 Water Well: Disconnect. Electrical, Plumbing . .....----------------------- ------------- - 85 Exterior Elec. Trim: G.F.I. Receptacle -Underground - - ------------------------------ 86 Ventilation Throughout Hcuse --------- --------------------------------- ---------- - - 87 Glass Protection - - --------- ------------ 88. Corrections from Previous Inspections - -- - -------------- 89 Gas Gas Test -Meters Tagged: Gas -Electric .. _ .. _ .._...._.------------------------------------ 90 Water & Sewer Connected -C/O to Grade -HD Approval . - - - -------------------------------------------- -- 91 Energy Compliance Certificate -Other Certificates ---- - --_...-------------------------------------- Date Card B-1 Date Card B-1 .. .. .. ... ... ... _ ....... . ....----------------- ------------ --------------- Date Card B-1 Cate Card B-1 Date Card B -I Date Card B-1 Comments at Final: J I— I 1,5S6,5 r COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION -' 7 .County Center Drive - Oroville, California 95965 - Telephone (916) 538-754PERMIT NO. APPLICATION AND PERMIT LZ ASSESSOR PARCEL NUMBER 065-190-089 ., ZONINf`I BUILDING PERMIT OWNER TATE WOOD TELEPHONE 873-4159 SO. FT. OCC. BUILDING VALUATION 768 U 13,824, OWN 'S MAIUNG ADDRESS 56 7 TALL PINES DR., MAGALIA CONTRACTOR'S NAME WENDELL SORENSON TELEPHONE 873-1858 CONTRACTORS MAIUNG ADDRESS PO BOX 4209 14AGALIA Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 153.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 99.45 Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 6567 TALL PINES TIT, MAGALIA PERMITTEE $ 272.45 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other PRI DET GARAGE SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New KK Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: — Mobile Home S I G W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20.'00 Main Service ( e0ov 200A OR LESS OR LESS ) 23.00 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is fu I fo c and effect. /J (� License Class �) Lic. No.yO OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. OR ADONS. ( s ACC. ) SD, 3.Stt Fr. 96 90 NEW CONST. MULTI.OUTLEUTLE T NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 8 SINGLE OUTLET s Ex. Occup. (ourLEr OR FIXTURES ) 20 Q 1.00 BAL so Ex. Occup. ( OUTLETS FIXED (RESID.)EA ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ 9.90 Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers�co_m�ensation in urance carrier and policy number are: Carrier Policy Number JAJ (p 5 — n -z (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall with comply with ose provisi • s. _ Date *ignaturef Applicant - ❑ Owner Contractor ❑ Agent An OSHA permit is required for excava ions over 50" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL F $ 342.35 HAZ. D I F0,15CDF PARCEL This permit is hereby issued under the in the Butte County Code and/or indicated above fZwhifees have BY PERMITEXPIRESONReceiptNo. applicable provisions Resolutions to do work en paid. a ' (D eJ 195239/315.45G WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 0 t 3Z 0 oo 0 APPROVED satt�— J i Date \a w I Ss�Ttattl �. . J J (1 'I 9 � r � r . LL- :PINES - - ---- - ����?_.�r-.--_---- krCERI,�oa►v� -- COUNT-YOF BUTTE - DEPARTMENT ORDEVELOPM ENT SERVICES - BUILDING DIVISION r. 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 OWNER VL/ Proposed Building Use_ PERMIT APPLICATION DATA SHEET a L Building Inspector � P. d*S-- /90 -09' Date -2 5- R At time of perit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ............................ ............... 2. Plot plans, 3/4 sets, signed by preparer of plans . ......................... . 3. Complete plans, 3/4 sets, signed by preparer of plans . ..................... . 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ...... ...:.. . 5. Hazardous Material Form . ........................................... . 6. Energy Design Compliance and supporting documentation . ................. . 