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HomeMy WebLinkAbout066-120-016-i .. 66-12-16��'n ,r, Ra�ERT THENO c% CT 1376E- Endicott Circle, Magalia Contr : .. Roberson Const Permit#208 P,E(util, MH) ELE6�00 A GAs SUPPORT STRUCTURE RE OMPAC,TION TEST REQ egjL Fal, 66-12:6 Contr; Mobilehome Ce- iter per, •Permit#2859-85 Issued r 66-12-16 Permit #3178-85B,E( decks/MH) gara,ge & front & rea rtcl 1/0-7 8CP 667120-16 188-90B. STOUT, Clifford 13,766 Endicott Cir;.Magalia (MH DECK COVER) . 3a�'-16g2 0��-120-0�� Ch oca S�ou�- �r�m�erd3��lciecs l 3 r7 (olo E'nd � sof G`+rC��, (�ac�alia rn.p. C.fl C� r- N � �I�� � r Xj2 Foundation System installation instiuctions for California for Ground & concrete Systems HUD Wind Zone ly 15 PSF Wind Load Seismic 4 By Tie Down Engineering �30 �� �r rliY Y it Y,Ity' T - A P P lo-ov' �" Xi2 Ground Sy stem Xi2 Concrete Sy., tem Engineer Approval Sta& Approval 1MIANVPACTURED HOMEIMOSILE HOME FOUNDATION SYSTEM WAtTH AND SAFETY CODE, SECTION 18SSI APPROVISD MM2CT TO CORRBCTION5 B10?ED AVMCIVAL 00Et NOT A,UTHORM OR APPROVE ANT OMISSIONS OR DEVIATION FROM REQUIREMSMTS OF AMCABLB STATE LAWS AND REGULATIONS Qarta of Cetlfbn+ia �eymteadae odHot�IoS ansa �Coas � �4� f®�P1�C��8-6 AND E7"!'Al3DABM Tlda Pian Ayprowt BaQieaa Page 1 of 8 2 Foundation System Installation Instructions for California for Ground .& Concrete Systems HUD'.Wind Zone 1, 15 PSF bind Load Seismic 4 By Tie Down Engineering BUM CUe nflMir Xi2 Concrete System Engineer Approval Stare Approval MANUFACTURED HOME/MOBILE HOME FOUNDATION SYSTEM HEALTH AND SAFETY CODE, SECTION 18551 APPROVED .0 I' TO CORRECTIONS NO i ED APPROVAL DOES NOT AUTHORIZE OR APPROVE ANY OMISSIONS OR DEVIAtION FROM REQUIREMENTS OF APPLiCABLB STATE LARK AND REGULATIONS State of California of Housing and Community Develoyment I/VLSI OF CODES AND STANDARDS _ e (�13�uro) I 8 No. / l_ t P1aaApMv9E"jrea Page 1 of 8 ®Xi2 Foundation System Installation Instructi®ns for Calif®r for Ground & Concrete Systems HQ!® Wind Zone /, 15 PSS° Wind Loa 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 m C LO 0 0 0 1. 2. 3. 4. 5. 6. 7. 8. 9. 10 Installation of Xi2 Ground Systems Identify the number of systems to be used on the home using the chart provided. Identify the location where the systems will be installed. Clear all organic matter and debris from the pad site. Place U -bolts through holes in pan provided. Place pad centered under beam with the lateral strut bracket towards the inside of the home. Press or drive pan into ground until level and flush with prepared surface. Build pier according to State, Local or Home Manufacturers guidelines. (Figure 1) Attach the end of the smaller tube to the inside of pan using U -bolt & nuts provided Attach the flag end of the larger tube to the opposite I-beam using the "J" bolt over the top of the I-beam with the nut & washer provided. (Figure 2) Install a minimum of four (#12 x 1" tek screws) self -tapping screws into the holes provided in the lateral strut so that the two tubes are connected together. (Figure t) d ofNorne En J -Bolt Nut & Washer strut (flag end) e 'i AlI-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. �DOWN� ENGINEERING 0 O G � 4 /' S . . . . . . . . . . . Xi2 Ground Part Detail Xi2 Ground System Xi2 Ground Lateral System Part Number 59306 Includes- 5' Strut, pad & hardware kit (#59329-1 includes all nuts and bolts). Longitudinal Hardware Kit Part Number 59331 .......... .. Includes- 2 I-beam brackets & 2 U -bolts with all nuts and bolts. Lateral and Longitudinal Combination Part Number 59333Longitudinal Strut . ......... & Hardware Kit Includes: 5' Strut, Pad, Longitudinal Strut (#59329), Lateral and Longitudinal Hardware Kit with all nuts and bolts. Struts for Longitudinal Systems W, <Q5b Part Strut Pier Height No. Length Up To- r Ad" _,q_q_qn-44 A Alnrklz or 32"59330-65 65" 6 Bloc . ks or 48" Ground Longitudinal Hardware Kit Xi2 Stabilization Pier Placement for Ground or Concrete Ground Longitudinal Strut Xi2 Pier Placement . Single Section Home Double Section Home 0 -80' (76' Box) 4 Xi2 Systems 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 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" bolt/nut provided. . 6. Attach the`flag end of the larger tube to the opposite I-beam using the "J" bolt over the top of the I-beam with the nut & washer provided. (Figure r next page) 7. Install a minimum of four (#12 0" 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 ori 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. Page 5 of 8 'D.QWN ENGINEERING 0 0 O O 117 Xi2 Lateral Concrete Systems Part #59307 Includes: 5' Strut, Bracket, & Hardware Kit #59315-1 with all nuts and bolt. Longitudinal Struts for "Concrete Systems" Part No. Length Pier Height #59013 44" up to 4 Blocks #59015 65" up to 6 Blocks Longitudinal Hardware Kit Part #59263 (Includes 2 sets per kit: I-beam bracket, nuts, bolts and washers) Lateral and Longitudinal Combination Part #59332 Includes. 5' Strut, Longitudinal Strut (#59364), Lateral and Longitudinal Hardware Kit with all nuts and bolts. Figure 1 j /Nut & Washer Beam Clamp Bracket Longitudinal 1 -Beam Xi2 Installation Placement Longitudinal Strut , H°m8 end Of Xi2 Concrete System Concrete Longitudinal Hardware Kit Page 6 of 8 i I9 C .:TIE iDDWN ENGINEERING Offset Placement Diagrams represent examples of double and triple section offsets. Total size is determined by the length of unit plus offset. ,Ci2 Stabilization Pier Placement for Ground or. Concrete Xi2 Pier Placement Single Section Home Double Section Home 0 -80' (76' Box) 4 Xi2 Systems 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 7 of 8 ,o m 0 G IDDYYN ENGINEERING • ^• f X�z #59329-1 Hardware for 59306 Lateral System 1 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 thread Beam Clamp Top Flange 8 10926 1-3/4 zinc 4 10556 Tek Screw #12 x 1" 1 10631Z J Bolt 1/2 x 5-1/2 arade 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 50,306 2 59272-1 Beam Clamp Base 4 59272-2 Beam Clamp Top Flange 8 10926 Carriage Bolt 1/2-12 x 1-1/4 2 10646Y Full Thread 10 10646Y Hex Nut 1/2-13 grade 5 zinc 2 10801 Carriage Bolt 1/2-12 x 2-1/2 4 10926 Grade 5 2 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 thread 2 10801 1-3/4 zinc 4 10640 Push Nut 112 .f, 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 full thread 5 10646Y Hex Nut 1/2-13 Grade 5 zinc 1 10801 Carriage Bolt 1/2-12 x 2-1/2 Grade 5 zinc 1 84533Z U -Bolt 1/2-13 x 2.63-x 2.19 Thread 1-3/4 zinc 2 10640 Push Nut 1/2 2 10519 Hex Nut 1/2" w/Serr Flange 5 #59315-1 Hardware for Lateral System 1 10631Z J Bolt 1/2 x 5-1/2 Grade 5 zinc 1 12107 Flat Washer 1/2" SS 4 10556 Tek Screw #12 x 1" 2 10646Y Hex Nut 1/2x-13 Grade 5 zinc 1 10826 Carriage Bolt 1/2-12 x 3 4 10801 Grade 5 zinc . 