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HomeMy WebLinkAbout066-240-008-r--~ ' -------^� = 66 2~ -~� Mr. & Mrs D. Jacobsen~ . ELEC .. / O'ho A (' g-on 'jzkae'Permit #6859-76MHIIfi-77-4sna i O./Y466-24-8Permit #512-77B ew deck/NH) `004 1306-23)00 066-240-008RESIDENTIAL SFD--Mobile' Home RETEX MR, EX SITE�-PER'M FND13580 DAVID CTSHUEY, TERRY -2/1 vy'O� � � - ` | ` ~ — — — - - -- �-- j " I�_______ Y - `� �I � �I � � a 2) ©F ' C>o ° act 117 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES INSPECTION CARD 24 Hour Inspection Line: (530) 538-763:; (Oroville) (530) 891-2834 (Chico) Office: (530) 538-7541 Fax: (530) 538-2140 Website: www.buttecounty.net/dds Permit No: B06-2300 Issued: 11/02/2006 Address: 13580 DAVID CT MAGALIA APN: 066-240-008 Permit Subtype: SFD-Mobile Home Owner: SHUEY, TERRY Applicant: SHUEY, TERRY Description: EX MH, EX SITE, PERM FND MUST BE ON JOB KITE JOB SHALL BE READY PRIOR TO CALLING FOR INSPECTION. THE INSPECTION CARD AND APPROVED PLANS MUST BE AVAILABLE FOR EACH INSPECTION OR THE INSPECTION WILL NOT BE MADE AND A RE-INSPECTIONYEE MAY BE ASSESSED. ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING 77. Inspection Type IVR INSP DATE Set ac s 132 Foundations / Footings 111 Pier/Column Footings 122 Grade Beams 114 Eufer Ground 216 Forms/Steel/Holdowns 122 Do Not Pour Concrete Until Above are Signed Pre -Slab 124 Gas Test 404 Masonry Grout 120 Masonry Bond Beam 119 Underfloor Framing 149 Underfloor Ducts 319 Shear Transfer 136 Under Floor Plumbing 412 Under Slab Plumbing 411 Gas Piping 403 Do Not Install Floor Sheathing or Slab Until Above Signed Rough Framing 128 Rough Plumbing 406 Rough Mechanical 316 Rough Electrical 208 Gas Piping 403 Roof Nail 129 Shower Pan/Tub Test 408 Fire Sprinkler 702 Do Not Insulate Until Above Signed Wall Insulation 117 Ceiling Insulation 4118 Do Not Cover Until Above Signed T -Bar Ceiling / RC 145 Gas Test 404 Stucco Lath 142 Stucco Scratch 143 Stucco Brown 144 Building Final 802 Electrical Final 803 Mechanical Final 809 Plumbing Final 813 Project Final 801 oe_ Inspection Type IVR INSP DATE —O tt M 007 b I�— NOTES PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE. IF WORK HAS COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION Inspector Copy a BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 13580 DAVID CT Owner: Permit NO: B06-2300 APN: 066-240-008 SHUEY, TERRY Issued Date: 11/02/2006 By TMP Permit type: RESIDENTIAL 13580 DAVID CT Subtype: SFD-Mobile Home RET MAGALIA, CA 95954 Expiration Date: 11/02/2007 Description: EX MH, EX SITE, PERM FND (530) 873-1350 Occupancy: Zoning: RT1 Contractor Applicant: Square Footage: OWNER SHUEY, TERRY Building Garage Remdl/Addn 13580 DAVID CT 13580 DAVID CT MAGALIA, CA 95954 MAGALIA, CA 95954 Other Porch/Patio Total (530) 873-1350 (530) 873-1350 FEE INFORMATION Mobile Home $329.94 Mobile Home Plan Check $219.96 Total Charged: $549.90 Fees Paid: $549.90 Balance Due: $0.00 Receipt No: B273 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License OWNER / / Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law (Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 11/02/2006 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractors Signature Date I'17t I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE LL II 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 WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements E]I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by EJ 'section ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compansation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). Carrier: Policy Number: Exp. Date: (This section need not a completed if the permit is or one hundreddollars($100) or ass. ❑ I AM EXEMPT under Section B. & P.C. for this reason: ❑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' X 11/02/2006 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner Ignature Date provisions. X 11/02/2006 I hereby certify that I have read this application and state that the above information is cored. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, constructior% and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 5100,000 , IN ADDITION TO THE COST OF COMPENSATION, ( ) injury, including death, and property damage caused t is arising out of, or in any way connected with o,o the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the property owner or am au ri o ct on the property owner's beh If. CONSTRUCTION LENDING AGENCY n. �Q 11/02/2006 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of P Itte ate the performance of the work for which this permit is issued. (3097 civ. code) 19 Owner Contractor OR. Agent for Owner Agent for Contractor FILE COPY Lenders Address City State Zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buffecounty.net/dds "PLEASE PRINT CLEARLY" APPLICANT SIGNATURE X For office use only: OWNER INFORMATION Last Name Flood Zone irst e Mailing Address 1 , City+ �` State Phone Planner Fax E-mail Pho e3 U\ ,61 I D 35 Fax E-mail , APPLICANT SIGNATURE X For office use only: CONTRACTOR Name Flood Zone Address t City 0 , t__1 State Zip Phone Planner Fax E-mail Lic. # Class APPLICANT SIGNATURE X For office use only: ARCHITECT/ENGINEER Name Flood Zone Address t City 0 , t__1 State Zip Phone Planner Fax - E -mail State License Number APPLICANT SIGNATURE X For office use only: APPLICANT INFORMATION Name �. Flood Zone Address t City 0 , t__1 Statev� n n I Zip Phone 2, CQ Planner Fax E -m it APPLICANT SIGNATURE X For office use only: Zoning ��- Flood Zone I X I SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. 0 C).�U) BIN # PROJECT LOCATION AP# Property Address 352)`� �� C�- Cit y Cross Street t WORKER'S COMPENSATION Policy Number Carrier Nhiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: abs\ . Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. I I Received by:jL Amount: 64 . I� Bldg I I Receipt #:273 00,�-h � Date: q-0 ' 20V Sheriff Total 'Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone (530) 538-7785 Fax www.buttecounty.net/dds PERMIT APPLICATION DATA SHEET Reference Number: B06-2300 Location: 13580 DAVID CT Parcel Number: 066-240-008 Owner Name: SHUEY, TERRY Description: EX MH, EX SITE, PERM FND Date: 09/26/2006 By: KCG Sub Type: SFD-Mobile Home Rl Phone: (530)873-1350 The above permit application has the following Clearances required prior to permit issuance. Please contact each department indicated below regarding specific requirements pertaining to your permit application. Yes No DRAINAGE DISTRICTS ❑ ❑ Thermalito Irrigation District, 410 Grand Avenue, Oroville CA 95965 - (530) 533-0740 ❑ ❑ LOAPUD, 1960 Elgin Street, Oroville CA 95966 - (530) 533-2000 ❑ ❑ City of Chico, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711 PARKS & RECREATION DISTRICTS ❑ ❑ Chico Area Recreation District, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711 ❑ ❑ Durham Park & Recreation District, 9447 Midway, Durham CA 95938 - (530) 345-1921 ❑ ❑ Feather River Recreaction & Park District, 1200 Myers Street, Oroville CA 95966 - (530) 533-2011 ❑ ❑ Paradise Parks & Recreation, 6626 Skyway, Paradise CA 95969 - (530) 872-6393 MEEN SCHOOL DISTRICTS Biggs Unified School District, 300 B Street, Biggs CA 95917 - (530) 868-1281 Chico Unified School District, 1163 East 7th Street, Chico CA 95926 - (530) 891-3006 Durham Unified School District, 4920 Putney Drive, Durham CA 95938 - (530) 895-4675 Gridley School District, 429 Magnolia, Gridley CA 95948 - (530) 846-4723 Marysville School District, 1919 B Street, Marysville CA 95901 - (530) 741-6000 Oroville Elementary School District, 2795 Yard Street, Oroville CA 95966 - (530) 532-3000 Oroville Union High, 2211 Washington Ave, Oroville CA 95966 - (530) 538-2300 Ext: 105 Paradise Unified School District, 6696 Clark Road, Paradise CA 95969 - (530) 872-6400 OTHER Recorded copy of Agricultural Acknowledgment Statement- See Attached Instructions City of Biggs Planning Department, 301{6 Sixth pp Street Biggs CA 95917 - (530) 868-5447 Other: T i les %12�n'► �rrt'r l n�n�-Ti+ I P ':�Pn rrk fn'r, r - v Nn n" Other: Other: Signature of Property Owner: Date: 09/26/2006 Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone (530) 538-7785 Fax www.buttecounty.net/dds OWNER -BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. a If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal a income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions. There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business Administration). For more specific information about your obligations enders state law, contact the Department of Benerit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform thier work personally or through thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons prefessing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not requir3ed to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321 PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. 1. I PERSONALLYP 0 PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMEN . (YES R NO) 2. I (HAV VE NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK. 3. I HAVE CONTRACTED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION: NAME ADDRESS CITY PHONE CONTRACTORS LICENSE NO 4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: ADDRESS CITY PHONE CONTRACTORS LICENSE NO 5. 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 Description: EX MH, EX SITE, PERM FND Reference Number: B06-2300 Applicant Name: SHUEY, TERRY Signature of Property Owner: Date: �� �� (* 2"x 2"x 3/16" 3/8" CAD PLATED BOLT, NUT do WASHER COACH "C" FRAME STEEL ANGLE COUNTER BORED FLUSH WITH BOTTOM AT 8" O.C. (8) REQUIRED 2" CHANNEL 1/4"x1-1/4"- 1/4" STAND BASE TEK STS ABESCO ABS PAD #503 (2) REQUIRED 1/4" GRIPPER — BASE DETAIL "A" 1/2" A307 BOLT— (2) REQUIRED 3/8"x 6"x 6" CHASSIS FRAME STEEL PLATE 1/2" A307 BOLT— (2) REQUIRED • 36" MAX 1/4" GRIPPER PLATE TO BOTTOM (2) REQUIRED OF PAD 1/4" GRIPPER BASE o 01/2"x 3" C.R. 1/2-13UNC—A307 x 4" LOCK PIN WITH BOLT WITH NUTS 01/8" BRIDGE (4) REQUIRED m PIN 01 1/2" SCH 40 PIPE RISER WITH m 01/2" ADJUSTER HOLES AND 3/8" THICK TOP PLATE m 02" SCH 40 PIPE STAND WITH TWO / 01/2" ADJUSTER HOLES t) ABESCO ABS PAD #503--\ o 09/16 HOLE (TYP) STAND BASE TOP VIEW ME !�ABESCO. 5851 FLORIN - PERKINS ROAD SACRANIENTO, ,I•G by ...,.--a-... 1/4" GRIPPER. PLATE C -BEAM ATTACHMENT COACH "J" FRAME 1/4"x1-1/4" TEK STS (4) REQUIRED J -BEAM ATTACHMENT 1/4" GRIPPER BASE 1/2" A307 BOLT (4) REQUIRED 8" 1/2" DIA. HOLE (8) PLACES �— 30„ STEEL FRAME TOP VIEW STATE APPROVAL --ft ANUFACRTRED HOMEmoEILH HONE FOUNDATION SYSTEM HEALTH AND SAFETY CODE. SECEIGN =1 APPROVED SUBJECT TO CORRECTIONS NOTED a7 �., APPROVAL DOES NOT AUTHORIZE OR APPROVE ANY OMISSIONS OR DEVIATION FROM REQUIREMENTS OF APPLICABLE STATE LAWS AND REGULATIONS State or Califmnfa Dep.:e.aat et Hmina and mguy I DmAcii"" OF CODES AND ST �� SPAIIQ FAX:. (916) 383-5207 WAYNE T. POLVADO, PE -LISTING NCf. F94249 SHEET 1 of 3 •k9' FI le a;j GENERAL NOTES GUS GUARD TUF-1 1. DESIGN LOADS: LIVE LOAD — 30 LB. FLOOR LIVE LOAD — 40 PSF WIND LOAD — 80 MPH EXPOSURE "C" SEISMIC ZONE "4" *SNOW LOAD 100 PSF (SEE NOTE #15) 2, THIS FOUNDATION SYSTEM IS DESIGNED TO BE CONSTRUCTED ON A FAIRLY LEVEL SITE WITH NO EXISTING SOIL PROBLEMS. 3. CHASSIS BEAM SUPPORTS SHALL BE LOCATED AND SIZED FOR THE LOADS AS SHOWN IN THE "MOBILE HOME INSTALLATION INSTRUCTIONS". 4. IN AREAS WHERE DIFFERENTIAL SETTLEMENT (D.S.) CAN OCCUR, MANUFACTURED HOME SHALL BE READJUSTED WHEN DS EXCEEDS 1/4", OR WHEN IT WILL ADVERSELY AFFECT MOBILE HOME UNIT. 5. CARRY ALL FOOTINGS DOWN TO FIRM, UNDISTURBED SOIL. FOOTINGS ARE DESIGNED FOR 1,000 PSF TOTAL LOAD SOIL PRESSURE, AND SHALL BE COMPATIBLE WITH LOCAL SOIL CONDITIONS. COMPACTED SAND MAY BE USED TO FILL LOCAL VOIDS UNDER PADS. 6. STRUCTURAL STEEL: FABRICATED ACCORDING TO AISC SPECIFICATION. WELD ACCORDING TO AWS SPECIFICATIONS. ELECTRODES -370 PLATES—ASTM A36 BOLTS—SAE GR 5=ASTM A449=ASTM A3725. 7. THE GUS GUARD ASSEMBLIES SHOWN ON THIS PAGE SHALL BE LISTED AND LABELED BY BSK AND ASSOCIATES FOR THE FOLLOWING LOADS: ALLOWABLE LOADS: HORIZONTAL VERTICAL GUS GUARD TUF=1 2200# 6000# GUS GUARD MGP PAD 2200# 6000/ GUS GUARD E—Z TIE PAD 2200# 60001 8. DURING PRELIMINARY INSPECTION, THE ESTIMATOR SHALL ENSURE THAT MOBILE HOME CHASSIS BEAMS ARE OF STANDARD SECTION. 