7. Statement of Intent for Non -Heated and A/C Buildings. . L 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 6-16191, Mobilehome data a anu rer's installation instructions, 2 sets. ........... Feesof $ o t ....................................... . 11. Impact fees as shown on attache �bedule. . . California Department of Forestry(pta..[��approv / elr %¢ lFlood elevation letter (100 year flood) by Californ' n ineer. ................. . Sanitation and plot plan approval Health Department ............. City of Chico plumbing permit . ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage . ........... . 19. Driveway permit (construction approval required prior to occupancy). ...F;,;­!��e�don req�- 20. Pre -inspection for required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... t 23. Owner -Builder Verification (Given to owner , Mail to owner ) ............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ -- 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . .......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When you issue the permit, process as follows: Mail to owner. Mai contractor. Telephone and hold for pickup at o )c Deliver with inspector. Other Parcel Creation ) , � Acreage Applican Date Copy of Haz-Mat form sent Health Dept. Fire DE(pt/ A!ir/14ollution Date Copy of plans sent Health Dept. Fire Dept. _Other Date By The following data must be submitted prior to e. suaricent�v . new item not checked above). 1. Index permit for above items No. f 2. Additional items required: s— G0.A19 Contractor, designer, owner, was advised of above required data by one _ mail Counter b ate Contractor, designer, owner, was advised of above required data by _ phone —mail Cou er by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department De of Public Works 9 /' P TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance I.M. USE ONLY Plod Plan Attached v_ _ Flour Ilan Aluched sent to 0 ncl s gr7 A Owner /Location AP# Plan Approved for: Sewage Disposal ✓ Water Supply: Public Private Well Clearance for �� bedroom mobile home. Othcr a t ,1P; 3,� rnuPu inial out. Final clearance O.K. for: NOTE: Environmental Healt ' eciahst 8/92 Date COUNTY OF BUTTE ' BUILDING DIVISION DEPARTMENT OF. DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 -7-County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE We OWNER PERMIT A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. -:Pi.0-4e P7 ( Date C Inspector j— REV 10/9 K; f PERMIT NO. 2792-77P,E PERMIT EXPIRES // a- OWNER Lester Garlinghouse' CONTR.- Fuller & Powers Const., Magalia LOCATION (A.P. 65-19-78 port. 52 Deerwood; lot 455A Firhaven Sub, Magalia r. r A i �. f� u j Temp. Power Pole ! Called PG&E Temp. Elec. Serv.�--r Called PG&E to Temp. Gas Serv. Called PG&E • JOB FINALED (Date) (Signature) y .. f 9. Electrical A Is service Large enoitgl. to provide adequate amperage to mobilehome (must equal rating of mobi_lehocne ,jith :a ::;inu::um of 100 amp). and other facilities on lot, i.e., waiter pumps, garage, cabana, ctc.`l Yes ,,/No B. is ther--� proper clearances around panels? Yes v' No_ C. Is power supply cord or feeder assembly properly fused? 'Yes.No_ D. •Is continuity test satisfactory as per the following procedure? .Yes, /No- 1. De-energize electrical wiring, system o.f the mobilehome at'the pedestal 2. Make sure: that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers And switches in the mobilehome .to the "on" position. 4. Connect one l.:ad of a test instrument to the mobilehome grounding conductor and p- , y , apply ttie �1 A-AAhL' .L l':a�1 t o each TlIOU 1.lCllol - 'll 71 cUr1UUl: tot , incl iiu trig YLe�.a i.r3i , 5. All nor. -current, carrying metal parts of the mobilehome (aluminum siding, gas line, pater line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completicn of: the above procedure, the power supply cord or feeder assembly conductors shall. be connected to the site service equipment. A further continuity te:;L shall then be made between lk-.he grounding electrode and the chassis of the riobileltome. Upon satisfactory completion of the electrical tests, the lot or site service equipment Indy, be approved for energizing. Ts fob card signed by health Department for water and sanitation? 