059027 Hardware Kit for 59307 Lateral System 2 59264 3 Wa4 Concrete Bracket 4 10530 Wedge Anchor 3/8 x 3.50 1 59315-1 Hardware Kit #59263 Longitudinal Hardware for 59307 2 59272-1 Beam Clamp Base 4 59272-2 Beam Clamp Top Flange 8 10926 Carriage Bolt 1/2-13 x 1-1/4 1 59315-1 Full Thread zinc 12 10646Y Hex Nut 1/2-13 Grade 5 zinc 4 10801 Carriage Bolt 1/2-13 x 2-1/2 4 10926 Grade 5 zinc ..,..#59364 Hardware for 59332 Lateral and Longitudinal combination 1 59264 3 Way Concrete Bracket 2 10530 Wedge Anchor 3/8 x 3.50 1 59315-1 Lateral Hardware Kit 1 59272-1 Beam Clamp Base 2 59272-2 Beam Clamp Top Flange 4 10926 Carriage Bolt 1/2-13 x 1-1/4 Full Thread zinc 2 10801 Carriage Bolt 1/2-13 x 2-1/2 Grade 5 zinc 6 10646Y Hex Nut 1/2-13 Grade 5 zinc Page 8 of 8 0 0 0 U i STATE OF CALIFORNIA -BUSINESS, TRANSPORTATION AND HOUSING AGENCY ARNOLD SCHWARZENEGGER, Governor DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT stNc 9 Dlvlelon of Codes and 3tAndirdsLQ �O n � n � Title Search � 04 Datc Printcd : 07/30/2008 Decal #: L.A145474 Manufacturer: 0{289-ICAUFMAN%BROAD Tradename: - BAINBRIDGL � Model: 912 j Manufactured Date: 10/03/1985 Registration Exp: First Sold On: 10/23/1985 Serial Number KBCASNB 86121269 KBCASNA86121269 Record Conditions: Registered Owner: Use Code; SFD Original Price Code: AHZ Rating Year: Tax Type: LPT Last ILT Amount: Date ILT Fee Paid: ILT Exemption: NONE HUD Label / Insignia Length Width CAL315698 48' 111101, CAL315699 48' 1111011 PPF Exempt CLIFFORD F STOUT MARY ELIZABETH STOUT (Community Property) 13766 VNDTCOTT CIR MAGALIA, CA 95954 Last Title Date: 08/03/1988 Last Reg Card: 08/03/1988 Salerrranslfer Info: Price $32,75.0.00 "Transferred on 06/22/1988 :- Situs Address: ':........ 13766 ENDICUTT CIR _....:MAGALIA,CA.95954 :,...w. .d. Situs County: BUTTE F BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION (IVR): (530) 538-4365 OFFICE: (530) 538-7541 FAX#: (530) 538-2140. ONLINE PERMIT/RENEWAL PAYMENTS: www.buttecounty.net\dds \ vaLial LVI 1ippI1Udnt: , Jquare rootage: PREMIER BUILDERS PREMIER BUILDERS Building Garage Remdl/Addn 6055 TERRA VISTA 6055 TERRA VISTA PARADISE, CA 95969 PARADISE; CA 95969 Other Porch/Patio Total (530)872-1096 (530)872-1096 ' FEE INFORMATION DBF MH Plan Check $241.16 DBMSC Mobile Home Permit Fee. $361.74 t LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires PREMIER BUILDERS 343173 / B / 09/30/2009 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. X 2) 2a 1 I �Q p 08/19/2008 C—ontraacc or's`Sz'iggnature 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. 11_y�rrAvt AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by LJ 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: 1127626-06 Exp. Date:05/0112009 ple (This section need not a comted if the permit is or one un re ollars ($100) or Fess.T ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, 1 shall forthwith comply with those provisions. X `' (%� 08/19/2008 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 Balance Due: $0.00 Receipt No: B8322 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: X 08/19/2008 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 Stale 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 roperty for inspection purposes. I hereby certify that I am the ori property owner or am authzed to ct the property owner's behalf. �7 2%rpJu yt,\� >oUco� 08/19/2008 0 Owner 2 -Contractor OR; Agent for Owner ❑Agent for Contractor FILE COPY PROJECT INFORMATION Site Address: 13766 ENDICOT CIR Owner: Permit No: B0$-1692 APN: 066-120-016 STOUT CLIFFORD F & M, Permit type: RESIDENTIAL 13766 ENDICOT CIR Issued Date: 08/19/2008 By TMP Subtype: SFD-Mobile Home RET MAGALIA, CA 95954 Expiration Date: 08/1.9/2009 Description: MOBILE HOME PERM. FND EX SI' Occupancy: Zoning: RT1 \ vaLial LVI 1ippI1Udnt: , Jquare rootage: PREMIER BUILDERS PREMIER BUILDERS Building Garage Remdl/Addn 6055 TERRA VISTA 6055 TERRA VISTA PARADISE, CA 95969 PARADISE; CA 95969 Other Porch/Patio Total (530)872-1096 (530)872-1096 ' FEE INFORMATION DBF MH Plan Check $241.16 DBMSC Mobile Home Permit Fee. $361.74 t LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires PREMIER BUILDERS 343173 / B / 09/30/2009 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. X 2) 2a 1 I �Q p 08/19/2008 C—ontraacc or's`Sz'iggnature 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. 11_y�rrAvt AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by LJ 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: 1127626-06 Exp. Date:05/0112009 ple (This section need not a comted if the permit is or one un re ollars ($100) or Fess.T ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, 1 shall forthwith comply with those provisions. X `' (%� 08/19/2008 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 Balance Due: $0.00 Receipt No: B8322 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: X 08/19/2008 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 Stale 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 roperty for inspection purposes. I hereby certify that I am the ori property owner or am authzed to ct the property owner's behalf. �7 2%rpJu yt,\� >oUco� 08/19/2008 0 Owner 2 -Contractor OR; Agent for Owner ❑Agent for Contractor FILE COPY BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION" OFFICE M (530) 538-7541 FAX #: (530) 538-2140 A FEE WI.