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065-340-003
65-34-3 - \ Verne E. Lewis p BAILEY, Larry 654-72E N/ 11 ,6 Wood Dr., lot 12, SDO�k2, a l .4 Permit #819-79P,E( til. , ELEC . C' 6 GAS Lot 12, Wood Dr.,, Sierra Del Oro — SUPPORT STRUC RE CONTR: John Loopeker, Paradise COMPACTION T REQ. (m ter service for existing garage) `- 65-34-03 j Verne Lewis ,r 1481170, d Dr., lot 12, SDO#2,Maga. . SL— Permit #832. 81P,E(util. ,MH) ELEC. 3-13 - T5 200 . GAS .3--25-91 E�& SUPPORT/STRUCTURE REQ. } COMPACTION TEST REQ. 65- -34-3 � Contr: Hilt6n's obile M Jg.� i Permit#136 1MHI Issued _ f 65-34-3 Permit #1661-81B(new open & cov decks /MH) Verne Lewis �i�% 3� , /Y& 14811 Wood Dr., Magalia Permit #322081B,E(new.-pri.det-.gare-). 69-34-3 Contr: Donald Carr F ;�V/ Permit#340-87B,E(new� cabana) & spa ' 065-340-003 04-2748 BRUNS/NICCUM, 14811 WOOD DR, MAGA ALE® CONT: SIERRA MHS EX MH PERM FND I 1 065-340-003 04-2787 MAE, FANNIE 14811 WOOD DR, MAGALIA Cont: CHICO ELECTRIC T LE REPLACE DAMAGED SE 1 b cfl� �rCVD� RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 n - III "III'�III'I'II "I�'III'III'II �'0►0�+-0636 1 8 Recorded Official Records I REC FEE I CONFORM 1.00 County Of I CANDACEUTTE J. 6RUBBS I Recorder CITY COUNTY STATE ROSEMARY-DICKSON I Assistant 1 Alyce 12:52PN 15 -Oct -2@& I Page i of 2 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. KEVIN A. NICCUM AND SILVINA B. NICCUM REAL PROPERTY OWNER/LESSOR 1744 TARA LANE MAILING ADDRESS PARADISE BUTTE CA. 95969 CITY COUNTY STATE ZIP 14811 WOOD DR. INSTALLATION MAILING ADDRESS. IF DIFFERENT MAGALIA BUTTE CA. 95954 CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 04-2748 530 538-7541 BUIL P€RMITNO. TELEPHONE UMBE Z61 �(T GNA URE OF LO ALA CY FFICIAL ATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. FAR WEST 1981 UNKNOWN MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER* A/132919 60'X 24' 212462/3 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER 065-340-003 HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD- Building Dept. 1 A Preliminary Report Description Order No., BU -221043 DT The land referred to herein is situated in the State of California, County of Butte, and is described as follows: LOT 12, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "SIERRA DEL ORO ESTATES UNIT NO. 2", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 19, 1965, IN BOOK 34 OF MAPS, AT PAGE(S) 27, 28 AND 29. EXCEPTING THEREFROM ALL OF THE VALUABLE MINERALS BENEATH THE SURFACE OF THE SAID LANDS, WITH THE RIGHT TO MINE AND EXTRACT SAID MINERALS, IT BEING AGREED AND UNDERSTOOD THAT IN ALL MRQNG OPERATIONS, THE SURFACE OF SAID LANDS WILL BE PROTECTED AGAINST DAMAGE AND THAT ALL SUCH MINING SHALL BE CARRIED ON FROM TUNNELS, SHAFTS OR DRIFTS HAVING THEIR ORIFICES OUTSIDE OF THE SURFACE AREA OF THE ABOVE DESCRIBED REALTY, ALL AS EXCEPTED AND RESERVED IN THE DEED FROM MAGALIA MINING COMPANY, A CORPORATION, TO E. D. STORTS, ET UX, RECORDED SEPTEMBER 4, 1947, IN BOOK 423, PAGE 385, OFFICIAL RECORDS. APN 065-340-003-000 4 RECORD-VNG REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 15 -Oct -2004 2004-0063618 Has not been compared with original BUTTE COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. KEVIN A. NICCUM AND SILVINA B. NICCUM REAL PROPERTY OWNERILESSOR 1744 TARA LANE MAILING ADDRESS PARADISE BUTTE CA. 95969 CITY COUNTY STATE ZIP 14811 WOOD DR. INSTALLATION MAILING ADDRESS. IF DIFFERENT MAGALIA BUTTE CA. 95954 CITY COUNTY STATE ZIP SAME UNIT OWNER (if also properly owner, write "SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 04-2748 530 538-7541 BUIL P€RMIT NO. TELEPHONEA`4UMBEJF iv AGNA—rURE OF LOCAL A CY 95FFICIAL ATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO FAR WEST 1981 UNKNOWN MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMEMUMBER A/B2919 60'X 24' 212462/3 SERIAL NUMBER(S) LENGTH X WIDTH - INSIGNIAILABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSORS PARCEL NUMBER 065-340-003 SEE ATTACHED HCD FORM 433(A) REV. 8/91 i( C Pr liminary Repott Description Order No. BU -221043 DT The land referred to herein is situated in the State of California, County of Butte, and is described as follows: LOT 12, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "SIERRA DEL ORO ESTATES UNIT NO. 2", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 19, 1965, IN BOOK 34 OF MAPS, AT PAGE(S) 27, 28 AND 29. EXCEPTING THEREFROM ALL OF THE VALUABLE MINERALS BENEATH THE SURFACE OF THE SAID LANDS, WITH THE RIGHT TO MINE AND EXTRACT SAID MINERALS, IT BEING AGREED AND UNDERSTOOD THAT IN ALL MINING OPERATIONS, THE SURFACE OF SAID LANDS WILL BE PROTECTED AGAINST DAMAGE AND THAT ALL SUCH MINING SHALL BE CARRIED ON FROM TUNNELS, SHAFTS OR DRIFTS HAVING THEIR ORIFICES OUTSIDE OF THE SURFACE AREA OF THE ABOVE DESCRIBED REALTY, ALL AS EXCEPTED AND RESERVED IN THE DEED FROM MAGALIA MINING COMPANY, A CORPORATION, TO E. D. STORTS, ET UX, RECORDED SEPTEMBER 4, 1947, IN BOOK 423, PAGE 385, OFFICIAL RECORDS. APN 065-340-003-000 H.C.D. A -9-9r A nu ruCr`LC EXPLANATION AMOUNT SIERRA MOBILE SERVICE SIERRA FOUNDATION LIC NO 470386 466 CIRCLE DR 530-534-0599 OROVILLE, CA 95966 9G-2267/1211 3827 18706 H16B PAY ORDER OF - - - SOC. SEC. stl ue 1owures 18t AMOUNT /�: .131 (Oo DOLLARS Detataooback. I I CHECK AMOUNT TO THE DATE d. DFOO90 6e US BANK 1160L8706Ile 1:L2L1226761: IS340L40392Slim NAME: AP#: DATE: Ivp AUTHORIZED SIGNATURE ORDER OF GROSS INC. TAX SOC. SEC. ST. TAX MEDIACX RE NCUMe R I I DFOO90 6e US BANK 1160L8706Ile 1:L2L1226761: IS340L40392Slim NAME: AP#: DATE: Ivp AUTHORIZED SIGNATURE r BUILDING PERMIT NUMBER:. 04-2748 Address or location of unit: 14811 WOOD DR. MAGALIA, CA. 95954 Legal Description of Real Property: AP#: 065-340-003 SEE ATTACHED (x) Mobilehome/Manufactured Home O 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: KEVIN A.'NICCUM AND SILVINA B..NICCUM Owner's address: 1744 TARA LN. PARADISE, CA. 95969 INSIGNIA OR HUD NUMBER: 212462/3 SERIAL NUMBER OR V.I.N.: A/112919. MANUFACTURER'S NAME: FAR WEST YEAR: 1981 OFFICIAL APPROVING INSTALLATIO DATE: PHONE: (530) 538-7541 H.C.D. 513C 1U/U5/U4 1z:3U FAA BIDWELL TITLE DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT DIvlslon of Codcs and Standards Decal #: Manufacturer: Tradename: Model: Manufactured Date Registration. Exp: First Sold On: LAN6205 FAR W1;ST FAR WEST 00/00/1981 00/00/1981 Serial Number B2919 A2919 Record Conditions: Registered Owner: Title Search Date Printed: 09/30/2004 HUD Label / lasignia 21246'3 212462 PPF Exempt Use Code: Original Price Code Rating Year: Tax Type: Last ILT Anlouiit: Date ILT .E` ee Paid: LLT Exemption: Length 60' 60' SFD AKAf LPT NC3NE Width 12' 12' ICEVrN A NICCUM SILK-'T,NA B NICCUM (Joint Tenants with Right of Survivorship) 1754 TARA LANE PAP.ADISE, CA 95969 Lust Title Date: Pending Title Last Reg Card: 4 ending Reg Card Sale/Transfer Info: Price $64,000.00 TransfarTed on 0460i2004 Situs Address. - 14811 WOOD DR �MAGALIA, CA 95954 Situs County: BUTTE Legal Owner: RICHARDSON F'AMIL'Y TRUST 071990 6391 MOLiNART. CT MAGALIA, CA 95954 Lien Perfected On: 09/27/2004 10:31:47 Inactive Decal/DMV: DMV 225QYM Title Searches: BIDWELL TITLE 145 PEARSON RD PARADISE, CA 95969 Title File No: 217566-JPC BMWELL TITLE 145 PEARSON RD PARADISE, CA 95969 Title File No: 217566-JPC **:1 END OF TITLE SEARCH "*''** 41002/002 35ING n`•� u Y V s a '1 •■ ly D5 STATE OF CALIFORNIA BUSINESS, TRA.NSPORTAT]ON AND HOUSING AGENCY DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT 7 DIVISION OF CODES AND STANDARDS REGISTRATION AND TTTLING PROGRAM STATEN ENt OF FACTS This unite a: © Mobilehome ❑ Commercial Coach ❑ Floating Home ❑ Truck Camper Decal (License) No.(s) Trade Name Serial No.(s) tj Gee S FAi2 wesT /3z9�9 /I•.�9rq I/We, the undersigned, hereby state: ,cANGz°s I/We further agree to indemnify and save harmless the Director of Housing and Community Development, State of California, and subsequent purchasers of said unit, for any loss they may suffer resulting from registration of the above-described unit in California, or from issuance of a California certificate of title covering the same. 1/We certify under penalty of perjury that the foregoing is true and correct. Executed on �/G 6 `f at `"'` &_ (Date) (City) Signatures) Printed name(s) 4_e/ /�� ( 0 Address City al_t'16 e. HCD 476.6 (REV 9/91) State efe— �.!�'i66 (State) RECORDING REQUESTED BY MID VALLEY TITLE AND ESCROW CO. AND WHEN RECORDED MAIL TO: KEVIN A. NICCUM SILVINA B. NICCUM 1744 TARA LANE PARADISE, CA 95969 ESCROW# 221043DT-1/CHI—C «i� rri ��r r ��ir i rii rii r ir�i r rug r� Recorded Official Records County Of BUTTE CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 09:00AM 30 -Apr -2004 I REC FEE 10.00 TAX 70.40 I I I 1 I Jason I Page 1 of 2 Above This Line for Recorder's Use Only A.P.N.: 065-340-003 Order No.: 221043DT Escrow No.: 221043DT GRANT DEED THE UNDERSIGNED GRANTOR(s) DECLARE(s) THAT DOCUMENTARY TRANSFER TAX IS: COUNTY $70.40 [ X ] computed on full value of property conveyed, or [[ 1 computed on full value less value of liens or encumbrances remaining at time of sale, X ] unincorporated area; FOR A VALUABLE CONSIDERATION, Receipt of which is hereby acknowledged, BANK OF AMERICA, N.A. hereby GRANT(S) to KEVIN A. NICCUM and SILVINA B. NICCUM, HUSBAND AND WIFE AS JOINT TENANTS the following described property in the UNINCORPORATED AREA, County of Butte State of California; SEE LEGAL DESCRIPTION ATTACHED First Preston Management, Inc. BANK OF AMERICA, N.A. as Attorney -in -fa r Bank of Am By: BY . AUTHORIZED SIGNATURES Ron utchison, Contract Manager Document Date: April 2004 STATE OF )SS COUNTY OF On&ff before me, /5111�j ANOTARY personal( appeared tj&f�l1 d y7 personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to mea' xecuted the same in his/her/their authorized capacity(ies) and that by his/her/their signature(s) on the instrument the personsntity upon be of which the person(s) acted, executed the instrument. WITNESS ndglicialseal. This area for official notarial seal. ,unm� o;,.arro: •.' A11150N STELLA - Notary Public, State of Texas �. My Commission Expires Februory 11, 2006 r Mail Tax Statements to: SAME AS ABOVE or Address Noted Below NOTES RESIDENTIAL PERMIT NO. _ 065-340-003 - ✓04-2748 BRUNS/NICCUM, 14811 WOOD DR, MAGALIA r CONT: SIERRA MHS I EX MH PERM FND THE HCD FORM 433A FOR THIS MH CANNOT BE RECORDED UNTIL ONE OF THE FOLLOWING HAS BEEN TURNED IN TO THE BUILDING DIVISION: (1) LICENSE PLATE(S) OR DECAL (THE INSPECTOR MUST RETREIVE). (2) STATEMENT OF FACTS (ONLY ON NEW MH' S). INSPECTOR TO VERIFY SERIAL & LABEL #'S. SPECIAL CONDITIONS CHECKED :• BY SRA FLOOD CERTIFICATE REQ. r FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY ' USE PERMIT CONDITIONS t SUB -STANDARD HOUSING LETTER #L CSL 2IL11 � G L JOB FINALED (Date) 1 / '1 Signature .t ' 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 FRAMING (Continued) Card B-1 Date Card B-1 Date Hangers -Post Caps -Anchors -Connectors 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 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Date 57. Card B-1 Date Card B-1 Date 58. Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Glazing Area -Glass Protection -Skylights -Plastic 24. Fixture & Transformer Clearance -Ins. Protection Shear Walls; Nailing -Bolts 25. Elec. Receptacles Spacing -Lights & Switches at Doors Brace Interior/Exterior Wall Panels 26. Size Boxes & No. of Conductors Stapled Insulation -Walls -Ceilings 27. Romex Installed Close to Edge of Studs & C.J. Infiltration -Walls -Windows 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Card B-1 Date Card B-1 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI Card B-1 Date Card B-1 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral ❑ 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 69. Elec. Trim & Subpanel, Breaker Sizes & Labels Date 70. Card B-1 Date Card B-1 Date 71. Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Elec. Outlets at Wood Panel, Int. & Ext. 36. A.C. Ducts Insulation & Support Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 37. Vent Fan, Exhaust above insulation Elec. Outlets & Receptacles at Kit. Counter 38. Condensate Drain & Overflow, Size & Grade Garage Fire Door; Swing -Landing -Closure 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet A.C. Duct in Garage -Damper 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 80. 41. Sills Proper Materials & Anchors 81. 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 82. 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 83. 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 84. 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes _ 83. Following Instld./Drive ❑ Yes O No/Walks O Yes ❑ No/Planters ❑ Yes ❑ 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: J=OK �• 0 = Not OK. NotReadvab1e MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ P' L'ft. / P Nat. or / P' L "ft./ P LPG Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date 7. Well Clearance & Disconnect 1. 8. Utility Clearance 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails Date Wood Awn.; Posts- Beams-Rftrs-Connectors Shthg-Frg-Bracing Card B-1 Date Card B-1 Date Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 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 Date 8. Gas and Electricity Tagged Date 9. Tie Downs -Type -Installation Cert. Date 10. Exits; Insp.-Sketch 1. 11. Cert. of Occupancy 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining Date Elec.; Receptacles and Lighting, Distance-GFI Card B-1 Date Card B-1 Date Elec.; Pool Lighting; 15 Volts-GFI Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected Date 8. Gas and Electricity Tagged Date 9. Exits 10. License Decals 11. Verifv #'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-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 POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards- Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 i COUNTY OF BUTTE 4k i BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES . 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538=7541 CORRECTION NOTICE i OWNER v PERMIT NO A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is f completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. ? t ,ate r fa ti CW c%s e 4evy4-10 ,0501 •�- x F NO f _ s 'h• I Gem Q�t -e ..5� 1�.� F'l -• F —\ z I, lr A, l� i r 9 Date r �' _ f Inspector REV 10/92 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 PERMIT NO. BP042748 LICENSED CONTRACTORS 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 Issued Date: 10/13/2004 APN: 065-340-003-000 the Business and Professions Code, and my license is in full force and effect. License Class : License Number: 7cfg6 Site Address: 14811 WOOD DR MAG Date: I o z d y Contractor: Map Index: Description: EX MH PERM FND (1440) OWNER43UILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter,improve,demolish, or repair any structure, prior Owner: NICCUM, KEVIN A. & SILVINA B. to its issuance, also requires the applicant for such permit to file a 1744 TARA LANE signed statement that he or she is licensed pursuant to the provisions of PARADISE, CA the Contractor's Stale License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 95969 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: NICCUM, KEVIN A. &SILVINA B. Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, Contractor:. SIERRA MOBILE SERVICE and who contracts for such projects with a contractor(s) licensed BILL REID pursuant to the Contractors' State License Law.). 466 CIRCLE DRIVE ❑ 1 am Exempt under Article 3 of the Business and Professions Code OROVI LLE, CA 95966 530-534-0599 Date: Owner: License #: 470386 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 Architect: is issued. 8--�have and will maintain workers' compensation .insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: 9a-lcC 7� Carrier: Total Square Ft: 0 S. F. �A 5-7 Policy #: Valuation: $0.00 ❑ 1 certify that in the performance of the work for which this permit is Census Code: issued. I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall r forthwith comply with those provisions. `/ Date: Sof �• 670 Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the This permit is hereby issued under the applicable provisions of the Bnrie CountZ dA a&d/, Resol s to do wo indicate bo for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) By: Date: -3 Name: -� PERMIT EXPIRES ON: Address: ate ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: A- / `/ Signature: Z/-YZe Date: ❑ Owner ontractor ❑ Agent for Owner ❑ Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTIONM 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 First Name Address /Y911 w el'" City State Co— Zip Phone Fax E-mail APPLICANT SIGNATURE X For office use only: CONTRACTOR Name ��-w �?��' ��-•�-�-�. Address Address City r� State u` Zip ys jE� Phone Shy OS9 9 Fax E-mail S 3 �1 OSS 6 Lic. # y763 9E Class 5 APPLICANT SIGNATURE X For office use only: ARCHITECT/ENGINEER Name Flood Zone Address Address City - No State Zp Phone State Fax E-mail S 3 �1 OSS 6 State License Number APPLICANT SIGNATURE X For office use only: APPLICANT NAME Name Flood Zone 7 Address I Yes - No City La -cc -r z Subdivision Name State ZP Phone S 3 �1 OSS 6 Dale Approved: Fax E-mail APPLICANT SIGNATURE X For office use only: Zoning PropertyAddress lgil/ Flood Zone Cross Street SRA I Yes - No Occ. Type Const. Subdivision Name Map BookPage Address Lot # Planner Dale Approved: OVER FOR SUBMITTAL REOUIRF_MFNT.<; PERMIT NO. 01/— 2 ?t125" BP BIN # LOCATION AP# 060-5- psProperty PropertyAddress lgil/ city Cross Street WORKER'S COMPENSATION Policy Number Y� s 7 Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: Sq. Footage 0 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 required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: 1H Amount �`Y �U Bldg SRA Receipt #:: %7i 1 Sheriff V W/7 6 9-1 SMIP Date: q-/7-d� Other `V Total 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: f1'N /"Yi `� _l J; l c_ 1 1 f % i ASSESSOR PARCEL NUMBER n4 AV z' Proposed Building Use: r' --,C I/r1 f -i . t-- ( /1%/P X SA -P_ Counter Technician: lil Date: q-1 / rZ-,,7-7/ Items required in orderTo apply for a permit. All boxes MUST be checked OR marked NA in order to apply. J= 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. . ❑ 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! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (9 Tie down offnd planaII in duplicate. �� = ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form ❑ 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........ ❑ 20. Erosion Control Plan Required........................................................................ ........ ❑ 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 22. City of Chico Plumbing permit........................................................................ ❑ - 23. California Department of Forestry plan approval ❑ paid. Sent by: .............. 24. Planning approval (A) Use: (B)Parking: (C) Parcel Check: D - 25. Contact Land Development about _ Improvements, _ Drainage ............. I........... �- 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... 28. Pre -Inspection for 0- ,,,, 1Il" r'„ l required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization......................................:............................. ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ 35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction .............................................. . 37. Grant Deed,-fM.H. Title/Statement of Facts, eller from Legal Owner, ❑ 38. Other: ❑ 39. Other: When issued Telephone 92 A -615q9 and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: �'�" Date: 1. Index permit application for the above items numbered: Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, ownerXr ed of the a ove d a by phone, ❑ mail, ❑ count r b t Date Plans reviewed by: Date: Plans approved by: Date': Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division 10/12/04 10:05 FAX BIDWELL TITLE 1002 CHTCO 500 Wall St. PO Box 5173 Chico, CA 95927 (530) 894-2612 FAX (530) 894-0713 October 12, 21004 ® Courity of Butte ® c/o Sierra Mobile ® Fax: 534-0709 OROvii]LE 1835 Robinson St. PO Box 811 Oroville, CA 95965 (530)433-2414 FAX (530) 533-1589 Escrow ## 217566 Property Address: 14811 Wood Drive Magalia, CA 95954 To Who ri It May Concern: PARADISE 145 Pearson Road PO Box 490 Paradise, CA 95967 (530) 877-6262 FAX (530) 872-5129 GRIDLEY 560 kcntuck-y PO Box 949 Gridley, CA 95948 (530)846-4005 FAX (530) 846-0584 We have the above escrow pending, wherein Bidwell Title & Escrow Company has been instructed to pay off the loan to Richardson Family Trust encumbering the property known as 14811 Wood Drive, wheniif the escrow closes. Escrow will close upon all conditions of closing having been met, and has no control over said conditions. Other than our guarantee that Richardson Family Trust will be paid in full upon the closing of this escrow, escrow holder is an independent third party and gives no warranty or guarantee as to the actual. closing of this escrow. Sincerely, r wjl/� j -T-Il Janet "]F" Clark Escrow Officer 145 Pearson Road PO Box 490 Paradise, CA 95969 Phone: • (530) 877.6262 a Fax: (530) 872-5129 IeUh.dfre. MOM) Ilk PERMIT W6. j P -340-003-000 OAP Owner: FANNIE,MAE Address: 14811 - WOOD DR MAG��._T`. OFFICE COPY Address ) wand AlJg GAS Meter By Date ELECTRIC Meter By Date2 % -oy OUTtFBUTTE COUNTY PERMIT NO. DEPARTMENT OF DEVELOPMENT SERVICES BP042787 00 o o BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538.7636 (OROVILLE) (530) 891.2834 (CHICO) u ' - o OFFICE #: (530) 538.7541 FAM(530)538-2140 cOUN �y WEBSITE: www'.bultecounty.netldds LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 0 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. y License Clasi.. ,/� Licce�nse Number: Y / S Date: z Conbaclor. (f11J J /& C/—,7C(C I hereby affirm under penally of perjury that I am exempt from the Contractors' Slate License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, Improve, demolish, or repair any structure. prior to its Issuance, also requires the applicant for such permit to rile a signed statement that he or she is licensed pursuant to the provisions or the Contractors Slate License Law (Chapter 0 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation or Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as Owner of (he 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' Slate License Law does not apply to an owner of property who builds or Improves (hereon, and who does such work himself or herself or through his or her own employees. Provided that such improvements are not Intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner•builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ 1, as owner of the property, em exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' Stale License Law does not apply to an Owner of property who builds or Improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' Slate License Law.). ' ❑ 1 am Exempt under Article 3 of the Business and Professions Code Date: Owner: . WORKERS' COMPENSATION DECLARATION I hereby affirm under penally of perjury one of the following declarations: O 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 the Labor Code, for the performance of the work for which this permit is Issued. My workers' compensation insurance carrier and pojiFy number are: Policy #:Z t Z_ UHr7— 51'_/ —0 All certify that in the performance of the w6rk 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. andagree (hat if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, 1 shall forthwith Jbmply Ilh those provisions. Date :�% Applicant: WARNING: Failure to secure workers' compensation coverage is 'unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000). In addition to the cost or compensation, damages as provided for in Section 3706 of the Labor code interest, and attorneys fees. puna 1 KUU IION LENDING AGENCY 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3007 Civ.) Address: Issued Date: 09/23/2004 APN: 065-340-003-000 Site Address: 14811 WOOD DR MAG Map Index: Description: REPLACE DAMAGED SERVICE Owner: FANNIE MAE 135 N LOS ROBLES AVE STE 300 PASADENA,CA 91101-1707 Applicant: FANNIE MAE Contractor: CHICO ELECTRIC 36 WEST EATON ROAD CHICO, CA 95973 (530) 891-1933 License M 454345 Architect: Engineer: Total Square Ft: 0 S.F Valuation: $0.00 Census Code: EXPIRES J 5-r, 0-0 which fees have been paid. O 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safely Code, which regulate the storage, handling and use of hazardous materials. O Notification in accordance with Section 19827.5 of California Health 8 Safely Code is not applicable to the scheduled construction of this project. O Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is comecl, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for Inspection purposes. I^ Prtnl Name: 7 � rJ Signature: Date: 0 Owner ❑ Contractor, 0 Agent for Owner ❑ Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP042787 LICENSED CONTRACTORS DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 00) of Division 3 of Issued Date: 09/23/2004 APN: 066-340-003-000 the Business and Professions Code, and my license is in full force and effect. q License Clas : L D License Number: 3�5 Site Address: 14811 WOOD DR MAG Date: Z Contractor: 6f60 / t-Cl`ie-lc- Map Index: Description: REPLACE DAMAGED SERVICE OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: FANNIE MAE permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a 135 N LOS ROBLES AVE STE 300 signed statement that he or she is licensed pursuant to the provisions of PASADENA, CA the Contractor's State License Law (Chapter 9 commencing with Section 91101-1707 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: FANNIE MAE Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). O I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: CHICO ELECTRIC not apply to an owner of property who builds or improves thereon, • and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 36 WEST EATON ROAD CHICO, CA 95973 ❑ 1 am Exempt under Article 3 of the Business and Professions Code (530) 891-1933 Date: Owner: License #: 454345 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 Architect: Labor Code, for the performance of the work for which this permit is issued. Engineer: O I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and ff y number are: Carver �T 7 ( A6V� 774y �c-S lig Total Square Ft: 0 S. F. Valuation: $0.00 Census Code: � I FS Policy #: Z Z 0,V(7— 07_ --0 I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers compensation provisions of Section 3700 of the Labor Code, I shall forthwith mply ith those provisions. J` Date: l% Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This pe it is iereby issued under he applicable provisions of the Butte Cnunty odP an Or I hereby affirm that there is a construction lending agency for the Reso s i do -work indi ed ve f which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) a Name: a ( —Date: �U Address: P IT EXPIRES ON: to ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly au d nt t owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of a or m nt f Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purp e-17Print Name: l / Signature: ZJ Date: / ❑ Owner 13 Contractor ❑ Agent for Owner ❑ Agent for Contractor r �uTTBUTTE COUNTY FDEPARTMENT OF DEVELOPMENT SERVICES O i C BUILDING PERMIT APPLICATION O O AND SUBMITTAL REQUIREMENTS v _ _ �; = 0 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 ' CQu N�� A FEE WLLL BE REQUIRED AT TIME 0 F APPLICA TION **PLEASE PRINT CLEARLY** OWNER Last Name ust Name Address City State Trp Phone Fax E-mail APPLICANT NAME CONTRACTOR Name City Address Trp City Fax State Zip Phone Book Fax E-mail Planner UC. # Class APPLICANT NAME ARCHITECT/ENGINEER Name City Address Trp City Fax State Trp Phone Book Fax E-mail Planner State Ucense Number APPLICANT NAME Name Address City State, Trp Phone Fax E-mail APPLICANT SIGNATURE X For office use only: Zoning Property Prope Addr s 1 �' 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. 111ZEJ LOCATION AN c)/ _'5 - Property Prope Addr s 1 �' C• Cross Street WORKER'S COMPENSATION Policy Number Carrier . If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: Sq. Footage ❑ Structure Built vdthout Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by Wr. Amount Bldg SRA Receipt P `'ij Sheriff SMIP Date: q k � Other Total SUBMITTAL & PERMIT REQUIREMENTS f - a The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEG/BLEAND IN/NIC ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paperl ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxesl ❑ 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to mobile or modular -homes.) ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fid plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site 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 (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). ❑ 13. Sanitation and site plan approval from the Environmental Health Department. Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioners office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Workers Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's). If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS meTunas can oniy be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits ssued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan ;heck fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION ,AFORMSSUILDING F0RMS\BIdgApp1SubRgmts.doc Page 2 of 2 Qui 7 -77 -AA �PRE-INSPECTION REPORT OWNER:([�1L5�� l ���im DATE: LOCATION: moi/ �L• A. P. # _�%� 16- r� CONTRACTOR:J,o//m /%,�j�1p, ��C ZONING: REASON FOR PRE -INSPECTION ��• %�. /m�°�( �j-�� , DATE TO INSPECTOR: C/_ / ZJ PERMIT HISTORY () NONE (0-SfE ATTACHED BUILDING INSPECTOR'S REPORT Building Description: Commercial/Usage: Residential # of Units: Mobile home # of Units: Currently Occupied (�) es ( ) No AbandonedNacant: Electric: Electric Currently WOn ( ) Off Condition of Electric Gas: Currently ,( ) On ( ) Off Condition Sanitation: Plumbing Working (Yes ( ) No Obvious Sewage Problems ( ) Yes ( yo �iy ACTION RECOMMENDED: ISSUE (es (.) No Hold for permits or verify: Inspector: VIOL, SKETCH BUILDINGS ON REVERSE AND INDICATE LOCATION ON PROPERTY. BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES 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 REQUIRED AT TIME OF APPLICATION **PLEASE PRINT CLEARLY** APPLICANT SIGNATURE X For office use only: OWNER Last Name g ►,1iu.i-� l�.r,Gtti,.w. First Name Address /yell we -_4 6 "_ City L� Slate Zip Phone oS9 9 Fax E-mail Planner APPLICANT SIGNATURE X For office use only: CONTRACTOR Name Flo7Map Address SRA City, L� State` ZIP 9SfE� Phone Shy oS9 9 Fax E-mail Planner Lic. # e176 45 APPLICANT SIGNATURE X For office use only: ARCHITECT/ENGINEER Name Flo7Map Address SRA City L� State Zp Phone S-311 0_5-d6' Fax E-mail Planner State License Number APPLICANT SIGNATURE X For office use only: APPLICANT NAME Property Address /v�/l w� Flo7Map Address SRA City L� State ZP Phone S-311 0_5-d6' Fax E-mail Planner APPLICANT SIGNATURE X For office use only: Zoning Property Address /v�/l w� Flo7Map Cross Street SRA Yes • No Occ. Const. Subdivision Name ok Page Lot # Planner Date Approved: "Vt_rc 1- R SUBMITTAL R OUIRF_MFNTF; PERMIT N/O� . ()`f 2 ?"100 BP BIN # LOCATION AP# oGs 3sro oG 3 Property Address /v�/l w� City Cross Street WORKER'S COMPENSATION Policy Number Yzs� Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: Sq. Footage ❑ Structure Built without Pen -nits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Amount �'y qjJ Bldg _SRA Receipt #: �� / Sheriff C r8 SMIP Date: /�. 2/, Other c/o Total 65-34-3 Verne E. Lewis BAILEY, Larry 65/� 72E Ra W od Dr lot 12 SDO#2, al �n _ (05-39-03 Permit ��819-79P,E(�gtil. ELEC . GAS SUPPORT STRUC REQ_______ COMPACTION T REQ._ 65-34-03 Ve a Lewis 148114�'Wood Dr., lot 12, SDO#2,Maga Permit #83' 81P,E(util.,MH) V T W r+ -A.-9 7:9- k 9n n A Lot 12, Wood Dr., Sierra Del Oro + -- CONTR: John Loopeker, Paradise (m ter service for existing garage) - . ---Q - "I Verne Lewis 0 3�IL� 14811 Wood Dr., Magalia j Permit #322081B,E(new pri.det.garqp) 69-34-3 ` Contr: Donald Carr F. Permit#340-87B,E(new�cabana) & spa , t j a i { Fi Building Permit Number: D 't —07 7Vff Owner Name: qi cGc.'m Residential Construction Requirements IMPORTANT This set of plans and specifications MUST be kept on the job site at all times and it is unlawful to make any changes or alterations on same without written permission from the Building Division, County of Butte. All materials and workmanship shall be in accordance with recognized good practices and of a quality prescribed for the specific use in the 2001 California Building Code (2001 U.B.C), 2000 California Plumbing Code ( 2000 U.P.C.), 2000 California Mechanical Code (2000 U.M.C.) and the 1999 California Electrical Code (1999 N.E.C.) COMPLY WITH ITEMS CHECKED BELOW _ Your parcel lies within a designated 100-ye-ar flood plain. Finish floor, electrical, ' H.V.A.C. equipment and services shall be a minimum of one foot above the elevation shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate will also be required Note: We will normally accept the following as compliance with the flood elevation requirements: 1. Building is anchored to concrete stemwall system with conventional anchor bolts. 2. Building plate on top of stemwall to be one foot or more above the 100 -year flood elevation. (Plate height less than 24" above grade, or engineered design required). 3. Electrical, heating, ventilation, plumbing and air-conditioning equipment and facilities located above the plate. 4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total. net area of not less than 1 square inch for every square foot of enclosed area. 5. The bottom of the openings shall be no higher than 1 foot above grade. 