9. EXISTING COACHES MAY BE RETROFITTED TO RESIST SEISMIC FORCES BY INSTALLING GUS GUARD TUF-1 UNITS AS SHOWN ON THIS PAGE OF TYPICAL FOUNDATION PLANS. 10. THE GUS GUARD TUF-1 SYSTEMS ARE SAFE FOR INSTALLATION IN FLOOD PLAIN AREAS WHERE DEPTH OF FLOODING DOES NOT EXCEED THE HEIGHT OF THREE FEET. 1 t. MULTIPLE UNIT INSTALLATION IS ACCEPTABLE PROVIDED THE NUMBER OF TUF-1 UNITS UNDER EACH UNIT IS THE SAME AS SHOWN REQUIRED PER EACH UNIT. 12. SINGLE—WIDE UNITS REQUIRE ADDITIONAL RESTRAINT. • (SEE SHEET X13) • 13. ALL METAL COMPONENTS AND ATTACHMENTS ITEMS SHALL BE PROTECTIVE COATED. 14. WHEN CONCRETE SLAB IS IN EXISTANCE, PAD IS NOT 16. FOUNDATION BLOCKS 16"x 16"02" POURED IN PLACE AT GROUND LEVEL MAY BE USED AT INSTALLERS DISCRETION ALTERNATIVE TO PADS. SINGLE WIDE COACHES DOUBLE/MULTIPLE COACHES E= 2' MIN. / 8' MAX. E= 2' MIN. / I V MAX. S= 6' MIN. /16' MAX. S= 6' MIN. / 22' MAX. VARIES 10'-70' (SEE TABLE ON SHEET #3) E S S SE U u u ❑ ❑ u RIDGE BEAM SUPPORT AS REQUIRED BY MANUFACTURER E:10 (TYPICAL) ❑ ❑ ❑ ❑ ❑ � ❑ ❑ Cl ❑ 8' I NOM. ❑ 2' NOM. PADS IN ANY PAIR MAY BE STANDARD M.H. FOUNDATION - ROTATED 90 DEGREES OR PIERS AS RECOMMENDED BY PVC SERIES OFFSET TO OTHER SIDE TO THE MANUFACTURER OR THE SUPPORT AVOID CLEARANCE PROBLEMS. ENGINEER. TYPICAL THROUGHOUT PAD (TYP) ,qVgTESS1 -- It REQUIRED. ANCHOR STAND TO CONCRETE SLAB WITH TUF —1 PERMANENT FOUR (4) 1/2"x 3 1/2" EXPANSION ANCHORS. FOUNDATION SYSTEM 15. GUS GUARD TUF-1 FOUNDATION SYSTEM PROVIDES ALLOWABLE SNOW LOAD TO 100 PSF WHEN INSTALLED ABESCO WITH EXISTING STANDARDS REQUIRED BY COACH 5851 FLORIN - PERKINS ROAD MANUFACTURER OR REPLACE THEM ON A ONE TO SACRAMENTO, CA 95823 ONE BASIS. OU. fannl z12,3_anzi STATE APPROVAL FOUNDATION SYSTEM HEALTH AND SAFETY CODE, SECTION 18551 APPROVED SUBJECT TO CORRECTIONS NOTED APPROVAL DOES NOT AUTHORIZE OR APPROVE ANY OMISSIONS OR DEVIATION FROM REQUIREMENTS OF APPLICABLE STATE LAWS AND REGULATIONS State of California Department of Housing and Community Dow1opment D SI OF DES STANDARDS. Ir" BY r °% DATE (signature) SPA NO. This Plan Approval Expires WAYNE T. POLVADO, PE—LISTING NO. F94249 SHEET 2 of 3 r► •NG , •• EXPANSION ANCHOR ANCHOR BOLT 3/8" CAD PLATED BOLT. NUT & WASHER (4) REQUIRED (4) REQUIRED COUNTER BORED FLUSH WITH BOTTOM CONCRETE PAD INSTALLATION POURED IN PLACE 16x16x12 CONCRETE ur-GII�►��► vl���•11►11 �:IC�)I�u--... 11�,.- �IIG'�' � 1�.11�1 .11 � 11 "�11: �► ll- � -11�► 11= ••^ p►t=� �.. p►u�=11tg1( • • • 11;11 rlLl� .� �p•.1� �1�1T�:1►I,l, CHASSIS FRAME 1/4" GRIPPER PLATE (2) REQUIRED 1/4" GRIPPER BASE 1/2-13UNC-A307 x 4" BOLT WITH NUTS (4) REQUIRED 01 1/2" SCH 40 PIPE RISER WITH m 01/2" ADJUSTER HOLES AND 3/8" THICK TOP PLATE ° 02" SCH 40 PIPE STAND WITH TWO 01/2" ADJUSTER HOLES ABESCO ABS PAD X1503 0 STEEL FRAME / 36" MAX TO BOTTOM OF PAD 01/2"x 3" C.R. LOCK PIN WITH 01/8" BRIDGE r PIN I 1 37" 18 1/2" E - Z TIE PAD LIGHT HEAVY -WEIGHT PLASTIC PAD INSTALLATION Y11LTI-WmIt UNITS LENGTH OF HOME 24 WIDTH OF HOME 26 28 44 UP TO 44' 8 1 8 1 8 1 12 44'-1- to 66-1 12 1 12 1 12 1 113 6e'-1' to 09120 10 1 20 1 20 1 24 SINGLE WME UNITS LENGTH OF HOME 101 WIDTH OF HOME 12 14 16 UP TO 44' 1 6 11 6 6 44'-1. 10 66-1 B I 8 I 6 6 16'-1' to 801 10 1 10 1 10 1 10 RUMULK yr tur-1 XLQUI1tEU NUMBER OF TUF-1 REQUIRED NOTE: SINGLE WIDE UNITS REQUIRE (4) E -Z TIE PADS. GUS GUARD TUF-1 PIERS ARE TO BE PLACED AT APPROXIMATELY EQUAL INTERVALS ALONG EACH FRAME RAIL N. N&'17915 $ ExR ��. OF STATE APPROVAL MANUF.ACTURF.D 110,Hr: NWBILE HOW. FOUNDATION SYSTEM HEALTH AND SAFETY CODE, SECTION 18551 APPROVED SUBJECT TO CORRECTIONS NOTED APPROVAL DOES NOT AUTHORIZE OR APPROVE ANY OMISSIONS OR DEVIATION FROM REQUIREMENTS OF APPLICABLE STATE LAWS AND REGULATIONS State ofCntifornia Department of FTmising and Community Development BY RPA NO. This Plan Approval OF COJDFS AND f' WAYNE T. POLVADO, PE -LISTING NO. F94249 SHEET 3 of 3 PARA PlSgi fali►1t:S L.�Ni,�.J"ri�ij� �ti� %� K'y <oT'. 3v . ;:• "v J J AC/4 Ti..:- 4 t?Iac 14 0 tj J I — 1 _ O E a rANc. aP s 3 , pyx y(9 a /�1=0/rc!Ut 19 b1A / boo CJ a1 ruruiC= s G � c 1 Ot=Cit Nk CO Go 3 Alt JF AVAJ �o o$ uN *,VAAV B076 Cory APPROACH C s 10 �y ........... -.._. _..- ...-.