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066-060-001
r P 6606-1 Mel Dierks 105 Ventura Way, lot 122,PPCC#1, Magal'. contr; Fisci Bros. , ;Paradise } Permit .2 59-77P,E( til. ,MH) ELEC.- �o GAS SUPP STRUCTURE REQ, OMPACTIN TES REQ. A-4 66-06-1 contr: John�Dorsemus Chico Permit //4194-77MHI Issued 7 AA1 t99 66-06-1 contr: FisciBrm , Paradise 'Permit //418 77B(new private garage) contra Fred Cox, Paradise Per 2t, / 7312-09B(new cov rgq,,deck/MH) 066-060-001 PERMIT#95-1562 DIERKS, Rose 6402 Ventura Dr., Magalia r Cont; Don C. Bantum Const. y, Repair Damaged Deck/MH 066-060-001" PERMIT#95-3087 DIERKS,, Rose . 6402 Ventura Dr.,'Magali� Cont; Mr. Rooter Water Pipe/MHS 066-06-0-001 01-0107 MOLLOY, ROBERT 6402 VENTURA, MAGALIA CONTR: R B CONSTRUCTION OPEN DECK f 066-060-001- 01-3174 MOLLOY, ROBERT 6402 VENTURA, MAGALIA CONT: RELIANCE PROPANE MH PLUMBING E B08-0530 066-060-001 RESIDENTIAL SFD-Mobile Home RET EX MH PERM FND RETRO -FIT.. 6402 VENTURA DR r-1IJPCL p$. MOLLOY, ROBERT P & BEVERLY J FCC i; cfl �o�cfli PAR/C RECORDING REQUESTED BY MID VALLEY TITLE CO. AND WHEN RECORDED MAIL TO: ROBERT P. MOLLOY BEVERLY J. MOLLOY 6402 VENTURA DRIVE MAGALIA, CA 95954 A.P.N.: 066-060-001 Order No.: IIII III IN I IIII I II I IIIII III I I IIIII X000-0035033 Recorded Official Records County Of BUTTE CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 09:00AM Q -Sep -2000 REC FEE 10.00 TAX 70.40 Fay Page 1 of 2 Above This Line for Recorder's Use Only Escrow No.: 181612MV GRANT DEED THE UNDERSIGNED GRANTOR(s) DECLARE(s) THAT DOCUMENTARY TRANSFER TAX IS: COUNTY $70.40 X ] computed on full value of property conveyed, or computed on full value less value of liens or encumbrances remaining at time of sale, ] unincorporated area; [ ] Town of_, and FOR A VALUABLE CONSIDERATION, Receipt of which is hereby acknowledged, ROSE MARIE DIERKS, AS SURVIVING JOINT TENANT, ALSO KNOWN AS ROSE M. DIERKS hereby GRANT(S) to / ROBERT P. MOLLOY and BEVERLY J. MOLLOY, husband and Wife as Joint Tenants the following described property in the UNINCORPORATED AREA, County of Butte State of California; See. Legal description attached hereto and made a part hereof. t ROSE MARIE DIE S, B)?S7'1fVV L. MERKS HER ATT NEY IN FACT 1� Document Date: September 7, 2000 STATE OF CALIFORNIA )SS COUNTY OF BUTTE ) On 9-11-00 before me, MARSHA VIERRA. NOTARY PUBLIC personally appeared S+� v G,n L. n t >r tiCS personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies) and that by his/her/their signature(s) on the instrument the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. ' Signaturj This area for official notarial seal. MARSHA VIERRA U Comm #1114710 Q �" ` : NOTARY PUBLIC CALIFORN Q • BUTTE COUNTY lj a Comm. Exp Oct. 26. 2000 • Mail Tax Statements to: SAME AS ABOVE or Address Noted Below BUILDING PERMIT NUMBER: B08-0530 Address or location of unit: 6402 VENTURA DR MAGALIA CA 95954 Legal Description of Real Property: 066-060-001 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: MOLLOY, ROBERT P & BEVERLY J Owner's address: 6402 VENTURA DR MAGALIA CA 95954 INSIGNIA OR HUD NUMBER: CAL058092/93 SERIAL NUMBER OR V.I.N.: 61767A/B MANUFACTURER'S NAME: GOLDEN WF OFFICIAL APPROVING INSTALLATION: DATE: PHONE: (530) 538-7541 H.C.D. 513 STATE OF CALIFORNIA - BUSINESS, TRANSPORTATION AND HOUSING AGENCY ARNOLD SCHWARZENEGGER, Governor DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT �siNc y� Division of Codes and Standards �Z`o �� O O� D © ... Z w Title Search �' DE Date Printed : 03/20/2008 Decal #: LBC4502 Use Code: SFD Manufacturer: GOLDEN WEST Original Price Code: AFB Tradename: CALYPSO Rating Year: 1977 Model Tax Type: LPT Manufactured Date: 00/00/1977 Last ELT Amount: Registration Exp: Date ELT Fee Paid: First Sold On: 08/23/1977 ILT Exemption: NONE Serial Number 61767A 61767B Record Conditions Registered Owner: HUD Label / Insignia CAL058092 CAL058093 PPF Exempt Voluntary Conversion to LPT Length Width 64' 12' 64' 12' ROBERT P MOLLOY BEVERLY J MOLLOY (Joint Tenants with Right of Survivorship) 6402 VENTURA DRIVE MAGALIA, CA 95954 Last Title Date: 03/15/2001 Last Reg Card: 03/15/2001 Sale/Transfer Info: Price $32,000.00 Transferred on 09/13/2000 Situs Address: 6402 VENTURA DR MAGALIA, CA 95954 Situs County: BUTTE Legal Owner: WESTERN SUNRISE MORTGAGE AKA CROSSLAND MORTGAGE 2865 SUNRISE BLVD STE 101 RANCHO CORDOVA, CA 95742 Last Title Date: 03/15/2001 Lien Perfected On: 02/02/2001 12:48:53 Inactive Decal/DMV: DECAL AAW8188, DMV SF1839, DMV SF1840, DMV SL3875 * * * 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 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds SIERRA MOBILE SERVICE & SUPPLY 466 CIRCLE DRIVE OROVILLE, CA 95966 (530)534-0599 SIERRA MOBILE SERVICE 466 CIRCLE DRIVE OROVILLE, CA 95966 (530)534-0599 FEE INFORMATION DBF MH Plan Check $241.16 DBMSC Mobile Home Permit Fee. $361.74 LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires SIERRA MOBILE SERVICE & S 470386 / C47 B / 3/31/2009 I HEREBY AFFIRM UNDER ENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Sectio 00 f Division 3 of the Business and Professions Code, and my license is in full force and eff 7 X 3/26/2008 Contractor's Signature Date _. WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: ❑I 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. AVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; Carrier: State Fund Policy Number: 046-0004257 Exp. Dater/1/2009 (This section need not a completed if the permit is for one undyed ollars ($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 the Workers' Compensation Laws of California, and agree that if I should become subject to the workers' compensation provisio0s of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. X �f/ 3/26/20083/26/2008 Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Lender's Address City State Zip Building Garage Remdl/Addn Other Porch/Patio Total Balance Due: $0.00 Receipt No: B6810 OWNER / BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: ❑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 Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does the 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 improvement is sold within one year of completion, the owner -builder will have the burden of proof 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 Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). ❑ I AM EXEMPT under Section B. & P.C. for this reason: i 3/26/2008. Owner's Signature Date I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enter the above mentioned pro rty for inspection purposes. I hereby certify that I am the property owner or am authorizedto ac the oparty ois behalf. � £ / P 3/26/2008 Owner ontractor OR. El Agent for Owner Agent for Contractor FILE COPY PROJECT INFORMATION Site Address: 6402 VENTURA DR Owner: Permit No: B08-0530 APN: 066-060-001 MOLLOY, ROBERT P & BEVER Permit type: RESIDENTIAL 6402 VENTURA DR Issued Date: 3/26/2008 By GLB Subtype: SFD-Mobile Home RET MAGALIA, CA 95954 Expiration Date: 3/26/2009 Description: EX MH PERM FND RETRO -FIT Occupancy: Zoning: RT1 SIERRA MOBILE SERVICE & SUPPLY 466 CIRCLE DRIVE OROVILLE, CA 95966 (530)534-0599 SIERRA MOBILE SERVICE 466 CIRCLE DRIVE OROVILLE, CA 95966 (530)534-0599 FEE INFORMATION DBF MH Plan Check $241.16 DBMSC Mobile Home Permit Fee. $361.74 LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires SIERRA MOBILE SERVICE & S 470386 / C47 B / 3/31/2009 I HEREBY AFFIRM UNDER ENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Sectio 00 f Division 3 of the Business and Professions Code, and my license is in full force and eff 7 X 3/26/2008 Contractor's Signature Date _. WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: ❑I 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. AVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; Carrier: State Fund Policy Number: 046-0004257 Exp. Dater/1/2009 (This section need not a completed if the permit is for one undyed ollars ($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 the Workers' Compensation Laws of California, and agree that if I should become subject to the workers' compensation provisio0s of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. X �f/ 3/26/20083/26/2008 Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Lender's Address City State Zip Building Garage Remdl/Addn Other Porch/Patio Total Balance Due: $0.00 Receipt No: B6810 OWNER / BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: ❑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 Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does the 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 improvement is sold within one year of completion, the owner -builder will have the burden of proof 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 Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). ❑ I AM EXEMPT under Section B. & P.C. for this reason: i 3/26/2008. Owner's Signature Date I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enter the above mentioned pro rty for inspection purposes. I hereby certify that I am the property owner or am authorizedto ac the oparty ois behalf. � £ / P 3/26/2008 Owner ontractor OR. El Agent for Owner Agent for Contractor FILE COPY BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION* OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OF APPLICA TION Website: www.buttecounty.net/dds PLEASE PRINT CLEARLY PERMIT NO. Q BIN # "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. OWNER INFORMATION Last Name (\1 `` Y First game Mailing Address _ City Nt NG ra t. 11i State L . Zip Phone Fax E-mail CONTRACTOR Name SIE �ve 4 /,Vu61l._E �cte�tcc Address J66 C tl-« F y k I tJ C City Ole_0vi4LE State `.4 Zip Phone53o Say 05'99 Fax $3o S3 0709 E-mail Phone Lic. # L' ?0 3 86 Class APPLICANT INFORMATION' ARCHITECT/ENGINEER Name City Alco vi JCJL C Address Zip 1 S'6 9 City �Io 6-31( o 7 07 State Zip Phone Fax E-mail State License Number APPLICANT INFORMATION' Name Address y.16 e/ R—e h f ORt ✓ E City Alco vi JCJL C State `A Zip 1 S'6 9 Phone 530 Say p 5-5p dFax �Io 6-31( o 7 07 E-mail APPLICANT SIGNATURE ,C x v/ PROJECT LOCATION AP# 0C, 6 &C Property Address o R l it i City A kc. id ti r I) �'fj %s 1�5 y. WORKER'S COMPENSATION Policy Number Carrier SrnfE If hiring anyone other than licensed contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: /NSr�kL. 9ETe0 FiT' �vu N DA T!-/) Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning FloodZone SRA Yes No Occ. Type Const. A bl I��u�ERr p Ver-_�r•_�2�y Ko LLoY 6q O ')- J ENtu kE D RIDE M� C--bklK CA 9595y oo ai Xi2 Foundation System. - Installation Instructions. for California for Ground & Concrete Systems. HUD Wind Zone 1, �-C- 15 PSF Wind Load Seismic 4. �'-;'c) By Tie Down Engineering CQ' ■9 — _ � 0 Xi2 Ground System Xi2 Concrete System 61 Engineer Approval State Approval MANUFACTURED HOWIVMOBILB HOME FOUNDATION SYSTEM ARALTA AND SAFETY CODE. SECTION 18531 APPROVED MWWT TO CORRECTIONS NOTED APPROVAL DOES NOT AUTHORIZE OR APPROVE ANY OMISSIONS OR DEVIATION FROM REQUIREMENTS OF APPLICABLE STATE LAWS AND RMLATIONS Sono of CAWWWTS b p ftmW of Houbg sed Coemm * Derd*FwA* OF 00 F AND =1M � SPAM Tdi. rl�. Apprord t3sples. Page 1 of 8 1 OF 'fit- 'A.C'`t1�o- `1Cq Xi2 Foundation System Installation Instructions for California for Ground & Concrete Systems HUD Wind Zone 1, 15 PSF Wind Load Seismic 4 By Tie Down Engineering REQUIREMENTS • These plans and specifications meet the requirements of Title 25 Section 1336.3 Sub Section A and 97 UBC Seismic Requirements, CBC 2001 addition. • Maximum vertical projection at sidewall is 9'. Higher walls may be used when the design loads are adjusted accordingly and approved by HUD. • Main rail spacing must be 75.5" - 99.5" * Except single sections 95" minimum • Additional vertical anchor ties that are unique to a home's design may be required by the home manufacturer. These locations�may include shear walls, marriage line ridge beam support posts, and rim plates. The longitudinal component of the Xi2 system replaces end frame ties. Check manufacturers set-up requirements. • Maximum pier height is 48" pier. *Except for single sections 36". • Steel piers must be fastened to the I-beam with clamps provided with steel pier. • Systems must be placed as evenly as possible, no more than 10' from end of home. • Designed for 7:12 roof slope. "Except single sections, (20` - 4.37 in. 12" pitch). Additional Requirements for Concrete Systems • Poured concrete must be 2,500 PSI minimum at 28 days. • Square concrete pads minimum is 18" wide by 12" deep. Round concrete pads minimum is 18" wide by 14" deep. Strip footings minimum is 18" wide by 14' long by 6" deep. * Xi2 components exceed HUD code 3280.306g "Anchoring equipment exposed to weathering shall have a resistance to weather deterioration at least equivalent to that provided by a coating of zinc on steel of not less than 0.30 ounces per square foot of surface coating...." Page 2 of 8 1-21-r— 571tolo j 0 �i 0 0 0 Installation of Xi2 Ground Systems 1. Identify the number of systems to be used on the home using the chart. provided. 2. ' Identify the location where the systems will be installed. 3. Clear all organic matter and debris from the pad site. 4. Place U -bolts through holes in pan provided. 5. Place pad centered under beam with the lateral strut bracket towards the inside of the home. 6. Press or drive pan into ground until level and flush with prepared surface. 7. Build pier according to State, Local or Home Manufacturers guidelines. (Fie ure 1) 8. Attach the end of the smaller tube to the inside of pan using U -bolt & nuts provided 9. Attach the flag end of the larger tube to the opposite I-beam using the "J" bolt over the top of the I-beam with the nut & washer provided. (Figure 2) 10. Install a minimum of four (#12 x 1 " tek screws) self -tapping screws into the holes provided in the lateral strut so that the two tubes are connected together. (Figure 1) 1-3/4" Tube Lateral Struts �0 1-1/2" Tube 4-#1 x 1" Tek Screws Figure 1 gad ofNose 0 U -Bok & mounting Bracket J -601t Nut & Washer 1111 X11 Strut (flag end) 1 -Beam Figure 2 11. Install frame bracket clamps to I-beam on in side of block/pier. Do not tighten nuts at this time. 12. Attach longitudinal strut to U -bolt in pan using nuts provided. 13. Insert strut in the frame bracket clamp, attach with nut and bolt. Do not tighten at this time. 14. Pull the frame bracket clamp with the fastened strut outward to remove any slack. 