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066-390-068
066-39-0-0 $- 96-2822 ARLSON, DOROTHY NTR: MILLETT, MOE /3�y6 L{FILLAN DR., MAGALIA MOB LEHOME UTILITIES ELECTRIC a GhU GAS LINE COMPACTION TES SQ yjp I SUPPORT STRUCT RE 066 -390 -OZ& P MIT#97-0135 CARLSON, I?�orothy 6//j�. C%7 13748 Gill 'illa1) Maga? ia/ Cont: Jack's Mo ile Service Mobilehome I tallation 066- -0-0% &e 97-0522 CAR ON, Dorothy J 1 48 Gilfillan Rd, MAgalia porches/Jacks MH Ser) RESIDENTIAL 45 0,66-39-0-04e/l96-282,j . ' CARLSON, DOROTHY CONTR: MILLETT, MOE GIL$FILLAN DR. , MAGALIA + MOBILEHOME UTILITIES i q 7- 45 oQ% Po rc k s/M N 97- 135v AA 41 J • . qr" YYL a JOB FINALED (Date) — Signature I FFIC40py t�CU� IAddress — 6 ?7 GAS Meter By ELECTRIC % Date Meter By_i Date � _ V .lot, ti • i JOB FINALED (Date) — Signature V/= OK 0 = Not OK - = Not Applicable 4 * = Not Ready MOBILE HOMES y ZIng Requirements - Setbacks - Easements oils; Special MH Support Sketch Electricity; Location-Clearances-Gmd-/ /Amp -Concrete Gas; Location-Test-Wrap;/p // L'ft. /Nat. or/3'/` ta'gLFtG/ Clearance & Disconnect 8(/Utility Clearance 1 Date,� Card B-1 • S) Date Card B-1 Date Card B:1 Date Card B-1 1!Zonine�ffeeauiremeats'Setbacks Easements 2 3. (Electricity; MH Tes rosso*rs43reakers-CleWffces MH Test-Fall-Fle4LauvCfor F 6. Water; MH Test-Regulator-Connecto",--- r and Sewer Connected- to Grade -HD Approval i n lectrici Tagg �. owns -Type -Installation Cert. 1 1 ;Insp.-Sketch 1. ert of Occupancy l Y —q -? U Date f..11 -4" Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ) c"Or{-ox V e/v�xd MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils-Size-DepthSpacing-Connectors-Steel 3. Decks; Girders and/or Joists-Decking-BracingStairs-Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg: Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sils-AnchorsStuds-Rftrs-Trusses 1 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 S Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness l Dead Men -Lining - 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓y= OK 0 = Not OK - = tylot Aprplicable * = Not Ready Date UNDERFLOOR (Plans) OK except #'s 1. Zoning-Setbacks-Easments-Flood-Slope 2. Ftg., Main; Soils-Elec. Gmd. / P' Ftg. Depth 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ P' Ftg. Depth 4. Ftg. Porches & Decks; Soils -Steel-/ /' Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground } 13. Pienums & Ducts; Clearance-Mater:al-Support-Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access'& Ventilation 16. Insulation - Date Card B-1 Date Card B-1 Date Card B-1 Date Card E-1 Date PLUMBING (Permit) OK except #'s 17. Water HV.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacle's Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al 30. Ran_e Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral 0 Yes 0 No 31. Service -Riser Conductors & Ground -Main Disconect 32. Equip. Clearances Panels-Motors-Mech. Epuip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnance-Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing RESIDENTIAL (Single & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors ' 47. Cling. Joist-Rftr. Ties-Purlin-roll Brac: Truss-Shting: Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows We- e- 85. t Date Date Card B-1 Date Card B-1 Date Card B-1 Date Card 9-1 \ Date FINAL (Plans) OK except #'s 63. Ext Steps -Door & Sidelight Protection -Landings, 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector-_ In Garage; Above Floor -Ducts -Meth. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs &Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. &Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 82. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date` Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE; BUILDING DIVISION' DEPARTMENT OF DEVELOPMENT SERYICESa 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 �4 CORRECTION NOTICE C aj��-asaa OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, ` ple,-see' contact this office immediately. cite PAK / 11m- — 'u -,v /r0 lQ � t Daae �j�y' Inspector / REV 10/92 MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION --7 COUNTY CENTER DRIVE OROVILLE, CA 95965 ---PHONE (916) 538-7541 APN: COG• 3 9- y© PERMIT NO.: Owners: �g1f Name: Owners: r�� : (a t� G u�u Vii.•. t Address: Mobilehome//�� �'� 0& Year of Manufacturer (2) Manufacture: Serial number Insignia or M " ?? ^� or V.I.N. A ' J d,� 7 HUD number: Official ap installalion� . i ng.i . T Date: . 1 "l T If the mobilehome is moved or relocated, the mobilehome installation acceptance shall become invalid. This form shall not be used when the mobilehome is installed on a foundation system. 513B White -Owner, Yellow -Installer, Pink -Bldg., Gold -Assessor SAC IND. CONCRETE TIE DOWN - ANCHOR Q� ,>,,.,SYe••` CHASSIS a �� #4002 PIER a.`t �`:,.•-� ,. I' BOLT—ON TOP �.,. •'•' 1,16005 •' - #7002 �^r' •,M -r ..; �i...••,.., , P 7' STEE:I - : #7000 7' STEEL STRAP ' , STRAP W/BUCKLE W/HOLE ` #6005 SPLIT i rG" i BOLT k NUT X6003 // E 004 �; ;,:. . cod%' OR OR IID—DOW 1,7000 'ws j�70,02 y X4002 I1 TS T AIJT ATION INST U3" -'TIONS . EXISTING CONCRETE —�o0Q3 t:' •� <<.r i 1. CONCRETE. MUST BE A MINIMUM 3 " 1 2THICK A:` 1'r It. GOOD CONDITION. / I .'ALTERNATE i MINIMUM SLAB AREA Or EACH ANCHOR IS 28 SQU RE'FEET. l CONNECTION1 3. DRILL PROPER SIZE HOLE IN SLAB, A MINIMUM OF 12" FROM ANY SIDE.d 4. EXPANSION BOLT IS 5/8" x 3 1/2" WITH MINIMUM 2. 3/4" EMBEDMENT,;,AND .�K,....,.<, , 6,180 POUND PULL OUT, 7,160 POUND SHEAR. NEW CONCRETE — 1. PLACE, CONCRETE, ANCHOR INTO'WET(PONCRETE,• AND. ALLOW -,TO PROPERLY- CURE. 2.jALTERNATE CONNECTION REQUIRES #5 REO' AR . PROPERLY •EMBEDDED. IN CONCRETE. CHASSIS CONNECTION y;' `J10 — rI' i.` 3 -If, .'h °, '. ` 1.1'•1 a`•r• ;:1,•;lr•''n .,,��-', • �)..: ."•1i 1.1' ATTACH STRAPS TO CHASSIS BEAM'•IN MANNER SHOWN. 