HomeMy WebLinkAbout065-290-04179 65-29-41
Cecil omer
1195 Magalia Dr., lot 110, Sierra Del
Oro #1, Magalia
contr: Aiken & Fairbanks, Pardise
Permit #5351-79P E(util.,MH)
GAS 4105
SUPPORT STRUCTIURE REQ. AD
COMPACTION TEST REQ.
Ak�OM iz17 65-29-41
o tr : c i191an_Mobipe Homos, Para-. ""f
Permit #6117-79MHI
Issued /Q -S-- eo
- 5/$//dr %95- 29-41
conte: C. R. Park, Magalia y
Permit #33-80B(new pri.det.garage) ;Y "
65-29-41�
Permit#3127-80E(inst. el,
in .existing garage)cc
0651106-04 I . , : 03-07 5 ►
'D TING,_B
OB ,=
S.
x14811 A DR, MAGALI
..'Cont' SIERRA MI
`-ja I Iior
EXSITEPERM F ar
B06-231 1 065-290-041
MISCELLANEOUS Plumbing
INSTALL PROPANE TANK AND GAS
14811 MAGALIA DR
DARTING, BOB
i
i
k
V
79 65-29-41
Cecil omer
1195 Magalia Dr., lot 110, Sierra Del
Oro #1, Magalia
contr: Aiken & Fairbanks, Pardise
Permit #5351-79P E(util.,MH)
GAS 4105
SUPPORT STRUCTIURE REQ. AD
COMPACTION TEST REQ.
Ak�OM iz17 65-29-41
o tr : c i191an_Mobipe Homos, Para-. ""f
Permit #6117-79MHI
Issued /Q -S-- eo
- 5/$//dr %95- 29-41
conte: C. R. Park, Magalia y
Permit #33-80B(new pri.det.garage) ;Y "
65-29-41�
Permit#3127-80E(inst. el,
in .existing garage)cc
0651106-04 I . , : 03-07 5 ►
'D TING,_B
OB ,=
S.
x14811 A DR, MAGALI
..'Cont' SIERRA MI
`-ja I Iior
EXSITEPERM F ar
B06-231 1 065-290-041
MISCELLANEOUS Plumbing
INSTALL PROPANE TANK AND GAS
14811 MAGALIA DR
DARTING, BOB
.= BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #:(530) 538-7541 FAX#: (530) 538-2140
WEBSITE: www.buttecounty.net\dds
PROJECT INFORMATION
Site Address: 14811 MAGALIA DR
Owner:
Permit No: B06-2311
APN: 065-290-041
DARTING,
BOB
Issued Date: 09/27/2006 By KEJ
Permit type: MISCELLANEOUS
14811 MAGALIA DR
Subtype: Plumbing '
MAGALIA, CA 95954
Expiration Date: 09/22/2007
Description: INSTALL PROPANE TANK AND G,
Occupancy: Zoning: RT -1N
Contractor
Applicant:
Square Footage:
ARTIC AIRE OF CHICO INC
ARTIC AIRE OF CHICO INC
Building Garage Remdl/Addn
2350 PARK AVENUE
2350 PARK AVENUE
CHICO, CA 95928
CHICO, CA 95928
(530)895-3330
(530)895-3330
Other Porch/Patio Total
FEE INFORMATION
Gas System (enter outlets) $55.00
Total Charged: $55.00 Fees Paid: $55.00
Balance Due: $0.00 Receipt No: B290
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
ARTIC AIRE OF CHICO INC CSLB-234913 / C2 C20 I
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
(commencin 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 f and a
of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the
X
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects
the applicant to a civil of not more than five hundred dollars
09/27/2006
penalty [$500];
Please check one of the following:
Contra rs Signature Date
E]I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE
COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR
OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractors License
WORKERS' COMPENSATION DECLARATION
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
Law does not apply to an owner of the property, who builds or improves thereon, and who does
HAVE
the work himself or herself or through his or her own employees, provided that such improvements
❑I AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR
are not intended or offered for sale. If, however, the building or improvement is sold within one
WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the
year of completion, the owner -builder will have the burden of proof that he or she did not build or
performance of the work for which this permit is issued.
improve for the purpose of sale.).
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 Provessions Cade:
Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
My Workers' Compensation insurance carrier and policy number are;
�% yy / ��
The Contractors License Law dows not apply to an owner of the property who builds or improves
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the
Contractors License Law.).
Cartier g Policy Number.'/L_�CG���" Exp. Dale:
(This section need not be completed if the permit is for one hundred dollars ($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
09/27/2006
compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those
Owner's Signature Date
provisions.
X 09/27/2006
1 hereby certify that I have read this application and slate that the above information is correct. I agree
to comply with all City and County ordinances, rules, regulations, and State laws relating to building
Signet Date
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless
Butte County, its officers, agents and employees from any and all claims and liability for personal
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION,
injury, including death, and property damage caused arising out of, or in any way connected with
DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND
the issuance of this permit. I hereby acknowledge thatt is issuance of this permit does not authorize the
use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte
ATTORNEY'S FEES.
County to enter the above mentioned property for inspection purposes. I hereby certify that I am the
pro rty owner or am authorized to act on the property owners behalf.
q,(QGam,¢ 09/27/2006
CONSTRUCTION LENDING AGENCY
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for
N e of Permittee [ I Pri t Date
the performance of the work for which this permit is issued. (3097 civ. code)
❑ Owner 1:1 Contractor OR. Agent for Ownerent for Contractor
FILE COPY JJJJ�JJ����-----"''��������""""
Lenders Address City State Zip
BUTTE COUNTY
° DEPARTMENT OF DEVELOPMENT SERVICES
0. ,BUILDING PERMIT APPLICATION
° AND SUBMITTAL REQUIREMENTS
° 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834
° OFFICE #: (530) 538-7541
A FEE WILL BE REQ UIRED AT TIME OF APPLICATION
"PLEASE PRINT CLEARLY"
OWNER
Last Name Dat�(n
irst Name
' Q
Address 1q,611 Or.
City !MaoState /1,
lJ�
Zlp
Phone Fax
E-mail
-tea,
For office u e on
CONTRACTOR
Name
Flood Zone
Address
k ve. ,
City C
No
State
rp
Phone
5,
Fax
E-mail
r e. f 2
Lic. #
Class
-tea,
For office u e on
ARCHITECT/ENGINEER
Name
Flood Zone
Address
e.
City
No
State
Zip
Phone
?)c -
Fax
E-mail
r e. f 2
State License Number
-tea,
For office u e on
APPLICANT NAME
Name
Flood Zone
Address
e.
City
No
State CA a!pqcpA8-
Type Const
Phonea
?)c -
Fax
53D -202 -293D
E-mail
r e. f 2
-tea,
For office u e on
Zoning
Property Address
t -l$ I I
Flood Zone
Cross Street
SRA
I Yes
No
Occ.
Type Const
Subdivision Name Map
Book
Page
Lot #
Planner
Date Approved:
OVER FOR SUBMITTAL REQUIREMENTS
PERMIT
NO.
64-9�31)
BP
BIN #
LOCATION
AP#
Property Address
t -l$ I I
i
Cross Street
WORKER'S COMPENSATION
Policy Numb r
Carrier
r
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
Description or Scope of Work:
Sq. Footao
O Structure Built without Permits
O Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
permit and no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
refundable.
by:
Receipt
650�6
Dater 7 / 6
6
Amount;
SRA
Sheriff
SMIP
NOTES
f
i
VA
i
RESIDENTIAL
065-290-041 03-0755
PERMIT, DARTING, BOB-- - - - -- C
14811 MAGALIA DR, MAGALIA
Cont: SIERRA MHS
EX MH EX SITE PERM FNDN
t
A
THE HCD FORM 433A FOR THIS MH CANNOT BE
RECORDED UNTIL ONE OF THE FOLLOWING HAS
BEEN TURNED IN TO THE BUILDING DIVISION:
(1) LICENSE PLATE(S) OR DECAL (THE
INSPECTOR MUST RETREIVE).
(2) STATEMENT OF FACTS (ONLY ON NEW
MH' S).
INSPECTOR TO VERIFY SERIAL & LABEL #'S.
n
i
SPECIAL CONDITIONS
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
JOB FINALE ate)
Signature
CHECKED
BY
J=OK
0 = Not OK
= Not Applicable
. = Not Ready ,
RESIDENTIAL (Single & Duplex)
Date
UNDERFLOOR (Plans) OK except #'s
1. Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab, Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test
10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test
11. Water Pipe; Test -Anchors -Regulator -Service Test
12. Electric Underground
13. Plenums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
15. Access & Ventilation -
16. Insulation
Date
Card B-1 Date Card B-1
Date
Card B-1 Date r Card B-1
Date
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
17. Water Htr.; Vent -Access -Combustion Air Baffle
18. Water Pipe; Test & Anchor -Nail Protection
19. D.W.V.; Test Fittings & Anchor -Nail Protection
20. Shower Pan; Test, First Floor -Tub Access
21. Test Tub & Shower, Second Floor -Tub Access
22. Gas Pipe; Sixe & Anchors
23. Fire Sprinkler; Test
72. Elec. Outlets at Wood Panel, Int. & Ext.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
24. Fixture & Transformer Clearance -Ins. Protection
25. Elec. Receptacles Spacing -Lights & Switches at Doors
26. Size Boxes & No. of Conductors Stapled
27. Romex Installed Close to Edge of Studs & C.J.
28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
29. 2 Appliance Circuits in Kitchen & Conductor Size GFI
30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al
31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or All
Insulated Neutral ❑ Yes ❑ No
32. Service -Riser Conductors & Ground Main Disconnect
33. Equip. Clearances Panels-Motors-Mech. Equip.
34. Clothes Closet Light -Shower Light -Spa Light
35. Smoke Detector
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
36. A.C. Ducts Insulation & Support
37. Vent Fan, Exhaust above insulation
38. Condensate Drain & Overflow, Size & Grade
39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet
40. Attic Access & Platform if Furnace in Attic
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1 ,
Date
FRAMING (Permit) OK except #'s
41. Sills Proper Materials & Anchors
42. Walls Studs -Nailing Spacing & Braces -Plates -Sound
43. Bearing Walls over Girders & Floor Nailing
44. Draft Stop in Walls (rat proof)
45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
46. Headers & Beams -Size & Bearing
Date
FRAMING (Continued)
47. Hangers -Post Caps -Anchors -Connectors
48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng.