15. Tighten all nuts and bolts on the struts and beam.clamps. l(ant_. a_..._..G.A30336 TIE 40)9 D43OWN GINFFRINr 14. Ae— Xi2 Ground Parts Detail X12 Ground Lateral Syslen Part Number 59306 Includes: 5' Strut, pad & hardware kit (#59329-1 includes all nuts and bolts). Longitudinal Hardware Kit Part Number 59331 Includes: 2 I-beam brada;ls & 2 U -bolts with all nuts and bolts. Lateral and LongitwWW Combination Part Number 59333 Includes: 5' Strut, Pad, Longitudinal Strut (#59329), Lateral and Longitudinal Hardware Kit with all nuts and bolts. Struts for Longitudinal Systems Part Strut Pier Height No. Length Up To: 59330-44 44" 4 Blocks or 32" 59330-65 65" 6 Blocks or 48" Ground Longitudinal Hardware Kit Xi2 Ground Longitudinal Strut & Hardware Kit Ground Longitudinal Strut Xi2 Stabilization Pier Placement for Ground or Concrete Single Section Home 0 -80' (76' Box) 4 Xi2 Systems Xi2 Pier Placement Double Section Home 0 -62' 3 Xi2 Systems* 63' - 80' 4 Xi2 Systems *2 Xi2 systems can be placed at either end of the home. Triple Section Home 0 -62' 4 Xi2 Systems 63' - 80' 5 Xi2 Systems Page 4 of 8 NIE DOWN ENGINEERING 1 Installation of Xi2 Concrete Systems 1. Identify the number of systems to be used on the home using the chart provided. 2. Identify the location where the systems will be installed. 3. Build pier according to State, Local or Home Manufacturers guidelines. 4. Drill two 3/8"x 3" deep holes in the concrete using holes in galvanized bracket as a guide. Attach bracket to concrete pad using 3/8"x3-1/2" wedge anchors provided. Place nut & washer on anchor, leave enough room for 1 to 2 threads showing on top of bolt. Using a hammer, tap the wedge bolts into hole through bracket, leaving nut & washer flush with bracket. Using a 9/16" socket wrench, tighten wedge/anchor bolt, securing bracket to the concrete. 5. Attach the end of the smaller tube to the bracket mounted on the pad, using the grade 5,1/2" x 2-1/2" boft/nut provided. 6. Attach the flag end of the larger tube to the opposite I-beam using the "J" bolt over the top of the I-beam with the nut & washer provided. (Figure 1 next page) 7. Install a minimum of four (#12 x 1 " tek screws) self -tapping screws into the holes provided in the lateral strut so that the two tubes are connected together 8. Install frame bracket clamps on I-beam on the inside of block/pier. 9. Insert strut in frame bracket clamp and attach with nut & bolt. Attach opposite end to concrete bracket. 10. Pull the frame bracket clamp with fastened strut outward to remove any slack. 11. Tighten all nuts and bolts on system. A, 30336 rlE 49-0401 DOWN ENGINEERING Xi2 Lateral Concrete SystemS Part #59307 Includes: 5' Strut, Bracket, & Hardware Kit #59315-1 with all nuts and bolt. Longitudinal Struts for "Concrete Systems" Part No. Length Pier Height #59013 44" up to 4 Blocks #59015 65° up to 6 Blocks Longitudinal Hardware Kit Part #59263 (Includes 2 sets per kit: I-beam bracket, nuts, bolts and washers) Lateral and Longitudinal Combination Part #59332 Includes: 5' Strut, Longitudinal Strut (#59364), Lateral and Longitudinal Hardware Kit with all nuts and bolts. Nut & ftsher Figure 1 BeamClamp Bracket Loni Xi2 Concrete Gi.IG�"ewt 88 v 8 00 Longitudinal Strut Concrete Longitudinal Hardware Kit of Hortje Xi2 Installation Placement Beam Page 6 of 8 TIE DOWN ENGINEERING 2 2,30336 99-0401 1 Offset Placement Diagrams represent examples of double and triple section offsets. Total size is determined by the length of unit plus offset. Xi2 Stabilization Pier Placement for Ground or Concrete Xi2 Pier Placement Single Section Home 0 -80' (76' Box) 4 Xi2 Systems Double Section Home 0 -62' 3 Xi2 Systems* 63' - 80' 4 Xi2 Systems *2 Xi2 systems can be placed at either end of the home. IIM 1�0 Diagrams represent examples of double and triple section offsets. Total size is determined by the length of unit plus offset. Xi2 Stabilization Pier Placement for Ground or Concrete Xi2 Pier Placement Single Section Home 0 -80' (76' Box) 4 Xi2 Systems Double Section Home 0 -62' 3 Xi2 Systems* 63' - 80' 4 Xi2 Systems *2 Xi2 systems can be placed at either end of the home. Triple Section Home 0 -62' 4 Xi2 Systems 63' - 80' S Xi2 Systems Page 7 of 8 I �-� TIE DOWN ENGI NEER/ NG H = lv-r—Ae, ,51,4/0;7 IMI I Triple Section Home 0 -62' 4 Xi2 Systems 63' - 80' S Xi2 Systems Page 7 of 8 I �-� TIE DOWN ENGI NEER/ NG H = lv-r—Ae, ,51,4/0;7 )fro, Hardware Breakdown #59329-1 Hardware for 59306 Lateral System 1 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 thread Hardware Kit 1-3/4 zinc 4 10556 Tek Screw #12 x 1 " 1 10631 Z J Bolt 1/2 x 5-1/2 grade 5 zinc 2 10640 Push Nut 1/2 1 12107 Flat Washer 1 x2" SS 1 10646Y Hex Nut 1/2-13 grade 5 zinc 2 10519 Hex Nut 1/2" w/ Serr flange #59331 Longitudinal Hardware for 59306 2 59272-1 Beam Clamp Base 4 59272-2 Beam Clamp Top Flange 8 10926 Carriage Bolt 1/2-12 x 1-1/4 Full Thread 10 10646Y Hex Nut 1/2-13 grade 5 zinc 2 10801 Carriage Bolt 1/2-12 x 2-1/2 Grade 5 2 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 thread 1-3/4 zinc 4 10640 Push Nut 1/2 4 10519 Hex Nut 1/2" w/ Serr flange # 59329 Hardware for 59333 Lateral and Longitudinal combination 1 59329-1 Hardware Kit 1 59272-1 Beam Clamp Base 2 59272-2 Beam Clamp Top Flange 4 10926 Carriage Bolt 1/2-12 x 1-1/4 Carriage Bolt 1/2-12 x 3 full thread 5 10646Y Hex Nut 1/2-13 Grade 5 zinc 1 10801 Carriage Bolt 1/2-12 x 2-1/2 4 Grade 5 zinc 1 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 Thread 6 10646Y 1-3/4 zinc 2 10640 Push Nut 1/2 2 10519 Hex Nut 1/2" w/Serr Flange #59315-1 Hardware for Lateral System 1 10631Z J Bolt 1/2 x 5-1/2 Grade 5 zinc 1 12107 Flat Washer 1/2" SS 4 10556 Tek Screw #12 x 1 " 2 10646Y Hex Nut 1/2x-1 3 Grade 5 zinc 1 10826 Carriage Bolt 1/2-12 x 3 Beam Clamp Top Flange Grade 5 zinc #59027 Hardware Kit for 59307 Lateral System 2 59264 3 Way Concrete Bracket 4 10530 Wedge Anchor 3/8 x 3.50 1 59315-1 Hardware Kit #59263 Longitudinal Hardware for 59307 2 59272-1 Beam Clamp Base 4 59272-2 Beam Clamp Top Flange 8 10926 Carriage Bolt 1 /2-13 x 1-1 /4 2 59272-2 Beam Clamp Top Flange Full Thread zinc 12 10646Y Hex Nut 1/2-13 Grade 5 zinc 4 10801 Carriage Bolt 1/2-13 x 2-1/2 Grade 5 zinc 6 10646Y Grade 5 zinc #59364 Hardware for 59332 Lateral and Longitudinal combination 1 59264 3 Way Concrete Bracket 2 10530 Wedge Anchor 3/8 x 3.50 1 59315-1 Lateral Hardware Kit 1 59272-1 Beam Clamp Base 2 59272-2 Beam Clamp Top Flange 4 10926 Carriage Bolt 1/2-13 x 1-1/4 Full Thread zinc 2 10801 Carriage Bolt 1/2-13 x 2-1/2 Grade 5 zinc 6 10646Y Hex Nut 1/2-13 Grade 5 zinc Page 8 of 8 TIE DOWN ENGINEERING 0 0 0 0 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION i. " 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 01-3174 ASSESSOR PARCEL NUMBER 066-060-001 ZONING BUILDING PERMIT OWNER ROBERT TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 6402 VENTURA MAGALIA CA 99994 CONTRACTOR'S NAMETELEPHONE RELLAN CONTRACTORS MAIUNG ADDRESS 6426 SKYWAY PARADISE CA 99969 CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 6402 =TRA MAGAT IA CA 959,54 Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDNISIOWS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other 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 ❑ Describe Work: TANK SET & PLUMBING TO MOBILE HOME ONLY Gas piping system 1 - 5 outlets 15.o0 15.00 Building sewer 15.00 Mobile Home I S I G I W I@20.00 PERMIT FEE $ 35.00 ELECTRICAL PERMIT Fling Fee 20.00 600V OR LESS 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 fyJ force and effect.POWER License Class Lic. No. 7 3 y 31 OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for 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' compensation insurance carr er and policy number are: Carrier 5'} -ate F�n� Policy Number 7— (rhe above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers'. compensation laws of California, and agree that if I should become subject to the workers' c mpensation provisions of section 3700 of the Labor Code, I shall fort amply with a provisions. X _ Date 12— nature of App ant - ❑ Owner ❑Contractor Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( & ACC. BLDS. 3.5¢FT. = R61D. MULTI.OUTLET @7,50 APPARATUS a SINGLE OUTLET CIR. .00 EX. Occup. OUTLET OR FIXTURES BAL @ 1.50 Ex. Occup. o.s galp,OEp 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 35.00 D FEES IMP I FLOOD I CDF I PARCEL I PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indic ed abov for which ees ave been paid. By Date PERMIT EXPIRES ON Date ReceiptNo. 