-----��.. __�.. RADPINES "PA I$� P.O.A, ARCHITECTURAL,'CONTROL COMMITTEE /w f � r% O W NA NAME �s � ' '' TRACT {' z,� BUTTE COUNTY DATE z , Lor 3 a 7 �, BUILDING DIVISION APPROVED BY APPROVED ADDRESS js' Q /w APPROVAL- FOR LOT.'DEVELOPMENTONLY ', 1 ELEVATIONS MUST_ BE 'S16MITTED'`P TO STRUCTURAL APPROVAL: RIOR STATE OF CALIFORNIA - BUSINESS, TRANSPORTATION AND HOUSING AGENCY ARNOLD SCHWARZENEGGER, Governor DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT ,35ING 9 Division of Codes and Standards •�O*a. 013 W 3G a� Title Search Date Printed : 10/27/2006 Decal #: LAS5897 Manufacturer: CHAMPION Tradename: CONCORD Model: Manufactured Date: 00/00/1977 Registration Exp: First Sold On: 00/00/1977 Serial Number HUD Label / Insignia CAS275OCCO87745B CAL016056 CAS2750CCO87745A CAL016057 Record Conditions: PPF Exempt Voluntary Conversion to LPT -Registered Owner: Use Code: SFD Original Price Code: ACL Rating Year: Tax Type: LPT Last ELT Amount: Date ELT Fee Paid: ILT Exemption: NONE Length Width 40' 12' 40' 12' TERRY SHUEY 13580 DAVID COURT MAGALIA, CA 95954 Last Title Date: 11/24/2003 Last Reg Card: 11/24/2003 Sale/Transfer Info: Price $9,000.00 Transferred on 07/26/2001 Situs Address: 13580 DAVID CT MAGALIA, CA 95954 Situs County: BUTTE Legal Owner: RICHARDSON FAMILY TRUST 071990 6381 MOLINARI CT MAGALIA, CA 95954 Lien Perfected On: 11/14/2003 08:34:50 Inactive Decal/DMV: DMV NF3773, DMV NF3772, DECAL ABA4069 * * * END OF TITLE SEARCH ,;4- , , PAR/C RECORDING REQUESTED BY MID VALLEY TITLE CO. AND WHEN RECORDED MAIL TO: TERRY SHUEY 13580 DAVID COURT MAGALIA, CA 95954 7S A. P.N.: 066-240-008 Order No.: Recorded Official Records County Of BUT CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 09:00AM 26 -Jul -2001 I REC FEE 10.00 1 TAX 50.60 1 1 1 I I Cindy I Page 1 of 2 Above This Line for Recorder's Use Only Escrow No.: 187873MV GRANT DEED �,d/ THE UNDERSIGNED GRANTOR(s) DECLARE(s) THAT DOCUMENTARY TRANSFER TAX IS: COUNTY $50.60 [ X ] computed on full value of property conveyed, or [[ l computed on full value less value of hens or encumbrances remaining at time of sale, 3 ] unincorporated area; [ ] Town of _, and FOR A VALUABLE CONSIDERATION, Receipt of which is hereby aclmowledged, WILLIAM L. RASH and MARY A. BAIN, Husband and Wife hereby GRANT(S) to TERRY SHUEY, AN UNMARRIED WOMAN the following described property in the UNINCORPORATED AREA, County of Butte State of California; See Legal description attached hereto and made a part hereof. WILLIAM L. RASH Document Date: July 23, 2001 MARY A. BAIN STATE OF CALIFORNIA )SS COUNTY OF BUTTE ) On 7-23-01 _ before me, MARSHA VIERRA, NOTARY PUBLIC personally appeared WILLIAM L. RASH AND MARY A. BAIN 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. t Signature This area for official notarial seal. yyPl I r "` ~e�9, MARSHA VIERRA 1.��COMM. #1278711 (� NOTARY PUBLIC CALIFORNIA p BUTTE COUNTY N,y COMMission Expires Oct. 26, 2004 .A Mail Tax Statements to: SAME AS ABOVE or Address Noted Below ORDER NO. BU -187873-2 MV DESCRIPTION THE LAND REFERRED TO HEREIN IS SITUATED IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, AND IS DESCRIBED AS FOLLOWS: PARCEL I: LOT 320, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "PARADISE PINES COUNTRY CLUB ESTATES UNIT NO. 4", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 27, 1971, IN BOOK 38 OF MAPS, AT PAGES) 69, 70, 71, 72 AND 73. EXCEPTING THEREFROM ALL MINERALS, OIL, GAS, ASPHALTUM AND OTHER HYDROCARBON SUBSTANCES, WITH PROVISION THAT ANY AND ALL MINING OPERATIONS SHALL BE DONE FROM ORIFICES OUTSIDE THE SURFACE AREA OF THE LAND DESCRIBED HEREIN, AND THAT NO DAMAGE SHALL BE DONE TO THE SURFACE OF SAID LAND. - APN: 066-240-008-000 PARCEL II• A NON-EXCLUSIVE EASEMENT OVER LOTS A, B, C, D, E, F, G, H, I, J, K, L AND M (THE COMMON AREA) OF SAID PARADISE PINES COUNTRY CLUB ESTATES UNIT NO. 4, AND THE LOTS DESIGNATED FOR COMMON AND RECREATIONAL AREAS AS DESCRIBED IN THE DECLARATION OF ANNEXATION FOR UNITS IV, VI,•VIII, X, XI, XII, XIII, XIV, XV AND COUNTRY CLUB ESTATES UNITS NO. 1, 2, 3 AND 4. J_U 7"t'aIG coo PERMIT NO. 512-77B PERMIT EXPIRES OWNER D. Ivan Jacobsen w :ONTR. owner i' LOCATION (A.P. 