2.. ,. IF , ANGLE OF SIDE STRAP -IS GREATER THAN, 60', STRAP- CONNECTION CAN , BE "MADE* FROM ANCHOR TO,'OPPOSITE CHASSIS BEAM. 3.`.r INSERT STRAP THROUGH SPLIT BOLT. ,CUT OFF! •EXCESS STRAP AND TIGHTEN {� BOLT UNTIL STRAP IS SNUG.` 'M•n DRILL 9/1 b" HOLE AT,MID HEIGHT "7 +'' �. ">1n• OF BEAM AND INSTALL q 1/2" A30BOLTa�' `i i (TYPICAL) • 4 — h — } li` or ay. `y'...� j `�.'y�. -` �, W' ( %x '• - r• , Ott P 1 -••:.- •-•y ,. `. Y% _.mrh♦�ii.�� "! '~ ».� } :l';. Ht' • ^� �tl.r �Y a,t Ey_-'i+:> 1 ,+' •f w. i•P �I {', }t '� i S,i "''i) t Cly {;• 11•, a.s v .. `f^•1t (,:", P P 1 ,��, rt[ P^i.+" s �3atir. •, S:DE'VIEW*-' :." SIDEtViE1Y t;r.. '.. :P. t'L,' •`'; / .�'�' 4• c s� ; t'3` ;' -�' BEAM "CHASSIS- "RFC"' BEAM. CHt.SSI� ^r •cr',7 ', ::�'; ; ; — ;`r;' "SEE tx @WM 'CHASSIS 'NOTE ♦ 3 # , « sSEE "I"BEAM CHASSIS NOTE."#3 i ,SIDE VIEW' :END. VIEW • #1,�FOR"TIE�DOWN INFO.. _ SHEET kt FCR TIE GD1"lid' INFO. r`i• , ; '.; ;'_ s ,1 END' TIE CONTRACTORS CEItTIF C 'IOiy ., .. " I CERTIFY 'THAT I' HAVE INSTALLED THE SAC IND., I:NC. ANCHORING -SYSTEM ASI PER .THE -'INSTALLATION INSTRUCTIONS.' • 1 =`«ANCHORING HAVE MADE NO MODIFICATIONS JO THE,, SYSTEM OR TO THE '�' ' BUILDING SlRUCTUF. �. :X ° " _' •W's {; COMPANYt NAME: _ �'Q(lA1 1�0cj�UY CONTitiAC':i;RSLIC. 1— COUNTY OF BUTTE- DEPARTMFENT OF DEVELOPMENT SERVICES- BUILDING DIVISION • 7 .County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. • APPLICATION AND PERMIT 2 ASSESSOR PARCEL NUMBER - 066-39-0-040 ZONING 1?T-1 BUILDING PERMIT OWNER TELEPHONE SO, FT, OCC. BUILDING VALUATION OWNERS MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS 43, MAGATTA CA 95954 Fireplace CONSTRUCTIONLENDER UNKNOWN Total Valuation Is Fling Fee $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER MAC (&4J- ATTA 12A 95954 LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ . ARCHITECT OR ENGINEERS (LING ADDRESS Penalty $ BUILDING ADDRESS GILLFILLAN DRIVE PERMITFEE $ 23.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 L.OT2t. SUBDIVISIONS MGALIA HEIGHTS PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome] Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities 01+ Installation ❑ Other ❑ Describe Work: Mobile Home IS I GI W @20.00 60 On PERMITFEE $ 80,00 Contractor ELECTRICAL PERMIT Filing Fee 20:00 Main Service 2000AA 0OR LESS ( 2OR LESS ) 23.00 3.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. / / c, License Class. r� Lic. No. ll 4� eJ OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ' ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLDS. ) SO. 3.5¢ FT. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 APPARATUS ) LE OUTLET CIR. ( & SINGLE Ex. Occup. (OUTLET OR FIXTURES 20 0 1.00 BAL .50 Ex. Occup. FIXED OUTLETS D.OEA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) X I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forth 'th compl with those provisions. �j� X Date _ /I - �-1�r _ Signature of Applic nt - ❑ 6wner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or constructionAoy� of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 1_6.6. QQ I HAZ. >• 1 D. FEES P F O OF C PDr— H ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have BYatey PERMITEXPIRESON I applicable provisions Resolutions to do work been aid. P Q [[ 2./ . ( I (Date) Receipt No. 209613 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT -`COU NTYOF BUTTE - DEPARTM j1 - EVELOPMENTSERVICES -BUILDING DIVISION r 'COUNTYCENTER DRIVE - OROV(LE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 OWNER Proposed Building Use PERMIT APPLICATION DATASHEET otr© r�son A.P. o. 066-69 -0711® Building Inspector Date 22107797 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: �R DATE RECENED BY 1, All items have been submitted. ............ . 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form. ............................................. 6. Energy Design Compliance and supporting documentation . .................. 7.. Statement of Intent for Non-Heated.and A/C Buildings . ..... :................ 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ ................. ................... . 11. Impact fees as shown on attached schedule. ...... 12. California Department of Forestry plan approval/fees.4� - of 13. Flood elevation letter (100 year flonia Engineer . ................. . b alifor 14. Sanitation and plot plan approval Health Department . ............ 15. City,of Chico plumbing permit. .......... .............................. 16. Plot plan and business license p Ifry, .City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: °'II (B) Parking: 8. Contact Land Development.about (A). Improvements (B) Drainage. .......... . Driveway permit (construction approval required prior to occupancy). E ............ spe 0 .Pre -inspection for - required. ..toau;ldioyPreaed;;eonepeaorequ'(Date) 21. Contractor's license information. (No., Name Style, Classification): ............... 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner �............ 4. Recorded copy of Agricultural AckhbWledgement Statement . ..................1' 25. Letter of signature authorization . .....................................: . '26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . .......................................... 28. Mobilehome utility clearance . ......................................... . 29. Documentation of legal access . ........................................ ' 30, Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... ' 31. Existing violations/expired permits. ..................................... . 32. Plan check list . ..................................................... 33. 34. When you issue the r it process as follows: Ma'Irto owner. Mail to contractor. Telephone ?S� ��S and hold for pickup at d`O V i office. Deliver with inspector. Other' Parcel Creation ,� / AZ --5A� Acreage Applicant G��- Date Copy of Haz-Mat form sent Health Dept., Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted -prior to permit issuance: Circle new jtgm n t checked -above 1. Index permit for above items No. oCJ 2. Additional items required: /� ? 