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065-410-017
COMPLAINT TO INSPECTOR I C, E. /O- ZZ -03 n i Ci '65-41 Ed Vierra -17 2'6-S Jack Pine aY*ntr:,%�lot 121, PP#3,Ma,a. Pe-- , �` SZ.oe r 065 •,�,� ti Par. ELE`' ; s tI afi . MH) GASC• 4f SUPPORT STR>�tT EiRZ ,l, COMPACTION TEST REQ ' 5-41-17 contr: Tri -V Cons .,.Paradise ermit # 01-77F-,-E(util. , ) ELEC. GAS_ SUPPOPIE 8TRUCTURE RE4. COMPACTION TEST REQ. 65-41-17 Con SO r, Paradise Permit #945-78MHI Sssued ♦�j (j///�a�� 65-41-17 contra Tri- ?nst., Paradise Permit #3938-78B(new deck/MH) -65-41-17 r` Permit #2575-80B(new carport/MH) _ 4 65-41-17 RMUR 15059 Jack Pine Way, Magalia Permit#3145-85B(deck cover)MH�� q �� '06-5 410-017 99-1613 VIERRA, Ed 15059 Jack Pine, Magalia J. a Contr: Reliance Propane Set tank VIERRA, Edward 15059 Jack Pine Road, Magalia Contr: Owner` * 0C �11Enclosed carport / (99 -1613 -Set tank issued 7/28/99) VIERRA, EDWARD-"-1-vooJ , -15059 JACK PINE WY,' Cont: CHICO MHS EX MH PERM FND7 X SITE 17 C ,— R rRECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 Ell go022664 Recorded I REC FEE 10.00 Official Records I CONFORM 1.00 CountyBUTTEOf I CANDACE J. GRUBBS I Recorder I ROSEMARY DICKSON I Assistant I Kathy 02:54PM 21 -Apr -2005 I Page 1 of 2 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. EDWARD J VIERRA REAL PROPERTY OWNER/LESSOR 15059 JACK PINE WAY MAILING ADDRESS MAGALIA BUTTE CA 95954 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT SAME CITY COUNTY STATE ZIP SAME UNIT OWNER (ifalso 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 05-0869 530 538-7541 BUILRIIJG PEttMIT N0, TELEPHONE NUMB R O S N TURE OF LOCAL AGPtY 0 FICIAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE N0, UNKNOWN 1978 UNKNOWN MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMEINUMBER 61988A UNKNOWN CAL082734/5 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER 065-410-017 HCD FORM 433(A) REV. 8/91 WHITE - County Recorder CANARY - HCD PINK - Applicant GOLDENROD - Building Dept. �v . .. :,�.•. �.. U.Y. 03/90-;05 11:45 FAX BIDWELL TITLE la 004 �I All that real prope'rt'y situated in the County of Butte, State of California, described as follows: Lot 121, as shown on ftt certain Map entitled,.`-pARADIS'?✓ PINES UNIT NO. 3", which was recorded in the office ofthe Co6nlY"k0,00irder of Butte County, on Jute 17, 1970 in Map Book 33 at pals 78, 79, 80, 81, W-82. Subjeot to cove=% conditions, restrictions, reservatiom rights of way, easements, bond d indebtedness assesstnents, atd other bit . ra of record. EXCEPTING all minerals. as excepted Ofzeconi: f COPY of Document Recorded 21 -Apr -2005 2005-0022664 RECORDING REQUESTED BY: Has not been compared with original BUTTE COUNTY RECORDER AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. EDWARD J VIERRA REAL PROPERTY OWNERILESSOR 15059 JACK PINE WAY MAILING 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 MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 05-0869 (530) 538-7541, BUIL G PEgMIT NO.,TELEPHONENUMB R O S N TURE OF LOCAL AG4Y40FICI'Al DATE NONE . DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO UNKNOWN 1978 UNKNOWN MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER 61988A UNKNOWN CAL082734/5 SERIAL NUMBERS) LENGTH X WIDTH INSIGNWI.ABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSORS PARCEL NUMBER 065-410-017 . FOUNDATIONSYSTEM ,CERTIFICATE,OF OCCUPANCY BUILDING PERMIT NUMBER: 05-0869 Address or location of unit: 15059 JACK PINE WAY, MAGALIA CA 95954 Legal Description of Real Property: AP#: 065-410-017 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: EDWARD VIERRA , Owner's address: 15059 JACK PINE WAY, MAGALIA, CA 95954 INSIGNIA OR HUD NUMBER: CAL 082734/5 SERIAL NUMBER OR V.I.N.: 61988A MANUFACTURER'S NAME:UNKNOWN / YEAR: 1978 OFFICIAL APPROVING INSTALLATION: DATE: 4//j/0S- PHONE: (530) 538-7541 H.C.D. 513C NOTES RESIDENTIAL U65-4 10-40 PERMIT N0. �03-0869 VIERRA, EDWARD j 15059 JACK PINE WY, MAGALIA C011t:.CHI CO MHS EX MH PERM FND EX SITE __j SPECIAL CONDITIONS SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER tc CAL CAL - JOB FINALED,(Date) lq`" 1 a 05 - Signature l/ &_QLJ0 CHECKED BY 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 penally of perjury that I am licensed under provisions or 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: Icons ber: Date: _4 - C Conlractor. 'OWNER -BUILDER ECLARATION - I hereby allirm under penalty of IYerjury that I am exempt from the Contractors' Slate License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, Improve, demolish, or repair any jstructure, 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 Contractors Slate LlcOnse 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 penally 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' Slate License Law does not apply to an owner of property who builds or Improves thereon, and who does such work himself or herself or through his or her own employees, provided that such Improvements are not Intended or offered for sale. If however, the building or Improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or Improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' Slate License Law does not apply to an owner of properly 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 Exempt under Article 3 of the B'uslness and Professions Code Dale: Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penally 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 #• 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 provisidns of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: WARNIN71housnd to secure workers' compensation coverage Is unlawful, ubject an employer to criminal penalties and one hundred 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.) Name: PERMIT NO. BPO50869 Issued Date: 04/14/2005 APN: 065-410-017-000 Site Address: 15059 JACK PINE WAY MAG Map Index:. Description: EX MH PERM FNDN Owner: VIERRA EDWARD J & PRISCILLA M 15059 JACK PINE WAY MAGALIA, CA 95954-9118 Applicant: DOREMUS, GERALD GLEN P O BOX 4121 CHICO,.CA 95927 530-895-1774 Contractor: DOREMUS, GERALD GLEN P O BOX 4121 CHICO, CA 95927 530-895-1774 License #: 445103 Architect: Engineer: Total Square Ft: Valuation: Census Code: 0 S. F. $0.00 This permit Is hereby Issued under the applicable provisions of the Butte County Code and/or Res ul on o�iork I dicale above fpr vyMch fees have been paid. jq� �5. By: rDate: PERMIT EX ES N: _ Address: I"a" ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safely Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification In accordance with Section 19827.5 of California Health & Safely Code Is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. noUficallon forms. I hereby certify that I have read this application, that the above Information Is correct, and that I am the ow the duly authorized agent of the owner. I agree to comply with all county and slate laws relating to building construction. I acknowledge Il Is unlawful to alter the sub t ce of a fficlal form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspecllon p Ir'ses Prihl Name: Signature: - • Dale: ❑ Owner Contractor ❑ Agent for Owner. ❑ Agent for Contractor n c n„urrinn Permit 0 1 -16-04 on 1 J=OK 0 = Not OK . = NotReadyable DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ P' L'ft. / P Nat. or/ P' L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date 12. Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Card B-1 Date Card B-1 1. Zoning Requirements -Setbacks -Easements Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date 12. Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) Card B-1 Date Card B-1 1. Zoning Requirements -Setbacks -Easements Card B-1 Date Card B-1 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 #'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 r = 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- Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation CTA Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors Date Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. Card B-1 Date Card B-1 Date 50. Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 52. 17. Water Htr.; Vent -Access -Combustion Air Baffle Property Line Firewall & Openings 18. Water Pipe; Test & Anchor -Nail Protection 55. 19. D.W.V.; Test Fittings & Anchor -Nail Protection Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 20. Shower Pan; Test, First Floor -Tub Access 58. 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test 67. Bedroom Exiting Date 68. Card B-1 Date Card B-1 Date 69. Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Stairs & Rails 24. Fixture & Transformer Clearance -Ins. Protection Fireplace or Stove, Clearance -Hearth 25. Elec. Receptacles Spacing -Lights & Switches at Doors Elec. Outlets at Wood Panel, Int. & Ext. 26. Size Boxes & No. of Conductors Stapled Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 27. Romex Installed Close to Edge of Studs & C.J. Elec. Outlets & Receptacles at Kit. Counter 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Garage Fire Door; Swing -Landing -Closure 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI A.C. Duct in Garage -Damper 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or AI Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral 0 Yes Cl No Plb.; Elec. & Mech. Equip. Listed for Location 32. Service -Riser Conductors & Ground Main Disconnect Elec. Receptacles in Garage (F.F.I.)-Romex Protection 33. Equip. Clearances Panels-Motors-Mech. Equip. Insulation -Foam -Looked in Attic 34. Clothes Closet Light -Shower Light -Spa Light Guard Rails & Deck Construction -Post Caps 35. Smoke Detector Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Date _ Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 85. 36. A.C. Ducts Insulation & Support 86. 37. Vent Fan, Exhaust above insulation 87. 38. Condensate Drain & Overflow, Size & Grade 88. 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 89. 40. Attic Access & Platform if Furnace in Attic Date Glass Protection Card B-1 Date Card B-1 Date Corrections from Previous Inspections 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) Date 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs Date 46. Headers & Beams -Size & Bearing CTA Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 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: 03/30/05 11:44 FAX BIDWELL TITLE DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT plvleion of Codas and standards Decal #: NV7200 Manufacturer: Tradename: KBISC ,Model: Manufactured Date: 00/00/1978 1tegiStration EXp: 03/31/2006 First Sold On: 03/02/1918 la 002 4� Title Search Date Primed : 03/302005 Use Code: UNK Original Price Code: ADw Rating Year: 1978 Tax Type: tiT Last ZLT Amount: $16.00 Date ILT Fee Paid-, 1 " 03/07/2005 1LT Exemption: NONE Serial Number HUD Label / Insignia 61988A Unknown Record Conditions: PPF Exempt Length Width Unknown Unknown Registered Owner: EDWARD J VIERRA PRISCILLA M VLERRA (Tenants in Common Oz) 15059 JACK PINE WY MAGALIA, CA 95954-9118 Last Title Date. - NO TITLE ISSUED Last Roe Card: 03/15/2005 SaIOTransfer Info: Unknown Situs Address: 15059 JACK PINE WY 1 ALALIA, CA 95954-9118 , Situs County: BUTTE Title Searches: BIDWELL TITLE 145 PEARSON RD PARADISE, CA 95969 Title File No: 220709 -TPC * #'" END OF TITLE SEARCH 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. 7 y License Class : � Icens o bar: Date: Contractor: 'OWNER -BUILDER ECLARATION I hereby affirm under penally of pferjury that I am exempt from the Contractors' Slate License Law for the following reason (Sec. 7031.5 Business and Professions Code. Any city or county which requires a permit to construct, alter, Improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she Is licensed pursuant to the provisions of the Contractors Slate 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 penally of not more than rive 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' Slate Llcense.Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such Improvements are not Intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or Improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' Slate License Law does not apply to an owner of properly who builds or Improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' Slate License Law.). ❑ I am Exempt under Article 3 of the Business and Professions Code Date: Owner: -- WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -Insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Is Issued. O I have and will maintain workers' compensation Insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit Is issued. My workers' compensation insurance carrier and policy number are: Carrier: ;�I �ce�rtffy�thatin he 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. Dale: Applicant: WARNING: F lure to secure workers' compensation coverage is unlawful, and s all subject an employer to criminal penalties and one hundred thous nd 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. PERMIT NO. BP050869 Issued Date: 04/14/2005 APN: 065-410-017-000 Site Address: 15059 JACK PINE WAY MAG Map Index: Description: EX MH PERM FNDN Owner: VIERRA EDWARD J & PRISCILLA M 15059 JACK PINE WAY MAGALIA, CA 95954-9118 Applicant: DOREMUS, GERALD GLEN P O BOX 4121 CHICO,.CA 95927 530-895-1774 Contractor: DOREMUS, GERALD GLEN P O BOX 4121 CHICO, CA 95927 530-895-1774 License #: 445103 Architect: Engineer: Total Square Ft: 0 S. F. Valuation: $0.00 Census Code: CONSTRUCTION LENDING AGENCY This permit Is here Issued under the applicable provisions of the Butte County Code and/or Res on ork I dlcale above for vyhich fees have been p I hereby affirm that there Is a construction lending agency for the aid. performance of the work for which this permit Is Issued (Sec 3097 Clv.) Date: Name: By. . PERMIT EX ES N: v Address: (Date) ❑ 1 hereby certify that the use of this facility shall comply with Seclions.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 19627.5 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 ow the duly authorized agent of the owner. I agree to comply with all county and slate laws relating to building construction. I acknowledge It Is unlawful to alter the sub t ce of a fficial form or document of Butte County. I hereby authorize representativesnof/Butte ,/County to enter upon the above mentioned property for Inspection r ses Print Name:y'�//r.vc / �u eN U� Signature: Dale: ❑Owner Contractor ❑ Agent for Owner ❑ Agent for Contractor G r nitilrlinn Parmil 01-16-04 on 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTIONM OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REO UIRED AT TIME OF APPLICATION **PLEASE PRINT CLEARLY** Name Address City Phone E-mail ARCHITECT/ENGINEER PERMIT NO. 5.& BP BIN # LOCATION OWNER Name - /# —/-/ Last NameFirst ` ,Z ame L Address Zip. Subdivision Name 77Fax / City - State Lic. # �a Zip Phone Fax E-mail Name Address City Phone E-mail ARCHITECT/ENGINEER PERMIT NO. 5.& BP BIN # LOCATION CONTRACTOR Name - /# —/-/ Address n Ing ` ,Z City L State., Zip. Subdivision Name 77Fax / Name ' E_Mail Planner Lic. # �a Clast,y7 Name Address City Phone E-mail ARCHITECT/ENGINEER PERMIT NO. 5.& BP BIN # LOCATION /. AP# Oro - L)lo - o 7 Property Address_ City Cross Street Zip 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. Subdivision Name LENDING AGENCY Name ' Address - __ 1777_�_�'7 X- , Description or S&V' 'o , State 3y�gX S �a�3��359 Fax d��d0� 0 I; "ducture Built without Permits State License ► Pro osed Change of Occupancy APPLICANT NAME -- 6 Name Address City State Zip Phone Fax E-mail PPLICANT SIGNATURE 11", WN %_� M" a M For off e usfi only: Zoni Flood Zone SRA I Yes No 0c . Type Const Subdivision Name Map Book Page Lot # Planner Date Approved: (Note previous use): of Work: J 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 OVER FOR SUBMITTAL REQUIREMENTS 11 K:\FORMS\BUILDING F0RMS\B1dgApplSubRgmts.doc Page 1 of 2 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 oth,Fr department costs are not refundable. � � Received by: Amount: Receipt #: Date: - SRA Sheriff SMIP Other Total REV 7-27-04 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications`must be submitted to.the Building Division in order to apply fora permit. INCOMPLETE SUBMITTALS. -WILL NOT BEA"CCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK, ❑ 1. Site plans, 3 or 4 sets, signed by the �repargf of the plans. ' No graph 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 calculatioris t°,' ; ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ . 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to ' mobile or modular homes,)' - ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. El6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down_ or,,fnd plans, all in duplicate. is ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor-. plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate; wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ' ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required).�.- ❑ 12. Hazardous Material .Form (for C6mmercial.80dings only). — ❑ 13. Sanitation and site plan approval from: the Environmental Health Department. Remaining items needed.to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1: Agricultural' Buffer clearance and site plan approval from the Ag 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 - v- t license information.. (Number,�Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy -Number. ` r ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. { ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's). If you have questions or would like additional information regarding this process, contact a Permit , Application Assistant at (530)538.7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action • ' on an application after expiration, anew application, plans and fees will be required. REQUEST:FOR FEE REFUNDS :f -z Refunds can only. be made upon, written request by the. person who. paid the fee. The request must be made within! t4 0 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 KAFORMSWILDING F0RMS\BIdg4p1SubRgmts.doc Page 2 of 2 REV 7-27-04 f . ; ; t : 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 V �' C.Z. OWNER: s'. ASSESSOR PARCEL NUMBER �/ p� Proposed Building Use: Permit Technician: Date: Items required in order to apply for a perm't. All boxes MUST be checked OR marked NA in order o apply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plaie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Letter of intent for non-residential buildings ❑ 12. Hazardous Material Form ❑ 13. Acknowledgement of building permit application without required clearances. ❑ 14. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable ❑ 16. Fire Sprinklers............................................................................................ ❑ 17. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 18. Soils Report and/or Engineered Foundation required ........................................... ❑ i 19. Erosion Control Plan Required........................................................................ Ef . ees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 21. City of Chico Plumbing permit........................................................................ ❑ 22. Site plan and business license approval from the City of Biggs .................. I........... ❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. . ❑ 24. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: ........ heck:........ ❑ 25. Contact Land Development about _ Improvements, _ Drainage ........................ ❑ 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 29. Worker's Compensation Carrier and Policy Number .......................................... ❑ 30. Owner -Builder Verification ( _ Given to owner, _Mailed to owner) ..................... ❑ 31. Letter of Signature authorization.................................................................... ❑ 32. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 33. Existing violations and/or expired permits......................................................... ❑ 34. Dee, d Restriction .......................................................................................... .91> 35>egal description.,,1DM.H. Title, title search, registration or MCO ......................... ❑ 36. Other: ❑ 37. Other: When issued Telephone 7 _S- I I -I 7 and hold for pickup. I have beecriffformed of the above items and requirements for obtaining a building permit. Applicant: 1. Index permit application for the above ite-Wrs numbered: Date: 1 Plan Check Letter, Contract esigner, owner, was advised of the above data by E:r phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved Dat Structural reviewed by: Date: Structural approve Date: Note transfer by: Date: Yellow: Building Division COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 PHONE -(510)538-7541, FAX (530)538-2140 SCHEDULE OF RECEIPT OF FEES ,, f Website: www.buttecounty.net/dds { OWNER k 'e_ . _ V A.P. # PROPROSED BUILDING USE `(Y1 DATE GS RECEIPT # DATE REC. QA�..-BUILDING PERMIT FEES -3gq 4 Y ' --Balance Due ..................... $ d`(� --- FEMA Flood elevation review ... $ --- Additional plan checking Fee.... $ 2. SCHOOL DISTRICT FEES (paid at School District Office) (form available after Plan Check) 3. SHERIFF FEES (paid at Building Division) Residential............. X $360.00 =$ Units Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. 4. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 5. RESIDENTIAL DEVELOPMENT IMPACT FEES COUNTY WIDE (per dwelling) $ CHICO URBAN AREA (per dwelling) $ EL MEDIO FIRE DISTRICT (per dwelling) $ NORTH CHICO SPECIFIC PLAN (per dwelling) Zoning $ 6. SRA FIRE INSPECTION AND PLAN CHECK FEE $204.98 (paid at Building Division) 7. WATER TENDER FEES BATTALION # $200.00 (paid at Building Division) 8. SMIP 9. OTHER 10. OTHER t 11. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be chan7ent e plan checking process. APPLICANDATE Pursuant to Govection 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days frproval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specent Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 3/05) 03/30/05 11:45 FAX BIDWELL TITLE BI]DVEL1;•;T.ITI13 OROVILLE ;j16/05 06:3" FAX $40 533 1580 f RECO RMIG RtQtJFATED BY AND WOV RWORM KAM TSO WCC,1 v.�$Vul M# a -i 210 oieei No �'/�'IS~ip ph�y _,bPltlfi Q''IgLU i 8003 Recordnd I REC FEE 10.80 Offivial Records I County Of I CANDALE AME I RecflosmY D1CHSON 1 Assistant 1 IRylec 0i)45pM 02-•3u1-2003 1 Page 1 of 2 it �s0yg'tlils L1N5 691t8L00RUER�U� '� p0)Oe1Dte.�b�� �tt�� 1'•-enr�vrej�S�'�a��stf�vcou�,�x�r irisc�lla-. 'MIS t itJlw'— :;''' ppv plpry T)9 Ahr Main is S The unduyiiu0d GradNi(s) DeelaraU) _:•;, #� �yq� m {yll wdaa of tnurat oc iaopa�' coovo/cd or Y,9cG v1bW1%of )0 IMI Y&Ol0AYeiaealltaosera+e�anDtlaces tertsu)eh�ga) Cl UniacorpomW AM OFWa ' � O . Mm�umeat Fe0 of i S 0.40 FOR A VALUASLI! CON51DEUT1CN. x990 Ofwhmh Is h"by i�tgav�laisai+ Edward. J. Vjarr* and Pricilla M.'ViexA- Vierra, husbsna' and herebyGRANiC� )o x Edward J'- Vierra' M 'p.risc� 11a wife, as Joint -T � �5� kenthe fotlawin6 rel pa', orgy in the'o MY of couety o4. Stets of COiowll: J sB.L� &X�TT A AT 1'A D ]et r -i)► bU DE A PART D=01? STATE OF CAtd MMA 69; COU)N TY OF %V. E eL I• • belvY9 enYaosal•1v aDPeared ttsc usd�rsalpnsa, a &torY public in and for .. J . vs.aemul3y imgwa Ca ora {pr yxo++s4 tv ma � rsM• ! . '04 crvidaa00) to bs kAo aarsaat,l %fisni6: IHR • sakio$aotorY mm is) i21"% sUbsChUd to Cho ""A taattvmsat srid:.. aokoowledgad to mo tbAt he/shp/t1eyk iesresauee ehae f!• ' ' ' in his/hes/thou a)teAorissd capaastY( 1 CASSIS J. ROBINSON molt /aheis pi�attusUa) op tUte iestzmea> .i !4. ,' ' • ayeia LalsalY d! tlb�ch ••, , ., y.