49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance
50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
52. Garage Fire Protection Framing -RC Channel
53. Property Line Firewall & Openings
54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
57. Siding -Nailing Veneer
58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
59. Glazing Area -Glass Protection -Skylights -Plastic
60. Shear Walls; Nailing -Bolts
61. Brace Interior/Exterior Wall Panels
62. Insulation -Walls -Ceilings
63. Infi Itration-Wal Is -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
64. Ext. Steps -Door & Sidelight Protection -Landings
65. Smoke Detector
66. Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
67. Bedroom Exiting
68. G.F.I. & Bath Fixtures & Tub Access -Spa
69. Elec. Trim & Subpanel, Breaker Sizes & Labels
70. Stairs & Rails
71. Fireplace or Stove, Clearance -Hearth
72. Elec. Outlets at Wood Panel, Int. & Ext.
73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
74. Elec. Outlets & Receptacles at Kit. Counter
75. Garage Fire Door; Swing -Landing -Closure
76. A.C. Duct in Garage -Damper
77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
78. Plb.; Elec. & Mech. Equip. Listed for Location
79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection
80. Insulation -Foam -Looked in Attic
81. Guard Rails & Deck Construction -Post Caps
82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
83. Following Instld./Drive O Yes ❑ No/Walks O Yes O No/Planters ❑ Yes O No
84. Stucco Brown -Finish
85. A.C. Unit Disconnect, Electrical -Plumbing
86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
87. Water Well, Disconnect, Electrical, Plumbing
88. Exterior Elec. Trim, G.F.I. Receptacle -Underground
89. Ventilation Throughout House
90. Glass Protection
91. Corrections from Previous Inspections
92. Gas Test -Meters Tagged, Gas -Electric
93. Water & Sewer Connected -C/0 to Grade -HD Approval
94. Energy Compliance Certificate -Other Certificates
95. Address Posted
96. Fire Sprinkler
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
= OK
= Not OK
= NoltReady6ble MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
2.
Soils; Special MH Support Sketch
Date
3.
Sewer; Location -Test -Fall -C/O -Concrete
Card B-1
4.
Water; Location -Test -Easement Needed (Sketch)
5.
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
6.
Gas; Location -Test -Wrap;-/ /" L'ft.
/ P Nat. or/ /" L "ft./ P LPG
Footings; Size -Spacing -Marriage Line
7. Well Clearance & Disconnect
8.
Utility Clearance
12. Braced Wall Panels
4.
Gas; MH Test -Demand -Valve
Card B-1 Date Card B-1
Date
Date
Electricity; MH Test
Card B-1 Date Card B-1
Date
6.
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
7.
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Size -Spacing -Marriage Line
3.
Gas; MH Test -Demand -Valve -Connector
Exits
4.
Electricity; MH Test -Crossovers -Breakers -Clearances
10.
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.
Date
10.
Exits; Insp.-Sketch
Card B-1
11.
Cert. of Occupancy
MISCELLANEOUS
Date
DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Date
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
Card B-1 Date
Card B-1
Date
4. Wood Awn.; Posts- Beams- Rftrs-Con nectors
Shthg-Frg-Bracing
Card B-1 Date
Card B-1
Date
PERMANENT END SYSTEM (ONLY)
7. Electric
1. Zoning Requirements -Setbacks -Easements
8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
2.
Footings; Size -Spacing -Marriage Line
10. Roof; Shthg-Roofing
3.
Blocking
12. Braced Wall Panels
4.
Gas; MH Test -Demand -Valve
Card B-1 Date Card B-1
Date
5.
Electricity; MH Test
POOLS (Plans) OK except #'s
6.
Water; MH Test
2. Soils; Compaction -Structure Stability
7.
Water and Sewer Connected
8.
Gas and Electricity Tagged
9.
Exits
10.
License Decals
11.
Verify #'s with Office
Date
Card B-1 Date
Card B-1
Date
Card B-1 Date
Card B-1
MISCELLANEOUS
Date
DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts- Beams- Rftrs-Con nectors
Shthg-Frg-Bracing
5. Alum. Awn.;.Columns-Connections-Splice-Decal-Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext:; Steps -Doors -Landings
12. Braced Wall Panels
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distance-GFI
5. Elec.; Pool Lighting; 15 Volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes -Enclosures- Panel boards- Ins. to Main Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
11. Light Niche
12. Enclosure; Fencing -Alarms
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
COUNTY OF BUTTE - DEPARTMENT CF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75PERMIT NO.
(ReV.12/96)1 APPLICATION AND PERMIT -, �.s�
ASSESSOR PARCEL NUMBER
065-290-041
ZONING
BUILDING PERMIT
OWNER
DAR
TELEPHONE
,
SO, Fr. OCC. BUILDING VALUATION
.OWNERS MAILI ADDRESS
14811 DOMUM MAGAT JA DE - MAGAT TA CA 10—M 54
UIHAPE
1440 777760
CONTRACTOR'S NAME
SIERM MH
E534-0599
CONTRACTORS MAILING ADDRESS
466 CTRCTR DRIVE, OROVILLE, CA Z966
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation is
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Permit Fee $
Plan Checkin Fee $
3.00
BUILDINGADDRESS 14811 MAGALIA DR
Energy Pian Checking Fee $
'
$
PERMIT FEE s
31325
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome RK 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)a
Describe Work: EX MR ON PERM ENT)
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home ISI GI W1
920.00
PERMIT FEE s
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service OOOV OR LESS
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.
License Class L(%a pro Lic. No. 6
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ 1, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ I am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO 1000A
46,00NEW
CONST. DWELLING OCCUR
OR ADDNS. ( s ACC. BIOS.
s0
3.5QFT:
Nlpµp�ID. MULTI -OUTLET
@7,50
POWER APPARATUS
8 SINGLE OUTLET CIR.
Ex. OCCU oun ET OR FIXTURES
B20 Q 1.00
Ex. Occup. DFlxurl�ris A pOEA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PRE_I NPSEMON
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.
0 ❑ 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 Zi:!Lt
Policy Number CO%
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith compl with those provisions.
_xv De 3117110,5
tSignature of Applicant - Owner ❑ Contractor ❑ Ageht
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $348 . 25
HAZ.
p, FEES
IMP
FLOOD
CDF
PARCEL pp HD
ISSU
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.
7 h
By D e
PERMIT EXPIRES ON �� o.D.S.-B.D.
Det,
rR7eceiptNo. 375713/363.25
CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
--075-5 y 4+ .:.+...taw-,.'va'`4z..,�.-!✓��
-5
' .'i COUNTY OF BUTTE-DEPARTMENT-OF16EVELOPMENT SERVICES -BUILDING DIVISION
'r i 7 County Center Drive, Oroville, CA' 95965 Phone (530)538-7541 Fax (530)538-2140
PERMIT APPLICATION DATA SHEET
OWNER:a - ASSf SSOR PARCEL NUMBER
Proposed Building Use: vyl 1/101, Counter Technician: C��v Date:
Items required in order to applykiby a permit. All boxes MUST be checked OR marked NA in or er to apply.
7" 1.. Plot plans, 3 or 4 sets, signedy the preparer of the plans.
❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans.
V3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed'calculations.
❑ 4. Engineered truss details and layouts in duplicate. No faxes!
❑ 5. Energy compliance design and supporting documentation in duplicate.
❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or
foundation plans, all in duplicate../
❑ 7. 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 Foran filled out by the owner ..................................... i•,,
❑ 12. Hazardous Material Form...............................................................................
❑ 13. Other a
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 .............................................
0 16. Sanitation and plot plan approval from the Environmental Health Department in
❑ 17. City of Chico Plumbing permit..........................................................................
❑ 18. California Department of Forestry plan approval ❑ paid. Sent. by: ......................
❑ 19. Planning approval for (A) Use: (B)Parking: . (C) Parcel Check:
❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ...............................
1. Encroachment Permit for driveway from the P blic W rks Dept. (construction approval prior to occupancy). t
re -Inspection for (h 74 !? -!m. ". required ................ _ ,:.,., <-�'.•' ' "
,c
23. Contractor's license informati n. (Number, me Style, Classification) ......................
❑ 24. Worker's Compensation Carrier and Policy Number ..............:..............................
❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) .....................
❑ 26. Letter of Signature authorization....................................................................
❑ 27. Recorded copy of Agricultural Acknowledgment Statement ....................................
❑ 28. Manufactured home utility clearance...............................................................
❑ 29. Exi ting violations and/or expired permits..........................:................�. . .
❑ 30. irant Deed, ❑ M.H. Title/Statement of Facts, ❑Letter from Legal Owner,..
wner.. iteck to H.C.D.
❑ 31. Other: r •
When issued Telephone 3 and hold for pickup.
I have been informed of the above items and requirements for obtaining a building permit. �ae 4-1 ou r� i" -f e•`
. / 5.44-,- ) CAb&A-rC :�
.Wicant: Oat: 7,� i I G 3 o twl OL.O .-k- -C
rGn'►'►L� -�'"'"�/ prilr '�'D
1. Index permit application for the above items numbered: .,�Pla Check Letter,_
2. Additional items required ASW a/ ea �¢Ol
on ac o designer, owner, was advised cf the above data by phone, ❑ mail, Q'cotmt r, by Date:
Contrac or, designer, owner, was advised of the ab ve qata by O phone, ❑ mail, C?'counter, b Date: -
Plans reviewed by: PAI Date: 3 eR/ D9 h "Plans approvred`by Date:
Structural reviewed by: Date: Structural approved by: Date:
Note transfer by: Date: ;
Yellow: Building Division �%.