66-24-8 15 David Ct., lot 320, CC#4, Magalia �c- Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp".0VGas Serv. �alled PG&E JOB FINALED t COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBIN Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwa I I Insulation Heaters Slab Carport Footings Prov. for physical handica ed Conformance of ex structure Appliances Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL V masonry walls 1 Throat k I Rough Srv� ti Reinf. Steel Final Fixtun Bond Beam FIRE SP INKLERS Motors �! Frnminn I Tnc. I ... Mesh M CHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping BI E ME INSTALLATI N - - - - - - - - - - - - - • Support Elec. Continuity Water Piping Drainage Gas Piping DAT REMARKS OR CORRECTIONS 1 � `L7 �J �ii/�//r✓ • (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTT&' — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive 4)roville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mention;Eat inspection purposes. X DateSignatuAgentReceipt 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 bee aid. DIRECTOR O UBLIC WORKS By� ��_ � p 13461 ding permit expires Date �—� 7 J BUILDING Ownerv�C.�,vl SQ. FT. OCC. BUILDING VALUATION ;?a - Mai I i ng Address CYT I elephone No. 3 _ %&S-6 Fireplace Contractor Com. Total Valuation 2 Mailing Address Permit Fee Plan Checking Fee &/orPenalty Telephone No. Permit Fee $ � r Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE J$3.00 Each Trap 1.50 �� ® �� L/ -Repair drainage or vent piping 1.50 Water piping 1.50 d1 r7[,� Each gas water heater or vent 1.50 _q A. P. No.. tp Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fee *._/C. S 9 do Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration parcel Ma P 60' R/W ImprovementsLawn sprinkler system 2.00 L Bldg.�ans Recd orcel Approval Plan pp.oval Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE J$3.00 Main service 1000 AMP OROR SS 1LESS 5.00 Main service EA. ADO'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service 1100EAMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST.DWELLING OCCUP. & OR ADDNS. ( ACC. BLDGS. ) 22sq 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 Ie St Of: Y Ex. Occup(OUTLETS OR FIXTURES) BqL@;09 FIXED APPLNS. OR Ex. Occup. (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 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.1 @ FEEPERMIT FILING FEE J$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 I TOTAL PERMIT FEE is S r authorize representatives of the County of Butte to enter upon the above-mention;Eat inspection purposes. X DateSignatuAgentReceipt 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 bee aid. DIRECTOR O UBLIC WORKS By� ��_ � p 13461 ding permit expires Date �—� 7 J T ,r 5661-76P,E PERMIT NO. PERMIT EXPIRES'O/3��7 s;. OWNER D. Jacobsen r CONTR. owner LOCATION (A.P. 66-24-8 15 David Ct., Magalia # CC Lf •. V' qty^' ,� y . t1 1 S• r iTemp. Power Pole Called PG&E ;401{k Elec. Se�rv'. %— 6 —77 -7 Called PGeE / Temp. Pas Serv. C41 ed PG&E • /Fol LED6 % (Date) _ LSC/ZT'�- (Signature) COUNTY OF BUTTE z _. ARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLS, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number .1-6 41 - 7t. for the following location: Divi d C `' M,9 C '44 i R Owner Ce b S� .✓ Owner's Address i 5- DyI A6V e;,-ee .� Mobilebome Mfg. ('214 xi P 10 Model Year 7 � Insignia No. 16o5 h - rLoS 7 Serial No.>7yS- A -7 I'VE It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date 7 7 By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED r COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING,(Cont'd) Subpanels PLUMBING Setback A.-6 -- F•rewall Soil Piping ��- rms PAppets 1st Floor B n ain Bldg. ' Rest: om Finish 2nd Floor F nish ootin s Windo 3rd Floor ---``—' St Qiwall Siding To out Door Closer Slab Roof Sheath\tng Water Pi in z-( --7 ro Piers Roofing f Sewer _ Garage Fdn. Vents Fixtures --- Footings StemwaII Garage Vents Insulation / Water Htr. Heaters ---""-" Slab Carport Footings r pehysically\ / handica Conformance of ex. / structure Appliances Gas Piping & Test Temp. Gas Slab V Final Sanitation - Patio FIREPLACE Final - '7 7 y Footings Footing ELECTRICAL Masonry Walls Throat i _ Rou h / 2 _ 7 ' Reinf. Steel Final Fixtures Bond Beam iFIRE SPRINKLERS Motors Framing Test Water Htr. Stucco L Final % Subpanels - Mesh MECHANICAL Grd. Fault Prot. Scratdh Heating Service r 2-- B n 0�- Colin Temp. Pole F nish Ducts Under round ----- In erlor Lath Ven lation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS 2 i - 7,L a..o o At-. S -L�-u r r. Q- A/ O rid K.