&L BE REQUIRED AT TIME OFAPPLICATION Website: www.buttecounty.nettdds PLEASE PRINT CLEARLY 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 C u T Fust Name L l D Mailing Address . r l co 1 City M P5,G-Au tq StateM, Zp A_��4 Phone Fax E-mail CONTRACTOR Name Vr f,S PIo c3 gp Address Le �,(.MK ?p,) City 'Fag_(- Cyr— PFa Zip 4L4"�6�' Phone 9 72- �O E-mail lic. #Class Phone APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Pa 5E Address Z'pg-5-7lo City Fax State Zip Phone Fax E-mail State License Number APPLICANT INFORMATION Name Address City Pa 5E State G4 Z'pg-5-7lo Phone Fax E-mail APPLICANT 1GNATURE X 224 --(- P,­� PROJECT LOCATION API O - Property Address , J C4 m�C—A-1_,A 1 0 WORKER'S COMPENSATION Policy Number Carriery—� Nhiring 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: f _ ST�J UNi� le /5`1`i A40 l Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: IK4 O —./-) I Zoning Flood Zone SRA No Occ. Type Const. Q RECORDING REQUESTED BY Bidwell Title and Escrow Company ORDER# 3-142528 AND WHEN RECORDED MAIL TO Clifford F. and Mary Elizabeth Stout Name 13766 Endicott Circle , Street Magalia CA 95954 Address City & ; State ' —J 88-0201162 ; Rec Fee 5.00 DOC 27.50 MAIL TAX STATEMENTS TO Recorded ; Tota 1 ' 32.50 Off icial" Records ; ,Name County o f ; same as above Street Bu t t:e BIDWELL TITLE_ CO. Address Candace J . Grubbs ; Rec.order;,l ; Stay& State L 8:00am 22-J..un-88 ; BG 1 J 4 SPACE ABOVE THIS LINE FOR RECORDER'S USE AP# 66-12-16 Individual Grant .;Deed THIS FORM FURNISHED BY BIDWELL TITLE. & ESCROW COMPANY The undersigned grantor(s) declare(s): i' t Documentary transfer tax is $ 27.50 ( x ) computed on full value of property conveyed, orr . «,t gXP,q 0� ( ) computed on full value less value of liens and encumbrances, remaining at time of sale. (. x .) Unincorporated area: ( ) City of ,and FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, ROBERT E. THENO and ALICE M. THENO, husband and wife , as JOINP TENANTS hereby GRANT(S) to CLIFFORD F. STOUT and MARY ELIZABETH STOUP, husband and wife as COMMUNITY PPOPERTY the following described real property in the unincorporated area of Magalia County of Butte , State of California: r Lot 187, as shoran on that certain Map entitled, "PARADISE PINES. COUNTRY' CLUB ESTATES UNIT NO. 2", which Map was recorded in the office of the Recorder of the County of Butte, State of California, on October 13, 1971, in Book 3.8 of Maps, at pages 61, 62, and 63. EXCEPTING 'I'llrRFFROM all minerals, oil, gas, asphaltum and other hydrocarbon substances, with provision that any and all mining operations shall be done form orifices outside the surface area of the land described herein, and that no damage shall be done to the ..surface of said land. Dated: June 13, 1988 STATE OF CALIFORNIA COUNTY OF Butte }SS. On June 15, 1988 before me, the undersigned, a Notary Public in and for said State, personally appeared ROBERT E. THENO and ALICE M. THENO personally known to me or proved to me on the basis of sat- isfactory evidence to be the person q whose name S subscribed to the within instrument and acknowledged that rhn;L__ executed the same. WITNESS my hand and official sea]. Signature ���' c4e FORM #BTE-DED-05 (5/87) C. Nath ROBERTE. -- �7 : ALICE M. THENO • i t, Fallotary -- OFFICIAL SEAL C. NATH Publlc-CallMmiaBUTTE .COUNTY Comm. Exp. Nov. 1, 1991 (This area for official notarial seal) MAIL TAX STATEMENTS AS DIRECTED ABOVE r S4tback 015 ft. lines andoa setback of property • Pyo ft. from the road centerline shall e eaexae� of structures or equipment for .a 2 it.. 'Gave mverhart9- N®TE:--Ap Materials WorGood iPraci',end Accordance th Recognix t S. � of a duality prescribed for t Uniform Buildir Plu "'ng Mechanical Codes ani the National Elec� ical Code. This set of plans and specifications 'AAUST be kept on the job at all times and it is unlawful t: make any changes or alterations on same wifb- out written permission from the Denartm^nt of Public Works, Countv of Butt.^. 71 D ,811'ffE COUNTY WILDING i. -' DEPARTMENT • D N'Ew LSC Off( `� s►x.t} ?oST�4 ��) o �G. �'7r►X J • f. Sy. Mo6i L i l Max. wise . Min. Run Ru measured toe to toe. max. tolerance between largest & smallest rise/run, fX /?22F /f'Ew 2aoF a c & ,?4",%C lZigr�t s %z cox Pad wood t I' Lds ��ZT o ytxreiivr9lz � Ii w q '4x4 ftr"S will $E SC -r o h v^ivA 14xi4x 6 (FOS � co�2 eG2t� v,4t.LMf 2w w5mipl(.7 P9-) 70 cob - BUTTE L � � � � E� . ri,o�;L � Opt:• t i7 QQ BUILD NG DEPA MENS M®V APP VV ` ,, ,'PERMIT NO. 3178-85B,E ` PERMIT EXPIRES OWNER ROBERT E. THENO CONTR.. ROBERT E, THENO ASSESSOR PARCEL 66-12-16 LOCATION _13766 Endicot Circle, Mggalia ,r n cg, Temp.. Power Pole_ Called PG&E _ Temp. El— S.••-i— Called P( Temp. Gas Se Called PG JOB FINALE[ Signature w V = .OK 0 - Not'OK. , = Not Applicable MOBILEHOMES s MISCELLANEOUS = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except N's Date D S, CO .ERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements 1. ni equirements—Setbacks—.Easements 2. Soils; Special MH Support—Sketch 2 ootin - e—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/0—Concrete 3, _s: Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) 4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG 6. Carports; Windows—Doors 7. Utility Clearance 7. Elec. Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements Card -BI Card -B( Date Date Y Card -BI Date Date Card -BI Date POOLS (Plans) OK except N's 1, Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. Electricity; MH Test—Crossovers—Breakers—Clearances 4, Elec.; Receptacles and Lighting; Distances—GFI 5. Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6. Water; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. Water and Sewer Connected—C/O to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test 9. Exits; Insp.—Sketch 10. Cert. of Occupancy Card B -I Date Card -B1 Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date V = OK 0 = Not OK - = Not Applicable RESIDENTIAL (Single and Duplex) Not Ready Date UNDE FLOOR PlIa�OK exce t#'s Date FRAMING (Continued) oning requirements-Setbecks-Eeeem2f4fs rt Line Firewall & Openings - - lec. Grnd.- / /" Ftg. Depth Gar ory, 2 exits Ftg., Garage; Soils -34"- / L_�" Ftg. Depth - adro m -Rise -Run -Landing -Fire Protection -4.--FEg+-Percfies &Decks; Soils -Steel- / /" Ftg. Depth yw on verhang-Arty vorfc-Rafter4)&AHggers S. Gle Iwo 11s, Me Steel lockouts -Wrapped -Slab iding- g-Veaeer-- emwalls, Garage;.Sioel-Bloclmut -Wrapped-2Mesh-Drip Screed-Fdn. Vents-Underflr. Access t .-Steel . Glazing Area -Glass Protection -Skylights -Plastic - ngs-Test-2 way C/O -Sewer Test a s; Nailing -Bolts 9r 9ae-Pip�Slze-Anchors nchors-Regulator-Service Test G. Electric; Undergroun /L 12--?4erwmt-"ucts; Cle ante -Material upport-Ins. +� rirrtprg-Rillg-Anchor Bolts -Joists -Vents -Cripples Card -BI 71M Date Card -BI Date Card -BI Dat(r Card -BI Date Card -BI Date Card -BI Date Card -BI /R Dat r Z r r G Card -BI Date Date FINA PlanS.) OK except N's Card-BIa Date/ Card -BI Date Date PLUMBING (Permi K e ftept q's i xt. St -Door & Sideli ection-LendimJs- a for 14. Water Ht.; Vent- s -Combust ion Airce; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & An ors -Nail Protection 16. D.W.V.; Test-Fttn & Anchors -Nail Protection 59. -•Bed► o—m-Exiting 17. Shower Pan; Te , First Floor -Tub Access 6 Fixtures & Tub Accu s 18. Test Tub & Sh wer, 2nd Floor -Tub Access ? 