1.:., If everything (Aay, sign -off card and ta; services. MOBTLEiIWL DATA Manufacturer and/or'Namestyle Length Width Vehicle Serial No. State Identification No. ..dri i_ t Tonal Infoi-na lJ on or Comments: 2�, t -M0B1:i,_f'H0ME,' INSTALLATION INSPECTION CHECK LIST 1. Is the. mUblleh.omt:� located [J l.i/al required separation from lot lines and buildings and generally conform to plot plan? Yes V No_ ' '. Does the mobilehome have required clearances above ground? (Sec.5085) Yes 4/N o 3. Are footings and supports properly sized, spaced, and braced asp r approved plans? (Note possible varication at spring shackles.) (Sec. 5082 & 5083) Yes-[/ 4. Is the mobilehome level.? (Sec. 5088) Yes Y No_ 5. If mo 'e than a single unit, are crossover connections properly installed? (Sec. 5088) . Yes No 5. Water A. Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes No B. Test - Does water piping withstand working pressure or 50 lbs, air test? Yescallo C. Backflow - If coach is not State of California approved, does station have backflow device and pressure -relief valve? Yes No 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes "�No B. Does i.t have minimum k;" per foot slope and is it properly supported? Yes tXNo C:. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe? Yes No •y/ D. If coach is not State of California approved, does station have required trap and vent? Yes No 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as large as the mobilehome gas line inlet without reductions other than the mobilehome connector. Yes No B. Test OK as per following procedure? Yes_ No 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without drop. 4. Connect: gas meter to mobilehome with connector, turn. on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes No COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING ewall S111 Piping Pa ets 1 t Floor ` %MalBldg. Rest om Finish 2n Floor s Windo 3rd oor ll Siding To out Slab Roof SheaNhIno Water PIp1\9 Piers Roofing Sewer Garage Fdn. Vents Fixtures Footin s Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings v Prov. for physical handica ed Conformance of ex. structure v Appliances Gas Piping & Test Temp. Gas Slab A Final A Sanitation Patio . RE ACE Final Footincis Footing E Lf C T R I CA L Masonry Walls Throat Rough Relnf. Steel Final Fixtures Bond Bea FIRE SPRINKLEAS Motors Framing Test Water Htr. Stucco Final Subpanels/ Mesh MECHANICAL Grd. Fa t Prot. Scralch Heati Servi B wn Co ng V T p. Pole nish D is nder round 1 erior Lath entilation Permanent. oor Closer Final inal MOBILEHOME UTILITIES --------- -------- Elec. Service --11 Elec. Pedestal 1 -✓/3 Water Piping — Sewer ;� - ; . Gas Piping E ME INSTALLATION ... - - - Support �/ f. 7 _ Elec. Continuity Water Piping —/ / — 71 Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLS, 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 numbers for the following location: P Owner Owner's Address Mobilehome Mfg. ��' �d�b_� J�®�r35 Model Year Insignia No. Serial No. L2, " 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 COUNT%(;F-tUT'TE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT O BUILDING VVV Owner Mailing Address e. SQ. iFT. OCC. BUILDING VALUATION J4 . COUNT%(;F-tUT'TE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT O authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. g c� X ^a- Dateo/— / Signature of Permiiip r Agent Receipt No. Xeao'z- /; White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been pai . DIRECTOR OF B IC WORKS ByDate 7—( Z 7,Z Building permit expires Date �� Z- —� BUILDING Owner Mailing Address e. SQ. iFT. OCC. BUILDING VALUATION Telephone No. Fireplace Contractor ��' Q,'/ o4'titi S �� S Total Valuation Mailing Address 41p �'. N9 ClC: t Permit Fee Plan Checking Fee &/or Penalty e • Telephone No. % ✓S— -7all l Permit Fee $ Building Address 5- PLUMBING No. @ FEE PERMIT FILING FEE $3.00 y ��7 L Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. Zoning $ Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 