¢� ✓" r• Z �O i b ® /�¢ G� �re g kQ r / .tJ S L' ry r Cc- APT M 27-C ✓ C7 G�VOAi Add IV)r t c>f CLQ ✓+ P� %o !3� Ex Pas¢ d p bo v� AIA L %►-0u r✓d 0*) bo di 777-eAAs OA . 000 /Dt1 p S.GrUrC�. (NOTE: An entry must be made on this form each time you visit the job site.) t-1 t•IOBTiXI'LOME INS`.L'ALLAI'TOt4 INSPECTION CHECK DIST 1. Is the mobilehome located"wi.l_li-required separation from lot lines and buildings and generally conform to plot plan? Yes !/ No 2. Does the m)bil.ehome have requir<_d clearances above ground? (Sec.5085) Yes 3. Are •foot.in,s and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes -o 4. Is the mobilehome level.? (Sec. 5088) Yes k_ c.No 5. If more than a single -unit, are crossover connections properly installed? (Sec. 5088) Yes No 5. Water A. Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes 1/0 B. Test - Does water piping withstand working pressure or 50 lbs, air test? Yes --No C. Backflow - If cefch 0 -not State of California approved, does station have backflow device and pressure -r ief lve? Yes No 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes I/ No B. Does it have minimum "per foot slope and is it properly supported? Yes v/No C;. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe? Yes_ No�/- D. If coar�h is not State of California approved, does station have required trap and vent? Yes r/ No 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connec,ed to the gas supply with an approved 3/4" minimum mobilehome connecto not more.t n 6 ft. long, Note: All piping is to be at least as large as the mobi ome gas li inlet witho r ductions.other than the mobilehome connector. Yes o B. Test OK as per fo 1 wing proc dure? Yes do 1. Open all app 'an a conne•tor valves. 2. Shut off ap, ianc burn r and pilot valves. 3. Air test w h man o ete to 1 "-14" wa er co umn, or test with slope gauge (minimum hoz. -max' 8 oz. c librated in tenth pound increments. Test for 10 min. without drop. 4. Connect: gas meter to m(-)bi.lehorne with connector, turn. on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes No a. Electrical A. Is service Large enodgl. to provide adequate amp�>rage to mubile.liome. (must equal rating of 1110bi_leliome with a ::;in.uc:um of 100 amp) and other facilities on lot, i.e. , water pumps, (larac,e, cabana, etc.: Yes ✓ No B. Is them proper clearances around panels? Yes_k/No C. Is power supply cord or feeder assembly properly fused': Yes D. Is continuity test satisfactory as per the following procedure? Yes_✓N o_ 1. De -energize electrical wiring system of the mobilehome at the pedestal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect: one 1'^ad of a test instrument to the mobilehome grounding conductor and i •, , _.. , P Y apl'L) fire G�u.i' .�.�au i.G eai:n ni�ui.�cuiiiiit: iii �i CGnuuCtOr, ilii: iiuiitg Y1eaLrdi. 5. All nor. -current, carrying metal parts of the mobilehome (aluminum siding, gas line, wl writer line), incuding fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completic.n of: the above procedure, the power supply cordor feeder assembly conductors shall be connected to the site service equipment. A further continuity te.;i_ shall then be made between the ;rounding electrode and the chassis of the ci.obilehome. Upon satisfactory completion of the cl.ectrical tests, the lot or site service equipment- may be approved for energizing. _;ob card si-ned by health Department for water and sanitation? I.;.. If everything okay, sign off card and tag services. MObILEiT ML DATA /1 Manufacturer and/car Namestyle "Length ? 