HomeMy WebLinkAbout066-250-0076)-7
Lkj,66-25-7• DA MAPLESDEN
13624 Lander Ct, lot 380_,_CC#4, Magalia
Contr: Tvohn Henry Const
Permit#20�2-84P,E(utiI, MH) {
ELEC — rt*J
GAS '`4
COMPACTION TEST OR ho o —
SUPPORT STRUCT E REQ 14t7 ! //��'i��
66-25-7
Consran Stavern
-Perm' #2669=84`(ll,")
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66-25-7 T OW
-
Contr: Mari John Const o� / }•�
Permit#2029-84B,E(new garage)
B
66-25-7 =`
Permit#234-85B(new open deck/MH)
�f
y 6� rrla
Cont':"
ont it
: ona ld Str ker
, 5
dPee�i/� 545-86B(patio cover over exist
=DON
�`" '066=250-007SFD-Mobile Home RET PERM FND (1800),T ti& DOTHA A
�cfli�cfli��"LO1
RECORDING REQUESTED BY:
°!!
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE CA 95965
2006-0063991
Recorded I
Official Records I
County of I
Butte 1
CAW A(1 I GRUBBS I
County Clerk—Recorderl
I
1
09:26M 06—Dec—c806 I
SPACE ABOVE THIS LINE FOR RECORDER USE ONLY
REC FEE M N
CWORWD CEPY 1.08
tP
Page I of 2
NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH,
INSTALLATION ON A FOUNDATION SYSTEM
Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code
Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the
unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this
document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give
constructive notice as to its contents to all persons thereafter dealing with the real property.
STEELE, DON L & DOTHA A.
BUTTE COUNTY BUILDING DIVISION
REAL PROPERTY OWNER/LESSOR
LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY
13625 LANDER CT.
7 COUNTY CENTER DRIVE
MAILING ADDRESS
MAILING ADDRESS
MAGALIA .BUTTE CA 95954
OROVILLE BUTTE CA 95965
CITY, COUNTY STATE ZIP
CITY COUNTY STATE ZIP
13625 LANDER CT.
B06-2755 (530) 538-7541
INSTALLATION MAILING ADDRESS, IF DIFFERENT
BUILDING PERMIT NO. TELEPHONE NUMBER
MAGALIA BUTTE CA 95954j2l�,12/05/2006
CITY COUNTY STATE ZIP
SIGNATURE OCAL AGENCY OFFICIAL DATE
SAME
NONE
UNIT OWNER (if also property owner, write "SAME"
DEALER NAME (if not a dealer, write "NONE")
SAME
NONE
MAILING ADDRESS
DEALER LICENSE NO.
SAME
CITY COUNTY STATE ZIP
UNIT DESCRIPTION
SILVERCREST 1ND. INC. 1984 343R
MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER
A/B/CSC1205CA 64'X 24'/24'X 10' CAL290047/8/9
SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S)
REAL PROPERTY LEGAL DESCRIPTION:
ASSESSOR'S PARCEL NUMBER: 066-250-007
SEE ATTACHED
HCD FORM 433(A) REV 8/91
WHITE —County Recorder CANARY — HCD PINK—Applicant GOLDENROD— Building Dept.
Order No. 00199047-003
EXHIBIT A
THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS:
ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF
CALIFORNIA, DESCRIBED AS FOLLOWS:
PARCELI:
LOT 380 AS SHOWN ON THAT CERTAIN MAP ENTITLED, "PARADISE PINES COUNTRY
CLUB ESTATES UNIT NO. 4", 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.
AP NO. 066-250-007
PARCEL II:
A NON-EXCLUSIVE EASEMENT OVER LOTS A, B, C, D, E, F; G, H, I, J, K, L & M (THE
COMMON AREAS) 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 ANNEXATIONS FOR UNITS IV, VI, VIII, X, XI, XIII, XIV, XV AND
COUNTRY CLUB ESTATES UNITS 1, 2,3 AND 4.
c)F F
W, PA21L
F o,a auRj/ BUTTE COUNTY
'• DEPARTMENT OF DEVELOPMENT SERVICES
INSPECTION CARD
• 24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico)
('4 Office: (530) 538-7541 Fax: (530) 538-2140 Website: www.buttecounty.net/dds
Permit No:
B06-2755 Issued: 12/04/2006
Address:
13625 LANDER CT MAGALIA
APN:
066-250-007 Permit Subtype: SFD-Mobile Home
Owner:
STEELE, DON L & DOTHA A
Applicant:
GERALD GLEN DOREMUS
Description: EX MH, EX SITE, PERM FND (1800)
MUST BE ON JOB SITE
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 -INSPECTION FEE MAY BE
ASSESSED.
ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING
Inspection Type
IVR INSP DATE
Set acs
132
Foundations/ Footings
X ' a 111 p L 12-6-06
Pier/Column Footings
4 122
Grade Beams
N 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
118
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 1 Z -S= o
PERMITS BECOME NULL AND VOID 1 YEAR FICO
0.
U
I%l
L
U M-1 19
COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION
Inspector Copy
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: 13625 LANDER CT
Owner:
Permit No: B06-2755
APN: 066-250-007
STEELE, DON L & DOTHA A
Issued Date: 12/04/2006 By KCG
Permit type: RESIDENTIAL
13625 LANDER
CT
Subtype: SFD-Mobile Home RET
MAGALIA, CA 95954
Expiration Date: 12/04/2007
Description: EX MH, EX SITE, PERM FND (1800
Occupancy: Zoning: RT1
Contractor
Applicant:
Square Footage:
GERALD GLEN DOREMUS
GERALD
GLEN DOREMUS
Building Garage Remdl/Addn
PO BOX 4121
PO BOX 4121
CHICO, CA 95927
CHICO, CA 95927
Other Porch/Patio Total
(530) 895-1774
(530) 895-1774
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: B1052
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
GERALD GLEN DOREMUS 445103 / C47 / 08/31/2007
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
1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9
(com cmg 'tl`Section 7000) of Division 3 o e Business and Professions Code, and my license
pursuant to the provisions of the Contractofs License Law [Chapter 9 (commencing with Section 7000)
for and ect.
of Division 3 of the Business and Professions Cade] or that he or she is exempttherefrom and the
r4-ull
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects
12/04/2006
the applicant to a civil penalty of not more than five hundred dollars [$500];
Please check one of the following:
Con c Igna ure Date
❑ 1, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE
COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR
ORKERS' COMPENSATION DECLARATION
OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractors 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 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.).
I HAVE 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 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:
not becompleted if the permit is orhundred ($100) or less)
Z(Thionneed
I AM EXEMPT under Section B. & P.C. for this reason:
YTHATIN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS
,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 shou become subject to the workers'
X 12/04/2006
corn anon provisions of Section 3700 of the Labor Code, shall forthwith comply with those
Owner's Signature Date
visions.
X 12/04/2006
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
Signa Date
WARNIN :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 SH LL 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
HUNDR D 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 sidewalk. I hereby authorize representatives of Butte
ATTORNEYS FEES.
County to enter the above mentioned pro erty for' spection purposes. I ereby certify that I am the
pro owner or am authorized to act the owner's beha
pL yyW 12/04/2006
CONSTRUCTION LENDING AGENCY
1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for
Name of Pe ittee [SI ] Print Date
the performance of the work for which this permit is issued. (3097 civ. code)
1
Owner Contractor 1:1Agent for Owner Agent for Contractor
1:1Lender's
FILE COPY
Address City State Zip
RECORDING REQUESTED BY
Bidwell Title & Escrow Company
AND WHEN RECORDED MAIL TO
Noma - Don L. Steele
str«t 13625 Lander Court
Add.ta
City, stare Magalia, CA 95954
Zip
order No. 06199047-003
111111 , IIII I ILII I II IIII III I II III III
2 0 2— 0 0 1 0 0 4 8
Recorded
Official Records
CoTTEOf
CANDACE
BUT
GRUBBS
Recorder
ROSEMARY DICKSON
Assistant
01:52PM 28=Feb-2002
Parcel No. 066-250-007 GRANT DEED
THIS FORM FURNISHED BY BIDWELL TITLE & ESCROW COMPANY
REG FEE 13.00
TAX 118.80
f
I Kristyy
I Page 1 of 3
The Unda�tgncd Granwr(s> Ueciarc(s) Documentary Transfer Tax is $118.80
❑ City/Town of 0 computed on full value of interest or property conveyed, or
0 Unincorporated Area ❑ full value less value of liens or encumbrances remaining at
the time of sale
❑ Monument Fee of $10.00
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
Edward H. Purvis and Linda L. Purvis, Husband and Wife as Joint Tenants
hereby GRANT(s) to
Don L. Steele and Dotha A. Steele, Husband and Wife as Community Property
the following real property in the ❑ City of 0 Unincorporated Area
County of Butte, State of California:
SEE EXHIBIT A ATTACHED HERETO AND MADE A PART HEREOF
Dated: February 20 2002
Edward H. Purvis '
s •`
b
Lina t. Purvis
35
J
STATE OFQ
�— est s r c(– } SS:
On R_6- -2 aQD A , before me, the undersigned, a Notary Public in and for
.said County and State, personally appeared
dward H. Purvis and Linda L. Purvis ........
Personally known to me for proved to me on the basis FQ '1.TTARY)? ,SEAZ„ ST.
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 _ c
his/her/their signatures) on the instrument the
person(s), or the entity upon behalf of which the P V B LIG
person(s) acted, executed the instrument.
WITNESS my hand and official seal.
Signature
PATRICIA E. LEARY
My Commission Expires 10/25/a0057�
MAIL TAX STATEMENTS TO: Same as Above
BTEC/Grentdee
Order No. 00199047-003
EXHIBIT A
THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS:
ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF
CALIFORNIA, DESCRIBED AS FOLLOWS:
PARCELI:
LOT 380 AS SHOWN ON THAT CERTAIN MAP ENTITLED, "PARADISE PINES COUNTRY
CLUB ESTATES UNIT NO. 4", 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.
AP NO. 066-250-007
PARCEL II:
A NON-EXCLUSIVE EASEMENT OVER LOTS A, B, C, D, E, F, G, H, I, J, K, L & M (THE
COMMON AREAS) 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 ANNEXATIONS FOR UNITS IV, VI, VIII, X, XI, XIII, XIV, XV AND
COUNTRY CLUB ESTATES UNITS 1, 2,3 AND 4.
