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HomeMy WebLinkAbout065-400-029AP 65-40-29 Polens (SEE NOTE IN JACKET) 65-40-29 �' hard Polens 1505 Twin Pine Rd., lot 160, PPY Magali� a contr. George antos, Paradise Permit #5012-80B,P,E(tgtil MH) 01 C70A GAS F - -80 r SUPPORT STRUCTURE REQ COMPACTION TEST REQ, 65-40-29 z" Contr: Ne -Sales inc, G�QO M Permit 726-80MHI'a�'?-Ctt . Issue'IA 6 1.44�� rom � n - 65-40-29 ,Pe mit #672-81B,E(cabana & deck/MH) ,t <z� { y 65-40-29 contr: Ken Young, Paradise Permit_ #299-82B,PbE(n_ew pri.det. r garpge & stg.) Cont: Adair Const, G 65-4 -29 Permit #1577-87B(carport /4r7 065-400-029 POLENS, RICHARD . g5. 15055 TWIN PINE RDS MAGA/ Cont: BRUCE BRODERICK EX MH PERM FND 065-400-029 NOSKA, MARY 15055 TWIN PINE RD, MAGAL Cont: OWNER GAS LINE i. Noy—, �}j NOTES RESIDENTIAL PERMIT NO.y all SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER OFFICE COPY Address GAS Meter By DateJi 1 ELECTRIC #! Meter By Date 1 E JOB FINALED (Date) Signature BUTTE COUNTY DEPARTMENT OF DEVELOPMENT. SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: -7636 ( ROVI 41E) (530) 891-2834.(CHICO) OFFICE # 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 the Business and Professions Code, and my license is In full force and effect. License Class : License Number: Date: Contractor: 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 gity 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 file a signed statement that he or she is licensed pursuant to the provisions of 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 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 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 sb_e'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, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ 1 am Fxempt under Article 3 o t e Business and Professions Code Date: 465 Owner: \/�fA � A /)N t(\ 4�� WORKERS' COMPEN§ATI& DECLARATION I hereby affirm under penalty 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 policy number are: Carrier: Policy #: I� I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: /lG 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 performance of the work for which this permit is issued (Sec 3097 Civ.) Address: PERMIT NO. BP052197. Issued Date: 08/16/2005 APN: 065-400-029-000 Site Address: 15055 TWIN PINE RD MAG Map Index: Description: GAS LINE TO MOBILE HOME FOR PROPANE TANK Owner: NOSKA, MARY 15055 TWIN PINE ROAD MAGALIA, CA 95954 530-873-6628 Applicant: NOSKA, MARY 15055 TWIN PINE ROAD MAGALIA, CA r 95954 530-873-6628 Contractor: License #: Architect: Engineer: Total Square Ft: Valuation: Census Code: This permit is hereb is Resolutions to do i4t By: I PERMIT EXPIRES 0 0 S. F. $0.00 under the applicable provisions of the Butte Co my Cod and/or atedwhich fees have been paid � I O 1/lJ ❑ 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. 1 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 td enter upon the above mentioned property for inspection purpos?I �- n I Print Name: ` I / lt% i� N O C �� Signature Date: Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor 4 O 0 = Not OK = Not Applicable . = Not ReadyeadyMOBILE 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-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat or/ /" L "ftJ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance 10. Roof; Shthg-Roofing 11. Ext; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Date 1. Zoning Requirements -Setbacks -Easements Date 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/0 to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy . 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Cana B-1 Date Card B-1 Date Cana B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) Date 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 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-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 Vs 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GF1 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 = OK = Not OK = Not Applicable = Ndt Ready I"RESIDEN 1'IAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Sols-Elec. Gmd.-/ r Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ r 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-Fdting-Test-2 Way C/O- er Test 10. UF, Gas Pipe; Size Anchors -Y -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) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type AFlue-Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdnn. Windows or Exiting Doors -Sill Ht & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext Doors -One T -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 -Under Ir Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Grace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infittration-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 -Meth. 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 0 Yes 83. Following InslldJDrive 0 Yes 0 No/Walks 0 Yes 0 No/Plarrters 0 Yes 0 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/O 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: Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Mr.; 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 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Siie Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or AI 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or AI Insulated Neutral O Yes O No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels -Motors -Meth. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Alt -Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type AFlue-Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdnn. Windows or Exiting Doors -Sill Ht & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext Doors -One T -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 -Under Ir Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Grace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infittration-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 -Meth. 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 0 Yes 83. Following InslldJDrive 0 Yes 0 No/Walks 0 Yes 0 No/Plarrters 0 Yes 0 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/O 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: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 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 the Business and Professions Code, and my license is In full force and effect. License Class : License Number: Date: Contractor: 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 Pity 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 file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 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 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 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 sh_e did not build or improve for the purpose of sale.). bI, as owner of the property, am exclusively contracting with )icensed 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, and who'contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ 1 am Pxempt under Article 3 o t e Business and Professions Code _ c Date: & 5 Owner: WORKERS' COMPEN.SATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Policy It 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 /comply with 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 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 performance of the work for which this permit is issued (Sec 3097 Civ.) Address: PERMIT NO. BPO52197 Issued Date: 08/16/2005 APN: 065-400-029-000 Site Address: 15055 TWIN PINE RD MAG Map Index: Description: GAS LINE TO MOBILE HOME FOR PROPANE TANK Owner: NOSKA, MARY 15055 TWIN PINE ROAD MAGALIA, CA 95954 530-873-6628 Applicant: NOSKA, MARY 15055 TWIN PINE ROAD MAGALIA, CA 95954 530-873-6628' Contractor: License #: Architect: Engineer: Total Square Ft: 0 S. F. Valuation: $0.00 Census Code: This permit is hereby is ed under the Resolutions to d, dicated SDgv PERMIT EXPIRES icable provisions of the Butte Cot y Cg and/or 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 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 purpos S. Print Name:1�`) N I I�IC �� n Signature: Date: Oct �9 Owner . O Contractor ❑ Agent for Owner ❑ Agent for Contractor 13. 1,. ouuuuly rennn u I- 10 4 ,'y 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 Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last NamS Name Fi51Ny Address Zip City Fax Slate zip?,5,q Phone E-mail V Fax l U APPLICANT INFORMATION CO#TRACTOR Name City Address Zip City Fax State Zip Phone Book Fax E-mail Planner Lic. # Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Book Fax E-mail Planner State License Number APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X For office use only: Zoning Pro y Add r Flood Zone Cross Street SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT NO. 65atOL BP: :. PROJECT LOCATION AP# 04S (2) Pro y Add r ity 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 escription or Scope of Work: Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be 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. ' Page 1 of 2 REV 8-12-05 Received by: Amount: Bldg SRA Receipt #: Sheriff SMIP Date: � � d � Other Total Page 1 of 2 REV 8-12-05 SUBMITTAL & PERMIT REQUIREMENTS 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 LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. Nograph paper! ❑ 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 faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate.. ❑ 5. Statement of Intent for Non -heated and AIC for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd 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. Building Permit Application Without Required Clearances Form ❑ 12: Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items maybe 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 Commissioner's 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. Worker's 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. ❑, Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit 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 Refunds can'only 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 issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05 . COPY of Document Recorded 16 -Dec -2003 2003-8087048 Has not been compared with original RECORDING REQUESTED BY: BUTTE COUNTY RECORDER WHEN RECORDED MAIL TO: Butte County Building Division 7 County Center Drive Oroville, CA 95965 NOTICE OF MANUFACTURED HOME(MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION OF A FOUNDATION SYSTEM THE ATTACHED DOCUMENT IS BEING RECORDED TO CORRECT AN ERROR IN THE UNIT DISCRIPTION ON THE NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION OF A FOUNDATION SYSTEM, RECORDED ON December 8, 2003, UNDER SERIAL NUMBER 2003-0085302. THIS PAGE ADDED TO PROVIDE ADEQUATE SPACE FOR RECORDING INFORMATION. RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. RICHARD POLENS AND FLORENCE POLENS REAL PROPERTY OWNER/LESSOR 15055 TWIly PINE RD.. MAMING ADDRESS MAGALIA BUTTE CA 95954 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT SAME 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 TIBURON MAII.ING ADDRESS DATE OF MANUFACTURE OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 03-3582 530 538-7541 G PERMIT�0 TELEPHONE NUMBER 12-5-03 ATURE OF LO AGENCY OFFICIAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. FUQUA 1980 TIBURON MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMEINUMBER 8408A/B 64'X24' CAL198510/11 SERIALNUMBER(S) LENGTH WIDTH INSIGNIA/LABELNUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER AP # 065-400-029 , SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE - County Recorder CANARY - HCD PINK - Applicant GOLDENROD - Building Dept. 12/10/2003 07:41 5308776164 r RECORDING REQUESTED By OROVILLE TITLE COMPANY AND WN,N Rleettttaa MatL. To F "'— Richard Folens tea"" Florence y. polens 20.7 Avenida Descenso citoo Loceanside, CA 92054 MArl TAX etsuaa.a to F- s.. s .. Same ai above cam. n'ra "" tl_ ENVIRMENTALHOUSIMG, PAGE 02 OFFICIAL RECORDS BUTTE COUNTY -CALIF. fiD BY TITLE bd. 1110 1121 fm Moo CLARK A. NELSON 0LERK-REQ0RD E 20696 SPACE ABOVE THIS LINE FOR RECORDER'S USE Bndividuat Grant Deed ,t• V7 4V G7 The und-signed grantor(s) declare(s): Documentary transfer tau is t 17 -OS ,hr�p°jea of ( X ) computed on full value of property conveyed, or s%yoy r rotoment4o ( ) computed on full value hue value of Gena and encumbrances remaining at time of sale. Codo1 g ' 480 k Ol ( X) Unincorporated. arena- ( )City of and °`� d�=� 'o mon e FOR A VALUABLE CONSIDERATION, receipt of which is hereby aeknOwledged,GERARD SAIZ and d IDRMA E. SAIZ, husband and wife hereby CRANKS) to RICHARD POLENS and FLORENCE Y. POLENS, husband and wife as Joint Tenants the following described real property in the rPAMSrp* Coimty of Butte , State of California: TAX PAID. Lot. 160. as. shoran on, that certain Map. entitled, npARADISE PINGS UNIT NO-. 30, thich_ Map was recorded in the office of the Recorder of the County of Butte, State of California, on June 17, 1970 in gook 35 of Maps, at pages 78, 79, 80, 81 and 82. EXCEPTING AND RESERVING THEREFROM all of tae 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 mining shall be carried on from tunnels, shafts or drifts having their- orifices outside- of the. surface- arakof the above- described' realty,. all as excepted and reserved in the Deed from Magalia Mining Compav, a corporation, to E. D. Storts, et ux, rsoorded September 4, 1947 in Book 423 of Butte County official Records, at page 385. Dated June 5, 1980 10— e STATE OF CALrFORNIA. COON OF San MaTeD SS. On - h e i 4-1 l q [10 before. me; the undo-- eigted. a Notary Public in and for said States personally appeared I:ArArd SA4 9, and No=m X -- .......... — J .. kno..tn to me to he the person9_Who,e names Aril subscribed to the Within instrument aad ocknoWledscd that thgy etetuted the same. WITNESS my,)rand glid official scal. i^1 Order Gs and Saiz - o No . Saiz SII.Y 111••1^.IAL 55 RL fa�c'sni<4 5�;�`;GER .