es i Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking P ns Parcel' Declaration Parcel Ma P 60R/W Im Prove ents Lawn sprinkler system 2.00 BI 9. Plons Rec'd Parcel A proval ons Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 W-I1imMain 600V OR LESS service 100 AMP OR LESS 5.00 ` v , Pp0 Main service EA. ADD'L 100 AMP 2.50 _ Single Family ❑ Duplex ❑ Mobil Home E5 ---Others ❑ OV Main service 1100EAMP0OR LESS 25.00 Main service EA. ADD'L too AMP 1.00 NEW OR ADDNST ( ACCLBLDGS.LING CCUP. &) 2¢.sgft NEW CONSTR MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS) 2.50ea NEW C ON ST R ( POWER APPARATUS &) NON -RES,D, SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES) BAL@1¢ FIXED APPLNS. OR Ex. Occup.P• OUTLETS (RESID.) EA) 2•00 Temporary service 10.00 Mobile Home Facilities 15.00 License No Classification Misc. Wiring 6.25 ._t_, ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. e placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. i I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE 'PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. g c� X ^a- Dateo/— / Signature of Permiiip r Agent Receipt No. Xeao'z- /; White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been pai . DIRECTOR OF B IC WORKS ByDate 7—( Z 7,Z Building permit expires Date �� Z- —� T Wd sHaoM 1, ,1d9S1 - �•1sJ)Y ay iMiYl1�� y -a T Wd sHaoM 1, ,1d9S1 - �•1sJ)Y ay iMiYl1�� y COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WO KS 7 County Center Drive — Orovilie, California 95965 00 Telephone: 534-4541 APPLICATION AND PERMIT .ULl"Iicc [uIJ CIIIQIIVU. UI ule Uunry UI nucre w enrer upun the above -menti a property for i sp ction purposes. �j nr� X . Date -a — / Signature of`Permitee or Agent Receipt No. � (a 1 % k-4.White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of, the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF BLIC WORKS By Date 7 —,?- 7 % Building permit expires Date 7 ��7 BUILDING Owner Lester Garlinghouse SQ. FT. OCC. BUILDING VALUATION Mai I Ing Address Telephone No. Fireplace Contractor Fuller & Powers Construction Total Valuation Mailing Address P.O. BOX 509 Magalia, Ca 95954 Permit Fee Plan Checking Fee &/or Penalty - Telg�hape�'a668 Permit Fee $ $ Building Addr SsZFirhaven Lot #455h Deerwood PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Zoning Verification Onl Each gas water heater or vent 1.50 e� A. P. No. G15' % *r 1/2 Ac Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fae'� W -C. S i io Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel60' Declaration arc a P R/W Im r p o ments Lawn sprinkler system 2.00 B U s ec'd P k, -c-. l Approval Plans Approval Permit Fee $ V3 — $ NEW P9 ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE X $3.00 3— Main service 100 V OR LEAMP ORSLESS 5.00 Main service EA. ADD'L 100 AMP X 2.50 SP Single Family ❑ Duplex ❑ Mobil Home ® Others ❑ Main service OVER 00 AMP OR LESS 25.00 Main service EA. ADD -L. 100 AMP 1.00 NEW CONST. OR ADONS. ( ACCLBLOGS.LING CCUP, &) 22syft . NEW CONSTR. MULTI -OUTLET NON.RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS & NON-RESID. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name St le of: y Fuller & Powers Construction Ex. Occup(OUTLETS OR FIXTURES)@�Q BAL@1 Ex. Occu FIXED APPLNS. OR P•(OUTLETS (RESID,) EA) 2.00 Temporary service 10.00 P.O. BOX. 509 Magalia, Ca 95954 Mobile Home Facilities 15.00 License No. 321628 Classification A Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ S $ S WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. - MECHANICAL No. @ I FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the aboveS information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby LL-1`2TOTAL PERMIT FEE $ .ULl"Iicc [uIJ CIIIQIIVU. UI ule Uunry UI nucre w enrer upun the above -menti a property for i sp ction purposes. �j nr� X . Date -a — / Signature of`Permitee or Agent Receipt No. � (a 1 % k-4.White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of, the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF BLIC WORKS By Date 7 —,?