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Home My WebLink About066-240-047k4i 66-24- 7��/ ra MILDRED STEEL _ #10 Delta Ct, PPCC#4,lot 243,Maga is " Contr: Phil Moore, Magalia y F' P rmit��6825-79P E e , (tLil, MH)f2W ELEC /—aA;= S -O OV6 GAS SUPPORT STRUCTURE RE -ZGo MPACTION TEST RE 720 ewe -24-47 -o r : Bay Area,. Mobilehomes, Mag. Permit##300-80MHI s s ue d 4///`-6 -24-47. . Cgntr: Cal Gas, Paradise P rmit¢#442-80P ( gas line) MH66-24-47 Per 't #1016-80B(new open deck/MH) -----��.�- _--66-24-47 ��--- Permit #30 ,:e. 44-80B(new covered deck/MH) . � /te uv -z4-4/ A I 994-91B STEELE, Mildred f`� rev IU .13566 Wichita-, Magalia. ` (new carport) B07-1349 066-240-047 RESIDENTIAL SFD-Mobile.Home RET EX MH, EX SITE, PERM FND�. 13566 WICHITA DR r DEBRESTIAN ARTHUR R `1 J 0 �cfli cfli �i�d= BUTTE COUNTY AREA DEPARTMENT OF DEVELOPMENT SERVICES 3 INSPECTION CARD MUST BE ON JOB SITE 24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico) Office: (530) 538-7541 Fax: (530) 538-2140 Website: www.buttecounty.net/dds Permit No: B07-1349 Issued: 06/20/2007 Address: 13566 WICHITA DR Area: MAGALIA Owner: DEBRESTIAN ARTHUR IAPN: 066-240-047 Applicant: PREMIER BUILDERS Map Page: Permit Type: SFD-Mobile Home RET Description: EX MH, EX SITE, PERM FND Flood Zone: None SRA Area: Yes Front Setback: Side Setback: Rear Setback: Other Setback: Minimum Setback From Centerline of Street: ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING Inspection Type Setbacks Foundations / Footings Pier/Column Footings Grade Beams Eufer Ground Forms/Steel/Holdowns Do Not Pour Concrete Pre -Slab Gas Test House Gas Test Yard Masonry Grout Masonry Bond Beam Underfloor Framing Underfloor Ducts Shear Transfer Under Floor Plumbing Under Slab Plumbing Gas Piping Do Not Install Floor Sheathii Holdowns/Straps Shearwall/B. W.P.-Interior Shearwall/13 W.P.-Exterior Roof Nail/Drag Trusses Do Not Install Siding/Stucco Rough Framing Rough Plumbing Rough Mechanical Rough Electrical Gas Piping Shower Pan/Tub Test Fire Sprinkler Test Fire Sprinkler Final Building Final 802 Electrical Final 803 Mechanical Final 809 Plumbing Final 813 Pool Final 802 Mobile Home Final 1 802 Public Works Fina - 538-7681 Fire Department/CDF 538-6837 ext 169 Env. Health Final 538-7281 Sewer District Final **PROJECT FINAL 801 -rrolecr anal is a cernncare or occupancy for (xesiaenaai unly) 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 t o7 .. -` '�. ti-y...s..r,•r__+-+`wr..�..-.-r4e+.."vz.+r"'.v-+.`'x•..�--r.�.1rr+.iy`i..'._ _"�'v'..ti�-r,,,,,R,y f f A _ a Y . ,COUNTY OF BUTTE... • 1 BUILDING DIVISION „ DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE _ 13erSTi/+,A-/ -7 `t3`l9 OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. I FI CAT IOn/ CO t-1 Lc "S T HEl;;'F /Y1 Av AF N /N F O SPEE r i/v W)C cut ► H "S Foc.c n1 ✓�AT� �� S �/ST�NI rid (3) 643 -TA l /1 PE 12M I T EQ/Z_ 'bc-r6c -EO C A1z ') e CA(c) PERMIT OA( Fit -E ) Date v � � � � Inspector 1 F j2A- 1 (Agli5VMK REV 4/05 Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 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: 13566 WICHITA DR Owner: Permit NO: B07-1349 APN: 066-240-047 DEBRESTIAN ARTHUR R Issued Date: 06/20/2007 By KCG Permit type: RESIDENTIAL 13566 WICHITA DRIVE Subtype: SFD-Mobile Home RET MAGALIA, CA 95954 Expiration Date: 06/19/2008 Description: EX MH, EX SITE, PERM FND Occupancy: Zoning: RTI Contractor Applicant: Square Footage: 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 $233.56 DBMSC Mobile Home Permit Fee. $350.34 Total Charged: $583.90 Fees Paid: $583.90 Balance Due: $0.00 Receipt No: B3594 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 PREMIER BUILDERS 343173 / B / 09/30/2007 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 06/20/2007 the applicant to a civil penalty of not more than five hundred dollars ($500]; Please check one of the following: Contractors Signature Date ❑ 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 WORKERS' COMPENSATION DECLARATION 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 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 ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are notintended 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.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑❑ 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' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Carrier: STATE FUND policy Number: 1127626,06 Exp. Dal, -.05/01/2007 Contractor's License Law.). (This section need not be completed if the permit is oror one hundred dollars ($100) or less.) 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 06/20/2007 compensation provisions of Section 3700 of the Labor Code, 1 shall forthwith comply with those Owner's Signature Date provisions. X 06/20/2007 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnity, 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 injury, including death, and property damage caused by, arising out of, or in any way connected with HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, 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 1 am the property owner or am authorized to act on the property owner's behalf. 