@. My Gtrr..z¢attn Ex:t:c BEY W. 1982 (T,4 .N. t.t 0,41 --1.1 rat) or Loan WMIL' TAA'S1'ATtMtNT5 A5 OIRECTM ABOVE —W Vr UVt:UhRf:t'vl 41 FOUNDATION; SYSTEM CERTIFICATE OF .00;CUPANCY W - lie BUILDING PERMIT NUMBER: 03-3582 Address or location of unit: 15055 TWIN PINE RD. MAGALIA CA 95954 Legal Description of Real Property: SEE ATTACHED AP # 065-400-029 (x) Mobilehome/Manufactured Home () Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: RICHARD POLENS AND FLORENCE POLENS Owner's address: 15055 TWIN PINE RD. MAGALIA CA 95954 INSIGNIA OR HUD NUMBER: CAL198510/11 SERIAL NUMBER OR V.I.N.: 8408A/B MANUFACTURER'S NAME: FUQUA YEAR: 1980 OFFICIAL APPROVING INSTALLATION: 161 DATE: 12-5-03 PHONE: (530) 538-7541 H.C.D. 513C ! I. RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DMSION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 08 -Dec -2003 2003-0085302 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. RICHARD POLENS AND FLORENCE POLENS REAL PROPERTY OWNERILESSOR 15055 TWIN PINE RD. MAILING ADDRESS MAGALIA BUTTE CA 95954 CITYZIP* COUNTY STATE SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT SAME CITY COUNTY STATE aP 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 03-3582 530 538-7541 MB PERMIT TELEPHONE NUMBER -S- 3 WbaTURE OF LO AG OFFICIAI. DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. GUERDON 1976 DUALWIDE MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER A/B 5310 62'X24' SERIALMH 235564/25644 NUMBER(S) LENGTH X WIDTH BY -AL PROPERTY t EGAL DESCtttPTION ASSESSOR'S PARCEL NUMBER AP # 065-400-029 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK - Aonlicant (;nt-n> mR nn _ R.,aa;"o n..,. o-� + •� �r�.... � �. Y a y n a rr � 'i ` f , 9 �. as �.r k - "'..: � �s�. �� ri � � {T� . r` •,� � �. � �a �.. k ..�_• r. za.^. 'i.: FOUNDATION�SYpT r CERTIFICATE OF `Occur, ANCY ' x " µ BUILDING PERMIT NUMBER: 03-3582 Address or location of unit: 15055 TWIN PINE RD. MAGALIA CA 95954 Legal Description of Real Property: AP # 065-400-029 SEE ATTACHED (x) Mobilehome/Manufactured Home () Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: RICHARD POLENS AND FLORENCE POLENS Owner's address: 15055 TWIN PINE RD. MAGALIA CA 95954 INSIGNIA OR HUD NUMBER: MH 235564/256449 SERIAL NUMBER OR V.I.N.: A/B 5310 MANUFACTURER'S NAME: GUERDON YEAR: 1976 OFFICIAL APPROVING INSTALLATIO DATE: /%, -5-0,3 PHONE: (530) 538-7541 H.C.D. 513C STATE OF CALIFORNIA - DEPARTMENT OF HOUSING AND COMMUNYYY DEVELOYiNIEN'Y REGISTRATION CARD Manufactured Home Decal No: AAZ8546 Manufacturer ID/Name Trade Name GUERDON I DUALWIDE Serial Number Label/Insignia Number A5310 MH235564 85310 MH256449 Addressee RICHARD POLENS 15055 TWIN PINE RD MAGALIA, CA 95954 Registered Owner(s) RICHARD POLENS FLORENCE D POLENS Trustees 15055 TWIN PINE RD MAGALIA, CA 95954 Situs Address 15040 PINEHURST WY MAGALIA, CA 95954 ATTENTION OWNER: THIS IS THE REGISTRATION CARD FOR THE UNIT DESCRIBED ABOVE. PLEASE KEEP THIS CARD IN A SAFE PLACE WITHIN THE UNIT. INSTRUCTIONS FOR RENEWAL: REGISTRATION FOR THIS UNIT EXPIRES ON THE DATE INDICATED ABOVE IN THE BOX LABELED "Exp. Date". THERE ARE SUBSTANTIAL PENALTIES FOR DELINQUENCY. IF YOU DO NOT RECEIVE A RENEWAL NOTICE WITHIN 10 DAYS PRIOR TO THE EXPIRATION DATE, CONTACT H.C.D. FOR RENEWAL INSTRUCTIONS. e e Model Weight Length 62' 62' DOM DFS RY I Exp. Date 00/00/1976 03/23/1976 1976 iMar3l,2004 Width I SPC SCC Exempt Use Type 12' i AFN 04 SFD ILT I 12' i j Issued Total Fees Paid Feb 21, 2003 545.00 i 0—)SING 9� p CpEq IuZ 3G� OLU yu . IMPORTANT THE OWNER INFORMATION SHOWN ABOVE MAY NOT REFLECT ALL LIENS RECORDED WITH THE DEPARTMENT OF HOUSING AND COMMUNITY'DEVELOPMENT AGAINST THE DESCRIBED UNIT. THE CURRENT TITLE STATUS OF THE UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT. DTN: 2760717 R 02212003- 590 .12/10/2003. 07:41 5308776164 ENVIRMENTALHOUSIMG, PAGE 03 STATE OF CALIFORNIA — DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT nwnresoarrnu ra®nemmayi cunwc CECAL.NO. ' LdUA.155. MAMUFACTUAEW NAME/R) TRADE NAME MODEL DOM DOT CFS SPC EXPIRATION F11 TIS 00/QO/60 00/00/00 U. SERULL NUMBER 840M LABEVINSIGNIA NUMBER. CAL190510 WEIGHT 000000 LENGTH 0007613 WIDTH 000144 ISS.UEO SCs 11/17/93 09 EXEMPTSE. TYPE SF� LPT a 84068 CAL290511 000000 000760 00014A y TOTAL.. d FEES S PAID: B e�o.ao. A RICHARD POLENS/ u FLORENCE D POLENS TRUSTEES D 15055 TWIN PINE RD n HAOALIA CA 95954 t ! a. t R otic 1iw-POLENS/ V FLOREME D POLENS TRUSTEES O M I "A- 15055 TM PINE RD aI T L e MAGALIA 95954 R AIL Z a D 0.8 15055. THIN. P111,64 K S � N T s u NACALIA CA 95954,x -__............i L t A L O w N e R J u P N I I R o R T m ON►LXCAT6CD7T TO Of PIL90 WITH THR 0,02ILEHON6 R OPERAYM AS RBW%RaD BY LAW hbl't'- F-1 IMPORTANT 01-916-00314 THE OWNER INFORMATION SHOWN ABOVE MAY NOT REFLECT ALL LIENS RECORDED WITH THE. DEPARTMENT OF HOUSING-• AND• COMMUNI-TY DEVELOPMENT AOA -I -NST THE DESCRIBED UNIT. THE CORENT a TITLE STATUS OF THE UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT. 0100233 STATE OF CALIFORNIA - DEPARTMENT OF HOUSING AND COMMUNITY. DEVELOPMENT REGISTRATION CARD Manufactured Home Decal No: AAZ8546 Manufacturer ID/Name i Trade Name Model DOM DFS 1 RY Exp. Date GUERDON Serial Number A5310 85310 Addressee RICHARD POLENS 15055 TWIN PINE -RD. ' MAGALIA, DUALWIDE- Label/insignia Number Weight Length MH235564 ? 62' MH256449 ; ' 62' i I i i Registered Owner(s) RICHARD POLENS FLORENCE D POLENS Trustees 15055 TWIN PINE RD MAGALIA, CA 95954 Situs Address 15040 PINEHURST WY MAGALIA, CA 95954 00/00/1976 03/23/1976 1976 ; Mar 31, 2004 Width I SPC SCC Exempt i Use i Type 12' i AFN 04. SFD ILT 12' I Issued Total Fees Paid Feb 21, 2003 I $45.00 ! I �0 v51NG qi0 p 0�� .uZ Oaf DEv�'v l r /� e. Ca- l6/Yle- ((jWM efz 0 (AFE ATTENTION OWNER:THIS IS THE REGISTRATION CARD FOR THE UNITDESCRIBED ABOVE. PLEASE KEEP THIS CARD INA i PLACE WITHIN THE UNIT. Cly I INSTRUCTIONS FOR RENEWAL: o REGISTRATION FOR THIS UNIT EXPIRES ON THE DAT INDICATED ABOVE IN THE BOX LABELED "Exp. Date". THERE ARE SUBSTANTIAL PENALTIES FOR DELINQUENCY. IF YOU DO NOT RECEIVE A RENEWAL NOTICE WITHIN 10 DAYS PRIOR TO THE EXPIRATION DATE, CONTACT H.C.D. FOR RENEWAL INSTRUCTIONS. IMPORTANT THE OWNER INFORMATION SHOWN ABOVE MAY NOT REFLECT ALL LIENS RECORDED WITH THE DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT AGAINST THE DESCRIBED UNIT. THE CURRENT TITLE STATUS OF THE UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT. DTN: 2760717 R 02212003- 590 H.C.D. - .... ATTACK CHECK 12/10/2003 07:41 5308776164 ENVIRMENTALHOUSIMG, -Bru e -B--oderick General Conftftr, Califomla kense: #360432 P.O. Box 768, Magalia, CA 95954 PHONE 530-873-6059; FAX -530-873 5091 ftx VW , Tammy or Aloe Eben -Broderick. Fem 538.2140- , pee"I L_ pt a DON 12/10/03ill - RW- AP # 065400.029 CCI 15055 Twin Pine, M®gaMa Owner.Polens., Good Morning, We need to -correct a 433A -today: I am faxing -you the -correct deed -and title for this home. The one I submitted was the one given me by the customer but it was for another home! Yesterday he gave me the correct- documents and -a -shiny decal,- which -l -will - bring- to -your The -unit description. needs. to be. changed_ on -the -433A. I will gladly pay any costs involved. Thank you for your help with this paperwork! PAGE 01 -NOTES RESIDENTIAL t: AR 065-400-029 03-3582 -� ,PERMIT NO. --DOLENS, RICHD -- 15055 TWIN PINE RD, MAGALIA Cont: BRUCE BRODERICK 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 SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER CHECKED BY .Q JOB FINALED (Date) Signature ./� J=OK 0 = Not OK = Not Applicable . = Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Zoning Requirements -Setbacks -Easements , 1. Zoning Requirements -Setbacks -Easements 2. 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/0 -Concrete Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test-Wrap;-/ P' L 'ft. / P Nat. or/ /" L "ft./ P LPG Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 7. Well Clearance & Disconnect 6. 8. Utility Clearance 7. Electric Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 10: Roof; Shthg-Roofing 1. Zoning Requirements -Setbacks -Easements 11. 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector Braced Wall Panels 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector Date 6. Water; MH Test -Regulator -Connector Card B-1 Date Card B-1 7. Water and Sewer Connected -C/0 to Grade -HD Approval 8. Gas and Electricity Tagged Date 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch Setbacks -Easements 11. Cert. of Occupancy 2. Soils; Compaction -Structure Stability 3. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) Elec.; Pool Lighting; 15 Volts-GFI 1 ing Requirements -Setbacks -Easements otings; Size -Spacing -Marriage Line to ing v 4, as; MH Test -Demand -Valve 6. 5. Electricity; MH Test 6. Water; MH Test Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 7. Water and Sewer Connected' 8. 8. Oas and Electricitv Tagaed 10. License Decals 11 erifv #'s with ( Date j" and 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 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 53. 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 8. Piers -Fireplace Ftg.-Steel Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test Siding -Nailing Veneer 11. Water Pipe; Test -Anchors -Regulator -Service Test Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 12. Electric Underground Glazing Area -Glass Protection -Skylights -Plastic 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 63. I nfi Itration-Wal Is -Windows 16. Insulation Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 65. 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Date Card B-1 Date Card B-1 Date 75. Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s A.C. Duct in Garage -Damper 24. Fixture & Transformer Clearance -Ins. Protection Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors Plb.; Elec. & Mech. Equip. Listed for Location 26. Size Boxes & No. of Conductors Stapled Elec. Receptacles in Garage (F.F.I.)-Romex Protection 27. Romex Installed Close to Edge of Studs & C.J. Insulation -Foam -Looked in Attic 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 81. 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral ❑ Yes O No _ 32. Service -Riser Conductors & Ground Main Disconnect 84. 33. Equip. Clearances Panels-Motors-Mech. Equip. 85. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector 87. Water Well, Disconnect, Electrical, Plumbing Date 88. Card B-1 Date Card B-1 Date 89. Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Glass Protection 36. A.C. Ducts Insulation & Support Corrections from Previous Inspections 37. Vent Fan, Exhaust above insulation Gas Test -Meters Tagged, Gas -Electric 38. Condensate Drain & Overflow, Size & Grade Water & Sewer Connected -C/O to Grade -HD Approval 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet Energy Compliance Certificate -Other Certificates 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles ' 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. I nfi Itration-Wal Is -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter" 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes _ 83. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 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/O 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: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISI 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Re 2/96) _ ' ' APPLICATION AND -PERMIT D.3-359 ASSESSOR PARCEL NUMBER 065-400-029 ZONING BUILDING PERMIT OWNER R87-1-1610 TELEPHONE SO, Fr, OCC. BUILDING VALUATION .OWNERS MAILING ADDRESS 15055 TWN PINE RD, MAGAT-TA 95951L -1488 R 80:352.00 CONTRACTOR'S NAME BRUCE BRODERTCK TELEPHONE CONTRACTORS MAILING ADDRESS PO Rny 8') MAGATTA 95954 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ 80 352.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 277.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDING ADDRESS 150515 ZZN PINE RD Energy Plan Checking Fee $ $ PERMIT FEE $ 320.00 LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome IX Other SPECIFY Each Trap 7.00 - Solar or heat um water heater 23.00 Water piping 15.00 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: EX MH PERM FON Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S I G W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service zoOA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 of Division 3 of the Business and Professions Code, ( g ) and my license ' 'n full force and effect. � 22 / LJ? License Class Lic. No. V 6 D%J � OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for thisPERMIT reason Main Service 200A TO 1000A 46.00NEW CONST. DWEwNG OCCUP. OR AD.NS . ( 8 ACC. BLDS. SO 3.50FT. NEW CONST. MULT'-OUT' L H.RCUIr NON-RESID. �O 7.50 PowER APPARATus 8 SINGIF OUTLET CIR. Ex. Occup. OUTLET OR FIXTURESSAL @ .50 Ex. Occup. .FlALE Ts g'.,6,GEn 1 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEi= $ Policy Number (The above sections need not be completed if the permit is for work of a valuation 0of one hundred dollars ($100) or less.) 1 I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation pro isions of section 3700 of the Labor Code, I shall rthwith comply w' h those rovisions. X [We � � L� � Signature of Applica t - ❑ Owner ❑Contractor Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in het t. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 355.00 HAz. D FEES IMP FLOOD CDF PARCEL PD HD SSUE This permit is hereby issued under the of the Butte County Code and/or Resolutions indicate above for which fees hav been 1 B ZDe y PERMIT EXPIRES ON I applicable provisions to do work paid. 4 ale Receipt No.las_/a3 • �� WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT - -- `3rti `i�'.,'�"ryw �'..,;tr;.`^�i::.7.r^*...-- ..� ....;.a;,X .sw.�r•:ra•..�.-y,,,-+C•^;{�'J,ra;Jt!`-��..�«-a,f'.-•-7f-Tt�w .�.; �,--..rrwr�•a-*^iw `..n.. Y.-,.•r�e.4 �•Vt'I .,� ,, ^ raw- 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:U �"-' y \� ASSESSOR PARCEL NUMBERV Pro osed Buildin Use: p g �1 Counter Technician: Date: Items required in orderlo apply: for a permit. All boxes MU T be checked OR marked NA in order 6 apply. Ite 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. Energy compliance design and supporting documentation in duplicate. 41" ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd 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. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate.... ❑ 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.......... ❑ 12. Hazardous Material Form ....................................................... ❑ 13. Fire Sprinklers...................................................................... ❑ 14. Agricultural Buffer clr and site plan apr from the Ag Commissioner ❑ 15. Other Sent by Date Received By Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 16. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... ❑ 17. Statement of Intent for Non -heated and A/C Buildings ............................................. ❑ 18. Sanitation and site plan approval from the Environmental Health Department in ❑ 19. City of Chico Plumbing permit........................................................................ ❑ 20. California Department of Forestry plan approval ❑ paid. Sent by: ...................... ❑ 21. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: ❑ 22: Contact Land Development about ❑ Improvements, ❑ Drainage ................I............... ❑ 23NPDES Form...................................F..............................................'.......... Encroachment Permit for driveJ"mthe Public Works Dept ............................ ..... Pre -Inspection for QK/ required ............. .. e26.' . Contractor's license information. (Number, Name Style, Classification) ...................... . ❑ 27. Worker's Compensation Carrier and Policy Number ............................................. ❑ 28. Owner -Builder Verification (❑ Given to owner, El Mailed to owner) ..................... ❑ 29. Letter of Signature authorization.................................................................... ❑ 30. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 31. Manufactured home utility clearance............................................................... ❑ 32. Existing violations and/or expired permits......................................................... ❑ 33. Grant Deed,fW.H. Title/Statement of Facts, ❑ Letter from Legal Owner fsheck to H.C.D. $ ❑ 34ther: When issued Telephone ,6 and hold for pickup. i I have been informed of the above item 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 YContractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner was advised of the above dat b phone, ❑ mail, ❑ coun e , ,,bJJ' � Date: Plans reviewed by: designer, jl a�'c�� Plans approved by: V Date: -Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division ,i COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive s Oroville, California 95965 • Telephone (530) 538-75 PEWIT NO. ev.12%96) APPLICATION AND PERMIT � ZONING BUILDING PERMIT /SSESSORPARCELNL=MB w- •�3"E//�O S FT C. BUILDING VALUATION OWNER ` �, /LL /�� LfDOPPSn�„ /5 ,(`/'Jy// �/ ,/ (o OWNEa'fj NWUNO(DG/6:5 171ZIIA) / 1lVe /VC/� lit_- GC. �� NE 75L% i - TELEPHONE 1 CO Rs NAME Cp MAIUNG ADD CONSTRUCnON LENDER Fireplace LENDUM MAIuNG ADDRESS Total Valuation $ TOTAL FEE $ —' -T- uCENSENO. Firing Fee $ 20.00 ARCNRECr OR ENGINEER ELECTRICAL PERMIT $ PARCELPD Permit Fee Main Service maA on � 23.00 ARCHrM= OR ENGNEEas MALLING ADDRESS Plan Ciheckin Fee $ Main Service 2NA TO 1000► 46.00 Energy Plan Checking Fee $ QOULDNG� 3.5¢Fr. $ PERMIT FEE $ sUBOMMONS NAME PAR6�' MAP PLUMBING PERMIT . Firing Fee 20.00 LOT Na Each Tr 7.00 USEOFSTRUCTURE Solar or heat um water heater 23.00 Water i ing 15.00 SF 13Duplex ❑ Mobriehome Other sPEaFr Each gas water heater or vent �+L •50 15.00 TYPE OF WORK Gas piping system 1 - 5 outlets Ex. Occup. otm�s Esm EA 15.00 New c3. Addition ❑ Remodel 13UtiNes 13 installation 7er ❑ a��E Building sewer — G W S 15.00 020.00 23• Mobile Home Describe Work: —LLLL� - , - — 20.00 • ---7) r---1 AMOUNT RECE 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. DATE RECEIVED ��� By Date — --- DFRMIT FXPIRES ON CONST. TYPE TOTAL FEE $ —' -T- PERMIT FEE $ NAZ 0. FEES imp ELECTRICAL PERMIT Filing Fee 20.00 PARCELPD Main Service maA on � 23.00 Main Service 2NA TO 1000► 46.00 NEW CONST. DWEILRIG OCCUP. 3.5¢Fr. on ADONs a Ree. erns coNs MuuwtmET . @7.50 PERMIT, FEE PAID $ NDN•RBm. - aewGiFD �° m (g t o0 Ex. Occup. OUn.Er OR FIXTURES �+L •50 Ex. Occup. otm�s Esm EA 5.00 SRATemporary Service 23• Mobile Home Facilities 20.00 • t � y Mise: - 23.00 SHERIFF $ �� L � ERAS EE. _ MECHANICAL PERMIT Firing Fee .20.00 $ Heating. OTHER cooring Hood 6.50 Ventilation PERMIT FEt S Mobile Home Installation Fee $ Energy Inspection Fee $ AMOUNT RECE 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. DATE RECEIVED ��� By Date — --- DFRMIT FXPIRES ON CONST. TYPE TOTAL FEE $ —' -T- NAZ 0. FEES imp FLOOD CDF PARCELPD ESUE AMOUNT RECE 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. DATE RECEIVED ��� By Date — --- DFRMIT FXPIRES ON T Building Permit Number: 0 3 3 SIL Owner Name: PO (tY15 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 y==lYour parcel lies within a designated 100 -year 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). I 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) -3 —3� E Z Owner Name: A IVXA--" Parcel lies within the State Responsibility Area (SRA). Comply with attached requirements. 4 r sib. "- Fire sprinklers are required in this structure. The following parcel map requirements shall be met: All structures andMe�ui ment including over angs shall be clear of all easements. A setback ofO 3� �eettpfrom the side ander eet om the rearrolines p Pe rtY 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. z1 Expansive soil may p Y be encountered on this site. This condition may require the foundation to be designed by a California registered engineer or licensed architect. t ' BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: If l Cho I'C'S . / Oir J?s 2. Installer's name: 3. Is the site currently under permit? Yes /- / 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 / / No (If no, clarify ) ( ) 5. What is the mobilehome electrical rating? ----------------------- Amps 6. What is the mobilehome site service rating? --------------------- (Vy 4 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 777 (If yes, identify the load and size: (Load). (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- (in.) 10. What is the type of gas service? ----------------------------- Natural /% LPG 11. What is the gas pipe length from meter or tank to the mobilehome? 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.) ;'LDING DEP T ME � P.�. MOBILEHOME SUPPORT DATA If other than single wide,. Mobilet ome Mfr. L -2 -(,le -L" furnish Setup Model No. J/, Year a Width��( (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. eadm2 stlPs 7-o. eE L.DC4?r=b AS' FCS L.#8a-s AAJ Single A A ~ (ft.)(in:) (in.) (in.) enter support Center support locations* footing sizes (in:) i CA (ft.)(in.) (in.) (in.) . 29" 3� (ft.)(in.) (in.) (in.) Footings (check one) EI'1. Wood either.. pressure treated o foundation grade. 2. Other: (specify) Supporte (check c 131/1: Concrete block. .21 Other. (specify) ragalong or Expando,' show support details. /ax j4 -- Typical Support (in.) (in.) Footing Size, b,i x:,' -Y (ft.)(in.) (in.) (in.) -- Max. Pier Spacing (ft.)(in.) UfiTa COUNI Y gLADING DE:PARTME.Ns�'' f A PP • �erhan V G,I /�2x3U 6g (ft.)l (in.)(in.) (in.) (ft.)(in.) 5,7Z6 _F0 BUTTE COUNTY BUILDING DEPARTMENT. kIf center piers are other than drawn above, A P P R O V E D draw in. -locations, spacing,, and dimensions. �4 Vector Dynamics, Foundation- System.. INSTALLATION INSTRUCTIONS for -the State�of'California Version 91212003 SECTION INTRODUCTION GENERAL INSTALLATION PARTS LIST LONGITUDINAL DEVICES PIER HEIGHTS SET-UP INSTRUCTIONS FOOTER SIZES INDEX PAGE NUMBER 2 3 4' & 5 6 7 8 RELEASE DATE 9/2/03 9/2/03 9/2/03 9/2/03 9/2/03 9/2/03 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 -DOUBLE 14 9/2/03 - TRIPLE 15 9/2/03 V -DRIVE & PIER SYSTEMS 16 9/2/03 SOIL CLASSIFICATION 17 9/2/03 CONCRETE INSTALLATION 18 & 19 9/2/03 COMPONENT PARTS AVAILABLE UPON REQUEST SPA This Approval MANUFACIZJRED HOME/MOBM BOMB FOUNDAMON SYSTEM REACTS AND SAFETY CODE„ SECTION 18331 APPROVED SUDJECT TO CORREMONS NOTED UPPRMAL DOES NOT AUTHORIZE OR APPROVE ANY MISSIONS OR DEVIATION FROM REQUIREMMM OF APPLICABLE STATE LAWS AND REGUTATJONS Sorts of Califomis at ! ouzin an d C Cev Defop®aeS 241,6DES AND STANDARDS .-. I — ate) i M.7lDl_l? QRpfESS/O IK UCPAO�� BMS COUN- t 0ILDING DEPARTME!,�; ` 4 P P R 0, V y 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 eferto 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 Teets 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. 1\0 Pa9e 2 California 9/2/gEKo0 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 160. When using METAL PIER STANDS, measure center -to cente0rame 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. 4„'N"'_ Page 3 California 912/03 Vector Dynamics Foundation Systems - Late ral ' Component Parts List Vector System Lateral Stabilization Block Pads #59018 - 2 sq. ft. single/double block pads'with hardware, swivel straps and slotted bolts Vector System Lateral Stabilization for Concrete # 59036 - Single (only) block pads with hardware, swivel straps and slotted bolts. # 59049 - Double block pads with hardware, swivel straps and slotted bolts. Vector System Lateral Stabilization For Difficult/Rocky Soils # 59287 - V -Drive System Must be used with: # 59018 - Vector for single/double block pads 3 Sq. Ft. Pad Vector System # 59271 - Vector 3 sq. ft. pad (2 required) # 59024 -Vector Lateral Hardware Kit, includes PVC adapter. Strap/Swivel Strap Connectors & slotted bolts not included. Page 4 California 9/2/03 Vector Dynamics Foundation- Systems, Longitudinal Component Parts List 4 <iA Longitudinal Stabilization Hardware Kit # 10733 - (for use with 59018,Vector System, single stack block sets only.. Longitudinal struts not included) Longitudinal Stabilization Hardware Kit for- Concrete # 59023 - Includes 2 beam clamps, tension brackets, nuts and bolts. (for use with #59036 & 59049, longitudinal struts not included) 3 Sq. Ft. Pad Vector Longitudinal System # 59026 - Includes 2 beam clamps, 2 tension brackets, nuts & bolts. (for use with #59271, longitudinal struts not included) Struts for Longitudinal Systems Part No. Length Pier Height # 59016 30" up to 2 Blocks # 59012 39" up to 3 Blocks # 59013 44" up to 4 Blocks # 59014 53" up to 5 Blocks # 59015 65" up to 6 Blocks PVC Adapter Bracket # 59281 For use with Schd 40 PVC Center Compression Strut # 48612 - Single Section, 62% 108" # 48613 - Double Section, 34"- 60" (includes short u -bolts, nuts, washers and 6 self taping screws) . - (:�p 40M Page 5 California 9/2/03 C 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 (LSD) is used with the Vector Dynamics- System to resist loads in the longitudinal. direction (short dimension) of home. The number-6f*LSD' required is shown on pages 10=13: LSD 1. Longitudinal Foundation Pad 2. Beam Clamp (2 Per system) 3. Longitudinal 5trut(2 per system) 4. Tie Bracket (2 per system) Combine Vector Dynamics &. LSD Note: Two struts =-1 L.S.D. system. Can be used on one pad or siipt on opposite ends of the home. Examples 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 1 I I I I I I I i I I Wind Zone I Double Section 18 Ft. Max. 32 Ft. Max. Forgreater widths use triple section design. Page 6 Wind Zone I Triple Section Wind Zone I Tag Section 48 Ft. Max. California <-= -- 9/2103 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) not 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 Zone I, have a maximum pier height without anchors of 38". See page 12 for double section home high pier set instructions. 50 in 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 Maximum The difference between the taller pier N D' California 9/2/03 Set -Up Instructions for Vector System #59018 Long U -B 1. Set Vector Pads Clear all vegatation where pads will rest. Place a long U -bolt in pad as shown. Press or ham- mer pad into the ground. 2. Set Block or piers on pads. Center foundation blocks or piers on pads. Place pre-cut center compression member between blocks, resting on pads, centers between U -bolts as shown. 3. Outside Tension Bracket Attach outside tension bracket as shown to out- side of pads. 4. Inside brackets & straps Attach the inside tie brackets to the U -bolts over the compresion member. Attach a strap w/hook or swivel strap w/nut & bolt. Place other end of the strap over opposite I-beam & down to out side tension bracket. Cut strap 12 - 15 inches past bracket. Attach strap & slotted bolt in bracket. Tighten strap until tight with 4-5 wraps around bolt. Repeat with opposite strap. Page 8 c Califor 9/2/6 7. n w 0 W WIND ZONE I, SEISMIC ZONE 4 Vector Dynamics Systems Required for Single Section Homos (Materials Required) - action home j 72 it singe s .' Note: L.S.D.= Longitudinal Stabilization Device See Page 6. 2 h• R,ax• 34 tL o c tyP. NOTE: Vector Systems should be spaced as symmetrically as possible along the length of the home. Pier spacing must be consistent with home manufacturers' Soil Classifications: 2, 3, 4A, &4B Instructions and/or state requirements. Soil Bearing Capacity: 1,000 PSF minimum Anchors Required: 30" with 2-4" helix anchor (59095), 12" stabilizer plates (59292), 1-1/4" frame ties Home Length Vector Systems Required Anchors Required Per Side or 24" Pier 24+" Piers L.S.D. 0 to 72' 3 2 3 2 73' to 90' 4 3 4 2 Each Vector System 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) co cc CD 0 EtE WIND ZONE 1, SEISMIC ZONE 4 Vector Dynamics Systems Required for Double Section Homes h e , _ om (Materials RQquired) _ . - ' " _ - - ' " - " edlof\ Al�� Eggs NOTE: Vector Systems should be spaced as symmetrically as possible along the length of the home. Pier spacing must be consistent with home manufacturers' Instructions and/or state requirements. No anchors required. For pier heights up to 46" for WIND ZONE I 28'-36' wide, 38" for 24' wide. See Pg 12 for high pier instructions. 2 sq. ft. pad Soil Classifications: 2, 3, 4A, & 4B Soil Bearing Capacity: 1,000 PSF minimum A h On wired*• None (*Marriage all anchors maybe required by home manufacturer) nc ors q Home Length Vector Systems Required Anchors Required Per Side L.S.D. 0 to 40' 2 0 2 . 