117419 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD•APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 iREw 12/96) PERMIT NO - APPLICATION AND PERMIT Ol- 1; AS SESSOR PARCEL MlMeER 20N111Q OWNER BUILDING PERMIT TLIOMON! s'q SO. FT. OCC. BUILDING VALUATION OwNER7 MAaJ A r r CONTP.ACTO 'I 1.4— CONigACTORT 8 CONS TAUCTK* LENDER LENDER S MNL NQ A0014E10 ARCNRECT O EENOI/EER ARCWECT OR ENON EER9 MAUNO ADORES! BUI.o«O AOORESS / ♦OTNO I fueorvisiDNvimw USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Instal Describe Work: /l k *PERMIT FEE PAM SRA • • SHERIFF OTHER AAk6VNT RECEZ"b ❑ Other ❑ 1 a S "REQ. 4m S 3 llqlq— ToTO Be PVT ZNTp COIYIPVM Fireplace Total Valuatlon b Filing Fee E 20.00 Permit Fee S Mein Service Plan Checking Fee 5 Energy Plan Checking Fee i Main Service sow To i000A S NEW CONST. OR ADONS. PERMIT FEE t NON•RESiO. PLUMBING PERMIT @7.50 Fling Fee 20.00 Each Trap 7.00 Solar or heat pum water heater 23.00 Water piping so o r.00 eA� .so 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 5.00 15.00 a Building sewer Mobile Home Facilities 15.00 Mobile Home SIG W 920.00 PERMIT FEE I t MECHANICAL PERMIT I Fling Fee 1 20.00 6.50 PERMIT FEE ! Mobile Home Installation Fee S Energy Inspection Fee i occ CONST. Tr PE TOTAL FEES HAL D. DYES IMP PWOO COf PARCEL pal ESUS This permit is hereby Issued under the applk:able provisions Of the Butte County Code and/or Resolutlons to do work Indicated above for which fees have been paid. By Date PERMIT EXPIRES ON PERMIT FEE S ELECTRICAL PERMIT Filin Fee 20.00 Mein Service ��� OR IESs sow oR tEss 23.00 Main Service sow To i000A 46.00 NEW CONST. OR ADONS. ( own,M OCCUP. A ACC. au)s. 3.5,so NON•RESiO. MULTFOlRLET @7.50 POWER APPAMTUB a sr#mz OIRLET CIA. Ex. Occup. ounET oR PDRUREy so o r.00 eA� .so Ex.Occu fD`E0 PPL'$. oR ovnET9 tsio. EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE I t MECHANICAL PERMIT I Fling Fee 1 20.00 6.50 PERMIT FEE ! Mobile Home Installation Fee S Energy Inspection Fee i occ CONST. Tr PE TOTAL FEES HAL D. DYES IMP PWOO COf PARCEL pal ESUS This permit is hereby Issued under the applk:able provisions Of the Butte County Code and/or Resolutlons to do work Indicated above for which fees have been paid. By Date PERMIT EXPIRES ON COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION V 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 410 ASSESSOR PARCEL NUMBER 066-060-001 ZONING BUILDING PERMIT OWNER mnTD EnRF.RT TELEPHONE SO, FT, OCC. BUILDING VALUATION . OWNERS MAILING ADORES 6409 V=TRA MAGAT TA CA 95954 230 0 1610-00 CONTRACTOR'S NAME TELEPHONE 872-9006 CONTRACTORS292 LANCASTER DR., PARADISE CP. 95969 CONSTRUCTION LENDER [Fireplace LENDERS MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Flin Fee $ 20.00 Permit Fee $ -AQ no ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 9535 BUILDING ADDRESS 6402 VENTURA MAGALIA CA 95954 Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF X Duplex ❑ Mobilehome ❑ Other sPEcicv Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition )l Remodel ❑ U61ifies ❑ Installation ❑ Other ❑ Describe Work: OPEN DECK Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W Q2o.0D PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service 2o0A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license isand effect. I full force License Class Lic. No. �� �Zl OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service YOGA TO 46. 00 CCU so NEW coNsr. DWELLING Occup. 3.52sFTo. CC. SMS. NOR EW COS MU TLET HON-RESID. 97.50 POWER APPARATUS 8 SINGLE OUTLET CIR. 50 BA.00 EX. Occup. OUTLET OR FIXTURES) 20@'' 50 Ex. Occup. OunEE�s Aa DD °EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. TMJ 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' compensatiinsurance carrier and policy number are: Carrier -5144e T UPI 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.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X / _ Date Sign ure of Applican - ❑ Owner Contractor ❑ Agent An OSHA permit is required for excavations over SO" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FES $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HAZ. D FEES IMP FLOOD CDF PARCEL PD HD 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 D t�e PERMIT EXPIRES O I , V fe Receipt No. 3 © WHITE-D.D.S.-B.D. CANARY -AS ESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ,= 4 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION D 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERWT NO. QRev.12/96) APPLICATION AND PERMIT• - A IOSOMPArLen-UM 0G0 r 061/ DDN/a BUILDING PERMIT Owren r o! TV'P10149 SO. FT. OCC. BUILRING VALUATION i O o owNErLs worn s �L P ��- J 5 5- 2 -)G P7 J a co 71�oor�.1�9..1 b t CONSTRUCTM LEMeA EF.,, LZMER's MAu+o ADDRESS Total Valuation = ARCWMCT OR ENMW-M FNO Filing Fee S 20.00 ARMnCT OR 04MEMI LLAIUM A00FESa Permit Fee M- Plan Checking Fee $ 3 OULD04 AOORESS 6 Z I $Jtii}— Energy Plan Checking Fee $ PERMIT FEE LaTNo. sueorvecNSNAL+E P""cEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trn 7.00 USEOFSTRUCTURE Solar or hent pump water heater 23.00 SF ❑ Duplex O Mobilehome,,�Other Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK Gas piping system 1 - 5 outlets 15.00 New ❑ Addition ❑ Remodel O Utilities O Installation O Other ❑ Building sewer 15.00 �/ d G c� d�d�E Nlobile Home S G W Q20.00 Describe Work: PERMIT FEE S ELECTRICAL PERMIT I Filing Fee 20.00 °zooA� Main Service L`£Fss 23.00 Main Service 20" To IOWA 46.00 NEW CONST. OWEUJW o°CVP. OR AOONS. A ACC. ELMS.raw 3.Sa8° FT. rom 1. N°KRES10. RANCH MUM -OUTLET CIRCUITS 97.50 POWER APPARATUS L S►IOLP OLRLEr CR. Ex. Occup. ouTuT OR FKnjRE9HAL ® r.00 \ Ex. Occup. pUT1F°TS SOR ,6., 5.00 -Temporary Service 23.00 Mobile Home Facilities 20.00 Wsc. Wiring 23.00 PERMIT FEE _ !