06/20/2007 CONSTRUCTION LENDING AGENCY 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Permittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) ❑ Owner ❑ Contractor OR. El Agent for Owner Agent for Contractor INSPECTOR COPY Lender's Address City State Zip 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: 13566 WICHITA DR Owner: Permit No: B07-1349 APN: 066-240-047 DEBRESTIAN ARTHUR R Issued Date: 06/20/2007 By KCG Permit type: RESIDENTIAL 13566 WICHITA DRIVE Subtype: SFD-Mobile Home RET MAGALIA, CA 95954 Expiration Date: 06/19/2008 Description: EX MH, EX SITE, PERM FND Occupancy: Zoning: RT1 Contractor Applicant: Square Footage: PREMIER BUILDERS PREMIER BUILDERS Building Garage Remdl/Addn 6055 TERRA VISTA 6055 TERRA VISTA PARADISE, CA 95969 PARADISE, CA 95969 (530)872-1096 (530)872-1096 Other Porch/Patio Total FEE INFORMATION DBF MH Plan Check $233.56 DBMSC Mobile Home Permit Fee. $350.34 Total Charged: $583.90 Fees Paid: $583.90 Balance Due: $0.00 Receipt No: B3594 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 PREMIER BUILDERS 343173 / B / 09/30/2007 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 Section7000) of ivision 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 06/20/2007 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractor's Signature Date 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 WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: HAVE the work himself or herself or through his or her own employees, provided that such improvements ❑I 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.). -HUE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by 1, 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 Contractors License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the STATE FUND 1127626-06 05/01/2007 Cartier: Policy Number. Exp. Date: Contractors License Law.). (This section need not be completed if the permit is for one hundred dollars ($100) or less. ❑ 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 06/20/2007 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owners Signature Date provisions. ; )&J— X 06/20/2007 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its 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 $100,000 , IN ADDITION TO THE COST OF COMPENSATION, ( ) Bath,officers, injury, including death, and property damage caused t is arising out of, a in any way connected with 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 m thorized to acton the property owners behalf. `Ut� 06/20/2007 CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for me of Per ee SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) Owner ntractor OR. DAgent for Owner DAgent for Contractor FILE COPY Lenders Address City State Zip V2 Foundation System Installation instructions for California .for Ground & Concrete Systems HUD mind Zone l, - I 5 PSF Wind Load Se" ic 4 ism By Tie Down Engineering Xi2 Concrete System I -'.'Engineer Approval State approval MANUFACTURFD HOME/MOBTLE ROME FOUNDATION SYSTEM HEALTH AND SAFETY CODE, SECTION 18551 APPROVED SUBYZECT TO CORRECT rTGTEii -- DOES NOT AUTHORIZE OR APPROVE ANY OMSSZCYNS OR DEVIA1107i FROM REQUIREMENTS OF APF11CABLB STATE LAWS AAID-REGLII.RTIONS State of California CfH-aing -d Community DevoloMcnt visr ffc qq OF COPES AND STANDARDS v, L j L - AM f A BUTTE COUNTY NoA —I h.f BUILDING DIVISION 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 7:1.2. roof. slope. *Except single sections, (20° - 4.37 in. 12" pitch). Additionaf• 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 0 Li 0 0 0 ..Installation of Xi2 Ground systems 1. Identify the number of systems to be used on the home using the chart provided. 2. Identify the location where the systems will be installed. 3. Clear all organic matter and debris from the pad site. 4. Place U -bolts through holes in pan provided. 5. Place pad centered under beam with the lateral strut bracket towards the inside of the home. 6. Press or drive pan into ground.until level and flush with prepared surface. 7. Build pier according to State, Local or Home Manufacturers guidelines.(Figure 1) . 8. Attach the end of the smaller tube to the inside of pan using U -bolt & nuts provided 9.. Attach the flag end of the larger tube to the opposite I-beam using the "J" bolt over the top of the I-beam with the nut & washer provided. (Figure 2) 10. Install a minimum of four (#12 x 1" tek screws) self -tapping screws into the holes provided in the lateral strut so that the two tubes are connected together. (Figure 1) Figure 1 1-3/4" Tube Lateral Struts 1-1/2" Tube -#12x1" k Screws U -Bolt & mounting ` Bracket .. ...... ......... J -Bolt Nut & Washer I®'1 Strut (flag end) J, `l 1 -Beam Figure V pure 2 9, �F 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. • PuIVtha fram-e' brackefclamp with'the fastened strut outward to remove any slack. 15. Tighten all nuts and bolts on the struts and beam clamps. Ln U n O O - t ` Xi2 Ground Parts Detail 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 59333 Includes: 5' Strut, Pad; Longitudinal Strut - - (#59329), Lateral and Longitudinal Hardware -........ Kit with all nuts -and holt......................_................ ' Struts for Lortgitudinal Systems Part Strut ' Pier Height No. Length Up 59330-44 44" 4 Blocks or 32" 59330-65 65" 6 Blocks or 48" Ground Longitudinal Hardware Kit Xi2 Stabilization Pier Placement for Ground or Concrete Xi2 Ground Longitudinal Strut & Hardware Kit Ground Longitudinal Strut Xi2 Pier Placement i i 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 • :TIE DOWN ElJGfAURING': • instaiiation.ot Xi2 Concrete Systems I 0 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. , Dril1'fwq 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"0-1/2" 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, leavin.g .