67J Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works lime Hall AlUldiod VX. Sem In 1i; D; TO: Building Dopartilwill FIRM'. t, tivi roll tildn t'al Nealth 39_o-oYO_�o`E' 26 Owner location lon AN C Private Well Plan Approved for; Sewmic Dispos'al Water Supply; Publ: Clearance for —;Z_bedroom mobile 110111C.. Other Hold final for: Final clearance O.K. lor: NOTE: 0q, q Environi(,ej6t He`athj Specialist llate 8/92 4-A TA T) Cl IvironmeflT41-Headth— FE-B-2-6 -1996 U�t CH -C-0, C — - - ------- 6-048370 1 Rec Fee 6.00 And when recorded mail to: _)yy,Cl' P , COP 1.00 Building Division (2 -Z t Recorded I Check 7.00 #7 Countv Center'Drive U�►r 0,� Official Records I Oroville, Ca 95965 County of I Butte I Candace J. Grubbs I Recorder I 12:05pm 26 -Dec -96 I PUBL XX 1 1 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code requires this acknowledgment to be recorded prior to issuance of a.building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including. but not limited to herbicides. pesticides, and fertilizers: and from the pursuit of agricultural operations including, but not limited to cultivation. plowing, spraving, pruning, and harvesting which occasionally generate dust, smoke. noise. and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal. necessary farm operations. All that real property situate in the County of Butte. State of California. described as follows: gots 16, 17, 25; 26. and 27 as shown on that certain map entitled "Amended Map of Magalia Heights", which map was recorded in the office of the Recorder of the County of Butte. State of California, May 20: 1.930 in B00% 9 of Maps, at pages 40A• 41A. 42A, and 43A. Excepting therefrom all metals and minerals, as set fort in Deed from +_A.S. Jones, et ux, recorder'. May 25, 19x4 in Book 323 of Butte County Official Records, at pace 396. Date: Z Z, State of California County of P-5A7%E PROPERTY OWNERS: :1n before me,S>��A�l personally appeared /D%'lpersonally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted. executed the instrument. WITNESS my hand and official seal. U K. SHAPLAND ; Comm. #1990042 Q OTARY PUBLIC - CALIFORN Aw BUTTE COUNTY 0 Signature $Cal: icon Comm. Expires April 4, 1997 J LAND DEVELOPMENT V/ BUILDING / ENVIRONMENTAL HEALTH - PERMIT CLEARANCE Building Permit No. � OWNE!_C�T cc I A.P NAME: NUMBER: / (0 ��Q © NAME FIRSTPRI� COUNTY ZONING (� DESIGNATION: , `T FLOOD ZONE: X FLOOD MAP: APPROVED: CONDITIONALLY APPROVED: RESOLVE PROBLEMS PRIOR TO APPROVAL: PARCEL CREATION. BY DEEDS_ OR MAP ✓ DEED INFORMATION: DATE OF CREATION: DEED REFERENCE: LEGAL ACCESS PROVIDED: - YES - NO -- - LEGAL ACCESS REQUIRED: YES NO COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION: . YES NO COMM ENTS/CONDITIONS:1'C-ittKT %LU/V. Vhf 1-H C ANV FO/2 25— 8— LV—/ -a -TD MAP INFORMATION: DATE OF RECORDING 1Zd C v kA;26K //-Z-7/'J7 TEN! /9. EnvC. P,67Am i r /Sryev MA6,40A yE16#r.5 LOTS I[C, 1111 BOOK S PAGE 3`) A -;,, 4 Z COMPLIANCE WITH OLD SUBDIVISION LOT ORDINANCE REQUIRED? (MAP RECORDED PRIOR TO BOOK 17 OF MAPS AT PAGE 23): ✓ YES Q NO�t.. IF YES, MARK APPROPRIATE ITEM(S) BELOW: 8 A. Construct road to s _ . L1 " S,B. Meet parcel size required by zone. _ZC. Meet current E.H.D. requirements. C-onrSTRuCr 6—/ ///3/97 CHECK SPECIAL CONDITIONS WHICH APPLY TO MAP: ALL FEES TO BE PAID TO THE BU/LD/NG DIVISION UNLESS OTHERWISE NOTED. 1. Maintain a 50 ft. building setback from centerline of road. 2. Maintain a ft.building setback from right-of-way/centerline of 3. Comply with Zoning code for building setback from road. _ 4. Maintain a 100 ft. leachfield setback from all existing wells. 5. Maintain a ft. leachfield setback from 1 _ 6. Pay water tender fees in the amount of $ to Battalion Number of the Butte County Fire Department. 7. Meet the Fire Safe Regulations of Butte County and P.R.C. 4290. _ 8. Connect to a public water supply. 9. Connect to a public sewer system. _ 10. Automatic fire suppression sprinkler systems shall be installed in all residential structures in accordance with the National Fire Protection Association Standard for the installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet Fire Department specifications, serves the parcel. _ 11. Pay T.D.D. (Thermalito Drainage District) fee in the amount of $ 12. Meet the requirements of the Department of Fish and Game for the preservation of oak trees. (See phone number below) 13. Obtain approval from the Department of Fish and Game for vegetation removal. Contact Fish & Game at 916-355-7010. _ 14. A traffic mitigation fee for each new or additional living unit shall be paid. Pay the amount of $ as stated in the Oroville Area Traffic Mitigation Fee Agreement. Payment to be made to the Planning Division. _ 15. All new residential buildings shall be constructed to comply with the requirements of the Uniform Building Code for seismic safety. Mobile homes shall be constructed* on a permanent foundation system which complies with the Seismic Zone 3 requirements of the Uniform Building Code. _ 16. Deer Mitigation fees are to be paid, if such fees have been adopted by the Butte County Board of Supervisors. X 17. Pay school impact mitigation fees. X 18. A development impact fee for sheriff facilities shall be paid pursuant to the provisions of Chapter 3, Article II of the Butte County Code. _ 19. Wood stoves and. fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988 as amended. 20. If any cultural resources are encountered during ground disturbing activities, all work shall cease in the area of the find pending examination of the site by a professional archaeologist. This person would then be able to assess the site significance -and suggest appropriate mitigation measures. 