� MECHANICAL PERMIT Fling Fee 20.00 *PERMIT FEE PAID / ' —35 Heating SRA $ Cooling SHERIFF $ Hood 6.50 Ventilation OTHER $ PERMIT FEE ! Wbiie Home Installation Fee $ Energy Inspection Fee Is CONST. TYPE TOTAL FEE $ AMOUNT RECEIVED �J M. �a WP FL000 COF PAR Po — Thisit Is hereby issued under the applicable provisions utte County Code and/or Resolutions to do work *RECEIPT �� / above for which fees have been paid. rBy NUMBER * TO BE PUT INTO COMPUTER Date EXPIRES ON n COUNTY Ole' BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: �'�PJ1� r -�/h ASSESSORPARCII ER: 6� �' O Proposed Building Use: e./ Building Inspector: Date: ez At time of permit application,11 was advised the following data must be submitted prior to permit prdiessing and/or issuance: Date Received By 1:11. All items have been submitted. ❑2._ Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ 3`.:Completie-plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 4,... t ❑:4:a`E'n`onr'ed 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. Manufactured Home data and installation instructions including Tie Down Specifications ------------------- El 10. Fees of $ 1111. Impact fees as shown on the attached schedule. ----------------------------------------------------------------- ❑ 12. California Department of Forestry plan approval/fees. --------------------------------------------------------- ❑ 13. ood elevation certificate. --------------------------------------------- ------------------------------------------ Sanitation and plot plan approval C%,/I?ealth Department. ------------------------------------------- .0,T41 ❑ 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: -------------------------- ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- 1119. ---------------------- ❑19. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- 020. Pre -inspection for required Request to Building Inspector on (Date) 021. Contractor's license information. (Number, Name Style, Classification). ------------------------------------ 0 22, Workers' Compensation carrier and policy number. ----------------------------------------------------------- 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------- 024. Letter of signature authorization.-------------------------------------------------------------------------------- ❑ 25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- 026. Letter of intent on building use. ----------------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance. --------------------------------------------------------------------------- ❑ 28. Existing violations and/or expired permits. ---------------------------- ----------------------------------------- E129. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .--------------- E130. -------------- ❑30. Other: ------- you issue the permit, process as follows ❑ Mail to owner, ❑Njail to contactor. Telephone 972 .9006 and hold for pickup at / L •../ office. ❑ sliver with inspector. Applicant: Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Dep ent, ❑ Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above requiedAatr6y ❑ 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 Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building DL�ron counter, by Date: Plans reviewed by: Date: Plans approved by: Date: D Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. .i TO: Bu lding Department FROM: Environmental Health SUBJECT:- Sanitation Clearance gjL RM Y � . at Pon A= !` Root Plus A J Suit to B.D. Robert Moly Z VegL�ur.. 06 (0 - 060 - (JAI Owner Location AP# Plan Approved for: Seepage Disposal Water Supply: Public � Private Well Clearance for ain Othe 17e J(, cA6an ,fler- Q In sa . Hold final for: Final clearance O.K. for: (VOTE: Environmental Health Specialist 8/96 i Lz 310 / Date y' ,}'J "''i Ly��l.`' _✓'i ;�'t`<•7'-!rrt« w.` rt. r t �:' I � � .�:�•i, •: ,�;', .+�• - ' 'J );t P idF' +x y C3 � +T e7 1 f l • � .fir:'' , :. r , r i !�Y R � ri �i r�'b }r 1,I�i }r ttf rl II I� ,. tl { r f'.r; •?�'e-l'^N .�!' �� r P ': r� .�,,t��+i rA� , 7 s 1 I , r f t •,, J + + } i !`. + , 1.' J ,djh}. i Qy tt��r.Nt<(.'i :`: �::•.1•: ':ti,•' ::�:• }If .��'ti t iii t r`i, .I.• 11 '' '} U ,�� f i .1}t ( • iJ(P4i„1L17�'s,:; �rl.^' f. { ~ i i, • rrWl il.+f a`�y •.....1,;,y,.,._'. .+.+-�.}�.•• "1 ;tys'i r)t I r;°r J; S' / , + ° , is } s r t' `�.•�• `� .. j'•; :.. sl t tti t it J 4 ( �? 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C�t'I�A1 •� K)i i J!1 ` -• r' it!M+I t} '. •' '. .. � r J .. ..,y 1� � Jiv r'j'�p�i `'tt •y 5 I y CIA: 4 �...: Tx«`i iN .1• Kt ;= 1{ra •� �• .:•i ?t 1 � , `' `• i �•�i �" T S� JF'zw j�'i, 1 �� J �• ^'`_ � 1 `. F:� • � fy �., I , `j`� : � � • �J'; ; ' :,•.. :l: .' raj pT�} 1�.4 ;'LL4., ..i 17 t 1' R - `„ �i•.• `� , � , - It , A:r` ��' , f tlry fF rt yr�..`rrc Jn Is rf �:a• •c�n �. •�','1. , '> t:� r, n4:i v ,n rd'Zt�� �1 J � � � r r .1 if v • � � ` a +�. /�n� � .. :'1. it �t I 3 3L •r5 a .•� � • t. -71 � FCa i �' t �j1. r �r r � ayt rL' ;Y S -s `�.. +' I �I .. ' � I •I .���, � rylYj 95-3087_066; 060=001�SPERMIT#l4, F �+ DIERKS,1 Roses _ �x:�ri¢k ",�rr,, 6402 `Ventura,Dr� , Magala�FA,tt": �1} 8 _ r; ' Cont,l Mr ` Roo .ter` ., ,. r�WatertPi;per/MH.;;��.,+{f� ��,a:�''�.�y'w.,_;,'�;d9 „'•# :.r� , " ! .,SW :::L.`{. r-.J . is tk -�•L ��',.3...I.�SiX^. ,V�i�.1r.�. KJ•1Cu:A.-`..M Yi� %Wy i , r f C ..?: .. � .s•.-ty�;y,.-•. -..ra, �,�.r-•tnw�l+,gfpiw���i�:�;r•��riiV.�,'j{..e:. ,,.�,"MRr. .. a: .•y; -u •: i:. ..'y- .. r ..t .. �. - Y COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION - 7 County Center Drive - Oroville, Califorlaja'95965 - Telephone (916) 538-75 �- PERMIT NO. APPLICATION AND PERMIT AS66tM ZONING R BNG PERMIT OWNER ROSE DIERKS TELEPHONE SO, FT, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 6402 VENTURA DR, MAGALIA CONTRACTOR'S NAME MR ROOTER TELEPHONE 2-9000 CONTRACTORS MAILING ADDRESS 761 PORTAL DR CHICO 9SQ71 Fireplace CONSTRUCTION LENDER UNXNOWN Total Valuation Is LENDER'S MAILING ADDRESS Fling Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS b PERMITFEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDNISION'SNAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome 0 Other SPECIFY Water piping 15.00 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other [ Describe Work: WA'T'ER PIPE — Mobile Home I S I G W I @20.00 PERMITTEE $ 35.00 Contractor ELECTRICAL PERMIT Filinq Fee 20.00 Main Service E00V OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class ( '?( Lic. No. l I ` L / t ) % OWNER-BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, 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 NEW CONST. DWELLING OCCUP. \ SO. OR NS. ( 8 ACC. / 3.5¢ FT. NEW CCONST. MULTI.OUTLETLE T NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) b SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES ) 20 Q 1.00 BAIL Ex. Occup.FIXED APPLNS. OR ( OUTLETS (RESID.) EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE s Contractor 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 permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor t 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.) '1❑ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' \' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith coctiply with those provisions. / I - _ X ,'i',��,.'r_-- _ Date f Z / .7�5 ti Signature of, Applicant - ❑ Owner'•O Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of`structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is occ CONST. TYPE TOTAL FEE $ �5 HA2. I D. FEES I IMP FLOOD COF PARCEL PD HD 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 / PERMITEXPIRESON �Z 1 A!