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065-350-032
u Eugene DeLa Garza v IIM Glenwood Dr., lot 77, SDO#2, Mag ontr: Sierra Dev.& Const., Magalia Permit #2409-78B E(util.,MH) ELM S A90 I GAS �. nrTtir.n m •Tnm Tnr nLn -A !i • - QMPAC I TEST REQ 4 !� 65-35-32 Contr: Par-A-Dise, Magalia Permit #3436-78P(gas_piping) MH 65-35-32 Contr: SOS MH Ser, Paradise PErmit #3508-78HI oZ 747 -�ued < 65-35-32 )contri.Fred Cox, Paradise -Permit #1154-82B(new ri . ca o t) 65-35-32 Contr': Fred Cox, Paradise Permit#3324-82B (,aew c.arpQrU/aM_ Yr -,w B07-1149 065-350-032 RESIDENTIAL SM -Mobile Home RET ' EX MHP RM FND :4.4,OS . Q.FT. 1484 WESL _ WSK[; HA RY & VALE '� n t � � ,� � I �`�. BUTTE COUNTY AREA DEPARTMENT OF DEVELOPMENT SERVICES 3 INSPECTION CARD MUST BE ON JOB SITE 24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico) Office: (530) 538-7541 Fax: (530) 538-2140 Website: www.buttecounty.net/dds Permit No: B07-1149 Issued: 05/25/2007 Address: 14846 Cw-ten 40CI Area: MAGALIA Owner: WESLOWSKI, HARRY &APN: 065-350-032 Applicant: GERALD GLEN DOREMMap Page: Permit Type: SFD-Mobile Home RET Description: EX MH PERM FND 1440 SQ.FT. Flood Zone: None SRA Area: Yes SETBACKS Front Setback: Side Setback: Rear Setback: Other Setback: Minimum Setback From Centerline of Street: ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING Inspection Type IVR INSP DATE Setbacks 132 Foundations / Footings 111 Pier/Column Footings 122 Grade Beams 114 Eufer Ground 216 Forms/Steel/Holdowns 122 Do Not Pour Concrete Until Above are Signed Pre -Slab 124 Gas Test House 404 Gas Test Yard 404 Masonry Grout 120 Masonry Bond Beam 119 Underfloor Framing 149 Underfloor Ducts 319 Shear Transfer 136 Under Floor Plumbing 412 Under Slab Plumbing 411 Gas Piping 403 Do Not Install Floor Sheathing or Slab Until Above Signed Holdowns/Straps 122 Shearwall/B.W.P.-Interior 135 Shearwall/B.W.P.-Exterior 135 Roof Nail/Drag Trusses 129 Do Not Install Siding/Stucco or Roofing Until Above Signed Rough Framing 128 Rough Plumbing 406 Rough Mechanical 316 Rough Electrical 208 Gas Piping 403 Shower Pan/Tub Test 408 Fire Sprinkler Test 702 Fire Sprinkler Final 702 FindIs Building Fina—r-802 IVR I INSP DATE Electrical Final 803 Mechanical Final 809 Plumbing Final 813 Pool Final 802 Mobile Home Final 1 802 Inspection Type IVR I INSP DATE Do Not Insulate Until Above Signed Wall Insulation 117 Ceiling Insulation 118 Do Not Cover Until Above Signed T -Bar Ceiling / RC 145 Stucco Lath 142 Stucco Scratch 143 Stucco Brown 144 Swimming Pools Setbacks 132 Pool Plumbing Test 504 Gas Test 404 Pre-Gunute 506 Pool ElecBonding/Light Nitch 502 Pool Fencing/Alarms/Barriers 503 Pre -Plaster 507 Manufactured Homes Setbacks 132 Blocking/Underpining 612 Tiedown/Foundation System 611 Site Utilities/Trench Insp. 137 Gas Test Yard 404 Manometer Test 605 Continuity Test 602 Skirting/Steps/Landings 610 Coach Info Manufactures Name: Date of Manufacture: Model Name/Number: Serial Numbers: Length x Width: Insignia: 2 Q JL_ Public Works Fina 538-7681 Fire Department/CDF 538-6837 ext 169 Env. Health Final 538-7281 Sewer District Final "PROJECT FINAL 801 , -rrolecz anal is a t-ernzicare oz uccupancy zor (xesiaennan uniy) PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE. IF WORK HAS COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION Inspector Copy D7 14 PAR/C RECORDING REQUESTED BY MID VALLEY TITLE CO. AND WHEN RECORDED MAIL TO: MR. AND MRS. HARRY K. WESLOWSKI 14846 GLENWOOD DRIVE MAGALIA, CA 95954 A . P. N.: 065-350-032 Order No.: 11111111111 I N 1111111111111111111 2KZIKDIZI G!pQi25QzE,Q Officialrded Records I EC0.12 I TAX FEE 76.4 Count CANDACE J. GRUBBS I Recorder ROSEMARY DICKSON I Assistant 1 Nikki 02:10PM 05 -Jul -2000 I Page 1 of 2 Space Above This Line for Recorder's Use Only Escrow No.: 180804CH GRANT DEED THE UNDERSIGNED GRANTOR(s) DECLARE(s) THAT DOCUMENTARY TRANSFER TAX IS: COUNTY $76.45 X ] computed on full value of property conveyed, or computed on full value less value of liens or encumbrances remaining at time of sale, ] unincorporated area; [ ] Town of _, and FOR A VALUABLE CONSIDERATION, Receipt of which is hereby acknowledged, EUGENE DE LA GARZA AND DOROTHY M. DE LA GARZA, AS TRUSTEES OF THE DE LA GARZA REVOCABLE INTER VIVOS TRUST INITIALLY CREATED ON NOVEMBER 20, 1992 hereby GRANT(S) to HARRY WESLOWSKI and VALERIE WESLOWSKI, Husband and Wife as Joint Tenants the following described property in the UNINCORPORATED AREA, County of 13UTTE State of California; See Legal description attached hereto and made a part hereof. THE DE LA GARZA REVOCABLE INTER VIVOS TRUST INITIALLY CREATED ON NOVEMBER 20, 1992 By,.X-, EUGENE DE LA GA-RZA, TRUSTEE By: DOROTHY DE LA GARZA, TRUSAE Document Date: June 30, 2000 STATE OF CALIFORNIA )SS COUNTY OF BUTTE ) On JUNE 30, 2000 before me,CHERI HOVFY NOTARY PUBLIC personally appeared * EUGHNEti DE LA GARZA AND DOROTHY M. DF. LA GARZA * 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 me that he/she/they executed the same in his/her/their authorized capacity(ies) and that by his/her/their signature(s) on the instrument the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS hand and official seal. Signature ^ ^ ^ ^'4' for official notarial seal. CHERIHOVEY Comm. #11159283 r0 ` ®� NOTARY PUBLIC CALIFORNIA 0 0 BUTTE COUNTY My Comm. Expires Oct. 20; 2001 Mail Tax Statements to: SAME AS ABOVE or Address Noted Below ORDER NO. BU -180804-2 CH DESCRIPTION THE LAND REFERRED TO HEREIN IS SITUATED IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, AND IS DESCRIBED AS FOLLOWS: LOT 77, 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. AP#: 065-350-032-000 SeF By: BANKERSMORTGAGE.US; 5303237814; May -23-07 7:19PM; Page 4./5 Sent By: BANKERSMORTGAGE-US; 5303237814;- May -4-07 1.:15PM; Page 4/11 STATF, OF CALIFORNIA - DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT REGISTRATION CARD Manufactured Home Decal No: LDR9201 maufactLawomme I Traft no. Noah GWDFS EXP. Date 7cypso. W",9M 02/27197 —J. LabWMW" use Type N%mbw NiMber wewd L"o sm acc Exgfnpt 62244A M113211 17 O�4 SFD LPT 622448 CAL113212 W Ir knued T TM Fees P91d Feb 0% 2006 I $14200 11111111 Addressee HARRY WESLOWSKI 14848 GLENWOOD DR MAGALIA, CA 95954 Registered-Owm4ls) HARRY WESLOWSKI VALERIE WESLOWSKI Joint Tenants with Right of Survivorship 14846 GLENWOOD DR MAGALLA, CA 95954 Situs Address 14W GLENWOOD DR MAGALK CA 95954 Legal Owner(s) AMERICAN GENERAL FINANCE INC 2260"C"ORO DAM BLVD OROVILLE, CA 95965 Lien Perfected On: 01111/06 12:16:19 IMPORTANT THE OWNER INFORMATION SHOW14 ABOYE MAY NOT REFLECT ALL LIENS RECORDED WITH THE DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT ACAINST THE DESCRIBED UNIT. THE CURRENT TITLE STATUS OF THE UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT. DIN: 1180399 010120016 - 465 Sent6fy:, BANKERSMORTGAGE.US; 5303237814; 05/03/2007 1.4:36 IFAX ialth@D14WCjiuiiie.Com SCHEDULE C May -23-07 7:18PM; Page 2/5 ,i,,. ,,.,amu.. I ---• --- ORDER NO.: 00232002-003 - IF THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS: ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS: LOT 77, 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, 1165 IN BOOK 34 OF MAPS, AT PAGES 27,28 AND 29. EXCEPTING AND RESERVING 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 OF BUTTE COUNTY OFFICIAL RECORDS, AT PAGE 385. AP NO. 065-350-032 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT_ INFORMATION Site Address: 14846 Owner: Permit No: B07-1149 APN: 065-350-032 WESLOWSKI, HARRY & VALE Issued Date: 05/25/2007 By TMP Permit type: RESIDENTIAL 14846 GLENWOOD DR Subtype: SFD-Mobile Home RET MAGALIA, CA 95954 Expiration Date: 05/24/2008 Description: EX MH PERM FND 1440 SQ.FT. Occupancy: R-3 Zoning: RMH Contractor Applicant: Square Footage: GERALD GLEN DOREMUS GERALD GLEN DOREMUS Building Garage RemdUAddn PO BOX 4121 PO BOX 4121 CHICO, CA 95927 CHICO, CA 95927 Other Porch/Patio Total (530) 895-1774 (530) 895-1774 FEE INFORMATION DBF MH Plan Check $219.96 DBMSC Mobile Home $329.94 Total Charged: $549.90 Fees Paid: $549.90 Balance Due: $0.00 Receipt No: B3239 LICENSED CONTRACTOR'S DECLARATION OWNER /.BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License GERALD GLEN DOREMUS 445103 / C47 / 08/31/2007 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commen ' with Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in fu arce nd effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects 05/25/2007 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Cont gnature Date E]1, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK AND THE STRUCTURE IS NOT INTENDED OR WORKERS' COMPENSATION DECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). 1 HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED as required by ❑ CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). Carrier: Policy Number: Exp. Date: (This section nee not a competed if the permit is oror one hundred ($100) or less. ❑ I AM EXEMPT under Section B. & P.C. for this reason: ERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' X 05/25/2007 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owners Signature Date provisions. X 05/25/2007 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signature Date SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, WARNING:rHOUSAND construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE injury, including death, and property damage caused by, arising out of, or in any way connected with HUNDREDOLLARS ($100,000), INADDITION TO THE COST OF COMPENSATION, the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidew 1 hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for in ectio purposes. I hereby certify that I am the p�re owner or am authorized to act on the props o is behalf. J f 6 ax el*&6 5/25/2007 CONSTRUCTION LENDING AGENCY 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Name of Pe ittee [SIGN] Print Date Owner ontractor OR; DAgent for Owner Agent for Contractor FILE COPY Lenders Address City State Zip Xi2 Foundation System Installation Instructions for California for Ground & Concrete Systems HUD Wind Zone 1, 15 PSF Wind Load Seismic 4 By Tie Down Engineering I0`/-// Af1 BUTTE COUNTY BUILDING DEPARTMENT APPR"ED;, Xi2 Ground System Xi2 Concrete System Engineer Approval State Approval MANUFACTURED HOMElMOBTLE HOME FOUNDATION SYSTEM BBALTH AND SAFETY CODE, SECTION 18551 APPROVED l USUICT TO CORRECTIONS NOTED APPMAL DOBE NOT AUTHORIZE OR APPROVE ANY OMISSIONS OR DEVIATION FROM REQUIREMENTS OF APPLWABLB STATE LAWS AND REGULATIONS Stale of Califomiu TDepaNOW ofKamer aad C mmmft Davdapmuft OF f7�ES AND STANDARDS tom) PhoA ;Page 1 of 8 LD ........... o. � o 0 Xi2 Foundation System Installation Instructions for California for Ground & Concrete Systems HUD Wind Zone 1, 15 PSF Wind Load Seismic 4 By Tie Down Engineering REQUIREMENTS • These plans and specifications meet the requirements of Title 25 Section 1336.3 Sub Section A and 97 UBC Seismic Requirements, CBC 2001 addition. • Maximum vertical projection at sidewall is 9'. Higher walls may be used when the design loads are adjusted accordingly and approved by HUD. • Main rail spacing must be 75.5" - 99.5" * Except single sections 95" minimum • Additional vertical anchor ties that are unique to a home's design may be required by the home manufacturer. These locations may include shear walls, marriage line ridge beam support posts, and rim plates. The longitudinal component of the Xi2 system replaces end frame ties. Check manufacturers set-up requirements. • Maximum pier height is 48" pier. *Except for single sections 36". • Steel piers must be fastened to the I-beam with clamps provided with steel pier. • Systems must be placed as evenly as possible, no more than 10' from end of home. • Designed for 7:12 roof slope. *Except single sections, (20° - 4.37 in. 12" pitch). Additional Requirements for Concrete Systems • Poured concrete must be 2,500 PSI minimum at 28 days. • Square concrete pads minimum is 18" wide by 12" deep. Round concrete pads minimum is 18" wide by 14" deep. Strip footings minimum is 18" wide by 14' long by 6" deep. ®>'j- * Xi2 components exceed HUD code 3280.306g "Anchoring equipment exposed to weathering sha�IhaWa(16 resistance to weather deterioration at least equivalent to that provided by a coating of zinc on steel of not less than 0.30 ounces per square foot of surface coating...." Page 2 of 8 C LO TIE 115901I I30336 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. Installation of Xi2 Ground Systems Identify the number of systems to be used on the home using the chart provided. Identify the location where the systems will be installed. Clear all organic matter and debris from the pad site. Place U -bolts through holes in pan provided. - Place pad centered under beam with the lateral strut bracket towards the inside of the home. Press or drive pan into ground until level and flush with prepared surface. Build pier according to State, Local or Home Manufacturers guidelines.(Figure 1) Attach the end of the smaller tube to the inside of pan using U -bolt & nuts provided Attach the flag end of the larger tube to the opposite I-beam using the "J" bolt over the top of the I-beam with the nut & washer provided. (Figure 2) Install a minimum of four (#12 x 1" tek screws) self -tapping screws into the holes provided in the lateral strut so that the two tubes are connected together. (Figure 1) „ J -Bolt Nut & Washer 1-3/4 Tube 19) Lateral Struts Strut (flag end) •' 1 Tube 4-#12x1" ;.. TekScrews 1 -Beam Figure 1 U -Bolt & mounting Figure 1 Bracket end °f N 11. Install frame bracket clamps to I-beam on in side of block/pier. Do not tighten nuts at this time. 12. Attach longitudinal strut to U -bolt in pan using nuts provided. 