•r ISI � I I MF1G-Fi i. � A V 1�
3 MN `G A K i F CA �jS` 9SV
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VECTOR DYNAMICS
FOUNDATION SYSTEM
WIND ZONE 7 & 2
INSTALLATION INSTRUCTIONS
For the State of California
INDEX
SECTION
INTRODUCTION
PIER HEIGHTS
GENERAL INSTALLATION
SET-UP INSTRUCTIONS
METAL PIER & V -DRIVE
PARTS LIST
CONCRETE INSTALLATION
SCHEMATICS
WIND ZONE I - SINGLE
PAGE
NUMBER
2
4
5 & 5a
6
7, 7A, 7B & 7C
8&9
SECTION 10
- SINGLE V -DRIVE
11
- METAL PIER
12
- DOUBLE SECTION
13
-!RIP—LE SECTION
14
WIND ZONE II - SINGEE`SECTION
15
- DOUBLE SECTION
16
- TRIPLE SECTION
17
SOIL CLASSIFICATION
18
COMPONENT PARTS AVAILABLE UPON REQUEST
Foundation
It -0
UJUM DEPARTMEW
APPR`O'►ED
Release Date 8/13/2001
Engineer Approval
n 20a
1 AA
JAI
date a p r�i�t -
SUBJECT TO CORn-ECT IONS NOTED
APPROVAL DOES NOT AUTHORM. OR APPROVE ANY
OMISSIONS OR DEVIATION FROM REQUIREMENTS OF
APPLICABLE STATE LAWS AND REGULATIJ::S
State of CaUbmia
Department of Housing and Community Develepment
D F CODES AND STANDARDS
By f / Dau 9" 0
'xo. 1391- r
Plan oval Expos q— 1 0-0-3
For Further Information I
TIE DOWN ENGINEERING
5901 Wheaton Drive
Atlanta, GA 30336
404-3440000
FAX 404-349-0401 '
www.tiedown.com
lie Down Engineering, Inc.
VECTOR DYNAMICS INSTALLATION INSTRUCTIONS
Introduction
These instructions describe the proper use of the Vector, Dynamics Foundation System in Wind Zones 1 & 2. Additional
installation instruction is available in VHS video, from manufactured housing distributors or from Tie Down Engineering, titled, Vector Dynamics Installation
Video.
The Vector Dynamics foundation system supports the home by anchoring the two longitudinal main rails. The system is approved in Wind Zone I & II &
III areas of the Manufactured Home Construction and Safety Standards and Wind Standards; Final Rule 24CFR part 3280 for both single and multi sec-
tion homes. Instructions for Class 5, Sub Soil Conditions, (Wind Zone I & II), are available through local distributors of Vector Dynamics or directly from
Tie Down Engineering.
eneral
The Vector Dynamics Foundation System provides the support to resist lateral and over -turning movement of the home as required by the Federal
Manufactured Home Construction and Safety Standards in Wind Zones I & II when the system is used as described in these instructions. SeP manufac-
tures Home Installation Manual for other pier & anchoring requirements The following characteristics apply to both single and multi section homes:
• Main rail minimum spacing of 86 inches or greater.
• Nominal 8 foot or less top plate height at side walls.
• Main rail depth of 12 inches or less.
• Maximum roof slope of 20 degrees (4.4 in. in 12 in.)
• Maximum pier height under main rail of 56 inches (see page 3).
WIND ZONE 1
• Maximum single section home width is 16 feet including eaves; maximum eave width of 12 inches on each longitudinal side of home.
• Maximum double section home width is 36 feet including eaves; maximum eave width of 12 inches on each longitudinal side of home.
• Maximum triple section home width is 48 feet including eaves; maximum eave width of 12 inches on each longitudinal side of home.
WIND ZONE 11
• Maximum single section home width is 15 ft. including eaves, maximum eave width is 6" per side.
• Maximum single section home width of 16 ft. including eaves must use two additional vertical ties/
anchors/stabilizer plates (one per side) as listed in the charts on page 15.
• Maximum double section home width including eaves 32 ft., maximum 12" eaves per side
• Maximum triple section home width including eaves 48 ft., maximum 12" eaves per side
The Vector Dynamics Foundation Systems may be used as a part of the vertical or gravity support system considering that each set of Vector Dynamic
pad (s) has two (2) or three (3) square feet bearing area. Piers not used as part of the Vector system shall be located and constructed in accordance with
the home installation instructions and/or state standards.
To inquire about the use of the Vector Dynamics Foundation Systems with homes of four or more sections or on homes requiring pier heights greater than
56 inches which are not included in these instructions, contact Tie Down Engineering, Inc. at 800-241-1806.
The Vector Dynamics Foundation Systems may be used on homes which require pier heights not to exceed 56 inches under one or both main rail(s). See
page 3. Note that a ground anchor is used at each Vector system location in Wind Zones II & III. The use of interlocked double stacks of concrete blocks
may be required by the home manufacturer or the state. Check with the most recent regulations in California.
The Vector Dynamics Foundation System has not been designed for use on exposure "D" homes. Exposure "D" homes are homes located within 1500
feet of the coastline.
Additional vertical anchor ties that are unique to a home's design may be required by the home manufacturer. These locations include shear walls, mar-
riage line ridge beam support posts, end frame ties and rim plates. The term end frame ties refers to the longitudinal ties that are attached to a home to
resist wind load on the end walls. If longitudinal ties are required by the home installation instructions or other state standards, these longitudinal ties must
be installed and connected to anchors that are independent of other ties and anchors. See separate instructions for the use of Vector Dynamics with Tie
Down's Longitudinal Stabilization Device. The term rim plates refers to the factory brackets fastened onto the perimeter joist or specified as a location for
vertical ties.
c
Page 2 California /2001
56 i
ma
Figure
Maximum Pier Height (Wind Zones I & II only)
The Vector Dynamics Foundation System may be used on homes which require pier heights not to exceed 56 inches
under one or both main rail(s). Note that a ground anchor must be used at each side of a Vector system location
in Wind Zone II, and where the pier heights exceed 24 inches on a single section home in Wind Zone 1. Piers
must be constructed in accordance with the manufacturer's installation instructions and/or state requirements.
The use of interlocked double stacks of concrete blocks may be required by the home manufacturer or state. Check
with the most recent regulations in your state.
56 i
ma:
Unequal Pier Heights ( Wind Zones I & II only) r'yura c
6 in.
lax.
Vector Dynamics may be used on homes with unequal pier heights of 56" or less under one or both main rails.
The difference between the taller pier and the shorter pier cannot exceed 26". Note that a ground anchor must be
used at each side of a Vector system installation in Wind Zone I and where either of the pier heights in that location
exceeds 24 inches on a single section home in Wind Zone I. Only concrete blocks and pressure treated lumber
compression members are permitted on unequal pier heights using the Vector system. Piers must be constructed
in accordance with themanufacturer's installation instructions and/or state requirements. The use of interlocked
double stacks of concrete blocks may be required by the home manufacturer or state. Check with the most recent
regulations in your state.
Californiallll/2001
Page 3
GENERAL INSTALLATION INSTRUCTIONS
SITE PREPARATION
It is necessary that the home site be properly graded and sloped to prevent water and moisture from standing or
flowing beneath the home. See manufacturer's home installation manual and state requirements for grading
and other site preparation.
FOOTINGS AND FROST LINES
The Vector Dynamics Foundation System can be placed directly on top of the ground after clearing all loose
vegetation. In areas where frost line/poured footers are required, the Vector system for concrete is used. See
pages 8&9.
FOUNDATION/FOOTING SPECIFICATIONS FOR VECTOR PADS
Vector Pads must be used in place of conventional foundation pads for each Vector foundation system. Each
(set of) Vector Pad(s) provides two or three square feet of pier bearing support. Vector Systems should be
spaced as evenly as possible along the length of the home, with one Vector system within two feet of each end
of the home. For pier locations in between the Vector Systems, use the foundation pads normally recommended
by the home manufacturer and/or state requirements. Pier heights in excess of 24 inches or when unequal must
follow instructions printed on page 3 of these instructions. Nominal 3-1/2 inch or 4 inch Schedule 40 PVC pipe
or TDE steel compression strut (#59043) may be used only when the pier heights are similar on fairly level
ground. Steel strut and PVC are not permitted when metal pier foundations are used. The adjustable galva-
nized steel compression strut, #59043, is attached to each inside pad with a 1/2" X 2-1/2" grade 5 carriage bolt
and can only be used with the swivel connector on strap. The grade 5 bolt attaches the swivel connector and
the steel strut to the pad. When the swivel connector is used with a wooden or pipe compressive member, the
vector diagonal connector should be part #59279 not #59276. After tightening the end grade 5 bolts, adjust-
ment bolt is installed through the two square steel compression struts to lock them in place. Foundation pad size
and pier spacing must be consistent with home manufacturers' instructions and/or state requirements.
LUMBER/MOISTURE - TERMITE SHIELD
To cut lumber (2 - 2x4's or 1 - 4x4 per Vector system) for the center compression section, when using con-
crete blocks for piers, measure center to center frame (I-beam) distance and subtract 16". When using METAL
PIER STANDS, measure center to center frame distance and add 16". 3-1/2" or 4" nominal schedule 40 PVC
pipe meeting ASTM D1784 or Tie Down's steel compression strut (#59043) may be substituted for lumber
as the center compression strut under certain conditions described above. Pipe adapter bracket, part #59281
must be used with PVC pipe simultaneously with the Inside Tie Brackets, part number 59276. The pipe adapter
bracket is used on top of the pipe and under the Inside Tie Bracket. In certain regions the optional Moisture
Termite Shield may be required between the lumber and ground.
ALL WOOD MUST BE PRESSURE TREATED, GROUND CONTACT RATED.
Tip: Pre-cut your lumber and mark as to brand or model of homes you will be installing. If frame widths
are the same, the pre-cut boards will also be the same length in each Vector set-up.
STRAP TENSION
All strapping must be tight upon assembly of the Vector system. Tests have beenr conducted with "hand tight-
ened " strap in the Vector system to remove the need for specific tension specifications. Hand tight is defined
as removing all slack with minimum of movement available when pressing on the strap. While subsequent tight-
ening of the straps is not required, straps should be checked after any strong wind conditions, just as conven-
tional anchor tie down straps should also be checked, to insure the maximum performance of the foundation
system. A minimum of two factory 1/4" spot welds must be used when straps are connected to the swivel con-
nectors with welds.
Page 4 California N001
Set -Up Instructions for the
Vector Dynamics Foundation System
#59007 (Kit #59007 is interchangeable with Kit #59018)
2. SET BLOCKS (OR PIERS) ON
.VECTOR FOUNDATION PADS
Center the foundation blocks over
the Vector pads. Place the pre-cut
4x4, 2x4's (side by side), Schedule
40 PVC (w/PVC adapter plate, part
#59281) or 1 adjustable TDE steel
compression member, (part
#59043) tightly between the blocks,
with ends resting on the Vector
pads, 'and centered on each
U -bolt.