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 5s V2" x 2-1/2" bolt/nut provided. 6. Attach theffag end of the larger tube to the apposite !-beam using the "J" bolt over the top ., f the ..I-beam ,.with..the..nut &washer.provided.(Fr_,ure. tnext page)...... : .......... 7. Install a minimum of four (7T"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 on' I-beam on the inside of block/pier. 9. Insert strut in frame bracket clamp and attach with nut & bolt. Attach opposite end to concrete bracket. 10. Pull the frame bracket clamp with fastened strut outward to remove any slack. 11. Tighten all nuts and bolts on system. Page 5 of 8 REE= �DD1NN ENGIPJEER!!JG 0 Ln 0 0 O BIZ Lateral Concrete Systems ,. Part#59307 Includes: 5' Strut, Bracket, & Hardware Kit #59315-1,'with all nuts.and bolt. Longitudinal Struts for "Concrete Systems" Part No.. Length Pier Height #59013 44" up to 4 Blocks #59015 65" up to 6 Blocks 'Longitudinal Hardware Kit Part #59263 (Includes 2 sets per kit: I-beam bracket, nuts, bolts and washers) Lateral and Longitudinal Combination Part#59332 Includes: 5' Strut, Longitudinal Strut (#59364), Lateral and Longitudinal Hardware Kit with all nuts and bolts. Nut & Washer Figure I � Beam Clamp ` Bracket J -Bolt r Lateral Longitudinal �r 1-5eam Longitudinal . Strut t4ortle rnd ° 0 M _ •. ice, ,o X12 installation. Placement XT Concrete r'itiGi-om Concrete Longitudinal Hardware Kit Page 6 of 8 DDWN,` • EIVGIIVEfR/NG • • Offset Placement I � I 1 1 I 1 I I . 1 I 1 I ; I 1 I I I I I I . I I I Diagrams represent examples of double and triple section offsets. Total size is determined by the length of unit plus offset. Xi2 Stabilization Pier Placement for Ground or Concrete Xi2 Pier Placement t . Single Section Home 0 -80' (76' Box) 4 Xi2 Systems Double Section Home 0 -62' 3 Xi2 Systems' 63' - 80' 4 Xi2 Systems '2 Xi2 systems can be placed at either end of the home. Triple Section Home 0 -62' 4 Xi2 Systems 63'- 80' 5 Xi2 Systems Page 7 of 8 �DD1NN� ENGINEERING � Hardware Breakdown #59329-1 Hardware for 59306 Lateral System .1 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 thread 1-3/4 zinc - 4 10556 Tek Screw . #12 x 1 1 10631Z J Bolt 1/2x 5-1/2 grade 5 zinc 2 10640 Push Nut 1/2 1 121.07 Flat Washer 1 x2" SS 1 10646Y Hex Nut 1/2-13 grade 5 zinc 2 10519 Hex Nut 1/2" w/ Serr flange 1#59331 Longitudinal Hardware for 59306 2 59272-1 Beam Clamp Base 4 59272-2 Beam Clamp Top Flange 8 10926 Carriage Balt 1/2-12 x 1-1/4 Full Thread 10 10646Y Hex Nut 1/2-13 grade 5 zinc 2 10801 • Carriage Bolt 1/2-12 x 2-1/2 Grade 5 2 845332 U -Bolt 1/2-13 x 2.63 x 2.19 thread 1-3/4 zinc 4 10640 Push Not 1/2".:; .r.. 4 10519 Hex Nut 1/2"w./ Serrflange. # 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 Zine 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 #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 .1 0646Y Hex Nut 1/2x-,13 Grade 5 zinc 1 10826 Carriage Bolt 1/2-12 x 3 4 10801 Grade 5 zinc . #59027 Hardware Kit for 59307 Lateral System 2 59264 3 Way Concrete Bracket 4 10530 Wedge Anchor 3/8 x 3.50 1 59315-1 Hardware Kit #59263 Longitudinal Hardware for 59307 2 59272-1 Beam Clamp Base 4 59272-2 Beam Clamp Top Flange 8 10926 Carriage Bolt 1/2-13 x 1-1/4 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 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.buttecoun'ty.net/dds "PLEASE PRINT CLEARLY** . OWNER INFORMATION La t NameFirst 13�5'Tr A w Name �i Mailing Address ( 3 S'4 lc LA -P L A City MX4 l_ /'2 State Zip Ste/ Phone Fax E-mail CONTRACTOR Name Address 100S-5-- T RF6Q is f iq City pavo� DI SF 'State G Zip S � Phone Fax E-mail Lic. #_3q N� Class APPLICANT SIGNATURE X For office use onl ARCHITECT/ENGINEER Name 6U1 A, 6-R> L) t: PG -D 0 ZZD Address 0 S S- T1FE ZZ.Tz w U157W City PAPP -Piss State Zip Phone � o�-- lD rl & Fax E-mail Planner State License Number APPLICANT SIGNATURE X For office use onl APPLICANT INFORMATION — Name 6U1 A, 6-R> L) t: PG -D 0 ZZD Address 0 S S- T1FE ZZ.Tz w U157W City PAPP -Piss State Zip 6 Phone � o�-- lD rl & Fax E-mail Planner APPLICANT SIGNATURE X For office use onl Zoning _ Flood Zone Cross Street SRA Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. BIN # PROJECT LOCATION AP# b6 /P ^ Z�� -* Property Address Cit Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: Ube,PrtL P:v577"c-9 iMOF5lLL 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. 9 Received by: K6, Amount: � . n J Bldg SRA Receipt #: 6 9� Sheriff it o—' J #o,61 SMIP Date:�j-2Q` 01 Other 5�K� 0 Total FOUNDATION SYSTEM CERTIFICATE OF OCCUPANCY BUILDING PERMIT NUMBER: B07-1349 Address or location of unit: 13566 WICHITA DR MAGALIA CA 95954 Legal Description of Real Property: 066-240-047 SEE ATTACHED (x) Mobilehome/Manufactured Home () Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and. Safety Code Section 18551. Owner's name: DEBRESTIAN ARTHUR R Owner's address: 13566 WICHITA DRIVE MAGALIA CA 95954 INSIGNIA OR HUD NUMBER: 177725/6 SERIAL NUMBER OR V.I.N.: 02750475A/BN MANUFACTURER'S NAME: SKYLINE YEAR: 1980 OFFICIAL APPROVING INSTALLATION: DATE: l, -7,<3-,--()-7 PHONE: (530) 538-7541 H.C.D. 513 MAY -25-2007 00:.22 M T.n i )oi i w T T TI r e Tql�, MLDRE'D ABRAM sly d n wwwvW Mwe.n hm,bv own IQ M"m R. DWROMANK AN WaWimm MMS wr n>r pit�w� Kt" UNDMX !lPORATED AREA Oe,aE)rd Burr . SES ATTACHED LMU DEMMMOO, DOW STATE OF pbAVOWIACOUNTY , OFA. vzaci aa. (w P wAd b ar an M� Haar of WAWO" lh► Pwfan(g) I *m Iray(d WN sam Im NN%W m* pawAaap�e 1* a* I7M h�ktuNry &OWAW /b .rn. h �•nurir,.t•:m,o,� �W. aw vw er hYfi.IMMY metal a.004K emmed 11,. tieum.K v* P:.an(o or aw WftY M9M brrf a lk Wei NF.Ba "M "didh bwy��( •. . i� .6oabdCrAtmiRd��,q f i Im WON PWIT, law VICW. 0100"a r COUNTY POT 0 YyQ..........u.