21 22 23 24 25 26 AIO i8 403J.1N�OOV1 3 Lw 9 U Nd f ®-An,-4331, LD 7/96 C:\WP51 \FORMS. K\BLDGPERM. CLR I Npn; All I daterials & Worlanana P i ''th Recognized Accortrot i fT. tlw Uig ' ' e N�►tiaz�al �� i ()odes axbciitYi WA-re R r4 I 01 WO too th ' F R - SNP --..- .- -•= —$ � � . --� --- : -- -- - - - �— . � � ,�,� I �, "o IT VA IT I PY TAI .7, J Jr j TLia Se$ of plans and speciScations MUff be kip on tile at aU times and it is uraawful to xnnakelat,� changes or alterations or_ same v>rithout , I w�citten ple ..1theWuppM4 Public - N ork.IC uutay IV '4 �.✓ L//�p�p' v CDF FIRE SAFE REQUIREMENTS AP# PERMIT # NAME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. [)(j 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provide for by the land owner. Driveway Standards 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other apF--_,rteaant structures which supple- ment the roadway bed or shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing sedans and fire apparatus weighing up to 40,000 pounds. [�Q 1273.03 Grade. Not to exceed 16 percent unless paved. I_ 1273.04 Driveway Radius [� 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of 50- 100 feet radius; 2 feet to those from 100-200 feet. [ 2. The length of vertical -curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. [�Q 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. [`y 1270.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 of .3--. G 3 9 —�o y'6zZ C'�sv,v �d.ev AP # PERMIT # NAME (YJ 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway. exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. [� 1273.10 Turnaround. A turnaround shall be provided at all building sites on driveways over 300 feet in length and shall be within 50 feet of the building. 1273.11 Gates [�] 1. Gate entrances shall be at least two feet wider than the roadway it serves. [ 2. The gates must be located at least 30 feet from the roadway and shall .open to allow a vehicle to stop without obstructing traffic on that roadway. [ ] 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space. [ ] 1. All parcels 1 acre and larger shall provide a- mini- mum 30 foot setback for buildings and accessory buildings from ull property lines and/or the center of the road. [ 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See Other Requirements below. [�(J 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction .)r fi:tal inspection of a building permit. Page 2 of 3 6�r 3g—cocD AP # 16 - ?jZ2_ PERMIT - Class A or B roof - Enclosed eaves ��LSd -✓. l�yzdi�I NAME [ J If Building Setback is Less Than 15 Feet Choose any 3 of the following: - Metal or no doors on side toward property line with insuffi- cient setback - Class A or B roof with enclosed eaves - Interior automatic sprinkler system per NFPA 13D - Glass area not to exceed lot of wall area toward property line with insufficient setback - Siding from the following list: Stucco - 3 coat Hardi-Board or Plank Masonry Masonry veneer. Metal Other Butte County Fire Department approved materials (2 - Date 2Date Signature Page 3 of 3 AP # ro -- --- -- 014NER PERMIT 4k 9� Mll UTIL.CLEARANCE DATE INSPECTOR ELECTRIC GAS Support Str c. Compaction Test-tieq. Service Size Other Load Type Pipe Size Length YES I NO YES I NO 10,0 V4 2_57 _ COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California •95965 - Telephone (916) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT - , 'S5��-`39-` M40 ZCRr 1 BUILDING PERMIT OWNER DOROTHY CARLSON TELEPHONE 873-7749 SO. FT. OCC. BUILDING VALUATION OWNERS MAIUNG ADDRESS X 6. MAGALIA 95954 CONTRACTOR'S NAME JACKS MOBILE SERVICE TELEPHONE ' CONTRACTOR'S MAIUNG ADDRESS CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ - 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23. BUILDING ADDRESS 1-3748 GILLEILLAN IVE MAGALIA Energy Plan Checking Fee $ ' PERMIT FEE S LOT NO. SUBDIVISIONS NAMEPARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE }( SF ❑ Duplex ❑ Mobilehome OX Other SPECIFY Each Trap 7.00 Solar or heat um water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation EXXOther ❑ Describe Work: �ruT/g�2822 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.P License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. _ X __ Date ��Z� -- Signature of Applicant Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO i000A 46.00 NEW CONST. DWELLING OCCUP. so OR ADONS. ( a ACc. BLDs. 3.50 FT. NON -R COSIIDT gNCS.I CIRCUTS @7.50 OWER APPARATUS 8 SINGLE OUTLET CIR. zo @ 1.00 Ex. Occup.OUTLET OR FD(TUREs BAL o .50 NS Ex. Occup. OUTIETSPRS D.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling - Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ 100.0 Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ • % HAZ. D. FES IMP FLO C P EL P I E , This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for whic fees have been paid. By DeAe PERMIT EXPIRES ON tic Pete ReceiptNo. 2n9804' WHITE-D.D.S.-B. D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT i V ^�.�+t"4r� ':'��: ., .. ,���`�•�. ��:;�:�r+ha'�:'ey;�,��';�rd�c;.�w�=as.:,�n;,-.�;�.- ZOUNTYOF BUTTE - DEPARTMENTOF DEVELOgMENTSERVICES -BUILDING DIVISION 7COUNTY CENTER DRIVE ` OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 / PERMIT APPLICATION DATASHEET OWNER "0 Proposed Building Use oar/SOIA Building Inspector No. �lo� -391 Dyck Date % At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted. .......... .......................... . 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................. 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... Fees of $ . ........... . 1 Impact fees as shown on attached schedule. .. ................. . California Department of Forestry plan approval/fees. .................`...... . 