STATE OF CALIFORNIA -BUSINESS, TRANSPORTATION AND HOUSING AGENCY ARNOLD SCHWARZENEGGER, Gover
DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT �_7,�`stNG R
DIvlslon of Codes and Standards 10.
F. nr
O Y � Z
3Gak
Title Search ��0
Serial Number
A3SC1205CA
B3SCI205CA
C3SC t205CA
Record Conditions:
Registered Owner:
HUD Label / Insigni
290047
290048
290049
PPF Exempt
t
Length Width
64' 12'
64' 12'
24' 10'
DON L STEELE
DOTHA A STEELE (Community Property)
13625 LANDER COURT
MAGALIA, CA 95954
Last Title Date: 04/29/2002 '
Last Reg Card: 04/29/2002
Sale/Transfer Info: Price $50,000.00 Transferred on 02/28/2002
Situs Address: 6Q-2.6
4-3-525 LANDER COURT
MAGALIA, CA 95954
Situs County: BUTTE
*** END OF TITLE SEARCH ***
O
CUTTE
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D 4 2006
—E VELOPMENT
SERVICES
Date Pnnted :
11/28/2006
Decal #:
LAF8744
Use Code: SFD
Manufacturer:
09881 SILVERCREST IND INC
Original Price Code: AMS
Tradename:
SILVERCREST
Rating Year:
Model:
343R
Tax Type: LPT
Manufactured Date: 08/21/1984
Last ILT Amount:
Registration Exp:
Date ILT Fee Paid:
First Sold On:
09/24/1984
ILT Exemption: NONE
Serial Number
A3SC1205CA
B3SCI205CA
C3SC t205CA
Record Conditions:
Registered Owner:
HUD Label / Insigni
290047
290048
290049
PPF Exempt
t
Length Width
64' 12'
64' 12'
24' 10'
DON L STEELE
DOTHA A STEELE (Community Property)
13625 LANDER COURT
MAGALIA, CA 95954
Last Title Date: 04/29/2002 '
Last Reg Card: 04/29/2002
Sale/Transfer Info: Price $50,000.00 Transferred on 02/28/2002
Situs Address: 6Q-2.6
4-3-525 LANDER COURT
MAGALIA, CA 95954
Situs County: BUTTE
*** END OF TITLE SEARCH ***
O
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—E VELOPMENT
SERVICES
Xi2 Foundation System
Installation Instructions for California
for Ground & Concrete Systems
HUD Wind Zone 1,
15 PSF Wind Load Seismic 4
By Tie Down Engineering
i
Xi2 Ground System
8OCn2755
BUT -FE COUNTY
BUILDING DIVISION
APPROVED
12-y-0 fn
K6.
Xi2 Concrete System
Engineer Approval
State Approval
MANUFACTURED HOMEIMOBILE HOME
FOUNDATION SYSTEM
HBALTH AND SAFETY CODE, SECTION 18531
APPROVED
BUBIECT TO CORRECTIONS NOTED '
APPROVAL DOES NOT AUTBORTa OR APPROVE ANY
OMISSIONS OR DEVIATION FROM REQUIREMENTS OF
APYNCABLB STATE LAWS AND REGULATIONS
$tree of California
)DWENIM a[Ho�stB aad Coa>a igr
OF $SAND STANDARDS _
f L ' DATE k.,
Alm � ' ice•) ( �
i
Page 1 of 8
0
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0
0
0
Xi2 Foundation System
Installation Instructions for California
for Ground B Concrete Systems
HUD Wind Zone 1, 15 PSF Wind Load Seismic 4
By Tie Down Engineering
REQUIREMENTS
• These plans and specifications meet the requirements of Title 25 Section 1336.3 Sub Section A
and 97 UBC Seismic Requirements, CBC 2001 addition.
• Maximum vertical projection at sidewall is 9'. Higher walls may be used when the design loads are
adjusted accordingly and approved by HUD.
• Main rail spacing must be 75.5" - 99.5" * Except single sections 95" minimum
• Additional vertical anchor ties that are unique to a home's design may be required by the home
manufacturer. These locations may include shear walls, marriage line ridge beam support posts, and rim
plates. The longitudinal component of the Xi2 system replaces end frame ties. Check manufacturers
set-up requirements.
• Maximum pier height is 48" pier. *Except for single sections 36".
• Steel piers must be fastened to the I-beam with clamps provided with steel pier.
• Systems must be placed as evenly as possible, no more than 10' from end of home.
• Designed for 7:12 roof slope. *Except single sections, (20° - 4.37 in. 12" pitch).
Additional Requirements for Concrete Systems
• Poured concrete must be 2,500 PSI minimum at 28 days.
• Square concrete pads minimum is 18" wide by 12" deep. Round concrete pads minimum is 18" wide by
14" deep. Strip footings minimum is 18" wide by 14' long by 6" deep. M3M> ,
* Xi2 components exceed HUD code 3280.306g "Anchoring equipment exposed to weathe ng shall ha4aJ
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 80
0
,'9
TIE DOWN ENGINEERING i591 Wheaton Drive Atlanta GA., 30336
O
O
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
Installation of Xi2 Ground Systems
Identify the number of systems to be used on the home using the chart provided.
Identify the location where the systems will be installed.
Clear all organic matter and debris from the pad site.
Place U -bolts through holes in pan provided.
Place pad centered under beam with the lateral strut bracket towards the inside of the home.
Press or drive pan into ground until level and flush with prepared surface.
Build pier according to State, Local or Home Manufacturers guidelines.(F►gure 1)
Attach the end of the smaller tube to the inside of pan using U -bolt & nuts provided
Attach the flag end of the larger tube to the opposite I-beam using the "J" bolt over the top of the I-beam
with the nut & washer provided. (Figure 2)
Install a minimum of four (#12 x 1" tek screws) self -tapping screws into the holes provided in the lateral strut so
that the two tubes are connected together. (Figure 1)
end °f
Nor"e
0
11. Install frame bracket clamps to I-beam on in
side of block/pier. Do not tighten nuts at this time.
12. Attach longitudinal strut to U -bolt in pan using
nuts provided.
13. Insert strut in the frame bracket clamp, attach with
nut and bolt. Do not tighten at this time.
14. Pull the frame bracket clamp with the fastened
strut outward to remove any slack.
15. Tighten all nuts and bolts on the struts and
beam clamps.
J -Bolt Nut & Washer
1-314" Tube
i�
Strut
Lateral Struts
(flag end)
1-112" Tube
,...;
4 #12 x 1"
..:
Tek Screws
I eam
A
` 1 Figure 2
U -Bok & mountings
r„
Figure 1
Bracket
end °f
Nor"e
0
11. Install frame bracket clamps to I-beam on in
side of block/pier. Do not tighten nuts at this time.
12. Attach longitudinal strut to U -bolt in pan using
nuts provided.
13. Insert strut in the frame bracket clamp, attach with
nut and bolt. Do not tighten at this time.
14. Pull the frame bracket clamp with the fastened
strut outward to remove any slack.
15. Tighten all nuts and bolts on the struts and
beam clamps.
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 bolts.
Struts for Longitudinal Systems
Part
Strut
Pier Height
No.
Length
Up To:
59330-44
44"
4 Blocks or 32"
59330-65
65"
6 Blocks or 48"
Ground Longitudinal
Hardware Kit
Xi2 Ground
Longitudinal Strut
& Hardware Kit
Ground Longitudinal
Strut
Xi2 Stabilization Pier Placement for Ground or Concrete
Single Section Home
0 -80' (76' Box) 4 Xi2 Systems
Xi2 Pier Placement
Double Section Home
0 -62' 3 Xi2 Systems"
63'- 80' 4 Xi2 Systems
*2 Xi2 systems can be placed at either end of the home.
Triple Section Home
0 -62' 4 Xi2 Systems
63' - 80' 5 Xi2 Systems
®> All,
Page 4 of 8
I I
Installation of Xi2 Concrete Systems
1. Identify the number of systems to be used on the home using the chart provided.
2. Identify the location where the systems will be installed.
3. Build pier according to State, Local or Home Manufacturers guidelines.
4. Drill two 3/8"x 3" deep holes in the concrete using holes in galvanized bracket as
a guide. Attach bracket to concrete pad using 3/8"x3-1/2" wedge anchors
provided. Place nut & washer on anchor, leave enough room for 1 to 2 threads
showing on top of bolt. Using a hammer, tap the wedge bolts into hole through
bracket, leaving nut & washer flush with bracket. Using a 9/16" socket wrench,
tighten wedge/anchor bolt, securing bracket to the concrete.
5. Attach the end of the smaller tube to the bracket mounted on the pad, using the
grade 5,1/2" x 2-1/2" bolt/nut provided.
6. Attach the flag end of the larger tube to the opposite I-beam using the "J" bolt over
the top of the I-beam with the nut & washer provided. (Figure 1 next page)
7. Install a minimum of four (#12 x 1" tek screws) self -tapping screws into the holes
provided in the lateral strut so that the two tubes are connected together
8. Install frame bracket clamps on I-beam on the inside of block/pier.
9. Insert strut in frame bracket clamp and attach with nut & bolt. Attach opposite end to concrete bracket.
10. Pull the frame bracket clamp with fastened strut outward to remove anv_ lack.
11. Tighten all nuts and bolts on system.!1> "
sPA/';I i1iR��
Page 5 of 8
{
Xi2 Lateral Concrete'Systems
Part#59307 :
Includes: 5' Strut, Bracket, & Hardware Kit
#59315-1 with all,nuts and bolt.
Long itudinal"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 1 Beam Clamp
Bracket
J -Bolt.. 1.
Lonc
U
-Beam
Longitudinal
Strut
d Of N°me
�n
® @ @ 1
16a
Concrete
Longitudinal
Hardware Kit
Xi2 Installation Placement
• xa,�.n�� y�� ,fit
Offset Placement l
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
a
Xi2 Pier Placement
Single Section Home
0 -80' (76' Box) 4 Xi2 Systems
Double Section Home
0 -62' 3 Xi2 Systems`
63' - 80' 4 Xi2 Systems
*2 Xi2 systems can be placed at either end of the home.