13. Insert strut in the frame bracket clamp, attach with nut and bolt. Do not tighten at this time. 14. Pull the frame bracket clamp with the fastened strut outward to remove any slack. 15. Tighten all nuts and bolts on the struts and beam clamps. Page 3 of 8 E TIE DOWN S ENGINEERING,' 0 L 0 0 0 Xi2 Ground Parts Detail Xi2 Ground Lateral System Part Number 59306 Includes: 5' Strut, pad & hardware kit (#59329-1 includes all nuts and bolts). Longitudinal Hardware Kit Part Number 59331 Includes: 2 I-beam brackets & 2 U -bolts with all nuts and bolts. Lateral and Longitudinal Combination Part Number 59333 Includes: 5' Strut, Pad, Longitudinal Strut (#59329), Lateral and Longitudinal Hardware Kit with all nuts and bolts. Struts for Longitudinal Systems Part Strut Pier Height No. Length Up To: 59330-44 44" 4 Blocks or 32" 59330-65 65" 6 Blocks or 48" Ground Longitudinal Hardware Kit Xi2 Ground Longitudinal Strut & Hardware Kit Ground Longitudinal Strut Xi2 Stabilization Pier Placement for Ground or Concrete Xi2 Pier Placement Double Section Home 0 -62' 3 Xi2 Systems" 63' - 80' 4 Xi2 Systems *2 Xi2 systems can be placed at either end of the home. Triple Section Home 0 -62' 4 Xi2 Systems 63' - 80' 5 Xi2 Systems ®> All,, ltrtIo. Page 4 of 8 1 I Ali Hardware Breakdown #59329-1 Hardware for 59306 Lateral System 1 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 thread Beam Clamp Base 1-3/4 zinc 4 10556 Tek Screw #12 x 1" 1 10631Z J Bolt 1/2 x 5-1/2 grade 5 zinc 2 10640 Push Nut 1/2 1 12107 Flat Washer 1x2" SS 1 10646Y Hex Nut 1/2-13 grade 5 zinc 2 10519 Hex Nut 1/2" w/ Serr flange #59331 Longitudinal Hardware for 59306 2 59272-1 Beam Clamp Base 4 59272-2 Beam Clamp Top Flange 8 10926 Carriage Bolt 1/2-12 x 1-1/4 Carriage Bolt 1/2-12 x 1-1/4 4 10801 Full Thread 10 10646Y Hex Nut 1/2-13 grade 5 zinc 2 10801 Carriage Bolt 1/2-12 x 2-1/2 1 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 Thread Grade 5 2 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 thread 2 10519 Hex Nut 1/2" w/Serr Flange 1-3/4 zinc 4 10640 Push Nut 1/2 4 10519 Hex Nut 1/2" w/ Serr flange # 59329 Hardware for 59333 Lateral and Longitudinal combination 1 59329-1 Hardware Kit 1 59272-1 Beam Clamp Base 2 59272-2 Beam Clamp Top Flange 4 10926 Carriage Bolt 1/2-12 x 1-1/4 4 10801 full thread 5 10646Y Hex Nut 1/2-13 Grade 5 zinc 1 10801 Carriage Bolt 1/2-12 x 2-1/2 2 10801 Grade 5 zinc 1 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 Thread 6 10646Y 1-3/4 zinc 2 10640 Push Nut 1/2 2 10519 Hex Nut 1/2" w/Serr Flange #59315-1 Hardware for Lateral System 1 10631Z J Bolt 1/2 x 5-1/2 Grade 5 zinc 1 12107 Flat Washer 1/2" SS 4 10556 Tek Screw #12 x 1" 2 10646Y Hex Nut 1/2x-13 Grade 5 zinc 1 10826 Carriage Bolt 1/2-12 x 3 4 10801 Grade 5 zinc #59027 Hardware Kit for 59307 Lateral System 2, 59264 3 Way Concrete Bracket 4 10530 Wedge Anchor 3/8 x 3.50 1 59315-1 Hardware Kit #59263 Longitudinal Hardware for 59307 2 59272-1 Beam Clamp Base 4 59272-2 Beam Clamp Top Flange 8 10926 Carriage Bolt 1/2-13 x 1-1/4 1 59315-1 Full Thread zinc 12 10646Y Hex Nut 1/2-13 Grade 5 zinc 4 10801 Carriage Bolt 1/2-13 x 2-1/2 4 10926 Grade 5 zinc #59364 Hardware for 59332 Lateral and Longitudinal combination 1 59264 3 Way Concrete Bracket 2 10530 Wedge Anchor 3/8 x 3.50 1 59315-1 Lateral Hardware Kit 1 59272-1 Beam Clamp Base 2 59272-2 Beam Clamp Top Flange 4 10926 Carriage Bolt 1/2-13 x 1-1/4 Full Thread zinc ... 2 10801 Carriage Bolt 1/2=13 x 2-1/2 Grade 5 zinc 6 10646Y Hex Nut 1/2-13 Grade 5 zinc ®> Page 8of8 'DOWN, ENGINEERING I 0 0 0 0 Offset Placement Diagrams represent examples of double and triple section offsets. Total size is determined by the length of unit plus offset. Xi2 Stabilization Pier Placement for Ground or Concrete Single Section Home 0 -80' (76' Box) 4 Xi2 Systems Xi2 Pier Placement Double Section Home 0 -62' 3 Xi2 Systems` 63' - 80' 4 Xi2 Systems "2 Xi2 systems can be placed at either end of the home. Triple Section Home 0 -62' 4 Xi2 Systems 63' - 80' 5 Xi2 Systems ®> ��45 spa l;Lf-F 3i1,16 Page 7 of 8 Xi2 Lateral Concrete Systems Part#59307 Includes: 5' Strut, Bracket, & Hardware Kit #59315-1 with all nuts and bolt. Longitudinal Struts for "Concrete Systems" Part No. Length Pier Height #59013 44" 'up to 4 Blocks #59015 65" up to 6 Blocks Longitudinal Hardware Kit Part#59263 (Includes 2 sets per kit: I-beam bracket, nuts, bolts and washers) Lateral and Longitudinal Combination Part#59332 Includes: 5' Strut, Longitudinal Strut (#59364), Lateral and Longitudinal Hardware Kit with all nuts and bolts. Figure 1 Lone Nut & Washer Beam Clamp Bracket J -Bolt Xi2 Installation Placement Beam - Longitudinal Strut Xi2 Concrete. System � of N°me �n f n z, ®> 41-1 Page 6 of 8 m 0 LO 0 0 Concrete Longitudinal Hardware Kit f n z, ®> 41-1 Page 6 of 8 m 0 LO 0 0 Installation of Xi2 Concrete Systems 1. Identify the number of systems to be used on the home using the chart provided. 2. Identify the location where the systems will be installed. 3. Build pier according to State, Local or Home Manufacturers guidelines. 4. Drill two 3/8"x 3" deep holes in the concrete using holes in galvanized bracket as a guide. Attach bracket to concrete pad using 3/8"x3-1/2" wedge anchors provided. Place nut & washer on anchor, leave enough room for 1 to 2 threads M showing on top of bolt. Using a hammer, tap the wedge bolts into hole through bracket, leaving nut & washer flush with bracket. Using a 9/16" socket wrench,_"y`� tighten wedge/anchor bolt, securing bracket to the concrete. 5. Attach the end of the smaller tube to the bracket mounted on the pad, using the grade 5, 1/2" x 2-1/2" bolt/nut provided. 6. Attach the flag end of the larger tube to the opposite I-beam using the "J" bolt over the top of the I-beam with the nut & washer provided. (Figure 1 next page) 7. Install a minimum of four (#12 x 1" tek screws) self -tapping screws into the holes provided in the lateral strut so that the two tubes are connected together 8. Install frame bracket clamps on I-beam on the inside of block/pier. 9. Insert strut in frame bracket clamp and attach with nut & bolt. Attach opposite end to concrete bracket. 