6. The openings may be screened or covered with other devices that will permit automatic entry and exit of floodwater. (! Page 2of 2 Building Permit Number: 0 `F- oP 7qg Owner Name: 14 i CUAlen Parcel lies within the State Responsibility Area (SRA). Comply with attached requirements. Fire sprinklers are required in this structure. The following parcel map requirements shall be met: -- All structures and equipment including overhangs shall be clear of all easements. A setback of0lom the side anO 9 from the rear property lines and 20 feet (25 feet if Federal Aid Route) from the edge of the right of way shall be clear of structures and equipment except for a 2 foot overhang. Expansive soil may be encountered on this site. This condition may require the foundation to be designed by a California registered engineer or licensed architect. BUTTE COUNTY.DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION -SHEET 1. Owner's name,• G/ f I n e. 4 e al l r5 2. Installer's name:' �� �S /Y, �i ��} 4-" 3. Is the site currently under permit? Yes 77K No (If yes, furnish permit number ) OR Is the site an existing site? Yes / / No (If yes', furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes /l�'/� No ( If no, clarify ) ( ) 5. What is the'mobilehome electrical rating? ----------------------- Amps 6. What is the mobilehome site service rating? --------------------- 62 0 C9 fps 7.. What is the mobilehome site circuit breaker rating? ------------- Amps 8. Is there any other electric load to be served by the mobilehome siteservice? --------------------------------------------------- Yes No (If yes, identify the load and site: (Load) (Amps) / 9. What is the mobilehome site gas pipe size? ---------------=------ L0. What is the type of gas service? ----------------------------- Natural 7_7 LPG L1. What is the gas pipe length from meter or tank to the mobilehome? (ft.) L2. What is the mobilehome gas demand? ------------------------------ (BTU) (This information not required if pipe length less than 6 ft. .on natural gas or less than 50 ft. on LPG.) MOBILEHOME SUPPORT DATA If other than single wide, n j3 / f`y / Mobilehome Mfr. furnish Setup Model No. ',// – / Year / 0 Width _(ft.) Box Length i Q (ft.) TaMl:orrg-10V-E�do--�Slze' —ftp (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of mobilehome unless otherwise specified. Footings (check one) Single 1. Wood either pressure treated or foundation grade. (ft.)(in:) (in.) (in.) 2. Other.(specify) :nter support Center support Supporta (check one) locations* footing sizes (in.) 1,�, Concrete block. .2. Other. (specify) - (ft.)(in.) (in.) (in.) <---Tagalong or Expando,' 33, show support details. (in.) (in.) �1 -- Typical Support (in.) (in.) Footing Size (in.) (in.) = ` -- Max. Pier Spacing (ft.)(in.) �° :� x • _ -- Max. Overhang (ft.)j (in.) L (in.) (in.) BUTTE COUNT gUiL.DiNG DEPARTMENT �� *If center piers are other than drawn above, Vector Dynamics Foundation System INSTALLATION INSTRUCTIONS for the State of California Version 9/2/2003 INDEX Approval PAGE RELEASE SECTION NUMBER DATE MANUFACTURED HOME/M OBILB HOME FOUNDATION SYSTEM HEALTH AND SAFETY CODE, SECTION 18551 APPROVED INTRODUCTION 2 .9/2/03 . GENERAL INSTALLATION 3 9/2/03 suaTEcrTocoRREcrloxsNOTFD OPAL DOES NOT AUTHORIZE OR APPROVE ANY PARTS LIST 4 & 5 9/2/03 MISSIONS OR DEVIATION FROM REQUIREMENTS OF LONGITUDINAL DEVICES 6 9/2/03 APPLICABLE STATE LAWS AND REGULATIONS ��Stato of California t t Houma and Commually Davolopmetd PIER HEIGHTS 7 9/2/03 SET-UP INSTRUCTIONS 8 9/2/03 W+ N ODES AND STANDARDS DATE (signature) SPA No. FOOTER SIZES This Appmva cpirw .WIND ZONE I - SINGLE 9 9/2/03 '' DOUBLE - -- 10^ - _ 9/2/03 - TRIPLE 11 9/2/03 . -HIGH PIER 12 9/2/03 WIND ZONE II = SINGLE 13 9/2/03 �oQKOFEsS/oNq� DOUBLE 14 9/2/03 - TRIPLE 15 9/2/03 No.6 245 p.lv�3��o9- 1 V -DRIVE & PIER SYSTEMS 16 9/2/03 �T"tOFCAl.1F° \P SOIL CLASSIFICATION 17 9/2/03 CONCRETE INSTALLATION 18 & 19 9/2/03 - COMPONENT PARTS AVAILABLE UPON REQUEST d.0 TTE COUN I -r BUILDING DEPARTME.4i APPROVIEi WE t- 00 LQ CDN O O Tie Down Engineering, Inc. VECTOR DYNAMICS INSTALLATION DESIGN INSTRUCTIONS Introduction These instructions describe the proper use of the lateral and longitudinal foundation system. You may also refer to the home manufacturer's installation manuals that include the Vector Dynamics system as an alternate foun- dation system. General The Vector Dynamics Foundation System provides the support to resist lateral, longitudinal and over -turning movement of the home as required by the Federal Manufactured Home Construction and Safety Standards in a specified wind zone when the system is used as described in these instructions. Please verify state or local wind load requirements prior to installation of the home. The Vector Dynamics Foundation System resists lateral & longitudinal wind & seismc loads by anchoring the two longitudinal main rails. The system is approved to be used on single or multi section homes: Nominally 12 feet to 16' feet wide- (single section) with main rail spacing of 95 inches or greater on center; multi section main rail spacing of 75 inches or greater on center. Nominal 8 foot or less top plate height at sidewalls-with main rail depth of 12" or less. Maximum roof slope of 20 degrees (4.4" in 12" slope). Maximum eave width (roof overhang of sidewall) of 12" for Zone. I, 8" fo Zone II Maximum pier height under main rails -see page 7. The Vector Dynamics Foundation Systems may be used as a part of the vertical or gravity support system con- sidering that each Vector Dynamics pad has two (2) or (3) square feets bearing area. To inquire about the use of the Vector Dynamics Foundation Systems with homes of four or more sections, other widths, or on homes requiring pier heights which are not included in these instructions, contact Tie Down Engineering, Inc. at 1-800-241-1806. The Vector Dynamics Foundation System has not been designed for use on exposure "D" homes 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 may include shear walls, marriage line ridge beam support posts, end frame ties and rim plates. Page 2 California 9/2/0 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. FOOTINGS AND FROST LINES The Vector Dynamics Foundation System was designed to be placed directly on top of the ground (or poured concrete) after clearing all loose vegetation. In areas with frost heave, use Vector for Poured Concrete (see pages 20 & 21) to comply with local requirements for footer depth. FOUNDATION/FOOTING SPECIFICATIONS FOR VECTOR PADS Vector Pads are used in place of conventional foundation pads'. One Vector pad provides two or three square feet of bearing support. Vector Systems should be spaced as symmetrically as possible along the length of the home. For pier locations in between the Vector Systems, use the normal foundation pads. LUMBER/MOISTURE -TERMITE SHIELD To cut PVC or lumber (2 - 2x4's,1 - 4x4 or 1 adjustable steel commpression member per Vector system) for the center compression section,when using concrete blocks for piers, measure center to center frame (I-beam) dis- tance and subtract 16". When using METAL PIER STANDS, measure. center to center frame distance and add 16" 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 INSTALLATION All frame ties and diagonal straps must go from the anchor. to the top of the I -Beam. See illustration below. 1. Attach frame hook to top inboard location of "I" beam. (Frame hook must be attached to frame at points closest to floor support.) 2. Keeping in line with the hook, wrap galvanized strap completely around "I" beam. 3. Pull strap past anchor head approximately ten inches before cutting to allow enough strap to give a minimum of five turns around the slotted anchor bolt. 4. Thread loose end through slotted bolt so that the strap is flush with the other side of the bolt. 5. Tighten slotted tensioning bolt a minimum of five full turns. Oc" Page 3 California9/2/03. Longitudinal Stabilizer Devices The use of LSD systems on a . single or multi. section home replaces longitudinal anchors, stabilizer plates and straps. The Longitudinal Stabilization Device (LSDf'is vsed with the Vector Dynamics System to resist loads in the longitudinal direction (short dimension) of home. The number of LSD required is. shown on pages 10-13. LSD 1, Longitudinal Foundation Pad 2. Beam Clamp (2 per system) 3. Longitudinal Strut (2 per system) 4. Tie Bracket (2 per system) Combine Vector Dynamics & LSD Note: Two struts = t L.S.D. Can be used on one pad or i opposite ends of the home. Exam pies of Possible Placement: (Contact TIE DOWN for placment in other Wind Zones) Wind Zone I Single Section I I �I � I I I I I I I I I I I I I I I I Wind Zone Double Section I I I I I I I I l I I I I I I I I I I I I I I I I I I I I I, I 18 Ft. Max. 32 Ft. Max. Forgreater widths use triple section design. Wind Zone Triple Section 1 1 I � I I I I 1 I 1 I i i i i � I I I 1 I 1 f I I I F I I 1 I 1 I I 1 I I 1 I I I I I I I I I I I Page 6 Wind Zone I Tag Section 48 Ft. Max. California 9/2/03 50 in max. Maximum Pier Height Vector Dynamics Foundation Systems may be used on single section homes in Wind Zone I which require pier heights (from surface of Vector pads to top of concrete or metal pier) hot to exceed 50 inches under one or both main rail(s). Note that a ground anchor must be used at each Vector system location where the pier height exceeds. 24 inches for single section homes. On multi -section homes in Wind Zone I, an anchor must be used at each Vector System location with pier heights above 46" with the following exception: double section homes that are 24' wide, in Wind Zoned, have a maximum pier height without anchors of 38". See page 12 for double section home high pier set instructions. 50 it Max. Unequal Pier Heights Homes with unequal pier heights are limited to 50" maximum pier height. and the shorter pier cannot exceed 26". Page 7 4aximum The difference between the taller pier California' 9/2/03 Set -Up Instructions for Vector System #59018 0 Long U -Bolts 1. Set Vector Pads 4. Inside brackets & straps Clear all vegatation 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 compresion member. Attach a strap w/hook mer pad into the ground. or swivel strap w/nut & bolt. Place other end of the strap over opposite I-beam & down to out- - 2. Set Block or piers on pads. side tension bracket. Cut strap 12 - 15 inches Center foundation blocks or piers on pads. Place past bracket. Attach strap & slotted bolt in pre-cut center compression member between bracket. Tighten strap until tight with 4-5 wraps blocks; resting on pads, centers between U -bolts around bolt. Repeat with opposite strap. as shown. 3. Outside Tension Bracket Attach outside tension bracket as shown to out- side of pads. Page 8 Califor 9/2/03 NOTE: Vector Systems should be spaced as symmetrically as possible along the length of home. Pier spacing must be consistent with I manufacturers' instructions and/or state requ n w 0 iv - No anchors required. For Piet heights up to 46" for WIND ZONE I 28'-36' wide 38"for 24' wide. See Pg 12 for high pier instructions. co v A 2 sq, ft. pad soil Bearing Capacity: 1,000 PSF minimum Anchors Reauired` Nnna MAorrin.. -1,11 --L--- Home Length WIND ZONE I, SEISMIC ZONE 4 ...... — .—Y uc Icyuneu Anchors Required Per Side uy nome L.S,D. 0 to 40' Vector Dynamics 0 2 41' to 66' Systems Required for 3 67' to 84' Double Section Homes 0 4 85' to 90' S 0 4 (Materials Required) _ _ - - " - _ _ _ - - " h° 1 _ - ----" Seck' ----_- ble - -721 o r��E�id4' JJ��TT .