6 Iec. rim I; Brea es - 19. Gas Pipe; Size NAnchors earances-Hearth Panel; Int. & Ext. Card -BI Date Card -BI Date _ liance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date eceptacles at Kit. Counter Date Y ELECTRICAL Permit OK except #'s or; Swing -Landing -Closer ra a -Dam er 20. Fixture & Transformer Clearance -Ins. Protection -Clearance-Comb. Air-Connector-P.R.V.- In G e; Abech. Protection _Ove Floor-Mech. -M 21. Elec. Receptacles Spacing -Lights & Switches at Doors 22. Size Boxes & No. of Conductors -Stapled 7 & Mach Listed for Location 23. Romex Installed Close to Edge of Studs & C.J. 7 ec. Receptarles to Garage; (G. -Rom rotec. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water in Attic ❑Yes 25. 2 Appliance Circuits in Kitchen & Conductor Size onstruction-Post Caps l 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 7 T�Drainage ood-EaFEk-6toaczas� Loo_kgd r + ❑� may-• 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes F-1 No 7 'o lowing instld.: Drive ❑ No; Walks El Yes o; Planters Dyes 28. Service -Riser Conductors & Ground -Main Disconnect 7 q 64 -con R -un w4a" 29. Equip. Clearances; Panels-Motors-Mech. Equip. 7 nnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light Plbg.-Appliance-Firepl.-Clearance to Opn s. 7 e ; i ect, EI trical, Plumbing Z'7 T F.I. ecpptaelt�iJnd Card B -I Date Card -BI Date {meq throughout House o�lesr,otection Card B-1 Date Card -BI Date Date MECHANICAL (Perm/ OK except H's 83--6ew4o4ens from Previous Inspections Wiest -Meters Tagged; Gas -Electric 31. A.C. Ducts;'Insu ion & Support 85-WsteL& Sewer Connected -C/O to Grade -HD Approval 32. Vent Fan; Exhaust jbove Insulation-gra,Energy Compliance Certificate -Other Certificates 33. Condensate Drai 9e4Overflow; Size & Grade 34. Furnace -Vent; ccess-Comb. Air -Return Air Vent -115V outlet 35. Attic Access & latform if Furnace in Attic Card -BI ftt Date Card -BI Date Card -BI Date Card -BI Date Card -BI Dat _ Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FRA G Plans OK except p's Sills; Proper Material & Anchors _Li�(� / -5 3 Studs -N g, Spaci Bracing- es -Sound -/ 38. Besiong over Girders & Floor Nailing r top in Walls (rat proof) o s; erred Ceilings -Stairs -Chases -Tub Bader & Beam -Size & Bearing s -Anchors -Connectors _� 4 t-Rfl-Par_Fin=Ro _ c.-Tmwr9-ShtI*W.-fhjV_ ies or Type A Flue -Fireplace Throat Size & Romex Protection -Draft Stop -Ins. Baffles ows or Exiting Doors -Sill Hgt. & Dimensions n Framing (NOTE:Anentrymust be made each time youvisit jobsite) 4 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 5344541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. i Inspector— �i `— _—_-- Date_ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS '.PERMIT O. 7 County Center Drive - Oroville, LaOtorn4a 95963 - Telephone 916/534-4541 !— �— APPLICATION -AND PERMIT(4,, ASSESSOR PARCELNUMBERZONI,N ,,, 7� BUILDING PERMIT ," OWNER r, TELEPHONE E T L. W7 - g17/o0 SQ.FT. OCC.. BUILDING VALUATION 0 OWy�OR S MAILING/ DDRESS M A��A 0M. �� STELEPHONE , Lf � CONTRACTOR'S NAME Rogjzgr E T t N 873 3 8!D CONTRACTOR'S MAILING ADDRESS O'kb CA 9595- ' Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee Permit Fee $ 10,00 $ ARCHITECT 0= ENGINEER LICENSE No. Plan Checking Fee $ 26 r ARCHITECT OR ENGINEER'S MAILING ADDRESS _ Energy Plan Checking Fee Penalty $ $ BUILDING ADDRESS ; M L/ d �e 9 L/O(/p G,V rT W7<14 ,Permit fee13T PLUMBING PERMIT $ FilingFee 10.00 Each Trap 2.00 F Solar or heat pump water heater 20.00 j LOT NO. SUBDIVISION NAME,y PARCEL MAP COCLNTiP moi- '6, Water piping Each qas water heater or vent 5.00 5.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobi lehomex Oth SPA e,6 E� FRoNT Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea TYPE OF WORK New% Additiioon X Remodel ❑ Utilities ❑ Installation❑ Other ❑ Permit Fee $ Describe work:C7RRAGE*, Ff&A/Y'EA17-RAWC91 FRD Contractor ELECTRICAL PERMIT FilingFee 10.00 3%E'(;%C $%}CdC GNTRfFAlC�� tBAC6C �D�-CK Main service 100 AMP ORV OR LESS10.00 Main service EA. ADD'L 100 AMP 2.50' CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): El am licensed under provisions of Chapt. 9, Div. 3' of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, Or my employees with wages as their SOIe COmpen- NEW CONST. DWELLING O , A h¢sgft NEW CON5TH.� ULTB OUTL T NON-RESID BRANCH CIRCUITS2.50 ea POWER APPARATUS &) SINGLE OUTLET CIR. EX. OCcup(OUTLETS OR FIXTURES 20@riot 5ALALe90 FIXED APPLES. OR EX. Occup. OUTLETS (RESID.) EAJ 2.00 Temporary service 10.00 sation, will do the work,and the structure is not'intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) Mobile Home Facilities 15.00 Misc. byirin g 15.00 ❑ I am exempt under Sec. , Business and Professions Code Permit Fee $ I for this reason Contractor WORKMEN'S COMPENSATION INSURANCE '.:I declare under penalty of perjury (check one): MECHANICAL PERMIT FilingFee 10.00 ❑ The permit is for $100.00 (valuation) or less. Heating ❑ 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. ,Cooling Hood 3.00 ix 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 becomesubject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee $ Energy Inspection Fee $ is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrueV/ against-sai,d County in consequenc of the granting of this permit. X_ /!— �— &PJ Date Signature of Applicant — Owner;Q Contractor ❑ Agent ❑ TOTAL PERMIT FEE I `- OCCUP, CON ST.TTPL I I FLO 001*AR C EL I PD ND SSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. An OSHA permit is required for excavations over 5'0" deep and demolition or construct- an of structures over 3 in height. DIRECTO)ft Og P BY L PERMIT EXPIRES Date IC WORKS Date ''� '� stories Receipt No. l.,r Z� / `�E WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -IN PECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF PUBLIC WORKS 7 County Center Drive,._Oroville, CA 95965 PHONE:. 916-534-4541 Robert E,•theno DATE 11/6/85 -P.O. Box 1448 a Magalia, CA 95954 ; RE: Bldg Permit application A.P. # 66-12-16 With reference to the above subject: Attached is: , • Application for. permit ..,e.-,,. Mobilehome Utilities Installation Sheet Building Plans'' t`=-` Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet' Owner=Builder Verification Form' List of Codes -Enforced OTHER X We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Woxkmen's Compensation Insurance or check exemption statement. Contractor's License Law information.or check exemption statement. Complete plans in including plot plans: Plot plans in Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including •- Street and drainage improvement plan approval from Land Development Section (DPW): sets of plans, in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: 196 Memorial Way, Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for R Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy of agricultural acknowledgement statement. L� OTHER Should you have any questions concerning the above, please .contact this office. JFG/aj Yours very truly, William Cheff Director of Public Works .F. Glander ; Chief Building Inspector . r 'ON IWA Lal 'ON .107 ,oez Jv aie..