3. OUTSIDE TENSION BRACKETS
Attach an Outside Tension Bracket
to the U -bolts on the outside of the
foundation blocks and Vector pads.
Place one of the short 6"- 2x4's
between the bracket and Vector
pad. Adjust the short 2x4 so that it
pushes against the foundation
blocks, removing any space
between the piers and center
compression section. Tighten the
3/8" bolts.
2 square foot
pad placement
or (1) 3 square
foot pad
4. INSIDE BRACKETS AND
STRAPS
Attach the Inside Tie Brackets to the
U -bolts over the pre-cut boards or
PVC. Attach a strap with hook to
each inside tie bracket. Tighten
bracket. When using looped strap and
a crimp seal, in place of the hook,
place a 3" long section of strap,
folded in half and inserted between
the strap and inside tie bracket. Place
other end of strap over the opposite (-
beam and continue down to outside
of the foundation blocks. Attach the
strap to the Outside Tension brackets
using the slotted bolt and nut
provided. Wind strap a minimum of
five times around the bolt. Continue
tightening the slotted bolt until all
slack has been removed and the
strap is tight.
5. SET ANCHORS
Refer to section home drawings for anchor installation information. Stabilizer plates are required for
diagonal ties only. Preload anchor against stabilizer plate. Make certain all slack is removed and strap is
tight. For single section homes in rocky soil conditions in Wind Zone 1 only (Soil Classifications 2 & 3
only), use minimum of 3 each V -Drive anchors per side. See drawing on page 6 for placement.
Page 5 California 001
Set -Up Instructions for
Vector System #59018
(Kit #59018 is interchangeable with Kit #59007)
1. ;mss
A
4tP1
o a
f
V r
ZA . F -
i` 3�
Long U -Bolts
1. Set Vector Pads 4. Inside brackets & straps
Clear all vegetation where pads will rest. Place Attach the inside tie brackets to the U -bolts over
a long U -bolt in pad as shown. Press or ham- the compression member. Attach a strap
mer pad into the ground. w/hook or swivel strap w/nut/washer & bolt
(washers are required). Place other end of the
2. Set Block or piers on pads. strap over opposite I-beam & down to outside
Center foundation blocks or piers on pads. tension bracket. Cut strap 12 - 15 inches past
Place pre-cut center compression member bracket. Attach strap & slotted bolt in bracket.
between blocks, resting on pads, centers Tighten strap until tight with 4-5 wraps around
between U -bolts as shown. bolt. Repeat with opposite strap.
3. Outside Tension Bracket
Attach outside tension bracket as shown to out-
side of pads.
Page 5a California /2001
O
3
W
WIND ZONE -1 _
Vector Dynamics Systems Required _ to "
♦ M V p�tiveotocc sys n saj guidelines
for Multi Section 1 Homes " - _ - - - �Df e�rak�home��statlauon
(Materials Required) ��; � , . �a o,,StowsCie," to \ ' `
atwn
Soil Classifications:
Soil Bearing Caoaclty:
�111ustrand sPac
ds
foundation Pa
\
2, 3, 4A, & 48 _ i
1,000 PSF minimum
WIND ZONE 1
NOTE: Shear wall, ridge beam support posts &
marriage wall straps & anchors may be required by
the home manufacturer.
Vector systems should be spaced as evenly as Is
practicable along the length of the home. A two foot
variance + or • Is allowable at each system.Pler
spacing must be consistent with the home Installation
manual.
�2 sq. ft.
Maximum allowable working drag load
for the Vector System with the steel '
compression strut Is 3,150 pounds per
the K2 Engineering test report.
Materials: Each Vector foundation system requires
One Vector Kit
2 ea. 1-1/4 in. ties (4725 Ib. min. break)
1 ea. 4 x 4 wood compression member
or 2 ea. 2 x 4 wood compression member
or 3-1/2" or 4" nominal SCH40 Pipe
com ression member or 1 TDE adjustable
SteePstrut
N
Anchors Required
Home Length
Vector Systems Required
Per Side
Homes up to 48'
2 Vector Foundation Systems
0
Homes over 48'
3 Vector Foundation Systems
0
up to 52'
Homes over 52'
4 Vector Foundation Systems
0
up to 76'
WIND ZONE 1
NOTE: Shear wall, ridge beam support posts &
marriage wall straps & anchors may be required by
the home manufacturer.
Vector systems should be spaced as evenly as Is
practicable along the length of the home. A two foot
variance + or • Is allowable at each system.Pler
spacing must be consistent with the home Installation
manual.
�2 sq. ft.
Maximum allowable working drag load
for the Vector System with the steel '
compression strut Is 3,150 pounds per
the K2 Engineering test report.
Materials: Each Vector foundation system requires
One Vector Kit
2 ea. 1-1/4 in. ties (4725 Ib. min. break)
1 ea. 4 x 4 wood compression member
or 2 ea. 2 x 4 wood compression member
or 3-1/2" or 4" nominal SCH40 Pipe
com ression member or 1 TDE adjustable
SteePstrut
N
■
VECTOR DYNAMICS INSTALLATION DESIGN INSTRUCTIONS
This Vector Dynamics Foundation system instruction is applicable only on homes set on soils classified
as Class 4A 4B, 3 and 2 as described in the table below. For separate instructions for sub -soil, Class
5 conditions (above 50 in. lbs.), contact Tie Down Engineering.
SOIL CLASSIFICATIONS
Soil Class
Types of Soils
Blow Count (ASTM
Soil Test Probe (1)
w
-
■
VECTOR DYNAMICS INSTALLATION DESIGN INSTRUCTIONS
This Vector Dynamics Foundation system instruction is applicable only on homes set on soils classified
as Class 4A 4B, 3 and 2 as described in the table below. For separate instructions for sub -soil, Class
5 conditions (above 50 in. lbs.), contact Tie Down Engineering.
SOIL CLASSIFICATIONS
Soil Class
Types of Soils
Blow Count (ASTM
Soil Test Probe (1)
D1586)
Torque Value (2)
1
Sound hard rock......
NA
NA
Very dense and/or
40 -up
More than 550 in. lbs.
cemented sands, coarse
2
gravel and cobbles,
preloaded silts, clays,
and corals
Medium -dense coarse
24-39
350-549 in. lbs.
3
sands, sandy gravels, very
stiff silts and clays
4A
Loose to medium dense
14-23
275-349 in. lbs
sands, firm to stiff clays
4B
and silts, alluvian fill
175-275 in. lbs
Peat, organic silts,
0-14
175 in. lbs
5
inundated silts, loose fine
and lower
sand, alluvium, loess,
varied clays, fill, fly ash.
(1) The purpose of the soil test probe is to gage the strength of the soil below the surface
and near the anchor's helical plate. The strength of the soil is estimated in terms of its'
resistance to penetration (flow) under load by means of the torque probe and is measured in
inch lbs. The test probe has a helix on it. The overall length of the helical section is 10.75 in.;
the major diameter is 1.25 in.; the minor diameter is 0.81 in.; the pitch is 1.75 in. The shaft
must be of suitable length for anchor depth.
(2) A measure synonymous with moment of a force when distributed around the shaft of the test
probe.
Information about geographical areas of termite infestations which might require the optional termite
and moisture shield when a wood compression member is used may be obtained from the local
building official or may be found in the 1995 edition of the One and Two Family Dwelling Code.
ce
Page 18 California 8/2001
oWNEI
LOCAT
CONTR
PRE-INSPI
PRE -INSPECTION REPORT
DATE To INSPECTOPERMU SiORY-1 ) NONE iOFOLLOWS:
Bun DING INSPECTOR'S IMPORT
Banding Descdpdon:
C«nmercialrtr,,
Residentialfli of Units:
Cnrreatly 0=100-
Abandoned/Va=t
Electric: '
Yes_ No Electric cucr94 On Off
ConditionofElearic
Gu:
Natural Propane None Currently On Off
Obvious Problems:
Sanitation:
Plumbing Worldng -
Wcll Working "
Potable Water � /
Obvious SewageProblems nl�,.re. d
t •
4>r p/a.J rue e d ro
,5'4 ¢, dam' -
0,y e
"/b y '
/i✓
FiB� ��-i•�r✓�
0 2
_
/VOre; /Jb
ear
L►+ spbe,-j
vni
0GG1'IS
L4--1,rw'F7
ACTION RECOMMENDED:
.Seed 01s0- at
ISSUE: HOLD FOR iC'eno�/e S�+-,tea / /
gVn c&-." e,11— 02 Se ,r- ,Mach " d -e C%
Inspector:
Sketch
C A L—
Date
buildings on reverse and indicate location on proper
/ 3 �G/dlS
I e 236 oWvG/ w'// -move 6kea0 t B�
dee-1cw,l1 b� rrr.�cµe P~;or -ka
4�
Mc,aE
135'
SIERRA MOBILE SERVICE
SIERRA FOUNDATION
LIC NO 470386
466 CIRCLE DR 530-534-0599
OROVILLE, CA 95966
PAY
AMOUNT
OF
EXPLANATION AMOUNT
DATE
TO THE ORDER OF
GROSS INC. TAX
SOC..SEC.
ST. TAX
MEDICARE
TAX
3
I I
171-rlA
DESCRIPTION
US BANK
110000L799311' i:12LL22676i:L5340L40392511'
c
COPY of Document Recorded
09 -Apr -2003 2003-0022219
RECORDING REQUESTED BY: Has not been compared with
original
BUTTE COUNTY RECORDER
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE CA 95965
SPACE ABOVE THIS LINE FOR RECORDER USE ONLY
NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH,
INSTALLATION ON A FOUNDATION SYSTEM
Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code
Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit
described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document
shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to
its contents to all persons thereafter dealing with the real property.
BOB DARTING
REAL PROPERTY OWNERILESSOR
14811 MAGALIA DR.
MAE.ING ADDRESS
MAGALIA BUTTE CA 95954 .