13. Flood elevation letter (100 year flood) by California Engineer ................... ' 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. .............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy)... . Preanspection r . quest 20. Pre -inspection for required. .. to Building Inapeaor (Date) 21. Contractor's license information. (No., Name Style, Classification) .............. . 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner ............ 24. Recorded copy of Agricultural Acknowledgement Statement . ................... 25. Letter of signature authorization .................................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road..... . 27. Letter of intent on building use . ...:.:::::::::::::::::::::::::::::::: : :: : 28. Mobilehome utility clearance. . . 29. Documentation of legal access . ...................... :............ ...... 30. Documentation of 50% subdivision developed, or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits. .... .............................. . 32. Plane; elist. .rte 33. 34. Wh n you issue the ermit, process as follows: Mail �t.00,owner.% Mail to contractor. Telephone 43 -47 -Wand hold for pickup at U00 V'. I Q_ office. Deliver with inspector. Other Parcel Creation �'�- Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire DeRt. Other Date By The following data must be submitted 1. Index permit for above items No. _ 2. Additional items required: e new item rechecked above). Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone -mail C unter by _ Date Plans checked by Date Plans approved by Date 2 3 Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works ... �.J .R•n .,�va,,...� � ` iT'/ "�. M �..i-r�,:.:.��.» .. M .,+�-y,.`.D-n•, ! L�1'^��'SK.r*..•-%..o+.Y.: •�t''Ni*+sti�. •...rt'�i .mak r J.. �+w ...,'„ ti- . COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541 f SCHEDULE. OF FEES DUE *nis .. . OWNER V1 / Co PROPOSED BUILDING USE # �10� `�71y. Ol o DATE /9 REC # DATE REC 1. BUILDING PERMIT FEES -- Balance Due ................ $ -- Additional Fees Due ........... $ -- Additional Fees Due ........... $ -- Revised Plan Checking Fee ....... $ (' ve_%CHOOL DISTRICT FEES P -6t ra S e n;'tj RC1 (paid at District Office) _0f ` SHERIFF FEES (paid at Building Division) Alf pp�� Residential ........ x $360.00 — $ � f Units Commercial (sq.ft.)... x $0.03 = $ Sq.Ft. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit) . x = $ #Units Amt. Commercial (sq.ft.) .. x =$ Sq.Ft. Amt. 5. RECREATION DISTRICT FEES (paid at District Office) 6. THERMALITO DRAINAGE DISTRICT FEES $425.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT DATE Original -Owner Copy -Building Div. (Rev. 12/96) �r.;.,..,•.^es �� • �t�+`f('�P"'� _ �"�7l"�" �:y'^i`�;,;�', +ruy"ti,,�;issyt'°�r'�';,;,�. _ � r i.,r :�'i ..rte BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per' Building) School District dad I's e (/l ,"C'' Building Department No. A.P. Number 6-390 a Jurisdiction: YO City EX County Property Owner 60 �j u 00 V- ISO el Property Location/Address Subdivison Lot No. Residential Development0] Sq. Footage No. of Living IA Addition (Group R) Units Commercial/Industrial Sq. Footage New Addition (Including Exterior Roofed Areas) Building Depa ent Representative Date (Floor Plans reviewed by School District Personnel) z 2 . ..District Identification-�Vo.. -a z ._� . - - .• 1 � �3 � 7���) hool District certifies; that Q (Applicant) (Street Address) U (Phone Number) (City) (State) (Zip Code) has complied with the requirements of Resolution No. by payment of $ representing' 7 square feet. As 2926 $ ' FULL MITIGATION $ School District Representdt1ve - ti� Date Paid by Check # ; ,�::.---- Bank Number Paid by Cash Remarks: kle 6W�,(-4/L If, subsequent to the School District. Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) k feeformmkl (11/94)dmm I Mobilehome Manufacturer: 4 rve ✓a Manufacture Year: q 6 q If other than single wide, furnish Setup Model Number: Width: I2 (ft.) Length: �(ft.) Tagalong or Expando Size (ft.) x (ft.) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. FOOTINGS: Wood pressure treated or foundation grade*J�d Other: SUPPORTS: Concrete blockr" Other: Provide Tie Down Specifications for all Mobilehomes: Pier Footings Sizes and Location SINGLE WIDE MULTI -WIDE Line 1— Liu Liao 2 Line 2 ................................................................................................ -Main Beams Line2...................................................................................:........... e 2 Line 1 Line 3 Line 2 ................................................................................................ Main Bearers Line 2 ............................................................................................ Line 1 ............................................. e S Tar or Triple c4 ine 1 Line 1 Piers: Size minimum: Spacing maximum: ` From ends -maximum: ` Line 2 Piers: Size minimum: [ `y] x [So ]. Spacing maximum:. 9 ` From ends -maximum: 601 Line 3 Roof Loads: Size minimum Location (from front): Line 1 Openings Size minimum: [ ] x [ ]. Each side of openings with width over: ` Line 4 Piers: Size minimum: x [ 30 J. Spacing maximum: Ll 9 ` From ends -maximum: l Line 5 Roof Loads: i b )c Size minimum: Loca Wft&W * V' BUILDING DEPART ` " Mft OPROVMV ((0tr S�cnt. OVER ' . (A /.1 Xs . 1. Owner's Name: A 0,- D \1h U Ca V( s 0 1 .. . 2. Assessor's Parcel Number: 0 6 - 3 ry a— d 116 s 3. Installer's Name: 56dtS /rnOSr � R)M . vt-), C,(- 4. ,( 4. Is the site currently under permit? Yes[ No[ ] Permit No. 5. Is the site an existing site? Yes[ ] No[ ] (If yes, furnish two plot plans). 6.. What is the electrical rating of the. mobilehome?-� C� Amperes. ..7. What is the mobilehome site circuit breaker rating? 10 D Amperes. 8. What is the electrical rating of the mobilehome site? D0 Amperes. 9. Is the main service remote from the mobilehome site? Yes[ . ] No[ W it is, what is the rating? Amperes. 10. Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage etc.)? Yes[ J No[ Wyes, please identify the load and size: a) The mobile home site: Load- Amperes - b) The main service: Load- Amperes - 11. Type of gas service at mobilehome site: Natural[ J Propane( None[ 12. Size of gas' pipe at the mobilehome site from the meter or tank: �ilt� inches. 13. What is the gas pipe length from the meter or tank to the mobilehome?f3.). 14. What is the mobilehome gas demand? B.T.U.* *(This information is not required if the pipe length is less than 6 feet on natural gas or less than 50 feet on propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION May 1995 8.5 FNGIN SEER APPROVAL :.�C.O.MBINAaTIO.N .TIE 'DQ W S S10 aIN I A .... 2-1.0 �. MANUFACTURED HOME.:: TIE DOWN INSTRUCTIONS AND. IDAVI'D A. SCHEDULES. FOR SINGLE.d DOUBLE,"/ TRIPLE,"- IDES, v DANMEn DESIGN & GENERAL NOTES •' DESIGN. LOADS: E WIND' ,---------------- --..15psf (70 MPH EXPOSURE "C") E` �k.SEISMIC' ZONE -----.----- 4 *'SOIL'BEARING --- -- - 1000 sf OT MAXIMUM SOIL PRESSURE- -'IS P "NOTE t3 O -' IS 1000 psf;'WITHOUT A SOIL REPORT: " CA NO. 17918 �k EART,H.,,,'AVGERS . - -- -..4750# MIN 'TOTAL LOAD CAPACITY i r I 3 °3150#. WORKING LOAD CAPACITY: r � '.t t GAY STABIL X' DRIVE. ANCHORS-- 4750# MIN. TOTAL LOAD CAPACITY �% Cl��� Q � .3150# WORKING LOAD CAPACITY y'. F� qT£,Of CONCRETE .SLAB :ANCHORS -- 4750#~ MIN. TOTAL LOAD CAPACITY )"7 ! - _ 3150# WORKING LOAD CAPACITY , ;h�61111ER 4 TIE DOWN�,STRAPS -------- 4750# MIN. TOTAL LOAD CAPACITY vy 615E 4y 3150# WORKING LOAD CAPACITY TIE DOWN STRAPS • MEETS FEDERAL SPECIFICATION ' QQ-S-781 H FOR TYPE 1, CLASS B., 6 GRADE 1: STRAPPING AND BE 'AT LEAST, 1 1/47 x .035 ZINC :PLATED j e z Z. I GENERAL, NOTES: "° P,Y ,,• 4mA. 20 1. THE CHARTS'�SHOW THE REQUIRED NUMBER OF TIE DOWNS ON THE SIDES AND ENDS°'OF'THE 'MANUFACTURED' HOME. 2.COMBINATIONS OF THE DIFFERENT,, TYPES :-OF;TIE,DOWNS .CAN BE, USED.�,tfvf 3.. FOR ALL TIE DOWN INSTALLATIONS, .THE MANUFACTURED HOME' CHASSIS MEMBERS f L E� ARE SHOWN AS "T' BEAMS. (FOR` ILLUSTRATION'' PURPOSE ONLY) CHASSIS BEAMS' CAN ALSO BE • 7C7,, SHAPED ,OR "RFC" . SHAPED... •.... ��? ; r.. „ , S 4: SIDE TIE DOWNS .ARE REQUIRED ALONG.THE OUTSIDE CHASSIS BEAMS. ,,,END tTIE, r DOWNS ARE REQUIRED AT' EACH END OF EACH' DAVID A TRANSPORTABLE,.SECTION 'OF <THE•• . � I MANUFACTURED HOME. ,t a DAHi:ftEI1I Q / 8" `-117,, 5., END TIE DOWNS-.CAN.�BE BE, WITHIN AXIS.,EITHER, SDE IOF* CHSSISEAM A' BCIVIL��, +r �, (�w / 6. THE SIZES, TYPES, LENGTHS, . ECT. OF ;MATERIALS SHOWN HEREON.ARE• MINIMUM,' LARGER, LONGER,. HEAVIER MATERIALS SUPPLIED BY SAC INDUSTRIES," INC. MAY �L BE USED AT THE -SAME, SPACING;'AND :LOCATIONSSHOWN:' ' 7. ALL PARTS ARE COATED WITH RUST RESISTANT, INDUSTRIAL SHOP -',PRIMER STATE APPROVAL'. s. ,. 74 r\ SAC INDUSTRIES; INC. I jlrfW 3236-C, FITZGERALD• RD. >' A P,P R O V E D ` ,,•':: RANCHO CORDOVA,' CA., 95742 I.,: ✓ OkECON PH: (800) 77,1-3055 SU4 SUBJECT TO CORRECTIONS NOTED , Y.1 epprovol''does •'not authorize or approve' any omission w dc.iatiw from .irequirements• of applicable' State laws and PACIFICGtate of California 2150 L�IK�/ E;--4 r14sOeportmgntof Housing and Community `Development SACRA�ONSU T�;i CAr- 38., PH.; (916) 564. 6028 4 = DIVISION O 'ODES AND STANDARDS • •w a� +� \ B = e Date 1, g otur) / WA ess 'I N SPA NO .,,' �7Cp " THIS TIE -DOWN SYSTEM 'n� ,p' 14176 • " MEETS THE REQUIREMENTS, T` '- OF SECTION, his Plan Approval Expires. SUBSECTION '(a) t , t7 r'r - � • �t ty SAC IND. EARTH AUGER TIE DOWN ANCHORS w (j #6 #6005 r #6006 #7000 # — ` 7002 #4002 CHASSIS jI ,. yy4002 PIER r�r i t t BOLT—ON TOP r ' — . r• #7002 L + 1 7' STEEL ' { 1 ; • STRAP , ' �� 7' STEEL STRAP W/HOLE, STRAP W/BUCKLE 1• /6005 SPLIT • r „ j,.. d sP a BOLT h NUT • , - s - .y NOTE 2•''~:} :'F''.• Y•`Y� ..t ' / •f •• 6006 STABILIZER + .Y • 'i : T1' r,:'w PLATE NO #6001 4-#6000..', /6000 SERIES :� �••• • ,',r EARTH AUGER I%- . '.' • (TYPICAL) . NOTE 4 VERTICAL OR ANGULAR INSTALLATION IS OPTIONAL• +; AUGER 'TIE -DOWN INSTALLATION INSTRUCTIONS C � L' :1, :.' CONTRACTORS WARNING: CHECK FIRST FOR UNDERGROUND UTILITIES. ;♦•;2. t 'INSTALL• GROUND ANCHOR INTO GROUND LEAVING ,12"-14"' OF SHAFT EXPOSED. G * 3. PLACE STABILIZER PLATE NEXT TO SHAFT BETWEEN • THE ANCHOR AND CHASSIS ,BEAM, AND DRIVE INTO GROUND. .FINISH TURNING ANCHOR INTO THE GROUND APPLYING CONSTANT, DOWNWARD . •C) PRESSURE TO MINIMIZE SOIL DISTURBANCE, UNTIL ANCHOR HEAD IS FLUSH WITH STABILIZER PLATE. r, 5 ,,,ATTACH STRAPS, TO CHASSIS BEAM IN'.MANNER SHOWN,,' yt" tii '•: >Y �w�:L'. ., _!'}. - c.: -t++L�,. .. 1, ..•,+Cn •C' i,/.. i -r 1`•i..}r. ,., J•�I''. '.{� A;,j\�Ir •�`,1 it•-�x��'!.H.•,f.�•:tr} ;-,-IF' ANGLE OF SIDE STRAP IS GREATER"THAN060%t STRAP f CONNECTION oCAN.,, BE' `- MADE' FROM ANCHOR TO OPPOSITE CHASSIS BEAM. 7:, INSERT STRAP THROUGH SPLIT BOLT. CUT OFF .EXCESS STRAP AND..TIGHTEN BOLT UNTIL STRAP IS SNUG. ` END TIE DOWN ` END TIE DOWN END TIE DOWN "' y SEE CHART SEE CHART SEE CHART. • c !( < W a r• V' W U in r Z J _ 'T ,_• 'Z • � _ , � Zt, i 7 Fy • 1. h N tom.. : I , ` I 1 / 1♦♦ ItIt / 1♦a i t i Al ^ , .. ♦a♦�f { , as♦,v, { as\Vi , - .. aaa♦ . ♦a .• ♦♦ i SINGLE WIDE DOUBLE WIDE "T ' :'~TRIPLE WIDE a ....r _ . ,...�_ _. IL • SAC IND.'STABIL-X 'DRIV' TIEWWANCHORS Y t #4002 #601'3 , #6005 #7000 #7002: j #7000 or #7002 CHASSIS t +r` 7 STEEL,STRAP r #4002 PIER BOLT -ON TOP r••'' ��,. • N. #6013 STABILE -X'#7002 '' #7000 7' STEEL DRIVE ANCHOR 7' STEEL ' I STRAP...W/BUCKLE STRAP GROUND LINE • , W/HOLE r gra a , #6005 SPLIT BOLT &,NUT .Y. X55 �• ','i S•.I,l Vit. + DETAIL„A� y OW r STABIL-X DRIVE TIE , DN ”` ;, • , . SFE DETAIL "A" INSTALLATION INSTRUCTIONS 1CONTRACTORS' 1NARNING ; CHECK FIRST FOR UNDERGROUND. UTILITIES , �+ fr 2.. ?DRIVE'CSTABILIZER PLATE INTOttGROUND. 3.' `' DRIVE CROSS RODS THROUGH HEAD TUBES'INTO SOIL AS SHOWN �Qi>1M 4. ATTACH STRAPS TO, CHASSIS BEAM 'IN ' MANNER SHOWN. 