Triple Section Home
0 -62' 4 Xi2 Systems
63' - 80' 5 Xi2 Systems
Page 7 of 8
m
0
�i
0
0
Hardware Breakdown
#59329-1 Hardware for 59306 Lateral System
1 84533Z
U -Bolt 1/2-13 x 2.63 x 2.19 thread
Beam Clamp Base
1-3/4 zinc
4 10556
Tek Screw #12 x 1"
1 10631Z
J Bolt 1/2 x 5-1/2 grade 5 zinc
2 10640
Push Nut 1/2
1 12107
Flat Washer 1 x2" SS
1 10646Y
Hex Nut 1/2-13 grade 5 zinc
2 10519
Hex Nut 1/2" w/ Serr flange
#59331 Longitudinal Hardware for 59306
2
59272-1
Beam Clamp Base
4
59272-2
Beam Clamp Top Flange
8
10926
Carriage Bolt 1/2-12 x 1-1/4
Carriage Bolt 1/2-12 x 1-1/4
4 10801
Full Thread
10
10646Y
Hex Nut 1/2-13 grade 5 zinc
2
10801
Carriage Bolt 1/2-12 x 2-1/2
1 84533Z
U -Bolt 1/2-13 x 2.63 x 2.19 Thread
Grade 5
2
84533Z
U -Bolt 1/2-13 x 2.63 x 2.19 thread
2 10519
Hex Nut 1/2" w/Serr Flange
1-3/4 zinc
4
10640
Push Nut 1/2
4
10519
Hex Nut 1/2" w/ Serr flange
# 59329 Hardware for 59333 Lateral and
Longitudinal
combination
1 59329-1
Hardware Kit
1 59272-1
Beam Clamp Base
2 59272-2
Beam Clamp Top Flange
4 10926
Carriage Bolt 1/2-12 x 1-1/4
4 10801
full thread
5 10646Y
Hex Nut 1/2-13 Grade 5 zinc
1 10801
Carriage Bolt 1/2-12 x 2-1/2
2 10801
Grade 5 zinc
1 84533Z
U -Bolt 1/2-13 x 2.63 x 2.19 Thread
6 10646Y
1-3/4 zinc
2 10640
Push Nut 1/2
2 10519
Hex Nut 1/2" w/Serr Flange
#59315-1 Hardware for Lateral System
1 10631Z
J Bolt 1/2 x 5-1/2 Grade 5 zinc
1 12107
Flat Washer 1/2" SS
4 10556
Tek Screw #12 x 1"
2 10646Y
Hex Nut 1/2x-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
TIE�`f
`DOWN
ENGINEERING a?
m
0
LD
0
0
0
J
RECORDING REQUESTED BY:
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE CA 95965
COPY of Document Recorded
6 -Dec -2006 2006-0063991
Has not been compared with
original
BUTTE COUNTY COUNTY RECORDER
SPACE ABOVE THIS LINE FOR RECORDER USE ONLY
NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH,
INSTALLATION ON A FOUNDATION SYSTEM
Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code
Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the
unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this
document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give
constructive notice as to its contents to all persons thereafter dealing with the real property.
STEELE, DON'L & DOTHA A.
BUTTE COUNTY BUILDING DIVISION
REAL PROPERTY OWNER/LESSOR
LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY
13625 LANDER CT.
7 COUNTY CENTER DRIVE
MAILING ADDRESS
MAILING ADDRESS
MAGALIA BUTTE CA 95954
OROVILLE BUTTE CA 95965
CITY COUNTY STATE ZIP
CITY COUNTY STATE ZIP
13625 LANDER CT.
B06-2755 (530) 538-7541
INSTALLATION MAILING ADDRESS, IF DIFFERENT
BUILDING PERMIT NO. TELEPHONE NUMBER
MAGALIA BUTTE CA 95954
k etQ,-J 12/05/2006
CITY , COUNTY STATE ZIP
SIGNATURE OCAL AGENCY OFFICIAL DATE
SAME
NONE
UNIT OWNER (if also property owner, write "SAME"
DEALER NAME (if not a dealer, write "NONE")
SAME
NONE
MAILING ADDRESS
DEALER LICENSE NO.
SAME
VII T l.UU1N1 T S1A1C Lir
UNIT DESCRIPTION
SILVERCREST IND. INC. 1984 343R
MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER
A/B/CSC1205CA 64'X 24'/24'X 10' CAL290047/8/9
SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S)
REAL PROPERTY LEGAL DESCRIPTION: SEE ATTACHED
ASSESSOR'S PARCEL NUMBER: 066-250-007
COPY
HCD FORM 433(A) REV 8/91
WHITE— County Recorder CANARY — HCD PINK— Applicant GOLDENROD— Building Dept.
Order No. 00199047-003
EXHIBIT A
THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS:
ALL THAT CERTAIN REAL TROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF
CALIFORNIA, DESCRIBED AS FOLLOWS:
PARCEL I:
LOT 380 AS SHOWN ON THAT CERTAIN MAP ENTITLED, "PARADISE PINES COUNTRY
CLUB ESTATES UNIT NO. 4", 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,
AP NO. 066-250-007
PARCELII:
A NON-EXCLUSIVE EASEMENT OVER LOTS A, B, C, D, E, F, G, H, I, J, K, L & M (THE
COMMON AREAS) 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 ANNEXATIONS FOR UNITS IV, VI, VIII, X, XI, XIII, XIV, XV AND
COUNTRY CLUB ESTATES UNITS 1, 2,3 AND 4.
FOUNDATION, -SYSTEM
µ CERTIFICATE OF OCCUPANCY
BUILDING PERMIT NUMBER: B06-2755
Address or location of unit: 13625 LANDER CT. MAGALIA CA 95954
Legal Description of Real Property: 066-250-007
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: STEELE, DON L & DOTHA A
Owner's address: 13625 LANDER CT MAGALIA CA 95954
INSIGNIA OR HUD NUMBER: CAL290047/8/9
SERIAL NUMBER OR V.I.N.: A/B/CSC1205CA
MANUFACTURER'S NAME: SILVERCREST IND. INC. YEAR: 1984
OFFICIAL APPROVING INSTALLATION:
DATE:/ �2,I J /0('0
PHONE: (530) 538-7541
H.C.D. 513
'
~~PERMIT NO. 2028-84P,E(MH)
PERMIT EXPIRES
OWNER LINDA MAPLESDEN
CONTR. John Henry Const
ASSESSOR PARCEL 66-25-7
LOCATION 13625 Lander Ct,lot 380, CC#4, Magalia
yyx OFFICE COPYj,
'AddressL�( C:Z- 1„
GAS
erovDate i
ELEC IC j
Meter B Date —C I
Temp. Power Pole
Called PG&E
Temp. Elec. Servi
Called PG&E
, Temp. Gas Servi ci
Called PG&E
t
JOB FINALED (Date) 3�
Vnature 4—
J=OK
0 = Not OK
- = Not Applicable
= Not Ready
MOBILEHOMES MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except N's
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's
oning Requirements -Setbacks -Easements
1. Zoning Requirements -Setbacks -.Easements
ils; Special MH Support -Sketch
2. Footings; Size -Depth -Spacing -Connectors
eweocation-Test-Fall-C/0 Co " to
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
F; Location -Test -Easement Nee d (Sketch)
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing
lectricity; Loc tion-Cleara Grnd.- Amp -Concrete
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
s; ocation-Test-Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG
;
6. Carports; Windows -Doors
- ility Clearance
7. Elec.
Card -BI
Date _i Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
BILEHOME INSTALLATION (Plans) OK except k's
I Date
POOLS (Plans) OK except It's
oning Requirements -Setbacks -Easements
1. Setbacks -Easements
ootings; Size -Spacing -Marriage Line
i
2. Soils; Compaction -Structure Stability
st-Demand-Valve-C
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
(rWle-ctricity;
MH -Cros s -B ers- learances
I
4, Elec.; Receptacles and Lighting; Distances-GFI
Drain; MH Test -Fall -Flex Conn ec
;
5. Elec.; Pool Lighting; 15 volts-GFI
je-Waiter; MH Test -Regulator -Connector
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
ter and Sewer Connected -C/0 to Grade -HD Approval
(
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
nd Electricity Tagged
B. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
x'ts; Insp.-Sketch
ert. of Occupancy
g. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card B -I
Date �2rd-BI Date
'Card -BI
Date Card -BI Date
Card B -I
Date —/z - and -BI Date
jCard-BI
Date Card -BI Date
J = OK
0 = Not OK
- = Not Appl icable
* = Not Ready
N
RESIDENTIAL (Single and Duplex)
Date
UNDERFLOOR Plans OK except #'s
Date
FRAMING (Continued)
1. Zoning requirements -Setbacks -Easements
48.
Property Line Firewall & Openings
2.
Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
49.
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
3.
Ftg., Garage; Soils -Steel- / /" Ftg. Depth
50.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
4.
Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
51.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
52.
Siding -Nailing -Veneer
6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
7.
Piers -Fireplace Ftg.-Steel
54.
Glazing Area -Glass Protection -Skylights -Plastic
8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
55.
Shear Walls; Nailing -Bolts
9. Gas Pipe; Size -Anchors
10.
Water Pipe; Test-Anchors-Regulator-Seryice Test
11.Electric;
Underground
12. Plenums & Ducts; Clearance -Material -Support -Ins.
13.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
FINAL (Plans) OK except #'s
56. Ext. Steps -Door & Sidelight Protection -Landings
Card -BI
Date
Date Card -BI Date
PLUMBING (Permit) OK except #'s
14. Water Ht.; Vent -Access -Combustion Air
57.
58.
Smoke Detector
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
15. Water Pipe; Test & Anchors -Nail Protection
16.
D.W.V.; Test-Fttngs & Anchors -Nail Protection
59.
Bedroom Exiting
17.
Shower Pan; Test, First Floor -Tub Access
60.
G.F.I. & Bath Fixtures & Tub Access
18.
Test Tub & Shower, 2nd Floor -Tub Access
61.
62.
Elec. Trim & Subpanel; Breaker Sizes -Labels
Stairs & Rails
19. Gas Pipe; Size & Anchors
63.
Fireplace or Stove; Clearances -Hearth
Card -BI
Date Card -BI Date
64.
65.
Elec. Outlets at Wood Panel; Int. & Ext.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date Card -BI Date
66.
Elec. Outlets & Receptacles at Kit. Counter
Date
ELECTRICAL Permit OK except #'s
67.
Garage Fire Door; Swing -Landing -Closer
68.
A.C. Duct in Garage -Damper
20.
Fixture & Transformer Clearance -Ins. Protection
69.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
21. Elec. Receptacles Spacing -Lights &Switches at Doors
22.
Size Boxes & No. of Conductors -Stapled
70.
Plb., Elec. & Mech. Equip. Listed for Location
23.
Romex Installed Close to Edge of Studs & C.J.