10. Pull the frame bracket clamp with fastened strut outward to remove anv lack. 11. Tighten all nuts and bolts on system...BJ> Page 5 of 8 TIE., DOWN ENGINEERING % • -77-77TRj COUNTIES BANK - 1-800-922.8742 a,,OL5390o1, i:121135045t: 29 L 04 3 Lii' BUTTE COUNTY AREA DEPARTMENT OF DEVELOPMENT SERVICES INSPECTION CARD MUST BE ON JOB SITE 3 24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico) Office: (530) 538-7541 Fax: (530) 538-2140 Website: www.buttecounty.net/dds Permit No: B07-1149 Issued: 05/25/2007 Address: 14846 Area: MAGALIA Owner: WESLOWSKI, HARRY &APN: 065-350-032 Applicant: GERALD GLEN DOREMMap Page: Permit Type: SFD-Mobile Home RET Description: EX MH PERM FND 1440 SQ.FT. Flood Zone: None SRA Area: Yes SETBACKS Front Setback: Side Setback: Rear Setback: Other Setback: Minimum Setback From Centerline of Street: ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING Inspection Type IVR INSP DATE Setbacks 132 Foundations / Footings 111 Pier/Column Footings 122 Grade Beams 114 Eufer Ground 216 Forms/Steel/Holdowns 122 Do Not Pour Concrete Until Above are Signed Pre -Slab 124 Gas Test House 404 Gas Test Yard 404 Masonry Grout 120 Masonry Bond Beam 119 Underfloor Framing 149 Underfloor Ducts 319 Shear Transfer 136 Under Floor Plumbing 412 Under Slab Plumbing 411 Gas Piping 403 Do Not Install Floor Sheathing or Slab Until Above Signed Holdowns/Straps 122 Shearwall/B.W.P.-Interior 135 Shearwall/B.W.P.-Exterior 135 Roof Nail/Drag Trusses 129 Do Not Install Siding/Stucco or Roofing Until Above Signed Rough Framing 128 Rough Plumbing 406 Rough Mechanical 316 Rough Electrical 208 Gas Piping 403 Shower Pan/Tub Test 408 Fire Sprinkler Test 702 Fire Sprinkler Final 702 Finals Building Final 802 Electrical Final 803 Mechanical Final 809 Plumbing Final 813 Pool Final 802 Mobile Home Final 802 Ins ection Type I IVR I INSP DATE Do Not Insulate Until Above Signed Wall Insulation 117 Ceiling Insulation 118 Do Not Cover Until Above Signed T -Bar Ceiling / RC 145 Stucco Lath 142 Stucco Scratch 143 Stucco Brown 144 Swimming Pools Set acs 132 Pool Plumbing Test 504 Gas Test 404 Pre-Gunute 506 Pool ElecBonding/Light Nitch 502 Pool Fencing/Alarms/Barriers; 503 Pre -Plaster 507 Manufactured Homes Setbacks 132 Blocking/Underpining 612 Tiedown/Foundation System 611 Site Utilities/Trench Insp. 137 Gas Test Yard 404 Manometer Test 605 Continuity Test 602 Skirting/Steps/Landings 610 Coach Info Manufactures Name: Date of Manufacture: Model Name/Number: Serial Numbers: Length x Width: Insignia: 0 4— Public Works Fina 538-7681 Fire Department/CDF 538-6837 cxt 169 Env. Health Final 538-7281 Sewer District Final **PROJECT FINAL 1 801 17Z 11, d� -rrolect rmai is a q.erancate of vccupancy for kxesiaennai vniy) PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE. IF WORK HAS COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION Applicant >7 BUTTE COUNTY 00 DEPARTMENT OF DEVELOPMENT SERVICES 0 BUILDING PERMIT APPLICATION 0 0 OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 0 .=�` 0 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION Website: www.buttecounty.net/dds ®UNC **PLEASE PRINT CLEARLY** OWNER INFORMATION Last Name First Name . Mailing Address City State, I Zip Phone Fax E-mail APPLICANT INFORMATION CONTRACTOR Name J Address r D City Fax Stat Zi r—G 7 Phone / Fax E-mail Lic. # Class APPLICANT INFORMATION ARCHI TECTIENGI NEER Name City -Addtess Zip City Fax State Zip Phone Fax E-mail State.License Number APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail _ APPLICANT SIGNATURE PERMIT NO. say- I fqcq BIN # . PROJECT LOCATION AP# �� G •� Property Address�t��'tr City f� 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: � �d S Sq FT- Living Garage Open Cov 0 Structure Built without Permits 0 Proposed Change of Occupancy (Note previous use): For office use only: Zoning Flood Zone SRA Yes] No Occ. Type ConsL '100 0 J PERMIT NO. 3324-82B Q� PERMIT EXPIRES OWNER GENE DeLaGARZA C y c6NTR• Fred Cox ASSESSOR PARCEL 65-35-32 14846 Glenwood Drive, Magalia LOCATION O 'W •� y y A• 7 4, ?3 Temp. Power Pole 3 Called PG&E Temp. Elec. Service Called PG&E i Temp. Gas Service Called PG&E JOB FINALED (Date) r Signature -.40 J = OK _ 0 = Not OK - = Not Applicable } = Not Ready RESIDENTIAL (ginger and Duplex) Date UNDERFLOOR Plans OK exceptk'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. 4. Ftg., Garage; Soils -Steel- / /" Ftg. Depth Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 50. 51. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic _ 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Card -BI Date _ Date Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's 14. Water Ht.: Vent -Access -Combustion Air Date FINAL (Plans) OK except k's 56. Ext. Steps -Door & Sidelight Protection -Landings 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.: Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting _ Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access ---17. 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Card -BI Date Card -BI Date Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 66. 67. Elec. Outlets & Receptacles at Kit. Counter Garage Fire Door; Swing -Landing -Closer Date ELECTRICAL Permit OK except N's - 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clgarance-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. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. -- 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 72. Insulation -Foam -Looked in Attic E] Yes - 25. 2 Appliance Circuits in Kitchen &Conductor Size 73. 74. Guard Rails &Deck Construction -Post Caps 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 At - 27. _Insulated 28. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Neutral ❑Yes ❑No Service -Riser Conductors & Ground -Main Disconnect 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes❑ No; Planters ❑Yes ❑No 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, 79. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. Water Well; Disconnect, Electrical, Plumbing --------------------- Card B -I _ --- - Date_ _ - Card -BI - Date 80. 81. Exterior Elec. Trim; G.F.I. Receptacle -Underground Ventilation throughout House Card B-1 Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except N's 83. _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric - ----31.- A.C. Ducts; Insulation & Support 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. Vent Fan: above Insulation Condensate Drain _& Overilow; Size & Grade 86, Energy Compliance Certificate -Other Certificates j 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Card -BI ----------- - ---- ----- -------------- _ Date _ Card -BI - Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Dale 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) Comments at Final: - 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. 42. 43. 44. 45 46. 47. Header & Beam -Size & Bearing_ Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rfir. Ties-Purlin-Root Brac.-Truss-Shthnp.-Rfnq. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access. Size & Romex Protection -Draft -Stop - Ins. Baffles _ Bdrm. Windows or_Exiling Doors -Sill Hgt. & Dimensions ____ Garage Fire Protection Framing _ (NOTE: An entry must be made each time you visit job site) J = OK O = Not OK = Not Applicable MOBILEHOMES * = Not Ready MISCELLANirj r Date MOBILEHOME UTILITIES (Plans) OK except q's Date DECAS, COVERS, CARPORTS, ETC. Ian OK except H's 1. Zoning Requirements -Setbacks -Easements . Zqping Requirements -Setbacks -Easements 2. Sails; Special MH Support -Sketch _ . Footings; Size-Depth-Spacing-Conneclors 3. Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. wn.; Posts- Beams-Rftrs.-Connec.-Shthg.- Rig. -Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6.�ts; Windows -Doors 7. Elec. Card -BI Date Card -BI Date Card -BI D to Card -BI Date Card -BI Date Card -BI Date Card -BI ate Z_ 2iCard-BI Date Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date _ OOLS (Plans) OK except #'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 5. Drain; MH Test -Fall -Flex Connector _ 4. Elec.; Receptacles and Lighting; Distances-GFI 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/O to Grade -HD Approval 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. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I 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 - DEPAR'TMEN7 OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICAVIOWAND PERMIT PERMIT N , ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWN Epr V c� Y a TELEPHONE SQ. FT. OCC. BUILDING VALUATION J V OWNER'S MAI ING AD SS (:1r CON CTO •S MET L E"61 CO TRACTOR'S A L G ADDRESS _ C. Fireplace CO ST UC ION L DER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $';ZYD ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $�Ob r Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ rd� BUILDING ADDRESS [_f1 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO.SUBDIVISION NAME RCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehomep-110ther SPECIFY Building sewer 5.00 Mobile Home W G W 10.00e TYPE OF WORK New❑ Addition R__"Rem el❑ Utilities❑ Installation❑ Other Describe work: �Q� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST.// DWELLING OCCUP.& OR ADDNS. l ACC. BLDGS. I 2/2OSq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): el am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and m license is in full force and effect. y License No.'L3�q i 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 C0rN MULTI -OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS NEW CONSTR. (POWER APPARATUS &) NON-RESID. \ SINGLE OUTLET CIR. I Ex. OccuP(oXTS OR FIXTURES 2050e 0 1-0301 �' FIXEEDD APP LNS. OR EX. Occup. OUTLETS (RESID.) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor 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 �-�-,'�f Consent to Self -Insure. LV 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. 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 againstesaid Counly in conseyaitce of the granting of this permit. �Lf' X Date J� Signature of Applicant — Ow r❑ 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 $ DID OCCUP. GROUP I TYPE OF CONST, PARCEL PD HDj000iod�SUE I This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO OF PUBLIC By _� PE T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS p Date Receipt No. u 7" / WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT r _ •f. ~"� • 1154-82B ' PERMIT NO. _..,_..,._ PERMIT EXPIRES OWNER Eugene DeLaGarza CONTR. Fred Cox, Paradise ASSESSOR PARCEL 65-35-32 LOCATION 14846 Glenwood Dr., lot 77,SDC62, Magalia � Temp. Power Pole r Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service ! Called PG&E JOB F_ INHALED (Date) CJ� Signature OULA_ = OK = Not OK = Not Applicable = Not Ready RESIDENTIArrIS.ingle and Duplex) , Date UNDERFLOOR Plans OK exce t#'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /,'; Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel -B lockouts -Wrapped -S lab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel -Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 9. Gas Pipe; Size -Anchors 55. Shear Walls; Nailing -Bolts 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except #'s 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except #'s 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. 63. Stairs & Rails 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 #'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 22. 23. Size Boxes & No. of Conductors -Stapled Romex Installed Close to Edge of Studs & C.J. 70. 71. Plb., Elec. &Mech. Equip. Listed for Location Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic E] Yes 25. 2 Appliance Circuits in Kitchen &Conductor Size 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 Al, Insulated Neutral ❑Yes C1 No 75. Following instld.: Drive C] Yes E] No; Walks ❑ Yes E) No; Planters ❑Yes 0 N 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond..Size-115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except #'s 31. A.C. Ducts; Insulation & Support 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. Vent Fan; Exhaust above Insulation 86. Energy Compliance Certificate -Other Certificates _ 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) OK except #'s 36. Sills; Proper Material & Anchors 37. Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound _ _ 38. 39. Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. 42. 43. 44. Header & Beam -Size & Bearing __ er Hangs -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties -Purl in - Roof Brac.-Truss-Shthnq.-Rfnq. Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: An entry must be made each time youvisit jobsite) V = OK 0 = Not OK — = Not Applicable MOBILEHOMES * = Not Ready . _ MISCELLANEO" Date MOBILEHOME UTILITIES (Plans) OK except #'s Date DECKS COVERS, CARPORTS, ETC. (Plans) O:. :xcept #' 1. Zoning Requirements—Setbacks—Easements oning Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch � pMirf_ootings; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/0—Concrete 7— desks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg. -Bracing_ 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete -m S. Avium. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Locatiort—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG &.—Earports; Windows—Doors 7. Utility Clearance; Card -BI Date Card -BI Date Card -BI Date �) £sZ Card -BI Date Card -BI Date Card -BI Date Card -BI , _ I Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements—Setbacks—Easements Date'POOLS _ (Plans) K except #'s 1. Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 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 5. 