� i (Date) Receipt No. I�� WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISIO 7 County Center Drive - Oroville., `Calif("rhia 95965 - Telephone (916) 538-754 PERMIT NO. APPLICATION AND PERMIT AS E S P !RN (�b� ZONING R1 BUI ING PERMIT OWNER ROSE D873-0854 TELEPHONE SO, FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 6409 VENTURA DR, MAGALTA CONTRACTOR'S NAME I'LL\ R00TFJR TELEPHONE 342-9000 CONTRACTORS MAILING ADDRESS 761 P01?TA1 DIR, CHIC -0 95973 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 6402 VENTURA DR, MAGALTA PERMITFEE $ PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 LAT NO. SUBD—ION'SNAME PARCEL MAP Solar Or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome X3 Other SPECIFY Water piping 15.00 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: WATER PIPE — Mobile Home S I G W @20.00 PERMITFEE $ 35.00 Contractor ELECTRICAL PERMIT Filina Fee 20.'00 Main Serviceeoov oR LEss ( zooA oR LEss ) 23.00 Main Service ( 200A TO I000A ) 46.00 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 ii full force and effect. C �� 2 `` Cr S , License Class (��3 Lic. No. 1 OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. SO. OR ADONS. ( 8 ACC. BLDS. ) 3.5¢ FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS 8 SINGLE OUTLET cIR. ) Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ L.00 Ex. Occup. OF Ex.RES D.) EA ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor 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 permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor 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.) 10< I certify that in the performance of the work for which this permit is issued, I shall n t employ any person In any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the wor rs' c e ation provisions of section 3700 of the Labor Code, I shall fo w' with those provisions. X Date f! 1 ' A _ S' na a of pplicant - ❑ Owner ontractor ❑ Agent SHA permit is required for excavatioVs over 5'0" deep and demolition or construction tructures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is Occ CONST. TYPE TOTAL FEE $ HAZ. D. FEES IMP FLOOD CDF PARCEL pD HD SSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for w ich fees have been paid. BY % Date / PERMITEXPIRESON (Date) Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT - .... - _ ., ,; -: ¢ ..-t�..._.�,e-4-::.:. wvY�; tvcF .; •r, t;�k i#'�+v17,:�w'1.5e�+,i�%9-a"�'7j;.rS�: �8r^ :-., . ..ate. K, �,-�,,...�... _ _ . . e FDIERKS, 0-001 PERMIT#95'1562 *tf Rose entura` Dr ;', Magalla Don C. Bantum Const Damaged Deck/MH 0 { , r 5 - + N , it, E - 1 - r ' • e l 4 E COUNTY OF BUTTE -DEPARTMENT OF:DEVELOPMENTSERVICES -BUILDING IVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 5 -754 / PERMIT NO. APPLIC,4T AND PERMIT l� ASSESSOR PARCEL NUMBER ZONING RTI B LDING PERMIT OWNER TELEPHONE FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 6W2 VF"ERA DR. QS�O..� ES • Soo NTRACTOR'S _NAME ♦TF rn l vNE CONTRACTORS MAILING RESS BOT 1251, PAWISE 95%7 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDINGADDRESS VENTURAERMITFEE 5402 URA DR, MAGALIA $ • PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDN1310N'SNAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome IN Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer. 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other y] Describe Work: REPAIR DAMAGED DECK — Mobile Home I IS I GI W 1 920.00 PERMITFEE y Contractor ELECTRICAL PERMIT Filina Fee 20.00 Main ServiceE00V OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION 1 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 jS In fU l force and effect. �ry License Class �' Lic. No. S 7 ! OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR NS. ( 8 ACC. S. ) SO. NEW CCONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97. 0 @7.50 ,POWER ( POWER APPARATUS ) OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES ( ) 20 Q 1.00 BAL so FIXED () Ex. Occup. ( OUTLETS RESD.EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor 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 permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor 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' = compensation laws of California, and agree that if I should become subject to the I workers' compensation provisions of section 3700 of the Labor Code, I shall, forthwith comply with those provisions. ..� X — Date -7" `/��� — Signature of Applicant - ❑ Owner,,i Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 35. OC HAZ. D. FEES I IMP I FLOOD I COF PARCEL PO HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PERMITEXPIRESON applicable provisions Resolutions to do work been paid. Date -711 -V7`-c (Date) Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - 7 County Center Drive - Oroville, California 95965 - Telephone APPLICATION AND PERMIT BUILDING IVISION (916) 5 -754 PERMIT NO. '�= i=710 ASSESSOR PARCEL NUMBER 066-060-001 ZONING BRT1 LDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 6402 VENTURA DR EST. 500 NTRACTOR'S ME A� 1 /�, f V (_VO T�F�lIQNE� ltlC (/ [/ CONTRACTORS MAILING ADDRESS 120 -RON 1251 , PARADISE 95967 Fireplace CONSTRUCTION LENDER UNMOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ 15.013 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDINGADDRESS 6402 VENTURA DR, MAGALIA PERMITFEE $ 35.0 PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 LOT NO. SUBDNISION'SNAME PARCEL MAP Solar Or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome M Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other b Describe Work: REPAIR DAMAGED DECK Mobile Home IS I GI W1 @20.00 PERMITFEE g Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service OOOV OR LESS ( z00A OR LESS ) 23.00 Main Service ( 200A TO I000A ) 46.00 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 - ' fu a I force nd effect. -7 �+c License Class - Lic. No. 5 / 7 o O 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 NEW CONST. DWELLING OCCUR OR 8 ACC. BLDS,TLET ) s0. 3.5¢ FT. NEW CONST. MULTI.OUNS. NON-RESID. ( BRANCH CIRCUITS ) @7.50 ,POWER ( POWER APPARATUS ) OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES) 20 @ 1.00 BAL .50 FIXED APPLNS. Ex. Occup. OUTLETS (RESID.) ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ I 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 permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing g Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor 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' 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. l� X �a�_t —Date —/ 1 — Signature of Applicant - ❑ Owner%><Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 35.0 HAZ. I D. FEES I IMP I FLOOD I COF PARCEL PO HD ISSUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By Z-- Date PERMITEXPIRESON I (.B) provisions to do work paid. I l� /L ReceiptNo.g�7p3 WHITE-D.D.S.-R.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT `7312-79B i PERMIT NO. • PERMIT EXPIRES (OWNER Melvin R. Dierks Fred Cox, Paradise CONTR. 66-6-1 LOCATION (A.P, ) 105 Ventura Dr., lot 122, PPCC#l, Magalia 1 4 4 r f `t n. Y� r _ J 9 Temp. Power Pole Called PG&E' Temp. Elea Serv.