5. IF'ANGLE OF SIDE • STRAP' IS' GREATER THEN' 60', STRAP. CONNECTION ' CAN BE . MADE FROM ANCHOR TO OPPOSITE' CHASSIS` BEAM.. . 6. INSERT, STRAP THROUGH SPLIT' BOLT. CUT, OFF EXCESS .STRAP AND TIGHTEN T BOLT UNTIL STRAP IS SNUG. 7. #6002 ANCHOR CAN BE' USED WHERE•HARD',OR ROCKY,SOIL OCCURS. IF THE GROUND SURFACE IS OTHER THAN ROCK OR MINIMUM '2" ASPHALT. USE STABIL-X,,; :ANCHOR OR ENCASE ANCHOR WITH 127x12"x12 'CUBE' OF:.,CONCRETE. iC 8. WHEN #6002 ANCHOR IS. USED FOR ANY REQUIRED ANCHOR — (2) ANCHORS MUST ,BE , USED' AT THAT LOCATION.,, I WIND=15 PSF' 70 MPH' EXP. "C" — SEISMIC ZONE 4 �~ WIND=25 PSF _ 85 MPH EXP. "C" SEISMIC' ZONE 4 ; REQUIRED NUMBER OF .'COMBINED ANCHORS FOR REQUIRED NUMBER OF COMBINED, ANCHORS FOR EACH SIDE AND END OF MANUFACTURED HOME EACH SIDE AND END OF; MANUFACTURED HOME WIDTH LENG?'H ' No. .: TIE OF- SIDE I No.. OF END TOTAL No. OF DOWNS TIE DOWNS TIE DOWNS SINGLE 'WIDE-" TO 14' 0'-38' 2 2 8 38'-57" 3 2 10 57'-78' 4 2' 12 DOUBLE WIDE TO 28' 0'-38' 2 4 12 38'-57' 3 " 4 1 1 14 57'-78' 4 4 16 TRIPLE WIDE TO 42' 0'-38' 2 6 16 38'-57' 3 6 18 57'-78' 4 6 20 No. OF. SIDE No.; OF END TOTAL No. OF WIDTH I 'LENGTH - TIE DOWNS TIE ' DOWNS TIE ' DOWNS SINGLE' 0'-38' 5 2 14 WIDE 38'-57' 6 2" 16 TO •14' 57'-78' 8 2 20 0'-38' 5 '''4 ` 18 i X02 38'-57' 6 ; . 4 ..,: 1-20 57'-78' 8 '• 4 '' 24 TRIPLE 0'-38' 5 • 6 WIDE 38'-57' 6 6 24 TO 42' 57'-78' 1 8 - I -' 6 28 ...,. ...._. ..._.... -. ...�... ._ ... ...._...._......,. «. _.....� _ . :: ••�xfsc�'."-r-."'•��,ICK+[�RG1+Ma'*..* •. ..•a: CHASSIS . i 4. ?.i � ". ; r; ;�il�Ytti '1 ." 'aL ��i �'•' ' •• _ t. .� I �./ #4002 PIER t �f '� • • :� tr' BOLT-011 TOP ' • Y' ' '•'• ,,�•� mal ,,,� � �>I%) ��' � '� � ' �' - I "7C'2 1. E1 ':.�' • - 1 ". Ji f 1•-:-L ` #7000 7' STEEL ST'Ae w �.�� STRAP W/BUCKLE 1 , W/VOLE #6005 SPLIT d �y,J 1 ;�. i ti° :. s•.. BOLT do NUT 1j6003 irf 6004 OR le, OR 4/ • i t � � ' ` % ,ice' �+ .r 6 f/ f. , .'::°• , I moi• - • _ „ • •-�� . 1 'V�,l�• �';! l \S • �`�\j._/�,';- , r ".. I r./, '� _ .J, ? 7 ..... .I. r • /� 17.x✓` ?� �L/ "�r,. . j i1 .v •i 1 ;ii.< I.l.,.300 i "17002 14002 r-,r'7 r - •• y� r` + r;i� T." ��- , ^moi ' t 1. A P f�i::•A.__. I t i\ .I.1 � r-.J R, 1S,` w •'t�'..Y��' j tAJ +. 1. CONCRETE 2: U T DE A I:I;;IIMUM 3 1/2" TRIC ; AND IN GOOD CONDITION. ALTCRNAT' f ®, 'SL.,3 /, :tA OF EACH ANCHOR IS 28 SQUARE FEET. :1 Cg , .mag .f :'. I, • � JaCTION - 3. ' DRILL. PROP`? Si%E HOLE IN SLAB, A MINI` rU.%r1 OF 12" FROM ANY SIDE.i� !, 4.• EXPANSION COLT IS 5/8" x 3 1/2" WITH MINIh:'J: 2 3/4" EMBEDMENT. AND I'_6,160 POUND PULL OUT, 7,150 POUND SHEA,c.NEW CONCRETE --�,500 _ 1. .' PLACE CCI`;CRE T E , Al'lCHO R INTO VlET,(CONCR1 T E,• /,N0 ALLO*, T O °ROPL•RLY• CURE. f 2."' ALTERNATE CONi'lECTiON REQUIRES #5 REBAR PRC-`ERLY,,E?,;BEDDED IN CONCRETE. OHASSIS CC��'dECTio ,r• ; ,+.c, t,; rt ti ATTACH. STRAPS TO CHASSISaDEAM IN MANNER SHOWN. 2.1 IF , ANGLE OF SIDE STRAP . IS GREATER THAN J60', STf;AP•• CONNECTION CAN BE MADE, FROM ANCKCR TO. OPPOSITE; CHASSIS BEE=. .r 3.'. INSERT STRAP THROUGH SPLIT BOLT. CUT •OFA , EXCESS STRAP ANL) TIGHTEN BOLT UNTIL STRAP IS SNUG.` ,; �•- .., i Vit• ` : DRILL- 9/1 G" t HOLE AT,MID HEIGHT OF BEAM AND INSTALL J �,• 4 1, /2 .. A307 BOLT °;•. ti (TYPICAL) 4 r • " ry 1��J � , _ _,fm, z � l- Vii'. .� - i� -1.-}t. r ��.,3 F ✓� f �`l_'- ..;�i.I•��'r . .�i� `+{i".[ .::�. � Il�1i'<' li r i� i SIDE'VIEV/'SID E'VIEY/ _.«,�• C.iAr S�� .'.,'gin 'T�^i: C�T,a 7�; '`� :'" i '. `\ ;•_'` . rr � . SiUE VLN ' ,LNO �91WSEE �EIV,1"CF/,SSIS 'NOTE 1f3 STUEir4 CHASSIS NOTE, /1,; L �Sfi�E7;z(/1 `fQR_71E,001'/N. IN �... ;SHCET /f1 FOR TIE DOWN :_'O.. EN1)�M 'DOLT :.. .�::,.....�ri �YAc TO. s C T7, 'JtiT } i"•CE'�'-I.TITY THAT I' HAVE ?STAl,L`D .�. S:�i;4:D., C. ANCHORING SYSTEM • AS Pi :Z A'HE I1•`STALLATION I _ OSIS t w:tli�tC A . .. A: C iTI T TI'IA 'ANCHORING SY:.�r:'E::: C Z TO. ,Ir „ ,STs--sDI:;G S11-1.y ' I - .t..a A/l.iiL l.i •Ji NAh:L: C17t`r'.:;...: t...l LI^,.# {^tiwu++r.rewrwa�+w+..s�.wF•wwer<�-'•a'wa•+<v+r..�.n.+uw�.�ror-.uw••.. �. xw.• .._ .. � n ..w .w.w RESIDENTIAL - '' 066-390-040 PERMIT#97-0522 CARLSON, Dorothy J. 13748 Gilfillan Rd., Mag alia Cont: Jacks MH Service Porches/MH _ 97- 01'-35 1} U I e uu,,aU i JOB FINALE Signature V=OK 0 = Not OK '=NottRealdyble MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements - Setbacks - Easements 2. Footings; Soils-Size-DepthSpacing-Connectors-Steel 2. Soils; Special MH Support Sketch 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 3. Sewer, Location -Test -Fall -C/O -Concrete 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg: Rfg.-Bracing 4. Water, Location -Test -Easement Needed (Sketch) 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Carports; Windows -Doors 6. Gas; Location -Test -Wrap; / I l2ft. / /Nat. or/ PL°ft./ /LPG 7. Electric 7. Well Clearance & Disconnect 8. Frrng.; Sils-AnchorsStuds-Rftrs-Trusses 8. Utility Clearance 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Card B-1 Date Card B-1 1. Zoning Requirements- Setbacks Easements Card B-1 Date Card B-1 2. Footings; Sine -Spacing -Marriage Line POOLS (Plans) OK except #'s 3. Gas; MH Test-DemandValve-Connector 1. Setbacks -Easements 4. Electricity; MH Test -Crossovers -Breakers -Clearances 2. Soils; Compaction -Structure Stability 5. Drain; MH Test -Fall -Flex Connector 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 6. Water; MH Test -Regulator -Connector 4. Elec.; Receptacles and Lighting, Distance-GFI 7. Water and Sewer Connected -C/O to Grade -HD Approval 5. Elec.; Pool Lighting; 15 Volts-GFI 8. Gas and Electricity Tagged 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 9. Tie Downs -Type -Installation Cert. 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 10. Exits; Insp.