CITY COUNTY STATE ZIP
SAME
INSTALLATION MAII.ING ADDRESS, IF DIFFERENT
CITY COUNTY STATE ZIP
SAME
UNIT OWNER (if also property owner, write "SAME")
SAME
MAILING ADDRESS
CITY COUNTY STATE ZIP
UNIT DESCRIPTION
BUTTE COUN'T'Y BUILDING DIVISION
LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY
7 COUNTY CENTER DRIVE
MAILING ADDRESS
OROVILLE BUTTE CA
95965
CITY COUNTY STATE
ZIP
03-0755 530
538-7541
BUILD G PERMIT NO TELEPHONE NUMBER
4-9-03
SIGNATURE OF LOCAL AGENCY OFFICIAL
DATE
NONE
DEALER NAME (if not a dealer sale, write "NONE')
NONE
DEALER LICENSE NO.
UNKNOWN 1980 BILTMORE
MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/bWIBER
SN A/B 012201 60'X 24' CAL 168235/6
SERIALNUMBER(S) LENGTH WIDTH INSIGNWI.ABELNUMBER(S)
REAL PROPERTY LEGAL DESCRIPTION ASSESSORS PARCEL NUMBER AP # 065-290-041
SEE ATTACHED
HCD FORM 433(A) REV. 8/91
WHITE - County Recorder CANARY - HCD PINK- Applicant GOLDENROD - Building Dept
-
S^�� � '�d � zy.tt.,��4..' {'7� -r �Ki�8��r6Jra�� �Ic .t Y � �µ ...-,+ � y �� ,�?r ?r • w , c�
t G N is R
`" , FOUNDATION SYSTEM
�i ih,,u�}f~ i i.,., `i .a Jl.:. , a d ^31 t �et � - 1 } � f• '*
I'�� r`S""�� 'a.� :-4i "�`4 '� :+d'.. a '!, '^f�•.�„ : t�,,, ;•kms „h e:; ' � , •. o s ��, .R, i+ d w� iM �. n,� � .s.
:CERTIFICATE OF OCCUPANCY:
BUILDING PERMIT NUMBER: 03-0755
Address or location of unit: 14811 MAGALIA DR., MAGALIA CA 95954
Legal Description of Real Property: AP # 065-290-041
SEE ATTACHED
(x) Mobilehome/Manufactured Home
() Commercial Coach
Has been affixed to the real property above by installation on a foundation system
pursuant to Health and Safety Code Section 18551.
Owner's name: BOB DARTING
Owner's address: 14811 MAGALIA DR., MAGALIA CA 95954
INSIGNIA OR HUD NUMBER:CAL 168235/6
SERIAL NUMBER OR V.I.N.: SN A/B 012201
MANUFACTURER'S NAME: UNKNOWN AR: 19
OFFICIAL APPROVING INSTALLATION:
DATE: 4-9-03
PHONE: (530) 538-7541
H.C.D. 513C
f=idelity Motional Title Company of
California
Escrow Na. 301461 •W C
Tale Order No. 40301491
When Recorded Mali Document
and Tax Statement To;
Mr, Bob Darting
14811 Magelia Drive
Magalie, CA 95954
R4cor<dod
Official Records
County pf
BUTTE
CANDACE J. GRUPBS
Recorder
RosEVARY DICKSON
Assistant
W136PM 222mar-409
REC FEE 10.00
TAX 55,08
Uichie
Page 1 of 2
APR: 065-29T-CY41
GRANT DEED SPACE A80VE THIS LINE FOR RECORDER'S
The undersigned 9runtorls) declarels)
Documentary transfer tax Is 85S,00
I X I computed on full value of property conveyed, or
( ) computed on full value less value of Nene or encumbrances remaining at time of sale,
( l Unincorporated Area City of UnirUcmrporated
FOR. A VALUABLE CONSIDERATION, receipt of which Is hereby acknowledged, Keith Tovey and Gladys E. Tovay,
husband and wife and Lester E. Darting, Jr. and Darlesn G. Darting, husband and wife
hereby GRANT(S) to Bob Darting, An Unmarried Man
the following described reel property In the City of Unincorporated
County of Butte, State of California:
SEE EXHIBIT ONE ATTACHED HERETO ANBD MADE A PART HEREOF
DATED: March 17, 2000
STATE OF CALIFORNIA
COUNTY OF Butte
ON March 20 2000 before me,
Marion L. Sec er Notary personally appeared
Keith Tovey, Gladys E. Toyey�
Lester E. Darting. Jr.,Dar ee—L n G.arting
personally known to me (or proved to me on thi basis
of satisfactory evidence) to be the personls) whose
name(s) islare subsc(lbed to the within instrument and
acknowledged to me that he/she/they executed the
some in his/her/their authorized capacity(les), and that
by his/her/their signeturels) on the instrument the
person(s), or the entity upon behalf of which the
person(s) acted, executed the instrument.
Witness m hand and official seal,
Signature ��• 4 • w�-ICX�i./
« MARION L. BECKER
COMM.* 1t335M
— NOTARY PUSUC.MFORNIA —
BUTTE COUNTY 0
i, my comm. Ex" April 19, 2001
MAIL TAX SMATEMENTS AS DIRECTED ABOVE
FD -213 (Rev 7198) GRANT DEED
Description: Butt0,CA.DocuwAmt-Yoar•Do0XD 2000.10338 Fago: 1 of 2
Order: BRAD Com=nt:
206 9T0'0N SL89LLSOCS E- 3SIGUiJUd 3-1111 J,1I-13GI3 Ob:0T 20 LT/20
EXW81T ,,0NE"
Lot 110, as shown on that certain Ma..p entitled, "Sierra Del Oro Estates Unit No. 1
filed In the Office of the County Recorder of Butte County, California, on August 23,
1963, in Book 30, of Maps, at Page(s) 47, 48 and 49..-
EXCEPTING
9.:EXCEPTING THEREFROM all oil, gas and other hydrocarbons and minerals now or at any
time hereafter situate therein and thereunder and which may be produced therefrom,
together with the free and unlimited right to mine, drill, bore, operate and remove from
beneath the surface of said land at any level or levels 200.0 feet or more below the
surface of said land for the purpose of development or removal of all oil, gas and other
hydrocarbons and minerals situated therein or thereunder or producible therefrom.
Assessor's Parcel No: 065=280-041
2
0-06 S 10 ' ON 92,892,L8029 E SS I GUdUd 3-1111 ,ll I 13Q I -� 0t7 : 0 t 20/L i/20
Registered Owner:
BOB DARTING
1481.1 MAGALIA DR
MAGALIA, CA 95954
Last Title Datc: 07/24/2@00
Last Reg Card: 07/24/2000
Saleffransfer Info: Price $13,000.00 Transferred on 03/22/2000
Situs Address:
14811 MAGALIA DR
MAGALIA, CA 95954
Situs County: BUTTE
Legal Owner:
NORTH STATE NATtQNAL BANK
P O BOX 3235
CHICO, CA 45927
Lien Perfected On: 04/17/200U 10:39:59
Inactive Decal/DMV:
DMV SS4240, DECAL ADE6061
Title Searches:
FIDELITY NATL TITLE CO
6141 CENTER ST
PARADISE, CA 95969
Title File No: 304716 -AB
* END OF TITLE SEARCH **�
E06 ' SZL,i'ON SL89LLBOES + 3SIGH�10d 3-1111 J,1I-13GIJ 0t7:0T 20 LTi20
Ttfie Search
' Date Fadted :
03/17/2003
Decal #: LBA' 6844
Use Code,
SFD
Manufacturer:
Original .Puce Code:
AFV
Tradename: 8ILTMORE
Rating Year:
1979
Model:
Tax Type:
LPT
Manufactured Date: 00/00/1980
Last ILT Amount:
Registration Exp:
Date ILT Fee Paid:
First Sold On: 00/00/1979
ILT Exemption:
NONE
Serial Number HUD Label / Insignia
Length Width
SNA012201 CAL168235
60'
12'
SNO012201 CAL168236
60'
12'
Record Conditions: PPF Exempt
Voluntary Conversion to LPT
Registered Owner:
BOB DARTING
1481.1 MAGALIA DR
MAGALIA, CA 95954
Last Title Datc: 07/24/2@00
Last Reg Card: 07/24/2000
Saleffransfer Info: Price $13,000.00 Transferred on 03/22/2000
Situs Address:
14811 MAGALIA DR
MAGALIA, CA 95954
Situs County: BUTTE
Legal Owner:
NORTH STATE NATtQNAL BANK
P O BOX 3235
CHICO, CA 45927
Lien Perfected On: 04/17/200U 10:39:59
Inactive Decal/DMV:
DMV SS4240, DECAL ADE6061
Title Searches:
FIDELITY NATL TITLE CO
6141 CENTER ST
PARADISE, CA 95969
Title File No: 304716 -AB
* END OF TITLE SEARCH **�
E06 ' SZL,i'ON SL89LLBOES + 3SIGH�10d 3-1111 J,1I-13GIJ 0t7:0T 20 LTi20
a4i07iO3' 15:14 FIDELITY TITLE + 5340709 Pd0.073 D1
- Fidelity National Title Company
OF CALIFORNIA',
County of Butte
CIO Sierra Mobile Service
534-0709 .
DATE: April 7, 2003
ESCROW NO: 304716 -AB
PROPERTY ADDRESS:
14811 Magalia Drive, Magalia, CA 95954
In connection with the above mentioned property, enclosed please find the* following:
In the above mentioned. escrow, there will be a payoff to North State National Bank.
We appreciate the opportunity of being of service to you. If we can be of further assistance, please
feel free to call upon us.
Sincerely,
0AAMieSam
crow
enclosure(s)
I
It.
OJ
rp lior
Ir
COUNTY OF BUTTE - D6PA 'NT OF PUBLIC WORKS PERMIT NO. -
7 County Center Drive - Oroville, GFalifr 95965 - Telephone 916/534-4541 orf/'�� —�/
APPLICAT7011 "-R PERMIT - y
ASSESSOR PARCEL NUMBERZO
ING
BUILDING PERMIT
OWNER
C
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
// .4
CONTRACTOR'SNAME -
TELEPHONE
CONTRACTO S MAI NG ADDRESS
CONSTRUCTION LENDER
Ni
UNKNOWN
Fireplace
Total Valuation $
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
A''�
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENTG N R'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS _
// .. `�GO /r�
PLUMBING PERMIT
Filing Fee 3.00
G�
Each Trap
2.00
Repair drainage or vent piping
2.00
Water piping
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
2.00
Gas piping system 1 - 5 outlets
USE OF STRUCTU5E
SF ❑ Duplex ❑ Mobi lehome ❑ Other ZrX • L of-*' 'Y L
SPE -CI FY
Building sewer
Lawn sprinkler system
2.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ InstallationEl Other [A-'
Describe work: ._ys 7 // ��t tr/i,[i. / /:�% i t �wrh
-
Permit Fee
$
Contractor
ELECTRICAL PERMIT
FiIin g Fee 3.00
011 OR L
Main service 100 AMP ORSLESS
5.00
Main service EA. ADD -L 100 AMP
2.50
NEW CONST. DWELLING 0
OR ADDNS. ACC, BLDGS.