\ _ .. [t�2X - 3��a: _ n �_.G �'h`- 't . _ — _ ::` a�'+c•. �t"�e's-s�`c`�` ~-i^'L�`S'Js�� Y ami -i`='x 4• F � _ � .r-y/�- •.t�-� —_. PJ Q= . ✓ 1R _• `.� '`'� 't ham' SE r'•,•f CD �ww. NOTE: Vector Systems should be spaced as symmetrically as possible along the length of home. Pier spacing must be consistent with I manufacturers' instructions and/or state requ n w 0 iv - No anchors required. For Piet heights up to 46" for WIND ZONE I 28'-36' wide 38"for 24' wide. See Pg 12 for high pier instructions. co v A 2 sq, ft. pad soil Bearing Capacity: 1,000 PSF minimum Anchors Reauired` Nnna MAorrin.. -1,11 --L--- Home Length Vector Systems- Required ...... — .—Y uc Icyuneu Anchors Required Per Side uy nome L.S,D. 0 to 40' 2 0 2 41' to 66' 30 3 67' to 84' 4 0 4 85' to 90' S 0 4 �a,n VULAUr -�ysiem requires one of the following: -1-4x4 or 2-2x4's pressure treated wood compression member, Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list) manufacturer) Note: L.S.D.- Longitudinal Stabilization Device See Page 6. VECTOR DYNAMICS INSTALLATION DESIGN INSTRUCTIONS Vector Dynamic Foundation Systems may be used only on homes set on soils classified as Class 2, 3, 4A and 4B as described in the table below: (1) The purpose of the soil test probe is to gauge 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 Ib -in. 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. Vector Foundation Pads Equivalent to Footer Pads' Footer Size: Footer Size: 1 6x1 6 = 256 sq. in. - -_ '. 20x20 = 400 sq, in. _ - or 1 6x1 8 = 288 sq. in. = or 17x25=425 sq. in. - -- EQUALS _ ' - EQUALS - 2 -Vector Pads # 59275 ` :. ' r" 1 -Vector Pad # 59271 - - - 28.8 sq. in. or. 432 sq. in. 1 Vector. Pad # 59130 Vector Pads) exceed the surface area required when used as the equivalent liste bone. 'Foundations in soil.with a bearing capacity of less than 1,000 PSF must be designed by a Registered Professional En in tar with site conditons <Kim Page 17 California ` ` 9/2/03 SOIL CLASSIFICATIONS Soil Class Types of Soils Blow Count (ASTM Soil Test Probe (1) D2586) Torque Value (2) 1 Sound hard rock...... NA NA Very dense and/or 40 -up More than 550 lbs - in. cemented sands, coarse 2 gravel and cobbles, preloaded silts, clays, and corals Medium -dense coarse 24-39 350-549 lbs - in. 3 sands, sandy gravels, very stiff silts and clays 4A Loose to medium dense 14-23 275-349 lbs - in. sands, firm to stiff clays 4B and silts., alluvian fill 175-275 lbs - in ' Peat, organic-0ts, 0-44 175 lbs - in. 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 gauge 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 Ib -in. 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. Vector Foundation Pads Equivalent to Footer Pads' Footer Size: Footer Size: 1 6x1 6 = 256 sq. in. - -_ '. 20x20 = 400 sq, in. _ - or 1 6x1 8 = 288 sq. in. = or 17x25=425 sq. in. - -- EQUALS _ ' - EQUALS - 2 -Vector Pads # 59275 ` :. ' r" 1 -Vector Pad # 59271 - - - 28.8 sq. in. or. 432 sq. in. 1 Vector. Pad # 59130 Vector Pads) exceed the surface area required when used as the equivalent liste bone. 'Foundations in soil.with a bearing capacity of less than 1,000 PSF must be designed by a Registered Professional En in tar with site conditons <Kim Page 17 California ` ` 9/2/03 • 16,61-81B PERMIT NO. PERMIT EXPIRES OWNER Verne Lewis CONTR. Owner ASSESSOR PARCEL 65-34-3 LOCATION 14811 Wood Dr., M..lia (lot 12,SDO#2) v. j'. x Temp. Power Pole Called PG&E / Temp. Elec. Service Called PG&E ti Temp. Gas Service / Cal led PG&E F AL e) C Signature J = OK O = Not OK - = Not Applicable RESIDENTIAL (Single and = Not Ready Duplex) Date UNDERFLOOR Plans OKexcept #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 52. 53. Siding -Nailing -Veneer Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums -& Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except N's Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except q's 56. Ext. Steps -Door & Sidelight Protection -Landings 57. Smoke Detector 14. Water Ht.; Vent -Access -Combustion Air 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except k's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location 22. 23. Size Boxes & No. of Conductors -Stapled Romex Installed Close to Edge of Studs & C.J. 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 72. Insulation -Foam -Looked in Attic E] Yes 73. Guard Rails &Deck Construction -Post Caps _ 25. 2 Appliance Circuits in Kitchen &Conductor Size 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes _ 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or AI, Insulated Neutral ❑Yes El No 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. 80. Water Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. Ventilation throughout House Card B -I Date Date Card -BI Date MECHANICAL (Permit) OK except N's 31. A.C. Ducts; Insulation & Support 82. Glass Protection 83. _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. 86. Water & Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates 32. Vent Fan; Exhaust above Insulation _ 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date - Card -BI _- _Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FRAMING(Plans) 36. OK except N's Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing _ 42. 43. 44. Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Ring. _ Fireplace Ties or Type A Flue -Fireplace Throat _ 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Windows or Exiting Doors -Sill Hgt. & Dimensions _46.__Bdrm. 47. Garage Fire Protection Framing (NOTE: An entry must be made each time you visit jobsite) V = OK 0 = Not OK — = Not Applicable MOBILEHOMES MISCELLANEOUS = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except N's Date DEC" OVERS, CARPORTS, ETC. (Plans) OK except #'s 1, Zoning Requirements—Setbacks—Easements V Vning Requirements—Setbacks—Easements 2. Soils; Special MH Support—SketchFootings;,�Sizee--pepth—Spacing�—G—on 3. Sewer; Location—Test—Fall-C/0—Concrete0.-,"G c--ne tors &-15e imes and/or JoiskS De, gBra i —St ' —Rails 4, Water; Location—Test—Easement Needed (Sketch) �— 4, Wo%SL. p.!Pt�—Be s—Rf� Com.—Shop .—Ri�f3ra +tlg 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete 5, Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6, Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance 6, Carports; Windows—Doors 7, Elec. Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card -B Card- I Date Card -BI Date Date — —8 Card -BI Date _Date MOBILEHOME INSTALLATION (Plans) OK except N's 1, Zoning Requirements—Setbacks-Easements Date POOLS (Plans) OK except N's 1. Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4, Electricity; MH Test—Crossovers—Breakers—Clearances 4, Elec.; Receptacles and Lighting; Distances—GFI 5, Drain; MH Test—Fall—Flex Connector 5, Elec.; Pool Lighting; 15 volts—GFI 6. Water; MH Test—Regulator—Connector 7, Water and Sewer Connected—C/0 to Grade—HD Approval 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7, Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8, Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9, Health Department Approval 9, Exits; Insp.—Sketch 10, Cert. of Occupancy Card B-1 Date Card -BI Date I 10. Plumb; Cir. Test—Water Supply Test Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date COUNTY OF BUTTE - DE.PARTMENT OF PUBLIC WORKSPE MIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT A ASSESSOR PARCEL NUMBER �5 -0BUILDING ING PERM% OW R h ) �, iS dADDRESS TELEPHONE " SO. FT^ OCC. BUILDING VALUATION �� OWNER' MAILING - l l itd �- a) I a CONT'RACTOR'S NAMEn� Dcz) �i TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER Al 2 UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ W.CD ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping ' LOT NO. SUBDIVISION NAME PARcdL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF[:1 Duplex❑ Mobilehome /Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition Remodel ❑ Utilities*[] Installation ❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT FiIingFee 10.00 600V OR LESS Main service 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUP.y) OR ADDNS. 1 ACC. BLDGS. 20 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): . F-1 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 NNEW ON -RESIT R BRANCH CIRCT TS 2.50 ea NEW CONSTR. / POWER APPARATUS e) NON-RESID. %SINGLE OUTLET CIR, so@a¢ Ex. Occup OUTLETS OR FIXTURES BAL�1 IXED APP LHS, OR Ex. OCCUp.�OUTLETS IRESID•) EA. 2.00 Temporary service 10.00 Mobile Home Faciiities 15.00 Misc. Wiring 7.50 Permit Fee $. Contractor 4. MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate dof Consent to Self -Insure. l 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 4 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said Count in equence of the granting of this permit. X Date / Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OD D oreqP, GROUP JA .,� IIVV�� TYPE of CONST. V .� PARCEL d PD ND IS9UE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO F PUBLIC By PER EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date r �� Receipt No. WHITE-D.P.W., YELLOW-ASSESSOR,'PINK-INSPECTOR, GOLDENROD -APPLICANT i. _<. 3220-81B,E PERMIT NO. PERMIT EXPIRES OWNER Verne 'Lewis j. CONTR. Owner ASSESSOR PARCEL 65-34-3 • LOCATION 14811 Wood Dr., Magalia -e v l; f r Temp. Power,Pole_ ,4 Called PG&E _ Temp. Elec. Service_ Called PG&E_ Temp. Gas Service _ Cal led PG&E JOB FINALEJ(ate) Signature INA V = OK O = Not OK - = Not Applicable RESIDENTIAI_(Single and Duplex) * = Not Ready , Date UNP52fLL OOR Plans OK except #'s Date FRAMINS,r(Continued) 9410'Zoning requirements -Setbacks -Easements 48.2 Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. xt. Doors -One 3' -Check Garage -3rd story, 2 exits g., Garage; Soils -Steel- / Ftg. Depth 5 firs• Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. d on Roof Overhang -Attic Vents -Rafter Outriggers 5. Ste walls, Main; Steel-Blockouts-Wrapped-Slab 5 iding-Nailing-Veneer emwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 54. Glazing Area -Glass Protection -Skylights -Plastic 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors ✓ 10. W ter Pipe; Test -Anchors -Regulator -Service Test lectric; Underground 12. Plenums & Ducts; Clearance -Material -Support - Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date and BI Date Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Date FINAL ans) OK except N's Card-Blf Date ' Card -BI Date Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 5 xt. Steps -Door & Sidelight Protection -Landings 5&--FuLaa aetector a• Xanrc-Clearance-Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection xi ing 17. Shower Pan; Test, First Floor -Tub Access 6 . & Bath Fixtures & Tub Access Elec. Trim & Subpanel; Breaker Sizes -Labels airs & Rails ace or Stove; Clearances -Hearth 18. Test Tub & Shower, 2nd Floor -Tub Access 19. Gas Pipe; Size & Anchors 6 lec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date i . ixt. & A liance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Date Card -BI Date ELEC AL Permit OK except q's ec. Outlets & Receptacles at Kit. Counter Door; Swing -Landing -Closer 6 in arage-Damper 2 ix re & Transformer Clearance -Ins. Protection Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Abo Floor-Mech. Protection 21 le Receptacles Spacing -Lights &Switches at Doors 22 i Boxes & No. of Conductors -Stapled 7 M Plb. lec. &Mech. Equip. Listed for Location b,, 2 Ro x Installed Close to Edge of Studs & C.J. R.Iec. s 'n Garage; (G. F.I. ome 24 quip. Ground made up w/Mech. Fasteners -Bond Gas &Water ion -Foam -Looked in Attic ❑Yes � ppliance Circuits in Kitc &Conductor Size 7 a4"-Beck-Gonstructi on -Post Caps _ 26. Subfeed Wire Size //0/ ga C r AI-A.C. Wire Size / / ga. Cu or At -Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor Yes 'llrRar�rye.C.)