`: . �" Comm. #1301162 yarmoo (a) , or tho autity , pmehooli) aseod' adaeuka Ilm i"11 Mt. NOTARY PUBLIC CALIFORNIA ALl1fE000NTY :xsse orn.aa anded>'iosal Baia. .. .: my goods* �a�ct Sons ' NML TAX aTAMMANT8 TO : �renrxa 1 f Vector Dynamics �I Foundation System INSTALLATION INSTRUCTIONS for the State of California Version 9/212003 INDEX PAGE RELEASE SECTION NUMBER DATE INTRODUCTION 2 9/2/03 GENERAL INSTALLATION 3 9/2/03 PARTS LIST 4 & 5 9/2/03 LONGITUDINAL DEVICES 6 9/2/03 PIER HEIGHTS 7 9/2/03 SET-UP INSTRUCTIONS 8 9/2/03 FOOTER SIZES 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? ;3 SOIL CLASSIFICATION 17 9/2/03 'CONCRETE INSTALLATION 18.& 19 9/2/03 { COMPONENT PARTS AVAILABLE UPON REQUEST Approval ; UMMAC "MED ROMMOMA MOMS FOUNDATION SYSUM MMTH AND SAnM CODE. SEC= 1=1 9' T+Ef C�iREC7i0�1S r A�OMALlIdBS NO1' AiITHORiZB O!t A4PRd1B IoNB oft DEVIATION FROM RSQUmemo T8 AMM" LAWS AND kBOUL MM ODD>3SAtO!!!lANDA BUTTE COUNTY � 11ILDING DIVI81% co co O _.........._.............................................._....... CV *Atlanta GA 30336O O O Tie Down Engineering, Inc. VECTOR DYNAMICS INSTALLATION DESIGN INSTRUCTIONS Introduction These instructions describe the proper use of the lateral and longitudinal foundation system. You may also refer to the home manufacturer's installation manuals that include the Vector Dynamics system as an alternate foun- dation system. General The Vector Dynamics Foundation System provides the support to resist lateral, longitudinal and over -turning movement of the home as required by the Federal Manufactured Home Construction and Safety Standards in a specified wind zone when the system is used as described in these instructions. Please verify state or local wind load requirements prior to installation of the home. The Vector Dynamics Foundation System resists lateral & longitudinal wind & seismc loads by anchoring the two longitudinal main rails. The system is approved to be used on single or multi section homes: Nominally 12 feet to 16' feet wide- (single section) with main rail spacing of 95 inches or greater on center; multi section main rail spacing of 75 inches or greater on center. Nominal 8 foot or less top plate height at sidewalls with main rail depth of 12" or less. Maximum roof slope of 20 degrees (4.4" in 12" slope). Maximum eave width (roof overhang of sidewall) of 12" for Zone I, 8" fo Zone II Maximum pier height under main rails -see page 7. The Vector Dynamics Foundation Systems may be used as a part of the vertical or gravity support system con- sidering that each Vector Dynamics pad has two (2) or (3) square feets bearing area. To inquire about the use of the Vector Dynamics Foundation Systems with homes of four or more sections, other widths, or on homes requiring pier heights which are not included in these instructions, contact Tie Down Engineering, Inc. at 1-800-241-1806. The Vector Dynamics Foundation System has not been designed for use on exposure "D" homes within 1500 feet of the coastline. Additional vertical anchor ties that are unique to a home's design may be required by the home manufacturer. These locations may include shear walls, marriage line ridge beam support posts, end frame ties and rim plates. Page 2 California 9/2/03 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. I 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 - 44 or 1 adjustable steel commpression member per Vector system) for the center compression section,when using concrete blocks for piers, measure center to center frame (I-beam) dis- tance and subtract 16". When using METAL PIER STANDS, measure center to center frame distance and add 16". ALL WOOD MUST BE PRESSURE TREATED, GROUND CONTACT RATED. Tip: Pre-cut your lumber and mark as to brand or model of homes you will be installing. If frame widths are the same, the pre-cut boards will also be the same length in each Vector set-up. STRAP INSTALLATION All frame ties and diagonal straps must go from the anchor to the top of the I -Beam. See illustration below. 1. Attach frame hook to top inboard location of "I" beam. (Frame hook must be attached to frame at points closest to floor support.) 2. Keeping in line with the hook, wrap galvanized strap completely around "I" beam. 3. Pull strap past anchor head approximately ten inches before cutting to allow enough strap to give a minimum of five turns around the slotted anchor bolt. 4. Thread loose end through slotted bolt so that the strap is flush with the other side of the bolt. 5. Tighten slotted tensioning bolt a minimum of five full turns. �a-2(omg Page 3 California 9/2/03 Vector Dynamics Foundation Systems Lateral 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 ..ref • �- � 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 ��x # 48612 - Single Section, 62"- 108" # 48613 - Double Section, 34"- 60" (includes short u -bolts, nuts, washers and 6 self taping screws) Page 5 California 9/2/03 L ro- - IG 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 of LSD required is shown on pages 10-13. LSD t. Longitudinal Foundation Pad 2. Beam Clamp (2 per system) 3. Longitudinal Strut (2 per system) 4. Tie Bracket (2 per system) Combine Vector Dynamics & LSD Note: Two struts =1 L.S.D. system. Can be used on one pad or slipt 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 I I I I I I I I 1 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 I-,; 48 Ft. Max. California 'z / Isco L� 9?-JM 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 it max. Unequal Pier Heights 4aximum Homes with unequal pier heights are limited to 50" maximum pier height. The difference between the taller pier and the shorter pier cannot exceed 26". Page 7 California 9/2/03 Set -Up Instructions for Vector System #59018 Long U -Bolts 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 CaNfornia 9/2/03 F 00 1"r Kit w 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 CaNfornia 9/2/03 w CD Note: L.S.D.= Longitudinal Stabilization Device n See Page 6. 0 iv' C- may. 1 L. Nau Soil Classifications: Soil Bearing Capacity: Anchors Required: Z K mac. WP• . o,c.tyP• 34A- Mo NOTE: Vector Systems should be spaced as symmetrically as possible along the length of the home. Pier spacing must be consistent with home manufacturers' 2, 3, 4A, & 4B instructions and/or state requirements. 1,000 PSF minimum 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 WIND ZONE I, SEISMIC ZONE 4 1 , 1 Vector Dynamics Systems Required for Single Section Homes (Materials Required) ome sedloln sing �,�_ ♦ i2 ft _ 01 � OL ♦ I \ _-- _— ,:ice @ • ' ♦ \ h� .... :sts„`� £ � orz�". �_st�" " _ — , �:F� ♦ xy w:<r £ i ,,tvrs e c .,:n! 33FRid .. .: .. , r 4 , � Or'.s♦ Note: L.S.D.= Longitudinal Stabilization Device n See Page 6. 0 iv' C- may. 1 L. Nau Soil Classifications: Soil Bearing Capacity: Anchors Required: Z K mac. WP• . o,c.tyP• 34A- Mo NOTE: Vector Systems should be spaced as symmetrically as possible along the length of the home. Pier spacing must be consistent with home manufacturers' 2, 3, 4A, & 4B instructions and/or state requirements. 1,000 PSF minimum 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) V CD 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 28'-36' wide, 38" for 24' wide. See Pg 12 for high pier instructions. WIND ZONE I 2 sq. ft. pad 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 L.S.D. 0 to 40' 2 0 2 41' to 66' WIND ZONE I, SEISMIC ZONE 4 3 67' to 84' 4 0 4 85' to 90' 5 0 4 Vector Dynamics Systems Required for Double Section Homes 1 (Materials Required) _ _ ' " _ _ - "' " p me _ \ sed d 01 EoLmp sM , •ISL `��, fft .V,Fjj �i ff j \ sxx 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 28'-36' wide, 38" for 24' wide. See Pg 12 for high pier instructions. WIND ZONE I 2 sq. ft. pad 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 L.S.D. 0 to 40' 2 0 2 41' to 66' 3 0 3 67' to 84' 4 0 4 85' to 90' 5 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. co 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 ori•`> ♦ full triple 3. 0 co 2 sq. ft. pad 2 sq. ft. pad 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 --- 1,-�: i \• . 0to48' 2+2 on Tag _ I ♦ I \ 49'to71' 3+2 on Tag 0 2 \ WIND ZONE I SEISMIC ZONE 4 ---''" 2 \ �\ Vector Dynamics Systems Required for ---'�"�homeems, " 1t sect% tot SIS , , - - ' , _ - �6 K mac\n9 tot ° - - c I ` \ Triple Section Homes " " " , - - ' " " 1e of eneta\ sP-��}§,3 ♦ \ ♦ \ ` •\ (Materials Required) - - - -� ' ' EXao Ph°Ws 9 t� laf.�jiS= ♦ ♦ EF t €F(Fl�i{IIF�F ♦ \ ♦�?i� �¢ 31 FBif .� y � ...x,. ��tt I `���71z! \ 1 � 1 x .. co 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 ori•`> ♦ full triple 3. 0 co 2 sq. ft. pad 2 sq. ft. pad 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 0to48' 2+2 on Tag 0 2 1 49'to71' 3+2 on Tag 0 2 1 72'to84' 4+2 on Tag 0 2 2 85'to90' 5+2 on Tag 0 2 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) WIND ZONE I, SEISMIC ZONE 4 (High Pier Sets) - _ -- "�? Vector Dynamics Systems Required for Double Section Homes (High Pier Sets with Diagonal Ties)o ' - t ' e�tion - h ,me _ - doubles ` NOTE: Vector Systems should be spaced as symmetrically as possible along the length of the home. Pier spacing must be consistent with home C') manufacturers' instructions and/or state requirements. 0 '1 WIND ZONE I 7Mtax.eight UnitWidth ge 7 1 -beam (A3. Spacing ,1 R2 sq. ft. pad/ ■ 0 to 48' 2 2 2 49' to 71' 3 3 3 72' to 84' 4 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: 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 (Hurricane) Vector Dynamics Systems Required for Single Section Homes (High Pier Sets with Diagonal Ties) - - 1 \e sect%o omm n�a gu\de\\nes 0� a7n ra\sP9oge- sa\\atio� EXaMoe,soW S geust be to m \n \Nustraidspa ngm ---' , tc ca 24" w WIND ZONE II (not to scale) Soil Classifications: Soil Bearing Capacity Anchors Required': 2,3, 4A & 4B 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 9 2 2tt myc.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' 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) w CO CD WIND ZONE II, SEISMIC ZONE 4 --'" home S. I . ♦ \ e�•� _ _ =� Vector Dynamics Systems Double Section Homes for " _ - - - _ . _ _ - ovb;e {oovec °on Manmva` g��de��n _ ; ♦ \ of a 7 net asps o�n a- EXamP�s ows g est be tO h m - vnds ` da�%on Pa _ C ♦ , ♦ ` � F — ' ~ ' � s;.� ilei .�: ,� .. ♦ J _ _ 1 — � � \ �. ; .;� ,f • •'rd yam'.:.. _ — — ' ♦ ` I ♦ ♦ JtY� Jl ` I ♦ ♦� x_ _ Z n mom. µ NI. 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. Maximum allowable working drag load for the Vector System with steel compression strut is 4,000 lbs. per the K2 Engineering test report. Soil Classifications: Soil Bearing Capacity Anchors Required": 2,3, 4A & 4B 1,000 PSF minimum 30" with 4" helix anchor (59095), 1-1/4" vertical ties w/4725 lbs. min 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: 1-44 or 2-2x4's pressure treated wood compression member, Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list) breaking strength 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 -----I• 2, 3, 4A, & 4B fUII trl ple 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 RequiredLSD Per Side Main TAG 0to48' 3+2 on Tag WIND ZONE II, SEISMIC ZONE 4 1 49'to71' ♦♦ 1 � Vector Dynamics Systems Required for 72' to 84' me " I ♦ `, �` �. Triple Section Homes 5+3 on Tag _ _ - ' " tk ao SIS tems 1 3 2 ♦ ^ ` (Materials Required) - - , _�� my\t\ ser _ _ ' ' , _ - - 76 mw, _-' - _ ac\�9 \e pf OL era\SP -_- ♦♦ ' ♦♦ ��I\Wstf S,010 l� � ' 1 _ I st ♦ � 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 -----I• 2, 3, 4A, & 4B fUII trl ple 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 RequiredLSD Per Side Main TAG 0to48' 3+2 on Tag 4 2 1 49'to71' 4+2 on Tag 6 3 2 72' to 84' 4+ 3 on Tag 7 3 2 86to90' 5+3 on Tag 8 1 3 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) 2 sq. ft. pad 2 sq. ft. pad Vector 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 2x4's through the piers, centered in the U - bolts. Outside Tension brackets attach the same, Inside tie brackets mount "upside down" as shown in drawing. Metal piers using the Vector System can only be used on level ground sets. 