71.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
24.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
72.
Insulation -Foam -Looked in Attic F) Yes
25.
2 Appliance Circuits in Kitchen &Conductor Size
Guard Rails &Deck Construction -Post Caps
26.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al
74.
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
27.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or A1,
Insulated Neutral ❑Yes ❑No
75.
Following instld.: Drive ❑ Yes E] No; Walks ❑ Yes ❑ No;
Planters Dyes ❑No
28.
Service -Riser Conductors & Ground -Main Disconnect
76.
Stucco; Brown -Finish
29.
Equip. Clearances; Panels-Motors-Mech. Equip.
77.
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
30.
Clothes Closet Light -Shower Light
78.
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
79.
80.
Water Well; Disconnect, Electrical, Plumbing
Exterior Elec. Trim; G.F.I. Receptacle -Underground
Card B -I
Date Card -BI Date
81.
82.
Ventilation throughout House
Glass Protection
Card B-1 Date Card -BI Date
Date
MECHANICAL (Permit) OK except #'s
31. A.C. Ducts; Insulation & Support
83. Corrections from Previous Inspections
84. Gas Test -Meters Tagged; Gas -Electric
85.
Water & Sewer Connected -C/O to Grade -HD Approval
32.
Vent Fan; Exhaust above Insulation
86.
Energy Compliance Certificate -Other Certificates
33.
Condensate Drain & Overflow; Size & Grade
34.
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
35.
Attic Access & Platform if Furnace in Attic
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Comments at Final:
Date FRAMING Plans OK except #'s
36.
Sills; Proper Material & Anchors
37.
Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
38.
Bearing Walls over Girders & Floor Nailing
39.
Draft Stop in Walls (rat proof)
40.
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
41.
Header & Beam -Size & Bearing
42.
Hangers -Post Caps -Anchors -Connectors
43.
44.
Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Rfn_g_._ _
Fireplace Ties or Type A Flue -Fireplace Throat
45.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
46.
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
47.
Garage Fire Protection Framing
(NOTE: An entry must be made each time youvisit jobsite)
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
of the California Administrative Code, Title 25, Chapter
number -1iiS?.�4 for the following location:
- I -
Owner
the requirements
5, under permit
Owner's Address /mss/�+? j �� �`• �- l 44,4 l- C)i I
Mobilehome Mfg. `a1 1�- I37 Model YearF4
Insignia NoSerial No. -'a - �-
It is heieby cerrfied for occupancy at the above described location and
may be occupied.
Director of Public Works
Date f I " �'�t'✓ B
Y
THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED
If
White - Owner, Yellow - Installer, Pink - D.P.W.
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS '
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 5344541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
,1iAI LL
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
r
InspectoTr-
r '� �� ' ' CL Date
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
-� t];T A r-ij/J C (/-)t OfT
Inspector Date—
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
• 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND -PERMIT
ASSESSOR PARCEL NUMBER
_�
ZONING
BUILDING PERMIT
O NdR
�il A/Ofl m,# /° E t50 E ff
TELEPHONE
SQ. FT. OCC, BUILDING VAL ATIO
OWNER'S MANG ADDRESS I'
ONTRACTOR'S NAME
tf-1+4 o VAN tSr4vejov /h, ff �E,evreF
ELEPHONE
71036
CONTRACTOR'S MAILING ADDRESS
14-3o CF1JR6LL- 1 -Al. A4.e4orsE GFS: 1T -y69
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ �
Ao
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILD NG ADDRESS
( �o Z S L �j N /J JE��p
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO.
SUBDIVISION NAME PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF ❑ Duplex ❑ Mobi lehome []' Other
SPECIFY
Building sewer
5.00
Mobile Home JSJGJWJ
10.00e
TYPE OF WORK ,
New❑ Addition Remodel❑ Utilities❑ InstallationR� / Other❑
Describe work:'lr���—s<
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.&
OR ADDNS. ACC. BLDGS.
2tlztsgft
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. 3'�/9�7�' Classification 6—& f
❑ 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
NEWCONSTR ULTI-OUTLE
NON .RESID, BRANCH CIRCT ITS
2,50 ea
NEW CONSTR POWER APPARATUS &1j
/
NON.RESID. (SINGLE OUTLET CIR. /
Ex. Occup(OR FIXTURES
P(o
20®50C
6A_030
FIXED A
Ex. Occup. our OUTLETS P(RESID.)REA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ r 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.
Heating
Cooling
Hood
3.00
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
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X x• V v. .. Date d `26 -- kY
Signature of Applicant — Owner EJ Contractor C9' Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3ststoorries in height.
Mobile Home Installation Fee $ ^,
^
TOTAL PERMIT FEE 'r 0, '
OCCUP. GROUP
I TYPE OF CONST. 1,�JPARCELJ
PD
I HD
I ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTO OF PU
- �
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
IC WORKS
�'
Date (� —
��1
Receipt No. � b �
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
t' COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO.
a
ASSESSOR PARCEL NUMBER
66 — -- 7
ZONI"
P -r., / -
BUILDING PERMIT
OWNER
Linda Maplesden
TELEPHONE
873-1038
SQ. FT. OCC. BUILDING VA UATION
OWNER'S MAILING ADDRESS
13625 Lander Ct. Magalia Ca. 95954
CONTRACTOR'S NAME
John Henry Construction
TELEPHONE
873-0668
CONTRACTOR'S MAILING ADDRESS
P.O. Box 509 Magalia Ca. 95954.
Fireplace
CONSTRUCONE LENDER
UNKNOWN
Total Valuation $
Filing Fee
$
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ P2, d-6
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS ..
Permit fee
$
BUILDING ADDRESS
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5:00
LOT NO. SUBDIVISION NAME ARCEL MAP
380 Unit CC4, Ma alfa Ca. 38 "-'(2)
Each qas water heater or vent
5.00
Gas piping system 1 -5 outlets
5.00
USE OF STRUCTURE
SF [:1 Duplex ❑ Mobi lehome [2 Other
SPECIFY
Building sewer
5.00
Mobile Home I 4<G
10-00ea a0vo
TYPE OF WORK
New [3 Addition ❑ Remodel ❑ Uti litiesK] Installation❑ Other ❑
Describe work: Tnobi l e home iitilJ ties
Permit Fee
$ 3o.00
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
.00
10 0,00
Main service EA. ADD'L 100 AMP
2:50
NEW CONST. DWELLING OCCUP.&
OR ADDNS. ( ACC. SLOGS.
2t/ZQsgft
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. �-GL99 Classification A
o
❑ 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. MULTI -OUTLET 2,50 ea
NON.RESID BRANCH CIRC ITS.
NEW CONSTR. POWER APPARATUS &'
NON-RESID, (SINGLE OUTLET CIR.
Ex zD@sOQ
. Occup(o OR FIXTURES BALM 3OQ
XED
FIXED A
APPLNS, OR
EX. OCCUp- OUTLETS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $ AM
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shal I be deemed revoked.
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also a ee to save, indemnify and keep harmless the County of Butte against
all Ii 11 'es, unty 1 n , osts, xpenses which may in any way accrue
aga' County i co eque e t e a�ranting of this permit.
X i5 ,Z84.
Date h
Signature of Applicant — Owner ❑ Contractor KI Agent F1work
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $
OCCUP, GROUP
I TYPE of CONST.
PARCEL
D HD 17
This permit is hereby issued under
sions of the Butte County Code and/or
indicated above for which
DIRECTOR OF PUBLIC
--
PE T EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date o8 gyp= 0'p'(
A 11" 17 U
Receipt No. as—/3
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
J
Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT
FOR RESIDENTIAL DEVELOPMENT g4--2324'
Section 2678.1 of the Butte County Code requires this ac know ledgemetflf!C'DL• FTEC`)k
be recorded prior to issuance of a building permit. 3�r',F.
4UNTY
K�� Tt�:• ;
The property described herein is adjacent to land or included
within an area zoned for agricultural purposes, and residents of ,26.
property may be subject to inconveniences or discomfort arising from
the use of agricultural chemicals, including; but not limited to h'{c.�e;&}�;tip.�s es,
and fertilizers; and from the pursuit of agricultural operations including, but nJ9 imited
to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust,
smoke, noise, and odor. Butte County has established agricultural zones which have as a
priority use for productive agricultural purposes, and residents within said zones and on
adjacent property should be prepared to accept such inconvenience or disconform from normal;
necessary farm operations.
All that real property situate in the County of Butte, State of California, described
as follows:
Unit CC4., lot 380, Magalia,. Butte Co., Ca.
Q PQM �
OM
AOOC`G�Np,\. V
Date: "'�� PROPERTY OWNERS:
0
State of ��t-�S- +��iC�) On this the o2 UA day of 1LV'e-. 19; qq before
SS. me, the undersigned Notary Public, personally appeared
County o f ��.L.t�,Q, • ) �.l v� c�c� � � �5 C�� l!L .
/ Personally known to me. M Proved to roe on the basis:
of satisfactory evidence.
to be the person(s).whose aame(s). t 5 subscribed to
OFFICIAL SEAL the within instrument and acknowledged that 51n. C,
ELISABETTA 0 PAUKO executed the same for the purposes therein contained.
�. Notary Public -C RIOM P P
BUT% COUNTY IN WITNESS WHEREOF, I hereunto set my hand and official seal.
my Cann Em MV 90.1207ZL
"
------------
-
Notary Public
Present A.P. No.
f
.
1�
I
,dpi �F ��y���,� ���- �l/J �
PERMIT NO. .2029-84B,E
PERMIT EXPIRES %V �3I0�7
o
OWNER LINDA MAPLESDEN
.CONTR., Mari John Const
ASSESSOR PARCEL 66-25-7
LOCATION 13625 Lander• dt, Magalia
Temp. Power Pole
Called PG&E
Temp. Elec. Service
Called PG&E
Temp. Gas Service
Called PG&E
JOB FINALED (Date)
Signature
V
J = OK
0 = Not OK
Not Applicable MOBILEHOMES
= Not Ready
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except k's
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's
1. Zoning Requirements -Setbacks -.Easements
2. Footings; Size -Depth -Spacing -Connectors
3. Sewer; Location -Test -Fall -C/0 -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
Card -BI
Date
Date Card -BI Date
POOLS (Plans) OK except N's
1, Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
4. Electricity; MH Test -Crossovers -Breakers -Clearances '
4. Elec.; Receptacles and Lighting; Distances-GFI
5. Drain; MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 volts-GFI
6. Water; MH Test -Regulator -Connector
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Water and Sewer Connected -C/0 to Grade -HD Approval
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card B -I
Date Card -BI Date
1 Card -BI
Date Card -BI Date
Card B -I
Date Card -BI Date
I Card -BI
Date Card -BI Date
OK
0 = Not OK
- = Not Applicable RESIDENTIAL (Single and Duplex)
= Not Ready
Date
U D RFLOOR Plans OK except #'s
Date FRAMING (Continued) z
41�Zoning requirements -Setbacks -Easements
48. Pro arty Line Firewall & Openings
2.