•6�d...i„.77.,.4• JUN 2 0 2007 DEVELOPMENT SERVICES Rond., �w d AM 1w Tr aeeAl,o,l. :.I c,a.► 95-271 I$ EWMW Nq ' ^' -- •+_ Jy Los, wR61e111oeft10 WHM 95-0 7 1 R®COWW awl, 7� i 1 RaTc F N 9.00 - FL A. am w M.R ISW 1 DOC Rucurdud 1 Chi#ok 51.15 Olf'clCoul R*aord■ 1 60.15 L03ALK CA $No 1 suct�n� Candice J. Grubb. 1 r' RwcOrder 1 8:p0aw, d44-.95,1 MY7C WNL TAx STATMEM'8 710: YS 2 . BA,Ag AQ ABOVE GARY 7RNOTO TAX> >)„� i% o.ww N as ammamn ar win rp p W aa, w,4* OR o.w .,.+u anrrr.aa w Mrr w w wa.r.aa and" r aw M ai4 I,ti1111f��e W Amd o�„s.aoa GRANT i i +Aw Erna Tql�, MLDRE'D ABRAM sly d n wwwvW Mwe.n hm,bv own IQ M"m R. DWROMANK AN WaWimm MMS wr n>r pit�w� Kt" UNDMX !lPORATED AREA Oe,aE)rd Burr . SES ATTACHED LMU DEMMMOO, DOW STATE OF pbAVOWIACOUNTY , OFA. vzaci aa. (w P wAd b ar an M� Haar of WAWO" lh► Pwfan(g) I *m Iray(d WN sam Im NN%W m* pawAaap�e 1* a* I7M h�ktuNry &OWAW /b .rn. h �•nurir,.t•:m,o,� �W. aw vw er hYfi.IMMY metal a.004K emmed 11,. tieum.K v* P:.an(o or aw WftY M9M brrf a lk Wei NF.Ba "M "didh bwy��( •. . i� .6oabdCrAtmiRd��,q f i Im WON PWIT, law VICW. 0100"a r COUNTY POT 0 YyQ..........u.•6�d...i„.77.,.4• JUN 2 0 2007 DEVELOPMENT SERVICES 191e Number, 0402-2194540 Exh&t "A" Real prpperty In the unincorporated area of the County of Butte, State of California, described as follows: PARCEL I: LOT 252, 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, 19711 IN BOOK 38 OF MAPS, AT PAGE(S) 69 THRU 73. EXCEPnNG THEREFROM ALL MINERALS, OIL, GAS, ASPHALTUM AND OTHER HYDROCARBON SUBSTANCES, WITH PROVISION THAT ANY AND ALL MINING OPERATIONS SMALL 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. PAROL II; A NON-EXCLUSIVE EASEMENT OVER LOTS A, B, C, D, E, F, G, H, I,1, I(, L AND M (TME 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, XI1, )(Ill, XIV, XV AND COUNTRY CLUB ESTATES UNITS NO. 1, 2, 3 AND 4. APN;066.240-047-ODO t d 86999I109'ON/Ul .'iS/8t:6 ?007, 61 9 (101) ] i VPd 31111 ),311'dA 0IW WOdJ BUTTE COUNTY JUN 2 0 2007 DEVELOPMENT SERVICES k t, PERMIT NO. 6825-79P,E • PERMIT EXPIRES I V OWNER MILDRED STEELE . t CONTR. Phil Mnpra, Magalia LOCATION (A.P• 66-24-47 #10 Delta Ct, PPCC#4, lot 243, Magalia 4 tffft t i' tt i {' Temp. Power Pole Called PG& i` Temp. Elec�erv- Called,PG&E U I / Temp. G�qs� Serv. - — o C4/�t►� E JO� . NALED A-) (Date) (Signature) •.fir. , Jif x �r ti COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number -3'0C'-1R'0 for the following location: r`4 i L c� � 4l- t� �i [.� •er�'.� 4 � Owner _ Owner's Address �r �' L/I� �~• Mobilehome Mfg. .P1 -f t 1VL-'---0 4-C Model OWRf 9 Year? Insignia No.'�'7 � 777Ot G,Serial No. Cs�S'Im It is hereby certified for occupancy at the above described location and may be ,occupied. Director of Public Works f Date y��_ '� .}ftp g �../ THIS CERTIFICATE IS VOID WHEN MOBILEHOME7IS RELOCATED White- Vwner. Yellow - insLanef. rinK - L/.r.VV. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 6.95 Oleander Avenue, Chico — Phone 343-4211, Ext. 70 7 Comity Center Drive, Orovilie = Phone 534-4541 Skyway and Elliott Road, Paradise — Phone 877-3435 CORRECTION I®TICE is�L7' �- 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. /2 M ! N G OOae C,wal- S Inspector 0- 4? '-) Date Cc) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS ' r BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Fi wall 11 Piping Para is st Floor Vdg. Restro Finish 2 Floor Windows 3rd loor Siding To out Slab N Roof Sheath'kg Water PNng Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings „ Stemwal I` Garage Vents Insulation Water Htr. + Heaters Slab Carport Footings y Prov. for phsically handicap ed Conformance of ex. structure Appliances Gas Piping & Tes Temp. Gas Slab Final Sanitation Patio FIRE' CE Final Footin s FootingELECT CAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FI lE SPRINKLERS Motors J Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Pro t Scrat9A Heating Service Bro n Cooling Temp. Po e FI Ish Ducts Under r and . ,7o Int for Lath Ventliktion Penna dent .Door Closer Finar Final MOBILEHOMEUTILITIES $------- Elec_ Service 1 _,?d 7? ,?,pv,4 774 L Elec. edestal -? _,ja,7 Water Piping %7!77L,_ 7 Sewer Gas firiping L�� a MOBILEHOME INSTALLATION - - - - - - - - - - - - - - Support _ D Elec. Continuity Z 7 ?7 Water Piping,.7_�_ ,fo Drainage a Gas Piping DATE REMARKS OR CORRECTIONS l� / y 7y LYS r Ca�r�.� wa 7a yc s�2 d5- ��Oaw �Da cis - �-�sd v.✓c,l �'`�1 �Ql ,e- fR6VF-e cA040- m eIr, 4C> 0d;"7�4,,P i l G - ,¢5 ah� apep r . ,rrS // G'c�z� o•c� �.`:E 1R/¢ Ifo ms's DlC To Co9/Eri' �?41 d' C allxvd c�! X7- or� (NOTE: An entry must be made on this form each time you visit the job site.) Sv�2i. ia- 4 777��.� Jr • ti Sv�2i. ia- 4 777��.