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 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. V -Drive System for rocky soil conditions V -Drive anchors are used only in 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 bolt. Cut the strap end about 12 to 15 inches past the anchor head to allow at least four or five wraps around the slotted bolt. Continue tightening strap until all slack is out and strap is tight. Page 16 California 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 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 of its resistance to penetration (flow) under load by means of the torque probe and is measured in Ib -in. The test probe has a helix on it. The overall length of the helical Section is 10.75 in.; the major diameter is 1.25 in.; the minor diameter is 0.81 in.; the pitch is 1.75 in. The shaft must be of suitable length for anchor depth. (2) A measure synonymous with moment of a force when distributed around the shaft of the test probe. Vector Foundation Pads Equivalent to Footer Pads* Footer Size: Footer Size: 16x16 = 256 sq. in. - - a 20x20 = 400 sq. in. = or 1 6x1 8 = 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 Pads) exceed the surface area required when used as the equivalent listed above. *Foundations in soil with a bearing capacity of less than 1,000 PSF must be designed by a Registered Professional Engineer familiar with site conditons (:�y� oum Page 17 California 9/2/03 Vector Dynamics System for Concrete 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" round (min) x 10" deep. The bottom of footers must. be below the frost line or a minimum of 4" below finished grade whichever is greater. Concrete must be sufficiently 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. 2. Place one Vector concrete pad (galv. 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. Illustration One of a Single Section Set -Up Vector pa for concretc footer Page 18 California Wood Cap and wedge Outside Tension Bracket Wedge Bolt *L 9/2/03 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 Ti Inside Tie Bracket Compressh boards of PVC Pipe U -bolt Y Page 19 California Vector pad for concrete Concrete footer luzz . 9/2/03 Uierrq l Soy `1 S0.c-h pi he MCI • sem- -�►c �qql ` OFFICE COPY Address GAS D Meter B ELEC Rl ate----- Me t ...... .aagwrn,+�.. .:� ...� .._ .. .__ „ --.- z... z-... �..-�,,,,.q.�tv--••+nr ...�-. xy' -u,. �eoy+`6.,,. n°` -K•[ 'I✓OUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES-- BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) _ APPLICATION ANDPERMIT AR NU BER (✓LZONING ASSESSORPG+ 7-110 -G/7-G BUILDING PERMIT OWNER Ed �F�,G� _ TELEPHONE ` (r 7s _ �i SO. Fi . OCC. BUILDING VALUATION .OWNERS ADDRESS l i•• 1,50 jj.•NNA CONTRACTORS 'S A I/r arc P��r,� TELEPHONE � 7Z - 72,gO ��//_ J / � , J� ZRS ME DRESS 54; w of t CONSTRUCTION LENDER ! Fireplace - LENDER'S MAILING ADDRESS - , �^"':� _ Total Valuation $ ARCHITECT OR ENGINEER ,-� LICENSE NO. Filen Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS `1 - + . Plan Checking Fee $ BUILDING ADDRESSf C 14`J Energy Plan Checking Fee $ $ r PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP. PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome IKOther SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel'❑ Utilities ❑ Installation ❑ Other �� `n,g� �! Describe Work: 15r� + 6_4h /7l�i ^ f 46 �cG�1')C ►1L:,r"1 �G.. Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W @20.00 /� r i U Z • PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 LES Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWEPPARATUS License Class Lic. No. '7 3d-/3/ 8 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for 'sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ Lam exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following, declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 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' compensatio�ryy insurance carrier and policy number are: Carrier gsX" e FL, I Gj Policy Number '3/ f. - 6j,*, V,7# 1-06G4,6 95 (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ` ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I sho6ld become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those,provisions. .��,r��..�- X r/ Date Signatdire of Applicarif - ❑ Owner ❑ Contractor .1t7 gent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service TO t 46.00so NEW CONST. DWELLING OCCUP. SO DWE200ALLING U OR ADONS. ( & ACC. BLAS. ; 3.50F7. P1ON.R SID. ' MULTI.OU CUI 97,50 8 SINGLER AOLJTLEi CIR. 2E Q 100 Ex. Occup. OUTLET OR FDITURES BAL @ .50 Ex. Occup. ouT>Frs(RRaO°FRn 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt S Mobile Home Installation Fee $ Energy Inspection Fee $ GCC CONSTTYPE . �} TOTAL FEE $ ,VU HAZ. D. FEES IMP I FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By Oma- PERMIT EXPIRES ON�`u©� a the applicable provisions Resolutions to do work been paid. % �% _( Date Date T U r. rHITE-D.D.S.-B.D. LReceiptNo. CANARY- SSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I /G flit 90.,V741167 COUNT# OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 P RMIT NO. (Rev. 12/96) APPLICATION AND -PERMIT 9����Pl ASSESSOR PAi�E4NUMBER/, — C/i/1 ZONING BUILDING PERMIT OWNER ,Ed 111 n/c, TELEP ONE 67� -189 7 SQ. FT. OCC. BUILDING VALUATION .OWNERS MAILING ADDRESS DS Sn` / ` g G/i�• `� _1-5 CONTRACTOR' 'M� e!lq/�ce A-ep 1n e TELEPHONE 672-72410 CONTRACTOR'S IUNG DRESS_54J 662 W,9 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS �G 5 r� rk �jrn e ,/f R / Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ArOther SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilitie•.s�❑ Installation ❑ Other la_� Describe Work: �e� / ail K / �gj iL� 61 / e �G i'r Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 LZ5. :�qc PERMIT FEE $ i ELECTRICAL PERMIT Filing Fee 20.00 800VOR LE Main Service 2o.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.FOWER License Class 7 341/ 3l (j Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A To I000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 ACC. BLDS. S° 3.5¢FT. 1.1OµRESIUT MULTI.OUTLET 97.50 APPARATUS a SINGLE OVILET CI R. EX. Occup. OUTLET OR FIXTURES 20 @ ,,00 BAL @ .w Ex. Occup. ourEiFrs AELNslo.°Ea 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the _performance of the work for which this permit is issued. 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' E3-,,,compensgqtio�y insurance Trier and policy number are: Carrier '�j e- E3-,,, Policy Number v/ — un f T-6Cocoq!j (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in •any manner so as to become subject to workers' compensation laws of Cal'rfgrnia, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwit o lywith th seprovisions. X Date 6 3G 9 Signat re of Applica - ❑ Owner ❑ Contractor gent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.001 Heating Cooling Hood 6.50 Ventilation FEi: $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HAz• D. FEES IMP FLOOD CDF PARCEL PD HD This permit is hereby issued under the of the Butte County Code and/or Resolutions indicated above for whit es have been By �j ✓✓)J PERMIT EXPIRES ON / pate) applicable provisions to do work paid. �J to 111 J% LL ate Receipt No. WHITE-D.D.S.-B.D. CANARY• SSESSOR PINK -INSPECTOR i GOLDENROD -APPLICANT 1 =15-99 02:11A OWNER: LOCATI CONTRACTOR: -4z,2 x�mnmaasaam^-� "'mxo PRE -INSPECTION FOR: PRE -INSPECTION .� DATE A. P. ZONING- P.04 DATE TO INSPECTOR n+saaams=a:ssnas�nssas�asaaocssmxaaaaooc=xo o asMaas�sa�asessmam�nmss=��_-a=sssa PERMIT HISTORY: F3 NONE 0 AS FOLLOWS: TYPE OF OCCUPANCY =�aaa�ta=assaa�ssaaxams�smosaacoasae—mmssacxss�ams�-caszQ===ae�oas-ss�xoscsx=mas•••�•^ BUILDING "USAGE: TENNANT: [� OCCUPIED =] [] HEATED -COOLED OTHER COMMENTS: FIELD - INFORMATION HAS ELECTRIC F] HAS GAS HAS SANITATION FACILITIES ED PERSON CONTACTED ACTION RECOMMENDED: 0 ISSUE a HOLD FOR OTHER: NOTES RESIDENTIAL 065-410-017' —,:4--99 ' VIERRA, Edward _- PERMIT ; PERMIT NO. _ 15059 Jack Pine Road, -Magalia.�----�— Contr: Owner ,Enclosed carport 99 -1613 -Set tank issued 7/28/99) SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) Signature ✓ = 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 Footings; Soils -Size -Depth -Spacing -Connectors -Steel 2. Soils; Special MH Support Sketch Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 3. Sewer; Location -Test -Fall -C/O -Concrete Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Frg-Bracing 4. Water; Location -Test -Easement Needed (Sketch) Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Carports; Windows -Doors 6. Gas; Location -Test -Wrap;-/ /" L'R. / P Nat. or/ /"L"ft./ /'LPG Electric 7. Well Clearance & Disconnect Frmg.; Sills-Anchors-Studs-Rttrs-Trusses 8. Utility Clearance Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 1. 4. Electricity; MH Test -Crossovers -Breakers -Clearances 2. 5. Drain; MH Test -Fall -Flex Connector 3. 6. Water; MH Test -Regulator -Connector 4. 7. Water and Sewer Connected -C/O to Grade -HD Approval 5. 8. Gas and Electricity Tagged 6. 9. Tie Downs -Type -Installation Cert. 7. 10. Exits; Insp.-Sketch 8. 11. Cert. of Occupancy 9. 12. Permanent Foundation Only; License Decal 10. Plumb.; Cir. Test -Water Supply Test Date Light Niche Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 .w 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-Rttrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 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.-/ r Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ r Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel- Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped Date 8. Piers -Fireplace Ftg.-Steel Card B-1 Date Card B-1 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 40. 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Walls Studs -Nailing Spacing & Braces -Plates -Sound 11. Water Pipe; Test -Anchors -Regulator -Service Test 43. 12. Electric Underground Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 13. Plenums & Ducts; Clearance -Material -Support -Ins. 54. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 15. Access & Ventilation 57. 16. Insulation Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts Date Brace Interior/Exterior Wall Panels Card B-1 Date Card B-1 Date 71. Card B-1 Date Card B-1 Date 72. PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 79. Insulation -Foam -Looked in Attic Date 80. Card B-1 Date Card B-1 Date 81. Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral ❑ Yes O No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Ring. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One T -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romer. Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor Q Yes 82. Following Instid./Drive ] Yes 0 No/Walks 0 Yes 0 No/Planters O Yes ] No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION rt 7 County Center Drive Oroville, California 95965 • Telephone (530) 538-7541 E T NO. (Rev. 12/96) APPLICATION AND -PERMIT / ASSESSOR PARCEL NUMBER 065-410-017 ZONING RT 1 BUILDINGPERMIT OWNER EDWARD VIERRA TELEPHONE 873-1897 SQ. FT. OCC. BUILDING VALUATION 5O 2250 OWNERS MAILING ADDRESS 15059 JACK PINE, MAGALIA CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 2250 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 54.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ -19-10 BUILDING ADDRESS 15059 JACK PINE, MAGALIAgy Ener Plan Checking Fee g $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.0023.