*)s V AIIYO NIA'7dD ch Y ` w ` ► ^_ SIC 1NSd 90•00 .r. w -A'.w_ _.... �� ... �...._.._....R.� .:.. -.. -.... � ..y yam.. .�.. .... ... _._........ oT r � 7 I /SF. s � ,F� • { ■ _ lilt b ' � 14611 t r u . Li t " L . .. .. ago• ;tom t t : 4 s. / �6, __ N ; All Materials & . Workmanship • Sh.Bein .0 BI � � � o dance with , Recognized 'Good Pract� es and A setback of 5 ft. from the �t. h ST", Acc Of .a uality prescribed for the Specif;ed use in 'the property lines and a setback Unifo Building, Plumbing & Mechanical Codes and of 50ft. from the road ectn the ational Elcal Code. centerline shall be clear ofI � . This set of plans and specifications MUST be structures or equipment excOpt kerkeany on the job at all times and it is nl.aw#eel +o I fora 2 ft. eave overhang. changes or alterations on sone without �I written permission from the Departm® t of Public Works,.County- of Butte.- rco '_. 120 ' BUTTE` COUNTY - �i� ►a, �a; BUILDING DEPARTMENT No APPROVEa NwCTau� 1-"2oa� gnrt� Sc.i2nG. .J F S Nj v rco '_. 120 ' BUTTE` COUNTY - �i� ►a, �a; BUILDING DEPARTMENT No APPROVEa NwCTau� 1-"2oa� gnrt� Sc.i2nG. pFtw�� I •� Max. Rise C ._ Min. Run Run measured toe to toe, 3An mak. tolerance betwee Iffiest & smallest rise/ruh HoHL y_�'6 pi' :S•o.;��fewS o-2. Oeeta S �•PP _ 7x.F�tr lx�. c¢oss .c3ew�rc. ' 2� �2 p liY - oS� � .(3o�H d t2EE+bie1S tq I gfQ;•nbEQ . 1y � vc'1 c3G�aac4-S .. i C^q p co.nc•o ��: c BUTTE COUNTY BUILDING DEPARTMENT APPROVED joPUiCW 4 M3,If co—cv Pr L 21! b 1i , CF no c o7, c=A4, Q),r-c-\z off. 3 f r, 2446 opeke- covrm,-- POSE ViC..J BUTTE COUNTY BUILDING DEPARTMENT APPROVED Ic W� -I,- cop Svv-i—bt-qS C3 .......... 2.1 0p c o7, c=A4, Q),r-c-\z off. 3 f r, 2446 opeke- covrm,-- POSE ViC..J BUTTE COUNTY BUILDING DEPARTMENT APPROVED i2 \.. 4Y �2 L•wao�'�L 7 K �o Gr.�¢weG 0002 \VVKVVtV RESIDENTIAL 66-120-1Y6 QST Clifford 13766yEndicott Cir, Magalia (MH DECK COVER) a C� 1-30 S — P, . Y (Z+. 26 C-3 JOB FINALE Signature J=OK _ O = Not OK Not = Not Readyable MOBILE HOME -S I -.'!z0 Z ` z_;;I k _Date- MOBILE HOME UTILITIES (Plans)' OK' except #'s't nie:p 1. Zoning Requirements-Setbacks=:Eesements�! 'i. r pn.,H- 2!,18oils; Special MH Support Sketch ift IL '! 41 _ 0or?t,'3:`,tewer;`Cocation-Test-Fall=C/O'Concrete)osut.i,9 i ^ liisfl .?4.-,Waier;'Locetron-Test-Easement Needed',(Sketch) 8t c_=nr75: Electricity; L66ation=Clearencl3s=Grnd=/„17Arnp,Concrete 1 Gas; Location -Test -Wrap:/ uC.0 Wq 9,:q st ,,,Z) (;j ? / /"Nat. orrLPG no .. _. _e)fa)rntI',i JI. �trr! ),I: „ ,,+,,••_r, r.,an Date - ard.8-1 - a r,1,C ? 1 v ,,� I Date ,n_ �r t -,.Card Bri' Date-. -- Card 13-.1,+, ,, �- „Date, ,_ Card -8-1 Date MOBILE HOME INSTALLATION (Plans) OK except -#'s.. - 1. Zoning Requirements -Setbacks Easemertts,;_,,,,;' 2. Footings; Size -Spacing Marriage Line - 3. Gas; MH Test -Demand -Valve -Connector - 4. Electricity; MH Test -Crossovers -Breakers -Clearances 1.5. !Drain; MH Test -Fall -I=lex Connector' t e•tWater, MH Test -Regulator -Connector 7. Water and Sewer Connected-C/O;to.Grade=HD,'Approval __ _ - - - 8. Gas and Electricity-;lTagged;,;7 9. Exits Insp.-Sketch �.r•._ 1„n :,, n,? as 10. Cert Of OCCUpancyc 1 �,e •u 11 rtr•,+! ,. rr, f ,n.JM•eI:)u0 1o1,9 . adA Date Card B-1 U5I ,A di,r,Date ,lx. 1 ril'i.8 e, .Card 8.1 - 40 NC O Py � alb:” t2 'MISCELLANEOUS Date DECK OVERS, CARPORTS,'GARAGEST: Plans OK except #'s sisc, Zoning Requirements -Setbacks -Easements n,, .,N ., Minos; Soils-Siie-Depth=SpacingsConnectors-Steel X15 31 ,Decks;'Griders`and/or,Joists-Decking-Bracing-Stairs=Rails 'Awn ;:Posts Beams=Rftrsl-Coonectors7 , ,' 1 y Shthg.-Rfg -Bracing.,.,,,,!_, Q,s 5. Alum: Awn.; Columns -Connections -,Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric - _ _ _ - n—n F,1A1_I.,,,Ip 8. Frmg; S!Is-Anchors-Sfuds,Flftrs-Ttusses��„-_ 9. Si g; Nailing -Veneer -Stucco -Mesh ., ,I Roof; Shthg-Roofing 1.,A_ ., „a r 11. Ext.;:$teps-Doors-Landings ,1,,,, ,_ , ,. .nf rt h7_lr.,,g 9•:n FT:n ,I .-t:,1 rr. ,t x., , 4,.a rt ... Date y. 3 .gy card .e i _,,, �t ., Date::,•, �� ,, , Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s - r1.,lSetbacks-Easements-rl;;t1 ; .ra n jln 2.;Soils; Compaction -Structure Stability 3. Pool Structure; Steel Cognect ons,-,Thlckn.ess Dead `fAen-Lin ing - — -• - - - 4. flet.; Receptacles and Lighting, Distances-GF1 ” 5. Elec.; Pool Ugtiting 15 volts GFI-' - - - 6. Elec.;Enciosures: 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 Ma,A in'Conduit Date Card B-1 Date ,''t.? (nol” .Card B41 sCi f •,3 r,c7 yln.. •9, -,Health Department Approval -. 8 10. -*Plumb.; Cir. Test -Water Supply Test- _ 1),3 :9 tnl ;Isnf4 nOnW is et.>!t t ,,, dJ P I a;, ;C) qbc? rtA-.1r,1 •,)j i togA rx1= nH 0+ ' � J'c8o-)J: tr V . ), nib ' ^_Card - I Ini,',7 JiX Ir,•);,bIQe_039 .3 af� 'G :_,3 :. T - Date Card 13-,17 Date B-1 ,U3U'J En1bn-- %01t1rrc_ ?jr,'] ..,r1 sgs?s_D SC - - •-- Date - Caro B-1 --•-•DateCard B-1 .- *,),r] J -A F,\ ! .., t.+lt u 2rJ7 v 4'a t n-2Ei 1 M'.', Ql. 40flo brii,01D c, A 3 i1'; ,., ur.IG:J son `b 31r n ,o c14 rio At ?aul3 9 nd ` — r U nc, 1 of h •hsr l U 1:9 11 nFl It, o O diq ?: :).A lit to ua ti, _. ��..V-1l:q-lUl,,drfr - io u:, eg +O -IA •J eF o-iJ :Il nsft tS et)Y r -OtA n, t•.,.4uoJ mso3•no11biutnl �C Jt: L. yir U s?t.)ob1 bar U2n' 1_0l r,l) ulJanoJ do.,Q A !IG tsl, c7 1 !,, no at0 n to -- ---- _ _egrJ .d` -I911',7-!V,0W c!.,'i -,: L+ II )_1 't'. .i ,fit I I;,rib�C['il';, ,L)p3-rF, .. TuoA iaw" bJa,r lj `)�f 1. 91J 't?-g1.?fOA�-'. + 1,',F 13wofie :rir'J Ic'e , D - �oi, ;ort 1Y2s'f CJ e !r',4 oto ` .:.sY L) .•vO .,lie n)Qnr,:,10=1 36 -- +--- -- - - de ,t nwoi8 :wule 1*8 Kn,t-rn,..•1 I„n1,*.,91a ,t. vn-0_3..irJ ;h, 1 C A Sh of aoilset:r,t_)-.a .-1,; SIN--0oLiIQgA- pu;q ;Soon t,,oCA eIns`J Eb -- - plwdn,.ii I ):)I,)oi310"nno)JU 119Y')jlaw •E ---- - bnt o,ar)hnll ,IJSIG�79ft I i D .,mi)i Uo17 ")ii916 68 — ---- .tt»Hodp.uv,t„ nollr,rtnaV 43t rj rt1t711 80 -10913-21`0 tspoaT_e'i 191'A es .+a0 eb )lq,jA Ch. :r,)) of 0'1J f) _J-h 1) "E'D 3r, r ,>tAv4 oe -- t N b,CJ sCi f •,3 r,c7 yln.. r!C•(tlrri"'j, in i r u7uo art-,;, •'t 'I" I,, ' � J'c8o-)J: tr V . ), nib ' i -d c'r.D .i3,1 � �. - ._ _._..._... .. _. '�J-+� ,c)y ntf`�' •./ ,i ,.