� MOBILEHOME INSTALLATION INSPECTION CHECKLIST . I.Is the mobilehome located wit required separation from lot lines and buildings and generally conform to plot plan? Yes_ No .� 2. Does the mobilehome have required clearances.above ground? (Sec.5085) Yes --."No 3. Are footings and supports properly sized, spaced, and braced as per? approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes No 4. Is the mobilehome level? (Sec. 5088) Yes�v c.No_ 5. If more than a single unit, are crossover connections properly installed? (Sec. 5088) Yes ✓ No 6. Water A. Is fle ible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes No B'. Test -r Does water piping withstand working pressure or 50 lbs. air test? Yes �L-"'No_ C. !Backflow - If coach is not State of Cal" proved, does station have backflow device and pressure -relief valve? Yes_ No___�% 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes[ No_ B. Does it have minimum 4" per foot slope and is it properly supported? Yes L -"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 coach is not State d C l ornia approved, does station have -required trap and vent? Yes No Gas Piping and Gas Vents A. Connector - Is mobilehome connected_ to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as large as the mobil home gas line inlet without reductions other than the mobilehome ' connector. Yes V No B. Test OK as per following procedure? Yes (/ No 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"--14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without drop. 4. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water.. C. Are all appliance vents properly installed? Yes t1 No 9. Electrical^' A. Is service large enough to provide adequa%e amperage to mobile�iome (must equal rating Of-- mobilehome with'a minimum of 100 amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.?' Yes No B. Is there proper clearances around panels? YesJ/' No_ C. Is power supply cord or feeder I assembly properly fused? Yes No_ / D. Is continuity test satisfactory as per the following procedure? Yes ✓ No 1. De -energize electrical wiring system of the mobilehome at the pedestal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. S. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA Manufacturer and/or Namestyle Length_ Width Vehicle Serial No. d'-1 -7 5 Ahq % State Identification No. / %7�o2-S�/ Z 77a Additional Information or Comments: COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drjve - Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioneA for inspection purposes. X i ` Date v Ignature.of Permitee or Agent Receipt No. —3411/ 7 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been par CTOR OF LIC WORKS BY Date v permit expires Date 3l�8% BUILDING Owner ,?- d7 r77 --v: 2- SQ. FT. OCC. BUILDING VALUATION Mailing Address rz Telephone No. Contractor -:r,cs Mailing Addressz_ v, C>r- J-1 d Fireplace Total Valuation ,�' L S �G, ��St Telephone N 7— �S -Permit Fee Building Address Qom— Plan Checking Fee&/or Penalty Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00�C>c� Each Trap 1.50 # Albc G. o2�i 3 4 Repair drainage or vent piping 1.50 A. P. No. / )l ._ �G �v — / % oAing 8 Planning Water piping 1.50 Each gas water heater or vent 1.50 FVs- 1 t Settitattarr I Fire Dept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg-?�eerrfte2'd Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ® OTHER ❑ Permit Fee $ 1�C 5 ,B®$ No. @ FEE ELECTRIC!LE PERMIT FILING FEE $3.00 Main service 600V ORSS100 AMPLESS 5•00 Single Family Duplex ❑ Mobil Home Others❑ Main service EA. ADD00 AMP 2.50 Main service OVER so25.00 too AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONSDWELING OR ADDNST ( ACCL BLDGS.0 CUP. !) 2¢sq ft CONTRACTORS LICENSE LAW 1 am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business &Professions Code under the name style o !p n NEW CONSTR BRANCH CIRCUITS) NON.CRESID.ONST ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS & NON.RESI D, (SINGLE OUTLET CIR. EX. OCCUO(OUTLETS OR FIXTIIPES ) 104 FIXED ALNT. Ex. Occup.( OUTLETSP(RESID )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 9 i / Q 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 1 shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. 1 agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE$ authorize representatives of the County of Butte to enter upon the above-mentioneA for inspection purposes. X i ` Date v Ignature.of Permitee or Agent Receipt No. —3411/ 7 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been par CTOR OF LIC WORKS BY Date v permit expires Date 3l�8% COUNTY OF BUTTE - . DEPAI9TMENT OF PUBLIC WORKS �• - � 7 County Center Drive - t)roville, California 95965 Telephone: •5' 4-4541 APPLICATION AND PERMIT AA hi -r% 7j autnon resenta Ives of the County of Butte to enter upon the above- enti n pr erty for inspection purposes. X Date ,a Ignature of Permitee or Agent Receipt No. o G 7 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTAR OF PUBLIC WORKS BY Date B (ding permit expires Date 4(-Zy- elo BUILDING if I Owner SQ. FT. OCC. BUILDING VALUATI0 Mai I Ing Address Telephone No. Contractor iwlz Mailing Address Fireplace Total Valuation - T one No. � o (� Permit Fee Building Ad ress Plan Checking Fee&/or Penalty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 O"b Each Trap 1,50 Repair drainage or vent piping 1,50 ) A. P. No. N fon ng & P anning Water piping 1.50 ids Each gas water heater or.vent 1.50 Reis Salit on Fire Dept. Fire Zone Use Frermit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel: Declaration Parcel p 60' R/W Improvemen Each additional outlet .30 Building sewer 5.00 U Bldg. P s Recd Parc royal PlanApproval Lawn sprinkler system' 2.00 NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ Permit Fee $ ,� ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 ,di> Main service 100 DR LESS V!Ys 100 OROR LESS 5•�� u Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 p Main service OVER 25.00 100 AMPP OR LESS O Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST ( ACCLBLDGSCCUPLING . 