/ 20 sq ft 0/5.r
,
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ 1 am exempt under Sec. , Business and Professions Code
for this reason
NON.RESID R BRANCH CIRCUITS)2.50 ea
NEW CONSTR. (POWER APPARATUS &1
NON-RESID. SINGLE OUTLET CIR. /
50 @ 25C
Ex. Occup(ouTLETs OR FIXTURES BALe10Q
FIXED APPLNS. OR
Ex. Occup.(0UTLETS (RESID.) EAJ 2.00
Temporary service
10.00
Mobile Home Facilities 15.00
Misc. Wiring 6.25
Permit Fee $
Contractor
MECHANICAL PERMIT
FiIingFee 3.00
WORKMEN'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
a I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating
Cooling
Hood
2.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X j%± . / j1- 1 (1
Date Gi /
Signature of Applicant — Owner j$ Contractor ❑ Agent ❑
An OSHA permit is required for exca ations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee
$
Land Development Fee $
TOTAL PERMIT FEE $
OCCUP. GROUP
I TYPE Or CONST.
PARCEL
PD
I HD
I ISSUE
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
(RECTOR OF PUBLIC WORKS
71e
By Date
A
PERMIT EXPIRt " /
Receipt No. 33_,373 �
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, 1;'ql iJoraia 95965 - Telephone 916/534-4541
APPLICA , ' AND PERMIT
PERMIT NCL,
.,
ASSES OR PARCEL NUMBER
O ING
BUILDING PERMIT
OWNER
Z
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
GL •r /!i[IL��/l(+
CONT ACTOR'S NAME Z
TELEPHONE
CONTRAC SMA NG ADDRESS
CONSTRUCTION LENDER
UNKNOWN
Fireplace
Total Valuation $
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR E G NE R'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
PLUMBING PERMIT
Filing Fee 3.00
GG
Each Trap
2.00
Repair drainage or vent piping
2.00
Water piping
LOT NO.
#09
SUBDIVISION NAMEPARCEL
J 00
MAP
1
Each qas water heater or vent
2.00
Gas piping system 1 - 5 outlets
USE OF STRUCTU
SF ❑ Duplex❑ Mobilehome❑ Other LrG
SPE IFY
Building sewer
Lawn sprinkler system
2.00
TYPE OF WORK
New ❑ Addition.Remodel ❑ Utilities [_1 Instal lation❑ Other
Describe work: S . )✓
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 3.00
Main service sOOV OR LESS
100 AMP OR LESS
5.00
Main service EA. ADD'L 100 AMP
. 2.50
NEW CONST. DWELLING O C
OR ADDNS. ACC. BLDGS.
- -
20sgft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div.3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑' I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR I-QUILIE
NON.RE51 D. BRANCH CIRCUITS) 2.50 ea
NEW.CONSTR POWER APPARATUS.6
NONRESID. (SINGLE OUTLET CIR. /
ExOccup(ouTLETsoR FIXTURES 50 @25,t
. US BAL@10Q
FIXED APPLNS. OR
Ex. -Occup. (OUTLETS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 6.25
Permit Fee $ s'
Contractor
WORKMEN'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
ZAk to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
FiIingFee 3.00
Heating
Cooling
Hood
2.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against laid County in co equence of the granting of this permit. /�
��V
X Date
Signature of Applic nt — Owne Contractor ❑ Agent ❑
An OSHA permit is required for exca ations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Land Development Fee $
TOTAL PERMIT FEE
OCCUP. GROUP
I TYPE OF CONST.
PARCEL
PD
I HD
I ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
E TOR OF PUBLIC
BY
PERMIT EXPIR �/
the applicable provi-
resolutions to do
fees have been paid.
WORKS
r�
%Date d —
Receipt No. J 37,5
WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
a „
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
7 County Center Drive; Oroville, CA.
PHONE: 534-4541
MOBILEHOME INSTALLATION SHEET
1. Owner's name: �cv �/� A09,940",
2. Installer's•name: A� 'C 'ev'll'- 4%ael 4
3. Is the -site currently under permit? Yes /`—fes No./
(If 'yes, furnish permit number ) 10R
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
-- --
-C lear.of all setbacks and easements? Yes / v/ No
(If no, clarify )
t
5.._
What
is the
mobilehome electrical rating? -----------------------
Amps
6.
'What
is the
mobilehome site service rating? ---------------------
Amps
7.
What
is the
mobilehome site circuit breaker rating? -----------
01 l/
Amps
8.
Is there any other electric load to be served by the mobilehome
site
service? ---------------------------------------------------
Yes / /
No%
(If yes, identify the load and size:. (Load)
(Amps)
(in.)
9.
What
is the
mobilehome site gas pipe size? ----------------------
10.
What
is the
type of gas service? ---------------------------- Natu a /
LPG
11.
What.is
the
gas pipe length from meter or tank to the mobilehome? —�
(ft.)
12.
.What
is the
mobilehome gas demand? ------------------------------
(BTU)
(This
information not required if pipe length less than 6 ft.
on natural gas
or less
than 50 ,ft.'; ori -LPG..)
t
MOBILEHOME SUPPORT DATA
If ' otti� than single wide,
Mobilehome Mfr. tA� �.��.. �%.�a furnish Setup Model No. Year
Width�_(ft.) Box Length :SZ_ (ft.) Tagalong or Expando Size ft. x ft.
(SHOW SUPPORT DETAILS BELOW).
On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation
manual and structural setup sheets (if not on file with the County of Butte).
All center supports measured from front of
mobilehome unless otherwise specified.
Footings (check one)
Single ®X Wood either
pressure treated or
foundation grade.
(ft.)(in:) 0 E] 2. Other (specify)
Center support Center support
locations* footing sizes Supports (check one)
(in.) �; Concrete block.
2. Other (specify)
(ft.)(in.) (in.) (in.)
—Tagalong or Expando,.
1 (� show support details.
i � J
(ft.)(in.) (in.) (in.)
-- Typical Support
(in.) (in.) Footing Size
(ft.)(in.) (in.) (in.) a -- Max. Pier Spacing
(ft.)(in.)
/ / x O A0 ! -- Max. Overhang
(ft.) I (in.) (in.) (in.) (ft.)(in.)
! BUTTE COUNTY
30ILDING DEPARTMEN''
APPROVED
*If center piers are other than drawn above,
draw in -locations, spacing, and dimensions. CJ
a
" 33�80B"
BERM T N0.
PERMIT EXPIRES
OWNER Cecil Comer
C. R. Park, Magalia
CONTR.
65-29-41
LOCATION (A.P. )
1195 Magalia Dr., Magalia
T
t
ft
�r
Temp�Power Pole
7lied PG&E
Temp. Elec. Serv.
Called PG&E
emp. Gas Serv.
Called PG&E
JOB
FINALED
(Date)
(Signature)
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING BUILDING (Cont'd)
PLUMB.ING
Setback
Forms
Main Bldg.
Footings
StemwaI i
Slab
Piers
Garage
Footings
Stemwa I I
Slab .?.-9.7.-jP
Slab
Patio
Footi
Firewall
Soil Piping
— ' Parapets
1st Floor
Restroom Finish
2nd Floor
Windows
3rd Floor
SIdInj 13 j 1b o
To out
Roof Sheathing- -7,
Water Piping
Roofin
Sewer
Fdn. Vents
Fixtures
Garage Vents
Water Htr.
Insulation
Heaters
Prov. for ph sically
handica ed
Conformance of ex.
structure i J
Final i '`V�_
Appliances
Gas Piping & Test
Temp. Gas "
Sanitation
FIREPLACE
Final
F
Oona seam FrRE SPRINKLERS Motors
Framing Test
Water Htr.
Stucco Final Subpanels
Mesh IJECHANICAL Grd. Fault Prot.
Scratch Heating Service
Brown Cooling Temp. Pole
Finish Ducts Underground
Interior Lath Ventilation Permanent
Door Closer Final Final
MOBILEHOMEUTILI IES ------------------ Elec_ ervice Elec. Pedestal
Water Piping Sews Gas Piping
WS2BILEUOME INSTALLATION -------------- Sugrport Elec. Contin it'
Water Piping Drainage Gas Piping
DATE // REMARKS OR CORRECTIONS
3-v7 �jccoa 7 A0"1A1 Si 11,Y d -"`X IA,"i mIC Z41C T " 4 Jr/kr-C.X—,1'
1..0cyf ctE s -add p�iroc. , 11are
. @ �o�® •�l bpd /,� ��c£ yp%`�y � /�vT ����i� /;t/
(NOTE: An entry must be made on this form each time you visit the job site.)
r
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive- Oroville, California 95965
Tel ephond.�4-4 41
APPLICATION AND PERMIT
authorize representativesof the C my of Butte to enter upon the
above-mentioned property for insp tion purposes. �l
X Date l v
$i ure o P it a or Agent
Receipt No.���
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OE PUBLIC WORKS
BY >r Date l- 7- R
Bu' ing permit expires Date 7— ej
BUILDING
Owner06V
SQ. FT. OCC. BUILDING VALUATION
Al I .
Mai I i ng Address
Telephone No.
Contractor , ,,
Mailing Address Ary
Fireplace
Total Valuation
r
�,�..
Telephone .
Permit Fee
Building Address w c
PlanChec ee&/or Penalty
Permit Fee
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Each TraD 1,50
Cts,
Repair drainage or vent piping 1.50
A. P. No. — �( rSing 8 Planning
Water piping 1.50
Each gas water heater or vent 1.50
F
QN-e'
Sa Ion
Fire Dept.