- 7 % Building permit expires Date 7 ��7 1. Owner's name: BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 Connty,Center Drive, Oroville, CA. PHONE: 534-4541 MOB ILEHOME INSTALLATION SHEET .2. Installer's name:`,0_0,cf/ 3. Is the site currently under permit? Yes / / No (If yes, furnish permit number `7 7 � [ ) OR .9P Is the site an existing site? Yes,/ / No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes./ a No (If no, clarify ' ) 5. What is the mobilehome electrical rating? ----------------------- ® Amps 6. What is the mobilehome site service rating? ------------------ mps 7. What is the mobilehome site circuit breaker rating? ------------- 00 Amps :Sr 8. Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------- Yes / / No (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------=------------ 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.j 12. What is;the mobilehome gas demand? ------------------- --------- (B) .1_(Thisjnformation not required if pipe length less than 6 ft. on natural gas or less than 50'ft. on LPG.) i MOBILEHOME SUPPORT DATA Mobilehome Mfr. Setup Model No. .9 b`�� a5 Year Width (ft.) Length (ft.) Expando Size <X. ft. (Draw sup ort 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). Center Support Locations ZA.Cfb . �( Center Support Footing Sizes in.)� 30, �in.) (iri:� (ft) (in) in-." -(,in.) '.�X.3.®.i (in.)(in.) f, x3vl = t. in.) rin:�'(in:) (f {.2LIx3 (in.) (in.)Ir a: -- e - D. Footings (check one) /�T._Wood either pressure treated or fdn. grade. 2. Concrete pad. 3. Other, specify Supports (check one) /"t-T—.Concrete block 2. Concrete piers 3. Steel piers / 74. Other, specify — - - - *If center piers are other than drawn above, draw in locations, spacing, and dimensions. Tical Support x�J� Footing Size in rl-r + ) i f.. C / Max. Pier - 6 Spacing t.) (in.) I.7 ®Max. Overhang _._(ft -.l in.) BUTTE COUNTY BUILDING DEPARTMENT APPROVED GARLVNG1-IDUSE.-, WF -R 3 - C-CNSIR UCT.1Q , Ic t- 0C 75y _ F'IRN�\vEN 1LOT y55 A P. 6s I9' 7e P .F.? ,A1' .iota; ials & Z crrkmo11if•ip Shall Be�fhis .set. of plShn ....r ih kept on the job at all times and it is unla l'. r c with i?�cognisecl Croar! t��acriCes and p � �• ,�. rnAe an than ,.or altera,rons on sarne w4 far the Spea,'fied use in i60 , y g ?',a.', g. PNuwn;nc u_Mechanical Cores T •_�.�.�_ ,1�1 rvritton bermission from. Iht- D_eoartment al' #���I! ` .,�.`�„si' .. �'e t�►c! iiGj`�i to JO _ _ liL• Grl(S, C01ir:ty C 1J 11 4f.a . j I All 0,%i connaciions shall b ) l0ccvd vi;,, in 4 ft.. outside the reca Wird su itt3,r' cif the mobile horn) ftadj side of the mn6il ^�:.. LU J � 01 to be i �i,.Vl1t�0 l.�a�1::w: I rin ¢Seftfiv S (t— T. quitem�rli:-�-I C1 Cif .14 The 4-44,,. SetbiZ shall be 5 ft. from► '9he r• a ,��� COUNTY-OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive Oroville, CA 95965: 534-4266 July 22, 1977 Mr, & . Mrs. Lester Garlinghouse Re: fi�' 65-19-89 P.O. Lox 850 .Paradise, CA. 95969 Dear Mr. & 1--irs. Garlinghouse: Enclosed please find a copy of the. Certificate of Compliance issued by the Butte County Subdivision Violation Comm. , which was. recorded on July 19, 1977 , in Book 2192 Page 529 , in the Office of the Butte County Recorder.. Should you have any questions regarding this matter, please contact this office. Very truly. yours,. Clay Castleberry Director of.Public Works. Original signed by McLaren Parker McLaren .Parker Assistant Director MP/db Erc cc: Planning Dept. Hea th Dept. lding Dept. RETURN TO: Public Works OFFICIAL RECQRCs Land.Development Section QU7rz rr�NTY_(7 0 IF. Pus►..1 , JUL 19 244 PH 1911 CERTIFICATE OF COMPLIANCE LCU: Sr _ COUNTY PEC0rRDk R 'Vo' Issued to: Lester and Diane.Garlinghouse FEE P.O. Box 850. . Paradise® CA 95969 This.Certificate of Compliance is hereby issued by'-the County of-Butte to certify that the land division which created the'parcel of property identified below complies with the applicable provisions of the Subdivision Map Act and. of Chapter 20 of the Butte County Code. . 1: Property location: north side of , Deerwood Drive, 150 feet east of HoLawood, Magalia,. 