'S� 22 sq ft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of ifor a BUsine & Professions Code under the name style o ( NEW RESID.CONSTBRANCH CIRCUITS) NON-RESID, � BRANCH CIRCUITS 2.50ea NEW CONSTR, (POWER APPARATUS B NON-RESID, SINGLE OUTLET CIR, Ex. Occup{OUTLETS OR FIXTtIRES B L�; Ex. Occup. i, OUTLETSP(RESID,)REA) 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 Cal ifomia. 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 Wor eh's Compensation. have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. E]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 Land Development Fee $ TOTAL PERMIT FEE $'f autnon resenta Ives of the County of Butte to enter upon the above- enti n pr erty for inspection purposes. X Date ,a Ignature of Permitee or Agent Receipt No. o G 7 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTAR OF PUBLIC WORKS BY Date B (ding permit expires Date 4(-Zy- elo Owner M t (_D p_�•f ,4.— COUNTY 4•- COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - OroVille, California 95965 Tel ep4one: ,534-4541 D APPLICATION AND PERMIT _ BUILDING SQ. FT. I OCC. I BUILDING VALUATION Mailing Address 85 L--)kLN ( -T-rl I' ms - Telephone No. Contractor /� Ju0?, i Mailing Address Q Fireplace Total Valuation Telephone No. Permit Fee Building Address C E-� t � Plan Checking Fee &/or Penalty Permit Fee E3 LA3 C t4 ( T^ AGi AL LA PLUMBING No.1 @ FEE b� Cj / I PERMIT FILING FEE $3.00 Each Trap 1.50 CC. 4 L6 -r _ /�c�j Repair drainage or vent piping 1.50 A. P. No. L/ n -^ Z-4 — C T, Zang & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fk&e—sJ. ..8ani.tai+ew I FireDept. FireZone Use Permit Gas piping system 1 -5 outlets 1.50 EQA Parking Parcel Plans Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg.onw(� Recd =1 royal � py s pprovaI Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ i -t tM i4 1A S— ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD•L 100 AMP 2.50 Main service 1100EAMP 0 OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 LING NEW CONST. ( OR ADDNS. ACCLBLDGRM2.50ea 22sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name st le of: %� rl�l5i?�I — (---yo A_te NEW CON STR (MULTI -CUTLET, NON-RESID BRANC NEW CONSTR. (POWER APPARATUS 9 NON -RES,D. SINGLE OUTLET CIR. Ex. OCCUO(OUTLETS OR FIXTIIRES) 5 L� Ex. CCU FIXED APPLNS. OR Q p• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 (b 3ci L l_L CA -A11 rj(3 G Mobile Home Facilities 15.00 , ,6,srJ9L)Ad License No. Z( j z-�os C_ ( 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 re uires eve em to er to be s ed a ai Ct I' b'II'lt MECHANICAL No. @ 1 FEEPERMIT FILING FEE $3.00 Heating q ry p y n ur g )a y 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. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Date x Signature of Permitee or Agent Receipt No. 3 4/ White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Cooling Ventilation Hood 1 1 2.00 Permit Fee $ 4C Land Development Fee $ TOTAL PERMIT FEE $ Cr 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 ave been paid. I C R OF BLIC WORKS B Datel' Building permit expires Date �`'0.4 - s , - PERMIT NO. 3044-80B PERMIT EXPIRES OWNER Mildred Steel' owner CONTR. LOCATION (A.P•66-24-47 Xaa � �xx lot 252 PPCC#4 Ma a , g 1 is 10 Delta Ct. t � Temp. Power Pole j Called PG&E .i Temp. Elec. Serv. Called PG&E I Temp. Gas Serv. Called PG&E JOB FIN LE (Date) / (Signature) r 1 Reinf. Steel COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTWfi ,RECORD Bond Beam BUILDING. BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor StemwalI Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwal I Garage Vents Insulation Water Htr. Heaters Slab Carport p - Footings Prov: -for physically handica ed Conformance of ex. structure Appliances Gas Piping & Test TemD. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heatinq Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOMEUTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping OBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE - DEPARTMENf OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION -A -ND PERMIT PER 1 NO A SSESOR PA C L �NyMB ER (9 ;y7. - s Z ING �. - BUILDING PERMIT0- AWY OWN EFJ T LE PHO N 7 �• _ s SO. FT. OCC. BUILDING VAL ATION � 0 WN E '$y� W1 a C.k ri' q USC. r4 3. CO cs c�0 CONTT ACAME TELEPHONE - CONTRACTOR'S MAILING ADDRESS CONS RUCTION LENDER UNKNOWN Fireplace Total Valuation $ oloo LENDER'S MAILING ADDRESS Permit Fee $ Zv toll ARCO ITR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDDDIEss !A PLUMBING PERMIT Filin Fee 3.00 zn Each Trap 2.00 Repair drainage or vent piping 2.00 rt�%a),�t4Al- Water piping LOT NO. 5;1 SUBDIVISION NAME - CCGas PARCEL MAP Each qas water heater or vent 2.00 piping system.1 -5 outlets USE OF STRUCTURE SF ❑ Duplex[] Mobilehomelg Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe work' C,pv t-/LWQ,K Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 1000V OR 0 AMP ORLESS5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC, BLOGS. 