5= Width 2 y Vehicle Serial No. ��L�� � � %yS State Identif.icati..on No. /Lu 5-C A&I,Ltional Infox-nat..ion or Comments: I COUNTY OF BUTTE — DEPARTMEN+ OF PUBLIC WORKS 7 County Center Drive — .5 ,le, California 95965 Telephone" 53434 -4 4541 APPLICATION AND PERMIT auulorize repre5entat ves of the Bounty of butte to enter upon the above-mentioned property for inspection purposes. x7—' Date 161e,71- Signature of Permitee or Agent Receipt 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 PUBLIC WORKS By f ��`�y�"��'' Date Building permit expires Date �� BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor ' O i C Total Valuation Mailing Address S Q�l Permit Fee Plan Checking Fee &/orPenalty j� v I hone o. Permit Fee r Building Address ! PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 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 Fe/4W. Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements provements Lawn sprinkler system 2.00 Bldg. Plans Rec'd � Parcel Ap Plan roval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 600V OR LESS Main service 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home ® Others ❑ Main service 00 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONS. DWELING T ( ACCL BLOGS.CCUP. &\ OR ADDNS20 sq ft / NEW CONSTR. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONSTP- POWER APPARATUS &) NON.RESI D. (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: /,_Je Pp/S 44 D"`-?/ t C% /404A Ex. Occup(OUTLETS OR FIXTURES) @@1 BAL@1 Ex. Occu FIXED APP LNS, OR P•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No.7 O 7'Z---Misc. ClassificationC�'—' �'+ � 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 for Workmen's Compensation. fUl 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 em P to an employ y 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 v d1✓ TOTAL PERMIT FEE Is auulorize repre5entat ves of the Bounty of butte to enter upon the above-mentioned property for inspection purposes. x7—' Date 161e,71- Signature of Permitee or Agent Receipt 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 PUBLIC WORKS By f ��`�y�"��'' Date Building permit expires Date �� COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroyille, California 95965 Telephone:' 534-4541 APPLICATION AND PERMIT autnunce represeniatives of the county of Butte to enter upon the above-mentioned property for inspection purposes. X �_RAgL n ate �� Z Signature of Permite or gent Receipt 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 PUBLIC WORKS BY Date ?Hding?permit expires Date BUILDING Mr Owner MAE. !3AcotgaEd SQ. FT. OCC. BUILDING VALUATION Mailing AddresstIAL C ` C7 I r- v T� ephone Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ " Building Address s'_ C _ PLUMBING No. @ FEE PERMIT FILING FEE $3.00 -0Z) Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1 -be- p, 9 *ning Verification Only Each gas water heater or vent 1.50 A. P. No. � nein ' Gas piping system 1 - 5 outlets 1.50 h additional outlet .30 Fe W. Fire Dept. Fire Zone Use Permit Building sewer _67eer .plj EQA Parking Plans Parcel Declaration 319- a P 60' R/W Im r p ovements Lawn sprinkler system 2.00 4� 7- 'A Zo g.—Plan s Recd Parce Approval Pla royal Permit Fee $ 9.-470 $ NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE J$3.00pY� Main service 1000V OR 0 AMP ORLESS5.00 , �v Main service EA. ADD'L 100 AMP 2.50 Single F it �QNA, Duplex ❑ Mobil Home Others ❑ OVER 600V Main service 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 OW • P -on MOSS :5 1�✓R NEW CONST. DWELLING OCCUP. & OR ADDNS. ( ACC. BLDGS. ) 20sq ft NFW 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: Y Ex. Occup(OUTLETS OR FIXTURES)50 @2` BAL@t Ex. Occup.(OUTLETS ) OUT ETS (RESID,)REA 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 400' License No. Classification Misc. Wiring 6.25 10 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 $ $ 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 PERMIT FEE $ autnunce represeniatives of the county of Butte to enter upon the above-mentioned property for inspection purposes. X �_RAgL n ate �� Z Signature of Permite or gent Receipt 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 PUBLIC WORKS BY Date ?Hding?permit expires Date