Ftg., Main; Soils-Steel-,Elec. Grnd.- / /" Ftg. Depth
xt. Doors -One 3' -Check Garage -3rd story, 2 exits
, Garage; Soils- el- / C" Ftg. Depth
50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
4.
Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
lywood on Roof Overhang -Attic Vents -Rafter Outriggers
5. Stemwalls, Main; Steel-Blo uts-Wrapped-Slab
Siding -Nailing -Veneer
¢,.Stemwalls, Garage; Stee -Blockouts-Wrapped-Slab
53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
7.
Piers -Fireplace Ftg.-Steel
54. Glazing Area -Glass Protection -Skylights -Plastic
8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
55. Shear Walls; Nailing -Bolts
9. Gas Pipe; Size -Anchors
-
10.
Water Pipe; Test -Anchors -Regulator -Service Test
ectric; Underground
12.
Plenums & Ducts; Clearance -Material -Support -Ins.
13.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI Date Card -BI Date
Card -BI Date Card -BI Date
Card -BI Date Card -BI Date
Card-BI1:R_
t
Date7 Card -BI Date
)
Date FINA Plans) OK except q's '
Card -BI Date Card -BI Date
Date
PLUMBING (Permit) OK except q's
14. Water Ht.; Vent -Access -Combustion Air
Ext. Steps -Door & Sidelight Protection -Landings
ffl-. 6meke-detector
58._Eucaace .-�nts-Clearance-Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
15. Water Pipe; Test & Anchors -Nail Protection
16.
D.W.V.; Test-Fttngs & Anchors -Nail Protection
59r-B2dromr Exiting
17.
Shower Pan; Test, First Floor -Tub Access
alas Fixtures & Tub Access
18.
Test Tub & Shower, 2nd Floor -Tub Access
Elec. Trim & Subpanel;.Breaker Sizes -Labels
19.
Gas Pipe; Size & Anchors
Vis -&-Rails
63-FiFepinee or Stove; Clearances -Hearth
64.--E4ey -Outlets at Wood Panel; Int. & Ext.
Card -BI
Date Card -BI Date
65._Kii-FixY.-.& Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date
Date Card -BI Date
ELEC 'CAL Permit OK except q's
pec Outlets &Receptacles at Kit..Co me
arage Fire Door; Swing -Landing F)
69_,A -.C: -Duct in Garage -Damper
Fixture &Transformer Clearance -Ins. Prote n
Wtr -Clearance-Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
Elec. ptacles Spacing -Lights itches at Doors
PI-Elec. & Mech. Equip. Listed for ation
oxes & No. of Conductors -Stapled
Elec. Receptacles in Garag om
2 Romex Installed Close to Edge of Studs & C.J.
26fGround made up w/Mech. Fasteners -Bond Gas &Water
FEt-incrla>+er�� oam-Looked in Attic EJ Yes
Deck Construction -Post Caps
'25. 2 Appliance Circuits in Kitchen & Conductor Size
26,
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI
r -Drainage & Wood.Eaflfi'Clearance
Looked under Floor Yes __1`•
❑
27.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al,
Insulated Neutral []Yes ❑No
76lFollowing instld.: Drive ' Ves []No: Walks ❑ Yes
Planters El Yes Mile --
28.
Service -Riser Conductors & Ground -Main Disconnect
Z6,-&htec-B?own-Finish
29.
Equip. Clearances; Panels-Motors-Mech. Equip.
79. A.G--8{sconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
30.
Clothes Closet Light -Shower Light
ove Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
7 isconnect, Electrical, Plumbing
Exterior Elec. Trim; G.F.I. Receptacle -Underground
Card B -I
Date Card -BI Date
"r.1175--troughout House
8Ec-fi+eaa-Proe2ction
Card B -I Date Card -BI Date
Date
MECHANICAL (Permit) OK except H's
31. A.C. Ducts; Insulation & Support
82r-6erreet. s from Previous Inspections
8+1.--6erFeqt-Meters Tagged; Gas -Electric
85--WdMT"&"Tewer Connected -C/O to Grade -HD Approval
32.
33.
Vent Fan; Exhaust above Insulation
Condensate Drain & Overflow; Size & Grade
ac ,o,,.„ ., compliance Certificate -Other Certificates
34.
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
35.
Attic Access & Platform if Furnace in Attic
Card -BI Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI AZ Dat Card -BI Date
Card -BI
Date Card -BI Date
Card -BI Date Card -BI Date
Comments at Final:
Date FRA Plans OK except q's
Sil ; Proper Material & Anchors
Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
38.
Bearing Walls over Girders & Floor Nailing
39.
40.
Draft Stop in Walls (rat proof)
F're Sto Furred Ceilings -Stairs -Chases -Tub
Header &s; Beam -Size & Bearing
42.
Ha gers-Post Caps -Anchors -Connectors
Cing. Joist-Rftr. Ties-Purlin- Roof
_Brac.-Truss-Shthng_.-Rfn_g_.
44. Fireplace Ties or Type A Flue -Fireplace Throat
45.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
46.
rm. Windows or Exiting Doors -Sill Hg !& Dimensions
4
Garage Fire Protection Framing f'
f (NOTE: An entry must be made each time you visit jobsite)
J
40 COUNTY OF BUTTE
I DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
VNt'.H ! J PERMIT N0.
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
matte need additional explanation, please contact this office immediately.
mi�
RVA
Inspectors—i `�. � � Date � ___
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT N0.
ASSESS?R ARCEL NUMBE
ZONI
BUILDING PERMIT
OWNER
Linda Maplesden
TE3-1038 LEPHONE
7
.SQ. FT. DCC. BUILDING VA UATI
OWNER'S MAILING ADDRESS
P `3
�}�
CONTR art—UOtW n Construction
873-1108
CONTRACTOR'S MAILING ADDRESS
P.O. Box 759, Magalia, Ca. 95954•
Fireplace
CONSTR�6NEN LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
PLUMBING PERMIT
FilincFee 10.00
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO.
380
SUBDIVISION NAME
Unit CC4., Ma alia Ca.
RCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome❑ Other garage
SPECIFY
Building sewer
5.00
Mobile Home JSJGJWJ
110-00ei
TYPE OF WORK
New 9] Addition E:1 Remodel❑ Utilities❑ Installation E) Other f—]
Describe work: 20 t x 241 garage Ath el ectri cel
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 11001 OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
,1
OR ADDNST ( ACCLBLDG NEW CONSD ELINGC V (/
2yzQsgftUDO
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (Check one):
® 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and m license is in full force and effect.
y
License No. 3_)0556 Classification B
❑ 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.OUTL T 2.50 ea
NON.RESID BRANCH CIRC ITS
NEW CONSTR.POWER APPARATUS &
NON.R ESID. SINGLE OUTLET CIR,
REST
2oes0e
Ex. Occup(
p\OUTLETS OR FIXTURES SAL®30
FIXED
EX. OCCUp. OUTLETS P(RESID )KEA.) 2.00
Temporary service 1'0.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating
Cooling
Hood
3.00
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 ree to save, indemnify and keep harmless the County of Butte against
all I' i 'ties, judgmentCosts, expenses which may in any way accrue
aga' t id Col�nty i c nseque f e ranting of this permit.
Date 4
6��/�
ignature of Applicant — Owner ❑ Contractor ® Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $ ,
OCCUP. GROUP
TYPE OF CONST,
JPARCFLJ PollD
SSu
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIREC q OF PUBLIC
By
PER EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date o—
Receipt No.
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
To: Building Department
From: Environmental Health
Subject: Sanitation Clearance
Location
(,5;6 `;
AP#
Plans approved for: Sewage Disposal_ Water Supply
Hold final for: Water Supply
Final Clearance O.K. for:
Water Supply-
Clearance
upplyClearance for bedroom mobile home. Other
Cl ar ce f r a i tion of �tl k1- v
IN e 1
ar
a
to
., COUNTY OF BUTTE - DEPARTMENT OF, PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILL�, CALIFORNIA 95965 - TELEPHONE: 916/534-4541
PERMIT APPOCATION DATA SHEET
Permit No. I 1�
OWNER A. P. No.
Proposed Building Use \I ,1-,
Permit Fee Based Upon: CompleteContract Price DPW Valuation
���Ot•h"e (Explain)
Building Inspector \' \ I Date
At time of permit application, I was advised the following data must be submitted prior to permit processing
and/or issuance: DATE RECEIVED APPROVED
1. All items have been submitted. . . . . . . . . . . .
2. Plot plans in duplicate./triplicate. . . . . . . . . . .
3. Complete plans in duplicate/triplicate. . . . . . . . .
4. Complete engineered plans and calcs. . . . . . . . . .
5. Plans with Energy Design Compliance Statement. ... . .
6. State Energy Forms No.
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . . . . . .
9 Letter of signature authorization. . . . . . . . . . .
anitation approval from Health Dept.
1. Planning approval for (A) Use: (B) Parking:
12. Certificate of Workmen's Compensation Insurance. . . . . .
13. Contractor's License Information (no., name style, classif.)
14. Owner -Builder Verification (Given to owner0, Mail to owner ❑.)
15. Improvements may be required. . , . . . . . . . . .
16. Mobilehome Installation Data. . . . . . . . .
.
17. Pre -Inspection for RequiredPre-Inspec. request to
. Building Inspector —(Date)
18. Other
When yoy-issue t er�mit, s as follows: ail to own r. Mail to contractor. ,
Telephon_ and hold for pick at office. Deliver w/inspector.
Other_
A Iicantd& liZ_�_Z��batepp
Copy of plans sent Health Dept., Fire Dept., Other Date
During the plan checking process, the following data must be submitted prior to permit issuance:
(For required items not checked above at timmf a plication, circle item.)
1. Index permit for above Items No.
' 2. Additional items required:
(Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other
Plans checked by-
Plans
y_Plans annroved by
Other
By Date
Copy—DPW
�'a1 prqBq5ty lines and a setback
of 5ft. from the road
centerline shall be clear of
structures or equipment except
for a 2 ft. eave overhang.