22 Sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEw CONSTR ULTI-OUTLET 2.50 ea NON.RESID. BRANCH CIRC ITS NEW CONSTR.POWER APPARATUS 8 NON -RES ID. (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 50@25C BAL@IW FIXED APPLNS. OR Ex. Occup.(OUTLETS (RES] D.)EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ • 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 3.00 Heating Cooling Hood 2.00 Ventilation Permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 liabilities, judgments, costs, and expenses which may in any way accrue/ ag inst said C Linty , o seque ce of ran ng of this permit. X Date� S gn 67re of Applicant — Owner Cantractar ❑ Agent ❑ An OSHA permit is required for excove ions over 5'0" deep and demolition or construct- of structures over 3 stories in Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE $ c;7-eX OCCUP, GROUP I TYPE -OF CONST. JPAR;CEsJPD ND ISSUEall This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which EC OR OF PUBLIC By MIT EXPIRES Date. the applicable provi- resolutions to do fees have been paid. WORKS Datey� ` C> �j ��✓a� Cheeighhtt7. eipt No. /y� j� rRe E-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT QERMIT No. 1016-80B 1 PERMIT EXPIRES OWNER Mildred Steele owner CONTR. LOCATION (A.P. 66-24-47 • s L 10 Delta Ct., lot 243, PPCC#4, Magalia f. 1 r t` E; ?. Temp. Power Pole Called PG&E Temp. Elec. Serv. 5 Called PG&E 1 Temp. Gas Serv. Called PG&E I JOB } FINALED a (Date) r ' (Signature) ss COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLL#ABING 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 i Sewer Garage Fdn. Vents Fixtures Footings Stemwa l l Garage Vents Insulation a Water Htr. Heaters Slab Carport Footings Slab Prov. for physically handicap ed Conformance of ex. structure Final C a Appliances Gas Piping & Test Temp. Gas Sanitation Patio VICZ11, /11( s c, FIREPLACE Footing Final E CTRICAL Masonry Walls Throat Rou h Reinf. Steel Final Fixtures Bond Beam FIRES RINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh 4ECHANICAL Grd. Fault Prot. Scratch Heatina Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final 'Final MOBILEHOME UTIL IES ------------------ Elec_ Service Elec. Pedestal Water Piping Sewer Gas Piping OBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage i Gas Piping DATE REMARKS OR CORRECTIONS f (NOTE: An entry must be made on this form each time you visit the job site.) .COUNTY OF BUTTE - I�EPAr`t�MENT OF PUBLIC WORKS 7 County Center Driv. - 7v roville, California 95965 Tel,aphone:'534-4541 APPLICATION AND PERMIT A author^ rep abovefinehti of R fives of the County of Butte to enter upon the perty for inspection purposes. Date '�hz Signature of Permitee or Agent —39,?3 �r — '*****) Receipt No. (" 0 White-D.P.W. — Yellow-Assessar-'S-7i:In tor — Go dere oa-Applicant sp c This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above which fees have been paid. DIREdTaR OF PUBLIC WORKS Date ��/''G� Building per it expires Dat �= e -71—U—^ G l 0 BUILDING OwnerG /M If SQ. FT. OCC. BUILDING VALUATION 0 6O aw oc� Mailing Address �> a,�U,1� l Telephone No. Contractor �y 6 K.w II.Pl1� Mailing Address Fireplace Total Valuation Telephone No. _Permit Fee s Building Address Q �=Lj I�J Plan Checking Fee /or Penal /Ow V 1J Permit Fee �- OtEr PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 -49 Ge, L —' a l , Repair drainage or vent piping 1.50 A. P. No. — dZ L . — % Zdning 8 Planning Water piping 1.50 Each gas water heater or vent 1.50 F ks S on Fire Dept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans arcel Declaration Parcel Map 60' R/W Improvements Each additional outlet 30 Bu' i g sewer 5.00 Bldg. Plans RecdPorcel A roval Plans Approva Lawn sprinkler system 2.00 NEW ® ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ ELECTRICAL No.1 @ FEE PERMIT FILING FEE J$3.00 Main service 600v OR LESS 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home ER Others ❑ Main service EA. ADD'L 100 AMP 2.50 �-q� Main service OVER 100 AMPs00v OR LESS 25,00 100 - Main service EA. ADD'L 100 AMP 1.00 ' NEW OR ADDNST ( ADWECCLBLDGSCOUP. !i) •LP Sq ft 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: NEW CONSTR. (MULTI.OUT LET NON -RESID. BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS a NON.RESID. SINGLE OUTLET CIR. EX. OCCUD(OUTLETS OR FIXTIIRES) BALFIXED APLNS.:1 Ex. Occup. ( OUTLETS P(RESID )REA� 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. tn Permit Fee $ $ MECHANICAL No. @ 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. ElI 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. 