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/O to Grade—HD Approval 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. Exits; Insp.—Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test r Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date 4., COUNTY.OF BUTTE - DEPARTMENT OF PUBLIC WO S 7 County Center Drive - Oroville, California 95965 - Telephone 91 534-4541 APPLICATJO AM -.-PERMIT, PERM T NO. _A ASSESSOR PARCEL NUMBER -- 3S ZONING i l BUILDING PERMIT o N R TELEPHONE SQ. FT. OCC. BUILDIN VAL ATION • OWNER'S AILING ADDRESS CON RACTO 'S NA TELEPHONE �7 -- / C ON TRA CT R'S AILING ADDRES J 9q %I Fireplace CONSTR UC TIO LEN ER UNKNOWN 1 Total Valuation $ Filing Fee $ 10.00 L NDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER _ LICENSE NO. Plan Checking Fee $ tj % Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADD Et,%S j�• PLUMBING PERMIT Filing Fee 10.00 Each Trap 1 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP 2 , Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other - SPECT Y Building sewer Lawn sprinkler system 5.00 TYPE OF WORK If Newt/ Addition ❑ Remodel ❑ Uti Iities ❑ Installation[] Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 8001 OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2:50 NEW CONST. (DWELLING OCCUP.d) OR ADDNS. ACC. BLDGS. 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 Business and Professi ode and my license is in full+�force and effect. License N %, Classification -(7 ❑ 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) s ❑ 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 CO IDR BRA CH GIRCT Ts 2.50 ea NEw CONSTR. (POWER APPARATUS S) NON-RESID. SINGLE OUTLET CIR. EX. DCCUp OUTLETS OR FIXTURES_ BAL2i FIXED APPLNS, OR Ex. Occup. OUTLETS (RESID.) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor 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. 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 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, Ju ments,����,CQgqqqsts, and expenses which may in any way accrue against aid Coyfty iMce of the granting of this permit. X ✓ Date Signature of Applicant — Owner ❑ Contractor ❑ Agen 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 $ OCCUP. GROUP M _ + TV OF C NST. ��� PARCEL l/ PD ND ssu This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC OFi OF PUBLIC If By P IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date J7::-`/ �� Receipt No. 7 SZ ► WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENRO LICANT d;. " COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number %''� it for the following location: Owner Owner's Address Mobilehome Mfg.�� -+ = Model Year. Insignia No. 1" 7 Serial No. � � % ?%4/ It is hereby certified for occupancy at the above described location and may be occupied. Date Director of Public Works By � �' � �; • THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. ` :PERMIT N0. 2409-78P,E r. , PERMIT EXPIRES OWNER Eugene DeLaGarza CONTR. Sierra.Dev. & Constr.,Magalia LOCATION (A.P. 65-35-32 J f 1270 Glenwood Dr., Lot 77,.SDO #2, Magalia i U m Temp. Power Pole Called PG&E A Temp. lea Serv. C Iled PG&E /Tlep. Gas Serv.Called PG&E '7 FINALED (Date) (Signatur Mat BI FoSii Piers Garage Footings Stemwa I I Slab Carport Footings Slab Patio Footings isonry Wall: Reinf. Stee COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION -RECORD BUILDING BUILDING (Cont'd) I FArewall I RestAlom Finish Windo Sidin Roof Shea in Roofing Fdn. Vents Garage Vents Insulation Prov. for ph slcall handicap ed Conformance of ex. structure Final FIREP Footing Throat Final FIRE SPRINKLE PLUMBING I Piping st Floor d Floor irk Floor Sewer Fixtures Water Htr. Heaters Appliances Gas Piping & T t Temp. Gas Sanitation Final EL Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown, Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final final MOBILEHOME UTILITIES - - - - - - - - • - - - - Elec. Service Elec. Pedestal Water Piping _ Sewer `� - Gas Piping j �s ,(".0 6 t -I17 OBILEHOME INSTALLA�IO�N - - - - - - - - - - - - Support '— Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS J (NOTE: An entry must be made on this form each time you visit the job site.) + COUNTY OFBUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Driv.9 - Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT autnonze representatives oT the county OT butte to enter upon the above-mentioned property for inspection purposes. ie �.' - r Date."' - %:;77 Signature of Permitee or Agent Receipt No. 0 7 1141- t 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 OFA PUBLIC WORKS By " I '•'' Date �. Building permit expires Date BUILDING Owner Pu Gy F+ n �" � 1A 6/4 4 rl SQ. FT. OCC. BUILDING VALUATION Mailing Address V ✓ Telephone No. Contractor �• (�� S • � ,/ Mailing Address 5 4j K / /(, E !t u Fireplace Total Valuation 14 1 141,)/,}�.. 'T3'72-'74//7 IT lephone N - eo. y- / Permit Fee Building Address I 70 -t` � � { r ' Plan ng Fee&/or Penalty - it Fee Permit Fee PLUMBING No. @ FEE /4'a C, �, p, PERMIT FILING FEE $3.00 Each TraD 1.50 Repair drainage or vent piping 1.50 A. P. Noll , 3 S' 3 2. Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fees, ' W -C. Sanitation Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W - Improve_ments Each additional outlet .30 Building sewer 5.00 Bldg.1Plans Recd Parcel A ro Planspp oval Lawn sprinkler system 2.00 NEW UTI,114ES - /' ermit Fee $ $ /ADDITION 00,""/)�Q,,v i' ELECTRICAL No. @ FEE PIRMIT O ?,• , FILING FEE 1 $3.00 00V O M in service 100 AMP ORSLESS 5.00 Single Family 0 Duplex obil Home ® Others ❑ ain service EA. ADD'L 100 AMP 2.50 Main service 0VER600v 25.00 100 AMP OR LESS Main service EA. ADD•L 100 AMP 1.00 NEW CONST. ( DWELLING OR ADDNS. ACC. BLDGS.CCUP. s) 20sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business &Professions Code under the name style of: t NEW CONSTR MULTI -OUTLET NON-RESID � BRANCH CIRCUITS 2.50ea NEW CONST. POWER APPARATUS 8 NON- R RESID. SINGLE OUTLET CIR. Ex. Occup (OUTLETS OR FIXTIiRES g L 250 1 FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License Classification --,0= Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL N01 @ 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. ©A 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 J$3.00 Heating Cooling Ventilation Hood 2.00 Permit 'Fee $ At Is I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land -Development -Fee s/ fi.lis�+��t/'/ $ -JU TOTAL PERMIT FEE $ 3U autnonze representatives oT the county OT butte to enter upon the above-mentioned property for inspection purposes. ie �.' - r Date."' - %:;77 Signature of Permitee or Agent Receipt No. 0 7 1141- t 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 OFA PUBLIC WORKS By " I '•'' Date �. Building permit expires Date r MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located with required separation from lot lines and buildings and generally conform to plot plan? Yes✓ No 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes �No_ 3. Are footings and supports properly sized, spaced, and braced as pe approved plans? (Note possible variation at spring shackles.) (Sec ; 5082 & 5083) Yes _<No_ 4. Is the mobilehome level? (Sec. 5088) Yes— No 5. If m e than a single unit, are crossover connections properly installed? (Sec. 5088) Yes No 6. Water A. Is fl " ble connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes � No' B. Test - Does water piping withstand working pressure or 50 lbs, air test? Yes_ No C. Backflow - If coach is not State of California approved, does station have backflow device and pressure -relief valve? Yes_ No 7. Wastes and Drains A.. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes -No B. Does it have minimum 4" per foot slope and is it properly supported? YesL'--/No C. Are any leaks detected in drainage system after running 3igallons of water through each fixture including washing machine standpipe? Yes No �/_ D. If cogeh is not State of California approved, does station have required trap and vent? Yes / No 8. Gas.Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as large as the mobilehome gas line inlet without reductions other than the mobilehome connector. Yesz No B. .Test OK as per following procedures Yes_jZNo 1. Open all appliance connector vfLlves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"014" water column or test with slope gauge (minimum 0 6oz.-maximum 8 oz.) calibrated in -tenth pound increments. Test for 10 min. without drop. 4. Connect gas meter to mobilehotge.with connector, turn on gas, test connections with .soapy water. % C. Are.all appliance vents properly installed? Yes. No 9. Electrical A. Is service large enough to provide adequate amperage -to mobilehome (must equal rating of mobilehome with a minimum of%100 amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes p' No B. Is there proper clearances around panels? Yes No C. Is power supply cord or feeder assembly properly fused? Yesy No D. Is continuity test satisfactory as per the following procedure? Yes �� !No_ 1. De -energize electrical wiring system of the mobilehome at the pedestal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the .mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay,.sign off card and tag services. MOBILEHOME DATA Manufacturer and/or Namestyle Length o n Width Vehicle Serial No. li /2 State Identification Nol,,, 1.13) -IV Additional Information or Comments: S i' COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS t 7 County Center Drive - Oroville, California 95965 Telephone! 534-4541 vy APPLICATION AND PERMIT BUILDING Owner �' SQ. FT. OCC. BUILDING VALUATION Mailing Address Lf` Telephone No. Contractor Mailing Address Fireplace Total Valuation ' P lephono No. n I 3V Permit Fee Building Ad�ress Plan Checking Fee &/or Penal ty Permit Fee /970 v PLUMBING No.1 @ FEE �n PERMIT FILING FEE J$3.00 , Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. N0. — Zoning 8 Planning Water piping 1.50 Each gas water heater or vent 1.50 • / FAe� W e &erti4at+en Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets -+-.-50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 13111 -g. -Pro -HT -Re" Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER permit Fee $ $ ATI 4 02=��Ancx ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 10000 AMP ORSLESS 5.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 .yy �^r 7 • " 1 Main service OVER 25.00 100 AMPP OR LESS O Main service/ EA. ADD•L 100 AMP 1.00 OR ADDNST % ACC. BLDGS.CC UP. B) 20sq ft CON RACTORS 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 RE ID. BRANCHMULTI-OCIRCUITS) NON-RESID. BRANCH CIRCUITS) 2.50ea NEWCONSTR. POWER APPARATUS 0 NON -RESID. SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 5 L25 Ex. Occup. OUTLETS P(RESID )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No.313 y/0 Classification Misc. Wiring 6.25 ❑ 1 am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No @ FEE WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. 12 I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. E3I 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 J 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ 3 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Date o Signature of Permiittee or Agent ` Receipt No. I � I 1 -7 ` White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date 78' Big permit expires Date��/ 4 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS R v 7 County Center Drive ,.—• Oroville, California 95965CO� / Telephone: 534-4541 ,� l APPLICATION AND PERMIT autnorize representatives of the county of t3utte to enter upon the above-mentioned property for inspection purposes. 6 go 01� `[ I Date Signature of PermiteeorAg Receipt No. ?:)9 `e- 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. DIREC R OF BLIC WORKS -� By 41 Date �7F Building permit expires Date 6— BUILDING Owner EU ey) L57' js e P4 SO. FT. OCC. BUILDING VALUATION Mai I i ng Address Telephone No. Contractor �� (� � S 00 Mailing Address % `p �[� (��!L+ 4C Fireplace Total Valuation lephone Na.. .�1�►�' )— IV, Permit Fee Building Address Id 700&rvo�y A J ' Plan Checking Fee&/or Penalty Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 _ A. P. Noj6 3S ^3 �- Zonin & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fes w,e. S.aai.t� I Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map R/W Improv s s Each additional outlet .30 Building sewer 5.00 Bldg.�ns Rec'd Parcel A r .al _ Plans pproval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES OTHER Permit Fee $ is al ov" / ELECTRICAL No• @ FEE O?- 7, PERMIT FILING FEE $3.00 Main service 8011 OR LESS 100' AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER a 25.00 100 AMP O OR LESS Main service/ EA. ADD'L 100 AMP 1.00 NEW CONST.OR ADDNS. ACCLBLOGS.LING CCUP. d) 20sgft C CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW CONSTR. BRANCH CIRCUITS) NON -REBID [BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS 8 D. SINGLE OUTLET CIR. -NON-RES, Ex. OCCUP(OUTLETS OR FIXTIIRES)g L,� j FUIXED APPLNS. OREx. OCCUp•�OTLETS (RESID.) EA) 2.00 Temporary service 110.00 Mobile Home Facilities 15.00 License Nc4 O!5� Classification /'0141_ Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. r—jj,F-have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee 44 $ I certify that I have read this application.and state that the above information is correct. I�agree to comply to all County Ordinances State Laws relating to building construction, and hereby Land nava►r�^ ^� Ge �, $ 3,3 '! TOTAL PERMIT FEE $ 3band autnorize representatives of the county of t3utte to enter upon the above-mentioned property for inspection purposes. 