*- Called PGS Temp. Gasi �rv. Z a/PG& E • (Date) (Si", ture) 'a.iav _ . , COUNTY OF BUTTE — DEPARTrAENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUI-LDING BUILDING (Cont'd) PLUMB114 Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor StemwaII Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings StemwaI I Garage Vents Insulation Water Htr. Heaters fz Slab Carport Footings Prov. for ph slcally handlca ed Conformance of ex. structure Appliances Gas Piping & Test Temp. as Slab Final Sanitation Patio FIR LACE Final Footings Footing ELECTRICA Relnf. Steel Final Fixtures Bond Beam FIRE RINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHPAICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath I Ventilation Permanent Door Closer Final Final MOBILEHOME UTILI IES ----•------------- Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MOBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS 1 (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — PPRTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 � -• Telephorva:634--4541 APPLICATION AND PERMIT p� authorize representatives of the County of Butte to enter upon the above-mentioned prope;L�lZ,�&/7 ' ection purposes. X ✓S Date $ ature of Permite or Agent Receipt No. _3 2 -JR -79 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code -and/or resolutions to do work indicated above for which fees have been paid. DIRECTO"F PUBLIC WORKS By415-4-e—v, Date7— wilding permit expires Date tz,6y� o BUILD114G r Owner �L, vim SQ. FT. OCC. BUILDING VALUATION Mai I ing Address Telephone No. Contractor Gb Mailing Address Fireplace Total Valuation A / c Telephone No. C�oZ 7L Permit Fee 5--, C> c`D Building Address Plan Checking Fee&/or Penalty Permit Fee W PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 / A. P. No.lD onilng & Planning Water piping 1.50 Each gas water heater or vent 1.50 Flims S n eDept. 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 Bldg. 46's Rec'd L Parcel A royal Plans Approval awn sprinkler system 2.00 NEW 3 ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600v OR LESS 100 AMP OR LESS 5•�� Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 ' Main service 100 A Mso0vPOR LESS 25.00 100 A Main service EA. ADD'L 100 AMP 1.00 NEW CONS. I DWELING OR ADDNST % ACCLBL GS.CCUP. 4') 22sq ft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California BU ess & Professions Code under the name le of: style NEW CONSTR BRANCH CIRCUITS) NON-RESID BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS d NON-RESID, SINGLE Of CIR, EX. OCCUD{OUTLETS OR FIXTIIRES 50@252 BAL�1 Ex. QCCU FIXED APPLNS. OR p•(OUTLETS (RESID•) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. 7F'0 `7t'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 Workmen's Compensation Insurance. , I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation +2.00 Hood Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned prope;L�lZ,�&/7 ' ection purposes. X ✓S Date $ ature of Permite or Agent Receipt No. _3 2 -JR -79 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code -and/or resolutions to do work indicated above for which fees have been paid. DIRECTO"F PUBLIC WORKS By415-4-e—v, Date7— wilding permit expires Date tz,6y� o t4 PEFCMIT N0. 4183-77B PERMIT EXPIRES OWNER Mel Dierks CONTR. Fiscl Bros., Paradise LOCATION (A.P.. 66-06-1 105 Ventura Way,lot 122, CC#l, Magalia Mesh MECHANICAL Gird. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MOBILEHOME INSTALLATION ------------ Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTIONAEORD BUJ LDd BUILDING (Cont'd) PLUMBING - Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. 3,Restroom Finish 2nd Floor Footings V Windows 3rd Floor Stemwai I Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa l l Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for phslcally handica ed Conformance of ex. structureTem Appliances Gas Piping &Test . Gas Slab Final -7 <, — � Sanitation Patio FIR LACE Final Footings Footino ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Suboanels Mesh MECHANICAL Gird. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MOBILEHOME INSTALLATION ------------ Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE- = DEPARTMENT OF PUBLIC WORKS Z,County Center Drive —-Oroville, California 95965 Telephone: 534.4541 APPLICATION AND PERMIT u BUILDING Owner 101 c� P_ K SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor E f Arto N. Total Valuation ®l Mailing AddressP. a. 14 1 1` Permit Fee Plan Checking Fee &/orPenalty 1 ?1✓Lt V �i Telephone No )"-yy316 Permit Fee $ Building Address PLUMBING No. @ FEE PERMIT FILING FEE J$3.00 _ 0 ki - u, a_ A Each Trap 1 1.50 r (!�s(a --' , Repair drainage or vent piping 1.50 L % � Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F W. Sa on Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parkin Pla sg Declaration I Parcel p 1 60' R/W I Improvements Lawn sprinkler system 2.00 Bldg. Plans Rec'd Parc Approval Plon rovol Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE 1 $3.00 Main service 1000V OR 0 AMP ORLESS5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home ❑ Others OVER 600V Main service 1100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. /DWELLING OCCUP. &)OR ADDNSACC.22 sq ft NEW CONSTR. MULTI -OUTLET NON.RESID. ( BRANCH CIRCUITS) 2.50ea NEW.CONSTR. /POWER APPARATUS & NON .RESID. \SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: _ Ex. Occup(OUTLETS OR FIXTURES)@tea BAL@1 EX. OCCU FIXED APPLNS. OR i>• ( OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification ` / Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability WWrkmen's Compensation. have placed on file with the County of Butte a certificate of orkmen's Compensation Insurance. ❑I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby a tho i, TOTAL PERMIT FEE $ r) a representat(ves of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signal re of Permitee or Agent `� Receipt No. - / ' 7 q- kt White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF RJMLIC WORKS By Date ,til 1 Z ilding permit expires Date f— 7F PERMIT NO. ;_2959--=77P ,E PERMIT EXPIRES r OWNER Mel "Dierks CONTR. Fisci Bros., Paradise LOCATION (A.P. 66-06-1 105 Ventrua Way, lot 122, PPCC#l, Magalis t .,5 7{, t: { Temp. Power Pole P Called PG&E Temp. Elec. Serv. 9-3 Called PG&E Temp.,46s Serv. alled PG&E OB 0 3 FINALED (Date) (Signature Reinf. Steel I COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING. (Cont'd) PLUMBING S back FI wall oil Piping Fo s Par ets st Floor MaXn Bldg. Rest r m Finish d Floor otin s Window 3rdXFloor Ste wall Siding To out Slab Roof Sheaking Water PI n Piers Roofing Sewer Garage Fdn. Vents Fixtures FootingsFootingsk Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physical handicap ed Conformance of ex. structure Appliances 01 Gas Piping & Tes 11 Temp. Gas Slab V Final Sanitation Patio FIRE ACE Final Footings Footing I Lf'IECT CAL Reinf. Steel I Final Fixtures Bond Beam FIRE SPRINKILE'lliliS Motors Framing Test Water Htr Stucco Final Sub ane Mesh MECHANICAL Grd. F It Prot. Scra h HeaAg Servile Bro n Co Ing T mp. Pole FLAIsh D cis nder round Int rlor Lath entilationPermanent Difor Closer anal Inal MOBILEHOME UTILITIES ------------------ Elec. Service 7 2--j % Elec. Pedestal Water Piping 7 -.X jf • ?7 Sewer 44g=- Gas Piping MOBILEUOIVIE INSTALLATION - - - - - - - - - SupportElec. Continuity Water Piping 4 - v3 Drainage Gas Piping DATE REMARKS OR CORRECTIONS M� darr� � (NOTE: An entry must be made on this form each time you visit the job site.) 9. Electrical A Is service Large enangl. to provide ;-.tdequare amperage to mobilehome (must equal rating of Mobi.lehome. caith a ::;inucum of100 arnp) and other facilitiE!s on lot, i.e.,. water pumps, ".rake, cabana, ctc.7 Yes v/No No_ Ii. Is them proper clearances around panels? Yes` C. Is power supply cord or feeder assembly properly fused? Yes_ No_ �No D. Is continuity teat satisfactory as per the following procedure? Yes I.. De -energize electrical wiring, syste:a 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 t ;e Otuei ,.eau to each nIUU1.LCLlU11.le SuPPILy cuCiuuCtor, rncluultig iieui rar. 5. All nor. -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 te::;t shall then be Wade between �.he grounding electrode and the chassis of the �,iobilettome. Upon ssti-sfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. ;.0, s job card si-ned by health Department for water and sanitation? ll.. If everything okay, sign off card and to services. MOBTLEirOML DATA Manufacturer and/or Namestyle Length / y ti'icith �- Vehicle Serial No. Sta.te Identification "No. oszDy?