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 Land Development Fee Is TOTAL PERMIT FEE $ �Z author^ rep abovefinehti of R fives of the County of Butte to enter upon the perty for inspection purposes. Date '�hz Signature of Permitee or Agent —39,?3 �r — '*****) Receipt No. (" 0 White-D.P.W. — Yellow-Assessar-'S-7i:In tor — Go dere oa-Applicant sp c This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above which fees have been paid. DIREdTaR OF PUBLIC WORKS Date ��/''G� Building per it expires Dat �= e -71—U—^ G l 0 �m I , NR �T T l ❑I Nj VN i. ,C6 - 2y- y-2 �/- 5_ s, .i141U I141JItM- ce� ,V/ ---� Y_, /..E-; �-- -10, 41 �4U 1*/ e-/ r o l� JV • �1i9-SS /,/NdU�t/ O/e-- 1*/ 0 Ali In �'c, y A/tp,CFio .1, 1* / ev y e-1 1* / w ; Lc� 1 i\ �pv . I. A-71 C .OR19d 6 6 2v Y� y. (5� ` 5/ OWNERS NAME: M � � 10RK sv' h Cit RECEIVED BY: G 3 ^' DATE: A.P. # G 6 Z — y % PERMIT # TIME: = S /RESIDENTIAL NON RESIDENTIAL RECEIPT # CHECK #: [RED PRIOR TO PERMIT ISSUANCE ------------ FROM DATA REQUESTED. BY PLA CHECKER _ ENGINEERING OTHER REQUESTED BY CORRECTION; YES NO ITEM: LOCATION IN BUILDING WHERE CHANGE OCCURS: WHEN APPROVED, PROCESS AS FOLLOWS: Mail to owner Mail to contractor , Call and hold for pickup at the office. Delive- with nest inspection. REVISED PLAN CHECK FEES PAID: $15.00 $30.00 -----Additional Fees Not Required COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS C 3 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATIOILAND PERMIT PERMIT NO. 994-91 ASSESSOR PARCEL NUMBER 66-24-47 ZONING tl BUILDING PERMIT OWNER„�. MilOWNER'S ELEPHONE -T73-3831 7 SQ. FT. OCC. BUILDING VALUATION 224 COV 2,240 MAILING ADDRESS 13566 Wichita Ma alia 95954 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee 38.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee Q$ $ 19.25 Energy Plan Checking Fee ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 13 Wichita,M li Permit fee $ 67.75 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. 252 SUBDIVISION NAME PPCC 4 PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF El Duplex F1 Mobilehom Other Carport SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W L10-00 ea TYPE OF WORK New ba AdditioRemodel❑ Utilities❑ Installation❑ Other ❑ Describe work: carport _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 100 AMP OR LESS 10.00 Main service EA. AOD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. I icense No. Classification. as the owner, or my employees with wages as their sole compen- I, 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.EI New OCONS. A ) BI , /20sgft ODDS.UTL ULT NON.RESID BRANCH CRC., RC ITS 2.50 ea POWER APPARATUS b (SINGLE OUTLET CIR. Occup(OUTLETS OR FIXTURES Ex. Occu 20a50 2AL@30 FIXED PR EX. Occup. OUTLETS (RESID )EA.� 1 2.00 Temporary service 1 10.00 Mobile Home Facilities 15.00 Misc. IYirin 9 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 f Consent to Self -Insure. I shall not employ any person in any manner so as to become subject 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 Filing Fee 10.00 Heating Cooling H3.00to Hood Ventilation -- ------ Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indes ' m ify and keep harmless the County of Butte against all liabil' ' s, ju gments, cost , and xpens which may in any way accrue against d Co ty in c seq e e ting of this permit. X Date ��! / Signature of Applicant — Owner El Contractor ❑ AgepZl� An OSHA permit is required for excavations over 5'0” deep and demolition or construct. ion of structures over 3��s++tories in h fight. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE$ 67.75 HAZ. CUA PARK SCHL FLD CDF PAR PD i HD. ISSUE; 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. DIRECTOR OF PUBLIC WORKS By44 Date PERMIT EXPIRES Date Receipt No. c3 $310,0 WNITE-D.P.W.. TEL LOW-ASS[SSOR PINK-IN9PE R. GOLDENROD -APPLICANT .i,`1.,�, �,�r _:.fin :'�.;��. ��-KT •.f..�.:R+.. .;d . F''M� I.u.3•a, stat' t. C 1 ;. r. y('_�rij��{�4��j�'.f��'-r%�T''�r' ' COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APRLTCATION DATA SHEET i Permit No. OWNER /V/ I L0R,Ir0D ��%�' _ e `:. 9, A. P. No. �� " �. �%" Y% Proposed Building Use �,0/t020n- r� Building Inspector CSN Date ' c7- S / �s•. - 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 V`10. instructions . . Fees of $ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 1 School District fees paid .............. �4• Sanitation approval from _� h1�071d- Health Department 15. City of Chico plumbing permit ..................................... 16. 5 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, Classification) ... 22. �23. Certificate of Workmans Compensation Insurance ........ Owner -Builder Verification (Given to owner ❑, Mail to owner .. 24. Recorded copy of Agricultural Acknowledgment Statement ......... ---4/'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 .Haz-Mat form sent Health Dept. Fire Dept. _Air Pollution Date Copy of plans sent ----Health Dept. Fire Dept. -Other --Date By 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 items required: - . IAL/Ler, Id 0",U6Z . 91161 . -1.5 �R Acvrt,� Q/� fc, i'O Contractor, designer, owner, was advised of above required'data byp --mall_counter by ..date Contractor, designer, owner; was advised of above required data`by p o e_mall_counter by� date Plans checked by Date Plans approved by Date _ Sets of plans on hold in File cabinet AP folder Copy—DPW TO, Buildinq Devart%entt FROM: Environmental -Health - I �F SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewaqe Disposal Water Supply Hold final for: Water Supply Final clearance O.K. for: Water Supply N Clearance for edroom mobile home. Other dM 1 ,, i A i, i l r-(1 1 Senitari n Date Z M 6-1 G) 0 O.L.:�A 0 00 C: z 0� 0 0 -0 � � 5 � LIP vti' ; c i-� i �1 �� 2.4 Ell, A 061--04-7 Dc, 7- 1 ::5 0 � � 5 � LIP vti' ; c i-� i �1 �� 2.4 Ell, A 061--04-7