+Jb^d.Pn,'bN t??, !1), -4 '1, •liG.u� . _ ;+ .ln.J _. _°�1 'c l,t 19:n a-Ibr. ,� 1 , .. ._ T .. "�• ` 7r.°i."s �,It91r✓ .;)ni1'i.) ue.r+u3 .. , . is .� �, 1 �. ....,-�nit•. F3 iS 91i 0i i:4iu t)ov, -w; dor3 sor.,n ori 12um ii'nei nA "wrrv:t? — — J=OK O = Not OK - = Not Applicable Not Ready RESIDENTIAL' (� = 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 -Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral 0 Yes 0 No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing jingle & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic, 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. 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 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic 0 Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 80. Following instld.; Drive 0 Yes 0 No; Walks 11 Yes 13 No; Planters 11 Yes 13 No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates 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: (NOTE: An entry must be made each time you visit job site) V COUNTY OF BUTTE - DEPARTMENT OF PUBLIC W KS 7 County Center Drive - Oroville, California 95965 - Telephone: 916 5 APPLICATION AND PERMIT PERMIT NO. P ?_- 9d ASSESSOR PARCEL NUMBER ZOG B ILDING ERMIT OWNER C/ I FT 0 1, of S b Ct TELEPHONE SO. FT. OCC. BUILDING VALUATION /t o Cn� N I' OWNER'S MAILING ADDRESS 66 eh 461 r 0,hp 1.S -?S CONTRACTOR'5 NAME WIII -e_(_ TELEPHONE CONTRACTOR'S MAILING ADDRESS �— Fireplace CONSTRUCTION LENDER VNKNOWN Total Valuation is 0 Filing Fee $ 10.00N LENDER'S MAILING ADDRESS Permit Fee $ 41Sy ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ 7 ZT Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS �— Penalty $ BUILDING ADDRESS G� Permit fee $ , PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 q %/S % Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or v 5.00 USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeM Other LSC_ C0y-f,/ SPECIFY Gas piping system 1 - 5 tlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New Addition[] Remodel❑ Utilities[] Installation❑ Other ❑ Describe work: _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service V OR LE 1 0000 AMP ORSLESS 10.00 Main service EA. ADD'L too P 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. (cense No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Cade for this reason NEW CONST. DWELLING;P cu,p oR ADDNS. ACC. BLDG , 2/ zQsgft NEW CONSTRESID. RANOUL LET NO N.R ESID BRANC CIRC ITS 2,50 ea POWER APPARATUS &) SIN OUTLET CIR. Ex. po UTL T5 OR FIXTURES 20®50e MAL®30 FIXED APLNS Ex. OCCup. OUTLETS P(RESIO )'EA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. lyirin g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate Consent to Self -Insure. II 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. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and xpens which may in any way accrue against sa'd'Cou in c quence a gr ting of this permit. X Date Signature of A p `ant – owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE 1 A TOTAL FEE $ / HAZ CUA PARK FLD PAR PorT This permit is hereby issued under sions of the Butte County. Code and/or work indicated above for w ich fees 0 F UBLIC PERMIT EXPIRES Date the applicable provi-. resolutions to do have been paid. WORKS Date Receipt SL%23 2 eceipt No. IT!-D.P.W., YELLOW-A58[390R, PINK -INSPECTOR, GOLDENROD -APPLICANT .tir '•'.-1n5'_y'':%`'7"i.�y.- •�_-.i-."ti�i„ li�Y:7..+`r"M'TR"'+I�C^... . -ws'.`ye�l.. '" COUNTY OF BUTTE - DEPARTMENT OWPUBLIC WORKS - BU ING VISION 7 COUNTY CENTER DRIVE - OROVI.Lly 3`C bFORWA 95965 - TELEPHONE: 91 /5 - t PERMIT APPLICATION DATA SHEET l i Pe mit No. ,OWNER �t�� J A. P. No. Proposed Building Use Z)C1(J< iicjl;�A,-- Building Inspecto Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1.' All items have been submitted. 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows:_ Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Applicant Date — Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for,above items No. 2. Additional itemfsrequired: Contractor, vdesigner, owner,jwas advised of above required data by—phone---mai [—counter by .date Contractor, designer, owner, was advised of above required data by_phone_maII—counter b date _A If Plans checked by Date��Plans approved by ate 1-2111—,901 Sets of plans on hold in . File cabinet AP folder Copy—DPW COUNTY OF BUTTE--Depat-Fnent of Public Works 7 County Center Drive, Orovil,le, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement '(yes or no) 2. I (have/have not) signed an application for a building permit for tie proposed work. I have contracted with the following person (firm) to provide the proposed I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. construction: Name Address City Phone Contractors License No. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner Date / L. NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831.and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. PERMIT NO. 2081-85P,E(MH) PERMIT EXPIRES �v OWNER ROBERT THENO CONTR.. J.L. Roberson Const ASSESSOR PARCEL 66-12-16 LOCATION 13766 Endicott Circle, Magalia w IOFFICE COPY Temp.i>...Address Cal. - t �. I G• Date-- „ Temp E: ; Meted B.y ELECTRIC' CalfMeter BY T J1 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 C0RRECTI®V 00%T1.CE BUILDING OR PROPERTY ADDRESS A routine inspection Indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, 'please contact this office Immediately. STA (R S>�[= G� j LL I R E D t.eJ/ 7',q /,U �O a XS — PDQnA I E D Incnector Date /'Q _C6 ���� MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 CJs PERMIT N0. •= ' Address or location of.mobilehome Owner's name Owner's address ' . —- Insignia or hud number 7� �, "S l Manufacturer's name ! `%M •s1 4 �= ! ' Serial number -of V.I.N. Year of manufacture ` (Official Approving Installation) (Date) IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 5138 White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS ' 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 5344541 Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 CORRECTION NOTICE 7 0:�gl- A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector/1 /\ �—��1� Date -7/-3 i J = OK 0 = Not OK ! , = Not Applicable MOBILE'HOMES * = Not Ready MISCELLANEOUS Date MOB HOME UTILITIES (Plans) OK except q's Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except it's Z n -equirements—Setbacks—Easements 1. Zoning Requirements—Setbacks—.Easements 2. s; S ial MH Support—Sketch 2. Footings; Size—Depth—Spacing—Connectors 3. Se, Location—Test—Fall-C/O—Concrete j 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4 r ocation—Test—Easement Needed (Sketch) 4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing 5. ectricit .