Fire Zone Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking Parcel
Plans Declaration
Parcel Map
60' R/W
Improvements
Each additional outlet .30
Building sewer 5.00
Bldg. PIat15 Rec'd
Parcel A roval
Plans Approval
Lawn sprinkler system 2.00
NEW [Z ADDITION ❑ UTILITIES ❑ OTHER ❑
Permit Fee $
$
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
600V OR LESS
Main service 100 AMP OR LESS 5.00
Single Family ❑ Duplex ❑ Mobil Home ❑ Others
Main service EA. ADD'L loo AMP 2.50
�(��
am" IV
OVER
Main service OVER V
O 25.00
AMPP LESS
Main service EA. ADD'L 100 AMP 1.00
OR ADDNSGr NEW T %ACCLBLDGSLING CCUP. s� 20sgft
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: /�
NEW CONSTR.BRANCHMULTI-OCIRCUITS)
NON•RESI D, BRANCH CIRCUITS% 2.50ea
NEWCONSTR. POWER APPARATUS d
NON - RES ID. SINGLE OUTLET CIR.
Ex. Occuv(OUTLETS OR FIXTIIRES 50@250
BAL@1
Ex. Occup. ( FIXED APPLES, OR
OUTLETS (RESID.) EA) 2•00
Temporary service 10.00
Mobile Home Facilities 15.00
License No.7 7 Classification
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
NOI 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. @ 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
Land Development Fee
$
TOTAL PERMIT FEE
$p
authorize representativesof the C my of Butte to enter upon the
above-mentioned property for insp tion purposes. �l
X Date l v
$i ure o P it a or Agent
Receipt No.���
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OE PUBLIC WORKS
BY >r Date l- 7- R
Bu' ing permit expires Date 7— ej
P2AMIT NO. 6819-79B
f
Ei PERMIT EXPIRES
OWNER CECIL COMER
CONTR. nwner
LOCATION (A.P. 65-29-41
"-1195 Magalia, lot 110, SEIM , Magalia
r
re '
t
d
a
4 Temp. Power Pole
f' Called)'ZPG&E
# Temp. ,Elec.'Serv.
Galled PG&E
Temp. Gas Serv.
Called PG&E
r
JOB
VFINALED
(Date)
(Sign ure)
i
f
COUNTY OF BUTTE — DEPARTMENT ��,PUBLIC WORKS 5
BUILDING INSPECTIN R CRD
BUILDING BUILDING (Cont'd) PLUMBING .
Setback .
- Firewall
Soil Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
Stemwall
SidingTo
out
Slab
Roof Sheathing
Water Piping
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Stemwall
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Prov. for physically
Appliances
Carport
Footings
Slab
Patio
Footings
Masonry Walls
Reinf. Steel
Bond Beam
Framinn j.)., �Q
Footing
Throat
Final
PLACE
Mesh
MECHANICAL
Scratch
HeatIn
Brown
Cool i n g
Finish
Ducts -
Interior Lath
Ventilation
Door Closer
Final
MOBILEHOME UTILITIES --------.----- ----
Elec_ Service
Water Piping
Sewer
WgRILEHOME INSTALLATION - - - - - - - - - - - -
Support
Water Piping
Drainage
DATE REMARKS OR CORRECTIONS
Gas Piping &
Temp. Gas
Sanitation
Final
Rough
Fixtures
Motors
Water Htr.
Subpanels
Grd. Fault Oro
Service
Temp. ole
Under ound
Penna ent
Final
Elec. Ndestal
Gas Pip' g
Elec. ntinuity
Gas Pikin
(NOTE: An entry must be made on this form each time you visit the job site.)
J
COUNTY OF BUTTE — WPARTMENT OF PUBLIC WORKS
7 County Center Dri ! -„ Oroville, California 95965
Telephone: 53�-4541
APPLICATION AND PERMIT
autnorize representatives of the County of Butte to enter upon the
above- entioned proper for inspection purposes.
X ' Date/,ZS`
Signa re of Permite-ee or Agq t
Receipt No. 6167
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By e Date
ding permit expires Date //— %— O
BUILDING
Owner Cv � J$
SO. FT. OCC. BUILDING VALUATION
Mailing Address
Y9Telephone
No. -ass
Contractor
Mailing Address
Fireplace
Total Valuation
Telephone No.
Permit Fee ,lea
Building Address d�
Plan Checking Fee&/or Penalty
Permit Fee C�
S
PLUMBING No.1 @ FEE
�O PC/
PERMIT FILING FEE $3.00
Each Trap 1.50
%¢1�2
Repair drainage or vent piping 1.50
A. P. No. t10 -- 7-�
Zoning & Planning
Water piping 1.50
Each gas water heater or vent 1.50
F4el-
VD -G - SV Ion Fire Dept.
Fire Zone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking"Parcel
Plans
Declaration
Parcel Map
60' R/W
Improvemen s-
Each additional outlet .30
Building sewer 5.00
Bldg. ns Recd
Parcel A roval
Plans pproval
Lawn sprinkler system 2.00
NEW ADDITION ❑ UTILITIES ❑ OTHER ❑
Permit Fee $
$
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service 600V OR LESS
100 AMP OR LESS 5.00
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Main service EA. ADD'L 100 AMP 2.50
Main service 100 A M&o0vPOR LESS 25.00
100 A
Main service EA. ADD'L 100 AMP 1.00
NEW OR ADDNST � ACC. BLOCS.LING ft 4\ •ZP Sq ft
/
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:
NEW CONSTR (MULTI -OUTLET
CIRCUITS)
NONRESID. ` BRANCH CIRCUITS) 2.50ea
NEW CONSTR (POWER APPARATUS .&
NON.RESID. (SINGLE OUTLET CIR.
Ex. Occuo(OUTLETS OR FIXTIiRES 50@�
BAL@1
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
ELI 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.
❑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. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
1 certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
Land Development Fee
$
TOTAL PERMIT FEE
$
autnorize representatives of the County of Butte to enter upon the
above- entioned proper for inspection purposes.
X ' Date/,ZS`
Signa re of Permite-ee or Agq t
Receipt No. 6167
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By e Date
ding permit expires Date //— %— O
t
W
COUNTY OF BUTTE r –DEPARTMENT OF PUBLIC 0 S
7 County Center Drive. - Or6ville; California 95965
Telephone: •5p4-4541 -7
APPLICATION AND PERMIT
QUlIIU114C It;PICJCIILQLIVCJ UI UIV. %,UUIILY UI DUMC tU CALCI Upull LIIC
above-mentioned property for inspection purposes.
C
X C_ ;4� Date �J
bignature of Permitee or Agent
Receipt No.g��
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.
DIRE-CXOR OF PUBLIC WORKS
Tvilding permit expires Date
BUILDING
Owner r
SQ. FT. OCC. BUILDING VALUATION
Mailing Address �
�
,r ,f
Telephone No.
yoanew
Contractor G ,, v
Mailing Address
Fireplace
Total Valuation
r
Telephone
ephone No.�
Permit Fee
Building Address r
PI an Checki ng Fee &/or Penalty
Permit Fee
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
Repair drainage or vent piping 1.50
- a. —141
A. P. No'.'
%�Zonin & Planning
Water piping 1.50
Each gas water heater or vent 1.50
F es
A(
�r�:.
FireDept.
FireZone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking
Plans
Parcel
Declaration
Parcel Map
60' R/W
I Improvemen
Each additional outlet .30
Building sewer 5.00
Bldg.,bens Recd
Parcel A a
Plan4oApproval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
Permit Fee $
is
7
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service 8000V OR 0 AMP ORSLESS 5.00
Single Family ❑ Duplex Mobil Home ® Others ❑
Main service EA. ADD'L 100 AMP 2.50
Main service OVER P 25.00
100 AMP OR LESS O
Main service EA. ADD'L 100 AMP 1.00
NEW CONS. DWELING OR ADDNST ( ACCL BLOGS.CCUP. Y) 2¢sq ft
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: /v/ .
OS L a .
NEW CONSTR.BRANCH CIR T
NON-RESID ` BRANCH CIRCUITS) 2.50ea
NEW CONSTR. (POWER APPARATUS .&
NON-RESID. SINGLE OUTLET CIR.
Ex. OCCUQ(OUTLETS OR FIXTIIRES gAL@j
FIXED APPLNS. OR
EX. Occup. OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
r&
Mobile Home Facilities 15.00
'
License No.-..e� `/�!' � % 9 Classification
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
MECHANICAL No. @ FEE
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
r -1I 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.
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
Land Development Fee
$
TOTAL PERMIT FEE
$
QUlIIU114C It;PICJCIILQLIVCJ UI UIV. %,UUIILY UI DUMC tU CALCI Upull LIIC
above-mentioned property for inspection purposes.
C
X C_ ;4� Date �J
bignature of Permitee or Agent
Receipt No.g��
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.
DIRE-CXOR OF PUBLIC WORKS
Tvilding permit expires Date
4'71! '+diaf• :,#.r
COUNTY
.,,OF,,,B-AJTTE — DEPARTMENT OF PUBLIC WORKS — BUILDING DIVISION
Y
:;-4J,; 7 County Center Driver' 0rovilke'Dafifolrnia 95965 — Telephone 534-4 54 1
v r f
PERMIT APPLICATION DATA SHEET
Permit No. _
OWNER �'. c Cr G r-��n��� ' + A. P. No. 1.,.S`'_. C571 C), -- /
Proposed Building Use
Permit fee fee based upon: Complete Contract Price 4.- DPW Valuation
-Other (explain)
Building Inspector ��!7�' - �`-r- Date
At time of permit application, I was advised th'e`following data must be submitted prior to per"mit processing and/or
issuance: (''� DATE RECEIVED APPROVED
1. All items have been submitted...................................................................
2. Plot plans in duplicate/triplicate...............................................................
3. Complete plans in duplicate/triplicate...................................................
4. Complete engineered plans and cal" s .....................................................
5. Plans with Energy Design Compliance Statement ............................ F
6. State Energy Forms.No. .................. l�
7. Statement of Intent for Non -Heated & AC Buildings ................... �►'
.
8. Fees of $.................................................. 4
9. Letter of signature authorization.............+....`.....................................
647--n-6. Sanitation approval from �%` . o%� �� Health Dept.... /� /T /%2
11. Planning approval for y
12. Certificate of Workmen's Compensation Insurance ........................
13. Contractors License Information (no., name style,
classification) ...............................