BUTTE COUNTY
BUILDING DEPARTMENT
APPROVED
/-9
ATE;
L/
Linda L. Maplesden
John Hence Construction
. 13625 Lander •Ct. �
0
� P.O. Box • 5 9
Ma alfa Ca
' . 9595
Ma. aliU. Ca
alfa . . 95954
Unit CC4, lot 380. Ma Alia, Ca. 95954
873-1038
873-0668
This get 04 plahi ahA specifricaflons MUST be
kept on the jcb at ;;`I ti ':'s a`"' -I it is unl��l:+ful
NOTE:—AI) Materials & Workmanship Shall Be in
'Practices
make any clh:-ina.^s or allferailons o:I same without
Acc -e with Recognized Good and
writiten I?E'r:'is`.i"! iron' ' l'°, Uepartrncnt: of put)-
o a quali. prescribed for the Specified use in th®
lic Vq-* s,- Couniy of �ufto.
r Burling, Plumbing & Mechanical Codes and
8 D D
the Nati na Electrical Code.
jr, 9L
o
_-
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A setback of 5 ft from tke
�'a1 prqBq5ty lines and a setback
of 5ft. from the road
centerline shall be clear of
structures or equipment except
for a 2 ft. eave overhang.
BUTTE COUNTY
BUILDING DEPARTMENT
APPROVED
/-9
ATE;
L/
C
ON
1+I '
Provide adequate bracin .
A
r
Provide'/2" x 10" anchor bolts
@ 6' O.C. max. -and within
12"'of joints.
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COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville. California 95965 - Telephone 916/534-4541
APPLICATIONAND PERMIT
PER IT NO.
In O
ASSESSOR PARCEL NUMBER
66-25-7
ZONING
BUILDING PERMIT
OWNER
Linda Ma lesden
TELEPHONE
S0. FT. OCC. BUILDING VALUATION
1st Renewal
OWNER'S MAILING ADDRESS
13625 Lander Ct Ma alfa
CONTRACT OR•S NAME
Owner
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
None
UNKNOWN
Total Valuation $
Is
LENDER'S MAILING ADDRESS
Filing Fee
$ 10.00
Permit Fee kZ of Ori inal
$ 22.50
ARCHITECT OR ENGINEER
� None
LICENSE No.
Plan Checking Fee
$
Energy Plan Checking Fee
$
' ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
13625 Lander Ct.
Permit fee$
32.50 .
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2,00
Magalia
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5,00
USE OF STRUCTURE
SF ❑ Duplex[] Mobilehome❑ Other Garage
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S G W
10.00 ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Cg
Describe work: l st R n _wal of Permit #2029-84
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 VAMP OROR LESS10.00
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business/POWER
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
Main service EA. ADD'.L 100 AMP
2.50
NEW CONST. ( DWELLING OCCUP.N\ V=¢Sg ft
OR ADDNS. 1 ACC. BLDGS. I
NEW CONSTRMULTI-OUTLET
NON.RESID BRANCH CIRC ITS 2.50 ea
APPARATUS e1
(SINGLE OUTLET CIR. /
Ex. OCCUp(OUTLETS OR FIXTURES 20050t
eAL03o
ED APPLNS. Ex. Occup. ou LETS IRESID )REA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 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
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.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Conlin g
Hood
3,00
Ventilation
Permit Fee
$
Contractor
I certify that 1 have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X Date
Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $ 32.50
OCCUP,
coNST.TYPc
IFLOODIPARCELI
Po I
NO
I 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
BY Date
PERMIT EXPIRES Date 10-3-86
Receipt No.
WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
PERMIT NO. 545-86B
PERMIT EXPIRES// Zf
OWNER LINDA MAPLESDEN
CONTR. RONALD STRYKER
ASSESSOR PARCEL 66-25-07
LOCATION 13625 Lander Ct., Magblia
Temp. Power Pole_
Called PG&E _
Temp. Elea
1
r Called P(
Temp. Gas Sei
Cal led PC
JOB FINALE(
i -Signature
r
1
V = OK
0 = Not OK ,
- NotApplioable MOBILEHOMES MISCELLANEOUS
* = Not Ready
Date
MOBILEHOME UTILITIES (Plans) OK except q's
Date
DECKS, VERS, CARPORTS, ETC. (Plans) OK except N's
1. Zoning Requirements—Setbacks—Easements
oning Requirements—S s— ants
2. Soils; Special MH Support—Sketch
p pp
of ize——S ing—C tors �� „ • �+
3. 'Sewer; Location—Test—Fall-C/0—Concrete
/or Joists—Decking—Bracing—Stairs—Rails
4. Water; Location—Test—Easement Needed (Sketch)
4^1�psts—Beap�s—Ritrs.—Connec.—Shthg.—Rfg.—Bracing
5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete
m. Awn.; Col s—Conn c—Spt)e_=Deeerf=ErtCtoswes
6. Gas; Location—Test—Wrap:/ /".L"ft./ /"Nat. or/ /"L"ft./ /"LPG
6,__C gxwAs. ows—Doors
7. Utility Clearance
.
Card -BI
Date Card -BI Date
Card -BI
Dater Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
� Dates e, � Card -BI Date
Date
MOBILEHOME INSTALLATION (Plans) OK except N's
1. Zoning Requirements—Setbacks—Easements
Date
POOLS (Plans) OK except #'s
1. Setbacks—Easements
2. Footings; Size—Spacing—Marriage Line
2. Soils; Compaction—Structure Stability
3. Gas; MH Test—Demand—Valve—Connector
3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining
4. Electricity; MH Test—Crossovers—Breakers—Clearances
4, Elec.; Receptacles and Lighting; Distances—GFI
5. Drain; MH Test—Fall—Flex Connector
5. Elec.; Pool Lighting; 15 volts—GFI .
6. Water; MH Test—Regulator—Connector
7. Water and Sewer Connected—C/0 to Grade—HD Approval
6. Elec.; Enclosures; Conduit Entries-Terminals—Listed
7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater
8. Gas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg.
Boxes—Enclosures—Panel boards—Ins. to Main in Conduit ,
9. Exits; Insp.—Sketch
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test—Water Supply Test
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
J = OK
O = Not OK r.
- = Not Applicable RESIDENTIAL (Single and Duplex)
* = Not Ready
Date
UNDERFLOOR Plans OK except #'s
Date
FRAMING (Continued)
1.
Zoning requirements -Setbacks -Easements
48.
Property Line Firewall &.Openings
2.
3.
Ftg., Main; Soils -Steel -Elect Grnd.- / ' -/-" Ftg. Depth
Ftg., Garage; Soils -Steel- / /" Ftg. Depth
49.
50.
Ext. Doors -One 3'-Check,Garage-3rd. story, 2 exits
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
5.Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
51.
52.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
Siding -Nailing -Veneer
6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
7. Piers -Fireplace Ftg.-Steel -
8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
54.
55.
Glazing Area -Glass Protection -Skylights -Plastic
Shear Walls; Nailing -Bolts
9. Gas Pipe; Size -Anchors
10. Water Pipe; Test -Anchors -Regulator -Service Test
11.
Electric; Underground
12.
Plenums & Ducts; Clearance -Material -Support -Ins.
13.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Card -BI
Date Card -BI Date
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FINAL (Plans) OK except #'s
56. Ext. Steps -Door & Sidelight Protection -Landings
Card -BI
Date
Date Card -BI Date
PLUMBING (Permit) OK except q's
57.
Smoke Detector
_
14.
Water Ht.; Vent -Access -Combustion Air
58.
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
15. .Water Pipe; Test & Anchors -Nail Protection
16.
17.
D.W.V.: Test-Fttngs & Anchors -Nail Protection
Shower Pan; Test, First Floor -Tub Access
59.
60.
Bedroom Exiting
G.F.I. & Bath Fixtures & Tub Access
_
18.
Test Tub & Shower, 2nd Floor -Tub Access
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
19.
Gas Pipe; Size & Anchors
62.
Stairs & Rails
63.
Fireplace or Stove; Clearances -Hearth
64.
Elec. Outlets at Wood Panel; Int. & Ext.
Card -BI
Date Card -BI Date
65.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date Card -BI Date
66.
Elec. Outlets & Receptacles at Kit. Counter
Date
ELECTRICAL Permit OK except k's
67.
Garage Fire Door; Swing -Landing -Closer
68.
A.C. Duct in Garage -Damper
20.
Fixture & Transformer Clearance -Ins. Protection
69.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
_-
21.
Elec. _Receptacles Spacing -Lights &Switches at Doors
70.
Plb., Elec. &Mech. Equip. Listed for Location
22.
Size Boxes & No. of Conductors -Stapled
71.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
23. Romex Installed Close to Edge of Studs & C.J.
24.
Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water
72.
Insulation -Foam -Looked in Attic ❑Yes73.
25.
2 Appliance Circuits in Kitchen &Conductor Size
Guard Rails & Deck Construction -Post Caps
26.
Subfeed Wire Size / / ga. Cu or 11 A.C. Wire Size / / ga. Cu or At
74.
Fdn. Vents & Crawl !-tole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
27.
28.
Circ. / / ga. Cu or Al,
Range Circ. / / ga. Cu or Al-OvenDrive
Insulated Neutral ,]Yes ❑No
Service -Riser Conductors & Ground -Main Disconnect
75.
Following instld.: [j Yes ❑ No: Walks El ❑ No;
Planters ❑Yes 0 N
76.
Stucco; Brown -Finish
29.
Equip. Clearances: Panels-Motors-Mech. Equip.
77.
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
- --
--
Card B -I
Card B -I
30.
_
Clothes Closet Light -Shower Light
--.------ -
- --- -----
Date Card -BI Date _
Date Card -BI Date
78.
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
79.
80.
Water Well; Disconnect, Electrical, Plumbing
Exterior Elec. Trim; G.F.I. Receptacle -Underground
81.
Ventilation throughout House
82.
Glass Protection
Date
MECHANICAL (Permit) OK except q's
83.
Corrections from Previous Inspections
84.
Gas Test -Meters Tagged; Gas -Electric
_
Card -BI
Ca4:_BF
31.
32.
33.
34.
35.
A.C:-Ducts: Insulation & Support --__
Vent Fan; Exhaust above Insulation
Condensate Drain & Overflow: Size & Grade
Furnace -Vent Access -Comb. Air -Return Air Vent -115V outlet
Attic Access & Platform if Furnace in Attic
Date Card -BI - Date -
Date Card -BI Date
85.