-Location—Clearances—Grnd.— mp Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6�-8'a � ocation—Test—Wrap:/ /"L"ft./ /"Nat. /"L"fL/ - 'LPG 1 6. Carports; Windows—Doors 4?. Utility Clearance 7. Elec. Card- Date Card -BI Date ;.Card -BI Date Card -BI Date Card -BI Date I f Card -BI Date Card -BI Date Card -Bl. Date Date MOBI OME INSTALLATION (Plans) OK except N's Date POOLS (Plans) OK except N's 1 oning Requirements—Setbacks—Easements 1. Setbacks—Easements 2. F ings; Size—Spacing—Marriage Line j 2. Soils; Compaction—Structure Stability 3. s; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining jactricity; MH Test—Crossovers—Breakers—Clearances 4, Elec.; Receptacles and Lighting; Distances—GFI Dr , MH Test—Fall—Flex Connector { 5. Elec.; Pool Lighting; 15 volts—GFI 6. ,'MH Test—Regulator—Connector i 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed .. Wa1w and Sewer Connected—C/O to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater G and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 91"Ex' ; Insp.—Sketch 1 Cert. of Occupancy 9. Health Department Approval 1 10. Plumb; Cir. Test—Water Supply Test Card B -I r Date ' and -BI Date i Card -BI Date Card -BI Date Card B -I Date Card -BI Date .Card -BI Date Card -BI Date = OK,. S. = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR Plans OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Fig., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel -B lockouts -Wrapped -S lab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 7. Piers -Fireplace Ftg.-Steel 53. 54. 55. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access Glazing Area -Glass Protection -Skylights -Plastic Shear Walls; Nailing -Bolts 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except #'s 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 57. 58. 59. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection Bedroom Exiting 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except p's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 22. Size Boxes & No. of Conductors -Stapled 70, Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. 73. Insulation -Foam -Looked in Attic ❑Yes Guard Rails & Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen & Conductor Size 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral ❑Yes [__1 No 75. Following instld.: Drive E) Yes ❑ No; Walks E] Yes ❑ No; Planters ❑Yes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Cirnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Card B -I Date Date Card -BI Date Date Card -BI Date MECHANICAL (Permit) OK except N's 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. Vent Fan; Exhaust above Insulation 86, Energy Compliance Certificate -Other Certificates 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FRAMING Plans OK except p's 36. Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 38.Bearing Walls over Girders & Floor Nailing 39. 40. Draft Stop in Walls (rat proof) Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing 42. Hangers -Post Caps -Anchors -Connectors 43. 44. Cing. Joist-Rftr. Ties -Purl in -Root Brac.-Truss-Sh_thngi.-Rfn_g_._ _ Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: An entry must be made each time you visit jobsite) 0i COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS PERMIT N .� 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AN PERMIT ASS 5 OR PA EL N BER . _ ZON BUILDING PERMIT ow We no TELEPHO E SQ. FT. OCC. BUILDING VALUATION OWNEFrS AI LIN ADORES ' o r C� /a CON C! OR'S 11 er - ELEPH E - COW rRACTOR'S MAIL G AODR ESS Fireplace CONS .UCTI N LENDER UNKNOWN C Total Valuation $ Filing Fee $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER eg Via- LICENSE NO. Plan Checking Fee $ D Energy Plan Checking Fee $ ARCHITECT O ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADORESto Permit fee $ A5- D PLUMBING PERMIT Filing Fee 10.00 ` Each Trap 2.00 ` Solar or heat pump water heater 20.00 LOT O. SUBDI SI NAME i 2-- 2RCEL MAP 3S'" b �' Water piping ' 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] MobilehomeX Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home WGA&I ]- 10.00ea TYPE OF WORK New❑ Addition❑ Remodel❑ Utilities Installation❑ Other ❑ Describe work: q �S�d© fyJ`✓CJ I I Permit Fee $ Q, Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): �j IJ{,l I am licensed under provisions of Chapt. 9, Div. 3 of the BuSIneSS ii and Professions Code and my license IS In full rc) nd effect. License No. � " —X3i Classification —/ ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.� A New , h¢sgft CONSTR. MULTI -OUTLET NON•R ESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS h� SINGLE OUTLET CIR. ( Ex. Occup\OUTLETS OR FIXTURES 2AL DOC eALO 30 Ex. Occup. ouT —Ex. P(RESID )REA.) LE 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. a/I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g 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 all liabilities, judgments, costs, and expenses which may in any way accrue st said County in consequence of the granting of this permit. Date ure of Applicant — Owner ❑ Contractor ❑ Agent ❑ FnOSHApermit 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 FLoo4[P1171 V/ PD ND Is9UE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECT R PUBLIC By PE IT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS l Date Receipt No. r7 '"I— WHITE-O.P.W., YELLOW-A96E990R. PINK -INSPECTOR. GOLDENROD -APPLICANT ti d�e-7WOW Utility connections Shall be,�;Ithln c= -". 4 ft. of the mobilehome, either X permit will be required forte--' 1 0 directly behind or within the rear insts�llction afJ�. half of the roadside (left)meGi;ehoms. of the ; �o 500 S(;. FT. MINIMUM iV.j 01 o EO M I� /✓11 Ik CO r: y o 1 i NOTE -.—All Materials & Workmanship Shall Be in Accordance wifh Recognized Good Practices and of a quality prLscribed fon the Specified use in.the. Uniform Building, Plumbing..& Mechanieo[Codas and fhe. National Electrical. Code: ... __ . BUTTE:C.O.UNTY: . This set of plans crrd .specii�+;�►K.