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome JP Other CARPORT SPECIFY Solar or heat um water heater Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: ENCLOSE CARPORT Gas piping sy2tern 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W @20.00 PERMIT FEE t ELECTRICAL PERMIT Fling Fee 20.00 800VMain 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, and my license is in full force and effect.6 License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License r the following reason: ,as owner of the property, or my employees with wages as their sole compensation, Ly1willdo the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason TO Main Service 200A 1000A 46.00 NEW CONST. owEwWEU cuP. OCCUR AD ( ACCBLDSS3.52 ODNS. F°: NEW .MULTI -OUTLET NON.RESID. @7.50 PSINGOUTLET CIROWERLE APPARATUS R. Ex. Occup. OUTLET OR FIXTURES zo i.00 BAL 30 Ex. Occup. OurtEEDTs as o°Ea 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permitis issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed If the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' laws of California, and agree that if I should become subject to the workers' compensatio provisions of section 3700 of the Labor Code, I shall forthwith comply with o e prov' ons. X V 044A Date Signature of Applicant - ❑ Con actor E3 A An OSHA permit is require or excavations over 5'0" deep fiKd demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOT L FEE $ 109.10 HAz D FEES P FLOOD DF P C Po HD _ Vcompensation This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON 9/09/7/1 the applicable provisions Resolutions to do work been paid. Date Da Te Receipt No. 2/3599/$109.10 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT GQ�\ ROEI?>i: All Material8 & Workmanship Shall Be In Awordance with Recognized (food Praatioes and of a Quality Presoribed for the Specified use In the Uniform Building, Plumbing & Mechanics C ��) Codes and the National Electrical Code •eti oriplane �tMUMS MWbe r'► on the f ob at all Gimes it ie uniswM to ) U 04 changes or alter ns on same wtthaA written permission from the of Fume Works, County of Butte. ALL STRUCTURES AND EQUIPMENT INCLUDING OVERHANGS SHALL BE CLEAR OF ALL EASEMENTS.. A SET BACK OF S FT. FROM THE SIDE AND ,5 FT. FROM THE REAR PROPERTY LINES AND 50 F7'.. FROM THE ROAD CENTERLINE SHALL BE CLEAR OF STRUCTURES AND EQUIPMENT EXCEPT FOR A a FT. EAVE OVERHANG;. BUTTE COON Y BUILDING HEPAR EDIT APPRO� D FILE COPY FA t-2 AG�ZA (amu � er��"c���� 4 �� out X01 BUILDING DEPARTMENT ppROED 2 x 6 Rafters @ 16" o.c. 4 x 8 Header 18"x18"x18"piers N August 16, 1999 Edward Vierra 15059 Jack Pine Magalia, CA. 95954 Assessor Parcel Number: 065-410-017 Building Permit Number: 99-1729 ,butte C LAND OF NATURAL WEALTH AND BEAUTY BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE -- OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530) 538-2140 This office reviewed the above referenced building plans. Please respond in writing to each comment by creating a response letter. Indicate which detail, specification, or calculation shows the requested information. Your complete and clear responses will expedite the re -check and approval of this project. Provide additional information and/or make revisions to plans, specifications and calculations as_follows: 1. Enclosure of the carport will require a perimeter foundation and braced wall panels and their locations. This will be a requirement if the carport is enclosed on two or more sides. Please provide these details for this type of enclosure.. ' . 2. Approval from the California Department of Forestry will be required for this enclosure. A fee of $89.00 will be required for the plan review and approval by this department. 3. Plan review will continue upon receipt of the above items. Additional items may be required when plan review is resumed. If you wish to discuss any requirements, you may contact me at (530) 538-7541 between the hours of 1:00 p.m. and 4:00 p.m., Monday through Friday.. Sincerely, Glenn Gibbons Plans Examiner (Rev. 12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541ZZ-,� ERMIT O. APPLICATION AND PERMIT "� - ASSESSOR PARCEL MJMBFART /��^ �y �vf v (J ( ZONING�( BUILDING PERMIT / / OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MMUNG ADDRESS /Al ' CONTRACTOR'S NAME © C& T NE CONTRACTORS MALJNG ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS v Total Valuation $ ARCNRECT OR ENOWEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ - ARCWrECT OR ENGWEERS MMUNG ADDRESS Plan Checking Fee $ BUILDWGADDRESS Energy Plan Checking Fee - $ $ PERMIT FEE $ • LOT No. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFS CTURE nn__�! SF ❑ Duplex 13Mobilehome Other C I+i2 �� sPECFY Solar or heat um water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation 0Other ❑ Describe Work: C LD S Ci� �� Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W Q20.00 PERMIT FEE _ ELECTRICAL PERMIT Filing Fee 20.00 Main Service ',0,,,0,.' mss 23.00 - — --- ---- . ,gyp Main Service 200A TO IDDDA 46.00 NEW CONST.OwEWNfD OCCUP. 3.5¢Fo. OR ADDNS. ( 6 ACC. BLDS. N CONS . "LTFOIlTLET NON-RESID. @7.50 POWER APPARATUS 8 SWGLE OUIIET CIR 20 OUTLET OR FDRURES I'50 EX. OCCU 9AL .so Ex. Occu MD o.OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt: $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPETOTAL FEE $ l ,� NAZ. D. FEES IMP I FLOOD I COF PARCEL PD ND ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON (Date) OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your, sigoaturQ, Please complete and return this information at your earliest opportunity to avoid unnecessary da]sy in processing and issuing your building permit. No building permit will be issued uabl this verification is received. 1. I personally plan to provide a major labor and materials for construction of the proposed property* . provement :YES NO O --�' 2. I HAVE HAVE NOT igned an application for a building permit for the proposed We 3. I have con cted with the following person (firm) to provide the proposed cons4vcdon:: -WA-t1gE; - — — – ADDRESS:.7777-7 CITY• PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the.following person to coo+dittnste, supervise, and provide the majorwork: NAME: �.�7 .." ADDRESS. CITY, PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to pip�vide the work indicated: o NAME ADDRESS PHONE TYPE OF WORK'' SIGNED: PROPERTYOWNJfR:`. SOCIAL SECURITY NUMBER: DATE: Q,,,_0 2–� / n 4), D "NOTE: This Owner -Builder Verification is required by Section 19831-a-jU California Health and Safety Code. This verification must be -completed axi returned to our office before we are permitted to issue the permit OVER OWNER BUILDER INFORMATION 1 Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property_; ; improvements specified „ For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contactors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. f ; If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: V.. ♦ If you employ or otherwise engage any persons other than your immediate family, and the work-( including materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as contraetors`or subcontractors, then'you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security�taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contn'buticii .''.? ♦ There may be financial risks for you if you do not c out these obligations; and these risks are es• ecial .err Y Y Y an'Y � especially !s with respect to worker's compensation insurance.. ' ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. . — f If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their. own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. - Information about licensed contractprs may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. i rely Mic el ZiAora, .B.O. M ger, ilding Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER + 's �trj ... r�... r - ... •.f -.r ra • .. • . _V WOW -r •' f" d COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 ,t . PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL NUMBER: Proposed Building Use: Building Inspector: Date: At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: Date Received By All items have been submitted.------------------------------------------------------------------------------------- ❑2. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ 0. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings.--------------------------------------------------------- ❑ 8. Hazardous Material Form.------------------------------------------------------------------------------------------ ❑ 9. Mpinufactured Home data and installation instructions including Tie Down Specifications .------------------ Feesof $ ------------------------------------------------------------------------------------- pact fees as shown on the attached schedule. ----------------------------------------------------------------- Califonaia Department of Forestry plan approval/fees. --------------------------------------------------------- ❑ 13. Flood elevation certificate.---------------------------------------------------------------------------------------- ❑ 14. Sanitation and plot plan approval Health Department. ------------------• ❑ 15. City of Chico plumbing permit. ----------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: 1118. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ❑ 1.9. Encroachment Permit for driveway (construction approval prior to occupancy). --- ❑ 20. Pre -inspection for required. Request to Building Inspector on ❑21. Contractor's license information. (Number, Name Style, Classification). ---------------------- ------------- 1122. Workers' Compensation carrier and policy number. ----------------------------------------- ------------------ ❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner 0) ---------------------------------------- 024. Letter of signature authorization. -------------------------------------------------------------------------------- ❑ 25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- 1126. Letter of intent on building use. ----------------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance. --------------------------------------------------------------------------- ❑ 28. Existing violations and/or expired permits. ---------------------------------------------------------------------- ❑29. ❑433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .--------------- E130. -------------- ❑30. Other: ------ (Date) WWI you is esEu �th2 t��ollo Mail to owners a' o contractor. Telephone and hold for pickup at office. ❑ Del' ith inspector. Applicant: Date: Z7 nA Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution D_ : By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: D& eiTPlan Check List 2. Additional items required: Contractor, designer weer was advised of the above required data by ❑ phone,';IMail, ❑ Building Division counter, by Date:% Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Divis' n counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: — Yellow Copy - Department of Development Services, Building Division. A�. PERMIT N0. 3145-85B PERMIT EXPIRES OWNER EDWARD J. VIERRA CONTR.. owner ASSESSOR PARCEL 65-41-17 LOCATION 15059 Jack Pine -Way, Magalia S. 1 Temp. Power Pole_ Called PG&E _ Temp. Elec. Service Called PG&E_ = OK - = Not OK = Not Applicable MOBILEHOMES = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except p's 1. Zoning Requirements—Setbacks—Easements Date X6j DECKS, COVERS, CARPORTS, ETC. (Plans) OK except q's 3, 1. Zoning Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch 3. Sewer; Location—Test—Fall-C/0—Concrete 1,3 157Y3. If2. Footings; Size—Depth—Spacing—Connectors Dec"; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch)ood Awn.; P —B — —Co ec.—Sgthc.-- —Brading_ 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concretemns—Connections—Splice—Decal—Enclosures 6. Gas; Locatiort—Test—Wrap:/ /"L"ft./ P'Nat. or/ /"L"ft./ /"LPG 6. in ows—Doors 7. Utility Clearanceee� Card -BI Date Card -BI Date Card -BI Date/ S 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 h 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. Health Department Approval 9. Exits; Insp.