41' to 66' 3 0 3 67' to 84' 4 0 4 85' to 90' S 0 4 Each Vector System 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) Note: L.S.D.= Longitudinal Stabilization Device See Page 6. WIND ZONE I, SEISMIC ZONE 4Se��;o room S. n lei ` Vector Dynamics Systems Required for- - - ' - - - 6 tt mt tot Vec Triple Section Homes ' " - ^ - , _ - ,e of a e a` SQ c�n9 ' 7 a - (Materials Required) - - - 's " E,t�on kjov4s cc NOTE: CD When a pier height at Vector locations exceeds 46", an anchor must be used on the outside wall/beam at that approximate location. NOTE: Vector Systems should be spaced as symmetrically as possible along the length of the home. Pier spacing must be consistent with home n manufacturers' instructions and/or state requirements. w 0 Tag or --.-- full triple _ " 2 sq. tt. pad 2 sq. tt. pad A v Soil Classifications: 2, 3, 4A, & 4B Soil Bearing Capacity: _ 1,000 PSF minimum Anchors Required`: None (`Marriage wall anchors may be required by home manufacturer.) Home Length Vector Systems Required Anchors Required Per Side LSD Main TAG Oto 48' 2t2onTag .0 2 1 49' to 71' 3+ 2 on Tag 0 2 1 72'to84' 4+2 on Tag 0 2 2 85' to 90' S+ 2 on Tag 0 2 1 2 Each Vector System 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) V w rn A) ----------- WIND ZONE I, SEISMIC ZONE 4 (High Pier Sets) Vector Dynamics Systems Required for Double Section Homes (High Pier Sets with Diagonal Ties) e "ec�`on V oMe b\s ` , \ _ d0U e \ c""ice NOTE: Vector Systems should be spaced as symmetrically as possible along the length of the home. Pier spacing must be consistent with home manufacturers' Instructions and/or state requirements. WIND ZONE I Max. Height Unit Width See Page 7 CD I -Beam (A3 Spacing r A �2 sq. ft. padr O as' Min. Oto 48' 2 2 2 49' to 71' 3 3 3 72' to 84' 4 1 4 4 85' to 90' 5 5 4 Soil Classifications: 2, 3, 4A, & 4B Soil Bearing Capacity: 1,000 PSF minimum Anchors Required': 30" with 2-4" helix anchor (59095), 12" stabilizer plates (59292) 1-1/4" frame tie with connector Each Vector System requires one of the following: 14x4 or 2-2x4's pressure treated wood compression member, Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list) WIND ZONE II, SEISMIC ZONE 4 (Hurricane) cJ w 0 w Vector Dynamics Systems Required for Single Section Homes (High Pier Sets with Diagonal Ties) 1 _ i seGt�0 10 Osis e m sa% 9ulde�ines \jec' ! ma u 1e of 'a\, enetat to horns in - W s 9nusc be %\�Ustrand spacing ndauon Pads Fou WIND ZONE II (not to scale) Soil Classifications: Soil Bearing Capacity: Anchors Required': 2,3, 4A & 46 1,000 PSF minimum 30' with 4° helix anchor (59095), 1-1/4'vertical ties w/4725 lbs. min. breaking strength. Home Length Vector Systems Required Anchors Equired per side LSD 0 to 48' 3 5 2 49' to 60' 5 6 2 61" to 72' 6 7 2 73' to 84' 7 8 2 85' to 90' 8 1 9 2 -t- 2tt.mo.tip. NOTE: Vector Systems should be spaced as symmetrically as possible along the lengtli of the home. Pier spacing must be consistent with home manufacturers' instructions and/or state requirements. Maximum allowable working drag load for the Vector System with steel compression strut is 4,000 lbs. per the K2 Engineering test report. R Each Vector System requires one of the following: \2 sq. ft. pad 1-4x4 or 2-2x4's pressure treated wood compression member, Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list) V co .M w WIND ZONE II, SEISMIC ZONE 4 ' home R,S. e;;nes Vector Dynamics Systems Required for - _ _ - - " - e se o� Sysana� go - - _ Double Section Homes - ' doubt f0C ve ti;on m , _ ;' - NOTE: Vector Systems should be spaced as symmetrically as possible along the length home. Pier'spacing must be consistent witt manufacturers' instructions and/or state req Maximum allowable working drag load for tl System with steel compression strut is 4,001 the K2 Engineering test report. • • SIP a � ' WIND ZONE II (not to scale) \2 sq. ft. pad/ Jun nednny UdpdUny. i,uuu For ii}nmiwiii Anchors Required': 30' with 4' helix anchor (59095), 1-1/4' vertical ties w%4725 lbs. min. breaking strength. Home Length Anchors Equired per side Vector Systems Required LSD 0 to 48' 4 4 3 49' to 60' 5 5 3 61" to 72' 6 6 3 73' to 84' 7 7 4 85' to 90' 8 8 4 Each Vector System 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) WIND ZONE II SEISMIC ZONE 4 Vector Dynamics Systems Required for ; ome s w CD r �1 Triple Section Homes (Materials Required) t c%o to tem - }i _ e O � ,stem ►. � �6 {t ma°in9 fOt o{ a eta1 pw ige _ I 1 � � - • � 1 _ _ 1 p: v 1 NOTE: When a pier height at Vector locations exceeds 46", an anchor must be used on the outside wall/beam at that approximate location. NOTE: Vector Systems should be spaced as symmetrically as possible along the length of the home. Pier spacing must be consistent with home manufacturers' instructions and/or state requirements Soil Classifications: Soil Bearing Capacity: Anchors Required': Tag or_ -,-y 2, 3, 4A, & 4B full triple 1,000 PSF minimum 3/4" x 30" with 4" helix anchor (59095) 1-1/4" vertical ties w//4725 lbs. min. breaking strength. Home Length Vector Systems Required Anchors Required Per Side LSD Main TAG 0to48' 3+2onTag 4 2 1 49' to 71' 4+ 2 on Tag 6 3 2 72' to 84' 4+ 3 on Tag 7 3 2 85'to90' 5+3onTag 8 3 2 Lch Vector System 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) 2 sq. ft. pad 2 sq. ft. pad Vect®r Dynamics Metal Pier &- V= -Drive Installation - METAL. PIER FOUNDATIONS For metal piers, place the piers in the center of the Vector pads. Set the single 44 or two W's through the piers; centered in the U -- bolts. Outside Tension brackets attach the same, Inside tie brackets-mount'upside down' as shown indrawing. Metal piers using the Vector System can only be used on level ground sets.- Conventional ets:Conventional pier adjusters must be placed under beam with upturned edge directed towards the outside of the home. Pier spacing must be consistent with home manufacturers' installation instructions and/or state requirements. To cut lumber (2 - 2x4's or 1 - 44 per, or 1 adjustable steel commpression member, part#59043 Vector system) for the center com- pression section, when using METAL PIER STANDS, measure center to center frame distance and add 16'. Optional Moisture Termite Shield may be required in certain regions. ALL WOOD MUST BE PRESSU RE. 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. V -Drive System for rocky soil conditions V -Drive anchors are used only. in Zone 1. single section homes. V -Drive anchors are used only in Zone I, single section homes in areas where rocky soil conditions do not allow helix style anchors to be installed. Vector Systems are set following the general set up,instructions provided. With the V -Drive anchor, the short 2x4 boards used with the outside tension brackets are discarded. In place of the short 2x4's, a longer 2x4 is used as per the diagram above. This 2x4 board should extend from the base of the Vector pier set to 5 inches from the side wall of the home. Place the V -Drive head over the end of the longer board. Using a heavy hammer or electric hammer gun, drive the three V -Drive anchor rods through the V -Drive heads at an angle of approximately 45 degrees under the home. The rods must come to a complete stop on the V -Drive head. Attach a strap with hook or buckle to the frame and attach to the V -Drive head with a slotted bol ut the. strap end about 12 to 15 inches past the anchor head to allow at least four or five wraps around the slotted bolt ont' a tighte'n� g. strap until all slack is out and strap is tight.4. p_c M Page 16 California ",L/ - 9/2/03 . 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:: 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 orals 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 silts, 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 ofits 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 ofthe test probe. Vector Foundation Pads.Equivalent to Footer Pads* Footer Size: Footer Size: 16x16 = 256 sq. in. -- - -; 20x20 = 400 sq. in. or 16x18 = 288 sq. in. = = or 17x25=425 sq: in. EQUALS - - __ - " EQUALS -_ - - 2 -Vector Pads # 59275 ' ' 1 -Vector Pad #59271 288 sq. in. or 432 sq. in. 1 Vector Pad # 59130 Vector Pad(s) exceed the surface area required when -used as. the equivalent-liste bove. 'Foundations in soil with a bearing capacity of less than 1,000 PSF must be designed by a Registered Professional Enginee ar with site conditons t Page 17 California' 9/2/0 -r Vector Dynamics' System: forConcrete Applications Instructions These instructions .are an addendum -to the.standard Vector Dynamics instructions.. Read; and,follow-all applicable instructions-,and.guidelines in -the -Vector Instructions and home:-' installation manual. The Vector -system for concrete pads applies- to concrete footers;": runners and slabs: Minimum size of -concrete per -Vector pier -is 24'x24" x 4" or -18" rounds (min) x 10" deep. -The: bottom of footers must be below -the Dost- line or a minimum of*4"I below finished grade whichever is greater: Concrete must besufficiently cured and set: to accommodate an anchor bolt to its' full load resistance. 1. Determine location of pier sets where'the Vector systems will be located. ry 2. Place one Vector concrete pad (galy. metal) on the concrete where the pier will be located, centered under the -I-beam of the home. Place the upturned edge towards the center of the home and directed to the opposite Vector pier. Do the same for the opposite Vector pier. 3. Measure the distance between the two Vector system pads at the base where the Vector; pad meets the concrete. Cut two ground treated 2x4's or Schedule 40 PVC pipe, or 1 adjustable steel commpression member, part #59043 this length and place between the piers as shown. 4. Place a long u -bolt under the 2x4's and through the holes of the Vector pad as shown. 5. Place the concrete pier blocks on the,Vector pad. Center the blocks under the frame. The" upturned edge end of the Vector pads should be up against the inside of the pier blocks. 6. Build vector piers but do not wedge at this time. 7. Using a concrete drill bit, drill two holes on each side into the concrete. using the holes in.'-' ' • the Vector pad as a guide. Drill the 3/8" diameter holes 3 inches deep. 8. Place an outside tension bracket on the Vector pad as shown in Illustration one. Line up the holes in the bracket, Vector pad and concrete pad. A Illustration One 1 'z 1 - of a"Single Section Set -Up Vector pe for concrete footer Page 18 California Wood Cap and wedge a Outside Tension f Bracket ' 4 Wedge Bolt 9/* L Vector Dynamics System for Concrete Applications - Instructions 9. Put a washer and nut on one of the 3/8" x 3-3/4" wedge anchors. The nut should_ be screwed on enough to have 1 or 2 threads showing on the top of the bolt. Place the wedge end of the bolt into one of the holes, going through the outside tension bracket, metal Vector pad and into the concrete. 10. Using a hammer, tap the wedge bolt into the hole. Maximum height for expansion bolt, above concrete is 2". 11. Repeat for the other hole in the outside tension bracket and the two holes on the other Vector system pier set. 12. Place an inside tie bracket over the u -bolt so that the -lip of the bracket is between the Vector plate and concrete blocks. Place washers and nuts; on each U -bolt. Do not - tighten yet. 13. Attach a strap with hook or crimp seal to the inside tie bracket, with sufficient length to go over the opposite pier and down to the outside tension bracket, plus 12 inches for wrapping the slotted bolt. Repeat for the opposite side. 14. Tighten inside u -bolts at this time. 15. Use the outside tension brackets to remove any space between the outside tension brackets, concrete blocks and the inside edge of the Vector pad, by tapping the brackets with a hammer. Wedge the pier set at this time. 16. Using a 9/16" socket wrench, tighten all of the wedge/anchor bolts, securing the outside tension bracket and Vector pad to the concrete. 17. Using a slotted bolt in the outside tension brackets, insert strap through slotted bolt with end of strap aligned with outside edge of bolt. Turn slotted bolt until straps are tight using at least five turns on the slotted bolts. Illustration Tin Inside Tie Bracket Compressii boards of PVC Pipe Page 19 uawornia. id e e o W cua PRE -INSPECTION REPORT OWNER LOCATION: MIN PRE-MPMON DATE: v G� A.P. 5 Y'UU ZONING: WELDING iMSPBCfOR'S REPORT Building Dewrlpt$on: , Commer ial/U=gw. Residential/# of Units:__ Currently Occupied x AbandonedlVaraat f r Electric: r Yes No Electric cucraitly OR Off Condition of Electric Gas: Natural Propane None f _ Curran+ Oay Off Obvious Problems: SanUtion: Plumbing Worldna Well Working ��l O Potable Water Obvious SewageProblems t t Comments: ACTION RECOMMENDED: ISSUE: HOLD FOR Inspector. lo;, Date Z Sketch buildings on reverse and indicate location on proper ;- COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION PE IT NO. County center Drive APPLIiCAi�t�N AICD PERI one (530) 538-754 (Rev.12/96) ZONING BUILDINGPERMIT ASSESSORPARCELNUMB /�� b D g C, BUILDING VALUATION OWNER G / n v�/� �/Jj� �1 owNdto6 � s `—rW � /7 �Ci ' A TELEPHONE muimCiDR•9 NAME 117 . _ // _ ._ /i Q -72-4-/34-47 ri %34-47 - GONSTMOTiON LENDER LENDOM MNLING ADDRESS LICENSE NO. ARCwrECT OR ENGINEER ARCHIT= oR E►1Wims MQUNG ADDRESS gUSDING aoop�ss 1,\/ 1� . U Y IDT N4 PARCEL MAP SUBDNE:ION'S N41EE �USEOFSTRUCTURE SF ❑ Duplex ❑ Moblehome Other sPEc¢r ® TYPE OF WORK New 13. Addition ❑ Remodel ❑ Uhrm ❑ insteQation ❑ Other Describe Woric Total Valuation CONST. TYPE Fifln Fee $ 20.00 Permit Fee ;5 $ J Plan Checking Fee $ I PARCEL Energy Plan Checking Fee $ I ESLIE $ PERMIT FEE PLUMBING PERMIT S Firing Fee 20.00 Each Trap Ex. Occup. OUTLETS F31D OEX 7.00 Solar or heat pump water heater SRATemporary 23.00 Water piping Service 1..15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home 1516.1 W @20.00 Wsc. fiftag 23.