2. Assessor's Parcel . Vumber: 65-19-89 Description: All that certain property located in the County of 'Butte, _State of California, more particularly described as follows: The South one.-.half-of lot 455 as shown on the Fir Haven Subdivision, in Book 21, at Page 35, of the Official. Records as filed in the Off ice of . the Butte County Recorders Issuance of this Certificate is conditional upon-the following conditions which have been imposed pursuant. to the Butte County Code Chapter 20-167 and Government Code, Section 66499.35 (b), to protect - the public health and public safety__- None 0 o C® County of Butte d\? v' Subdiviso Violation Commi'tteE a 1 4-I LAND OF NATURAL WEALTH AND BEAUTY. DEPARTMENT OF PUBLIC WORKS. CLAY CASTLEBERRY, Director 7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA 95965 Telephone; (916) 534.4681 H. W. McDON'ALD Deputy .Di rentor June 30, 1977 Lester and Diane Garlinghouse P.O. Boz 850 Paradise,, CA 95969 Dear Mr. and Mrs. Garlinghouse: Please be advised that -the Butte.County Subdivision Violation Committee approved a Certificate of Compliance for AP 65-19-78 with no condition,7. After the Certificate of Compliance.has been recorded, you will receive a copy. Sh-ould you have any questions regarding this matter, please contact this office. Very truly yours, Clay Castleberry Director of Public Works Original signed by McLaren Parker McLaren Parker Assistant Director Y—,D/ddb cc : Planning Dept. Health Dept. Building Dept. - 065 kl90.L 89, PERMIT#96- 1596 WOOD ;r ateov— .,'i 6 5 6 71') i,T�' 1 '1C'-Plln"e`os��," .Magala ir- - -Del6k.�-RepaiF/MH i 0 COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 -County Center Drive - Oroville, California 95965 - Telephone (916) 538-754 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 065-190-089 ZONING` RTi A BUILDING PERMIT OWNER -, j,'� TATE WOOD ,.873-4159' TELEPHONE SO. FT. OCC. BUILDING VALUATION We 2457 OWNER'S MAILING ADDRESS 6567 TAIL PINESMAGALIA 95954 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Ening Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 54.00 ARCHITECT OR ENGINEER UCENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 6567 TALL PINES MAGAL A PERMITFEE S 7 4.00 PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome Q Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: DECK REPAIR — EXISTING DECK Mobile Home I S I GI W 1 @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filing Fee 20:00 Main ServiceE00V OR LESS ( zOOA OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATIONOR I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License L w for the following reason: 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason -- NEW CONST. DWELLING OCCUR So. ADDNS. ( a ACC. BLDS. ) 3.50 FT. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 POWER APPARATUS (a SINGLE OUTLET CIR. ) Ex. Occup. (OUTLET OR FIXTURES ) 20 Q 1.00 BAL 0 .SO Ex. Occup. ( OUTLEEDTS (RESID.°ERA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure `for workers' compensation, as provided `for by section 3700 of the Labor Code, for the performance,of the -work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor' Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: r Cariier• - MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling, Hood 6.50 Ventilation PERMITFEE S Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation a j of one hundred dollars ($100) or less.) p-�I certify that in the performance of the work for which this permit is issued, I shall i not employ any person .in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisi ns of section 3700 of the Labor Code, I shall forthwith comply with those pro isiOns. X I�� Date _ / / /Ca _ Sig ature of Appl cant --1 Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ . Energy Inspection Fee r _. $ GCC CONST. TYPE TOTAL FEE $ 74.00 HAZ. D. FEES IMP FLOOD CDF CEL PD HO ISSW {/ This permit is hereby issued under me applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. B ( Date y r PERMITEXPIRESON "?