88,
Water & Sewer Connected -C/O to Grade -HD Approval
Energy Compliance Certificate -Other Certificates
-
Card -BI
Date Card -BI Date
Card-BI-BIDate
Card Date
Card -BI
Date Card -BI Date
Date
FRAMING(Plans) OK except q's
Comments at Final:
36.
37.
38.
39.
40.
Sills; Proper Material & Anchors
Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound_
Bearing Walls over Girders & Floor Nailing
Draft Stop in Walls (rat proof)
Fire Stops: Furred Ceilings -Stairs -Chases -Tub
-
_
41.
42.
43.
44.
45.
46.
47.
Header & Beam -Size & Bearing
Hangers -Post Caps -Anchors -Connectors
Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnp.-Rfnp.
Fireplace Ties or Type A Flue -Fireplace Throat
Attic Access: Size-&- omex Protection -Draft Slop -Ins. Baffles
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions _
Garage Fire Protection Framing
(NOTE: Anentrymust be made each time youvisit jobsite)
COUNTY OF BUTTE - DEPARTMENT OF, PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICAT10N AND PERMIT
PERMIT NO.
ASSES O PARCEL NUMBER
ZONING
BUILDING PERMI
OWNER '� -
TELEPHONE
SO. FT. OCC. BUILDING VA,,L\\ ATIO
L O V
OWN 'S MAI ING ADDR S
AM
CONT R'S NELEPHONE
J"
CONT CTOR'S M ANG DRESS ✓
(i.fL
Fireplace
CONSTRUCTION END R
UNKNOWN
Total Valuation a
Filing Fee
,$, 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 4^113 (�
ARCHIT C7 ENGINEER
E NO.
Plan Checking Fee
$ 'L
Energy Plan Checking Fee
$
ARC ; EC W ENGINEER'S MAILIN DRES
Penalty
$
BUILDING ADDRESS
Permit fee
$
PLUMBING PERMIT
FiiingFee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
,j 1�0
SUBDIVISION NAME ARCEL MAP
_ /��
C3 � r 7 Z
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF [:1Duplex❑ Mobilehome�ther
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
10.00ea
TYPE OF WORK
Remodel❑ Utilities ❑ Installation❑ Other ElPermit
New Additio2Z.6
Descri work: [. fL �
(-i �iG/C Cz" Z 7
Fee
$
Contractor
ELECTRICAL PERMIT
Filing.Fee 10.00
Main service 100V OR LESS10010.00
1AMP OR LESS
Main Service EA. ADO'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I de lave 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 fully forc/P� /and effect.
License No. ��, 7OY Classification . ' r ,
❑ i, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.&
OR ADDNS. ACC. BLDGS.
I/2QSQft
NEW CONSTR.MULTI-OUTLET
NON.RESID BRANCH CIRC ITS
2.50 ea
POWER APPARATUS o-
SINGLE OUTLET CIR.
EX. OCCUp�OUTLETS OR FIXTURES
z0®50Q
e00
Ex. Occup. OUTLETS FIXED P(RESID )REA.1
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
. MiscWiring
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
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.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
g
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
I s correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County
Butte to enter upon the above -men ioned property for inspection purposes.
I also agree to save, indemnify d keep harmless the County of Butte against
all liabilities, judgments, island expenses which may in any way accrue
agains said County in co ce of the granting of this permit. p-/
%� �� Date 3 , 1Z'�Q b
Signature of Applicant — Owner ❑ Contractor Agent ❑
An. OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 storiesinheight.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $
DccuP.
CONST.TYPEJ
FJ o PARCEL
/li/
D
ND ssuE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTO PUBLIC
BY
QK�
PERMI EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date 3 3��
'�
Receipt No. _70 Vl
WHITE-D.P.W.. YELLOW -ASSESSOR. INK -INSPECTOR. GOLDENROD -APPLICANT
P 4
COUNTY OF BUTTE - DEPARTMENT>OF.PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE-CALIFORNIA95965 - TELEPHONE: 916/534-4541
PERMIT APPLICATION DATA SHEET Ile
Permit No._ f
i��
OWNER ,.✓ ,�,.�. G GiJ��S A. P. No. S `7
Proposed Building Use.
Permit Fee Based Upon
Building Inspector -
Complete Contract Price
her (Explain)
PW Valuation
Date �� 12, —'�"
- v v
At time of permit application, I was advised the followling data must be submitted prior to permit processing
and:/or 15SUance: DATE RECEIVED• APPROVED
/ 1.
All items have been submitted. . . . . . . . . . .
2..
Plot plans in duplicate./triplicate. . . . . . . . . .
3.
Complete plans in duplicate. /triplicate. . . . . . .
4.
Complete engineered plans and calcs. . . . . . . . . .
5.
Plans with Energy Design Compliance Statement. ... . . .
6.
State Energy Forms No. ,
7
Statement of Intent for Non -Heated and AC Buildings.
8.
Fees of $ .. . , , . , , ,
9.
Letter of signature authorizat/ion.. . .
V-4 10.
approval from i ,%/l,G• Health Dept.
11.
Planning approval .for (A) Use: (B) Parking:
12.
Certificate of Workmen's Compensation Insurance.
13.
Contractor's License Information (no., name style, classif.)
14.
Owner -Builder Verification (Given to owner[], Mail to owner ❑ )
15.
Improvements may be required. . . . . . . . . . . . �i..
16.
Mobilehome Installation Data. .. . . . . . . .
•Pre-Inspec.
• 17.
request to
Pre -Inspection for Required. Building Inspector (Dote)
18.
i
Recorded copy of Agricultural Acknowledgment Statement.
19.
Other J
a
When you issue the permit, process as follows: Mail to owner. I to contractor.
Telephone and hold for pickup at office. Deliver w. /inspector.
Other
Applicant rl L�-�( `j. 1� / Ih� Date
V r v
Copy of plans sent Health Dept., Fire Dept., Other Date
During the plan checking process, the following data must be submitted prior to permit issuance.
(For required items not checked above at time of application, circle item.)
1. Index permit for above Items No.
2. Additional items required:
(Contractor, Designer, Owner) was advised of above required data by Telephone
By
-Mail Other
Date
Plans checked by _ K T�Cop c��r1 Date :5 3`g(
Plans approved by Date
Other:
Copy—DPW
TO.; Building Department
FROM: Environmental Health
SUBJECT: SANITATION CLEARANCE
OWNER •I -
LOCATION AP #
Plans approved for: Sewage Disposal K Water Supply
Hold final for: Water Supply
Final Clearance O.K. for Water Supply
Clearance for bedroom mobile home. Other
Clearance for addition of 17,,k,j7
No t�** �1
SANITARIAN
2 — 0 (
DATE
-
L 11A lcSt?r�!
c
u� T r-cq, tol- 3�-b
'.;CS11
I
I
r�AGe-
r1 -'� 0 its
IC
Se
S '7
ibis se# of \irt cifications MUST be
•pf onL4j
and it is unlawful fc
lake aions on same wifhouf
,rifts" epartment of Public
Vsrla,
tfi"Is t�
I
A etback of 5.f t. fromtli a '
pr perty lines and a setbacks �d '
of Oft. from the road,
ce lerline shall be clear of
str ctures or equipment
C i —144
4
l►v CVL S� I �` 0CC c,
�'� BCiTT
1 E COUNTY
•
aislials Workmanship Shah dem ' IIJILDING DEPARTMENT
A d a with cognized Good Practices and w D
j re ribed for the Specified
Unifo �Idi +�9" Plumbing use in thn /�'�1 i" PROVED
s p & Machanical Codes and
'
14Wi a1 E ctrical Code.
17 zC 7
_ . _ ,.
I
'Linda L. Maplesden John Henry Construction
13625 Lander *Ct. P.OS. Box 509
Ma glia. Ca. 9595L MREalia .
Ca95954
Unit CCL, lot 380. Magaliag Ca, 95954 1
.873-1038 873-0668
This set of plans and specifications MUST be
kept on +hp io6 at all times and it is unlawful to
rAfAA 4nv chrynges or alterations on same without
wri+tenpermission from the Department of Public
Works, County of Butte. ,
NOTE:—AII Materials & Workmanship Shall Be in
Accord with Recognized Good Practices and
quality prescribed for the Specified use in the
Unif uila'ng, Plumbing & Mechanical Codes and
� e Nation al �ectrical Cade.
A setback of 5 ft. from t6
property lines and a setback
of 50ft. from the road
centerline shall, be clear of
'structures or equipment except
for a 2 ft. eave overhang.
BUTTE COUNTY
BUILDING DEPARTMENT
APPROVED
N 9TE:
V
I
�7
1I/ --I Tl n nn r-ur
W
C
,�*rUARDRAIL
"r; Y
nc,rviur_
-w
MIN. FOOr/N6
h' TYP. 4°x V
-P47
^F
X Ir-
z�
— FRMMJ G.
i' CLIP-
L -'
i 2'x 12" STAIR RWGER.
KS -TOP VIEW
H AUDRAIL. NOT 514DW tJ FOR EI AIZIT`(
AN, r 34' HOLT
MOBILE HDME
OR DEC.IC
i
I
MTL. FRM1J L -
CLIP (EA. IDE
4"X4" POST
2°X 12'•
#IZDF.
M J -
t
MAX. R,\
9"MIN. �`4
: L
I
X � t
�� � 2'X4" PRESSURE
3/a" TREATED OR
DOLTS P,-1) WOOD /'LATE
f
GIRDER
/Al
ti
�I'M�N•
4"x4„ POST
- ADEQUATE DIAL, DNA L
TRACING.