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service oar oa s 26.00 Main .Service 200A TO 1000► 46.00 NEW OONST. Owe:IdtG O=P. 3.501 AMOUNTRECEIV1 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. DATE RECEIVED 3 By Date pFi2MIT FXPIRES ON CONST. TYPE TOTAL FEE $ OA ADONS. mms.r • • @7.50 PERMIT, FEE PAID $ F=D ��� _ asa�ED" I PARCEL @ t.00 I NO I ESLIE Ex. Occu OUn.Er OR FDmmES arm .s0 L ' Ex. Occup. OUTLETS F31D OEX 5.00 SRATemporary Service 23. Mobile Home Facilities 20.00 Wsc. fiftag 23.00 SHERIFF $ s ER EE MECHANICAL PERMIT Firing Fee 20.00 Heating OTHER Goofing Hood 6.50 Ventilation PERMIT FEt= S Mobile Home Installation Fee $ $ Energy inspection Fee $ AMOUNTRECEIV1 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. DATE RECEIVED 3 By Date pFi2MIT FXPIRES ON CONST. TYPE TOTAL FEE $ KAZ. I D. FEES I IMP F=D I CDF I PARCEL PD I NO I ESLIE AMOUNTRECEIV1 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. DATE RECEIVED 3 By Date pFi2MIT FXPIRES ON -77 At AP 65=40-29 r''f .rtr :4 y Polens (SEE NOTE IN JACKET)' 65-40-29 and Polens 150 win Pine Rd., lot 160, ppb Magalia contra Geor Santos, Paradise Permit .��5012-8 ,E(t�til ELEC. 1. ,0 C� A GAS:- ^I!U ,SUPPORT-STRUCTURE RE. COMPACTION :TEST 'RE: 65-40-29 Contr; a .Sales inc, ��Qo Ip Permi.t�� 6-80MHI Issu r A4 - 1. - , � ni i '`�'"PERb11T NO. . 15.77-87B PERMIT EXPIRES OWNER RICHARD r '. �• POLENS I CONTR. NSTRUCTION ASSESSOR PARCEL 65-40-29 LOCATION _15055' Twin Pine Rd. , Magalia t s r, • F r ' r t/ F f r 1 • t Temp. Power Polo Called PGBE Temp. Eloc. Service Called PGBE Tamp• Goo Servlco + Cal led PG&E JO[) FINALEl1 IJa1��1 __ _..�� /..__ .__._ /r COUNTY OF BUTTE yr ,4 DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-275.1 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE OWNER PERMIT NO. 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 c rrection of work is completed. If you have any question pertaining to this mattor need additional explanation, please contact this office immediately. /C /G Z�-E /S A24 2 �C� !'dL/gill �PGt L�✓��QG�/e7� i'/ Inspector Date_ e —✓ 1-J7 COUNTY OF BUTTE r; DEPARTMENT OF PUBLIC WORKS v 196 Memorial Way, Chico — Phone: 891-275.1 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE )WNER PERMIT NO. 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 matte r eed additional explanation, please contact this office immediately. IVA!/iCA- /Acddi/./� law ///.-7 d'v� Gr G f �/✓SGL y/l G,�� f ' Inspector 4W e11 e Date .. � N"I AhPI.1 Jldr Nm Re.Wy RESIDENTIAL (Singlo and Dupl®n( (Lu.• tltJl)'F.f7Fe•O(1Rt 1'I,In♦ 0K cI r clo I l'9 -... 1 Zoning rCquuCmnniti- otba, 4s moo _ Onto FAAU104G _ -..Y O.Pid139,- -- Fuowou a_Opon'•'Ig hie: Drto"a-One �P ` _�_ " ' 7 0•. l�arripo: Sods-Sleol- / /' Ft , Oop1p - 3.-CMck Gei-btl sl -•rte_...... _. - 4. Flg„ Perctes,A 0oclia: Sorts -Steel,_ /+@ --_SU__Ste,r _ - - -- - /" FI Do In - 51. 'Pl'wf r7idtn -e - - - H drown - ay;i­._____ts Y o.:d on-Ro01 vOnlaitQ q•� q',"V ltrlr11n0 _P�oICC tion S. SlOmwr011g; N.irn:•$tool-UIOCkoula=dre•--^-�-.�-'-- ---------.. ._.-_._._ G - _ F .. _O - ODed -Stab 52. Si, -Vennol' oL:R orr Dual �9 - 8. SlCmwalls, Garage Sinal_ --` - - ----- _ Ou.n g Dlocsouls-lyrePPed-Slabstucco_._-.----�� _ 7. Peers-Fileplaco FI Slone �_ SJ. klasn _D: ID ScrdPdFdn_Vonts_' '�- - 54, G1.1zi Areo- - II- ,. 1`r, Access 0. O.W.V_.: Foll-Fillings-Tev t_2 way C/ -- -- -- Gl1,;s_�roto.cnon-shyllgnls-?-� - ----- -- _ ). GJs Pipe: 55. $nav ga119; NDil i ng_Do110'- IODIr _. - _ Toor �•. pe: Srz_o-Anchors _ Water Pipo. Got- A h ,o- og-Service To31 -�- 11. ElGcuic,- 12. plenums . .. uClear o tonal-SUPDOIt-Ins. -`- -- _- tJ. Girdc,s-Sells Archer of -Joists-Vorlts- --- �_CnlPolos - -_ CDrtl•81 Date Card -01 e _.. _ Cmtl•BI Date ------- -- Da', _ '.Card•B1 oats - Ca,a.gl _ Data ' - Date - Cord -BI Date Coro•Bj ole CJ:d•UI Core -01 Oato Card -DI pato Delo FINAL (Plansl OK except I's Cale PLUstBlntO (Permit) OK oacept ab 58. Eat, Stepa-Oc= a isdal 3,P■n...1:� t la. Nato/ HI,, V_0nt-ACCes9-.Combustion Air 15. 173ter PIDO: Test A Ancrwa-Nall Protoetlon 18. D.N.V_, 1051-Fitngs A Anchors -Noll Protoction 17, Snowor pen: Tesl, F_iryt Flow -Tub Access 10, T 1:1 Tub A ShOwor. 2nd Floa_Tu0 Access 19. Gas Plpo_Srzo A Ancltpre Ca:d Ql DJIa C3,0-91 Dl,o 4 ;.1`!e 57. Sm hoc Detector 58. Furnace: Vents-Cldaranco-CC ttb. Ail In Garege; Above Floc" -Ducts a1ach SQ n.,n....,- r_.. __ 60. G.F.I. 6 Bath Fixtures a SI Rails -__ z! 7 -Q Dr Stove; Ceara 1`11(99 -Hearin Outten at GnP1; Int. a Ea. -- Card•BI Data !1 65, t. F' I. a A E mor. -Air G, _Card•BI -CIA;kir. Cl Date F ltElec Outl t e ceplaUes a1 K. Ccunter oorance 67 ELECTRICAL Pcrn.,t) pK o■ceps ti's Per: S w LandiqCloser '-- - 63. C 20. 2t. Fixture a T,3nsiorrncr Clearanco-Ins. ProtecliOn Elec. Receptacles SOaunq_LI in Gera -.e -Dam" r 69. Hit.: Vons-Clearornco-t o7iD. A,r-Con ester-P.R.V.- 22. nt9 S Switches at Dews Size Boses a No. of Conouc,or�--- --�-- In Garage: Above Floor -UI Protection 1 70. 23. Stapled Rcrex tnsnllo0 Close to E.g of Studs a C.J. - PtS., E,ec, a fdecn. Equip. Lia;9d for Locaticn 1 71- EtCc- Receptac!es in Gare (G.F.I.)-Rolex ProteC. 21`. Emu, D. Giountl macro UP Is•ttacn. F09toner9-Bond Gas a nater 90: 72. Insula!ion-Fran-Looked in Attic Yes 25. 26. ? Appl,Jnce 1. rCuriS ,n Kitchen a Cwiluctor Size _� Sublecc nuc 512e : 'A-. 73. G_ar9 Rj,ls a Deck Construction -Pell Caps 27, ! ga. Cu of At Wird Size i r ga. Cu or At _ Rargs Cut. r ! gJ. Cu Or AI -Oven CI,C. / %a• Fen, b'mts a Crawl Sella O-praina; a hood -Earth Clearance under Floor r_-. :9. / ga. Cu w A1, tnautalca Neutral _ yes ,No Service -Riser Conductors _Looked Ves 75. Following insil d.: Drive r i.: Yos .. No: Walks L_ Yes [ No: _.. 8 Ground -Main Disconnect Plabog9 _ Yes _; No ?9. Esuip. Clearances. Panota_t�otwa-isAaCIt. Equip. -- 70• Stucco: Brogan -Finish 10. Clolhrs Ctoaot l lgnt-SNbg,e, Ll- gnt - - -"-" 77. A.C. Urtit, pltconnocl-Ctrnces-BrUr. 6 Cond. Size -115V Out!ot :: '---' ---- - - 78. Vents Above Roel. P-ttV.-Appliance-Frrepl.-Clearance to OPNS. Oalc " -- • --- 79. dater !loll Disconne t Et aP - d B•I Ir0 0-I •sty i D.ise Caro BI -'' - - - - - - -•. _ Otte_ D.Ile C-1 I O11e '-----•---- MECHANICAL tPern•It) OK except ti's J1. A.L. Ducts Insulat,on a Supper, - -- __ C . actor Ca., Iumbing _90. Eole_,. Exec. Trim G.F.I. R_GCGptacle-1.^.dergrourd -- .� rim* 81. %,"Illahor throughout Houle -02._Giass Protoction a3- Cm;.from Previous Inspections 8o_Gas Test-keotore Tagged: Gas-Ehctric -_ 32. Vent Fan. - o Exhaust above Insulation "' ""' ' _ ' '- _ --ft� 83. lienor a Sewer Connected -C/O to_Gredo-ND Approval JJ• Conccnsatd plain a Overdo", Slze a Grade _ _ _ Er>:a7Y Cal phones Certificate-Olrsar Certificates -�- _ _,•. JJ. F,nnacc-Vrnt Acrnas•Comb, Alt-Relurn __._... .-_- _ - It, Air Venl-115V oull-el 4tli( Acccc': a PI,IUerm F •- � �-' _ -- •-•..--.------ .--- -".- 11 u•nacu 1n Attic -.I'd•(st O.m. Ca,d.Al Date Oalc --Inl•01 V. c.nrn-nt caro•DI _rd•01 _--pato •Ca "- D.I!e - - (..lydData c,\r.1 (�I.-�- D.l.e 0'' FN4MtNGihl.!n¢1 OK ti.rl•nt n'r, Jt•. Biu•., I'i �oI•r 1�.ili•, r.1t a n"I n", r• •--•- -�-- Crmr-r•,!:.n F�nJt � - �- _._ _. - _.._ .. 7. !t1`. 111 „�. P•u ul•1 R Ur.a, r 1 t.ur♦�-!.Hund It.. u,...1` :, 111•, Hurl l. & rill", N.IKif. .. ... _... _... ... .1'I i ,.ill ♦qq, ," Mill.. JIM t,iuult (i �IV. t 1 t .,r '•,til,• 1'ui r,1` C,•,Ir" 'h Lr••, . 1 til '10-1- , A lir.,", S..-,. R 1 y'.1, ,( 1.' 11. 1`i .•..,r . 1•,r .I I .,„•. ..An, r,w .r .nu, tr•J,l/ (/ ,r..,. I. •. .I till•. 1„••• 1', rl�„ Il,rtil`it y, I �,r _ •. _ �I 1 .. '.I r ,.•,.i i.. 1 ,. „� 1 .1•,. ., 1 1,. � J� '1I,u•1. • 11' •.1. ..i,. 1,..1,`I,�.itl :.1,. (,. I„ 11.1111.•. .1•. ll „•� ,r. ..1. .. � 1 .1 ,.r I1.. '1,11 11.)1 ♦ Il,n•.',i"„ I 1 ' Not Artucablo MOBILEHOMEj ' Not Ready MISCELLANEOUS ._. Dole . tttt06tLEeeOtuH UttUT1Ef (Plana) OK •■Ccpl s's Dole DECKS, COVERT; CA_R0OATS:'HTC_.,,IP.I2ns1,OK.o.Ceor-e;9 1. Zoning Repuiremeniti-Setbocke-Easeeients fes,• Dnp Roputramenls • t' i - h_5 - 2, 'Soils: Spoclal 11N Support -blotch . ] : Sower; Lotellore-Teet-Fe11•C/O--Corieieio v d,. T►etei; Loeshon-Ton-Eeeealant Neodetl (Sr,etch) IoH��tic�kl- - ra_ a}+ ells �" y od Awn.: Poi+ -8pa sF Rarr C c. -S 5. Electricity: Location-ClOstencee-Grid,-/ .. / Amp=Concreto _ __i}dq-�(3rse•rrrQ S,. Alum, Awn.; Coluans-Connectlone-Spl.u-Oocol-Eneiowres 0. (les: Loutlan-Tsst-trsp:/ / t, 1t./ !' kat: or/ . / L rt;/' /' LPG _ _.._.. . - arpons rte{ - 7..•U11111y'Clsorance .) ,e Card -81 Delo Card -al Date `c Card -8181 Dot Z Card'- 81 `,.Oeto Card 431 Data Card -81 ' Dote Card -81 r Oat r�%y gz Cord -Bt Date Data 1111081LEKOWN INSTALLATION. (Plans) OK except /•s .r Date POOLS (Plena) OK oncept I's ' 1. " 2onliip Rapulrements-Setbacks-Eoaementa 1. SetDacks-Enaomeme ' 2. Foot lrpa; Size-Sptecing-i arrlega Line 2. Soils; Compattion-SlruClwo Stability --•_ J: Goai 1W,Test-Damtud-Valvo=C' mclor- J• Pool SkCturo: Steel -Connect lons-Thickness-0oad Alen -Linin A. EbeVlelty; WH, Test-Crosgirre-8rooftora-Ctoararscoo ; ' d...EJae.; Re ceptactes oad LightIN: Distances-GFI ; r ` 5. Drain: W1 Teat-pli11-Floe. Connector;-, rS. Elec.;Pool Lighriap: 1S'volle-GFI - ' S. Watei: N11 Test-Raputeta-Cormactor ®*Elct:; Entloeum:_Cendui1 Entrios-Torminals-Lfstod - - ' 7I,Tista and Sewer Connoetod-C/0 to Grade -NO Approval- t 7. 'Elec... Bondlnp: toatal w/5'-Clrcutstinp Equip eat-meator 5. Gas end Elocuicity Tn r t191d - I 0. Elec.; Grourtdinp; Epltip.w/S'-Circulating Epulp.=Pool Lpntp. . 9. Exits;.tnsp,-Shatch" Boris -Enc lobureo_PoaalOoards- Ins,toMain inConduit, . 10. Cert. of Oceumeac v elf :1 9. Nealth Depanwisat Approval —. H 10. Ptun* Cir. Teat -Rater Supply Toot - . Card 8•I Dote Card -81 J'Oate �1 Cerd•81 - -- Date Card -81 Data T Card 8.1 -Date Cs`rd-81 Dotal A* t \ Card -81 Dote Card -131 Via':' .. .. •. .. 1�� _ .. ,'4 ' T. '•4 I `r COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, Cglifornia-95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT1 ASSESSO P ,CELN MBE ZONIf�Cy� �/, BUILDING PERMI OWNt r e TELEPHONE SIP. FT. OCC. BUILDING VALUA ION Cot OWNERR'S MAILING ADDRESS /6-015-6— CONT A TOR *S NAME .) I /NE ' CONT ACT,5_0 MAILING ADDRESS `/ //��)) % ) _ 1 Fireplace CONSTR CT ON LENDER UNKNOWN- Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARC I 1E�C��T OR ENGINEER LICENSE NO. Plan Checking Fee + $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESSPIC Wi Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. 0 SUBDI;POAMEh f ARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE / n SF ❑ Duplex❑ Mobilehome❑ Other /� r s CI FY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home STG W 10.00 ea TYPE OF WORK New w Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: Permit Fee $ Contractor . ELECTRICAL PERMIT Filing Fee 10.00 Main service e00v OR LESS 100 AMP OR LESS 10.00 Main Service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): I am licensed under provisions of Chapt. 9, Div. 3 of the BuslneSS and Professions /C�ode and my license is in full force and effect. License No.0 V(,��4 Classification F1 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) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.&) OR AD NS. 1 ACC. BLDGS. +/Z�sgft NEW CONSTR. MULTI -OUTLET NON, ESID BRANCH CIRC ITS 2.50 ea /POWER APPARATUS e (SINGLE OUTLET CIR. Ex. OCcup(OUTLETS OR FIXTURES BAL SOS eAL030 FIXED APPLNS. Ex. OCCUp. R OUTLETS ((RESID )EA.; 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. Q1 I shall not employ any person in any manner so as to become subject 'A to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that, the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 liabi 'said 'es, judgments, costs, and expenses which may in any way accrue a19ai ounty in consequence of the granting of this permit. �. Date Signature of Ap I' ant — Owner ❑ Contractor � Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ occuP. coN 9T.TrPc I FLo 0 c P ND ISSUE This permit is hereby issued under sions f the Butte County. Code and/or Mr i dicated a ove for, which R CTOP.OF PUBLIC By.4E PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date 2;Z AW If Receipt No. WHITE -O. P. W.. TEL LOW-ASBCS R, PINK -INSPECTOR. GOLDENROD -APPLICANT `"``�"r3s�.i'.�i.��`I`f' y:r-..�...a,.,_ :..y��i ,.>. �' r. _ ,• .-� ar ,� ;�� S+ ;;p�, r•Lr�+r;.'*s• at�!1��/�if +�.t v..rm :.��� . �rS OWNER_ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION _ 7 COUNTY CENTER DRIVE - OROVILLE,, (;ALIrO?qNIA 95965 t- TELEPHONE: 916/534-4541 PERMIT APPUCATION, DATA SHEET M Permit No. d )0/11,. / 0I C M• > t " - A. P. N �D J — - -d Proposed Building Use Building inspector Date 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. . f 3. Complete plans in duplicate./tripl=icate, 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 authorization . . . . . ._ Sanitation approval from !� Health Dept. • 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner�Builder Verification (Given to owner❑, Mail to owner ❑ ), _15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . Pre-Inspec.request to t (Date) 17. Pre -Inspection for Required. Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot..plan approval from city of 21 - 22. When you issue the �e mit, process as follows: Mail t wner, Mail to contractor. _X Telephone and hold for pickup at—ice, Deliver w/inspector. Other Applicant Date Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted priQr_(o permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: X 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_mall_counter by date Plans checked by Date Plans approved by— •�rate —Sets of plans on hold in File cabinet AP folder — Flours: 10:00 a.m. - 3:00 p.m. Copy—DPW t TO: Building Department FROM: Environmental Health SUBJECT: SANITATION CLEARANCE OWNER v (Tans approved for: Sewage Disposal ' •�Y,: .,fie Fold final for: Final Clearance O.K. for: Clearance for bedroom mobile home. Other 1 Clearance for addition of �� t dk ANITARIAN LOCATION AP # Water Supply Water Supply Water Supply DATE -N 299-82B,P,E PERMIT NO. PERMIT EXPIRES OWNER Richard & Florence Polens CONTR. Ken Young, Paradise 65-40-29 ASSESSOR PARCEL LOCATION 15055 Twin Pine, lot 160,PP0,Magil.' TU Temp. Power Pole Called PG&E Temp. Elec. Service CalledPG&E- Temp. Gas Service Cal led PG E JOB ALED (Date) 3/Z��� Signature V = OK 0 = Not OK = Not Applicable MOBILEHOMES •MISCELLANEOUS = Not Ready _ .. Date MOBILEHOME UTILITIES (Plans) OK except q's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requ i remenTs-Setbac ks- 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-Rfirs.