—Sketch 10. Cert. of Occupancy 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 = OK p . = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR Plans .OK except #'s, . _ Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 2. Ftg.,.Main; Soils-Steel-Elec. Grnd.: / /" Ftg. Depth 48. 49. Property Line Firewall & Openings Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / . /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. Q.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. 12. Electric; Underground 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 N's Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except q's 56. Ext. Steps -Door & Sidelight Protection -Landings 57. Smoke Detector 14. 15. Water Ht.; Vent -Access -Combustion Air Water Pipe; Test & Anchors -Nail Protection 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection -" 16. D.W.V.; Test-Fttngs &Anchors -Nail Protection 59. Bedroom Exiting 9 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 q'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 22. Size Boxes & No. of Conductors -Stapled 70. Plb., Elec. & Mech. Equip. Listed for Location 23. Rumex Installed Close to Edge of Studs & C.J. 71. Elec. Receptacles in Garage; (G.F.I.)-Rumex Protec. 24. Equip. Ground made up w:/Mech. Fasteners -Bond Gas &.Water 72. Insulation -Foam -Looked in Attic E] Yes 25. 2 Appliance Circuits in Kitchen & Conductor Size Guard Rails & Deck Construction -Post Caps 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes E) No 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes E-) 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 Card B-1 Card B -I Date Date Card -BI Date Date Card -BI Date MECHANICAL (Permit) OK except N's 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House 82. Glass Protection 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. 33. Vent Fan; Exhaust above Insulation Condensate Drain & Overflow; Size & Grade 86. Energy Compliance Certificate -Other Certificates 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FRAMING(Plans) OK except k's Card -BI Date Card -BI Date Comments at Final: 36. Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing 42. Hangers -Post Caps -Anchors -Connectors 43. 44. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfn_g_. Fireplace Ties or Type A Flue -Fireplace Throat 45. 46. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: An entry must be made each time youvisit jobsite) J— . COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. ,--- • 7 County Center Drive - Oroville, California,95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSES. ORJ�I C€=),U BER `f // ZONI G ri BUILDING PERMIT OWNEW ' TE EP o E SQ. FT. OCC. BUILDING VALUATION eo v / 9/v OW E 'S MAILING RE 5 ( f s - CONT CT R'S NAME LE HO CONTRA O 'S MAILING ADDRESS , Fireplace CONSTRU TION LENDER UNKNOWN 1 Total Valuation $ Filing Fee $ 10,00 LENDER'S AILING ADDRESS Permit Fee $ 11 9RIO ARCHIT T OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS F Permit fee $ ` PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 F Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME 1 PARCEL AP f . Water piping 5,00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF El Duplex❑ Mobilehome)6 Other SPECIFY Gas piping system 1 - 5 outlets . 5.00 Building sewer 5.00 Mobile Home I S FG JW 1 10.00 ea TYPE OF WORK New X Addition ❑ Rem el Utilities ❑ In allati n❑ Other[] Describe work: l�rh I C� (/ lQ �_ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6101 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 Business and Professions Code and my license is in full force and effect.SINGLE License No. Classification 4- 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) ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.// DWELLING OCCUP.& , OR ADDNS. l ACC. BLOGS. /20sgft NEW CONSTR ULTI.OUTLET 2,50 ea NON•RESID BRANCH CIRC ITS POWER APPARATUS &) OUTLET CIR. Ex. Occu 20 ®OOC p OUTLETS OR FIXTURES eAL030 FIXED APPLNS, OR Ex. Occup. OUTLETS IRESID.1 EA.) 2.00 O Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 9 Permit Fee " $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. XI 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 FiIIng 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 Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against is costs, an expenses which may in any way ccrue all liabilit�ounty against ic e nc of thegranting of this permit. eo %� Date Signature of Applicant Owner Contractor E] 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, CONST.TYPEJ I JFLTRCELJ PD ND ISSUE This permit is hereby issued under Bions of the Butte County Code and/or work indicated above for which DIRECTOR OF P LIC By., Ww PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date 1 ✓ Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT d i�+�_t >i:�_ -w'{ilY'•F3t�Flif? 1SZ@�ry{:A+�' �7 N./$f.���•j T� :WW�IYS/ , ��� Y• / - / O 1 `� ,`..'1/�'J�7�:J11��'•W��IrrL��Jjj ►?JYnili'! 1►f% Y1t�aj�R�'l ►�J/►jJ�U�®��� / / - ' ti ' YiYt. _;. / • / 1 / 1 ' W►�}►1.4yy / ' 1 / � i•-��:J.L.ili: �}CY}:i / s .'ta NAME AND ADDRESS OF AGENCY COMPANIES AFFORDING COVERAGES NASSIE INSURANCE SERVICES PO DRAWER L COMPAN Y A PARADISE, CA 95969 LETTER SAFECO INSURANCE COMPANY COMPANY B LETTER NAME AND ADDRESS OF INSURED COMPANY LETTER C EDWARD OR PRISCILLA VIERRA 15059 JACK PINE WAY COMPAETTERNY D MAGALIA, CA 95954 COMPANY LETTER This is to certify that policies of insurance listed below have been issued to the insured named above and are in force at this time. Notwithstanding any requirement, term or condition of any contract or other document with respect to which this certificate may be issued or may pertain, the insurance afforded by the policies described herein is subject to all the terms, exclusions and conditions of such policies. COMPANY POLICY Limits of Liability in Thousands EACH AGGREGATE LETTER TYPE OF INSURANCE POLICY NUMBER EXPIRATION DATE OCCURRENCE GENERAL LIABILITY E]COMPREHENSIVE BODILY INJURY $ $ FORM PREMISES—OPERATIONS PROPERTY DAMAGE $ e $ ❑ EXPLOSION AND COLLAPSE HAZARD ❑ UNDERGROUND HAZARD ❑ PRODUCTS/COMPLETED OPERATIONS HAZARD BODILY INJURY AND ❑ CONTRACTUAL INSURANCE PROPERTY DAMAGE $ $ ❑ BROAD FORM PROPERTY COMBINED DAMAGE ❑ INDEPENDENT CONTRACTORS ❑ PERSONAL INJURY PERSONAL INJURY $ AUTOMOBILE LIABILITY BODILY INJURY (EACH PERSON) $ ❑ COMPREHENSIVE FORM BODILY INJURY $ ❑ OWNED (EACH ACCIDENT) ❑ HIRED PROPERTY DAMAGE $ NON BODILY INJURY AND i - -OWNED PROPERTY DAMAGE $ COMBINED ' EXCESS LIABILITY ❑ UMBRELLA FORM BODILY INJURY AND ❑ OTHER THAN UMBRELLA PROPERTY DAMAGE $ $ COMBINED FORM WORKERS' COMPENSATION STATUTORY x A and OS 217330 3-31-86 ,.. EMPLOYERS' LIABILITY (EACH ACCIDENT) OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES+ .t Cancellation: Should any of the above described poli es be cancelled before the expiratioh date thereof, the issuing com- pany will exql�NXWAgxmail _-8— da�FAaP notice to the bel'oWWamed certificate holder, 1sa4.,tal<�tmlz NAME AND ADDRESS OF CERTIFICATE HOLDER: COUNTY OF BUTTE DATE ISSUED: OCTOBER 30, 1985 ,�DEPART_M_ENT OF PUBI;I"C–WORKS;BLDG,_, iIV0� 7 COUNTY CENTER DR. — `- OROV I LLE , CA 95965C_ MAR ED RE ESE IVE ACORD 25 (1.79) X861 1 00 I OWNER COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET Proposed Building Use 1\061 Permit Fee Based Upon: Complete Contract Price Other (Explain) Permit No. A,. P. No. _DPW Valuation Building Inspector( d /j�./.Y Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: 1. AI I. items have been submitted. 2. Plot plans in duplicate/triplicate. 3. Complete plans in duplicate/triplicate. 4. Complete engineered plans and calcs. 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 $ Letter of signature authorizati 10. Sanitation approval from Health Dept. \ 1. Planning approval for (A) Use: (B) Parking: 2. 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. Contact Land Dev. Sec. of D.P.W. (see address below). 16. Mobilehome Installation Data. 17. Pre -inspection for required. 18. Recorded copy of Agricultural Acknowledgment Statement . . . _ 19. Other When you issue the permit, proce s as follows: Mail to to oo�w,,ner. Mail to contractor. Telephone �� and hold for pickup at _to� .L office. Deliver w/inspector. Other Applicant GENERAL INFORMATION BUILDING DEPARTMENT OFFICES Chico. . . . 196 Memorial Way Phone: 891-2751 Hours: 8:00 a.m. - 10:00 a.m. Orovi I le . . . 7 County Center Drive Phone: 534-4541 Hours: 8:00 a.m. - 5:00 p.m. Paradise. . . 747 Elliott Road Phone: 872-2961, Ext. 57 Hours: 8:00 a.m. - 10:00 a.m. Date" J� HEALTH DEPARTMENT OFFICES Chico . . . . 196 Memorial Way Phone: 891-2727 Hours: 8:00 a.m. - 9:30 a.m. OroviIle . . . 7 County Center Drive Phone: 534-4281 +Hours: 8:00 a.m. - 9:30 a.m. Paradise. . . 747 Elliott Road Phone: 872-2961, Ext. 58 Hours: 8:00 a.m. - 9:30 a.m. PLANNING DEPARTMENT — 7 County Center Drive, Oroville — Phone: 916/534-4601 CALIFORNIA ENERGY COMMISSION — 1516 - 9th Street, Sacramento — Phone: 916/324-3000 LAND DEVELOPMENT SECTION DEPARTMENT PUBLIC WORKS — 7 County Center Drive,jOr%oville — Phone: 916/534-4339 Original—Applicant PERMIT NO. 2575-80B PERMIT EXPIRES. OWNER Ed Vierra CON TR. LOCATION (A.P. 65-41-17 i, 265 Jack Pine Way, lot 121, PP#3, Magalia L. �i t / l '1 Fy . Y C J e� I� e,t /t Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E a Temp. Gas Serv. Called PG&E JOB FINALED /17 0 (Date) (Signatu ) \ t i COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORK'S _ BUILDING INSPECTION RECORD P1 B ILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping ' Forms Parapets 1st Floor f Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out t Slab Roof Sheathing Water Pi in Piers Roofing Sewer 9 Garage Fdn. Vents Fixtures +. Footings Garage Vents Water Htr. Stemwall Insulation Heaters Slab Carport f Footings J 71 Prov. for physicalfyAppliances handicap ed Conformance of a structure Gas Piping & Tlest Temp. as Slab Final6 ( ;W` Sanitation Patio FIR LACE Final Footings Footing ELECTRICAL -Masonry Walls Throat Rou h Reinf. Steel Final Fixtures Bond Beam FIRE APRINKLERS Motors 4 Framing / % Test Water Htr. Stucco Final Subpanels r Mesh ECHANICAL Grd. Fault Plot. ' Scratch Heating Service Brown Cooling Temp. P Ie ! Finish p Ducts Under r and Interior Lath Ventilation Penna ent Door Closer tnmn� Final Final J MOBILEHOME UTIL TIES - - - - - - - - - - - - - - - - - Elec. Service Elec. Pe estal Water Piping Sewer Gas Pipin •bOS2§16EHOMEI STALLATI N - - - - - - - - - - - - - Support Elec. Con nuity Water Piping Drainage L Gas Pipin I DATE REMARKS OR CORRECTIONS E G i t r i I, E r f i 1 (NOTE: An entry must be made on this form each time you visit the job site.) f _ , COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION.AND PERMIT PERMIT NO. ASSESS -OR PAR@EL NUMBERZ .-.�1/-� / ING - BUILDING PERMI OWNER �Nr�' TELEPHONE ®7,�r` �/ SQ. OCC. BUILDING UATION pFT. 727 e i Q� OWNER'S MAILIN AD,ppRES - 6 S' e'k Ar"10 G�var �i CONTRACTOR'S NAME ELEPHONE owN >✓2, CONTRACTOR'S MAILING ADDRESS CONSTRUCTION ,LEENDER KNOW N, Fireplace Total Valuation $ Z ,, LENDER'S MAILING ADDRESS Permit Fee $ Z,4,e00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ r�01 BUILDING ADDRESS It Cu o PLUMBING PERMIT Filing Fee 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 Gd: Water piping LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome$ Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other g Describe work:_ Cd� U.-�f7L Permit Fee' $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 6101 OR LESS 100 AMP OR LESS 5.00 ' Main service EA. ADD'L 100 AMP 2.5.0 NEW CONST. ( DWELLING OCCUPM OR ADDNS. ACC. BLDGS. 