14. Improvements may be required. Contact Land
Development Section of Dept. Public Works (see
addressbelow).................................................................................................
15. Pre -inspection for required. Pre-inspec. request to
16. Other
bldg. inspector (date)
• �
When you issue the permit, process as follows: ✓Mail to owner Mail to contractor.
Telephone and hold for pickup at office. Deliver w/inspection.
Other A �
Applican/4", // K4% Date /�-- — ��-7',, v • 1
Copy of plans sent Health Dept., Fire Dept., Other Date
During the plan checking process, the following data must be submitted prior to permit issuance:
(For required items not checked above at time of application, circle item.)
1. Index permit for above Items No.
2. Additional items required:
(Contractor, Designer, Owner) was advised of above required data by Telephone �)
Mail
Other
By Date
Plans checked by Date
Plans approved by Date ';;�—79
OTHER:
Coov/DPW
=rc:a:
and/or i';a_er and/or Az.`-1.Ltion Clearac:ce(s) y
Sewage Disposal
Gold up final for:
. I hazer. Su.6,pl)
Final Clearance ok for; 4 ( Water Suppl).
f
Clearz,ise is for a bedroom (home or robile home) . Other
addition(s) will be 12S9
Sanitarian fat_
'4....
MOBILEHOME INSTALLATION INSPECTION CHECK LIST
1. Is the mobilehome located with required separation from lot lines and buildings and generally
conform to plot plan? Yespn No
2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes K' No
3. Are footings and supports properly sized, spaced, and braced as pe ved plans? (Note
,,possible variation at spring shackles.) (Sec. 5082 & 5083) Yes, No�C
4. Is the mobilehome level? (Sec. 5088) Yes_�e No
5. If more than a single unit, are crossover connections properly installed? (Sec. 5088)
Yes No `
6. Water
A. Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566)
Yes_O No
B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes_k No_
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 it have minimum 4" per foot slope and is it properly supported? Yeses No
C. Are any leaks detected in drainage system after running 3 -gallons of'water thropgh each
fixture including washing machine standpipe? Yes_ No -,1C
If coach is not State of California approved, does station have required trap and vent?
Yes No
4Cas.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 procedureo� Yes No
1. Open. all appliance connector vilves. 1. '� i
2. Shut off appliance burner and pilot valves.
3. Air test with manometer to 10".-14" water column or test with slope gauge (minimum
0 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-
r
9. Electrical
A. Is service large enough to provide adequate amperage -to mobilehome (must equal rating of
mobilehome with a minimum of 100 amp) and other facilities on lot, i.e., water pumps,
garage, cabana, etc.? Yes No
B. Is there proper clearances around panels? Yes No
C. Is power supply cord or feeder assembly properly fused? Yes No_
D. Is continuity test satisfactory as per the following procedure? Yes_ No
1. De -energize electrical wiring system of 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 -lead of a test instrument to the mobilehome grounding conductor and
apply the other lead to each mobilehome supply conductor, including neutral.
y
5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line,
water line), including fixtures and appliances, shall be tested for continuity from
such equipment and the grounding conductor. •'a.
6. Upon completion of the above procedure, the power supply cord or feeder assembly
conductors shall be connected to the site service equipment. A further continuity
test shall then be made between the grounding electrode and the chassis of the
mobilehome. Upon satisfactory completion of the electrical tests, the lot or site
service equipment may be approved for energizing.
10. Is job card signed by Health Department for water and sanitation?
11. If everything okay, -sign off card and tag services.
MOBILEHOME DATA
Manufacturer and/or Namestyle
Length . Width - "24
w -
Vehicle Serial No. Da201
State Identification No. GA -z--
Additional Information or Comments:
6
0
0 (-Iz (0 1 . 0� A
5351-79P,E
"OEAMIT NO.
PERMIT EXPIRES
Cecil Comer
OWNER
t.
CONTR. Aiken &Fairbanks, Paradise
65-29-41
!1LOCATION (A.P.
1195 Magalia Dr., lot 110, SD0#l, Magalia
4
Temp. Power Pole
Called PG&E
0
Temp. Elec. Serv.
;7Z
Called PG&E 0 lIeZ;Z ICI
Temp. Gas Seri. e -t,
Called PG&E
JOB
FINALED
(Date)
(Signature)l
Cr
0 (-Iz (0 1 . 0� A
5351-79P,E
"OEAMIT NO.
PERMIT EXPIRES
Cecil Comer
OWNER
t.
CONTR. Aiken &Fairbanks, Paradise
65-29-41
!1LOCATION (A.P.
1195 Magalia Dr., lot 110, SD0#l, Magalia
4
Temp. Power Pole
Called PG&E
0
Temp. Elec. Serv.
;7Z
Called PG&E 0 lIeZ;Z ICI
Temp. Gas Seri. e -t,
Called PG&E
JOB
FINALED
(Date)
(Signature)l
COUNTY OF BUTTE — DEPARTf1MOF PUBLIC WORKS
J BUILDJNG INSPECTION RECORD '
BUILDING BUILDING (Cont'd) PLUMBING /
be, back i
Fftwall
Sd Piping
Foi s .`
Par ets
1 Floor
MAU Bldg.
Restr m Finish
2n loor
F otin s
Window
3rd koor
Ste wall
Siding
To out
Slab
Roof Shea%lng
Water Pi i
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Stemwa I I
Garage VentsX
Insulation
Water Htr.
Heaters
Slab
Car ort
Footings
Prov. for physics y
handica ed
Conformance of ex.
structure
Appliances
Gas Piping &Test
Tem . Gas
Slab
Final
Sanitation
Patio X
FIR LACE
Final
Footin s
Footing
LECTRI L
Masonry Walls
Throat
Rough
Reinf. Ste
Final
Fixtures
Bond Be
FIRE SPRI"NKL&IS
Motors
Framin —
Test
Water Hi
mesiv
MECHANICAL X
Grd. Ffault Prot. '
Scraich
Hea4ing
Sery e
BrJwn
C oling
emp. Pole
nish
ucts
nder round
In rlor Lath
entllatlon
Permanent
Lor Closer
Final
Final
MOBILEHOME UT
ITI S------------•-----Elec. Service y19
Elec. Pedestal
Water Piping
QSewer
Gas Piping
ILE MEI ST
L ION--------------Supportis, Ian,Elec.Continuity
lit
Water Piping In
G A Gu Drainage
Gas Piping
DATE REMARKS OR CORRECTIONS
b d d9 �0 0 74
X-1 )J N
(NOTE: An entry must be made on this form each time you vislt the job site.)
COUNTY OF BUTTE — 'DEPARTMENT OF PUBLIC WORKS
7 County Center Drive:, croville, California 95965
Tel ephone:.534-4541
`
APPLICATION AND PERMIT
Owner C
Mai I i ng Address
Telephone No.
Contractor AZ
Mailing Address 0 y_
p Telephone No.
C5' 7
Building Address 9S y
-Xo / l �•� L
A. P.
No. 4. � -,P-Zoning 8 P a ng
►ws SID n Fire Dept. Fire Zone Use Permit
EQA Parking Oar el Parcel Ma 60' R/W Im rovements
Plans Declaration P P
Bldg. P s Recd I Parcel A oval Plans proval
NEW ❑ ADDITION ❑ UTILITIES OTHER ❑
Single Family ❑ Duplex ❑ Mobil Home Others ❑
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 o
0ee
License No.12q11C9:7/ Classification
❑ I am exempt from the Contractors License Laws of the State of California.
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
❑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.
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 rela'ng to building construction, and hereby
authorize representati es of the County of Butte to enter upon the
above-mentioned pro rty for ' spection purposes.
j,�/7/'? 71
Dat
Signature of Per(nitee or Ag(e/nt
e-)
Receipt No. -g'[
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
_ BUILDING 111
SQ. FT. OCC. I BUILDING V LUATI
Fireplace
$ ;_Z15f
Total Valuation
ELECTRICAL No.
Permit Fee
FEE
Plan Checking Fee &/or Penalty
$3.00
Permit Fee
00V OR
Main service 100 AMP ORSLESS
PLUMBING
No.1 @ FEE
PERMIT FILING FEE
$3.00
Each Trap
1.50
Repair drainage or vent piping
1.50
Water piping
1.50
Each gas water heater or vent
1.50
Gas piping system 1 - 5 outlets
1.50
Each additional outlet
.30
Building sewer
5.00 ,
Lawn sprinkler system
2.00
Permit Fee
$ ;_Z15f
C
ELECTRICAL No.
@
FEE
PERMIT FILING FEE
$3.00
JC3
00V OR
Main service 100 AMP ORSLESS
Mobile Home Facilities
15.00
Main service EA. ADD'L 100 AMP
2.50
Main service OVER
100 AMPP OR LESS O
25.00
Main service EA. ADD'L 100 AMP
1.0D
NEW CONST. r DWELLING OCCUP. Sill lne.....
4.
NON.REST rc -
NONESID BRANCH CIRCUITS
2.50ea
NEW CONSTFi. (POWER APPARATUS 0
NON RES,D. SINGLE OUTLET CIR.
Ex. OCCUD(OUTLETS OR FIXTIIRES
BA025'
LOIQ
FIXED APPLNS. OR
Ex. OCCUp. OUTLETS (RESIO.) EA)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
6.25
Permit Fee $
MECHANICAL No. @
PERMIT FILING FEE q13.00
Heatina
Cooling
Ventilation
Hood 2.00
Permit Fee $ $
Land Development Fee $
TOTAL PERMIT FEE $
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 F PUBLIC WORKS
By Date 9—Z f_%f
ui Iding permit expires Date l tel— o
w
` COUNTY OF BUTTE I
DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE
OROVILLE, CALIF. - 534-4541
CERTIFICATE OF OCCUPANCY
This mobilehome has been installed in accordance with the requirements;
of the California Administrative Code, Title 25, Chapter 5, under permit
number J for the following location:
Owner—
Owner's
wner Owner's Address
Mobilehome Mfg. Model Wear
Insignia No. Serial No. f
It is hereby certified for occupancy at the above described location -and
may be occupied.
Director of Public Works
Date — By
THIS CERTIFICATE IS VOID WHEN,MOBILEHOME IS RELOCATED
White - Owner, Yellow - Installer, Pink - D.P.W.