`/ / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes ❑No 75. Following instld.: Drive as ❑ No; Walks Yes ❑ No; Planters ❑YesNo 28.--SaPAee-Riser Conductors & Ground -Main Disconnect 76-Syeee-gin-Finish 29.ip. Clearances; Panels-Motors-Mech. Equip. 3 oset Light -Shower Light Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet oof; Plbg.-Appliance-Firepl.-Clearance to Opngs. Pa' _Disconnect, Electrical, Plumbing Card B -I Dat / rd -BI Date /'� Exterior Trim; G.F.I. Receptacle -Underground -et on.th House Card B -I Date Card -BI Date 8 rotection Date MECHANICAL (Permit) OK except q's 83. Corrections from Previous Inspections 84. 85. Gas Test -Meters Tagged; Gas -Electric Water & Sewer Connected -C/O to Grade -HD oval 31. A.C. Ducts; Insulation & Support 32. an; Exhaust above Insulation 86. Energy gompliance Certifica - ther rtificates _ 33. Cond sate Drain & Overflow; Size & Grade 34. Furnace ent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Acces &Platform if Furnace in Attic Card -BI Card-BIto ate ard:RI-1 Date rd -BI Date - Card -BI _ Date and -BI Date Card -BI Date Card -BI Date Card -BI Date B Date C mments at F' al: DateFRYIMING(Plans) OK except q's 3 ills; Proper Material & Anchors 3 Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound _ 31}yB_'t wring Walls over Girders & Floor Nailing 3 p �n ails (rat proof) _ urred Ceilings -Stairs -Chases -Tub 41 Bader & Beam -Size & Bearing re -Past Caps -Anchors -Connectors 4 Ing. Joist-Rftr. ies-Purl in -Roof Brac.-Truss-Shthng.-Rfnp. replace Ties or Type A Flue -Fireplace Throat �_ s; Size & Romex Protection -Draft Stop -Ins. Baffles . indows or Exiting Doors -Sill Hgt. & Dimensions 4 arage Fire Protection Framing (NOTE: An entry must be made each time you visit jobsite) V = OK 0 = Not OK = Not Applicable MOBIL"EHOMES * = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except H's 1. Zoning Requirements—Setbacks—Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch 2. Footings; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/0—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) 4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows—Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except k's 1. Zoning Requirements—Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line Card -BI Date Date Card -BI Date _ POOLS (Plans) OK except N's 1, Setbacks—Easements 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 4. Electricity; MH Test—Crossovers—Breakers—Clearances 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4, Elec.; Receptacles and Lighting; Distances—GFI S. Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6.Water; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. Water and Sewer Connected—C/0 to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged B. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9. Exits; Insp.—Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B-1 Date Card -BI Date Card BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION ANO -PERMIT PERMIT NO s _n ASSES ORPRR E/,L��NUMBER V ZONING Bit M04 BUILDING PERMIT IVI F"OWN TELEPHONE SQ. FT. OCC. BUILDING VALUATION 47b A OWNER'S JAILING ADDRESS 1 C N RACTOR'S NA E 91 VELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER i LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $,� BIJ(JI ING A DRESS.^v ,r (, PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PAR EL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUC<TVREBuilding SF ❑ Duplex ❑ Mobilehome❑ ,-�� Other TV- D p le_j SPECIFY sewer Lawn sprinkler system 5.00 TYPE OF WORK New 2 -"'Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING O OR ADDNS. ACCBLDGS. . 22 sq f t ,6O 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 �. 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR I-OUTLE 2.50 ea NON-RESID BRANCH CIRCUITS) NEW CONSTR. POWER APPARATUS e NON-RESID.�SINGLE OUTLET CIR. / so @ 2S¢ Ex. Occup OUTLETS OR FIXTURES BAL@1 TS (RESAPPLNS. OR Ex. Occup. OUTW_IXELETS P•�OUT LETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 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 c equenge of the granting of this permit. §_�� — g/ X Date b- Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ U occuP GROUP �' I TYPE OF CONST. V I PARCEL PD I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO OF PUBLIC By PER EXPfRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date ��� e Receipt No. 5Z 0 WHITE-D.P.W., YELLOW-AS6l990R, PINK -INSPECTOR, GOLDENROD -APPLICANT 1 PERMIT NO. / 340-87B,E PERMIT EXPIRES 2 �— OWNER VERNE LEWIS CONTR. Donald Carr ASSESSOR PARCEL 65-34-3 LOCATION 14811 Wood Drive, Magalia 4 Temp. Power Pole Called PG&E J = OK 0 - Not OK - = Not Applicable + = Not Ready RESIDENTIAL Single and Duplex) Date UNDERFLOOR (Plans.) OK exceptIf's - - 1. -2. _Zoning requirements -Setbacks -Easements Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Dept 3. Fig., Garage:.Soils-Steel- / /" Ftg. Depth 4. Fig., Porches & Decks; Soils -Steel- / /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 6.Ste_mwalls, Garage; Steel-Blockouts-Wrapped-Slab 7. Piers -Fireplace Ftg.-Steel - 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test - _ 9. Gas Pipe; Size -Anchors 10. Water Pipe: Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums &_ Ducts: Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card-BIDate Card-BI Date Card-BI_ Date Card -BI Date, Date PLUMBING (Permit) OK except q's Card -BI Card -B I Card B -I Card B -I Date Card -BI Gard -BI Date 14. Water Ht.: Vent -Access -Combustion Air 15. Water Pipe: Test & Anchors -Nail Protection 16. D.W.V.: Test-Fitngs & Anchors -Nail Protection 17. Shower Pan: Test, First Floor -Tub Access 18, Test Tub & Shower, 2nd Floor -Tub Access _ 19. Gas Pipe: Size & Anchors Date _ _ Card -BI Date Date Card -BI Date ELECTRICAL (Permit) OK except N's 20. Fixture & Transformer Clearance - Ins. Protection_ 21. Elec. Receptacles Spacing -Lights _& Switches at Doors 22. Size Boxes & No. of Conductors -Stapled_ 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w%Mech. Fasteners -Bond Gas & Water 25. 2 Appliance Circuits in Kitchen & Conductor Size 26. Subfeed Wire Size r / ga. Cu or AI-A.C. Wire Size / . / ga. Cu or Al 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral Yes -No 28. Service -Riser Conductors & Ground -Main Disconnect _ 29. Equip. Clearances: Panels-Motors-Mech. Equip. 30. Clothes Closet Light -Shower Light Date Card -Bi Date _ Date Card -BI Date MECHANICAL (Permit) OK except N's 31. A.C. Ducts, Insulation & Support 32. Vent Fan: Exhaust above Insulation 33. Condensate Drain & Overflow. Size _& Grade 34. Fornace-Vent: Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Date Card -BI Date Date Card -BI Date FRAMING(Plans) OK except q's 36. Sills: Proper Material & Anchors 37. Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop*in Walls ('rat proof) 40. Fire Stops: Furred Ceilings -.Stairs_ -.Chases -Tub 41 Header & Beam -Size & Bearing 42, Hangers -Post Caps -Anchors -Connectors 43. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shihnq.-Rfnq. 44. Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE Anentrymust be made each time youvisit jobsite) Date FRAMING (Continued) 48. Property Line Firewall & Openings 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 50. 51. 52. 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection Plywood on Roof Overhang -Attic Vents -Rafter Outriggers_ _ Siding -Nailing -Veneer Stucco. Mesh-Drip,Screed-Fd n. Vents-Underflr. Access_ 54. _ Glazing Area -Glass Protection -Skylights -Plastic 55. Shear Walls; Nailing -Bolts Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except k's 56. Ext. Steps -Door & Sidelight Protection -Landings 57. Smoke Detector 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meeh. Protection 59. Bedroom Exiting 60. G.F.I. & Bath Fixtures & Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 66. Elec. Outlets & Receptacles at Kit. Counter 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper - 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-' In Garage; Above Floor -Meeh. Protection 70, Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 72. Insulation -Foam -Looked in Attic ❑Yes 73. Guard Rails & Deck Construction -Post Caps 74. Fdn. Vents & Crawl `sole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 75. Following instld.: Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No; Planters ❑Yes ❑No 76. Stucco; Brown -Finish _ 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. _ 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House 82. Glass Protection 83. Corrections from Previous Inspections 84. Gas `est -Meters Taggeb; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval 86. Energy Compliance Certificate -Other Certificates Card -BI Date Card -BI Date Card -BI Date Card -BI' Date Card -BI Date Card -BI Date Com rents at Final: V y= OK ` 0 = Not OK = Not Applicable MOBILEHOMES MISCELLANEOUS * = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except H's Date D(�CKKS�S, OVE , CARPORTS, -ETC. (PI OK except N's _ 1. Zoning Requirements -Setbacks -Easements YGonin . Requirements -S cs-EmeemeMs— _ 2. Soils; Special MH Support -Sketch rZoSjwgS;-Sp ' onnec rs 3. Sewer; Location -Test -Fall -C/0 -Concrete D s; Gds an Joista4'D ing-Brael'ng- lairs -Rail I_� 4. Water; Location -Test -Easement Needed (Sketch) �Z' o wn.; Posl�BeAr+ism.-Gnixfec.-S�Wg.-@jgrBraaia� 5, Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete - sures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearances— 6. Car rts; Windows -Doors Z� L7 SrC1 IAf-I Card -BI Dat .1 �f7 Card-BIDate2—z-7- 7 _ Card -BI Date Card -BI Date Card -81 Date Card -BI Date Card -BI 02 Date l.0 -Y7 Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except N's Date POOLS (Plans) OK exce t N's 1, Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector tr o Ons -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances GFI 5. Drain; MH Test -Fall -Flex Connector 15 File, 6. Water; MH Test -Regulator -Connector 6.Alec.; Enclosure ; onduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/O to Grade -HD Approval 7, lec.; Bonding; Me I w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 8)(Elec.; Groundin , Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes- Enc losur -PaneIboards-Ins. to Main in Conduit 10. Cert. of Occupancy 9. I 1 s Card B-1 Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date - .77 S 7 ®�C 7,r iles.'14A 46 /rf�c. CV IlIV461 4A1714 Ale /`A/ e 9�i'/o�-y 3� COUNTY OF BUTTE - DEPARTMENT -OF PI BLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ERMIT NO. ASSESV P�{ji CEL NUMBER /�/3BUILDING ZONING PERMIT OWNER �/'�, TELEPHONE S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS r CON A TO 'S NAME w1a Id T LEP ONE CONTRACTOR'S MAIL G ADDRESS sl Fireplace COr4SrRUCTION LENDER UNKNOWN Total Valuation Is17Z 6 v Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ O ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ LcJ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee$ C PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME AR EL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURA L/ SF ❑ Duplex ❑ Mobi lehome Other Lc, I FY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 0.00 ea TYPE OF WORK New Add'tio Remodel❑ Uti itigs Installation[] 0th r ❑ Describe wi� £ _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 e0Ov OR LESS Main service 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare pder penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the BusinessPOWER and Professions Code and my license is in full force and effect. //�� License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING o ,/2CSgft OR ADDNS. ( ACC. BLDGS. NEW CONSTR MULTI -OUTLET NON-RESID BRANCH CIRC ITS 1.2.50 ea APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20®y0¢ SAL@30 FIXEDF- Ex. Occup. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring pof 11&t4 15.00 O Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. have placed on file with the County of Butte Building Department F3� a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating 1/•£ Cooling Hood 3.00 Ventilation permit Fee $ Contractor 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 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 liabi ' ' s, judgments, costs, and expenses which may in any way accrue again said County in consequence the granting of this permit. X Date —_i' -Pi% , Signature of Applicant — Owner Contractor Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 storiesinheight. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP. CONST.TYPEJ I FLo P71 PD ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which RECTOR OF PUBLIC PERMI PIKES Date' the applicable prove- resolutions to do fees have been paid. WORKS �7 Receipt No.�7,J bDate WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT i r Building Department FROM:. Environmental Health SUBJECT: SANITATION CLEARANCE f 0 WN ER w LOCATION AP # Plans approved for: Sewage Disposal Water Supply t Hold final for: Water Supply . t Final Clearance O.K. for: Wates Supply Clearance for bedroom mobbil/e/ home..' Other /e Clea ance for addition of No t .cX ITARIAN DATE COUNTY OF BUTTE - DEPARTMENT.OF'PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILl1E, CALjFORNIA 95965 - TELEPHONE: 916/534-4541 } PERMIT APPLICATION DATA SHEET r' Permit No. OWNER /f/ti�� �fGc// S� A. P. No. _ 45- _Al— l—Proposed Building Use ��e4 61,A 4 Building Inspect o► G Date Proposed At time of permit application, I was advised the following data must be submitted prior to permit processing andJor issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate./triplicate, signed by preparer of plans. - 3. Complete plans in duplicate. /triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid" Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ - - - - . - - - - 9., --Letter of signature authorizatiol �O. /jam Sanitation approval from Health Dept.. -AA11. Planning approval for (A) Use: (B) Parking: 2. Certificate of Workmen's Compensation Insurance. . . . . 3. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ), _15. Improvements maybe required. - - . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . 17. Pre-Inspec, request to (Date) Pre -Inspection for Required- Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval from city of 21. a; 22. y: 7ILI issue the permit, rocess as follows: Mail t wner, Mail to contractor. 77- D�S� Telephone and hold for pickup aoffice, Deliver w/inspector. Other Applicant '4_ / �` l -�r,-ri Copy of plans sent Health Dept., Fire Dept„ Other Date The following data must be submitted prir tp permit issuance: (Circle new item not checked above), 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone---nail—counter by date Contractor, designer, owner, was advised of above required data by—phone —mal l_counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW - Hours: 10:00 a.m. - 3:00 p.m. RThis set of plans and specifications MUST bsb Rept on the jJ"es at all times and RIs, unlawful t* _ _ z ��` � make any chaor A-64 t o7is' on saMiAOltl Noo G 9 ' o written permin from the Department of Public. Works, County of Butte. /S00 / f I— —F- — `��'M'' NOTE:—All at rials & ,Wdorkmanship SHOII Good Prac�hice�® and / I Aeeordance fit Recagm _ ,S, f3,L•. .. I > A a quality->pr: �s 'ribed for t'ne Specified se in the _ S I Uniform Building; dumbing. & Machanical d Un the -rational' Elec rical"\Code. o I Q i o. 0 . i CO 5c Cc..T S�ieV[C G - \ COY_ -.,��� iY�9T�/S jE:i'�'/CE .•.. - — — — — — — %OO �L�ACfI --IA--L D MN !d F/ 7 c n �E �> ✓ i c —A\ itk of 5 ft. trorn the prgpe ty lines anis a sefback 71T. rI)f`Af . from the road n/Oo°o 4'0 9r ine/,s .all - v � C0wrw ``� VmctAs or equipmerff eidd#i / f D p♦yrpy� 46r-4-2- ft.-eave-overh-ark. 0- 2 -Ox 3 -o 2X(0 LU 12 Uw /�.�.-TSG• �,�c�,�ivC� �: ANo�� i © fes'• - -- - -- � I1iIaX. •Rise- /�� „ Min. Run Z—ORun measured toe to toe. Salo ,-o A2 D k T r.� I !ter 3/a" max. tolerance between largest & smallest rise/runt. Iv L4+!X PqT, 22011, fisc �r•f/�r2.s -- .. :. � _ ..._.,�. �/_. _h��r9 �yi� •. �� ' moi, �. /,-�f>i� I �� � !�-1 ... s PERMIT NO. 819-79P,E PERMIT EXPIRES Verne E. Lewis OWNER CONTR. owner 65-34-3 LOCATION (A.P. ) 39 Wood Dr., lot 12, SD0#2, magalia t ' Y y r Temp. Power Pole /eE 'E erv. E rv. &E e) ,. (Signature) � /% / Stucco / % I Final / X ISu mown I COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD r T mp. Pole BUILDING BUILDING '(Cont'd) PLUMBING S back F ewaII So Piping Fo s Par ets 1 Floor M' Bldg. Rest m Finish 2n loor F tins Windo 3rd or Ste all'Siding OBILEHOME INSTALLATION - - - - - - - - - - - - - - To out Slab XRoof Sheaking Water PI in Piers X Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwal I Insulation Heaters Slab Carport p Footings Prov. for ph sical handicap ed% Conformance of ex. A structure X Appliances Gas PI Ing & Test Temp Gas Slab Final Sanitation Patio FIRE -ACE Final Footings Footing ECTRICA Masonry Walls Throat N I Rough Relnf. Steel F1na1 Clvs...n� Stucco / % I Final / X ISu mown I Co Ing T mp. Pole Inish D cts finderground I erior Lath Jentilation Permanent oor Closer Inal Final MOBILEHOME UTILITIES ---------=-------- Elec- Service Elec. Pedestal Water Piping Sewer Gas Piping OBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping 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 - Oroville, California 95965 % - N Telephone: 534-4541 O/tel—�9 APPLICATION AND PERMIT Q �/n authorize representatives of the County of Butte to enter upon the above -m ,ntioned proper for inspection purposes. -7Y x11. Date Signature of Per r Agent r' Receipt No. % J T( T q 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 PUBLIC WORKS Zil Dateg permit expires Date z" --- - 9.0 BUILDING Owner 2 w SQ. FT. OCC. BUILDING VALUATION Mailing Address /l;r- C% 0 elephone No. Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address LA.,Plan Checking Fee&/or Penalty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 3, bc> Each Trap 1.50 p �pZ Repair drainage or vent piping 1.50 A. P. No. �,[ G S -� T "-` 0 3 �oning & PI ning Water piping 1.50 Each gas water heater or vent 1.50 He15s S ion Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans arcelEach Declaration Parcel M 60' R/W Improveme s additional outlet .30 Building sewer 5.00 Bldg. ans Recd Porcel yroval Plan provaI Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ Permit Fee $ .CSO $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3, 00 e00v OR LE5•00 O Main service SS 100 AMP OR LESS Single Family ❑ Duplex ❑ Mobil Home 12 Others ❑ Main service EA. ADD'L 100 AMP 2.50-' ",_70 Main service OVER 100 AMPe00v OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST ( ADWECCLBLDGS.LING CCUP. '1') 22sgft 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 RES,.,CO BRANCH CI LET NON -RE (BRANCH CIRCUITS) 12.50eal NEW CONSTR. (POWER APPARATUS .& NON-RESID. SINGLE OUTLET CIR. EX. OccuD(OUTLETS OR FIXTIIRES BAL@1 FIXED APPLNS Ex. Occup.(OUTLETS (RESID )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 , License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of Cal ifomia. ,� Permit Fee $Ling $ 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. ❑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. 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 relatino to building construction, and hereby Land Development Fee $ �( TOTAL PERMIT FEE $ -73 authorize representatives of the County of Butte to enter upon the above -m ,ntioned proper for inspection purposes. -7Y x11. Date Signature of Per r Agent r' Receipt No. % J T( T q 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 PUBLIC WORKS Zil Dateg permit expires Date z" --- - 9.0 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENT OROVILLE, CALIF. - 534-4541 vr� 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 for the lollow>ngjgcation: ,. Owner Owner's Addressf s Mobilehome Mfg. !f, �'n��. Model Year`' Insignia No. ° y, ° _ Serial No. Il is horoby rPrtified for occupancy at the above described location and may be occupied. o Director of Public Works Date / / a By a✓LL THIS CERTIFICATE IS VOID WH MOBILEHOME IS RELOCATED ' White - Owner, Yellow - Installer, Pink - D.P.W. I 832-81P,E PERMIT NO. /��PERMIT EXPIRES OWNER Verne Lewis owner CONTR. i ASSESSOR PARCEL '65-34-3. LOCATION 14811 Wood Dr., lot 12, SEIM, l Magalia s J A Temp. Power Pole Called PG&E / Temp. Elec. Service a Called PYrvice ?' �o � ,�Lf%� GtJ���! ea/'G Temp. Gas Cal led PG&E JOB INALED (Date) Signature J OK' = Not OK = ("c*t Applicable --,'f+7dady RESIDENTIAL JSingle and Duplex) Date UNDERFLOOR Plans OK. except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ft .-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test { 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Card -B1 Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except p's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except N's 14. Water Ht.; Vent -Access -Combustion Air 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection t 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. 21. Fixture & Transformer Clearance -Ins. Protection Elec. Receptacles Spacing -Lights &Switches at Doors 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 70. Plb., Elec. & Mech. Equip. Listed for Location 22. 23. Size Boxes & No. of Conductors -Stapled Romex Installed Close to Edge of Studs & C.J. � �ion-Foam-Looked 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 24. 25. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 2 Appliance Circuits in Kitchen &Conductor Size 72. Insulatin Attic E] Yes 73. Guard Rails Deck Construction -Post Caps 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral ❑Yes El No 75. Following instid.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters L-) Yes 1:1 No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. 80. Water Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection Date ( MECHANICAL (Permit) OK except q's 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support I_ 85. Water & Sewer Connected -C/0 to Grade -HD Approval _ 32. 33. Vent Fan; Exhaust above Insulation Condensate Drain & Overflow; Size & Grade t 86. Energy Compliance Certificate -Other Certificates 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic - Card -BI Date Card -BI Date Card -BI _ Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except N's Comments at Final: 36. 