-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 i 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 N's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date _ POOLS (Plans) OK except q'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 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 B. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghig. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 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 v A J = OK 0 = Not OK 5 = Not Applicable = Not Ready RESIDENTIAL ISing_!e and Duplex) � o - Date UNDE OOR Plans OK exce tit's Date FRAMING (Continued) 1. oning requirements -Setbacks -Easements 89 Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grn(1.- / /" Ftg. Depth Ext. Doors -One 3' -Check Garage -3rd story, 2 exits I 3g., Garage; Soils -Steel- /I " Ftg. Depth .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 emwalls, Garage; Steel -Blockouts-Wrapped-SI 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic B�iBC9G.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 .41 1: I k2, t 6,.ww 1 Ric U --.,)If-,, 11. Electric; Underground - A t%...o 3C to I 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 /f) Card -BI Date Card -BI Date Card -Bi: 11 . ate !/ / and -BI Date '13 Date FINW(Plans) OK except N's Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except q's• -+4-ftter Ht.; Vent -Access -Combustion Air Ext. Steps -Door & Sidelight Protection -Landings --&?!5moke Detector VT.-T-urnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection Water Pipe; Test & Anchors -Nail Protection D.W.V.; Test-Fttngs & Anchors -Nail Protection -62_.&droom Exiting -i;.-Shower Pan; Test, First Floor -Tub Access -G F•I. & Bath Fixtures & Tub Access 1$._.T -est Tub & Shower, 2nd Floor -Tub Access 61-Elec. Trim & Subpanel; Breaker Sizes -Labels Stairs & Rails 44-. Gas Pipe; Size & Anchors `replace or Stove; Clearances -Hearth 94-Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date skit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Date Card -BI Datemfr-Elec. ELECTRICAL Permit OK except rs Outlets & Receptacles at Kit. Counter . Garage Fire Door; Swing -Landing -Closer 'SS8 A.C. Duct in Garage -Damper 20. Fixture &Transformer Clearance -Ins. Protection --69r-Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection $J.-tlec. Receptacles Spacing -Lights & Switches at Doors TO-PIb., Elec. &Mech. Equip. Listed for Location ll'�Elec. Receptacles in Garage; (G. F.I.)-Romex Protec. ize Boxes & No. of Conductors -Stapled Romex Installed Close to Edge of Studs & C. Equip. Ground made up w/Mech. Fasteners Bo Gas & 6aTer --Tg.--T_nsulation-Foam-Looked in Attic ❑ Yes T3�Guard Rails &Deck Construction -Post Caps Appliance Circuits in Kitchen & Conductor Size _ _25-.--2, ed Wire Size Subfe/ / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At �Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor [I Yes ange Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, W, -dated Neutral ❑Yes [I No -?S--Following instld.: Drive ❑ Yes No; Walks ❑ Yes o; Planters El Yes No Serv' iser Conductors & Ground -Main Disconnect 10&_ -Stucco; Brown -Finish quip. Clearances; Panels-Motors-Mech. Equip. C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 4,14woClothes Closet Light -Shower LightT,-M-.-Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. ater Well; Disconnect, Electrical, Plumbing 88Exterior Elec. Trim; G.F.I. Receptacle -Underground -•-$T-'Ventilation Card B-1 ate BI Date throughout House Card B-I Dat Card -BI Date X92 -Glass Protection Date MECHANICAL (Permit) OK except N's orrections from Previous Inspections Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; I ulation & Support 5. Water & Sewer Connected -C/O to Grade -HD Approval _ 32. Vent Fan; E aust above Insulation 6. Energy Compliance Certificate -Other Certificates _ 33. Condensat Drain & Overflow; Size & Grade 34. Furnace- ent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic A ess &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 Comments at Final: Card -BI Date Card -BI Date Date F ING(Plans) OK except p's - SSills; Proper Material & Anchors *--'Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound _ -69--Bearing Walls over Girders & Floor Nailing _3Q -•&raft Stop in Walls (rat proof) _' Fire Stops; Furred Ceilings -Stairs -Chases -Tub . Header & Beam -Size & Bearing _ gangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. _ `Z'4 -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 -4T. Garage Fire Protection Framing (NOTE: An entry must be made each time youvisit jobsite) PACIFIC GAS AND ELECTRIC COMPANY 202 PEARSON ROAD • P. 0. BOX 190 • PARADISE, CALIFORNIA 95969 • (916) 877-6273 March 25, 1982 Mr. Bob Keith Butte County Building Department 747 Elliott Road Paradise, CA 95969 Dear Mr. Keith: The electric service at 15055 Twin Pine Road in Magaliais in compliance with PGandE metering requirements. Adequate meter working space has been provided as required in Section 6 of PGandE's "Green Book" of electric and gas service requirements. Please contact me if you have any questions. Sincerely, MOLLY MICHELS District Representative MM:mrm COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS :196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE 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,pertaihing to this matter, or need ad • . nal explanation, 'please contact this office immediately. i ' t • x. i • • f r Inspector Date �/ CQUNTY OF BUTTE - D,EP�tARTMENT OF PUBLIC WOR P RM T NO. 7 County Center Drive - Orotille; C:Aliforpia 95965-,Te.Jephone 916 4-4541 �d APPLICATION AND PERMIT , A ASSESSOR PARCEL NUMQSR - Cos—�0 ZONING le BUILDING PERMIT O NER ' L a 2EtillG� o � �l/S TELEPHONE SQ. FT. OCC. BUILDING VALUATION 3 20_ a� OWNER'S MAILING A DRESS CONT ACTS NAM OaA1 C /y/ TELEPHONE/ 3 -207P CONTRACTOR AILING A SS DISE (./ ' X �7 1p Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee + $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $, U ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ /0,00 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ d BUILDINQ ADO ��,$� 1PIA1� /S 5 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 uC) Repair drainage or vent piping 5.00 Water piping 5-v D LQTT N� �� SUBDIVPor/ti., , /( . !r/// PAR EL MA 3�� Each qas water heater or vent _ 5.00 . u0 Gas piping system 1 - 5 outlets 5', 0 v USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other IVEL DCT" SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK NewEl Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: Permit Fee $ pp Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e00v OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. ( DWELLING dy OR ADDNS. ACC. BLDG 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 Professions Code an 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 NE NON -CC RESIT R.BRA cH CIRC Ts 2.50 ea NEw CONSTR (POWER APPARATUS 11\ NON-RESID. (SINGLE OUTLET CIR, 1 Ex. Occup OUTLETS OR FIXTURES BAL@1 FIXED APPLNS, OR Ex. Occup.�OUTLETS (RESID.) EA. 2.00 • Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $150-80 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. have placed on file with the County of Butte Building Department lqCertificate 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 Countyot Butte to enter upon the above-mentioned property for inspection purposes. i also agree to save, inde ni nd keep harmless the County of Butte against all liabilitie Judg s, s , and expenses which may in any way accrue agai t s o i se ence of the granting of this i. X Date Sig ure Applican — Owner Contractor Agent ❑ An OSHA permit i required for ovations over 5'0" deep and demolition or construct- ion of structures er 3 tories i eight. Mobile Home Installation Fee $ TOTAL PERMIT FEE s/4/.30 OCCUP, GROUP I TYPE OF CONST. I PARCEL PD HD IssuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE R OF PUBLIC PE IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS v Date / (x� Receipt No. 69971 -By WHITE-D.P.W.• YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT [ el. .t r ,672 ,81B,E PERMIT NO. �� ' PERMIT EXPIRES SA—e` vA�� ( I Richard Polens OWNER CONTR. owner. 65-40-29 ASSESSOR PARCEL LOCATION 15055 Twin Pine. Rd., lot 160, PP#3, Magalia i' f�. j.. t w { i t 4 1, [4 { Temp. Power Pole t Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Cal led PG&E JOB FI LEDate) a Signature J=OK 0 =' Not OK = Not Applicable MOBILEHOMES = Not Ready MISCELLANEOUS Date � MOBILEHOME UTILITIES (Plans) OK except N's. Date DECKS, COVER , CARPORTS, C. (Plans) OK except ✓r's 1. Zoning Requirements -Setbacks -Easements 1. Zoning quire ents ac -Easements 2. Soils; Special MH Support -Sketch _ 2. Foot s; S e -D th-Sp ing-Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete ecks; 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/ P'L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card-BI^j& Card -BI /Date Card -BI Date ateZ Z rd -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Date POOLS (Plans) OK except ft'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-1 Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date 14C A V = OK 0 = Not OK - = Not Applicable RESIDENTIAL (Sin {gle and Duplex) * = Not Ready Date UNDERFLOOR Plans OK ene t#'s Date FRAMING (Continued) 1. Zoning req uirements-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. Fig., Garage; Soils -Steel- /" /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel= / /" Ftg. Depth 5. Stemwalls, Main; Steel -B lockouts -Wrapped -S lab 51. 52. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 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 Date Date Card -BI Date FINAL (Plans) OK except q's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except p'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 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. 62. Efec. Trim & Subpanel; Breaker Sizes -Labels Stairs & Rails 19. Gas Pipe; Size & Anchors 63. Fireplace or Stove; Clearances -Hearth Card -BI Date Card -BI Date 64. Elec. Outlets at Wood Panel; Int. & Ext. 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. 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. 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. 72• Insulationin Attic ❑Yes Foam -Looked 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 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 At, Insulated Neutral ❑Yes ❑No 75, Following instld.: Drive ❑ Yes [:]No; Walks ❑ Yes ❑ No; Planters Dyes ❑No 28. 29. Service -Riser Conductors & Ground -Main Disconnect Equip. Clearances; Panels-Motors-Mech. Equip. 76. 77, Stucco; Brown -Finish 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. 82. Ventilation throughout House Glass Protection Card B -I Date Card -BI Date Date MECHANICAL (Permit) OK except N's 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric r- 31. AX. Ducts;;Insulation & Support 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 36. Plans 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-Shthng.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat _ 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE:Anentrymust be made each time youvisit jobsite) COUNTY OF BUTTE b DEPARTMENT OF PUBLIC WORKS PERMIT M0. ' 7 County Center Drioe - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION -AND PERMIT r ASSESSPP;�R PA IE MB ZONING BUILDING PERMI OWN TELEPHONE SQ. FT. OCC -1 BUILDING VALUATION y OW ER'S MAILING ADQB.ESS s—'s CONTRA TOR's NAME TELE ONE CO RACTOR'S MAILING ADDRESS Fireplace : CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER ' LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS — -- �� �• PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 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[] Mobilehomex Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Othery Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6011 OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST DWELLING 0gB\ OR ADDNS. ACC. BLDGS I 20sgft CONTRACTORS LICENSE LAW declare under penalty of perjury (check one): ❑ I 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. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code • for this reason NEW CONSTR NON.RESID BRANCH CIRC TS NEW CONSTR. / POWER APPARATUS 62 NON-RESID. \SINGLE OUTLET CIR. DDL250 Ex. Occup OUTLETS OR FIXTURES BAL01 @1 IXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ % Contractor 01�1�J MECHANICAL PERMIT Filirig 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 shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee , S Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against .all liabilities,,_•udgments, costs, and expenses which may in any way accrue aga s id un In conse nce of the granting of this permit. X Date ��' S' n tura of Applicant — 041Contractor IDAgent El 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 $ ia9 OCCUP. GROUP I TYPE OF CONST. PARCEL Pb ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE TOA PUBLIC A By PERMIT 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 Uaw.. R 1 • 1 Smalley C®nstructi®h Co. General Contractor Lic. #2238 1281 Chelsea Way, Concord, CA 94521 889-2897 0.j { u • `` I.K a �; c� o • II . coo -1z 7 �+ Y A 0� 1 t � V r� • � Z BUTTE couNT-Y BUILDING WARTMEN% APPROVED ' .. �_.. _ _ _ .�„d w .w,'7.y:.. r _ ..-.. ^=��r; <._' -=-r-=- ._ , - ."i 61z.__ '^ � 4 i �` .. �_.. _ _ _ .�„d w .w,'7.y:.. r _ ..-.. ^=��r; <._' -=-r-=- _ __ _ aL.. �.'t _ .a:_ - ."i 61z.__ '^ � 4 I` � F t �,.d° � a ' I l `' 4, r,,, T. ���• i. � , 9 ..�•a - t` �+ ,.: �` _ �. _ 41�id kir=�:a• QlAOUddY ,1 ya'Y" �g 44Nna' aurae r Small®y Construction Co. General Contractor Lic. #264538 1281 Chelsea Way, Concord, CA 94521 , — 1, 689-2897 , , ' _r ,o N �o• , _ TTI�5.*RG.11ttPT?NR'TlT'•'T.. ..