2¢sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business' and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or, my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) NI, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ . I am exempt under Sec. , Business and Professions Code for this reason 4Contractor NEW CONSTR MULTI-CU2,50 ea NON-RESID BRANCH CIRC ITS NEW CONSTR( POWER APPARATUS 9) - NON-RESID. SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 50 @ @SC BAL�10Q FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service - 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 3.00 Heating Cooling Hood 2.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct.'I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, nd expenses which may in any way accrue against said ounty i nse ce or the granting of this permit. ) %� Dat (My Signature of Applican 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 $ Land Development Fee $ TOTAL PERMIT FEE $ aC ) OCCUP. GROUP l I TYPE of CONST. I PARCEL PD +/J 155 This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PER EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date S 2.QQQ �Q/o Receipt No. �We5p WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT y )PER"T NO. 3938-78� PERMIT EXPIRES r OWNER Ed Vierra fCONTR. Tri -V Const., Paradise i 65-41-17 iLOCATION (A.P. ) Xg 265 Jack Pine Way, lot 121, PP#3, Magalia ( r ' i • 1 Temp. Power Pole ' f Called PG&E -1% Temp. Elec. See , Called PG&E tt Temp. Gas Serv. Ca -I ed PG&E 4 / Q I V14NALED (Date) ) C �c (Signatu e) f COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS, ' • 'BUILDING INSPECT-l'ON:RECORD BUILDING , - BUILDING (Cont'd) ' PLUMBING Setback Firewall Soil Piping Forms Parapets "1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwal I Garage Vents Insulation Water Htr. Heaters Slab Prov. for physically handica ed Appliances Carport Footings Conformance of ex. structure Slab Final / l -V 'C'A Patio FIREPLACE Footings Footing Masonry Walls Throat Reinf. Steel Final Bond Beam FIRES INKLEF Framing Test Stucco Final Mesh M CHANICAL Scratch Heating Brown Cooling Finish Ducts Interior Lath Ventilation Door Closer Final MOBILEHOME UTILITIES -------------- --- i Elec_ Service Water Piping Sewer BI E ME INSTALLATION - - - - - - - - - - - - - Support Water Piping i Drainage - DATE REMARKS OR CORRECTIONS_ Gas Piping & Test Temp. Gas Sanitation Final EL Rough Fixtures Motors Water Htr. Subpanels Gird. Fault Pro Service Temp. Pole Under roun Permanent Final Elec. Pedes4i Gas Piping Elec. Conti uity Gas Piping (NOTE: An entry must be made on this form each time you visit the job site.) ICA L r Owner Mailing Address 1 COUNTY OF,BU'"TJE — DEPARTMENT OF PUBLIC WOR S 7 County Center Drive - Oroville, California -95965 9soTelephone54-4J413QQQ t APPLICATION AND PERMIT BUILDING %_ SO.FT. OCC. BUILDING VALUATION Code which requires every employer to be Insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Wor en's Compensation Insurance. certify that in the performance of the work for. which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of Cal i forni a. I certify th I have read this application and state that the above informatio is correct. 1 agree to comply to all County Ordinances and Stat Laws relating to building construction, and hereby authoriz representatives of the County of Butte to enter upon the above -in ntioned property for inspection purposes. Date Signature of Permii/teeAge 101, Receipt No. 1 - r _ White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Cooling FEE FEE FEE Ventilation Hood 1 1 2.00 Permit Fee $ $ Land Development Fee $ TOTAL PERMIT FEE $ This permit is hereby issued under the applicable provisions of ' the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR 0 BLIC WORKS By Date_% % 0' Buil ng permit expires Date 79 Telephone No. I Contractor v i✓ I Mailing Address Fireplace Total ValuationVoo T phone No. Permit Fee Building Address Plan CheckingFee &/orPenal ty Permit Fee _ PLUMBING No.1 @ h- u) -r f2� �t041,3 PERMIT FILING FEE $3.00 Each Trao 1.50 �� Repair drainage or vent piping 1.50 -_ye_ 7 , . A. P. No. Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F n ion Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EOA Parking Plans ParcelEach Declaration Parcel Map 60' R/W Improvements additional outlet .30 Building sewer 5.00 Bldg. s Recd I Parcel AEp6al I Plansroyal Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ ELECTRICAL No. @ PERMIT FILING FEE $3.00 00V OR L Main service 100 AMP ORSLESS 5.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 ' Main service OVER soov 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELLING OCCUP. d OR ADDNS. ACC. BLDGS. 2�sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9. Div. 3, of the State of California Business & Professions Code under the name style of: 4 / ULTI NEW CONSTR / RANCH CIRCUITS) NON.RESID `BRANCH CIRCUITS) 2.50es NEW CONST R POWER APPARATUS 6 NON.RESID. SINGLE OUTLET CIR. Ex. Occuo(OUTLETS OR FIXTIIRES 250 BAL FIXED APPLNS. OR Ex. Occup -(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. 30 5 d Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor MECHANICALNo @ PERMIT FILING FEE J$3.00 IHeating Code which requires every employer to be Insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Wor en's Compensation Insurance. certify that in the performance of the work for. which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of Cal i forni a. I certify th I have read this application and state that the above informatio is correct. 1 agree to comply to all County Ordinances and Stat Laws relating to building construction, and hereby authoriz representatives of the County of Butte to enter upon the above -in ntioned property for inspection purposes. Date Signature of Permii/teeAge 101, Receipt No. 1 - r _ White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Cooling FEE FEE FEE Ventilation Hood 1 1 2.00 Permit Fee $ $ Land Development Fee $ TOTAL PERMIT FEE $ This permit is hereby issued under the applicable provisions of ' the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR 0 BLIC WORKS By Date_% % 0' Buil ng permit expires Date 79 l (PERMIT N0. "5601-77P,E l y PERMITEXPIRES jOWNER Ed Vierra CONTR. Tri V Const., Paradise LOCATION (A.P. fiIix�i3R ',6541-17 j 265 Jack Pine Way, lot 121, PP#3, Magal is 3 Temp. Power Pole Called PG&E Temp. Elea Serv. ? 7 C Called PG&E 3 7 $ !q_ - Temp. Gas Serv. Called PG&E OB 3 /7 /76, FINALED (Date) n. Wim• (Signature e 4 . . 1. MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome locatedh required separation from lot lines and buildings and generally conform to plot plan? Yes P- 2. Does the mobilehome have.required clearances above ground? (Sec.5085) Yey- No 3. Are footings and supports properly sized, spaced, and braced akydr approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) YesNo 4. Is the mobilehome level? (Sec. 5088) Yes�To- 5. Ifqnope.than a single unit, are crossover connections properly installed? (Sec. 5088) Yes No 6. Water A. I exible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yei"— 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 k" per foot slope and is it properly supported? Ye S\ No C. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe? Yes No D. If coachs of State of California approved; does station have required trap and vent? Yes Nov 8. Gas Piping and Gas Vents A. Connector - Is obilehome con ected to the gas supply with an approved 3/4" minimum mobilehome conne for not more than 6 ft. long? Note: All piping is to be at least as large as the mobs ehome gas ine itilet without reductions other than the mobilehome connector. Yes Not B. Test OK as per fol owing p ocedure? Yes— No 1. Open all applia ce co nector valves. 2. Shut off applian urner and pilot valves. 3. Air test with man eter to 10"-14" water column, or.test with slope gauge (minimum 6oz.-maximum 8 o .) calibrated in tenth pound increments. Test for 10 min. without drop. 4. Connect gas m ter to obilehome with connector, turn on gas, test connections with soapy water. C. Are all applian a vents pro rly installed? Yes— No 9. Electrical A. Is service large enough to provide adequate amperage�to mobilehome (must equal rating of mobilehome with a minimum of 100 amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes No B. Is there proper clearances around panels? Ye)( No C. Is power supply cord•or feeder assembly properly fused? YeS� No D. Is continuity test satisfactory as per the following procedure? Yes No— . 1. De -energize electrical wiring system of the mobilehome at the pedestal 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6: Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, .the lot or site service equipment may be approved for energizing. 10. Is job carPsigned by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA Manufacturer and/or Namestyle cc- Lyt'n Length Ce 7 Width 7B' Vehicle Serial Noca State Identification No. CFO talr�/V Additional Information or Comments: Stucco Final Sub anel Mesh MECHANICAL Grd. F It Prot. Scr ch Heatin Servi B wn Cool g T p. Pole In Du s Ifnderground Ir4erlor Lath V ntilation Permanent oor Closer anal inal MOBILEHOME UTILITIES ----- Elec. Service 7 % ` 7 ' 2 e � Elec. Pedestal �--. Water Piping -7 Sewer /- Gas Piping MOBILEHOME INSTALLATION =........... Support k 06 Elec. Continuity Water Piping ? ? L• Drainage v Gas Piping — DATE REMARKS OR CORRECTIONS U 3 i ba - (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF OUBUC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING S back FI wall So Piping Fors Par ets 1 Floor Mal Bldg. Restr m Finish 2nd loor Fo tins Window 3rd F or Stem all Siding To out Slab Roof Sheahting Water PI i Piers Roofing Sewer GarageFdn. Vents Fixtures Footin s Stemwa l l Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physicall handica ed Conformance of ex. A structure Appliances Gas Piping & Test Temp. Gas • Slab Final Sanitation Patio FOEP6,ACE Final Footings Footing E ECTRftl- Masonry Walls Throat Rough Reinf. Steev Final Fixtures Bond Bea IRE SPRINKLEFIX Motors Framing Test Water Htr. Stucco Final Sub anel Mesh MECHANICAL Grd. F It Prot. Scr ch Heatin Servi B wn Cool g T p. Pole In Du s Ifnderground Ir4erlor Lath V ntilation Permanent oor Closer anal inal MOBILEHOME UTILITIES ----- Elec. Service 7 % ` 7 ' 2 e � Elec. Pedestal �--. Water Piping -7 Sewer /- Gas Piping MOBILEHOME INSTALLATION =........... Support k 06 Elec. Continuity Water Piping ? ? L• Drainage v Gas Piping — DATE REMARKS OR CORRECTIONS U 3 i ba - (NOTE: An entry must be made on this form each time you visit the job site.) r ri > COUNTY OF BUTTE. — .cDEPARTMENT OF PUBLIC WORKS y 7 County Center Drive — Orovi Ile, California 95965 ._ Telephone: 534-4541 APPLICATION AND PERMIT Owner L Mailina Address Contractor I U IT - Mai I I ng TMailing Address (;CR C6 Fe2N Building Address A. P. No �raL4 .2te6- JA CII! Telephone No. T le hone No. (97- 0-( PPS- ' joQ -4e- ,4 Zontn yj—VerificaSon,C I . o Fire Dept. Fire Zone Use Permit EOA IParkingI Parcel Parcel Ma I 60' R/W I Im r Plans Declaration p ovemen f3 s Recd ' IParcel`"Xpproval I Plans tp—proval NEW ❑ ADDITION ❑ UTILITIESTV OTHER ❑ Single Family ❑ Duplex ❑ Mobil Home Others ❑ FOR MOBILES _ BUILDING ' SO. FT. OCC. I BUILDING VALUATION Fireplace $ 1�), 3 — Total Valuation @ FEE Permit Fee 2— Plan Checking Fee &/or Penalty 5.00 — Permit Fee 2.50 PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping —1-.