37. 38. Sills; Proper Material & Anchors Walls; Studs -Nailing., Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing _ 42. 43. 44. 45. Hangers -Post Caps -Anchors -Connectors Clng. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfnq. Fireplace es or Type A Flue -Fireplace Throat T Ti Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: An entry must be made each time you visit job site) I V',-- OK 0 = Not OK = Not Applicable MOBILEHOMES *-= Not Ready r MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's Date DECKS, COVERS, CARPORTS, ETC., (Plans) OK except (i's Z ning Requirements—Setbacks—Easements 1. Zoning Requirements—Setbacks—Easements . S ' s; Special MH Support—Sketch 2. Footings; Size—Depth—Spacing—Connectors Sewer; Location Te Fall-C/O—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. W ter; Location—Test—Easement Needed (Sketch) 4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete 6. G ocation—Test—Wrap: / /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Carports; Windows—Doors17-' Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date 11_b 1V Card -BI Date Card -BI Date Card -BI Date Date �HOME INSTALLATION (Plans) OK except N's Date POOLS (Plans) OK except N's ing Requirements—Setbacks—Easements 1, Setbacks—Easements Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability :7s; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining Electricity; MH Test—Crossovers—Breakers—Clearances 4. Elec.; Receptacles and Lighting; Distances—GFI Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI ater; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed Water and Sewer Connected—C/0 to Grade—HD Approval 8. Gas and Elect city Tagged 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghig. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit xis; Insp.—Sketch ert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B -I Date t.cl It -Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date "7104 OL A L;QulV 1 Y UF bu l i t DEPARTMENT OF PUBLIC WORKS �. 695 Qleander;Avenue, Chico — Phone 343-4211, Ext. 70 .7 County Center Drive, Oroville — Phone 534-4541 Skyway and Elliott Road, Paradise — Phone 877-3435 CORRECTION H®TICS BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. , s T� /u : s ; �e psi �u.' 7t� G,O �v5 Inspector — Date COUNTY OF BUTTE -DEPARTMENT OF PUBLIC °WORKS PERMIT NO. t 7 County Center Drive - Oroyille, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER `05-34-3 ZONING ' BUILDING PERMIT OWNER TELEPHONE. SO. FT. OCC. BUILDING VAIJUATION OWNER'S MAILI G.ADORES TORS E /, If H p �� 6 TRA OR'S M IL NG ADDRESS IAEp 77 ,2 CAE Fireplace 'CONSTRtTCTION` LENDIt UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS— Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ /01-90 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome[�Other SPECIFY 'Building sewer Lawn sprinkler system; 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation E Other ❑ Describe work: 9-t Felt- �L/tp6ty, S'3Z— �% Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 .Main service 600V OR LESS 100 AMP OR LESS 5.00 x 60 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. / DWELLING OCCUP.aJ) OR ADDNS. 1 ACC. BLDGS. I 20 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business50@230 and Professions _Code and my license is in full orce and effect. c License No. Classification El 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR I -OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS NEW CONST R. ( POWER APPARATUS S) NON-RESID, SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES BAL01 Ex. OCcup.(OUT ETS FIXED P(RESID.)LISIS REA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIirig Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shal I be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 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 authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to°save, indemnify and keep harmless the County of.Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against id County in c Asequence of the granting of this permit. X D2te / J / Signature of A Plicant — Owner ❑ Contractor ©/ Agenr ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in heigh . Mobile Home Installation Fee $ SOD TOTAL PERMIT FEE $ 50.00 OccUP. GROUP ' I TYPE OF CONST. PARCEL PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC OF PUBLIC By PE T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date �_ LZ'-�✓ �( '-2z—,r �Vy Receipt No. - WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT i MOBILEHOME SUPPORT DATA ,,�` If other than single wide, �ypa- Mobilehome Mfr. % �y !/(/'PS`L furnish Setup Model No. Year Width ` ` _(ft.) Box Length L'3'0* (ft.) Tam p'• (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., 1 Footings (check one) t Single, �1--1 - Wood Wood either (ft.)(in.) Center support locations* (in.) (in.) Center support footing sizes (in.) M (in:) (in.) ,• C' �l7 (ft.)(in.-) (in.) (in.) (ft.) (in. (ft.)l(in.) (in.) (in.) 1,2yX:3Lq1 (in.)1 (in.) *If center piers are other than drawn above, draw in.locations,_spacing,. and dimensions. pressure treated or foundation grade. 2. Other: (specify) Supporte (check one) L� Concrete block. .21 Other. (specify) I ragalong or Expando,' show support details. / xj()l -- Typical Support (in.) Footing Size -- Max:. Pier Spacing (ft.) (in.) - Max. Overhang. (ft.)(in.) 11 BUTTE COUNTY BUILDING DEPARTMEN! AppROv � Z BUTTE COUNTY.DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: e. 2. �� Cf - Installer's name: 3. Is the site currently under permit? Yes /y/ No (If yes, furnish permit number ) OR Is the site an existing site? Yes / / No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of.all setbacks and easements? Yes /T, --K No (If no, clarify ) (. ) 5. What is the mobilehome electrical rating? -----------------------0 Amps 6. What is the mobilehome site service rating? --------------------- 0 t9 Amps 7.. What is the mobilehome site circuit breaker rating? ------------- a Amps 8. Is there any other electric load to be served by the mobilehome siteservice? --------------------------------------------------- Yes No (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- /(l��% (in.) 10. What is the type of gas service? ----------------------------- Natural / / LPG 11. What is the gas pipe length from meter or tank to the mobilehome? (ft.) 12. What is the mobilehome gas demand? ------------------------------ (BTU) (This information not required if pipe length less than 6 ft. on natural gas or less than.50-ft. on LPG.) -- : o I EDGE O F— NJ O 2_.Z o7 - - r-- ------ - 7s. oo _2 oco_W 92_!Yo, H VE _.?�6 I i ,--� _..---- —--------•- - - -- h.FN_L�E�80.221 _ - of A Itback of 5 ft. fmom tPr erty lines and a setback §Oft. from the road wE ce °dine shall be clear of '"' } ` `'• st ures orequipment e t .t e re area 40 fol 2 ft. eave overhang. 'p, perrc►�} will b M obi��h° .'�'�=-- - -=.• : � ` � j t e ., Ins ation °{ = A/57 ey =j MIN%MU OTE. \ o7cordOnce w Qteric 1, iJni{o BItY Pre cribec®9nlarGanshi� S -- - �_. rrn 'the Nati°nidi"9, P1u►nbin or '��1 Sod •pr0'cf;C e /I) ' @ctricgl ,Codi N, c1chanical use in the des .and UST be laps and spec i nd iti is Wful to This set Of P" at all times and a Without kept on the lob or alterations. on sam Public make anY . the Department of written permission Butte. Wor. . s � County - - -- - - PARADISE. PINES ARCHITECTURAL CONTROL COMMITTEE "AME e w / S TRACT -p p� 2 L T Z DATE 2 —Z 2 oe APPROVED BY ADDRESS '39. 24&00.x; -- SIV, -h1 L L/"v=e AF - js. DO Utility connections shall be within - 4 ft. of the mobilehome, either directly behind or within the rear half of the roadside (left) of the mobilehome. evrre couNrr BUILDING DEPARTMENT APPROVED COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT] 0 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 4 /7 APPLICATION AND PERMIT ASSE,UR PARCEL NUMBER ZON G BUILDING PERMIff OWNER f✓s 2 s TELEPHONE S0. FT. OCC. BUILDING VALUATION OWNER'S M�+t- ING ADDRESS . U9 20 L_ l/v /+ 144w= /19 GQn! CONTRACTOR'S NAME cs TELEP ONE OJ 9 CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10,00 LENDER' MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING 4W)l )% (./VO10 /L- PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repairdrainage or vent piping 5.00 ' psi Water piping 10 LOT NO. /.2 SUBDIVISION NAME .40 PARCEL MAP I2 Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex ❑ MobilehomeAJ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New Addition❑ Remodel[:] Utilities Installation❑ Other❑ Describe work: Permit Fee $ 3 0 Contractor L&rt/L—K--1 ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 oR LESS 100 AMP OR LESS 5.00 J Main service EA. ADD'L 100 AMP 2.50 Sn NEW CONST. / DWELLING OCCUP.DI� OR ADDNS. \ ACC. BLDGS. 22 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): ❑NON-RESID. 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. (cense No. Classification ZI-11-, 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 NE w CONSTR '-OUTLET 2,50 ea NON-RESID BRA CH CIRC TS NEW CONSTR, POWER APPARATUS e %SINGLE OUTLET CIR, / EX. Occup OUTLETS OR FIXTURES BAL@1 IXED APPLNS, OR Ex. Occup.(OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 IS— Misc. Wiring 7.50 Permit Fee $ Contractor rgL34-- MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. EK 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 3.00 Ventilation Permit Fee S Contractor 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 authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. (also a ee to indemnify and keep harmless the County of Butte ag inst all Iia liti ents, costs, and expenses which may in any ay a crue again s 'd y in sequence of the granting of this permit. X V Date ` Sigature of Applicant - Owner ElContractor ElAgentwork An OSHA permit is required for excavations over 5'0" deep and demolition or construct- of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 0 OCCUP. GROUP TYPE of CONST. v PARCEL PD MD ssu This permit is hereby issued under sions of the Butte County Code and/or indicated above for which DIRE OR OF PUBLIC By PE EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date --I'D --piWHITE-D.P.W., ,ion Receipt No. � A� z S^ YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT ELECTRICAL, MECHANICAL, AND PLUNPI9ING CONSTRUCTION ( NOT PLAN CHECKED ) SHALLCOMPLY WITH CURRENT EDITION OF NEEC, UMC AND UPC. e a _co M NOTE: Sed file af#ached Re idential Q00str otic I Reguirements 2 Pages .5 d � c aurrE couNT- IlUILDING DEPARTMF A P P R 0 V r i M v � i o[ 2 d LD � J 0 vi- oG v a AD J ELECTRICAL, MECHANICAL, AND PLUNPI9ING CONSTRUCTION ( NOT PLAN CHECKED ) SHALLCOMPLY WITH CURRENT EDITION OF NEEC, UMC AND UPC. e a _co M NOTE: Sed file af#ached Re idential Q00str otic I Reguirements 2 Pages .5 d � c aurrE couNT- IlUILDING DEPARTMF A P P R 0 V r i M v � i ELECTRICAL, MECHANICAL, AND PLUNPI9ING CONSTRUCTION ( NOT PLAN CHECKED ) SHALLCOMPLY WITH CURRENT EDITION OF NEEC, UMC AND UPC. e a _co M NOTE: Sed file af#ached Re idential Q00str otic I Reguirements 2 Pages .5 d � c aurrE couNT- IlUILDING DEPARTMF A P P R 0 V r SSI 1..i C., -co D-----.e- LAIR-, I Ko E R'1A D KoN5 (�EUIN A. S�IviNA Q.. KitCcv►. SLI gIl Woop 0 RIVE mA('r. c C-cg54 6)(0,5_ .-5Ll0- 005 •