/�F/ 7 �/ (Date) rr��,,� Receipt No. 1 o I S�J WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF'DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville:„Calikkrnia 95965 - Telephone (916) 538-754 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 065-190-089 ZONING RT1A BUILD64G PERMIT OWNER TATE WOOD TELEPHONE 873-4159 SO. FT. OCC. BUILDING VALUATION 3M.2457 OWNERS MAILING ADDRESS 6�67 TALL PINES KAGA A CONTRACTORS I OWNER TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION ENDER UNI(NOWN Total Valuation $ Fling Fee $ 20.00 LENDERS MAIUNG ADDRESS Permit Fee $ 54.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 6567 TALL PINES, MAGA IA PERMITFEE $ 74.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDNISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duplex O Mobilehome [A Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel O Utilities ❑ Installation O Other ❑ Describe Work: DECK REPAIR — EXISTING DECK Mobile Home I S I GI W 1 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20.'00 Main ServiceE00V OR ESS ( 200A OR ESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Lw for the following reason: �I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: O 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. O 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier NEW CONST. DWELLING OCCUR OR ADDNS. ( & ACC. BLDS. ) SO. 3.50 FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 WER (s SLING E OUrLETTUS C R. ) EX. Occup. ( OUTLET OR FIXTURES) 20 ® 1.00 BAL .SO Ex. Occup. ( OUFIXED TLETSPRESID.)EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensa - provisi n of section 3700 of the Labor Code, I shall fo with comply w- h t ose pro isi ns. Date / - l F ,6 _ Sig re of Appl cant P<—Owner ❑ Contractor O Agent An OSHA permit is required for excavations over 60” deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 74.00 HAZ. D. FEES IMP FLOOD CDF CEL PD HD tss This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. BY Date PERMITEXPIRESON (Date) rR7eceiptNo. Zo Ij b� D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT M C#A="4 ..._ ................ ....::: ::..... _... .....::.�:::.,:::r:::Y:::?•::�::'::,.:.;>.;...;:;:r}::jii}::.:ai;i;?.:{Siji;{nY: i.:�rigo::;j::w:)`>.:•:iY 97.%;ja�::•:$C.';.' y:Y...irvvnY:ii:' :..:..:.: .::•.�:.vv::OY:{!^:;:+:S:i:.v.•{:.wY:.v::.\`{fir:•:?{::.w:4 }}ii:!?v::::.� �:•./:ry . i J: 47. �i'b.M. . .: . .. . •�I /I! :::. �::::::.......... ::: %•Y: r.:•ii}i!:?i4 :;vY:vin.'nirC .Y k :.. Attention Property Owner. . An "owner -budder" building permit hat 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. 5. I personally plan to provide the major labor and materials for construction of the proposedro erty improvement : YES[�4 NO[ 1. I HAVEK� HAVE NOT[ ] signed an application for a building permit for the proposed work I have contracted with .the following person (firm) to provide the proposed construction: NAME: . ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NA11�: ADDRESS: CTlY: PHONE: CONTRACTOR'S LICENSE NO. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAItiIE ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY O SOCIAL SECURM NUMBER: (DATE: % ) �"- 91, NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER Dear Property Owner. An application for* a building permit has been submitted in your name listing yourself as the builder of property improvements specified_ For your protection. you should be aware that as "owner -builder" you are the responsible parry of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself; you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or subcontractors. then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tar withholding, federal social security taxes, workers compensation insurance disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance, 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors • is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street. Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned Sincerely, �! r Michael C. Vieira, C.B.O. Manager. Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. ON�R