-Sketch 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 11. Cert of Occupancy 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils-Size-DepthSpacing-Connectors-Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg: Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frrng.; Sils-AnchorsStuds-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓ = OK 0 = Not OK - = Not Applicable * = Not Ready Date UNDERFLOOR (Plans) OK except #'s 1. Zoning-Setbacks-Easments-Flood-Slope 2. Ftg., Main; Soils-Elec. Gmd.-/ PFtg. Depth 3. Ftg. Garage; Soils-Steel-Elec. Grnd/ PFtg. Depth 4. Ftg. Porches & Decks; Soils -Steel-/ PFtg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card 6-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al 30. Rai 2e Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral 0 Yes 0 No 31. Service -Riser Conductors & Ground -Main Disconect 32. Equip. Clearances Panels-Motors-Mech. Epuip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overilow, Size & Grade 38. Furnance-Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing RESIDENTIAL (Single & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-roff Brac.-Truss-Shting: Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One &-Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 82. Following Instld./Drive 0 Yes 0 NON✓alks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 `� ERMIIT-�NO. (Rev. 12'/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 066-390-040 LOT 26 ZONING BUILDING PERMIT OWNER DOROTHY J. CARLSON TELEPHONE 873-7749 SO. FT. OCC. BUILDING VALVA 159 C 1976 OWNER'S MAILING ADDRESS PO BOX 590 MAGALIA 95954 60 0 420 CONTRACTOR'S NAME JACKS MH SERVICE TELEPHONE ' 342-6656 CONTRACTOR'S MAILING ADDRESS 1505 LA LINDA LN CHICO CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ 2396 ARCHITECT OR ENGINEER LICENSE NO. Fills Fee $ 20.00 Permit Fee $ 54.00 ARCHITECT OR ENGINEERS MAILING ADDRESS - Plan Checking Fee $ 35.10 BUILDING ADDRESS 13748 GILFILLAN RD Energy Plan Checking Fee $ $ PERMIT FEE S 109.10 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome IN Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: _�nAru�c Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home SG W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service '..AoaMss' 23.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class LIC. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELUNG OCCUP. SO OR ADDNS. ( 8 ACC. BLDS. 3.5Q FT. rN...EEW SIDT MULTI -OUTLET @7.50 POWER APPARATUS d SINGLE OUTLET CIR. .00 Ex. Occup. OUTLET OR FIXTURES SAL @ I. 0 Ex. Occup. O sis Pao°EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date � Signa ure of Applic t - Owner ❑ Contractor ❑ Agent An OSHA permit is requi ed for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 109. Z. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. . ee pp By e�1,�P n+ Date 5-20,`77 PERMIT EXPIRES ON S -20 —5 $ Date Receipt No. 209963 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT r��rr�"'"+"��,�� ��"�,�M�r'��'�►i�^+�iY"ty�-'1(�FY''cr��ir�.+.t. r ... , +" iCOUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENTSERVICES -BUILDING DIVISION , .t. 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET e OWNER�--- Proposed Building Use Building Inspector No. 6 F0 - ((Cj Date lo7 % At ti:71. rmit application, I was advised the following data must be submitted prior to permit processing and/or issuance: ,. DATE RECEIVED BY All items Piave been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3., Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy' Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $......................................... 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . 13 Flood elevation letter (100 year flood) y California Engineer ................... 14. Sanitation and plot plan approval Health Health Department . ............ 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). . . Pre -Inspection requ�- 20. Pre -inspection for required. . to Building Inspector (Date)' 21. Contractor's license information. (No., Name Style, Classification). ...... . . 49) Certificate of Workmans Compensation Insurance. .�ok .. Ror ..(Y\O&Sb. . 23. Owner -Builder Verification (Given to owner , Mail to owner ............. 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization.............'.................................. r._. 26. Copy of recorded deed of parcel creation and.60 right of way to a public road. 27. Letter of intent on building use. .......... . 28. Mobilehome utility clearance . ...................................... 29. Documentation of legal access . ..................... :................... - 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ....................................... Plan check list . ...................................................... 5, 1 q--��7 33. 34. Whe ou issue the a reit ro s as follows: Mail to owner. Mail to contractor. Telephone ML' Wand hold for pickup at C- < c a office. Deliver with inspector. Other Parcel Creation e Acreage Applicant �e« Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to 1. Index permit for above items No. '2. Additional items required: rmit Lssuance: (Circle new item not checked above). r- Contractor, designer, owner was advised of above required data by K phone _ mail Counter by Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by G % 0 S a,4f, Date 3_ 31 _�1� Plans approved by t a f! eiJS Date '> Sets of plans on hold in File cabinet i TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance -r"�a Owner Plan Approved for: Sewage Di Clearance for 'dwelling. t e,r Hold final for: Final cls (VOTE: E.H. USE ONLY Plot Plan Attached S Floor Plan Attached Sentto B.D. ?' Z I cation / AP# ji Wat up Public ✓ P/rivate WellAAQA Environmental Health Specialist 8/96 Date .. i set of puma ani specs eations MUST - i • ®pL on tho jo at a>>r W ea d tli� a i to..�_..:. . 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