6 go 01� `[ I Date Signature of PermiteeorAg Receipt No. ?:)9 `e- 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. DIREC R OF BLIC WORKS -� By 41 Date �7F Building permit expires Date 6— COUNTY OF•BUTTE — DEPARTMENT OF PUBLIC WORKS t 7 County Center Drive •— •. Orovi Ile, California 95965 --- Telephone: 534-4541 APPLICATION AND PERMIT , .uu vco v, anG VVUn y V, OUllc lV CIIICI UIJVII LIIC above-mentioned property for inspection ppurposes. X 3—xa, 6sit. , ��lit�J / Date Signature of P�eerrmitee or Agent Receipt No. /% /1dp White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant c This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRE R OF P LIC WORKS By Date permit expires Date U BUILDING Owner C [i����r` L� �./�iL� SQ. FT. OCC. BUILDING VALUA-TION Mai I i ng Address Telephone No. Fireplace Contractor le DC4-11aP1X� � �— Total Valuation Mailing Address , ' '�� Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee $ Building Address �t� l�'��A�jeJfaO i� PLUMBING No. @ FEE PERMIT FILING FEE $3.00 pO Each Trap 1.50 j� Repair drainage or vent piping 1.50 Water piping a Zonin Verification Only Each gas water heater or vent 1.50 / r 2 T— r A. P. (�' j 3 �� d �jj zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fks C. Ion Fire Dept. Fi ne Use i er Q EQA Parking Parcel Plans Declaration rc rel Map 60' R/W Improve ents Lawn sprinkler system 2.00 � oa�RC� �Ed Parcel pproval Plans Approvol Permit Fee $ 0 7 $ A? 10 C NEWADDITION ❑ ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 pOR LE(' Main service io00o AMP ORSLESS 5.00 e9(' Main service EA. ADD'L too AMP 2.50 2 Single Family El Duplex 1:1 Mobil Home Others 1:1 OVR 600V Main service 100E EAMP OR LESS 25.00 Main service EA. ADD•L too AMP 1.00 500 SQ. FT. MINIMUM NEW CONS. DWELING OR ADDNST ( ACCLBLDGS. OCCUP. &) 20sq ft NEWCONST R. ( B RANCH CIRCUITS) 2.50ea NON.RESI D, R MOBILES NEW CONSTR. (POWER APPARATUS &) NON•RESID. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name St Ie Of: y �/��^� •1 ��`ZO��� � �� Ex. Occup(OUTLETS OR FIXTURES) BAL� FIXED APP LNS. OR Ex. Occup.(OUTLETS (RESID.) EA) 2•00 Temporary service 10.00 Mobile Home Facilities 15.00 License No.�0_S-R! " Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 3 S 5 :, s7,77":2, - 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 hfor Wo kmen's Compensation. ave placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the abovear% information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby 6 hit /p TOTAL PE IT FEE $ LIZ _D , .uu vco v, anG VVUn y V, OUllc lV CIIICI UIJVII LIIC above-mentioned property for inspection ppurposes. X 3—xa, 6sit. , ��lit�J / Date Signature of P�eerrmitee or Agent Receipt No. /% /1dp White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant c This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRE R OF P LIC WORKS By Date permit expires Date U BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA., PHONE: 534-4541 ®0 MOBILEHOME INSTALLATION SHEET e ;1. Owner's name • 2. Installer's name: 3. Is the site currently under permit? Yes No (If yes, furnish permit number �'Q `.7�. ) 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 No ( If no, clarify /- ) ' 1 5. What is the mobilehome electrical rating? ----------------------- �L� Amps } 6. What is the mobilehome site service rating? ---------------------- Amps 7. What is the mobilehome site circuit breaker rating? ------------- Amps 8. Is there any other electric load to be served by the-,mobilehome .site service? ------------------------------------------- ------ Yes / / No / (If yes, identify the load and size: (Load) •; (Amps) 9. What is the mobilehome site gas pipe size?----------------------� in.) 10. What is the type of gas service? -------------------------------- Natural / /. LPG V,1 11. What is the gas pipe length from meter or tank to the mobilehome? /42 %J (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.) BUTTE COUNTY 6UILDING DEPARTMENT APPROVED MOBILEHOME SUPPORT DATA ` If other than single wid/}5C71�� Mobilehome Mf �a¢furnish Setup Model No-� Year Widthc_(ft.) Box Length_(ft.) Tagalong or Expando Size ft. x ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets'(if not on file with the County of Butte). All center supports measured from front of mobilehome unless otherwise specified. (i"n.) (in: Center support Center suppo 1ocLLIa �, �' ; / footing size Footings (check one) Single �1- Wood either pressure treated ox foundation grade. 2. Other (specify) Supports (check one) I ( 1. Concrete block. 2. Other (specify) . I1/2�x �D (in.) (in.) <--Tagalong or Expando, show support details. x -- Typical. Support Ko4 1 if (in.) (in.) Footing Size *If center piers are other than drawn above, 'draw in locations, spacing, and dimensions. __ __ _��-•� �' LOT' ID�SIGA) F -DE .. I � __� � . I ��� E •vvl � 4t ,t•'t +�S . �►:; C�- � n.l�:.> D G • � � r~rA, itZ R 'Sep, i ,ym and' ca1.ior:A. to e, as\ per ; � � linty ealth Dept. �2e- = } 1� D , ,<t. quit �t� L% DEL ' 0fz_ 5tJ(3DiV15/'0 �f LA At 2, L D ?— -7r? fl2. 6,'1A6rAL.1,4,'nA., .4 023 G Ja o L:= C `T s'-1 C. - z" AMP- UA11bEQ&Ov, ►_! + f"At `' m• � 0 fs?`F • �,�'e /fid `t�71 ,L��?G•H l.: lh��' ' ,. ,,fir P"4 - 3 t/z" Oz, i 6 cofYt PRESS 15U A'/f3 i)CCAVAT/ON - EY�C i-VA7`� /�E.LqL OgeF �V _.'� , / i f _ 1 I _ i i �Ze i o /Q �' •`' fK e1 AC t -i 4-/ C_ ° i� L i4c 4 7`!J r i 3 r��� ttkj o 1 • Ia)F_ATi�Ef� ,G?t"t`FFr tG#2 RA s` - 0,4'�Vr"A015E P?t4F,$ .. T�. ,• ce ` 'be 5 ft. from the •• Q„tLEtis.z.�,l.,E:L i':T�'f:l_'r.0fV llIT 1 s. c�erty li;D�tc'c�rft. F•t�Llie t _. f a roud, permitting a maxi- ave overhang but entirely TRACT,)00. �9-T - ut of all - Mnts, ?3 4E DATE 3 3 l -- _ Eab.: c,• p�; FPPI^OVED BY --------------- -� ADD;;ESS NOTE:—Ali 'w'•,lnrinls & Workmanship Shall Be in Accc:rda.P \,lilt Zor•,)nnized C••,nd Pr-ctices and - of a clur*10+., nrFe.nr' —el -For 4.e <npcified use in the i Uniform Ruil.7�►17, Plumt inq & Machanical Codes and } the National Electrical Code. �,- _.BUTTE COUNTY illis s:t of plans and specifications MUST be kept on the job at all ti -nas and it is unlawful tc BULDING'DJ-PARTMENZ make a-ty changes or alterations on same without ` wr;tten permisson from the Department of Public AP P R OV ED' Works, County of Butte. All Utility connections shall be r.• .� located within4 ft. outside the rear Y ,nth': d section of the mobile .home Slc A D:`l=LO"1.'�='�T A'10 CON57rtUC#i: O! - the left: (road) side of the mobile r P.O. BC•X 776 t".AGALlA, CA. 9595a home. 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