� MAU Smalley Construction Co.11�111 General Contractor Lic. #264538 kt' 1281 Chelsea Way, Concord, CA 94521 q 0 -2897 sN 689 It NO 197ing 1. ZI- Ln EA Or - A 0 0 LO P ow v- , m' MiR vz% -O *41 i li:�'Iffxo AD 14 :4 �;�..._, cam_ ,. . y, .. .. d ... .. .rl. � • -. I ; 5 `s ,;�- 1 %a" T� G PLYWOOD CC EXT. U � . n .16— -r- L Fr-, 1 12"x 12" PIES z- 4"x(o'UI - 1e4CW--,a GIRUER ZX )'/a" TiL PLYWOOD CC E . .n z v� Oc 4— C-rUARPRAIL V� rlCr` v 111 (- 141 _ 14 4" MIN. FOOT ! NG - MOBILE HOME OR DELk— MTL. FRMIJ6 `- CLIP (ER. SIQE) 4" x 4" POST 2" x 1211 GIRDER A"X9'° POST - ADL-QUATE DtAc,0NAI. 13RAC1 NG. ` X co Z 2P >c'? ; 'k; UFc f'„l'y' aR .16— -r- L Fr-, 1 ` X co Z 2P >c'? ; 'k; UFc f'„l'y' aR OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: Ken Young ADDRESS: Box 157 CITY & STATE: Paradise, CA 95969 IMPORTANT:.' DATE OF CLAIM: February 10, 1982 SEE INSTRUCTIONS ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION . OF CLAIM (DESCRIBE. FULLY TO AVOID DELAY) AMOUNT Owner has decided not to .build.. (Bldg. Permit.Appin. #239- 2B,P,E Receipt 56899 -dated 2/3/82 -AP 65-40-29).Owner. Richard Polens Building permit fee paid ------------------$152,25 Retai plan checking ee------ $JU.75 Retain filing fee------------- $10.00 ----------- $60.75 Refunddue-------------------------------------------- $91.50 Plumbing permit fee paid ------------------ $:'21.00 Refunddue --------------------------------------------$11:00'1 Electrical permit fee.paid------ ----------- $ 30.80 Retain filiLtg fee Refund due-------------------------------------------- 20.80 TOTAL REFUND DUE -------------------------------------$123.30. $123.30 9� 1 9 TOTAL $123 30 I, the undersigned, declare under penalty of perjury that the services or articles claimed have be per ed or de a d, and that this claim is true and correct as st ted. _� Dated this �day ofZ......................B 19at �L+ L`� Calif . . ........ ....... ... .... . Signature o imam I. the undersigned, hereby certify that, to the best of my knowledge, the services or articles specifie abo have beXperformed or de- livered and that there'is a Budget App ropriation❑ or Specific Board Approval E] (Check one) for the s e. - Dated this ...... 10th da of February. 1982 at Oroville Calif. .......................... Y ............................. ....... .............................. ...... .............. ........ ... .. ................ Department Head or Authorized D eputy Dept. Exp. Code............................................ Code ...............:........ ........................ PAYABLE FROM ..................................................... :.......................... ........... FUND ! DO NOT WRITE BELOW THIS LINE _ AUDITOR'S USE ONLY VENDOR I CODE DEPT. & SUB. PROJ• SUB. OBJ. CLAIM NO. INVOICE NO. INVOICE.GROSS DATE DISC. AMOUNT ENCUMB. . SUB -DIST. ! I. x_ >_ COUNTY OF BUTTE- DEPARTMEN ,,.OF PUBLIC WORKS 7 County Center Drive - Oroville, California.,95 85 - Telephone 916/534-4541 APPLICATION AND PERMIT PERM T NO /C5 ASSESSOR PARCEL I�jUMBER L/�'_V ZONING BUILDING PERMIT OWNERTELEPHONE ptco 0 ENS SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS IVJ 0 a.�- CONTR�AZZ'S NAME - "e NAM TELEPHONE If73 2 70 1 CONTRACTOR'S MAI LING��P—nESSD G- Fireplace 1000.au CONSTRUCTION LENDER o'u,t5 UNKNOWN Total Valuation $ FilingFee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ /o/,,,S-'o ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 6 Q, 7 S_ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ �Z BUILDING ADDRESS PLUMBING PERMIT FiIingFee 10.00 Each Trap 2.00 6..00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION MPARCEL 160 . 3 MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex [A Mobi lehome ❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New"Addition E]Remodel ❑ Utilities ❑ Installation ❑ Other E]Contractor Pi Describe work' A�-�•gr�,L� Permit Fee $ 2-1,00 ELECTRICAL PERMIT FilingFee 10.00 Main service 100 AMP OR00V OR LESS5.00 Main service EA. ADD -L 100 AMP 2.50 NEW CONS. I DWELINGOR ADONST %ACCLBLDGS. Z4W 11) sgft 20'�(7 CONTRACTORS LICENSE LAW I declare under penalty,of perjury (Check one): �/j• Ills am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Coand my license is in full force and effect. License No. -7&3d Classification _� ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR TI -OUTLET 2.50 ea NON-RESID BRANCH CIRC ITS NEW CONSTR. l POWER APPARATUS a) NON-RESID. SINGLE OUTLET CIR. - so @ 2150 Ex. Occup OUTLETS OR FIXTURES BAL�toO IXED APPLNS. OR EX. QCCUp.�OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ 3 O, $0 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. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities 'udgm ts, , and expenses which may in any way accrue against s In ence of the granting of this per X Date / — Owner COntractor� Agent ❑ Sig arure f Ap/over An OSHA permfired for covations over 0" deep and demolition or construct- ion of structurestories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ ZOgt, 0s7" OCCUP, GROUP I TYPE OF CONST. 1,PZ771 ND ssuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT w z 65-40-29 contr: Ken Young, Paradise Permit #239-821�;P,E(new pri.garage & hobby room/det.) f eorandu TO: Planning Department FROM: Public Works Department SUBJECT:. Paradise Pines 3, Lot 160 L�D Q PUE Abandonment DATE: June 1, 1981 With reference to the above subject, attached are a petition for abandonment, originals of other documents which pertain to said abandonment and.a plot.map. '.. Please process this in the appropriate manner and address all correspondence in this regard to Richard Polens, 15055 Twin Pine Road,Magalia, CA 95954.. Clay. Castleberry Director of Public Works Original signed by P. W. McDoAald H. W. McDonald Deputy .Director HWM: jm Encl. cc: Mapping/wo encl. Bui� � ldirig�Departm/w encl� t , r � - , A - --_ ._ _ ._,. ---- ._. _-- ---- �.��__._v_....__�.__--__.__ �_ _..-----��._---- _ ____. . _. i .r PERMIT NO. 5012-80P,E PERMIT EXPIRES ` �? OV1tVER Richard Polen CONTR. George Santos, Paradise ' k ASSESSOR PARCEL 65-40-29 LOCATION 15055 Twin Pine Rd., lot 160, PP#3, ' Magalia 1 ' fn ¢lot , s i Temp. Power Pole �. Called PG&E y Temp. Elec. Service Called PG&E • Temp. Gas Ser ice Called G&E JOB FI ALED (Date) Signature I' i 9. Electrical' A. Is service large enough to provide adequate amperage to mobilehome'(must equal rating of mobilehome with a minimum of 100 amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? . Yes_ No B. Is there proper clearances around panels? Yes_ No 1 , C. Is power supply cord or feeder assembly properly fused? 'Yes_ No_ D. Is continuity test satisfactory as per the following procedure? Yes_ No 1, De -energize electrical wiring system of the mobilehome at the pedestal, 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" -position. 4. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. S. 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 theelectrical tests, the lot or;site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag .services. MOBILEHOME DATA Manufacturer and/or Namestyle Length Width_ Vehicle Serial No. State Identification No, Additional Information or Comments: c d 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 per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes No 4. Is the mobilehome level? (Sec. 5088) Yes_ No 5. If more than a single unit, are crossover connections properly installed? (Sec. 5088) Yes No` r- 6. Water A. Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes—'No , B. Test -.Does water piping withstand working pressure or 50 lbs. air test? 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? Ye's_ No B. Does it have minimum 4" per foot slope and is it properly supported? Yes_ No C. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe? .Yes_ Noi D. If coach is not State of California approved, does station have required trap and vent? 7 Yes® No� 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft. long? Note: All piping is -to be.at least as large as the mobilehome gas line inlet without reductions other than the mobilehome -connector. Yes No B. Test OK as per following procedure? Yes_ No 1. Open all appliance.connector valves. 2. Shut off appliance burner and•pilot valves. M 3. Air test with' -manometer to 10"-14" water column, or test with slope gauge' minimum 6oze-maximum 8 oz..) calibrated in tenth pound increments. Test for 10 min. without drop. 4. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C. 'Are all appliance vents properly installed? Yes_ No J = OK 0 = Not OK f - = Not Applicable MCYRII FHAMFC ufcreIS •►f L^_`^I fC 'M = toot neaay C J �' Date MOBILEHO E UTILITIES (Plans) OK except N's 44iate DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Z g Requirements -Setbacks -Easements h' 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Depth -Spacing -Connectors kr _ 2. So ; Special MH Support -Sketch 3. S er; L i n- /0 -Concrete ;� 3. Decks; Girders and/or Joists -Decking -Bracing; Stairs -Rails 4. WBjar, L tion-Te-C-asEmmn-Me-T ('(Sketch) 4. Wood Awn.; Posts-Beams=Rftrs.-Connec.-Sh ;g.-Rfg.-Bracing 5. Ele y; Location -Clearances -G .-/ / Amp -Concrete 5. Alum. Awn.; Columns-c:6nnections-Splice= Jecal-Enclosures 6. Gas; tion -Test -Wrap: / /"L"ft./ /"Nat. or/ /"L"ft./ /" LPG 6. Carports; Windows' -Doors 7. ity Clearance 7. Elec. 1 Card -BI Date ( Card -BI Date :ard-BI Date Card -BI Data "'Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except k's _Card -Bl pate Date Card -BI Date POOLS (Plans) OK except N's 1. Zoning Wrements-Setaee rfEa s 1, Setbacks -Easements 2. FooWrg's-,Size-S-Marr�ine 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining ;. lec y; MH Test-Cro overs-BreaLars-'tle s 4. Elec.; Receptacles and Lighting; Distances-GFI 5, rain; MH Test -Fall- e4,GeRnector 5. Elec.; Pool Lighting; 15 volts-GFI 6. W ter; H Test gulat onnector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed �* ' r and Se C n cted- to Grade -HD Appr1rival 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas alectrici Tagg 8. Elec.; Grounding; Equip.w/5'-Circulating Equip. -Pool Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. CAwo Insp.- c 10. Cert. of Occupancy 9. Health Department Approval J 10. Plumb; Cir. Test -Water Supply Test Card B-I, i Date ?�s "?� and -B1 Date Gard -BI Date Card -BI Date Card B -I nCl Date and -BI Date Card -BI Date Card -BI Date -' `! 7b, C J �' w'/� /�jL/SSC/+-��"•� I ; 1 � 1 t J = OK 0 = Not OK - = Not Applicable = Not Ready S RESIDENTIAL (Single 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 - 150. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / _ '/" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 51. 52. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing -Veneer A 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underfir. Access , 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/0 -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 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 14. Water Ht.; Vent -Access -Combustion Air ., 57. Smoke Detector - 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 t 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 Date Card -BI Date ELECTRICAL Permit OK except #'s 66. Elec. Outlets & Receptacles -at Kit. Counter ' 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. 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 ❑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 At 27. Range Circ. / / ga. Cu or AI -Oven Circ. /. / ga. Cu or At, Insulated Neutral ❑Yes ❑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. 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-1 Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except #'s 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85. 86. Water & Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates 32. 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 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 Date Date FRAMING(Plans) OK except #'s 36. Sills; Proper Material & Anchors Comments at Final: 37. _ 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. Hangers -Post Caps -Anchors -Connectors 43. 44. CI_ng. Joist-Rftr. Ties- Purlin - Roof Brac.-Truss-Shthnq.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE:Anentrymust be made each time youvisit jobsite) COUNTY OF BUTTE DEPARTMENT, OF PUBLIC WORKS 695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70 7 County Center Drive, Oroville — Phone 534-4541 Skyway and Elliott Road, Paradise — > $72-141. X5 7• CORRECTION NO ICE . BUILDING PROPERTY ADDRESS A routine Inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. 7-5 ,� � � 40d Inspector Da ts\ COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This inobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 51 under permit number r� /2 f- "'��for the following location: Owner ►�a �t�^ Owner's Address 11.6 � Mobilehome Mfg.Model_ Insignia No. ! S! c' Jrl . r1 t Serial No. Year _�a It is hereby certified for occupancy at the above described location and may be occupied. ` Director of Public Works % f J Date .2 f�J i'U By t ' THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White -Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534- 41 APPLICATION AND PERMIT ASSES OFiPA L N B R �p�- - Z ZONING %/L� BUILDING P �a�' o,p iE714APD nQL-C / c J l(f TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1 li C T ACflR)a2ybJL6 4/ae TELEPHONE C N TOR',,//�©yy�g'p'p A/Vl/V))LIjJADDji E$S� 5-P, .{ �o / �`N, " ' , o L +Vp /� D ���✓t/ CONSTRUCTION LENDER UNKNOWN Fireplace Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR EN (NEER LICENSE NO. Plan Checking Fee $ /0.00 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 2-0,00 B /L jay®�j j ESs7 //A/ Pia% " P7>, ''�✓ PLUMBING PERMIT Filing Fee 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mob ilehome[P'000�Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ U t i Iities [:11nI;pI lation C�Other ❑ Describe work: 'FD� f�77L i�Eief �d�2-£sC) _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 100 AMP OR00V OR LESS5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST OR ADDNS. ( ACCLBLDGS.LING CCUP.&) 20sgft CONTRACTORS LICENSE LAW I de cl re 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 �— Jl ❑ 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 CONSTRMULTI-CUTLET 2.SOea NON-RESID BRANCCIRC ITS NEW CONSTPOWER APPARATUS & NON- R RESID, (SINGLE OUTLET CIR, Ex. Occup(OUTLETS OR FIXTURES s0L� BAL�1 FIXED APPLNS, OR Ex. Occup. OUTLETS (RESID,) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): The permit is for $100.00 (valuation) or less. 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 3.00 Heating Cooling Hood 2.