TYO1nAl
bco
nt•A/T//II 0rZ-VC Avn/_., r)
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
Telephone: 534-4541
1-1,6-0e>
TQ- Building Department
FROM: Environmental Health
SUBJECT: SANITATION CLEARANCE
-Z�-
OWNER LOCATION AP #
Plans approved for: Sewage Disposal i( Water Supply
Hold final for: Water Supply
Final Clearance O.K. for:
Clearance for bedroom mobile home. Other
Clearance for addition of Lrli` Z K
Not
SANITARIAN
rotes //L"Gw-
Water Supply
D X19 �
DAT E
PERMIT NO. .234-85B
PERMIT EXPIRES/ �/U l9
OWNER LINDA MAPLEDSDEN
CONTR.. owner
ASSESSOR PARCEL 66-25-7
LOCATION 13625 Lander.Ct, Magalia
Temp. Power Pole
Called PG&E
Temp. Elec. Service
Called PG&E
Temp. Gas Service
Called PG&E
J = OK
0 = Not OK
= Not Applicable MOBILEHOMES
* = Not Ready
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except H's
Date
DECK OVERS CARPORTS, ET `(Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
Zonin quire nts-Se cks-5aeew&ms"
2. Soils; Special MH Support -Sketch
.eeiiacJS;- h -Sp ng -Co rs
3. Sewer; Location -Test -Fall -C/0 -Concrete
z. Z
Wicks;ars and/or Joists -D5 ream
,4. Water; Location -Test -Easement Needed (Sketch)
" a °#• P e-ts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
mns-Connections-Splice-Decal-Enclosures
6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat.or/ /"L -ft./ /"LPG
arports; in ows-Doors
7. Utility Clearance
7�—_
Card -BI
Card -BI
Date Card -BI Date
Date Card -BI Date
Card -B
Card -BI
DateW- 75(,fL Card -BI Date
Dat Card -BI Date
Date
MOBILEHOME INSTALLATION (Plans) OK except k's
1. Zoning Requirements -Setbacks -Easements
Date
POOLS (Plans) OK except N's
1. Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
4. Electricity; MH Test -Crossovers -Breakers -Clearances
4. Elec.; Receptacles and Lighting; Distances-GFI
5. Drain; MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 volts-GFI
6. Water; MH Test -Regulator -Connector
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Water and Sewer Connected -C/0 to Grade -HD Approval
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg.
Boxes -Enc losures- Pane lboards- Ins. to Main in Conduit
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
= OK
= Not OK -
='NotApplicable RESIDENTIAL (Single and Duplex)
= Not Ready
Date
UNDERFLOOR Plans OK except #'s
Date
FRAMING (Continued)
1. Zoning requirements -Setbacks -Easements
2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
48.
49.
Property Line Firewall & Openings
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
3.
Ftg., Garage; Soils -Steel- / /" Ftg. Depth
50.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
5. Stemwalls, Main; Steel -B lockouts -Wrapped -S lab
6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
51.
52.
53.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
Siding -Nailing -Veneer
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
7. Piers -Fireplace Ftg.-Steel
8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
54.
55.
Glazing Area -Glass Protection -Skylights -Plastic
Shear Walls; Nailing -Bolts
9. Gas Pipe; Size -Anchors
10. Water Pipe; Test -Anchors -Regulator -Service Test
11.Electric;
Underground
12.Plenums
& Ducts; Clearance -Material -Support -Ins.
13.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FINAL (Plans) OK except #'s
Card -BI Date Card -BI Date
Date
PLUMBING (Permit) OK except q's
14. Water Ht.; Vent -Access -Combustion Air
56.
Ext. Steps -Door & Sidelight Protection -Landings
57.
58.
Smoke Detector
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
15. Water Pipe; Test & Anchors -Nail Protection
16.
D.W.V.; Test-Fttngs & Anchors -Nail Protection
59.
Bedroom Exiting
17.
Shower Pan; Test, First Floor -Tub Access
60.
G.F.I. & Bath Fixtures & Tub Access
18.
Test Tub & Shower, 2nd Floor -Tub Access
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels "
19.
Gas Pipe; Size & Anchors
62.
Stairs & Rails
63.
Fireplace or Stove; Clearances -Hearth
64.
Elec. Outlets at Wood Panel; Int. & Ext.
Card -BI
Date Card -BI Date
65.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date Card -BI Date
66.
Elec. Outlets & Receptacles at Kit. Counter
Date
ELECTRICAL Permit OK except N's
67.
Garage Fire Door; Swing -Landing -Closer
68.
A.C. Duct in Garage -Damper
20.
Fixture & Transformer Clearance -Ins. Protection
69.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
21.
Elec. Receptacles Spacing -Lights &Switches at Doors
70.
Plb., Elec. &Mech. Equip. Listed for Location
22.
Size Boxes No. of Conductors -Stapled
71.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
23. Romex Installed Close to Edge of Studs & C.J.
24.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
72.
Insulation -Foam -Looked in Attic ❑Yes
25.
2 Appliance Circuits in Kitchen &Conductor Size
73.
Guard Rails & Deck Construction -Post Caps
26.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al
74.
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
27.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At,
Insulated Neutral ❑Yes El No
75.
Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑Yes ❑No
28.
Service -Riser Conductors & Ground -Main Disconnect
76.
Stucco; Brown -Finish
29.
Equip. Clearances; Panels-Motors-Mech. Equip.
77.
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
30.
Clothes Closet Light -Shower Light
78.
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
79.
Water Well; Disconnect, Electrical, Plumbing
80.
Exterior Elec. Trim; G.F.I. Receptacle -Underground
Card B -I
Date Card -BI Date
81.
82.
Ventilation throughout House
Glass Protection
Card B -I Date Card -BI Date
Date
MECHANICAL (Permit) OK except q's
31. A.C. Ducts; Insulation & Support
83.
Corrections from Previous Inspections
84.
Gas Test -Meters Tagged; Gas -Electric
85.
Water & Sewer Connected -C/O to Grade -HD Approval
32.
Vent Fan; Exhaust above Insulation
86.
Energy Compliance Certificate -Other Certificates
33.
Condensate Drain & Overflow; Size & Grade
34.
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
35.
Attic Access & Platform if Furnace in Attic
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FRAMING Plans OK except p's
Comments at Final:
36.
Sills; Proper Material & Anchors
37.
Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
38.
Bearing Walls over Girders & Floor Nailing
39.
Draft Stop in Walls (rat proof)
40.
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
41.
42.
43.
44.
45.
Header & Beam -Size & Bearing
Hangers -Post Caps -Anchors -Connectors
Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Sh_thnq_.-Rfn_g_._ _
Fireplace Ties or Type A Flue -Fireplace Throat
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
46.
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
47.
Garage Fire Protection Framing
(NOTE:Anentrymust be made each time you visit jobsite)
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, eed additional explanation, please contact this office immediately.
s
Inspector_— 'U� Date_/27 � G V— JLI<:� _-
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - OrovilleY CalifoZ. is 95965 - Telephone 916/534-4541
APPLICATIONANDPERMIT
PERMIT NO.
ASSESSOR PARCEL NU R
(� --
ZONING
BUILDING PERMIT
OWNER
A )_ s -
TELEPHONE
S0. FT. OCC, BUILDING V UATION
OWNER'S MAILING ADDRESS
3 r i.•7�
I`/CJ_(/•
CONTRACTOR'S NAME
TEL P ON
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$ eQ
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
ZLob Ai
Water piping
5.00
LOT NO.
SUBDIVISION NAME
PARCELHP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome7T Other
SPECIFY
Building sewer
5.00
Mobile Home S I G I W
10.00e
TYPE OF WORK
New ❑ Additionf Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describework: /� �C/'Z
I
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service sOOV OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.&
OR ADDNS. % ACC. BLDGS.
2/2(tsgft
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 U TI.OUTLET 2.50 ea
NON-RESID BRANCH CIRC ITS
NEW CONSTR. POWER APPARATUS &
NON-RESID. SINGLE OUTLET CIR.
Ex. Occu 20e50e
P�o OR FIXTURES BAL®30Q
FIXED A
FIXED APPLNS, OR
EX. Occup. OUTLETS (RESID.) EA.) 2.00
Temporary service
10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ 1 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.
Nof(ce to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit., p
X�o� Date 0�9 d
—Ir
Signature of Applicant — wner ® Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $
OCcu P. GROUP
I TYPE OF CONST.
PARCE
PD D
SSU
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIREC OF PUBLIC
By
P IT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date 2—
` �•'fJ
Receipt No. �� 92
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
.:
COUNTY OF BUTTE - DEPARTMENT,OF PUBLIC WORKS -BUILDING DIVISION �
V 7 COUNTY CENTER DRIVE - OROVILLE;-CAL-I;`ORN1A 95965 - TELEPHONE: 916/534-4541
PERMIT APPLICATION DATA SHEET -,
Permit No.
x
OWNER Ll aft) A. P. No.
Proposed Building Use CI
Permit Fee Based Upon: Complete Contract Price DPW Valuation
--Other (Explain)
Building Inspector _ -- --(.�A.� a, Date `7
At time of permit application, I "s 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. . . . . . . . . . .
3. Complete plans in duplicate. /triplicate. . . . . . . . .
4. Complete engineered plans and calcs. . . . . . . . . .
5. Plans with Energy Design Compliance Statement. . . . . .
6. ,State Energy Forms No.
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . . . . . .
9. Letter of signature authorization. . . .
1!5K 10. Sanitation approval from Ala Health Dept.
11. Planning approval for (A) Use: (B) Parking:
12. Certificate of Workmen's Compensation Insurance. . . . . .
13. Contractor's License Information (no., name style, classif.)
14. Owner -Builder Verification (Given to owner, Mail to owner ❑.)
15. Improvements may be required. . . . . . . . . . . .
16. Mobilehome; Installation Data. . . . . . . ..
t •Pre-Inspec. request to
17. Pre -Inspection for Required. Building Inspector (Dote)
18. Recorded copy of Agricultural Acknowledgment Statement.
19. Other / w'
d;
When you issue the permit, process as follows: Mail to owner._—Mail to contractor.
Telephone 9-?-3--�Z�and hold for pickup at AQ9Q)— ee. Deliver w.
/inspector.
Other
Applicant
te- )--Q9
Copy of plans sent Health Dept., Fire Dept., Other Date
During the plan checking process, the following data must be submitted prior to permit issuance.
(For required items not checked above at time of application, circle item.)
1. Index permit for above Items No.
2. Additional items required:
(Contractor, Designer, Owner) was advised of above required data by Telephone . Mail Other
By Date
Plans checked by Date
Plans approved by — Date
Other:
A
Copy—DPW
2a -r
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BUILDING DIVISION
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CITY OF
DEPARTMENT OF BUILDING & SAFETY
PLOT PLAN
•
BUILDING PERMIT NO.
P/L ,
MOBILE
HOME
P/L'
I
•
I
I P/L
C: LOT No.:
f Park: Street Address•
f Tenant: Brand Name:
3proval #: State Model #
r: Address: Telephone:
,e Work to be Done:
Cost: $
e undersigned, hereby approve the installation of the above structure and
:hat the information furnished herein is correct and in accordance with all •
.ble provisions of the Health and Safety Code and Related Rules of the State
fornia.
Signature
Park Manager
Signature