��`1.3_� l d(t i t Tonal Information or Comments: iiv}3Ti•131i0itl? LIS'CALLA'1ION INSPECTION CHECK LIST 1. Is the. mobilehome loc'ted ir`-1 required separation from lot lines and buildings and generall.;• conform to plot plan? Y(!.,;C No 2. Doeis the mobilehome have required clearances above ground? (Sec.5085) Yes a ----No 3. Are foot:ui,s and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring -shackles.) (Se�,o �c. 5082 & 5083) Yes 4.. Is the mobilehome level.? (Sec. 5088) YcsVNo� 5. Ifo than a single unit, are crossover connections properly installed? (Sec. 5088) Yes7No 5: Water A. Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes L,-"Nc B. Test - Does water piping withstand working pressure or 50 lbs, air test? Yes No C. Backflow - If coach is not State of California approved, does station have backflow device and pressure -relief valve? Yes No 7. Wastes and Drains A. Is connection made with. Schedule 40 DWV and have flex connectors at each end? Yes °-INo B. Does it have minimum z;" per foot slope and is it properly supported? Yes l//No C. Are any leaks detected in drainage system after running 3- allons of water through each fixture including washing machine standpipe? Yes_ No D. If coach is not State of California approved, does station have required trap and vent? Yes No 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft, long? Note: All piping is to be at least as large as the mobilehome gas line inlet without reductions other than the mobilehome connector. Yes No B. Test OK as per following procedure? Yes_ No 1. Open all appliance connector valves. 2. Shut off appliance. burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.')' calibrated in tenth pound increments. Test for 10 min, without drop. 4. Connect gas meter to mobilehome with connector, turn. on gas, test connections with soapy water. - / C. Are all appliance vents properly installed? Yes �' No COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS" 7 COUNTY CENTER DRIVE OROW"JLLS, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 51 under permit number Z� 5��a- -2 for the foilwing location: Owner A)" -,-A2 U Owner's Address p Q Mobilehome Mfg. Model Year 1 Insignia No. Q rRa 5 2— 9 3 Serial No. 411 7 L 7 It is hereby certified for occupancy at the above described location and may be occupied. Directof Public. Works Date 7-" 3 - 7 7 By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED COUNTY 6r.3UTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, 10roville, California 95965 b Telephone: 534-4541 APPLICATION AND PERMIT y�y7 7 �L BUILDING to do work indicated Owner E SQ. FT. OCC. BUILDING VALUATION DIRECTOR OF PUBLIO WORKS Mailing Address nate"' Bui-11ing permit expires Date Telephone No. Fireplace Contractor Total Valuation Mai I i ng A ess �Q• a/ Permit Fee Plan Checking Fee &/or Penalty ne *717 Telephoef Permit Fee $ $ Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00 k Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 � ,/J // /4 /41L Each gas water heater or vent 1.50 A. P. No. — ©� --Z Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fps W. -Id Sefti4auon Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Im rovements p Lawn sprinkler system 2.00 Bldg. Pfans Recd Parcel oval Pla pproval Permit Fee $ $ NEW ❑ ADDITION [_UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 100 AMP OROR SLESS 5.00 �!9 .7 ®G Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service OVER 25.00 100 AMPP OR LESS O Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST ( ACCLLING OCCUP. & BLDG ) 22sgft NEW CONSTR. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. /POWER APPARATUS & NON -RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES) @@1 104 Ex. Occup. (FIXED APPLNS. OR OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 �/ / License No. � [tL Classification e—CoZ 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 Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ 3U `— OULIIU114e ICp1eJCI1IdUVUb UI LIIU kaUUHy UI t5utte IU enter upon the above-mentioned property for inspection purposes. X Date a /7_ 77 Signature of Permitee or Agent eceipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIO WORKS By— nate"' Bui-11ing permit expires Date i` COUNTY OF 13UTTL — DEPARTMENT OF PUBLIC WORKS • � � 7 County Center DbivE , —' Uroville, California 95965 Telephone: 534-4541 p"d� APPLICATION AND PERMIT autnon rep esentatives OT the county oT Butte to enter upon the above -m nt' ed pro erty for inspection purposes. k X Date ��`' 5 iginAre of Permitee or Agent Receipt No. & Z, 01,7 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or. resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Dater 27-7,7 B ding permit expires Date �'' Z7— 7f BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor z ze 61J• Total Valuation Mailing AddressAn � Permit Fee Checking Fee &/or Penalty e Ode Tel one o VVone �oPlan Permit Fee $ $ Building Address- PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Gt% Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping d�0 -r ?j2_ ��� �' C Zoning i/erifioefion Only Each gas water heater or vent 1.50 A. P. o."i f Gas piping system 1 - 5 outlets 1.5U Each additional outlet .30 Fes S ion eFireDept. Fire Zone Use Permit Building sewer -CrQO EQA Parking Plans Parcel Declaration Parcel Map 0' R/W Impro ments Lawn sprinkler system 2.00 d� rns c'd Parcel Approval PI s Approval Permit Fee $ 0 $ 3 C NEW ❑ ADDITION ❑ UTILITIESto' OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 o OC) Main service 100 AMP OR00V OR LESS5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service OVER 600V100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 500 SQ. FT. MINIMUM NEW CONST. DWELLING OCC & OR ADDNS. ( ACC. BLDGS. UP. ) 2¢sgft NEW CONSTRESID. ( BRANCH CIRCUITS) 2.50ea NON.CONST FOR MOBILES NEW CONSTR POWER APPARATUS & NON RES D. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9,•Div. 3, of the State of California B siness & Profess'ons Code under the name style of: ` Ex. Occup(OUTLETS OR FIXTURES) 6AL@1 FIXED APPLNS. OR Ex. Occup.(OUTLET s (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. aC419 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 Wo en's Compensation. r'rjf3efhave placed on file with the County of Butte a certificate of \LW Workmen's Compensation Insurance. I certify that in ,the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERM T FEE $ autnon rep esentatives OT the county oT Butte to enter upon the above -m nt' ed pro erty for inspection purposes. k X Date ��`' 5 iginAre of Permitee or Agent Receipt No. & Z, 01,7 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or. resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Dater 27-7,7 B ding permit expires Date �'' Z7— 7f