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 liabili ies, judgments, costs, and expenses which may in any way accrue agains id ounty in con equence of the granting of this permit. X Date /" " P� Sign re of Applicant _// Owner ❑ Contractor ❑ Agent • An OSHA permit is required for excavations over 5'0" deep and demolition or construct- of structures over stories in height. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE $ 00 OCCUP. GROUP I TYPE OF CONST, PARCEL PD I HD ssu This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC R OF PUBLIC By — PE T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date/I-.a� �� LReceiptNo. 44,k �� TE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT a .t. f '• , t T +,• Ill �✓1 •I' � 1 , COUNTY OF BUTTE - DEPARTMENT'OF PUBLIC WORKS4 PERMI NO t,t` I / /) 7 County Center Drive - Oroville, California 95965 -Telephone 916/534-4541 (� APPLICATION AND PERMIT ASS E OR PARCEL NUMBER S --Z-9 ZO ING T/ BI IIL G P N IT OWNER / 1��1 TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER' MA LING ADDRESS COFACTOR'S NAM QS TELEPHONE/ CONTRACT 'S MAI PNw iADDRESS CONSTRUCTION LENDER UNKNOWN Fireplace Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. - Plan Checking Fee Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee /6.XO Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping Q,ciO LOT NO. �0 SUBDIVISION NAME 43Gas PARCEL MAP Each qas water heater or vent 2.006 piping system 1 - 5 outlets USE0 STRUCTURE SF [:1Duplex obilehome Other SPECIFY Building sewer U Lawn sprinkler system 2.00 TYPE OF WORK � New ❑ Addition [_1Remodel [:]E Utilities Installation ❑ Other ❑ Describe work: Permit Fee $ 0 V Contractor J ELECTRICAL PERMIT Filing Fee /&.00 Main service 100V OR LESS 100 AMP OR LESS 5.00 c ` Ov Main service EA. ADD'L 100 AMP s�D 2.50NEW CONST. DWELING OR ADDNS. ( ACCLBLDGS.CCUP,&) 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 Professions Code and my license is in full force and effect. �63 �'� Classification A 0. t; 14- License No..� � ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEw CONSTR MULTI -OUTLET 2.50 ea NON-RESID. BRANCH CIRC ITS NEW CONSTPOWER APPARATUS &) NON- RRESID, (SINGLE OUTLET CIR. Ex. OccuP(OTS OR FIXTURES 50 @ 25C BAL.@109 FIXED R Ex. Occup.(OUTLETS RESID )EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 0 U Misc. Wiring 6.25 Permit Fee $ V Contractor ✓ G WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. p� I have placed on file with the County of Butte Building Department x� 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 FiIIng Fee 3.00 Heating Cooling Hood 2.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 agains said County in consequ ce o ranting of this permit. �- Date /f� Signature of Applicant — Owner❑ Contractor R, Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3ststoriess in height. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE $ al OCCUP. GROUP I TYPE OF CONST, PARCEL P H ISSUE, (.// This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT OF PUBLIC By P IT EXPIRES Date— the applicable provi- resolutions to do fees have been paid. WORKS Date/,= /.,—/ ,��f Receipt No. y ry0 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT to M�nsFup- - - --- - - j5h�ill .�.Q -+ I ni{ d NOT I,•' - r G ec #ied I I _ od i- Prbc � i Tai° udlity pr�scrl a ,, orc�ei_ i— __ _---- I - a�— I- •------i- -;` \�'-. � •� i !� .i IQI Ob'[Y1XMI Mrinal'-Etecftial77. I .c� /o roc, it o fil I v NX 16 A t brei i " I r --e'�L„-�(�1._e!'"o...O'r--_' _' , -.I.-----. __...-. .� ! ' ^ L•d.�G:.._�..� la.•I•{W'W lU�r.. IM . 1 I 9 (!, 1. �a� ? .- - : _., i4'-ermit will aB Uirec� �o fFi BILBS - -- q ..... - �_.�_ B ° ins}alldtio r o the miobi�e�o e,; � ^•.�.:— - is "— - � d i-..- � --- ---- /�° i �' -i • I • i a\\be t - I - i --�. I pe MRi!lllbe a WQ I-... -��' ,e ,'�--�---�- -{'_- _�-__.1.____i�-•-- ` F— — i� .- I_.._.- - I -.----i-- --F'- 0014 e i oC rN�t �jo'� I =�• :s , : _ I , i,. ,i _I�Y.%LC1, ""•�,�' - -- I �� � fjt / i _ r _ � • I ' � i �- � � I i' `— I _ I I i � � �. f - � w. � .., _ I 1 _r--. , � IQ� I---' _. _/.�I 1_.. J j i+t' il, �j- - i •''�i l i I I� „v�' ,•�`'� i I i I�1 f -- i �D( , i I 1. I ,�: i`'_ i^ i •� I i I i I i I' r_ '__ '--1__--/`•-'► j�'�l/ I_.—T�...',�}cu/�,/_,- t r /:. �o-�f;�- I / I k-• _-' r_�.-1.--- _ —. setback of f. from "moo --- '-- i i -plop, r -t �I �s a'�r`id��et� -' —; I A I- _ I 3 ructur�s or; equipment ex ep. a _.__._. ,_ —�— i f r a 2 f. egve werha>lg.- I --__ — III ff/if� I i ' I � t.._ I . f; di �� c�-►-%Cry ' _ _ (�.! _`�•C,C..CJCJ 'C.G W � �� (/ : F � 1' • y �' I'' _ � i - (iC/Z�U�Ll' G6`-�Ij/� r MOBILEHOME SUPPORT DATA If oflier than single wide, Mobilehome Mfr. [-'aa o6L" furnish Setup Model No. 6a /'U Year /a/ F0 Width),'fA (ft.) Box Length (ft.) Tagalong or Expando Size ft. x ft.' (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after Oc.tober 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. d6Vrrn?_ SOPAoerS 70. tae ' 1 G,OGf7ZC.� I¢5 FOR LA��-5 O"' Single -A A ON (ft.)(in:) (in.) (in.) Center support locations* 1.s' (ft.)(in.) (ft.)(in;) (ft.)l(in.) Center support footing sizes (in:) Jyxa9� (in.) (in.) aq 34� (in.) (in.) ay'X�Y (in.) (in.) /a x.3U (in.)((in.) Footings (check one) D/1. Wood either. pressure treated or foundation grade. 2. Other: (specify) Supporta (check one) 131/1: Concrete block. •2: Other. (specify) ragalong or Expando,' show support details. /ax 3o -- Typieal Support (in.) (in.) Footing Size -- Max. Pier Spacing (ft.)(in.) -- Max. Overhang (ft. (in*.) 5 72 -�'0 BUTTE COUNTY BUILDING DEPARTMENT U *If center piers are other than drawn above, APPROVED .� draw in.locations, _apacing,.. and dimensions. BUTTE COUNTY. DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: ST/�JcArd, / olen-s, 2. Installer's name: K/ Aisle• irNe se_pulce s ` 3. Is the'site currently under permit? Yes 7717 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 / y/ No ('If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- 02 Amps 6. What is the mobilehome site service rating? --------------------- _ 2 y a Amps 7.. What is the mobilehome site circuit breaker rating? ------------- oZ0 Amps 8. Is there any other electric load to be served by the mobilehome /V/ site service? --------------------------------------------------- Yes No (I£ 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 /_7 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.) r 466. 18.9 980 TO 10110'7 YT MAY COIJCEfV i ThLA Cette2 of agaeerrzent Buil.( jelive,a4 auk autho4i3a;ti.on f o)c Yoe./ Maw?,i.e oA l/ODIC S/1L 6S, -INC-.---)to app,/ y 4olL and j4n f o2 tnob i, e hv� vn . penmi� unrlea,�S m0a7 C 1/0476 SIERVYC6, State L.i..c. # 380868, 5250 O.Uve lluu. So. #33 Oto v.i. Ue, ca. 95965. r) Al. .t!,':T"'+"S^+J�?<�F•,-n7--^�;t�:, .. ..-s,-��,:-e;?r^.,==;�:.�-a�zr.��+...,....•v--,-.-�.�..�.��-,�. VERIFICIATION OF ADDRESS R. W. Cook Address Coordinator I A.P. . County o f Butte 7 County Center Drive Date: Oroville, CA 95965 Phone No. (916) 534-4339 Name Establishment name (if any) zi p Present address of buildi,gE5. 76jzj�:L cit Number of Addressable Buildings on this Property '2 IV 0 A 0 E -5 City Zip --2 5 Mailing Address ..'Street Your Building Fronts Telephone number 41 Assigned address 7-w IAI jjstleberry Director of Public Works R. W. Cook Address Coordinator I �- 7�ii� s°•�,� ,fir -� 511 A (COTE: See the attached 05- ; &111V /0) Ale, RokdgrL Reg2j�� all) ele i cx�? 2 Pages AND PLUMBING S? ED BUff E COUN-Py ELECTMCAL CONSTRUCTION NOT PLAN SHALLCOMPLY WITH. C,.UFWE-N-r EDITION qUILDING DEPARTME OF NEC, UMIC AND UPC. A p p R v -Foundo'Roy) 07 S/1'a/per, dl PvmO 'b�'��j�/J �'�' a�v�o� Nr/�r� �So�/ �j�a�✓ .Sv�s�X� M�/���� �av�;v�� Y� V22 0/0 AV i l 1 /O10ol, A setback of 5 ft. from the - property lines and a setback of 50ft. from the road centerline shall be clear of structures or equipment except Fnr a 2 ft. PAve overhand. y i i 71 This set of plans and sl6ecifi,Lations MUST be' kept on the job at all times ani! itis unlawful to make any changes on alterr+ions on some without written p rmission from the 'Department of Public Works, ounty .of Butte. I v Nl '6TiUE`--�- Seep fsa4/iv4 /0—/0014 ewes N ca f i 1 I i , i I i HOTS—AH Materials & Workmanship Shall Be. w ! Accordande with Recognized Good Prac#ices nd of a quality prescribed for the Specified use in flue' Uniform Building, Plumbing & Machanical` Codes and %9 National Electrical Code. fc,a.Ir VOWdr till GG x PL r ,—sd•ArAIIvee s,d -10 n v.-4 L A 23.7 5 s,qo ~dc/ ! % / to , ;rt MIN 1"WU' E N �os'rt Conk Se ��rC S�vn�ei Try dunE COUM WILDING DEP/ARTMi" A P P R VE r 15.77-V I: -rd sS TtiiJr;itle�'_2n s i J. O u �.pr •r s.o„u�y , IZALar: Nev• • 5 s�ano�i4A� ,,/�c4'XB'. T-��♦ fivi.�/i�, i�('►'eovs� apQ- Z�-'" d�At��► . . fjpilfl�• r1/.e• Cir /.Np.G . as L✓ A+A #L ti �1G1 EDGES �'t'''�r* lSeT1�w �T6 • t 3 en, arAsit o � �j �' Lstle OaK! f At Z4" gyp! p r This set of plans and specifications MUST be kept on the job at all times and it is unlawful to make any changes or alterations on same without written permission from the Department of,PubliG Works, County of Butte. 1A&4' &vfAI& H�1. \\/dfT VVr4 CA- s ,OHO AJ ✓/ af y mom. 01w 4r GdR V2olz r a DeTA /L See. AA • BSE co _ = MADINIC DEPARTS -`.r-0 :PPV Av".vrr OCR. � 4 L4 AL/ A, G°A% A y rq SIA. cwx i4�.c> ,ay ,� Y t '- J � MPANY D. ADAMS COENOINEERINO CQP1'RiOFiT 1979 P , 5w 4-1479 Alub, 91 ^ " "i ' r , �� �I�s•FES�xJ y �. PLICE cryA + ", V It A •?ti LSE F _..-11PAN ....w 4,04/l.i KP e r r------rrM, »_r,.--rn-"..,� -_•. r..«_..-«.."....,...rr.... M ^..-r•r_--rwrr«-.._......_...._-�:•.----r-----_.a-rnw.... r+-...�rw_-r--«r-r-,...x-r NO onACEDDWE98 4 HEM r_ BTD ! A, FOR SPAN,25 3„1' OR LESS MINIMUM LUNDER Tpt' CHORD-2X' d 'DOUG FIR-LAR 12 BOTTOM. CNORP4X 6 HEM-FIR 0 G, JOINT A 3,2X 3.6 JOINT D 3, 2X 3,d PR ACED MIN10.0 BEARINO 3.5 IN .,0 JOINT .3 1 O INCHED CS■1 X � ■ JOINT SPLICES JOINT C107,OX 5,4 ' ° ' OR LESS MINTHU1 LUMBER TOP CHORD.2X 6 11000 FIR-LAR 12 BOTTOM CHORD-2X 4 DOUG FIR-LAR 07: FOR SPAN 24'- 0 ALL WEDG■2K 4 HEM-FIR DTD' JOINT AN 3,2X 3,6 JOINT D■3.2X 3.d NO BRACED WEBS ;i ^ JOINT Clot 1,8 THE MINIMUM BEARINOM 305 INCHES JOINT C1, 3,b ' JOINT SPL2CES J 4,5X __ FOR-SPAN 24 r' 0' OR LESS- rMINIMUM-LUMBER rTOP CHORD•2X 6 DOUG FIR-W,12 .BOTTOM CHORD•2X 4 HEM^FIR tl «JOINT A■ 3.2X 3.0 ,JOINT B■3, 2X 3.6 ALL WEDS-2K 4 NE:M-FIR 6YD . NO BRACED WEBS r JOINT 61.1.3X lig THE MIMIMUK BEARING- J 5 INCHED j JOINT SPLICES JOINT" C1w4.5X 3.6 " FORSPAN23 5 OR LESS MINIMUM LUMBER TOP CHORD*2Y 6 HEH-F1R 02 BOTTOM CHORD■2X 4 HEM-FIR I1 t ^+ D • ALL. WEBS .,X 4 NEM-FIR 8T JOINT A■ 312X 3.4 JOINT y 3.2X 3.6 NO PRACJD uEBe r JOINT CI■I.,3X 1,0 N ■ 3,0 INCHES JOINT SPLICE@ JOINT C1i*495X 396 _ _ _ THE MINIMUM BEARI 0 N N % - ----- -_w«_rwN-Ylrrfw---r-----fn _ _r.. .Mr r ,"._nr r-..r rw-_r_. �......... -- . w« ~-FOR .PAI/ Z3'^ Z' OR LC66 T MINIMUMLUMBER.WTOP CHORD-2k 6 NCM-FIR 02- rrBOTTOM CHORD-2X 4 NEM FIR 42 f� •JOINT A■ 3.2X 3.6 JOINT 00362X 3+6 ALL 11EPS■2iC 4 NEM-FIR DTD JOINT' CS■1,3X 1.8 rwy«__r_wr__,.r-rw NO MINBRAIMUM WfG6 r JOINT SPLICES JOINT CI .4,5X 3.8 THE NJNIMUM BEARING° 3.5 INCHED FOR SPAN 19'. 3• ------------- OR LESS MINIMUM LUMDEr TOP CHORD■7X 4 DODO F1ftrLA(I 01 DOUGH CHORD-2X 4 HEN-FIR 2X 4 HEM FIR 02TD JOINT A■ 2,6X 3.6 JOIN? D■.,2 JOINT;Clot,3X 1,+0 NO MINIMUM WEBS r JOINT SPLICES JOINT C1.4,5X'3-6 THE M)N1MUM DE------ 3,5 1NCHE(S FOR SPAN 17-•30r_ORRLES6ry MINIMUM- LUMBER ^TOP-CHORD■2X�4 OM CHORD•2X 4 NEH-FIR 62 ,.- DDUO~F7R-LAR IZ DOTT JOINT A• 24iX 306 JOINT D 3,2X 3.6 ALL WEA607X 4 HEM-FIR:.6T7 JOINT CIN4.3X 44 NO BRACED uDEA r -JOINT,Ci■4,5X. 3.b THE MINIMUM DEARINtl■ 3,5 INCHED JOINT SPLICES •_-«;.....__--, -.----«--------;--r..........----^---------___ww:. ..__. __-;- »««___r- «,_«___ -------- FOR SPAN 17'- 5' OR LEGS HIN)MUM LUMDEk TOP CHORD•2X 4 HEM-FIR 01- BOTTOM CHORD�:X 4 HEM-FIR 02«-« JOINT A■ 2.6X 3.6 JOINT P■3:2X 3, 8, ALL uEP5.2% 4 HEN-FIR DTD JOINT C1e1,3X 1.D r:_____- NO BRACED -WEDS r JOINT SPLICED JOINT C1■4,5X 3.b ------THE MINIMUM------- 3,5 INCHED _-.,.rrrr rr«r,.-wr r�rw_r---------------- ---------- ------------ --r-----«----- - -------- « BOTTOM CHORD■2X 4 NEM-FIR '02 fOR SPAN 14- 4' OR LE66` HINIMUM-LUMBER rTOPrCHORD■2X�4rHEM-FJR 02 ALL WEBS-2X 4 HEM-FIR DTD E Jf)INT C1 C 2,6X 3,6 JOINT B•3�2X 3,d NO BRACED.41ED5 r r. JOINT 8PL1,3X 1it1 U}(-${rAR.%,y4,,�3,5 INCI(E© ' r JOINT A ICED ■ _',., - - - �!i `.`w,[. -, , r•««.r' -----r------r---------•._...._ FOR SPAR 14'- 4' OR LESS MINIMUM LUMBER TOP CHORD •2X 1 NEN-FIR 17 -_ BOTTOM 4CUED6.2X-4 HEN-FIR; DT i JOINT A• 2,6X 3.6 JOINT B■3�2X 3.6 NO BRACED 4)EB8 r ! JOINT CI-1.39 1.8 THE MINIMUM BEARING. 3.5 :INCHED JOINT OBLIGES JOINT C1■4,5X 3,b _ _-r_ _.« __. _ -._ .- «---- «--.«_--_r.._._..rr._«_---r--� -- -_-- -' - NrD WITH A H-ECHANI1A"JI0,111A IHC ku*TTRIUSS OR ARbEQi»°T.REj,O," DAUB --! ' � RUS5 FABRICATION ARE OPTAINEDrLiiTH A MEGNAN,ICEIL-JIO.7HAT &LI1i31dAKARRGER CONNECTOR PLATES " BY HAND at LAGKING LU " 640ULD BE SUBSTITUTED. J,D ADAMS CO, BEARS NO RC6PONS11 TY FOR THE ERECTION OF ENT ARA Oi. ALL JOINT TRUSSES I ' ARE CAUTIONED TO BEEK PkOFEG6I0NAL ADVICE IN REOARU TO EREC1i0tt DftACIftO AHI) PENMANSS HOWN Ntl, ALL JOINTS MUST I :�E ACCUkATELY CUT AHD FIT, 01MEN510NS MUST BC VCRIF1CD, At;L PLATES CENTERED UNLESS 6t{tlUN tlTNERWI6E, PLATED ARE I MINIMUM RASED ON DTBESSES, FADkICATOR MAY FINIr FkOM EXrCRUNCE THAT SOMC JOINTG MItlHT UITADREOUlcE LARGER PLATES FOR 1 I , 5 TORT, HANDLIRACINO!^TO DE 6UPPLIEP BY OTt(ERGO ALL WEDS 2X4 UNLESS OTHERWISE�aPECIFIN70TDOTNGFACEDLOF6JO NTE' C' , CONTIN UOUS PR'AClNO ON WEBS AND CHORDS TO BE ANGNOREt I Do TALI B HULIISPIKE '('DY J. R; ADAM, CO ) SHALL D CASE 6??cEL AND P __ - - - - E.MADE OF 20 -- „« 1 _ _ 9 "«-.._n «_r w. r:w r-«....-«..-_ .«_ .... �........ r...rr_r_-.j_ -ar.. i TRUGB LOADING' r --- _ ■ ( ) - FACTORS DELOU FOR OTREDGES ( ROOF MUL'TIPLYr6PA.. DT 1 LLQ 1if00 f'8F A B 52,77 C A C1 50;,Ob(T) B-Gf 9,53SY�) I PLO ck#t000 DF FOR AI.L pRACED UEDP,• ILL■ 0.00 PDF I UDE A 1X4 CONTINUOUS PRACE'- w# f yw' FOR A MINIMUH DEA►i1NO GREATER T)tAN 7 1/7' BUT NOT EXCEEDING 7' 1 pl• 1000 PDF` ' I` {, ADD ONE DEAIINGO LPEARINO HLO K tM ( x INCREADE FOR p�L■25 ,1 Z J SPACED AT 24'b,Cr ' I RECUIRED C IN,BR0,-3,51X i,91. AtlE y4 F _ - _ _ - ^. �.r..r r _--------- :,,r •r 7 FEW � w..64 � ,.r---•--.r -N - r4' �W,4. r M i •k�'�' r rad ,j,�3 �F �« « it �• r pM f',9N