-� BUILD kept the..iob at.afi tires ter,-! Tt is (NG .DEP/-kRTNttI �T P make any changes or alter"},,,ns. on srime w4hnut. ' written permission from the Department of Public _ A P P R O \ / C I� Y C LJ Works; :County of Butte. - - A Return to DPW AGRICULTIJRAL STATEMENT OF ACKNOWLEDGEMENT F!"" � COROs,9 IN Off IL'tdl RECORDS FOR RESIDENTIAL DEVELOPMENT OF BUTTE COUNTXCALI.FORNIA AT THE REQUEST OF Section 26-8.1 of the Butte County Code requires this acknowledgement 17 f) be recorded prior to issuance of a building permit. 85--22425 q' " The property described herein is adjacent to land or included 19�+lo 09 within an area zoned for agricultural purposes, and residents of �QR K BECKER property may be subject to inconveniences or discomfort arising f _RE(�RDER iE `—�— the use of agricultural chemicals, including, but not limited to h c , pest c ides, and fertilizers; and from the pursuit of agricultural operations including, but not limited: to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust;'. `3 smoke, noise, and -odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes; and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: LOT f a7 o r� Cr L_U F, -NZ 1 (foT Cr L-0cL-e 2 C., Date: :2 - 1 —K— , State of CWL-11 �� ) County of�L"T'T1 _ • ) OFFICIAL SEAL DANIEL F. HUNT 0"2, NOTARY PUBLIC • C.n- PRINCIPAL OFFICi.- BUTTE COUNTr M9 COMMISSION EXPIRES OCT. 1, 1986 PROPPERRTY, OWNERS: On this the ct-rt4 day of 19 )S_ before SS. me, the undersigned Notary Public, 6ersonally appeared. k� IVZAC_,�_ W, C"T+(W(0 L/ Personally known to me. r to be the person(s) whose r. the within instrument and a executed the same for the F IN WITNESS WHEREOF, I herb T' Proved to me on the basis �of sa�Aj isfactory evidence. e'( sD --_ t'i L41 _ ubscriyed to pones my e n contpand/of f�o et m a d and o �ria/seal. 1 is OFFICIAL $a" -1� / DANIEL F. HUNT Present A.P. No. NOTARY PUBLIC - CALIFORNIA r. PRINCIPAL OFFICE IN BUTTE COUNTY f MY COMMISSION EXPIRES OCT. 11 106 AP # OWNER PERMIT 4k g MH UTIL.CLEARANCE D TE b �SJg r INSPECTOR ELECTRIC GAS Support Struc. Compaction Test eq. iervice iize Other Load Type Pipe S' e Len5zth YESI NO YES NO / COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS d NO. t/ 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR P RXL NU ER ZONI BUILDING PERMIT OWNER11 TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNE M1AILI /A((DDRES c / OD. �SIC— C NTRA OR'S ME T� /✓rlc TELEPHONE c;R3 V403 CONTRACTOR'S MAILING ADD ESS J]' D �2D Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 7 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ �Q� BUILDING ADDRESS t ✓ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 C( ' t Water piping 5.00 LOT NO. SUBDIVISION NAMEP CEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex[] MobilehomeX Other SPECIFY Building sewer 5.00 Mobile Home S I G I W 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Instal lationg Other ❑ Describe work: (�� ��%t� /,/� '� 1♦ A V'�' -1- �X/'��� 11//66 N 1. I ✓✓✓"'lll///i� ) Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 BOOV OR LESS Main service 100 AMP OR LESS 10.00 Main service EA. AOD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 2/20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions A /Code Q and my license is in full force and effect. License No. �7C `� //,P� Classification � —� / ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR U TI -OUTLET 2,50 ea NON.RESID BRANCH CIRC TS NEW CONSTR POWER APPARATUS &) NON-RESID. SINGLE OUTLET CIR. Ex. Occu P(ouTLETs OR FIXTURES 20@50C BAL@30 EX. Occup. OUTLETS (RESID )FIXED APPLNS. REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. �I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ 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 Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify p harmless the County of Butte against all liabil' ' Iu ts, c s, expenses which may in any way accrue agai said C y co a ce of the granting of this permit. Date Signature of A plicant — Owner ❑ Contra cto Agent ❑ An OSHA permit is required for excavations over 0" deep and demolition or construct- ion of structures over 3iistories in height. Mobile Home Installation Fee $ , TOTAL PERMIT FEE $ OCCuP. GROUP TYPE OF CONST. PARCEL PD ND ISSUE This rmit is hereby issued under sio the Butte County Code and/or w k i dicate above for which Q RECTOR OF PUBLIC By PERMIT EXPIRES Date_ the applicable provi- resolutions to do fees have been paid. WORKS Date �J3a� PS J��� Receipt No. `T f— WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 1.' Owner's name: _ 2. Installer's name: BUTTE COUNTY.DEPARTMENT OF PUBLIC WORKS ` 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET G cv 3. Is the site currently under permit? Yes No ( If yes, furnish permit number ) OR- ' Is the site an existing site? Yes / / No (If yes. furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach Pieldo and clear of all setbacks and easements? Yes / / No ( If no, clarify ) S. What is the mobilehome electrical rating? ----------------------- �� Amps 6. What is the mobilehome site service rating? --------------------- 6$? Amps 7.. What is the mobilehome site circuit breaker rating? ------------- Amps 8. Is there any other electric load to be'served by the mobilehome siteservice? --------------------------------------------------- Yes No (If yes, identify the load and size: (Load) (Amps) �// 9. What is the mobilehome site gas pipe size? -------=-------------- (•). 10. What .----------------------------- is the type of gas service? Natural 7-7 LPG 11. What i is the gas pipe length from meter or tank to the mobilehome? 12. What is the mobilehome gas demand? --------------- (BTU) (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on,LPG.) BUTTE COUNTY BUILDING DEPARTMENT APPROVED. MOBILEHOME SUPPORT DATA If other than single wide, Mobilehome Mfr. /-3 furnish Setup Model No. 9 Year Width c:>I e (ft.) Box Length(ft.) Tagalong or Expando Size � --ft. x (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of mobilehome unless otherwise specified. Footings (check one) Single 1. Wood either AA pressure treated or C? 5/X 3a foundation grade. (ft.)(in:) (in.) (in.) El 2. Other:(specify) Center support locations* Center support footing sizes Supports.(cheek one) (in.) 1: Concrete block. i. �GX3c� E] .2: Other. (specify) (f t.)(in.) (in.) (in.) 4 --Tagalong or Expando,' show support details. 1.2-1" g ' (ft.)(in.) (in.) (in.) c -- Typical Support ( n. in.) Footing Size (in.) (in.) -- Max. Pier Spacing (ft.)(in.) b'p� Max. Overhang (ft.) (in.) (in.) (in.) *If center piers are other than drawn above, draw in -locations, spacing, and -dimensions. ,O .,, :� � ::s `�- � � . � ' ,__- ��. � a .., , . �o-r `� �:: �� � , ' � s _ � �� ��-'