-M /C) Each gas water heater or vent 1.50 Gas piping system -1 - 5 outlets 1.50 Each additional outlet .30 Building sewer —4-aer, Lawn sprinkler system 2.00 Permit Fee $ 1�), 3 — ELECTRICAL No.1 @ FEE PERMIT FILING FEE J$3.00 2— Main service aoov OR LESS 100 AMP OR LESS 5.00 — Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. AOD'L 100 AMP 1.00 NEW CONST. / DWELLING OCCUP. &\ -- I NON.RESID. % BRANCH CIRCUITS/I Ic.VVZOI I II CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name Ex. Occup(OUTLETS OR FIXTURES)raz5¢ BAL LOIC style of: ` Ex. Occup. FIXED APP ESI .OR ) p � 1 P• (FIXED A L SID,) EA) 2.00 %_/ (KIFA s , Temporary service 10.00 Mobile Home Facilities 15.00 License No. :.Classification- E] Misc. Wiring 6.25 �,o 2-9 Classification l� ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE MECHANICAL No. @ PERMIT FILING FEE $3.00 1 am aware of the provisions of Section3700 of the California LaborHeating Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I hav placed on file with the County of Butte a certificate of W men's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State s relating to building construction, and hereby authorizer esentatives of the County of Butte to enter upon the above -me o ed property for inspection purposes. Date $i ature of Per -mi e o,v<gen Receipt No. 6 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant a Coolinq - Ventilation Hood 1 2.00 Permit Fee $ $ LAV1,Q v Ft; it TOTAL PERMIT FEE Is 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 p DIRECTOR OF UB IC WORKS By ate/ Z—/—�? Building permit expires Date /y—/— 7 r 9 COUNTY OF'BUTTF; DEPARTMENT OF PUBLIC WORKS Z�9 • - 7 County Center Drive — Otoville, California 95965 / Telephone: 534-4541 / APPLICATION AND PERMIT mu LI wl'&V 1VP1VoVIILGLlvQA UI LIIC 1�UUIIIy VI DUMC LV Clllel UNUM Lne above-mentioned property for inspection purposes. i x — C---. X �2 �t✓c��y->— Date Signature of Permitee �orjAgertA7 Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte Qpunty Code and/or resolutions to do work indicated abov7�,111DIPA5UM ich fees have been paid. 0 PUBL14 WORKS Bu BUILDING Owner v r� SQ. FT.. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor MailingAddress �, / Fireplace Total Valuation Telephone No. f77 -7Y Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee s LU!< PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 4a 7- Jo2 Repair drainage or vent piping 1.50 A. P. No. 5 Zoning &Planning Water piping 1.50 Each gas water heater or vent 1.50 Fe,wef P.,16 1 Semi-ta*en I Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 � Plans Recd Parcel A Plan oval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER, permit Fee $ is ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 1100v OR LESS 5.00 10o AMP LESS Single Family Duplex Mbil H ❑ oome Others ❑ � ❑ L Main service EA. ADD - 100 AMP 2,50 Main service OVER 600 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST OR ADDNS. ACCLBLDGS.LING CCUP. B� 2¢Sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name st le of: y NEW CONSTR BRANCH CIRCUITS: NON-RESID. ( BRANCH CIRCUITS/ 2.50ea NEW CONSTR.POWER APPARATUS 5 NON-RESID, (SINGLE OUTLET CIR. 25 Ex. Occuo{OUTLETS OR FIXTIIPES 1 5 L@1J Ex. OCCU FIXED APPLNS. OR p•�OUTLETS (RESID•) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 q(� License No. 1o/ d Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of 1� Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL iNo4 @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Feed $ LL,) Q( TOTAL PERMIT FEE $ Q( mu LI wl'&V 1VP1VoVIILGLlvQA UI LIIC 1�UUIIIy VI DUMC LV Clllel UNUM Lne above-mentioned property for inspection purposes. i x — C---. X �2 �t✓c��y->— Date Signature of Permitee �orjAgertA7 Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte Qpunty Code and/or resolutions to do work indicated abov7�,111DIPA5UM ich fees have been paid. 0 PUBL14 WORKS Bu MOBILEHOME SUPPORT DATA If other than single wide, Mobilehome `Mfr. �o%�O�u s`7� furnish Setup Model No. J,7 -43g> Year �;o Width- ;2 22ol (ft.) Box Length.•4.S'_(ft:.)•- Tagalong -or Expando Size ft. x ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of mobilehome unless otherwise specified. _ .. Footings .(check one) 77y1 (ft.)(in.) Center support locations* (in.) (in.) Center support footing sizes (in.) (in.) (in.) (in..). (in.) �x7 in. in. (in.)j(in.) i jax3d E:� Single Wood either pressure treated or foundation grade. *If center piers are other than drawn above, draw in -locations, spacing, and dimensions. E] 2. Other (specify) Supports (check one) �-- 1: Concrete block. 2. Other (specify) Tagalong or Expando, show support details. t,/,Z x7® -- Typical.. Support (in.) (in.) Footing Size Max. Pier Spacing (ft.)(in.) I- I E 11 - I -- Max. Overhang (ft.)(in.) BUTTE COUNTY r BUILDING DEPARTMENT APPROVED BUTTE DEPARTMENT OF PUBLIC WORKS' .COUNTY, 7 County Center Drive,7'Oroville { PHONE: 534-4541 • ' • P _ MOBILEHOME INSTALLATIONSHEET f 1: Owner.' s name: V,1 P,R ' 2. Installer's name,: - s a S"�i� 3:, Is the site currently under permit? Yes—LA/� %(If -yes, furnish permit number , 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 .. Aye � ...`, ' .. F `,- '•• 3 � ' �p�` �_- —clearof all setbacks and easements? Yes No / (If no, clarify ) 5.. What is the mobilehome electrical rating? ----------------------- ®lam.° Amps 6. What is the mobilehome site service rating? ----------- ------- ` 2a ,a Amps 7. What is the mobilehome site circuit breaker rating? ------------- Amps ' 8. Is there any other electric :load to be served by the mobilehome site service? ----------------- ---------------------------------- Yes / / �No (If yes, identify.the load and size: (Load) (Amps) An.."' ) 9. What is the mobilehome site gas�oipe size? 10. What is the type of gas service? ----------------------------- Natural/ / ";LPG " 11. What is the gas pipe length from meter'or tank to the mobilehome? (ft.) .._ . �... 12. What is the mobilehome-gas demand? ----------------------- { (This information not'required if pipe length less than 6.fton natural gas. " or less than 50 'ft. on LPG.) _ 41 - ' ... -}'•41 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, , Title 25, Chapter 5, under permit ` number VS"_ 7k� for the following location: 2 �-1 J9C4 yrr�cJ (.P-, ./ %flip `1<J L Il � Owner , o Owner's Address &4M _ Mobilehome Mfg. (AGOt'nl� S� Model Year7� Insignia No. Id �'� 73 / 73�— Serial No. It is hereby certified for occupancy at the above described location and may be occupied. DireZ of Public Works Date 3 /7/71::r- By I I I- THIS CERTIFICATE t VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. r COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS —7—COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter. 5, -under permit number ` V-17- TS�' for the following location: -� � -� Jr7C�✓ /lrr�c CA+ I / A%/j y/% (- "l r Owner P h 0 It X1420 Owner's Address S4mt' Mobilehome Mfg. Model Year?-� Insignia No. 14r)�? (� 73 / & -:2 735— Serial No. It is hereby certified for occupancy at the above described location and may be occupied. - Director of Public Works Date / 7 / ' By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED % White -Owner, Yellow - Installer, Pink - D.P.W. OROVILLE, CALIFORNIA GENERAL CLAIM Hess Backhoe Service CLAIMANT: P.O. Box 308 ADDRESS: Paradise, CA. 95969 CITY & STATE: IMPORTANT: December 1, 1977 SEE INSTRUCTIONS DATE OF CLAIM: ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Contractor not going to do job. (Octiner: Ed Vierra - Permit #5216-77PE'- Receipt #170209- AP 65-41-17 Plumbing permit fee ----- $23.00 Amount of refund due ------------ $20.00 Electrical permit fee --- $25.50 Retain filing fpp - w 3-00 Amount of refund due ------------ $22.50 Permit fees refund due ---------- $42.50 TOTAL REFUND DUE -------- ----- $67.50 $67.50 .TOTAL $6 .50 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. Datedthis .................................. day of ............................. 19....... at................................. Calif..................................................................................... Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de- livered and that the{st a Budget Appb eo`�n❑ or Specif�.fnoerd,A%V aii (Checkone) for the same. Datedthis .................................... day of ............................. 19....... at .............................. . Calif..................................................................................... Department Head or Authorized D eputy Dept. Exp. Code............................................ Code ................................................PAYABLE FROM............................................................................................ FUND DO NOT ,WRITE BELOW THIS LINE - AUDITOR'S USE ONLY VENDOR CODE DEPT. & SUB. PROD• SUB. 0BJ. CLAIM NO. I INVOICE NO. INVOICEGROSS DATE DISC. AMOUNT' ENCUMB. SUB -DIST. , f e .•a..rY•, fT., �• � r•i r.Ti Q3 .S .l.! -1 (' ._..Y INSTRUCTIONS f'?to-'=AGM-1 ANTAS'?A 'T fr,t.. All claims against the county must be itemized; -giving _dates; and character of service rendered. or work_ perfoymed•,-'-quantities,�tde- . scription and unit prices of articles-fuirii'shedl or delivered. Claims must be certified by the :c,laimini-and submitted -fo the De- ' partment head for approval. ';upon approval rthe-Departmeni head ur will forward claim to County Auditor for payment procedure.. Do not file with the County Auditor first. Claims should -be presented to officials for approval immediately upon completion of services requested or material ordered. Claims are paid every Tuesday;' however, same must be approved by officials and in Auditor's office before preceeding Wednesday noon. Compliance with above will expedite payment of claim, failure to do s so may delay payment considerably. J,. COUNTY OF BUTTE° — DE,5jNRTMENT OF PUBLIC WORKS 7 County Center Drive I Ortvi Ile, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT 5� /�o j7 X ate Signure of Peermitee or Agent at Receipt No. 1 /7 () Z 165 ` White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Ine tsutte county coae anaior resolutions to do work indicated above for which fees have been paid. DIRECTOR 0 PUBLIC WORKS BY �" Date__ 77 Bul lding permit expires Date 7y BUILDING Owner Aeit 6 SQ. FT. OCC. BUILDING VALUATION Mailing Address ,. Telephone No. Fireplace Contractor t - S S AgI. G I< 1 d & P -U t 616' Total Valuation �R Mai l i ng Address V . tr-r 0 0t Permit Fee Plan Checking Fee &/or Penal ty ,�/ y�e sof 0 fJ lrr , Telephone No. Permit Fee $ Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 .- PP / tv GjC ! �+/\ Each Trap 1.50 L O 7 f a j Repair drainage or vent piping 1.50 �t Wonting Verification Only Water piping �,� /V� Each gas water heater or vent 1.50 �J / A. P. No.� % / ^l �% ° gt Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 FI �. i FireDept. Fire Zone Use Permit Building sewer / V EQA Parking Plans Parcelc Declaration 60' R/W ImprovementsLawn sprinkler system 2.00 �— BI . IPIAsl Kec'd 1124 , T Pa, rcel ,,oval Plans A l ova Permit Fee NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD•L loo AMP 1.00 UM see SQ. 9. MINIM1Y1 NEW CONST. (/ DWELLING OCCUP. & OR ADDNS. 1 A/CC. BLDGS. 120 sq ft NEW CONSTMULTI-OUTLET NON-RESID R l BRANCH CIRCUITS) 2.50ea FOR MOBILES NONNEW-RESID RCONST(SINGLE OUTLET POWER US CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: `� ,�% Ex. Occup(OUTLETS OR FIXTURES) @L BAL 01 FIXED APPLNS. OR Ex. Occu ,•(OUTLETS (RESID) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 J pp � LicenseNo.0EaS —%Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. have placed on file with the County of Butte a certificate of ` \ Workmen's Compensation Insurance. F1I certify that in the performance of the work for which this permitis issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No.1 @ FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the ahn VP.-nlPntinn Prfllrnnnrty f- in ..tion .. ul FEE PERMIT TOTAL b $ This permit is hereby issued under the applicable provisions of X ate Signure of Peermitee or Agent at Receipt No. 1 /7 () Z 165 ` White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Ine tsutte county coae anaior resolutions to do work indicated above for which fees have been paid. DIRECTOR 0 PUBLIC WORKS BY �" Date__ 77 Bul lding permit expires Date 7y ')-,503 - 00'-/ 3 1 qO T�5 UTTE coUNTY ILDING DIVISION APPROVED